HomeMy WebLinkAboutMech Permit 02-1200
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMI!'
Date Rec'd
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ADDRESS
JiJJ~ 9 buJ-~ Av,
~.~.:.. ~:~. I PERMIT NO. /l') - J' /\~
3. Yellow Applicant VII' ~I
ZONING (office use)
!<./5D
OWNER .tt!.,' \ IJ
(Name) ->1VVe
(Address) Jln5WC\
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION 5/)LJ,v?1~~
-l I .
1 :S Llf- Wh /,}-e
1)u1\rh AI.. ~rlDY Lay".
I
PID2!J-/JqJ,eJ/d.-O
(Phone) Cf:Y-1./'/7- g5~ \
fYJru 553rra
APPLICANT ' \ ~ J J
(Name) &ANr\S\J" e. -t It ~ (Phone) ~2 - 89'-1 - 0005
(AddreSs)~2Lf~\ Q_~~ ~ d 11vf. S. 5uJMQ, ftll\J 553/'6
(Address) (City) 4 - (Zip Code)
(Contact Person) j~\f_ ~'o~ (Phone) C}7;l-CPlL/- ODDS
APPLICANTSIGNA~ \l, ~~ DATE q - /9 - O~
APPLICANT PLEASE COMPLETE BELOW
I DNEW CONSTRUCTION aREPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODEL Lenf)(JX G{pOUI-IU,2>foA-DIO FUEL Nd-. N
FLUE SIZE ~ RETURN OPENINGS ~s-h~--;; INPUT 101 000 OUTPUT kif; lfoo
TYP~ OF SYSTEM REA G OR POWER PLANT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
OWarm Air Plants
OGravity
J Mechanical
iAir Conditioning ~
JVent, System ttS~, 'l-O~4
~~
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$3950 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$3950
$39,50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
39.CVQ
, J 11""\ .50
--u'..L' 00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid # JI 0 ~ crd
Dateq ,?3-~
RijenOiyl-1
BYQU ,
1/
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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BVRN~~I~LE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378.952-894-0005
O,.'>>ioi Test Report for Jobl '1'3 t::J
Address I b ~ <! Y 0 tttilJl. -1 (/ ~ C~ pr( ~ I L c..h..o
Occupant S t-f've. +- '5 ~ ~~
Date of InslalJ 10" / ,. ~
Type of HT, F/A }t HW Space HT Unit HT
,
Other
e, Make Z e/1"'~ '}C ,.,- {('
Model G be> It \Hr~ 3t,~A -;70
Serial ~t'l{))~37i~
Input 7,~,('"\~':::::>
Pilot Type
Pressure
Input CFH
Stack Temp
HOT SURFACE..IGNITOR
'3.S C02 ~, <t
7'1 o~ 02 h. ;).
3 ~ 5"" 0 CO f2'/'
I'"
I
Date Tested
Company
Technician
/0- ). - o~
,
BURNSVILLE HEATING & AIR CONDITIONING
AJo-e1
.." ,
1
I
.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ r. &<.f ~
o()~~ A-vt-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,Ja MECH FINAL ~.
'Fur"! H_<. (It)
\(y
COMMENTS:
DATE TIME
tcJ -{
4 :()f)
)..-12..00
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Lf.
_ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: # Ii- 10 - { ~ 0 ~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!