HomeMy WebLinkAboutMech Permit 02-0700
CITY OF PRIOR LAKE '
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
l. Pink File
2. Green City
3. Yellow Applicant
(Please type or print and siltll at bottom)
ADDRESS
? ~40 5=:P'RTN~ T.~K'F. 'Rn
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
.J-~ ~.~
" 1.1'
BLOCK
OWNER
(Name)
Date Rec'd
PERMIT NO. 0;),-700
ZONING (office use)
RrsD
PID JS -'3j-051-1
WALLEECE DOBSON
(Phone) 952 - 2 26- 2 786
(Address)
2840 SPRING LAKE 'RD
APPLICANT
(Name) RON'S MECHANT("AT.. TN(,,_
(Phone) q C;? _LiLi c; _ A c; A c;
(Address)
SHAKOPEE
(City)
12010 OT.n RRTC"K vn 'Rn
(Address)
(Contact Person)
APPLICANT SIGNATURE Ch~~NA..,~
(Phone)
DATE
55379
(Zip Code)
U' 6 ~ (5).--'
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION ~ REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL \2. u W:Y lk f1 P k: D1'- FUEL tJ b
FLUE SIZE RETURN OPENINGS INPUT 11::>\000 OUTPUT t;1 J;t)V
TYPE OF SYSTEM
DWarm Air Plants
OGravity
jMeChanical
ir Conditioning
Vent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~.SD
$ .50
$ 40.00
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid ~ J/O' --
Datj,..,_1 d'- tJ~
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt NOLI d-l14
By
~
DATE TIME
CITY OF PRIOR LAKE I '1
INSPECTION NOTICE SCHEDULED !-c- V15'- J... \ .3 ..' 73 a
ADDRESS r9f?L/D ~_4Kk ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
,::) - 7 aU
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
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
n
(,(crns
5'~eJ~~.
1ft!- (
?-~
,
I.
n -l"' a
~ o~~ ~~
o WORK SATISFACTORY, PROCEED
o CORR ION AND PROCEED
X COR CT RK, CALL FOR RElNSPECTION BEFORE COVERING
Inspect! ,r:.J Owner/Contr:
(1,~5; FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
..,
. H,OUSE HEAT~ TEST RECORD
ADDRESS ~&~() ?f7('lV\.(\\ ~ '<-~_ ~T._ FLOOR
OCCUPANT . -So"'- C-;) , OWNER
HEAT LOSS DATE~TG. INST. h..-13-o~ /J
SOLD BY J'?7.)'nS1if~(' CO - INSTALLED BY ~\"'^ 'C'
Electrical Work By I-A~_",~~, \ <:P Gas Line By - "'"
TYPE OF HEAT GA FAX HW STEAM SPACE HTR.
,
a ~AS DESIGN CONVERSION
"r Il '.' MAKE OF BURNER ~
Ul},Y - o7f:::;R-U ~~ -.-W.odet ~
~dQ'D ~~;>\rY~/3~,rLCI4w-. BTU Ra~ ~
7q~J MAKE OF FURNAC~ ~ _"
Model ________
CITY .
SUBURB {fo~ \"~
UNIT HTR.
OTHER
MAKE
Model
.
Serial
IN)UT
f)_L~~~LS
THERMOSTAT~ '71 ~eat Plug
Valve ~
Limit 4 "/_1- -.
Limit Setting -r '- a
Fan Setting _ '\.
~::::::: \S~~~~
Pilot Moclel _ :-'\
Pilot Timing
L. W. Cut Off _
Pressure ~ . D" ,,;-Rprcent CO2
Input CFH 70 ~~rcent O2
Stack Temp. ...-~ 7/ _ Percent co
Vent Size
6 I'r-
KIND OF LINER SIZE
Draft Hoocl _ - .. Ytgu1a,or
Filters size/LfXXJx tNumber
Chimney Location InJ-iPe ~.IS"K\\".,~
Chimney Construction _P:;;. --V~_\J "v
NONF
Smoke Bomb _ Wiring.
Draft Te.t Tag
Door Pressure ~ing In.t.
7. L.(; Date Tested b.- t~ OL-
/...Q~ Company Testing - ~/c?~/l\
o N.a- of Tester .Jr/ 1-- f~
Form 235