HomeMy WebLinkAboutMech Permit 02-0639
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
.\
I. Pink
2. Green
3. Yellow
~!~. I PERMIT NO. A _ 13'n
Apphcant J,) e; yt,
(Please type or print and si2l1 at Lv.....u.)
ADDRESS
i0"lOe; rtJ16'1
1Ja" J
. S~..
ZONING (office use)
pI
LEGAL DESCRIPTION (office use only)
LOT ({"LOCK ADDITION. 4-(1 .J)~ d tvd-
(Vl ({klfA~{ rz C{5t... ~ l .
(Address) I '" L t) 9 t ;11 J1 '1. ~. !!
PID ;;(5- 007- 018-.0
OWNER
(Name)
1~;;~~ANT biANDARD HEATING & AIR CONDITIONING CO.
410 WEST LAKE STREET
(Address) MINNEAPOLIS, MN 55408-2998
612-82~8) (City)
(Contact Person) ~ ./71}-" A .. (Phone)
APPLICANT SIGNATURE ~. ~ l\~ DATE
:PPLICAN&LEASE COMPLETE BELOW
DNEW CONSJlRucnON ~ REPLACEMENT 0 AL TERA nONS.J.. I
FURNACE MAKE AND MODEL t<. (V ~ . ~ FUEL 1\4tt1 .~
FLUE SIZE RETUIrn\;l)ENINGS INPUT G, (D J 8IJO OUTPUT
(Phone)
(Zip Code)
./
i:) I J-fdo 1-
"1c::6
,
TYPE OF SYSTEM
XiWarm Air Plants
OGravity
o Mechanical REQUEST FOR INSPECTION
~Air Conditioni SENT TO HOMEOWNER. NO
DVent. System
RESPONSE - CLOSE FILE
FIREPLACE MAKE AND MODEl 4/2003
HEATING OR POWER PLANT
n "h'"m
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
SS:x5
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~<f. SO
$ ~ .50
$ ttO.cS{L
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Paid I I. (X) Rece3PjNo. J I
4'0./ :.--- ~~ I;J. .,
Datet'~/_Oa--~Y
fjG
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
;4.T
/fA//l/CL I r-
DATE
ADDRESS
/~ ,09
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~- ~09
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
[g/fINAL
/[]'sITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
;1- /~
--~
/~ :f '/" )
(/ /y_ MLv /
{ ~/ ./U.)L /
\ /
~
-----
'--.
IiYWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~ ~ C:YO'1
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
'NSNOTl
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GAS WORK ORDER
. ., . ,... '.. .....
1082 Payne Aye...,. ;".....,. '"SsrANCAFlC.. ~~i.
St.~~~i'7~_~4~~101 ~~HE;AT'INC50~
&: AIR CONDITIONING
A Blue Dor. Service Co.
FIRST, M .c::ho, /
S.~.
21 P .&).-r ~ 1..;)
LAST .( fI,J..~^~
ADDRE'SS' 1 b 107 At'\I\e( '1"fl.L
CITY.~P(< Q a., I....A U>
HM PH 9S'Z.--LJ40.;5518 WK PH
.,' /.'"
TECH ~), Nt. ,( DATE~) ~g/o1--
. '
CO2 t,e; %
02 1.~ %
CO "() %
I NET STACK TEMP .,313
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~.~
OJ-/b3/
.' 410 W. Lake St.
. ,', Miqneapolis, MN 55408
612/824-2656
EQUIPMENT INFORMATION
TYPE
MAKE f6A \{ ~
I MODEL 3'6 ~ ,c,(J vi ~:;> <.( o"{ 0 tJ- 33 /i1
ISERIAL ()t.-/ aLA 5 (~ I 57
IINPUT 0, to .GO (..; ~
ORSAT TEST RECORD
METERED INPUT ((J (I) p 0 c!th CHIMNEY TYPE
LIMIT SETTING pr1 .0 FLUE SIZE
PILOT OUTAGE l,1I lor ~1sec CONNECTOR SIZE
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o
~--Uo",- '{
Lf. in.
LI in.
../.1.21;, ~tUh
TOTAL CHIMNEY INPUT
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