HomeMy WebLinkAboutMech Permit 02-0563
01/29/02 TOE 11:18 FAX 6124474245
CITY OF PRIOR LAKE
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BEAllliGlAIR COND....ONINGIFIRIPLACE PE1UtIT
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(Name) n \. \ ""'5=-""- I~ve.tr\ d-a. VI U ~ (Pbcme) "+'+ /- \7ju-:..^ '. .
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APPUCANTSlGNATUlU! ~tu~ 1..f~c..p DATH' C;-IJ~C(~:'
APPLICANT PLEASt COMPi..1!.J.1!. BELOW
(]NEWCONSTllUC11ON ~U:.Jotar.l: OALTBRATlONS; ". '.
FURNACE ~ANDMODBL Wt\O~' . . 1'uEt. fo-.).1-"fQ ~ \
fLUE SIZE 5"' RETURN OPENINGS _ INPUT ~!f:t':D 0U1'PUT dI 0 0
TYPE OF 5\",.1_ BEATING O&POWEIt. PlANT
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CoedIdoaIq SpcciIlD" ~.,,;
:Vent. SySfIIIl OIlIer Devices
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Air CoDditiaaer Units
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r~...ACE MAD AND r.1!\Jr...~
FIE ~1lU!.U1JLE
Industrial. Commercial &: Muld-F1IDily 1% of job COlt ~ GIS,ircpIta". $39.SO .
$39.50 miDimum . _. -..,.. .
JaidcntiaL HadtIs &: AIC (N4M CGdnJcdoa) $99.50 Raider". AdditioDt a ~ $39.50
lesideIltial, HCIIiII Oldy (New <:casnction) $64-'0 . RaicIemial Af:c Oolr .. ,-. .. 139.50
Earimldl!!Cl Cost $
Baildlnl Permit #
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HEA11NO PERMIT FEE S
STATE SUR.CHA1lGE . S
TOTAL PDMIT ~:.W. S L-,fO .
(OlIlce VIe 0.11)
nit AppIicatioII Becomes your...... Pend 'WIleD AppnMCl
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Date~()I?;-
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Z4 boar notice for .11 iupectiolll (952) 447-9150. fa (952) 44'''US
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CITY OF PRIOR LAKE
INSPECTION NOTICE
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DATE 't.:....
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SCHEDUC,fD
ADDRESS --D '].n- ~r u./ty}2
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.).- S-C"3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
F f./VV!.uu
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o .5ORRECT ACTION AND PROCEED
)If CORRECT A~ALL FOR REINSPECTION BEFORE COVERING
Inspector: rJf/ ./5---)..S -({Z.7 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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APPIIANrn:
PERFO-.~ItttCE TEST
Attach to gas line at/jIII::ent to regulator
Heating Contractor ALTA, LTD.
Name of Tester ~
Date ~:lq-02....
..--------"
11355" ~\dMtmt
ALTA, LTD.
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7.~
~ 'P~~
1.1 70
...9t ~ 'i 0
Job Addrus
Heating Contractor
Name of Tester
Date
Percent O2
Percent CO
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606 "F
Input