HomeMy WebLinkAboutMech Permit 02-0476
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
5-3-02-
I. Pink
2. Green
3. Yellow
~:;y I PERMIT NO. 0' J_11/'76,
ApplIcant t?I. ,. /
(Please type or print and sign at bottom)
ADDRESS
16996 BLIND LAKE TRAIL
ZONING (office use)
R /51J
LEGAL DESCRIPTION (office use only) .
LOT j5BLOCK S ADDITION {J.MLJU Strtt..lu
PIDaf-O/7- ()97-(.J
OWNER
~ame) DAN & DEB RYMAN
(Phone) 95 2 - 4 40 - 2 403
(Address)
16996 BLIND LAKE TRAIL
APPLICANT
(Name) RONIS MECHANICAL. INC.
(Phone) 952-445-8585
(Address)
12010 OLD BRICK YARD RD
(Address)
SHAKOPEE
MN
55379
(City)
(Zip Code)
(Contact Person)
APPLICANT SIGNATURE
(Phone)
~~0t.v~A/ DATE
APPLICANT ~EASE COMPLETE BELOW
DNEW CONSTRUCTION lAREPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL {\l1vrl1v \~M.\JP OW FUEL Ubl
- .
FLUE SIZE RETURN OPENINGS INPUT .1:f\ 000 OUTPUT '1 ~ LDU
TYPE OF SYSTEM REA TING OR POWER PLANT
t:=;. - , -17'2
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
~lX)
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~~ ,::v
.50
4D .() D
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
paidLf L> I;{)
DatS-_ 3 -Od-
Re~~o9d-'
By ~0
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ;..; - '1 R- ') -
I;; rCib !3~ d / ~ ~~
ADDRESS
or "
OWNER
CONTR.
PHONE NO.
PERMIT NO.
;:)- ;) r; ~
c. I
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
'::j~~
(
(Jj.l~ ~~
""~ ~-~
)C WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~( t Owner/Contr:
CALL 447-985;~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
HOUSE H~EST RE.CORD
ADDRESS J6Cf<\ ~y 8\,'~V\~ k~.' APT. FLOOR _ _CITY _ SUBURB ~(' Lo.~
OCCUPANT ---JH-.'^-, V- ~ Vn\~~ '_OWNER
HEAT LOSS DATE ~~ ..J; .:-q~~~. I'J.. t
SOLD BY r/l; 'n n~. _' _INSTALLED BY _K\.I"'\ V\. '- <-
Electrical Work By ~fA...JtC>. O\l_~e: _Gas Line By -J
TYPE OF HEAT GA FA ~HW STEAM SPACE HTR. _UNIT HTR. OTHER
C .. ,--GAS DESIGN
MAKE 0.. ~t-,~. ~ _
Model ~ U J..1~V ... - 1- \ ~~
Seria I --1...6 C> _' L.~ c..t-.
INPUT M...' _ J
(, r-:::: CONTROLS
THERMOSTAT :::LLa') Heat Plug.
Valve ~
----I t)
~\ t( eJS<.
Limit.
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Pilot Model
Pilot Timing _
L. W. Cut Off
Pressure
Input CFH
Stack Temp.
Fo.m 235
CONVERSION
_MAKE OF BURNER
_ Model (
Max. BTU Rating
. MAKE OF FURNACE ______
Model ____
II
Vent Size h
./
~
_ KIND OF LINER
SIZE
NONF
- Draft Hood Regularor
- Fi Iters Size ~C' .Number
- Chimney Locotion ~n ide .~ . ~u~ide
r . _ Chimney Construction _ _ \, 1'"", \ 1\ ~
r . . ~"'- "'-
U ~ \~ ~ Smoke Bomb. -=- .~.W'
\ ,- (.\"~c-e . Draft - ----Test'iag--
f'" ~. ~ - "--- Door Pressure . ~ Lighting Inst. ~....
~..? Percent CO2 ~ ~ . Date Tested _ ~ ..=::. -,ct ~ O~........
~./~ePercent O2 ?;,~~ Company Testing --f(~~ i~.
-~:s Percent CO U . Name of Tester M1 ~
~~, ,
Date Rec:'d
CITY OF PRIOR LAKE PLUMBING PERMIT
9. ~8,o4-
I. Blue File
2. Gold Cky
3. Yellow AppliWlt
I PERMIT NO. O4-,Oq78 1
.ease ~ or mint and sian at bottom)
J1'6DDRESS
( I ...c~ ,- dY I ~ 'l'i( , Ik-IN'O LAt,<p I'lt.44-u.-
ZONING (ollice"",)
iUft:?
LEGAL DESCRIPTION (office use only)
LOT/.rBLOCK rADDITION
I~' ~ of oc..t1'Z1
PID ~.r: ,,'7 . (J '11. ()
. OWNER
(Name) _ D t'\"N ~ Y'1fOJ
(Address) 110 crl) ~ t2JL,"-Hl un'-t'. 'j}'L.!'k l.
(phone)
APPLICANT
I ~(Name)-.:Jl1E /lUftNO .-.JFC
',<(Address) \ 1)<) I +t>M-.2,,..u 'T'\1..+t1 i,.. c:.....
I (Address)
r (Contact Person) (?ACi ~~I/tfec
"" APPLICANT SIGNA~I . _/ -/k.:::?'~
f _ '-"'", ~
r--
~ ~~H ~hOne)
IN(! /
'1 fL,-2Z~ -I>?! <.,
(City)
(phone)
X)ATE
(Zip Code)
,hg/DLI
Quantity
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
~
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
~\
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
Residential. New One & Two-Family
Residential. Additions & A7t ions
Building Permit # 0"'. a 97
$99.50
$39,50
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
3'f.~
_1>. . .50
,v. CO
(Office Use Only)
1 This Application Becomes Your Building Permit When Au
. .]
I PSid1tJ. fI't}
I Dste~ ;J1Y..o f-
Receipt NO,,,,; (J ]
By {,
o
Building Offiel.l
Date
14 hour notice for a1lln.peetlon. (951) 447.9850, fn (951) 4474145
16100 Eagle Creek Ave., S.E., Prior Lake, MN 55371-1714
DATE
CITY OF PRIOR LAKE ,/ ,,/,
INSPECTION NOTICE SCHEDULED (!~~-
/69% ~;:;.I ~,,~ 7;:1
TIllE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~r-97J7
o FOOTING 0 PLUMBING RI 0 EXlGRADlFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL ~UMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMME. NT~ / /)/ A I
/1/X' a-r ~ ~/ft<./ ~ v-t:4 ;(2r
Mr k4..-J J-'1.. J-ri"'1 ~q y~
./ (/
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f- rc>/ ,. ()
I'V IS
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( ~e! _<. _ ~ -/ '-:--
'/1, C /lc:.J; 7 ";;"//,07 y- A ev.: c'
./ /
,,'
...r:l ./
cs-y~
.AWORK SATISFACTORY, PROCEED .
,r ~ORRECT ACTION~ND PROCEE
o CORRECT WORK. ECTlON BEFORE COVERING
/'
1..-.lO,............:: OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
-