HomeMy WebLinkAboutMech Permit 02-0174
CITY OF PRIOR LAKE
HEATING/AIR CONDITI6NING/FIREPLACE PERMIT
Date Rec'd
1," ~/ -01-
I. Pink File PERMIT NO
2. Green City .02-,- /i/7 A~
3. Yellow Applicant (/ ~
(Please type or print and sign at bottom)
ADDRESS
lkXt(5 L~~<)
~~- ~
. ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
R.o(,~e.~ ~~q(cf
! l.,Kl(5 ~~) Pr~ ~~_
(Phonefl~.L- <-Il(1 ~ ~~
(Address)
~~~~~ANT v"~NOARD HEATING & AIR CONDITIONING CJ.
410 WEST V\I'\t:. 6 I Nt:t: ,
(Address) MINNEA~OLlS, MN 55408-2998
o 't'..th;'-tA'~s) (City)
(Contact Person) ~1Jt.- n (,7)' (Phone)
APPLICANT SIGNATURE ~O,(Y8--t\ r. )"IWt~ DATE
APPLICA"PLEASE COMPLETE BELOW
DNEW CO!5NT UCTION ~REPLACEMENT D ALTERATIONS (
FURNACE MAKE AND MODEL _ tA~"'" ~ ~ 5 FUEL l1tL ''''..rev .
FLUE SIZE RETURN NINGS INPUT "-"! ~ OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
'\t1Wartn Air Plants 0 Steam
OGravity 0 Hot Water
. J Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
OVent System 0 Other Devices
(Phone)
(Zip Code)
I
Y 114/ 0'7..-
C!.ep
wi
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & Ale (New Construction) $99.50
Residential, Heating Only (New Construction) $64.50
Estimated Cost $ ~ ;~
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~9 .SO
$ I .50
$ f....J 0 . O<.J
(Office Use Only)
This APPIi..~omes Vour Buildlug Permit Wheu Approved
. f!JJ.. Offici,. t- ~!..' 0 2--
Paid 40.00
Date
2-" ~f- 02.,-
ReCeiP}No4-12A_3
ByF
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I~frqr- LY"II1$ ~
CONTR.
OWNER
DATE TIME
4-2
PHONE NO.
PERMIT NO. -.J. - / 7l/
,
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: Ac/ 'FVV"\Itr-- (f;)
''j \.../
/ I~,..~
(/l (/.TL
Lj" L-
I' -
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r/"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W':O CALL FOR REINSPECTION BEFORE COVERING
Inspector: t {f L1-J,-O 1 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
j\,(~~~~~Y'--:-""'''''''.:::-;<''l$''~-'''''''''7~t" ,.-:.~-t"~~~~:~.,. S;".t..:-r;:" .':t~~~.~~ P"_:-~", -..~rr~,4! ",l>, ,,~: ',iJ'~.:"':'''r;r-r<".-,,-'''~,\'~~~r'-t~~..,<,,;o.-.
7'"'__",""'00'0 ('
}v.'~-'\-
"'-"'~'l.tr<<"~~
:r~'o\-,
.14-
t'Z-"C'L:,:
410 W. Lake ;81. '..~
Minneapolis, MN 55408
612/824-2656
....
~..~GA&WORK-.OR~I;;~,,'s,,
. ~
1082 payneiAv~.-'" ,.','STANOARC
81. Paul, MN\$5101 . -"'HE A-INGO
651/772-2449 MAR 20m....." "I ....
& AIR CONDITIONING I
A Blue DoC. Service SO. EQUIPMENT INFORMATION
FIRST. PcZh.//2 ITYPE /G rce-d .41 ~
...
MAKE /) A" / _ ~_r "
r .
MOD~L ~ JS.-S-.AVf1V~(l it
jSER I /' ~,,~""'~~
~f>> 1,1/<11/ j
i1NPUT - ioe;~: .!
I
\.!~
-,
LAST ('~e""""'A-";>
ADDRESS /G. g.y-~-
CITY I('flr ~ A~~
HMPH
TECH I~#O "l-
1
C .V 0"" A'v'c.. S" ~
, --'irt:?:r~ :J 7 <-
WKPH
DATE
z-2fl-oz-
ORSAT TEST RECORD
METERED INPUT c;,O()o/,; cfh CHIMNEY TYPE c:./ '1 e'-
LIMIT SETTING ?~cJ 0 FLUE SIZE 4' /,;
PILOT OUTAGE A./ f4- see CONNECTOR SIZE V.-'Y,
C02 C_&- %
02 7-1 %
CO t>' %
NET STACK TEMP I'u I
in.
in. j-"
. btuh .
-
o
TOTAL CHIMNEY INPUT Y.:VeI c)