HomeMy WebLinkAboutMech Permit 02-0066
CII 'i OF PRIOR LAKE
HEAlll~G/AIlt eONDIIIONING/tlKEPLACE PERl\'Ul
Date Rec'd
(Please type or print and silUl at bottom)
ADDRESS
i ~ ~I~ I PERMIT NO.
3. Y.llow Applicant
15303 EDGEWATEF CIRCLE NE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
JOEN & CAROL WEYANn~
(phone) 440-6758
15301 EDGEWATER CIRCLE NE
APPLICANT
(Name) 'RON' ~ MECHANTCAL. n~I.l"-
(Phone) LtLtI; _ A I; A I;
(Address)
12010 OLD BRICK YARD RP
(Address)
LtndA
(Contact Person)
SHAKOPEE ~~
(City) (Zip Code)
(Phone) 44 tj- &h %' S
DATE t- \4.01..
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION .8REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEr{mk'nClU5- (!a.vru.v ~U H\lOloOJ 6~Vo'i9 FUEL JJLl.:,
,
FLUE SIZE #Jl:t rJ}r';-RN-o:t'~l~.'(l'I'OS &0,000 15D.(;()O ~D.OOO''''6\:J tr U 1
TYPE OF SYSTEM IIJPur ~A TING OR POWER PLA~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
DWarm Air Plants
~ravity
Mechanical
ir Conditioning
OVent. System
:, -ton Co. VY"l....vV
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
$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 $
&;000
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
3q.50
.50
40 OV
(Offiee Use Only)
This Application B~r Building Permit When Approved
~ J-Ifp-oz.....
Building Official Date
Pai~
~O.OO
Date
1-lltJ.. 02--
I Receipt N4ilt
~7 _
BW/'--'
/"
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
DATE TIME
~ CI~ PRIOR LAKE
INSPECTION NOTICE
SCHEDULI;D
.3 ~.;- --0 1..-
+: ljU
ADDRESS /5303 6lJG-6r1/r~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o Z-- ~ oofe ~
o FOOTING
o FOUNDATIO~
o FRAMING
o INSULATION
FINAL
~ SITE INSPEC ION
COMMENTS:
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
~ Pd I2-fJft eE-
cY.~ ~-~
~~
~ WORK SATISFACTORY ).\.OC:
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'''''"ctot' _ ~.
:L- <>-9FlA~. ,~,
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
ADDRESS Ir30) 1~G-i.-~lAIlii~ C/~L;:/'-t:!"APT.
OCCUPANT. -:-)C.....U...... 'I-- CA~I i)l:-") Jo-iJ\'L-OWNER
HEAT LOSS. _DATE HTG. INST. , ~'-I C'c
SOLD BY ~//-J/.-IcZ"6-/4--',.C (':l I .INSTALLED BY_
Elec~ical Work By a-/ T l=t ~A--Y . Gos Line By
TYPE OF HEAT GA FAX HW STEAM SPACE HTR.
HOUSE HEATING TEST RECORD
FLOOR
.CITY p. i..-, ~UBURB
~o'^~ ........, 1~I4A M t::Al
_UNIT HTR.
OTHER
CONVERSION
MAKE
Model
Serial
INPUT
GAS DESIGN
CAvc..ra-; l-'tZ-
~e. uJ-\ VOfbO -F -/-1 '?
yqO/A ~~79o
("... C 000
,
.MAKE OF BURNER
Model
_ Mox. BTU Rating
. MAKE OF FURNACE
Model
x
THERMOSTAT
Valve
Limit
Limit Setting
Fan Setting _
Pilot Type
Pilot Make
Pilot Maciel _
Pilot Timing
L. W. Cut Off
CONTROLS
. Heat Plug
tJrr
Vent Size 7
. KINDOFLlNER L.L-A-$5 C SIZE <if NONF
. Draft Hoocl 7" Regula,or
Fi Ite,. Size/'cP>" ?-S- Number
Chimney Location Inside L: _ Outside
Chimney Construction C CA 1>1 rs
k- ,V .:rY)
r ;'
-c.
r) 0T
- .....~
L. vve- F- n '-"-
~
~.
Pressure
Input CFH
Stack Temp.
Form 235
'<,>, ~
C-C cOO
2'~ '"3
Percent CO2 _ Q.. ~
_ Percent 0 ,...,
_ Percent CO ~ 0
/
\ /
A
Date Tnted I h ""/t" 2-
/ ./.> (!~. ~ . I ^ IL' - "" /
Company Te.ting _ ,...... } t""-'7 l">-~~ ,~./ ~
Name of Tester ~~l:'"'~ ms.CM l?" /' 5'
,
Smoke Bomb
Draft
_ Wiring.
Tnt Tag
Lighting Inst.
~/^
. Door Pressure
ADDRESS 1~303 d:O("'.....V-~>.-2.- Cia..~' LLr' Nt-'"" APT.
OCCUPANT. 'o.i-I/'o-J '"1-. CA-VCJ:'L t--..)\?~A'yl).,- .OWNER
HEAT LOSS. _DATE HTG. INST. JR-'1 en.
SOLDBY /"'i'N.V\:r,.....,....A.<:e.-o... ' ,
Electrical Work By I~I-rl:- o.-:;)Ar
TYPE OF HEAT GA FA ~HW
HOUSE HEATING TEST RECORD
FLOOR
_CITY
PL.-SUBURB
.INSTALLED BY _
~s /J :Fe J.:J-A-I'...(cA-'-
STEAM
_ Ga. line By
SPACE HTR.
.UNIT HTR.
OTHER
CONVERSION
GAS DESIGN
MAl( E (' ~I t.rtC:-
Mod.1 ~~ZA vo...S-O - J ~ 0 fl
Serial "3 I olA ~<Q ~JJ<-
INPUT ~C, ceo
Limit
Limit Setting
Fan Setting _
Pilot Type
Pilot Mak.
Pilot Model _
Pilot Timing
L. W. Cut Off
Pr.ssur. ., . ~
.rO, 000
~ '~9
THERMOSTAT _
Valv.
Input CFH
Stock T.mp.
Form 235
MAKE OF BURNER
Mod.1
Mox. BTU Rating
. MAKE OF FURNACE
Mod.1
~
./
/.
CONTROLS
. H.at Plug
Vent Size
.., '(
I
KIND OF L1NEP c.. t.-A-5 ~ C SIZF ~'f
Draft Hood 1"7 Ir R.guloTor
Filt.r. Siz..-li......,..2C _Numb.r
Chlmn.y Location In.i~. X
Chimn.y Con.truction . G. ~A-S ~
.NONF
(:-1 )Co- r\-J
;>
^,-
,--.Al'r
( t"V&--1 ( .
...,
<:.;;./
_ Out.id. _
A
"
f")
_ P.rcent ("( .
. P.rc..
_ P.r,:.'.
. Smoke Bomb Wiring -
Draft \/' _T..t Tag
Door Pr...ur. /....-. . . lighting In.t.
~.'=:, Oat. Test.d I )'2.~JC\E
7..~ ('...mpony T..ting / 12-<:'r!3 /"'1l",,-cliA-/-: GA "-
cr._._ Name of Test.r ,.. _, L~~-? /?7'1iC;; ->--'~'5~
X'