HomeMy WebLinkAboutMechanical Permit 07-0338
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
/
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--
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SCHEDULED
. -'~ '7"
(S31 1(/ (/'.Cr..L/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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DATE TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~OR REINSPECTION BEFORE COVERING
Inspector: }/) (( </ Owner/Contr:
l II I
CALL 1447:9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/iOTI
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOlfTH . MINNEAPOLIS, ~N 554'. (952) 881-9000 O. TEST RECORD
ADDRESs3~ S9 I Sw .I! tW U/.-ck_ CITY r tlo~ laR
OWNER Po l{ r to'/' .
INSTALLED BY. '-,Y}~ /Jl~
MODEL b lei /YLp J looC OJ I t%>
INPUT. ~I 19&6> -
.:Jd
TYPE OF LINER. j/t/ C.
r;?e. "
LINER SIZE ----C. )
FILTERS: SIZE II-'?~-
OCCUPANT.
SOLD BY
MAKE b /<-:---:1-. .
SERIAL NO. <(' ~O 10 k I 77 q CJ
::~.MOSTAT ,~~30
LIMIT. lA;vR
LIMIT SETT~ ,:;J.grJ P
+-r~
PILOT TYPF (/ l,9~
IGNITION MODEL ~ (
PILOT TIMING ~'5RLOV\~
PRESSURE q_ S . S I We: PERCENT CO2
INPUT CFH I . PERCENT O2
STACK TEMP. J 1t;j'tip . PERCENT r'f"I
FORM 235 (REV. 1~
FAN SETTING
,
'X 'C/o,
tJ,'i'h
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HEATING
JOB N0 S9 CJ ciS/"
VENT S17<=
NUMBER.
~:~) .5{;C)
-
WIRING
TEST TAr.>
--
LIGHTING INST. /,
DATETESTFn \<; /~/tl7
COMPANY TESTING s.~ ~
NAME OF TESTER ~~
FORM DISTRIB~N: ~COPY - JOB FILE YELLOW COPY - CITY
'b S Dj v~ S
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~~~w l!~lcant I PERMIT NO. 07. 03381
(Please type or print and si~ at bottom)
ADDRESS
3 <;) ') OJ J-~~ \ c",- VI 0( \J l -e-.:..0 CA.!.
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID-Z~. i~q. tJ 03 _ Q
OWNER
(Name) 'TDVh l~ () LA.. 'S ~ CJ.... r-
qSL - L-f Y 1- (.., Z O{
(Phone)
(Address) ~'5 S9 Is lQrol VI ~ Uv/-
APPLICANT
(Name)
~dJ3 WICK HEATING & AIR CONDITIONING Ll C
3910 Wentworth Ave
Minneapolis, MN 5542
(952) 881~9nnn
(Address) (City)
(Contact Person) lV\o VVltLS 15 S e 0\ <1 v'vt c-L (Phone)
I APPLICANT SIGNATURECjJI1/1~LlU.Ql\' ~ ~~\0ItJl.,Q.J( c. ~ DATE 'Sl \ I 0 I
APPLICANT PL~A);E COMPLETE BELOW
DNEW CONSTRUCTION Kl REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL lLnn 0 y:. h I., I M jQ V k, 0 C 54 I FUEL 0 CL'S
FLUE SIZE L'l RETURN OPENINGS INPUT (11, () 00 OUTPUT '310, 'i S ()
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
(Address)
(Zip Code)
'g\Vann Air Plants
o Gravity
Ej'Mechanical
~Air Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
D 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 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ q, <0 <) . t: 0
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ ;'1, S 0
$ .50
$ '-10.00
(Office Use Only)
Buildin2 Official
Date
Paid 40 00
Date 5./4 07
Receipt~o.
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By I/.
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This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245