HomeMy WebLinkAboutMechanical Permit 07-0256, 07-0442
DATE TIME
CITY OF PRIOR LAKE ':i -ks!0
INSPECTION NOTICE SCHEDULED
ADDRESS )ST)~ .IC;\~ IJI'~
OWNER CONTR. - t +L{~
PHONE NO. PERMIT NO. 7 - ?S-~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP \-
o FINAL :tt PLUMBING FINALW' .
o SITE INSPECTION ~ MECH FINAL A c..
/J I'l t1 ~~$".
COMMENTS: I~-.r
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r'
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(C)/(D:;;(/ V ~ -+l~l ,/
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 't'f~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ? ( ~) Owner/Contr:
J .
CALL 4<~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH. MINNEAPOLIS, MN 55420 . (952) 881-9000
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SERIAL NO. ~q 010 .!</)Lf 21.1'1
ADDRESS
OCCUPANT
SOLD BY
MAKF
Jf~
THERMOSTAT
VALVE' ~ Yv.-Ll\
0x~J_
LIMIT SETTING ;ZOO .- ~ 0
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LIMIT
FAN SETTIN'"
PilOT TYPE
IGNITION MODEl
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1"T <; I
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PilOT TIMING
PRESSURE
'":2; I S '- VI.! . <.: PERCENT CO2
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b
h
INPUT CFH ,
PERCENT O2
STACK TEMP.
PERCENT CO .
FORM 235 (REV. 11/89)
VENTSI71= ?l'RlG
TYPE OF LINER (;1 tL ~s 8
I L 'I
LINER SIZE' 7
FilTERS: SIZE _2 ox L S-"
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,
CITY_
OWNER
INSTAllED BY
MODEL
INPUT
WIRING
_ TEST TAG
_ LIGHTING INST.
DATE TESTED
HEATING
TEST RECORD
r~ ~( (ole
JOBNO 5oc15 ~
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NUMBER
-t~OD~
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-
'f-- 2-7-07
~5~' I-~A
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COMPANY TESTING
_ NAME OF TESTER
FORM DISTRIBUTION: WHITE COPY - JOB FILE YELLOW COPY - CITY
b'::)8q~o
~\...w DO
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and si~ at bottom)
ADDRESS
\ '5'( Y S I...s I Gt..Y\ c) \) i ..Q...u..J Q d .
1. Pink
2. Green
3. Yellow
~!~ I PERMIT NO. 01 02.5 b
Applicant .
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID c:...<"- -z.,')"2.. - 0 10.. 0
OWNER . .
(Name) ,J G\. VI x..... t
9SL-Y,-{/,)-~"SD
+- -01"cl V,,- S D."
oJ
(Phone)
(Address) I 5" -7 '1 s- Is lon d \j \ -UAJ 12o.l,
APPLICANT
(Name)
alCK HEATING & AIR CONOITION1\G Llt:
10 Wentworth Ave.
Minnsnpolis, MN 5542C
(952) 881~900Q
(Address)
(Phone)
(Address)
(City)
(Zip Code)
I ~~:;::::~NA~h~ ~~":::TE y II~I DI
- APPLICANT PLiLA$E COMPLETE BELOW
DNEW CONSTRUCTION WREPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~n(),,- e.IoIMPV k,(/C-/l j FUEL h ct.~
FLUE SIZE RETURN OPENINGS INPUT ill J Do v OUTPUT; 0 <). "t S" D
TYPE OF SYSTEM HEATING OR POWER PLANT
.gJ.Warm Air Plants
o Gravity
Kl Mechanical
~ir Conditioning
OVent. 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
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ \, I VI SO. c ()
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$3 <1.
$
$
So
.50
Y6,DO
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
ftJ. ()O
f.UlrJ7
I Rei/tNo. 5]~G
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Date
Buildin2 Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245