HomeMy WebLinkAboutMechanical 07-0103
CITY OF PRIOR LAKE
...;~~ I~CTION NOTICE
ADDRESS 1'5~O'2..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
IsIJ",,~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
$MECH FINAL
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Fvt~ k~
DATE TIME
1..1 ('O(OJ
7. LoJ
I-l~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
e>Q CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
SCHEDULED
{ t:7m_
fst~ f/{,(' t.IV
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
jf/C
, '/
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/' //
( ( -/1 Uf:5t
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
7,11-zJf
-;., /CO
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
..
--
~.~
1- _ I '\
7 IU )
./
~
.'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PR~ED
CALL.JI'6~EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
JOB NO. )'88l y
SEDGWICK HEATING & AIR CONDITIONING CO.
8910 WENTWORTH AVENUE SOUTH. MINNEAPOLIS, MN 55420 . (952).:!1-9000
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ADDRESS CITY
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OCCUPANT
SOLD BY
MAi<~
SERIAL NO.
THERMOSTAT. V f ~ QC)(}
VAL\I~ %2. !J. . ~
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L1MIT_ ~!-/
L1MITSETTI'~/ ~?&J)-r ~b~)C::
~-
PILOT TYP~ I) t1A-<
IGNITION t1"n~1 I/::s I
PILOT TIMING . ~-----S.re60~
PRESSUR~ c5/S-' 'It! (' PERCENT CO2
INPUT CFH e:y /) PERCENT O2
STACK TEMP. r ?9 7 ~ PERCENT CO
FAN SETTINr::
FORM 235 (REV. 11/89)
'8%
/y'%
//
HEATING
TEST RECORD
P "'-it! (q l2
LW1 ~0
INSTALLED BY -M:.. !;:JJ#
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t IPO()!lv ..3&& me
INPUT 1'O/J & 0 ./ /")
. -//11 / (})
VENT S17~ ~ . "-" --1 0\
TYPE OF LINER /!:>e()I l~lJ \. ./
It~ ~/
LINER S'7~ IL .J'./
FILTERS: SIZE J(J-j:' d-O SERF \ L./C::J'
OWNER
MODEL
WIRING ---
---...
TEST TAr::
-
LIGHTING INST. ,
'>
DATE TESTEn ;;:; / OJ 7 117 7
/ /
COMPANY TESTING J.. ~~ ~/... /
~d~'
NAME OF TESTER 7' ~~ ~J
FORM DISTRIBU~WHITE COPY, JOB FILE
YELLOW COPY. CITY
\sfO~
"""'NESO""
11 ,-~!g/f CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
.3 ~ - 07
I. Pink File PERMIT NO 07 I
2. Green City .. 0 ( 03
3. Yellow Applicant
(Please type or print and si~n at bottom)
. ADDRESS
/ J( 7 ()J..
ZONING (office use)
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LEGAL DESCRlPTION (office use only)
LOT
BLOCK
ADDITION
PID 2-5' zS Z- . 0 J7 . 0
OWNER
(N ame)
(;)/W~
(Phone) ~J. olLJ -a1~'
(Address)
APPLICANT
(Name)
(Address)
SE&SWiCK MEAliNG & ,\IR CONDITIONING LL\;
8910 Wentworth Ave.
Mmne~MN 55420 (City)
(952) 881-9000 I
(Contact Person) (Phone) .
APPLICANT SIGNA~ ./d rJ;~J.Y j '. . DATE c)/oI..i!/J1
, - :'f ,...... /J'l.,Ql.) I (
APPLICANT PLEAS COMPLETE BELOW
DNEW C~;;;;ON J2!I ~EPLACEMENT D AL TERA llONS
FURNACE MAKE AND MODE /JAf..-.to ?j) tt 1iJ/ .J....~C;L> FUEL ~
FLUE SIZE 6-. I ( RETURN OPENINGS INPUT~.?it1t? O~PUT ~o
/ '
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone)
(Zip Code)
~Warm Air Plants D Steam
DGravity 0 Hot Water
o ~echanical 0 Radiation
laAir Conditioning 0 Special Devices
OVent. System ./1 0 Other Devices
FIR(hfc~JAN~~~EL L./!n10K i~/j,. tJ&J
PLEASE NOTE: Air Conditioner
Units and Fireplaces Cannot Encroach
into Required Side Yard Setbacks.
Fireplaces with Box Additions or
Cantilevers to the Outside of Buildings
Require a Building Permit.
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~J 4.5t?
"/A .50
^pJ ./JO
(Office Use Only)
Buildinl!: Official
Paid ~(). UU
Date ';"> (' ../}
~ ,U I
(
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Date
RfjiPt No. is ~ 7J 8 7
B'!
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This Application Becomes Your Building Permit When Approved