HomeMy WebLinkAboutMechanical 99-0892
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'3221> //<//7"
(.1'",
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.[:;/r J1 f,/ l'
COMMENTS:
----
/
( / : J)<:""
\l-/(l77
-------
.
DATE TIME
~7
" - '?fiT J
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
~
Ie, L. )
~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: --fl4'? ~. 7 -()"3 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY/
HOUSE HEATING TEST RECORD
ADDRESS;t#J-. 3 ~ \t ""\~ c..~ \' .APT. _FLOOR
OCCUPANT /77P~{""<:", OWNER
HEAT LOSS - DtT~ HTG. INST. 7/ Q//?3
SOLD BY fJ>< "" n <..... . INSTALLED BY
Eloctrical W",k By - I-'aW<;.{"Mt.k-S/O .Ga. Uno By
TYPE OF HEA T GA _ FA ~HW ----=STEAM _ SPACE HTR. _ UNIT HTR. _OTHER
/ -.- GAS DESIGN CONVERSION
MAKE t.--<e)'\.~ \t - .MAKE OF BURNER
Modol rnH:>U U' - '361~~D-fCJ-~dol
5..'al .~~~ ~<t..:Z-77 Ma.. BTU Ratin.
INPUT >f~ . &0 r, ". MAKE OF FURNACF
CITY
I\c, fl ~ S
THERMOSTAT p~\
-
Model
^ '"
IX
j/ ..............
CONTROLS
6> t(
Valve
Limit
Limit 5.tting
Fan S.tting
Pilot Type
Pilot Mole.
Pilot Mod.1
Heat P1ul
- /' '\
\-~ r; ~
KIND OF LINER . SIZE
Draft Hood RJ'gulofor
Fi It.,. Sin ~ .[Number
Q,imney Location Insictt\' _ ~ ._.~.
o.imney Construction /U.....----V<<' ,I\... \
-
Vent Size
- ,
~ '\-:::
- ...., l:;::...:-A r .p
7-' ,-. - ""'"'----
--smoke Bomb
_ Wiring
~ _T..,Ta~'
------ ~ting In.t.
?/';f!~ ~
..~~r>>~
Pilot Timing Draft
L..W. Cut Off Door Pressure
P,.uur. , if- :3i:.....s Percent CO ~ h Oat. T ..f.d
Inpur CFH >6JC,"'~~.rc.nt O~ r.. ~ Company resting
Stade Temp. ~:;:Zc.r Percent CO 9 Name of Tut.r
I;.,rm 235
SUBURB PL.
_NONE
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ;;;,:" ~::y I PERMIT NO. 0 3-0Q.~
3_ Yellow Applicant ]) f 0-1
(Please ~ or orint and sil!ll at bottom)
ADDRESS
3220 VALE CIRCLE
LEGAL DESCRIPTION (office use only)
}/~& '4uLe ,-.:)91A~--tL
LOT
BLOCK
ADDITION
OWNER
(Name)
STEVE MEARS
I ZONING (offi" use)
PIq..:) 5- /33.' D d1-C
(Address)
3220 VALE CIRCLE
(Phone) 952-447-4369
(Phone)
q C;? _44 c;-=.B..5.R c;
12010 OLD BRICK YD
- (Address)
(Contact Person) \....\ roQ
'\PPLICANT SIGNATURE ~~
SHAKOPEE MN
(City)
(Address)
55379
(Zip Code)
I (Phone)
t\.ex~ DATE
U
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION r;lREPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL UY\I'\O'l: G (ofll),l-\- 3iQ5-o<1u FUEL
FLUE SIZE RETURN OPENINGS INPUT q'). m/J OUTPUT 1-d. 000
,
TYPE OF SYSTEM
HEATING OR POWER PLANT
D Steam
D Hot Waler
D Radiation
D Special Devices
o Other Devices
DWarm Air Plants
DGravilY
~echanical
DAir Conditioning
DVent. System
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
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
ICloo
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ?}:\ .100
$ .50
$ l-I.D .cn
ifiee llseOnly)
This Application Becomes Your Building Permit When Approved
Paid,/ ~
..,0
Date /} .....
1-1~ .:9
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
lQ-.?{)-O~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Receipt No. ~
ULi<j l./ d
B .
~
o