HomeMy WebLinkAboutMech Permit 05-0141
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
Z. 2.3- ,'5'
1. Pink File PERMIT NO
2. Green City . 05. 0 14-'.
3. Yellow Applicant
(Please type or print and sign at bu~.u~)
ADDRESS
3440 WILLOW BEACH TRAIL
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID ZS-: ! (~. () (4-. () _
OWNER
(Name)
KARL SWENSON
(Phone) 952-447-1421
(Address)
3440 WILLOW BEACH TRAIL
APPLICANT
(Name) RON'S MECHANICAL, INC.
(Address)
12010 OLD BRICK YARD RD
(Phone)
SHAKOPEE
952-445-8585
MN
55379
(Address)
L \ DdCl
. A.PPLICANT SIGNATURE ~~ ~~
U
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION lSia REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL 'Q\.u,U) \Al1~~ \Ot.-~YYl:6~ FUEL
FLUE SIZE RETURN OPENINGS INPUT \DDJ'W OUTPUT 'l::b.WD
TYPE OF SYSTEM HEATING OR POWER PLANT
(City)
(Zip Code)
(Contact Person)
(Phone)
DATE
a-a.} "'o~
oWarm Air Plants
iEVity
chanical
Air 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
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
3q.0
$
$
$
_ .50
~U.DO
lice Use Only)
Building Official
Date
Paid.A-. .
-...u.~ 0
DateZ.2.3.0)
:cefJU/ I
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
HOlSE HEATI~T~T RECORD
ADDRESS- 3 ~ ~ 0 If.h' \ \0 W s ~~'<\ \ ~~. \ FLOOR
OCCUPANT '\.-, P ~ "\.~ ~ y " . Ir')WNER
HEAT LOSS - DATE HJ..G. INST. ~:;;;l.,,\ -(').5
SOLD BY /7//Y'I J\~ ~~ (' -0 INSTALLED BY
Electrical Work By ~~S--~~ \J <:; P Ga. Line By
TYPE OF HEAT GA. FA JX:: HW STEAM _ SPACE HTR.
,() \\. GAS DESIGN
MAKE _ U\\)\) 6,) MAKE OF BURNER
Model LJG v,~- I 01::.1-\. rY\ SJ\( J~del
Serial F~~-o3C~~--oS"d'} L>1~x. BTU Rating. I\. /
INPUT. I . (""\/ c:r=a MAKE OF FURNACE~X
Model '"
r-- ~TROLS /'( \
THERMOSTAT ~~ \ Heat Plug Vent Sin b
Valve KIND OF LINER SIZE
Limit ~ ~ Draft Hood , ~t! ~Iator
Limit Se"ing t' \. "^/" ,_ " ) Fi Ite,. SiZ~ x.~~ N Imber
Fan Setting ~ "- "", Chimney Location In~e-:-_ ' .Out.ide
Pilot Type Chimney Construction 'J ~ V'\ ~
Pilat Make
Pilot Model
Pilot Timing
L. W. Cut Off
Pre..ure I. 7~ ,3 . ..>......... Percent CO2
'Put CFH/ c.t::::)4 CY"Y'\~cent 0
, ~j~~, 2
ck Temp. <> 7.4. -.,. Percent CO
-- ,,- G'...........
235
CITY
~~l3
UNIT HTR. _
OTHER
CONVERSION
Smoke Bomb
Wiring
Te., Tag_
Draft
;., Door Pre..ute. J ,~nl In.t. _
7. ~ ~ Date Te.ted ~/~/ 0.4 _
70'-/ J. V-
. T / 6 Company Te.ting 0
/ l' /l /' Y"\ No.... of T uter r.. ~~~
SUBURB
P~.L,
NONF
DATE TIME
~~y
,
cd/tw ~e"C-( ir/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
..syyo
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
,.....L1-MECH FINAL
cJ.J-/~/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~9MME.NTS: I' /' ? ~
./4/ke~d /or,{4~C#!! tL- ~C'.
./7 /" ~ ,,. -I
/4ce~L,fJ,j O/Sc? /- ~<S~
.-.. , / b'/
(d#f'~VS"' ~Ok #~..
0/1
/ / _ J
/9/C ~?,? e tJ(/ d
Pf/ # c//9'#/.H4 -c/..]t!:JU#2-
VL L/J~cf
~ /
/;.-; /lq/
--- ,/,
CCcJS-Q /~//p
~ORK SATISFACTORY. PROCEED
h-~.~RRECT ACTION AND PROCEED
o CORRECT W~"j~R REINSPECTION BEFORE COVERING
Inspector: ~t-- Owner/Contr:
~/
(..,/ ( '-
-----.... .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!