HomeMy WebLinkAboutMech Permit 05-1153
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
/1 vie .o~
~. ~':n ~:~ PERMIT NO. ~!;;. ,./ 5":>
3. Yellow Applicant J
(Please type or print and sign. at bottom)
ADDRESS
15561 WILDWOOD CIRCLE SE
ZONING (office use)
LEGAL DESCR.1t' nON (office use only)
LOT BLOCK ADDITION
PID 25. 01 (.0 Zz" 0
OWNER
(Name) GEORGE DOHENY T.'
(Address) 15561 WILDWOOD CIRCLE SE
(Phone) 952-447-6013
APPLICANT
(Name) RON'S MECHANICAL. INC.
(Phor.e) 952-445-8585
12010 OLD BRICK YARD
(Address)
(Contact Person) L\ ndo.....
r-- uPLICANT SIGNATURE ~
(Address)
RD
SHAKOI~..EE
(City)
MN
5..5..179
(Zip Code)
(Phone)
l\tM~
~
APPLICANT PLEASE COMPLETE RELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL e.a,V-YLtY t::>~\)~ 0:1.0 FUEL L)t1
FLUE SIZE RETURN OPENINGS INPUT 00 {>()U OUTPUT 1-~, OOU
TYPE OF SYSTEM HEATING OR PO$R PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
DATE
\ \-, lo-oC;
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
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pennit #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
:2A.1)
50
40-00
,fiee Use Only)
Building Official
Date
Paid ~-'
Date II.. { Y- t-';-
Receipt No. :SV394-
BY~
~
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
~ CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~(n\
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
OA. TE TIMe
SCHEDULED 12~~.
1~.-~
CONTR.
PERMIT NO.
5 -tf.2:)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~_LUMBING FINAL
~ECH FINAL
o EXlGRADlFllLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
uJ I f\ fl.,-
) ~~I~J:,(le
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~L FOR REINSPECTION BEFORE COVERING
Inspect ?r: ( ) I) Owner/Contr:
CAI..~ THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
.._'
AIKJ...-379"0 wCi:J:;;~;;!'f.T_~~ST .~:7.
OCCUP~~T OWNER
HEA TJ,.bSS 'O~ TI HTU~ST. ~.
SOLD 8Y t::..6}.Ff~r MI ~~ INSTALLED 8Y
Electric. Work 8y .. Go. Line 8y
TYPE OF..HEAT GA FA V HW STEAM SPACE HTR.
,--
"1
CITY f, J....,SUBUR8
UNIT HTR. OTHER
CONVERSION
(;,;Arl' \ CNAS DESIGN
MAKE, 7"t" ( r-f(
.....1 ~S" :%~{).. - H';
s.la..~/O} I -1
INPUT b
THERMOSTAT
Val.e
LimIt
Limit Settln,
Fan Se,ttln,
Pilot Type
Pilot Make
Pilot Mo_1
Pilot Tlmln,
~L.W. Cut Off
Pre..ure
b.,ut CFH
Stack Temp.
F Of'" 235
MAKE OF BURNER
Model _
Mox. BTU Ratin,
MAKE OF FURNACE
Model
,.-
'/
I\.
, '--
CONTROLS
Heat PI",
/p II
Yent Size
~iv.r:~
, 1,...-
.1- tf';-. __
l-~
KIND OF L1NEP SIZE
Draft Hood Regula,or
Fi Ite,. Size t?r
Chimney Location 'lli4e_ .
Chimney Construction --V V r:=.wT
NON 1=
Outside
.... .- Wiring
"-./' Test Tog
/ '- - Lighting In.t.
0... T....' I J. re '7
Company Te.tlng IV ,.,
No_ of Te.ter P.
'- .,,--
/,,,
Smoke Bomb
Draft
J
Door Pre..ure
'ji>ll~ P'K'.'CO,
bot. Percent O2
.., Percent CO
7,fR
~'~
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