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Home My WebLink About2004-P07826 - mechanical CIT� �F R N PERMIT � � � permit Number: 2750�,Kelley Parkway- PO Box 66 Po�s26 Crystal Bay,.Minnesota 55323 Permit Type: Mechanical Pernuts (952) 249-46a0 Date Issued: siiii2ooa SITE ADDRESS: 2178 Shadywood Rd Wayzata,MN 55391 PID: 17-117-23-42-0009 DESCRIPTION: Proposed Use: Residential Permit Class: General Permit Type: Mechanical Pernrits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolution#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: PermitFee: $ 56.25 Valuation• $ 4,500.00 State Surcharge Fee: $ 2.25 Misc.Fee: $ 1.50 TOTAL F'EE: $ 60.00 APPLICANT: Ron's Mechanical,��. OWNER: Mr.&Mrs.Curtis Anderson 12010 Old Brick Yard Road 2178 Shadywood Rd Shakopee,MN 55379 Wayzata MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. c \`r� 1�li�/�iC � APPLICANT PERMITEE SIGNATURE I D BY SIGNATURE Couies: 1-File(SiQnitures Required), 1-Anplicant, 1-Monthlv Renorts, 1-Assessin�, 1-Finance Page 1 e �h � ` �� j CITY OF ORONO APPLICATION FOR MECHANICAL PERMIT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mechanical pernuts by mail or in person at the City offices. Applications will be reviewed and a permit will be issued within two working days. 2. Permit cards will be sent by return mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECEIVE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS POSTED ON THE JOB SITE. 3. Mechanical Desi�ns - Complete calculations, details and specifications are required for each heating, ventilation,humidification-dehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. IdPr.±ification of and specifications for wa�er heating equipment shall also be provided. 4. When any new construction or remodeling is involved, a separate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected (rough-in and final). Call (952) 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before final. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call (952) 249-4600. Please check one: ❑ New ❑ Addition ❑ Repair ❑ Replace ❑ Residential ❑ Commercial JOB SITE: � , �t,a ' �a Zip: ..��3 � Owner's Name: r v Phone Number: ��Z. '� SS" �� Mai�ing Address: City• Q��;n�, ip• ��_c�/' Contractor's Name: RON' S MECHANICAL, INCphone Number: 952/445-8585 Mailing Address: 12010 OLD BRICK YD RD City: SHAKOPEE Zip: 55379 1 ... , ,.,�► + � SYSTEM DESCRIPTION ` HEATING SYSTEMS • Quantity: � Make: (�,�( ��( Model: 5��'� Fuel: �/ Flue Size: Input BT[Js: �' � Output BTUs: �� CFM: COOLING SYSTEMS Quantity: � Make: u, Model: rn��✓`►—I Tons: � H.Power FIREPLACES GAS LINE ONLY ❑ Gas factory fireplace ❑ Installing a Gas Line Only ❑ Wood burning factory fireplace with flue ❑ Wood Stove ❑ Wood stove with flue Brand Name Model No. VENTILATION No, Kitchen Exhaust duct recalculating cfm No. Bath Exhaust(must have duct outside) �� No. Other Fans: Locations �� FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) „� . „ ❑ Installation or ❑ Removal ❑ Fuel oil: gallons ❑underground ❑ inside ❑outside ❑ LP Gas: _gallons _. .._...- -. . _ :. :. �.::� . ❑ Other Gas opening : . 2 _ � . � . , . PERMIT FEE CALCULATION(S) 2002 State Statute ❑ Yes This Section Applies The replacement of a Residential fixture or appliance that meets all three of the following requirements: 1) Does not require modification to electrical or gas service. 2) Has a total cost of$500.00 or less; excludine the cost of the fixture or appliance: and 3) Is improved, installed or replaced by the homeowner or licensed contractor. Skip next section; Cost of Pernut $ 15.00 State Surcharge $ .50 Mail-In Fee $ 1.50 If above does not apply, follow guidelines below: 1. Contract Price* is .0125% of job with a Minimum Fee of($35.00) y�� X .oi2s $ �(0.2�� (contract price) (minimum$35.00) 2. State Surchar�e. ** Add the State Building Code Division a Minimum Fee of($ .50) x .0005 $ O�•�� (contract price) (minimum$ .50) 3. Postaee and Handlin� (Only mail-in applications) $ 1.50 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ �•�� 'CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the pecTnitted work including materials,labor,profit,and other fixed costs.It is the amount to be charged to the customer for the work done.If any material, equipmen,,iabor,or installation is furnished by the�.�mer,teiiani ur any other party the reasunable marke[value of such items must be added to the estimated cost or contract price for permit fee purposes.In the event that there is a dispute on the amount of the job cost,the City may request the submission of a signed copy of the actual contract. •*The STATE SURCHARGE is.0005 of the contract price under$I,000,000 or$.50-whichever is greater.For valuations over �1,000,000 call the Depamnent of Inspectional Services for the price. The undersigned hereby applies to the City for issuance of a Mechanical Permit,agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code,and certifies that all statements made on this application are complete,true and correct. Applicant's Signature: Date: p�"1`� Approved By: Date: 3 C� �- ,/ DATE TIME CITY OF ORONO CALLED IN INSPECTION N C p SCHEDULED � � PERMIT NO. O��O COMPLETED ADDRESS a�� OWNER �1Lt� CONTR._L��Q� �_ TELEPHONE NO. �SZ 7 7� ' 9J � DESCRIPTION �r2�/`-0`'� � �ti'�C � lV 01 FOOTING 11 MECHANICAL RI 18 EXCA / ADING ILLING � 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS � Q 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP 06 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT � 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP ? 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL v 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU:_YES_NO � COMMENTS: � W a � � O , � O � W � Q � Z W � W � � d W WDRK SATISFACTORY:PROCEED ROJECT COMPLETE � ❑ CORRECT WORK&PROCEED ISSUE CERTIFICATE OF OCCUPANCY W � ❑ CORRECT WORK,CALI FOR REINSPECTION TEMPORARY V BEFORECOVERING PERMANENT ❑CORRECT UNSAFE CONDITION WITHIN HOURS. � pHOTO TAKEN INSPECTOR WlLL RETURN ❑STOP ORDER POSTED.CALL INSPECTOR '� CITATION ISSUED ❑ INSPECTION REQUIRED.CALLTO ARRANGE ACCESS. Cail for the n xt inspection 24 hours in advance. (952� 249-4600 Owner/Con c ite: Inspector. White Copylinspector's File Canary Copy/Site Notice PERMIT C�TY �0 F O RO N O Permit tvumber: 2750 Kelley Parkway- PO Box 66 P06389 Crystal Bay, Minnesota 55323 Permit Type: Mec�ni�ai Pe�i�s (952) 249-4600 Date Issued: 6/5/2003 SITE ADDRESS: 2178 Shadywood Rd WAYZATA,MN 55391 PID: 17-117-23-42-0009 DESCRIPTION: Proposed Use: Residential Pernut Class: General Permit Type: Mechanical Permits Permit Sub-type(s): Multiple Mechanical Items DETAILS: Approved per resolurion#: Separate permits required: NOTICES/REMARKS: FEE SUMMARY: Permit Fee: $ 68.38 Valuation: $ 5,470.00 State Surchazge Fee: $ 2.74 Misc.Fee: $ 1.50 TOTAL FEE: $ 72.62 APPLICANT: Sedgwick Heating&Air Conditioning Inc. �WNER: C&S ANDERSON 8910 Wentworth Avenue S 2178 SHADYWOOD RD Minneapolis,MN 55420 WAYZATA MN 55391 THE UNDERSIGNED HEREBY REQUESTS PERMISSION TO MAKE THE REAL IMPROVEMENTS SPECIFIED AND AGREES TO DO ALL WORK IN STRICT COMPLIANCE WITH ALL CITY OF ORONO ORDINANCES AND STATE OF MINNESOTA BUILDING CODE REQUIREMENTS. c ' __ ` `�-S� �%��(yC.� �R�4'/�-u�r` �— APPLICANT PERMITEE SIGNATURE ISSUED BY SIGNATURE Couies: 1-File(Si�:nitures Required), 1-Avolicant, 1-Monthlv Renorts, 1-Assessine, 1-Finance Page 1 , `�-,��.�Sl�/ . � , CITY OF ORONO APPLICATION FOR MECHANICAL PERMTT Box 66 (2750 Kelley Parkway) Crystal Bay, MN 55323 GENERAL INFORMATION 1. You may apply for mechanical permits by mail or in person at the City offices. Applications will be i reviewed and a perm.it will be issued within 2 working days. . 2. Permit cards will be sent by retum mail after a review is completed. PERMITS ARE NOT VALID UNTIL YOU RECENE A PERMIT. WORK MUST NOT BEGIN UNTIL THE PERMIT CARD IS � POSTED ON THE JOB SITE. 3. Mechanical Desig_ns - Complete calculations, details and specifications are required for each heating, . ventilation, humidification�ehumidification, and air conditioning installation including heat loss/heat gain calculation, design temperatures, equipment ratings and identification as to type, manufacturer and model. Data shall be presented on form provided. Identification of and specifications for water heating equipment shall also be provided. 4. When any new construction or remodeling is involved, a sepazate building permit must be obtained. 5. All work must be done in accordance with the Uniform Mechanical Code/State Building Code requirements. 6. All work must be inspected (rough-in and final). Call 249-4600. 24-hour notice required. 7. House Heating Test Record must be submitted before fmal. Instructions Complete all items on this application. Compute the permit fee. Sign and date the certification. INCOMPLETE APPLICATIONS WILL NOT BE PROCESSED. If you have questions, call 249-4600. Please check one: New Addition Repair � Replace �_ Residential Commercial JOB SITE:4 `17 �D Zip: Owner's Name• Telephone Number: Mailing Address: �,�,��_ City:l ,�Y� �-f t Zip: .��f/ Contractor's Name: � � �s��-��R;,�;A e��i�^�•�- Tele ` e Number: Mailing Address: �, ��'�"e�twor;'� , City: Zip: �'r�,.��;;c�p011S, ��v �. P_J SYSTEM DESCRIPTION (952)881-9Q��' HEATING SYSTEMS Quantity: l Make: c._ .�_ Model: ��y�r�/�-�;�� Fuel: l' Flue Size: '' Input BTUs: '�7p C'i�v Output BTUs: ' CFM: COOLING SYSTEMS Quantity: / Make: Model: j�.fJ-C��t� Tons: �i. H. Power : , . . _. , _ � �k ( . .. - . "___. � :. < �;..I , � . � � . ' r � � WOOD BURNING EOUIPMENT Wood stove with flue Wood combination or add-on Factory fireplace with flue `;' Factory Fireplace (s) Freestanding Masonry Wood Stove (s} Franklin, other Brand Name Model No. Mfgr's Min., Clearances, side , rear , min. flue dia. VENTILATION No. Kitchen Exhaust ducted recirculating cfm No. Bath Exhaust (must be ducted outside) cfm No. Other Fans: Locations cfm FUEL STORAGE (MUST BE APPROVED BY FIRE MARSHAL) Installation Removal Fuel oil: gallons underground inside outside LP Gas: gallons Other Gas opening PERMIT FEE CALCULATION 1. 1.25% of Contract Price* or Minimum Fee ($35.00) �� '�7�%�, " x .0125 $ (v�..� (contract price) 2. State Surcharge. ** Add the State Building Code Division Surcharge to each permit. ��y�� x .0005 $ o�'- 7� or $.50, whichever is greater (contract price) 3. Postage and Handling (Only mail-in applications) $ 1.50 ;_,: 4. TOTAL PERMIT FEE (Add lines 1-3 above) $ '7t,�.��2 * CONTRACT PRICE or JOB COST means the actual or estimated dollar amount charged for the permitted work including materials, labor, profit, and other fixed costs. It is the amount to be charged to the customer for the work done. If any material, equipment, labor, or installation are fumished by the owner, tenant or any other party the reasonable market value of such items must be added to the estimated cost or contract price for permit fee purposes. In the event that there is a dispute on the amount of the job cost, the City may request the submission of a signed copy of the actual contract. ** The STATE SURCHARGE is .0005 of the contract price under $1,000,000 or $.50 - whichever is greater. For valuations over $1,000,000 call the Department of Inspectional Services for the price. The undersigned hereby applies to the Ciry for issuance of a Mechanical Permit, agrees to do all work in strict accordance with the ordinances of the City and the regulations of the Minnesota State Building Code, and certifies that all statements made on this application are complete, true - and conect. Applicant'c Si?nature:�-�' �� Date: .;.� Cl,� � E Approved By: Date: ;� }:; , - , � : ; , , . , �r . , - � � �< . . �. '; { - �� , �,, � . . . 1 � �e�gw��l� � /� /� HEATING&AIR CONDITIONII�IG CO. R E S I D E N�I/1� � E/"1T I N G D ATA S H E ET Comfort vou can coi+nt on JOB NAME: �-✓ ;s � S�t,�� f�- DATE Z � ADDRESS: ' OUTDOOR TEMP: -Z.a INDOOR TEMP: 7 � TEMP. DIFFERENCE: � DESIGN TEMPERATURE DIFFERENCE MOVABLE GLASS WINDOWS SaE TRE 30 35 40 45 50 55 60 65 70 75 80 85 95 HEAT LOSS HEAT TRANSFER MULTIPLIER SINGLE GLASS 39 45 52 58 65 71 78 84 90 97 103 110 116 123 SINGLE GLASS W/STORM 21 25 28 31 35 38 42 45 49 52 56 59 63 66 DOUBLE GLASS }c � 28 32 37 41 46 50 55 60 64 69 73 78 82 87 � 6 � DOUBLE GLASS W/STORM 16 19 21 24 27 29 32 35 37 40 42 45 48 50 SQUARE DESIGN TEMPERATURE DIFFERENCE BTUH SLIDING GLASS DOORS FEET 30 35 40 45 50 55 60 65 70 75 80 85 90 95 HEAT LOSS HEAT TRANSFER MULTIPLIER SINGLE GLASS 42 48 55 62 69 76 83 90 97 104 110 117 124 131 SINGIE GLASS W/STORM 22 26 29 33 37 40 44 48 51 55 59 62 66 70 DOUBLE GLASS 29 34 39 43 48 53 58 63 67 72 77 82 87 91 DESIGN TEMPERATURE DIFFERENCE DOORS S�E TRE 30 35 40 45 50 55 60 65 70 75 80 85 95 HEAT LOSS HEAT TRANSFER MULTIPLIER SOLID WOOD 31 36 41 46 51 56 62 67 72 77 82 87 92 97 SOLID WOOD*' 18 21 24 27 30 33 36 39 42 45 47 50 56 M ETA L U R ETHA N E 23 27 30 34 38 42 45 49 53 57 60 64 72 METAL URETHANE"" 13 16 18 20 22 25 27 29 31 33 36 38 40 42 "Weatherstripped or Storm RUNNING FEET � CEILING HEIGHT x � WALLS GROSS WALL = G G WINDOWS & DOOR AREAS �/3 a NET WALL AREA � SQUARE DESIGN TEMPERATURE DIFFERENCE BTUH FRAME WALL FEET � �' � � � � � � �� ' � � � �' HEAT LOSS HEAT TRANSFER MULTIPLIER NO INSULATION 8 10 11 12 14 15 17 18 19 21 22 23 25 26 R-11, 3" INSULATION 2.7 3.1 3.6 4.0 4.5 4.9 5.4 5.8 6.3 6.7 7.2 7.6 8.5 R-13, 3-1/2" INSUlATION 2.1 2.4 2.8 3.2 3.5 3.8 4.2 4.6 4.9 5.3 5.6 5.9 6.3 .6 R-13 + 1" POLYSTYRENE 1.8 2.1 2.4 2.7 3.0 3.3 3.6 3.9 4.2 4.5 4.8 5.1 5.7 R-19 + 1/2" POLYSTYRENE 1.6 1.9 2.2 2.5 2.8 3.0 3.3 3.6 3.8 4.1 4.4 4.7 4.9 5.2 DESIGN TEMPERATURE DIFFERENCE MASONRY WALL SQUARE BTUH ABOVE GRADE FEET 30 35 40 45 50 55 60 65 70 75 80 85 90 �' HEAT LOSS HEAT TRANSFER MULTIPLIER NO INSULATION 16 18 21 23 26 28 31 33 36 38 41 44 4S 49 R-5, 1" INSULATION 4.3 5.0 5.8 6.5 7.2 7.9 8.6 9.4 10.1 10.8 11.5 12.2 13.0 13.7 R-11, 3" INSULATION 2.3 2.7 3.1 3.5 3.8 4.2 4.6 5.0 5.4 5.8 6.2 6.5 6.9 7.3 R-19, 6" INSULATION 1.4 1.7 1.9 2.2 2.4 2.6 2.9 3.1 3.4 3.6 3.8 4.1 4.3 4.6 DESIGN TEMPERATURE DIFFERENCE MASONRY WALL SQUARE BTUH BELOW GRADE FEET � �' � 4' � � � � �� ' � �' �' HEAT LOSS HEAT TRANSFER MULTIPLIER NO INSUlATION 4.4 5.1 5.9 6.6 7.3 8.1 8.8 9.6 10.3 11.011.812.513.214.0 R-5, 1" INSULATION 2.6 3.0 3.5 3.9 4.3 4.8 5.2 5.7 6.1 6.5 7.0 7. 7. 8.3 R-11, 3" INSULATION 1.8 2.1 2.4 2.7 3.0 3.3 3.6 3.9 4.2 4.5 4.8 5.1 5.7 R-19, 6" INSULATION 1.2 1.4 1.6 1.8 2.0 2.2 2.4 2.6 2.8 3.0 3.2 3.4 3.6 3.8 HEAT LOSS SUBTOTAL Z� �� c � Heat Loss Subtotal from Paae 1 Z �I �6`f f~ SQUARE DESIGN TEMPERATURE DIFFERENCE BTUH CEILING FEET � �' � � � � � � �� HEAT LOSS HEAT TRANSFER MULTIPLIER NO INSULATION 18 21 24 27 30 33 36 39 42 45 48 51 54 57 R-11, 3" INSULATION 2.6 3.1 3.5 4.0 4.4 4.8 5.3 5.7 62 6.6 7.0 7.5 7. 8.4 R-19, 6" INSULATION 2� 1.6 � 1.9 2.1 2.4 12.6 29 3.2 3.4 3J 4.0 4.2 4.5 4 8 5.0 � � R-30, 10" INSULATION 1.0 1.2 1.3 1.5 ! 1.6 1.8 2.0 I 2.1 2.3 2.5 2.6 �2.8 I,;.0 3.1 R-38, 12" INSULATION 0.8 0.9 1.0 '.2 , 1.3 1.4 1.6 1.7 1.8 2A 2.' 22 !�.3 2.5 FLOOR OVER AN SQUARE DESIGN TEMPERATURE DIFFERENCE BTUH UNCONDITIONED SPACE FEET 30 35 40 45 50 55 60 65 70 75 80 � � � HEAT LOSS HEAT TRANSFER MULTIPLIER NO INSULATION 10 11 13 14 16 17 19 21 22 24 25 27 28 30 R-11, 3" INSULATION 2.4 2.8 3.2 3.6 4.0 4.4 4.8 5.2 5.6 6.0 6.4 6.8 7.2 7.6 R-19, 6"INSULATION 1.6 1.8 2.1 2.3 2.6 2.9 3.1 3.4 3.6 3.9 4.2 4.� '�.7 4.9 R-30, 10"INSULATION 1.1 1.3 � 1.5 ?.7 1.8 2.0 2.2 2.4 2.6 2.8 �3.0 3.? 3.3 3.5 DESIGN TEMPERATURE DIFFERENCE � BTUH BASEMENT FLOOR SQUARE 30 35 40 45 I 50 55 60 65 70 75 ' 80 8a` 9� I HEAT LOSS FEET HEAT TRANSFER MULTIPLIER BASEMENT FLOOR '' 0.8 1.0 � 1.1 1.3 1.4 1.5 � 1.7 1.8 2.0 2.1 2.2 2.1 2.� 2.7 I Q� CONCRETE SLAB WITHOUT LINEAR DESIGN TEMPERATURE DIFFERENCE BTUH PERIMETER SYSTEM FOOT 30 �' � � � � � � �� I � � HEAT LOSS HEAT TRANSFER MUITIPLIER NO EDGE INSULATION � 25 29 33 37 41 45 49 53 57 61 65 69 73 77 1" EDGE INSULATION 13 15 17 19 21 23 25 27 29 31 33 35 I 37 39 2" INSULATION 6.3 7.4 8.? 9.4 �10.5 11.5 12.6�13.6 14.7 15.8 16.8�17.8I18.9 20.0 CONCRETE SLAB LINEAR DESIGN TEMPERATURE DIFFERENCE gTUH WITH PERIMETER SYSTEM FOOT 30 � I q0 45 `,�0 ( 55 � 60 65 70 75 80 8a` I � I � � HEAT IOSS HEAT TRANSFER MULTIPLIER NO EDGE INSULATION 57 67 76 86 95 705 114 124 133 143 152 162 ?71 181 1" E D G E I N S U LAT 10 N 34 40 4& 52 57 63 69 74 80 86 91 97 I 103 109 2" EDGE !NSULATION 28 33 37 42 47 � 51 56 61 65 70 75 79 , 84 89 An additional infiltration load is calculated only if the home is loosely constructed or when window infiltration is greater than .5 CFM per linear foot of crack. 7 L' FLOOR SQ Ff. x � CEILING HEIGHT = ��CUBIC FT INFiLTRATION/ VENTILATION 0.40 z�"(CUBIC Ff - 60 = 1 CFM MECHANICAL VENTILATION CFM = FRESH AiR INTAKE OESIGN TEMPERATURE DIFFERENCE BTUH CFM 30 35 40 45 5� 55 60 65 7� 75 80 H�` �' HE.4T LOSS HEAT TRANSFER MULTIPLIER INFILTRATION 33 39 44 50 55 61 66 72 77 83 88 9a .. 105 MECHANICAL VENTILATION j� 33 39 44 50 55 61 66 72 77 83 88 I 94 105 �,�'•� HEAT LOSS SUBTOTAL � y 6 � DUCT LOSS BTUH HEAT LOSS R-4, 1" Flexible Blanket Insulation: ADD 15°% 1.151 R-7, 2" Flexible Blanket Insulation: ADD 10°% (.10) TOTAL HEAT LOSS � NOTE: All Heat Transfer Multipliers from ACCA Manual "J" Sixth Edition. H1-841-L7 002344 Litho U.S.A. �� v DATE TIME CITY OF ORONO CALLED IN �O I IV � INSPECTION NOTICE SCHEDULED (v 1� C� � ��%G , PERMIT N(��;3� � _ COMPLETED ADDRESS � �-7 � � E.�- � � I�C,�� OWNER CONTR. �-- �-�t� � S �;, e_c��! TELEPHON�NO. " �` � Z �--�-� I — c1��S (`�; f , n � � DESCRIPTION � � b1 C� I — �C-L� - � Ot FOOTING 11 MECHANICAL RI 18 EXCA�//GRADINGJFILLING Q 02 FRAMING 13 MECHANICAL FINAL 19 LAKESHORE/WETLANDS y 03 INSULATION 24/25 WOOD BURNER/FIREPLACE 34 TREE REMOVAL Z 04 WALL BD. 12 WATER HOOK-UP 17 SITE INSPECTION Q 05 FINAL 14 SEWER HOOK-UP O6 PROGRESS � 07 DEMO-SITE 27 SEPTIC MAINT. 21 COMPLAINT v 07 DEMO-FINAL 15 SEPTIC INSTALL. 22 FOLLOW-UP = 09 PLUMBING RI 23 SEPTIC FINAL 35 HARD COVER REMOVAL J 10 PLUMBING FINAL 36 FOUNDATION/REMOVAL � OWNER/CONTRACTOR TO MEET YOU�YES_NO � COMMENTS: � � � o � t'�^'t-c , ``t�, �- 4�t- �'c; � � � ��a� �gl - ��o W � Q � 2 � Z�/ � �� a W� _ WORKSATISFACTORY:PROCEED PROJECTCOMPLETE W O CORRECT WORK 8 PROCEED ❑ ISSUE CERTIFICATE OF OCCUPANCY � ❑CORRECT WORK,CALL FOR REINSPECTION TEMPORARY � BEFORE COVERING PERMANENT O CORRECT UNSAFE CONDITION WITHIN HOURS. p pH0T0 TAKEN INSPECTOR WILL RETURN p CITATION ISSUED ❑STOP ORDER POSTED.CALL INSPECTOR ❑ INSPECTIONREQUIRED.CALLTOARRANGEACCESS. Cail for the next inspection 24 hours in advance. (g52) 249-4600 OwnerlContract i e: inspector. �- White Copyllnspector's File Canary Copy/Site Notice SEDGWICK HEATING & AIR CONDITIONING CO. HEATING JOB NO. 8910 WENTWORTH AVENUE SOUTH • MINNEAPOLIS, MN 55420 • (952)881-9000 TEST RECORD ADDRESS � �� S��-�X bL�-CY CITY �� // / v OCCUPANT �/�� '" OWNER L`��S f�i��J�.T��2� SOLD BY ��- � �'�� INSTALLED BY�4 '? � �� P-Z" MAKE Le-�YtU� MODEL ��,CJ�.�� Z�� SERIAL NO. �v O Z �� < �� INPUT � (� d 6 O ttlr � � ,.. ,,,. r r`� r��; � � THERMOSTAT �� VENT SIZE L VALVE / /�� ' ��" �� TYPE OF LINER /.� Y `L' � r ��vO 1 i LIMIT �� G LINER SIZE ,,S LIMIT SETTING ` �D FILTERS: SIZE �G' �1 z � NUMBER � FAN SETTING �� ^ � WIRING �U I��1� �i �/ � PILOT TYPE � r""?G�� TEST TAG IGNITION MODEL �/ c7 LJ C d� / LIGHTING INST. PILOT TIMING f y 1 ��; � �'- 3-- C� � DATE TESTED PRESSURE �' � PERCENT COZ � � �/ c INPUT CFH � PERCENT 02 � COMPANY TESTING S2 � �W � � "� 2 � � f C G�1 Z-�- STACK TEMP. J✓ � PERCENT CO NAME OF TESTER ' �7 FORM 235(REV.11/89) FORM DISTRIBUTION: WHITE COPY-JOB FILE VELLOW COPY-CITY