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��� � �e�artrrtertt ot �uirbir�g 3�ng�ectiott �
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Final Permitted ❑ Conditional C.O. Expires
� i is Certi cate issued ursuant to the re uirements o Section 307 o the Uni orm Buildin Code ^
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certifying that at the time of issuance this structure was in compliance with the various ordinances of the :,�.
City of Prior Lake regulating building construction or use. For the fol[owing: �
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= Use Classificatio Of f ice Building Biag. p�,�,�ac rro. 94-249 �
� r , �: Occupancy Type B 2 Type Construction V Fire Zone NA Zoning Disvict B Z �
w �; [,e ai�escri cion L3 B2 James lst Addition '�
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(� _ OwnerofBuilding SiteAddress 14093 Commerce Avenue N.E. �
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���� , Concraccor'sxame& ddress McKni ht soc. 14198 Commerce Avenue Prior Lake, MN �-
� �ary ta er Blair Tremere 55372 �'
ciry Planncr '
���i Buil ing fficial ��
n Date: �
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' POS I A CONSPICUOUS PLACE _
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. � � � COMPLETED � '� ��Q � �
ADDRESS �QnQ 3 �' h""'''�^.u- �L
OWNER CONTR.
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TELEPHONE NO. '
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0❑ ALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
Z INAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
� DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
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❑ CORRECT UNSAFE COND T HOURS. INSPECTOR WIIL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next i pection 24 hours in advance.
Owner/Contr o
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 4 Q'��+ COMPLETED b- -�i4 �v �� �
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❑ INSPECTION R QUIRE . CALL TO ARRANGE ACCESS.
call for the next ect on hours in advance.
Owner/Contr. or�site
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �" Z COMPLETED ���Z "�4 L��
ADDRESS � 40 a3 I�OM /'n-�-� �
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❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the n ection 24 hours in advance.
Owner/Cont . o it
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
tNSPECTION NOTICE SCHEDULED
PERMIT NO . �� ZS�`� COMPLETED ��� � /'�
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� O INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANOS
�❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
2❑ FINAL O SEWER HOOKUP ❑ FOLLOW-UP
Q O FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
_ ❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. O PLUMBING FINAL �
= COMMENTS:
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V ❑ CORRECT UNSAFE CONDITION WITHIN HOUFiS. INSPECTOR WILL RETUFiN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr ite
Inspecto �� 447-4230
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HOUSE NEATING TEST RECORD
"� �''�� � APT. FLOOR
OWNER
, INST.
INSTALLED BY '�
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_HW STEAM SPACE HTR. UNIT HTA
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MAKE OF BURNER
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MAKE OF FURNACE
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INSPECTION NOTICE SCHEDULED
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INSPECTION NOTICE SCHEDULED
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V :' CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
5 STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/ConTr. ite
Inspector � ' 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . /T �� COMPLETED �`�'9 3 �
ADDRESS �1��'�'!�/YJ��L.�g- /TU�i
OWNER CONTR.
TELEPHONE NO.
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call for the next inspection 24 hours in advance.
Owner/Contr. o ite
inspector �-- 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTlCE SCHEDULED �� 2 �`�� '� 3 d
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2❑ DEMOL. � SEPTIC MAINT. ❑ FIREPLACE
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= COMMENTS:
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�� STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REOUIRED. CALL TO ARRANGE ACCESS.
call for the next ins ection 24 hours in advance.
Owner/Contr. o te
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED ��� �` � a
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= COMMENTS:
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❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REOUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Confr site
Inspector 447-4230
rel�ow copy nancs wnite copynnapecra�s Fi�e
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �Q' - 2 4�1 COMPIETED 9-ZZ-9� 0: �
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❑ STOP ORDER POSTED. CAIL INSPECTOR.
❑ INSPECTION IRED. CALL TO ARRANGE ACCESS.
call for the n t� ction 24 hours in advance.
Owner/Con r. n it
Inspector 447-4230
Yellow Copy/Site Notice NTits Copy/Inapscror't Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTI E SCHEDULED �L -�� 2�' �
PERMIT NO . �� 2 � y COMPLETED
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ORK SATISFACTORY:PROCEED ❑ PHOTO TAKEN
�❑ CORRECT WORK AND PROCEED
� O CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION RE�UIRED. CALL TO ARRANGE ACCESS.
call for the next �nspection 24 hours in advance.
Owner/C t . n site
Inspector 447-4230
y�pN. �y ' � NTife Copy/Inapecrtx's Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �Y �Z� COMPI.ETED $ � 7 � ���
ADDRESS ��`"D�����2Cj'fi l�:l2A� ���—
OWNER CONTR.
�. TELEPHONE NO.
� l j FOOTING ❑PLUMBING RI ❑SITE INSPECTION
RAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
�❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
Z C FINAL ❑ SEWER HOOKUP O FOLLOW-UP
Q❑ FOUNDA710N ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
= O DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. O PLUMBING FINAL � /��
= COMMENTS: C� O tL
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❑ CORRECT WORK AND PROCEED
❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDE(i POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. ite
Inspector �/� /� 447-4230
ve�nw capyis;r. rvunc, NTits Copy/Inapecrtx's Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . � 4 r Z4 � COMPLETED G-27—�(4 �= �l0
ADDRESS �� d 3 �O vv� m c rc c �v�.
OWNER CONTR.
�. TELEPHONE NO.
l j❑ FOOTING PLUMBING RI ❑SITE INSPECTION
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y❑ INSULATION ❑ WATER HOOKUP O LAKESHORFJWETLANDS
�❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
2 G FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q O FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J � FIRE PREV. � PLUMBING FINAL �
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CORRECT WORK AND PROCEED
❑ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. C LL INSPECTOR.
❑ INSPECTIO UIRE . CALL TO ARRANGE ACCESS.
call for the ext i tion 24 hours in advance.
Owner/C nt on si
Inspecto 447-4230
re�aw coPyisrts na wnns coPyn�a�crw �s F;b
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 44 '" ?� COMPLETEO Q���" Z
ADDRESS � 3 �Si►'��►2Gt,C L � �
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING RI ❑SITE INSPECTION
� ❑ FRAMING ECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION �ATER HOOKUP ❑ LAKESHORE/WETLANOS
Q❑ WALL BD. �❑ ETER SET/TURN ON ❑ COMPLAINT
2 ❑ FINAL �EWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
_ ❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. O PLUMBING FINAL �
= COM TS
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V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION RE�UIRED. ALL TO ARRANGE ACCESS.
call for the n ion 24 hours in advance.
Owner/C tr. n ite
Inspect r 447-4230
Yellpw /$iM fice NTiteCOpy/Ina�ector'sFib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION f�DT CE SCHEDULED
PERMIT NO. � � — ��1� COMPLETED , —3( C� ��
ADDRESS � �I � �� �v. ,_..-�`-_.�c= �—<=
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING RI -�SITE INSPECTION
� C FRAMING ❑ MECHANICAL L7 EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� C WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
2 C FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2 O DEMOL. ❑ SEPTIC MAINT. O FIREPLACE
� ❑ FIRE PREV. ❑ PIUMBING FINAI �
= COMMENTS%L�r-",� _�� �..�.�,�/ � -�-o (�c.s � �(.�
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❑ INSPECTION RE�UIRED. CALL TO ARRANGE ACCESS.
call for the next i ction 24 hours in advance.
Owner/Contr.
Inspector 447-4230
r�ro»� coPyrsrt. �voncs wnne coPynnaoscr« �s FiN
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . �Q — 24 9 COMPLETED 9 Z8 —� q'�'o
ADDRESS �4C1�3 ��^'��t ftvG
OWNER CONTR.
�. TELEPHONE NO.
l j � FOOTING ❑PLUMBING RI ❑SITE INSPECTION
Q❑ FRAMING � MECHANICAL O EXCAV./GRADING/FILLING
vyB'�NSULATION ❑ WATER HOOKUP ❑ LAKESHORENVETLANDS
Q O WALL BD. O METER SET/TURN ON ❑ COMPLAINT
Z❑ FINAL ❑ SEWEH HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
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❑ STOP ORDEFI POSTED. CALL INSPECTOR.
O INSPECTION REQUIfiED. CALL TO ARRANGE ACCESS.
call for the next � ' n 24 hours in advance.
Owner/Contr. s t
Inspector 447-4230
reeoW cqoy�rs na wnRe coPyn��ecra�s F�e
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. q 2 '�'1 COMPLETED ���"�4 Z��
ADDRESS �Q�3 �nuncQ
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING OPLUMBING RI ❑SITE INSPECTION
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Q❑ FOUNDATION O SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. O PLUMBING FINAL �
= COMMENTS:
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V O CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the nex insp ction 24 hours in advance.
OwnerlContr. ' e
Inspector 447-4230
�� —
Yellow Copy/SiML�lOMx1 � White Copy/In�pschx's Fib
r
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. qQ^ � COMPLETED —r2-�14 (J,' p
ADDRESS � a�Q'� Cm� � 2rce- �C-
OWNER CONTR.
TELEPHONE NO.
� � � FRAMING /�MECHAN CA ��� ❑ E NG/FILLING
NSULATION ❑ WATER HOOKUP ❑ LAKESHORENVETLANDS
❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
Z O FINAL ❑ SEWER HOOKUP O FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. � PLUMBING FINAL p
Q
= COMMENTS: 1 � l�}� ��l l.J . u� �!- o � � ��
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� �CORRECT WORK AND PROCEED
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V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. o i e
Inspector I 447-4230
reuow copy�s+rs nancs wnne coPyn��r« •s F+b
HOUSE HEATING TEST itECORD
l r 1 � � �',�..,;.
ADDRESS � r'' `� ° d '��*' F'% � `� �' �`�� ' APT. FLOOR CITY�f+`� ' SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY � �'
El�chical Work By Gas Lin� By �_ �'"��� L�`' ,
TYPE OF HEAT GA FA �HW STEAM SPACE HTR. UNIT HTR. OTHER —
GAS DESIGN CONVERSION
MAKE �"���'��' Xf= ?✓ MAKE OF BURNER
Mod�l ,��' O�✓ ��� �/.�/V �' Mod�l
S«iai �7.f� �'�%�8�� Abx. BTU Ratiny
INPUT �'�� �'� G ' MAKE OF FURNACE
Mod�l
� CONTROLS �
THERMOSTAT �' w-�� Hsat Pluq �— V�nf Si:• �`
Volve (�/� /�� �� � i' ,c' f'_i KIND OF LINER SIZE NONE
Limit /�`')' � �_�S/I7 Drah Hood R�quloror J?1��%
Limit S�ttiny �1 � Filt�rs Si:� %��� %� �lu b�r �
Fan Settiny j� �`' �° � Chimn�y Loeation Insid� � ��^ Outsid�
Pilot Typs /��''" -s��.'��n'r•�`' Chimnsy Construcfion � �"6,
Pilot Mak•
Pilot Model Smok� Bomb Wirin�
Pilot Timin9 — Droft T�st TaQ
L.W. Cut Off _ Dow Pr�ssur• Liyhtin9 Inst.
Prossuro f � �G`� �- P�rc�nt CO � Dats T�shd �/ ' J "' `l' �
Input CFH %� _ P�runt 0 � Company T�stiny r� •'� � �"'� - [`' C`� /�l. /�
Srock T�mp. � � � P�rc�nt CO � Nam� of T�sf�r ��r'�;. �' �' _ _
Form 235
HOUSE HEATING TEST RECORD
ADDRESS � yt���J ��:�/'� °�'� ,., / ��r' � 1 '��� �� ^
�'- APT. FLOOR CITY C�/�" SUBURB
OCCUPANT OWNER
HEAT LOSS DATE HTG. INST.
SOLD BY INSTALLED BY �- '` � T �� -
El�chical Work By Gas Lin• By — � J � 'T ��� T '` .
TYPE OF HEAT GA FA ��HW STEAM SPACE HTR. UNIT HTR. OTHER —
GAS DESIGN CONVERSION
MAKE ``�! X� y� MAKE OF BURNER
Mod•I ��X �[��G�'y.i�i`;�' Mod�f
Serial J�� r/�a7�� Mox. BTU Ratiny
INPUT �/`i' �%-?'� MAKE OF FURNACE
Mod•I
n
CONTROLS �,�
THERMOSTAT j�-''������ Heot Pluy `� _ V�M Siz•
Volve �'-L/�i ��''t' �S d s`f ° KIND OF LINER SIZE NONE
Limit Tc�y^1 -I�•• Drah Hood R�yulato► -��--�` �
� � ,
Limit S�ttiny � � Filhrs Si:� �� X�. � Mu b�r l
Fan Setting L��''�'- Chimn�y Loeation Insid�� Outsid�
Pilot Typs �/�'> SG/l���t" Chimney Construclion �`� v.
Pilot Mak�
Pilot Modsl Smok� Bomb Wiriny
Pilot Timinq — D►aft T�st Tay
L.W. Cut OfF — Dow Pr�ssw� Liyhtinq Inst.
.�
Prossure 3 � �'�� � � P�rc�nt CO � Dots T��t�d —� �� � %�
-S 7 �m.�:� �' /'.'J .� FC'� /4 , �!�
Input CFH F `` _P�rc�nt 0 Compony T�stiny ry
Stack T�mp. ��-� C Psrc�nt CO � Naen� of T�sf�r �-S�f�� �° --�-
Form 235
DATE TIME
OF PRIOR LAKE CALLED-IN
.. PECTION NOTICE SCHEOULED
PERMIT NO. G 4- Z49 COMPLETED �� �" 94 �`° v
ADDRESS \ 4 b9 3 �hn m.e� c..� �
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING RI ❑SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� � ALL BD. � METER SET(fURN ON ❑ COMPLAINT
INAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
2 � FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
_ � DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J O FIRE PREV. ❑ PLU ING FINAL �
= C MMENTS: �'�^ Q�a�d�-� � � -� `
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(� RRECT WORK AND PROCE
RRECT WORK. CALL F EINSPECTION 8 RE COVERING
� CORRECT UNSAFE COND 16 HOURS. INSPECTOR WILL RETUAN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the nex i ection 24 hours in advance.
Owner/Contr. n �
Inspector 447-4230
/d�(
re�iow copyisrte nar� � � wnRe coPyn�apsc�a �s F�b
C1�tin���
n �� r ��
PRI � � ���''-' '- = 1. Whi�e File
�� o,� D -- TY OF PRIOR LAKE 2. Pink c��,-
� � UILDING PERMIT 3. Yellow Applicant
� D �P�1�Y TIFt�ATE OF ZANING COMPLIANCE
AND ITY CONNECTION PERMIT �� i _�`�
"',,�.vESO�P Permit Na `�
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN � �
BEFORE PERMIT IS ISSUED (Please PriM or Type and sign at bottom) 6/ � 11 °��� BUILDING INFORMATION
2. SITE ADDRESS 11. SIZE OF STRUCTURE
14 � ���78 (Depth) 90
3. LEGAL DESCRIPTION 12. NO. OF STORIES
LOT � BLOCK 2 pID 25-1940080
13. TYPE OF CONSTRUCTION
ADDITION Tamac 1 ct Arlrii ti nn Wood Frame
4. OWNER (Name) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
Commerce Bld Partners 141 8 Commer e Ave N, 4 0- 10 f office
5. ARCHITECT (Name) (Address) (Tel. No.)
McKnight & Associates, Inc. 14198 Commerce N.E. 440-7100
6. BUILDER (Name) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
McKni h & _ OCCUPANTS
7. TYPE OF WORK Fireplace p Septic p Heating p Plumbing O Reroofing p Porch p SEATS
New Construction � Afterations � Addition O Finish Attic O Residing p Finish Basement p 16. ESTIMATED VALUE
Chimneyp M�SO. 350 OOO .�n
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No E�ll�llSt 1994
I hereby certify that I have fumished information on this appliqtion which is to the best of my knowledge true and corcect. I also certity that I am the ovmer or authorized agent for
the above mentioned propeRy and Uiat all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildir�g o� ca� rgvo e his pejjri�ust puse. Furthermore, I eby a ree that the city official or a designee may enter upon the property to perform �q ed inspections.
X '� �`� 0004084 6f6/94
Signatur License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FILED WITH APPLICATION
Actual SOILTESTS p ENERGYDATA
Front Beck Side Side
PROPOSED GRADE FOUNDATION OFF STREET PARKING PILING LOGS p PERCOLATION TESTS O
IN RELATION TO CURB OR CROWN PLANS 8 SPECS � SETS
OF STREET SPACES REQ.
SPACES ON PLAN SURVEY A{- COPIES �
USE OF BUILDING �-�- — Z �-� T
PERMIT VALUATION —�� ��� 4 �� ��� \ PLOT PLAN p
TYPE OF CONSTRUCTION: I II III I V '
Amount &ought Forvvard ........ .... E -�-� � - ,._�.. L ��
!� C � : ...... �.
�
Occupancy Group A(�� I H R M Park Support Fee ...-�. U'` � $ �� U �"`
�
.. ........... ,
Division �2� 4 � �:� c:_.--- SAC ............. . 4c� X -� Y . $ � �[ Ll.� � �
.......................: ;
Permit Fee ................................... $ � � � - � � � � L � i� �� Colleotivve Street Fee .: �::� .1::,-:� $ � b� � � ' �jT'�
C_ 1 •
Plan Checking Fee $ ( Sewer Tap .................. :................ $
......................... ,.
.
_� L.icense Check ..... . ,..�......
.......
State Surcharge ........... $ � � � - z '« � 5 '.�. _ _ p �
� � , .
.................. Pressure Red .. . � ....:....�►..�$ � � �
Penalry ....................................... $ Meter Hom ... ,............................. $
/�� / • --
Water Met � � --1`- � , 1.�,1....... $ S . U �'
SepNcSystem ............................... $ .... ..........
Check if Sewer & Water Cortnection F`ee'� $ � f
p �, ........... M a� � �1 �.
Other......................................... $ - c !
� ; • . Deferred O WaterTower Fee 4 :�:�X:.��....... $ � [f �:j , n'\
Subtotal .. ........................... $ �-� - � �.� Z � �
.
Water Tap ................................... $
This Aplicati ur Building Permit When Approved. Other ......................................... $
� � ��
ByDat ,- C L . � ( Other ......................................... $
Certificate of Occupancy Total Due ............. $ f=7 /.� r t
Paid � t No. . �
Issued �
Date �� c� - ` B � �
r
This ' ce fy th e equest i the �e applMation and accompanying documents is in accordance wRh the City Zoning Ordinance and may proceed as requested. This document when
si By t C' P nner constit s a mpwary Cpf4�icateet� pliance and allows constnxtion to commence. Before occupancy, a Certificate of Occupancy must be issued.
- Planne�- `-� Special Conditions H any
24 Hour notice for all inspectans 447-4230 9:00 a.m. • 10:00 a.m.
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� � � � 1 , -� 1. Pink - Fil�
PRIp �� � 2. Green - Ci
'.��� R 9 D f PRIOR LAKE TYPE OF STRUCTURE 3. Yellow - Contractor
�
• � 4�2��TA STREET S.E. permit No. �-
S�}-- Single Family Two-Family Multi-Family
KE : N 5537�
� � � Commercial �_ Industrial Public Other
A�I N / PERMIT
JOB VAIUATION FEE
Date �' # �3 j�J � �' � �'v
-} ^ " % "'; (�� ` $0 - $1,000 2% of job value, min. $20.00
�� � Site Addre'ss � �� �'�� �_-� V � 11��F V�' � � � \;� ���
$1,001 -$10,000 $20.00 for the first $1,000 plus $1.25 for each additional
Lot Block Addition $100.00 or fraction thereof to and including $10,000.
Owner's Name \ ��; C 1� � T`= �� n_-
$10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address � �/ --, � Ci �,. tional $100.00 or fraction thereof, to and including
Heating Contractor C � � - $50,000.
� � � - ' � � $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi-
Address _��% l � -� C�- � � � `� C� ` �1 \ � �,\ C � j tional $1,000 or fraction thereof.
Telephone # � �C' �� °��� �� �
The price of your heating permit includes one rough-in and one final inspection.
��umace Make & Model 1���;� � L. l;��( �,��,'iNPE OF SYSTEM Additional inspections will be billed at $25.00 each.
Warm Air Plants
Model Size � �p L� L'C- L Gravity House Heating Test Record must be submitted with building permit number before build-
Conn. Load Mechanical - 1 ing certificate of occupancy will be issued.
Air Conditioning �= �\� I ��� � C'�
Flue Size � �EAT CALCULATIONS REQUIRED with number of supply and retum openings listed
Fuel � ��� � � T �,� � �� Vent. System
HEATING OR POWER PLANT Per room with CFM's per opening. New structures or additions send floor plan wit h sup-
Supply Openings Steam ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Return Openings Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St.
j��� � i i`, r�, Radiation S.E. Prior Lake, MN. 55372.
Input L L �- � C Output 1'� Special Devices
Ci t y Hall business hours are 8 a.m. - 4:30 p.m.
Edr.
Other Devices ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Cfm. 447-4230.
TYPE OF WORK I hereby apply for mechanical systems permit and i acknowledge that the information
Afterations Replacement �Vew Construction �_ above is complete and accurate; that the work will be in conformance with the ordi-
nances and codes of the city and with the state building/mechanical codes; that this form
Repair Est. Comp. Date l(� ���`� ���T does not become a permit until signed by the BUILDING OFFICIAL; that the work will be
,r,, Q in accordance with the approved plan in the case of all work which requires review and
Est. Cost $^�'-"� ��-L �� �. L�C Building Permit # - t� ' 2 -�,`� roval of plans. �
HEATING PERMIT FEE $ •�7�� � `� L' � � � �� � " _____- C � � � _ �' �_
L-
STATE SURCHARGE $ .50 pplicanY Signature Date
`/ ' ' 9�2�
TOTAL PERMIT FEES $ '�� �� � � Receipt # `� 7Z-� /
� , Buil ' g Official's Signature Date
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,�/ / �
NAME OF APPLICANT !I/�C ! K S�C �
APPLICATION RECEIVED (� �
The City of Prior Lake PLANNING Department has reviewed the
building permit application for construction activity located at
��dW
Accepted Denied Accepted With _�
Reviewed by: ��'�(J Date Q
0
Comments•
Ct, Q�r v� cCP � 1'I
"The issuance or granting of a permit or approval of plans,
specifications and computations shall not be construed to be a
permit for, or an approval of, any violation of any of the
provisions of this code or of any other ordinance of the
jurisdiction. Permits presuming to give authority to violate or
cancel the provisions of this code or other ordinances of the
jurisdiction shall not be valid."
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT �J �_, �� °� �=-r, .
APPLICATION RECEIVED /eI' I� y -
The City of Prior Lake ENGINEERING Department has reviewed the
building permit application for construction activity located at
�
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� f� �� � , i lt.L�er l�/c�f1 �„
Accepted� Denied Accepted With Corrections
Reviewed by: v,�[�('�p/h Date
Comments• ' , � �
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"The issuance or granting of a permit or approval of plans,
specifications and computations shall not be construed to be a
permit for, or an approval of, any violation of any of the
provisions of this code or of any other ordinance of the
jurisdiction. Permits presuming to give authority to violate or
cancel the provisions of this code or other ordinances of the
jurisdiction shall not be valid."
CITY OF PRIOR LAKE 1. B'°` F''`
z. coia c�c
3. Yellow Applicant
PLUMB/NG PERMIT # y� --.�' � '-
PRI� APPlicant: ,�:�. %s �� i� �� Phone: d �s' ;�! � �;
O� � , -_ � Address: i� t � �� �� � �
'�'' y Signature: j . / , � ' �..
N
v � Legal Description: ot Block Sub:
Site Address: /y�• i.3 �� ;-r1��.�i�. t - �� � �- �",
Building Permit # y �1 — �, :' �`1 PID # �3.? - j! � -- � ;,; �C - r.:�
���'N ES��� NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
Bath Tub with or without shower $ 6.00
Dishwasher $ 6.00
Fioor Drain $ 6.00 �' �c.
-� Lavatory (bathroom sink) $ 6.00 ,,1/ c �
� Laundry Tray (1 or 2 compartment sink) $ 6.00 �,�.. �
Shower Stall $ 6.00
Sinks: $ 6.00
Bar Sink $ 6.00
3 Water Closet (toilet) $ 6.00 5' t �
Rough-ins $ 6.00
� Water Heater $ 6.00 ��, c.>
��r ,,. �%� �; ��� � /,[ � ` $ 6.00 r ��
Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkier $25.00
/ � � ,�Z� ,�r�' �. $ 6.00 � ; � _ �
Minimum Fee $25.00
SURCHARGE .50
i"
� l ��� i ` �� �-� � � GRAND TOTAL $ � % ' -'� �
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This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
;��' ;�' �- RECEIPT NO. (°,�! �S ' DATE
�- �� � i �_ � ATTEST
`z � �/ Call for all inspe iofis 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLAYER
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BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT o " `� �
APPLICATION RECEIVED � (�
The City of Prior Lake BUILDING Department has reviewed the
building ermit application for construction activity located at
�� �,��, � � .
Accepted nied Accepted With Corrections /�
-> -�
Reviewed by: � Date�` �Z
Comments : � i'-�,�. 'e� 't �-� �, .�J�� �� - �z�--3,� \ �_�-���
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"The issuance or granting of a permit or approval of plans,
specifications and computations shall not be construed to be a
permit for, or an approval of, any violation of any of the
provisions of this code or of any other ordinance of the
jurisdiction. Permits presuming to give authority to violate or
cancel the provisions of this code or other ordinances of the
jurisdiction shall not be valid."
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81t}TpW�R DPl1Y� • HAMQ�, MN 883d0 • d7&20lf$
November 7, 1994
Y,cKnighC ABBOCiatoe. Inc.
14 Q43 CommQrco Avanue Northee►Sz
Yrtur Llk�, M:.nn�aota 55372
ATTN: John
RF.: CFRTTFTCATTON LFTTP'R - FIRE ALARH &Y6TEM
�C N R Couumunice.cion Servic�s, Inc. hae com�lozod che installatian and
tasting of the I�fre Alarm Sy■tem at: MCT�tIGKT ASSOCIA7E5 INC. 14693
Cc�u�e�ce Avetlue Northees�� 1'ri�r Lake Minntsota.
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