HomeMy WebLinkAboutBuilding Permit #00-0072
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
-AND UTILITY CONNECTION PERMIT
~
.o.ATE R~
FE8 I 0 2000
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
1 ~1:l1 Blue.b; rn rrrri;' 1\1R
3. LEGAL DESCRIPTION
LOT
1
BLOCK 2
Knob Hill 4th Addition
ADDITION
4. OWNER
(Name)
(Address)
1'1Y"'l..-,l:;1T
5. ARCHITECT
T-l'()1\ of[:;"
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(Name)
(Address)
6. BUILDER (Name) (Address)
r-li tte1staedt Brothers Construction
2425 96th St. E., 1GH, ~1N 55077
7. TYPE OF WORK
New Construction c:K
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Septic 0
Addition 0
Deck 0
Finish Attic 0
Fireplace 0
Alterations 0
9. PROPERTY DIMENSIONS
Width 109 Depth 135
4343
1. DATE
2/9/00
~I
PID 2.$'-3iD2.- 01 ~-O
(Tel. No.)
(Tel. No.)
~ \1, ~ 10 I .. e I 4 g
'. (Tel. No.)
(NUUY
651/552-1771
--
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
10. CULVERT SIZE
Yes No
Permit No.
1. White
2. Pink
3. Yellow
File
City
Applicant
00-0072-
,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
')QI e:;:,1
12. NO. OF STORIES
?
13. TYPE OF CONSTRUCTION
PLANS & SPECS 0
SURVEY 0
PLOT PLAN
o
(Depth)
441
~;n(Tlp 'Prim;'"
14. FLOOR AREA APPORTIONMENT USE
2295 sqft
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
265,000.00
17. COMPLETION DATE
May 2000
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the abo~e d property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 . al c revoke this permit for just c~se. Furthermore, I hereby agree that the city official or a design~may enter upon the property to perform ne~ed inspections.
X ~ ".. - ~ ~~-=3 8/-r1c2?
/ Signature License No. - , Date
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
Side
Side
USE OF BUILDING
SF.D
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2i1S! oa::>.ao
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee. ..................... ......... .... $
1\ , \'2.. . ~~
'. I \ 'Z. . cot~
1 3'2. S'n
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee O.Q.-::....1k.. $ -l 0.0 .00
Mechanical Permit Fee QP.-::..1'b-:. $ LaD . 00
Sewer & Water Permit D.Q.:....1'f:. $ ~ · ~~
Gas Fireplace Permit oO'?~1..1'b-:. $ I{o . 00
Th~~. if)lur B 'Iding Permit When Approved.
By Date "2 - 1/ - 'Z,.O C:><:::.
Certificate of Occupancy
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
,. $
Pressure Reducer ...~........... ......... $
Meter Horn ... ............. ................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
City:
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SETS
COPIES
li.Oo · 00
I.,J 01"1 ..ao..
I/S. bO
/ -a6..~
I, I OO.oe
'1().e.ctEl
IJb~ .e~
Total Due.............................. $
Paid 8&t7 3, ?-I Receipt
Date zI z,vM By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonitg Ordinalce and may proceed a requested. This document when
~. y the . Planner constitutes a temporary Certifi. cate of Zoning complian~and allows nstrucliOf) \0 common . Before occupa cy. a '!cate f ~~
. ~.(~ ~.L.-()(L LJNJ .\ '
........ City Planner Date ~- ~
Issued
24 hour notice for all inspections 447-9850
60 ~ 661v
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUIt-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
// / I E L :,,:.' , ''1~-
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L,) '-7--- / 1''< L .:: .
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1:./4 !;;3 l~) L [/ e.l~ / K 07>'< E
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~f1 -A
~,(t~
,
Date:
2--- 2- '2-- eo
Comments:
_2'i-Pr~ iyiW'UZu. ~~ ~ ~
y0(-~ J?h -I 'tL.-uM A'D.t.,J 10 (' ~fo"
/1/( \- t0~ ~ _ ' ~9J'tA~ -
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liThe 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 ~Ls~g!3::or~other
ordinances of the jurisdiction shall not be valid." i rl' f2.' /( , i ... .
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(: FEB I 0 2000
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Tht Ctnttr of tht L.kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'11'/ 1 t:;LS I ,A ED I .
2/10/00
- -
B,eos.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
144-53 8Lt/66/,tCO /~
Nc
Accepted
Accepted With Corrections A
Denied
(21!. ~A Date: 2~tI-';..(Joo
Reviewed By:
Comments:
Rpd~~~~
liThe 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 provision~~thjs:-codeor other
ordinances of the jurisdiction shall not be valid." . , f:- i- ~ ' "
tttJ J 0 2000
e~'-::r
T'h~ ('ul~r of Ih~ L.h Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT it,l / T7- E.. L 5 -I j-j E- 0 I
I I
APPLICATION RECEIVED Z/ /0/ 00
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4453
81-0/613/ K. D / I<.
/vI 6
Accepted
v
Accepted With Corrections
Denied
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Comments: OnH/Ew141{ Mvsr AlDr Sf. C<JtJ5rRI/,.:rED lIAJnl.. ,.-IE PR.oPosE[)
CONC.ttE...'"\E.. SIOEuJALK' IS J.vsrAt...L.E"..O.
Sfe: } ,JFo(tMA-r)ON ON 1H~ R~"EIl.SE:.
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..sa: AirA(:HM€NT'S: I. F(Alt:tL GMot: )NsP€.r~IdN INfDft~'~ l. ~Ai)IAl" RAN
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,liThe 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 orof any other ordinance of the jurisdiction. Permits
pre~uming to giv~ ~ut~o!ity to violate or ~ancel the provision~~-5Q.qe.:..Qr _o~her
ordinances of the JUrisdiction shall not be valid." ,,\ [s :(=~ J ., .,.
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L j FEB I 2000
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~~~ (~ CITY OF PRIOR LAKE Me
1:i 't. H1200 E8lIIe Creek Av. S.E. Permit No. 0 0 - 007 z.
\ '4 Prior Lake, UN 55312 -
, HEAnNG APPUCATION I PERM"
Date _ j'-I?-:-()O PIO.. 25 - 3(" 2 - O{frO_
Sill AddtellS ~4 4~:J, "'hlL~rt .If 1\1:, e. jel
lot I 8lacll _ 2-. Adcli1lDn K N 0 (3 HILL 4- rn
OwnefS Name m I ~ \ ~(j 0 ~ t t2,YL~
Addr4l1lS . " 5~4 ct (J\i- St, e;
Healing ConlrdH g.. W "'~)\ \t 0 \-t 0 CL~ ~ 4- 'f\ e.
Addless \ ~\.\ 'i( \ ~nA a \ ~\ 1\ t")(i. ~)f' - 5.
Telephone j r CD. \ a - ~ Ll-Con5
FurnaDll Make Il. Model ~flk- TYPE OF SYSTEM
d .c Warm A..r P'ants
Model SIz8-?!J{')~ V f)1J'CJlInO G,lWity - .
Conn. Load I tlD ,000 Mechanical
. _ _ A~r ConcMtDn;ng , X
Fuel :0'1'" )f'al. F'ue Size Vent. system,
6;~~ 1 · J
Supply Op8llings . '"'I HEAliNG OR POWER PLANT
Steam
~ Hot W~eT
Rad;atton ,
Specla' 08V~&S .
Return Openlng5 ,
'nput .1.OD :t\t\O
I
Edt.
Outpu1.
Other D8v1c~s ,
Cfm.
TYPE OF WORK
Al\8ratons _
_ Aepiacement,
Est Comp. Date
New Construction
Repelr .
_ Bul'ding permi # ,
00 - 001Z-
Est Cost $ ,
HEATING PERMIT FEE $.
STATE SURCHARGE $
TnT". PERMIT FEES $
.50
Receipl # .
L ,.ok - F\le
1. Gteeo City
3. Ve.low Conti' ~..
TYPE OF STRUCTURE
C
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~
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stngLe FamUy ,
CommeC("f'" ~
_ Two.Fam.ly ,
~ndusma'
M ultl-Family
Publ;c Other,
-
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C
Fee Schedute
lndustria'. Commercia' & Multi-FamiLy
Residential. HeatIng 8l AC
Residential, Heating Onty
Residential, Gas Firep'ace
Res.dentia'. Addltions & ALterations
Resldentia'. AC Only
10/0 of job cost ($39.50 min.mum)
$99.50
$64.50
$39.59
$39.50 . , 5 m
$39.50
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Remember \0 add the Slate Surcharge on \he bottom Of this application.
The price 01 you r heating permit lnc1udes one rOYgh.in and one final inspection.
Adcitional inspections wi" be l>lILed at $35.00 each.
House Heat1ng Test Record musl be submUted with bui1dir\~ D9,mit number before build.
ing certificate of occupancy wi" be issued.
HEAT ,CALCUL.ATLONfi ,REOU1RED with number of supply and return openings Usted pe
room wWl CFM's per opening. New structures or additions send floor plan with supp1y
and return locations shown. HEAT LOSS CALCULATlONS, PAYMENT AND
APPL1CAT~ONS MAY BE MAilED TO THE CITY OF PRIOR lAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE, MN 55372.
Ci1y Hal1 business hours are B a.m. . 4:30 p.rn.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
441-8850
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, hereby app~y fOT a mechanica~ systems permit and l acknowledge that the -t
information above is comp'ete and accurate; thaI th~ work will be in conformancE ~
w.th the ordinances and codes of the city and with the state btiild"iilg/mechanic'c IoJ
codes; thalthis torm does nol become a permit until signed by the BUILDINf "'tJ
OFF~C'AL: lhai the work win be in accordance with the approved plan in the ~
case of aU work which requIres review and approva' of plans.
~'~~~
BuitfBn9 Offical's Signature
3-/5-00
Dale}
3 j"Z-/ /00
Date
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CITY OF PRIOR LAlCE
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CITY OF PRIOR LAKE
PLUMBING PERMIT # OD -007 Z-
APPJicant:M/U/,f fJhl/Yn.4~ Phone: /-/~-OZ-!
Address: ~bJ /"9'1 ~/W .J {/ .( L'.
Signature: ~./7 ~ mO?~
Legal Description~ Lot I Block 2. Sub f(N 0 f5 If! (,,~ + 77f
Site Address: /.J-. ~/$ 3 ~ /,( /.,)/14' -~ J 1/ ,e. /
BuiJdingPermit# 00 -0072- PIO# 25-3102- O/(P-O
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
I. B Il1c'
2. Gold
3. Yellow
file:
Ocr
^rrliau.
Quantity ~ Type of Fixture Quantity
C Bath Tub with or without shower ?
"I Dishwasher /
I Floor Drain
oj Lavatory (bathroom sink) /
Laundry Tray (1 or 2 compartment sink)
J Shower Stall
I Sinks
Bar Sink
~1 Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PV8)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
IndusttiaJ, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
$ -
This permit is granted upon the express condition that said
contractor. shall comply in all rc.4ipccts wilh the ordin:Jnccs
or the St:tte PIumbil~g an~ the amCnpmenjSlhcreof.
. RE r. 3/2/100 DATE
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Call for all inspections 24 hours in advance.
_1111I
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
AfEl~ CITY OF PRIOR LAKE
(t7 j~'{~\ Me
IG~f,;1 16200 Eagle CreekAv. S.E. ParodI ND.. 00, 007 1
\ e ) Prior Lake, MN 55372
~ HEATING APPLICAllON J PERMIT
Daie ;S~q- 00 prO.. 25-3~2- (J/~- 0
SID Address / 1Iv.~ ~ . f!j;.u lu;''# 6.4."-1 Alt-:- If!.. I
L(}t I Block 2. Add~ion KNO~ Hlt.,t- 4771
Owner's Name /f) J hi I~ ....l'M/l.,t1r ~.tV.
Addr8SS
Healing Con Iracto r ~LLIED FIRESIDE dba FIRESIDE CORNER
Address 2700 Nt FAIR\1IEW,
T eJephone' , 65 1 - 63 3 - 2 5 6 1
FIRtP1AC! . .
8un.. Make 8. Model ,t.k rJ JJ r; (.;>
MocHf Sil~ (oCXXf/9 _
ROSEVI1LE. MN 55113
TYPE OF SYSTEM
Warm Air Ptillts
Gr avity "
Mechanical
Air CondiUonJng
Vent System
HEATING OR POWER PLANT
S1sam
Ho' Waler
Radialia n
Spadal Devices
CollI\. Load,
Fuel (;.w
Ftue 512.
Supply Openings .
Relvrn Openings .
Inpl1l
Edr.
Output ~7, QJ)
O1heT Devices
C'm.
TYPE OF WORK
AltElra~iors
>>
Replacemenl
N~w Construction
A~paif
Est Comp. Date _3bi 1m
, I
I/OD.[J) Building Permit' 00 -007?
Est. Co st S
HEATING PERMIT FEE t
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
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e\l\LO\NG pE.'?>M\i
Receipl'"
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TYPE OF STRUCTURE
,. ftnk . fife
2. rino.rlt . C"J
3. VcUow . Conbceo OJ
'<
Sing'e F amny
ComrMrclal
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Two-faml)' ,
I nduslrMl
MuIU-FamRy
Public Other
Fee Schedule
Industrial, Commercial & Mulli.Family
Residential. Healing & AC
Residential. HeaUng Only
Residenlial, Gas Fireplace
A e~identfaJ, Additions & AIle rations
Residf!ntial AC Only
1% of job CO$I ($39.50 minimum)
SGG.5Q
$A.SO
$39.50' . 9_
S39~50 :
$39.5<<1- _-" ~.- -. -- l.-
Remember to add rhe Stale Surcharge on the bottom of 1hfs application.
The prrce of your heating permit rncJudes one rough-in and one frnat rnspection.
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Hause Healing Tesl Record mu51 be soomitled with huilliino ~~rrn;t ".~~r before build- ~
"'9 cerlificale of occupancy wil be issued.
Additionallnspections w~1 be bijled 81 $35.00 each.
HEAT CAlCULAT10NS RFOWRFn wilh number '" supplV and return openings listed pt
room wilh CFM's per opening. New structures or additions send loor plan with luppl,
and return locarioos shown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAflED TO THE CfTY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
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City Hal busimtss hours Bre 8 I.m... 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL em HALL
447-4230
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I hereby appJy for a mechanical systems permit and r acknowredge thal1he
inlormation above Is c()mp'ele and accurale; that Ihe work will be in conformance
with lhe ordinances and codes of Ihe cny and with the atale buih:ting'me-chanical
codes; Ihallhis form do&s not be~ome a permit unHl signed by the BUILDtNG
OFFICI^L; that the work wUl be In accordance wilh the approved plan io the
case of aU work which requires review and approval 0' plans.
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02/18/00 FRI 13:30 FAX 6128902753
STOCKER EXCAVATING
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110-.. . CIT~
. CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. 00.0072--
NOTE: Seyer and Water
contractors must
be registered
with ~e City.
APPLICANT: DC Mechanical/Stocker Excavat:ing
PHONE:
890-4241
:~:::::~: 87ti~;:;~dR;;;:; 55378 ::::: :~:I~ 3 00-0072-
SITE ADDRESS: 14453 Bluebi];d Tr.r; 1 1p: ,PID# 2..5- 3(PZ.- 010- 0
FILL IN THE BLANKS
1. Estimated lenqth of water service
feet'..
2. Size of water'service
inch(es) .
3. Location of any couplinqs from structure feet.
4. Type of $ewer pipe. ABS PVC y Cast Iron
5. Estimated len9th of sewer line
feet.
6. Clean out (if req~irQd), located at
structure.
faet
from
~~-~~=~=~~=----=--~--~
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This
your permit when approqed. I
DATE: Z/Z3/00
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FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
-.t: S'ever and water permits issued for new construction must be
recorded on the building permit card at the time ot issuance
to insure that no .duplicate sewer and water permits are
issued. -
DATE PAID
RECEIPT 1#
AMOUNT P A I 0 ~ ",\"'t't'\ .. I.\-r \
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REC'O BY /~;~G~,,/,
\ caU\\:
16200 Eagle Creek Av. S_E... Prior ~~~ Miti:~~~o.~.~S3721 Ph. (612) 4474230 I FAX (612) 447-424~
AD -eqiial.Qpponunity, Employer
PR"IOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~63 15llJ~,rJ~.
NATURE OF WORK NeuJ ~,\-~ttJV\
USE OF BUILDING <; ~D
PERMIT NO. on - 0077
,
CONTRACTOR M;H-dsk~cJ.+-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMPi:!,, T
FOOTING INSPECT~"(0V . ~ vi ~~
. FOUNDATION (Prior to Backfill) ~ V P 2/z" blA 3/c/oJ )
PLACE N?l~ONCRETE UNTI~ ABO,VE tM"S'--'BEEN SIGNED
~\~ \~)47 'lJ,qJ(j{) ROUGH - IN_S
SEWER I WA.tkR I SEPTIC (J) -i'13,'},
FRAMING 17 fl
INSULATION
ELECTRICAL
PLUMBING I (J/ 3/;;'/dv t , I
HEATING (if required) 1/ ~Vil ') I, L I r---1:1
FIREPLACE }f v~ /l/fT
GAS LINE AIR TEST / ~
COVER NO WORK UNTIL ABOVE HA1~EEN sib NED'
~ tA.ov~~\~ _ ~.~ {-IS-Ob frr;
FINALS
DATE ISSUED ;1 - Jl - ^~
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~~1:dn
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GRADING (Prior to Sodding)
BUILDING fe,D, t;./J?/1 lor ~ r 5 >f/~/~
. ,
ELECTRICAL
PLUMBING
HEATING
DO NOT
~.,fLO lor, 1)( &1. '12Z~1
I 5/9/~
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OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00. A.iv'l.-"'llor all inspections
FOR ALL INSPECTIONS (612) 447-9850
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.
BVRNSVILLE '
Heating & ~ir Conditioning, Inc.
12481 Rhode Island Ave. So., Savage, MN 55378 · 894'()()()5
Ors1at Test Report for Jobl 6 J ~
~ 1l{'~3BiI/(.B :r~+r.~ittP(ioK t.4K'C..
oCcupant 6rsfq+ / Cf'4S fl65C/II'~ -f--e ~+
Dateoflns1al1 ~/I~,/bo '
Type of HT. FlA V- HW Space HT Unit HT
Other
Make R,rYctI17- '?o%
Model ..:!:> c5 )y1 A VL) </2 100
Serial jiJf} () It- /X/X'() ,
Input /1)0,4tX)
./ /
PilotType -<2'l1cla5~../ F 1?/Y1 e...A~'):;6S,--~?lot
Pressure ~ ~ I C02 U. -S )4(
Input CFH, /~O 02 7- /'
S1ack Temp . /00 CO t9--
Date Tested ,_ .5'/i);/(/)
Ii.... (II LI' ",', .,/ / f
Company u( (, f\ J [/'/ ( <: /.'e' /f Ii I-y Il/ ( Od C~i ~
- )
Name of Tester I / I'~.., ('
.?t .
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~.
/1/(,10/
ADDRESS I tit! 63 ?/c.J.e, a,lr-d t r,
OWNER CONTR. /111 'I--Iel S-/-e,~ri f- 8rDS.
PHONE NO. PERMIT NO. CJ - C; 0 7 ?
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
o E~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
tv Ib 130;C- - cJ {..
or",d (., - ~ f-
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'nspectod~ ___ UWne rICo ntr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
D FOUNDATION
o FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
COMMENTS:
\.0*
(vJ1J
R1J
~ rf TE /
SCHEDULED c:; f:>/OO
I (
\L-L.'-S? ~
,2)JL06g ~rLI)
TIME
3:39
CONTR.
PERMIT NO.
6(::) .12
o PLUMBING RI
D MECH RI
~WATER HOOKUP
D SEWER HOOKUP
PLUMBING FINAL
D MECH FINAL
o EX/GRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
~
OLL
f/\ LU1\l1./
~
/
/
~RK S ISFACTORY, PROCEED
o CORRE CTION AND PROCEED
o CORRE OR, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL~- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE QrIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
SCHEDULED
5I,:]"w
1 r
TIME
CITY QF PRIOR LAKE
. INSPECTION NOTICE
Ib .. CO
ADDRESS I 4453
~,W- ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()-72
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
~lUMBING FI~ 0 GASLlNE AIR TST
p< MECH FINAL ~ 0
COMMENTS:P ~~, jj.~
@j)~ ~~~~-eQo ~
~~~~~~~
)~ riJ~(j<) ~~~
~ ~,~ 1kJJl~~
'-Oh ~ fo .~.c~ I
~;di<J d~ ~ 7:wf!o .4-,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~A-
FINAL r-
~ SITE INSP ION
FP )~~~ v-P~
T:c,f) ~ 8/ I /0-0
. ,
.......
~'Z-JPfl'l-~ ~~-€~'
;J
{~( 5' - i -CJ() IA,F: ~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
:S:::CT WOR~~L FOR REINS::::,::n::FORE COVEmNG
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I 4453
~blYl1 7i
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
\'\ 0 MECH RI
r ~WA TER t:tOOKUP
^ 'It'SEWER HOOKUP
-\ 0 PLUMBING FINAL
o MECH FINAL
COMMENtfS.
?D' ~Lu 1-\0 p V~
l Cl -r; iU" lL ~
U.~f 1.(1t; ~^--
"
C9t-~ O~
.Y~ ~.~? ~"
7Ylt;vJL ~.7/Yl
()~ _ _ :'If
C~l~ ~y~~
DATE
3/-~~
TIME
I:, J,>
0-1 Z-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
, c:: -f-p /.. . _ _I
~ ~
'.)r""~ORY. PROCEED
CO 1 ACTION ~ND PROCEED
.
OCR CT W07K. ALL FOR REINSPECTION BEFORE COVERING
Insp, ~ctor: Owner/Contr:
CALL 441-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
\::ODE JQUIREMENTSARE FOR YOUR PERSONAL HEALTH" SAFETY!
V. INSNOTl