The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #00-0282 DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF APR I i 2000 ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS Permit No. 1. DATE 4/7/00 1. White 2. Pink 3. Yellow File City Applicant OO-0Z?L2- BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 3. LEGAL DESCRIPTION k~ 1. ~<S- 3b'd -Q;(J-Q 14381 Bluebird Trail N.E. LOT 5 2 PID BLOCK ADDITION 4. OWNER Knob Hill 4th Addition (Name) (Address) 5. ARCHITECT (Name) (Address) 12. NO. OF STORIES Two storY 13. TYPE OF CONSTRUCTION fiE!] ~ Dete..rl1Pit. Resdt'] 14. flOOR AREA APPORTIONMENT USE (Tel. No.) (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) ( 763) N:M3k-Fleck, m::., 8857 Ze:Uarrl Ave. N., :&u.klyn Park, ~N 55445 424-4955 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New Constructio~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE Chimney 0 Misc. j) ) 54 J 4OC) 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. Width Depth YI3S No _ C:::J-. <;i /00 I hereby certify that I have furnished 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 above mentio ed 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 buildi g offic' n revoke this pe it r just cause Furthermore. I hereby agree that the city official or a designee may enter upon the property to perto ede inspections. X ~ ~/~3/ License No. FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side BUILDING DEPARTMENT VALUATION Side SOIL TESTS MATERIAL FILED WITH APPLICATION o o ENERGY DATA PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS USE OF BUILDING Sr:D OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION -l5'i fY'YP\. 00 Builder's Deposit ............................ $ I.. ~rJ . 0.0 , Other ......................................... $ Paid ~'7ei"9.G."".~~~i~;" $ ~J ~f;,,'jfa Issued Date ~ h /Oe) By '- This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~ance and may proceed s requested. This document when Sig~..' nner constitutes a temporary Certificate of Zoning comPlian~ allows construction to commence. Bef re ncy a Certific of Occup.anc must be issued. . ~.L~~ ~1::J-c:o ~.'. . { City Planner Date Special Conaitions' any TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 ~6 Permit Fee ................................... $ I, lS'l. .4I!b Plan Check Fee ............................. $ tz 51. , I State Surcharge .... ...... ................... $ 17. ot> Penalty ....................................... $ Plumbing Permit Fee ....................... $ Cily: ~ k~\ \ Mechanical Permit Fee ..................... $ It) 0 .00 IOO,~ 35. SO '10 .eJO Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ ecomesi'our BuiIdiRe Permit When .A.EPro~d. __ ~ -Date G/-~ SURVEY PLOT PLAN o COPIES o ~.oo I IM.o 0 , '1S.oo I~.~O 11 200 · 0 0... 1tW.OO 24 hour notice for all inspections 447-9850 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 ................................... $ 00, OZgz, The Cenler of Ihe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT No\.f(l.5Z. - t- ~::;::. ~ ' APPLICATION RECEIVED If-tl- Uk.'D The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /438 <'" I;[n-e...~ ~'~ q, t" : Accepted Accepted With Corrections .>'- Denied I/) /1 0 j Reviewed By: {r:::J!.Jt:2 ~ / Comments: I. _2~o.& 0.,11 A.HQ.cU kJ~ Date: t/-l?-HcD 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 of this code or other ordinances of the jurisdiction shall not be valid.1I b6 ~(jvq?/ Tht' Ct'ntt'r of tht' Lakt' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATIIDN DEPARTMENT CHECKLIST tv, I f-j NAME OF APPLICANT Q; / ',e - 1 i.'\. ~....;"' APPLICATION RECEIVED 1/11-7 OC)L~~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..-"~:::,'; ( , t 1/ j i.;) Ie.. '1Il'l~. ., . , I ( I \ t--' Accepted v Accepted With Corrections Denied Reviewed By: Date: L/ -2. ?-C!{;J Comments: )-t.{ P\ Mtu<.JvUUM ~ Wt&<< ~ .'ri~ Pre-pw't1lJilll.€.- ~ 'Ivw-u {l..or-U) <f'o ~b ~ A.16 .~.... &~ ~~a.Q ~p~ - ~ 8b-\, ~~ to Fr ~.L~\l~~ -St#e_~~l ~ ~~ ~Y~Il.J~ 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 of this code or other ordinances of the jurisdiction shall not be valid.1I ///' OOv()uW r; Th~ C~nl~r or th~ Lah Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST " NAME OF APPLICANT NO\)("-.C - rLtLt~ APPLICATION RECEIVED tlll- tC}OO ...-..---......": -1 ~"-r I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which, is proposed at: I t<J3Bt'11( ) e ' /5 f cQ C,\ t-.-.. . Accepted / Accepted With Corrections Denied Reviewed By: j.)"u.:rm. EtJlU. !~N Date: 4/''100 Comments: -.Sa: J^'Fotl~~J&J OAJ Rt~vE/l..sE ~t.. THE. ~lvEwlC\Y 'S tJo, -n~ it I JJSPh.kEl> uNfit,. 'HE:. (:~~ ~l:.ut4c.J( IS /-VsTi4u....f:D . -.SEE. A~C"'MEtJT': I. hAJt41 6/lAQG:. /""S.f!E,CT"IOA) IAJFol.At4nl)(V Z. (;tlAtJllv6 RAAJ 3. EROS\ON ~OAJTIlDL ftBJ<;.ua..E.5 ~~ ~CSIt),.J CoJJi~O'- fl..1f,.J 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 of this code or other ordinances of the jurisdiction shall not be valid." ..-t , ..-t a.. CITY OF PRIOR LAKE 11200 Eag" Cr8Bk AY. S.E. Permit No. Of\ - ~K6t Prior Lalka, tJN 5537~ Dale PID.. QS. I~ .. ("d 0 - () . ~ R '\ \ ~ l\ ~M M\l'\f\..) If) v cu V l"- V V cu ..-t l.D o ~ Loaf=) Owner's Name Address . Heating Cont,a.10r ~,f..p HfJ. ~~{ I h/J< f 11c~ Address. flf()). 5S"". S~, ~ O.L-<-' fWJ -Sf/'lt jeele on.' ~ r (;;"'7/,..17 JJ If) Furn- Mak~ H.AaI'(!" Kt."... ) riPE OFSYSTEM en ~ . rSO'.,.....- W.mArPlanls ~ Model SIZI :J.. I v- ,Gravity j:: Conn. Load Mtchanml , ~. All COldiioning l.D Fuel Flu. Size VEnt. SlIIIem ~ p . z ~ Supply Openil1Js HEA TlNG OR POWER PLANT ~ S~am H ~ Return Openl",s . Ho~ Watir UJ "., Oc,.),f Radiata . ~ Input. J Output Special Clvices ~ ([ 0:: UJ 15 o U E o 0:: I.L ([ ..-t cu CD tSl tSl tSl tSl cu I tSl 1"1 I Z ::J I-) Edr. O1her Dwices elm., TYPE OF WORK /' Alleralions Re,'acemenl Nt" ~ns1ruction Repair Est Comp. DatI . Est. Cost $ Building Permh" ..fJC:J - 0Qj ~~~ HEATING PElMITFEE S / .PA-'/l ~ ~~~\,. STATE SUROiAIGE $ ./.50 - ~~ TOTAL PERMT FI~ R8C1Iipt , . TVPE OF STRUCTURE I. Pint - File 2. Green . ai, 3. Yellow . ConlrlCur Single Family 'Cotnnwrclal Two- Family Induslrial . Multi-Family Pamlic Other Fee Schedule Industrial, Commercial & Multi-Family Residential. Heating & AC Residential. Heating Only Residential, Gas Rreplace Residential. Addilions & Allerations Residential. AC Only 1 % of j~ ~jf.~Q J;;nJ1inhnum~ $99.50 ; ) ,'?_ ~ ~ r; ] $64.50 I - ,-- $39.50 $39.50 $39.50 JUL - 3 2(D) Remember 10 add lhe State Surcharge on the bottom of this appIicalion. The price 01 your heating permit includes one rough-in and one final inspeclion. Additional inspections will be biDed at $35.00 each. House Heating Test Record must be submitted with building f'A",",'1 nwnbIJ before builc- ing certificate of occupancy will be Issued. I-fFAT r.AI ~I ,. ATln"IR R~(l' ,u:u=n wllh number of supply and return openings listed f:8r room with CFM's per opening. New structure8 or additions send lloor plan witl suppl, and return locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE. MN 55372. City Hall business hours are 8 a.m. . 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) · CALL CITY HALL 447-4230 I hereby apply for a mechanical systems permit and I acknowledge I,at the information above is complete and accurate; thai the work will be in conorman:e with the ordinances and codes of the city and with the stale building/rrechanical codes: that thiS! does nol become a permit until signed by the BUILDU.G OFFICIAL; that work will be in accordance with the approved plan in lh:. case of all wor hich requires review and approval of plans. ?-f~~ Oat" 7/(j '3/()() , [Yale A:ll s~uu~ ( A..,~J." .. 1'r11.d~AJ o Building IflCels \)Ignuu~ d: PR~ G1t~~. . P1I.E 'YELLOW . AP~LICAIfT GOLD . C1T., CITY OF PRIOR LAKE NO. ()() -[);)t"@ SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be reglstered with the city. APPLI CANT: \ ~,..... \=\ \;.0 C' 0,,\' ' ADDRESS: \'Q(X')\ ~\. RA m-t).,,^ ~3\.4~ I SIGNATURE~ cro~ SITE ADDRESS:~\ ~~IJ"~ ~L FI LL IN 'THE BLANKS PHONE: L.o I ~-~~~. 'LlI l DATE: 4 -1~-oQ BLDG. PERHIT # ro-oa~~ PID; ~S - ~~d -OdO-o 1 . Estimated length of water ser~ice L..\S feet". APR , 3 2000 2. Size of water service inch(es) . 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABSA PVC Cast Iron (~~~J.~CL40) . -.--? 5. Estimated length of sewer line L}~ feet. 6. Clean out (if required), located at structure. feet from =====================================================~=========== This application becones your permit when approved. BY ]),' ~ IiJlt~t/, DATE: 4- (~CCJ ================================================================:== FEES: $ $ $ 35.00 .50 35.50 SeVo'er and Surcharge TOTAL water line connection permit'~PJ b . / ric<Q;/ individually is $20.00 Flus * Fee for either se~er or water $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicat.e sewer and water permits are issued. / - A110UNT PAID 1~~ -1/ ~~ / 1p~{)V 16200 Eagle Creek A\". S.E., Prior Lake. !\1innesota 55372 / Ph. (6 _ 447-4:30/ FAX (612) ~7--t245 An Equal Op;:,cr.un:t) Employer D;'.TE PAl D RECEIPT # CITY OF PRIOR LAKE PLUMBING PERMIT l. Blue 2. Gold 3. Yellow File Cry Applic:aDt PPNo. M-{)~Y~ APplica~t:}h~~;"\ ~~;Y(j' (' ~. Phone: 1t'J/~ " <H3-7'l/7 Address: .1.f;ct)Lrn.:t:I~_ ~ I..::)~v! I u...JP\A ~..Q I ~d. ) (Y) ~ f'\(,\~~ ~. 5S~l./~ Signature: ~-.?? C; 0 r\--~.tL- Legal De~Cription: Lot f)' - Block~, Site Address: \ ~~~ \ .8. '-.-~t'" \:), r-L\ \r-~ \. ~ f Building Permit # -...aD ~ (\ d <;( ~ PID # Ol S - 36d - Q20-() NOTE: This permit will not" be processed without complete information. n. C.-I.' 011111 Lab Counlry Quantity ~ I J 4 , /- ~ J 4 Sub~ Hi LL3 tI1 ~ FIXTURE UNITS Type of Fixture Quantity Type of Fixture Bath Tub with or without shower Rough-ins Water Heater Dishwasher Floor Drain Water Softner Lavatory (bathroom sink) Laundry Tray <r!> o~ compartment sink} Shower Stall Sinks Bar Sink Water Closet (toilet) Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PV8) Backflow Assembly Test Lawn Sprinkler Other ,;J. ~ 6} JI~(:Au. 1 - c:l t s.~ f:. ;-'L 3 FEE SCHEDULE APR Ism $ j~ $ $ $ .50 $ Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential. New One & Two Family Residential, Additions & Alterations $99.50 $39.50 State Surcharge GRAND TOTAL This permit is granted upon the express condition that said ,contractor. shall comply i"n all respects with the ordinances of the St.ate Plumbing Cod :J.d m?;orr:;;;g;ereor. . - / " , E IP1~O, L " DATE -L/lo ;..~. ^ /'Ub^UJtl~;;'J leST ()' for all inspections 24 hours in ad..ance. 16200 Eagle Creek Av. S.E.. Pnor Lake, Nlinnesota 55372 / Ph. (612) -+-17-4:30 / F.A-X (612) .g7-4:45 An Eq~a! Oppcr::.:::ir:. Employer .... c:> c:> S CITY OF PRIOR LAKE . 16200 E.gr. Creek Av. S.E. P.rmiINo.UO-O~<tr~ PIfDr Leke. UN 5531'2 Dale ~ awn.,.. Nam., Addr... H.lllng Contractor , Addr... rel.phone' . 7S4-4000 TYPE OF SYSTEM Warm AirPJal1ts GraYiI)' MechanIcal Air ConditIoning. V /(/ltrl'Vv1 Vant. ~~ltem , ' - HEADNG OR POWER PLANT Steam . Hot Wet., Radiation , Special D..,k:8. :~rQ bYL RI(;CAR HFATiN~ ~ AIR 2387 COMMERCIAL BLVD. NW ,;; ~~C"/Li." IVli~ j':';0v4 ~ o .... g: ~ o Furnace M.rc. & Mode' RAI? ;/'/'n UadelSfa /:J.) ~CX) f)JZ{ j:: .... u ~m. lo8d, Fuel ~I(;y~:,> flue SJza IX- /(-:J J II' (~ Supply Openings . I/') ~ N ~ ,.. ~ ~ N .... U> Return Opan'ng. , Inpu/d5~aO Outp~t. /0:) (cO Edr. elm,. Other DevIce. ~ TYPE OF WORK AIr.rllllons New Construction )( Repracement ~ N RepaIr, / Bu~dinD~k' ..(7) .- O~~ ~ 'J . .50 rp.b if' eel. Comp. Oa.. _ .. I/') .... ~ Ell. Colt . . HEATING 1RMIT FEE S. STATE SURCHARGE. / TOTAlPERMITFEES V Receipt #I --- co ~ ....... fO') N ....... U> c:> '-. TVPE OF StRUCTURE l. fiat . File 2. (hm . OtJ 3. Vallow . CDllIII'IIerar Single Family Commercia' .\ M ulll.Faml'Y Public Other lWo-Family . , nduutrlal. Fee Schedule Induslrl81, Commercial & Mufti-Family Residential, Heatrng & AC Residente81, Heating Only Residential, Gas Ampl8ce Residential, Addirlons & Aleratlons Residentl81, AC Only 1% or j~b c~ ,($39.50 ~Infmum) $99.50 '} , $64.50 ' $39.50 APR 2 0 2000 $39.50 $39.50 ReMember to add the Slale Surcharge on the bottom ollhis application. The prrce of your heating permit Incrudes one rough-in and one fin81 inspection. AddJlionallnspections wi" be billed at $3S.00 eacn. House Healing Teat Record musl be submitted wilh.b.uiJriog QUJ1jl ~~~~~!' before built!- Ing cerlilicele of occupancy win be issued. HEAT CAl.ctJLAT.ONS ~FP' m:~I='l wiIh number of supplv and return operings listed per roDm wilh CFM's per opening. New structures or addilions send ftoor pran with suppry and return locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND APPUCATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. Cily Hall business hours are 8 B.m. . 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447--4230 I hereby app'Y lor a mechanitlilll systems permit and I acknowledge that the InlormaUon above is complele~'nd accurate; that the work wur be In conformance with the ordinances and codes of the city and with the slate buildlng/mechanlc8. codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be In accordance with lhe approved plan In the case of all work which reqUire., review and approval of plana. ~~v~ t;;/.:2/cU /' j LAp~signatu;( ~ fJate Vk~~.J'l/h~/ /'/A'~~~h~A.) 'i /62~j.l7) (7 Buildin9~' SIgn...",. / Da~ P R I 0 R LA KE DEPARTMENT OF · BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS JL/38 I ~ Il'tJ'" NATURE OF WORK New 0~'-,~_ USE OF BUILDING St: rl PERMIT NO. Q{J -0 Z fZ-- [)ATE ISSUED 4.t'7....7.,oocs CONTRACTOR ~\:::- ~I~" J:~,. NOTE: THIS IS NOT A PERMIT FOR ,ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE D02~T DATE FOOTING / f' '-ICJ 6- -:? y , - FOUNDATION (Prior to Backfill) wf~. ~~{ .~/I~/"o PLACE NO CONCRETE UNTIL. ABOVE HAS BEEN SIGNED ROUGH - INS ~, ~~h '~, ~ I SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING 61 z9.~ HEATING (if required) {p - 2e~J(fD FIREPLACE 7JI/~(fD GAS LINE AIR TEST ~~ & '3().utJ COVER NO WORK UNTIL' ABd<f~ HAS BEE~ SIGNED ~ . 7/<w '7 (1?J( (ftJ · GRADING (Prior to Sodding) BUILDING1".~ "50/" fn,. 1/'/*0 ELECTRICAL PLUMBING HEATING DO NOT OCCUpy FINALS ~ q~~1--()D coU (~. ?( a:f.0> d~kbd, . UNTIL "~B~V~~;~EN SIGNED N O,T U'" E I 10'''' 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.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 Qttrtifu8tt of (Oem Janry CITY O~l PRIOR LAKE 1Btpartmtnt of .uilbing 3JnSptttion )'tFinal Permitted D Conditional C. O. Expires This Certificate issued pursuant to the require11U~nts of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Ulke regulating building constructiOtI or use. For the following: Use Classification SINGLE FAMILY Bldg. Permit No. 00-0282 Occupancy Type R3 Type Construction VN Fire Zone N / A _ Zoning District . R 1 Legal Description L5, B2, KNOB' HILL 4TH ADDITION Owner of Building Site Address 14381 BLUEBIRD TRAIL N.E. Contractor's Name & Address NOVAK-FLECK. 8857 ZEALAND AVE., BROOKLYN PARK, MN ROBERT D. HUTCHINS ~ ~ CitylJlanner JENNI TOVAR Date: . .. Date: I -1 I J /-1..s-?8/ HOUSE HEATING TEST RECORD 15/~b/yJ FLOOR ADDRESS OCCUPANT HEAT LOSS - DATE HTG. INST. SOLD BY '1Lt l-C~ Electrical Work By _ TYPE OF HEAT GA FA -l'L-HW () I ..." 1'- GAS DESIGN MAK E /'-IA~.v-- ( Model IUr?H 1:2 t2J1JZrfL _ Serial f:PSC>X07 ~dOd ey, /2 ~~CV) 8-00 STEAM _ /9 INPUT 1t't.J CONTROLS THERMOSTAT ' Heat Plug Valve W Limit /.5'0 ~ /f Limit Setting _ ." ~ _IJ Fan Setting -;fl~~Lp ~~ Pilot Type ~ I Pilot Make ~I.~ Pilot Model Pilot Timing -----6f-l.~ L. W. Cut Off . Pressure '7 LJ - _Percent CO2- Input CFH~r-cf~ Percent O2 Stack Temp. 'J '1~ Percent CO Form 235 q, '7 "" -:> {}" , APT. OWNER CITY l?;"/~BURB IINSTALLED BY. 72-lU~ Gas Line By !2--,_ L-c- ..-- SPACE HTR. UNIT HTR. MAKE OF BURNER Model Max. BTU Rating MAKE OF FURNACE. Model Vent Size t /r OTHER CONVERSION KIND OF LINER SIZE Draft Hood ,RegulaTor Fi hers Size.~ .,pJ..,~ Number ~ Chimney Location I~ide ~ Outside Chimney ConstructionL Ff'-$ S ..% Smoke Bomb Draft Door Pres,sure Do te T e s 1~ed 6'... :J.. 'T -<?X:J Company TestingK2S--- Name of Tester _ ,/f/. ~ NONF Wiring Test Tag Lighting Inst. Form # 5 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS \ 43~' ~~kJ. OWNER COI~TR. PHONE NO. PEf~MIT NO. . p~ FOOTING ~ vJ(C/ 0 PLUMBII'JG RI Pl!-FOUNDATIO~ ~MECH RII o FRAMING WATER HOOKUP o INSULATION SEWER HOOKUP o FINAL 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL ~/~ ~ TIME II~to 0- ozfZ- o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS:~~ Ly,/cr-r- ~@ J!~~ /'~~. tfJ~~ofo~.. ~ I { 1 ,/ / ~-JlI . / L. J'{~\~I((".(/~-:~t~_ // 20( L~ ~ - bo-tU~- o I (" .. .4-.... J~ -.A~ q ~~ t:'J.-CJ ~ .(~ I ~:. /) it" 1/(1, ~ I ~!J .~~~ (2J JiuMH:/ ~~/ ~(il:j ,J:{j- ~Jrf) ~. ~~,. ~~. - A 1'1_. ~ V . ~44 ~~.,- ~r ~ ~ ~Q~ !.~-, #fD~e:J / '2}~ ~ ~,'~~-~ o WORK SATISFACTORY, PROCEED 4~ [J..o..Vto ~~..~ -~r~) 'fi CORRECT ACTION AND PROCEED }...fa ~ ~ 1J~(1"\ r' /0 'CORRECT WORK, CALL FOR REINSPECTION' BE~E~ ;..it u..- Inspector: h-( Owner/Contr: ~ ~ 1 ~. J CALL 447-9850 FOR THE NEXT INSiPECTION 24 HOURS IN ADVANCE. INSJVOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! f'l11{~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~ tAr 4UOv TIME ADDRESS 43~\ ? :::>L u--t;- 6 lO-{) OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING @ o INSULATION ~ \ ~NAL ~ o SITE INSPECTION t:x::J,.. Z~ Z. o PLUMBIING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBIING FINAJ.ttj\ ~ECH FIINAL ~ COMME~.~~ 4IlA.- P ~ ~ ~~ ~ c:+-.. L.L. -r ~~~/~~~ ~,. _1.." ~~. _. ~~ t..... _ _~.__..4:... _, ..-, o EX/GRAD/FILLING o COMPLAINT o FIREPLACE. RI o FIREPLACE FINAL o GAS LINE AIR TST o Cfj30 !~ --.. - "'~~~....-.. ~-~ 6-'L f~ -CW ~ c.:.... ~,~ ~~~ o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WOR~LL FOR REINSPECTION BEFORE COVERING Inspector: h, Owner/Contr: , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE ~\ Z. >~ 1 ~ {~ INSPECTION NOTICE SCHEDULED ADDRESS '43B' ~~,v-cR. 1"'1l.- OWNER CONTR. PHONE NO. PERMIT NO. O-z..?z.. , o FOOTING o PLUMBING RI o EX/GRAD/FILLING o FOUNDATION o MECH R~I o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION ~RHOOKUP o FIREPLACE FINAL o FINAL . . UMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 C,.OMMENTS: ( l) PrtJVfr!J -~ ftj y V~ - ,,,.* r () A. 'LV\{/\ ~- J r~ .n;) . 'CJ~ .~ '..) r~ rLr / / o ~ SA TISIi . / TORY, PROCEED ~~~ECT A"[ AND3CEED o CORRECT R ~,\CALL FO REINSPECTION BEFORE COVERING Inspector: "' \ Owner/Contr: CALL INSIVOTI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS J!f.JJlj &VJ;//;I OWNER CCINTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o ~ULATION ~ FINAL o SITE INSPECTION o PLUMBliNG RI o MECH Ftl o WATER HOOKUP o SEWER HOOKUP o PLUMBliNG FINAL o MECH F"INAL COMMENTS: Gra.d,.':.) I~ nK ~ '- / ~ .,./ --r ~::-:. f DATE # Lra/./ . ~-De/:~ c.z;- ;J-9d2- ~RAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o TIME /' ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL F REINSPE:CTION BEFORE COVERING Inspector: ~ ~ner1contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SC."EDULED 9..Yfro LT P /ttc,blrdTr ADDRESS I L/ _ ~ f / OWNER CONTR. PHONE NO. PERMIT NO. o~J-f~ COMMENTS: o PLUMBING RI o MECHANICAL o WATER HO'OKUP o SEWER HOOKUP o SEPTIC INSiTALL o PLUMBING FINAL ::;. ..;- ID SITE INSPECTION o EXC/GRAD/FILLlNG o LKSHOREANETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o o FOOTING o FRAMING o INSULATION ~INAL ,./"O"'FOUNDATION o DEMOLITION o FIRE PREVo La ~ ./'1 ~ _ ~~ _..,.~~~~:"';$!:c""~ ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK'3.LL FOR REINSPECTION BEF'ORE COVERING Inspector: 'ti1'1'" c Owner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!