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Home My WebLink AboutBuilding Permit 00-0520 6/13 Joo CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATE RECEIVED . 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 \~ 5()q ~ ~\ If.- '-', r'd ,... rn '\ \ 3. LEGAL DESCRIPTION q A~,~!r:~N Kf\.O b \-h) f ~I_- M~N7/<;L 5. ARCHITECT (Name) NE 1. DATE fo/I"5/0C (2.,1 LOT BLOCK cQ PID as - 3';;) - CP1'-f - 0 4'i1'\ AhDN (Address) (Address) ~.\, (Name) ?; M I!t>/"" to 7. TYPE OF WORK . Fireplace (J New constructionX' Alterations (J Chimney (J Misc. 8. PROPERTY AREA OR ACRES Sq,Ft. (Address) 'Itt7 fA e J-'> \$~Q~CJ/e~ Septic (J Deck (J Addition (J Finish Attic (J 9. PROPERTY DIMENSIONS Width Depth (Tel. No.) (Tel. No.) (Tel. No.) /J r "9~~9 ), t r'2..- l.{ I '{ -70 1'/ Re-roofing (J Porch (J Re-slding (J Finish Basement (J 1 O. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow . APPlicant Permit No. qI"~05ZD ~l' BUILDIN . .... FORMATION , '.'i' 11. SIZE OF ST TURE (Heigh') """) (Iloolh I 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE / (P(:) t Qt)() 17. COMPLETION DATE 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 mentioned property and that all construction will conform to all existing state and laeallaws and will proceed in accordance with submitted plans. I am aware that the building official can revoke ~.. ~.o: cause. Furthermore, I hereby agree lhot the city official or a designee moy entor upon the propol1y to perfonn n_ inspoctlons. X ~..,<,> 'I~ 95/ . ~-L)~OCJ ':':'- License No. ',_ - " SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back BUILDING DEPARTMENT VALUATION Side USE OF BUILDING ~ F D OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 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 ................................... $~-~ S- Plan Check Fee .... ......... ........ ........ $ if I. 71 80.00 State Su rcharge ............................. $ Penalty......... .............................. $ Plumbing Permit Fee ....... ... .. .. .. .. ..... $ Mechanical Permit Fee ..................... $ 10".00 ( 0 f1 . ,,6 6S'~ 40.<<>-4 Sewer & Water Permit ...................... $ This By ur Building Permit ~e~~~ Date CJ1"LS ~ Issued Side I t..-C> 6 oc:o City: ~ tf, Amount Brought Forward .. ... .. ... .. ... ... $ Park Support Fee ........................... $ SAC . .. .. .. .. . .. . .. .. . .. .. .. .. .. .. .. .. .. . .... $ Collective Street Fee ... . .. .. . .. .. .. .. . .. ... $ Sewer Tap ................................... $ ~,. $ Pressure Reducer .......................... $ Meter Horn ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ 24 hour notice for all inspections (952) 447-9850 MATERIAL FILED WITH APPLICATION SOIL TESTS (J ENERGY DATA (J PILING LOGS (J PERCOLATION TESTS (J PLANS & SPECS (J SURVEY (J PLOT PLAN (J SETS COPIES Water Tower Fee .. .. . .. .. .. .. . .. .. .. .. .. ... $ Water Tap ................................... $ Builder's Deposit ............................ $ /,~.612. Other......................................... $ Total Due .............................. $ ~ B3t4. ~ Paid ~ ,# Rece~'p .3~'" Date By that the request in the above application and accompanying documents is in accordance with the City Zoni Ordi nee and may proceed requested. This document when Planner constitutes a temporary Certificate of Zoning comPlian~o~on to commence. Before occupancy, a Certificate f Occupancy must be issued, _ &-~'2.,..(SJ{;)' . ~~ ~~, City Planner Date Special Conditions if any 850. OC /...J.DtJ " eJT 90~ . J,2S. Cd I, ? rlCl . CJt! , iD~ ~ -- . "" . ~ . -'. . '.- . -. ::f'{ . .....,.. . .... .... o 6 ~(J6&(J Thr Crftln or Ihe: Lakr CouillrY White ~ Building . Canary' - Engineering Pink - Planning , - . . . . . . . . ,- - - BUilDING P~RMIT:'APPLICATION.DEPARTMENT CHECKLIST . .' . . . APPLICATION RECEIVED \ G ffi 't-\()\f~ .......~ 1'~If)() - . . NAME OF APPLicANT - ' . . ... . . . . . . '. ,. - The Building, Englneering,- and' Planning Departments have reviewed the building petiTlit appUcation'for~onstructio~ actiyity, Which is pr~posed at: _' - JLf 30 9 >~llJe- "li rC I fa i J \[1"7 Accepted With Corrections. / Accepted' - Denied. _ . . " . Reviewed By:~n-:~ . C~r Son' . .' Comments~ ',.... Dr ~ v.p. WtJ.y '~~s+ . be - -< -t:he...fro~-\-., ~.' " 2e. vtv.....__ _/ille. " - 5c:.e 'i ~.c~ rV\ 4 +i ~ Otl,.\4.e. '.. Date: ~~ . .'. OIL{. +~e+' 'L.\JI"J~: --o...-C_ . ("~ \J~rSe 'sik.' _I . . . . . . , .' .' . 5ee.(lo+l-~Me~'b: LFit\aJ GNsk:JA~'Ql.:ck+O("~h ~:C:r~it\Q '/l<1t\ '3:. 'E("o~n~O~-TG-N~4su(eslf.Eros/~It.. ,', 0" ,- - (!,~Ir,I?/1UJ - , . . ., . . -liThe issuance:. or granting . of a permit', or approval . of plans, specifications . and computations. shall not be -constr.ued to be a' permit tOl-; or an approval of, any violatiofl of- any of the provisionsdf this code or of any other: ordinance of the jurisdiction. . Perttiits presuming to give authority to violate or' cancel. the provisions of this code or' other . ordinances of the jurisdiction shaH not be valid. "_' . sF \ -- \; Cb'057/0 Thr ("rnlrr of lhr L.kr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED fa m \in \ l'f)e., Co I 3 J O() The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / L.f "3 () '1 ~ file' .0 LCCl I m..J I N".=7 Accepted Accepted With Correcti~ ....... Denied / ~ J---- Reviewed By: ~ ~ / Date: ~-23-~ CO~a1Q cdk1:e ~~_ ."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. II j ;,,,, ,.~, ~ ~:"" v :'0"<: >,:,-;:,y,.:-"'i,'.,:::'-'; :~,:'. ~-' ,"._-, t::,--~;~" .~. ",. ';;f~~~{~!~0;~~,i~! .... :,,-:,,,.,..,.;.:,._., . '..,':. C:"" ...'....'..", ,',"','., : White .-BtJ~~;/:'::,';, ~.,ery'...Engln~fI, Pink-Planning " .. .~~'.,';':4;'I,;~i3tf:1trti~it.~', Buu~bl;N~'PERMITAPPtICAtl(W.DI:PAAT-ME'NT.CHJiCKLI.SI NAME OF APPLICANT APPLICATION RECEIVED . \6M \.\()\~ Co.. (13fO() The .Building, Engineering, and 'PlanningDepartments have reviewed the .;building permit' application for construction activity.which is proposed at: /~3()9 ~Jll e,hi (.-C~ If a. J Nr::.. "..." , -.- Accepted Accepted With Corrections ~ Denied Reviewed By: ~~A~ v ~ - Date: a -z 2--eo Comments: J-t{ Fr ~il!l.WM. 4~~ t-,)~" tX r:~'t k~~ ~. +-~tJ vt'Otl.,J'loUJf/'6. "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.1I ~ CITY OF PRIOR LAKE 1. Blue 2. Gold 3. Yellow File City Applicant Th. C.nl.r of lh. Lab Counlry PLUMBI'P!:.EflMrr Applicant: fl-6!P#fJ1. ~~:v&. A~dreSS: /0../1 . ~.....I'~ Signature: ~,,~ J~ ~ Legal DeSCri~ion: Lot "_ ~ Block..- -,1 ~ub Site Address: /~P? /?tU-f".iiU!&( //l Building Permit -# Od- .>OJ-o ~ PID-' NOTE: This permit will not be processed without complete information. PP No. 00-5 ,;J-() ~}le: _ .~qR<- ,;17 ~ 9 ('//#.t/1 r FIXTURE UNITS Quantity Type of Fixture Quantity Type of Fixture ~ r Bath Tub with or without shower ~) Rough-ins ';::Ji:~d L1u, ~/a:/fi( I Dishwasher I Water Heater / I Floor Drain Water Softner 3 Lavatory (bathroom sink) I Stand Pipe (washing machine) Laundry Tray (1 or 2 compartment sink) Sewage Ejector d- Shower Stall Backflow Assembly (RPZ, Double Check, PVB) I Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler :3 Water Closet (toilet) Other FEE SCHEDULE Industrial, Commercial & Multi-Family (10,10 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 th express condition that said G contractor, shall compl in al respects with the ordinances ~ JC.l( /'\ t:;, of the State PIu n . C. I. .~ndments thereof. 4' r ty~(t- NO. "-. DATE ~ CIJ.M\"' . ~ "'......... A mST urs iJdvance. 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer &~ ~NE~ .... - PILI YILLOW - APIILICAIIT &OLD . CITY CITY OF PRIOR LAKE SEWER AND WATER PERMIT NOTE: S.W.No. 00-0520 Sewer and Water contractors must be registered with the City. APPLICANT: Kf;g ~ ./ -' Ev PHONE: .:til- 'I 'i 7 - ;;S:S-7 DATE: 2-Q-OI BLDG. PERMIT #-<<J -Q92D PID# ?&)-3pc... -024-0 ADDRESS: AoV /., SIGNATURE:.. ~ ~ __. SITE ADDRESS: 1<1 3@ ~6,..-;;;/'Tr FILL IN THE BLANKS 1. Estimated length of water service SO feet. 2. Size of water service I inch(es). 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC (,/' Cast Iron 5. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from ------------ ------------------------------------------------------ ------------ ------------------------------------------------------ ------------------------------------------- ------------------------------------------- This applica permit when approved. BY.~ DATE: z--q,.OI I FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $~?~ plus $ .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 duplicate sewer and water permits are issued. DATE PAID AMOUNT PAID r t"~O'bl~:~;\'1'. REC'O BY . gU\~\~G RECEIPT # 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opp0l1unity Employer 4A~S A-H-tJ ~ ~ NdU-. CITY OF PRIOR LAKE Me 16200 Eagle Creek Av_ S.E. PermJt No. Prior Lake, MN 55372 00. oSl,O ..-4 GJ " ..-4 GJ Q.. HEATING APPLICAnON I PERMIT PlD tI t5-- 3f1Z,- OlA'''O ~ \\JC2. '0\ r ~ iR Dale g - l..\ -0 D v GJ ..-4 Site Address (4 ~oq I.J) CD lor Block AddiUon . Owner's Name, ..,. 0 'Y'- ~ \ ~ ~ cS ~14l~.-.' ~ , \J ',Q... (' ~ '- t.. F, ('-'l) , G-O- I ~ A-v ~f '.: t> r l.14~ t' Telephone" , 4 ~ b 5 b B-D p~ 1'fl..... P\ eA..JL M~~e ~c.. AIRCONOmONER'UNITS CANNOT F....' r fI1 J 1 Medel 1 -, '"" J ENCROACH INTO SIDEYARD SETBACKS. Model Size 1) \} :1 ho R tV TYPE OF SYSTEM ~ Conn. Load Warm Air Plants 5. Gm~~ fb Fuel ""Bet "04.Elue Size Mechanical ~ U Air Conditionlno ::::L SupplV Openings Vent. System ~ hi Return Openings HEATING OR POWER PLANT 0:: w ~ ~_m :> Input . Output -- Hol Water Radiation SpeciaJ Devices Other Devices Address Healing Contractor bJ 5r Address . Edr. Cfm., I.J) N ;: Aile rations TYPE OF WORK Replacement. New Conslructlon ~ Repair. GJ N .Jr Est. Cost $ GJ tb HEATING PERMIT FEE $ ::J ' CI STATE SURCHARGE $ Est. Comp. Data _ .50 00 . 0 ~-z"O PAlO W\1\-\ . 6U\\J)\tolG PERlA"> ReceIpt # , Building Permit' . TOTAL PERMIT FEES $ TYPE OF STRUCTURE I, PjJlk - Hie ..-4 Z. GreeR - CilJ GJ l. YdlD\1V - "', ,'. '1IClor a: ...J CI I- o I- Single Family Commercial Two-Family. r ndustrial M u Iii- FamiJy Public Olher Fee Schedule IndustriaJ. Commercial & Multi.Famiry Residentiaf, Hea1ing & AC Residen1fal. Heating Onlv Residential, Gas Areplace Residential, Addilions & PJlerations ResidentialJ AC Only 1% 0' job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add the State Surcharge on the bottom of this appUcaUon. The price of your heating permit includes one rough-in and one tinal inspectron. . Additional inspections wiR be biUed al $35.00 each. House Healing Test Recold must be sub'mitred with buildinq, D&rmil number befote build- ing certificate of occupancy will be issued. I-fJ:A1" CAI. CUI ATION~ RFOlJlRFD with number of supply and return openings .i$ted per room wilh CFM's per opening. New struclures or additfons send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND APPLrCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKEJ 16200 EA';) 1= CREEK AVE. S.E. PRIOR LAKE, MN 55372, City Hafl business hours are 8 8.m. - 4:30 p.m. ALL WORK MUST BE lNSPECTED (ROUGH-IN AND FINAL) - CALL CITV HALL Phone: (952) 447-9850 Fall~ (952) 447-4245 :1 hereby apply for a mechanical systems permit and I acknowledge that the ,information above is complete and accurate; that the work wiJI be in conformance with the ordinances and codes 0' the city and wilh the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFIC.AL; that the work wHI be In accordan(:e with the approved plan in the case of all work whJch requires review and approvaJ of plans. Date 8 · & .l)l) Date ~~f PR1~O\~ CITY OF PRIOR LAKE Me lJ ~ 16200 Eagle entelr Av. S.E. Perm~ No. 00.052-0 Pr'or Lake, MN 55372 1; "'-.:: HEATING APPUCATlON I PERMIT J.. Dale 8/;;)..../ (f) 0 P/D . _ 25 -,'=3 (p 2- _ 02...4- _ 0 ~ Sfte Address J ~3()1j ;}Jju~,;-", 'r-;-. Q.. Lot Block Addition ~ Owner'SN:me~4L ~;n~ '.a~;. . Addr_. ~'7 -~e;..rJJt. Rt.. /hI? 67r.}7::J... HeatingConlrecl~{~#~ ~~~ ~Xt:-K ~ Address ./..J.v.F7 ~ r/, ::q / ~ ,,;: S'. N ! Telephone., '26- ~ - rf!1..JL' cOoo.s -_ ~ FlIIlace Make & Moder J - "/hi TYPE OF SYSTEM + ~I - . ~~, '" ~ ? c- Warm Arr Plants Model Size y ... -;}A -, - '" _ Gravfly _ "'onn. load ?,s D~ MechanicaJ J ~.J if - - - Air Cond.lonln~Ar..,y .~'rC;, 'UIt/ ,~ f1118 Size _ Vent. SYSlem :uPP/y Openings - /..,. _ HEATING OR POWER PlANT Steam sturn Openings . 7 Hot Wat~r Radiation Olllpul: Special oM:. - -. -... - . ... .. ~ put, !< !I! If. w --' = n., => en z: 0: :::J CO I ~ trations _ &L - - OIher Devices TYPE OF WORK - Replacement - Est. Comp. Date BuDding Permit , , New Constlucfion ~ .aIr _ ;: Cost $ , ()o. asZo CD a T'NG PERMIT FEE " a ! re SURCHARGE $_ a I ~ \l PERMIT FEES $_ .50 ~ft Receipt , , - -- - -... ..- .- __.. - o. lYPE OF STRUCTURE I. Pi_ - F'lk 1. GreeD . City J. Ye"ow - eollJ'aOOlr SJng~e Family Commerojal. 'i. Multi-Famifv Other Two-Family. Industrial Public Fee Schedule fnduslriar, Commeraar & MURi-Farnly Resldentia., Heating & AC ResjdenliaJ, Heatfng Only Residential, Gas Firepface Residentiar, AdcWons & Alterations Residentiar. AC Onfy 1 % 01 ;ob cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add the State Surcharge on the bottom of th;s application. The prJce of your heating permit includes one rough-in and one final Inspection. Additional InspecUons w,r1 be biUed at $35.00 each. House Heotlng Test Record must be &ubmltted with hulJding nermit number beforo build.. ing c&rt;nc~lo 01 OCcupancy wirl be Issued. ...I=AT kA1 r,1" 4nn~,~ RI='" UJlI:" with number 01 supply and return openings listed per room with CFM'a per opening. Now 8lruclwGs or additions send lloor ptan with suppfy and felurn rocalions shown. HEAT LOSS CALCULATIONS. PAYMENT AND APPUCATrONS MAV BE MAtLED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.t:. PRrOR LAKE, MN 55372. City Hal~ bUsiness hours ate 8 a.m. - 4;30 pm. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL 447-98!O I hereby apply 'or a mecnanicaJ systems perm;t and r acknowledge thai the information above is comprete and accurate; that the work wiU be in conformance with the ordhlances and codes of the city and wUh the state bUifding/mechanicaJ codes; thaI 1his 101m does not become a permit until s;gned by the BUILDING OFFICtAL; that the work win be In accordance with the approved plan In the case of aU work W~quires review and approva~ of plans. ~Z/~d . Dat~ 8. .5. V() o".:'..J!_ _L ",p - \ PRIOR LAKE .., INSPECTION RECORD DEPARTMENT OF - ... BUILDING AND INSPECTION SITE ADDRESS --1c.[3QJ '~:2l',.J NATURE OF WORK Ne.l.() USE OF BUILDING Rl=:~ PERMIT NO. 00 --O?/D DATE ISSUED (. ..'2..3""2000 CONTRACTOR '~. ~ \ \M ~_ ~ PMoHE. 4'1'.. 20 cf3 - q I.V - 70/7 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DO~UMENT ~S~R OATE - FOOTING ~ ~ '''',"S-(t77l \ ( J ''3 rlRf FOUNDATION (Prior to Backfill) . . a 7'7-"; ,ih ,. JtO PLACE NO CONCRETE UNTIL ~q"E HAS ~EN SiGNED ROUG - INS SEWER I WATER I SEPTIC (~krp FRAMING INSULATION ELECTRICAL PLUMBING HEATING (If required) './S.W FIREPLACE ,,/c.w GAS LINE AIR TEST ,.~.IV COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED - Y/$/ //11 4/1-'00 FINALS GRADING (Prior to Sodding) " . M'f? BUlLDING-f.e.,.O,-tJ,I 3/1/l> I ~'''''(,r~ I ,[l.J ELECTRICAL r , I -, J PLUMBING R tr. - HEATING f7;p , DO NOT OCCUpy UNTIL ABOVE HAS .. " 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. 10-' ~Ol 10.v.t>l /[- g-cxJ ~/I'f /DI , . BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 ~.~~.~ ~~ :~ -:. jr'h ,I~':' - " · h;...... · '10;. !... · 10;, ....:. '~ j"'" ..., .: :",'. '1": Z.....!Ii. ~ - ~ --- r ~ . -~i;. QLtrtiftrau of (Ormpanry :i~ · CITY OF PRIOR LAIili :~;.~....', rI, 1l9tpartmtnt of Jiluilbing In'ptttion ~ .~, v., Final Permitted 0 Conditional C.O. Expires ,.1.. This Certificate issued: pursuant to the requirements of Section 307 of the Uniform Building ,Code ')..: certifying that at the time of issuance this structure was in compliance with the various ordi1lQ1Jces. of the "_ i,: City of Prior Lalce regulating building construction or use. For the following: .:;r: Use Classification SIIIGLE FAMILY Bldg. Permit No. 00-0520 ...\: . ~ ~ - : Occupancy Type ll3 , Type Construction _ VB _ Fire Zone II? A Zoning District 1.1 ~. . L9. 12. hob Bill fourth Addition Legal Description Owner of Building _ Site Address 14]09 BIW!hird Trail IfE Contractor's Name &. Address _ Toa Ho1ae. 447 Theis Dr.. Sbakopee. MR 55379 .. City Planner . Date: Donllye DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 9,21.01 ADDRESS Iti3oC( ~I~\o~t& f li. OWNER CONTR. PHONE NO. PERMIT NO. 520 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 EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ~b& St* ~~ OK /' ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. ~ Owner/Contr: CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl i f ~, DATE TIME CITY OF PRIOR LAKE ' INSpeCTION NOTICE SCHEDULED Cf .. *( J ~O( l,'~J :~--l:':~,<'-~' ".1.,' ,rf ',~ 1~ '. 1" "t/ ADDRE~~Nts 0'( "E1~t~\. }.u ..J::X OWNER CONTR. PHONE NO. ::>-.i~',~-__:_:~,::~ ':.~~ ~,}':.:'i_-~ ~ .:;..:~: _ :\~:::~ ~: . . PERMIT NO.' o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLtNG o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL o FINAL 0 PLUMBING FINAL 0 GASLtNE AIR TST o SITE INSPE,CnON0_\~V.; 0 ,MECH FINAL . 0 COMMENTS: \~la& Sc'cJl.p 0~.1.~ OK.. / ~RKSATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &SAFETYI INSNOTl '-'-- BVRlWSV.~LE Heating & Air Co~ning, Inc. 12481 RIIod, l,rlad Ave. So., Scwart; !tIN 55378 · 894-0005 Ors1at Test Report for JobI/ () idJ Address /t/3C>7 i3/;~jr'--;(x1~v Ci1v !?-L~ =~~A ; HW ~ UnkHT Other Make Model Serial Input J...e nn 0'1 (;~&~~-7';)- .s<al1O:r ?/~<t tJ2 ~ aVD Pilot Type 111)1 _<ilj/ ~f'lr'" Pressure ~. S Input CFH 7<; Stack Temp I? 7 C02 <t. S 02 ~, :s- pa () \. Da1eTested ;... /.. O( ,Company ~ ~ A/1 "t/~~. ';NlimeofTes1er~. '. 0 DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ( 1- ~ -0 ;) ':'oV It/SO / g;)Lfeb/' roL I ;-- ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. CJ- V ;LC) o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI 0 EXIGRADIFILLING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOO~KP 0 FIREPLACE FINAL ~PLUMBING FINA 0 GASLINE AIR TST ~CH FINAL ~ 0 COMMENTS: I. 1;l5/~'- P_~. re A1~ 8~/. _ ~A/ ,. PAIA/( STt2!r- ~~ F'li/~("p ~ ~~~ ~~~k:, ~ A-"G-. ~-<.~. ~ o WORKSATISFACT J(SoRRECT ACTION o CORRECT W Owner/Contr: Inspector: I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. /' - CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/ INSNOTl z.., t.l-o f J ~ 3 Q... 1430Q gUJ (; B( r<D CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION(Jt?) 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION -7lA) 0 SEWER HOOKUP 'd'FINAL lN~ 0 PLUMBING FIN~ ~SITE INSPECTION )if MECH FINAL ~ COMMENTS: DATE TIME 00 -OsW o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE Alo/ST o ..':,';;... \~: ~ ~ ~ iJlf , l o WORK SATISFACTORY, PROCEED '0 CORRECT ACTION AND PROCEED P' CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. ~ i OwnerlConlr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~IJd TIME lC)~ ADDRESS \ 6r3c:A ~~W;{ OWNER CONTR. PHONE NO. PERMIT NO. ~ C/O -O&"~ ~OOTING /f)\ 0 PLUMBING RI 0 EXIGRADIFILLING OUNDATIO~ ~ECH RI 6\ 0 COMPLAINT FRAMING 'ATER HOOKUP ~ 0 FIREPLACE RI o INSULATION R HOOKUP AOl 0 FIREPLACE FINAL o FINAL 0 PLUMBING FINAL <DI 0 GASLtNE AIR TST o SITE INSPECTION 0 MECH FINAL 0 ~ COMMENT~ ~ .k/tU /fJ ~ ~': C..' -~AT,~ I ~,.f:J-?r~"IL(( ~ ~-/~~ t \ ~lt.~ ~ I ..( .- ~ a. tJ ~ 4.-" ~/):; ~..~ J1:~?a . · ~ K~ ~ ~.b.-:>&' r ~~~~ ~ (!i)rC{~ ~~. ~J ~~~ 'rp. ~ ~. · r~~~/",~:-~,. r'~ ~~ ~,_ , ) & U _~ltnL , - ~~t1 ~~ " Inspector: Owner/Contr: CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAfETY! INSNOTl ADDRESS 1'I3tJ ? DATE TIME SCHEDULED / M!z,/aA /,,: dO ~ / l.{ e j; 112.-~ TI'Z.', CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. ~FOOTING /A'!\ o FOUNDATION \.J:S-} o FRAMING o INSULATION o FINAL o SITE INSPECTION PERMIT NO. o -5Z-o o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLtNE AIR TST o COMMENTS: J)~~ ([JJ ~~~~~ .~'= ~, I ~. ~ ck wd/ ,-J?'( .~ , e/!.b.' ~P/~~ ~~ .:1 ~ ~ ~ ~t) 6?-~ ri /2-'1 X ~ It '-=4-t;t:?t:.~ V -- tl U hi- 'fo p~ ~1 ~ ~7 ~ o WORK SATISFACTORY, PROCEED 'JfJ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~l - I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! .JloiI I, rl