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Home My WebLink AboutBuilding Permit 00-0615 16. PROJECT COSTNALUE _-b !~a t:.Jf3/J ~~@fIOo/~OO 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 above ntioned prope nd 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 :uildin 'al a evoke is annillor j 81 cause. urthannor hareby agree Ihaltha city ~Z~~nter upon tha property 10 peZ,pedt~8' License No. J{ f ~ DATE RECEIVED CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT JUN 2 8 2000 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 1. DATE 6/26/00 14345 Bluebird Trail N.E. 3. LEGAL DESCRIPTION LOT 7 BLOCK 2 ADDITION T(nnh Hi' , 4th n~~'+-',... __ _. _.1.. _J.._O 4. OWNER (Name) (Address) 5. ARCHITECT (Name) (Address) 6. BUILDER (Name) (Address) PID ~)5- 3~~- O~C}-O (Tel. No.) (Tel. No.) (Tel. No.) ( 763) ~-Fla::k, Inc., 8857 ~';::nrl A~. N., Eu..~yn Pa1:k, MN 55445 424-4955 7. TYPE OF WORK Nlew Construction~ Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 9. PROPERTY DIMENSIONS Width Depth 10. CULVERT SIZE Yes No FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REQ. SPACES ON PLAN PERMIT VALUATION i~ ax>.ex') USE OF BUILDING ~f \) TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 1. White 2. Pink 3. Yellow File City Applicant Permit NO.1J 0 · Ofi; If!} e( BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION SFD, Detached 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS SURVEY PLOT PLAN o COPIES o City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. . . . . . .. . . .. . .. . . .. .. . .. . . .. . . . .. . . . .... $ A c.;o .eX) I, ( O~ .~ Permit Fee ................................... $ '\ 1- ~'L2s- A~' es · 00 Plan Check Fee ............................. $ State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ )J. ' , $ Pressure Reducer ..13................... $ Meter Horn................................... $ Water Meter ................................. $ II)O.mo 3s-.~Q Water Tower Fee ........................... $ Ga~1 pe*rmlt. .................... $ t(6'(!)O WaterTap ................................... $ T s I' B Your Building P~~it When Approved. Builder's De~po, ............................ $~s.. CJO. C!)t) B I Date 7-' 2" Z- ~ Other ..... ................ ............ ....... $ _ CerlUlcalaotexoiancy Paid ;'",1 I u:i.\.~..q{..........~~~i~~O$'? fEf' 1JL Issued Date '1 jl-~ l Jt ri) By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~~a~c and may proceed as uested. This document when s~. C~nner constitutes a temporary Certificate of Zoning compliance and allOWS.,. :onstruction to cO"Jmence.,'~ore occufranc . a Certificate of cupancy must be issued. ()V\,Q.{'~ 2-IJ~GO :d~'#r tJ~G)."~~ _ ~~ City Planner Date Special Conditio s if any ., 1"0. C>O Mechanical Permit Fee ..................... $ l{~. O{) Sewer & Water Connection Fee ........... $ L2S.o0 It 2o~ .~a I)()() .t) (;) Sewer & Water Permit ...................... $ 24 hour notice for all inspections 447-9850 . I> ~) ~9 OO-w/tJ . ... White - Building Canary - Engineering Pink - Planning The Cenler of lhe L.ke Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~'f...- == ELK.. I \ ("\c.... APPLICATION RECEIVED J( \0~.- ~~.th) C)ooo ," I , :# \' ../ / . II: / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 14'3Lfo~lue..'\~\rcl 'r(l\~ -\\t: / Accepted Accepted With Corrections Denied Reviewed By: Gr-f Cad son Date: ~ Comments: 5~t.. I~t- ii1~"M4-ii"H DIt lit r-l'l/erse side.. 5ee a.Ha.~1t f'VIelI.ts.: I. FitlttL~".<<rie. I'lS~~~/""H ..i.."-hr~1I -I/~ ..~ G,.LUt~:/al1 3. Ef'"I>~"dl't t!t>lIl-r,/ /Jkilff,(f'"<f .tI. E,.",,;,'l v~II.fI"" / ___ ~ 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." y~ ~ White - Building Canary - Engineering Pink - Planning Tht' Ct'nlt'r of lht' Lakr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~K- ==-\ ELK. I \ ("\c.... APPLICATION RECEIVED Jt )0~J ~~1i\) fJOOO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4o'lo~IU~b\n:l I r(}j _\\1: ~ Accepted With Corrections Accepted Denied I~/? ~ Reviewed By: ~~ / -- Date: ') -/2" 2txJo Comments: fleo.d a. r l o.~ /t.--R-d.... 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 ~-- - ---~------ j() '0&/< :'1;114" '"' The Center of the Lake Country White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \'w..A.K- :=-1 ELK J \ ("$... APPLICATION RECEIVED ~l )\~~" d. ~ ht C)OOQ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I 46'10' ~1~\JllTJ I Ul \! $ F.: Accepted Accepted With Corrections ~ Denied Reviewed By: ~/~1... Comments: 2-Y F<- flflU}~ f2y~ A .~~ LAr~ 'J ~ .+-~ hw. vQ'c9l~ qD' I'~, A-IL.~~~~~~ ~ \ivu-t7)...P;II,_v\'1~ ~ ~~ #. - Date: 7 - lCf ~G() 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." P"4 c:> c:> S CITY OF PRIOR LAKE 16200 E..,rl Creek Av. S.E. Permit No. 00. 0 c./~ Prior Lake, MN 65372 ~ HEATlNO APPUCATION I PERMIT Dill. 7/;// Ce) PID. ;:), -"" 5~~ -c) a;>-O , I I. - Sft.Address /Cf;3t/<) 13/Ut7h/rl77c,' / A-L lot ~ 8~ ~ Add~ron'~ ~-(\.., '\-\-\ i \ Lt ~ Own.,.. Name ./-1~( hf- '/7pri . . Addr... -' J<vr.~", /t;-~ (L) _.. I' H.lllng Contractor 1,lffr.;/l (brp. ~dl.. ,:;J~f? / /-.m/YJprClC( f3.kd ./.1<) ~/h W'353Y-j Tellphone' , 76r3 - ?-c:::y- c.;cco Furn.. Malee' Model ~~/y, Mod.. Sf., ~ ctxJ 90f ~ ~ o ..... g: l.I. o TYPE OF SYSTEM Warm A;r P."ts Gravity Mechanical Air CondItioning ( J(h,P'~ rYI ~ ~ Vent. System /b/J Ine./\. 0-N1,f:J () HEAlING OR POWER PLANT Steam Hot Wate, Radiation . Spec;.' Otlvlc.. i=: ..... t.> Com. Load Fuel A;&I(~ flue Sfze ;s 1/ PI/(/ Supply Openings c9 / Return Openfng_. I () InpUI ~) (J..f) OutPtlt 5?/, ( y () , . Edr. elm. Other Devlce. It) ~ CIa ~ .... ~ ~ CIa P"4 U> "PE OF WORK ~ , Repfaqment New CUn8IrucIion v/" AIt..lons ca CIa Repair . Eat. Comp. Dale , ell. Cost, Building Permit . HSATING P':RMIT FEE $ e> 0 r ~ ~fC;:- .. It) P"4 ~ co ca "- c-) CIa "- U> <:> STATE BURCHA~E . TOTAL PERMIT FEES $ .50 R_";'~~ TYPE OF STRUCTURE i. ;.":...~ file :. 3nm \:.'5iy 3. \'IlIow . : ,"""'~fCIr Single Family Commercia' tx M ulll.Famlly _ Public . Other lW~-Family , ndustrlal Fee Schedule Induslrlal, Commercial & Mufti-Fllni'Y Resjdentlal, Heatfng & AC Resldentt.I, Healing Only Res/denial, Gas RreplaC8 Residential. Additfon& & AlBratlontJ Relidentie', AC Only 1'" of job cost ($39.50 mlntmum) $99.50 $64.50 $39.50 $39.50 JUL , 2 2000 $39.50 AemBmber to add the Slale Surcharge on the bottom dahl. application. The price of your heating permit mz:rudes one rough-in and one final inspection. AddllionallnspeCllons wit be blled.. S3S.00 each. House Healin9 Tes' Record must be submitted wlh II.I.ikiog QIDd ~~\.~r before build- Ing cerliltc8le of occupancy WlI be Issued. HEAT CAt.CUI ATKlN~ RFPI "~FQ wIh number of supply and return operjngs lisled per room with CFM's per opening. N~l stNch.lres or addillons send floor pfan with sUPPtv and return Jocatlons shown. HEAT lOSS CALCULATIONS, PAYMENT AND APPUCATIONS MAY BE MAILEO 'TO THE CITY OF PRIOR lAKE, 18200 EAGLE CREEK AVE. S.E. PRIOR LAKE, ~,N 55372. CIIy Hag businels hOUJ8 are 8 a.m.. 4:30 p.m. ALL WORK MUST BE INSPECTEll (ROUOH-W AND FINAL) - CALL CITY HALL 4470042.30 I hereby app'Y for a mechanical systems permit and I acknow'edge that the InlormaUon above ia complete ~rd accurate; that Ihe work wm be In conformance with the ordinances and codes d the city and with the slale build~ng/mecnanlca' codes; that thla form doe. not become a permit until signed by the BUILDING OfFICIAL; that the work wilt be In accordance with the approved plan fn the CBBe oI1,)~k ~h1Ch require. review end epproval of pl..... ~ ,/f)/JII 7h/UO ~ptfCBntj~ . Date 7., z~.O() / Date i;f; PR~ u/\~ APPLICANT:~C\+>lbzJ r.~- . PHONEfiJ53.-9?D-7'11{ ADDRESS:l6J,\ ~~\~ ~ ~ATE: Q-1S-(1') SIGNATUREZ\)~CVr-o"t.. ~(),~~ 'BLDG. PERMIT # hl~ SITE ADDRESS: p--\~ ~b~ l~. PID; 6?S--~~~d-o UUM . PILI! 'YELLOW - AP~lICA," GOLD - elT., NO .rl9-o€>\S- NOTE: Sewer and Water contractors must be registered with the city. FILL IN THE BLANKS 1. Estimated length of water service LlS feet'. 2. Size of water service 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 LtS feet. 6. Clean out (if required), located at structure. feet. from ===============================:=======================~=========== :::fj~;~~=::::::::~:~~~======,,== FEES: $ 35.00 Sewer and water line connection permit. S . 50 Surcharge $ 35.50 TOTAL * Fee for either se~er or wat.er individually is $20.00 Flus $ .50 surcharge. Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance r~s~~~~re that /no duplicate ~~ew:; and water /permits are DATE PAID ~Q~\~~~OUNT PAID / :s>\~e REC' D BY / / ~ / * RECEIPT # 16200 Eagle Creek Av. S.E., Prior Lake, ~1innes()ta 55372/ Ph. (612) 447-4230/ FAX (612) ~7-l245 An Equal Oppcr:unit) Employer /;cfPRJ6~ CITY OF PRIOR LAKE i ~~ ~li<anl \~\S\'. .. \ 1 ~ ~~ :~~~PtjOn: Lot ~ ' Block...2.J SUb:K..Nb l~ 4:~ \ I e Ad ess:.1 ~L\-S ~,,~ \-A 1r t0E- I ding Permit # CJb ow_ 0 h f S; PIO #.fXS- 3..6~-O D>;I--Q NOTE: This permit will not be processed without complete information. FIXTURE UNITS Quantity ~ I I LJ I I I ~ 4- Type of Fixture Quantity Type of Fixture Bath Tub with ~I...h..t shower Rough-ins Water Heater Dishwasher / Fioor Drain Water Softner Lavatory (bathroom sink) Laundry Tray (1 ~ compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) / Stand Pipe (washing machine) Sewage Eje'ctor Back1low Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other ~ .~ FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential. New One & Two Family Residential, Additions & Alterations State Surcharge ~. \,~ ~.$ $99.50 $ $39.50 / I / ~~ ~~<<,~ ~~0 <l-~ ~V ~. GRAND TOTAL .50 This pennit is granted upon the express condition that said contractor. shall comply iOn all respects with the ordinances of the State Plumbing Code and the ame men thereof. /I ~ dECElf!' ~ DATE V (21 1 ~_,i' -cST ~~r all inspections 24 hours in ad\ance. 16200 Eagle Creek Av. S.E., priMaJce, Minnesota 553i2 I Ph. (612) 44"4:::30 " FA.X (612) 44"4:::45 An Equal Opportunity Employer ~ f"'A' 1 D ''''C. ,Y',., . "- (~. ""e e. . I. .... '.' ..... lii -,,'ti;jf f'~RIo.9,' t . . CITY ,O~ .PRIOR LAKE ., '. i '. . . z. lbo;,.~. ru ,tit,'.f~. . ~~T;".,',.18200 _.CnekAV, S:E. . ~.m;11 N~'(m ".()eiS":, .' .,.:: ...'.. ,:WPEOF STRUcnJRE 1.WII~!.';;,,~ ~ . }.(~.~;::c.:!'.:..: N --.~,. .,., .. _ . , . , ~." . ~ -"-uwiIllrl _., . . Uf' . ., .' . . , , .... . ,'. . ". .. _"', .. " ""!. :,,.,,~ .;~. '. .; : .;. . " . . . . '. . . '. .~liIldtnda';.lieallng Only' $84. 50 . . .' ,:i . "C' ;'" .. '. d , ~ :~.~~>:~"t~'-.::~~~:'6.!l;>;~':'f,-\.;-:~ f " . :. " .r '-, " ..'., -'. .;_ ,;,,' . =-Rlioald' 'nl-la', ;:~:- . Fi -, r-' ; ;. $3950" ... ,1"'f~,~"7..._. ':_ :';, D . .,,!,~~.. .a>. ". ..."...'.. '.' '. '.'. .~ · .,.... .! . . ." I . '. u,. .lrepscI,", ',:: .' .."., ....' . '.' .-i "-r :, '. ,......""- ,...... ',. ....-. . ..... " · ". "., ....... ...... .'_'-. ';"."'. . ,.'.. .,...... ,... '. '. , . i.; _., .""-. ~.:;. '. H ....,~..~"i1:t;}~).. ~ ~ ~:;\ ~~.lt;:f. i::' ~"" "d1J'-~l"',I\' '" r,.... ".N ). ....." , ."..' . RllldlnQBI;' iIIUon. & AJtlrellne . '. $39.50 . , .. ~ ' .,.. '. ,~';;;. ';. .";' c ~"~W"C6t'" "iDt/i' ~1~~'n't':"'~'IH"'",'~'~~" ,.',' "~":'.':.-:'-:J.:,,~':j.:;,~~.;..:,'r,:' ~:. " J'" :~';. . . . , . '~'~'~:",,~,:. ~-;/J~.-' ,/ m '.:",;:,:~~~ ...-.' ". .'-:;""F'-~~ ~~.,. 9J .'....., - . ~. '-1, .,....".", '4 ". '.~.. i.Atltfenllaf,.ACOny, , ", . ,$39.&0., ~ '" .....f.~ . ,;.:.'., '~,_ ..,. I'T'I . ~~! I ,.' I -~.. ' ,. " . . . - ~ .....' ,. . . . ,..".. .' , .,.... . . . . ~ ., .>>.... '. ~ , ~ .~t"".- " ;. ~"P'... "-..i .:... -'.... '0' ......1 ,. .....';.,..,.. , ..' . "" ~/_,. · :.'. .,.... '" .' . , '., ''''''; ." " "" c '~-:;! .. ': · it- ""'.,:. f....;-,.., ". .; ", ..",.r.J_...:.. 1 'M' All. :;...' ~'qJ . '. .:. .,' ..,.... 'j '. . , ;. . .' .: 'f~ ') ,'. .:. ::.. '. p >!..~~i;~ .'~ · ~<j:I- 777 -fl'1lr -". , :.: . · ,'. " ~.l(iiNiIbiit lli'lIddl"~ Slall Suc:herg8 ORlhe IioItom Oflhl"pPlIal~<;;i~:;. : 8 :.~. ~ic...i",; .' .: . '. ..' ..... . . "'. .'.' ., . ,.1.." · . , . '. ". ..":/. : ..?, ~'/';:;'.' ffi ~;;"'.:i'~ .' ~,,'; .:; Miid'ehAiiAi, 4;"" TYPE OFsysruf "." :'. :....:. , . .' . .' '.. '::: ";....,, ",~, ~I \,' "'. (Jl ~~r!.~;.~~~~~~~....,'.:"..",I~:., W 'A PI 'n'_: .;' " "'" ' .:~~.Prl~e of)wt healing permll'ncfudea :>>"8 rough rn and one nn~Jn,~~.~.:,~ ;:.; "., Ul ~ ..' ....t~~i/.. , " 8nn Ir enll. '.'. ...., .... '" '-' '. .., '.. '. ',.. . .,.,. ,....,j,':'.... ",. .... · ).~-:;; "', ... ':;;', [';'~~7:",";V" , Gl8vfty ': .... "C >." ~:' .:. . AiIiIIoniilliilp'ecllons wiD '"' biWaf $3500 ..c:h. .- -' ..:. :,: ,:,,:jl."'~' . <> j ::I ~-~~;:,j:,:: ..;;. T,' ":. ,M~~I... .....:....:'.o;.,.,.~.,'~/',.:.,.,:ij~l~iairnJtlliIRIi:~~:.;.~iIIeiIwllhbulld/~'IIiImll~~c~~~' ~ '. ,'0 ,,. "~~" - .' .. '. .' ..'. , . . . AIr Condbloninl_ .. . . ..' '. ,". ., ..' ,IV ClnlIlc:8le 01 'occup.nc:y wllIe l8Iued . . . , .. .....,~ "". ,,:~~;,;_,~,- ,. . (Jl ~.. ~;~;'~~~F~s~e-'~' ...... . , . ":";Z:~~;'~~"'.~i';;G.L:tj;::~g~;~~~~~~:::.~=:~t:~.~ ..:t~;h ,-.~,~~") ::~ ",~ .' ... '. . Slum. . , .' ...... ,"". iIil\dNilUmlOi:8f1oriil)ihown. HEn' LOSS CAlCULATIONS. Pi\~~'~~M; ':;~ '~:i;,., ~.\i~ ":' . HotW8hir .,,' :. 'APPL~ONSMAY BE MAILED 10 THE CllY OF PRIOR 1.AJCE,;1~~~i:'\..i ,:- .~ . .:.lij~ ,'-- ". 2 ~ '.'" . '. ..Rldldon.,'.. ,,' . ;CR~ AVE. ~,E. PFlIOR LAK~N 55372. . . """~ " '~~ 'J.' .' . t: " '. · . . "OilIjlIt, .. . . . Sp&c:I8" DevIce. . ". . .' "'. . .,...1 , ..,.... '. . . . ,.' . .. ", ..,~:... .'C' . . :~.':.., '~,,' ," . . ,~.' :,;:" '"" '. '.' ' . . . ..... ,~I~;lfell bu.lne" houra. I,. 8 .li.n; · 4:30 p. m: . " . ,. ., '" ~'';'" ,; ,;t.":" " . . '. " ..: C 4-:, ;'...... ", 4" '. ~, ,".. .. '. :'.,..,.... '.' .','. . .' .", .',; ~ ';"."v. ..,...,.. . . X .~;;~~,;;:.{~:: .. ..... OIherOlVlc:8~, ...; . :'" ,.t:,~U;.~~K ~1l8T ~E IN8PE;~D, (ROUIl....N AND Fl~AL) . ~..L~~~" ,~' fi~~;Z;~0r,~..~:;;.:... ,'~' ..j .' ',:'" ,., :S.',. :", '. .;, ";,: ... ';, 447-4_';" '. \..:;~(~~\. :?;t.:..'/;~ < :..t.~J'~i~;~(::~' ;~,.,., -. . ;., TYPE Of WORK. , '., ..'r. i'.liarebY8pply lOr. *i1i8chlnliill IYIIIIIII permit and I acknOWfida.::Iiia. 1If.. f.if:~~/;'<,;" ;.~rame", Nevi COIi'-n"~" .. ~}~Iormill~cin 8bilve I. complell lnd Iccurate: Ihallhe WOrk wlil.:be:.!if:~o~Iif;mlnCe .....,,>~ "."".". ~..... > .' ,..c ." '." ',wlll! :111 ordlnlnoll and codl.ol Ihl cly and wllh Ihl' ellle blIlldlnjj6nechnl' h_\~:f"] J~,.\" ; . <:.L'Comp. Olitl;. . '~i',i:odlli;lflallhl'.lOr(ll doellncilbllComl apllrmll IImll '19".a;;~:;1ti!1lt!I~~''''~' ;;'';'''. ..~-.",-:",,-.-.,.... . . . .. '.'.',' O.!fICI"L:lhat.the work wlllbJ.!" accordance wllh th8.pprvveit:Ji/iln:rtnfle,:. '.~~( . .~I',k."...:.t~~~.-~<> ;..; . {," '.' ".' BUlletr"g Permit' " (j() -;(~J?I, V,.- ./.~ ",' !~;:C.ii'ti;c1(.j '.. brill' 111011 I8Qu,;8irelr'ew and approval of,p'aii"l':i:i~~~;<;.::'::' ~i~._;?E~..i . ,'/ ' .' ..' "\",:',':,":'; :,,'_,';;'" ,. '~~':!f~~,:' . ('''"",,;t' '>Go"". '"~''' '." . PAID WITH .' .. ,. fL'; a:;~'"'fVV: ~r~~Ji1~14i.~'~';:'.;,.;';:", ,. /..,.50 LD1NG PERM'T ".,. C'4i1-' ." lcent'l S UIt . - - /', ,:.:D.'I.:...\:<. ',) '.~."ATEflUR~, . ".. BUI ' ~{), . ".'_'~,... _ ',. ,'...... ~ '''''.'W''''l..~..I,.. ',' " '. ,. , '. . ' ' . . ". " .' , _'. '.:' . ~.'1l; ..... ;";~ '''';''.' .;...,...,.... . . '. . '. . . ,. "..':.' . .:.J "', -1:...'."" ./. . 'R. -.'. IlA '. ~ ~.o.. .''',:.. ... .' ,,_:tY~j~:~~' ":~~. .',,;'-.',.'~:)..::/~.\:~:"):,~:,:~o~~! "+ · .>~~'}.J1J.1E -I o (J'l ~ ru ~ ~ -.J ~ ru ~ Ul lJ ~ "- ~ PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS !Lt~45 ~\ue...\oltt:l' \ ra.~ t NATURE OF WORK i\b..u USE OF BUILDING ~FL) PERMIT NO. m O~/C:;- DATE ISSUED 7'/7-'Z/t)v(J CONTRACTOR ~~- r:t~\.c:.. ?t\6Ne"il ~_ -. ~rJ('" , NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT 7(."S - 42'1- 41.!J~ . INSPECTOR FOOTING IW D~TE } /~r ~() ,... FOUNDATION (Prior to Backfill) ~ fll,1 /tf1J . PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC 'k-,. FRAMING ~ INSULATION ~ ~. ELECTRICAL () PLUMBING (1:rl HEATING (if required) t?-JL, , FIREPLACE . '~'f GAS LINE AIR TEST ~ r. {J. b::;-/ 81MtJv COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ . f1~1)h 1/lv/tJV 9/1 I I'~ r/~I )0/> t/?-'?/IHJ 4{ 5100 FINALS GRADING (Prior to Sodding) /II IFf? ,5'-3---r>>- BUILDlNG"'t".o.1W ~ J/OI 6~. I/~/d~ ~ G/r1e'l- ELECTRICAL · ";' I · i PLUMBING f27:>n /~I / rz~ HEATING &n . / rJ//1I/JlJ DO NOT OCCUpy UNTIL ABOVE HAS BEENl S'IGNED NOTICE This card must be posted near an ele(:trical service cabinet prior to rough-in inspections and maintained until all inspections have b~een 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 QLtrtiftrau of <<)rmpanry CITY O~l PRIOR LAKE j!lepartment of lSuilbing lnsptttion ~ina1 Permitted 0 Conditional C.O. Expires This Certificate issued pursuant to the requireTTU~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 Lake regulating building constructio'J or use. For the following: Use Classification SINGLE FAMILY Bldg. Permit No, 00-0615 Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District Rl Legal Description KNOB HILL FOURTH ADDITION Owner of Building Site Address 14345 BLUEBIRD 'tRAIl. N & Contractor'sName&Address NOVAK-FLEgtQ, 8857 ZEALAND AVE., BROOKLYN PARK, 55445 ROBERT D. hU.LCHINS t/-:;; t C'ty PI DON AIr. I . 1 anner. Date: Date: "" ,..( "-)1,',' ,;""",,).H,- 'JIll! III .,; ,..'.;:..;.~" to..I-,:"." ~.;Jeui ',',,,,;"iL ~ - .l..>:t',~,':' " .' l..l"~'~:"'~'i;l.< ::.I-<.;,.;~ ,;;~ 4J-.~ " '''';:, -....... "'>W" wa.- 'J."~..",,r. ,\' ,'otil' I, "~'l.iJ~ ,,'.:....s..~....' .1....:1 ~ ".,~.'"- - ":..I ~' '.. """:11[.111"'1"1"' lIL~ 113 if~ ADDRESS OCCUPANT, . HEAT lOSS, "()\n, !j~ATE HTG. INST. SOLD BY tL. l ~ Electrical Work By TYPE OF HEAT GA FA "- o lU.qt l 0 GAS DESIGN MAKE_ \~~~ Model ~ - oq~7-A,)~ Serial ~ .~O~ F-~~4Dl[3. INPUT . D,()::o l ,. CONTROLS THERMOSTA~\tiA ') Heat Plug Valve _ limit , Limit Setting 1 C,O"f- Fan $ett i ng _ \...0 ~ t:f( - Ii \.U.AOD Pilot Type \)~1:.. Pilot Make \1\i\l) \ l)~,1.~~l- Pilot Model _ Pilot Timing \-f ~ pc, ~\VL1 L. W. Cut Off Pressure .~ . ~ll \0.U Percent CO2 Input CFH '1~ Q;;;~;;t/ Percent 0;.. Stack Temp. $J~ ~ '\-- Percent CO - Form 235 HOUSE HEATING TEST RECORD YPILJg(J{~b ~ APT. OWNER FLOOR ~nJc$ t.c. CITY P t'4 ()Il.. L~ ksa SUBURB HW II~STAllED BY Gas line By _ SPACE HTR. R lCC(.)~ UNIT HTR. _STEAM _ CONVERSION OTHER ,MAKE OF BURNER Model Max. BTU Rating MAKE OF FURNACE Model o r. C ~ II " Vent Size KIND OF LINER. SIZF ,NQ.t'If Draft Hood, RegulaTor ---IMJ~'J-\ \VLOl-- Filters Size~~ Number 7- Chimney L.ocation InsideD. , J Chimney Construction _ \' vl_./ ,Wiring ~ _Test Tag ~ J _ Lighting Inst. '+ fL. f)"lo Date Tested tt)'j.7_-1)0 "'~\. ~ Company Testing --1L-~~~ t).':1" No me 01 T es te, l d Smoke Bornb Draft ' Door Pressure Outside Form # 5 CATE ~/~~'L l!f -:( ~~ ~~ 112.., CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION@ o FRAMING o INSULATION ~ FINAL ti SITE INSPEC 5r- COMMENTS: ~ ( I o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL (lJ~ ~ TIME j( t It tJ - ~ 15 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~.~, f !! WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT W~ CALL FOR: REINSPECTION BEFORE COVERING Inspector: - ~( Owner/Contr: / CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE d / INSPECTION NOTICE SCHEDULED 0{21;,I tJo tJ ~. ~5 ADDRESS ILj5o/~ f;~6~ ~ I OWNER PHONE NO. CONTR. PERMIT NO. f) () - () (, 15 o FOOTING 0 PLUMBING RI o FOUNDATION @ 0 MECH RI o FRAMING ~ATER HOOKUP o INSULATION ; ~SEWER HOOKUP o FINAL ' 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS:((D~ o-i- $-, ..~ @. (l~ +0 ~~ ~ Ib .J~ @~ ~ ~(#~ ~ '-. 1\\ e . f ~'I e J -----, ~ f ~..;.. I" \I " (_n,,~r \~ ~~ ~ t'\.P ~) ~ J.b, e~ %' ~ ~O LtLt flJ{!.. ~ P A.{, ~ o WORK SATISFACTORY, PROCEED )0 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 AR'E FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ DATE TIME CITY OF PRIOR LAKE -" INSPECTION NOTICE ADDRESS /Lj 3-15 SCHEDULED ~17!aO Bt~eb/~ / I; 3a OWNER CONTR. PHONE NO. PERMIT NO. 6-0/<5; o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP I?J\ 0 PLUMBING FINAL I . r1 \. 'S) ~ MECH FINAL V'{(!., COMMENTSffi~~ f~ / ~, ~I LO~ ~ ~~(, __ ,. f ~ ~,,~ ~ (I~, I ~u:'~ ~ ~~~ r ~--.J (1).' p~ f'~.J- ~, o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED :S:::O:ECT WO~ F,OR REINS::::I::~:FORE COVE~NG CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME " /1~ /~-18'-60 /, dO J'I31-fS;- !31 u6h/rj 1r SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. /)---b/~~ o FOOTING o FOUNDATION o FRAMING (6 o INSULATION ~ /J ~ o FINAL t'J o SITE INSPECTION COMMENTS:(fJ) e.~~ r;?) 1- ~ (M~ ~/~r (2Y !~ ~ 4P o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o fZnrt ~, ;:)~ c;r1- ~ V I , --~, I ~, W~ ~)~ ~ ltt'Wre, J ~ o WORK SATISFACTORY, PROCEED )X\ CORRECT ACTION AND PROCEED b ~ CORRECT WORK, CALL FOR. REINSPECTION BEFORE COVERING Inspector. % Owner/Contr: v f CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS I ~3~~) SCFfEOULEO / A';{, I 31 ~ e,61'1UJ / I '-oa OWNER CONTR. PHONE NO. PERMIT NO. 0- 0/5 o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING ~ 0 WATER HOOKUP o INSULA TIO .. \ 0 SEWER HOOKUP II FINAL l-J 0 PLUMBING FINAL 1[3 SITE INSPE N I~ MECH FINAL COMMENTs(/2)~ ~ -H:1 ~ ~ 11- U ~~ III / TU ~ ~ ....6"?'\ P1""'-~J<' f} , c;?J).~ J ~ ~ ~ .p ~ //~~ ~ u-.:O ~ ~ ~~, o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASlINE AIR TST o _~~~-::~~::~'~~.'~'-r_~._~ -".' ~.." f'r TC.(), ~) ,.,......./ .~,.-..,*,..",$!<~ Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI ~ IUC{jl-e CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME &--S-O"d- ADDRESS /lJ 3tj~ ()PLI~ c1A-J OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL o SITE INSPECTION [J PLUMBING RI [J MECH RI [) WATER HOOKUP [J SEWER HOOKUP [) PLUMBING FINAL [) MECH FINAL COMMENTS: Curh ~- 19K- O-(~/S i( EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl