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Home My WebLink AboutBuilding Permit 04-0073 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE U AND UTILITY CONNECTION PERMIT .0 -l \-JD I PERMIT NO. 04-. 0073 I Date Rec'd \. White File 2. Pink City 3, Yellow Applicant ~~~~~~~;~~atbr::.d ~''M-;:-n/'s-s-j ry2. LEGAL DESCRIPTION (office use only) LOT ~BLOCK 1 ADDITION () I t..O.5 OWNERC"L"'" ~.... (Name) ~ ~tet.-J (Address) ZONING (office use) ;eJ 4lE. NP PID15. 4/2.. ooz..o (Phone) ~~~~)E~,,,&U;~\ jAA~ Gw~CT7"'..J (Phone) (,t;')-1"2L -'11'10 _ I,) (ContactName)J>..J ~c...<1~r (Phone) (PS')<1'2.."1..--'J"'''' Cpr'!/ (Address) ~<;'W Ic:\ ~ ~TWe:~'1 KO~~~J.JI1~ S'i:'068 I / I TYPE OF WORK llil'1lew Construction ODeck OPorch ORe-Roofing ORe-Siding \ o Mise I.e..c...~. DLower Level Finish o Fireplace PROJECfCOST/VALUE (excluding land) $ DAddition DAlteration DUtility Connection ~ ~~O, &DO ~ we 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 bove-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with are Jhat the bui1~ing o~cial can revoke this permit for just cause. Furthermore, I hereby agree that the city ]fficial or 1eSignee may erfor neededmspectIons. B01l(vf1 Of /-vo /-z8Dq Signature Contractor's License No. r Datf I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee 1 Gas Fireplace Permit Fee ff3'5D/ DOO, ~ $ z.. 5 !:>3 . $ 11",e;9.7sg $ 1'1 'S ,00 I $ I $ \00.00 I $ fo('). 00 I $"") ~. <;;0 I $ "16.00 I This Application Becomes Your Building Permit When Approved ~ ~P-- Ji ;)10/0,-/ Building Official Date Park Support Fee SAC $ - $ \ 3~O $ :300.00 $ 70.<)0 $ \ZOo $ 700.00 $ 1500.00 I $ $q1~3. .n- >/1" # # ...",... I Water Meter Size 5/S-~ I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder',s Deposit I Other I TOTAL DUE # # Paid 9, 7eJ. 7fJ Date - 2..1' .fl4-- I This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~ ~/-J Ill-Ie/at{ ~ &-U ~ Planning Director (Da* . Special Conditions, 'If any 24 hour notice Cnr all inspections (952) 447-9850, Cax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 ~1' White - Building r- l....marv - 'Sr"rJlnf:!~1 \U.W.> Pink - Planning Th"("..n'..roflhil'L.hCounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /~/ / TTE~ L-:;;'71J E- D T / 70 rA--- '';'''--- . vT- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 Z 0, I Fo X TH / L_ T/c!.AI L. Accepted x Accepted With Corrections Denied Reviewed By: /J1ll-i3 Date: ~-~-o~ Comments: ~"'''' RF'v.erse Side for Additional Information! ~,.,. Attllchtnents. 1) Grading Plan_ 2) Erosion Control Measures "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." .~ \6~. - I'h~ Crnrrr of rhr L_kr (-ounITJ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT / / 7 )1:.. L- I//t:. ! APPLICATION RECEIVED / / 1,_ f L- - ~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: _:' / r';( / /i / L TI:'f! I L Accepted ~ Accepted With Corrections Denied ~~ Date: / /.;) ~ /" t/ Reviewed By: Comments: "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." .~ ~7; ~ite - BuildiV anary - Engineering Pink - Planning lh~ Cfnln of lh..(..k.. COllnlr) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /1/T/6L-~bOT 1.2-0.01- APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3201 FoX -rAIL TJeA/L Accepted Accepted With Corrections ~ Denied r ~'I1'A_': Reviewed By: dV.JC-/....1"-<--L Comments: ~ a.L.( 9~ f1~ ~ Date: / /~/.~ l/ ,Jl~ ~ r~~ , "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." BUILDERS DEPOSITITREE DEPOSIT CITY OF PRIOR LAKE A $1,500.00 Builders Deposit Is included in the Building Pennit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. A $500.00 Tree Deposit may also be required and will be _,oo;:,:::;;;,~~ DATE 0 l-uJ,h--'I FROM: CthJ ~ ;vl.&-t c:: T I o~ J I,J C . SITE ADDRESS: ~ 2 61 ~ 7191'- /izI'1 t ~RMIT # ~,,(l ~)k~ 5<>3.72 REFUND TO BE MAILED TO: l~kT~L~O} ~.u~c; ~Srfl.uc""O~ 0<;:~O IS'/~ ~f !Aks/- k..:.cItu~NI, /VAJ t:;~t:JtffJB o4-,(JO 7] bt' 1'- /. PLEASE REMEMBER -- TO AVOID PROBLEMS. 1. KEEP STREETS CLEN-; DURING CONSTRUCTION 2. KEEP EROSION CONTROL IN PLACE 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $500.00 WILL BE FORFEITED SIGNATURE: \ 19130 MITTELSTAEDT BROTHERS CONSTRUCTION, INC. 2520 151ST COURT W_. SUITE 100 Dtsignl!rS & Builders ROSEMOUNT, MN 55068 PRIOR LAKE STATE 9ANK PRIOR LAKE, MN 55372 75-905-919 February 18, 2004 $9,783.78 PAY Nine Thousand Seven Hundred Eighty-Three & 78/100 DATE AMOUNT TO THE ORDER OF CITY OF PRIOR LAKE 17073 ADELMANN STREET S.E. PRIOR LAKE MN 55372 lI'o~q~jOIl' I:09~g090SSI: V:ln ~. ''''m~:' ,"'''Y'/{ ... 02/19/04 THU 11:19 FAX 6128902753 STOCKER EXCAVATING 141 001 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT ~ I O<<~ ",, I PERMIT NO 1. Yfllow Cilv _ . J. Geld AI'lIIi~.lll 04-0073 q"lease!'!:P~ orcrint and sie:n ar bottom} ADDRESS 3261 Foxtail Trail I I ZONING (o",,,u,,,) ] LEGAL DESCRIPTION (om" u,. only) 2 1 LOT BLOCK ADDITION Wilds 6th PID OWNER (Name) Mittelstaedt Brothers (Phone) h'i1/~22-" 11<('1 2520 151st Court W., Suite 100. Rosemou~r- MN "nh~ (Addr=l (City) (Zip Code) (Address) APPLICANT (Name\ STOCKER EXCAVATING COMPANY. INC. (phone) 952/890-4241 (AddrGs) 12336 Boone Avenue Savage~ MN 55378 (Add",,) j (City) (Contact Person) Curt f ~jJ,jJ---/ (phone) APPLICANT SIGNATURE -1'/ ~f1 j4 /iW~ DATE (/V' /'VV (Zip Cod,) same ?_17_rllt APPLICANT PLEASE COMPLETE BELOW Size o{V;ilier 'ser~ice'-' inches. Location of any couplings from structure Type of sewer pipe. 0 ABC 0 PVC Estimated length of sewer line feel. Clean out (ifrcquired) located at __ feet from structure. feel. o Cast Iron Estimated Cost $ FEE SCHEDULE $35.50 Industrial. Com" & Multi-family 1% of job cost with a $39.50 minimum $17.50 Water connection only $17,50 Building Permit u~.3 Residential sewer and water line connection Sewer connection only SEWER AND WATER PERMIT FEE STA 1.E SURCHARGE TOTAL PERMIT FEE $ $ $ .50 _ r)f.liID 'IJYJJT' :<_1.',_1 ,-'''v']~\~,~ r-"""'p- '. , .. . -'-'T . (Offiee ().~e Only) This AppHcation Becomes Your Building Permit When Approved Building Oflieial 0..< I Paid I DfJEB 1 II 2004 Receipt No. By 24 hour notice ror.1I inlpections (951) 447-9850, rax (952) 447-'1245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd l.!>ink 2. Green J. Yellow File City Applicanl I PERMIT NO. ~ - 73 (Please type or 'Print and sim at bottom) ADDRESS ZONING (office use) 3261 FOX TAIL TRAIL LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name MTTTLESTAEDTBROS. (Phone) (Address) APPLICANT (Name) AT .T.TFD FTRESTDE DRA FTRESTDE HEARTH &. HOME (Phone) 65]-633-256] (Address) ?700NORTHFAIRVIEW AVENTTF (Address) (Contact Person) BRENDA HUSTON ROSEVTT T F (City) (Phone) _65]-633-2561 55113_ (Zip Code) APPLICANT SIGNATURE BRENDA HUSTON DATE 3/10/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants OGravity D Mechanical DAir Conditioning OVent. System o Steam o Hot Water D Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FTREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK Industrial, Commercial & Multi-Family FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 , ;.)1111'\ ~'tJ!! , "'WI.., "A... '2.DJ~(:tlYlI~l 1,;Jt:'J~ ~'1/j}J". (Office Use Only) Suildin!! Official Date I Paid I Date .' 6 "004 MAR 1. ~ I Receipt No. I By This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 3-' 5-04; , , : 22AM; ;952 894 0925 # 2/ 3 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd i ::;,::" ~::, j PERMIT Norl q.-7~ ). Ydlow Apph~anl I -{J ~ (Please ~e or print and silln at bottom) ADDRESS ZONING (olli"..,) 2,'dlQ\ ro'X \C~\ \ \Y'CU \ LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (l, i4\r \ c... -t-nl' d --1 T\ I()c.:.., ~~-.::)(, -- \S\* ('.A (1) ""k IU (Phone) t9S-/ - ~J. ~ -LlIUO ".~ (' ~C r~IOl 0 /1 t Nil c-.:,snil2R. i II !:::~ (Address) APPLICANT (Name) O:!urnsvlIre neaurry c. M;;:', LL;; 12481 Rhode Island Ave. So. Savage, MN ql\~J1:a (Phone) CfS,4 -XCI L/ -(~COS- (Address) (City) (Zip Code) ~tj (Contact Person) (phone) APPLICANTSIGNATUREU#l/Jc j{;~0UO IJruJ DATE, ~-j<:::;-()c./ APPLICANT PLEASE COMPLETE BELOW ,Q<JNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODELl 017/7()Y &S/,t14t./ l-.J Pc. -tf/{) , FUEL f1:2..-,.-I yr:<.L'J.) FLUE SIZE RETURN OPENINGS /U INPUT CCj/r;o OUTPUT n, frX) TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants OGravity o Mechanical DAir Conditioning OVen!. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks 1,','",'1,.,", I I ,. FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 10/l) of job cost Residential, Gas Fireplace $39.50 minimum $99,50 $64.50 Residential, Additions & Alterations Residential, AC Only $39.50 $39,50 $39.50 m~~ :;,," ~; f~, Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE ~ "-- / $ /"'-., ,/ .50 ~ tO~:D .. '~p~J ~~~~ ~ Estimated Cost $ Building Permit # (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. DatMAK 1 6 ZU04 By Building Official Date 24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 ..'C'.. i:~~ 651-451-4809 p.l Ha~ 18 04 01:22p Emil~ Radant 00/18/01 "t:D 13:411 rlU. IlH"'..,........... ---- -- - ---. Date Rcc:'d CITY OF Pli'.IOR LAKE PLUMBING PERMIT .. - .... l~"""" 1'1'lJ · J ,......2.. r.GDZd a" :c.E.t,ft4...u.,a...., 'I ~ r_~~ . "'lase M!: ttllUhlttllll.lli'lll atbollDlIIl ADDlU!SS ,')'l.l..e..1 w-b.'l \ 1nA.'1 \ I zu.,~,.}(_...) I . I LEGAL DBS\...1ur uON (- ....oaly) LOT BLOCK AuJJlI..I.J._N ~~'\'l--H-e }<:4-nP"\+ ~~~ C~w\l~ (Phone) k5.1-2,2?_=::I.NtJ (Addrestl1..5 2.0 - IS l ~ t6'V.c:.:t LJ..Q~-\ '~rYlJlu-.-+ 1 Vl1,V\:\ lJlof ~~~n P[u~h'Jlt1a_*Hea=6:t\7n~ (phone) 1.ri\1- YKh- \ 195 (Admss)~ 'll r 0 Js b 1'1 ~ n v:e- ~r\ f-+1In;-\! ) Yn l1..) ::<::\1) 3 ::s (~) U~l (~~~ (~nb1ttPerson)..BBn Kn ~ (). ~~. (PbOnel Inr; I-:J. Y..8 - 7G -7 c:; APPLICANT SIGNATURE .~ a..- ( .:::;k *- DATJL51 {g / "Dli .-. APPLIC:h/:T l1'LEASE COMPLETE BELOW BathTU~witii~.~~:~~':r I ~.tity ~in. Typenfnxtan Disb....asher I I water Heater Floor IJ(aiB I . (') , Wsc Soflner Lav~ (BaIbroom Sink) I Stand Pipe (Wasbing Maclline) LawidrY t_ (1 or 2 conill'.t.,.,,,,t 3inl: i Cl Sewage: Ejector shower Stall I lJackflow AsSembly Sinks n BacIdIOW Assembly .Test Bar Sink -.i Law" SpT:""~ . witer Closet (Toilet) (') Other I Quality : _7 I I I I 11 r I-j I I I 1 I () .'1 PID FE!: s....<U-.JLE IftdllSllioLC. .. ..;..l.t.MuIti-tiunilyl%ofjob.;c,sl. ,ith. 539.50.,.._ Raidonliol,N...OncoltTwo-Family S99_5O Rai_l. Additions It A......ri... .139.50 Esrimaood Coot $ BujlcliJlc Pennlt # PLUMli;iNa PERMIT FEE S STATE.::UROiARGE $ TOT,~L :l'ElRMITRE S .50 (om.. u", 00Il'l nu Applic:lllion _om.. Your J\1Illding p"",, ,,' When Appr00e4 Paid . pOle I ~oipt No_ I By ..Ddllll: OIIldal n." :u Ito., .Gtil:ll' iu: .nllilnlpldiDu (951) , ' ,J I. I~ _ I ru. (951) ..,....:145 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS 2zG" fOx 'l"'&' lb I'&'" _ NATURE OF WORK ~e;~ ~N~'O,;) USE OF BUILDING S. ~ l). PERMIT NO. 04.0073 DATE ISSUED ~S~ CONTRACTOR \\tl I PHO E-'SI - 3Z'Z.. 77'1 ( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSP CTIONS BELOW THE PERMIT IS BY SEPARATE DOCpMENT I <::-$'6 / ~tor0 INSPECT9\l DATE , FOOTING r~ I .:< -<5 I , FOUNDATION (Prior to Backfill) I //3 ? -? ~ I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - IN$., t7;TS .::?-?; ffir. SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST "/2,"$/o'f (jJ(~ ?-~ / 17 5-/8 ~fi ril? COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED !lAm/: /~utruI2GJj ~NG I ;1f 4'"-? 3 I , FINALS I GRADING (Prior to So...ding) ~ V BUILDING T.~.b.<hti 'i?1'3ti(Ill( .r {);". 6/lYltA ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE fh ~.V1.~ 7-~ /~, &-:r g/~'f '1/f~ BEEN SIGNED 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. FOR ALL INSPECTIONS (952) 447-9850 <lltrtifirab of @rrupanrl! CITY OF PRIOR LAKE c!1leparfmenf of ~uilMng J1nspetfion ~ Final Permitted 0 Conditional C.O. Expires _ 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 ordinances of the City of Prior Lake regulating building construction or use. For the following: R3 VN Bldg. Permit No. N/A 04-0073 Rl SINGLE FiL'!ILY Use Classification Occupancy Type Type Construction _ Fire Zone 1.2, Bl, THE WILDS SIXTH ADDITION _ Zoning District Legal Description ~ ~.._.'.'---- Owner of Building 3261 FOX TAIL TRAIL Site Address _ CONS'FR., 2520__151ST CT. W., ROSEMOUNT . .- MITTELSTAEDT BROS. Contractor's Name & Address - C~ ROBERT D. HUTCHINS ;/t Building Official 7'-;>0 ocr DON RYE . City Planner_ Date: Date: 'loci fox ~,' ( 7/"". ( CONTR. /J"lHe-ts/-:'/!- PERMIT NO. n J./ .co 'J.3 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 31 (, I OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL b SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: fJp' &~,h/ 1__'4~ !?+:u...IJ. , DATE TIllE '-:?/-o( il<Ih~LLlNG '-5C~T o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o -/:zx> f1J(J/C I(~,. df(?;iA~oI h.JdM.kc 19 '^ ol't9p(/d..y gd"'''A.... 371) (~Io~ "",.. o WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED X CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING In.pector~....c: " Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. """"n CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ DATE TIME CITY OF PRIOR LAKE 5Itd~ 2/06 INSPECTION NOTICE SCHEDULED ADDRESS 3201 1~ r;;,~ OWNER CONTR. PHONE NO. PERMIT NO. 0:; - 73 o PLUMBING RI o MECH RI o WATERHOOKU~P o SEWER HOOKU Ill. PLUMBING FIN ";l. MECH FINAL ~"" _ ~...L- .~ ,:-. Oi.) ~ ~' ./~~f~~~(t ~~, ~J~ ~S~ ~ 'MTU rE::J;" - J ~. (:-A"-_~ IMLI'" J~" .~ ..tLJ.f ~, J J ~;b,-"t""'- 0, JJa I2A.. <:- - I Co" o. e.-., . r o FOOTING o FOUNDATION o FRAMING o INSULATION l:;IOFINAL o SITE INSPECTION o EXfGRADIFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~OMMENTS: -~ l. () - -t..JLf ~ t4J; ~~ Ii I o WORK SATISFACTORY, PROCEED 't! CORRECT ACTION AND PROCEED :S:~O~ECT W~L FOR REINS::::::::FORE COVERING CALL 447.985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. ~~r~t/ ! CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY! INSNDT' DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 7 -50-0Y , ADDRESS '3:;(, ~ \ ~ 'T'J OWNER CONTR. PHONE NO. PERMIT NO. 4- DO?? - 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 EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: I. t.' ' ""-C.\U--oft.h..L-- Q 1) ~.....1 (Qc. _ . ,) <;.\...\ 6C o WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o CORRECT ~K, CALL FOR REINSPECTION BEFORE COVERING Inspector: / / I Owner/Contr: CALLI).47ks50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ """"T> HUHNSVILLE Heating & Air Conditioning, L.L.c. 12481 Rhode Island Ave 5, Savage, MN 55378.952-894-0005 Ors1at Test Report for Job# ",/5 <-I ---------.----------- ~~-,--------- Address 3:1.(;1 r-O""A'L \R_Citv7R'<><<- LAlLt ~u~t \)vo~q~ Date of Inslall :, - '30 -0'\ Type of HT. F/A x: HW Space HT Unit HT Other Make LCl0l0oX Model C:t5\kP- 48C-- 0<10 -0)- Serial 5 "1O'ic.o '-l 75<1 Input 8~.OOO f.;'lAK Pilot Type Pressure Input CFH Stack Temp. Date Tested Company Technician. . HOT SURFACE 'GN'TOR '?lS IWe.. C02 58 02 \ \'?, CO '7')., 8. ( ;). 8' f ()tr) S-I.6'-\ BURNSV'LLE HEATING & A'R CONDITIONING \....,eo _ ... ._. __...._.__._ _. ."__" .. J , ~.._--_._---,.._~-----,....,