HomeMy WebLinkAboutBuilding Permit 00-0890
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DATE RECEIVED CITY OF PRIOR LAKE
-1 J-1 00 BUILDING PERMIT,
( , ( . TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1.
2.
3.
File
o
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN 1 lLJ:1
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) ....- I, 'clfJOO
2. SITE ADDRESS /I' 11. SIZE OF STR
54/"j 1'r4Il1U-,- l ~ \J c F 11- /J//lJ (Height) (
3. LEGAL DESCRIPTION . \ .' . ;J1 6: i1 DO tu c~ u t, ~O. OF STORIES
~1\\.\~-f~\'l ~~N-.- ~ PID
'" r I f) \ \ 13. TYPE OF CONSTRUCTION
ADDtTION ---\.,\Q[' ~-"""Jl.A. \ l \ () "
4. OWNER (Name) (Address)
(Depth)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUilDER
(Name) D.R. HORTON (Address)
3459 WASHINGTON DRIVE
SUITE 2004
~;..;. MI. ~16~
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New ConstructiO~
Chimney 0 MiSJ'l
lB. PROPERlY AREA OR ACRES Ig. PROPERlY DIMENSIONS 1'0. CULVERT SIZE
Sq. Ft. Width Depth Yas No
t hereby certify that I have furnished information on this application which is to the besl of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above menti ed property and that alt constru~ion ill conform to alt existing state and local Jaws and will proceed in accordance with submitted plans. I am aware that the
building offi' ca re\/.oke this ~r~<wse. hermore, I hereby agree that the city official or a designee may enter upon the property to perform n,eded i9'f>ections.
X A_, (C//){~ ~./'<7.,-n )(,,<:;"1- 1/#/tJ...-.........)
-- SignaturEl"""'- - License No. ~ -Date -
Alterations 0
Addition 0
Deck 0
Finish Attic 0
U-1..C:,;') .di)0-7/~ q
'- Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
it (oS, sa5
117. COMPLETION DATE
FOR ADMINISTRATIVE USE
I SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS 0 PERCOLATION TESTS LI
PLANS & SPECS 0 SETS
USE OF BUILDING
SF'ft
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
SURVEY
&,(.,:~. 0'::
PLOT PLAN
CJ COPIES
CJ
TYPE OF CONSTRUCTION: I II lit IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 "n,l
Permit Fee ................................... $ l,;-('t .1.5"
Plan Check Fee ............................. $-U.,5li
State Surcharge ............................. $ .J] _ ~
City:
Amount Brought Forward .................. <l:
Park Support Fee ........................... $
SAC ......................................... $
CoJtective Street Fee ....................... <l:
SewerTap ................................... <l:
a5'? 00
I.' DO .00
WaterTowerFee ........................... $
Water Tap ................................... It
Builder's Deposit ............................ $_ _ I _
Other ......................................... $_
Total Due .............................. $ -1' 7. 7/. U
Paid 5, Z 1 /. 04-- ReceiPt~~'/j~ cr2--
Date /tl./;?Ul/ By ~
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 J requested. This document when
sign~~' rconstitutesatemporarycertilZ~Onin omPliance~w:.onstru' ntocommence. efore up cx.aCertifi teof ancy issued.
~~~ ~ "73& - .
Ry n Oat Special Conditl S if any
100 .00
100.0()
:1~. tiC>
Permit "'*' ................ $ cJf). 00
mes our Building Permit When Approved.
Date If') .(... 7..0()(;)
Pressure Reduc~
.
Penalty ....................................... $
,- --.............
Meter Horn ................................... $_
~.I'~-
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Water Meter ................................. It
Sewer & Water Connection Fee ........... $
1/1~-CO
.Mt":l
Sewer & Water Permit ...................... $
Issued
24 hour notice for all inspections 447-9850
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Th ("~nl~r or lh. Lakf Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
D. R. /-fok. I UN
/. ('1.00
I J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
-<
Denied ~ /J
Reviewed By: (Lt{byk-
Comments:
Date:
I 0 - (", - 7..b:::Jo
See u\I\i \- 3\
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.
SU'V<L~ E'h
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"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."
Th. ('.nt.. of th. Lak. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, /...
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Iftl.:.TC/'i
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Denied
Accepted With Corrections
~
Reviewed By:
Comments:
&tufJ(N&~n (2'\ A~ ~(l) \/t-:;i&B
. .
~M. A. ~(lu(' . D., D ,t.,) (8 <::.~.J- O>(~ f.J of) J ~
-Uf..l<'r4{ of A- .MJrNlM..IJlyt.jc6~ {'lMS L
~~~IAL{;. bs-~- .~A.--~ j_
~~P'A'~
tY 't
Date:
IO/Q/aJ
"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."
~
Db .00QD
White - Building
Canary - Engineering
Pink - Planning
Th~ Cfnlrr of Ihl! L.kt CounU")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
D 1<:. )-10 1<::'7V I,j
7.;7.00
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..!..:,.
,
----..._,-
Accepted
/
Accepted With Corrections
.
.,
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i i
5L.t:r a~OAa/ /;,~~.
Date:
"
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.
Sd C111.(l1!/,,,,,,~h: I. ~a/ (:'"ao? 1n~c-bH. fiJltJrl1ldll",w, ,;J Qad'j ff4~
-; pnrif1lol /!,,,hP/ ~4.ru/"U If r,O!l~1f (luj,,,/ 1%tC...
"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."
J
CITY OF PRIOR LAKE MC
16200 ERgle Creel! Av. S.E. Permll No. 00 - 0010
Prior Lake, MN 55372 .
HEATING APPLICATION (PERMIT
Dale ,;),t1.../.JL1 PID ·
Siltt Address .!ill/7 /:;hn. fhu ,bn,) ~,.. .lL
Lal _ 8kx:k
Owne(s Name
Add1lion
CJuL. fh ;III~ f&IJ
(j
Address
He~C~~rALLIHD FIaESIDE dba FlaESIng CORNER
Addr.ss 2700 W. FAIllVIl!.lI, ROSEVILLH. KN 55113
T.I.o/lOfle' 651-633-l'i61
FiREPLACE .~
QUnUIJ lAm l Model ~ IIll JJ t;V<.
'sL. 7.0?l'
Model Slza.
Conn. Load _
F""I~FIueSI;r,e
Supply Openings
Aelvm Openings
Inpul
Edr.
elm,
Altralions
Allp.lr
~pIIl_ .')3an
TYPE OF WOfU(
Replacement
EsL Comp. Dale
EsL CostS /100 ro
HEATING PERMIT FEE S
STATESURCHAFlGE .
TUTAL PERMIT FEES $
TYPE OF SYSTEM
Warm ~r PIaOlS
Grawy
Mechanical
Air Conditioning
VenL Syslem
HEAllNG OR POWER PlANT
Steam
Hot Waler
Radlallan
Spedal Oevicel
Other Devicos
New ConSlrUClion
';;;/3/0.1
k'
Bullding Permlt.
.50
~,..\o \f'J~~. "1
eU\\'p\~G ,,.:.. .....
Raclipl .
TYPE OF STRUCTURE.
1. ft...
I. Grlrll
1.-
'"
"
::J
...
A..
0., OJ
0...... '<
Single Fanily
Com"",ICier
."
H
"
m
'"
H
'"
m
n
a
"
z
m
"
TlfO-FamlIy
'nduslrlol
Public
M'-Femly
Other
Fee Schedule
'ndusltfal. ComlJl8lci81 & Mulli-Fomly
ResldenIlal, HeaUng & N;;
Resldentlel, Heeling Only
Resldenlial Gas Fireplace
Resldenllel AddIIions &. All_Dens
R....dentiel N:. Only
1% u1job COIl (S39.5Cl mIm11um)
S99.511
S64.50
$39.50
$at.50
S38.50
Remember 10 add the Slale Sun:harge on the boll..... oIlN8 application.
'"
'"
The plice '" YOUt healing permR Includes 0Illt rough.1n and _ h'lnspllCllan. ~
Col
Addi~onal lnllpBdions will be billed al $35.00 each. CJ>
CJ>
House Heating Telll Aec:onl musl be submilled wIlh b...iHrwt I!IIIIIIIlIIIDlIlbehn WI ':
log certillc:ele 01 oocl.IpIIIICJ wtI be issued. -.
l::!fM .!(ALCUl..&WWi REQUIRED with I1UII1ber 0/ .upply and mum apenlnp lslsd
room ""'" CFM'e per ap-*'g. New 81ructuru or ........ -.l1laor pion fVfth .......,
and return Iocalons ahown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPlIClJIONS MAY BE MAILED TO TIlE CITY OF PRIOR lAKE, t62llO ENlLE
CREEK AVE. 8.E. PRIOR lAKE. MN 55372.
CiIy Hall business hours lIB 8 un. -(:30 p.Ol.
."
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,
.....
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,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HAlL
447-4230
..
Col
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"
I hereby apply lor a mechanical syslems permli and j ac:lcnowledge thellhe _~
InlormaUon above Is complele and eccu,ale; thallh. work will b. In confolm.n,
with Ihe ordinance. and codes or Ihe elly and wllh Ihe slele bulldlnglmechank
cod..s; lhal th's form does not become a permit unlM slgned by Ihe BU1LOIN
OFFICIAL; Ih"l!he WOf~ will be In accordance with Ihe approvad plen in the
casa olJII work whtch requires review and approval 01 plana.
"
III
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"
Bulking ~Wlcar. SlgnelUre
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r ::., - 7 iuUI
O"a
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~ HEAnNG APPLICATION (PERMIT
Dale. I\\ulbo Plo,;JSr:j13-D/I-O
SileAclclress 54-I1.i;,14.IS,l/b.11,IKIQ Fawn mtMbW (,JJve Sf.
lot -!- Block A ~ddltion ,T) j) (I~k&P ~ hJ/ui
Owner's Name V R tin!' -tD11. U
Address ~ Wl1Sliu1l1t-vn/)V~4 ,ftlMn MN 55/2;2-
Heating Contractor FY.(t/.,rivLk~ltraiUur v
Address 3Jc5D. J!01nt'JJfI l)y -i?1 Y6vrltl NlIV 95122,
Telephone' --12ti-io'5/' 452.-217.5 J
Furnace Make & Model ;:U.u~ TYPE OF SYSTEM
#-';:>0 ,'L.,~ / Warm Air Plants
Model Size' .7 0 J' ^"" i/o;z s/ 0 7tJ Grawily
Conn. Load 27. .7Y<? Mechanical
. Air Conditioning ;Z. --rtJ~fi:-"V~
Flue Size .y/' U4lJ Venl. System ;l-~4f':"/I'? ~
0' /3'- HEATING OR POWEll PLANT
.~
Steam
Hot Water
Radiation
SpeclalDellices.
CITY OF PRIOR LAKE MC _ fr9 ()
16200 Eagle CreakAv. S_E. Permit No. 0 '-,-,-
Prior Lake, MN 5.5372
Fuel /tI~
Supply Openings
Return Openings
.y
Input 70.0,00
Output .J'1:, ""''''' G>
Edr.
Ctm.
AnA
Other Devicas
TYPE OF WORK
A~eralions
I./""
R~,..:""_.o...8nt ,
New Construction
Repair
Est. Cost $
Est. Comp. Date
.3 Ooe,'--
Building Perron II
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
PAID Wi;
BUILDING PERNil1
...
Receiplll
TYPE OF STRUCTURe
I.Pillk
2. Glee.
3. Ycllall'
>
,
>
.
.
.
1"'"
Ooy
c._,
Single Family .
Commerclat
v
Two,Femily
Industrial
_ Multi-Family
Pubic Other
>
o
o
F~ Schedule
>
>
Industrial. Commercial & MulU.Pdmily
Residential, Heating & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
,
c
1 %'01 job cost ($39.50 minimum)
$99.50 PLEASE NOTE: ~
$64.50 Air Conditioner Units Carml c
$39.50 Encroach Into Required Side ~
$39.5C Yard Setbacks, ~
S39.5C .' NOV 8 21XXJ ~
.
Remember to add the State Surcharge on Ihe bottom 0!J1\!Ji aPl'.'''....."
d
,~!
I
The price of your heating permit includes one rough-in and one flf1al inspection.
Additional inspections wm be bmed at $35.00 each.
House Healing Tesl Record must be submitted with bUiidinQ IImrniI numbe' before build-
ing certificale of occupancy will be issued.
HfAI CALCULATIONS REOUIRED with number of supply and return openings listed per
room with CFM's per opening. Now structures or addhions send floor plan wilh supply
and return locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR lIfl16V162QO ~.HLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372. - Ii aw
~
.
.
.
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~
~
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.
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~
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City HaM business hours are 8 a.m. - 4:30 p,m.
~._--~- " ,/!
---___ 3'
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINALJ-;-CAtL'CU'DlALL
-
447-9ll5O
I hereby apply for a mechanical systems permit and I acknowledge that the
,,,formation above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the stale building/mechanical
cDdes; that this form does not become a permit until signed by Ihe BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case 01 all wDrk which requires revlew and approval 01 plans.
. --
/J~, 3'~~,/,J-:",,:;:,~ /p/;z?/...,
/ . .y AprlIicanrs S~~e' . ". 'Date
~ //- Cj~O
BUilding OlficaV'gnature Date
~
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...
P.L. FA;l: 447- 4248"
AUG. 8.2000 4:09PM
GENZ RYAN 6513226147
NO.528 . -P.4/17
T1hl~nlft'.flhl...lllqc...nl'"
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Applicant: r.--p III 7 - e....J~ -'"
Address: 11.-/, y S '''''''. ~VY id r -r I? I
Si!;lnature: \A...J.. r") .. I .:'1 "'", 0-
--"LeQal Description: LotLln''''~2- Bloc:kfJ::;: B Sub l::'P",.e&!;..\'i')"\,J; \\~
Site Address: .'5""1././7 II\. "'API P (', 1 >I? ~ .
Building Permit # PID It
NOTE: This pBrmit wjll not be proc:assed wiII10ut complete information.
AXTURE UNITS
I. Blqe
Z. Goold
3. Yon...
l'I1a
C..
Allpti_
# 00 ,0810
Phone:L.'S'I- U ~~ -111...i4
~~trY""I~ llf"'l, s:-'::"~
, ,
I Quantity Type of Fll<lure Quantity I Type of FIXture
I I 8ath Tub with or without shower I Rough-ins
I I ! Dishwasher I I Water Heater
I I I Floor Drain e.\l I Water Softner
I .,., I Lavatory (bathroom sink) I Stand Pipe (washing machine)
I J I Laundry Tray (1 or 2 compartment sink) I Sewage Ejector
I . I Shower Stall I Backllow Assembly (RPZ. DoUble Check, PVB)
I I I Sinks I Backllow Assembly Test
" I Bar Sink I Lawn Sprinkler
7-- I Water Closet (toilet) I Other
FEE SCHEDULE .
Industrial. Commercial & Multi-Family
(1% of job cost. $39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
State Sun:harge
$99,SO
$39.50
$
$
$
$
.50
Pf>.'O ~~':RN\II
.,,, '\\.D'~
",-P'" .
GRAND TOTAL -
$
..'
This permit is granteCl 'Upon the ez.press condition chat said
cantr.lCtor, shall comply in all respects with the: PrdinunCllS
oC the Slate Pl"mbingic~e amcnd.ments ,he...,t.
'RE , /o./~.w CATE
- ATIC.ST
Call for all in~tion5 '24 hOlm in advance.
16200 Eagle Creek Av. S.E., Prior Lake. Minnesota 55372 / Ph. (512) 447-4230 / FAX (512) 447-4245
An Equal Oppol'lunity Employer
PRIOR LAKE
INSPECTION RECO.RD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS t\.c..p\.c.. Q,.~'i.
NATURE OF WORK I\\"ul C1n..~~cJC:(..,'~'-"'\.
USE OF BUILDING SF"A
PERMIT NO. ()().I)f?'lO DATE ISSUED '1-I-"2.00CJ
CONTRACTOR i) R . \-\...,. ~ u~/- 2sc. - lr 2 q
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
lJ,^"~
~I&.~
v
INSPECTOR
DATE
I FOOTING \'JU~ I /O!;&!eJO
I FOUNDATION (Prior to Backfill)pf~ I ~. lo/~11J1) I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC~ lJ..~ ~ jpl;; 7 Ion
FRAMING I k, :;2/ ~CJ /f) I
INSULATION I'~ c/)/d-3101
ELECTRICAL I _
PLUMBING ~ (,l..G. ~I II (J../~ ~, ';/1316/ A
HEATING (ifrequired)./;j.t. /}:r. Ibl :r71r rZl ~ ~ f/jIP!fJb I td7. ,;?/~/o (
FIREPLACE I ffi;; / 1"//3/0 I h. .;./~ I" I
GAS LINE AIR TEST ;::,iJ, {~ I ~ dld-alo) I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'~I'0("$ TAur fJ:r, 3/d-~tJ/ I
FINALS
GRADING (Prior to Sodding) 1 1/1,18 1 PlcJ
BUILDING'(.t.t>...w.a ~l JDI fA. ~/ClJ/I r
; I .
ELECTRICAL
~~~~~~G I ~~\ro~
I ~. 4/tJ'O/0I
DO NOT 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; cilra ..hall be placed near main entrance.
I
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9-lif-OJ-- I
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
".....'~;..;,
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Q!:td;:icau nt OOcctqtanry
CITY OF PRIOR LAKE
Department of ~utlbing Jn~pettion
~ 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 fo/lawing:
Use CJassificati,."
SINGLE FAMILY
Bldg. PermitNn 00-0890
Occupancy Type
R3
Fire Zone
N/A
VN
. Type Construction
R2
Zoning District
LOT 1, BLOCK 2, DEERFIELD THIRD ADDITION
Legal Description
Owner ofBuiIding
5417 FAWN MEADOW CURVE
'"lite Address
Contractor', Name'" Addr.,.DR HORTON, 3459 WASHINGTON
ROBERT D. HUTCHINS /,)r;
DR., SUITE 204, EAGAN 55122
DON RYE
Date:
Building Official :j
(j I;) -ad-'
City Planner
Date:
POST IN A CONSPICUOUS PLACE
------_._--~.__._._~.__.,"-.~-_._~--.,._-,----_..,-------
,
~.
ADDRESS ',,//)
OCCUPANT
HEAT LOSS. DATE HTG. INST. S","Y n
SOLD BY _ INSTALLED BY --" / ,.)", ",_
Electrical Work By l"loas line By. /
TYPE OF HEAT GA _ FA 4HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER_
~"'.'..' -~~~ m~E~~
MAKE . /I j '.1 . _MAKE OF BURNER r
Mod.1 ,l":/.-'lt--,O.,JY;",,:>O _ /
' Mod.l.
S..ial IJIO! "II' ~.IJ/'<, . Mo.. BTU Rating
/ /, ~"/f''-:
INPUT - // t/"( . MAKE OF FURN,,..e
Model. \
THERMOSTAT
"
Valve
Limit
Limit Setting
Fan Setting
Pilot Type
Pi lot Mak.
Pilot Model
Pilot Timing_
L. W. Cut Off"
Pressure
Input CFH n
Stack Temp. _ 'j If
Form 235
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I /! /
r / \ /
/ / h/
/{\'I"''',''f'//
/.J t,
\
HOUSE HEATING TEST RECORD
JOB#.
'/
/
SUBURB;:'. y .',,v-
/ ~/"'- ,;.,....
...- C-'/_'..!~
APT. _ FLOOR
OWNER
CITY ,
CONTROLS
Heat Plug
Vent Size
!/)
KIND OF L1NER_
Draft Hood _
SIZE
'I f'iv
Regulator /' /
Numb.r
NON~
1/ r/
Fi It.rs Size (/ j./...f/ /
. Chimney Location l'Wid.
/'/C. j / S
Chimney Construction _ <,
Outside
Smoke Bomb
o,aft
Wiring _
Test Tar'
Lighting Inst.
Door Pres sur...
"/ ,.'
Percent CO2 I l':
Percent 0 R,,)
2'
Percent CO
Do.e Tested '( . r'/
Company Testing F..r;aderickson Heating & A/C, 3650 Kennebec Dr" Eagan, MN 55122
Name of Tester / / /r _
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
;' I , J>
I
SCHEDULED
DATE nME
tJ- I;J -;)...
.5i//{" f-Sc;/7 9aa;rv _
I /1.
CONTR. /J11?~/~
PERMITNO.~~ -; - 07{)
o PLUMBING RI 0 EXIGRAOIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
-5Y/
/\ Y
V^-
f /~'L.~
,-,
J,
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/
L_J
_ I f/ . ~ ._
,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND ~ ",,,..,,ED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'pf\ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
J
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
~l
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDUlED
ADDRESS
5417 R'lvvl,v
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING ff)\p PLUMBING RI
o FOUNDATION ~ MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATIO~ 0 SEWER HOOKUP
)(( FINAL f I-Jl'<....-J 0 PLUMBING FINAL
/D'SITE INSPd.., ",Ii; rt MECH FINAL
DA.TE TIME
4.U.ol 1:3(;
00.. 0890
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:(i)) U A .c., ~
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~!x.~.. ..J '
1 .
(~Vn~~^- .~ -Off ~ '1c Sb& -!-~
~~'i'.~~ r ~,......t- .
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~ u v
r-~' /----' ~,
\... /f; (:. ~. -iiJ.Q E, I ( I {J {, "
~:-_-~::::::=--~':~ .-/
~k~
o WORK SATISFACTORY, PROCEED
~ 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 & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
t.f..-z..Ol
:5;0 b
ADDRESS
54--/7 ~N ME1tDoLJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'" PLUMBING RI
!6" MECH RI
o WATER HOOKUP
D/lEWER HOOKUP
~ ~LUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
() -89 n
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
V\A.QJA~IA^"J6r' oK
VW INU,te.r re1)"ire/y
COMMENTS:
.4K SATISFACTORY, PROCEED
o CORRECT ACTIO! AND PROCEED
o CORRECT r.7:~' :ALL FOR REINSPECTION BEFORE COVERING
Inspector: {:). ~ lJ.A.AJ Owner/Contr:
CALL 447-9850 FOR Tt E NEXT INSPECTION 24 HOURS IN ADVANCE,
J
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl