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Home My WebLink AboutBuilding Permit 00-0891 /.11-00 DIRECTIONS 1. DATE SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN 7 / BEFORE PERMIT IS ISSUED (Please Print or Type ~~ 11; eft It! 2. SITE ADDRESS ,.- t\A., \ / . / d .. J / , 54/-.:;;; If IlTVL r CJ...A. r<:.:.J E 3. LEGAL DESCRIPTION L~\t~\\- ~') B~1-I\)G- (\,p.,..i-t.1U) \J ~I la" ~~ .QAI!;; OI;;~I;;I1/.E.Q ADDITION 4. OWNER (Name) 5. ARCHITECT (Name) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT l. 2. 3. )() BUILDING I 11. SIZE OF STRU (Height) (Wid! (Depth) ~ 12. NO. OF STORIES PID 13. TYPE OF CONSTRUCTION (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Address) (Tel. No.) _\\'Y. ~\~'^ 7. TYPE OF WORK (Address) 3454 WaSh'''1f>," Uy 5kJtJf ~~ . rI1W S5(J~ Deck 0 Finish Attic 0 (Tel. (2.:51) .~~Io -I J q(CJ SEATS 6. BUILDER (Name) New Construction 0 Fireplace CI Alterations 0 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS Septic 0 Addition 0 Re-roofing 0 Porch (] Re-siding 0 Finish Basement 0 ~6. PROJECT 9PSTNALUE ) 06, h~ c; .....,. 7. COMPLETION LJATE Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE Sq, Ft. Width Depth Yes No 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 abov entioned 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 buildin offi 'al c@n revoke ~rmit f 'ust caus Furthermore, I hereby agree that the ciSl.official or a designee may enter upon the property to perto,n,eded i,spections. X h. ,_ L :Jli7lOc<(~/ //11:J..~ Sign license f'lo. Date SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING SFA FOR ADMINISTRATIVE USE Back Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 Side OFF STREET PARKING PILING LOGS CI PERCOLATION TESTS CI SPACES REO. PLANS & SPECS CI SETS SPACES ON PLAN (p(..,tIOO SURVEY CI COPIES PERMIT VALUATION ~ PLOT PLAN CI Division 1 2 3 4 Permit Fee ................................... $ TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A 8 E F HIM R S U 8~o.ao I, I 00 dJ(') Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $- (.'1'1.75 lJ 39. . S''i ~ ? .c:b IDo.ao !OO,flt"J JS .&5 '10. 00 Pressure Reducer .......................... $ Meter Horn ................................... $_ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ " - '.4,..00 .t:lI"J r-r~ Dale Water Tap ................................... $ Builder's Deposit ............................ $_ Other ......................................... $ _ Total Due .............................. $. S; z. 7/ ~ Paid 52--'7/. e4- Recel~~. 3e~d1/ Date 10 .f}.dO BYI"1Jt..- . in accordance with the City Zoning Ordinance and may pr~s requested. This document when I:;SC~r~io.n~~~ce{P~.~~ustbeiSSUed. ., \~" Special Conditions ff any ~~Itl>f~ , 24 hour notice for all inspections 447.9850 'Iding Permit When Approved. Date ~ - 2a:D Th~ By Issued certify that the request in the above application and accompanying documents' er constitutes a temporary Certificate 0 Zonin complian d .....~ City Planner The Cenlerof lhe L.ke Country White . Building Canary. Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /). /. ,. I, / ' . .,7(, / '. ,... .'j ) I / ( () , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted Accepted With Corrections /' Denied 1 Reviewed By: (' I..(A ,~~ :t' -'-?-->-. Date: /C) /C7 /' I9n Comments: rfv/'-I.J'J-L& Ff.{c)"'l\~ (2 ~ ~QJ ~/IS'~ ~ J4. f:i )I'AU~ r'l.... {) DiU C~1.It \!:':t,u-.cr f.<.~.) <L4JW..,. (' "f)N_<'l~T Df: 4 Mt NJ.M1 J M.-!:x0 ~ r: I~.,. (Su- ~J4Ll4~ 6n.Q1../Mtf~ '> .. . '-' "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," ~~ o 0 .o~q ( Th~ Crnln of lhr L.kie Counll'}' White - Building CanBry - Engineering Pink - PIBnning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D.;2 ~ ffOk-fUN j.r7.QCJ I . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: >c.. Accepted Accepted With Corrections Denied Reviewed BY~~ Comments: Date: JO-c...- 7.cco ~ a.1l A~&. SC!.(2. U 11\ \ t ::t:\=. 3l ~ ~r PIl1M!l 1 ~..~ : SOT'U'-' ; ~k. " "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." ~~ (;fJ00Q I White - Building Canary . Engineering Pink - Planning . Thr Ctnltr.of Itlt ukc Co~nllJ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST. NAME OF APPLICANT APPLICATION RECEIVED D. K. fI()/2TDtJ / /7. 00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted. . Denied / Accepted With Corrections !'"ev-e,.fe Pkh I 1 ';;,. ",/,I{"I,;'AA/ ,j,~r_""';M Date: Reviewed By: Comments: ?" p C, d./f.1- /1,./(11'1 -tiJf' <; ;,1t" >e~ atf?t<!.krPth: /. hir..! Crl#e/e LF'rD<:'--''' {J..lo/ 11'4~(,(ra Z;;-;oeahim r,,-h,..ru../,;'... .,;;' c;,..~,AI............ If. En,s;,,,. a...-h-~/ 'pp.,,,,, "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." , I BRANDT ENGINEERING & SURVEYING 14041 Burnhaven Drive. Suite 114 . Burnsville, MN 55337 Phone: 952-435-1966 . Fax: 952-435-2929 30 January 2001 ReNillas at DEERFIELD THIRD and future additions To Whom It May Concern: I have calculated the load from the steel beams in the garage and computed the actual load from these steel beams onto the 4" wide concrete block. The design load is 15,000 pounds at each end of the beam Tlus transfers into a load of 57 I psi on the concrete block. The allowable load onto the concrete block is 1700 p~i. Therefore the design load on the 4" concrete block is considerable less than the allowable load. Therefore, 4" wide concrete block are more than adequate to sustain the design load from the steel beam (!jr!:- v~ Minnesota Registration No. 8140 CITY OF PRIOR LAKE . PLUMBING PERMIT # (JO ,089/ APPlicant_p:-p'r\7- ~ Phone:u,. <;:;,- W'L.?"-Ifc..JL.j Address; J<-I,~<;::: .~ pr -r....JZ.J..- ~rct::)~ I ......,... ~~~ Signature: 1A._10 .~ n__~ '-"LegaJDescriplion: Lotl.LQ.Lf" 9/OCI<ei;.:: F,C:;ub ~",~...l~ '-!;\\Pr< Site Address; 5i.f 1.5 l~ '" (\. .... \'f" . . Building Permit # .PID # NOTE: This permit w,ill nOl be processed without complete infonnation. FIXTURE UNITS RUG. 8.2000 4:10PM GENZ RYAN 6513226147 Thr c~~ .. ffIc WM CGIlI"" Quantity Type of Fixture I Bath Tub with or without showBr I \ Dishwasher I I Floor Drain I 0 Lavatory (bathroom sink) I I Laundry Tray <1 or 2 compartment sink) I Shower Stall I \ Sinks I Bar Sink I 2.- Water Closet (toilet) I FEE SCHEDULE . Industrial. Commen:ial & Multi-Family (1 % of job cost, $39.50 minimum) Residential. New One & TWCl Family Residential, Add ilions & Alterations State Suroharge Quantity I ~\\ I S99.50 $39.50 GRAND TOTAL NO. 528 P.6/17 .-.- I. BIua 2, Gore 3. Yellow fUc CiEy ApjI~.... Type of Fixture Rough-ins I Water Heater I I I I I I I Water Softner Stand Pipe (washing machine) Sewage Eje<:tor Backflow Assembly (RPZ. Double Check, pVB) I Backflow Assembly Test Lawn Sprinkler Other s $ s :5 .50 ,,~\O '1'1~~W\\\ .n\~G ~\)\..... $ , This PO""il is gro.ted upo. the oxpross condition that said con[t;jctor. sholl comply in all....pects wi<ll rile ordinancco or <II. St.,. Plumbing;fjJ th. 3nlOlldments ,hereof. . - RE O. /q .!,.(Jl} DAn - ATTeST Call for all inSPlcuons 24 hours in advnnce. ........ 16200 E~glc Creek Av. S.E., Prior we. Minnesom 55372/ Ph. (612) 447-4230/ FA.,'( (612) 447-4245 An Equal Opportunity Employer CITY OF PRIOR lAKE Me 16200 ERgle Creek Av. S.S. Pe,ml! No. DO -(fl;q I Prior lake, MN 55372 HEATING APPLICAnON I PERMIT Date ';;./:1./.0./ PIO . SlteAddrll$S 5"~J .;:O"rh fh6cJ.nw fh~x.. Healing Coolrador ALLIED FIRESIDE dba FIRESIDE CORNEll. Addr." 2700 N. FAIRVIEW. ROSEVILLE. Kif 55113 T~~ne' 651-633-2561 FIREFLACH 'k ""'""" t.Ialw & Madel k 'il N c,c.. . . & 7.f1J'J}L lDl _ Block Ow..,', Namo Add,.ss Model Sill! Addillon UL /'n ;",(/ ~,Z.j V TYPE OF SYSTEM Wa,m Air Planls Grav~y Mtlchanial ~ Concllllonlng VeoL Sy'l..m HEA:nNG OR POWER PLANT Sl8l101 Hal Waler Radialian SptIdaf Devic... Com. load Fu..I~Flue SIze . Supply Openings Aelurn Opening.. Input _ Edr. elm. Al.raliot1s Oulpul. .')c~ an Other De'lices TYPE OF WORK Replacement .k:' Esl. Comp. Dal. New Coll5truc\ion :JI1'l/OI Repair &1. Cosl $ HEATING PERMIT FEE $ . lIon ro Bulding Penn~ . .50 f'A.\O \fIJ~~. .. eU\\.DU~G ..,;.. ....,1 STATE SURCHARGE $ TOTAL PERMff FEES $ RICeipl . ~ TVPEOF STRUCTIlEU;. I. nn' 1.0.... 1. ...... rn lD :J Rio rt 0.,. CD c..n. '< Single Family Commercial " H :D m rn H \:J m o o :D z m :D Two-FtImlly InduslriaJ . MuIlJ..Family Public O.....r Fee Schedule Induslrlal, Commen:ia1 & Mulli-FtImiIy Residentia~ H",,1Ing & AC Residential, Heelng Only ResidenUaI. Gas Fweplace Residenlial, Adlitiorw. &. AII.rations Residential, AC Only 1% 01 job CUll ($39.50 rnIrinun) lug.50 164.50 $39.50 S39.50 139.50 R_amber 10 aad the Slate Suroherge on the boIIam 0' this eppIc:eIion. '" U1 ~ Tho pri"" or your haaUng permillncludes one ~"1Ild one 'hell.,. . _ , I. '" Ul Ul Addilional inspe<lions wi. be; billed et $36.00 each. '" '" House Healing Tal Reconll1lual be .ubmHIed with buildirv IlIIlIlIIIIIIOIII: beIare bu ': ln9 cet1ificate 01 ocaupancy wII be i-.l. .. I:fm CALCULATIONS REOOIRED dh rudJer 01 supply ..d reIum OPllnlnp I8l11d room with CFM'I per operlng. N_ M>Jclurel Dr add..... ..od IIDDr pi.. wtlh II'l'PIJ and mum IocaIions......... HEAT lOSS CALCUlATIONS, PAYMENT AHD APPUCATiQNS MAY 8E MALED 1'0 THE CITY OF PAIOR LAKE. 18l!llO EA9lE CREEK AVE. s.e.. PRIOR lAKE, MN 55372. " lD IT Cilr HeR busine.s hou,. a.. 8 1I.rn. - 4:30 p.m. . .... , o ~ ; ALL WORK MUST BE I'tSPECTED (ROUGH-IN AND FINAl.) -CALL CITY IW.L 447-4230 .. ~ ." r hereby apply ror a mechanical syslems permit end I acknowledga thallhe .": in/ormation aboys Is compiete and accurate; Ihallhe work will be in l:OOIorman. with Ihe ordinance. and coo.. 0' Ihe clly and wllh the stala bullding/machanl. codes; lhallhls form does nol become a permil until signed by the BUILDIN OFFICIAL; lhal Ihe work will. be In accordance wllh l11e aPl>roved plan In Ihe Case ol.all wo,k which requIres review and approval or plan.. ." D> <0 lD .J/~/tJ, 011III ... - '" i~ - 7 LOUI Dal1 CJTY OF PRIOR LAKE MC ~ 1/11 16200 Eagle CreekAv_ S.E. Permit NO.!) 0... Prior Lake, MN 5.5372 HEATING APPUCATJON f PERMIT Date 1\\/..QlbO PlDtJ::i..17r?/73-01;-O . ~.. SiI8Addr_ 54-11... i~,IL.l.Jt&.IID. Il.18.1Q r:iWY\ (nauJbw (,uve, SE.. Lo1 (Biack ~ Adadion fJ 0 Q A.W.Q.dL~XJ _ Owner'sName VQ. H-DrtD/1. u Address ~ WOSliu'lC1tv11-7),r i!;fb4 ,eaPan MN 5S1l.l- HealIngCanlraclar FY.atri'i1~1 Itrai~ v Address 3lk5D. k'UlntDtL'].y -1?/ Wah!VlN 55/l2- ~ ip51-Lj.57_~l175 J T elepnane' Furnace Make & Madel ./fA.U~ Madel Size #- J'gY~~O;ZY07t!) Conn. Load 27. .7Yt? Fuel AlK Flue Size Y/; u41s /.1-- Supply Openings t:J' d Return Openings Input. 7 D. 000 Edr. .y Output ft, """,,,0 Ctm. A/5'4 TYPE OF WORK Akeralions Replacement Est Comp. Date Repair. Est. Cast$. 3000,..... TYPE OF SYSTEM Warm Air Planls Grawity Mechanical Air CandftlOlling ~ --nJ/'I"~~ Vent. System ;t-~c,r-,m.R~ HEATING OR POWEll PLANT Sleam HolWaler Radiation Special Devices. Other Devices New Construction V' Building Permft II HEATING PERMIT FEE$ STATE SURCHARGE $. TOTAL PERMIT FEES $. .50 Receipt # PAID WIT, BUILDING PER"", . TYPE OF STRUCTURe J. PiRk 2. Gre<. 3. Yd!uw . , . , . . FiIo Oty c._ SinglB Family . CDmmerciaJ v Two.Family . Industrial MtJIti-Family Other Public . o " Fee Schedule . . Induslrlal, Commercjal & Multi-FomiIy Residential, Heating & AC Residenliaf, Heating Only Residsntial, Gas Fireplace Residential, Additions & A1leralions Residential, AC Only . < 1%'01 jab cosl 1$39.50 minimum) $99.50 PLEASE NOTE: ~ $64.50 Air Conditioner Uoits CaruK < $39.50 Encroach Into Required Side ~ $39.5C Yard Setbacks. ~ ." , ~ 539.& /. NOV 8 2Wl , ~ ,l01 · I ,;1 Remember to add the State Surcharge on the bottom oltl\!Ji appll",,';.," ,- L.. The price of your healing permit includes one rough-in and one final inspection. Additional inspections wm be bmed al $35.00 each. Hause Healing Tesl Record must be submitted with build!no IlIl!IliI nLtmher before build- ing cerlificate of occupancy will be issued. I:!EAI CALCULATIONS REOUIRED wilh number of supply and return openings fisled per room w~h CFM's per opening. Now slruclures or addhions send floor plan with suppiy and relurn locations shawn. HEAT lOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR lll'{6V162QO ~gLE CREEK AVE. S.E. PRIOR lAKE, MN 55372. - ~ aw CIIy Hall business hours are 8 a.m. -4:30p.m. . ...-----__3-I! ALL WORK MUST BE INSPECTED (ROUGH-IN AND ~Al}-CA!;L~ 447-!1MO ~ ~ ~ " c ~ ~ :0< ~ C :0< E to I hereby apply for a mechanical syslems permil and I acknowledge Ihallhe informBllon above is complele and accurale; thaI Ihe work win be in conlormance with Ihe ordinances and codes 01 the cily and wilh Ihe slale buildlngfmechanical codes; thatlhis form does nol become a permil until signed by Ihe BUILDING OFFICIAL; Ihalthe work will be in accordance with the approved plan in Ihe case 01 all work which requires revlew and approval of pians. /l~ i..4"f~-~-~~~~...?J~~ /P./.z?./IOO / . ,j' AJll'll~A Signature ~ , 'Dale ~ /r-C)-O BUil~t19 Offica!'s Signature Date I!i; c c .... P.L. FA;{ 447- 4243" PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS NATURE OF WORK k.!o.w USE OF BUILDING ~FA PERMIT NO. (j() .Ot?;q ( DATE ISSUED JD- f.., - 2.c:>co CONTRACTOR D.l( ~~cM (pSI ~ 29J -7/2'1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT M'3\I\\~ OLJI""'''' UtA, I- ::n. TII"~~ INSPECTOR DATE I FOOTING 'IJ(~ I ~ I /~/Ift,ltro I FOUNDATION (Prior to Backfill)"';'~ fn. /~/~(,/tJ7) I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH. INS SEWER I WATER I SEPTICJ?t. U.c.c. \ /()(;;'7/tro FRAMING ;'/15/01 I INSULATION .:J 111.101 ELECTRICAL PLUMBING~ tWI. ~ II/;/pv Ik. ~L7/0/ HEATING (ifrequired)~ ~. /0/~7/tJ() 1~~ ~ lfhfn FIREPLACE ~. ~//3/0f GAS LINE AIR TEST t3.J :J./lb'lbi COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED , llII1ll1lJ lJl1llil. ~ ~ ~b&1N I FINALS /Vl) / ffJ ~\dJ I' . GRADING (Prior to Sodding) _ BUILDlNG-r.c...D, ~ '8//1 nl P.t-; gf3a, '0 I ELECTRICAL PLUMBING HEATING DO NOT OCCUPY UNTIL ABOVE HAS NOTICE 9-/J-Or "'I-\d-/Od- wf.. ~', .~f;I ~/.. :{f?J~Yol BEEN SIGNED This card must be posted near an electrical service cabinet prior to rough-in inspections Bnd maintBined until BII inspections have been Bpproved. On buildings and Bdditions 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 Iii=;~ ~~-::olf'~.;~'" ;:..... '~,.. ;,,-:< '..1<; ,<Ii' ....11;. ~",:..~:"I(~,. ,:;.,.~,:. ";."'~.-.:....; , "",."..., ~.... - ,', ....... - __.." ,-',' """ ...', "', _...."".:0 ~.",. ~ "'i" _- . '~t: '~',~ . , ,I ~ -, i I -, I '~-\i ., (", 'I! I~~i iY'.f. w_ (....; : (T/,' ('~' ( . '(' (~.~, (~.. ('X, i!.~a f~ l..; 7:- .:- QLtrtfftrau of ~rmpanry Cll''Y OF PRIOR LAKE :mtpartmtnt of ~uilbing .Jn~ptction ~ Final Permitted D 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: Use Classification SINGLE FA"lILY Bldg. Permit No N/A R2 00-0891 Occupancy Type R3 Zoning District Legal Description Type Construction VN Fire Zone LOT 1, BLOCK 2, DEERFIELD THIRD ADDITION Owner of Building ~iteAddress 5415 FAWN MEADOW CURVE Contrac,or'sName&Addres.DR HORTON, 3459 WASHINGTON DR., SUITE 204, EAGAN 55122 , Date: City Planner Date: DON RYE POST IN A CONSPICUOUS PLACE (-I'.' r __/. ADDRESS ~ ?/,) j'" _f/",d,_ (/'1"/','" OCCUPANT { l HEAT LOSS 'lATE HTG. IN ST. ..,., 1 ~j- i SOLD BY , _INSTALLED BY Electrical Work By . "'''IGS Line 8y/ TYPE OF HEAT GA _ FA ~HW _STEAM _SPACE HTR. ~UNIT HTR. _OTHER , GAS DESIGN CONVERSION MAKE /,r' { ~." i \) MAKE OF BURNER 1\ Mod.l~f;rr/f&.l".)ytJ?(J f ~.... Model Serial j/'/OO/'frO{f;(/ '\('""...J Max. BTU Ratin... I / INPUT _V""'O MAKE OF FURNACF Y Model/I @ V.nt S;ze .'I,.l ....-:. .: CONTROLS tHERMOSTAT / rlll".~ He.t Plug. "alve /) ,/ Limit Limit Setting. Fan Setting Pilot Typ- Pilot Make Pilot Model Pilot Timing. 'L.W. Cut Off 1--.. ! / ' I " / IJ../ ! Pressure Input CFH Stock Temp. " Form 235 ("'] i 1 (" Percent CO2--../ Percent 0 '). r; Percent CO.t f' HOUSE HEATING TEST RECORD APT._FLOOR nWNER \ 7 KIND OF LINER Draft Hood Filt.rs Size/ir-- Cllimney Location In_57 Chimney Construction/ ~ I'; Smoke Bomb Dr.1t Door Pressure r Date Tested _ j Company Testing Name of Test.r ""j JOB # CITY _SUBURB 'f' /..,/-', ./.< ... ~.- f'-.. SIZE Regulator ..,L!..//f ,.. Number _NONE . ~,) Outside Wiring Test Tag lighting Inst. Frederi~~kson HeaHng & Ale, 3650 KennebecDt., Eagan, ~ 55122 /-./' ,/', .....' -' ) tI-1 d - d-..... )./// y- 7t! ///l7 jJlli] (.1 d--t1 [.0' &WA'~ PERMIT NO. 0::) -.R' cfLl 02'1/ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS .3-1/ t/ 1- OWNER CONTR. PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FrL ~QT COMMENTS: i)// l ( . / / ,., I i / () ') -.:.. if. [ \_-- . DATE TIME o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o \ /1: IG f ' o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING Inspector: Yh Owner/Conlr. .,..., CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ......" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ DATE TIME CITY OF PRIOR LAKE 3(">0(01 INSPECTION NOTICE SCHEDUCED 5f?c7 , ADDRESS ~, 5'-11 S f'A.,utIJ fl1f:'o...,gow OWNER CONTR. PHONE NO. PERMIT NO. M- '9({ I o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL )ii. MECH FINAL COMMENTS(\J) ~ ~ ~ M~ h)~~~~ J""-"~;~/ ?~. .J 6} ~L.~':!-' ..a......:::~-a1-1 ~o.~~ -A> ~~.'d (/ ~ ~ ~. - ~) tU-' "''''' ,J.t~ (3)..dJp ~ I~ ~ ~ (f'1~~-~L - I. o FOOTING o FOUNDATION o FRAMING o INSULATION ,g FINAL o SITE INSPECTION ~~....-~ ( TL:. 0, 1~'1 ---...--~<.....-.....-- o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o . "'.......----.... ?If !b~ 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. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 5/'2-"- 10/ /,.1/00 , , ADDRESS 5'-115 F:n.vJ rJ. r=:lW() w OWNER CONTR. PHONE NO. PERMIT NO. 0- g'{ I o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP U"i'\\ 0 FIREPLACE RI o INSULA TIO.tkd5J 0 SEWER HOOKUP "-f9 ~ FIREPLACE FINAL &Il FINAL ~ .r.\1 0 PLUMBING FINAL 0 GASLINE AIR TST tr SITE INSPECTION 'l!9JD MECH FINAL 0 COMMENTS: 1=<,IJlolc:D ~ ~ ..,.,... ~:l:i\6t&"", r_n ~.. ~. ~ ~ ;;.I~~/ V~ . ,,-p::, _ ~~~ lr'- J 0...-<. ,;l, ..AL 1~//jJ ~~.i(4~.J4~2tF~ ~~ 15JJ e~.J,...J} AU<'-/"': ~ ~'r;: ;;:ri~.*~~c~ (?tP.!'.:_~-'-A_~_J.(J'),~ ~ r~ -h",,! u. ~~. ,d.{}.~ J!"1'f g-.~ 1:. rJ ''-''- . ~ te,,_,.; :_~-O o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED )( 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/ lNSNOTJ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 54/3 f?lWtJ OWNER CONTR. PHONE NO. PERMIT NO. 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 ~ PLUMBING FINAL o MECH FINAL DATE TIME 3.2(.0' /:/.';:;- () 0 - 089 I o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS:/?J) ~J-{ (c;()) ..J:il (~A (~~ ('~~ 'I"~ +i-1e...u - 0 :1L-" e,.,.A (f~). . ..~ / .JL---t.~ > rO~~ ff>-- k .AJ7H~ .Q:t-~, / L.4"'__ _. ~. r5~ tJ", 1Jz:fv.- ~ ~~ ~ ~. o WORK SATISFACTORY, PROCEED ;? CORRECT ACTION AND PROCEED :S:::O~ECT W~L ~OR REINS::::::n::FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/