HomeMy WebLinkAboutBuilding Permit 00-0896
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QAT" R"r.",V",,- CITY OF PRIOR LAKE
{ 11 00 BUILDING PERMIT,
' , TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I.
2.
3.
File
Permit No,
(Depth)
. DIRECTIONS ,. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN '7 /3 J
BEFORE PERMIT 1$ ISSUED (Please Print or Type and sign at bottom) - 0( ()O\J BUILDIN
2.SITEADDRESS~ ~~/IJ. /l f\ ,; I ) 11. SIZE OF STRU
'74' V f},fJ8Jf' ~ Lll'\'J~ Fllj.{I/!/ me(.tCJOlJ (H,;ght) (W;dth
3. LEGAL ~,SCRIPT10N 'r "If ;~c ./ 12. NO. OF STORIES
i\T \1 N \ -r ~ ~ If\ BLl%-~ ~\ hb- ~ PID 'l~l-U ...~~ \A \/ I
13. TYPE OF CONSTRUCTION
ADDITION
14. OWNER
'5. ARCHITECT
6. BUILDER
(Name)
(Address)
(Tel. No.)
I 14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address)
(Tel. No.)
(Name)
34SqIAd~hsv\\l~ :-hntJr ITeLNo) ~0
f~ , S'S(~J, 1*.J.o't ~SIo-11;Ag
15. NUMBER OF OCCUPANTS OR SEATS
t>~. \1h~
7. TYPE OF WORK Fireplace 0
New constructiO~ Alterations 0
Chimney 0 Misrf'J
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yas No
t 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 fficl I can revoke~rmi~st cause.Aurthermore, I hereby agree that the city o~al or a design.ee may enter upon the property to perform needed i,eclionS.
xL' ~~_k "'I o:rm~(...,~y _ 7-/3 - O1m
-- Signatut;' Ucense tW. Date
OCCUPANTS
S"eptiCLJ
Addition LJ
DeckLJ
Finish Attic LJ
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
SEATS
6.PRO[)CT~~TIVALUE
" .D
. . COMPL TION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ll ENERGY DATA Ll
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS LJ SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION 7/ J fr'ln. 0("'1
SURVEY
PLOT PLAN
LJ COPIES
USE OF BUILDING
<;;'f:A-
Ll
TYPE OF CONSTlRUCTlON: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Amount Brought Forward .................. 4:
Park Support Fee ........ ................... $'
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ...................................4:
Pressure Redu~................. :
Meter Horn ... ........ ........................ $
Po 50 .l:lQ
1,100.0'0
Plan Check Fee .... ......................... $
State Surcharge ............................. $
Penalty ...................... ......... ........ $
t-t Ck . (')f)
4,- a,'1o
'3s . SO
100.00
I fY'l . l')C)
~S'SO
Gas Fireplace Perm. ....................... $ 40 .00
Thi/J~IJ.;\ti~OO)S ~;ng Permit whe~ I'Pp;oved.
BY~ ~ Da1e 10 c.., U:o::o
Certificate of Occupancy
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Water Meter ................................. $_
Sewer & Water Connection Fee ........... $ ','1-00.00
'7t)/J .llD_
Sewer & Water Permit ...................... $
WaterTowerFee ........................... $:
Issued
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $-5 3'25. <16
paid&J.32!;; . 9' 0 Receipt No. ~&<9c:1'---'
Date /' () . / .J' . (/U By -1lJ.. -
certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceedt's requested. This document when
t gtv P er constitutes a temporary Certificate o!.Zonin!l compliance nd allows cons ction to commenc . Before upancy, a Certiflca of Occupancy must be issued.
.-......... '1~/~
lanner Date
24 hour notice for all inspections 447.9B50
~~
o 0 vO~ 1(0
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nl~r of Ibr t,b Counll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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U. Ie'. r!Ok7DfV
--;, 1/. Or)
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
/
Accepted With Corrections
Denied
"
Reviewed By:
Comments: Sf'!.,-
C:~t r MfsDI'\
-/hi. r~l/ers (:.. $"/~
. Date: ~,I (()
-4- 6/cl:tib-na/ in-krPlqftifn,
->ee a..fh.e.~h?('1k: !.~a( . C-ak Jfl;Pt'ch~ 7h.,0p,a-h/h._<<?~
3, J:rHiM aJllo/ #tits/ires 'I Er,H'"~''' c1lr~ / .P~n
- .
"The issuance or granting ofa 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, I:,nln or lh, I..k, Count..,
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
54/0
NAME OF APPLICANT
APPLICATION RECEIVED
,L;. /<. j/(/c-..77 (j
-; /7 C)(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
~~
Date: ' /1) / "J / 6b .
Reviewed By:
Comments:
(!..vUt~"r ~ (2~ ~) uI~L1Yg'
~ Ii- \fY JRu<i fl.. fJ 'lA) Ct:L~IA-' ij)~1f\ \
~r~~Iq-~t=. /)n~ r~.1-
~12WJS (S-~ .~
"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 v1l1id."
OO'D~~(p
Tllr ('"nln of Ill" L.kr Counll'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1) 12. HtJ~7YJ;J
/.17. {JO
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted ..:x::-
Accepted With Corrections
Denied
Reviewed By:
_ (}fi...A
I
Date: 10 - ~ . 200.
Comments:
~ UAi~ S\ ,~8 t.~ 'Vir-.. "-ptlr\.. ~'""""':- ~c,.
"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,"
,
CITY OF PRIOR LAKE Me
'16200 Ellgle Creek Av. S.E. PlllmllNo. 00-06f&
Prior llIk., MN 55372
HEATING APPLICATION I PERMIT
Dale d,I:1../.D..J PID It
SleAddr8.. S'I/1' fOJ'no .fnu,im;} (j'1..~.L
lot BIo"k Addkion
OwnetsName OL Ih ;U/A flfyh"'"
(J
Addres.
He.tingConIraclOr ALLIED rUIlSIDE dba FIRESIDE COllNER
Addres. 2.700 11. FAIRVIEW. IlOSEVILLE, HH 55113
Tel8IJ/Illll8'. 651-633-2561
FiREPLACE ~J.
&aIIIIP Make 110 Model I'd N e,,,,,
I'
Model Sll~ SL 7 JD 7F
Conn. load _
fuel ~flue Slle
Supply Openings .
Relum Openinos
Input
Edr.
OUlpUl~aD
Clm,
TYPE OF SYSTEM
Warm All Planb
Gravity
MecI1anlcal
Alr Condllbning
Ven\. Syllom
HEATING OR POWER PLANT
S_
HoI Wate,
RlIdllllion
Special Device.
Other Device.
TYPE OF WORK
N.... Construction
)(
Alteralions
. Replacemenl
""I. Comp. Da"
Repair
Est. CDsl $
IIOD ro
;;.j/~/o!
BuBdlog Permill
HEATING PERMIT FEE S
STATESUACHARGE $
TOTAL PERMIT FEES $
.50
Recefpt .
f'(t.\O \N\~. "1
eu\\J)\~G ~.,;.. ..."
:rVPEOF STRUCTUm;
l. PI"l
2,""""
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or,. '"
Cooo""..,
Single Family
Commercial
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H
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:D
Two-flll11lly
InduslrfaJ
WIl-Ftmly
Public Othe<
Fee Schedule
Induslrlal, Commercial 110 MuIli-Family
Resldenlia~ Heeling I. M;
Residen1la~ Heamll Only
Residential, Gas FIreplace
ResldenUaI, AdcI1lone & A1lerations
Residential, IV:. Only
1% of lob coel (t39,5O ........rn)
$99,50
164.50
$39,50
$39.50
$39.50
Remember 10 add Ihe Stale Surehlllll8 on IhI boltam ollhls IIppblloh.
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The price Dl your hili'" pennillncludes one rougt>-In and one IhIl
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Ul
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Addiliooal,' "....:', ~ wflbe billed ell35.00 eech. lJl
lJl
House Heeling Tesl Record must be IIIlbmlled 'lith IIIiIlImg 1llUIIIImmz. beIore but ~
Inll certiflC8lll 01 occupancy wIf be faued. -.
I:lI;AI CALCUlATIONS REaUlFIED ..Mh flUIl1bef of supply end IWIum opri1gI ...811
100m wilh CFM'a per ".' "I III" ~.... ...............\loorplon.........,.,
end return Iocellone "'own. HEAT lOSS CAlClJlATIONS, PIl.VMENT AND
APPLICATIONS MAY BEMAllEDlOTHECITYOFPRIORlAKE.1112OO EMlE
CREEK AVE. S.E. PRIOR lAKE, MN 55372.
'. , . ~.I . 1.
Cily Hell busine.. hoor. a~ I e,.m. -.4:30 p.rn.
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ALL WORK MUST BE INSPECTED IROUOIHN AND FINAL) . CALL CITY tfALL
447-4230
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I hereby apply lor a mechanIcal syslems permil end'I ecknowfed1Je lhallhe _~
in/ormalion above Is complele and accurala; Ihal Ihe work will be In con/ormane
wilh lhe ordlnen"e. and codes 0' the clly end with Ihe alale btdldlngfmechank
codes; l/lalthls form dOel nol be<:ome 8 permll unlll signed by the BVILDIN
OFFICIAl; lhallhe work will be In accordence with Ihe appr....1f plan In \he
case ol.all work which requires review and approval 01 pie"'.
"
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~Ill
'"
-
lJl
ure
i ~:.J _ '7--A...lLU
r -~. I DiII"
Blrildinll rea'-. SlgneMe
Supply Openings
Return Openings
Input: 7 D. D<>O
Edr,
elm,
AnA
Alteralions
Repair
EsI.Cosl$
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
CITY OF PRIOR LAKE MC ~ 9 '
16200 Eagle CreekAv. S.E, PermitNo.() g.0
Prior Lake, MN 5.5372 .
TVPE OF STRUCTURE
I.PiI1k
2 en...
3. Yellow
....
C;cy
a",-.,c
.<7
.y
OuIpLJI ..r'Z, """" 0
TYPE OF WORK
ReJ)lacemenl
Est Camp, Date
3' OOf:!/..... . Building Permit It
,50
TYPE OF '" ,,,,.cM
Warm Air Plants
Gravity
Mechanical
Air Conditioning Z ---rD,-./~~
Vent. System ;t-frb>4f<''''' ~
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Del/ieas
New Construction
(/""
HEAnNG APPLICATION I PERMIT
Date t\ \ La Ito PIO. d5- ,::),;3- O/eJ.-O
SileAcldress .5Lj.11.i;,~.llllg./q f1lwY\ fnauibw Curve SE.
lot 9-- Block ~ ~cfllion(\) n ~~ r Q
Owner's Name V Q. rtD( ton - U
Address ?JfYl WIlSlw'lC1h.rt'llN- ~4 ,ef1M;1 MN SSn1.-
HealIngContractot Frdril.1)DJ1 Ut'aiUwr '"
Address 3lt'SD . J!{J1nL~fl')).v -i?/ ~ fVIN 95/22-
TeleJ)honU 11ti 105/.452.-2175
Furnace Make & Model "~~
, . /
Model Size #- :l'sYMj/o;Z;/070
Conn. load Z 7. .7Y?
Fuel N~ Flue Size Y/; U~(
n--
PAID WITh
BUILDING PERN,i i
....
Receipl It
Single Family
Commercial
v
Two-Family
Indusllial
Multi.Family
Pubfic
Other
.
<
"
.
.
F" Schedule
induslrlal, Commertial & Multi-Family
Residential, Heating & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residentia/, AC Only
.
c
1%'01 job cost ($39.50 minimum)
$99,50 PLEASE NOTE: ~
$64,50 Air Conditioner Units Canm c
$39,50 Encroach Into Required Side ~
.
$39.5C Yard Setbacks. ~
$39.5C/ NOV 8 200J, ~
:1:' (;
'! [))I
'L/ ,
J
Remember to add the State Surcharge on Ihe bottom of tl\iAli .~II".t;,,"
,-
The price of your heating permit includes one rough-in and one linal inspection,
Additional inspections wOl be b~Jed at $35.00 each.
House Healing Test Record must be submitted with buildin~ WlIliI numoer belore build.
ing certificale of occupancy wili be issued.
HEAr CAI CULATIONS REOUIRED with number of supply and return openings fisted per
room with CFM's per opening, New structures or adcfdions send lloor plan with supply
and return locations shcwn, HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR !.IjV6y162QO .E;lo..@lE
CREEK AVE. S.E, PRIOR LAKE, MN 55372. - lJ auJ
. ~
City Hall bUSiness haulS are B a.m. . 4:30 p.m. '. .-.--___ 3 :
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)'. CAi;L-CJ:IY...HALl
--
447-9ll5O
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I hereby apply for a mechanical systems permit and i acknowledge that the
information above Is complete and accurate: that the work will be in conformance
with the crdinances and codes 01 the city and with the state buildinglmechanicai
codes: that this form does nol become a permit until signed by the BUILDING
OFFICIAL; that the work wili be in accordance with the approved plan in the
case of an work which requires revlew and approval ot plans.
1l;Mf~' i#'>-:~-~e-~,,?'~~ ./p/.z?/PO
/' ,i'>f~icanrs Signature ~ '. -Date
uc.... / (- '1-0
lWJilding Oltica/'s Signature Date
~
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PL. FA;{ 447- 4245
RUG. 8.2000 4:12PM
GENZ RYAN 5513225147
NO. 528- .. P.16/17-.'
1M C""",., t.. w,.~ e......,.
I, Dr. Ale
2.CloId. Chy
J.'toll...~
# -O!J.()p/qrb _
Applicant: r---Pi//2- fL~,~ Phone:u,<;'f-UZ.:3,-//44
Address: rl-/'I\.J<;::; .'..-. _~ iI2.f -ro I _ ec,'S2IrY"')~ l 1f'If'" <'C"......~
Si~nature; ~. n _
--;Legal Description: LO-;-IU"~~ Blockflt7... ~ Sub V...~..\,.., '-I; \\Pt."":,
Site Address: 5 4/0 It. ^ .AiPr" (\.,p \ It'" -
Bu~ding Pennit it PIC it
NOTE: This permit wJII net be proCBSSSd without complete information.
riA I \.IRE UNITS
CITY OF PRIOR LAKE
PLUMBING PERMIT
- ,
Quantity Type of FixtUre
I Bath Tub with or without shower
I Dishwasher
I I Floor Drain
I "2..- Lavatory (bathroom sink)
I \ Laundry Tray (1 or 2 compal'lment sink)
I Shower Stall
I \ Sinks
I Bar Sink
1." Water Closet (toilet)
Quantity
Type of Fixture
Rough-ins
I Water Heater
J!.\ , Water Sottner
I Stand Pipe (washing machine)
Sewage ejector
BacJcftow As.sembly (APl, Double Cheel<, PVB)
Bacl<flow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
RBSldentiaJ. New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39,50
$
$
$
S ,50
GRAND TOTAL
$ \,DU~~~:~~MIT
This p<nni. is g\'l"Ked u
tonll':lctor, sholl "amply
of tho S..... Plumbing C
_RE
n the express candiuen thai said
all WlIb tJle ordin~na:s
llmcr:ldmclltS ~f.
Itl'l6'W DATI::
A TrEST
Call for all inspe . ons Z4 hours in adVlllJce.
,
16200 Eagle CreekAv. S.E.. Prior Lake. Minnesota 553721 Ph, (612) 447-4230 I FAX (612) 447-4245
M Equal Op~ortunity Employer
.------..--....--
PRIOR LAKl
INSPECTION RECORD
JEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS . ~._..I- ~ ft r; '-/19 rF~ rvf I. ..d .......J
,
NATURE OF WORK ~
USE OF BUILDING ~FtA-
PERMIT NO. 00, ()?JCJ(P DATE ISSUED '0 -(.. '2.0",<:.>
CONTRACTOR D. R. t'L.I" __
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING WiG I i&1 1101/&/00
I FOUNDATION {Prior to Backfill)tJtl'.;;.o I fj.;, M ?,-b I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC :,;K" /)..a"", "4. /()/~7l)7) .
FRAMING ,~' -?/;;g'/rJ/
INSULATION b:r. B/d/!!I
ELECTRICAL "
PLUMBING~ ~u.~. ty. /!/crh~ Pr <. ;;//51?J
HEATING (if required)~ rtR.' 'Ii V;>7JPD1;~ .&1. 1(1 ~/6U ~. .J/~/' 1
FIREPLACE . br- d/fC,fDf 4.;./,;. r/61
GAS LINE AIR TEST ~ t, F./: 8:r .3j,;;-f/ol .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1~,WlIlI1 ST~ ~~ 13/~t1/ I
FINALS
PtJ/A/8
'VI\)
GRADING (Prior to Sodding)
BUILDING1fl). -fJ..t KlI!lll ~ 4{~3!J I
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
q ) /1.. 'd-
~- (;A-'d--
fR
~.
I{-/O-O/
if/.#'~!(j )
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,
Call between 8:00 and 9:00 A:M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Gr~~*J.t:~~C~~ili
:t,! ell r OF PRIOR LAKE I'r'
i~ i 1Dtpartmtnt of .uilbing 3Jn~ptdion it,
~~: i' ~Final Pennitted 0 Conditional C,Q, Expires 'J, .
( -' fAis Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
:1..,;. :: 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:
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Use CJassificati,..n
SINGLE FAMILY
Bldg. Permit N"
00-0896
Occupancy Type
R3
_ Type Construction
VN
Fire Zone
N/A
Zoning District
R2
Legal o.scripti,.
LOT 2. BLOCK 2. DEERFIELD THIRD ADDITION
Owner of Building
<it. Address 54 18 FAWN MEADOW CURVE
Contractor',Name&Addre" DR HORTON, 3459 WASHINGTON
ROBERT D. HU:!:CHINS,{/l,)., City Planner
Building OIficial II V j
Cj. / '1 ,/ ();:y-/ Date:
POST IN A CONSPICUOUS PLACE
DR., SUITE 204, EAGAN 55122
DON RYE
Date:
ADDRESS ". '/d
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
HOUSE H EATING TEST RECORD
,~_..-. -'
;I'" ,..",,,,,,
DATE HTG. INST, -;7'
APT. _FLOOR
OWNER.
) .....
JOB.,
CITY
~Ub....
INSTALLED BY ./.< /./',/k
-,
Gas Line By _ /
GA _ FA L..HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN CONVERSION
MAKE. /~ ?>i'L '/~
Model_ .rJ!..~f/'lc/.}t.))y (',
Serial _ (',. -'}~"!! It)))-
INPUT +1./7'7;
jj
THERMOSTAT ,/jj/
Valve _ ,'--' j),
Limit _
Limit S.tting
Fan Setting.
Pilot 1"ype
Pilot Makl"
Pilot Model _
Pilot Timing
L. W, Cu' Off
Pressure l ,:~'
Inpu' CFH
Stock Temp.
Form 235
MAK E OF BURNER
Mod.1 ~
Max. BTU Rating
MAKE OF FURNA""
Model_
;
/
CONTROLS
Heat Plug
Vent Size
KIND OF LINER.
Draft Hood _
Fi Iters Size'_',-' ,
Chimney Location Inside
Chimney Construction _ /' d
~
I /'
j./ i ( !
I I ) I
I I ./'
Smoke Bomb
Draft _
Door Pres sur.
,
(J
Percent CO2 :?I _)
Percent O2
Percent CO
Date T .sted
Company Testing
Name of Test.r _
Fredetid""n Heating & Ale, 3650 Kennebec Dr.. Eagan, MN 55122
SIZE
Regulator /' f ,{
Number.
NONF
Outside
/'
Wiring
T.st Tag
Lighting Inst.
CITY OF PRIOR LAKE
INSPECTION Nc;rW~t/ SCHEDULED
ADDRESSC-,~AW N
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
XPLUMBING FINAL
o MECH FINAL
COMMENTS:
J, O<€W\I'J\ML ~-"S; G:...JO <:::
,
DATE TIME
4-./0.01
Z'ot'J
00-08&J1
cro'~
0' ..~q!o '\
'------/
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
\. 0 ~K SATISFACTORY, PROCEED
~CORRECT TION AND PROCEED
o COR ,CT '7 ~ CALL FOR REINSPECTlON BEFORE COVERING
Inspect .-fl/) . Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4.23.011:15
ADDRESS 54-12- - 54/-/8 HtW N
OWNER
CONTR,
PHONE NO.
OU -0'-1'.5/ C/o/-
PERMIT NO, P; 95i Arb
o FOOTING
o FOUNDATION
o FRAMING ifJ
INSULATION
FINAL
A-SITE INSPEC N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAJ"r;)
~MECH FINAL '(D;/
COMMENTS:, &jLf I /.. -({J) M A. c:. , ~
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o COMPUINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
f? .
~
,
o WORK SATISFACTORY. PROCEED
Ii" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEC'TION BEFORE COVERING
Inspector:
~.
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
t;-o- d--
-q-dW)? /J;tJac/ff)()
ADDRESS
S !//Y 9-"5~L//C1
OWNER
PHONE NO,
CONTR.
PERMIT NO. tic? - )C1fo <1- '8 fi9
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 EXIGRADlFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ll r 0;(
(l/o Sf:..
:r-A
COMMENTS:
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
OJ})
Inspector:
Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
uaNOT1