HomeMy WebLinkAboutBuilding Permit 00-0928
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~~
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.,\ , :::. -'::;'~ p~r.~11.'cn
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(
OCT - , ?ml
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
14355 IaI.m Chlrt N.E.
3. LEGAL DESCRIPTION
LOT
25
Knob Hill
BLOCK 1
5th Addition
ADDITION
4. OWNER
(Name)
(Address)
15. ARCHITECT
6. BUILDER
(Name)
(Address)
(Name)
(Address)
N:Jvak-F.ied<., In::., f!ffi7 :zeaJ.arlkk. N., Bro::kLyn Park,
7. TYPE OF WORK
New constructiO~
Chimney LI Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No E~. 0 1/ aC::C::i I
I hereby certify that I have 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 authorized agent for
the above mentioned pr rty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware thallhe
building ffioial can rev e is permit f r just cau!J:. Furthermore, I hereby agree thaI the city official or a designee may enter upon the property to perform needed inspections.
X s ,..LA In .ugh tJOO/{4l;'!NO JO!4~t.:r.
Fireplace 0
Alterations 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
,
SETBACKS: Required
Actual
Front
B.ok
BUILDING DEPARTMENT VALUATION
1. DATE
10/4/00
Permit No.
11. SIZE OF STRUCTURE
R I (Height) (Width) (Depth)
p:l;;fli~/~~/;~ 12~OO~~~rw
13. TYPE OF CONSTRUCTIONa. ... I
6FP trlarJvd, rl1'ylH
(Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Ml 55445
171'1 \ d~LL-A.q"fi
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
FOR ADMINISTRATIVE USE
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION Iffl,I'IIIttYIh-OffI
Water Tap ...................................4:
Builders Deposit ............................ $-.1/ C)(:Y) .00
Other ......................................... $
Total Due .............................. $ '.? 755.7 I
Paid 1,755."'7 J Receipt,No. 38fA14- .
Date/()./p"OD By ~
e request in the above application and accompanying documents is in accordance with the City zO~ing O~inance and may pr~s requested. This document when
nner constitutes a temporary Certificate Zo ng compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
Lv/...... .
City anner
USE OF BUILDING ::i,. r D
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H , M R S U
Division 1 2 3 4 I ILl
Permit Fee ................................... $--4-t-=r~ .~
Plan Check Fee ............................. $ If 'ia. 'Ie.,
'l~. SZ)
State Surcharge ............. ................ $
Penalty ....................................... $
Plumbing Permit Fee ....................... $--' 00.00-
IDO.DO
~~.ci'D
l./O.DO
Mechanical Permit Fee ..................... $
Sewer & WaterPennit ...................... $
Issued
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $---.BS"o .(!)C)
SAC ......................................... $~' I'lO.C'\~
Collective Street Fee ....................... $
Sewer Tap ................................... $
.<<;1. .. $
Pressure Reducer ...:z~t............... $
Meter Horn ................................... t
45.00
fI!:
,0./1
1~1~'OO
1/'":1.ClC) .00
rz{)(') .00
Water Meter ................................. $
Sewer & Water Connection Fee ........... t
Water Tower Fee ........................... $
24 hour notice for all inspections (952) 447-9850
Special Conditions ff any
~1
00 .oqz/?J
Tht' ('..nlt-ror ,hI' L...... Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1/01./6-;( r:-J.e.cJ::_
APPLICATION RECEIVED /0-'1-00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
) t.;3 5 5 7< a.-u eAJ C + ;fJ (;.
Accepted
Accepted With Corrections
K
Denied _
Reviewed By: ~ VJ-,A
Comments:
YotD atkA,...!. ~Q~_
Date: 10 -!"oS-.JOeO
"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."
.~~
Thf <"fnt..r of Ihr Lak.. Counlry
DO ,Oqtb
While . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT )'///u.. K /::- /PC ~
APPLICATION RECEIVED 10 -t/-:..J 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)IF3 5 5 1:\) I. c:' /) c- + Iv c
Accepted
V"
Accepted With Corrections
Denied
Reviewed BY:~~
v -
Date: to/tO / .q."")
Comments:
_'2-1.{ ~\ }..l\J.~{M.uFJ\.. ~IL/~ tA)e(\~ J4r ~
\~iJJ..~'-I ~ ~c.J \I.Z....O., c.J ~ Cu~~.
"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."
~1
tl}- 9.-1 g
ThO' ('..nln of the L.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT lJovu..K ;::- J-eC- t
APPLICATION RECEIVED /0 -'1-0 0
Th~-Building, Engineeflng, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ L;3 5'!i K CL u e ;J C + ;fJ tE:
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments: Se8
Or?l/1 I &rkl1
+he rde rp,
Date: 1J/!;/(J)
;;" .r~/ /11;111/0://.11/.
51 If
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,S.p a.Jla(!~tI1eJ1f{: /h'qO./ Gr'~t/P, -r;,~rtrf;4t? Urmll!i1rJ 2_ ~r~.8'.e;L
3. Eros0t:t r1Aln/ ~"'5U/'''~ 4~d~;/}n a/Jk~/ ?b/l,
"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 () _ {} 1 J- Y
1_ Eqfe CrHfl Av. I.E. PeImII No.
Prf......... .. _'2
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51
Date
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OwmIr'a Name
Ad*_
Helling ContrIllllDr. K I r r rl Ai
Ad*..a~'J ('~fY'o.-ff r j-D:LJ~h,)~)
rlllp/!oM' 'IS'Ll- CH)C1D
F~...a~.... . =>tA. i P Q/ TYflEOF..,...d11 .
ModII8Ia 1\J13 0+ :::,AlrPllInta'/
ClInn. llIIIII MIIChanIcIl
lI.~~~ .~I(~J\I(' AIrCondlllunlng 1/
fU81.1\A 'U~QIlt S1zay , V ~ Vant. ~ ,/'
~OpIJl/IIP Be::> HEA1INla~I'OWERPLANT
q Stum
R8tumO.. ., I HoUl/allr
Inpul\~ ct:1-~() AadlalloB
Ul J\..A.Jl QutIlut _ . IIpKIaI Devlc..
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TYPe OF WOflK
New CclnItrucllon V"'"
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Repal, Ell. c-p. Data
Ell. CuIIt ~ .0\')..... Parlllt.
HEATlGPERWT FEE t qq. ~
STATE BURCltAAGE t .50
TO'!Al PEIlMtT FEES ,_, Q \) ,C) \ft.c..,,,
PAID WITH
BUILDING PERMIT
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J. lit".
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aay
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8IlIgIe Fama,
Coml1MlftlW
TYPE OF STRUCTURE
~ lWo.Famil)' Mulll-F.nIy
lnduatrillt PuIlItc Othe.
Fee Sc:hecIu..
Industrl8l, Com~rci~l. MulII-FlIIIlHv 1""~, ) ~ rr'~1fI,.,-;c~.
AINUIffI,i8I" n..no. AC ~. .; r--".~-----.__~ L::: LS ;
( AeBldentl8t. Ha"1ng Onty $84.50 . L( i "-, i i
Aesidenlal. Gas FlrepiKe $39.50" I rx:r 3 0 _ 'Iii
Aea1denlt8l. AdcllIDM a AlIrIIIfonI $39.50 !i \ I 'I, I;
R8IilIInllII, AC Ontr $39.50 ' w L. --J~
-- !
AlIII1ember 10 add ... SIIte Sun:IwgIt OIIlhe boIlom oIl~ .",' . II .. t. I
TIte prlca ot rour healing pennllnaludes D/lIl toUll/1-1n WId OM fln8l1n8poolJan.
~......., .....billlcf..I3S.00-=tl.
HOUle Haallng Test Flecllfd It)U8I be submitted will lluJIIIoIt IlIIIJIlIllllDll! befo.. buld-
Ing -.... 01 occupallCy wi! ""aued.
ilEA! CALClII.u1ONS RECUlRED wilt number olllflllly and relurn op'ring8l1sled per
room wilt CFM'I per opening. New IltucIunta or aGtIltana I8I1d 100. plan w1t~ aupplv
8I1d return 1oc.1I0rtS lhotm. HEAT LOSS CALCUlATIONS, PAYMENT AM>
APPlICATIONS MAY BE MAILED 11) THE CITY OF PRIOR lAKE, 18200 EAGLE
CREEK AVE. s.e. PRIOR LAKE. MIll &51711.
CIty Hel busInna houIa a.a 8 a.m. . ":30 p.m.
ALL WORK MUS' BE INIPEC'ED (ROUOH-IN AIlD FINAL). CALL CITY HALL
....7-4210
, he.eby apply lor a mecltanlcal syslems permit aBd I acknowledge that Ihe
Illlormatlon above .. comple.. Md accurale; lhalllta work will ba In conlormanea
wllh the o.dlnances and cod.s 01 tlte clly and wllh the alaI. bulldlnglmecl>anlcal
cod.a; "'.llhla lo.m do.. nol b8OOm. a permll unlll Ilgned by "'e BUILDING
OFFlC~~e work wll be In acco,d...ce wllh Ihe approved plan In "'a
~-~k ~ch 'aqul,al review and ',.. . "J 01 plan..
10/0.10 IOD
bate .
/6 - 31-oJ
Dat.
.I \_..../ "h'VY\ ...... ~
. tjlC .nIUlgnaltl.a
I BullGlng 0IlcaI'1 Slgnatura
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~ HEATING APPLICATION I PERMIT
Date O~ luJOI PID # ;:}J;- ~&$- D,;25-o
Srte Address 14395 "i2NeJ c. T . . /1
Lot ;}5 Block +- Addhion K/I'11'5h J..iJ.J!.X. ",l)t:JL.
Owner'sName~t..F~kX.-
Address~7 ~/A'UO Avl;. No
CITY OF PRIOR LAKE MC .~ ()
16200 Eagle Creek Av. S.E. Permit No. 00- oq cJ<::>
Prior Lake, MN 55372
Healing Contractor AUTOMATIC GARAGE DOOR & FIREPLACES
Address 9210 WYOMING AVE N. 8ROOKL YN PARK, MN 55445
Telephone # 763-315-7500
Furnace Make l Model
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hal Waler
Radialion
Special Devices
Model Size
Conn. Load
Fuel
Flue Size
Supply Openings
Relum Openings
Inpul
Oulpul
Edr.
Olher Devices V
FIREPLACE ,.
Clm.
TYPE OF WORK
Alleralions
Replacement
New Construction
Repair
Est. Comp. Date
Est. Cosl $ .
Building Perm rt #
HEATING PERMIT FEE S
STATE SURCHARGE S.
TOTAL PERMtT cEES $
,50
PAID WIT' '
BUILDING r ,,-.
Receipt #
TYPE OF STRUCTURE
1_ PiRk
2. Green
1 Yellow
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....
File.
Ciry
ConU';)clor
Single Family
. Two.Family
. Mul1i-Family
Commercial
Industrial
Public
Other
....
on
Fee Schedute
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Industrial, Commercial & Multi.Family
Residenlial, Heating & AC
Residential, Heatinq Only
r Residenlial, Gas Fireplace
. Residential, Additions & Allerations
Residential, AC Only
."
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1 % 01 job cosl ($39.50 minimum)
$99.50
$64.50
$39.50 ~
539.50
$39.50
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Remember 10 add the Slate Surcharge On Ihe bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with !ll1i!!fuJg Dermit number belo", build.
ing cerlificale of occupancy will be issued.
l:IEAI c;AI CIIl ATlnN,S BfOlJlRED with number of supply and return openings listed per
room with CFM's per opening. New slruclures or additions send floor plan with supply
and relum localions shown. HEAT LOSS CALCULATIONS. .PAYMENT AND
APPLICATIONS MAY BE MAiLED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
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City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
, hereby apply for a mechanical systems permit and I acknowledge that Ihe
inlormation above is complete and accurale; thaI the work will be in conformance
wilh Ihe ordinances and codes of the cily and with Ihe slate building/mechanical
codes; Ihal this form does not become a permit unlit signed by the BUILDING
OFFICIAt.; Ihat the work will be in accordance with Ihe approved plan in the
c)1;~w&;J;;;lw and approval of ~~/7-9&
Applicant's Signalure Date
rt-G. Li- d-(
Dale
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~ding OHical'. Signa lure
~'i
1lw Cl'lIIt'r of "lit' Lab COU"I!")'
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant1h~~ ~!);r-
Address: I~I r. , '" -' J2...J/ .
Signature:....L)U7n-v.. r f/n.rorvJ..A '
legal Description: lot ~ Qb BI~ck~J Sub~ -t)'i:!l
Site Address: 14~ c:::.s c{o..~E'^ ~ NL .
Building Permit # /''0 - O<<1~R PID #d5-3C,5(- Od-r;-o
NOTE: This permit will not be processed without complete information.
r. .::.-. .-0.--"
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" ./32000
Quantity
~.
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I
3
- I
I
I
.3
FIXTURE UNITS
Type of Fixture
Quantity
I. Blue
2. Gold
3. Yc110w
FIle
0"
AppliCUll
Bath Tub with or without shower
Dishwasher
,,-=3
I
Rough-ins
Water Heater
PP Nr /Y/)- D9,:t-'J'
phone:.l15;>. - 93.<~- '7'7/1
In :t-J!A ~ . ~ ~t.J.f;"'
Type of Fixture
Floor Drain
lavatory (bathroom sink)
laundry Tray (1 .. compartment sink)
Shower Stall
I
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
$
$
$
$
Pc! b1 &.b..
Back/low Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test -../
lawn Sprinkler
Other 1- dtsf""~"^-
..2..- 'So, It("py~
Sinks
Bar Sink
Water Closet (toilet)
~
PAID WITI
BUILDING PERiVIII
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Eq"al Opportur.iry Employer
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
$99.50
$39.50
State Surcharge
GRAND TOTAL $ _
,
This permit is granted upon the express condition that said
contractor, shall comply {n all respects with the ordinances
of the State Plumbing Code and the amendm~nts f!I~reof.
RECEIPT NO. -/L:..Lt/-OU DATE
r--f' / ATIEST
Call for all inspection~ hours in ad\ance.
~l. . I'lLl
'fELLOW. """UCANT
GOLD. ClT,.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
No.()()-()9~
,
\ tIN I 3 2000
NOTE: Sewer and Water
contractors must
be registered
with the city.
,
A~~_LICAN~.N"\ Plb'k l'~f
ADDRESS~~d~_~~. ~
SIGNATURE~/7V-L.--- fOr("",f21~
SITE ADDRESS: l!::L.~t:<.~~('~td- rJ r
PHONE ~a ~ l}3?,- .,rlll
'3S~I../.:S- DATE: J 1- 9-0...")
PID#
PERMIT #OC-()Q...;).8
:<5"-3t:.S-O,).S-6
BLDG.
1.
Estimated length of water service
FILL IN THE BLANKS
L\s;
feet..
2. Size of water service
I
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 t4~
feet.
6. Clean out (if required), located at
structure.
feet
from
==================================================================
This application becomes
Bt::.~. Wt1~o^
your permit
when approved.
J /- 9-on
DATE:
===============================================================::==
FEES:
$
$
$
35.00
.50
35.50
Se~er and water line connection perm:t
Surcharge
TOTAL
,.
. Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
.
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
t6 insure that no duplicate sewer and water ~ermits are
issued. . PAID WITI-
BUILDING PERIV" .
AMOUNT PAID "-
REC'D BY ~.
1/- /4-00
DATE PAID
RECEIPT :;
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 4-17-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~3~ f..OJ\Jo4.vI.. c.A .
NATURE OF WORK ~ \
USE OF BUILDING Sli='fl
PERMIT NO. 1J() ~;:; DATE ISSUED /0 -l "5 -2- e'"el
CONTRACTOR ~~-'q,jC" "'7<.."!. <./Z<l-<lfSS-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING ~,I li>pj/ct>
, FOUNDATION (Prior to Backfill) I 13'\(1'AI I 17 )r'6ltn
PLACE NO CONCRETE UNTIL ABvOV~ HAS BEEN"sfGNED
ROUGH - I~~S I I
SEWER/WATER/SEPTIC I ')5 LV LU/blo!60
FRAMING w/~~, 11//4/0/
INSULATION : :.... I 7 < ',.
ELECTRICAL ,I L! I r
PLUMBING ft'V~ ~ vf<~};~ rrr-Lt. /M"d ;J u. ~\i I ~/Y/ {J (
HEATING (if required) j I ~.Id4h1ol
FIREPLACE i 'f;) \l (Ua, I 11 it Ic.?l
GAS LINE AIR TEST ~ ,I {);. 3&(,10, I
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~rt
~'\l.~
I _
IPS -f1"-2(
I ~ \1 fl,.wA
OCCUpy UNTIL ABOVE HAS
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I 1-0 "'~ /,0 J
101" Or
I I'
I r I
I to I ,7' (9\
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
.
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-
HOUSE
/43 S-S- ;2u;"'f'A./
ADDRESS
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
HEATING TEST RECORD
APT._FL.OQRc---rCITY PI, SUBURB
11WNER ~e'~-~
DHE HTG. INST. 7-t.V
Y.r~.~ INSTALLED BY r;>.
Gas Line By I--L~
GA_FALHW_STEAM_SPACE HTR. _UNITHTR. _OTHER
MAKF
Model
Serial
INPUT
eh~A~ DESIGN
R.. & R,PLrJB "U":J 5
E:: ~s-D 707.f'dQCj/ o(,(#-/' ~
/l!7b~
!t.JCONTROLS
THERMOSTAT f- Heat Plug _
Val.- f--f W
L;mlt ~~~..s.vl
Limit Setting ---Ltl -t-:--
Fan Setting r/,..",r/J
Pilot Type VS 7
PHot Make (.A.-V\. (V..../"'"<......A
Pilot Model
Pilot Timinr.
(, SU_
L.W. Cut Off _
Pressure "3. S ~(.;
Input CFH /OS 000
Stack Temp. _/O~-P
Form 235
CONVERSION
MAKE OF BURNER
Model
Max. BTU Rating
MAKE OF FURNACE
Mod.1
"7 r,
Vent Size .;:>
KIND OF LINER
SIZF
NON"
Draft Hood . RegulaTor
Filt.rs Size~)C)"S-~.(Numb.r
Chimney Location Insid.----Yi_
Chimney Construction PI/~--
I
Outside _
Smoke Born b __
Draft
Door Pressure ~
Percent CO2 -L~- Date Tested _
Percent O2 -'.4_ Company Testing
Percent CO t::?I' Name of Tester
Wiring
Test Tag.
Lighting Inst.
~-.~- (3/
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Form # 5
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/43S.s- ~ve..t C+
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
Pr: 0 INSULATION 0 SEWER HOOKUP
)1!'FINAL _0 )'LU ING FINAL
. 0 SITE INSPECTION <<}if M FINAL
COMMENTS: s:::./A: ~ ~ dV"t ~
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TIME
Chon
O-q:J.P.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o CORRECT ACTION AND PROCEED
o CORRECT WOR~, +ALL FOR REINSPECTION BEFORE COVERING
Inspector: :B - VCI..MIJ Owner/Contr:
CALL 447-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1435'S Rc,vr", CT
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNOATION
o FRAMING
o INSULATION
vcLFINAL
. 0 SfTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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o CORRECT ACTION AND PROCEED
DATE TIME
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~GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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Owner/Contr:
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~'"'~
Inspector:1(".,,:l! ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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N35'S- A {ul/ctJ Q +-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
P-PLUMBING FINAL
o MECH FINAL
DATE TIME
/'50
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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. CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl