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Home My WebLink AboutBuilding Permit 00-1032 ~~ QAT" R"""'V"n CITY OF PRIOR LAKE / /. / 3 . 00 BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRE~ (-.,. ( '\ /'''/'2 f} ~ ~ uf: '-Ut~ T N E.. J I-kIOR. I rpi} ()'() LA- ,..u:i L White 2. Pink 3. Yellow R./ ING INFORMATION 11. SIZE O~TRUCTURE , I (Height) ~'I (Wllft,T B' (Dep(h~ 12. NO. OF STORIES ~ 13. TV. PE OF CON~R_UCTION ~ 18-<J j) H"JVW: 14. FLOOR AREA APPORTIONMENT USE ~/Alr.i..1i!J ~/V{ 3. LEGAL DESCRIPTION LOT I \ BL,09K ADDITION J- /11'0 (( H, LL 4. OWNER (Name) t'7\ A. . IYkmU.S~T ~~s: 5. AR<iijtTECT ~ (Name) ::::::::-...... :) j),.(\t\ I:;... ---;....-- 6. BUILDER (Name) PID 75-:~/~PJ-() II-() ~~ _....,..., (Address) ~ ls>. rr (Tel. No.) (151-552- ::)li:J~1~<;;:~r GiS"T 171}1 (Address) (Tet. No.) "\'..< ..-< (Address) (Tel. No.) 15. NUMBER OF OCC~~TS OR SEATS OCCUPANTS~I~ Ai /.,0, SEATS ~~ /~ 7. TYPE OF WORK Fireplace 0' Septic 0 Deck 0 Re-roofing LJ Porch LJ New constructio~ Alterations 0 Addition (J Finish Attic 0 Re-siding D Finish Basement (J 16. P~JEC~OST~LUE J ,611 Chimney 0 Misc. _~ ) )i..f" '{'7 (0 -- 8. PAOPE,AJY REA OR A:;:IJTS 19. PROPERTY DIMENSIONS 110. CULVERT SIZE (VIA 17. COMP)-EflOM Df1.E ~q Ft f.1l:5, J~' I Width \ qO Depth .~"2"L.. Yes No '( (!Y]. (0 I /0 I ( ... I reby c h fu~ished 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 ove e '0 e mJlU III....' all ...ullstruction will conform to all existing state and local laws and will proceed in accordance with submined plans. I am aware that the bui i 0 ial e k rrft for just cause. Furthermore, I hereby agree that the city official oWfs)J96f rJ1?I enter upon the property to perform needed inspections. f'-.----' ~S'1'" .::> II-~'-ot) Signature License No. Date FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOI.L TESTS 0 ENERGY DATA 0 PILING LOGS LI PERCOLATION TESTS D BUILDING DEPARTMENT VALUATION USE OF BUILDING SFD OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 2Jq: llClCl.oa PW\.NS & SPECS 0 SURVEY LJ SETS COPIES PL.OT PLAN o TYPE OF CONSTRUCTION: I II III IV V OccupancyGroup A B E F HIM R S U Division 1 2 3 4 I rJO,,", Pe""ltFee ................................... $~ . A ~ Pl.anCheckFee.............................$ 'i'c.~. 'It,. 'og, 50 -- City: Amount Brought FOrWard .................. $ Pa.. Support Fee ........................... $ PI SO. CJ(") SAC ......................................... $----1.,-/ 0 (') - 00 Collective Street Fee ....................... $ Sewer Tap ................................... $ %" $ Pressure Reducer .......................... $ Meter Ham ... ........ ........................ $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ qS_oo State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... ~ ~t!Jt'J_ en I()()'/V Sewer & Water Permit ...................... $ '354 5.D..-- GaSF~~a s:e n ......~... ........... $----E/\ ,"CL... Thlst~l comes Yo Idlng permlt,lJIfhel)J\gproved. By (J Date _ /-;,(0 -~lX)C> CertifIcate of Occup WaterTowerFee ........................... $ I;U:;.OO "~~~ :~~ Mechanical Permit Fee ..................... $ Water Tap ................................... $ Builders Deposit ............................ LL: ~1"lC> ~ Other ......................................... $ Total Due .............................. $_A. ?hl? 7 I Paid F?36V. 7 / Receipt ~t, .~~ Issued ~r~ A ~ Date 12. 7. (R~ By V- ThIS IS to cerufy that the request In the above application and accompanYing documents IS In accordance With the City ZOning OrdInance and may proceed requested ThIS document when Sl by the p~anner constitutes a temporary certi/JV.i7&\)mPhanCe and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. City Planner Date Special Cond~ions if any 24 hour notice for all inspections (952) 447-9850 ~~ 00 -/032. Th"C:"nl..roflh..I,.bCounlry White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=:T NAME OF APPLICANT APPLICATION RECEIVED 111-' It:;, L-SI1\ ED I {1-1~.oO . (',.." .. ,r: (i::- The Bunding', Engineering, and Planning Departments have reviewed the building permit apPlic~ti,OY~~:~.~~i~ctivD~i~ ~roP~s:dl at: N S- f ~ Accepted ~ Accepted With Corrections Denied Reviewed By: LLL Comments: 5EE !?EVEt€5E Date: 1/- 2 /-00 .5IDE ffie kuJlT}/7,f/);::}L CO/71/77"r::;/1/73, N~: Eme:f2.(!>l9JCV OV€I!.Ft..tJuJ ::uJ/1t-€ mV5r BE AI tJEtNr::AJ hR/10E dU:D~. .,I ~ /17T/lUl/lJGl/Ts: I) hj?flO/M5 11A/t} ~) ERf)5/D,v OJI1J7R!Y.. /!/EJ:12LRE3 3) ERo.s/DIJ l.l7ID'- PL.AN "The issuance or granting of a perrTlll or approval of plans, specifications and computations shall not be construed to bga permit for, or an approval of, any violation of any of the provisions of this code or" 0..... other ordinance of the jurisdiction. Permits presuming to give authority to violat ncel the provisions of this code or other ordinances of the jurisdiction shall not . ." DO - \032- ThE' C..nll'r of lh.. L.k.. Counlry White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED fII rr I bl-S I AED I (I-I~ -00 I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I4-Z79J DOVE- c___ I I - Accepted Accepted With Corrections Nb /<- Date: J 1- 2..rJ - d~ Comments: R~ a.1( a*aL~e& ~cJuk.. "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.. ('..nlf'r of Ih.. Lab Counlry ~o -1032-- Wtlll!! - - aui(di~ Canary - Engineering Pink - Planning B.Ull.DING PERMIT APPLICATION DEPARTMENT CHECKLI~T NAME OF APPLICANT tv II TTb L~~I7-\ t-~ 1~"I I I - I ~;;) . (/ () , APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I /17 -"7 (: L:.4- l- Y. , - I C'v C ( (., t '.J --/ Accepted Denied Reviewed By: ~/~,-~ Accepted With Corrections v- Date: 1J-/t.{ / t90 Comments: _::2-0 Fr .MA~~/;UlJM W~~ ~)~ar- f7i91KW~1-/~t *=-~..LJI<f!O.,?t) 10 ~~ "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 MC 16200 Eagle Creek Av. S.E. Peon~ No. Prior lake, MN 55372 () 0 - /Q3 2... .TYPE OF URUCTUllE. 1. Pink 2. en..., J. Ye!.lQW "'. Cit~ . , Cm = ~ , = HEAnNG APPLlCAnON I PERMIT L-'1-o ( \\.(:A.i'i? Date Site Addless PIOII' \)ow- fu)(.l. ~.1.1:::: . Lot _ Block Add~lon Ownets Name .\--\..;'\+cl~-\n. 0 r~+- ~Y'M-\..... ~ Address -,Q~ ~(; ffftll'.> S-+. E, Ijl.Vlf~~~'2_ fi6&l-\~I' Heating Conlractor ~ )m&vi \ ~ \..\ ~ ~\ltl (I. Addless \~U$I Q,.lllOru \s,\r1f'r~ %\{J So, Telephon8# -3t)-;)"-9c,4-<Xl>~ AIR CONDITIONER' UNITS CANNOT ENCROACH INTO SIDEYARD SETIlACKS. Furnace Make & Model _w",^ ~ Model Sire c:..-; ~llL Q3-76 Conn. Load -"7":;-.000 Fuel J\IcU.. {~Flue Size _ It., g Supply Oflenings Relu m Openings Input 7'i:roD Edr. OUfput. Clm. TYPE OF SYSTEM Warm AIr Planls Gravity Mecllanical Air CclndiliDnlng "("!lno,," IMr .\13lC ~ Vent System 31ll HEATING OR POWER PLANT Sleam Hol Walel RadlaliOll. Special Devices Other Devices . TYPE OF WORK A~elalions Repair Est. Cost $ _ Replacement . Est Comfl. Dale . BuIlding Pelmit # HEATING PERMIT FEE $ 99.~ STATE SURCHARGE $ .50 TOTAL PERMFT FEES $../0 CJ, 00 . . New ConstruC!ion x r PAlDWITH l8JI.DING PERMIT Receipt II' Single Family -.X Com merelal Two-FamIly Induslrlal MU~i.Famlly . _ ~ ~ Other_ Public FH SchedulB Induslrial, Commercial & Muffi.Femily ReSidential, Heating & AC Residential, HBBling Only ABsidenlial, Gas Fireplace Residential, Ada~ions & Alteralions Reeidenllal, AC Only ~ ~ o a , 1% of job OOSI ($39.50 mlnJmum) ~ -~ ~ ~9.50) ~ $64.50 $39.50 $39.50 $aS.50 ~ ~ on Remembello aad the State Surcharge on the bottom of this application. "" on ,.. .... ~ '" The price 01 your heating permit includes one rough.;n ana one linal Inspeclion. Additional inspections will be bDled at 535.00 each. House Heating Tesl RecoRS must be submilted with bUildif1lll!l!tll1illlll!llbtr belore bu i Ing COl1illcale 01 OCCupancy will be isSued. + ~ lffM CAI CU LATIONS REOUI REQ wijh number 01 eUpply ana lelum openings listed ;;; room with CFM's per openIng. New slmclures or adanions sena /IOD' plan wilh supply :: ana retum locallons shown. HEAT LOSS CALCULATIONS, PAYMENT AND ~ APPLICATIONS MAV BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE ::: CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Half buslnes.s hours are B a.m. . 4:30 p.m. AU WORK MUST BE INSPECTED (ROUGH.IN AND FINAl..) _ CAll CITY HALL Phan.: (152) 447-8850 FIl: (952) 447-4241; .... , ~ ~ ~ :1 hereby apply fOI a mechanical systems pelmit and I acknowledge thai Ihe . Information above is complete and accllrale; Ihal the Work wlfl be In conformance :u with Ihe ordinances and coaes of the city and wllh the stale building/mechanica ~ coaes; thai this form does not become a pelmif until signed by the BUILDING OFFICIAL; lhalt~ work will be in accolaance with the approved plan In the case of alf WO~~Whh rBquIre. ~nd apploval D/ plans. /. /J ./IF R'~'''-'-- 1_ '1-0/ ~~~~ . ~ )-q~O ( ~ , ~ ~ ~ Builalng rlcal.. Signature Dele '" Do. II) '" '" ~ o , CD c ClJ ..., " CD CD CD '" '" <D ~ III <D '" - '" '" 1J> ClJ Do. CJTY OF PRIOR LAKE Me 16200 Eagle CreekAv. S.E. PermllNo. QD - ~z. Prior Lake, MN 55312 Date HEATING APPLICATION I PERMIT -/- f-ol SMAilik... 1l/'J11 ~L (Y. PID. lo1 _ Block Add.ion Owner's N..... Milk;. ~J".U ~;/AAJ Addr..s Hlating Contractor ALL lED FIIlES IDE dba FIRESIDE CORNEll. Acklre.. 2700 N. FA.IllVIEII. ROSEVILLE, MN 5HIJ TeJefl/lOOe' 65 1- 6.'J3 - 25 61 . F!REPLAGE rl fJlmtllP Mska & ModeJ .ttJ/IV' JJ ~ ModeJ Slz~ !dh 0 11L CoM. load Fuel <d,. Flue Size TYPE OF SYSTEM Warm Al.r Plant. Gravily Mechanical Aif Condftlonlng Venl. Syslem HEATING OR POWER PLANT Sleam Hal Waler RadlaIlon Special Oevi;e. Other Owlces a: w TYPE OF WORK z X a: 0 Attaratlons Replacement New Construction 0 w 1-/0-01 0 Repair Est Comp. Oat. H '" OO~ w Es\. Cost. -+1()D & lluldlng P.rm. , a: H :1 HEATING PERMIT FEE $ G~) ~I STATE SURCHARGE $ ,50 c. ". TOTAL PERMIT FEES $ Receipt' "'I ~ Supply Openings R"lUrn Oponi"llS Input OUlpul~ Ed.. elm. ll.PE OF SmUCnJRl;, I. no,) 1. .... J. "'... Elk "'1 Oltot_ Single Family CommerclaI . Two-F8lI1ily Induslrllll MuIU.FIunJy Pubic 0fI0f Fee Schedule Induslrial, Commercial & MlJl;..Famlly Resldenlhll, Healing & AC Aosidential, Healing Only Rasldential, Gas Flleplaca Aeeid8nUllI. Addltions & AIIerations Residenlial, A.G Only 1" 01100 cost {$39M mlnmtmj '99.50 '64.50 $39.60 119.50 '39.50 ~ to add the Slale SUn:h1UJl8 on Ihe botIom of Ihla applicalion. Tha price ol)'fJUl' /Maling permit Inckttfes one lough-In ond one limll i.,., ..;.J\. AdcIilional...... ' .~l>1JS will be biJled al $35.00 each. House Healing resl Recant musl be SlA>mitled wllh IBi\!lIng IIIIIIiIIIIDliItJ: '"'fore build ing certilicale 01 0CCl.IpIIIICy wi.l be Iasued. ~ CALCULATIONS RElJUlRFD wAh number 01 sl.lpp1y end reIIlrn openings lI!IIed P room wlth CFM'c peropeMlg. N....1nIclurfM 0'.. .,;..;... ...dftoor plan wilIBtqlIy and relum IocalIona lIflown. HEAT lOSS CAlCUlATIONS, PAYMENT AND A.PPUCATIONS MAY BEMAILED1OTHECITYOFPRIORI.AI<E.11I2IlO EAGlE CREEK AVE. S.E. PRIOR LAKE, MN 55312- Clly Hall bull..... hours are 81.m. -.4:30 p.m. , ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAl)- CAll CRY HAll 44T-4UO I hereby apply lor a mechanical syslams per mil and I acknowledge !halthe inlormalion lbo... Is complale and acc~.attl; that the work wi" be in conlormenc with Ihe ordlnanc.s and codes ", !hI clly and wRh the dale buUdinglme<:/lanlc codes; Ihallhis form does nol become e permit unUl signed by the BUII1lIN' OFFICIAL; Ihal Ihe work will be in accordance with 'I>e approved plan In the c~ an work Which requires review Bnd approval 01 plans. ..11. /-rz:. lilt., APPr~.. P Oale . /-q'Of Buiding "leal's SiQn81\n DaM .,...... .' CITY OF PRIOR'LAKE PLUMBING PERMIT # 00-1032- APPlicant:~' JJ/J/f; jlg,:fA (1_ Phone:, y5' ;: -fit) (: , Z I Z / AddreSS:~a ".I1b1r 1/;;; <70/dtl.L,t1f.L .'J:5:7J? Signature: ~\l_ Legal Description: Lot Block Sub Site Address' /</;;..;7P" U/)t!l1 I..f Building Permit # nO - - I 032- PID # NOTE: This permit will not be processed without complete infDrmation. ......... ......_-a-a. _____oJ ........... ....1- ~""J.v.l\ ~'U:. U.. ('~ft...t"",""I".fC"III'l'" ~~Ol Quantity ...J / I .3 / ; / .3 FIXTURE UNITS " Type of Fixture Bath Tub with or without shower Dishwasher Quantity ~UUJ, I. BI~ 1. Cold 3. Yellow file City .^rr1iQnI ,5 ( Type of Fixture RDugh-ins Water Heater . Water Softner Stand Pipe (washing machine) Sewage Ejector 8ackflow Assembly (RPZ, DDuble Check, PVB) 8ackflow Assembly Test Lawn Sprinkler Other $ $ $ $ .50 Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) ( Thi$ permit is granted, upon the express condition that said contrnctor. shall compl,y. in all rc.'pecl. Wilh the oldi""nce. of the St:ate Plumbing e r1[1 amendments thereof. ~ RF. I /-1, 0 I DATE ^ TrEST Call for all inspeg;ions 24 hours in advance. ---- 16200 Eagle Creek Av. S.E" Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447.4245 An Equal Opportunity Employer FEE SCHEDULE Industrial. Commercial & Multi-Family (1% of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 GRAND TOTAL 12/07/00 THU 12:32 FAX 6128902753 STOCKER EXCAVATING 141001 c:ae.uo - .... ".I,LOW .. &I'- -c: Ill'" GOl.D . crn CITY OF PRIOR LAKE SEWER AND WATER PERMIT NOTE: No.OO-I03Z- sewer and Water contractors must be reqistered with the City. APPLICANT: DC Mechanical/S~ockBr Excavat1ng PHONE: 890-4241 ADDRESS: 82417 Westf 125t~!2:..; J':n. ~ SIGNATlJRE:-I?./ ~~ SITE ADDRESS: 1ll.nSl TIn... r>~ ".. ~~17.LDATE: 12/7100 SLOG. PERMIT # 00-1032 PIDjI 2!:::>-30~ - () \1-0 FILL IN THE BLANKS 1. Estimated length of water service feet'. 2. Size of water service inch(es). ). Location of any couplings tram structure feet. 4. Type of sewer pipe. ABS PVC y cast Iron s. Estimated length of sewer line feet. ~. Clean out (if required), located at structure. feet frOlll =====~___s==:~~_~~-=-===-__ ___~~==~=~~~~==~~~~=~~~=_==~_.-c our permit when approved. This BY DATE: /2-g-0eJ ~=~-=~-~==_~ ~===~_=~________~~~~a~~a~_====~__===_____ FEES: $ S $ 35.00 .50 35.50 Sewer and water line connection permit. Surcnarqe TOTAL · Fee for either seWer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction ~ust be recorQed on the buildinq permit card at the time of issuance to insure that no duplicate sewer and water pe~its are issued. . DATE FAID RECEIPT # AMOUNT PAID .e-,II\~~\\ ~"'\V Vvl REC'D BY \. ~?5\\~G .. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 4474230 I FAX (612) 4474245 All Equal app.,<<lln'l)f Employer PRIOR LAKE INSPECTION RECORD Qf.. DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS -1'i';L f( 8 D"'lJp. NATURE OF WORK ~ ,,-' USE OF BUILDING S-f D PERMIT NO. OD -I 03'2- DATE ISSUED ll-'20 - 2000 ) CONTRACTOR J::ll't\pk~ ~lJ:'I'. 0~. OSI-5S;;J- 1')'71 J . NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT pjSPECTOR DATE I FOOTING I b1. . I /:;./ I~/ n I . I FOUNDATION {Prior to Backfill)Y~~ I~. /d/.uI# I 8:J.. 1 z,f lit /TO I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED I ROUGH - INS SEWER I WATER I SEPTIC '80/1""" t~~~ FRAMING ~ 'INSULATION -g-U~ ,! t'1fol ELECTRICAL ( PLUMBING 'g ~o...w HEATING (if required) ~ . FIREPLACE _ 1If~ ~ GAS LINE AIR TEST ~p, ~ ~. III ~/tJ I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I WALLBOARD I I " FINALS . OCCUpy UNTIL ABOVE HAS NOrH;1;. 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. GRADING (Prior to Sodding) BUILDINGT<P. -to.e '(11/61 (:;q.. 3(, L/ft,/ ELECTRICAL PLUMBING HEATING DO NOT tiP; lo.9ova t!Jr. & Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 I / /t" /(J I . . 1/lIliPl I/J~I J /11... /~I Cf - /2 - ()J /1 ~/:;f'J()/ . 311t/lor BEEN SIGNED (!ttrtiftrau nl (lDicupanry CITY OF PRIOR LAKE 1Dtpartmtnt of .uilbing .Jn~ptction ~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 ofissUlJnce this structure was in compliance with the various ordirumces. o/the City of Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY R3 VN _ Type Construction L11, B1, KNOB HILL FIFTH Bldg. PermitNn 00-1032 Fire Zone N / A Zoning District Rl ADDITION Occupancy Type Legal Description Owner of Building Site Address 14278 DOVE COURT NORTHEAST BROTHERS, 2425 96TH ST. E., INVER GROVE HTS., DON RYE Cc...._.... 's Name &tAddress MITTELSTAEDT ROBERT D. HUTCHINS / Building offiCial >,/ / o-:2.n-() ( I City Planner _ Date: Date: POST IN A CONSPICUOUS PLACE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS Jt.!Z78 Dav..L C+- OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ...ef'FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: S:,J '*- I ~c:.. oc \ c1,-:)~ l-o DATE TIME 10 -2.1'\ -0 ( 00 -/O'?,~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o 6-~ ~ -C'(q / ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRrlRK. CALL FOR REINSPECTlON BEFORE COVERING Inspecta Owner/Contr: CAL t.7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE 3// 'f/Ol ?::sO INSPECTION NOTICE SCHEDULED ADDRESS I Lj ;J 7'1 J) () tic cT ( OWNER CONTR. PHONE NO. PERMIT NO. 0-/05'2- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~ PLUMBING FINAL ~" MECH FINAL COMMENTS:t/.) !{;f2J? ~~ .~ ~J..eIl1U: tt.-dY ~i ;... ~f- (~.;::b....fP~~) V~~ ~_'~ "'"'-~~~+:~ ~~- ~, ~~ dv-. r- . . . (~~ :.0 ..-'l."~. ....:...w...JJ /P'"J-- ~ ~, V(.fJ) ~~~ ~ ~ ;""~r LIZO~f~ ~~~ . ~ Mf', ruo-U-<J. ~ ~ ~ , . - /eTZ,-~,.~~'~ ;-.: ~/I /01 o FOOTING o FOUNDATION o FRAMING o INSULA~"'~ FINAL '" T../' ,g SITE IN CTION o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ -" o WORK SATISFACTORY, PROCEED " CORRECT ACTION AND PROCEED o CORRECT W~ALL FOR REINSPECTION BEFORE COVERING InspectDr: - M---} Owner/Contr: I CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INrINOTI CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FRAMING o INSULA liON --"CFINAl. r 0 )aoUNOA liON o DEMOLITION o FIRE PREVo COMMENTS: Dnv~ CT. fYJ,' ++Jl s+~ud f W-/()32 SCHEDULED /'-1.1 78 CONTR. PERMIT NO. o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION {J.llb 8t>'j- - QX ar<ul. --,-rt' ~ORKSAflSFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: 4~ Owner/Contr: DATE TIME 9-1;-01 1M ~~L1.NG o LKSHORENVETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o CALL 4474230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME ';)~.H"Ic)f s: 00 , ADDRESS J</;)7J? (O~/E C!.T, 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 0 WATER HOOKUP o SEWER HOOKUP ~ PLUMBING FINAL o MECH FINAL COMMENTS(1l) j~ ..l;~ k--~g--", ~', @ ~'c- ~ ()_~-,~ ~)(I/lJ~, - crh- . (J() - /03 Z- o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~ f~ 'fn o WORK SATISFACTORY, PROCEED )I':, CORRECT ACTION AND PROCEED ( 0' CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ Inspector: Owner/Contr: --I CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! BVRNSVILLE Heating & Air Conditioning, Inc. 12481 Rhode Is/Dnd Avt. So., Savar', MN 55378 . 894.0005 Orslat Test Report for Jobl /58'</ AddIllS" ;if 2. I (J /Jc:v< Occupant 5c l, In J \ e"" Dale of Inslall zlv:::>/ D I Type of HT. F/A.......... HW Other ~(. }J of.. City Po 'or t. d(...{ Space HT Unit HT Make . UI1<1'\'=>'/ Model &-.2.t,n,;;; - 75" - ) Serial S500L c..fg-.;;53 Input ., S",DDC Pilot Type 1+-/ ) Pressure "3 S- Input CFH -; S-- SlaCkTemp 1/6 Dale Tested 3/ s; I c> , CoI1lplllV Bf ~~ I~ ~ Name of Tester Z/ I ( C02 g./ 02 iD" CO 0 -t 4L