HomeMy WebLinkAboutBuilding Permit 00-1006
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2 Pink City
3. Yellow Applicant
(Please tvoe or vrint and sign at bottom)
I AD~37(o WILD 04Lt>
(~~
LEGAL DESC~IPTION (office use Duly) /'\ ^,'
9 l WI q:, U"<fi.L- <.;;
LOT BLOCK ADDITION
OWNER
(Name)
(Address)
BUILDER I I . ((eye-51
(Name) f-I..-{
(AddreSs-;P () ~)(
(Phone)
+kL-<t.$ .-L I\.J C-
'1.50 7>'''(0)'' ~
PERMIT NO.
Date Rec'd
HOV - l 200l
Pro 2.5-.%4-- 001- D
(Phone) 9~2"99f5'- 7""5
J.-1JJ r;;53f 2-
TYPE OF WORK []..Mew Construction ODeck
SF"q
OLower Level Finish 0 Fireplace
o Misc.
/!
/l
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
PROJECT COST/VALUE (excludiug laud) $
ZoO:]CP 5 'IL(
Contractor's License No.
1" 18:J pcx::> .00
I~_~':"" I I
6'3k .71 I I
~.oo I I
Park Support Fee
SAC
/1/50.0 ~
SizeS/8"; 1";
Water Meter
OAddition
OAlteration
ication which is to the best of my knowledge true and correct. I also certify that I am the owner or
and that II construction will conform to all existing state and local laws and will proceed in accordance with
e buildi official can re oke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
needed. spections.
~-'".~".~;:;.;::-
B tlding Official Date
x
l,/
Signature
~~
$
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
1 Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
J 1- /<""OcJ
Date
#
$
$
$ /Z5. DO
$ </[;.I)D
$ I,:;loo. 0 't1
$ 700.00
$
$
I (!)O .()7:)
100.00
3550
t{O. Of)
3S0.00
III. g~. o?J
#
#
I, SOo.oo
$t13L~ 39
I ~~11$;. f/1' 4-t.
/,f
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 as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Paid
Date
'(',3/4- 'S.,
'e:;.2A.O I
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
i~7
.ue~
Thr ("fnlrr of Ih. L.k. Counl!')
00. 0/00(0
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/-/1/ L C l../ f:-., -T
j-f' / f.
. '-' .--'
II- 2./e:'
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I;: .:J -7.' /. I i j I ' J / II i . c.. / .:' ,I' I.r:::-
u:~. If . l~/j : i .',"._. II. j, /- I I '". I.~
Accepted
/"
Accepted With Corrections
Denied
Reviewed By: ^J.A A- ~~.A/l
Comments:
~~ ~~ ~ ~- C~?'h\{~c.!..
IJCP- ~v1A~ -V- ~ Ow- tAjJi,-J. t1k<,..
,JJo {Jf3v7J... c-v ~"~{ \IMVlMT/d
No ~(.1/1YM ~ f3p jbYVJ l~ (~
Date:
U/22- /tOrJ
"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 D~ O{ooto
Tht- C~nl'" of Ih., uk., COllnlf)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)-1/1. L c,~f:.>~T He/GiSS
/lz.(){)
;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
&37fc WILL) CAk:.~
"/!:J?/.!..11 ~
,
Accepted
/
Accepted With Correction~
Denied
Reviewed By:
L-&L-
Date: //-1'3-00
Comments:
SEE tlJf1j;1J511~l:::."j POI? CD m mElt JT5 ,
"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
DO'D/ol/JVJ
Th., (~.,nll'r of lh., I.all., Counlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/-J/(A-~r;ST HoH6S
If. z .nO
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
&370 W/L,O OA~ /I/IGJeAcE:
Accepted
Accepted With Corrections x---
Reviewed By.
~~
.7
Date:
1'/"8.3:xJo
Denied
Comments: _
~ 4-L. J1~cW. LJ) ~
"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,"
JUN-13-2001 09:00 PM STAR PLUMBING & EXC.
952 884 7468
P.01
-.. . ....
Y.LLlIIr. __
.......CI1'.
CITY OF PRIOR LAKE NOr"')- /tJOt-,
SEWER AND WATER PERMIT
APPLICANT:~ ([{J
ADDRESS: /a
NOTE: sewer and Water
contractors must
be registered
with the city.
SIGNATURE:
SITE ADDRE~
;t-~.
~~ BLDG. PERMIT .
63 7;;P.J~+~PID.,';},$-3IocJ-oCl1/0
PHONE: 9S]1- ~8~-VIY7
DATE: ~-/3-aJ
1.
FILL IN THE BLANKS
Estimated length of water service (S--~
/ II
Size of water service inch(es).
feet.
2,
3 .
Location of any couplings from structure
feet.
5.
Estimated length of sewer line
PVC X-
,=? /J
Cast Iron_
feet.
.~ -'1
at
feet
from
4.
Type of sewer pipe. ABS
6.
Clean out (if required), located
structure.
~==~=======~==e===========================;========_==_______==~==
This application becomes your permit when approved.
BY
DATE:
=================-==========-================~==============-~--=-
fEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
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
to insure that no duplicate sewer and ~t~r ~ermits are
issued. t-'Afu WI rH
.. BUILDING P-r: - ,--
It/ ./J/ t: ."" I
DATE PATD (,,0 - 7'7./ AMOUNT PAID
RECEIPT #
REC'D B'iV
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-424
An F.qua' Oppnrluni,y Employer
11/05/2001 11:10
'3528'347'372
LAKESIDE PLBG
PAGE 01
CITY OF PRIOR LAKE
l BI\J<.
1. Geld
3. Yel!l'Iw
Pile
Co
Applk..l.:lI
# OD-I/)O~
Phone'~5"hf74' 7i,C-J,"
~.A""'~ /n" A...i . <),",..3 7)
r -
u'
/
i /b
P~UMBING PERMIT
APPllcanl:_~h....,/~/l/LHn~f
Address; ;;&::~ .~ N"'-4'~
Signature: ,/: ~
Legal Description: Lot Block
Site Address:_b3? t,L. i.tV L)JL1 7JA~
Building Permit /I PID /I
NOTE: This permit will" not be processed without complete Information.
T~. C;ulrr c/ rho l-io.l.. Cayntl'}'
1-1 ~/1Mf HrflYtRJ
I
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
Quantity
:l.
1
/
.3
/
I
Sub
FIXTURE UNITS
Type of Flx1Ure
I Quantity Type 01 FiXlur.
I ,:, Rough-Ins
I / Waler Heater
I Water Sottner
I / Stand Pipe (washing machine)
I Sewage Ejector
I ,. Backtlow Assembly (RPZ, Doubl. Check, P'lo
I Backflow Assembly Test
I Lawn Sprinkler
I Other 0, '~f'05 " ~
Lavatory (bathroom sink)
Laundry Trey (1 or 2 compar1menl sink)
Shower Stall ,.,
Sinks
Bar Sink
;L Weter Closet (toilet)
71(P 6~pS
~ ~lVO
FEe: SCHEDULE
Industrial, Commercial & Multi-Family
(1 % 01 Job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, AddJtlo~s & Alterations
Slate Surcharge
$
$
$
$
$9~.50
$39.50
t:f f .':P
.50
GRAND TOTAL
$ /00'"
This permit i$ granted upon the Cili.prCS3 condilion lhal said
t;Ont.r8ctor, shall comply in all respects with the ordinances
or the Slate Plumbing Code: and [he amendments thereof.
RECelPTNO. DATE
ATTEST
Call for all inspections 24 hours in advance.
. . \il"\
~O\N pe,V;!J:,1
. GU\\P\t>\G
...........-
16200 Eagle Creek Av. 5.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447.42'15
An Egual Opportunity Employer
.
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
.
~ ~ ~~ I PERMIT NO./Vl-/ o:::b
J. Yfil_ A.....-.. (./\./ { <<
(Plcuc!YRe or Drinr and lim at bottom}
ADDRESS
0>37(0 U~f2d. Oo..k-oT~
I ZONING (._....) \
. LEGAL DESCRIPTION (office we only)
LOT
BLOCK
ADDmON
Pln;;:>S- ;).,(,,)j-[):!7-{)
OWNER .
(Name)~+ ~or>
(Address) PO. ~ LI'SCL, _ PA.Jffi...Lo..h
. APPLICANT . L
(Name)~l..~~+~~~.. -1-r-:.P. (Phone) 7lo.7,"f/S-7Du....J
(Address)~\O C~ (lor'. ~ ~ fb.aJ- lmn 55'-/'4's-
- . ~ ' (Af!!}eSS) (Cily). (Zip Code)
IJ' I
(Contact Person) 1".C-:. ~\!.. (Phone) ~"-1/3" 7.:5" /~
APPLICANTSIGNATURE~J:;) ~"" DATE q-V-Dd
(Phone) _9S;;)-}('-t>:l-7"'(4~ _
. APPLICANT PLEASE COMPLETE BELOW
p'EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~EL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
.. OWann Ait Plants 0 Sl..m
OGravity 0 Hot Water .
o Mechanical 0 Radiation
OAlr Conditioning 0 Special Devices
OVent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroaeh into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL -?'hr>~" A r, <.. D V.3C10~PIV
V'
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential. au Fireplace
$39.S0 minimum
Residential, Healing &. Ale (New Construction) 599..50 Residential, Additions It Alterations
Residenlial, Healing Only (New Construction) S64.'0 Rosidenli.l, AC Only
$39.S0
S39.S0
S39.S0
HEATTNGPERMITFEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
S
.50
'"
. !SUI' ~41'"
,D, vl1.,
"'0 vl'J'/y
/:)...
Estimated Cost $ Building Penn it I(
(Orner Un Only)
This Application Beeomes Your Building Permit WIlen Approved
Building Ornela.
DIIII!
I Paid
I Dale ~ - ~ diU,
Receipt ND.
Sy .~
<..J
ZoO~
%4 hour notice for all inspections (95%) 447-9850, r.. (95%) 447-4%45 l' n ZO/tO/to
X1I1UIlLd lI~VlIV~ JU.vJIIOJ.11V ZOLOSHZ19 XVd Z_.'_~_ ._.____..__
~
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
(Please tvlze or orint and sima! bottom)
ADDRESS
~"<.,7(" (...J ~~.rJ On..b/J TJ?_c
LEGAL DESCRIPTION (office we only)
LOT
ADDITION
BLOCK
Date Rec'd
.
: ~~:.. E~,,,,, I PERMIT NO"dfl-/oo0
ZONING (office un:)
PID
OWNER
(Name);?LfJ~~ on (Phone) C:;CS-.:J-X'7?>"7Cr;(o3
(Address) PO. .G.o;y. '/..5(". P//;.cn >~1 ,/Yln ,").:'i"TD
APPLICANT
(Nam.o'_~;;'J Ji,,-;-,O 0 r'r-c....-J r~-,
(AddressFf.:J/n Ul;...".,..u>n<:j 0-1H'~, A P. f"h11
;. V (Address)
,
(Contact Person) I<"',"_S i./.e.n~Q--'
APPLICANTSIGNATIJRE.~ ~Q/r<>
,
(Phone) 7G2.1 "3/5" 7S-aJ
SSZI'l/'.:3-
(City) (Zip Code)
(Phone) 7fo3.3JS-7SJG-,
DATE -o/~/O;:l.
APPLICANT PLEASE COMPLETE BELOW
CiaNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE R.E1URN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
S39.S0 minimum
$99,'0
$64.'0
,. OWann Air Plants
OGravity
o Mechanical
DAir Conditioning
OVen!. System
o Steam
o Hot Water
o Radiation
o Speeial Devicc,s
o Other Devices
FIREPLACE MAKE AND MODEL /J1DJ'u.:!-;';, D Y3{p6RI0
(/
Industrial. Commen:ial & Multi-Family
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.'0
Residential. Heating & Ale (New Construction)
Residential, Heating Only (Nc:w Construction)
Residential. Additions &. Alteratiohs
Residential, AC Only ,
$39.'0
$39,'0
Estimated Cost S Building Permit #
0/- /oOb
HEATING PERMIT FEE S
STATE SURCHARGE $
TOTAL PERMIT FEE S
(omcc Use Only.)
This Application Be~omes Your Building Permit When Approved
Duilding omctal
nile
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4145 rJ'
"'nn Fit1
X';J"l(JT)hJ ';JC)V)JV'=\ "H.r.\fwn.tnv
r~ PAID WiT'
.s~UIL.DING Pi::.,
~
.~
D"rEB I I 2002
7.nlno I ,,7. r~ YV.>l LO: 11 7.0/RO/7.0
From-BTRNSVILLE HEATING & Ale +i5Z-894-09Z5 T-348 POZ
'--J 1 I UJ:4 .t"KJUK LA"
REA TING/AIR CONDlTIONINGIFIREPLACE PERMIT
F-554
Date Rec'd
(Pleas!; tvpc!. or Drint and. siClllt bottom)
I ADDRESS
la-o llo \..J..J ,\&
rn. \(~\e ~1lj\O
LEGAL DESCRIPTION (office lISe only)
LOT
BLOCk
ADDITION
. OWNER
(Name)~\\lC'N...~ \.-\.~<:"
(Address)
APPLICANT!"\) " "" _ ,II,..
(Name' '~,......UU '-l..
(Address1
l~gl
~<<L
U
Q.rry{JQ IS...\r~
- (Add=s)
:t
/' -
(Contact Person)
1
APPLICANT SIGNATURE
; ~.:;. 5;~. I PERMIT NO-oO ~ I fXk; I
ZONING COfficeu,,)
Pill
(phone) _~-R'QK-{(P(....,<
(Phone) €jS[JJi.9l{-fYY)~
(Ciry)
(Zip Code)
>
(Phone)
DATE
//-/til '0/
l.
t.. APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TEM TIONS
FURNACE MAKE AND MODEL . (OJV'\C"\)( ~Q{P ~'6-/S FUEL t...'h.-D-.(...,ns'
. - \.
FLUE SIZE RETURN OPENINGS lo INPUT ~.rnD OUTPUT
,
TYPE OF SYSTEM HEATING OR POWER PLANT
oWann Air Plants
oGravity
o Mechanical
OAir Conditioning
OVen!. System
o Steam
Olio' Woter
o Radiation
o Spe<ial Device,
o Other Dovices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1 % ofjob c;:Ost Residential. Gas Fireplat'~
$39,50 minimum
$99.50
$64.50
IndLl~trial. Commercial & Mul{i~Family
Residential, Heating & Ale (New Construction)
Re-sidc:ntinl. Heating Only (New Construction)
Estimated COst $
,<;ry)().cD
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(ornCI:: lJIlC! Only) __
This APp~ur Building Permit When Approved
lI\oildihgom<ial ~!
$39.50
$39.50
$39,50
Residential, Additions & AheratiOlls
Residenrial. AC Only
Building Penn it # () () -I 66&
99 .~ P~~~~~~~~J.n'_
.seQ\\>> -~
IOD.DO -
$
$
S
IP~
. LlL:tti1
IRe~
I By lfY
... J ~4 ~ov'noti<e for all inspections (952) 447.9B50, fn (952) 447-4245
,(J{ ,\Y ^ Y
fJ. (' YOl.";Y
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS (n.~')r., LJ,/J ~ I.p~,
NATURE OF WORK 1Jl2k)
USE OF BUILDING ,c::. F"A
PERMIT NO. (){). 0100" DATE ISSUED
CONTRACTOR f,lillcMp.o... ~ 8"e--?{,~ ~ j
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING ~/~" (!n, (P/(G(tJ/1 ~ ,~:ECT~R I ~1301;~
I FOUNDATION {Prior to Backfillt?!1~ I i~ (,/./ /01 ~, ~ ((2-/0 I
PLACE NO CONCRETE UNTIL ABO'v~ HAS BEEN SIGNED
ROUGH
I,
I
- JNS
SEWER 1 WATER 1 SEPTIC /?; I
FRAMING \...(.... 6-:r. 'l(I'(6~ ;b b
INSULATION &:. d J;XS/O r ~:
ELECTRICAL . ,
PLUMBING l...\.,.(~. "ll \l/O"l- ."J c.b, 1///"3t0!
HEATING (if required) v. ,-:. 4. J.t((llf()"l.- 1 ~ (. .
FIREPLACE t,...c... ~."\.(\l/ov ~ Ifft-., ",,-/[t(ldZ-
GAS LINE AIR TEST~, F.I . ~,~f-. 1// tJ/02--L.L.f>:t. .f"ft.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~~ ~ ~W/c, r P'lA(..w.,)..Q -t &r 1jJ3YaJ
" J FINALS~ 4,:5"!t/~-:'"
GRADING (Prior to Sodding) Nf1" /.7,64-
BUILDING ~ ~ fb~/oV
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical I.!ervice 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.
147/(11
Mu.~{
111---2--/~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~.~I::;:;;:)j#~Y;~,:_'. ~~i.~~. .;....jP,....,....,.,.'~......j., ......:.. ."'.....;..:: "~ ",;.i':., ",.,., ....
I ... ......._,:.4.............~.,.__ .. _ ;:::. ..... ......~~~,....,...... ..,~,", 1
~. : ...~~.._n - .. --- . ~. .~!. I(..~ t
~~~'I! . QLtrUfirat! nt ODrrnpanry I ~:;
It: I \ CITY OF PRIOR LAKE i.~~ 1
it).. .\ J. 1atpartmtnt of .uilbing Jn~ptdion '~'\:..:.' :.
(~: ! )A'Final Permitted 0 Conditional C.O. Expires !~~
i..;,.. This 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 I 'l\
(11.' I City of Prior Loke regulating building construction or use. For the following: i :~
(~'l\l i..~
( i: Use Classificalion SINGLE FAMILY Bldg. PermiIN< 00-1006 ! ~
.,~ ~ ., .
i~ ::::::. ::. Bl~n:~~~m;;~;s VN .FircZone N/A .ZorungDisUicl RISD i ~
~ _ 6376 WILD OAKS TERRACE
:.:, ::::::&Addrcssl.lILLCREST H~M,," p.O.~i::rc:56. PRIOR LAKE, MN 55372
:~\ ROBERT D. HUTCHINS ~ f"ily Planner DON RYE
(-: Date: ~?fly' Date: -
BIJRNSVILLE
Heating & Air Conditioning, L.L.c.
12481 Rhode Island Ave S, Savage, MN 55378. 952-894-0()()5
-, ,. r (
;- >:><; .
Orstat Test Report for Jobl --. ,
Addl'llS$ (; Tn i ..'0 J (,. Ie,
Occupant
Date of Install -) I( '.>"'
Type of HT. F/A, HW
Other
t'''/'.
City
l>'/ " lC :~C
Space HT
UnitHT
Make i,J i' 0.'
Model (:, zfc Q .5 ' ?', &
Serial ",,0 i \C :::, 2_ '1 2. 1.-
Input -, '5, COO ~701 (
Pilot Type HOT SURFACE IGNITOR
Pressure 3 . ,,~ C02 ~. J
() f,z--
Input CFH 02
Stack Temp 98' CO U
Date Tested
Company
Technician
5./'02-
BURNSVILLE HEATING & AIR CONDITIONING
<;:"/1'<..
,
DATE TlIIE
7P~~
U/,Ij CkLs 'krr
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
6376
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.-1!rFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
a:J- /OO~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~
) )
-// Ie /
~
~---
_.;.,..~-,_."'._-
/
( C;;0e
'"
..,(.-- ~
/",,-WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK" C~'; ;0; RElNSPECTION BEFORE COVERING
Inspector: #",r~ Owner/Contr:
"//
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
ro]7G
U/j I),
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
JZJ PLUMBING FINAL
p-MECH FINAL
COMMENTS:
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(i) 1=/1, IS Vi . all' Y/Il i 1$ IVI
L\ of OcJ[
/iJ.! 'Se41 u{) ~i/'( p!Q(( I/Wl J
C) (2,a/ &tII/,. . I/e '1 VVl4 ~
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..,.... l'",u'i;. CAr-I'
DATE TIME
j-24_
Oqlt..s 71:/4t:<:..
([) - / ()oe,
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
e~ {.e,.; v--
Wl.5 f h"J'?""~>
o
a a?rrJvq (
rYl
~drl
r/"f....p VY1fi {
O~ -r Yf'~ ;~W I.
Sf- ,-j -(") ~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: v1If I ~ 14 - D? Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7--7"0'-/
ADDRESS
(~71. WI /d 6q(~ /'.e_ ('''"Cd ~
CONTR. NJlc,~~+ HOIIV5
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
(llf-l=tNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,~LLlNG
b co'lIPtXlih
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~3 7'1 ~ {,r..d< - (J-"K.
t.~(':J ~d)J(-&Y
"l7(, ~ (;r..~~- {~It.-
( "Ib J?~ I- ' /71"
t WORK SATISFACTORY, PROCEED
I l'cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: d~ Owner/Contr:
. -
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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