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Home My WebLink AboutBuilding Permit 03-0234 . CITY OF PRIOR LAKE BUILDING PERMIT, ~~ @ ~ 0 \!bIjt]:e'd TEMPORARY CERTIFICATE OF ZONING COMPLIA lJ E AND... upLITY CONNECTION PERMIT FEB 1 0 2003 11 A I IV Ft L..Ci E:. 15:_ I PEiJlI"'~'o",oZ5...:-1 (!>lease tvIH! or print and sUm at bottom) ADDRESS ZONING (office use) 5D-3(, 'J.,w.l=v J.!e,W1r l'M-JI- LEGAL DESCRIPTION (office use ooly) LOT/7..BLOCK J ADDITION -t;rni3tn lnfsr k/JIT1OY\. PrJO PID~-'fzn-- on-o OWNER fUl.:T7E- Nom!?'!.. /Jp- rn~1 h5/- 'I.5Z-SZ00 (Name) (Phone) (Address) 8/S- ll/o/lrNll/csr -rwy .join No_ ;;Aoh /I1n _ , , BUILDER 5mne- (N~I'TP' (Phone) (Contact Name) f!ullf 'J51.+SI'...HIL/ (Phone) 6/L-Z-7/- tJ~rs:- (Address) TYPE OF WORK o Misc. ~ew Consnucti.on .:ii:l!Jeck DPorch ORe-Roofing ORe-Siding 9:1, tJ95" DUtility Connection 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 r."r~-.J 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;~;;;7--'iZ?;.~:~ U- /37/ z ~o~_~ 1/ / Signature Contractor's License No. /" /~ate I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee DLower Level Finish j1.Fireplace PROJECfCOST/YALUE (excluding land) $ ,. if9aooo.oO I $ 'q..u. 7~ I $ (,00. A/cf I $ "/5.00 I $ I $ IOD, ao I $ 100 . OD I $ 35."50 $ ~o ,1Jt:l This Application Becomes Your Building Permit When Approved ~ -1~t..- Building Official -Jh/lo3 bate , DAdditioo DAlteration # # # # $ $ $ $ $ $ $ $ $1.:1 9 1-1-. (, '! 12.75. ao ~sa. 00 '15.00 12..00.0t'.) 700,00 /500,00 (') I R.~C~ No_ ~9'1S- BYO ' 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 ~annjn~;:?~ o1l-'I{~3 If~ ~jW~~~ 24 hour notice ror all inspections (952) 447.9850, rax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ./ I Park Support Fee I SAC I Water Meter Size 5/8"; 1"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE I Paid . Date kf/f.fD !! ~ ~.f" H Main File CY(hite - BulldinD Canary - ~nYIII~I"ng Pink - Planning Th,,('.nlnoflh..I._k..('Ol,lnlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PUG TE /-loMBS 2-10- 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5030 ~/,I)V~ ~6tf1.s Tl2Al L- I Accepted Accepted With Corrections .....-- Denied Reviewed By: ~ ;f~ ~ Date: ..;2/d/~3' cu.# d:Zi:..-LLJ ~-~ Comments: "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." ! Main File Tht('t'nlt'rofthtl..b('ounlry White - Building Canary - Engineering Oink . Plannlnj) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PU /., 1t: I-lo i'-I 55 2-'/0- 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5030 BI ,/Jr~ ~6H1S T72A1 L- Accepted Accepted With Corrections .-' Denied ( Reviewed By: ~ :;t'~, Date: d/~llo.3 , , Comments: 1Y7~~ ;25' fJ(,a;.e..ft..J ~~. v ~. ",e,'F ~~ ~.& " ~ A'nLL.;.-t;..-; ~ ~ ~-trr..JI-' ~;..:P. , 0 .j "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." White . Building Canary . Engineering Pink . Planning Th..C""nlt'.n(lh..I..hCounll'}' IDlJLDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED PI} !"-Ir" /-1 n '\1 e".c: I \./ ,'" \ -'" ~ ,.,...) J "., ,.-.-J 2-1 (1- 03 The Building, Engineering, and Planning Departments have reviewed the bUilding permit application for construction activity which is proposed at: [.;-0 -:::: I ., t:.~1 '.) C::;:.:;" t*~1/~1'" .l..J==r<:; --/,--,2A' I ~ ~ -...__ It- rj, il. r r- J J ,-.C. f '\ I -,- , Accepted Denied x Accepted With Corrections Reviewed By: 1111.413 Date: S-'3-0-s Comments: SP.P. Rpv"rc::" ~irl" fnr Arlrlitinn::>' Infnrm::.tinnl Driveway Must Have A Concrete Aooroach JJ1"in f;/t. See Attachment~. 1) Grmiing Plan, 7) Fro~inn rnntrn1 MpMllrf'" "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 HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd :;;:. ~::y I PERMIT NO.3 _;;2 3' / 3. Yellow Apphcant 't (Please ~ or orint md silro at ADDRESS ZONING (office use) 5036 BLUFF HEIGHTS TRAIL LEGAL DESCRIPTION (office use ooly) LOT BLOCK ADDITION PID OWNER (Name) PUL TE HOMES (Phone) (Address) APPLICANT (Name) A I.J .JRD FIRESIDE DBA FIRESIDE HEARTH & HOM" (Phone) 651-633-2561 (Address) 2700 NORTH FAIRVIEW AVENUF (Address) (Contact Person) qRENDA HUSTON ROSEVILLE (City) (Phone) _651-633-2561 55113_ (Zip Code) APPLICANT SIGNATURE BRENDA HUSTON DATE 5/9/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical OAir Conditioning OVent. System INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks " FIREPLACE MAKE AND MODEL HEATN GLO SL750TRS-C Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 $39.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 PAID WITH BUILDING PERMIT (Omce Use Only) This Application Becomes Your Building Permit When Approved - ~ . Ii: I ~ f Receipt No. ~DI1AY 1 3 2003 I U~ By ~ 9~~~~~] Buildine: Official Date 24 bour notice for all inspections (952) CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please ~ or Drint and slm at bottom) ADDRESS :;;:. ~::y I PERMIT NO. ? . ..... -::::>.1/1 J. Yellow Appbelllt ~ 0(,. ...,::), I 5036 BLUFF HEIGHTS TRAIL LEGAL DESCRIPTION (office use ooly) LOT ADDITION BLOCK OWNER (Name) PULTE HOMES (Phone) (Address) APPLICANT (Name)----AT T nm FmF~IDE DBA FIRESIDE HEARTH & HOMF ZONING (ofliceusel PID (Phone) "51-"33-25" 1 (Address) 2700NORTHFAIRVIEW AVENUE (Address) ~OSEVILLE (City) (Phone) _651-633-2561 (Contact Person) RRENDA HUSTON APPLICANT SIGNATURE BRFNDA HUSTON DATE 55113_ (Zip Code) 5/9/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical OAir Conditioning OVent. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices FIREPLACE MAKE AND MODEL REA TN GLO SL-750TRS-C Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .5Q (Omce Use Only) This Application Becomes Your Building Permit When APproveJ~ ~ ~~ 1111r ~lnl1 BuildineOmcial Date ~ ~~tel 3 200.1 @ 24 hour notice for all inspections (95iW7-9850~"~_~.7-424j PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks $39.50 $39.50 $39.50 PAID WITH BUILDING PERMIT Receipt No. By ~ 170'd ll::llOl (if~\ \~~I \ m) , / \. ,~ .. ,,~~. Date Rcc'tl CITY OlP PRIOR LAKE PLUMBING PERMIT 1 DhHI Fi1~ ~. 0..,16 Gllr ), Y~I\Q.. "llpli~lI"' I PERMIT NO. 3-::' d3~ I ZONINCr'''lf;;~;;;'l ..J .J.?lc.m: ~lJr pr;,'ilt ,"lOd Sl~ Ilt bott'J'!!..L-- ADORESS 4/ f}j) , L :/(J,5(;. {).~MTfLJjf/fl.l.t Jr LEGAL OESCRlPTION (otl\<, u,e only! LOT BtOCK ADDITION PlD OWNER /,/ 1.. (Namc)C.{1I1 fJ)!) (Phone) (Addrco,) APPLlCANl/ ~. /2 J j . (N.lI"") . 1.1; P ~ / Ag. (Addrcs:;) ZZl} L~f' I!k:L (Adllrcss) (Phone) ~ 4fi:~ VZ/ .::Gnfb.A .-6JS..u (City) (Zip Code) (Contact Per"nn) . f! " ( ..::~iZ.I~~~c.:0.J::!T SIGNATUR~.__~ AM ~.<L /1/\ ~ A'A..{.., (Pholle) ._._....._.._. DATE M'UlA ..11;)J__........ " APPLICANT .PLEASE COMPLETE BELOW J I . Type of Fb:ture ----.=~.l Rough.ins Water Heater I Water Softner I Stand Pipe (Washing Machine) Sewage Ejector 1 Backtlow Assembly I Backflow Assembly Test I I Lawn Sprinkler Other __..............1 ......Q;;3iii11y....f.. Type of Fixture .---":y'--- 'Bath Tub with or without Sll(lwer I I Dishwash.r I F !(l<,r Drain 3 I Lavatory (Bathroom Sink) ( I Laundry Tray (lor 2 ~ompartrn"nl sink I Shower Stall / I Sink~ 1 I Bar Sink l_........3_..._..._...J._~ater Closet Ctoih't) Quantity 4 I FEE SCHEDULE Indu$lr~o.L Cnmll'lerl:iul &. Multi-f~mily 1% of job cost with a $39.30. minimum Residenti.1. New One & Two.Fomily $\)\)51) Residential. Additions & Alterations $39.50 Estimated ClJ~t S Building Permit # PLlJMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ PAID IAn'PIl . .509'11I..., ....n "'I&.U NG ~"Mrr ({){fict: 1.1.'Ic (111)') Builtliul[.Otneinl I Paid \'IJ ~ 1;\]"' 'ceipt No. I ~ [; (E ~ G .c - ~ ~ -------1 . Dnl. I _ _ 1 ( .___1 AI'K u. 'Z LUUJ j ,. ..., .~...., ,.,,,,.. "'" ~,..., ~ .~, ~,~~ '-t 16200 F..glt Creek .~ve.. S.E., Prior L.ke, YlN 55372-1714 By JNIOJ8Nlawnld^3ll~n -----..-...1 This Apphcatioo aecomes Y uur Building I'"rmit When Approvtd 170/170'd ES:9, E00G-,E-dI::lW Jan 31 03 12:15p METRO GENERAL SERVICES 763-428-2968 p.l ..... RoE 'IULOW . Af>P\.tcMT QOLO. CITY " Sewer and Water contractors must be registered with the city. APPLICANT: rnE~ Ge.Ne.R.../\J-.: 5r::.&'V-.PHONE~ '3\4-~g '~'13S ADDRESS: S1:jn ~ A.;~rNc.DATE: I~-;>' SIGNATUR; 1- )J,.f~ BLDG. PE~IT # 5 '-I ""BL.1..l FF SITE ADDRESS: 0 PID# fTl,A/L. FILL IN THE BLANKS CITY OF PRIOR LAKE SEWER' AND WATER PERMIT FA'I. QSA,- 'I'I7-'/'1.oil.r s.w. No.3Y94 NOTE: 1. Estimated length of water service 50 feet. 2. Size of water service ( Ii inch(es). 3. Location of any couplings from structure <::) feet. 4. Type of sewer pipe. ABS PVC 4-/1 cast Iron "- 5. Estimated length of sewer 1 ine.5""('""} feet. 6. Clean out (if required), located at feet from structure. N ===================================~~=========================== This application becomes your permit when approved. BY DATE: ========;;~j~=~~~======-====================================== FEES: I1ld-f FJ~e,/>,,:;'" .Sewer and water line connection permit. ~ . . < Surcharge <..Jv() Fe.e-""5 TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. -- * Sewer and water permits issued for new recorded on the buildin~ permit card a to insure that no dupl~cate sewer a issued. \....... wa!l1 ~. AfAR Q 4 Inm AMOUNr PAID tp-~ REC' --=- " .- I.:t....",. 16200 EagleCrcek Av. S.B., Prior Lake, Minnesota 553721 Ph. ('ls2) 447-4230 1 FAX ('1S2) 447-4245 An Equal Opportunity Employer DATE. JlAID . RECEIPT # PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~3" ~L H NATURE OF WORK USE OF BUILDING PERMIT NO. tJ3- 0234- CONTRACTOR . PHON NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT'OF Main I BUILDING AND INSPECTION INSPECTOR DATE , FOOTING M/I s~ 7- cD> I FOUNDATION (Prior to Backfill) I VW/ I 5-/,)- rf3 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC - FRAMING M./ -)~( '1 -0 '3 INSULATION {lvv S-)o , if'; ELECTRICAL A PLUMBING Ul!:r... L{VV\/J-, JlVr_ S-fH3 HEATING (if required) fA1'"' .r-/'1-d1 .. FIREPLACE . .. GAS LINE AIR TEST COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS rJ() GRADING (Prior to Sodding) BUILDING 1<>1.<17 v",1i I ELECTRICAL PLUMBING HEATING DO NOT OCCUpy E"+~ IU-/J./r ~ /c0>.z/ttJ~ fVYJ ~- 2.5.tJ) I?II. 7 /s/C.3 UNTIL ABOVE HAS BEEN SIGNED NOTICE 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. FOR ALL INSPECTIONS (952) 447-9850 MAR. 10,2003,3: 32PMs1 FRPUlTE &5165913'19 TO 995244741~NO, 056 P. 0p. 2 To: Of: Fax #o' I Curt Blaschko Pulte Homes of Minnesota Corp. 9)2-447-4108 From: Direct Phone: Date: Jeff Handeland 651-603-6618 March 10, 2003 I I I, Meslage: I AttfUhed is a copy of our Report of Density Tests field notes for fill placed after frOS! removal in Lot 9/10/11/12 at Timber Crest Park in Prior Lake, Minnesota. Ijyou have any questions or need additional information, please call me at the phone number aboye or e-mail meatfhandeland@amengtest.com. I ~YOJ /IIIJ e ey S. HandeltJJld General Phone: 65]-659-9001 Fax: 65].659-1379 1'/tis/ac:imi/e alld ally.n/e,r I,allsmlrredwllh II (I,e cO/lfidan//a/ alld /1I1.nded ,,,,/.Iy/or Ih~ u.. ~rlh, 1/IllI.idual or 611111)1 III Wh"llI th'y",e "dd,..,.". Tht. oammulI/.orlon /lIDY oontain male,iol pl'ol.CJ.d by Q/larJl~)l-clll/ll pl'/l'il'Ce. /fyw ore I1l1llh. !nlol,tled re.ipieNt or rh.p.,1I01I ""pOl1$lhI. for ".(Iv.rlng Ih. fa.,"/lII/. 10 ,he J"r.lld.d "'/1'1"11, h. atlllj,..tI/hlll you h,lV' r.a.i1'~"lhi". ,"oll$ml..lon III ,"'or a"d that any lise, dl,...m//lulh,n, jOM,'ardlng, prllll/lli or COPY/liS oj Ihi.lnJoMI<JlloII /" ,~r"/cl/y prohihilcti, I/;.mu h"". TI../y.tl Ih:$ fac"lmil. i" errol', pl'f/4' lIolif.v 11$ 01 /.BOO.972.(igM. MAR. 10. 200J. J:J3PM52 FRPULTE 6516591379 TO 9952a41aUlNO. 036 r.~.p. 3....... . ~ . Rc'6\Gfti~~~ -:J;JO/~' atiMEIUCAN mg>>_~ f)~ DENSITY TESTS DalftGrt-6lltlle;,L I . . MAT~RI"'LS ~EPDlltr--r ~ v AET JOB NO: e'O ~ O?:~I$NMENTAL PRom slmG--;TNf.' .... PROJECT MANAGER: _\ ~ 4k ~- .._-"-=--- ,,'.-------- FIELD DENSITY TEST DATA .'75 I ?~ '1(" 11, 11 I ~ Q rkr- l.01"S 9-1'2.. , U.S,f'".,- Lo"'l"::' q.I'2. ~.r4"'" I looTS qwl'Z. ~~r l..c1:.S '-11.. fi1 d~ '* -L./ :If- -I..( * -2- ~2 ~ ",=-i TECHNICIAN: ~ /c%! b.3 /cr s-: I') /OC:i "".~ /~? {".1 /o? (P'.1 r - ( ~ ~ { '? ??E ~ I ~ , Y6L I ~ ~ T0? -K 'l;E'~~ =:-e; ~~ ~,;:;-~ GAl~E' Melhod; Sand Cone (ASTM D1SS6) ; Nucle~ (ASTM D2922) 11' , LABORATORY MOISTURE.DENSITY RELATIONS OFSOJLS (PR.OCTOR)~ ~ ~ f :fc€ ~I SllJiDosorintion .I.:I:t! 51l..rb,~~ ~lC.I""" - ~~I~ "Jr=hP.....>J, ~ ~ It:- Opt. Mollmro Max, Dry Conlllnl 'Jl:_ Densltv ncf 13.F' I (C. ~ Procedure &. Metho4;,;s ~li;~n.4I~~.DR2S) .. Vi, ..MJ.l4I~~~dng, Inc. . SSG Cleveland A.venue North'. ~~I MN $5114 . G61'llit-9001 .l"Dx 181-6&9-1379 c,_....""""...IT-lO DulWI ,Manka'" . Malshall . Rochester. Waucau . R",ld Clly . Plene . Sioux FIlls ^N AF~IA""ATN~ AC'TION ~D EQUAl. OPP~l.I..rrt ""pI-OVeR . . ** TOTAL P~GE.02 ~* @~rfifitat~ of OOttupantll CITY OF PRIOR LAKE @rpadmeuf of ~uilMug JJuspediou ~inal Permitted 0 Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY Bldg. Pennit No. 03-0234 N / A _ Zoning District PUD Occupancy Type R3 Type Construction VN . Fire Zone L12, B1, TIMBER CREST ADDITION Legal Description Owner of Building Site Address 5036 BLUFF HEIGHTS TRAIL PKWY., SUITE 140. EAGAN 5)121 DON RYE Contractor's Name & Address PUL TE HOMES. !l15 NORTHWEST ROBERT D. ~TCHINS~ Date: /,?/ ~~rCiW ~ City Planner Date: DATE nile CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED (;,t-~ ADDRESS .J();J, at rrfP- J.fk 1"- OWNER CONTR. PHONE NO. PERMIT NO. 1 - '). 1'l o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING Rl o MECH Rl o WATER HOOKUP o SEWER HOOKUP ~ PLUMBING FINAL o MECH FINAL o EXlGRADIFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~OMMENTS: {iJ !tdC 1"iJ!, rr rlIp 4C(6$ ~) ((vU b~ n)1k uPs ~RK SATISFACTORY. PROCEED , CORRECT ACTION AND PROCEED o CORRECT we rJ"LL FOR REINSPECTION BEFORE COVERING Inspector. IV OwnerlContr. CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! JJtINOn CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS S-c:d~ OWNER PHONE NO. [] FOOTING [] FOUNDATION [J FRAMING ~t"TION [] SITE INSPECTION COMMENTS: _ G.rq,e/v ~K- DATE Tille SCHEDULED /0 -Zf)-(JIf Elv/+ fils "(;/ CONTR. Pvll~ HotI'WJ PERMIT NO. () J .}.3 4-- [] PLUMBING RI [J MECH RI [J WATER HOOKUP [] SEWER HOOKUP [] PLUMBING FINAL [] MECH FINAL ~ILLlNG - 0 Cdlllll:AiNT [] FIREPLACE RI [] FIREPLACE FINAL [] GASLlNE AIR TST [] ev.fb f3,,~,{9'- 6+1 ~RK SATISFACTORY, PROCEED [] CORRECT ACTION AND PROCEED [] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: 'i'Jt# ~ Owner/Cant.. CALL "'7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ """"" CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: DATE nilE SCHEDULED 93(P t3wP;':; H7J /7t.,. CONTR. PERMIT NO. 3 . 234- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL E)OO I~ I o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ ;::: , /'.-, ( / .nt7cr / Dr --= -- - ~~ j/) / ) /7r~ /' ---- ~ (/%se -....:::::::.... A WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. ~ Owner/Conlr: CALL "7-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI -, CITY OF PRIOR LAKE INSPECnoN NOTICE SCHEDULED ADDRESS ,c;01t. DIrEr l--fb OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING O~ION ~~~u_ o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP O~ING FINAL ~MECH FINAL COMMENTS: (-,,,,,,J Cf~rrJv~Lr-7J..- O~,. d.,'''/AE''''._.A-. DATE TIME 7-'1 :! - 2'JY , o EXlGRADlFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~,..J.(.. ~'r r{~t? (.Mfi I R--lrdJ o WORK SATISFACTORY, PROCEED P CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspeelor. ~7-t(-0)_ Owner/Contr. CAt.1.- "T-llR~n FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. """"" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI '- :'\, \ ~ , -"''''7-_ --'-/ I " " .., ...-----~- BVRNt.!t rY~'_.:O.:J Heating & Air Conditioni'!G1 L.L.C.. 12481 Rhode Island Ave S, Savage, MN 55378.952.894-0005 < ..~.n') ;:: . ,-, i ~_"'..r, I .' 'L- ' Orslat Test Report for Jobl 6"/3'3 I"Mdress ~-::O31.< R\v..~~~ k City R-lor- ~ OccuI18i1t ',j; Dale of Inslall 5i/~ /0":> Type of HT. F/,. ~ Other- . . Make Model Serial Input Pilot Type Pressure Input CFH SlackTemp Date Tested Company Technician " Space HT UnitHT J.......,. ~ (.;).~~-~-L, S-SO :, D-:tl\..Cl't 1 5l). DO<;) ..,. HOT SURFACE IGNITOR -- 3.';, .i:f1 ~ 10." % "]';"'- ro 97 CO? 02 CO ...."/~/o "? BURNSVILLE HEATING & AIR CONDITIONING ':S(...'b<r'"