HomeMy WebLinkAboutBuilding Permit 01-0241
Date Rec' d
z-7-01
Mal'v.t~
I PERMIT NO. (J J - D 24-11
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1, While File
2. Pink City
3. Yellow Applicant
(Please ~ or Print and sim at bottom)
I ADDRESS
/?"~6"~ .o.::'..c:-~' ',~ <J ~/I/E.,,;ur-
LEGAL DESCRIPTION (office use only)
,f / ~1!!iiZ<J
LOT BLOCK ADDITION
ei7~
PID 25-372-005-D
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Name) v7_A'. ~.m...v ~.
ZONING (office use)
lei
(Phone) ~ 6'7- .;Ufi6 -"'7/.3-6
(Address) ,";>;Y;S'9 fiAo;;lSl(<~ ~ .~ ~"/
~
TYPE OF WORK
i;iI New Construction
ODeck
ORe-Roofmg
OPorch
OLower Level Finish
o Fireplace
OAddition
OAlteration
PROJECTCOST/VALUE (exc1udingland) $ /A:0;?~
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and conect. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will conform to all existing state and loca11aws 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
enter upon the ~. -~_.:.1 to perform needed inspections.
a....e- ~ ~
o Misc.
x
~~~6'7
,
Signature
Contractor's License No.
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
Sewer/Water Connection Fee
100 .($
I 00 .00
35'. $0
4/').00
I Water Tower Fee
I Builder's Deposit
I Other S ~t.V l.t.l~
I TOTAL DUE
~/..:? -;;?
ORe-Siding
e><' -6 -0/
Date
#
#
$ BSD.~
~. t1?r
1$ 1~.I')f')
$ 45' . f)l'
$ (\-'2. . (XJ
$ 1"'zOl>. OCl
$ J.500.CfJ I
$ · ~SD I
I $1570, fa! I
I
I
#
#
t:f1l:.'SA . . .-7::ourBuildin2gp:=I:~~~~(ved
~ i!.Ou I Paid ~ ~7 I). I~ e:j I Rece~'Pt .:s b
'ding9<<icial Date IDate'''_tJ_^,'1 By I":
,
~his is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ma{proceed as requested. This document
"~ ~:ty Planner con,titutes a temporary Certificate of Zouing compliance and allOw. construction to commence. Before OCcupancy, a Certificate of Occupancy must be
. la ~ -. - Sft'1 ;4 (
P~ning Di.rector Date . Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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White - Building
Canary - Engineering
Pink - Planning
Thl!' Cl!'nlU 0' 1M ....kl!' COllnlry
BUILDING PERMIT APPLICATION OEeARTNlENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D 2., HLkTON
2- {- G'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17'252- DESKf-Ie-LU UJ2.. ~E
Accepted
~
Accepted With Corrections
Denied -r- ~
Reviewed By: ~ / /I ~~
, ~
Date:
/s/~/~(
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Comments:
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"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."
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DI,o:t41
ThO' C..nll" of th.. Lab COY".!')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D 12-. 1-+0k-.l UrJ
2- 7- 0 I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17252.. D5SRF/5L-D DR- SE
Accepted With Corrections /-
Accepted
Reviewed B
/(-
/
a~
Date: .:2 - / 3 - 2cc> I
Denied
(?;;D am
~~~
"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."
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f'(\ f\\tJ FILE
White - Building
Canary - Engineering
Pink - Planning
Th~ C~nl"r of the Lak.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D e.. t-iOI2.IDN
2- J- 0 I
The Building, Engineering, and Planning Departments have reviewed the buildir\J permit
application for construction activity which is proposed at:
17252. DESR-FIE-LO DK Sf::
Accepted X
Accepted With Corrections
Denied
Reviewed By: IV ItR Date: 3 -30-0 I
Comments: r See Revef:S8 Side for AddltionaIlnformation!
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,*
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l:iee Aucnmems: 1} uraalng I-'Ian, :o!} croston Gontrol Measures '
3) Erosion Control Plan
"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."
,-
FEB. 15.2001 12:38PM
GENZ RYAN 6513226147
NO. 773
P.16
_. ....
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CITY OF PRIOR LAD NO. Ot-0?g-J
SEWER. AND WA'l'BR PERMIT
NOTE: S.w.r and wat.r
contractors must
b. raqistered
with the city.
APPLICANT:~O.- ~L.I"''o'''''- u,n-n,ut2. PHONE: /"!!.I-l.j.'2:!o-,IL.lLJ
ADDRESS: 1"'114~~ tl_IfL'f' ..,...... lI1_u-.."'r ~"""'DATE:
SIGNA'l'URE:~Q~ (]./'-- - BLDG. PERMIT *
SITE ADDRESS:J.:1~~~'JI""~f".o('\~. ~ PIDt. 7..b ~312'OOS-D
FILL IN THE BLANKS
1. Esti~.ted lenqth ot water service ~' reet.
,u
2. size ot water .ervice inch(e.).
3. Location of any coup1inqs trom s'l;ructure teet.
- 4. Type ot .ewer pipe. ABS pvcL Cast Iron
: l1.n,-'Jf', I
.--. 5. Est1lnated. lenqth ot teet.
sewer
6. Cle.n out (if required) , located at teet from
structure.
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This application becomes your permit when approved..
BY D~'1'E:
...
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.-
FElIS:
$
$
$
35.'00
.50
35.5D
Sewer and water line connection permit.
Surcharqe
TOTAL
* Fee for either sewer 2t water individually is $20.00 plus
S .50 surcharge.
..
Sewer and. water permits is.ued tor new construction must be
recorded on the buildinq permit card at the time ot issuance
to insure that no duplicate sewer and water permits are
i..ued. ~ ~
DATE PAID C-f - k, -{J J AHOUN'l' PAID.~ o~~~ yf;.~
'~~1 .'
REC'D BY
RECEIPT .
'. -
, 4629 Dakolll St. 5.E., Prier Lake, ~naolll 55372 I Ph. (612) 447-4230 I Fax (612) 447-4245
~ !QUAL Ol'PORTUNrrV Ei'1I'U:MIl
FEB. 15.2001 12: 39PM GENZ RYAN 6513226147
n. 611_ -f... L8~ e.""Mtit
Quantity
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CITY OF PRIOR LAKE
. PLUMBING PERMIT
Appl\l;v\t: ~ Y"l1~ - .9 tr "'"'
Add~; J1lJC;;;-(t~b"'" T/6-L.
S1l'1natunl: ,~" .
Lqal DHcI1pl1ll11: Lot . &-.. Block ' I Sub T"'7f2Lq,i.D Zr.Q.
Site Add....: /12.S"'-z. ~(l;c.e.(") "'i::tIf. ~E... f
Building Perml!lll PIC' ? c::;. 312. - bOS -0
NOTE: Thla permit wiD not be pfCIC8Ued wtthout compl.te Information.
FIXTURE UNITS
Quantity
,-
.....
Type of Fixture
Bath Tub wIlh or WIthout ,hower
OishWuher
Floor Drain
Lavatory (bathroom ,Ink)
Laundry Tray (1 or 2 compartment aink)
Shower Stall
Sinka
Bit Sink
Water C10Mt (tolltl'l)
I
Lrl
,
NO. 773 . P.23
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:a._.a.,
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o I-() zA-1
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Phone: tl'5;/-4-1.,~-1 (4'-1
"r>CA """"u.J/7T" '!C;c::ll1rR (
Type of FIxture
ROUgh-ins
Water Heater
Water Sollner
Stand Pipe (wuhing ",-c:hi".)
Sewage EJector,
Bacldlow Alumbly (RPz. Double CMck, PllBl
Backflow Assembly Tilt I I
Lawn Sprinkler
Other
,
$
$
,
.50
t'~\O ~~pJJI\1 .
$ P..\,)\\'p\~ .
Tbll ponnIt II pantad lIpIln the ""prel" __Ilioft IIIlt IIld
CDfttt-=lIIr, .hlll ClClmply In III nupocll with tM orclln_
o( 1II1 511111 P11lifbift' Code IIId the _dlllOllllllleraDf.
tf-t:,-O UCSIPTNO " DATB
(1\<---- ATTBST
Call for a1IIDlpCdionl ~~rs In IdvanllO.
16200 Bagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447.4230 I PAX (612) 447-42~5
An Equal Opport1lnlty ampley.r
FEE SCHEDULE .
~ Induetrlal. Commercial & Muitl-F.mily
(1% of job COlt, _.50 minimum)
RHldentlal. New One . Two Family
RHldll\tlal. Addition' . Alterations
Slate SUrcharge
$89.50
539.50
GRAND TOTAl.
14:22 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
#6543 P.003/005
IJllte lUC'U
~l.....m>!: at _ tIl4liRD 1It_)
ADOMSS
E:_I PERMIT NO./___;J-t.j I
fn.01omc.....)
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LEGAL OESClUP'110N (011Io. _ OI1Iy)
LOT 5BLOCK / ADOmON
OWNER
(Name)
(Address)
r-D/C ~
(?heme)
APPLICANT
(Nwne) ALLIED FI~SID& DBA FIRESIDE CORNER
PID;;2j -~ 7:r 005-:>
(Phone) 651-633-2561
(Add.ressL2700 19. FAIRVIEW AllENlm ROSl!tvn.T.~ MJO
(AUto..) (Clly)
(Contact Person) BRENDA HllSTON _ J (phone) 651-633-2561
APPLICAN'l' SIGNATIJRE ~,_ __._'-__.__'__ DATE {f.J/dI
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE tteroRN...r "",,-oU .OS INPUT OUTPUT
TYPE OF SYSTEM HBATING OR POWER PLANT
JWIIIIl\ Air PlonlS :J Stcwn
::JGra"11y J Hot WOt.r:t
:J M..haniClll J Ro4iuion
JAlr Condlttoninl [J S....loI [)CYioos
JVont. System 0 OlIle, Devices
FIREPLACE MAKE AND MODEL ~ ,'! G r... _-if!,.. 1:f1J
rndu,ulo!. Comm....ial ,. Multi.Fomlly
R..ldondal. Hearlng .. Ale (Now Construction)
aesldentllll. Reatin. Only (N.... ConSII'Uctlon)
FEE SCHEDULE
1"'" of job ""Ill Residential. 0... Pi1'CJOlou
S39.~0 minimum
$99.~O ROIidontisl. Additions" AllCI'lI1Ions
S64.~0 Resldontial. AC Onl)'
Estimated Cost S
Building Pe""lt #
HEATING PERMIT FEE
STATE SUllCHARGE
TOTAL PKRMlT FEE
$
$
5
.50
(omc. v.. Oply)
This AppllClltlon Beco..C11 Your Bulldl". Permit WIlen Approved
I Poid
I DafIl '1 - d-- -0 )
8aUdlnI0ll"....1
Dolo
34 heur notf.. for ellln.pootlon. (951) "7-~I50o fl. (952) "7-4345
5lt"'l
(Zip Code)
PLEASE NOTE:
AiT Conditioner Units
Cannot Encroac:lt mill
R.equired Side YII1'd
Slllbacks
539.'0
53950
S39,~O
bUIl.OP-410 /Ii,
Itv", 'I"fl'l
">Pi:;i
lf~"f I
Recelpl No.
By Ck.--
u
CITY OF PRIOR LAKE Me
16200 Eagle CreekAv. s.e. Permn No. .01-024- I
Prior Lake, UN 55372
HEAnNG APPUCATION I PERMIT
0aIa 31l&..lP' PDt.! 25-372.- 005-D
Site Address 111.5'2. ":t:>eer.(1eld 'D", Sf.
Lot ...5.... Black \ Addtian
OwnnNarne_DR H-br--t-on
~~<<hn 'br SW-kl1)~
HeaIlngc....~.:.. ~ll\a.nr ~IW
AdcIres& 3l1.50 ~-f.bec., 1).,- ~ l E.1Mn M.)J ~z.
T8Ittphone' USl J..t'Sz, - Z,,5 '-'
Furnace Malco &. Madel i>r\J(ln+
.
ModeISiza ~g~~^V0z..40'/'\
Conn. Load. 2..1. ~~
Fuel t-JGll- FlueSize .'4-'I~~ B
<t
4-
Supply epltnings
Return Openings
InpUl1D. DDb..- Outpul5lt.. bO (j
Edr.
CIm.
~Ob
TYPE OF WORK
TYPE OF STRUCTURE
J..Piat
2. Clna
i_
FlIo
c;q.
...."."......."
..
..
..
.
.
.
Single Family
Commercial
Multi-Famiy
Other
f.,.../'
Two-Family
Induslrial.
Pubic
..
c
to
Fee Schedule
..
..
..
c
Indus_ C. ,., .. .:.. &. Wti-Fariy
Residential. ~ &. AC
R .....~. ..:aI, Healing Only
€~ MN 5512.2.. ReIidenlial, Gas ForepIace
J R.~~~_ .:a1, Additions &. A/lItralions
R ~:: .]a1, AC Only
1%'af job cast (S39.50 minimum)
$99.50 PLEASE NOTE: ~
S64.5O Air Condi Iioner Units Carml c
$39.50 Encroach Into Required SidE';
$39.5C Yard Setbacks, ~
$39~C ~
~
~
TYPE OF SYSTEIII The price of your' .,,; i>"rmil includes one rough-in and one linal inspection.
Warm Air Plants ..
Gravity - Addiliarul inspections wil be billed at $35.00 each.
Machanical . H_ Hem; Test Aecaro must be submllled with buildina IllIflIliIIIlII!Il!lIr befole bUid-
Air Conditioning jl>r Llturl- Z. tlIn . ing ce!tilicale of oc:cupancy will be issued.
Vent. System 2..-5'bl11o.....blli1\-+AnS
I:IE6[ CAL CllLATlONS REOLJIRED with number 01 supply and ralum openings ilsted per
HEATING OR POWEll PLANT room wIh CfVs per opening, Nn- Slruclures or addiIians send floor plan wIIh supply
Steam and re\um lacallDfl$ shawn. HUJ'LOSS CAL.ctJtATIONS. PAYMENT AND
Hat Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
Radiation CREEK AVE. S.E. PRIOR LAKE. !.IN 55312. .
Special Devices
Other Devices
New Construction
v
Repair
Est. Cos! $
Ref)iacemenl
Est Camp. Date
Budcfmg Perm. #
Alleralions
HEATING PEAMlTFEE$
STATE SURCHARGE $
TOTAL PERUrT FEES $
.50
,
Recsip1 "
,,/>.\0 \N\il-l
BU\\.D\NG i'ERt'/I\i
Rsmemberta add !he Stale Surcharge on lhe bottom of this a.... . .,;. n.
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CIIy Hall business hours ale 8 a.m.' 4:30 pm.
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ALL WORK MUST BE IHS"~"I ~ (ROilGH-lN AND FINAL) . CAl..L CITY HALL
447~
I hereby apply for a mechanical systems permt and I acknowledge that the
inlormalian above is complete and accurate; that 1be work. wiU be it cantarmance
with the ordinances aoo codes 01 the oily and wnh the state buldinglmechanicai
codes; lhallhis form does not become a permit until signed by lhe BUILDING
OFFICIAL; lhatlhe work will be in accordance with Ihe approved plan in lhe
case 01 all WDrK which requires review and approval of plans.
d,dJht U" "Z.LM.wY~ t~)
I-W-~canrs SignalUre
0-(' "
BLlldlng oft~ignature
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Date
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....
PL. FA;l 447- 4248'
,
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
i\i-;"';'-'''''-'
INSPECTION RECORD
SITE ADDRESS J?'d t:;t).., :Dau-f~oR...
NATURE OF WORK :3 FA
USE OF BUILDING JJe.-0
PERMIT NO. () 1- 02-4-1 DATE ISSUED 02 - J ~ . ~ (
CONTRACTOR . U k~ ~\-~~ PHONE (.5/- 25{.- 7/~b
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING t:)~ ffr ff/4'c?JI R/-I- I~h~)
, FOUNDATION (Prior to Backflil) I //lIs /,'., ~)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - .INS
SEWER J WATER J SEPTIC ~
.J;fiA-"ING ~ f?
INSULATION J?:h
ELECTRICAL
PLUMBING (J~ P# ~-/7-ql 14 .....
HEATING (if required) . I!?:r
FIREPLACE
GAS LINE AIR TEST tq. "7//'8'/01
I COVER NO W_ORK UNTIL ABOVE HAS BEEN SIGNED
I ~ ~ 7//3/R1 I
" FINALS
GRADING (Prior to Sodding) }.1~ () .
BUILDING'-0.0. .(Jj 111510, h. 9//';h,
ELECTRICAL . I
PLUMBING (Jp.
HEATING 10>,.
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
7 ( / J"/IJ I
7/~II/fi
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1/i3/tJ/
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/O/S/OJ
8-?y
1/1~(tJ/
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BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-In inspections
and maintained until all inspections nwlt bIlen approved. On buildings and additions
where no service cabinet is available, card shall be plaeed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~trtiftrau of (Jerupancy
CITY OF PRIOR LAKE
lIepartment of .uilbing In.pedion
I1l Final Permitted 0 Conditional C.O. Expires
This CertifiCtlte issued pursUQ1ll to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of isslUUlCe this structure was in compliance with the various ordi1lll1lces of the
City of Prior Lake regulating building construction or use. For the following:
Use C1asa:ificatiOl1'
SINGLE FAMILY
Bldg. Fennir No 01-0241
N / A Zoning District Rl
Legal [-'-':r~'-
R3 Type Conslnlc:lion VN . Fire Zone
L5, Bl, DEERFIELD SECOND ADDITION
Occupancy Type
Owner of Building
CUte Address
17252 DEERFIELD DRIVE SE
Contractor', N_&tAddress,D. R. HORTON, 3459 WASHINGTON DR., SUITE
ROBERT D. HUTCHINS lit:? rily Planner DON RYE
Building OIIlcial
/1- lJ - OJ...
204, EAGAN 55122
0...:
Date: _
POST IN A CONSPICUOUS PLACE
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ADDRESS \ ., ;). s; .;!..
OCCUPANT.
HEAT LOSS.
SOLD BY
Electrical Work By
TYPE OF HEAT
HOUSE HEATING TEST RECORD
\J~~r~;e\~ ()r',,,,.......
JOB#_
APT._FLOOR
'1WNER
CITY _
SUBUR~
DATE HTG. INST.
INSTALLED BY
loa Line By .
GA _ FA A-HW _STEAM _SPACE HTR. _UNIT HTR. _OTHEP
n _ . GAS DESIGN
MAKE .....J:/t'I e-~
Mod.1 " ~" 'i:A'oJ O"-f':L I::> C; \
5..1.L \<;:0\ t\. C"l.4 ~7r
INPUT '}(~. ~"
CONVERSION
MAKE OF BURNER
Mod.l
Max. BTU Roting
MAKE OF FURNACE _
Mod.1
CONTROLS
THERMOSTAT \\"-..,,,,,...\\ H..t PIU9
Valve
limit
Limit Setting /., <:>
Fan Se.tino_
PII.t Type ~ 5 'L
PII.t Mak.
P;I.. Mad.1 _
Pilot Timing
L.W. Cut Off
Pr...ur.---.J.. ~
Input CFH
S,,"ck T.mp. ..4L
Vent Size
~"
KIND OF LINER
SIZ~ NON~
Regulator f~~\
Numb.r \
Draft Hood.
Filt.rs Size 1c...X.~')(.'
Chimney Location Inside
Chimney Construction C:>- \Je..--'t-
Out.id.
Smoke Bomb
Dr.1t _
Door Pres sur.,
Wiring .
T.st Tal
Lighting lnst.
Percent CO2
Percent 0
.
Percent CO
~. ')
""J.e;;.
-0>.-
Dat. T ..ted
Company Testing
Name of Tesf.r _
<; -c -<::> I
F,.l,nckson Healing & AlC. 3650 Kennebec Dr., Eagan, MN 55122
\C......;\\-....
Form 235
DATE nilE
SCHEDULED 1/;'1 itJI <7'/30
.G~
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CITY OF PRIOR LAKE
INSPEcnON NOnCE
ADDRESS
/7J5a-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAJdS)
'" MECH FINAL \\Qof
COMMENTS: ~ . ~.
(\'S)~. ~ ~
@ ~ -t, ~ ,
o FOOTING
o FOUNDATION
o FRAMING f3J
o INSULATION
FINAL
~ SITE INSPEC
Of ~ d<{ f
o EXIGRADJFILLING
o COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
o
T. Cn.
lo/lSlrll
r .
.~\~~ C~~-~)
o WORK SATISFACTORY, PROCEED
)i!J CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
J
CALL 0&47.9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
/1')5;).
SCHEDULED
PERMIT NO.
J 'it- I ,t 1../
'2..1( (
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
Jjo'f'LUMBING FINAL
o MECH FINAL
COMMENTS:
/. J",..~ I!cm'....__' ~ D.. <:',/It:t,.,..(c:...
(...~
rJ~
k .__,' 0 .
N~.t- ~I'f
^
i'lp 17 (L<, ~
~KSATISFACTORY. PROCEED
~ ~~~~ECT ACTION AND PROCEED
o CORRE!J!iK' CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CAL -98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~REMENTS ARE FOR YOUR PERSONAL HEALTH .. SAFETY/
<
.......,
'-
CITY OF PRIOR LAKE
INSPECTION NOTICE
CATE TIME
SCHEDULED
If.T.
ADDRESS
54/S'G
/725 2. - I7ZSY> Da;:e.r/G-i.-:O f),e...
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
s~Mi~ (2)0
LJ O~C-
FI/~
"WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W)f;,l)iALL FOR REINSPECTION BEFORE COVERING
Inspector: J/fI{/ 11- t~O't- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY/
INSNOTI