HomeMy WebLinkAboutPermits 04-376,377,634 Oversize
CITY OF PRIOR LAKE
9524474245
P.01/01
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Ree'd
I
1!'!.<:.....!'1!" or llri4l...d sim at bollDm\
ADDRESS
-'7-:>~\ r
L- J~V '~H~ L.->;,
S -3 -oC;
"5bE 04 - 37"
I: ~ ~ I PERMIT NO. QA _
s. y.~w _ T :;77
-ir'1 _~ _ C'
'----lr.............-,..I.._
I:>'" 51 ;/~ hC6-!2P ,.v.~ .
ZONING toffi<<_)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDmON
PIp. 'Z.,-. 301-oe>7.--o
OWNER
(Name)Jn.4stJ'c, 1 0 ~~ Golf L.-Iub
(Address) 230'0 il2.41L cP ~I2EAfY\5
(phone)
APPUCANT . I I
(Name) ~+iJ ~ (l;y (a:ra.
(Address).J.Zfdx> Cre...Lv ie.<-<...;> ~...
(Addro.)
(Contact Person) 1rkll::c.. m terti_
APPUCANTSIGNATURB J11~~
L I
Lr_. APPLICANT PLEASE COMPLETE BELOW
~"'W CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RE11JRN OPENl'NGS INPUT OUTPUT
TYPE OF SYSTEM lIEATING OR POWER PLANT
OWann Air Plants 0 Steam
OOravily 0 Hot Willer
o Mechanical 0 RadIation
OAir Conditioning 0 Special Devices
~ent SySlClll 0 Other Devices
(Phone) 95 Z -fH.I-o!?''7fo
YwA-hr 5'5$78
(City) . (ZIp Code)
(phone) UJIZ -4Cj() -5'" I (.,
DATE 5/"1/04
PLEASE NOTE:
Air Conditioner Units
C81lllot Encroach into
Required Side Yard
Setbacks
fIREPLACE MAKE AND MODEL
Industrial. Commerclallk. Multi-Family
Residel1tiJl, Healing & Ale (New Conslnlction)
Residential, Heating Only (New Construction)
00
FEE SCHEDULE .3!:0 cl.D ,-:..----
t% of job cost . ReSidential, Gas Fireplace $39.50
$39.S0 minimum
$99.S0 Residential, Additions &: AlteratiOllJ $39.50
$64.S0 Residential, AC Only $39.S0
Estimatc(l Cost $
3"1.50
Building Pcnnit II
(ODice U.. 011)19 ., / / .
TIlls "if'icaJM1JM~r Bundlng permit )Y"hi Approved
/<qy1M/J,jlfli/ ~ S-~/04-
BuUd11l( OI1idal ------ Dote
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
:5 '1. 50
.50
'10. (J7)
Cf\\I~~
6.13.
I Paid Llt);--
I ~~~,../r;yJt/
KecclptNo.') n
tI6(L,. I
By
c;
,) 1
TOTAL P.01
?.t hftn. "ft~... f".. ,.lllh_fL..... ,,,C1\ AA"'_tlOCA #n..} (0(:1\ AA"~A"AC
o4/)1h
MINNESOTA DEPARTMENT OF HEALTH
Division of Environmental Health
REPORT ON PLANS
Plans and specifications on plumbing: Mystic Lake Golf Club - Toilet Shelter No.3 3QQ Feet North OfCSAH.
82 and 2,300 West of, Trail of Dreams, Prior Lake, Scott County, Minnesota, Plan No. 043430
OWNERSHJP:
Spakopee Mdewakenton Sioux Community, 2330 Sioux Trail NW, Prior l.ake,
Minnesota 55372
SUBMITTER(S): Hickey, Thorstenson, Grover, LTD., 9300 Hennepin Town Road, Eden Prairie,
Minnesota 55347-3072
Plans Dated:
Date Received: May 3, 2004
Date Reviewed: May 10, 2004
SCOPE: This review is limited to the design of this particular project only insofar as the provisions of the..
. Minnesota Plumbing Code, as amended, apply, and does not cover the water supply OJ: sewerage SYStelll to which
this plumbing system is connected. The review is based upon the supposition that the data on which the design is
based are correct, and that necessary legal authority has been obtained to construct the project. The
responsibility for the design of structural features atld the. efficiency of equipment must. be taken by th,e project
designer. Approval is contingent upon satisfactory disposition of any requirements included in this rePort.
Special care should be taken to insure that the material and installation of the plumbing system.are in accordance
with the provisions of the Minnesota Plumbing Code. A copy of the a.. .... ,,,d plans and specifications should
be ietainedllt the'project location for future reference.
A set of the identified plans and specifications is being returned to Hickey, Thorstenson, GroVer, LID.
INSPECTIONS: All plumbing installations must be tested and inspected in accordatlCe with the J:equirementsof
the Minnesota Plumbing Code. As specified in Minnesota Rules, part 4715.2830, no plumbing work may be
covered prior to completing the required tests and inspections. Provisions must be .made for applying an air test
at the time of the roughing-in inspection as outlined in Minnesota Rules, part 4715.2820, subpartZ, ofthe code.
A manometer test, as specified in Minnesota Rules, part 4715.2820, subpart 3, is required at.the tUne of the
finished plumbing inspection; It is the responsibility of the contractor/installer to notify the Minnesota
Department of Health when an installation for a state contract job, licensed facility, or project in an area where
there is no local administrative authority is ready for an inspection and test. To schedule inspections; contact the
state plumbing standards representative for your region, or call the metro office inspection hotline at 1-800-926-
6216 (7:30 a.m. to 9 a.m.), or 651/215-0836 (8 a.m. to 9 a.m.) on Monday, Wednesday or Friday.
REQUIREMENT(S):
1. A portion of the building sewer located near the existing building appears to be within 1Q feet of the buried
water supply. A minimum horizontal separation of 1Q feet must be maintained between the water service
and any sewer, whenever possible. All underground sections of building drain and building sewer pipe
located within 10 feet horizontally of underground water service pipe must be constructed in accordance
with Minnesota Rules, part 4715.1710, subpart 2.
2. The slope of the 4-inch sanitary sewer exiting the building is not shown on the utility plan. The minimum
slope of a 4-inch sanitary sewer shall be Va-inch per foot (see Minnesota Rules, part 4715.2400).
3. Double wyes may not be used for drainage fittings in the horizontal position (see Minnesota Rules,
part 4715.2420, subpart 3). Proper pipe slope cannot be maintained on both of the offset branches.
Mystic Lake Golf Club - Toilet Shelter No. 3
Plumbing
Plan No. 043430
Page 2
May 10, 2004
4. TankIess- and instantaneous-type water heaters require pressure relief valves only. Instantaneous electric
water heaters that have Underwriters Laboratory approval for use without a relief valve, and that have space
containing the heating element of less than 3 inches in diameter, may be installed without a pressure relief
valve (see Minnesota Rules, part 4715.2230).
5. A full-way valve must be provided on the cold water supply line to the water heater (see Minne.sota Rules,
part 4715.1800).
6. The water piping system shall be disinfected in accordance with Minnesota Rules, part 4715.2250.
7. The plumbing systemshall be tested in accordance with Minnesota Rules, part 4715.2820.
NOTE(S):
1. The scope of this project consists of constructing a new bathroom facility. Installation includes three water
heaters, floor drains, a service sink, and bathroom fixtures.
2. The building is serv.ed by new municipal sewer and water services.
----
Authorization for construction in accordance with the approved plans may be withdrawn if.construction is not
undertaken within a period of two years. The fact that the plans have been approved does not. neceSsarily mean
that recommendations or requirements for change will not be made at some later time when changed conditions,
additional infonnation, or advanced knowledge make improvements necessary.
Approved:
~~
Corey A. Frain
Pnblic Health Engilleer
Environmental Health Services Section
P.O. Box 64975
Sl. Paul, Minnesota 55164-0975
651/215-0844
CAF:sas
cc: Hickey, Thorstenson, Grover, LTD. " /
Shakopee Mdewakenton Sioux Community
Mr. Robert Hutchins, Plumbing Inspector
File
10:22
CITY OF PRIOR LAKE
9524474245
P.01/01
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ree'd
~.2.3.04-
pnC IIJ ()4.0370
: :.: ~ I PERMIT NO. 01- 0 "3 A'....J
J Yellow A,pllCMI ' "'---1
(Please ~ 01 onnt ~ sian at bottom)
ADDRESS
J5~S / It~ W 11!eO t-/j;:;e; ,€.tJ/T'O
ZONING (office....)
/1 f.5D
LEGAL DESCRIPTION (offi.<useonly) /'l,/ST7t!, ~KC GCJL,-C CG-ug
,LOT BLOCK
ADDITION
P1D26. sol. 002... (I
OWNER
(Name) Sh." K~""<2 f11df'I.IH.J(e"h.... S;."-/\ r:~.",,..,,,,,,-I! (phone)
(Address) j3"\() $1,',,-)( th..;/ /ofW Pric.- Ls..J:",..mnf SS372-
,
APPLICANT /J 1. + /J h . 11
(Name) () I.<.."J./" CtkvYl '?J u ("p.
(Address) ~S.s- lI~k~ /foq IV
(Ad )
h-..., d 111 ............~{ 4-
O~
(Phone) /7r..3} 53/-.) (.l0('
fJI"mo"-..f-h~ /hId 5.5<7,//
v (City) I (Zip Code)
(Contact Person)
APPLICANT SIGNA TURE _~ ~
(phone)
DATE
t....-::J~-o</
APPLICANT PLEASE COMPLETE BELOW
Quantity Type orFixture Q".l\tity Type 01 Fixture
8ath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water SOftner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
I Shower Stall Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
FEE SCHEDULE
Industrial. Commercial.... Multi-family 1% of jnb eost with. $39.50 minimum
Estimated Cost. $ 1/ 51.f'S. 0 ()
- )
PLUMBING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE $
Residential. New Ono '" Two-Family
Rosid_tial. Additions &. Alterations:
Building Penn it II () 1-.0 {,J4,.-
$99.50
539.50
~
U.5'.4f3
.50
If S .19
(Office v.. OIly)
v... J
~ 441-9850 fa.. (951.) 447-G45
24 "OUf "otke ler 1II1In.peeti."'E(~r:or L..... MN 55371-1"4
16200 Eagle Creel< A"e.. S. .,
I Paid I/S, 98
\ Oato&. 2.3.04-
Receipt No.
4-ZZ,-z...
, By j;;/b_
I
l,
,"'04 9: 15AM
HTG ARCHITECTS
NO. 400
P.2/3
Mn-;NBSOTA DEPARI'MENT OF HEAU'H, ' ~
Division of E-... ,,:',...mental HealIh '
ltEPORT ON PLANS
. Plans 'l\I'ld specifications on ..;~~';'.g: 'MysticI.ake,Oolf:Uub ~ Toilet Shelter No..:>300 JillElt NQIth of:C.S.A-J;i.
, 82lUlll2,~OO West of, Trail of Dreams. Prior Lake, Scott CoWlty. Minnesota, PIan:No. '043430 .
," .
'O~HJP; - $hakopee Mdewak!l]1toD Sioux.C-, I I '~..2330.Si9~ Trail NYfIP.1i!x.La,ke.
, . ',':,; Minnesota 55372 . ',.,", ,." "':
D:M1TTERcS): Hickey, ThorsteDsOn, Gfuver'..ttn., 9300'&mie.PiD. Town R~~~e.
Minnesota 55347-3072 " '.
.
:PIans Dated; . , HTG ARc,..,rrEC,.s ." '.
~ ~~Y'3200+~' .,
..' . DateReviewed; May 10.2004 .' .'. "is,-:;:, - If ~. D .', "
. . .' .. '~\!?I$Urvl; "
,.':; :', 0, seOPB: This reviewis limited to the desiin.of1bis_~project Cm'ty ,as t1le p.t1l'VisiPDs Qf~ '.' , :; ,.
. ,\ ,'." Mmnesota PlUD1bing Code. 88.,.., _. led; 'applY.-.lW4'doeifDElt ~ 1!II;~'SlIPPly l'l1' sewc;I1I.gll.,o-:--lQ wbich. ,. . .' ",
.. 'this pl.~_~:"g oJ._is ccinDected. Tllc revi.ewis'baSed up<m the .~.....u":.:on that'the data CD which the desip is
,.balle4 are ~",~~_llIld tQat \lllCCs~ legal a.uth9lity ~ ~C#';oed.tD, wv....;..,..,. tAe project. T!Je " ." , . .. .
..,~ n.;"...-"'--'-'-.h....:.l'....,;'ot......... T" ' .....'..,'..._......,,,a,;,..... ............a._.........'......-.R. .
: .:'"'."'-':te$'pODBiu~J' .~......,"""'-&'-' s..u.~:.....'.~s"""....._-'...l;1;".e...,.r-~~'_..".,.............J """-'''''<IIlII~::,,: ,~::...,.; .
";,'::" :,~~gI1"".;~j.~ coliti.Dgent..uppn:~~~IXJItif~"...;..iw;l~ed,.iJIo~~,;,-.-': ". .'.',:,;~'.i,
,,"',.r. .';Spcclal care shciUtd'betaklmtQ'insure'tbat1l:ie-mllt..ri21'8l!ddli,-2t1.T:iQD:of$e>pl,;.,:;.;g ~~.in a..-.,.,:......e:",,;.,:,!. ,.
.. . wit!!' the provisions of the hJ.:-...da PlumbiDg COde. A ~py ~ ~ '"' ~ .. . :' ,1 pIIiIis'lUJd speeilieatiOlLS shoTdd
.".' ...-.. 4.:<--...:"tthe .......,~..-1! -". . , ,", '.'.' , ". ' ,,, .,'. .; ,. " .
','.1 ,'~J'\!~~1tI- _, ".Rl'QJ~..~~.oJ;:~,......~,~~~~.. \""",\\'~... " 'j, .!~':\.':...' :.... '~.,.~'., ,. ",.,~' ,. .'f..... ""."..
.' - ..:.:.li'~'..1 .,'~.'~:,.., ,.... . ';.:.,l,-., ",:......., ',..:':~'r,:,~,~:-,,;.'...';_,~ 'J' ';':'..',.':':;," .\....~,'.. ;". .' t'"
'. '^seit.fthIHilP.nt;fjedplans'iIDd.l'~tiOIis:j.s~:,..:.:....;....,n.omckl:YiT:",;~...:..,.&otl;,Gxover.LTD. '. .' i:', :.'.'::" .
.... .... ., " .. , ." ".: '" '. .,' .' ,
- . . - . " " ~.. . -" '
..' '...~,:).r:''C'O';'..~VL-IS: All ,plumbiIIg ~DAtlQn$.lmlst..be'f.ei~'Ulilt~ in.~~ the J:ll,~.,....,....,!4 ":'. ". .
'. ',tbeMinnesotaPJ"1D!:>iIIgCdde" -.A!s~intl.: ..;:....R_~.f$7l-S.'2830.,llf)'pl!TUlN"gwOJ:kmayJ:le ..;. :)',,;.,
. .'. " -.:overed prior to compllltiJlgthe......;....l.tests-and~~;.l,'t;QvisiDns~be.~ foupplyjng4l14irtllSt... _'"
;.. ..,' at the tiDJ81Jf the rougbing-in inspectiQU,as 6l1t1iJled in- ~inp~Jt~,ll'rt 471$;2820. suQpaIl: ~ of tm:;;Ccm,. . ."" , .
" 'Aman..~.... test, as ~inMimresota:Rules"part;47.1S;~820. SUbpart 3-,is.."....:.....lIIl;the,tiDJe ofthe'~"" .i";:"
. .", 'finishedl'-l......i..;..ginspec;tion. ItisthIL~t_..nbilityoftheC<....."....m-liDstli1lcrtQiiotify,theM:-."".~::' '.' .",:'"
Dep8$leDt ofHllalth when an iD&tlIlTAnnn for a state contIactjo~liCCIISed facilitY. orprpject m.an -atIla wlwll
there is nO local 3..:...:..: -Jative authority is ready for an inspecl1CD and tel;t.' To scbedu1e iDl;pect:iOD$,COIIW;;t the .."','
. state plumbing starJdards repleScn!ativll'fOl yout region. or call.the mettD ot'f!oll ;,,~on hot1i.ne at 1-8D()..g26. .
6216 (7:30 a.m. to 9 a.m.). or 6S1f215~836 (h.m. to 9 un.) on Monday, W..L..;~ or Frid4y.
Date Recaived: May 3. 2004
REQUIREMENT(S):
.. 'L A portion Of the Imilding sewer located near,the emtingbuilding 10-......:.. t;Q,be Vj1tb1n 10 ~ ofthc buried
water $llpply. A .mni-rmnn horizoDtal separation at 10 feet IlIWit be ma;nt.;......iI betweel1 the watm se.tVite
and any sewer, ......Ilenevet' possible. All i....J"'-6"",-d scctiOllS ofbllilding drain IIlI4 buililing SIlWer pipe
locatlld' within 10 feet horizontally of und--......."....d warez: service pipe IlIU.rt be CODS1I1ICteA jn ac:cor6an~
with Minnesota. Rules. part 4715.1710. subpart 2.
. 2. . 'The slope of the 4-inch sanitaIy sewer ~ the building is not sh9wn on the utility plm. The".,: . ....
slope of a 4-il1ch .....:.....; sewer shall be Va--1neh per foot (SIlIl Minnesota Rules. part 471-5.2400).
3. Double wyes may not be used for drllinage fittiDgs in the horizontal position (see MiDn.esota Rules,
part 4715.2420. subpart 3). Proper pipe' slope CllIIllot be tnaintainod QJl both ofthe.offset bl'anchllS.
..J84 9: 15AM
HTG ARCHITECTS
NO. 400
P.3/3
Mystic Lake 'Golf Club - Toilet'Sheltlll' No.3
Plumbing .
Plan No. 043430
Page 2 , '
May 10, 2004 '
.'c.
4.' Tankless- and instllntaneous-type water heaters req~ {UllSsure reliBrvalvesonly. Ins~;'<";"w"" electric
water heatcr& that have UndetwtitelS Lal.-......., _.. r- _ ' .u for use .without a relic:! valv<" and tlW have spare
cQnt4ining tire ht-...,;,.,g e1mKmt of less than 3 illcoos in ~;.m"t..... JDjlf be instaI1e4 .without a pressure relief
valve (see Mim1esota Rules, part 4715.2230).
5. A full-way valve must be ..._ .,:kd on the coll,l water supply line to the water heater (see :Minnesota RWes,
pan 4715.1!!OO),
6. The water piping ~J ..~_ shalI be disinfected in accardance with MiIlnesota Rules. part 471S.1250.
7. The plumt>ing system shalI be tested in awww..:.....cewithMinnesataRitles.pa.rt 4715.2820.
. , ,
, '. ' lS~TE(S):
. ' . ~: I I.' . I ~
, -. . .
I". .
1. The scope of this project consists of cQnstmCtmg a new bathrOOm facility. Installation includes threC water
" .. lIeaters,floordtaiIlS!as'ervice$lk.andbaJb.w~~~'..., "
',::.,.2. 'Th.ebuiliHngj,ssetvedby,neW:lJ1IlI1icipa1~:Nei'~+'s~'::H" ,. .
Autborizati~ f\ll' cansttUction in accordance with the .......,. . ~d plans may be withdrawn if.~ is Ii.ot ,
'. ':~ within a periad of two years. The fact ~ the p!lws have'beell..yy.";',~ does lIot~:y 13Jelll\ ,
. that re-.u~~tions or requirements for "v...ee will pot:be n1ll\llo >It some'later~, when c~ co.nditiOll,S"
additional in:'w~.....';o", ox.' ~anced knowledge make imp~ts DeC~~. ' ,
.'
Approvlld:
"
\
c'
.. \. ,;
"".
Corey A, Fl:aUl
Public Health Engineer
Eu,;'~ntal Health Services Section
P.O. BOll 6497$ ,
SL Paul, :Minnesota 55164.:0975
6S1121S..()844
CAF:sas /
CC: Hickey, ThorstePson, Grover. UI'D.
Shakopee Mdewakenton Sioux CommQnity
Mr. RobW Hutchins. Plmnbing Inspector
File
- {,"
.i
------_...__.,------'~'--~_._~-"-".._.__._----_._-_._-_.-'---".
O~ PRJO.p
.:.. .,.
,., "?
- ;0:
U '"
""'1\'NESO~t-
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I./- ;)-fo -0 L/
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. tJ /1.... 25?~
(Please type or print and sip at bottom)
ADDRESS
/64.'::::-7
;t~~k
Jll</
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25"- 301- LJl? 7 -0
Ff'?:. "ffisr ~.... ~//Jo
(Io\.-\ \-...., 1- l)"Hl \l, i). (Phone((tJ'.J ] '-j bel - h q k4
. ,
f\),W r(..o(Z'-~\<"- W\NCCOrl
(Phone) to\;47Q - 12, co
(:o:e:~~ -2~Jg
t'Level Finish O";;:Place
OWNER
(Name) S ,'\\ SC
(Address) d 3. 3. 0 S, .. n LL.... -\. Jr, '. \
~~~~~~Name) SHlnJLO'~. . R~.\).rg<- ""'/
(ConlactName) <.A.rl.lhpn .4:(;).......... 0\
(Address) lA,,,,! N ~"'" 5:Avl'l R",.,., X' l-c\'<"\,, YY\/V
./ " "-
TYPE OF WORK ENew Construction DDeck o Porch ORe-Roofing ORe-Siding
OAddition DAlteration DUtility Connection 0 Misc.
CODE: ~I.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
PROJECT COST/VALUE $
B (excluding land)
S U mtu;,'f,Z5>7iaie QofF (7LJ.. .<::.heJfe6
-, \ J
I hereby certifY th lrnished information on this application which is to the best of my knowledge tfue and correct I also certify that I am the owner or authorized agent for the
above-mentioned roperty d thaI all construction will conform to all existing state and loca11aws and will proceed in accordance with submitted plans. I am aware that the buildmg
;'''1 "n ,evok, h>, ~"m' fo, JUst "~; I h",by "~,eo ,h" thw'Y om,,,I",, d",gn" m,y ,m" upon th, pmp'rty to p"fo,m ""d';':;'::]Yny
~ -- ,If Signature Contractor's LIcense No - Date I
I
E
II
F
I
IIIIV@A
HIM@
2cV45
Pennit~aluation _ V),()OO - Park Support Fee # $ N le- I
'''''S"+,~
Permit Fee $ "33'1' . ".. SAC # I $ 13S().~ I
Plan Check Fee $ 2.2.0. ">S' Water Meter Size 5/8"; l"-S MSl:- $ /VDNtE: I
State Surcharge $ I~.- Pressure Reducer W~ - ':~~(. $ tJ'oN6 I
Penalty $ Sewer/Water Connection Fee r"\# ~ $ ~otJ. I
Plumbing Permit Fee $ Water Tower Fee A PIP- Kk.PH -r.-$ tV Ie.. I
Mechanical Permit Fee $ Builder's Deposit $ I
Sewer & Water Permit Fee $ Other $ I
$ TOTAL DUE CAufA) 5.4-,04- $ 2-,5/9.35'1
Paid 2, 5/<t. f; 17 -IoW5
Dale 5 /h or By U
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 tempor Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iss d
5.4-. O\f
~ Daw
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
$~1
White . Building
Canary - Engineering
Pink . Planning
ThO' ('..nl., of lh.. I...... <.'ounlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
"C:; /~ll 5 C
L /~, ':-1/ _ (.) L.Il
'~ 71..0 F
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(l)/P1/IC ltl.!<e Ii, i.,:...-/Gl /.., Sk: / ie j;' S
! ~.
Accepted X
Accepted With Corrections
Denied
Reviewed By:
mB
Date:
5-r-OQ
Comments: SP.P. Rp.VFm::p. Sirlp. fm Additional Information!
See Attachments: I) Grading Plan, 2) Erosion Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shaH 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."
"
.~
\6~.
White - Building
Canary - Engineering
Pink - Planning
.-
lh~ ('fnlrr of lh..l..k.. ('"..nln.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPliCATION RECEIVED
'- c:; IJ1 5 c..
Ll~X -oLI
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
laKe {}(}/I'(])ub Shc/fcvs
0'
muc;flC
. /
Accepted
./
Accepted With Corrections
Denied
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Se.;:>~ t.\~tV\."-l \c..o..-. ?~....~~ I~/~~ s~
f2-0{.J
Date:
Reviewed By:
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."
&~'t
White - Building
Canary - Enaineering
( Pink - Plannina)
lh~ ("~nl..t nf lh.. 1.11<.. C-ounl.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST:
NAME OF APPLICANT
,~
(.-
,-
'--
APPLICATION RECEIVED
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i;
(,
l
Accepted \/
i'
Accepted With Corrections
Denied
Reviewed By:
CR(0r7~')
V UV
Date:
Lf ::3{.c. c.Lf
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."
16200 Eagle Creek Avenue S.E.
Prior Lake, MN 55372,1714
April 26, 2004
/) 'fp
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Mr. Dan Elstad
Shakopee Mdewakanton Sioux Community
2330 Sioux Trail NW
Prior Lake, MN 55372
5 0
RE: Buildings 3,4 andp Mystic Lake Golf Club
~
Following are the results of the preliminary Site plan review for the Buildings 3,/. and 5
at the Mystic Lake Golf Club. Our review was based on the Minnesota State Building
Code (MSBC) which adopted with amendments the 2000 International Building Code
(rnC) with handicap regulations of the Minnesota Accessibility Code Chapter 1341. Also
requirements of the Minnesota State Fire Code (MSFC) which adopted with amendments
the 2000 International Fire Code (IFC).
vi. An S.A.c. determination must be completed by the Metropolitan Council
Environmental Services. Contact Jody Edwards at 651.602,1113.
2. Subm~igned HV AC and plumbing plans. M'!Y-be submitted at a later date. Separate
mechanical, plumbing, and sewer and water permits are required. An Electrical permit
is required from the Minnesota State Board of Electricity.
.A'. Provide a door hardware schedule for Building 3.
A. Provide drinking fountain details for buildings 5 and 6.
A. Plumbing Plans must be approved by the Minnesota Department of Health. MSBC
4715.3130
4. DetaiI14/A11: Protect P trap and pipes below sink. MSBC 1341.0454, Subpart 4.
All items pertaining to the building must be addressed before a building permit is issued.
The Engineering Department comments are forthcoming. Call if there are any questions
at 952-447-9851.
Building Official
cc. Jim Grover, Hickey Thorstenson Grover L TD
www.cityofpriorlake.com
Phone 952.447.4230 I Fax 952.447.4245
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A Twn C;Iv !'ion CompanV
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Fan Tag:
Job Name:
Job 10:
Date:
EF-13
Mystic Lake Golf Course
Mystic Lake GC
June 10, 2004
BSI - Square In line Centrifugal Fan, Belt Driven
CONSTRUCTION FEATURES
Heavy-gauge ga~nized steel housing.
Backward inclined, non-overloading. aluminum wheel
statically and dynamically balanced.
HeaVYll.auge galvanized steel bell guard.
Removable sid. panels provide access to power
assembfy without removal of duct connections.
Prelubricated cast iron pillow block bearings with
zerk flllingswilh . minimum L-50 life in exOl!ss of
500,000 hours.
Galvanized steel mounting brackets for easy
mounting in horizontal or vertical posl~on.
Disconnect switch is mounted to the side panel of
unit.
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Temperature: 79~F.::'~~~'()ft'.
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HTG ARCHITECTS
. ..,~ 9300 f:............:.n Town Road
I'll. Eden Prairie, MN 55347
(952) 27~8880
ARCH/TECTS FlIX (952) 278-8822
www.htg-1lrclUteets.com
TRANSMITTAL LETTER
-
DATE: 04128/04
TO: Mr. Bob Hutchins CitY of Prior Lake
Mr. Dan Elstad SMSC
Mr. Kurt Ha2llcamp SMSC
Mr. Steve Heyerdahl Shingobee Builders
FROM: Tom Moone
PROJECT NAME: Mystic Lake Golf Club - Buildings 3, 5 & 6
NO.793
PROJECT #: 03173
ENCLOSED:
COPIES
I
I
I
DATE
SHEET # DESCRIPTION
Letter from the City of Prior Lake
~elAter
Drinki/u!: Fountain Cut Sheet
REMARKS:
Please let me know if you have any queStiODS.
Thank you.
P.l/4
. 1:58PM~JJ HTG ARCHITECTSSMSC
NO. 793 P. OP. 2/41
RF'Fl-2?-2Ylr.I4 15:44
CITY OF PRIOR I.R~
9524474245 P.61/61
April 26, 2004
Mr. Dan E~ .
Shakcpee Md~lIls:an[on Sioux Conunumty
2330 Sioux TIail NW
Prior Lake, MN 55372
RE: Buildinas 3,4 and 5 Mysti~ Lake Golf Club
Fellowinl are the results of the prelimmaty Site plan review for the Buildi11~s 3,4 md 5'
at the Mystic Lake Golf Club. Our review WIIS based. en the Minnesota State Building
Code (MSBC) which adopted with amendmenb the 2000 Il1temalional Building Code
(!Be) .....ith h.ancl.iCilp l'B~lrtions of the Minnesotl. AcceS!ibility Code Chapter 1341. Also
requimnents of the Miune!ota. State Fire Code (MSFC) wbicb adopted with amendments
the 2000 fu~~fit\J12l Fire Code (IFe).
1. .An S.A. c. <1etexminatio.D. must be comp leteli by ~ Metropolitan ColZllCil
Environmental Services. COlltact Jedy Ed~ds at 651./i02.1113.
2- Submit signed HV AC and plumbin~ pl.m8. May be submitted at a latar date. Separate
me~cal, plumbinl;. and. 5~er and water plZmits an: r~. An E1DC1ri",al pm:nit
is required n-cm the MUmCllota. State Board ofElectri<;ity.
3. Provide a door hardwa:re schedule for Buildinl: 3.
4. Provide drinking fountain details for buildinp 5 snd 6.
5. Plumbing Plans mUll be "1;'t'.~Jed by the MiImesota Department of Health. MSBC
4715.3130
6. DDtail141All: Protect P trip and pipel below riDk. MSBC 1341.0454, Subpart 4.
All iteuns pertai:cing to the bui.lding must be addIessed before a bui1clin~ permit is issued.
The Engineeting Dopartment comments Brll fcrthcoUJini. Call if there are any questioIl5
at 952-447.9851.
~. .Tim Grover, Hickl:'Y ThorsteJ;lson Grever L'I'D
""""", Cltyofpnorlak..com
1:58PM
HTG ARCHITECTS
NO. 793
P.3/4
...,~ 9300 Hennepin Town Road
.... EdenPrairie.MN 55347
(952) 278-8880
ARCHITECTS Fax (952) 278-8822
www.htg-archit.ects.coJD.
MEMORANDUM #
~.
=
DATE: 04128/04
TO: Mr. Robert Hutchins - Building Offi~ial Prior Lake
Mr. Dan Elstad - Building Official- SMSC
FAX NO.
HTGPROJECTNO. 03173
FROM: Tom Moorse
RE: BuildinJ;S J,5 & 6 or Mystic Lairs GolfCillb
We have review the letter from Mr. Hutchins dated April 26, 2004 and would lilce to respond to each of the items.
1. We have sent the plan for the toilet building to Jodi Edwards via email for dctennination of SAC unitS. When I spoke to
her she did not feel that any unil,S would be assessed to shelter bui1dings.
2. I believe full sets of prints BDd specs (inclu4ing HV AC and plwnbing plans) were signed and sent to Mr. Elstad for the
permitting of the structures in Prior Lake. If these did not make it to you or if you would like additional copies plC1lSC give
me a call The subcontractor on the job will be submitting plans for !be elecfrical pennit.
3. Below are the hardware groups for building 3
Doon 301 &: 303 Door 30::1
I EA Privacy Lock I EA Storeroom Lock
Hinges all required Hinges as required
I EA Surface Closer I EA Surface Closer
I EA Kiclo::pJat8 I EA Kiclcplate
I EA Stop I EA Stop
I EA Sweep I EA Sweep
I EA Weatherstrip I EA Weatherstrip
1 EA Drip Clip I EA Drip Cap
I EA Threshold I EA Threshold
4. The exact drinking fountain has not yet been seIected - however at1a~hed is a recommended style - which meets
accessibility requirements.
S. The subcontractor on the job will be submitting the plans to the Department of Health.
6. The specifications (section 1545.03) call for the p-trap and pipe flexible, vinyl, insaJated piping covers. If there is
something more that is required please let us know.
Ifthere are any other items or questions please let \IS know.
cc:
1:59PM
'" "OUI1W:LW:;
HTG ARCHITECTS
NO. 793
}'.4/4
Page 1 of2
Park Service Equipment
Drinking Fountains & Coolers
KP38WC2 pedestal Fountain - Cost: $1597.00
KP38WCFP Pedestal Fountain - Cost: $2132.00
has a self-dralntng freeze-proof velve.
This sturdy, outdoor unit IS vandar-reslstant 10 gll\lge ~ with a bubble guard and concealed mounting fen. comes standard with
a pum button action ""tve and a tough green epOXy finish. Brown finish Is available upon request.
.
(j)
KP83DH pedestal Fountain - Cost: $2244.00
KP83DHFP Pedestal Fountain - cost: $2990.00
has a sefl'-dralnlng freeze-proof valve.
Pedestal-mounted dual-he.ght fountain is push button operated and complies with ADA requirements. The extenSIOn of the lower
receptor from the pedestal allows use by a person In a wheelchair, as welf as the general public. Pedestal IS ruggea 10 gauge steel
with concealed mounting nanges and green epOXy flnlsh for outdoor use. Each unit has a steel guard to deter vandalism to the
5talnless steel bubbler. Bowl Is also stainless steel. Weighs; 100 Ills.
.
KP86WC2 Pedestal Fountain - Cost: $1695.00
KP86WCFP Pedestal Fountain - Cost: $2283.00
has a self-draIning freeze-proof valve,
ThiS model na. a modem design and Is suitable for both generat and wheelChair use. This rugged unit comes standard with metallle
green polyuretl1ane enamel on the steel pedestal. Other features Indude a satin flnlsh stainless steel receptor and a polished
chrome plated brass bubbler and front push button.
http;//www.bensbaffer.oom/Kay.l1020Park/Drioking%20Fountain.htm
4/28/2004
~ Metropolitan Council
~ Building communities that work
Environmental Services
April 30, 2004
Bob Hutchins
Building Official
City of Prior Lake
16200 Eagle Creek Ave.
Prior Lake, MN 55372-1787
/\ J1 'Id- L\
. I f, /1( / ...,! (,/ . D .
. Acr If 'J '
l/8 QJ1 (.' J
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Dear Mr. Hutchins:
The Metropolitan Council Environmental Services Division has determined SAC for the
Mystic Lake Golf Course - Toilet Building located within the City of Prior Lake.
This project should be charged 1 SAC Unit, as determined below.
SAC Units
Charges:
Fixture Units
24 f.u. @ 17 f.u./SAC Unit
1.41 or 1
If you have any questions, call me at 651-602-1113.
Sin~_ d. ~
Jodi L. Edwards
Staff Specialist
Municipal Services Section
JLE: (235)
040430SA
cc:
S. Selby, MCES
www.metrocouncil.org
230 East Fifth Street
Metro Info Line 602-1888
St. Paul. Minnesota 55101-1626 . (651l602-1005 . Fax 602-1138 . 'ITY 291-0904
An Equal Opportunity Employer
E30LTON&IV1E:NK., INC.
Consulting Engineers & Surveyors
MD 52. 1107 Hazeltine Blvd" Suite 480 . Chaska, MN 55318-1009
Phone (952) 448-8838 . FAX (952) 448-8805
Letter of Transmittal
Date: I.{ . Z 1> ~ 0'-(
BMI Project No.:
TO:
'? M &::> c....
\....M-4 D o'FY \ <:..e
A"TIH-" Obo.!{_~STAD
o Regular Mail
o Regular Parcel Service
o Next Day
o Next Day AM
RE:
t-'\. '{ "'/'\\ c.. \..A;,'hr.: ~ a:u.~.9i-
v\n Oi? ??\oK \.A~u:& ~rr
o 2-Day
o Hand Carry
o Fax
WE ARE ENCLOSING: ( 2.) C::>'e- \? o::.\\e\.:rr:2.. \..Ol.-. ~N ~i'? '.o'Z, "'.~
. - ",
~ ~.07 o~ ?.-p:)\.c.:.~:D ~~\.e)V ~~\, (\) ~;:.\ or C'?'G::o\t..:lJ'.cL
- r - -
C\ V\ \- co~\'fl.vcn 010 ""o~
FOR YOUR:
D Review D Records D Approval D Distribution
REMARKS: nb..N
'H-~of7D ~ CA\')\\.- ov:;>f:::h ~ ?\'\ev'1n\2- \..tXA'TIOA)
nLOh ~1Z- "b\.L"b\M.l'T"Jo:\.:l..- l"':>\~ Wl/? t=?~ ~..c:.
~t?- \\-\f'"..... CA"\'f or ~(2... ~~ ~b ~Cr.
?r~~L Co~ M~ \~ \'~ ~W hJYT1tltJlo ~
\\~~~
CC:
D~
BY: ~\..(,y.~
MANKATO . FAIRMONT . SLEEPY EYE' BURNSVILLE . WILLMAR . CHASKA
AMES. IA . LIBERTY. MO
An Equal Opporlunity Employer
PRIOR LAKE
!'~A:~~CTI~+~\ RE~~r N.W.
NATURE OF WORK -:SW':'--re2.s'3. s: ~ G:,
USE OF BUILDING 'Ie... N&-V' "
PERMIT NO. 04--3,(" DATE ISSUED s/rofo4,
CONTRACTOR -s: t-1 SC-- - "DAN E.t..~hAY PHONE 0Iooz-QCo of -~"le4-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPAR~T~O:~~O~NT DATE
I FOOTING foilt\'" r3uJJ.t"'J (frtl, 1~{P-7""11 p,/
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DEPARTMENT OF
BUILDING AND INSPECTION
SEWER I WATER I SEPTIC
FRAMING kif ~ 6/J
~
ELECTRICAL
PLUMBING
.f required)
!'LIT
8'/q ~()((
.
UJc. JP~
J/trP
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy 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.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
{]JI
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11- <..-0'
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -' c::l./Si
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
{, :rL4.<+~
? ~Ml1tJLo
OATE TIME
SCHEDULED {, -17 -01( , t: ~ A l-\
/:h;~"x JJ Ik 12~
CONTR.
PERMIT NO.
31-(..
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~ 4:1:- L,
~91 ~T p2L.... -
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~ lA"i/..t.O-Ct"'''rLcS'
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o WORK SATISFACTORY. PROCEED
)(.90RRECT ACTION AND PROCEED
o CDRREC@ljWOK'CALLFORREINSPECTIONBEFORECOVERING
Inspector: Owner/Contr:
CALL 98 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,,,,,,,,n
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ 5"cf 5""1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED f- 2D
~ Ilk
CONTR.
PERMIT NO.
U....?/I
. .,
'-/-J"')L'
o ~RAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR~T
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
..;} ,PLUMBING FINAL
/""<..... MECH FINAL
~WORK SATISFACTORY, PROCEED
o COR~ AjTlON AND PROCEED
o COR E ~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspectc.o1.. / Owner/Contr:
C~~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/(""l.{.s7 117~
OWNER
PHONE NO.
~OOTING
l!i FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~r(
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
_1:,7-Qf(
ZI- 37C
o EXIGRAOIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEED
o CORRECT WORK, C FOR REINSPECTION BEFORE COVERING
Inspector.
OWner/Contr:
CALL 447-98 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
conE REQUIREMENTS Allli FOR YOUR PERSONAL HEALTH & SAFETYI
m$NOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
fh Y( hz...
SCHEDULED J'''4
(./tJ 5V W
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4 <17'
o FOOTING
o FOUNDATION
.#FRAMING
'D INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL,
o GASLlNE AIR TS,T
o I
COMMENTS:
Ilc!d /.1,(7<;
hal";.,.,.,/F'VI.
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':>vI / clllk
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~
(Il WORK SATISFACTORY, PROCEED
pf CORRECT ACTION AND PROCEED
o CORRECT ,,;oy,K,;A~R REINSPECTION BEFORE COVERING
Inspector: -1/ Vr Owner/Contr:
CALL 447.985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNUI'
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
!!-9d
~u'Jq~,\ ~.. (Let
PERMIT NO. q - '"(71 ~
CONTR.
SCHEDULED
ADDRESS R! '6'1
OWNER
PHONE NO.
o FOOTING
o FOUNOATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~,PLUMBING RI
,AMECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY. PROCEED
CORRECT ACTION AND PROCEED
o C RRrJitE' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr
CAL~ 9 5 FJ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~ENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
l/'iSlfOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
is l(r;
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 WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
&-(7-
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4-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/
~RK SATISFACTORY. PROCEEO
~ ~~RRECT TION AND PROCEED
o CORR RK, CALL FOR REINSPECTION BEFORE COVERING
Inspect ~ " Owner/Contr:
CA: L 14"-98~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
___~_-'--L
~fREMENTSARE FOR YOUR PERSONAL HEALTH.l SAFETY!
,NSNf)n
CITY OF PRIOR LAKE
INSPECTION NonCE
ADDRESS } ~ ~ I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
}!f-FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED lJ~
'=1.....,,, ....1 Lie R.J.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXIGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
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Inspedor:lj: OWner/Contr:
CALL 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
Il'tSf'lOTl
DATE TIME
CITY OF PRIOR LAKE / I~ jI ./
INSPECTION NOTICE SCHEDULED!~
ADDRESS /6'1SI }/..".../ L k R... "\,d'iC. L...~ ~
~
OWNER CONTR.
PHONE NO.
PERMIT NO. -4.. - .... '8 4 -5)J:::
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAl..
o SITE INSPECTION
o PI..UMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.Jir. PLUMBING FINAl..
o MECH FINAL
o EXIGRAOIFILI..ING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASI..INE AIR TST
o
COMMENTS: ~ :\ 1
I. fie JM.N ~ I ~/.J')
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION ANO PROCEED
o CORR T WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspe or: Owner/Contr:
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTl
CITY OF PRIOR LAKE J'.:t,v
INSPECTION NOTICE SCHEDULED //l, ?;~
ADDRESS /516:/ /Iao~ . -
TIll.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
If. - S}c,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULEO
ADDRESS
/ ,- i!/ /
) L~ I
I,
I-;;~J)C ..
Ii
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(j. ~ ~7/
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
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Inspeator:
Owner/Contr:
CAL~ 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
!
CoDE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
IN""m
DATE TIME
SCHEDULED /O/~;/'
h6{dqrd 4k .,eJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
tS.ys/
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 WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
o MECH FINAL
COMMENTS:
c!:J~-J}7t
o EXIGRAOIFILLING
o COMPLAINT
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o FIREPLACE FINAL
o GASLINE AIR TST
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Inspector: // /~ Owner/Contr:
t/v ..
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
D<SNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
l t{ tZ(
ADDRESS '"]. ( { f)
CATE TIME
SCHEDULED c,.. :5P-D/
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OWNER
CONTR.
PHONE NO. PERMIT NO.
D FOOTING ~MBING RI
D FOUNDATION D MECH RI
D FRAMING D WATER HOOKUP
D INSULATION D SEWER HOOKUP
D FINAL D PLUMBING FINAL
D SITE INSPECTION D MECH FINAL
COMMENTS: '3f~ 1i- '3
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D EXIGRADIFILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
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OWner/Contr:
<:JR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REMEN18 ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
ll'iSNOTJ
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