HomeMy WebLinkAboutBuildingPermit 05-0580
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1(1 '13(
If(r;h
OWNER
CONTR.
s:- Jqe.;
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:
DATE TIME
c,-).L("ot;'
-
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
all
CUjlpv
/
(/11 f j J
I
/lof-
o WORK SA TISFACTOR .
o CORRECT ACTION AND PROCEED
o CORRECT W?~# FOR REINSPECTION BEFORE COVERING
Inspector: IV r / Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7-11(15
ADDRESS
If, I> (
Ifw,
(J
OWNER
CONTR.
PERMIT NO.
S~J;ttlf
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~EWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
---Y-1""'2>{."
rtclL
/1 c( I (
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
&-I/)-IJ)
ADDRESS
1~73( fI-~( I>
CONTR.
OWNER
PERMIT NO.
S--JfL(
PHONE NO.
o FOOTING
o FOUNDATION
~ 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
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(j)OC tD
(ov ~,,--
\lJ
Xo ..
. ,(,.,f
"
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECtv{"L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(; -G -Qj
ADDRESS
tL 711
~
/~
OWNER
CONTR.
PERMIT NO.
pLUMBING RI &1 ~ '
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
0- 31l(
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
J(UWt~,~) 0/(
~O plDIIl y(v~
VV;/ ( ,1Ifq/u /A,,-."
/
..( rtJ"""- S .f..", .j..,.
ch~1Irtr'5
Lcm1 /4~1-
o WORK SATISFACTORY, PROCEED
ACORRECT ACTION AND PROCEED
o CORRECT WO K C FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~ ./W' oS"
I
~W'
J3
1u~
White File
Pink City
Yellow Applicant
fit~W 6->' 63q4-
PERMIT O. 05, () 580
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ,5. qtJ2-. OZ-I. 0
~':~R ~t\n e :5,0 hA ~ I ':::a.\l-- lAW) I II Q1'-
(Address) Ui~ Gt6
BUILDERQ ./-U
(Name) I_XI ty)m I r f-r 'f l' ~ r /'c:Jte< iJ </1A-.-
(Contact Name)'--:Ya.v.../ .A....),eJ~
(Address) 1 01 0110 lOur r Lt
TYPE OF WORK
o New Construction
ODeck
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
,;gJAlteration
OUtility 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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. 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 th r erty to perfor ne de 'nspe 'ons.
o Misc.
x
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
PlUmbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
.SO
(, /:;.O~S
I I Date
(Phone)
w~
(Phone) /vS/- JS/-fr(O
(Phone) flt'/ ~ rt - ~ r I. if79
~ 50lY
o Porch
ORe-Roofing
ORe-Siding
t-() 7~5
~- IY-OJ
Date
Contractor's License No.
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
City SAC and WAC # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $ /I ~/. 75
Paid
Date
r;~i'l~~
I ~~~/ -f-97M--
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.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary . Engineering
Pink - Planning
B
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~?3~3 S.
Accepted )' Accepted With Corrections
Denied
_rJ (S/~
Date:
c'-21-~
Reviewed By:
Comments:
l. -Rt,\! veJi b; c....t1 s pri \,\ k\2.r ~e..~ lCl{:jyrM5
"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."
~ ? \~\.
SUMMIT
FIRE PROTECTION
Fax Transmittal
Date: ~L..o--w:::o~_
To: YPAA- hN'vv--,(?A1'-~
Company:~ ~LDl1
Phone: ~
From: YAv\....- C-_ ~~
Company: SummitFire Protection
Phone:
651-251-1880
Fax:
1~\.. - ~:l - ~4-s-
L-
Fax:
651-251-1879
Number of Pages:
(Including this page)
Original to follow:
Yes
1\
No
I-V' I ~t>G=$0\A-' ~)M L
~wf1.\-. un~. v I LLA-b."2 lNl.A-LL.
~ Of\- L.-A1~l '.,;v"\ y-J
~'^1 QF--.S::f)V--\-r--J\~L ? ~ "fGL Y~'1- ~~~ \
Cl~ ~~r
=P ~V\- G... ~ 8 Lt5t~)
C(Jl1f'.(')"^TE::;
/:,01 APOL~/')CO\JRT
UNO L~,KCS. MN 550111
I ':L (551) 251.18130
r,\y r~;~';1) ;!.~;1.107~
G301 el\/" eEL ROl\c NW ":;0:,
R=I-<ESTf:ll, MN 55$(1\
n:1. (50';1') 2a~622
FI\x (507) Z60.{')!j7.,
418 G~~A" OAK DIlIVI;
ST. CLOUD. MN 5G.'387
Tel. (320) 257.G390
l"I\l< (320) 2!j'-G::I$Z
, oS17 FIRST AVE. NOJ:(TH. SUI
FARCO. NO sr
TEL (70 1) 293.()
r-AK 170 II :;>$3.()
AN I::r)UAL. OpPOr-t1'UNITY EMPLOYEF~
c0/~0'd 6L8~~Sc~S9
t'm I D310dd 3d I.::J 1 I ~J~JnS
8[ :80 S00c-0c-t~m
JUt'J-20-2005
08:39
6512511879
.....l
4;.
~
.1Im \/Y-:, (Ii': i - ~ 1 ~
. 4-- J:4; r:'~ E4
. :1' ~-= : ~ rt ?; I
,-r L~) ;~'~
~. r--, ~ f
;- - - - - ": ~- ) ~ ~ ,
~--~-_. ~ ~
. (~+---f'-.j)~\-r t h:
-- c~r-~\'" ..- \,/ T' ~ U
.fr-" /' ,'oe
L3 ~_,'" {...)~ \ \. .-L ~ ..(
~.../. ~
< ,/ ,r\
.,/) .... ~ \'C .
!:: yo '?I
"2 ~
-~.- \\l" i
'. ..1.--...,' ~ ;l$'~'_"+'
. (\ ,'" .." I'
. ,
t. '....v'/ ~i. '
::1 81
~, ~l' \ .
.~ ;~; 't >'~ .-t
t.(" / !
"...... ''?i
~ "~I'
SUMMIT FIRE PROTECTION
~
.,.
~, .,.------r
. I I
'Jr. " ~ I
-'"'~~==*-~';"--'''''
:... f...
c-lA.,
-+ +----J-'"I
,. I o(J I
~ I. .1- P I
,.~.. .l.__ ~1 .J
~ . . a.
.;l .').
-f' '1'- - -~--..::- ."J
. I I J
~ I ~ I
.J.. .1.___..._-...:.-,
"~r' ::::
-; r~--"--1
'. , I
~ l--r~---~
'~
'J".'" "dJi
- .0.
^
,.... '" .
'......\9 ." ...,
, 0 I
< -,,' ,
. ,
v
f9:
~I
I
^ I
t-.......'" .....--L
/",,/ ~. '"
< ~
'v' .
~
~ .
~
r - --." ..
J ,'IiI-' '__>1'>
..-~ - .:.;~.
il' "H-
J h 1ft J:W
--.
.4~
\:Jo
k. 5'
r' odl
;L.. ~
(' '~"-i+
~,. 11 . .*
'0
~\y .
~
~.
o
.~
tt
~-l
;i,
.e
l:
III
'.'1 ~ 't
.:( - 't
:z.':;>
...
,,4. J..,Ii ;::0
& 5 :1 N\ _I.
~~ ~~ ~
~ ::J .l: tI' ~
L~"-~":::;;'::
'1~.;.4
P.02/02
TOTf=1L P.02
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
7-0/v/IT11/i/L Crf( C()I\J-.\';7..~LL77{jl\j
<f. Zf.. ()~)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ u; 7-:1 I Iii G / 1/1/14 )/ /3 'S' {; (j 77-1
( tilL L 1'/ q( [//((.(. r!.I7(')
&/
Accepted
Accepted With Corrections
Denied
&!If-
Date:
S-L(-oS-
Reviewed By:
Comments:
/ alb-c.
a I arM.s
W1 c/.3 +-
-L
shu
S~k
Ofl"(
(cms
of m''''I1-t~() ~
~~
Tv"" I'f,( cd.
(YtJ-,;
G)
D-t~i: o~ I..h.~ I f1'\
380 d WI. or I/-fvt /-; I~ /-,-()~
6 ~ prov; de rd CO;1-f;tttusA/ '
!
<)'~11 S on b4(;/L d Odl" .. , V\
.r;~
-tv
C( (7 t1;"l1V OJ
aIr
TO
(j)
J.h If KA^Y
1"-Q
5~tJlIV
"'o(:if~ 18c..{.f.~_
"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."
02/27/02 WED 11:09 FAX 6124414245
CITY OF PkluK ~~\L
'+(O.J 'JV.L
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Date Rcc'd
l. 1'1." 111.
2. or..... C;lt;<
,. V.119w "1'1'1;_
(; , ll. oS-
y'lL-6-- l,J O.r () 3Cf4-.
PERMIT NO. oS 0 Cof
(Please typ( III print *Dd 5i.l;."l. at bomn,l.)
I ADDRESS
lJ lP rJ ~, t-\ IAL\4 l~ - W ruJ S CLl aY"\
liNwG-i
LEGAL DESCRlPTION (offict me only)
tOT BLOCK
ADDITION
PID
I ~= Son N~UC-VI
~) ll.?'l'?:> \ ~ 13
IAPPIJCAA~~ ~ ~
I (::,) \51 ~c; ~~.. .- (
~AIIdn:&~)
(Contact Person) ~ <- ucl~S
,
APPLICANT SIONA1URE
(phone)
q5a -7-U~~ g<64y
~.~---'''--''-~.I
(Phon.) "51- 4'3131'1;:=
f2.~-efYlal.V\+ _s__~ I
(City) (Zip Code)
(Phone) (/J S1 - 4 {).. ~~C) '1') il
DATE
APPLICANT PLEA..Q~ COMPLETE BELOW
I ONEW CONSTRUCTION :: REPLACEMENT )S\ AL TEM nONS
FURNACE MAKE AND MODEL. FL"'EL
I FLUE SIZE ~ RE1tJR..l,/ OPENINGS INPUT OUTPUT
I TYPE OF SYSTEM HEATING ORPOWEF. PLANT
. . DWann AIr Plant$ 0 Steam
OGravity 0 Hot Wattr
o Mechanical 0 Radiation
OAir Conditioninl!: 0 Spl::cial Dl::vioes
OVent. System 0 Other Devices
---I
I PLEASE NOTE:
I Air Conditioner units
Cannot Encroach into
I Required Side Yard
Sotb6cltJ;
FIREPLACE MAKE AND MODEL
----------
IndustJia~1 & Multi.Family
Resident!!!\' Heating &. JVC (New COflsttuction)
Residentllu. Hentbg Only (New Construction)
FEE SCHEDULE
1 % of job cost Resid~tial. Ga.~ Fireplace
539.50 minimum
599.50
$64.30
$39.30
Estim&t~d Cost S
Residential. Additions & Altetl1tit,ns
Residentia1. AC Only
Building Penn it # as'.. {) &/ 2-
$39.S0
S39.50
HEATING PER..1Iv1IT FEE
STATE SURCHARGE
'I01'AL PERMIT FEE
$ '3q.'5D:
$ .50
s:=Jd (1 o~ .
. "'....",..--
(JInes Your Building Permit When A.pproved
(;~ J-7-c)5
I: Da~ .
Paid 40.0 0
Date ~. j. 7.05
%4 hour notice for .11 iDJpectioDlI (952) 447.9854), fa:r. (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
"
s. z ft;. D5"'
S'~ eS - CJ399-
I. Blue File I PERMIT NO I
2, Gold City .05",05/4-
3, Yellow Applicant
~;;~SS;lmd':~~
I :1 I j~'"
ZONING (office use)
~4-
\ ~ 5t"t0+k
MLNA\LS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID 25. qOZ. 02/,0
O~ER ,
(Name) (Y)G.h~tJc..\l'l
f\u, \ ~U''S:
(Phone)
(Address) 19 1 w. \S'o 'b-~i
APPLICANT D
(Name) o{G...~ S:~~ PI uMb;')
\o"l{'.<1 2;" rc..^ Aue
(Address)
t~
(Phone) QSJ- ~C("'/~ "}(.po
~~e
(City)
(Phone) ~JI'\~
DATE ..j--do-o.s
.:s-~37~
(Zip Code)
(Address)
(Contact Person)
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixture
Bath 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
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) i..J Other ~ c.1;:.~:r-'<:.
.
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Multi-family 1 % of job cost with a
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Permit # tY 5. 05/4-
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
"2.7~, 5/
.50
tlo. /
~o&J
Estimated Cost $
en Approved
Paid
+0,00
Date b 20 OS-
Receipt No. 4-9:J3 y
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
',..'~i"~,~,,,~,, ~_. 4_'_.~..__'~~__""_'_~,.'r"". _ .'....~,"...H.'.........',
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1- Z I? (" ~~:...-
~i~~e ~:~y I PERMIT NO. 05. 030A -I
Yellow Applicant ,-,--
(Please
ADDRESS ZONING (office use)
(~4-
~GU
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
'it
(2' / C
OWNER C, ,'1ll '
(Name) _u~
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address) i ( q I 7
PID
(Phone) (1~~J 3c(.s g~q4--
H ",-I ~{ 72
(Phone) (6/;)) q I (,- gj <)tf
(Phone)
H+
(.:\
ORe-Siding OLower Level Finish
TYPE OF WORK 0 New Constr~tj.Pn ODeck OPorch ORe-Roofing
OAddition [2fAlteration OUtility ConnectIOn 0 Misc.
CODE: ~.R.C. DI.B.C.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
+
1'10
~-S305
o Fireplace
j~go...
Park Support Fee
SAC
#
#
I hereby certifY that I have furnished mformation on this application which is III the best of my knowledge true and correct. I also certify that I am the owner or authOrIZed agent for the
above.mentIoned property and that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans I am aware that the buildmg
ol1icial~S per mil for .t cause Furthermore, I hereby agree that the City official or a designee may enter upon the propelty to perform needed m 'pectlOns.
X / /O/t 7L::;;) 5203331 ~'I
Contractor's License No.
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE Ilrvtv?::; s. ~L OS
s-s:-o~
aJ
Becomes Your Building Permit When Approved
Date
p~
$
$
$
$
$
$
$
$
$
oL 1IUJt",. Ie,(
ThIS IS to certifY that the request m the above application and accompanying documents is in accordance with the City Z, ing Ordinance and may proceed as requested. ThiS document
w by the CJty Planner consl1lutes a tempOJary CeltIficate of Zonmg complIance and allows constluctlon to commence BefOJe occupancy, a Celtlticate of Occupancy must be
Issued '5 / S / {)S . .
&ate
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1//1/
I'
i . /
/: ..{ . i / ;'
,+- ,<. /'~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'-
:' /
I
/1.1/ i
/1.
I
.
i, J
/
L/'/
Accepted
/
f j / .:', ". / i . / <,,'. i /', /, C_"
"
Accepted With Corrections
Reviewed By:
l
Denied
Date:
.....;; l,/
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
.t any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
p.resuming to give authority to violate or cancel the provisions of this code or other
;pfdinances of the jurisdiction shall not be valid."
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\JZ/vfi ;rfH/LI (!17 (/ CONs"77LJ.; (:-/7 u Ai
4-. 26. uS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&73/ 1-//~flWIi'r/ /3 Suu771
( VI {, l-II G; 6 LIIIC--6 (772. )
Accepted Accepted With Corrections ~
Denied
4r III
.
Date:
s- L( ur
Reviewed By:
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
w:esuming to give authority to violate or cancel the provisions of this code or other
,~dinances of the jurisdiction shall not be valid."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS --', 71' u..,.~ ' J
NATURE OF WORK ---1~II"""'" ;,.,.1"
USE OF BUILDING
PERMIT NO. 05. 0394'- DATE ISSUED
CONTRACTOR CAt) tJNt '~tNC.J/O"'" PHONE t: II.- ".. "':1P-!
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~
11-
I
I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
(yro -05
(.. " ,/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
1r(r.4...-cx
{'{fA
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.
FOR ALL INSPECTIONS (952) 447-9850
I~)i ------.-
. I U; i. c
MINNESOTA DEPARTMENT OF LABOR AND INDUStf}~
Division of Construction Services lu I: JUt 1 B 2005
REPORT ON PLANS i .
I
JBy __ !
Plans and specifications on plumbing: Minnesota Nails, 16731 Highway 13 South, ~f;ake; S€-ott-County,
Minnesota, Plan No. 054513
OWNERSHIP:
Mahowald Biders, 7877 West l50th Street, Prior Lake, Minnesota 55372
SUBMITTER(S): Lake Side Plumbing & Heating, Inc., 12469 Zinran Avenue, Savage, Minnesota 55378
Plans Dated:
Date Received: June 27, 2005
Date Reviewed: July 6, 2005
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 or sewerage system 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 and the efficiency of equipment must be taken by the 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 approved plans and specifications should
be retained at the project location for future reference.
A set of the identified plans and specifications is being returned to Lake Side Plumbing & Heating, Inc.
INSPECTIONS: All plumbing installations must be tested and inspected in accordance with the requirements of
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, subpart 2, of the code.
A manometer test, as specified in Minnesota Rules, part 4715.2820, subpart 3, is required at the time of the
finished plumbing inspection. It is the responsibility of the contractor/installer to notify the Minnesota
Department of Labor and Industry 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 f9r 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.
REQUlREMENT(S):
1. The pedicure tubs and their installation must comply with ASME/ANSI Al12.19.7M. If the water supply
connections to the equipment have submerged inlets, or inlets below the spill line of the fixture or
equipment, they must be provided with an approved backflow preventer or backflow preventer assembly as
specified in Minnesota Rules, part 4715.2000 and part 4715.2010.
2. Cleanouts shall be of the same nominal size as the pipes they serve up to 4 inches in size (see Minnesota
Rules, part 4715.1000). A c1eanout must be installed where there is an increase in pipe size.
3. The installation of a cross-link polyethylene (PEX) tubing system was specified for the water distribution
system If all of the following requirements cannot be met, the materials used for the water distribution
system must comply with Minnesota Rules, part 4715.0520:
a. The system must comply with ASTM Standard F877 and F876.
b. The system must be installed by a plumber trained by the manufacturer of the particular PEX system to
be installed. Certain manufacturers require installation by licensed plumbers who have been trained to
install their material.