The URL can be used to link to this page

Home My WebLink AboutBldg Permit 01-1008 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I. White File 2. Pink City 3. Yellow Applicant (Please type or orint and sign at bottom) ADDRESS Ljo~o w. /tLj~jt :57f2&t::r LEGAL DESCRIPTION (office use only) LOT? BLOCK.=:2 ADDITION// h~<Jd'711J tnVtI..v~ OWNER (Name) (Address) -JJ.Io m fr~ PO.Box PID<~5~). ?J1o- Ol;;--D -p, J.I&rrz,tn p".J (Phone) J.s 2 - grg L/ - 1 ~II '-/ BtoornAJ{5/tJAJ ,/'fiN s~t/3g -S.5ZS' 3t"stz..S BUILDER , IL ,J ..,.. (Name) i'<f"Y'J r'2-n1 A c:o N s ,-,---/J) C , (Contact Name) --;7.1ornp5 ~rr-z.-.m~ (Address) 00 /J \J r, ,t:JOA . TYPE OF WORK -:SX'C;sz.,; (Phone) /dZ - qqt - S/]..1- (Phone) 5/.1rl16 (~t./ 3'l- SS-Z-t' gJ-o(} /YI, JY1 tV. .Q( New Construction DLower Level Finish o Fireplace PROJECfCOST/VALUE (exc1udingland) $ Zr..<. 000 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 y.....y"'.~) 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 e.!).ter upon the y.....y......) to perform needed ins ections. X I~P '. , Signature J ') (.... ~ f l!)Q:). ocl> J:~ (7.'"15' I , 1 ~.."(.. ",1 I 13'2 .S?' I I I 00. (If) I rOO. 00 I 3S.~1 l..\n.(.?D I o Misc. ! Permit Valuation J Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee Gas Fireplace Permit Fee ODeck $ $ $ $ $ $ $ $ ~~(7-~( Date ' OPorch OAddition ORe-Roofing OAlteration # # # # qlU-/o/ ORe-Siding ~, It/, 0/ Date $ RSO.ctj> $111 S()./""'Y".) $ ,~.~.OC $ 4.d;. OC/ $ I.J:;U<Jc9. elL $ .t-']f'T). f""ii"J $ - I I .. 9OO..DO $ , I $q: /4-2. 2. q I , I Receint N o./.fiJ5, 1) - I Bv CI.-A./ (j ~ 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 C~. Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a.Certificate of Occupancy must be i"U'~ ' ~ ~ I n;J IY-I.l' ~_ _----:.o;>--c:-~ f11~_ <:......~O _ ;.,;~~ {....{~ Planning Director Date - -, S ~conditions. ifany _n 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 :::If S/13 Contractor's License No. I Park Support Fee I SAC I Water Meter SA!,,; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE tFlu&O I Paid C//t(A.- ';"-1 I Date "?-~9-()1 ~.._-, ,_..,-._---_.~'-,--_._,..,-_...""'.~..._,.~,'../~..~,-.-,- -..-.__..-.<...._--"._-,~ -".. ."".".~.........._~ Residential Building Permit c;heckIist New Construction for Single or Two-family Dwellings in R-l or R-2 Subdivision: {"\..) ~ ~ Existing Structure? YES o@ Existing Nonconforming Structure? YES @ BY:~ Building Permit # Site Address: PID: Legal: L 0 . B 2--- CONFORMS TO ZONING ORDINANCE Yard setbacA'::~if~~ I FAILS . Front Yard" (setback average if in-fill lot) ,. Side Yard (25' if abutting a street) ,. Side Yard (Easements) ,. Rear Yard (Easments) I. Sidewall exceeding 50 feet required additional side setback of 2" for every foot over 50' long I. From 100 year flood elevation of Wetland I. Date: $IJ-?Iel Zoning: ~ NO Requirement Proposed 25' 2.C;( LO { r [0 10' ~~/ L~ 10' II 25' Wall over 50'? ~ 30' .~ From OHW (Prior or Spring Lake) I 75' or setback average of adjacent structures no less than 50" --- Yard Encroachments: NOT APP.!49BLE I -J F~~~~fSCODE / 'Eaves and Gutters no more thalt-2 fc~t iR 'r. idtlf'iind no closer than 5 feet to a lot line (Easements). I NC and other equipm'7l;t c~~ot encroach on interior side yards. f J...&,.J~"""'~ ~c.. l Lot Coverage (Structures Only) I Siguificant Tre~-nL~s ~1i'T~ CovJ<., ../ I. Total Caliper mcnes I. Can remove 25% ofT.C.l. I. Caliper Inches Removed I. Caliper Inches Preserved I. Replacement I L:\TEMPLA TEIBLDGLIST.DOC 2- t~ (0 r Lj I~ l4-l" I 30% Maximum ~; ~, Requirement Proposed ,?JU _ .~-<u ,"71: .3:L..~ 0" . .,; .- t.-t..s~ I \1,: I ~ VI I 908.9 Prior Lake 914.4 Spring Lake 909.9 Prior Lake / 915.4 Spring Lake Must be I foot above flood elevation for new and existing structures. If existing structure was constructed 9/19/90-11/22/97 then additional foot is not required. Must be flood elevation or higher 907.9 for Prior Lake 913.4 for Spring Lake I Drivewap..-NOT .A PPT JCABLE / FAILS / f' !ViEE! ~ L.U1J~ I. ~imum Width at prnp.cny ~l~~e . Required Setback I. I. i. Maximum Slope All parking areas to be paved including R- V or spaces adjacent to the garage Location to match Subdivision grading plan --- ------ I Building Heigh(: MEETS C~LS ----- -- ~ I Shoreland Qlstrfct: NOT A PPUCABLE"I FAILS / MEETS CODE I Minimum Lot area (square feet) I Minimum Lot width I I Impervious Surface ~ --- ~ BI~: NOT AP~~;~LE i F~~ '--t.:Ji;':nB . Setback from Top of Bluff . BluffImpact Zone . Engineering Certification submitted/approved . Grading in Bluff or Bluff Impact Zone I Flood Zone: NOT APPLICABLE / FAILS MEETS CODE ,. 100 Year Flood Elevation ,. Lowest Floor Elevation . Proposed Lowest Floor Elevation ,. ,. Elevations 15 feet from structure Road access must be no more than 2 feet below Regulatory Flood Protection Elevation 'I Accessory Structure: NOT APPLICABLE FAILS / MEETS CODE . Size . Not Located in Front yard . Side Yard and Rear Yard Setbacks . Maximum Height L:\TEMPLA TE\BLDGLlST.DOC Requirement 24' 5' from side lot line 30' from R-O-W on comer lots 10% 35' Maximum Requirement 7,500 Rip, 7,999 Non-rip 50' Rip, 57.3' Non-rip 30% Maximum Requirement 25' setback from slope less than 18% 20' From Top of Bluff By City Engineer No importing/exporting Requirement Requirement 832 Sq. Ft. Maximum or 25% of rear yard area 10,' 15' Propos~, '/..e ' .------. '-t,t:) -z" ~ J-if.. ' Proposed Proposed Proposed Proposed ,....-"".........('...1" ~L ~ B~~l) Canary - Engineering Pink - Planning BUILDING ~FMITAE'PUCATION PEPARTMENT CHECKLIST NAME OF APPLICANT --If (}"'~hA1 J (l~ & APPLICATION RECEIVED P- /3-01 . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I/O.$" 0 - W ___ /5'1CX S-;- Accepted x Accepted With Corrections Reviewed By: AlII {2, Date: '2-/5/a I (o/w 9-13-01 . '", VCU' . ~ / Denied Comments: ~~~ R~\I~r!':F> ~irlA for Additionallnfnrm::ltiQnl {i :1 .. . .:ltltl j-\Udl;lllllt::Ill::i. I) ~Ji:lciing r-IID'I, .t.} erOSion L;omrollVleasures 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." .--..-...... .............r.-.-...-.-..-.--.-..-"-.....--..-....-.. . TIl..C..nl..rnftll.. L.b<'"ounlrl White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED , . II )J'ii;)i /)') y- I=) -01 /, .'-~--,.. /i . ,!.-' ,'1:'--~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .. , I/CJ So -/) ).S I) (11. -.s-r Accepted ,/ Accepted With Corrections q /t:Jle, 4~:X-~J. r~AM~~Q ~L< CIA" J.+ C ~ ~~kWVAQ ~d-.ol,,--Jl vWst- 8vv y~ ~/ 9-~_~ ~~~"'-< og liD Fe-d ~~~~~47~_ _ "The issuance or granting of ~ pJ~i~ 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 ordAinan~f t~~ j/r:~ction .S~~II ~Onb~ ~{Ii:. ':. An. IJ ^. ~.~ y~ V~I ~ 17-/~/o[, December 11,2001 Dear Mr. Heitzman: ?p.H. '1050 The driveway serving the structure at 4'l'S3 West 154th Street has been authorized by the City of Prior Lake to be constructed at a slope exceeding ten (10) percent. Ten percent is the maximum slope dictated by Ordinance 1107.205. This statement serves as an administrative variance to Item 3 of Ordinance 1107.205. If you have any questions, please call me at City Hall, (952) 447-9830. Sincerely, ~w.Hc Sue McDermott, City Engineer CITY OF PRIOR LAKE SM:jlp /"" I acknowledge that the driveway slope does not meet City Ordinance. -...... ~?Ia Tom Heitzman 16200 ~gl~ffOO~~!\h~fJ~i.Dr Lake, Minnesota 55372-1714 / Ph. (952) 447-4230 / Fax (952) 447-4245 AN EQUAL OPPORTUNITY EMPLOYER 64/16/2862 23:66 6127584912 ALLIED_EXCT PAGE 61 .....:.,. CITY OF PRIOR LAD SEWER A$) WATER PERMIT 4;7/r;~ l!'Iop"'l!''''--..... , I ADOUSS L4050 \~l.i~ ~ t.;:. ~ l'ERMlTNO'61_I008 :I. ow. .--...... ~ ee..:\- ~ ~o" La. t'.t..Y'Y'N I roNINO_IllOl! I LBGAL t)BSCIllPT1ON (...... 0IlIy] LOT IlLOCJ(. Au..., "ON 1 PID ?3i,,?3(o-nl2.-0 ! OWNEIl-r- , \ . \ (Nal\lC) \~. l""\e..\~z..'fV'\a.n (PhOlle) (Address) l~l co.., IZloCodoI APPUCAN'l' "\ \ -' r \ . (Name)_ ~ ~e.n t- j(,A\JC.~Ir\~ (A4cl(c1O) 14~\ ~~ ~t: i-.l ~ - '-. I (Contact Persan) ~~ .' \.......'^--'- APPLlCAJIo'T SlONATU (l'hone) '15;:)-?ft.!i - 831../0 ~va4e.. mu 55378 _I (~C~ (PIulne) QSd,- 8q~ -~40 c. PA.TE A- J/-Q.;;l. APPLlCA.~ PLEASE COMPLETE BELOW SiZllofwall:rsem~e I \Qc~..---- Location of allY couplinl' from 11I'Ilct1lte~ foct. Type of Ie'Mf pIpe. 0 ABC pV 0 Cast IrOD Eatinwed hmJlh of JeMt 1lr1e ...y.o.. r..l. Clcall Ollt (if required) located at ~ feet from ~. ru: SCHEDULE Reoiclentiol _It atld "'_I.... CClDA...uOll S35.50 htduolriol, Co.." . Multi.flmily 1 % or job CClat IWlt\\ a $39.50 mlnilmml s-. ... ,,..Ion Dilly 517.50 '\Valet' COIlIlectiOll only 511.50 Elltiln::':~WATBR~RM1TB;:irlgp-;it""..(J(- :008~ ;t.ptif SfATBSUJl.CW.J.OIl S" :50 (J,~,,;L TOTALI'DMITRZ s ~v' 10llltt U.. 0Il1r1 TaIo App~_ y...., ..lldfn.....11 Wh.. A_.... 1Uf/vr- 4-..1 I -02- _"'0_1 D... ~ n... 4- - 11- o?- UOeIJII NO. I;Jtt I I. BY" . :M .... lOll" (of an la-'iefll (.sa) ..'7otIICI. In 1'52) ..,~.s Toolll 3XV1 ~OI~ dO X~I~ $t~~LttZTg XVd 60:TI oat zo,TT'~O .----"~T __'. APR-08-2002 rUE 01: 18 PM RAY_.~~LTER HEATING F~.NO. 7637574084 llha,; I'Udc:I1..SC:hcial' ...81528....281. . :.' '. . ., I, ' >,,:,:. . '. .' . ClTY<or PBJOa'4\KE ..... '. '. .'. ..... JDATlNG/AJR CONDrrlONlNGll1UPLACEPEaMIT ., ' . . - , . . ' . '" :. ' ' P. 02 . ~: ~' . I)......'.. . .'" -1-''2- . '. ", . ~q.""cir*..~.i.t'-'1 '", . ',',.,' IoDDUSS' ..... . . . .. . ..' . '. '~Sl). IS-:~ 77f . . , .' . '. - . : .......... ........ '.,...fI. . '1' D8D";''''-.'O'' , . , 1;..... -t:Ilr ......,...... ..., ., , . '. I. ".............. . . t '.' tll-/tI&lrj . ," :....:t:. ".' , f;;/~'A~1& '.' ..:' ! .1..........'~(GIk..., t.8QA1.DBSC1UPl10N.lclIlIol<-!l"IYl. .,~. . ". LOT' It.OCK . Aw.:....ON . . . 'piJ)~r-"'~G;... 6,1'2.." 0 \. ~=v;.([) ~~",'"JI,.rJ2rhah' cr-.i95'.,2-R-r.y:.i~~1/ .t~) jt),T/O/lks~tlf~:~' .'li/~r~f!'~0," Hpsfra'i . . " . :..... ....... .,..".:.,.. '" ,',"'",".:'.:' ':...;;,', ,..'...., .," ," ,':--. :; <'~AAV N. ,*TM MMTINO c:;cj. '. (P~). tI# "'r1e-:~ ..." ""~. - --..~ - ' -. . ;:)~ ~rtj) ~ :'_ . -~-_'_.:: . .,'~CIIYlt~~,~r~~} ...A>I'UCA>ITstONATUU :!'L~?~ .... .......~ _1:~ . it'" APPUCANTPY4Q. a.1.;O" ~~~&... I,....'" . UJ'I.A.~ OALTl.'MT1C!~ . =Z:~i;o~~o~~~:.1j(,'-'/:'..':'~:.~PtIfk~...1X4!JV'" ." O,S'iSTlM'. ". ,_nwO(l]l;J.'.,......PLANr .' '. ..;;:~--~..Ir~~~ .... ~..AcJ~ItUND~ODB\.~~f!."~i.q~lU . '_ ........... ...... -.....,<,'.."'~~.,.. .1.ft.dllSUlll. ._.C.n\IlICrI'i~".~"'''''''' ,....,.. ..... I"\itjoll......:,:.'.. .::'Il.",.",;,LGoI'I~'- ,""'IlI~ ......, . ......~}I......A1C~-<:clIl, ,;,,,) .' $99,,0.... .c,Po4IIiw..~.AhoraII"" . aaidontial, HRtiftlQl\1y IN''''CI1tIIII\IllIIQIII ",.so ," 1ilai1liillda~.\C0nly , . . BaiIIli..-dCos.\$' .' , allll4ml~il.. 0'" JDfi( HEA1'P\IO PYMlTJIBE', S,' . ~ " ....ST^T8~;. .$ _sO'.'_ 'ICII\I<OI1..~) TOT.u.l',.,.:I,',:;~~>...~, "'BU/' '.'G,n."", .",,'. '". .. ",".. .,,_,...", ... .'. U.'J Pj:: . ',",iI""I~dq~....t."r~Prnii!I~:~~~~.;..t.:L~ . -' .'. ~*.'" ..''''1.011I''':::., . ,-.....";:,IIXIll/l.nr.f O[~u,llrM./ . ......r..,.,;.iI_~~~:~).7~~~f4d'~~ ....b..... :'.,:'.": l'UAn:NOTE~ . Au. CaaclkioacrtJniO . . CiiMDJ~..ili..;'. . ~sus.YlU'll lliiIll<la '.' . _DUO . .1IS9.50 n~,50 .'.. . " .:" . ',~' ~.,. , ~. ,'.. "..':.-"," , _.- . ..;" ,.'~:'" . . ".' ," ;. ". '. " - ;~, .'. " , '," .' .---." ...:-.:...~,,: ..'..'".---.... ...'.',._~-' . '" ...----....... .:. -I"-'~ .. Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT .!f~q~tJZ- t, Blu~ File I PERMIT NO 8 I 2 Gold c"y '01-100 ), Yellow Applicant (Please ~ or Drint and sign at bottom) ADDRESS cfo SO 1.54771 ZONING (officeu,,) s::;. LOT LEGAL DESCRIPTION (office use only) ADDITION APPLICANT (Name) 5/~p .'.c7/L?~ (Address) / tJ/rJ .4'?/Ju...J/I \~R/A2:; ( TP. . (Address) -. (Contact Person) . Ar/A! .u:/~I'?.;o?z C// APPLICANT SIG~ATURE ~ (L/)~ .... / '-...............~. APPLICANT PLEASE COMPLETE BELOW I Type of Fixture I Quantity Bath Tub with or without shower Rough-ins Dishwasher I Water Heater Floor Drain I Water Softner Lavatory (Bathroom Sink) J Stand Pipe (Washing Machine) Laundry Tray (1 or 2 compartment sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backflow Assembly Test I Bar Sink Lawn Sprinkler Water Closet (Toilet) Other OWNER (Name) (Address) Quantity Z I / 4- I Z- I .P BLOCK PID 2 <;'-l3(.,- 0/2.0 (Phone) (Phone) c?52?- ~ .4/4/9 h:aJA, .5'5420 (City) (Zip Code) (Phone) DATE #-9-d2- Type of Fixture FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # 01- 1008 (5vf PLUMBING PERMITFEE $ ~ '711" 0 06 ~ STATE SURCHARGE $ ~ .50 OU' V TOTAL PERMIT FEE $ /' D ~ (Office Use Only) This Applic~t~~ ~ec~mes Your Building Permit When Approved 11; JII'r J - q 'OV Bui~ng OffiCial Date I~ I Rece~ ~ I Dad.-,q -0 V I By /ltIii , I 24 hour uotice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD AC:::;4 ~ "31 DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~n \......J. NATURE OF WORK to,)g .\.D USE OF BUILDING ~FD PERMIT NO. 0/; IOOI? DATE ISSUED ~- n - ~( CONTRACTOR WP_\~ (l",",^j.. PHONE 9~2-aacf ;7YcY NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING .J,.f;1J! ~y ~}Yo~1 I FOUNDATION(PriortoBackfill~:' I~, \',,1'-1/01 I t?-. \2,~/OI l PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNE-b ROUGH - INS SEWER I WATER I SEPTIC WM)' I/'Z-/DZ.~__,~ FRAMING - h -,f 4/ / (, Id t-- INSULATION ~ ~II r/h V' ELECTRICAL \ ' J ~. ! PLUMBINGt.-,{.... Via. tb. 1//9/02- ~ i,~1 ~, "lJJoft>'- HEATING (ifrequired) - l a. . 1/1~/bt- FIREPLACE ~ . 4/ J I/J'l/ ; GAS LINE AIR TEST ~tf.'P. ~... I 4/1/02/ I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) _ BUILDING -(,C.O. -li1J J(/Jc(~"" ~ ?/'J~i--- ELECTRICAL I - 'I' PLUMBING HEATING DO NOT J))/Ol-- 7/1/brv- I ' OCCUPY UNTIL ABOVE HAS BEEN SIGNED NOTICE .../.6. ~V\ /J :/ 1i7~ / / i1/7 Ie 5 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 s; ,.>.1 be ,.;Iaced near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 _~_"__"_~__.______._._.,__.___,.._.,.____._.___.,.__"._..______.,......,,_____..._.._.____.__.._ ._..____..,...._ ""'._~__'_ "._,' M' ___._.~__~_.__________.____..,. _. ____ ,)~/08;ill WED 16: 17 FAX 6124474245 CITY OF PRIOR LAKE ~002 CITY OF PRIOR LAKE Impervious Surface Calculations (To be Submitted wilh Building Permit Application) For All Propenies Located in the Shoreland District (SD), [he Maximum Impervious Surface Coverage Pennitted in 30 Percent, Property Adl ress 4.050 I S'ly-r-U "SYi26G\ \Z) Lot Area 1 to, 61.c*" Sq. Feet x 30% = ..:?Ig~.c. **...****~I******************.***********..***.*******************.***** LENGTH WIDTH SQ. FEET HOUSE I ATIACHED II ARAGE x x )( '" "" '" DETACHED JI'lDGS (Garal- !lShed) I TOTAL PRINCIPLE STRUCTURE..............,....... 1-,-;; '8 E) jt )( x TOTAL DETACHED BUILDINGS....................... o I DRlVEW A Yf)!' WED AREAS (Driveway-, _ aved or J1Qt) (Sidewalklll: rking Areas) I . \5 10 ~lo x 7-S .. x L\ '" x A;- .. ~D 'l'l D \44:- TOT AL PAVED AREAS...........,..........................,.. &:otlr (Open Decks 11c" n:, [1, opening between boards. with a pef!.' aU$: surface below. .... not con.id....!' '0 b. impervious) x X = \ l(>L-.- '* PA TIOSIPORC HESIDECKS '" X = TOTAL DECKS.................................................................... \01-. I OTHER ( G~LA-?\~ \ t see. Cem+t='h> ' <9'f-' 5 \,\nl ~ 10 x x --z.o = 71)0 = TOT.AL OTlIER..............................................."....._.... LoO TOTAL UHPERVIOUS SURFACE I -;&:> \6r ~~Vd I \ ,A--t\--~ PreparedBy DAN ll~_L.?l5Z-lo~ Date A,/o81L-w l I 1 () ^ -. "::1"0'1.- {44-L-OS."4- Company~ EsTER.[o\Z-~ 0' ~DLli\--re;.Phone#. __-- J ~ _ ,~.~-- ,~ .-~._-'.- 11/06/01 14:30 FAX 952 937 5822 WESTWOOD PROF. SERVICES Oct. 26 2001 3:27PM HP LASER JET 3200 ~002 p.2 [1 AMERICAN ENGINEERING TESTING, INC. CONSULTANTS . GEOTECHNICAL . MATERIALS II ENVIRONMENTAL October 8, 2001 Heitzman Construction PO Box 385525 Bloomington, Minnesota 55436 Attn: Tom Heitzman RE: Proposed Residence 4050 West 154" Street Prior Lake, Minnesota AET #20-01733 Dear Mr. Heitzman: On September 21, 2001. we visited the referenced site as you requested to observe the basement area excavation. The construction in progress wiII be a single family residence with a full basement. We understand that the basement walls win be damproofed, and the construction will include a perimeter drain tile system. The site topography generally slopes down from the north to the south. A large hill slopes upwards to the north at the rear of the planned construction. To our knowledge no preliminary soil test borings have been performed in conjunction with the construction in progress, therefore, our comments and opinions are based only upon the surface conditions observed at the time of our site visit. At the time of our visit, most of the excavation for the planned basement bad been completed. You informed us that the excavation bottom at the rear of the structure was still about l' above planned footing grade. We observed that the soils in the bottom and sides of the excavation consisted primarily of sandy lean clay and clayey sand glacial till. However, layers of coarse alluvial sands and sands with silt were interlayered in the till at various depths. both above tbe basement grade in the sides of the excavation and in the bottom of the excavation. Some of these sands were waterbearing and some water had entered the excavation. The water likely represents a perched condition, with the water present in the sands interlayered in the slower draining clays. Some of the sands exposed in the sides of the excavation, at elevations above the presently waterbearing sands, were mottled brown. Mottling often indicates that water has previously been present. The total recent precipitation has been relatively low. It is likely that greater quantities of water may at times be present within the sands. It is not feasible at this time to estimate the quantities of water which may be present. -AN AFARMATIVE AC:TIO~J EMPLOYER" 550 Cleveland A venue North. 5/. Paul, MN 55114. 651-6S9-9001. Fax 651-659-1379 Duluth. Mankato. Marshall- Rochester. Wausau . Rapid City. Pierre 11/0B/01 14:31 FAX 952 937 5822 WESTWOOD PROF. SERVICES Oct. 26 2001 3:28PM HP LASERJET 3200 ~003 p_3 Heitzman Construction AET #20-01 733 October 8, 2001 page 2 In our opinion, a normal basement perimeter drain-tile system may not be sufficient to handle the perched subsurface water and maintain a dry basement condition. Even if the normal system did maintain a dry basement, it is likely the sump pump may have to operate on a very frequent basis. In order to intercept some of the perched water and to aid in maintaining a dry basement, we recommend that an additional cut-off draintile line be installed at least along the rear part of the structure. The draintile should be installed as far north of the actual basement foundations as possible, and be placed below the foundation grades. This tile should also extend into the basement areas where waterbearing sands are present. Positive discharge of the tile to the storm sewer system should be provided.. if allowed by City ordinances. The tile should be placed within a coarse filter aggregate which is encased in geotextile fabric. In addition to the cut-off tile, a separate normal draintile system should be installed around the basement perimeter and be discharged into a sump basket. The wall backfill above the aggregate should consist of a free drairung sand or fme filter aggregate. The top of the backfill should consist of a more impervious clay layer about J'h' to 2' thick to reduce infiltration of surface runoff water, The surface should be sloped to provide positive surface drainage away from the building foundation walls. A typical installation, as well as typical specified materials, is indicated in the attached sketch. We recommend that a structural engineer be cOIlBulted to determine if the rear basement wall should be strucNrally designed for potentially higher lateral pressures because of the proximity of the hillside to the north of the planned residence. If we can be of further service or you have additional questions, please contact us. Sincerely. ~-z~- a-~(;;~-~ ~ -- ~~.~~;c;<<~ Microel P. McCarthy, PE / Principal Engineer GALlMPMfgl ------.-------.-r".'.-.--...-------- 0 ~ ~ n , " '" '" I , 3 '" I\J ~ (]1 a 00" I 0. 0 C\ of "l&d 0 ..'. .... fll-ltlllJLllllllIllUltUOAl-U '..: .;, --"'-- J'" ---- 'try ,... , (}un.. Ilill., i\",1Il111c. UV"IlJ ,\.,1 ': I\J :;;: 0" o '" ~ ~ ." W ,. .. >< N '" lIJ '" "ll '" :l '" '" .., ::I: '" "ll co '" r '" :xl (fl m ^' '-' m -I '" '" W u: ,., I\J '" 0 0 0 0 '" ." '" 0 ." u: '" '" -< ~ " '" u: Note: Sand (MNDot 3l49k) can ~..:.;",; :...; ",". I",' be suhstituded for the 3l49.2J I .' :,' .. .' '. ' .' . ." ;IHI!f1I1:nm ,t But, a layer of fabr~c must sep ...t~GQnnQ;nl!' sand from the coarse filter a99r. -a~e"'l . .,' " . ,_'>.' . _. . I ..--- ----- - filter rDbrl~ .............1 o 01 e .O-bqo t') o 0. tJ Q or..) g tJ 6 tJ. . 0 b 6 (;) o d 00 d 0 P D O.a . 0 t!J,... C C) G 1:1 ......" J o () d (l 0 0 0 0 J) . CnJ.USH JIlt. 111M ~ a I ~ be tt 0 ;: (j A 0 _' ';nURI!UJ,,'Il! .J ~"110U Do.QOflD~~"D?-' \. Cl 11 () 0 i) G. Or Od D...... ~ ~ I () .0 00 cl G" 0_ . '1 , L'l D tJ c..) 0-::. . ~6 ~ . , I. L ...-=. - . 'j Slee'v~ Ur,-Q\IU", (Do'hng CLerwe"t flaor' ell!~:J I -1 , ! ... tneh pirrora het f'Ve lillJchlll'QIIi' 1.0 SUrtp bo.slu: t ( 3,feel below floor ,1.11 IWic.l) 6 hlch p9rFDrllo \:.". J've i.hs-r:;har"o.. la .tal'n .....r Filter fabric; Mirafi,140N or equivalent. Fine Filter Aggregate; MNDot 3l49.2J. Coarse Filter Aggregate; MNDot 3l49,2H. PROJECT RESIDENCE, 4050 154TH STREm' AET JOB NO. Prior Lakes, Minnesota 20-01733 SUBJECT DATE IE Typical Drainaee SYSrem 10/5/01 c c " SCALE DRAWN BY CHECKEDRY PAGE ." None GL' Figure 1 ... EXPLORATORY BORINGS FOR TOM HEITZMAN Job Number 011612 5300 S. County Road 101 Minnetonka, MN 55345 Phone: (612) 4747964 - ~1 ADVANCE SURVEYIJVG & ENGliVEERING CO. SURVEYING / ENGINEERING / GEOTECHNICAL 5300 South County Road IOl :vIinnetonb. \-11' 55345 Phone 952 -17-1 7964 fa.x 952 -174 8267 :--';ovember 26. 2001 \-lr. Tom Hdtzman 10710 ;-;esbittAvenue Bloomington_ \-IN 55438 Phone: 6129985122 Dear Tom: At your request. we soil conditions on The following IS a have conducted a preliminary investigation of your site at the locations you specitied. tabulation of data about your site: .J - ~:! Site Address: 4050 W. 1 54th Street NW ""-...----- -..--------.-....----- City _ ._n Prior_Lake.~[inIt.es.ota____. _____. Legal Description: .__.... Lot 9. Block 2~indsong on.th.:.Lake.....__ Benchmark: .._ .___ .<=.e_nter~f 154tl1..opposite midd~e__s.ite = 100 Datum: an assumed datum ......,'R""'-........'=,,, ,,~,;;;:; ._"'..~,_"."_""".,._"-"""..-.,-:""'="""'~,. I _'0' ._:""'''''.~'''''''';.'''"..'-"''''.~'''''''''''~..),._"'''''','_.,,''''=''':''':'''":.:.~..','_H'_:=-,,' METHODS: The investigation consisted of exploratory soil borings to aid in identifvinll soil and water conditions. We have indicated the - ~ approximate locations of the borings on an attached site plan sketch. Elevations are very approximate. Borings were taken with a truck mounted CME 45 drill rig using solid stem continuous-night augers. Soils encountered in the borings were visually and manually examined in the tield by the soils engineer. The soils are classitied on the basis of texture and plasticity in accordance with ASTM D2487 "Unified Soil Classification System" and a chart explaining that system is attached. --"1 -- I RECOMMENDA TIONS: SB# TOP WATER FIRLYl 1 102 DRY 102 2 103 DRY 101 3 104 DRY 102 DESCRIPTION OF FIRST FIRM SOIL ENCOUNTERED Firm, brown sandy clay (CL) Firm, grey clay (CL) Firm, grey clay (CL) The above table is a summary of the soil bori'ng results. The "SB#" column indicates the soil boring number which corresponds to the attached site plan. The "TOP" column indicates the assumed elevation at the top of the soil boring (these elevations are quite approximate being the soil technicians estimate by eye of the relative ground height with reference to the assumed benchmark, if it is important to get a more accurate elevation or boring location, we can, for an additional fee, send a survey crew to locate the borings and determine their top elevation more precisely). The "WATER" column lists the elevation at which water was encountered in the borings immediately after the completion of the boring. The "FIRM" column indicates the elevation at which suitable soils were first encountered in the boring and the "DESCRIPTION" column describes these suitable soils. It is our opinion that these suitable soils are capable of supporting footings proportioned to exert a bearing pressure of no more than 2000 pounds per square foot. The soils encountered in the borings above the elevation listed in the "FIRM" column are not suitable for the support of structures. On this site, the clay and sandy clay soils, encountered after 2 feet of soft material in Borings 2 & 3, are suitable for the support of a dwelling, but these clay soils may contain sand layers that can convey storm water downhill into the basement excavation area. We recommend that a drain tile system be carefully installed around both the house and garage. The drain tile system should now to an outside outlet rather than to as ump and pump, since considerable quantities 0 f storm water could be conveyed by these sand layers to the basement area. ao 0 mo ..0,. .0_.. . STANDARD CAUTIONS & LIMITATIONS: We measure the depth of any ground water that may have accumulated in the borings immediately at completion of the borings. We do not monitor the borings over a period of time. Borings left open are a hazard to pedestrians, leave an opening for pollutants, and quickly cave in rendering any measurements of little value. The water levels we observe are thus only an indication of an immediate and rapid now of water into the borings indicating that drain tile system might be over tmeed in such soils. Slow intlows may not be detected and variations in rainfall can atTect ground water levels. While it is our opinion that a properly designed and installed drain tile system and submersible sump pump will keep most below grade spaces dry, and should be a standard part of all new construction, we make no guarantees in this regard. Of necessity, the area of the borings in relation to the area of the site and the depth of the borings are limited. Suggestions and recommendations of this report are opinions based on data obtained trom the borings. If upon excavation. conditions that are not consistent with the borings are revealed. it is agreed that you will notify us so that we may gather turther information and modity our opinion or indicate that no moditication is necessary in a written addendum to this report; or failing to engage our services to prepare such '.'iTitten addendum it is agreed that you proceed at your own peril. I hereby certiry that is report was prepared by me or under my direct supervisIOn and that I am a dulv Registered Professional Engineer under the Laws of the State of J _ _ Minnesota. ADVANCE SURVEYING & ENGINEERING CO. 10/rt00:V Je. rP G./L;~ James H. Parker P.E. & P.S.. No. 9235, President --_._--_..._-~_._.._- (CL) (SW) (SP) (GW) (SC) (GC) (SM) (OL) (OH) (Pt) (ML) (CH) (MH) (GP) (GM) U:'iIFIED SOIL CLASSIFICA nON SYSTE::YI Inorganic clays of low to medium plasticity. gravely clays. sandy clays. silty clays_ lean clays Well graded sands and ',,'Tavely sands. little or no tines Poorly graded sands and ',,'Tavely sands. little or no tines Well ~raded gravels and ~ravel-sand mixtures. little or no tines ............ , Clayey sands. sand-clay mixtures Clayey gravels. gravel-sand-clay mixtures Silty sands. sand-silt mixtures Organic silts and organic silty clays ofIow plasticity Organic clays of medium to high plasticity Peat, muck, and other highly organic soils Inorganic silts. rock !lour. silty or clayey fine sand Inorganic clays of high plasticity, fat clays Inorganic silts, micaceous or diatomaceous silts, elastic silts Poorly ',,'Taded gravels and gravel-sand mixtures, little or no tines Silty gravels, ',,'Tavel-sand-si!t mixtures 'r" I EXPLORATORY SOIL BORING LOG =i- II tn11hi: PO] 11/212001 Mr. Tom Heitsman Prior Lake. :Vlinnesota jOBc.O BY DATE CLlE:\T CITY I)Ei)TH DESCRIPTIO!', W' y- :LI:'/.\ rlll~ n 102 0 101 1 100 2 Firm, brown sandy clay (CL) 99 3 98 4 97 5 96 6 95 7 94 8 93 9 Firm, grey clay (CL) 92 10 91 11 90 12 89 13 88 14 -D- *W - DE:-JOTES WATER LEVEL DETECTED AT COMPLETION OF BORING. MAY RISE! (D~DRY) *", - STANDARD PENETRATION TEST BLOW COUNT I ADVANCE SURVEYING / ENGINEERING / GEOTECHNICAL 5300 HIGHWAY 101 SO. MINNETONKA. MINNESOTA 55345 PHONE: 4747964 ---'~-~-----'-'-'--'-' .....---------------.------.-.--.-----...,..--..--... '-,-' ._.__._..._..."---,.__..._....,..,~'.,.-_.. -- iEXPLORATORY SOIL BORING LOG # 21 Iii! 1612 POl 11/21/200 I \;Ir. Tom Heitsman Prior Lake. \;Iinnesota I JOB0iO BY DATE CLlE0iT CITY DESCRIPTION W' Y l-I.EV/\TJ(lN DEPTH .. 103 0 102 1 Soft, brown sandy clay (CL) 101 2 100 3 99 4 98 5 97 6 96 7 95 8 Firm, grey clay (CL) 94 9 93 10 92 11 91 12 90 13 89 14 -D- 'W - DENOTES WATER LEVEL DETECTED AT COMPLETION OF BORING. MAY RISE' ID~DRY) 'N - STANDARD PENETRATION TEST BLOW COUNT IADVANCE SURVEYING I ENGINEERING I GEOTECHNICAL 5300 HIGHWAY 101 SO. MINNETONKA. MINNESOTA 55345 PHONE: 4747964 --.. '. '.,.. - . -....---....,- ..- '. _._-,.-.-.__......__.._.._,-".~_.._--------_.__..- I EXPLORATORY SOIL BORING LOG # 31 1IlIIIJi2 PO] 11/21/2001 :VIr. Tom Heitsman Prior Lake. :Vlinnesota ~ I .!lJB~O BY DATE CLIENT CITY l:U-V,\lION DEP'nl DESCRIPTION W' ~* 104 0 103 1 Soft, brown clay (CL) 102 2 101 3 100 4 99 5 98 6 97 7 96 8 Firm, grey clay (CL) 95 9 94 10 93 11 92 12 91 13 90 14 -D- 'W - DENOTES WATER LEVEL DETECTED AT COMPLETION OF BORING. MAY RISE ! (D~DRY) ':'-1- STANDARD PENETRATION TEST BLOW COUNT IADVA.c"lCE SURVEYING I ENGINEERING I GEOTECHNICAL 5300 HIGHWAY 101 SO. MINNETONKA. MINNESOTA 55345 PHONE: 4747964 - .... ,.. ____________-,. _''''_'H , ~!'-';::;B ..I-......~;-..J. ..... . DATE JOB # TYPE JERRY p, 11/ ;:::! /n/. ""'If 1(" /,'." ..............--..--............................. .m__........__........mm..__....__ --..--......----...........----..--.. ...........-- V 1~.J:::x' ,~n I L pqA(\~'0:~:.::::::::...:................::.::...n....::...:.:...:.__.n..__.__.........:...........:::........__., , , ' . . ... __ _. _ _ n _ n. __ _ _ _ _ __ _ ___ __ _ _ _.. _ _ n_ _ _ __. n_ _ _ _ _ _ nh n _____ ___ un _ _ _ _ _ _ _ _ _ _ u_._ _ __ , , , , , . . ..____.n_______________________.__. . , _______.____._.__u__nn_______.__.n..___n__ " ' " " " '" ,. "" -------------.-------_....-+._-------------------------,--------------'._------------,-------------,-----------. " " ,. ", ,. ", , " - - - - - - - - -- - - - ~ . . -- - - - - - -- -- ~ -- -- -- - - - - -- - . - - - - - - - - - -- - -:- - - - - - - - -- - - - -:. - -- - - - - - - - - - - ~ - - - - - - - - - - - -- , - - - - " , ,. __________n_.____.uu____.hu.u_n_n ____..____..._,______________~_____________,________. n__'____________ , ",. , , " "..." _ _______._+__:_.. _ _ _ _. _ _...: n. n.n.n.. 00...0000. n. .:.. _n. _ .U_ u .!_ _ _ _ _ _ _ _ _ _ _ _ _ _ ~ _ u _ n _ _ _ u_ ~ _ _ _ _ _ _ _ _ _ .u. :...... _..... n:..h n. .0... n~ ._. _ _ _ _. _ _.. ;.u_ u___ _.. _. ;.00 n._ _ _ __~ " "..".", uuuumul.mumm+uuumm u__uummm__uuuul.__uuuuulmuummLm<LuuWu.u..J5'tTl1ml,:::,tm'__JJ.V),uuuummm' , ,"""'" " """", " ",.,."" .............r.............,............. .............~.........__...~__________._........__........--..-.--.........-------.-~-.....-... ---.--.....-..-...---..--.......-......-....-~ " ,"""'" ,. ,'" . uu _ uu u_._ _ _ _ _ _ _.. _. u. __ u___. __... ___.u.u u_ .~_ _ _ n _ _ nnn.'_ _. _. _ _ n. n. _ '00.0000 nn..' , ." , . , ' , , ....... .....,...... -. - -.. - -:. ... -.. - -. - ._.~ - - - - ------ -. -; - .--.- - - - - -- -~. -- - - -.- - - - -- ~ _ _. _00 _ u _ _ _ _~ _ _ _ u _ _ _ _ _ _ _ _. _ _ _ _ _ _ _ _ _ _ _ _ _ _ uu_ _ _ _ n_ u'n.n_ _ noon _.nn......... _,. .uu _ u uuL. _ _ u. _. _hOC. ._... , . . , , h. ,uh_ _.. _ u. _ _ _ _ _ _ _ _ _ u _ _ _ _ n. n_ _ u _ _ _ nn n. nu _ _ n. :::::::::::::::::::::::::::::::::::::::::::::::::::::::::::.::.:::-:::::::::::::::::::::::::C::::::::::C::::::::::::-::::::::::::::::::mL.m , , ........_..uu_u, ,. "",." ,. """" ,. "",." ,. """" " ,.""" n. _.. h"u, _... n _... h h.h_hn _ n _ _ _ nn. 0000.. _ _ _,_ _.0. ._.u_ u_~ _ _ _ _ nu _ n. ___ _ _ _ _ nn n. _.. n. _ _ _ uu _ .-'_ u _ _ _ _ _ n _ _ n~. _ _ _ _ _.. nn _.u,u_uu _+_.. , ,""" " "", '" _ noon n.. "_00 n. _ n _ _ n _ hn. nu _ _ _ _ _ u_. n. nn _ _~ _ nn _ n_. ,.... _. _, .+h_ ._+ .J.u u _ _ uu_ _ _ _ _ u_ _ u_ u_ _ u'_ _ u _ _ uu _ _ _ u_ _ _ _ _ _ _ _ u_ _ _, _ _ n. 00.0000 _ J. _ _ _ _ _ _ _ _ _ un"_... _ _ u. n_ n' --'-~-"-"---'-'--'I.'.-'-'--""'_.'-'--'~--'--'----'--~-_.. \ \ \ I \ \ \ \ Tuesday, December 11, 2001 8:37 AM p.01 ADVANCE SURVEYING & ENGINEERING CO. S300 8. CO. ROAD 101 MlNNllTONKA, MN SS3.S PHONIl: 952.7.,96. FAX: 9524748261 Tuesday, December 11. 2001 Attn: Building Inspector Building In.....~~.:.._ DcpIlrtmcnt City of Prior Lake FAX: 9524474245 PHONE: 952 447 4230 ~ ()I-! DOr Rc: Soft IOiJs at <Ml50 W, IS4th S~ NW, Prior Lake, M.'.. .~,:.a Dear Inspector: On No\~_L. 26, 2001 we ~ a report, our job I11lDIber 011612 fur a Tom ~ who is In,lldn.g s home at the show Bddreaa. We got.. l;.n &0,." Tom lIIld spoke with his c:ontral:tor about soft clay soils in the excavation for the foundation. Apparently, 8 clay soil was encountered at basement level, which is consistent with our borings. But even thought the contractor spread 8 thin layer of crushed rock to try to keep the work area ftoll\ getting uwddy. the IICtivity of \\~.:.............. in the eXl:...,,";';~_ and water bas turned the top filw inches of the soiIB into mud. We reeollm'JlOnd re.movittg one foot of the mud, down to solid clay and replacing it with one foot of Class 5 crushed liml:stone. This thid<_ will better spread the loads of construction activity and provide a solid. surfiIce on whi!:h to pblce tbotings. It would. be a good idea to place dllIin tile at the level of the cleaned excavation before pJacing rock to get it further below the basemcnl: floor_ Pea rp"k and 8 protective Wt SCl'eeIl fabric, rather than cnuUled ::." ",.;., ne shall be used to cover the drain tile. Sincerely, (~---.)^ Ll-~o_ II H. PlIl'ker I>.E. &: P.L.S. No. 9235.l>resident -.-------------..--- ,------- ------------- --. --------. IEITZIWI ceIlIRDClION,INC. 10710 Nesbitt Av. So. Bloomington, Mn. 55438.2495 Phone 612-998-5122 Fax: 952-844-2918 September 10.2001 To: City Of Prior Lake Building Inspections/Planning 952-447-9850 c/o Paul Baumgartner Paul: This letter is to verilY our discussion on Friday, September 7 in regards to the drainage I utility easements at 4050 W. 154th Street, Lot 9 - Block 2. Windsong on the Lake addition. If the future need occurs to perform drainage/or utility work within the 5' easement zone at the above address, the owner of the ~. U~_. ~/ will be responsible for any repairs to the retaining walls within this easement zone. If the ~'u~_, ~/ is sold. the buyer will be alerted to these conditions prior to the sale of the property. Sincerely, ----------- -- /~~.,/ . Thomas P. ~ Owner of Corporation/Property -,..,-----..""...-.----'---.-.-'"-'~------..-.."'"T." -.---, fiI> ';;-"'C~W'~ ' ','-:.J,'~~'.:.'-".'''_':'''.''i__,.:... , . ...'" .,.... t (A ~ ~ -:-----~ . . - \. (' -. QLtrliftrau at OOrmpancy Lll i OF PRIOR LAKE . " mepartmtnt of .uUbing Jnsptdion c2(Final Permitted D Conditional C.O. Expires_ This Certificate issued purslUUll to the requiremetllS of Section 307 of the Uniform Building Code certifying that at the time of iss/MJ1lCe this structure was in compliance with the vario.... ordinances of the City of Prior Loke regu/aling building construction or ....e. For the following: SINGLE FAMILY Use ClassificatiOfl Bldg. Permit No.. 01-1008 Occupancy Type R3 L9, B2, WINDSONG ON THE LAKE Fire Zooe ...J3.1 A TyPe Construction . VN Zoning District PUSD Legal Description Owner of Building _ ~iteAddress 4050 WEST 154TH STREET HEITZ~ONSTRUCTION, P,O. BOX 385525, BLOOMINGTON, 55438 Contractor's Name &. Adclrcc- .' r \ ROBERT D. HUTCHINS \ f j' City Planner DON RYE Da..: II 0' { lBuil;'?r"ia1 U f Date: ADDRESS !lC) fi2-.i b -,,:j OCCUPANT J.!p,1-Z-n..,,, ~ HEA T LOSS DA TE HTG. INST. SOLD BY Elechicol Work By ~ TYPE OF HEAT HOUSE HEATING TEST RECORD 1"'5 C/ n.. -5-r APT._FLOOR OWNEP r) . "'IJ( CITY ~ke. SUBURB INSTALLED BY 'II U I \ Ir"",. line 8y ~t J J ! A )f" GA _ FA ...'.:..-HW _STEAM _SPACE HTR. _UNIT HTR. ~OTHER r 1/ I -"""(J ~.. . v,AS8ESIGH MAKF I (;'J 1/\ (J ,xL 1 u MoG.1 -.rL-1 y /.;10 k <1 ~o v.2. 5.<;o,2.4'u Y leA. U 7/,- INPUT l:).(JoiD ( CONVERSION MAKE OF BURNER Mod.1 Maix. BTU Rating. MAKE OF FURNAt"" Mod.1 _ CONTROLS THERMOSTAT 12. <, _ H.o' Plug Vol.. IN - (<'. Limit -Yf=.v-c-"'S. -r-V"I.......-t Lhnil Selling. /"0' Fan S.ttin~' 7 /'/V'...('rrJ /{ <'77 Vent Size KIND OF LINER Draft Hood Filt.,. Si.. _ Ch Imn_.,. Location Chimney Con.truction _ 3" SIZE Regulcnor . .Mum", NONF Pilot Type Pilot Mak. Pilot Mod.1 Pilot TiminG _ L.W. Cut Off . Insid. \" ,J/_ Outside " Smolee Bomb Draft DoOf' Pt...u,. Wiring T..t To," Lighting lna.. " ~ Pte..ur. ~ .;"/Uc.. Input CFH l.Jf,)d'V/, Stock T.mp. / I iJ . _ P.tcent CO _ Petcent 0; _ P.rcen' CO ?fe,_ 7"/. cy;. OG,. Tu,.d (",' ~ () -u ().. Com""ny Tu,ing ~\J..,.'"1 tV Name of T.st., ,() )y.... h.)r IIc'.r ':":"",~, ",",~}:~~~~~~"it.'~. ",iild:.-'... ~~;""~];;~;' ~..~,.ii':;.;;~:~i'J"'~, ',,:' <';,;;.~ "<";~~r.;i'~';. ;J;;;""~"":f. ''<'~;b'; "i~ .;t,::..i:.:,;;~l~'~'4~:":.o.'':':;':'i!".'..iJ'''' ',(f..:.t';...':;';~"" '< .1"tll,' ;"'d~,;;;,,,j;"-"~':';:"',i"'ii'.;;.0;,.. '. CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 409) OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o )NSULATION .a' FINAL D SITE INSPECTION COMMENTS: ( !I~ DATE nil!; SCHEDULED J F2.:f I '5'1 ~ CONTR. PERMIT NO. o I - ~06g o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP D PLUMBING FINAL o MECH FINAL D EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI D FIREPLACE FINAL D GASLINE AIR TST o Q J t,-! ~C\.~ I \ ,\ n t-\ ~ / / rORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED D CORR~'7"f' CALL FOR REINSPECTION BEFORE COVERING Inspector: Jf I Owner/Contr: CALL\~;#5Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! Ui8NOn CITY OF PRIOR LAKE INSPECTION NOTICE OA iE TIME SCHEDULED 7- "3-~ q 3() 4650 - t5LflL.. ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. 100 'it o FOOTING 0 PLUMBING RI 0 EXlGRADIFILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o INSULATION ~ 0 SEWER HOOKUP 0 FIREPLACE FINAL ,;;1)' FINAL 0 PLUMBING FINAL 0 GAS LINE AIR TST o SITE INSPECTIO ~ MECH FINAL 0 COMMENTS~ rlo~~ C"'\ M~ IJle...&-- ~;::::.-- +c 2.v> (LF,.,.... O"l ~ ~- .oj; .cI-", cf4' ~~".. ~r -0),.1, fh.- ~ ~~~~~ b~ ~ ..; ;~k1 J/Q,(. ~~~_'P- , I T;Q..Cl. -6..QJJ ~e/ 0 'Z- ~~, o WORK SATISFACTORY, PROCEED flI' CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING fu-- Inspeclor: Owner/Contr: , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETYI fNSHOTJ DATE TIllE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED J / I7-~ ADDRESS '10 So I(;~~ 51. CONTR. 7;fYI J-! (.."/7"""" PERMIT NO. OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION rf1 FINAL vO"SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL Cl!C~ILLlNG o coM/ltJ[Kr o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: brQo0, ,;) (( ~ WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InSpector:/J1~ Owner/Contr: CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY! uaNO" /'- d~ 1/; lJ() 1St! Lf:::- CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS l/oS6 OWNER CONTR. PHONE NO. PERMIT NO. o PLUMBING RI o MECH RI ~WATER HOOKUP o SEWER HOOKUP LUMBING FINAL o MECH FINAL COMMENT~ lJ.e,"14 ~..u.~~ l~~ .~~....QJ ~-"V__/1 o FOOTING o FOUNDATION o FRAMING o INSULA nON o FINAL o SITE INSPECTION ~~~, VI.~ -~ OA TE TIME j--- /oor o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o f~S o WORK SATISFACTORY, PROCEED ,.19. CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspeelor: ~ ~ Owner/Contr: CALL 447.9850 FOR T'iE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! J/'tSNOTJ