HomeMy WebLinkAboutBuilding Permit 99-0003
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE R~CEIVED ,
File
City
Applicant
qq-oo 0.0
permitNO.~
1. White
2. Pink
3. Yellow
rIO\/
61998
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) /1- ;J. - ? ?
2. SITE ADDRESS
3-1 F 5' S /J r 1/\19 C / P Iv (' ,. f" C / f
3. LEGAL DESCRIPTION' /
LOT /9 BLOCK?\:J- :'\ PID J...r-J.:rJ- 0/7-0
ADDITION G J.-,v N kJ4f-er:Jfl ~ \ a rich' T/o)'y'
4. OWNER (Name) (Address) (Tel. No.)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Address)
(Name)
5. ARCHITECT
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Tel. No.)
L{()u, -4 r.<<JO
1 0., ,{tpdress) '" _'
oc" S- ~A....... ~ 4...A.C...
~l4lb 'Z~~ ~
Septic CJ Deck CJ
Addition CJ Finish Attic CJ
6. BUILDER (Name)
\)j~AuU
~
SEATS
16. PROJECT COSTNALUE
17.~~L~~DATE
Re-roofing CJ Porch CJ
Re-siding CJ Finish Basement CJ
7. TYPE OF WORK Fireplace CJ
New Construction ~ Alterations CJ
Chimney CJ Misc.
10. CULVERT SIZE
9. PROPERTY DIMENSIONS
8. PROPERTY AREA OR ACRES
Sq.Ft.
No
Yes
Depth
Width
I hereby certify that I have fumished 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. I am aware that the
building ~c"l can revoke this ~t fcljust~. Furthermore, I hereby agree that the city 9~i~1 or a designee may enter upon the property to perform need,!d in~peslions.
X ~~ q~ Ilf5l1 11-6-'r
I Signature License No. Date
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS CJ PERCOLATION TESTS CJ
PLANS & SPECS CJ SETS
SETBACKS: Required
Actual
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION c:r~; ~
USE OF BUILDING
~FA
CJ COPIES
CJ
SURVEY
PLOT PLAN
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A B E F HIM ~ S U
Division 1 2t5Y 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $ ~~I). 0 0
SAC ......................................... $../-G-C.:J . Ji:J'
Collective Street Fee ....................... $ / &? ~ ~
Sewer Tap ................................... $
(f1f:/ - I' $
() b ~re Reducer ...~.................. $
Meter Hom ................................... $
Water Meter ...%~:..................... $.
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
City:
B37 . 2. c;-
..5'44. . 2.'-
l.{l:,.~
Id 0 -9I~P? 1
,(x)- t{f-A:'l?2~ f~ 'I
, -,c Co 7
~,J . J 'tf'-<W1
Plan Check Fee ............................. $
State Surcharge............................. $
::::n~.~~:;:~~~.::~.:.....~I.:::..:. .~
Mechanical Permit Fee. t. .. Dl $
Sewer & Water permit.~ ...../... . $
'-Iq. 00
12...<. =
L.IJ E . .:: !)
I J...OQ. ao
. I
'/....0.0 . (')11
WalerTap ................................... $
Builder's Deposit ............................ $ 0
Other ......................................... $
Total Due ...~':.11...... $,. ~ ~ X-
Paid 9&>31.. 't7 5 Co ,; t.. 'l7Receipt No. 3 q... ~ ~ I
Date 1/2-'1 {tiC( By ,u>{+
r;J. is ~~t ~:n~uest in the above application and accompanying documents is in accordance with the City Zoning Ordi~ance'and may proceed as requested. This document when
s' ned y c:J1;j.la;;:; ~rary certifiit['Jrr ~lianoe and allows construction 10 commence. Before occupancy, a Certificate of Occupancy must be issued.
~ , City Planner . Date Special Conditions H any
v 24 hour notice for all inspections 447-9850
Gas Fireplace Permil ....................... $
ThiS~:':' . ecomes YolJ Building Perm~ W~en Ap!ov.;.
By k Date {t-t - ~
Certificate of Occup cy
Issued
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rh~ C~nler uf ;hr LAke C,lUnln
Cuantity
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CITY OF PRIOR LAKE
PLUJvlBJl'lG PERJ~!lT
_. :cld :'::~t'l
'~::O'N' \r;pliG1IH
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':T
Applicant: G~"Z-RY..c\i'T
AGGrass ~Y71 So lioco;t, Trl, Rosemc1.illt y!N S~068
Sicnature: 1;111 /!tY'b} tttiJ,/U
Le~al Cesc~lpticn: {at}4 Elac:< ,:;;;}, ,su~~(yIl',f~JaIcr 1AZ5I
Site Accress~ ~.gg",.. , )Or//)L} Ale/) (jr Nt{)
C(1:3 J piC ,*c{6--3':)I-O~-o
Phcne:
.J.23-11~~
Euilcing Permit '*
[\jOT=: This ;::errT~it 'Niil nct be prccessed 'Nitr.cet:cmplete information.
FiXTURE UNITS
Ceantity
Type ot Fix'ue
Type cf Fixture
Eath Tub with or 'Nithout shcwer
Cisnwasher
Ficcr Drain
Lavatory (bathrcom sink)
Laundr; Tray (, or 2 c:.:::mcartment sink)
Shcwer Stall
Sinks
Bar Sink
Water Closet (toilet)
F=: SCHEDULE
Industrial, Commercial & Multi-Famliy
(1 % of job cost, $39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Surcharge
3
/
=cugh-:rs
'Hater :~ealer
'Nater Scft;:er
I
Stand Pipe (washlrc;~ac:-:lne)
Sewage =;ec:cr
Bac:dlc'N Assemtlv ~PZ.:cut!e C:1EC:<. ,::'ic',
8aokticw Assercl'j T ~S7
Lawn Scrinkier
ether
5
s
$
s
.50
$
( PAID WITH
BUILDING PERMIT
This permit is granted upon the express conditIOn that said
contractor. shall comply in all respects with the ordinances
or the State Plumbing Code an, d the amendmenrSj.\1erco, t.
RECEIPT :--;0. ~-17-tj/ D,\TE
(~J.i/I' J
ljfVLA-/ .\T:"2ST
Clll for :111 inspections 2J. nours in :1(h~nc~.
l::.'">rr, F a-1 (-0",1 ~.. ~ j:.' p~; L. 1,~ "~I; "" '1'':::-::-- I ph .::;'~'
v':'u\) _3.:=,e "~~.<.. ,'I. ~,~.. "or 3....."'..Y lnne~vt~ ___ ,_, . d. J
j 1- -.J.:::::
.... .., ~ - -J.-- -:. ~
--' .-
:... .......
.~:l =~tl:ll C>;::c('r::.:::.rr~: ~::1D:C~ ;;-
~,
..~ HEATING APPLICATION I PERMIT
Oate ,--,~/II Iqc} PIO # 06 -.~s-I- 0 (9-0
, '/2/2 1/ ?,' . /1 /) , 1
Site Address, ~,df3~ ,)/Jrlnll (aIr'/) If IYtv
Lot /1 Block :::1 Ad~ition I>YlJn/A)aJt./ t1 r'sl-
Owner's Name 1AJ1f}'5f/)tj nn - J11)nJf:~
Address /1)1/.;) fJII1ZLt Or,. , 51'/ :JJO: ;(-(3tlf) ,1?5J;{;<
Heating Contractor GENZ-RYAN
CITY OF PRIOR LAKE
qq-3
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
Address. 14745 So Robert Trl, RosemoLU1t NN 55068
Telephone # . 1l23-1144
Furnace Make & Model l/nfY))(
ModelSize 0;Ag&J3-7;J
Conn. Load
Fuel/lla;r
Supply Openings
Return Openings
Input 70IJtJlJ
,
Edr.
Gfm.
Alterations
Repair
Est. Cost $
Flue Size
4"
JI,
1
Output Ltc) 000
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEA TlNG OR POWER PLANT
Stearn
Hot Water
Radiation
Special Devices
Other Devices
TYPE OF WORK
x
Replacement New Construction
Est. Compo Date
Building Permit #
HEATING PERMIT FEE $" /'
STATE SURCHARGE $ "\/ .50
TO"-AL PERMIT FEES $ ^
, "
CH-3
f' PAID WITH ....'"
BUILDING PERMIT
Receipt #
TYPE OF STRUCTURE
L Pink
2. Grren
3. Yellow
File
City
('ontf:1ctnr
Single Family .
x
Two-Family
Multi-Family
Other
Commercial
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildina permit number before build-
ing certificate of occupancy will be issued.
H~r CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
cas];;;;; 1Z;:~ and approval of ~1611 / /qq
C !fj2-t'. Applicant' s~.gna C/.~. . ' ~ I Dafe
~" 5-(7-9'1
. . a .. Date
\ _.;;.~:,-;...\~~;~'tI::,_,\.;~,~_..;-;~'tI-f:;~~~-~~~~;',:'.~~u'Ji.'i}~:~J:~~ilM~;::i.;,~ -::it..~'f':.ll,. LO-'~:~~'
GREEN . FilE
YELLOW - APPLIC.....T
GOLD - CIT.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. ptf" '3
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: G~-RYili~
ADDRESS: 1474y So Robert ,Trl, Rosemonnt fIN 55068
SIGNATURE:~ ~~~~
SITE ADDRE'si,:~ ~OrJ1}j {h/((} (;r
FILL IN THE BLANKS / 'j /
1. Estimated length of water service ~LJ
PHONE : ~.23-1l44
DATE:3/// /tJq
I ,
ELOG. PE~~IT # ~-3
IVtJPID~ <<S~~/-{)(tj-O
feet.
2. Size of water service
/ II
inch(es) .
')
-- .
Location c: any couplings
4 .
Type of sewer pipe.
ABS
from structure
PVC I Cast Iron
40)
feet.
5.
Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
::::~:::~:~:::::::=::::~::::;:::~~=~~~~~========
BY " ~ ..~ . DATE: 517-L('j
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. ~ PAID WITH
, eurLDING PERMIT
AMOUNT PAID
DATE PAID
RECEIPT #
REC'O BY
9)0)
4629 Dakota Sr. SE.. P,:or l..:J.ke. :Vlinnesota 55372
Ph. :612; -147.--+230
:-~x612) 447.--+2<15
..:.:: =~>::_-'...:.:.... ~PC(R::_'~:i-:-':' ~\!PLS",'E~
rr -&;:eJ 5
'-
The ('tnftr of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
(.I '/))1 () _
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...... . ._./' .I,' l t"
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APPLICATION RECEIVED
1// C
.I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
':';>"1,' 5 C /' , r}
.J )(1"' ...) f.) ( , r f (" / (' i' (t,. ( ..( /'
I
Date:
II Lffi}1~
Reviewed By:
,/
9-t}{J~
~ 7'~ - J 'fu,S-
Accepted With Corrections
Accepted
Denied
Comments:
t
j
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
,f.,.'
_ ,t' .--.
.
*,-J.#a::l
99 - ODS
Th. ('.nl.. 01 th. 18k. Country
White - Building
Canary - Engineering,
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHecKLIST
NAME OF APPLICANT
LuP/l'l<JrnArn~ L!rryJ
1111 (&> / J r
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. 3iR5 ~Pfl, Cff2-r1
Reviewed By: IA'ftLn:R
f:' I~'" ~ <: M e.&.N
Date: 11/17/'8'
C,r0
Sb ~J()
9f'/YoS
9t, IYJ b
9 f'/vo t
Accepted
/
Accepted With Corrections
Denied
Comments: ~e:-~
INFoa.M14"'ON, Pt7T~HIIlII€A1'I.5 ~ !30YHW1E-NT~
n,J
15,,11 C\1t.3/. ?E.(.r\II.l'1'" -# Cf8 - J4o~. 3.3~1 SP~INb (;LW C'll.r~c....
...
'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."
r4
~;;';'W"j~';i~'~:/~:;~"'E',:""DE~ARTMENT.Of!>:":,;W'
"i':!"~~ ' 't , \~ "~,;:';:f:'~U""'I:r:''''I'N''' 'h.';tAN' D""';"~" ..',
''', l' i( , .' ,', ."~D "U \:I' . .
" . E" ''''''J'~~;;{~;:C:~I~'~O/,j;/+':':;;N;~:/.i~r''~'r'?RI:~~~';;~~~;.~, " ';:f!t.t, a', -'.'"
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.'.'~~~~i~e;t~6p.~ESS..;;~.~"" ." <9\~~ \:'!"i~('C."',i
'." .,~i.'.'.:.".~'.';:".N.' A....T... .'...'.":,..11"").... ~'.~O'..'...~... ..W. OR' K..;';.....~~ l \. .. ",:" ^ 'V '_ L..., t' I"..., ,"...::"".:.,:,'.....,'..,','<.,
':',..';':!~:t;,:~j~~kLI'r'''~Jf~~~)1~~;0.'~.>~~~ " -: )"~,:",,,~,.Y~.': "\~~UJ ,~QV\~ 'c.,~.\~~' :'r.<: :'~...;~!~.~'
::\:}~~~1'tiSEl;OJ=..BClILDING; SqA ' .. ".~;i'" :
, -.' t. l~; - . 1".' ,'" _ \ :.~ \
. :.'.;~);;, p:~'~Mr()"NO" '. .~~1$ff1J.~ DATE IS_~U.~~. \ \ - 1"2.. ~ :.P~!~~:~~t1~~~~~,{~~:,~:>~~f;
~.;:;;:;~,.C~9,~.r.t:tACTQ~ .,L0""V\.~t.\.~ ~.'" '_ ,". '. "f:!,.. '.j);:;"/;b
";,',;7;(;,;' ,i~THIS~IS!NOT\.A PERMIT FOR'ANYOF'THE INSPECTI' . :~;~);',
.,;>f?~~;HE~,PERMlr,IS.Bv;~J;~ARATE DOCUMENT':, .... '-'!:'.:..
,'i\i /'.,:' /'1"""-"':;';- '-I.
. . INSPECTOR
pl7()pTING'\:'~:;,> . ! I'
1!1(;):l.'-tJP~TrQ~t(P,rIQr to Backfill) 1 .' _,:~'~!Ilyr;h:~~
, .jPl:~~J~1.C,O,NCRETE UNTILABOV.E. HAS~I:UESNI:i'Sl"
::;;f,r":;;':':;:,~~:~ , .. ~. R' '0' UGH' IN S.t,:, .'!,'>".~
.~~(~t}.. ':'~":~ .";. ,.y~, :.:~;' ,'~ ,', .:. . r . . . .. '. .', ,,'-, '"
- ;S.EW~A"'IWATER"J SEPTIC
FR)O"flNG,
INSU(ATION . .
. t'E' ".'J"e''',.,...,.'R' IC'A' I".r'~"i:.\!~";ri',,""...,_
'~ ""~,~ .,~,~.;:,.",., ,_'. . ". ,~.t+I4k~if~~~<::~<1'.~
"p.CQ""EiI NG~1t:: i,;Y':~l~:',::,
~HEATING;!('lf:-re" uired) :..,."
"'.'. -Y"'/ . ".q ,
h.':: "'Irwfii!i;~.'" fii'..~~.'m.' ~;~.<lIlitJ1il.::4.!~;~1~if:~?~!:"I;,.;:I:;j".""
it"'J1.I"r:I;,I:A\.r.I:~~f;::.:;\f<:'r~n:, "',;".' "l', ';" )'~'~:_',-:'I{"
fGAS'tINE'fAiR'TEST.' .' cr. tL'" ,. '.'4-' ",-
.. .ed;~ERrN b"wo R KU NTIi. ABOVE .HAS B.I: E~tSi~:r~l1.
.':{;\,.;Y~~\"':WAlliZBOARD";:; :,;, 1 1 '.
:;;;tl.:.{;"i~~' ~ ,. . . > .
'>..',,':,.j ~'.. .....>. F.INALS
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'_;""1" .,_ ,~;__ ,~ft, .;~l, ......._" ,'" ,_ ,n j~~~'1'>':'<,7~"-':~:~. ""1~'~,j~'!f' i'/ ,"..',i:~:"tl~;'~;';~.t{~f]tr~;~~~~fr~;~~F ;
I J . .'_ f, 1,_ _" , ' " '
~*.I"iIi~t~~G;""i'r.~~';f?I2'fj#;~,.,;;,!"..;~AI1t""",vi";"J"')h" ,." .. . ,....",' ',..,. .,._;"""'<:;f.'+..::"':,....,.".;.V^J'.~'(~.ii....~. ,
;r~.,~ ,UI ~~J~ *~~~;\;?~:~':;5t\,:--:::'?f?<"':'~"'" :f::pi;;~~!F'~ /,'-::'4~7-- l~'?,' ,:~. ,,::{'^' ,f ',~,.' -/.! ,~>:::.~~~:,;:>-> "':. ..~:+~;~~.1'~;!~~{!~~',',~?\;~;~1,:" .
"EL""E" "C"'T'. .R...'I..C..A..i;~.<'...""';.'...,.\ . ',' -";".'. .... '."
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;:""...rU" M......B" "I'N" G' .,~":;z:;':\~!l!,;fl:;..;,~,(:;,~i,:"...:i',.
. ..~,rr:,~. :.., ,",,,,,,~' ,'" . -....,: -; "',-.":;!, '.,' "''''~v-l-:','~-::~I',:..'~~.~,~:7;~'. . ,
!tHS~tl;fJG~j~lr;~i;.r;.l':f{p;k:;f;fW::. )., ';. ,. ':~",~i:()'t;;(.~i~~$.':
'::O.!/;NOT':~toccu py'; U NTI L::tA BOVE'.:~.H'AS~~~~fBE;..:
"~'~":.:.'i!~f~~~i~~C.S}J:;..:':1t,,;,?/:::~'~tii~r:~"i,.:';. .. N 'otfe.I{':':.. ..... e..: . ....,
, .....,... "carCi'must'be,'!po.ted near.an'electrlcalse..vlctt'!ca . n '.' .~." .', .
'\;i;'~~":: rid. maintained until all Inspections have been approved.-i;"On"'bulldlngs,
" ',':' ,""~~;.~where no service cabinet Is available, card shall be placed near,:m~ln entr'at:"'~
:",:}:'~,;.1/~(~;.;."" , Call be;~een 8:00 and'9:00'A.M~'for ~II i~:~tt:cti~!~;:{Li;:'r#;:7i':5;
. ;..'i.,.,!:r.,'~i!:i:' . FOR 'ALL INSPECTIONS 447-4230" ',p,e!:,!,.
i.._
r...."";" _,~
." '..." - ij
QLtrtificsu of (JDccupanry
CITY OF PRIOR LAKE
Jltpartmtnt of Jiuilbing Jn~ptction
IKFinal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following; ?f. ~3
Use ClassificatiolL.....S..in.D-' 1 p ~i' Y Bldg. Permit No 9 8~
..--
Occupancy Type . R3
Type Construction
v
Fire Zone ....J1LA
Zoning District
R
Legal Description.1..l9. H2. r,yYNWATER 1ST ADnTTTON
Owner of Building
~iteAddress 3385 SPRTl'{r. GT~EN CIRCLE
Contractor'sNarne&AddressWENSMANN HOMES 1895 PLAZA DR S200 EAGAN MN 55122
Robert D. Hutchins '^-.. Don Rye
I'~ City Planner
Building Official
11-t1. ~ .!11
Date:
Date:
..'
Job Address~""S- 5P1'/~ ~"
Heating contract~~~.)\/
~/.
,.,Jd- yf
7
()
Name of Tester
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
8'
~
UMC Sec. 606
Input
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3335
s:~ 6~ t:;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
? L::....n Oc1 3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~
f!( FINAL
o SITE INSP TION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~ {tJn
/fr~ 'iJ c.. .(7.
)!:l WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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
, ~------
ADDRESS n St 5
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
t1Raot t) t< PE:A
L!un~
DATE TIME
SCHEDULED
.
r<::;'Pftll\J(-, CLEkl Cllt/:'t...E.
CONTR. .LJ6..)~uA-NI\I Hot'4.r;:"~
PERMIT NO. .!f) - 00 ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)q EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
7/z 1/99
, ,
I ~PEc:no^1
J s OPEAAr,oI\lJlt/-
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \~"?i.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~r/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI