HomeMy WebLinkAboutBuilding Permit 03-0541
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
r04r
fJMr!.l "~P\' .
1;-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o !t"SULA TION
Ji'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
i!"1.1ECH FINAL
COMMENTS:
(~/ft(,( ( dJ,.k ~
~,rI ct- ~,.,~'~ fH'-
DATE TIME
--1t>'" ]..dJ
~-~4/
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
d~vr:/..,., -..rf
7-<~p U~ I-l {
.
...
~rsQ.-I- rt'LI~~~
/(- ~O-~
o WORK SATISFACTORY. PROCEED
Jii!""'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: N 10" >-- d3 Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I/'ISNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-~7-o3
ADDRESS
11
OWNER
CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
D FRAMING
o INSULATION
llSVFlNAL
D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~UNG
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
&uu./-t - n JL
C'o/It.. r{l>r- -0 Jt
()(WORK SATISFACTORY, PROCEED
I'D ~ORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~~_ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
"~"T~".. --. -~... ~.. ....~.._.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S04S- - forld!.'e~~
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
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~d. /r;y~~
COMMENTS:
..
~
/" _1
/ /' / A_
I ~lU>-C-
\.
~
DATE TIME
;k 5-0'3
-S -jL( (
-----
c7:'1
,,- J
~
~
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K, ~~OR REINSPECTION BEFORE COVERING
Inspector: J/W Owner/Contr:
CALL 447-9850 FQR, THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S04'~ ~j~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTiNG
o FOUNDATiON
4J.-FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
'"":)-.2 '1...
"? - . ("""c..f I
o EXIGRAD/FILLlNG
~OMPLAINT
EPLACE RI
o FIREPLACE FINAL
t ~ASLlNE AIR TST
COMMENTS:
(D MIX (t..tILe /) t-1 fl l' ,. v$5 5
'(!;) AcJ.~ eKh.u L././L- 4~ ,c;.Vloz. r !Hd-~
~ -... 1Ar, .,r1tn..--
~ 1/1.1$5 Icd.~rtt/~ shov(cJ trI~ (Cd? 2
(;:,\ 1L:v 5< t" <;
~ Ac.ld bt'4r(:~ VYlcJ..,. $4.0 sf>..'Y).....l"~r
~~ It/; ~ro~ CL+- I/I <ViA f.~
(....- Ocd~ t:Gl '1+ r~ 11'1 r;~-( c!
o WORK SATISFACTORY, PROCEED
..,cORRECT ACTION AND PROCEED
o CORRECT W~R-'7ALL FOR REINSPECTiON BEFORE COVERING
Inspector: Y IY OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNon
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~6qS' ~tA.)~ O,JfA
CONTR.
OWNER
PHONE NO.
PERMIT NO.
)i"'PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
{f:J.eWlfM J'tIlJf-u.ps.
DA TE TIM~
er-Ie-'~
:? - .5 f..{ I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
o CORRECT WOR:ttLL FOR RElnCTlON BEFORE COVERING
Inspector: --t. If q ;, Y , Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec',
Lj- /?-03
~. ~i~~e ~::y I PERMIT NO. ()1?-o~e4I-
3. Yellow Applicant ~ ~
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
5Dtj~?0V1tis~e-klvL 12/
LEGAL DESCRIPTION (office use only)
LOT I BLOCK , ADDITION ~f-hf...-U. ~
PIP~ s-- 3 99- 00/- 0
OWNER
(Name)
(Phone)
(Address)
BUILDER", I \ 1\
(Name) U.~ T"\t)"'V'1lJY) lftc---
(Contact Name) ~ ~ F ...r-L-lL~ ~
<2...09\&10 ~-vJo,.'p~ ttO'ak. i Db
(Address) Ll.L~ \k._ VV\rl ~lfLj
(Phone) q 5"2.LJ 9);-19Joi3
(Phone) q r;t.:--Z;2L~- (~~<-J.
o Fireplace OAddition OAlteration
PROJECT CQST IV ALUE (excluding land) S 2D o. tJ6t.J
I
I hereby certify that I have furnished information on this appli<:ation 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
submi lans. I am a~e that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter:: epro~~o;:~~~;- ~O()5},Cj7 U/l~ J ~~
~Si~~ Contractor's License No. ~te
~ew Construction
OLower Level Finish
o Deck
o Porch
ORe-Roofing
ORe-Siding
TYPE OF WORK
OUtility Connection
o Misc.
II
Permit Valuation -:t'r:J()(J J 0 t!J 0, 00 I I Park Support Fee # $ ~lJ,Oe
Permit Fee $ ISb":3.7.5"+ I SAC # $ /2 75".."~
~
Plan Check Fee $ I Do CJ , 9l/~ I Water Meter (Size 5~ I"; $ z'50..DO
State Surcharge $ 100.00 I Pressure Reducer $ LIS, 00
I Penalty $ City SAC and WAC # $ / ZOO 4ID
I Plumbing Permit Fee $ /IJfJ, 00 Water Tower Fee # $ 700,CU)
I Mechanical Permit Fee $ I ~tJ, () (J Builder's Deposit $ .I'SOO,OO
I Sewer & Water Permit Fee $ -.1&.50 I Other $
I Gas Fireplace Permit Fee $ 4tJ, f) I!J I TOTAL DUE $ ~; 1.&; "l 1!1-
This Application Becomes Your Building Permit When Approved I paid$f,~q~/7. Receipt No. L;l15 cT ~
~, _'l-~f/ ~klJ~3 I Date ~-g-()3 By /J:' ./
V$ -
Building Official Date
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
~";"g'~;;~ ~~~3 ,IJ~~~co~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
Cf'nm:y - Fn ineering
(Pink - Plannin
--
The ("t>nter of Ihe t.kl' Couner)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\' /
/ r (' /_J
- //?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L/ L-r f' /, /...:. /;, I'./'/'" ",:c' L' )J
r-7 .../ 1./ I \ I..) ('-1 ~..
I
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
,..
~9~
/I~ad ~
/
Date:
~/~/OJ
Comments:
liThe 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"
Tht" Crnlt"r of tht" l..kr Counlr)'
<!IliiLte - Building ~
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
D I~ )j~rt-();U
L/-/~- 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.5 t!J~S' ?/J/l/c1s edc,e-. LIJ
- I
Accepted Accepted With Corrections ~
Denied
Reviewed By:
~
,e~
-
. ~-' ?~ Date: {/r~:s
ad tU./~ ~-~
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."
White - Building
~ Canary - Engineering,)
Pink - Planning
Thlt C"nlt'r of Iht' I..k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
F~)\:-) l-l '1 ,,,---/ (. il. )
-L-. .' , /:' (> i <. ..j/ ,J
J;' 1/7 ~::2
~'- /. / "...J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~>) I J
,- -" . _~ . '. I I ~ _ I
.....-...., /) L.jA" 1- /} ,1/(Jtl., ~-' / c.:..,;o~.' CJ...J
,---", (,/ '/- I.., c_ j1..." '-.. . 1 L
(
Accepted
x
, \
Accepted With Corrections
Denied
Reviewed By:
1J/i98
Date:
'1- ::;,g-- oJ
Comments: See Reverse Side for Additin.,allnformati"'~!
See Attachments: 1) Grading Plan. 2) Erosion Control Meas:ures
"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."
I I
Jun, 2, 2003 12:05PM
GENZ RVAN PLUMBING AND HEATING
No,5677 p. II 36
Date Rec' d
CITi,OFPRIORLAKE
SEWER AND WATER PERlVILl
(}'lease type or print and siWlat bottolIl)
. ADDfffiSS ~S fJon12-ek (fl cSt-.
i. ~~'" ~.. I PERlVDTNO.J .. 5q/
l. (i,,\ol AWn"""l ..... '"") _
. ZONJNG (offic.: Wle:)
v
LEGAL DESCRJPTION (office use o1Jly)
LOT I BLOCK I ADDITION L.fL!2ne I d Jf1,
Pro
OWNER
(Name) I'P. t!:-r':'-:'-n r.... ':''' ':'~ !,!,,:,~^ ':'
(Address)
.2o&co ~eK\~ Cr sn.-Jr'l\
(Address)
(phone) _ q62 -Q'85- f 3 D!'l
La~\Ii lle...&5W-JU
(City) (Zip Code)
APPLICANT
~~e) Gen~-Ryan Plumbing & Heating
(phone)
651-423-1144
'''-JCANT SIGNATURE
Rosemount. MN
(City)
(phone)
DATE
55068
(Zip Code)
(AWll~~ 14745 So Robert Trail
(Address) f'_
(Contact Person). _ ~h IV J h (Z{)j /J
CtA ,ll:;E ~IL 1"1
651-423-1144
~ CR~"h12
.".'-....
......','~...
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
FEE S\..:tlJ!jDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minImum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL .l:"L1<.MlT FEE
$
$'
$
.50
PAID ~
eo/LOINS 177;
.... PEFlMI'r
(Office Use Only)
Building Official
I Reecipt No.
IF n m f; ~
Dtt~~~" ~ L: ~ "~at LfY' .
Date i f\
..; JUt~ v 4 2B03 ..
24 bour notice for all inllpectionll (9~) 447-9850, ~x (952) 447-424S ~
By
Pt~
\ I'.'
~ " I \.::J
,it II i
This Application Becomes Your Building Permit When Approved
-......:....~
Jun, 2, 2003 12:06PM
GENZ RVAN PLUMBING AND HEATING
No,5677 p, 12 36
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(PIea:e type or Print ;tud. ~U:!n at boacm)
ADDRESS'5ll-{S-.~et&t- Ln J'f:,
V
LEGAL DESCRIPTION (office USe only)
LOT I BLOCK I ADDmON
/Jet~phdd ~
. .
OWNER
~ame) DR Horton Custom Homee
(Address)
ZO'SloD ~V1B~l DGe... Cr Sre, I DO
. APPLICANT
(Name)...c;..n .,.-~~tO'n '1'1 ..'J:Ib..1 n g ,....-a'" -:'.. 1.nz
(Address) 14745 So Robert Trail
(Address) .
(Contact Person) r/0 y(J &17 f;;"LU:
APPLICANT SIGNATURE r j u.l1Er ~ x:J
..,..... ,
Quantity
~
I
(
.if
I
/
/
J
Rosemount
(City)
i ~~: ~~ . PERMIT NO.3 - 5/ /tl'
J Yolln.... Applicult ...,
ZONlN'G (office Use)
PlD
(phone)
q52-9~.~ -7lSDQ
u,{u..vdle:.. ltUN EEbLt LJ
(phone) 6 '51-L. ? ~- 1 1 At..
}ill
55068
(Zip Code)
(phone) 651-423-1144
DATE {Or1-03
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
j Lavatory (.Bathroom Sink)
I Laundry Tray (lor 2 compar1ment sink
I Shower Stall
/ Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
3
. j.
1Z-'-1:-
I
I Type of Fixture
j Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
j Lawn Sprinkler
I Other -
.lI..IL.lI; S'.:..I:IJWULE
JnduslTJal, Commercial & Multi-family 1 % of job cost with a $39.50 minimum ResIdential. New One & TWo-Family $9950
ResidentiaJ, Additions & Alterations $39.50
Estimated Cost .$
BUIlding Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERlmT FEE $
(Offi~ Use Only)
r This Application Becomes Your Building Pe:rmit When Approved
.'4\';<..... '~.
1""--"
.50
.1I/~1~~ ~
PlJRA4/,
~J~ @ ~ U ill ~. ticeiptNO. .
rtt JUN 0 4 2003 I F~ {jJ/
~. ,/}
24 hour notice for aU Inspections (93'2) 447-98: ~fx (952) 447....245
BuildingOfJicial .
Dllre
I I
..
CITY OF PRIOR LAKE
HEATING! AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Vellow
File
City
Applicant
PERMIT NO.
#7/5"5
3- 1~:).-
Z06~05if(
I
(Please type or print and si2ll at bottom)
ADDRESS . //
~~.:;- /"O/?r/:5~~--e
,.,
/~~s~
LEGAL DESCR1.t'uON (office use only)
LOT I BLOCK I ADDITION
OWNER DRHORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
PID
(phone)
~r;~)AN/9/.6A"'.~ /J2,~.~.~~ (phone) &,5/- ifS-~-~77S-
(Address) . ..~~ .6..-rlA.L 6~ ~ z::J/. ~ q~ 2Jr/..,?..;?
- . . (Address) . (~- (Zip Code)
(Contactperson),67a.ra~~~~/ (phone) ~~/- Y~-....?7;;>~
APPLICANTSIGNATURF.-.... ,,~L.--___ DATE
~ .
.I APPLICANT PLEASE COMPLETE BELOW
~WCONSTR~ION . o REPLACEMENT 0 ALTERATI91fS
FURNACEMAKEAN'oMOPEL --<'''r~_,t 9"'?~. FUEL ~.e. ~
FLUE SIZE ( ~.~V~RETURNOPENINGS... INPUT/~~OUTPUT ~~)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
QGravity
~echanical.
. ~irConditioning
~nt. Svstem
r .
FIREPLACE MAKE AND MODEL
o Steam
D Hot Water
D Ra.diation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
7~ a;>Building Permit # PAID WITH
$~/ bb''/~ BUILDING PERMIT
$. .....50
$ t7
Estimated Cost $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
, ~ l-Ll R n n I {,eceipt No.
n Il.s ~ I e II 10 ~ ~!
D... [r"IN 04 280; w qv
24 hour notice for all inspections (952) 447- '850, fax (952) 447-4245 --.J
By
..-. .-
~ ..........~~
CITY OF PRIOR LAKE Jul ~ @ ~ U mt~~ d
I1EATING/AIR CONDITIONING/FIREPLACE PEffi'tf~ . 0
t JUL 8 2003 .
I ,
L~ -.J
~. ~:n ~:;y I PER.~0, V';:- ~;~~.
3. Yellow ApplIcant '....If V~,
(Please type or print and si~ at bottom)
ADDRESS ZONING (office use)
5045 PONDSEDGE LN SE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Phone)
(Address)
...,.>':.......,~,,~
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
<Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
7/8/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
,=,'io!..lO"loli'n,."'~"I~
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # O? --0 54 I 'l'J\1\"\
$ .. ___. ~~\O ~e.f\t.^\,
~ l~ G~ ~ ~ lla\l\l_O\~G
1. ~~r~ ~;J I' '
1 j palaH 3- n ZOOJ .0ij Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
BuildiDl~ Official
Date
B I Dat~__.___u._.._ By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Job Address fit'J ~...u F1 &.
Heating Contractor ~ ~
Name of Tester .4-/r"'- B
~h$
, ~?4
~W
~d;;4
/#rr
->t
-
Date
Percent 02
Percent CO
Percent C02
Stack Temp
UMC Sec. 606
Combustion air is adequately supplied per
input
V6
/Jpj Of.tI.lT~
"
.
- ". .
,~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 5D'IS- PDIVclse.J,Je.. ~
NATURE OF WORK ~W
USE OF BUILDING & F-O
PERMIT NO. 03- 6S-S~ ..L... DATE ISSUED
CONTRACTOR J2.P. t:U'r,., A.J PHONE-A6aJ.. Gr l3.1Y
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTj DATE
, FOOTING fu1/ !;--( ~, cf)
FOUNDATION (Prior to Backfill) I t/0(:J I S---)D
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~/
FRAMING V\IV J
INSULATION M(J
ELECTRICAL '
PLUMBING { J.~' f1tf~, sO (W) 1/ (S vU)
HEATING (if required) VlIY";- tL '0:.
FIREPLACE JI\f\O '" '1r J.,;t-(f'::,
GAS LINE AIR TEST 41KVVV/ '7.-~t-()3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/tIIf 1'....d r. (j )
DEPARTMENT OF
BUILDING AND INSPECTION
~ - 3-c:)"~
"1'" ~),~0
7-~~-(/)
~
GRADING (Prior to Sodding)
BUILDING 1cv\\Q {I\ ,1-')O--()'7
ELECTRICAL
PLUMBING
HEATING
DO NOT
VlIV/
fAR
OCCUpy UNTIL ABOVE HAS
NOTICE
ti-l %'-0>
/O...3'()5
BEEN SIGNED
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
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