HomeMy WebLinkAboutBuilding Permit 00-0892
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
-'
DIRECTIONS J.-?'1~ ~~JL DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN T"""""" , / ' / /I ~ 'J
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) " ' 7 -/~ /;f f'Jl5f)
12, SITE AD~~_/..I Q
~)~ ~ flt;1 ~r~ Lf ell f?..... v f
.Q~T~ I::U::r.~IH.E.Q
L
2,
3,
-,-n.oo
11. SIZE OF STRUCT
(Height) (Width)
(Depth)
3, LEGAL DESCRIPTION
o ,jdfJ11 / 31 B~K ~{Ib ~ 16
ADDITION "''''"....-~\~ UI\\aS
12, NO, OF STORIES
PID
13. TYPE OF CONSTRUCTION
14. OWNER
5. ARCHITECT
(Tel, No,)
(Name)
(Address)
14, FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Name)
(Address)
(Address) L :'\ "", 'I c<feL No,}
y\-~q \A)<V:,"-ll'\j'<>" U<", ..><-<-. n
6~ ,{}'IN -G<;/J?. (~Q:J<h ~7/~q
Septic 0 Deck 0 Re-rOofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
15, NUMBER OF OCCUPANTS OR SEATS
6, BUILDER
(Name)
OCCUPANTS
tl-:g, \-h>r-\n{\
7. TYPE OF WO~
New Construction
Chimney (J Mis.
8, PROPERlY AREA OR ACRES 19, PROPERlY DIMENSIONS 1'0, CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building o~ revoke this pe . for just cause. Fu~rmore, I hereby agree that the ci!t official or a designee may enter upon the property to perform needed inspections.
X 0/~ , 1/ J-{)"lrl\ ('Go, <'I 7 __11 ~:J.c,..,_
Signature License No. Date
SEATS
Fireplace [j
Alterations [j
(jrPROJECT COSTNALUE
.~ tIC\ 1 6. 70
1 _, COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS Cl PERCOLATION TESTS Cl
PLANS & SPECS Cl SETS
SURVEY Cl COPIES
PLOT PLAN Cl
Back
Side
Side
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION _Ll/~ - ~
USE OF BUILDING
SP'A"
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E pHI M
Amount Brought Forward .................. $
Park Support Fee ........................... <I: R."'O '!!
SAC ,uuuuuumuuumuuuuu,u,u $~ OO~
Collective Street Fee ......... .... .... ...... $
Sewer Tap ................................... $
$
uuuu,uuu $
City:
R S U
Division 1 2 3 4
Permit Fee ................................... $
7QL, .on
"-,A .99-
.~~. 'it:>
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Pressure Reducer'" .
100 .~O
160.[)O
JS.56
l./f). DO
Meter Horn ... .... .... ........................ $
Water Meter ................................. $~
Sewer & Water Connection Fee ........... $ I. ~.C)O
-, .
WaterTowerFee ........................... $ IO~O
Water Tap ................................... $
Mechanical Pennlt Fee ..................... $
Sewer & Water Permit ...................... $
Builder's Deposit ............................ $
Other ......................................... $ _
Pa;d T5';Z?)io"""~~;.;~;.~~5fl;;;J()
Date /(), /3.(/[) By A(!CA--
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 requested. This document when
sign theCity I nerconstitutesatemporaryCertificateofZonin mPliance~=::onstructiontocommence. Before ny, . fOccu mu be Issued.
C Planner Dale ~ peclal ondition any
24 hour notice lor all inspections 447-9850
iI"
it When Approved.
Date~
Issued
00 'o~qv
White - Building
Canary - Engineering
Pink - Planning
Th~ Cenl~r of the Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
D /<3. HOKTD /J
/ 17 00
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
I
Accepted With Corrections
Denied
Reviewed By: Gt'tl~+ C,./s~n
Comments: ~(!' -(t.~ reverse Sij~
. Date: f /it! ell
( ,
fe.. ~'I;""",( iA~rA1L>II"~If'
>ee Q"tJ.Q"JII,,(.~h: / h',uf C,..~
:? f:rp~iM7 aAlr~/ M~"'N5
.:LA yt:&/;bl' 1:/I;;,p,,,,I;,,, ~ ?,,~J4....
'I. Erorimt Cn1r6/ -fJJ__
"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."
~~
DO .oC{f1v
White - Building
Canary - Engineering
Pink - Planning
Tht Crnlfr of lhr L.b Country
aLiILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. /tC. ~kJUtJ
j./1.QO
( ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted '7--
Accepted With Corrections
Denied
Reviewed B~k
I'
Comments:
~Q. p~~\- U~ UIA;~-~\ J1$\AJ 5 Q.. Q\r-..
. Date: J 0 - ~ - 2~~
SOllJO~., ~tJtv..A_ en. .
. 0
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~' 0' PRIOR
.. s"@'"
Th~ C..nl..r of thO' L.lu Country
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.,l,./,/./
0" f ,_
1\/
/I}CO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
t/
Denied
Reviewed By: ~__1-' _ Date: tn~ / {9')
Comments:
(2vtLv:Jil-fl.... ~1Hr~ (2- }j~ E.NGCI) I/ls~~
ti_ A..t)Dt-0Cfl<"iA-~m~
U#-l<' l g( D'f- Ar fA J ,.\LL hh)f/l. fa9 % tL..4.s~ 1
M~IJ..\1J.--f~ (~~ 4tr~~ ~lf..I~")_
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"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS M GI-'n\~ Q",u--t"
NATURE OF WORK ~,,\...d-l'~
USE OF BUILDING S~4
PERMIT NO. ()O .OP;tlz. DATE ISSUED '1-7-'200::>
CONTRACTOR D. R.I::b-h-nA ~ G.5"/- 2S~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
(W\i~ - 3q .
1$\.1.... r;
v
INSPECTOR
DATE
I FOOTING \Uk-I ~ I J611~/r1D
I FOUNDATION (Prior to Backfill)~t ~ er.r. I/)Id-l,(~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATERISEPTIC.l$'llP-' ftn. Ibl,J7~
FRAMING #J:r.. ~ //S~/
INSULATION fJ;n
ELECTRICAL
PLUMBING ~I,\..G., ~ ///;;/t7b 6:r ,~i7IO/
HEATING (if required){J.. b /!J 'diJO -I[~ fn.-1l. ~/1'6 th. .),~
FIREPLACE . ~ ;;//3(81
GAS LINE AIR TEST ~1. r-: P, ~ ,;)f, 4(c ,
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~,rr~ ~ 3~/ I
FINALS
I NIb! fb
~. 3{~/o( {l B
:J//fn /1>/
,
GRADING (Prior to Sodding)
BUILDING-r.Q.,O' ~ ~'J 0 I
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE
NOTICE
q~ /:? -:J-
et ~ I't-. J-.-
wrc
~.
~
]/z.; /0 J
3/ d(,J; f
,
HAS 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, s~al.l he placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
HEATING APPUCATION I PERMIT
Date I\\LolbO PlDtJrl5;""';2;r;3~Orfl-{)
SiIe Address, 54-11.12;.14, IS, lID. Il,Ig, 1'1 fil,WY\ mouhw (JLYVe, Sf:.
Lot -'- Block ~ion D 0 ~ ~JJQ.Pr(/ ~.
Ow"er's Name V Q, !-lnr ton U
Address~ WllsIW'lC1tv1'l'TKiIf24 ,ttlPM MN 5S1l-Z-
Healing Contractor Fir{Ltrilk~1 .Uftliimr v
Address 3lt5D . J({llI')WV'j)y- 1?1~ MN 55/22-
Telephone. ---ED ioS/' L/-5L~2175 J
Furnace Make & Mode' ~~ TYPE OF SYSTEM
#- -:7t!J ,2-A / WermAir Plants
Model Size .;> <::> Y /V'<I t/o;Z '/(;>70 Gravily
Conn. Load 27. ?Y<? Mechanical ,
. Air Cond~ioning ;t --nJ,v' &-f'~
Flue Size "'/1 U41S' Vont. System ;l- S-~4r"" ~
0' /3.... HEATING OR POWEll PLANT
.~
Steam
HolWater .
Radiation
Special Devices
Fuel AIhi'
Supply Openings
Return Openings
Input 70. DDo
Edr.
elm.
An.4
A~eralions
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
C~O~~9r.~~~A~~~~ P:;l No. IJ~ ~~
Prior Lake, MN 5,5372
~
OUlptll fl, """" 0
Other Devices
TYPE OFWORK
Replacement
L/""
New ConSlruclion
Est. Comp. Dale
-3 00f:!, ;/ , Buirding Perma II
.50
PAID WITH
BUILDING PERMIT
,
Receipt #
TYPE OF STRUCTURI;
I. fW:
2. Greell
J. Ydl"w
m.
C;oy
Co",,_
Single Family
Commercial
v
Two-Family
Industrial
,
,
_ Multi-Family
Pubic Olher
"
,
t
FGil Schellule
"
"
Industrla~ Commercial & Multi-Family
Residential, Heating & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential, Additions & A1teralions
Residentiai, AC Only
.
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1%'of job cost ($39.50 minimum) "
$99.50 PLEASE NOTE: ~
$64.50 Air Conditioner Units Canol c
$39.50 Encroach Into Required Side ~
$39.5C Yard Setbacks. :
$39.5C/ NOV 8 2lXXl, :
:'. c;
~
Remember to add lhe Slale Surcharge on !he bottom ott~"
,-
The price of your heating permit inclulles one rough-in and one final inspection.
Additional inspectiOf1S will be bi/ed af $35.00 each
House Healing Test Record must be submitted with bUildillQ IlIUIliI number before build-
ing certificale of occupancy will be issued,
I:lfAI CALCULATIONS REQUIRED wfih number of supply and refum openings fisted per
room with CFM's per opening. New slructures Dr additions send floor plan wilh supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR UW6V162QO M,G,LE
CREEK AVE. SE PRIOR LAKE, MN 55372, - ~ aJJJ
f'
Cily Hall business hours are 8 a.rn, - 4:30 p.m. -~-"--'-~-'__2)!
ALL WORK MUST BE INSPECTED (ROUGH-IN AND F1NALI'CAlL-ClI'L.HALL
--
447-9&50
I hereby apply tor a mechanical syslems permit and I acknowledge lhat the
information above is complete and accurate: that the work will be in conformance
wifh lhe orllinances and codes of the city and with fhe slate buildingfmechanical
codes; that this form does nOI become a permil until signed by the BUILDING
OFFICIAL; Ihatthe work will be in ,accordance with the approved plan in the
case of all work which requires reVIew and approval of plans.
Il~rr; ,;:t!!, i,4f~ ~p?~~ /t?;>/..:z?/.-a
/ ' J' ApPljcan~g.lnatule ~ , 'Date
CA-(;~ 1(- q -()
Building O"f5'!I'S Signature Dale
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P,L_ FA)( 447- 4248"
!
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permll No. 00 - 0 fJq L
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dale ,;J.tl/ () / Pm .
SfteAddress :ifld ~/'n. (hOI;,lni.) (}u'M'_
. .
l~ ~ Addion
OWner's Narne -nL fh ;04/~ ~LJ
(J
Address
Healing ContraclOr ALLIED FI!tESIDE dba FIRESIDE CORNEll
Address 2700 N. FAIRVIEW. 1l0SEVILLE. MN 55113
Telephone' ~51-633-2561
FtREPLACE 1k
I)IJnIIP Mar... II Mod II, u JJ to Vc.
Model Sizll ~L 7 _\b !1l
Conn. load
FU8I~FlIlISlu
Supply Openings
Aeturn Oplnings
Input
01llptll ,.:)~ rm
__k.
Edr.
elm.
TYPE OF SYSTEM
War", Air Plants
Gra\lity
Mechanical
Air Condltioning
Vant System
HEATING OR POWER PLANT
Steam
Hot Wale,
R""Wion
Special Device.
Other Devices
Allemllons
Aeplacemlnl
TYPE OF WORK
New Construclion
:Ie,
Est. Comp, Oal.
Aopalr
Ell. Cosl ,5
HEATING PERMIT FEE S
II (jf) L'()
.:;)./J:~;'~ I
IlulIdIng Permit'
,
STATESUACHAAGE S
TOTAL PERMIT FEES S
.50
Rec9ipll
"",,\0 \I'J\~. .,.,.
e\)\\..O\~G 't' ,;.. ......
TYPE OF SmUCTUIlG,
I, ,,'*
I.""""
J.YeII_
rn
CD
me "
a" c+
eo..;:
Singll Family
COIlVIIelcial
"
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:JJ
m
-rn
H
o
m
o
o
:JJ
z
m
:JJ
T__Famlly
Ind...1riaJ
, MuIII-FIfI1IV
PltlIic Ohn
Fee Schedule
Industrial, Convneldel 1\ MIlfti-FlunIy
ResidenUaI. HeaUng & AC
R""idential. HeaUng Only
ResldenUaI. Gas Fileplace
Residential, AdlItlons <\ Alleralions
Resi~ AC Only
I", 01 job COlI\ (139.50 m1moom)
199.50
164.50
$39.50
$39.50
139.50
Remember 10 add Ihe Stale Sun:hlllJle on lhe bottom o'ltn eppIicalion.
'"
<II
~
The price 0' YIM' healing penni! ~ one rough-In end one IIneIlnspectlon.
'"
'"
'"
Additionallnapecllons wll be biled al S35.oo eBeh. III
III
House Healing Tesl Recon:t must be submilled "illl ld!Iilg IllUlDI DlIIIlII1 beIore buI ':
ing ""rlineale 01 ocollpency 11II1 be is8ued. ..
I:IEAI CAlClAATlONS REQUIRED wllh number of I\4lPIy and .....m operings leled
mom with CFU's per opening. New elrucluree or IIlkIlionI send IIoor pt.n will euppI)
BIld relum IoctIIlons ehll'Ml. HEAT lOSS CAlCUIRIONS, f'II.VMEHr NlD
APPLICATIONS MAY Be MAR-ED 10 -mE CITY OF PRIOR lAKE. 18200 fNJlE
CREEK AVE. s,e, PRIOR lAKE. MN 55372.
"
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Cily Hall business hou~ Ble 8 ..m. - ,4:30 p.m.
.
....
,
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~
.
All WORK MUST BE INSPECTED (AOUGli-IN AND RNA4. CAlL CITY HAll
441-4230
..
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."
r hereby epply for a mechanical syslems Ifermil and ,I eeknowledge lhalthe .":
In'ormaUon abolr. Is complele end accurate; Ihat the work wi. baln conlormane
willi Ihe ordlnenees and codes ollhe elly eod wilh the slale bulldlnvrmecflenlc
codes; Ihallhls torm does nol become e Ifen"ilunlil signed by Ihe BUILDIN
OFFICIAL; Ihallhe work will be In eccoldance wllh Ihe approvwd plan In !he
case olllll work whll;h requir.. Ievle. and approvel of plene,
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Blliklirars Signal....
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Oale
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AUG. 8.2000 4:10PM
GENZ RYAN 6513226147
NO.528--- P.8/17
CITY OF PRIOR LAKE i:~ ~
3. Y&l!gw Applic:aal
. PLUMBING PERMIT # 00 .0892-,
Applicant ~1f17,- ~~~r'lf'hone:1.P'SI- U7-~-1/44
Address; 11.../, U '" ,,,,", ~r-.VY ,Q r TO I - 2t:::>,Sf!:..Jrv-.""". n r <:;'Qoo.<.s-
Signature: \A..J..~ r-.
~~,'Legal Description: Lot \JJn'" ~u' , Block~ P;, ~Ub_\):,"'..&!;pl'D ~; \\PI-~
Site Address: 51./-/:3 ,"- A.......,p (',~. . ,
Building Permit # PIC 1#
NOTE: This permit "111 not be precessed without complete information.
RXTURE UNITS
l"IIlI' C~lIfrr gf ... lib CGmlI".
QuantitY
\
\
\
').,
\
,_
.'
. .
Type of F"lXl\Jre Quantity
Bath Tub with or without shower I
Dishwasher I l
Floor Drain I f!,\ \
LavatolY (bathroom sink) I I
Laundry Tray '1 or 2 compartment sink) I
Shower Stall I
Sinks ,
Bar Sink I
Water Closet (toilet) I
FEE SCHEDULE
Industrial, Commercial & Multi-Family
<1 % of jOb cost. $39.50 minimum)
Residential, New One & Two Family
Residential, ,Additions & Alterations
State SurCharge
S99.50
$39,SO
I
I Rough-ins
I
I
I
I
I
I
I
I
Type of Fixture
GRAND TOTAL
Water Heater
Water Soflner
Stand Pipe (washing machine)
Sewage EjeClcr
I
Backflcw Assembly (RPZ. Double Check, PVB)
Backflow Assembly Test
Lawn Sp rinkler
Other
$
$
s
$
.50
s
-",",_."i
"".,\.'", ..
p..\v~' '2-'<'S'"
\ ~ \~G t'
\ e\>\U)
~ .
This permit is gnn~ed upon the express condition tha~ said
can=,at. shall comply in all '..peelS with thc ardlnllllCCS
....~?...._-
. 1!ft:-/II'/8.tJO DA.Te
- ArresT
Call fer all i ctions 24 hours in QdVllnce.
16200 Eagle Creek Av. S.E.. Prior Lake, Mlnnesot:l55372/ Ph. (612) 447-4230/ FAX (612) 447-42~5
, An Equol Opportunity Employe,
ADDRESS ';-VII ,/-. ,J., M'AL)~,J /'o/,J,
OCCUPANT )I
" r ~
HEA T LOSS DA TE HTG. INST. )' I; ~tf7
SOLD BY
Electrical Work By
TYPE OF HEA T
HOUSE H EA TlNG TEST RECORD
JOB #
APT._FLOOR_CITY
"WNER
)
C;UBURa/-:';;...-'r /#//1
INSl(~DBY />;'-"k'_
I';aS \J~y /
GA - FA,L-HW _STEAM _SPACE Hi'R- _UNIT HTR _OTHER
/ ,;.. -
MAK~ /. ;,/"/,, '
Mod.I_~",fJ"''''I./~->y'~)t>
Serial Jt)"'('}/ _..,.-/r:.'~
INPUT,' trl:rU
GAS DESIGN
CONVERSION
CONTROLS
THERMOSTAT lr?f/,),.J Heat Plug
Valv.' _ ::);.5
Limit
L'j"mit Setting
F,gn Setting _,.,
P;!o. Type I
Pilot Mak. ) i ( /
1>;10' Model f / \
Pilo' T;m;ng, / / ,L-
L,W. Cut Off I
Pressure '1" j 0" (./ /.
MAKE OF BURNER
Model "-",, '~
Mox, BfO~~~ng (.,
MAKE OF~ACE\ >Sf j
\ ~ --~
Model \ f'"'-J'
"-.:.)
~/ /
...
~, .....
__ ___.1
,
~,
- -..
"
Vent Siz..
/
KIND OF L1NEP I""" SIZE' NONE'
, . IL . t '
Draft Hood '.~, .RegulaTor I 1-,'(< /; //#7
Filters Siz./t. A- J;:'y ; -- ~umb.r'
Chimney Location
Chimney Construction
I~s).d. "'
/4,-'> ,/
Outside
. Smoke Bomb
D.olt
. Door Pressure
Input CFH
Stock Temp, _ --;-: f"
Form 235
Percent CO2
- Percent 0
<
- Percent CO
i
X. t
()
Do.e Tested _
Company Tuting
_ Name of Tester
- / J -/17
,~~ Heating & Ale, 3650 Kennebec Dr" Eagan, MN 55122
Wiring
Test Tag
Lighting Inst.
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED c;- /;? -;:z
-q !Lu-f)J ill v/'V ()?{..
(b~
PERMIT NO. tJO - ye( 3 c:I- i 9 C7-
ADDRESS
,L)11~ 15'1/'3
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
c;;) fT
(),i
, I -0
Sll))
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,IL,
~!Idf--'
~! ~I ( )
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ n OwnerlContr.
\ -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-,
DATE TIME
CITY OF PRIOR LAKE 3/2-<.,fm
INSPECTION NOTICE SCHEDULED 10: II v
f
ADDRESS ,5Lf/3 FAw,J f1/t B 1)0 W
,
OWNER CONTR,
PHONE NO, PERMIT NO, o -J'9 ~
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION(@) 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP (E)~FIREPLACE FINAL
'Jilt FINAL A"fYe PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION C~ MECH FINAL 0
COMMENTS:rs/&j.((j) f~~~ Il~
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Inspector: ~ ( Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
'3130101 3::3'0
ADDRESS 54-/3 ~N M~tJwg
SCHEDULED
PHONE NO,
CONTR-
PERMIT NO. 66 - 'i?9 z...
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION IJiJ\
llIl FINAL ~
b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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o WORK SATISFACTORY, PROCEED
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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!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
54-/5 FrtNN
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CONTR,
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
COMMENTS: ((J) ~'-' A
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DATE TIME
3'2,1.0 I
I :3cJ
00- ()8C) Z-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
tJ'riJ ~ ~
I
o WORK SATISFACTORY, PROCEED
liD CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON 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