HomeMy WebLinkAboutBuilding Permit 00-0895
~~
,QATF RFr:FIVFn
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1.
2.
3.
File
City
licant
1/1-00
I ~~'::'~:~~~SMBERED 1 THRU 17 MUST BE FILLED IN ;:::dlhl71 I I ,. D~
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at 'nom'r ~.~U!fV1'!J ,:1 ~
12SITEADDRE~4'/0 ~ c.l\e.\J E:. (UI'lI+ 31)
3. LEGAL DESCRIPTION -;) t\ ~
\r,II\NtT ').--, ,",lv!>
L,r :> I ~CK
ADDITION --l"""J..,p,.---S;;o \rIJ \11 \\05-
14. OWNER
15. ARCHITECT
6. BUILDER
BUILDING I
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
PID
13. TYPE OF CONSTRUCTION
(Name)
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Name)
(Address)
(Tel. No.)
(Name)
'2.L\L (Ad,dre~s) i' ~ ~ (Tel. No.) (hSf\
..:rr0Q wQ$:V\\,,-,\ '" \)04(' \ ~
r- .. \ is . c!,
rn,~ ,@I(:J .(<:...:1.'). ~L,(<)-lllL
S~c 0 . Deck 0 As-roofing 0 Porch LI
Addition 0 Finish Attic 0 Rs-siding 0 Finish Basement 0
15. NUMBER OF OCCUPANTS OR SEATS
tl<. . t\r-r\t'{\
7. TYPE OF WORK Fireplace CI
New construction"" Alterations CI
Chimney CI Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE
Sq. Ft. Width Depth Ves No
I hereby ce' that I have furnished i, "....", ..,........, , 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 abov me tioned 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 trici can revo p for just use. Furthermore, I hereby agree that the ~ G1~.r)a desiqnee may enter upon the property to perform ne'Ped j pections.
X hk-.n'1- 7/1
... Lice'iiSe -No. Da
OCCUPANTf
SEATS
IN. PROJECT COSTNALUE
G/. (1):5, ,t)a. ~
11. CJMP~ETION DATE
FOR ADMINISTRATIVE USE
Fron!
Back
Side
Side
I MATERIAL FILED WITH APPLICATION
SOIL TESTS CI ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS CI SETS
seTBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING
SFA-
PERMIT VALUATION
/,ID. (fl') . OQ
.
SURVEY
PLOT PLAN
o
o
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $-
S U
City:
Amount Brought Forward .................. $
PaokSupportFee ........................... $ ~C;C-OCL
SAC ......................................... $----1..J 01') .1'lQ...
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $
(.r/.f5-
<l3~. 5'
~<. . Ol)
State Surcharge ............................. $
Penalty ....................................... $
Pressure Reducer .......................... $
-Lno.oo
L~O . Of)
~-~O
Gas~:..................... $ lIIJ. t!lO
This Ii' ;;ln4 Building Permit Y"!1en AvProved.
By y~ Date~-~
Certificate of Occupancy
Plumbing Pennit Fee ....................... $
Meter Horn ................................... $_
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
I, ?Orl
'lflO
<"In
At>
Mechanical Pennit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
Water Tap ................................... $_
Builder's Deposit ............................ $
Other ......................................... cr::
Total Due .............................. L~ Z- 7/.84-
Paid 52-7/.84- ReceiptNq. ~2.-
Date /0./3. ov' By ~
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 A requested. This document when
s' PlannerCOfl~u~~ temporaryce107,;tz.&t;mPlia~l:s c~ructio com nce. Befar occ~~~~~~fO~:~OOSSUed.
ityPlann r Date SpecJS conil~any ~
24 hour notice for all inspections 447.9850
00 ()015
White - Building
Canary - Engineering
Pink - Planning
The Ctnlu of Iht Lake Counlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. /2. /--!U/-2-TDN
/'/1.00
, .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
/
Accepted With Corrections
Denied
Reviewed By: Cr,uf!- a/~t11?
Comments: .>t't' -/J.,., rpt/~c:..
Date:
.::;;c:!e -4:
~.(J1
1 ·
dl &'h"h,.,/ /~~n
s;,~ <<lIadttf0r/5.' I. .;;;'/f( c:-"'~ ~/'c/''Hr :P1hrAf1t;.y. c2 r:::-fy. /'/c.-_
3 Emf/Hi- ah/ _~d2X~/P~ 7'! F~flhr ~/ ~~-
"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
Thl'("l'nll'roflhl'l..bCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
I./!<' liCk I( (..../
7/70G
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
~
Denied
Reviewed By: qA.... ~
Comments:
&JLU6l/-lG- ~n (~) .~ ~(I) JA~ft'3u7
~M~~u(1_p-.D.~ ~~Q()) ~
CeH&I~ I=J?- A...J.!UNt/<./\L.JM.. ~t)% ~ ~S
C~~- -trnj:/~'t~/-e)-
Date: 11!)/t2/(9r'!
"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."
aD .O~q5
White - Building
Canary - Engineering
Pink - Planning
The Cl'ntt'r or thl' L.kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSr
NAME OF APPLICANT
APPLICATION RECEIVED
D;<- ;IOlZTVtJ
7./7-00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections -f........
Denied ~
Reviewed By: ( &(i
..A
v
Date:
10 - c... - "Zal"
Comments:
~.. U"d. 3\ - 'i.\Jb. ~
. '-'
-G;,. {)k :s
C:::9'c:", .. s..nI~
,. . tJ
1'1,.
"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."
CITY OF PRIOR LAKE MC
16200 Eagle CreekAv. S.E. Perm~No. 00 -oroQ5'
Prior Lake, MN 55372
FIRESIDE dba FIRESIDE CORNER
55113
Model Sizl!
Com. load
Fuel ~FIue SIze
SuJlPlY Openlngs
Relurn OpenllYJs
Iflpul
OUtpul~rm
Edr.
elm..
TYPE OF SYSTEM
Warm Air Planls
Gravily
Mec:hankal
Air Condilloning
VenL Syslem
HEATINQOR'OWER'~T
SIHm
Hol WBler
RadiBIion
Special Devices
Other Devices
AfteraliDns
Replacemenl
TYPE OF WORK
New Conslruclion
k
Repelr
&1. Cost $
HE'" TING PERMIT FEE $
e.l. Comp. Dale
II on ro Building Permk If
:J/13/i:>1
STATE SURCHAAGE $
TOTAL PERMIT FEES $
.50
~P.\O 'l'l\~. .,,,
9U\\J)\~G ';"..;,. "....
Recslpllf
,
IIPEOF StfWCTURE
I. PInt
L "-
J.Y_
rn
..
::J
rl-
Ak
0.,
c-... ID
'<
Single FllIIlily
Comme",ial.
"
....
::0
m
rn
....
o
m
o
o
::0
z
m
::0
Two-F-.nlly
Il1INsI1Ia/ .
Mt*I-Femly
publl~ . 0tIMr
Fee Schedule
Induslrlal. Commerdal & Mulll-f8m1ly
Ill!5ldenUa~ HeeUng & /lC
Aesmntial, Healing Only
Resldenllal, Gas Rreplace
Residential, Addlllona & AheraDone
Reoldentia~ AC Only
1 % 01 Job oosl (b1.50 mlr1ImumJ
199.50
$64.50
$39.50
139.&0
1311.50
Remember 10 add the Slele Sun:harge on lhe boltom or !tis lIfIIIIIcallon.
m
111
-
The price 01 ~rheaUng !$fmh Includes me ".j' I and one Anll', , . . Ion.
m
'"
'"
AddifionalollpBc!ions will be bIled al $35.00 each. CD
CD
House Healing Tasl Record musl be IIlbmlted willi IIlliIlIbl RaIl DIIIIIIm: belorellUi ~
og cel1illcele 01 ocoupancy wiI be issued. ..
tlEro: CAlCULATIONS REQUIRED wiII1lll11iler oIll4J\1ly and relum openinglllled
rOOOl with CFM'a per uparing. New ....uc..... or additions ......1'- pIIIn .....1UppIJ
and retum locations ahown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUc,uIONS MAY BE MAIlED 10 THE CITY OF PRlOA lAKE, 18200 EAGLE
CREEK AVE. S.I:.. PRIOR LAKE, MN 56372.
cay Hall bulline... houra are . ..ro. . 4;30 p.m.
."
..
c-
..,
a
-
,
ALL WORK MUST BE INSPECTED (ROUGH~ AND FINAL). CALL CITY "ALL
441-4230 ~
N
"
I her9by e""Iy lor " mechanical sy&lem5 permll and .1 acknowledge lhal1he .":
In/ormelion above Is coinplele and acclllale; thallhe work will be In conlormlll'
wilh Ihe ordin.nees end codu 01 the city and wilh lIIe stale buHdlnglreecbanl
codes; Ihallllls lorm doea nol become a permil unlilalgned by the BUILDlt
OFFICIAL; Illallll" work wilt be In accordance with lhe epproved plll11ln Ih,
case 01...11 work which requires review and approval of plana.
"
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Bulkill{/ ~'
's S9w.lure
CITY OF PRIOR LAKE Me --:-
16200 Eagle Creek Av_ S.E. Permit No. o-ff5
Prior Lake, MN 5.5372
HEATING APPLICATION I PERMIT
Date t\\ulbo PlDtI;:)5- 37-g-{)(d-Q
SileAddress.5L\.IU;,14,IS.Ii..ll,I8./CJ H4Wn mmdbW ('lIVe, SE.
Lot 2 Block..2:-. Addftion f)~'ey+ \ e.. \~
Owner's Name V Q. I1Dr +un
Addr8S$.3J.I91 WIlSliU'lC1tv1/LIK ~ 4 ,el1M.n MN 55/ Z:2.-
Heating Contraclor FY.atrivt1~O}1 Ur~ ~
Address .3i&5D . k'umtJ/fL Dv --iJ::../ Y5JJrlJ1 fVlN 95/22-
Tele"hone' ~ io5/' 452.~l175 V
FurnaeeMake&Modal ~~ TYPE OF.:>."'."'"
#- ~ I!J 'v A" Warm Air Planls
Model Size .7 0 Y /V<I t/o;Z Yo 7& Gravity
Mechanical
Air Cancfltioning ;;t -~~~~
Ven!. System )l-p.4r-/*1 ~
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Conn. Load
Z 7. .7Y<?
Flue Size Y/; u47f\
/;1'-
Fuel HK
Supply Openings
o
.~
Relurn Openings
~
Input .7 DdU>O
Out"ut fl~_o
Edr.
elm.
A/?,4
Other Devices
TYPE OF WORK
A~eralions
l./"'"
Replacement
New CaflSlruction
Repair
Est. Cost $
Est. Comp. Date
3' 60f:!~- Buffding Permn 1/
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
PAID wrTh
BUILDING PERMrI
'--
Recei"ltl
TYPE OF STRUCTURE
I. PiRk
2. Qreell
3, YdkI...
F;Ie
City
0._
Single Family
Commercial
Multi-Family
v
Two-Family
Industrial
Public
Other
Fee Schedule
Industrlel, Commerdal & Mulli-Fumily
Residential, Hearing & AC
Residential, Healing Only
Residential, Gas FireplBC8
Residential, Additions & Alterations
Residenlial, AC Only
,
(
1 %'of job cost 1$39.50 minimum) .
$99.50 PLEASE NOTE: ~
$64.50 Air Conditioner Units Canfll (
$39.50 Encroach Into Required Side;
$39.50 Yard Setbacks. ~
S39.5C' NOV 8 2Wl ~
.
Remember to add the State Surcharge on Ihe bottom oIll\!fi appll,,"';""
,-
'~
The price 01 your : .~~.;, '" permit includes one rough-in and one final Inspection.
Additional inspeclions wul bB billed at $35.00 each.
House Healing Test Record must be submitted with bUildin\l W!llI!it numbe~ before bund-
ing ~v' ';'~~~te of occu"ancy will bB issued.
I:!fM CAlCULATIONS REOUIRED with number of supply and retum openings listed per
room with CFM's per opening. New structures or addilions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR uwey'62QO J;AG.LE
CREEK AVE. S.E. PRIOR LAKE, MN 55372. - ~ aAJJ
. .~
CIIy Haft buSIness hours are 8 a.m. - 4:30 p.m..-___,_ ",'.,'
'__L/
ALL WORK MUST BE INSPECTED (ROllGH-IN AND l=INALt' CAi:l-CJIY.tlALL
-
447-91150
(
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.
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I hereby B"ply for a mechanical systems "ermit and I acknowledge thallhe
informalion above is com"lete and accurate; thaI the work will be in conformance
wnh the ordinances and COdes ot the city and with Ihe state buildingfmechenical
codes; thai this form does not become a permit until signed by lhe BUILDING
OFFICIAL; that the work will be in .'lccordance with the ap"roved plan in the
case of all work which requires revlew and approval of plans.
Il~, r.,.$;f::'-'~~r;'\, "'?-:.,:.c-~ /~/.z?/"O
/ . .,. AJlIlIicanrs Signature ~ , 'Date
Q(J ............ J/- -q -d
Building btJai's Signature Date
~
e
e
....
P.L _ FA>t 447- 4248"
RUG. 8.2000 4:12PM
GENZ RYRN 6513226147 .
. NO. 528
P.14/17
n. em""., flh laic. ('111I11'17
CITY OF PRIOR LAKE i ~~ ~
1. YdJD* APIJIi_
. PLUMBING PERMIT # ~o .0815" .
Applicant: P-P'117.- .e_\.-~ .Phone:.Lo. '5'1- W2:~-/('-/.4
Address; .l!d:] l.J c;:: .~ ~VY ~ r- 7',0 I. eelS.:' W"ll'o l If'"l r S'~N ~
...Si~~atura; 1A......t0 ~" () . ~ '. .
. Legal DeScription: Lot Yla.1r ?.1 ~Iock~ P, Sub i::P...re&!;"\i) \I, \\A-."
Site Address: ~LJ/6 lA. AAPr, 0, I ,p"P.
Bui/ding Permit II PIC #
NOTE: This perm~ ,"!i11 not be proCElssed withour complete information.
FIXTURE UNITS
. ,
Quantity Type of Fixture Quantity I Type of FiXtUre
, Bath Tub with or Without shower I Rough-ins
I -
I Dishwasher I Water Heater
I I Floor Drain dl Water Soflner
-
'2> Lavarol)' (bathroom sink) I Stand Pipe (washing machine
-
I l.aundl)' Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Bacldlow Assembly (R?Z, Double
I ! Sinks Backflow Assembly Test
-
I Bar Sink Lawn Sprinkler
i 1, Water Closer (toilel) Other
I
I
I
i
Check, PVS)
J
FE!! SCHEDULE
Industrial. Commercial & Multi-Family
(1% of job cost, :&39.50 minimum)
Residential, New One & Two Family
Residential, Addillons & Alterations
Slate Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
f PAID WITH
$ \ ~ING PERMIT
I
16200 E:1g1e Creek: Av. S.E., Prior Lake, Minneso[;]. 553721 Ph. (612) 447-42301 FAX (612) 447-4245
An Equ:u Opportunity Employer
This permi, i. plod Upon tho ""pross condi~ion ~at said
contnu:tor. slLoJl colllpl in all J:OSIlects willi tho O"'inl"'"
of tile St;", Plumbing tho lUDendments tho=f.
... R.E . 10-/'11'00 DAns
_ A l1'EsT
Call for all inspe ons 24 hours in lldViUlc:e.
.-'
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS S-{Ili'~ ~L-P.- - ..{d..,(l ~-~I~
NATURE OF WORK tv---."
USE OF BUILDING SFA
PERMIT NO. fJO 'OgfS- DATE ISSUED 10 - (, - 2000
CONTRACTOR D. R Ho~ c-5"1 - 2.'5!'. - 7( 2 "I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
rFOOTING 1J,)f(!..1 ~ I I/)/I~/"'"
I FOUNDATION (Prior to Backfill) ~J..o. I tJ1.. / o/~tlob
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATERI SEPTIC 0' 1)..0., a., /~J~7/~
FRAMING i4... ~/~t'/oJ
INSULATION fp,.. ~/(i}/()J
. .
ELECTRICAL
PLUMBING~ ~.Gt. 1!4, J//J.//ft ~I 1f /5'/()/ ~ /
HEATING (if required)~ ~. I ~/~7 /"? 1~ fJr" I) !"/6t> ~
FIREPLACE 1f7:r. ';;'!It%(
GAS LINE AIR TEST ~c.~~. ~ d!J(f!o) ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~~r~ ~ -?~tf/ I
FINALS
GRADING (Prior to SOdding) fbl nib
BUILDING<f.C.D. ~ <?11/0 I I~.;.t If, ~:~/o I ' Q b
ELECTRICAL . .
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
~. ,)/;)'1, C I
.&:r...)Ja; 10/
,
q/ r;yo-
~-l).~Y
VlJ
~
l/-IO -0)
Lj / CJ' 3/~ I
I
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
""~., - - -.' -=--=---=-.~' -..:- ~""~'
~. '~ilGor""I~_"',"
;:.~ ..'~~. i,.t ;,~; .'I~~-."~~~.;'.lo;,,,i""."~..;~i".';.';"'~". ";'''':oiI':'''l''-."'~
, " .io'i,iA-' ..~...~~~:O .,'.-,,,~... y'
It'"---- ---, ....' ...
i ~..I ~trtiftrate nt OOrrupanry
CITY OF PRIOR LAKE
iDepartment of .utlbing 3Jn~pettion
~ Final 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 ordiNUlces of the
City of Prior Lake regulaling building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. PermiIN" 00-0895
Occupancy Type
R3
Type Construction
VN
. Fire Zone
N/A
Zoning DisUict R2
Legal Description
LOT 2. BLOCK 2. DEERFIELD THIRD ADDITION
Owner of Building
~ile Address 5416 FAWN MEADOW CURVE
Contraclor"Name&AddressPR HORTON. 3459 WASHINGTON DR.. SUITE 204. EAGAN 55122
ROBERT D. HUTCHINS
Building OffiCi~ J
(j- ;;; - ,:;4
'/.\ . nI____
",. '_Clty.rQUu~r
,./-/
DON RYE
Date: .
Date: _
POST IN A CONSPICUOUS PLACE
. ~I-
ADORES. ,'//
OCCUPANT _
HEAT LOSS ___
SOLD BY
Electrical Work By .
TYPE OF HEA T
,-,. /~,"',"I';~
HOUSE H EA TlNG TEST RECORD
~UBURB
JOB I'
/ t',
DATE HTG. INST.. ')
, -
'~) -..-;
APT. _ FLOOR
.OWNEP
CITY
INSTALLED BY j~ " ,--
_ Gas Line By .
GA _ FA .L-HW _STEAM _SPACE HTR. ~UNIT HTR. _OTHER
GAS DESIGN
MAKE /. c"
Mod.1 ':;"}'7 f/ Ur:) Y/ 71>
Serial /j().Cf ,'.(It' ?(l
VI.' .,
INPUT _' > /
THERMOSTAT
/j.-/'
Valve
Limit
Limit Setting.
Fan Setting
Pilot Type
Pi lot Make
Pilot Mod.J
Pilot Timing _
L.W. Cut Off .
Pressure
Input CFH
Staek Temp.
Form 235
MAKE OF BURNER
Mod.1
Max. 8TU Ratin""
MAKE OF FURNACF
Model
CONTROLS
1/'
:1
- Heat Plug _
Vent Size
./
) ';
j
j,. I ) I
, -'
I
KIND OF LINER
Draft Hood
fi Iters Size _ /
Chimney Location
Chimney Construction
Smoke Bomb
Draft
Door Pressure.
7
Percent CO2 '
1(/
_Percent 0- '
<
_ Percent CO C
Oat. T.sted
Company Testing
Name of T.st.r
CONVERSION
!/
;:
,
yJf >>
SIZF
Regula,or 1'1
a..lumber
,. ,<,.r']
_NONE.
Insid.
Outside
_Wiring
T.st Tag
lighting Inst.
-.J C''i
Frede~.s~ Heating & AIC, 3650 Kennebec Dr., Eagon, MN 55122
'-"'I
CITY OF PRIOR LAKE
INSPECTION N~ SCHEDULED
3;4-1{p,),c/i W I\J
ADDRESS ~4tjf;
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
)i(PLUMBING FINAL
o MECH FINAL
COMMENTS:
I, O(€lVI~_ ^LMs;:' Cr..,)O <:
,
DATE TIME
4-./0. 01 Z~ oD
00 ~&jr
~.~~
(D.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
XC;;RRECT A~ION AND PROCEED
. .~ y-;
o CORRECT WORK; CALL FOR REINSPECTION BEFORE COVERING
Inspect~~ b . Owner/Contr:
.
CALL "7.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCH"DULED
4.23.0 I 1:/5
ADDRESS
54-/2-- - 5 L,f./[3
/fIwtJ
OWNER
CONTR.
00 -0'1'.5, (:)0/- .
PERMIT NO. P; 9.5. P; 9 h
,
PHONE NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINA~
p(.MECH FINAL '<tS/
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if?&{( '1- (i).k:r A.C. ~
.54ft.. i8: ..Jd- ,4.. rc' ~
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aRt>-<'> .~J' -
,.~~~ PA .
r, . ~
~ .
J4..&yQ uftr-~ () ()
~~.
u'
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING If
INSULATION
FINAL
~SITEINSPEC N
Qe.v./':
~~/1/_ ..
r ,
~ ~"'.I-;p _ S' z..
5'fL'! 54/" !PI/?
/ /
o WORK SATISFACTORY. PR EED
\il' CORRECT ACTION AND P CEED
o CORRECT WORK, CAL OR REINSPECTlON BEFORE COVERING
Inspector:
'fA-,
,
Owner/Contr:
9ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNon
-,.--..----..------..-"-. ..------.---.
.5 Lilt, 1-51//1 .7au-Jrv I<
_ CONTR. _ ~.~
PERMITNO.@-gqS- y.-19()
CllY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH F~
..s of I
DATE nilE
q- I~-d-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InspectOr: 'P t\ Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!
_n