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HomeMy WebLinkAboutBuilding Permit 00-1064 8~~ QAT" """"'V"O CITY OF PRIOR LAKE 11-/3'00 BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow Permit No. (Depth) DIRECTIONS 1. DATE SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print arTypa and sign at bottom) /~Z/p.() 2. SITE ADDRESS ;' 7';?'Y'? V],Q1<~"_,,,-,-X<:7 \G1t?"Ve:-- ~ 12-1 3. LEGAL DESCRIPTION 11. SIZE OF ST (Height) 12. NO. OF STORIES LOT .-Z. BLOCK ~~ (Name) ----< .--x ~ PID Z,&:; - 372- - na..:F-O 13. TYPE OF CONSTRUCTION ADDITION 4. OWNER (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 15. ARCHITECT (Name) (Address) (Tel. No.) 6. BUILDER (Name) (Address) (Tel. No.) v:7.Jf. ..<c;4?~~. ~ ~<'#~A/ 10"1" ~~ ~ -?>;V \$5;'.;;?~ ~sr~ ~7"""~; Septic 0 Deck 0 As-roofing 0 Porch 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New construction)( Chimney 0 Misc. lB. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. 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 1 am the owner or authorized agent for the above mentioned property and that all construction will conform 10 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 enter upon the property to perform needed Inspections. X 6.\..:k2 ~ =<_~S-7 ///z/_ , Signature License No. - [)ate Fireplace 0 Alterations 0 SEAT~ 16. PROJECT COSTNI\UJE <1"3 Pt?!i , 17. COMPLETION DATE r FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION Front Back Side Side SOIL TESTS o ENERGY DATA o c:::, ;::- A OFF STREET PARKING SPACES REQ. SPACES ON PI.AN PERMIT VALUATION PILING LOGS 0 PERCOLATION TESTS 0 BUILDING DEPARTMENT VALUATION USE OF BUILDING PLANS & SPECS 0 SURVEY 0 SETS COPIES B'ifYY).c90 . PLOT PLAN o TYPE OF CONSTRUCTION: I II 111 IV V Occupancy Group A B E F H t M R S U City: Amount Brought Forward .................. $ Park Support Fee ........................... $ ~'50.00 SAC ......................................... $--41 00. OeL Collective Street Fee ... ...... .............. $ Sewer Tap ................................... $ $ Division 1 2 3 4 Permit Fee .................. ......... .... .... $ "7A? 2C;- C;// .if If'). 00 Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ...................... ......... ........ $ I DO .00 I en .tfJ(J 3S".~ Ga~" erm~... ..................$ l{O.oO Th t n our BUilding perm~t pr ed ,. . By ~ Date Certif1cate of OcCtJlLcy Issued Y" Pressure Reducer .......................... $ Meter Horn ... .... ................. .... ....... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ q~.oo Plumbing Permit Fee ....................... $ f2~.oCJ I. "00 . On . -'C/'). cD Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Water Tap ................................... $ Builder's Deposit ............................ $ Other ......................................... $ Paid T~6u3~$....~~;~i~~~1 ~t:. Dale fL.-7 /K B~ This is to certify. that the request in the above application and accompanying documents is in accordance with the City Zoning ordinartce and may pr~'requested. This document when s~ ~qty~anner constitutes a temporary Certif~t8J'.f Zonjng compliance..,And allows.~ction to com~ence. BffO. re occu. .pan~ Certiflca of OlX\lpa~must be issued. ~,~ l'l-/' /dO c....,.~ k ~ ('~V-~I--<P..r ...awU\'~C .... Ry Planner Date u-' , Special Conditions if any o 24 hour notice lor all inspections 447-9850 ~1 White - Building Canary - Engineering Pink - Planning Thf Cfnlr. of Ihr La". Count".. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1") J2.. HoQ. I ()tJ I ~-n() The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1724-5 DE~~FIE1D Df2.. Accepted /' Accepted With Corrections Reviewed By: ~ / ~h'elJ Date: /1-2/- 'Z'-<.J Denied Comments: ~...t1 n L If''s p f..r . .Gr ~\""--" , , '3 u t\1'-4.. . v ~s. "The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, any violation of any of the provisions of this code or of any other ordinance of the jurisdiction. Permits presuming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." White - Building Canary - Engineering Pink - Planning Th" C","U or n." Lab Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED . , J D r2. f-or2. ( ON I 1- I <. - on . I - The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1724-5 DEF,:I2.FIE\JJ ./ Dg. Accepted Accepted With Corrections Denied Reviewed By: J-../-../-.-. Date: /2-(g-K) Comments: .5ec mRIN 5f/cc: / (/7243 ~EzO) FOe. 6lr/l$&l//5- "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 Th~ Crnlrr of Ihe L.ke COUnlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /) k~ 11- Hi , / __. I (j I<. I n f'.J 1 1 2, - (;{) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1724-5 !)FF~2J~IEU )DQ. --- Accepted Denied Accepted With Corrections ~ Reviewed By: ~~ Date: , 2-/6/BJ Comments: ~ I~~ ~4 ~Jk ~_<~ ~ j~:~~3 ~~ W; P&v--C~t-~~ rJd- ~WI'9..J;d2 , . "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 Me 16100 Eagle Creek Av. s.E. PIlrmit No. ~4- Prior Lake, MN 55372 HEATING APPUCATlON I PERMIT Date 1\-2.6\01 PIO# Sits Address '111j'\- S l)pQff1 (/l d l)y- Lot 'Z- Block '2- Addkion Owner's Name DQ \-ItV+U VI Address 346'1 \i'~ as,hi tllt'\Hm, ur :tvA 0uwr NUJ 1I\\'D,tA.i-iAt.!"'" I ,j ':J~IZ-z... Heating Contractor VI.. \ }.A fI 11 \f,U ilLf'J aU Addr8SS~~f5D k1.nVlfj?f( /urH:: i Ul.J)vUl II/IJJ 55122- , co' . I C'~.'7 /) -rlC: J . lel.phonll' _11' J \ "t' J t- - t.- r -.J Furnace Make & Model 6 I'V1LlrtI- TYPE OF SYSTEM . 'Ar.[:2.in'1\JI(j~d070" WarmAirPlants Model Size ) 0 j !'.J1 L- "t Gravity '):1 .'7; 1/1 Mechanical Conn. load ~ .:J -r-" A< Co di" \.<.',.r. ,~.. ,.,.L. . \ ' 4'l/'1 .. ",r n ftlll/llng ).JVV"A-YU 1_.,...V1 1\)(Yd-' FIueSize ua.S'd13 VanI.System.1_-66 CFfA..'K/~..Y1.(' Supply Op"nings S HEATING OR POWEll PLANT -" L1. Steam . I HatWaIllr RacIia1ion Special O&Vices Fuel Return Openings 'Ir, 1\l~ Input. "I'UL outPIJl_6I.I i EDt, Edr. Other Devices C1m. 0'--" oDL' TYPE OF WORK Alterations lIIew Construction v RIlplac&mant Est. Comp. Data -, -<17' ,-,. .'), i i L\ L', 0(; SuHding PermB , Repair ()()-IDw4-- Est. Cost :; HEATING PERMIT FEE$ STATE SURCHARGE $_ TOTAL PERMIT FEES $ .50 , pP-IO \f\iIlH . ..~ . B\J\\,.OING \-'~",,\ \ Recelpl C TYPE OF STRUCTURE 1. PiDk 2. 0.- 3.\"e:llilw F;Io CJry OIal:l::lldOc Singie Family Commercial Two-Family Industrial Fee Schedule Imlustrial, Commercial & Multi-Family Residential, Healing & AC Residential, Healing Only F~..~olI. Gas FlI'llpIace Residential, Addilions & Alterations Residenlial, AC Only Multi-FamUy Public Other ~ 1 % of job cost ($39.50 minimum) " $99.511 PLEASE NOTE; ~ $64.50 Air ConditiDner Units CannL 0 $39.50 Encroach Into Required SidE: $39.5C Yard Setbacks. ~ $39.5C ~ . . Remember to add the Stale Surcharge on !he bottom of this appUcation. Tbe price of your heating permil includes one rough-in and one final inspection. Adclilional inspections wDI be billed at $35.00 each. House Healing Test Recore must be submitted with bulldina Il!l!I!il ~ betore buftd- ing certificale of occupancy will be issued. !:lfQ: CALCULA.TlONS REOUIRED with numbe, ot supply and rlllUm openings fISted per room with CFM's per opening. New structures 0' additions sllnd floOr plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 15200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City HaD business hours are 8 a.m. - 4:30 p.m. All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL 447-9850 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 cily and with the stale buHdingfmechanical codes; thai this form does not become a permit until signed by Ihe BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case of all work which requires reVIew and approvei of plans. _A.>>., ~[) v. A .1/ Yl;fvI..Ul.rAJUJr~~) llzLi )/)} J ; ~iflflBture '- Date Z/?r, .. () I Date Pc. FA>i 447- 4248" , , , , . , " < " " " . c c ~ ~ ~ c ~ ~ ~ ~ c ~ c > & ~ e e ... FIRESIDE CORNER #4549 P.oo4/oa5 Date Rec'd ~ =- ~~..., I P~T-N();h-_ - /iJi,511 I Z~,G(offl~.~ I rplea:Ic ~ Qr "rint aJ1d.llhm. at botmml ADDRESS /?,;) "/5 /Jf}p-"f',fJ ~ ..Q' . LEGAL DESCRIPTION (ollle!! .Ie only) Ii . " LOT-::YBLOCK d-' ADDmON 'Xl t?OvbuJ(Cf 9-wd. U . OWNER (Name) (Addxess) ~;2 ~M.- (phone) APPUCANT (Namel ALLIED ~IRESIDE DBA FIRESIDE CORNER PIDd-5'- 3Io-CG'-I~O (Phone) 651-633-~1 (Ad.d.n:;s) 270Q N. ~ArRV>>:W JlYfmJ'" 1>nSEVTT.T.F. M1-' (AddJOI!) (Cily) (Contact Person) BRENDA HtlS'1'alfl ~ (Phone) 651-633-2561 APPUCANT SIGNATURE ~ /i,.J!:;;:. DATI! ---C'Y~~_.'_-:__- , ~ . APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TrONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OP SYSTEM HEATING OR POWER PLANT oWonn Air PllUlts 0 Sl<8m oGravil)' J Hot Willer o Medtllllical J RaIliallon OAir Conditioning J Spc<iBl Devi... OVen. Sy.tc:m 0 Other Oe1/i"", FIREPLACE MAKE AND MODEL .iJa; Al..Gr;;, .s L - ?fllJR.c.. Inrlu~. Commercial &. Multi-PlItIlily FEE SCHEDULE 1 % of job ..,'" Raidund.l. Gas Firepl""e $39.50 minimum $99.50 R.esldential, Additions &< AIJeI'mon. $64.50 R....ldr:ntIal. AC Only Resldendol. Huoling &< AlC (New Conslnlction) ResIdential. Healing Only (New Construction) Estimated Cost $ Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ 5 .50 (orne< 11.< Only) This Application B"",,"'''' Your Bul/dlng Permit Wilen Approved I Paid ____ I Dale 5 15 0 I Building OfJid.t D... Z4 hour nntf... fnr _/lI..pectlnD' (95:) 447.'850, rOJ (!ISZ) 447-4Z45 s~~" (Zip Code) PLEASE NOTE: Air Conditioner Unj~ Cannot Encroach into RequJred Side Yard Setbacks S,9.~0 5>9.50 5,9.50 /3lJ. PAID 1I.D"^, VI'-;,>- I'VG "1,'1 Pt.>. "r- 111/.,/" ~eiptNg. __ J-1/ ,I BY~ / JAN. 9.2001 12: 36PM GENZ RYAN 6513226147 NO. 225 P.7 I. 1100 2. GoI4 :I,yol!.- I'iIe ClIJ AppIiaat # () 0 - fOrA- Phone: ID~I-4Z~-~ ',at..- ,e~ W"IrrrLJIr ~tl ,. , CITY OF PRIOR LAKE . PLUMBING PERMIT Applicant: em 'Z- - , J .a.;') : 'C'~. ~ . Address: --1Y::J.J,),~ -"'l "_'I SlgnatIJ,.: \1 .in ~ . . . Legal Description: Lot '-..J z... Block 2-. Sub~ 1"- Zk1.o SiteAddreSl:J:l..7J-l~ 'l'.t1,V'~ f"') I)z.. ~ . Building Permit /I PID II NOTE: This permit ~i11 not b8 plllceBatd without complete infolTMlIan.. FIXTURE UNITS . '"" ~l'r -! ,lie -"11.. c.llftl" ' Quantity I I I '2.. \ \ I -~ 'c'.':..1 2- ,> -.' Type of Fixtu re !'lath Tub with or wtthout snower Dlshwuher ' Floor)),.in . !-&vatory (bathlllom sink) I-aundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) Quantity Type of Fixture .\ rG; I \: :1 Ro.ugh.lna Water Heater llliater Sollner ~and Pipe (Washing machlrie~ Sewage Ejector. , Backflow Assembly (RPz, Double Check, PVB) Baclcflow Assembly Test Lawn Sprinkler : Other .' . . FEE SCHEDULE ._ IrlCfustrial, Comme~a1 .. Multi-Family (1% of Job cost, $311.50 minimum) Ruldential, Ney.t One & Two Family Re~identlal, Additions & Alterations state 8urellarge $ -. $99.50' $ $39.50 $ $ .50 " GRAND TOTAl. $ f!I\IO \NXB.\'JI\\ .. . " eU\\..uING . i . Thil permit il IfIInlCd up~n ,he up.... ilOnaition Ihat Hid oonln<:tor, shall <empty ill 11I1 rOlpccti wll/l ihe ordinances o(tIle Stalll Plumblns~. j:~drnO~ ,ho""'f, ~ R!! ~".-()( DAm :..Ii . Ai 4Qa)1. Call fDr all insPect-ons 24 hours in ~vance. 16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 44742~S An Equal Oppart1lDity Employet .,,,,,.',, ':J ' . ..~ JAN. 9.2001 12: 36PM GENZ RYAN 6513226147 NO. 225 P.6" --. .... ...~ .-.0.., ..... . on .. " NO./)(J - &&4- CITY OF PRIO~ LAKE SEWER AND WATER. PERMIT NOTE: Sewer and Water cgntractors must .be reqistered ,wit.h the City. APPLICANT:..&n.;o~ "trn PluWlIoIL"'- UonT'lAJt'_ PHONli::~I-(.4.'2..?-II..p.j AD""'"" 'J.Y:>>l'" ~':;:' ....;.. DA""~l .SIGNATURE: \1\. "," 0 ~ ". _ """", '.RJIIT .. SITE ADDRESS:...l:l" ' fV <f.:.. PIof," : ., . FILL IN THE BLANKS 401 1. Estimated leh~th of water service I I' Size of water service inchee.). I Location of any couplings from .~ructure .feet; . 2. 3. 'feet. . .~. 4 . Type of sewer pipe. ABS PVC X Estimated length of sewer 11n~~' Clean out. (if r~quired), located structure. . Cast Iron feet.' : ....~.~i 5. 6. 'at feet.. from. " . "; , :;:' :;;;::::;:~~:-::::~::::::::prov.ii~-~.' ' ..~",==....=---",---.-IJ--~...;.=:_,----- "===--'-'-~---,--==. ""---....==="'~= --,--.-== . . ~ ,. FEES: $ $ $ 35.00 .50 t 35.50 Sewer and :Surcharqe TOTAL wat.er line connection permit. " . " * Fee for either!.ewer or water individua~ly 'is $20.00 plus $ .50 Bureha~qe" -- . * Sewer and water 'permits issued for new const.ruction must b. recorded on thebuildinq permit card at the t.ime of issuance to insure that rio duplicate sewer and water permits are issued. I' i' . ~,- .'l, .DATE PAID RECEIPT f , ; AMOt1lf.I' PAID " REC'D BY o~\O ~~~N\\i .eU\\.O\N'" . " . ~ , ...-' . , 4629 Dakota Sl S.E., Prior LUll, Minnuota 55372 / Ph. (612) 447.4230 ./ Fill< (612) 4474245 AN EQUAL CPPOIlTUNITY EMPl.CYER - PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS /'I~C/t;"" 6b-, 'T"C-dJ. (fJr. NATURE OF WORK -.AJf>L.) USE OF BUILDING ...._ SFll J" _ PERMIT NO. ~DATE ISSUED /1- '2/-2000 CONTRACTOR D. It. R.;.r~ Ul-"'2SG.-713C NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I 1P:r. 11/9~/ I FOUNDATION (Prior to Backfill)~~: 11;.J~ ~. 1!2.4fOI PLACE NO CONCRETE UNTIL ABdvE HAS BE-EN SldNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING a..., (/ (8'/0 ( v INSULATION fa:tr M (t.. 1M ELECTRICAL /), PLUMBINGS'~ uG. ~ 11J.~/rJf I;);-n f5/:9--'1/bl HEATING (ifrequired~ ~ 1'""~ 6:r, 1..!;:j.3!/;J ~ ~/i'/~' FIREPLACE' ~,ft; {KI "I ,. GAS LINE AIR TEST ~\. f,PI ~ 6f(f~I/' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1"~--III_fArT ~ I h 1573d'/llJ FINALS GRADING (Prior to Sodding) ~ 1'\;1(,(1.\ BUILDING "fC-i:>.ilO '1 ((51/) I ~,//.IL!hn ~ ' ELECTRICAL PLUMBING HEATING DO NOT '1 ./&. I:A- OCCUPY UNTIL ABOVE NOTICE . ,?!(q/[)) l~LIf/ .,. i 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 nD 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 ADDRESS l...~)'1 <; OCCUPANT HEAT LOSS SOLD BY Electrical Work By _ TYPE OF HEAT JOB # HOUSE HEATING TEST RECORD f)'t"-f'/ 1.'..( ILOr <; ,; APT. _FLOOR _CITY '1WNER DATE HTG. INST. _ ?-1O-0 I SUBURB INSTALLED BY A II. ....,- ~-I fl)-f'C /., ''";os Line By A 11. '... -' -I J'1'1w/(' J., GA _ FA ;L-HW _STEAM _ SPACE HTR. _UNIT HTR. _OTHER GAS DESIGN '- CONVERSION MAKE (S,.-HOr" r Model ?'1 ~'I Llu CJ3GCT=F(:) Serial ?1'.:v?1A.ri/1/1' ") INPUT _ Limit Setting _ Fan Setting ,. Pilot Type Pilot Make Pilot Model Pilot Timing _ L.W. Cut Off ~ c ,. v<- ( Pressure _ . ? ' Input CFH Stack Temp. ~ v( ~ THERMOSTAT II V.lve 1/1/, fl Limit Form 235 H CONTROLS \A-"...../f - Heat Plug _ MAKE OF BURNER Model ,.'(' Max. BTU Ratinr' lilt- MAKE OF FURN~CE ..,.t Model "- '..1. Vent Size I '-1 KIND OF LINER , . _-("c' Draft Hood', Filters Size _ /'" '> -=- r I/' Chimney Location Chimney Construction Smoke Bomb -~ --- Draft ..-- - Door Pressure_ . Percent CO2 _ Percent 0 " _ Percent CO {.,.(. ~.7 ij Date Tested ~-IC)-O Company Testing Frederi~cJson Heating & A/C, 3650 KenAebec Dr., Eagan, MN 55122 Nome of Tester -......, 'Ok ~-------' ~ )-.- .. - ... .... .... SIZF _NONE. ! RegulaTor Number y"']./.'.,.. . In'Side C/o.:,..,.-, A Outside _Wiring Test Tog Lighting Inst >-~/ / ~- DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /--2-0:../ ADDRESS n/-4j- !k+'r-h.c IJ OWNER CONTR. PHONE NO. PERMIT NO. n- /C/&<:.( 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 Sn.J 17~~;\ o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: .- ( C' ~ - r ~________ ( OS c /'1.; SJ --- ---- ~K SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT W~R~LL FOR REINSPECTION BEFORE COVERING Inspector: YU Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INS1IOTI OWNER DATE TIME SCHEDULED 7 ~ 1: ~ c ~,RdJ t; CONTR. PERMIT NO. () - J n t~ t/ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS I 7 d '-f .5 PHONE NO. o PLUMBING RI 0 EXIGRAD/FILLING o MECH RI 0 COMPLAINT o WATER HOOKUP @J 0 FIREPLACE RI o SEWER HOOKUP ,lit' FIREPLACE FINAL IiIi\ 0 PLUMBING FINAL -"8 GASLINE AIR TST ~~ MECH FINAL 0 COMMENTSff') ~ ~ L.." --j--,J H 2-0 ~~( ~'b~~~ o FOOTING o FOUNDATION o FRAMING /J o INSULATIO~ )If FINAL b'SITE INSPECTION ~- ...... \" (.'C . C) t '"""-..-, 1/IS/oI I 1 r) ~ Je'~ o WORK SATISFACTORY, PROCEED W CORRECT ACTION AND PROCEED :S::~O:ECT WO~L FOR REINS~:~::::n::FORE COVERING 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 SCHEDULED '7j/9/cJl /J.!.-&o ADDRESS /'7.:;.<f~ ~ . OWNER CONTR. PHONE NO. PERMIT NO. DD - {D c;, <j. o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTSffl ~ ~ ~ @~Af' ~ rn- ~ ~tIJJ,V. J (6] ~ ~.0~~~~ ~~~r> J~~~1 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP ~ 0 SEWER HOOKUP ~~ PLUMBING FINAL o MECH FINAL ~~~. ~ - F'fA., o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT W~FOR REINSPECTION BEFORE COVERING Inspector: ) Owner/Conlr: CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI