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Home My WebLink AboutBuilding Permit 01-0094 ~~ !leT" q"""',,"n CITY OF PRIOR LAKE 2..- S -0 I BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT L White 2. Pink 3. Yellow DIREcnONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUeD (Please Print or Type and sign at bottom) 2. SITE ADDRESS ISOQ'1 1. DATE Pf'YJ, \ I Uo\ RI5D BUlL INFORMATION 11. SIZE OF STRUCTURE (Helght~1 (W""11 dJ' (De~l,.,' 12. NO. OF STORIES '00 \ rt 13. TYPE OF F,?NSTRUCTION t-Je'+..! 14. FLOOR AREA APPORTIONMENT USE M.V'\.\~("'d \2,\1 ~ I()O~ IVZ':H I 3. LEGAL DESCRIPTION BLOCK \ \2.v:kI6 zS - 34-2...- ()()I-O ADDITION 4. OWNER \ ~I'Y\f (Name) ?, va (Address) l102..1 fls.Y\ ~ k-\ ~ Pnov IJA~, \.11(1 0'?31"2.- '15Z.-440-"14O:) I SEATS Septic 0 Deck 0 Re-roofing 0 Porch 0 Addition LJ Finish Attic 0 Ae-siding CI Finish Basement 0 16. PROJECT COSTNALUE Chimney 0 Misc. \ ~t 1,00 18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE Sq. Ft. \ 2-Q'TO Width e.<o Depth 140 Ves No l-'\o.\1 ~ I "2.Co\ 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 PMrty 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 build)OQ~ fficial can rev k th'f. pe~~ f?[ jutt cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to p~orm needed ins~ons. X~ _ . ~ ffJ?-. r.(J~l. \. -uti - . Signature I License No, 'Date - LOT 15. ARCHITECT 6. BUILDER ~'l~M (Name) (Name) PID (AddressK;1..,,).a.e-- - I~ 7 Jzz~ (Address) (Tel. No.) ~5g0 (Tel. No.) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS tbme.S OCCUPANTS 7. TYPE OF WORK Fireplace LI New Construction ~ Alterations LI SETBACKS: Required Actual FOR ADMINISTRATIVE USE MATERIAL FILED WITH APPLlCA nON Front Side SOIL TESTS o o ENERGY DATA Back Side USE OF BUILDING BUILDING DEPARTMENT VALUATION 5FD OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION -1 fDc.J ,lJl!)!'? . t'lA PILING LOGS 0 PERCOLATION TESTS 0 TYPE OF CONSTRUCTION: I II III IV V OccupancyGroup A B E F HIM R S U Division 1 2 3 4 Pennlt Fee ................................... L-L "?,<\2 , lS Plan Check Fee ............................. $----8...!1.8 . 'l6 A'J . eo PLANS & SPECS 0 SURVEY 0 PLOT PLAN LI SETS COPIES City: Amount Brought Forward .................. ~ Park Support Fee ........................... CI: SAC ......................................... $ Collective Street Fee ....................... 'to Sewer Tap ................................... 'to Pressure Reducer ....~k/~..........". : Meter Horn ................................... .'1: Water Meter ................................. ."". Sewer & Water Connection Fee ........... $ WaterTowerFee ........................... $ f~S'.t:r~ 1.2.00 -c" . rzt'JO.Od Asz).c!lO 1 (5().~ "' State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ 4S.tJO Ib(').f"'JO /0(') .dC) 55' . ~-E> t#tO\ ~/' Sewer & Water Permit ...................... $ Water Tap ................................... $ Builders Deposit ............................ $ J. 5/:)0.L:J1::' . Other ......................................... $ Paid Total Due ...................~~~~o$~'t,~- 55 Date R- !In-'MI BlM''' . the request in the above application and a........... 'Io'"",iog documents is in accordance with the City Zoning Ordinance and m~y 1-" ............'" ...frequested. This document when nner constitutes a temporary Certi2~f3om:p1iance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. C Planner t ' Dale Special Conditions n any Thi By Issued .......... $ .ng Permit !NJ1en,Appr~~ "'" Date 1- /-~ 24 hour notice for all inspections 447-9850 ~~ ()1-()6~k The (""nl"rof the L.kt Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ICB/L,AN 0 f-tOH65 2-5-01 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 150QQ APPAL1)()(A 'TeAlL- ;/- Accepted With Corrections Accepted Denied Reviewed By: ~~ Date: :2. 7~2rD1 Comments: ~Cl[)Q //fkM ~~ is V "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," D 1--06 q4---' Th Cfnlrr of lhf L.kr Countl')' White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /(sVLAN 0 I-fOHF::S I 2-5-01 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 15010 APPALOOSA V I KAIL- Accepted Accepted With Corrections Denied Reviewed By: UL Date: 2 -/3 -v/ Comments: See Reverse Side for Additioriallnformation! " See Attachments: 1) Grading Plan, 2) Erosion Control Measures 3) Erosion Control Plan "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." ~~ DI ~oo~tI-- Th.. Cenl... of the L.k.. Country White . Building Canary . Engineering Pink - Planning aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED k.SVl-!-\N U 'lulvlES , 2- ~ - 0 I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I ':) () qC] f\ I)))~ U)()Sf\TKA I L- Accepted Accepted With Corrections ~ Denied ~ ...___, I Reviewed By: ~ - .~ Date: 2/13 m ( Comments: _')-LI ~ ~ WIfl./etA~ 0ilid1A. (J;cJZ./~ r~r~( ~ ~J f~,o(W\in ~/J,AJ,. "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." FILE No.424 03/05 '10 PM 03:09 ID:D & D MECHANICAL FAX:9528904650 PAGE 1 CITY OF PRIOR LAKE ~. ~:.w Eu- PLUMBING PERMIT #...12I::-()oq4- Applh)lInt: _..D:t..D mE..C 1/ '_~ J Ir.\C.-'--____.Pholle: 11 U...-2=..rL~.' f ~ 8 r Addlt)~s; _!1...~.s WAUoJ'I'U .:...._ ~.d..._..__._____,_. . ~~~::l~~~C~'L~I~~__..~~:t..Y~:a;~~k~~.L;-"-su~-=-1.= ~a ~1' 3'" Slt8 I\ddr.S8:__-I.S..o_1-' ...ArPA L ".:S...~._.TL-'Lt L .____.._... _.... ___ Bulldlllg Permllll _.4./--=-_tu. q if __.._.__.___PIO II. .... NOTI.: Thle permll wUI nol be proceee.d wllhout complete intormatlon. FIXTURE UNITS rw..t'...'....t"..,.n"C......." Quenllly I I / I J ~ I Type III Fixture eall, Tub whh or wllhoUI shower Dl,hwlIet\er Floor Drain Lavatory (bathrooJ\1 8lnk) Laundry Tray (1 or 2 comparlment ,Ink) ShoWer Sian Slnlul Bar Sink Watar Cloe.t (toilet) PEE 8CHEDULE IndUIlrlal, Commarclal .". Multi-Family (1% of job c081, $39.51' minimum) Reeldentls', New One .". Two FlImlly Relldentla', Addition. r /\heralione Stale Surcharge Quanllly Type of Flxtura 1 J Rough-In. Waler Hellter Water Sollner Sland Pipe (wa.hlng machine) S.wage Ejector Bttcidlow &'"mbIy (RPZ, DoWIe Chack. PVB) Beckllow "..embly Teet Lawn Sprinkler Olher $9IUO $39.50 $ $ 1.1...S..Q. $--- $ _,2C?_ t>1 ~ ~/Jf- . GRANO TOTAL $ .L04.0D - PAlO WITH BUILDING PERMIT. . "Ill tlCtlnil ili 1lI'1l11h~,1 upon the C"JUCl5 t.:nmlUion lhalllh.1 \ ""I'.CIOt, .hall cuml,ly In oil reapect. ",lIh the urdlnoll"ea ,,' ,he SIB'" PIUlnhin, Cude an~ the '!'l<;Qd?",. lberear. e' ~ .11"1' NO. MAl'( JUQlaA'm . -- - -- -..... - ...' __ ._AT1'llST 1~1~1ftJ1 . '.:;;..!'hmll'S inudvull"c. 16200 Ealli<; Creek Av. S.E..l'rior Lake, M'innesola S-S3721 Ph. (612) 447-4230 /fAX (612) 447-4245' A. [lqual Opp""unIlY Employer \r ') _._'-"'..__.---.-..~--_. -. '.-..."--. ""-"~'-'"._.-.-. --...,._. _a____,.__~ 02/19/01 MON 13:16 FAX 6128902753 STOCKER EXCAVATING 1aJ001 GIllE.. -...... ~. APp\,1CAft GoOLD - CIT., CITY OF PRIOR LAXE NO _ 0/ - 0094- SEWER AND WATER PERMIT NOTE: SQw~r ~nd Water contractors must be reqistQrQd with th~ city. APPLICANT; DD MechanicalfScocker Excavating PHONE; 890-4241 ADDRESS: 8247 W!l-$C 125ch St.. Savage.. !iN SIGNATURE: U~/;~~, SITE ADDRESS: 115099 Appaloosa Trail SS378 DATE: 2/16/01 BLDG- PERMIT #.fJ./-o09Y PID;!-6:"". M-2-- 001....0_ FILL IN THE BLANKS 1. Estimat~d length of water service feet'. 2. Size of water service inch(es) . ). Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC y cast Iron 5. Estimated l~ngth of sewer line feet_ 6. Clean out (if required), located at structure. feet from ~_....._..1iiii_;;;~;;;~;;;';;:~~::;::=:;;;';;;;;;;"':;=ln;;_;;a...___ ......,...._._._.,__.=.:::====::;;::;;;iIliI'....___...._=;=::;::=======_:l;J.=t BY mes your permit whQn approved. This DATE: 2-2/-0/ ====~~~=~_=__ _____*____~~~___~____B_~~=C~____=~...';;:.........;~====2_=~= FEES: s s s 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is 520.00 plus $ .50 surcharge_ * Sewer and ~ater permits issued for new construction ~ust be recorded on the buildin~ permit card at the time of issuance to insure that no dupl1cate sewer and water permits are issued. . DATE PAID RECEIPT # AMOUNT PAl D ~g \,,\\\,'"' I '\1- \'" \ G'I**"\" REC'O BY ~\~ 16200 Eagle Creek Av. SE. Prior Lake. Minnesota 55372/ Ph. (612) 4474230/ FAX (612) 4474245 All Equal OpponunilY Employer PRIOR LAKE INSPECTION RECORD SITE ADDRESS ;"'C;I) 9? .1/ p~ t~~ \/J-rLiJJ NATURE OF WORK jJ./JU1 ' USE OF BUILDING SF 1\ PERMIT NO. 01- OOqLf::. DATE ISSUED ~ -7- A::JO / CONTRACTOR ~\\I/1..v\.J ~~ PHONE q0(9..-L/q~-1l.JdJ NOTE: THIS IS NOT A-PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR O;'TE I FOOTING I r~'\l~ I '1-.1 d. ?J!t>\ I , FOUNDATION (Prior to Backfill) I fbr, . 3/7/01 I e.t-. ~.:...;-{J.L ~ ,fif61 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS /fr._ 097 . {~, SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST... t '. """'J . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS A/B (2r; It b r./iJ I .. 3/l/01 ,Li/J~/D I 41 ({Ill! I I F / " r ..), .. ( ) " GRADING (Prior to Sodding) BUILDING r;; CD tfle Ifl. I /~ i ELECTRICAL . v PLUMBING HEATING DO NOT fH tj-t,,-oJ ,(//J(tJV 4.- ~ OCCUpy UNTIL ABOVE HAS NOTICE 6/tfl//tJI 4/ J/;,f ~ 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 9:0b"A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 CITY OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E. Permil No. C \ ~ \Xl <1\.\ Prior Lake, UN 55372 HEATING APPLICATION I PERMIT ... ":a\8 ~-J_ \ saeAddress \S~~C\ A O()c..\(')S~ ~cX -L BIodL \ Addition. "'>~~ ~h... (Z,t"l.P'o \...", ~\ ~ l...t ~enName_~ ;,,\\.~>.\\()~ '., - Addr_ \ 1.0~\ t.., ~ ~ {> t-. r r, ~ ~ \AtCL He8ling Conuaclol f\l \-yo" f-h ~ \ f\ l. Addresa \ '" '" ~ 0 \...1. 'il.. \ ((W..... !1t." t ~ S"~- V\l.\\_ ~\A"\ PIO. Pf',~~ 'v.../~ Telephone f FurnllC8 Make .. Madel (." r,.; "..... TYPE OF SYSTEM Warm Ail Plants ,( Gr.wlty Mechanical ..){ ,., ConcIitloning Vent. System HEATING OR POWER PLANT Sleam HotWalel R.....tion SpecIal Devices Model Size l"\ 'l( ~ -~ Q 5'\ ~?'1 Conn. load Fuel Nt>.~ Supp/y Openings \\fl. FIve Size '1l 5 Outpul 5\-, U<:() ~lurn Opa,nings eilnput~ ~ ~ a: . ~Edr. f- ~Cfm. J"~n 01"., O.w:et E S AIIaIlllions N ~ F\epalr TYPE OF WORK R.,.:.,....enl New Co~dlonX Eat. Comp. D8Ia 5:2a~ ~ () 1- noCi4- ... Est. Cosl S 1Sl 1Sl "! HEATING PERMIT FEE S l'- oi STATE SURCHARGE S a: . E TOTALPERMITFEES $ Bul1ding Pmnh . .50 PAID WITH BUILDING .-eRMIT Receipi f - TYPE OF STRUCTURE 1.- 2. Go-. 3.Y_ flIo Ci'J c-... Single FamX. Commerr:ial Two-Family Induslrial MuIl...Family Pubic OIner. Fee Schedule Industrial, Commercial" MuIli-Famlly Residentia~ Healing .. AC Residen~. Healing Only Residenlial, Gas Finlp1ace Aealdenlial, Ao'dllions .. An8lations Residential, AC Only 1%..al ;ob cosl 1139.50 minimum) $99.50 PLEASE NOTE; $64.50 Air Conditioner Units Canne $39.50 Encroach Into Required Side S39.5C Yard Setbacks. $39.5C Remember 10 add the SIale Surcharge an the bottom of Ihls application. The price of your healing permil includes one rough-in and one fin.1 inspection. Addi1ionaI inspeclions wi! be billed al $35.00 eaclL House Heamg Test Record mu$I be submiIIeo' WIth WH!ilIIlllemlillJl!!lRlr belore bulId. ing cer1lllcale al occupancy wlI be issued. J:iEei[ CALC! lLATIONS REOUIAl"O wilh numbe, of supply and return openings listed per roam wiIh CFM'. per apening. New slruclUllls or addilions send Roor plan with supply and return lac:alions shown. HE...... LOSS CALCULATIONS, PAYMENT AND APPUClifIONS MAY BE MAlLED TO THE CITY OF PRIOR LAKE, 18200 EAGLE CREEK AVE. 5.E. PRIOR LAKE. MN 55372. . City Hall business haulS am 8 a.m. - 4:30 p.m. All WORk MI1ST BE INSPECTED /ROUGH-IN AND FINAL). CALL CITY HALL t47_ FAX. ~"'1-<+ZJ.tS' I hereby apply lor a mechanical systams permit and I acknowladga that Ihe informali"" above is cQmplete and accurate; Ihallh. work wUl be in conformanca with the ordinances and codes ollhe city and wilh the stata building/mechanical codes; Ihat Ihls form does no1 become I permit until signed by Ihe BUILDING OFFICIAl; Ihat the work wlTl be in accordance with lie approved plan in the casa of aU work which requires review and approval or plans. ;;>-~. ~~\.-.., I ~-l- Lt. ,/. . . -82001 ! ).1 BLlndlng Oflical's SIgnature Da,. DATE TIME CITY OF PRIOR LAKE 317/01 /(~ INSPECTION NOTICE SCHEDULED ADDRESS ISo,/'1 A-pPfLlo()SA. OWNER CONTR. PHONE NO. PERMIT NO. /)/- 'JI./ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI @1 MECH RI WATER HOOKUP SEWER HOOKUP ~ PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o I ,~ E" rJ / COMMENTS:tD ~ ~ ~ o:t- (\kU.. (r- ') fu-o . (ID ((~. :c. ~ (\~ ~ ' (j)) r! jJ~ ~..:I- 1 I~ ~ 4-" kJ-J. I./n ) {, T ~ > ''J( /r j~~' ;:; ;/ (' , - 5#c DK-AJ r (! '')fLA- - ,JO o WORK SATISFACTORY. PROCEED ~ORRECT 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! INSNOTJ DATE TIME //I~ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /:;;'7)99 SCHEDULED '-(- /;;L -0 ) fl:p(fJU./ () oSC-.- , v' v CONTR. OWNER PHONE NO. PERMIT NO. () /- 9'1 o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING (@ 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP o FINAL B-PLUMBING FINAL o SITE INSPECTIO 0 MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: 5~ A,"f' e1t<- )I 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 ADDRESS 152)9'7 DATE TIME SCHEDULED .;j-: 021-0/ It?;~ k;JJ fJa /0 tJ 5CL- CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. /-9'-/ I 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'A1 ,.I!1"'PLUMBING FINAL\ff o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: t!iJ ~ ~ , fU24, , ~/'I W;:t-", ~ 0, f I If&-.--- ~/A. o WORK SATISFACTORY, PROCEED ~CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~( Inspector: OWner/Cantr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED '}-'-ol /ffY7 PHONE NO. 1509!LilppqJrfl-c" -rr AlE CONTR. r.c.*...d ~~ PERMIT NO. 6/- 9L1 ADDRESS OWNER o FOOTING o FRAMING o INSULATION Jl!I'i'INAL o FOUNDATION o DEMOLITION o FIRE PREVo o PLUMBING RI o MECHANICAL o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION bi(EX~L1NG o LKS~ETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o COMMENTS: 6rcu.u - ok Cv Ib tSd)( - 0 t:. :-{WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REIN$PECTION BEFORE COVERING Inspector~. ___ .Owner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR LAKE INSPECTION NOTICE DATE SCHEDULED to -v:; c, -C J li;uiJ / :,~() '9 9~pa /:;'0 ~;C<-. TIME ADDRESS I OWNER CONTR. PHONE NO. PERMIT NO. J- 9if o FOOTING 0 PLUMBING RI 0 EXlGRADIFILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING @ 0 WATER HOOKUP 0 FIREPLACERI o INSULATlO . 0 SEWER HOOKUP 0 FIREPLACE FINAL ..... r,h,,( '~'-:'LUMBING FINAL 0 GASLINE AIR TST o SITE INSPECTION ~.ECH FINAL 0 , COMMENTS:(/) {(fuJ.-p ~ ~ ~ ~ ~ - S'~'Fe~ {'LA .".-d-- ~. ' ~~J+~~J ~d~ ~ rD ~ ~t-~ ~ lli~ -- rr4ji;c~T,.1.'''''~ , lTC ,fl. -- - '-'-"~"""'-"~ '1:./1 io, ') ,# ~ ~ o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING Inspeclor: ~ ' Owner/Contr: CALL 447-9850 FOR THE NEXT II<l!SPECTlON 24 HOURS IN ADVANCE. conE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: DATE TIME SCHEDULED 7 !z....c::(tJ1,/ t. y: /1-;P /?/J '-'0 Of,q /S099 CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ..sOI?/~ 01- tJot:f4-- o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o tJ . ('~ ~ ~./.. U ~ ~'--r-" )If WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED :S:::ECT W~:L FOR REINS::::::::FORE COVERING oj CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNon ~~~~----=-----------------IIIIIIIIIIIIIII 'JobAddr_ /PC)99 /[omlt>' x.. ._"" Conncto< METR6 'AIR -Testers/Signature fj/a-It !l!!! Time Pounds Pressure .Gas Une Pressurized Inspected ~~EfFOAMANCETEST .Percent C~ ~.- .Percent CO J ''''''enl''2~} i? .sI>dT.mp/~j final Inspection Oete