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Home My WebLink AboutBuilding Permit 01-0135 ~~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT QA T~ Rl=r~eiEQ. 2. -2."2..- 2001 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and si~n at bottom) 8Ib.~ /J~ 3. LEGAL DESCRIPTION LOT 7 BLOCK uJlt-Il.5 12. SITE if;83 ADDITION 14. OWNER 15. ARCHITECT 6. BUILDER I hereby certify that I the above mentioned building official can revoke th X SETBACKS: Required Actual Z-- ~ I. White 2. Pink 3. Yellow File CiIY Applicant Permit No. 0 I - 0 135 1 D;ftt )/ BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) PID zt:)~375- ()/2.- 0 12. NO. OF STORIES (Name) (Address) WlNOWOOI) HOMES 14311 Ewing"lfm;) S.. Suite 200 : x"s~..'lt~~r~ 66300 (Name) (Name) Fireplace CI Alterations LI Septic 0 Addition LI DeckLl Finish Attic CI Re-roofing CI Porch 0 Ae-siding 0 Finish Basement CI SEATS 16.PR07~C~S.O_~ALUE /~ . 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLE:!:I9l'OATI ~",Depth Ves No <5/;110/ this a cation which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent tor . will conform to all eXisting. . state and local laws and will proceed in accordance with submitted plans. I am ~ that the Furthermore, I hereby agre~. that the city official or a designee may enter upon the property to perform neede Insp tions. ~ ~7 ~~ ~ License No. Daj ~ .c;..--- /..r (Tel. No.) eM.4s 95'Z-.;..e~-~ (Tel. No.) 13. TY:.t.WTRm 14. FLOOR AREA APPORTIONMENT USE 7. TYPE OF W?z New Constructio Chimney 0 Mi . 8. PROPERTY AREA OR ACRES Sq. Ft. (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS FOR ADMINISTRATIVE USE USE OF BUILDING BUILDING DEPARTMENT VALUATION Fronl Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 SEt) OFF STREET PARKING PILING LOGS (J PERCOLATION TESTS (J SPACES REO. PLANS & SPECS (J SETS SPACES ON PLAN SURVEV (J COPIES PERMIT V ALUA TION I'?('),CY'Y"' .~L- PLOT PLAN (J TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 1s- Permit Fee ................................... $~C; . 'iOc' .1 C/ ~"5.00 City: Plan Check Fee ................. ............ $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $---10[1 .c!J 6' Mechanical Permit Fee ..................... $ (~.O 0 "$80 ro .c!)o ~I Sewer & Water Permit ...................... $ Amount Brought Forward .................. $ Park Support Fee .... .... ................... $ SAC ......................................... $ Collective Street Fee ......... .... .... ...... $ B'5t'J .oa (,150.00 Sewer Tap ................................... $ fiT " $ Pressure Reducer ....:1JJ,....J......... $ Meter Horn ................................... <l: ~ '1lJ . dO ~ Sf"l.llc9 Water Meter ................................. <l: Sewer & Water Connection Fee ........... <l: Water Tower Fee ........................... $ II,?OO.Da 'ltlO .~O Water Tap ................................... $ Builder's Deposit ............................ $ I. ~ n~ &~ CJ Other ......................................... 't Total Due .............................. $ B. ~;J~ en Pa;d PJ .:3f.d,.qq Rece;pt,,*..390F'/ Date 3-6"'01 By ~ a the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceedj!; requested. This document when annerconstitute.::;~~raryCe~/~'~mPlianc~~~on~ctionrocomc1~n~~~~Occ~~~~ C'hvPlanner Date ~ SpecialCOl1di~s ~ any b "'- Issued 24 hour notice for all inspections (952) 447-9850 OI~613( The ("mll"r of the L.k.. Country White . Building Canary . Engineering Pink - Planning aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT \. \ \ . Ul..~ C (J) H( l\ii E~ , APPLICATION RECEIVED Z-Z2-C} The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1:-..J3f:'}3 I~,I~-I HCKN \f\:::::-=:- f Accepted V'""... Accepted With Corrections Denied -J Reviewed By: (,~ 11 ~ -~ r V Comments: ;2-t.-{ r, Mhl-L~ 4vtA~ L1)~ jJS(. ~~ J::y-~ ~ ~\fh.v;, vQ tDlu) 1'6 [1-AJVfL. L ~r!~ M~l ~ -::;L~ ~ - I . L Date: ~/{/6J( -A-/Q I -' ~J1~~ ~ ~T Evv~~~ ~.ev- y)JP~.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." 01-613( Thr("rnlt'rof lhr 1,.keCounlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED v.J \ NDWOoD f1()M5S 2-22.-01 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 153g3 BI9 HOleN PASS Accepted Accepted With Corrections ;...c Denied / --; -(J / ReviewedBy:V~ Date: 2~26-2aJ/ - I Comments: ~ qjQ tt.fk~ ~o::L "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- /35 The (:pnferor lhp L.kt' Cl>unll')' White - Building Canary - Engineering Pink - Planning mHl-OING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,,~\ ND~.~ooD Z-22-01 Ho/'l5S . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1:J303 BI9 HOK:N P,L\6S Accepted )( Accepted With Corrections Denied Reviewed By: IJt+B Date: 2-l({.- o{ Comments: ~E:!j;l Reverse Side for Adrlitionallnformation! ~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures 3\ Frt'lo:::inn r.nntrnl PIl'ln "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." GllEt:1I . PILE VElLOW . AP"-IC"IIT GOLD - CITY CITY OF PRIOR LAKE S.W.No. ()l~ 0/35" SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the city. APPLICANT: o .Ur HclC c 'X. C PHONE ( '7f.2) fi9.1 - c, 'i () (, ..c,,</</ DATE: 3~1/0J BLDG. PERMIT # 01- 0135" PID# 25-375- (J/Z--O ADDRESS: I (, /I [? :r Of'L;..../ <.AJ.-4 Y 1I~ ,,<- SIGNATURE: QL,,+~ lJ .,DeL-... ~ SITE ADDRESS: JS j,f,J I?.IC}/o~"; 7R. FILL IN THE BLANKS I 1. Estimated length of water service '10 feet. , . 2. Size of water service I inch(es). 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC)( Cast Iron . I 5. Estimated length of sewer line I..f 0 feet. 6. Clean out (if required), located at structure. - feet from -=============================================== This applicati s your permit when approved. BY _ DATE:_ ::3-/c;--cJ / :::::~~~-:~~:i::~::~_._--:::::-:::~:::::~::::-::::::::::~:::::::--- $ .50 Surcharge $ 35.50 TOTAL * Fee for either sewer or water individually is $~.~ plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are DATEi::;:d. AMOUNT PAID ~k\ 0 e~ RECEIPT # REC'D BY 13 LJ) t2-- 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Opportunity Employer ~OOl Date Rcc II i=. 5,....1 PERMIT NO'&I_ 13~ I (P'ca.se ~ 01:' orint ilnd $.101 a.1: bonum' ADDRESS /5U.~ $7& ~ mrH ) LEGAL DESCRIPTION (011\<>, u,e o'liy) . LOT1 BLOCK ,7-. ADDlTIOJJL U)~ ~ 14-~ OWNER A / (Name) llV 1,<..(.0 W~ ZONING (om"",.) R.\ prod5 - '37!::J"-::- Old..~ 0 (phone) ~ & (}'.' ;4g..5 (Address) APPLIC~ t' (Narne'P?l/f.{/P c; B r.dlJJl.rR'".:. .,<?')'/~P1-~ (Phene) (M.dress)/l?c/O<" /"-,rrLJt ~y y"" /t.~rlMU'T/.1- {Add.,,'j (Contact P.rsen~"..v 4,:"eJl!:.S APPLICANT SIGNA.TURE ~ )..../!...f C//-.",,-/ ?~ "I ('"." "i'L/ '/t,,(,., ~ ~7 -5"~l/'-// (City) (Zip Code) ?t?.j' d..9</ ~~3 .r~~ (phone) , DATE . APPLICANT PLEASE COMPLETE BELOW g~/,~ ~EW CONSTRUCTION 0 REPLACEMENT 0 At TERATIONS ~"~:.,-.erMAKEANDMODEL~\lJ.PF".e.td,e.. })r ~ FUEL &r"'~ FLUE SIZE . P RETURN OPENINGS / INPUT ,2/Y66tJ OUTPUT TYPE OF SYSTEM "HEATING OR POWER PLANT DWvm Air Plnnts 0 S...". OOnv;!}' 0 Hot Water o Mechanical 0 Radiation OAk Cond.itioning 0 Special DeVlces OVent Sy...m 0 Qlhcr Devle.. FIREPLA.CE MAKE AND MODEL FEE SCHEDULE Industrial. C"rnmerc:ia! It Mulli..Family 1 % af job cost Residc:ptll\l, Gas firepla.;e $39.50 minimum R.esidential. Heating &. Ale (Nc'lll' Construction) $99.S0 Residential. AdditioM &. Ahcraxiops' R..id.nUal. Heoting Only (Nt,. Con""'cti"n) $64.50 Residontiat. AC Only ~ Estimated Cost S /dC!JtJ Building P.nni[ # PLEASE NOTE: Air Conditioner Units Cannot Encrea<:h into Rtquited Sid. Yard Setbacks $39.50 $39.50 S39,50 HEATING PERMIT FEE STATE SURCHARGE 1:0T AL l'ER.'\fiT FEE $ $ $ PAID WJTH BUILDING pp.., ... .50 -- nllJlll (omu Use 0111)') This Application Becomes Your Building Pt:rmit When ApprQ"ed I Paid "..._...."_ L.5-/7-o1 Build;R'@: Oflh:i",' DllIte 1. holJr notice Cor..U ilti$pedions (951) 441-9850. ra~ (952) 447-4145 Itt:.Cf!:lp[ No. BYQ(' ../" // CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E, Pa/mil No. \0 \ - ~ \ )S Prior Lake, MN 55372 . TYPE OF STRUCTURE; HEATING APPUCATION J PERMIT Dale \\--S~- :"5\J PIDIIJ.5-'3:,'75- DI;;h-D ~ . o.:.ne Address \ S ~ 'i;. b", \\ (\'^ r o.+'h. ~D1 l Block ;r. Addaion ;j~ IUd..d.o ~ " \ \. , \ \ U:lwnets Name~'" ~'h('". <'\ 'n i'..~'~. o . f\ I'! ..\ ~d/e$S \ ~\ '\ \ \ c:.-,,~ f\ " \i V\. ",)~..\~" h.\ I \ v Heating Conlraclor r\...,\-..." ft; - \ n L. , Add/ess \~,",go \..1.1\.$ <'W~ ~vt Telephone II ~ 5"~- '-\l.\I- ~\:.l'-\ Furnace Make & Model l c...~(' ~ 1\." ModeJ Size . .", \I P - \ $ ~ Conn. load ~ ~ 1 ~ ~ ruet N '^ -\. Flue Size f "- L SUpflly OpeniDgs Return Openings \1 ~ Input.\~, 6\Yl_OIllPIll. lk: ad,. I ~lm. I- w :EO I:n. tfID d-Ot)~ rf'l~_ \.t.\J~ TYPE OF SYSTEM Warm Ai: Plants )( Gravity Mechanical X Air Condition;ng...lG Vlll1t Systlm HEATING OR POWER PLAKT Sleam Helt Waler Radiation Special Devices Other Devices TYPE OF WORK Ac,:...,en1 NQW~~dic;><. AlteraIlons . f . ~ &pair ~st. Cost $ Est Comp. Dale lb. C1~ t\ ~ Building Pennft II ~EATING PERMIT FEE $ IS) "!TATE SURCHARGE S IS) . N . ",:>TAL PERMIT FEES S 0- cr .50 PAID WITH BUILDING PERrv'lIT Reeeipl ill . ,-.,-,. .... ,'- -' -'-- -.... """'~ . ~ ~..- Single Family X Commercial Two.Family induslrial I.Piolo. 2_ Greell ). VdrCNo' "" 0.. eo....... Fee Schedule Industrial, Commercial & Mulli-FamUy Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Addtions & Aile ratiens Residentf.~ AC Only Public Muft~Family Other t%.o1 job cost ($39.50 minimum) $99.50 PLEASE NOTE: $64.50 Aic Conditioner Units Cannc 539.50 Encroach Into Required Side S39.5C Yacd Setbacks. S39.5C Remembar 10 add Ihe Stale Surcharge on lhe bottom of ll1is application. The price 01 your healing permit includes one rough.in and one final inspection. AddltiDnaJ inspections will be billed al $35.00 each. House Healing Tesl Reconl _ be submitted wllllllYl!llog Il!1lDlil number belor. build. ing certifjcale DI occupancy will be issued. J:tl;AI l<AI.Q!JLATlnN!': REOIIIRED wtth number 01 supply and murn Openings rsted per roem with CFM's per opening. New struclures or add"4ions send Iloor plan with supply and mum locaIions shOMl. HEAT LOSS CALCULATIONS, PAYMENT AND APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16<!OO EAGLE CREEK AVE, S.E. PRIOR LAKE, MN 553n. . City Hall business hours are e ..m. . 4:30 p.m. AU WORK MUST BE INSPECTED (ROllGH-lN AND F1NA4 _ CALL CITY HALL C47-9l150 FAX 44"7- 4-v+5' I hereby apply for a mechanical SYslems permh and I acknOWledge thai the information above is complete and accurale; thaf the work will be In conformance with the ordinances .and code.. of the city and wilh the stale bullcllng/mechanical codH; lhallhle larm does nol become a permit untn signed by !he BUILDING OFFICIAL; that Ihe Work will be in accordance wilh the approved plan in Ihe case of aM work which requires review and approval of plans. '--\- ;). 0. I q-pftJ) Date -r.r~- -, '. ~-~;-....... - 1"-'~.-;.--; .; ..;;,..."....l........~,:.:,:~~.... ?_,..,....._ .~- ~,.~. ...,.~~J..?-._.-~._;._,(~~....'.;....u."".~_..~. ~o.l'M^ '\ r\-.~ i\PPHcVtfs Signalure (L . a~ing Offical'.. Signalure PRIOR LAKE DEPARTMENT OF . .. BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS -1S3'?>~ 13i~ Ht"IiVl ~g:; NATURE OF WORK "}P." \ (I~. USE OF BUILDING ~ F ("\ PERMIT NO. ()/ -nl35" DATE ISSUED ~ ~ ~ry~?COt CONTRACTOR \.th",J.. w.".....9 ~.o.... PHONE 9S;l- ~-8</!1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , FOOTING I b'~ iSPECTOR I "3 )~l{ t,:ATE I FOUNDATION (Prior to Backfill) I 13- ~\ !l j~o ( I 'E ~IJ~ ~ \l:'al 01 PLACE NO CONCRETE UNTIL AB~)vE H\AS BEEN SIGNED ROUGH - INS 'SEWER/WATER/SEPTIC ~ UM llltt61..1o' I FRAMING "i, \;~ ~ 1'1 r C1 I INSULATION ,.; _ \) C"0rl 61/l J tJ I ELECTRICAL I. I " PLUMBING 1;. \i 6/ 4/ () ( HEATING (if required) ~_ n .6 9? Ol FIREPLACE '1';_ ~~01. to S-O\ GAS LINE AIR TEST ~ ~\km, 7j'Ol,)/H COVER NO WORK UNTIL ABOVE H~S B~EN SI(~NED I I FINALS ~~ 11~~ OCCUPY UNTIL ABO~~HAS NOTICE " GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT /0 - ;;f?--CJ / /I J 18/01 ~.~1~;).3-'~ I-~ ('\.. ~I~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, ca~d.shal~ be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 fij's =-=...."-..,-*"---..-.,;.....-,-:- ',--;J'~',~' ;,,-, tl~..~.~:t'....:-:..d.<of;.t ",,' ( _().J~......~~.f!~,.~.:"'. .,....---. ~~,L , I (, -I;, , -.;' (; ",,,,' L",..,.'.I -:, , -:~ ,~~: r:. ~ '( -, ',:; - -..-,.- -- -- ~,. .. ~ -....,,;"'...'r,d~. ,..1'. ''''1''' ....1... ,...'" .~I. ..1.-. ,.. ..., -. ........;:,..,., "'....... -".......... ...~:. .. r .... .'-' 'f' ~.. ! ,... l'L___~~;.ij,i:. , .;\ ~trtifttau at ODcmpancy !~; ; x'. I .\..; ~ Cl.l i OF PRIOR LAKE .'-:.,,' ~ ~tpartmtnt of J!luilbing Jn~ptdion rc Final Permitted D Conditional C.O. Expire- This Certificate issued PUTSU(J1It to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issU(J1lce this structure was in compliance with the various ordi1UUlces of the City of Prior lAke regulating building const1Ucnon or use. For the following: Use CJassificatioo SINGLE FM\ILY Bldg. Penni. No, N/p Ol--c)!35 Rl Occupancy Type R3 1.7, 7.oDing District Legal Description VN Type Construction Fire Zone B2, THE W1LDS FIFTH ADDJTION Owner of Building SiteAddre.. 15383 BIG HORN PASS AVE S., SUITE ~()O, RHRNSVILLE DON RYE Date: DATE TIME CITY OF P.RIOR LAKE INSPECTION NOTICE OWNER (6- ./3 -(! I 1,5-3 g ~ ~;r, 4w", ~bS l . CONTR. SCHEDULED ADDRESS PHONE NO. PERMIT NO. rjl-DI~~ 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 EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: GL--O~ C --- r:( 00 ft 12l1J\bP..) r)E-r~r\ " ~ORK SATISFACTORY, PROCEED o CORRECT ACTIO~ND PROCEED o CORRECT WORK CALL FOR REINSPECTlON BEFORE COVERING Inspector:~ ~ 1J.Jt~ OwnerlContr: CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI lN$NOTl DATE TIME CITY OF PRIOR I,AKE INSPECTION NOTICE ADDRESS }F) ,~P'3 SCHEDULED /0(5/0/ //.''3tJ . ~ ~ jJ~ V CONTR. OWNER PHONE NO. PERMIT NO. CJ( - }3:; o FOOTING o FOUNDATION o FRAMING o INSULATION ,.oFINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: 5"~ (\ Jldu: ~ I;)/~ ~q ~ -'g 'f"L{ 8' 5,c:)(\____ n '^~ -t"J"A-P--5 OC V\ f'e<k p 4 I/A {J~eJ(, Sr~I^~ I ~ORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK~CALL FOR REINSPECTlON BEFORE COVERING Inspeelor: ~ ,\JiliN} Owner/Contr: CALL 447-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOtl DATE TIME ~~ ~-~-ol ~'I~ /Jt i-J0~ffJ~ f.- 13 c;- CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ) ')3E? 3 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~ION o SITE PECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP Pr ",a' PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: \ -Mav.f) IJIAoJ--.gr- 01( ~ II\AP~P~ ~-ua)~' / rORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR . CALL FOR REINSPECTlON BEFORE COVERING Inspector: 'j Owner/Contr: CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI ~ 't>~ l-b{'v1 'Ms.-S CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /5'3Y3 3 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP D)NSULATION 0 SEWER HOOKUP k ~ FINAL I\/~LUMBING FINAL o SITE INSPECTION .n . MEfH FINAL COMMENTS: loLl q t5lD/ ( . I 1ro&tArt-4fF~el k~ ~ _~cxi 1'1 wi- i-r~ TIME q!:&;; 1- l~S o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o e.v16 , I d I r peA eVeJoftM c:vl r I 'bSVl&" + elANf (LJ ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR\ CALL FOR REINSPECTION BEFORE COVERING Inspector: tJ> _ I )(J.A./t{ Owner/Contr: CALL 447.9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTJ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /5E83 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION .;;;(fINAL o SITE INSPECTION SCHEDULED B,~ho(V! V CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: L..Ufb Br2)l"- &L DATE TIME /0-22-0/ /?;YI. pc,ss W, 'ndw~ H0r176 (1/-15C; ~GRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o S-I-T )(WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING 'nspector:4~ ~ --..a vwner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl -Permit# 'Job Add,... f'5~::r Y,j' tr,'c,.A4'-~ I&?A METRO~IR -Heming ContrIICtor -Testers/Stgnature 7':.. ~ '/' 0/-/3'7 -Gas Une Pressurized Inspected -Percenl CO2 -Percent ~ Finallnspecbon Oat. !!m! PERFORMANCE TEST ~,r~ 'P.,cen'CO 7~IO __'_ -Stack Temp. Dale Pounds Pressure (!)O~ Lf60