HomeMy WebLinkAboutBuilding Permit 01-0160
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re.roofing 0 Porch 0
New construction)( Alterations 0 Addition 0 Finish Attic 0 Re-siding a Finish Basement 0 16. PROJECT COSTN ALUE
Chimney 0 Misc. <>> 0) (!)CJ CJ
B. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLErl{jN DATE
Sq. Ft. Width Depth Yes No (p ". {J -- 0 r
I hereby certify that 1 have furnished information an 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 conform to 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 r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
';;2~1 '~115/CJC
~ Date'
~\
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING qOMPLlANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
/2-/ q -00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
If~d-I
1. DATE
la-liS/DO
R.~
~ )()Vny
3
0..,,' rc, / e
3. LEGAL DESCRIPTION
LOT 'd.,. BLOCK
ADDITION WOn-\ V i-e, L-U
PID 2.5-zm -DcA-()
E~+Q-+eS ' .
4. OWNER
MLV
5. ARCHITECT
(Name)
CfohnbOn
~ (Tel. No.) n u
U un iDe"" tUTI
U AJT.If;~()44--
(Tel. No.)
- 6q 8--,7';;)..0
(Name)
(Addrest7 h 4 5
(Address) .
h.a.~.
(Address) .
6. BUILDER
(Name)
Q5'd-
x
Ucense No.
r
Signature
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN _
PERMIT VALUATION ~. c:r"">
USE OF BUILDING
S;Ftl-
TYPE OF CONSTRUCTION: I 11 111 IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
I. White
2. Pink
3. Yellow
File
City
Applicant
'f. 01-01 ("Q
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
I
13. TYPE OF CSS~CHN
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICA liON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
Permit Fee .......... ........ ................. $
R~.I,)
!s $<( . """
if IJ .0:;
Amount Brought Forward .................. It:
Pari< Support Fee ........................... $
SAC ......................m................ $
Collective Street Fee ....................... <t:.
Sewer Tap ................................... <I:
.
S U
City:
Plan Check Fee ............. ............ .... $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
8 so .00
I, I ~.t')(')
I f')(') .00.
100.00
:JsSO
Pressure Reducer .......................... $
Meter Horn ........~...................... $
Water Meter .......7i1....................... $
Sewer & WalerConnection Fee ........... $
Water Tower Fee ........................... $
~.()IJ
I '.l5. 00
1.20d.ClO
. '7en . n::l
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 575t.f. !!J---
Paid 575'<1. 1"1 Rece~Pt)J 3Cfoi4-
Date By
~~~ty that th request In the above application and accompanying documents IS In accordance With the City ZOning Ordinance and may proceed s requested ThlS.document when
S~I er constitutes a temporaryCert3i2:f~comPliance~all:wscO ruction to commence. ZOrf~~beiSSued.
CijyPI~nner Date ~ Speciattond~ionsi{any
Sewer & Water Permit ...................... $
Issued
24 hour notice for all inspections 447-9850
-0
-
Th~ C~nlu of lh~ L.k~ Counl!'}'
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
n IfJ JOt-! N SO I\J
11..-10-00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~.JUN r<A'J CJILClS-
I
Accepted
Il32/
I
~
Accepted With Corrections
Denied
Reviewed By:
Comments:
LLL
Date: 3 -A --01
5EE m/:J//t} F/c..E'
"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
Thr('nlrrof thr l,akrCountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1"1 \\) JLHN';CdJ
It - 10 - 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(',li(LLr
11<7,---;
,
I
:-/()I'~ k)I-\V
- I
Accepted
v--
Accepted With Corrections
Denied
Reviewed By: ~.~
Comments: 5.....0 I~ 't-~ liP
~ ;:~Mf-bv\ s
Date: 3/ez /6f(
173.2-5"' ~1-'1 Ly>~
I
"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
The Center of the Llke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
nw JOMNSotJ
1"2.-- 1 q - 0 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/327 6UN r<AY (lArLC~
Reviewed By.
<
Accepted
Denied
Date: Ii. -2"2 - 2.ei:rJ
-..
Comments:
I, 'See
1~3a~
Su'^t'~ c.~. ~ Q{..........~ ~ ~
U
"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."
FROM WENZEL MECHANICAL 612-452-0367
(WED) 02. 14' 0 I \ 7: 33/81 17: 32jNO. 3561851996 P 3
CITY OF PRIOR LAKE
PLUMBING PERMIT
...ppllc:anl:-AJC...... z:t' J. ~A" t.
Address: ~q,\!f oSH"''''",di! ~.o
Signature: ?J11 ~ -
Legel Oeserlpllon: L:o~ Block
Site Address: /7J,l' ~ "''J/ 1IUt( e-,A
Building Permilll I] I ~ () It;; 0 PIO It
NOTE: This permit will nol be processed without complete information.
nrC..lrf'....et......c:..IU..,
FIXTURE UNITS
Quantity Type of Flllture Quantity
J Ball1 Tub with or witl10ut shower :3
I I Dishwesher I I
I I Floor Drain I
I I Lavelory (bathroom sink) I
I I Laundry Tray (1 or 2 compartment sink) I
I Shower Stall I
I Sinks
Bar Sink
I Water Closet (toilet)
FEE SCHEDUL.E
Industrial, Commercial & Multi-Family
(1% of job cost, 539.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
599.50
539.50
GRAND TOTAL
I. .""'
1. 00..
:1. YdI...
PiI.
Cl..,
Appu." .
PPNo. O/-()/t;;{J
Phone: J.f) . ."S'.a .,,~..r-
Sub
Type of Fill'ture
Rough-Ins
Waler Heater
Water Softner
Sland Pipe (washing machine)
Sewage Ejector
BackI10w Assembly (Flp1. Doubte Chec;k, PVB)
Backllow Assembly Test
Lawn Sprinkler
Olher
5
S
5
S .50
p~\O '-J'JXf',I-!,n
5 'P\\\LO\~G
Thlt pcrmills granted upon lhe C:Xpre30s conditio" that said
con.r8Clor, shall comply in aU rgpCCU with 'he ordinances
of the Sc.aca Pll.Ullbing: Cgdc: IIJd the amei'u:lrncnu ther~of.
. RECEIPT NO. ~ I 2 ~
"]:TEST
._'-'~--.."-.-...<-
.......,
Call for all inspeedons 24 hours in advance.
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/l'h. (612) 447-4230 / FAX (612) 447-4243
An Equal OpportUnil)' Employer
FROM : SABER Heating and A/C
PHONE NO. 6124738565
Sep. 27 2001 12:31PM P8
I
,
,
i CITY OF PRIOR. LAKE '
I BEATlNGJAJR C....'.~...'.ol.ol...QNJNGlFIREPLAa PJ.l1MIT
i
Date 1bc'4
I
~.........~ Ijm"~'
I rfW. ~ra:J &;ch I -PJUO-1 ~
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LOT d-sl.C?CY.: 3_ Al?~u'''''' (1 bed u.p fJJJ f~~:;:f- PID .;)S-d3o- OO/f~()
::;::-vnU) ~~ . . ~ 15".q/81~-5-?t)(J
CAddIaa) /7t:'l?' ~ fJJjv 4P/oo. fA.1&: litH" .
I
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~w .,.J::I.50fJ-,~ I:d::- qJX. N, 41- :J:~11 . ..p.flJ)..l'Y)trtdN '-tnN S5J.j~7
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(Ccmlactl'ml<ul:i~ fiu&11fd.i<.L lPbaM) 7(,.3J"I'13-~:;;(" 7
AJlPUCANTS~'lNATUllE \-SU.l..p~ ". DAn, 9-~1-(J1
; APPLICANT PLEASE COMPL&TE:aJ:LOW
. I ~w~"'fv.. D'I.l!PI.ACINlOlT C1Al.tBRAnoNS
PUJNACBWfBANDMODEL (tWnJd/J PMtrIIJ FUIL'iJgf 1:/0.,0
Fl..tlUIZE .~ II lUtTlJlNo.....,.....s - -;::r I)lPU1' 7~ tW Otrl1'UT !J&JlJod
TYPBOf ...u..... H8ATlNG0Jl1'O\VU.PLAN1'
I "~~;- 8E!.~
. r Calltli1iDnilia 81pooio1 Dt'IW
_ ~ O.(l6. o..i*
~ =. $..... I PEKMlT NO. 1- (faD I
I 171';5;--1
. PL2ASR 1!UJtB,
Air CaDdiIieDer 1hI1l11
~~....;. _.
~lilidloYad'
"'n- "'
FlHPLA~).J ~AND W01>IL'
IwllISIri.s. eomrl filial,. Mull!.floDl1:t
IlaIdInlill,lico> ..&AlCCl'Iaw~)
Jlaidindtl. ReI!< 'If 0111)' (N...~)
n&_.I....~,;d.IIJ1l.
11htJollcmt .....,...,.0.. F1",.
139.S111llllltlnuno
",JIl '.:Il--lIol. Ad&II_" ~
!I6',S! 'MI' .. I AC Only
'm.50
$19.50
139.50
k1i"'-ColtS :585n. t1n
h1Wiql'Gmlt .
SEATING Pi1&Mtt iI2 S
STATB~ $
TOTALl'DIIft'l'B S
r--
.s~. .!3UI~WG~~~;:;r
<_tlII<OIII;i;
Till. AppR' ,Iln __.. Yo., IhIiI4Iq PcI'1llIt WIIto. App_
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hill
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CITY OF PRXOJ;t ~ '. ~._ j ~l(;b .' , '~~:':.:.:
SEWER AND WATER P~IT -. ,"".
. .'. ., I" " ," ,-'\ "'1',. , " :),:
.. , , )iO'1'~: Saw.~;,.na" 'WIl.'!:.'.%': .'.; , ,:.,...
E;'%'/:,.:., ::':.' .' .' ~j.::r~t~i~~i~::~~
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Bwt..".,,,\'.' ""'. :'. . ~SIZt.." ;. .. ':.. ::1::;,.. .,. ..',.~
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~f.r,t1'~E:'AOD~tSS: /; 7', ;~) "<?1.?;;?~ /,v'.. . PIi>i/ r9.?~-30:hC'O~~i\.
,,:.j.:,.' .' "ILL I'" THE.... ..".,,"" . ".':" ;." ";~":";lI;~:loli,n._
.,..:f.... . ".. ,,'-"""'''''' '. .. .
. .. ,.,;';,'.:... . -.:i. '.Esti1llated. length 0 f water servil::e feet'.'.' "'~:;-: .. .::>~
Mfi:,fr,,:"':.".' . 111 ::':::"':;'f:'_
. :-1,'.:'., ',2.: .' ::;:i.2le of ......ter seJ:"Vic::e_ inah(esl... ..' :'. .\:',~"'\.:,:"':;;.. . ',:.'
1iI!"'^T ..1". .' J' "Lo,;:atipn of any coupll.n9's from s:truc:t\:ll:e f.H!.t:' .""""",'.: ...~"\""!ilI
ikl~:::L':}'::~':""'T??a ofs~"'er pip... Aas~ PVC Cast IroTl'" ....':'.>,../':~r~~:,:~/I:i'1
...... ."h." ..,........ .. ,'.... ...{; . ,:.~.... .:,'.. "
flIiIl:fI" -'I'ot;., " . '. , . - - .. di{. .
" ",'" '{':".:...'" E:sti:~ted length ot' Sewer line f~"t_ '. .. .... ...', ','. '.
~~., 'f"::" . '~,,'.o.: . "."c;.le'l'/.n .out. (if I:e~' ir..dJ. located at ,;eet ,.,." !M...~,'r:;:..~'.i1
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'....,.. " " ''',r ".' I,.., '
1".' , . .... , . r' .l~' . i , . ,'" -
Wn~".e:pplica.tion becomes your pertllit ",hen approved, '..-..:_~"":;";'
*.Jo,:..i.., ':. ": """'.;\...,!,.~
W"'1 I ,':,'8'( OATE.:" .:. ,,' .': . "~""'.'.T~
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"''','~'''':i "':~~ES.: S 35.00 s"",u Ilnd ..uer line ~onnec::~t~~:ii~ki~LYr,_
.;~2,:t: . , ~. 35,.5500 ;uOTrCAhI.,srse,.:, " ':'",'.,':'~~
_.' ~l Q.L .,,' .\:,,... t,.:."..,' ',l~
,;...... .~,,:!,:, ..' ~',: F'$e for either sever or wa.ter individually i5~ZO;::'~~:;~.':~~'(j~'1iI
.;','1:".,,'. 5:. ,~o surcharge. " . .', .,; . ....~.:'~.f.~~
ilIiI . 'f" " ' "',,, "':R"'Jj~
f,';.. '.','1:":';;"':,'< :,?:,"se",ar and water penits i.ssued for RE!<(' const=ctidn':'ia~~.;;;;~
....., '''' .'.' r~ebr;;l.ed on 1;he bu.i1d.inS pe=i~ card 'at b1~ t~c..Q'(': 'i~.st,iar,:~:t.o;"'"
" ,~( '~, '. ,..... ~p insure that no duplic:a~e sevar '.and . vater 'PEt~:!!li:S;',.' :.!I.~.~..":..:,.:....."-
~.-' r...,'. l.ssued. RAiO ",'. '. . . ,., ,,"1 "".,. I
~. f . . rtro I.'i 'lf~'" "., .0..", ," ',' "".".i._
"r l<. ... :':;01\.~E PAID )/-(..--1 AMOmrrPAIO '-..,IJJL,b:,i,JG.pfj;:::.~H~~:~..,.',
......, ". MC-!PT" REC:'D BY ~', ... .
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'. ,.'1,'. \ ','l~~Eagl~C~Av. S.E" Prior L;o,kE:, Minne5o~5S37~ I Ph.'{fH1, 447.4'Z30 ,.~i3e:f' "
\;Ip,,'f. 'I' ~" 1 , iI" "
'. .. . ',. ." ' ^" Equal Oppertwllq EnrP OF ,"" '.. "f.". '...,10,.-
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612-452-0367
(MON) I!. 05' 01 11 : 37/ST. 11 : 35/NO. 3561851656 P
Q
v
r.',,,...
, ,:.'....1,
, I
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ,t"J3;;l.t'] SuV\ra.j 0,..
NATURE OF WORK ...1..",
USE OF BUILDING S c::- po..
PERMIT NO. (<") 1 v 01 (1fX) DATE ISSUED 1"2. -.;2;;1., -~
CONTRACTOR ~~ PHONE_ ~<f2 - J7~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING INS~OR, I '7/;;-;;; I
I FOUNDATION (Prior to Backfill) I ~ I 7/Q/01
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN~
~.
~ .
~
SEWER 1 WATER 1 SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
~
GAS LINE AIR TEST ~ ~ ) 6/'?-'1/oJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
j.l..~.
,~J
gy~(!J1
,6-i, ,
u.6.
~
GRADING (Prior to Sodding)
BUILDING'f,('.(). -f:JJ ?/i/H- (fp" If /;710,
ELECTRICAL . , 'I
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
f3q,
~
/1/?/6/
· JJ/;, /;/
'1lh/tll
. ,
!i./ J()/;;';;/OJ
/1 / r...lts /
I J
f/,'/4'),
~I~(n"
J {1';;'7~J
/1~1101
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have.beep liIPproved. 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 (952) 447-9850
ta'~~'~~~;--_,:,-."':~;,;~-'-~-__ _: ,,"_ ,,;:."_,:,:_;.~l:,_-
I ;, CIT Y OF PRIOR LAKE
; J)tpartmtnt of .utIlling 3Jn~ptdion
~~:, 9CFinal Permitted 0 Conditional C.O. Expires
~~. i...ft.... 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 ordinances of the
'" _~ City of Prior Lake regulating building construction or use. For the following:
:J;;~ UseClassificatio. SINGLE FAc'1ILY Bldg, Permit No, 01-0160
it ::: ::. ".':;,=~",;" .".- ,,, -- ""
>f_
It:,
}~
i~;
r~~
~:.
Owner of Building
Site Address
17327 SUNRAY CIRCLE
C"..........sName&Addr... MW JOHNSON, 17645
ROBERT D. HUTCHIKS ~~~
) -;; -r ~ity Planner
Bi-Imfti Official
"I t; Cl-
JUNIPER PATH, LAKEVILLE, MN 55044
DON RYE
Dele:
Dele:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ 7 :5r:J- 7
>I.
. .,J--q
r
OWNER
CONTR.
PERMIT NO. dl-J(PI
.f;I".:Ja.Uft.IDII'lIUn.1
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP ~
~ PLUMBING FINAL(0I
,. MECH FINAL a0
COMMENTS:(l) J~ --b> c,~ ~ t-ICJ
~ :-~2~-=
u..., cf.J~ '
~ 'i2cd~,
~~, ~-~ ~ cv.~
@~~.~~~
I '
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIONf)
l/'llFINAL
o SITE INSPECT N
DATE TIME
{lUlL foro<>
~,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.
,4'
TeD. WJJ y( / /o?--
, I
, - .
~Jt ~. (y, - o1e-,
~~ ,~~~oJ),
o WORK SATISFACTORY, PROCEED
)lOCORRECT 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.
INSNQTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE TIME
~ ~iTi
/73A..7 J"c/P!U11/ U~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
o PLUMBING FINAL
o MECH FINAL
So {) / 77G(;;, -g OAt
COMMENTS:
,
~
--
~
tJ/- /tf~
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~. {,-~
1
I!J.vORK 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.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
ORSAT TEST
Job Address J7J Z 7 S I/NeA '1 L r
O Heating Contractor ~1/iSlJCL I-};/AC
Datf' II - 2/'- pI Pressure -S. 5 "
PerCent 0:> ? P PercentCO oP'4?.rl-"'
. >
Percent C02...f/ %
--
Stock Temr'
1" ~ o/"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
.q INSULATION
)f!l FINAL
o SITE INSPECTION
COMMENTS:
/732-7
"rt:,;l~~ TIME
SCHEDULED '- ... Pr 0,0
SU A./ e.41./ ~ ~
{
CONTR.
PERMIT NO.
(J/-OllDO
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
~O.D /77t.-CE IJ.Ju. fh-J.p r uS/....)
- - I
~ 71"0'<.,
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK'/2"L FOR REINSPECTION BEFORE COVERING
Inspector: fj)n Owner/Contr:
-r
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
IllSNOTl