HomeMy WebLinkAboutBuilding Permit 01-0162
1 PERMTo. or -01102-1
I ZONING (officeu,,) I
J??~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. While
Z Pink
J. Ycllo"
File
Cilv
Applicant
(Please type or print and sign at bottom)
ADDRESS
J73~1
~i rc1e
Pr.' Dr La I..( e,
SunrQV
.
LEGAL DESCRIPTION (office use ouly)
LOT A-BLOCK "3 ADDITION LUood view E~S
Date Rec'd
12:- '1-00
PID .?.c;-??V">-611-D
OWNER
(Name) m w --::::rClhf'\~OY\
(Address) 17b4S0:Un\oev fOth
(Phone) qs~- €>g:;;;l.- I Id..O
LQ\Sw; \ Ie.,
BUILDER V"'\
(NameLD W ~Oh(\SO' ,
(Phone)
(Address)
TYPE OF WORK ~New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
o Fireplace
OAddition
OAlteration
ORe-Siding
o Misc.
PROJECT COST/VALUE (excludiug land) $ AQ 000
OUtility Connection
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 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 for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
X 1Q/YY\/YYLt~ (l.QA o-.:t; ari.O,
Signal1re Contractor's License No.
U EPI =0
I Permit Fee I $ 8<'~. 7<
I Plan Check Fee I $ ~l/. 'N
I State Surcharge I $ l.f 0 ,@ Water Meter Si'-i!j}); I";
I Penalty I $ I Pressure Reducer
I Plumbing Permit Fee $ I 06. 0 () I Sewer/Water Connection Fee
I Mechanical Permit Fee $ I eri ,0 tJ I Water Tower Fee
I Sewer & Water Permit Fee $ S~.5"O I Builder's Deposit
I Gas Fireplace Permit Fee $ I Other
~ ~ I
'0 ~mes r Building Permit When Approved TOTAL DUE $':::::>754-.!1
~ rz -~-~ I PaId S7~4-./'9 I ReceIpt~39d7~
B dmg ffici Date I Date By /1iZi'
- )J ~
ThiS IS to certify that the request ill the above applicatIOn and accompanymg documents IS ill accordance Wlth the City Zonmg Ordmancc and may proceed as requested ThiS document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
iS~A..I~!
Park Support Fee
#
SAC
#
#
#
1~/ If> IDo
Da~
$ ~,ool
$ /,/50 -Od I
$ I 2S-. 00 I
$ 4s:OCJ I
$ I. ':200.00 I
$ ?t9(').tD~ I
$ 0-1
$ I
I
Planning Director
~~:,(<91 _ ~~~~~~Wr~
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
&~~
White - Building
Canary . Engineering
Pink - Planning
ThO' C,.nl.., of the L.k.. COllnl"..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
r1 W JDHNsorJ
1'2.-- JCj -0 n
- I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/331
SuNRAV
I
r A ~c..,LE
Accepted
Accepted With Corrections ~
Denied ()/~ A
Reviewed Byl ~-0 ZIf _ J
Comments:
<;00) I /~2rs- .h;r- C?~
Date: 12 ~ 2?--c?<Z>Q:)Q:)
2-1:.c .
"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."
~
. .
The Cenlrr of the L.k.. Counll')l
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tv h V J1) H (\j (_f ~J
r2.---!Q-(()
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
11 =:'.J -:J) I~j(j I''J l<-A'{ (' I k (~l E
Accepted
~
Accepted With Corrections
Denied
~.......__ I \.A
Reviewed By: ~~~
Comments: ~
~_ l~, RLJI ~ /7326 ~)'/v\r2lM
t~' ~ /' A'lVVL~~ J v
Date:
'5/q /& f
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
Th~ C~nl.r of lh. L.ke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
rJ V\J JOHl\JC~oJ
1'1-- - JCj -() ()
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/331
./
S\J N I<.A y
r,1 ~c~LE
Accepted
Accepted With Corrections
Denied
Reviewed By:
LLL
Date:
3 -8-01
Comments:
:5f::::..")::;;
mAIN F/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,"
FROM WENZEL MECHANICAL 612-452-0367
(WED) 02. 14' 01 17: 33/8T. 17: 32/NO. 3561851996 P 5
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applleant_p..Il:....... t..~s.. "^",,
Addra8S: Jf~-~ -:')17..111 A"
Signa lUre: ?I? ~':~. -
Legel Description: L:ot ~ .. Block
Site Addr.ss:-LZP I S vol t&t.Y' t:.-IA
Building Pannit II nI ,() /10 Z- PIO #
NOTE: This permit will not be prcca....d wllhout complete Infonnadon.
FIXTURE UNITS
n.('."II!P.tl"',""Ir.C~
Quantity Type of Fiorture Ouantlty
J Bath Tub with or without shower 3
I DIshwasher J
I Floor Drzlln
I Lavatory (bathroom "Ink)
I Laundry Tray (1 or 2 companmanl sink) I
Show"r Stall I
I Sinks I
Bar Sink I
/ Water Closet (toiler) I
FEE SCHEDULE
'-
Industrial. Comml!lreial 5. Multl-Fem"Y
(1% of job cost. 539.50 minimum)
Resldemlal, New One 5. Two Family
Residential, Additions 5. Alterations
State Surcharge
$99.50
$39.50
GRANO TOTAL
1. Diu.
.. Gold
:So Y.o._
Fila
Qqo
ApplicaAI .
pp No_ 0 I ~ 0/1;2-
Phone; I.f) . yS".a .,.tI..1'"
Sub
Type or Fixture
Rough-Ine
Water Haater
Wat"r Sotln..r
Stand Pipe (waShing machine)
5..wag. EjeCtor
BacJcl10w Assembly (RPZ, Double Check, PVB)
Backrlow Assembly Tesl
Lawn Sprinkler
Other
S
$
S
S .50
. ,,~\t> ~~~!!-
~\.I\\..t>\~
This p:::nnh is gnnl~d upon me cxprcsl cOl1didon th.t said
(.onCl'aClOr. .shall comply in all o:spects IIIlth lhe ordinances
or lhe: SU;(C Plumbin, Code and lhc III\CJ\FWIf=rIJNarrmffr
RECEPT NO. I\W'( , ~Ire
ATTEST
0, -" , ",,,-
Call for all inspections 24 hoursTrt adviIJice.
16200 Eagle: Creek AV. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal OppartWlity Employer
FROM : SABER Heati~9 a~d A/C
PHONE NO. 6124738565
Sep. 27 2001 12:30PM P6
CITY OF I'lUOR LAKE .
HEATING/AIR. CONJ>m..I.~...lG1FIREPLACE PERMIT
i
Dau b'd
~Plf-.J. "'Illlo_'
I ADDUSS .
17331- &.u?n2J CuJde ,'f?/1t~ W{o
I UlO.-.L DBlClIJ:r' nON (-...." ,
. t.0'l' L.(BLOO: 3 A............l l))nrt:lr;Ul),/~4- PII).;;>s--,~3::?"'" D/FQ
~~Ynt./J ~fl.<1dnJ. .. .(pbcme'l15~/8'1,J-5~dO
~) 17~ .ill) v~ 'PrdJu ~/OO/ LtLJ&. vdLp .
=~ '/../qaMQ i /r( C (Pbtu) 7/A3/;.J 73 -.;)':< 10 '7
~)J:i505'--;:;'1::zJ:; fJ.JI}. N,4tj:~I/. ..(J.}WY/6-f.a.II.) '-tnN 55J.f'/7
I _ .I~ . , () <CiI>) (1.ipc:.lo'l
(Caa--.~j-:J:t(}J/':f 7'fY.f.tlj~ (PIIoDc) 1(j.3J-,{t3-~:l~ 7
APPUCANt5:!'}NATtOOl_'-4.uL .' DATE _c;-.q7-tJI
i APPLJCANT fUME CONn-En: BELOW
I J!SIMsw CON~N 0 Ul"LACEMIIMl' 0 AL'tI!&AnONS
iURNACaMAf;EAtmMOIm. ('.a/lJJiM PA-V07() FlJJiL YJai 1ia.o
FLUIiSIZ'll .~ Ij ~w''','A'''S "'-I INPUT 70. (')0() ourPUT fffd.- nI](j
"r"ll'KCtF ~....~.d HBA.TlNG 0.. 1'OWD. PLANT
" 3W_Airl'lall. 3--
i ~!C1~ 3=-~
dvOll\.~ JOIlorDool-
t5:. !-ll'UMlTNOc?/_ /~
I
I I ZOND4G(o>k"", \
P;;'SD
-
.u.AU 1'101'I:1
Air CoIditiOll"l' Unhs
c..-..... -oh IalD .
IlapIInoIIIide Ywd
I...",..'"
. .
FlUPLAOB t.r licE AJIID wonm. ~
_~_-,"\..".l.-;
I '0" .1...,~~I..iI ,JLI,
1.4l1Slriol,eomr; tcl1llltMulll-hnill)l \'lIoarJall_ _-...0.,._- . SJ9.:lO
S:l9.5lI"- .
kaI4on.-. Hell 0&" Ale (1'1... t:. .,. .... iI\)"'.sa '.1, ..,. l, AIld1lIon8" _ 13'.:10
koidonllll, Hu!, ..Only ()lewt:.." "" .:...) 16&.50 ....llmtlol, At: Only S19.S0
Bati.......costS ~~.S-1Y1 1l(L Bullolq~ /I
.
HIlATlNGnllMlTF1!.B S
STATB SUll.CKAB.QB ,
TOTAL naMlTnE I
.SV,
" PAiD\"
121-'I~D:~IG I
(CIlIIRlI.. 0aI;I :
fill A.ppll. ._ __ Your ..lid........... W119. J '".,
I
i
.\
~
--.rICO.
"'11' ill tlIIIcIlI
11..
~ - ,;:p-/
8Y~.
(/
34 ...., _,.. 011'.,,..1.. _1..7.... flllI" .,.7-43.s
FROM WENZEL MECHANICAL 612-452-0367
(MaN) 11. 05' 01 11 :40/ST. 11 : 35/NO, 3561851656 P 8
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, ,.','-,- ..~:~~.."..,y.,.
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,~'",.:.~:~'iI'" "~:,""'.' SE~~Y~~ ~~~ ~i:'l'NO,;:'/~,/(o,?;.":::,~
""r.' . ,. ~(!f"''''so~'' . . ..:',..'. .', ", ::.:,......,:...,';.~
~\iA'...>, ,1,,_, ~ ,.iI'.~,~ , q~~u.<
. . p.... ",", ' "'OT~ ,- Sewer :.i.n.:.... ,......t-..... .. ' ';. \', .j,
~~,.\.j;.., 01-" L. GI. liolronp. .......' ,
;~.','t:: ::' ,,:g~n~~~-'~tiiw;.,;;:,~,'::
_" '>$:' ..' "", ' . "d,t.tJ:~i":,,.,e:l'e'9"~> ':."''''!!
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., ~ ': ,'I "_ ' ,,' :,,'."< ~.;i"tw.(, ~",: "., '
l"'~"r' ~"'f.' , ':.:.",";/:'iir~~$)').;~I'1
':' ." APPt.;I;!:ANT:' Ji1/1<.//U_ #1/C/-t//,jd'A'- PHONE::_r"~/J'''f~j'"-!;'''fit" ';' .
~/f>",'):~RES~~/""'5" SHA.hJU _ N ~.A(.,:,~I!1;"'J oM:lt.: Oi:;;':A":;\~l:~~i'::~'I~I~!'I',,,
~tll:':'F..'sl~~,.,~tt~ / "-71'" BLDG.PE~~' :;l\;-,'I(:,,~:'r~.:~"~~~
l\lfl.I,-I., .' "', . . 11733J--:.;.vu.~----.. . ,}P'I,'"
'.1.'. ,'SI-rEJAO'tnl:iss: I /J ,,", -',.hJd.",of /",4~ :PIj)~dl)-:~,~i?~"':Oti~'~gn-~..
.r;;:iJ~::,_.' ,:~,.'I I " ." .\~
. ~ , . " FTLL IN TH'C!' n'.' .,' II ,,'~; ': ,.~ft~~
....,} ~ . > .Io.w BI..A.NKS 1 ,,'. '"" '1' .
..,p " . . . ",.~,::;,:;,,;;1lIIiIii.i
,',"." -", ""':"i' :::'e;'it:i:ma.ted length of water servica" fe<;!t'. ',01.(." ........". ..~'~
:i\K.'\'::'~':: i;:~ze :Of water service I" inch(es) '., ,:,".: :,.:' i{:::i#.....
" " ~,'. ,", \ "", .' ' ' , ,.'1;"1'.';:" " I . " ~ ',' .~,'. ,,' "
a. :,t:.,,:, '.'.~. .:',' ,.Loc.at:.io'n of anY.COUPlings from struc::t.u,J:'e .' 'fe~>,": ~.;.:<:":,.:,'~.r",
'.' ",;. 4,~ ". Type of Ilie",er p~pe_ ASS / PVC c-ast Iron >':.': ;':,~L'.."';';'4_
';, ":f.rl::., .:~~ ".. ~J:l~imated leng-c.h of seweJ:' line ......et..:'. "" ".':.. ,,:..:,~~, '::,.:~'j ill
',!/i.. . .' ' - ;' , . , ,",'" \ ':':'~:':'~IL;( ,
'"' ,...... ..~.. : 15': . Clean O1.1t: (if requirad). located at. .f",:~.t'",.."''''ff'~,1;~, . .,~
~t.:..t., '. .:s.t.WC:~\.1re, '. '.' '.. :,..':. >';;.,"::','..;:;:'::-:":''';l-;,!,:
~ t ":.."..,....., .' ,. d,.\',d;~~-.\~,:'~,;l.~
.'."'f" . ,'."7;:;,;:;=.-.,---;;============="======- .___==__,_,__u, .._-_.-.............-.. - ~~
. ::.r'~h~sappHc:ation becomes your perlllit 1o'1\~~\' ap~~PVled_ '. ,', i:i: .:;:'M~:::,:;~_
~*h.' ',il.,Y: . '. ". ,:;,"':'..:"~:.~A""<{~~
..~ DA'rE.. ", \ _I. .~~
R":\'~,-~~_~_=,;,;"=,;",-""",,==~=========,,=====,,,:,,__ . :...___..==~~~~_~Ii.: ". _~
jt:t->f>'i 'tit$" $. 3S, 00 Sewer and wat;~r u.na~~nng~tiQ~:~,~n:.',"';:I:i:t:."{'::>i:\~-
~~".j, '.11 ' ' . '
~~{" ,;.j,:' , " i' 35 :;~ ~~~~arge , ,," ,::::,:".'::,:-:".,..",J:::,:'~_<~,:'~~,:~1~
nt:.il....,".f~l: ,:.' , ." " '7"1'
~.,. '.,::'." 1''' 'Fee for 'ait-her sewer _or wateJ: ind'lvid,l.1ally' is: .$i~,,~(r6"'!':~.'~~~
..... "" " . ". '$ 50 h ' . . ..' " . .
" ", " " . Gura aJ:ge. . ;'" . '., .... . " ",-"....
. .' ; "Uf:' ,\,',"'';'''>"', ,5'~~f .l!-ncl1o"a t:n perl1li ts issued for ri.v-. ';'oh~tr'Ubt.~Cl~:Y:!it~~;~."'"
.' ;::'i 1"',;" '.:' ~:. 're~F::';E:"l!e:d on the buildin,? perlllit C:llrd,at;ne;. 't.i.1Il~ qf", . iss 'an'll",!l'; . ':'.
~. ..:'"1'":''' .,.: '.:,.' . '.1:0 p;t:nSure that no d,upl:r..ca~e sewer and' watepA/(j1Il;;Jlli'"ti;;' ..al)"", ',: ".:'
~ '.. .' . .':1.ssuad. . . /SUI ~.I~IH ...',.....:.'\~
_ i~, i"':'.' >:, .' . ,;, . )( J ( . . '-- I.D:NG.~lEf;fJH1,:;,~,::'J;,~
.': ',DATE: 'rA~O . - (0- )l,MOPN!rPl\IO ." ''':,.,' ";""(.'.:-- :'~
'I.!i~~:'!;; "~" :: ~K~;t~" !t iU':C lp'. Sr -.11'1>-'. :...: ~~:" :":,,>~;:'.: :~Jh
4: ',-, ' ' U , , ","\\ !>;~;ol .';
l-,'..',.r .? " , ",'~f~\..~lJ)'
') 'I, 1 . .,..j~""J,~~'f.
~,::',,,;., "t~:~~ ~Av. S,C,. Prior.J...1.kc. MiDn=r.a.55~72:1,Pb,.,iHi~447-4Z3'CH.pP,i'(6~)": ~ ,. "
. ,~ ,..' ". .' ". .. Nt EqWII Opponuniry emp~r. " ""'.' ,'."....."',.,...,:,. ,', -
.,'.vdiC....".,".....,., ""':':::"""""IIIItI"""" .
",..,1":" ~ " , " '. ' , . .' ..,,'l';"";'J.~.i<~ I
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~w-; ,',1"" ",1 ':/~.. -.' ' . '~":rJ.M..
_. \ ,~...~......_ .,.....__." ""<PI' '... ,.'.. .-I--;-~. ..(..... ~..~.,~t,:~ '. ,. r,.,..' .:
",1'.
." .
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 17~ I <;jlA-~ 0_ .
NATURE OF WORK tJe;..... J d
USE OF BUILDING SF-A
PERMIT NO. 01- (J/0Z- DATE ISSUED t'"1. - 0?:2..-'J.. . ,
CONTRACTOR M..W, ~ ~.::..")\^--'-^--~ PHONE 892 - 772f::J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/1 INSPECTOR D~TE
I FOOTING [;y, I ) /.?- 7 / OJ
I FOUNDATION (Prior to Backfill) I tii-:r I i/'! If) r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1r/
&r.
SEWER' WATER' SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if reqUired)
~
GAS LINE AIR TEST
111?ln
11i {lot
Ii /J'!O}
I .
U,~, ~ r/~/61
~.
-
t:n. IO/f'5/0 {
II/lilti,
.
1//<7(,./0 (
, '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~
@r
GRADING (Prior to SOdding)
BUILDING -(c,6. t&R 'iI/,/b2--
ELECTRICAL
PLUMBING
HEATING
DO NOT
~ II /~!tJ1
r-1. b.
~
ff/q/u,
W7..-
A
,@
14-'
OCCUpy UNTIL ABOVE HAS
NOTICE
/( hM/
/1 b-1.1o /
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 (952) 447-9850
~-':"-:;-~'-:;--'\~'~~~"'''';~'' .... ~r - ~~ -~~ ~~ -.= ~ - ~ ~ . - .....
(1Jj...~ "':,~v:.." ", ,-.. ,.,-::~~ '" -' p~~I. i I.'~' }I!l';! }JI\ ll_"-.- .,.-, ,"". '" ,_ .'. " ,".'"
. :.J'.',d', ,.<.1 _...'".1..,. i.l. "'1 ".i'" ""i' 1..'fJIiif....I'. .'""~"""1",1lI,,,1"".""1'" ,~I', '""I'~. '''1''''. "i+~ '~'I'. ...1'" .....""
i' - ....~~.~....'.~'tli '~"""'''C~~''1:''''''-~~'''''''''''''''~ '
\"1 ._1':.., J .... ....._~"'&
ii I l!lertifirate of QDcnqtaI1tlJ .~.:
;~; ell r OF PRIOR LAKE ~I';
~.~ Ilepartment of Jiuilbing Jn~pedion -
(i,;: bJ Final Permitted 0 Conditional CO. Expires_
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This Certificate issued pursuant to the requirements oj Section 307 oj the Uniform Building Code
certifying that at the time oJissuance this structure was in compliance with the various ordinances oJthe
City of Prior Lake regulating building construction or use. For the following:
Use Classificatiol'
SINGLE FAMILY
Rldg. Permit No
01-0162
Oceupancy Type
R3
VN
Type Construction
Fire Zone
N/A
Zoning Dislrict R2 SD
Legal Descriptio"
L4, B3, WOODVIEW ESTATES
Owner of Building
_SitcAddress -1.7111 SlTNRAV r.TRr.U:
ContraclOr'sName&AddressMW JOHNSON') 17645 JUNIPER PATH, LAKEVILLE, MN
55044
.
ROBERT D. HUTCHINS D1
Building 11i~ ( D ~_
rity Planner
DON RYE
Dale:
Dale:
POST IN A CONSPICUOUS PLACE
..
DATE
7(3/~ ~
n.53/ SVNeA1/ ~.
/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'!lrFINAL
1"0 SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
SOP /mE.-6 ~
,
(~ '"/4.L
TIME
A"T;
() / ' () Iff) 2-
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
tA-J ~
V
lIAvORK SATISFACTORY, PROCEED
b CORRECT ACTION AND PROCEED
o CORRECT WOR~AL~ FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE I (i;~;',
INSPECTION NOTICE SCHEDULED Cf:QO
ADDRESS I 7 :JY! ~ (J: ,
J
OWNER CONTR.
PHONE NO. PERMIT NO. or - I ~ z.
o PLUMBING Rl 0 EXlGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
\it PLUMBING FINAL ~? GASLINE AIR TST
~ MECH FINAL ltY 0 . ~.AL'- .
.qOMMENTS(\) 1.d- A. e..-. ~
(~~t~ f~~.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA TIO~,.o
~ FINAL ,.,..-- .
o SITE INSPECTION
,,(1..0,
?! [ /OZ--
I ,
b'L<+o
(j
~ ~~~~~.-~
~. (l~-~
~ a A';'" A ,.;w iJJtJ.h;... ~ ~,
o WORK SATISFACTORY, PROCEED
IS CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ I 1 Owner/Contr:
{ I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
-"-_.~ -""-
ORSAT TEST
Job Address 1"7"( ~ 1 <::; V (\\'"'<.<. v r J
, 0 Heating Contractor ~v~)( e J
Date !IJ-"'(J -f) I pressure,:J, S
Percent 02 7 7... PercentCO (')
Percent C02 X-/~ Stock TempJ 00
.... ./,I!l
--