HomeMy WebLinkAboutBuilding Permit 01-0129
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
.:t - 1'2. - '200 I
]. White
2. Pink
). Yellow
File
City
Applicant
(Please'!yp~ or print and sign at bottom)
ADDRESS
-2'Y,5?~ ;-:..~~"'? ~ CU-1'Y"E ~
LEGAL DESCRIPTION (office use only)
~?' pA//7" ~6"
...LQ:I'- ill,BCK ADDITION ~.......,q~-:1 J~
PID 25-313- 014-0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
o/l R. ~..P~ ~
. -'
6".P",tS6 - ?"/~
0CT/';?;?
(Phone)
(Address) . i''Y-!>Y ~/~ ..a.? ~-<'O~
-"')~
TYPE OF WORK ~ New Construction
OLower Level Finish
ODeck
OPorch
OAddition
ORe-Roofmg
ORe-Siding
o Fireplace
OAlteration
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $ 7.,.("../ M
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.
r/.'_- ~~ ~
=7~~7
-<' -eP-t:7/
x
Si2Dature
Contractor's License No.
Date
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
7Q'7. 7~ I
e:IR s-l{ I
ir_ ..an I
. I
I
I
I
I
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
$
$
$
$
$
$
$
$
$
$
$
$ CJ
$ '1 '200.0':)
$ ,?Q').~
$ 6
$
#
85l"Mn
I. l~.at)
'0
#
1'((~
Sh.t:: .3/8" ,
IIJO . (JO
fa; .()/)
D -
I{O .od
#
#
$ 6492.... L9
( lJ'!tlltiolmes YOmBuil~~:~;;oved
~Officlal Date
TOTAL DUE
I Paid sq 9"2- . 'Z...J'1
I Date 5 ... I - tJ / ..
I Receip~. .3'1r1r'f-
By /til-
I
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance 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
;,sue
tL!2-f,D(.{}1 ~_ 4~C~~~~~~'bl:4~
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
.'
ThO' Crnl.... of lh.. Lak.. COUIUry
White - Building
Canary - Engineering
Pink - Planning
mHLPlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.12 f-ICkT6N
2-12-(j/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;_;424- r-f\I.\J/\/ f"IEf\LJ{lJ\J L()Ic.\if;;"
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: q/L.- 1~~
Co ments:
Date:
2-/% /81
~. ~.bj<=-L"t~ ~ ~~~ ~ ~
,v:.. cs- ~(pt- ~ ~~ ~vd MtuA
Jk-(~ /d)%, ~ ~J~ ~9~
'J1,'~* ~ (l).c.c..~t'te- I - he t4'Y\&~~
~ (l ~< 'L \~Y~d< _ No'-\ 'J/lIl&ye ~
---1CJ% r.Al-~~.L. 0,-~~~ ~_ IA~{41~ ~
~- s:.1~ ~ l10 M 6~~ - )
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."
Th~ C~nIPr of lh~ L.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.g. HOklON
2-/2-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54-24- t="AWrJ MEADOIN Cl)~v5"
Accepted ../ Accepted With Corrections
........
Denied ()17J2.
Reviewed By:~~h
Comments:
sP $<(20 ~ lA..,.~ Co. ~I-~ e:ic
Date: "Z-'2d ..~(
..-
"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~ Cl!'nlrr of .hl!' LillI!' Counu)'
BUILDING Pf;RMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.l2.. HOk ION
2-/2-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5424- r::-AWN MEADOW O)~Vb
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
IIf'tB
Date:
2 - -z..f -0 ,
Comments:
"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."
FEB. 15.2001 12:37PM
GENZ RYAN 6513226147
NO. 773
P.14
TIle c..., ~ I" LOt c."'..,
.
,
CITY OF PRIOR LAKE
. PLUMBING PERM"
Appllc.ant; 1P-1l/l7... ~ P ~
~d~l: .ll;l:ll.t~ ~ ~~ -,.
Signature: J.bJ.~ ~ . ~....~_
Legal DescrIption: . m - Black - sub])1'.,..~~t"'\ \ l\ In"
Site Addreu: nW:Z.U t:"c" L ~~ U 0 PrI')(n L'\ r I J liP Ve....
Building Pennlt * n 1- V1z q ~ID'
NOTE: Thll pannit 'll!!1I not be plllClllld without camplete information.
FIXTURE UNITS
Quantity
I
,
,
1-
)
...
. ',;, oj
i '.
. -z....
. ".
. :...,'
I. .... ..
2. Gold a.
3.__
, 01- Olltl-
Phone:J'S"'- ..,t~-, ,W-t..J.
I2.DfL. ~.l .nT" ~,~
,.
",.:Jl
Type of Fooul'l
Balh Tub wllh or WlthoUl_hower
Dilhwasher
Floor Drain
Lavalory (balhraom link)
Laundry Tray (1 or 2 compartment link)
Shower Stall
Sinks
.... Sink
Water elGiet (IoRet)
Quantity
Type of FIxlu...
Rough-Inl
Water Heatlr
Water SOIInIr
Stand Pipe (wahlng machine)
8_lIIe Ejealor .
BEkfIow Aalmbly (RPZ, Double Check, PVB)
Back!low Auembly Tilt
Lewn Sprinkler
Other
FEE 8CHEDULE .
~ IndUltrlal, Col1VT1llrclall Multl.Famlly
(1'" of job COlt, 138.150 minimum)
Re.ldential, N_ On. & Two Family
Residential, Addltlonl I Alteratlonl
Stall Surcharge
sauo
$311.50
$
1
$
S .50
p~\O t~pJlI\"f _
e\f\,.O\N
GRAND TOTAl. .
Thi. permltl. IfIDlcd Upoll tho ..p..... condltiDn thltllld
COllltUlDt. shill comply III aIIl11pOOIl with tho ordln_
a~ thl Stall PlulIIbinl Cad. and tho IlIIIIIdmenll thoNG!.
1!!!:. '"3-2.~O' DATS
~ ^.IWI&
Call for all in tion. 24 bcun in 14Y1l1lCD.
16200 Ea,1e Creek Av. S.E.,. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
All Eqllll OpparNlIicy Bmploy"r
FEB. 15.2001 12:35PM
GENZ RYAN 6513226147
NO. 773
P.5
_......
'fIWIII . --.r
_U1.lln'f
CITY OF PRIOR LAD
SEWER AND WAT!R. PEmII'1'
NO'l'E:
No..OI-OI2.1
Sewer and Water
.contractore =uet
b. ' revistered
wi~ ~e cUy.
APPLICAN'l':~,:,,-?,- Rtr-""Ph.J......bl~""-- UMI'1"1.tJtl. IIKONS; 1..5I-c+2.....-Il&.jJ.J
:::=:.:::~~:=: ft--::: _IT I or -Ol~
lnlo IN THE BUNlCS
Esti=ated lsnqth of water .ervice ~'
"1
Size of water eervice inchee.).
1.
rest.
2.
.......,...
".:',;
.--'
3. Location of any couplinqa from s~ructure feet.
4. Type of eewer pipe. A8S PVC~ Cast Iron
5. Estimated lenvth of .ewer lin.~' feet.
6. Clean out (if required), located at feet
structure.
from
____, " ' , ..., '.~""""""""''''-_-'--- ______..........._._..."_...... ' ,. ....,,,.,........1 " , .., .".,.=___Ja
Th1a
BY
.pplication/~!/;:#iAes your pemit when approved. .
,.(tAJflJ(;___ D~TE:"3 - 2- - 0 I
"......-- , -------- ,. . . . ., ,',... - ~. ",,,,,,-,. ' -.~",.,,,., . ..
l
FEES: $ 35.00 Sewer and wate%' line connection permit.
$ .so Surcharqe
$ 35.50 TOTAL
'. "
* Fee for either sewer 2[ water individually is $20.00 plus
$ .50 auroharqe.
~ Sewer and water permita issued tor new construction must be
reoorded on the buildinq pemit card at the time of i.auance
to insure that no duplicate .ewer and water permits are
issued. ~
DATE PAID AHOUN'l' PAItl .. ..."m 'I/II\~~M\"\
""""'T"""~\:a "
RECEIPT . REe'D BY ..JU\\S)~ .
. 4629 OIkDtl St. S.E, PrIor ~ka, Mlnn.x. .5l537Z' I Ph. (61Z) 4474230 I Fax (612) 447.4245
AN EQU/lL OPPOllTUNlTY PJlIPI.OYI!II
15:30 651 633 BBB4 FIRESIDE CORNER
Ul i OF PRIOR LAB
HEATING/AIR CONDmONINGIFlREPLACE PERMIT
#4360 P.005/006
J.IB.I,C JNII,: ..
~_lU'! or Drim ....11... It .......1Il1
ADDRESS
.5Y~y :Ja.un. ~ CLw.c. .
it:. S_I PERMITNO~/_/~9 I
I j2;OI-.DRI
LEGAL DESCJUPTlON (oft\ao _ oaIy) .
LOT L/BLOCK ~Au>JU'ON/QiIfAlfRf;f? ,~rei
OWNEll. ~ I .
(N/l.IlIC) ~I!- ~
PID di;- 373-0/1./-)
(Phone)
(AddraIJ)
. .~
APPLICANT
(Namel ALLIED !'IUSIDE DBA !':tOSID!!: COIlNU.
(phone) 651-633-251\1
(Acldra.) 2700 N. Fll.Tavtb AVEmI".
(Add.....)
(Contact Person) BllEND1I. HUS'1'CN_
APPLlCANTSIONATUllE _ ~_A. d....b:...
'lO~JI!U'TT.r."... p
(CIty)
(Phone) 651-633-2561
DATE $7t9J",
1I:.~1'~
(ZIp Code)
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 AL TEMTIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE aETIJRN """,,,,~OS INPUT OUTPUT
TYPB OF SYSTEM HEA11NG OR POWERl'LANT
;;jWlIIIII AIr P11UI1ll ~ SIeom
J=~"l . ~~::
ClAir Colldllk>nln, Spocllll Devi..
OVont Sy...... Othor Deoticeo
FIREPLACE MAKE AND MODBL diU AJ (;lo ~ ~
PLEASE NOTE:
Air Conditioner Unilll
Cannot BI1Cl'O&CIl inlll
Requited Side Yd
SeIbKkI
FBE SCHEDULE
rndustrilll. CommercIal ... Multl.PIIm", ''llo ofjeb COSl ~tdOlllll/. 0.. PI"",~
539.50 minimum
~idClll/el. HllIllinl 01; IVC (!oJ... c-.:d0l\) 599050 ~ldlllliel. Addlllons " Al!inlt_
Rasldcnl/aJ, HWlling Only (N- ConllrucdOll) $64.50 Reoldcnllal, AC Only
539.50
$39.50
$39,50
EIllimllled CDSl S
Bvllcli"g Pennlt 11_
HEATING PERMIT FEE
STATE SURCHARGE
TOtAL PERMIT FEE
$
S
$
.50
.. PAID WITH
BUILDING PERMIT
(Olllce UN 0.17)
,",I. Application ....._ Yoar Bulldlnc Pwmlt Wllell ApprDVcd
,,1<1
KeCeiDl ND.
..HdI.. 0IIId01
00..
D~S-I/~O I
8y r--
J4 h..r J>DIleD "'r II IJllpiCtlDlI1 (99) 44,.,850, ru (95~) 441.c45
CfJ~ CITY OF PRIOR LAKE
f.>... ... Me
t: r... '; ~ 16200 Eagle CnMlkAv. S.E. Permn No. fl 1- 0 I Z. q
~ Prior l.ake, UN 5.5372 ./
. HEAnNG APPLIcATION I PERMIT
Dale 3~, PID.
SiIe Addtass .5 4- -z.A. .l=11..Wn M.Wo W U.t.y\f<- SF-
lot ...25... Block ~ Addtion Indu$lrial, c..... ..~.~ & UuW-FamiIy
0wn8r's Name D R. H-~ ...-to n Residential, HeaIi1g & N;
. Residential, Healing Only
Addrass~ cr Su.i-!-t.WtJ 6'~ MN55IZ.Z. E.,;. ".aI, Gas FnpIace
HeatIng C_... .._:..1 ~llia.nt' Me..duJ..ni W .,
Adllreu al&5C ~.c..."b...-- ~ J l EaM.n M.)J ~
Telephone' 1.J51 lJ~Z. 2"1"'5 oJ
FLJrIllICjI Make & Model "j;rVD..n~
.
ModeISize ~g~lc:.AI/l)z.40'n
Conn. lead 2.1, ~~
Fuel ~cM- FlueSize .t4.II~~1
~
4-
Supply Openings
Return Openill!l$
InpUl1n, DDL 0utpul51,t.. bO 0
Edr.
C1m.
~Ob
1.1'lak
2.c;,...,
3. YdIn
FiIo
Cky
TYPE OF STRUCTURE;
""'."~. ~"..
Single Family
T~y
,
,
,
.
.
.
.
c
.
~
~
.
c
TYPE OF SYSTEU The price of YO'" healing permit includes one rough-in and """ fllllll inspection.
Warm Air PIanls
Gravity AddllionaI :......_..:;...~ wil be biUed at $35.00 each.
~~ ~ . ..... . House HeaItlg Test Record must be SI" . ...", . with blIiJljiJg.llIflI!iI!!IIIl!I!l!r befonr buicl-
Air Conditrcning t!lr Ll4..n-t Z; I "n . in; certlicale of occupar.cy wll be ilaued.
Vent. System 2..-5be:n......brdi\+A.nS
- . ~ CALCULATIONS RFOIJIRED with number 01 supply and return openings fisted per
MEA TING OR POWEll PLANT room 1flIh CFM's per openin9- NlIW struclUnrs Dr adciIions send tIoor plan with supply
Steam and relum :...:: ..,,-.; shown. HEM tOSS CALCULAT/OlIIS. PAYMENT AND
Hot Water APPLICATIONS YAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
Radislion CREEK AVE. S.E. PfIIOR LAKE, UN 55372. '
SpecjaI Devices
Other Devices
TYPE OF WORK
New Construction
v
Repair
Est. Cost $
Replacement
Est Com p. Date
BuicIing PennA #
A1teralions
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERUrr FEES $
.50
Q 1- Ol2..q
J
PAID WITH
Receipt' BUILDING PERMIT
Comm&rci81
Industrial
Fee Schedule
R.....:~~.:a1. ADdiOOns & AI1erations
Residenlial, AC Only
Public
Mulli-FamIy
Other
L/"'
1"".01 jPb cost 1S39.50 minirTXlm) _
S9Ull PLEASE NOTE: ~
$64.50 Air Conditioner Units Carml c
$39.50 Encroach Into Required Side E
$39.5C Yard Setbacks. ~
$39.5C ~
~
e
Remember to add the Stale Surchallle on \he botlom 01 this applicalion.
ClIy Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK IIUST BE INSPECTED (ROUGH-IN AND FINAL) . CAl.L CITY HALL
447-N50
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; t!lat the worl<. will be in contormancl>
.fth the ordinances and coaes of the city and with the state buBdinglmechanical
cooas; thaI this form does not become a permit until signed by the BUILDING
OfFICIAL; that the work will be in accoraance with the approved plan in the
c~ of all work which requires review and approval 01 plans.
~tJl
Date
MAR - tl ZOOI
Dall>
PL. F^>l447':' 4248"
~
~
~
"
c
-
..
l<
~
C
l<
r-
..
:>
"
rl!i
<::
<::
...
PRIOR LAKE' ~~rto~~~~~TD~~SPECTION
INSPECTION RECORD
SITE ADDRESS <!5ctrz-f n:........-. ~_"!:._'.
NATURE OF WORK AJa.. J
USE OF BUILDING [J,~A
PERMIT NO. (l1-OizA DATE ISSUED .::>.20~~1
CONTRACTOR Dlt.. H,'t-~ PHONE..fi:'5""/ - ~~ "7 / J'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I r,.\)'a.vQ I ~k?/o I
I FOUNDATION (Prior to Backfill) I ~ . 3/~JMQ ~~~/z;jiol
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING .~ 5'/36/61
INSULATION OJ... 5/?~/,:"
ELECTRICAL ",
PLUMBING ~ U~. ~. 31?'O/bl ~ -. b~'),f!o/
HEATING (if required) n.~ 3{'36 'Df /).6. 'Ii\J'Sv' . . ,$;-, S/30jtJ/
FIREPLACE '~ ; ,~/;R!IJ)
,. .
GAS LINE AIR TEST M. ~ F:"f. ~ I ~/3b/O(
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I6tlfWtc/..(.. (1.) ~. 4/5/D/ ~ tfa.. "lllY/OI
. FINALS '. tr.(Q., -
GRADING (Prior to Sodding) . fv , \ V .
BUILDING\('...<L>'lAJ.( '1ltt;;(Vf I!ar: 'Jp:Jk11 Cfd'ifro-
ELECTRICAL I q
PLUMBING 4,
HEATING ~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
"1' r}{P/Uf
fJ~
7/loI/J/
7// ?N/
.. .
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been apprQ.v"C\. .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
/lIS~"~~... ..' :'.
',":.J. ~ ,~'. 1.,-:' t "i,,)""""!, ,!"'_'t Io;",,,~t.,~ ,~.. '~;";"" hi,' .,~
", .,~,~~,;,Am.'!.~"" .r'.....~.... ~...,
~. '.1 .1'R' ,",,1.'""
:~A QLtrtiftrau of ODcmpanry
:~H ell r OF PRIOR LAKE
:i~1 1Department of .uilbing Inspection
lit ~ Final Pennitted 0 Conditional C.O. Expires
l~ :L~I
(..._-~,
...~;
I....g
"'-
It"
:\i~1
'.;'1
i j,;~E:.
lYi.
~-
I,
This Cenificate issued pursUD1ll to the requirements of Section 307 of the Umform Building Code
ceniJYillg thal at the time of iSSlUUlCe this structure was in compliance with the VdriOUS ordintl1lCes Of the
City of Prior LDke regulating building Cf>>IStruction or use. For the following:
SINGLE FAMILY . 01-0129
DldI._No
N/A R2
_ Fire z.- Zoniua DisIric:t
DEERFIELD THIRD ADDITION
Use Clusificalior
R3
VN
Clccupon<y Type
Type Cons_
BUILDING 7, UNIT 25,
LepI DelcripCior
Owner nfBuildiIll
DR HORTON, 3459
c. ", .,., 'sNameli:Addreu
ROBERT D. HUTCHINS rf) X),
Buildilll offic:w iI-/
G)-I'":;! -0C-
SiteAddreu 5424 FAWN MEADOW CURVE SE
WASHINGTON DR., SUITE 204, EAGAN, 55122
Date:
city_
Date: .
DON RYE
POST IN A CONSPICUOUS PLACE
""'", iilMIiIIIiIi,,, ,,' ,,'.."...
1
HOUSE HEATING TEST RECORD
J06#.
ADDR ESS
OCCUPANT.
HEAT LOSS. DATE HTG. INST.
SOLDliY /9'//~.__r
Electrical Work By
TYPE OF HEAT
J'/.1 V ;::,~"
1'/
/7Alt';"plhr I "-....~,,..,,.
~ -t:.. -A-7'_
APT. !--FLOOR
"lWNER
CITY _
SUBUR~
INSTALLED BY ~ r"// ,~..-
l'las Line By. J-'/'r/~ ",,..-
GA_FA...k::::..HW _STEAM_SPACEHTR. _UNIT HTR. _OTHEP
I
"-> .#./.." G~ DESIGN
MAKF !' ,: y"','AJr '"P
Mod.1 #f r (id<UfLa71!1
S..lol _ ' /9/,./ '??.r-
I NPU T !.../.J UV"iI
CONVERSION
MAKE OF BURNER
Mad.1
Max. BTU Rating
MAKE OF FURNACF
Mod.1
V
'I
t
THERMOSTAT f:/-tJ
Valve_ /-J,/J,
CONTROLS
Heat Plug
Vent Size
vn
Limit
LimitS.tting
Fan Setting _ )'
Pilot Typ. I .J (I' ,-r-
\,P+lat Make ~,
Pilot Mod.l _ / I J
.... 1.--
Pilot Timing ~
{ 1
W. Cut Off I>
.,e 7.);/1 I J
''1
KIND OF LINER SIZE NONF
Draft Haod . Regulcnoi" J!"V?a~L;,i,17
Filters Size "l/trXJ<'1 Number \;
Chimney Location I~ide Outside
ChimneyConstruetion/YLirr /?
,p. 'T (If"
I' P..e.nt co .1IiC.L.tl
P..e.ntO~J. f
PercentCO A
Smoke Bomb) .
o.olt. /"
Door Pressure (
Date Tested ~ - ~ -- dJ
Company Testing- F....is:kson H~ting &A/C, 3650 Kennebec Dr., Eagan, MN 55122
Name of Tester _ /' 'Z".,t
Wiring.
Test Tag
.Lighting Inst.
)(
/
'111I', .....
DATE Tl....
t1-/~~
J"~L/ U , ~ c;- :tf2/,(J?:L~~
- .
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
CONTR.
PERMIT NO.
01- /;}-q
o PLUMBING RI 0 EXIGRADlFIUING
o MECH RJ 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL CI ____
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1"-
/d /Oc;t ,
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CI WORK SATISFACTORY, PROCEED
CI CORRECT ACTION AND PROCEED
CI CORRECT WO~ C~FOR REINSPECTION BEFORE COVERING
Inspector. rr V OwnerlConlr.
II
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY!
"""""'
DATE TIME
CITY OF PRIOR LAKE 7/,;). ~Io, LI : 00
INSPECTION NOTICE SCHEDULED
r '
ADDRESS S-L./d~ ~ ~
OWNER CONTR.
PHONE NO. PERMIT NO. M - /d- '1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECH FINAL
COMMENTS:(iJ ~ 4.~',. -~"..,..... ~
C;V.J..--O ~. -tA~ i~ ~~.f-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
III FINAL
b SITE INSPECTION
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
15 FIREPLACE FINAL
o GASLINE AIR TST
o
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c-IC, O'.~ Q j;;;-7~/~ ~)'
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--.......c,.,.-......
o WORK SATISFACTORY, PROCEED
)lO CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
,/
CALL 447-8860 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
~1
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
?/;CJ/V( It}!;!d
~ ,v.J).
SCHEDULED
ADDRESS
5'-( d)-~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: VD
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)!(.PLUMBING FINAL
o MECH FINAL
!.~-c->~ ~
~---~
0(- 1~"7
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
,
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: ~ ' Owner/Conte
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL71l4 SAFETY/
/NSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TillE
/-J~-ol 1M
fj it;; 0 1='c. W>1 IYJ I'uh LJ r W'
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01- (3S--/;r5l
=4 ~ILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
CSl... FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
5l.f).o I.y-q+tlf., 11,../" I -t9t:...
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54~1 (P rut/.' flK..
5'0.2 (U~V, (, k
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S'i]L-f & r/~u<., -,"If(
F\ LiJ. t::: (.,r~ -0 I!'
. -
>\ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:~~A'~~_~ :: l.nerlContr:
CALL 447-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALm & SAFETY!
uaNOr'