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HomeMy WebLinkAboutBuilding Permit 01-0691 6~~ DATE RECEIVED CITY OF PRIOR LAKE &-/Z,-O/ BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type Bnd sign at bottom) 2. SITE ADDRESS ..1..~I",'O '-'hc.~\A. ~~ 3. LEGAL DESCRIPTION LOT'" BLOCK 3 ADDmON Cn~n'IJ.C\L.- -e..\'Oac. 4. OWNER (Nam.) ~'t-"-<-~ ~C'.\4n">C.. 5. ARCHITECT (Nam.) .0:; ~I"-'- -=. (Nam.) 1. DATE ~/I~I tPt<.StJ PID CJ/)-'3?J5-1):;7~ $7.!' (Address).- ~ (: .(l.I"J~ (Address) 6. BUILDER (Address) (T.I. No.) Zo ~S~~1 (T.I. No.) 53'3? (T.1. No.) File CUy AppUcaIll / -0 &ClL M 13. TYPE OF CONSTRUCTION ~I"'''''}L ~~"'~ ~~ 14. FLOOR AREA APPORTI MENT USE Wt4, I 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS I JJ/fI ?",,~c;. 7. TYPE OF WORK Flrepeoe a Septic a Deck a Re-roofing a Pon:h a Now Construcflonjll A1t.ratlons a Addition a Finish Attic a R.-siding a FInish Bes.m.n! a 16. PROJECT COSTNALUE Chimney a Misc. l 't~ ~'C:) 16. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COM"&,ON DATE Sq.Ff. 12..10"'0' . Widfh81::> D.pth 150 Y.s ~ ~''2,.IIQ/ I hereby certify that I have furnished lnfonnation on this application which Is to the best of my knowledge true and correct. I also certify that I am JJ owner or authorized agent for the above mentioned property and that aU construction will conform to all existing state ancl local laws and will proceed in accordance with submmed plans. I am aware that the bul~~I~~ "" penn!t for just cau," IUrth. ~rmore, I hereby agree tha! ~ city official or a deSignee may enter upon the property to perform !:~ed Inspections. X~V,. l 'l~,\>......v.. P::-/(A/o, .~?- O~O-z.. <"f-L-bl Signature LlcenseNo. Is SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back BUILDING DEPARTMENT VALUATION Side S~. USE OF BUILDING OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION 14'7.//}(V"l.~ Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... S Collective Street Fee ....................... $ Sewer Tap ................................... $ ,.;;/. .. S Pressure Reducer ....1tJ................ $ q&", ~ Mef.rHom................................... st-La,'\.nD Water Meter ................................. $; Sewer & WaterC_.......___.. Fee ........... $~ . c:!Z'J Waf.rTowerFee ........................... S~". ()O Water Tap ................................... $ Bulld.~s Deposll ..................L-..... S I .. ")Ot). 00 Other .... _ _,___a_nn........ t_ Total Du. ........q.7............. S 7.. fl.?? '7 Paid 7 q '7.:1 . , Receipt No. Dat. / -(I, -() I By Qc./ request In the aboYe appllcatioo and accompanying documents Is In ...~~.. ~ ,~... with the City Zonlng Ordinance and may proceed d.Jquested. this document when coostitutasstemporaryCertifica-2Z"~~~a~~~~~~lI~~mustbe_. r Da ~ Spec~ TYPE OF CONSTRUCTION: I II III IV V Occupency Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ S U PlenCheckFee ............................. S I, 2. 5(" . '10; 817. ~2 IH.S-O State Surcharge ............................. $ Penalty ....................................... It 100. of) Ico.t::)CJ ~.57) Plumbing Permit Fee ....~.................. $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... c Gas Fireplace Permit ....................... $ Th~.S:J..Bullding P.""II~en~ved. B . - uaW...M.=...(?-'ZIbt3L Certificate of Issued fha City: ~D .f)' -q.\ 24 hour notice for all Inspections 447-4230 SEATS MATIERIAL FILED WITH APPLICATION SOIL TESTS a ENERGY DATA a PILING LOGS " PERCOLATION TESTS a PLANS & SPECS a SETS SURVEY PLOT PLAN a COPIES a Els"(). "'0. 1,IStl.l9l) Tht('tnltr of the ....keCountry QL ~ B€12L Canary - Engineering Pink - Planning h BUILDING PERMIT APPLlCATIOt.!...J2EeARTMISNT CHECKLIST NAME OF APPLICANT ~ .bl1r(2);ac..e-/ 14- /;;;-0/ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /&, 3 ?(') I )//I~nto_.-/~ Accepted Denied Reviewed By: NA,-~ Date: "]- 9-0' Comments: ~ ~everse Side for Additionallnformationl )( Accepted With Corrections 3~ ^uacnmems: 1) l:iraalng Plan, l) t:roslon t.;ontrOt 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." ,~i.l; Th~ (.~nIPr of lh~ L."" Count!')' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAMEOFAPPLlCANT ~ .6~~ b- 1;),--0/ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /C,3?r) I ) //I~J-UC~~~ '>< Accepted Accepted With Corrections Denied n /7/1 / Reviewed By: ~L.)..._ .A~/'" Date: 6 -1'1- 2co--1 rz:&""~ t1~ (f..-.} =.~ "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." Thl' ('I'ftll'rof lhl' L.1l1' COllnlr)' White - Building Canary . Engin_ring Pink - PIBnnlng "', ;i;.J'l '. ','\:~.i:;>'),.:", BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED tJ~ ~ ~_ 6//:2./8 l The Building, Engineering, and Planning Departments have reviewed the building permit application folr construction activity which is proposed at: ,blbO !.AZ\9Y;a. {--AJ./W Accepted ~ Accepted With Corrections Denied Reviewed By: 9~ ~.(~~~~t":. Comments: ~ _~~ La.,O Q~_ C~~. t' '~r~e<: ~r~~ to.tI~~ <I.. bit) r~~y;e., rv\~5.. ~ 16K 2,S-h S~\.~ ~\.;~~ ~~.... &t4\&V"&l/t - ~ ~_~"~ ~ ~(LvWl'~ ~ ~~ '1"'':>0& ON\.)l-te S~r~ ~~ ~~ \S ~.~V\.n\~te tY t 0v ~#-)k . fZ~v~ ~ ~ 6~,; M !~e.u.~*?-~5 6.( t1 /)Sit) '* ~ 18:<:> 'f}. (':tj;;J~r- ~ "Te iSS~~: ~~~~~P~~I. Of~:s~!ecifica~s~n~~ 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 W ~n:n~eso;~.e::~~a~t,:~ali~." fr ~~'1 L/vlX.,',' II07a2/,Gf:) r <Wee JJre~~ ~\~)9q , Date: '7/31.0 ( .. CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Ree'd -;. '2-4-~ 0 / Q?lease ~ or Print and sic at bottom) ADDRESS ; ~ ~;i~. I PERMIT NO.OV-() /. CI J I ). Gold Appheanl fG1 1 /C,)(pO VIOfO/Z#r tA!tW6 ZONING(ofticeuse) , f'eNO LEGAL DESCRIPTION (office use only) LOT 7 BLOCK 3 ADDITION /JH2U)/;,/H1-- .e+O ~ :fii71:I"' PID Zr-.? l r-. t) z. 7-1 , OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) APPLICANJ:-> Ire , (Name) '>'''"'-011('> t:vc ~Ji",,,,,,,'r (Address) '19 ~ tJ 6 I f'"h'r' r.c. Jf. y --< (Address) (Contact Person) da j,,, ,i2 s-; ~ g 71 .(! f APPLICANT SIGNATURE -19...1/ ~. :r;, C (phone) 5b-r ~7Yif... ~~9-c, ~d"^ .( I a.L~ -Pt... Srl9~ C (City) (Zip Code) (Phone) ~ 1:2 -? 1/ - j>7J' 'I J2.. DATE 7 /~ J t2dd I ./ , c ~ APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure Type of sewer pipe. 0 ABC 0 PVC Estimated length of sewer line feet. Clean out (if required) located at feet from structure. feet. o Cast Iron Residential sewer and water line connection Sewer connection only $35.50 $17.50 FEE SCHEDULE Industrial, Com'l & Multi-family Water connection only Estimated Cost $ Building Permit # 1 % of job cost with a $39.50 minimum $17.50 6/.0(P '1/ .. I I"AID WIT! I , IIR,IILDING P L;, , .50 . SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ (Office Use Only) ThiS~iJ' t~ Becomes Your Building Permit When Approved -1\, cp.v-- /' ~4r' () / Building Omcial Date IP~ r Date 7. 2.--f. d / Receipt N l 111/ ./ By ~ I / 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 1. Blue File 2. Gold City 1 Yellow Applicant . Date Rec'd ~ Jll3 20VO~ ..._-- - ~/ I PERMHi;O.O/ ~O(Pi'j I I CITY OF PRIOR LAKE PLUMBING PERMIT . c '\ (Please !pc orDrint and sim at bottom) ADDRESS _laltO !/;~/;a i!tA/iJt LOT LEGAL DESCRIPTION (office use only) ADDITION BLOCK OWNER J./~I!/ (Name) rr.... c__ (Address) I ZONING (office ""j PID25-335 ~(Jl.I-O 1-101'165 81/ M.4S6 (Phone) , ~~;~~~ lit! Id J?/ IX) f1p f'A-(7 _ (Address) PliO ftdt.ti 11 r '////(J (Address) (Contact Person) APPLICANT SIGNATURE rJ~ Quantity ..2 / / '( -/ / I '1 (Phone) 9.5'2- tlft?- 2../zl ;J;y f II) fIT J4 IL- ..{5j' 52-- (city) (Zip Code) (Phone) DATE iJUAh1 i 10/ / , APPLICANT PLEASE COMPLETE BELOW Type of Fixture Bath Tub with or without shower Dishwasher Floor Drain I Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) ., Type of Fixture Quantity j j / Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector BackfIow Assembly BackfIow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimu~ (Office Use Only) Estimated Cost $ Residential. New One & Two-Family 59950 Residential, Additions & Alterations 53950 Building Permit # 0 I -() (9 q / r PAID WITH IIJi,DlNG PERMIT .50 '-- PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ~ I Dat~_13 -0 I Receipt No. qiIJ .~ 'I . I ,- }S.DI ec mes Your Building Permit When Approved Date 24 hour ootice for aU inspections (952) 447-9850, fax (952) 4474245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFJREPLACE PER1"IIT Date Rec'd (P!~~ M~ at 12Me lU:I.d sie at boaornl ADDRESS _/C,;~ W__V/c ~(l/~ ~~. ~:.;_, I PERi......rrr NO/~ b 1/ I I I ZORi?OaKl I ~yf-u-e LEGAL DESCRlPTION (ollie< us< Only) _ LOT'? BLOCK.3 ADDITIOhAr&A1d A, ~~ 5~ PlD ';(S-:33S-w7~') ~=~~1??~_~ .).{, A r'.:J-"'i\!c- (phone) gqs- _-S-:~37 t (Address) APPUCANT....-- / 1/ n . (Namd C-t"'IA , ,.,.",~./ Q, /I (A~ress)d)I-9/~ E"n/<"l-'" AlJI''''' (A.<hJ=') (Phone) -"16::0 #~) (Contact Person) APPLICAL'<T SIGNATUR..E ~ -Z~ GOd ::l "_5"'~~ -1 (:zq,eooM) (Phone) DATE _~ - /-0 I o REPLACEMENT 0 AL TERA TION5 7u Jt' /') f<<:l C q ",a _ FUEL ..J,.JA l- f< INPUT _~t7fl"f'L- OUTPUT 7,~ e:;o 0 HEATINGORPO~RPLANT OS""",, 8 Hot WOk.r Iladimon o Spo<;al Dov;ee> o .Other OCV\I;c::J - APPLICANT PLEASE COMPLETE BELOW ..cJNEW CONSTRUCTION FURNACE "'lAKE AND MODEL ~ ,,.. ~ FLUE SIZE 3" ~IJC- RETURN OPENINGS TYPEOF~I~U"J>l: JWarm Air Pl1ll1lS JGravity , ~chaniQI ~ Conditioning ...;l3'rlnl System FIREPLACE MAKE ANtl MODEL NU , Indu:iuiaL Ccmmcrr;uL! &. Multi-,Family FEE SCHEDULE 1 % of job cost R.esidc:nriul, Gas Fireplace: S39.:;O millilllWll 599.S0 Residential, Additions 8< Alto,",lons 564.'0 Residcotial, AC Only Rcsid~n[i:u. H~:u:inl k Ale (New Conswction) Residcntiol. Hcating Only (!'lew COllStf\lCtion) Estimated COSt S Buildin~ pennit " PLEASE NOTE: Air Conditioner UnilS ClIllnot Encroilcll into Requirod Sid. Yon! Setbacks 539.'0 539.50 ~ 539.50 ~- HEATING PERMIT FEE STATE SURCHARGE TOT AL PElL.'\1lT FEE s :s s tt"Z'I':..,4,ID I, '/~ .S(l4ilf,/'00UINQ"p IIi cA.-v. '-. '1/ (orne. U:u: Onty) This Appli<:>tion Be.ome. Your BuildinC Permit Wben Approved 8ui1diDS Offlcial DIl(!: Il'aid I - I Dale ~/-of" 14 pour Rude. for al1 imip~ctiDhs (951) 44'j-9H~O. tA'" (9~:Z) 44i"",,~4! IDDIlJ lilY a3110l!.LNO:> 9L~909tlS9 XVd 8t:Ol aaM 100~/10/80 I Re.eipt !IIo_ . iBY~ He /5(P ~ bJU.LiuJ . f-; . ,J " "" . (..... . -. ,',-.. -, em OF PRIOR LAD . .'. i, r ! Da1e "~4 BEATJNGlAIRc....,.:~...,..:&...~I.l,AOI-G/FIREPLACEn.R~J Q '.32001 '1, ~._---.._-_ ..1// ___ ~L.,.o" __......J ~=. .L Il'uauTNO. ;:'t;;91 , _aII~_.' , '/~~~O V;'L'knt~ Cwwe6~ yJ/l1~ ~ 11PL:5D"-\ I 1I1}J..L D1lSCJUr: nON (...-GIIlYl I.CYr l BLOCl!:-o AJ)DmON 0WNB1l (N-) CAddIae) '- /J I'.IAd~ f?/ (jrp. 50 1/ PID..2r-1:3~-oJ-o \ l,PboAI) , I :'~,L1.h-1J ~~ ~ fHr; ~)/fo31'f13-:p.t,7 ,..~",,).fl5()5 -,J, /$ (jilt. N. ::ff~30 \--P'j.~ LfnN 55'-Ni . i . l~l . l (ZlpCade) (OJc_~:ist~J1 /'{{)'[01J/Jki. (J'IIcec) 7{,3h73-~:J6"1 APPUCANT~')NATtJU ~I cp~ n.t.TB CJ-~__ ; APPLICANT PLEASE COMPLETE BJ:LOW . I ~w CON~ (J It!PLAC8MlIMT CI Al.TBMTlONS ~-I FUIlNACB MAr It ANDMODII. (a flnJ 1/1 m X ,4-jM FUm. '1)r14:.' tb /I . FLUE SIZB ':2 JI R!'1WK OPSNlNOS INP'lJ1' /00,000 OtJTPUT.2.f2. (}{J(f 't'Yi'BOF,.............. HBATlNG01ll'OWD.1'LANI' ! .. ~~tKlOtf~ . ~!t.. ~..o..8yMn ~CdIorDeolMl FIUPU.cE M \Xi AND MOIlJlL' .....-. Pl.LUI. ~I Air t'-oP~ t1DhI ea..atn",., I .\ tato, IlIlpdnd IIdI Yad . lledI ~'l" ~ c.J ftIII ~Mu1l\.PlnaJlY ft... :..sutJLB \'Iloof)elo_ "-I.....II.O'~ 139.50 IIIlnlalunI Rl.o4d4<,daI.!IeIt 1II~M:OIIW~l ~.50 ....~~.HtlI,...Onl)'(Newc......" "'a) $6&$ ...fI-.lt:Il1III. f~""&AI1INIIoaI '.' d..1 AC 0Illy . 539.50 QUI QUO ...~ ColtS '1~OtUJ6 HEATING PiIM1T Fa! STA'l'B SUilCltUOB TOl'AI. PD1IlT JU 1luIhlloa l'InD\I 1# s '!'1.5(J $ .~ S IO!J.IJ() .~l\","~ . ,.:t ~\O "II'~'C.f.."\ . ,U\\J)\~G . (011IIo tJM 0It,I : ftiI 4pP11t ....... YOlIr......,...\t WIIIIl, .,'. I 1 .... lUOIIpl "0, . ...~I.. 0IlkIII - PI\I R-I'I-o I SYr ~ Ilaur....lItr fill la",1II,.. (lIG) ...,....._ (IlD) ...,~ . DEPARTMENT OF BUILDING AND INSPECTION " SITE ADDRESS J(.,3(,,0 I /,.~ NATURE OF WORK J...~- USE OF BUILDING ~\ro. PERMIT NO. 0/- Or& DATE ISSUED t- l'l--?-! CONTRACTOR ~ ~ ~ PHONE-8<1S--'~ NOTE: THIS IS NOT A P~RMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INS~ECTOR . DATE I FOOTING ~ 1111'1/0J , FOUNDATION (Prior to Backfill) I ~, I 11.rl.~/M PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SiGNED ROUGH. It)lS SEWER 1 WATER 1 SEPTIC b:;. 7/;"~/lJ) FRAMING vJ/r, A ,?!I(~itJl INSULATION t.J/c.-~. 1) J{~I ELECTRICAL PLUMBING HEATING (If required) FIREPLACE GAS LINE AIR TEST - ~ WI It- /()) 'trl..""-../11 V'U"V'" V~ . ~hW!D I . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS A A/I"5 6r.-1l:. (Alo J .fIr I OCCUpy UNTIL ABOVE HAS NOTICE This card must be posted neBr Bn elactrlcBI service cabinet prior to rough-in inspBctions Bnd mBintained until BII inspections hBve-been Approved. On buildings and additions where no service cabinet is BVBllable, cBrd ShBII be plBced neBr main entrance. GRADING (Prior to SOdding) BUILDINGr," IC.o. ~ ~II /OT.. ELECTRICAL-' PLUMBING HEATING DO NOT 6~ /0-17- 01 tL/t-/.P./ 111/'7/1)) IV/vi U/ BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 '--.. QLt..l~flcau of 'ccupanry Lll r OF PRIOR LAKE J)epattment of Jiuilbing )n~pedion ~Final Permitted 0 Conditional C.O. Expires This C~rtificat~ issued pu_ to 1M r~quir~1M1Its of S~CtiOll 307 oj tM Uniform Building Cod~ c~rtiJYing tlull at tM ti1M of isSUQ1lC~ this stntcture wa.r in compliDnc~ with tM variOIlS ordintDrces of th~ City of Prior Lok~ r~guJating building colIStruction or IIS~. For tM following: SINGLE FAMILY 0...., .... Type _ Type C_tion Fire Zone BId.. PermiINr 01-0691 N/A PUSD ZoaiDa District Use CIusi_ R3 VN LeplDescripcion L7, B3. CARDINAL RIDGE FIFTH ADDITION OwnerofBuildiIlll _ .,.._ 16360 HOMES BY CHASE. 1668 E. CLIFF RD.. C_..N....,._' ROBERT D. HUTCHINS ~. City_ I ~(TI"r;:- ! " , . POST IN A CONSPICUOUS PLACE VICTORIA CURVE BURNSVILLE. MN 55337 DON RYE o.te: Dote: DATE TIME SCHEDULED ~ A, (; / J~:"'" (' ~r<J CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /(., 3~() OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION 'ljtFINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL tJ( - ("" o EXlGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: S':' (, ~~(.....,.........) '" 'i <> - ~., 92.- '. <.t"'1:!"~.. ". ;", .q)ii,';". ~ r _.~i~ . ~ /) '!tWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK'jALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-98&0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOT/ CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH of SAFETY/ DATE nME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /u.:$'O/ z..',vV ADDRESS /~3'~O 1/( err:u:",q CI) L'..t./6 OWNER CONTR. PHONE NO. PERMIT NO. /-~91 o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING o FOUNDATION 0 MECH Rl 0 COMPLAINT o FRAMING~ 0 WATER HOOKUP 0 FIREPLACE Rl go INSULATI !SEWER HOOKUP 0 FIREPLACE FINAL FINAL PLUMBING FINAL 0 GASUNE AIR TST o SITE INSP ION MECH~INA 0 COMMENTS: ..,.L.,-- ~ . m ~~~ ry d-v-- ~ ~ --h ti~.~~~VI-- , OJ) ~ ~~;-:rz~' ~ ~ i. - /~~.L-r-': '0")- ~.k~~~~~7f~ ,tI\)~ ~ .6-,-.,...fl - <ic,.o .n n.1J , ~ ~ (/eJ:t;. ~ ~ c/...t-d.. ~ I~ -/~ ~ 4') ~...~' ;,~ ~. ," .~ ~ , " . Cj), f~ o WORK SATISFACTORY, PRO ~ CORRECT ACTION AND PR. D o CORRECT WORK, CALL FOR R INSPECTION BEFORE COVERING ~ Inspector: OwnerfCDnlr: CALL "7.9880 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IN8NQn 'I.;)IJ -01 '/1:.30 / U '3 /;, (') YI f./TOJU ~ ('--<imP:; CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING @ 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP o FINAL Y~PLUMBING FINAL o SITE INSPECTION """"0- MECH FINAL DATE TIME I-I, CJ J o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTin p~ ~ ~ ~ 111 ~..fA.,1 ~p~ P~~~~I (fJ ~~ v /4,.,,-1 (1--.., ~ g) ~ \~~'.... ,~ I /J L -- {;n-, f ____ ju "\ i{j I~ /0/ ( . .. 0') I / i/ / .' ~U.~lI ) ;ri~7i"71l . ..~..<'.. *N~~ ~ ~ .~ -~e.m9.. o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED )! CORRECT WOR) CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I Owner/Contr: CALL "7.98&0 FOR THE NEXT INl'IPECTION:U HOURS IN ADVANCE. 1NSIWT1 CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE. INSPECTION NOTiCE DATE TIME SCHEDULED 1017-01 /1M ADDRESS ~rJ l/,L.+f")'iC. CU,V<. OWNER CONTR. HO!t1{..5 hy C.JIDJ!,r PHONE NO. PERMIT NO. 01- c,'1/ o FOOTING o FOUNDATION o FRAMING o INSULATION )l(FINAL o SITE INSPECTION COMMENTS: T,Othhn v J.-~F~..,(, o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~EXIGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o f...ulh !3r",. H~" 0, ~/r I'lft D,'IJ~_ , , hlak- O~ )f WORK SATISFACTORY, PROCEED '* CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector4~# Owner/Contr: CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ 'N<NOT' -----------~------ Job Addro~~ ORSAT TEST I~ 3~d (/~ t: O Heating Contractor ~ DatI> 7--(2.-0--( Pressure 5. ':r Percent 02 7.Z PercentCO ~ - I L " Percent CO2 ~ Stock Temp /6~ ~ .'