Loading...
HomeMy WebLinkAboutBldg Permit 04-1177 ...o~ PR/O <' ,., ~ ~ ~ U '" A,J"IVNESO,\l CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / I AND UTILITY CONNECTION PERMIT / ( ~I V ~ ! I I PERMIT NO'J04-. 1177 (Please type or ~rlnt and siitll at bottom) ADDRESS I ~lX) /~,/, (l<.<) - '1110...1 LEGAL D~SCRlPTION (office use only) LOtJi?B~"OCK I ADDITION J l J ~'::e~~'l1efJD"J ) {I("yy ~ ' ~ (Address) ?~I (LfS- ]L<:;J fA/.zr:;;1 ~ 1 While File 2 Pink City 3 Yellow Applicant ZONING (office use) 1</ 11J,{JS s:~~. PID 2.5'. 382. 028.0 (Phone) ~::;l.~ k"? ;L- 7 bO ( A- j{lL, _ / ~ ~ .ft-7 _ ~ - C: /-:;.4 (Phone) a '>::l- 4' ?:L- 7 {,O( >- (Phone)qC>:1.U:?"'L ? La '- ~d_d~!b - A ~/~4 BUILDER -1 I j r-> 7 (Company]\ ame)ft7 q/ ,.,_~,/ / I.. b _ ..... . (Contact Na neJ -r-::-.lJ:' CCL~J.s";:>- (Address) 1'.1 fobt . f Ltc-/7- ~r] Cd~c;;, 7_ TYPE OF V rORK ~w Construction DDecL _ DPorch ORe-Roofing DAdditlon DAlteration ~i1ity Connection 0 Mise COD~ LC. DI.B.c' Type of Cons metion: I II III IV V A B Occupancy G ~oup: A B E F H I M R S U Division: 1 2 3 4 5 ORe.Siding DLower Level Finish ~eplace (1)0 $, <sir, fr-:J ~. -/ - PROJECT COST IV ALUE (excluding land) I hereby certify lh It I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am tht' owner or amhonzcd agent for the above-mentIOned )ropeny and that all construction will conform to all existing state and Jocallaws and wi!! proceed in accordance with submitted plans_ I am aware that the buildmg :",1, vok, l:z:.::::urthc>mo,e, 1 h",by 'gm Ih" 'h,c.~ omll;l:ig~m3 ':] 7~h' pmperty to pc>fmm 77:'P;;-:0 if- Signarure Contractor's License No. Date I. # 35'7. 0 oo.o~ Permit Fee ...1l;'"~ G: 5""0 I 1~~7.0i' I 17~, Sa I I I I I I Plan Check FI 'e $ $ $ $ $ $ $ $ .3 5'". S""'lJ ~tJ.lJO State Surcharl :e Penalty Plumbing Per nit Fee Mechanical P ~rmit Fee Sewer & Watl 'f Permit Fee Gas Fireplace Permit Fee (60,00 100. () 0 ~:ecAmgp=;;lr;i~o; (]uilllllg Ofl1cial ' Date' , Park Support Fee Water Meter Size 5/8"@ Pressure Reducer Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other # # $ $ $ $ $ IZOo.D el $ 700 . 0 D $ 15" CJlJ . D CJ $ # 'i?'S-~, co I.'<!..S'O.OO 30(),Del :A::l. D D SAC # TOTAL DUE ~ 1'./I/./)4- I Paid /1) '70(P' .::> 15 I Date / /- .:J q -I"i l-I - \ I Rece1PtNo,0'~O:1U By g: ThiS IS to certify t lal the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This documen! when signed by tl e City Planner COnStltlltli' a temporary Celllficate of Zonmg comphance and allows constmctlOn to commence BefOle occupancy, a Certlticate of Occupancy mnst be "j?.QA4~ ~ ,l1p II//(f!oc.f , Planmng Director , , Date SpeCIal Conditions, If any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 ~---.-~---"" -----.------------------.--.------.-.-..-..--......-..... ..l..~X :R10I? ( f5 ~1; ~hitP. _ Buildina !;:.anJlrv - Enqineerin!D Pink . Planning Th... C...nl...1 of Ih...l..k... COllnlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST AF'PLlCATION RECEIVED f\! c DOr0;-\ L-C> 0 (,)Srf2. . i I. S. 04- NhME OF APPLICANT n e Building, Engineering, and Planning Departments have reviewed the building permit a~ plication for construction activity which is proposed at: '"/, () 0 C) C, .' V~ i' LX-I ' ilJi.\ I 1- ~_"" ... ' i.-'-. "-' \.J-'\ l I I \ Accepted x' Accepted With Corrections Dllnied Rllviewed By: IJ19-A Date: //-/2-0'1 ClIlmments: Se~ Rev.e.rse Side for Additional Information! nriVp.WRV Must Have A ConcrAtA Ap.pro"ch See Attachments: n Gradin,? Plan. 2) Erosion Control Measllrp~ "l 'he issuance or granting of a permit or approval of plans, specifications and cfmputations shall not be construed to be a permit for, or an approval of, any violation of a y of the provisions of this code or of any other ordinance of the jurisdiction. Permits p esuming to give authority to violate or cancel the provisions of this code or other o'dinances of the jurisdiction shall not be valid." ""~x PKIO;" ( o ~~. White - Building C~n~.y - :ngineering <I)"nk lanninQJ -- The (erUl'f If the 1.akt ('ounlr~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NJl ME OF APPLICANT AF PLICATION RECEIVED [i . L-' ('rjA L. [) i I. ;. c4- 1-. , The Building, Engineering, and Planning Departments have reviewed the building permit ap ;>Iication for construction activity which is proposed at: . ( . rCi r\ I L- A( cepted Accepted With Corrections /' Dunied Ruviewed By: '" ~ ~ Date: II/fP-hC/ l2ea-d ad V.~. p , ~~~~.' Cllmments: n r~ ". fhe issuance or granting of a permit or approval of plans, specifications and c:Jmputations 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 ~ resuming to give authority to violate or cancel the provisions of this code or other (rdinances of the jurisdiction shall not be valid." ~x f'RIOJj> <: t ~'~ U . rTi r- ~hile . -- t1Uildirig::> Canary - Engineering Pink - Planning lhr(rnl('rlflhrlakt('ounlr) BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST N.Il ME OF APPLICANT AF PLICATION RECEIVED M cDONA L-D c-o N5fl2.- . I I. 6. D4- The Building, Engineering, and Planning Departments have reviewed the building permit ap plication for construction activity which is proposed at: 3000 BDBCAI T12A1 L- Ac cepted Accepted With Corrections /' Dlinied Roviewed By: Cilmments: J~ r ~~ aU~' Date: //I/r/a c/ -. I ( "rhe 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 c ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits ~ resuming to give authority to violate or cancel the provisions of this code or other udinances of the jurisdiction shall not be valid." CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please tvue u mint and sien at bottom) ADDRES~ 3000 BOBCAT TRAIL ;:;~ ~::y I PERMIT NO.L. i'", I '~ 3. Yellow Applicant L.ill-L...lJ ZONING (office use) LEGAL D ESCRlPTION (office use only) LOT ] ILOcK ADDITION PID OWNER (Name M-CDONALD CONST ,(Phone) (Address) I , (Address) I (Phone) 6,1-633-2,61 ~700 NORTH F AIRVIEW A VENUF (Address) ROSEVILLE (City) 55113_ (Zip Code) ,-'.' (Contact p, rson) BRENDA HUSTON (phone) _651-633-2561 APPLICAl n SIGNATURE BRENDA HUSTON DATE 1124/0, APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical OAir Conditioning OVent. System HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLAC, MAKE AND MODEL HEAI.N GLO fiOOOTR-OAK FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 $39.50 Industrial, Cc mmercial & Multi-Family Residential, I :eating & Ale (New Construction) Residential, I :eating Only (New Construction) Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use 011Y) This APPlieation Becomes Your Building Permit When Approved Building Permit # $ $ $ yp.\O ~f\tA\" eU\\.P\t-lG .50 Paid Receipt No. B~i1dine Official , Date D~1AN 2/ Z005 By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~ .1...,.."" ~/ -_._~-_._-; -', I',,: I." ", CIT\' OF PRIOR LAKE PLUMBING PER.l'VlI"r:lI JAr" 1 llwb:l By ___.__ - - ~-- (P18uelYllltGrtlr!m..!!?~'2:bottla.m.) __ __ tDDRESS 300_~11.9bu\+__H~ I ;:,;~, I, PERMlT_ NOA-.' II' , v.rto". Applloar.1 .,....,.-; I-I--L-J.I l I ZONINa (.1&0...) I Sf'Jv.+h ~~~I~t/cJJon~ Jd WMftYf.jjoh, Jnt __ (Phono)ff:J..:.Y3Q)- 7ttJ-L I (A44an) ~!iUll-/ YS-fh ,st.Jt/. 1 L:rf)P 0.411.b ,-~,:~j () Y =~ .6-1/1'. Sf~'(!JJJ~!J8T J. n(. (Phone) ft~/~ y\\ 9 - JJJ~r? I (Ad4ress) rf",st ~u+h~c!a..J._Ave ._Jl/r)()jJ;/Arv..J:h.., ..s--.J/c) 9 , ."........../J (Addr<..oss) / (Crt0 / (Zip Code) j(ContaClpeJon>-LL't,1.J,d S:~/''l-J.,_ _ '-=- (Phone) hs-F/\l-I}- rYJ fYp i APPUCAN":' SIONATURE _dJ~ ..;~. u;/~ __ DATE / '--- J 7 '- rJ~ Qua.thy ~ I '~ ...:::. I I I . " -? PID APPLlCA."'IT PLEASE COMPLETE BELOW i Type o~ ':Ix...re I B~ Tub wlth or without shower bilhwasher I Floor Drain I L!V~ (~room Sink) l LauD~ Tray (: or 2 c:ompartmerJl ,ink Shower Stall I SitW I Bar Sink water Closet (Toilet) Qaaauty '-1 I I "I'ype or Flxtllre 1 Rou.gh.in8 I Water Heater i W.... Softner i St8n~ Pipe (~ashjna; Machine) I Sew. S1ector I I3acld'low All8emblr I l:iackffow ASHmbly Test I LaWn SOrinkler . I~r I FEE SCHEDULE Jndustrial, C.mmerela.l" Multi..tl.mily 10/. of job cost 'o4<ith i! $39,50 minimu1r. Rosid.nlial. Now Ono &, Two-PIllI\i!y S99 50 RosidCJltiaI. Addllion. &, Alteration. $39,50 Es!imatedCost s/d,roo.vQ Building Fonnit# OY-://?1 PLUMBrNO PERMIT FEE $ ~OY\ ~D ~Irf STATESIJRCHAROE s' .SQ. _-~If't..--. TOTAL PERMIT Jl'EJ: $ 'CIfJ'\-.~~ ~~~ .. This APplitallOft Becomes Vour Blllldln& Pe\'llllt When Approved I' t :Pa1d ..u it.. 011I<10' D... I I. DaYAN 2 7 Z005 Receipt No. By 24 hour notln for 01lIn,po<l100, (9G) ...,~. fa~ (952) ....,~W ::-/ - ~..~.--...-,,-~- qTY OF PRIO;R LAKE HEATING/AIR CONDITIONINGIFIREPtACE PERMIT Date Ree'd q?lelSe "l'~ or orin! and 'il!n at bOlIllm) I ADDRE S5 . ;3Cx'J(,) .~bO{lf 1,P-lfIlI: 2."""" J. YellQW ~; I PERMlT NO;6.. I ",., I AppUwu --~ ZONING (ottie. IlSO) //'1 . LEGAL DESCRlPTION (ollieeus.only) LOT BLOCK ADDITION PID ~=~.(fu1~/D (' Op-.C) \::' 1-. J (Phono) q~- ~:?~- 7C-.f"l L. (Address: APPLIC. \NT. I if f\ '/0 (Name)_ .rfi.)IL~7'""~~~) f ~; /' (Add=s;-{)./iQH\ ffl"i./;..,,) ft,re.: J:il6:...\ (Address) . , (f" (phone) -o/c:t) - ffi;Y:J '/ , I /"??,M.., . :-:: :::-< j Q z: (City) (Zip Code) (Contact. 'erson)..;::;, _ (phone) . APPLID.NTSIGNATURE ,,"'d,_~~ _DATE-L-/.t/-(1S"_ APPLICANT PLEASE COMPLETE BELOW I ..--EJNEW CONSTRUCTION . 0 REPLACEMENT 0 ALTERATIONS FURNAC ; MAKE AND MODEL ~~..... c.Q;.zE~m;rC):l FUEL N/9-/- FLUESlf SII We. RETURN OPENINGS /6 INPUT (Co:ooa OUTPUT 9.o.cc:::! TYPE OF',,!,,!.c!.1 HEATING OR POWER PLANT ~Air Plant' 0 StCam OQl:lu<ity 0 Hot W.!fir ....ErM~hanicaJ 0 Radiatioo ~nditioning 0 Special Devices penL Sysrem 0 Other Devices PLEASE NOTE; Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks . . FIREPLAl:E MAKE AND MODEL Industrial, C ornmcrcial & Multi-Family FEE SCHEDULE , 1% of job oost RosidontiaJ, Gas Firoplacc $.39.50 minimum S99.50 $64.50 $.39.50 Residen!ial, Hc.atjng & NC (New ConstrUCtion) Residential. Heatiog Only (Now Construction) RosidCltial. Additions & Altemions ResidCltial, AC Only $39.5Q $39.50 Estimated Cost $ Building Permit # REA TING PERMIT PEE STATE SURCHARGE TOTAL PERMIT FEE (Olliee Use ( nly) c .50 \r~:~:~MIT C\U ..... . , $ $ $ This APllication Becomes Your :Building Permit When Approved apilding Official ! Paid ., 1l[.la~Ali ~ '; :~:;S Date I' . 24 bour.noticdtlrall i"'1'ections(9S2) 447"~AAP~Wr.(95Z) 4474245 16200 Eagle Creek Avenue, Prior LI.k., MN = ... ... lilY anl0l!.LNOJ 91.<:909HS9 I ~ceipt No. il ~y TOO~ IYd LC:ST IlId SOO./tl/TO Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT -' I Q,,," ,,,, I PERMIT NOLI /./'; 'II 2. Ytllo.. e,l)' _ ). Cold AppliClIU (Plc:ase N~ or Drint and si"ll at bottOm) I ADDRE! S .~ rj()() l~~~ (',aJ T V'1 ~ I ZONING (o_use) LEGAL I lESCRlPTION (office u.e only) LOT BLOCK ADDI'TION PlD OWNER (Name) ~. r. D U-b-t (Phone) (Address) (Addrcss) (City) (ZIp Code) APPLlCA Nl:..,- I ~ (N amel .J .{), r.hQ.. r::=- 'fl .J (Address) ~ ~ I b T f) }II P S eloCR...- - (Addre<s) (ComactP~!Son) Gllb ~f~ ,~ APPLICA-ITSIGNATURE r ./-lrt lk-~ 'f 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 L feet. Clean out (if required) located at feet from strUcture. (Phone) . ~l~ml\\J;t-I\~ fl1)/ ,lJ,\"Lf,),j ~r (~) (PhOne)~S"~ DATE feet. o Cast Iron FEE SCHEDULE Residential, ewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum Sewer conn, clion only $17.50 Water connection only $1750 Estimated Cost $ Building Penn it # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ 5tpAID WITH BUILDING PERMIT (om.. U.e Onl y) This Appli :atlon Becomes Your Building Permit When Appro.ed I. ~.;. ~ ,. r;..: I Receipt No. r-:. clr~ rr? I~ Ii Ie' ,I i J: 'flaw- III11 By Dm ; i n' APR' 8 2BB~ I; II 24 hour notice for IlIln'poctioDl (952) 44 ~9150. fax (952) 447~245 1.)1 13v.. ----,~I B'i~d;ng om"., I 10 391d , 3H03f gOg 9L69T88~.6 ~T:LT .GG~/LG/~G PRIOR LAKE DEPARTMENT OF . i BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS ~OOcO ~&C~.,... Tf2.,A.'", NATUFJE OF WORK ~G'W Q~~TaH.AT'LO~ USE C F BUILDING s.~ D.. PERM T NO. ()4-, 1177 DATE ISSUED II lit lot.( CONT.=lACTOR ~~~"'f.b c.a~, PHONE:'9S,-CfJI-7/-A t NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW , THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING PbcrOR , FOUrmATION (Prior to Backfill) I /7$ I /,)'//~ / ~r' 'LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS 'ftd5 /lJC Wh ,,4.// ~ /; "~s,..., WL I ~ DATE I I h . , j I '., l!IJ) f/I- f~ ';1"/.,,./ . . I COVER NO WORK UNTIL ABOVE HAS ~ SIGNED ltATtlte I H6uS41J/tA1' I .--------1'f'.ot!g I /l I ft/;d /(,710/ .dZdci FINALS Lt:>tA/~,--~peI0f'h"s.lt:'j. . GRADING (Prior to Sodding) ,AI 6 ~ 'l:~J)5"' ' BUI~DING'H ~//. e (). "'..~ /' d'"P /0" - ?jtJ 7'-.2-~~ ' ELE'~TRICAL' ( .t/ AI/t'J- PLUMBING r~ %~ HEA TlNG ,... ./ -...;' DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED , NOTICE IThis card must be posted near an electrical service cabinet prior to rough-in inspections iand maintained until all inspections have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. SEW ER I WATER I SEPTIC FRA ING .' INS LATION /,5~..2"~ Nt?tIY ELE TRICAL PLU BING HEA'rING (if required) FIREPLACE GAS LINE AIR TEST , /';1.//3 ,. - , r;e;t' '=-~"cr r:---. ,...,. FOR ALL INSPECTIONS (952) 447-9850 - ~/;~s nue CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ]001 ~ OWNER CONTR. PHONE NO. PERMIT NO. 4 - 1177 o FOOTING o PLUMBING Rt o EXIGRADIFILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI ~TlON o SEWER HOOKUP o FIREPLACE FINAL lNAL o PLUMBING FINAL o ~SLlNE AIR TST o SITE INSPECTION o MECH FINAL IiIf' ... COMMENTS: 6-'( ..J- r (~ . /rlo - J ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING Inspector. () !'J Owner/Contr: CAL'!l?s~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl uF PRIOR LAKE ....SPECTlON NOTICE LY SCHEDULED ADDRESS JOOD AiCQI OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION 'FINAL o SITE INSPECTION CONTR. PERMIT NO. o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ,.a--MECH FINAL DATE TIME ~~r 7// Oq- /1' 77 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI ~IREPLACE FINAL o GASLlNE AIR TST o CO}llM~TS:1 - ," . / f / ~ /~ c.. ;::-;~ I d-p"'-<- 9' /0/ a\'- /?/';c4: A-:.. /' - .d/",&~d' O"-<;;Q~~...,L (}:) .4,.JSe. (<:;;4 '(( t:JP1. /ro#~n,e, ~ ~~~ r't?-"hr. fr.-.. ~C:,A.<1..r '~_ /,,)4-'/ c:;// 4,.. ";;t.v~4-c75o,,",- ~ C~ CJver , v' A _/ /' 17 / _ / j) (3/ /f/-eed ~"PJ,'I- Cl'tf'P?tc-t ~6...... -T~ ~.vl'?' t- ~ i-c,.. c::~r;..4' ~ ^";-- c!tC// iiI" hh., ((9;;/e ~,.,~I @ /t/;'#;J('.{ ...sJ-/- ;/ree.s /L?e, Lkv,. Cb~;; o WORK SATISFACTORY, PROCEED ~RRECT ACTION AND PROCEED o CORRECT WORK';~;7 RElNSPECTlON BEFORE COVERING Inspector: /1'~ Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ,.,"'''' (~ -.IF PRIOR LAKE ...SPECTION NOTICE SCHEDULED ADDRESS ,;>G'~ ~ 6" ~ ;L OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~CH FINAL ~A TIME ~;~- / 7r/ Cf~-// ?? o EXIGRADIFILLING o COMPLAINT o FIREPLACE Rl ~REPLACE FINAL o GASLlNE AIR TST o c..OMMENAS: / ~ / /1 ' (5j Yeed $,d,'?u/"p..ce fi;~/::G.YJ ~r7~ fYoe:;r ~ ~J-?-;L (\' ~ ~) L.",~~ ,);/ ./rl-;jJech.- d/: ~/;?~ -/-f{.;-r y drq,v, <</AJ?"- r~U.V . /" ---r / ., ~:r~7Ce- hk-/ qrc. / ~(2/u~_ ~ ~_,,~/d (3/ r;;//.f2, ~c-L:' 4 ( ~ /?~e"j'l.O-' ,tJ<../e.--- /_ '" t'""O./-r#/~ - ,/ ///// 7~~:;' (: u. C/.Kp / E///as- ~/c o WORK SATISFACTORY, PROCEED ....lii"CO'RRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING Inspector: ~ ~ Owner/Contr: CALL ....7-~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! tNSNOn DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED X' ~22-OC:- ADDRESS ~~ BDtrA f OWNER CONTR. T,I rIIe-~11 4- - /1/1 PHONE NO. PERMIT NO. o FOOTING o FDUNDA TlON 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 ~~LLlNG o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: (;n.,.kr Ci> /(. C-v (6 &"f.~ t9 /L. No). ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING lnspector:~~L __ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH'" SAFETY! ,.-n CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS :?a1'J ?J.r.n 1- w OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: I.~W Z. M1\1 ~ CONTR. PERMIT NO. o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP .:s:. PLUMBING FINAL . 0 liIECH FINAL (1..,,,,,, j DATe TIME "3L~~/65"" L/-" //77 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o C/"l-'fg~~ o WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o CORTi!3REALL FOR RElNSPECTlON BEFORE COVERING Inspector) Owner/Cont~ CA 447-9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CO~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFE~I INSNOTI Job Address Healing Contractor Name of Tester Dale Percent O2 Percent CO2 Percent CO Stack Temp. ~CClQ ~~r ,~t Controlled Air ~e. '\ mO>.i e-1A 0 <- jc?/l ~...I' ~ l\ ~O