HomeMy WebLinkAboutBldg Permit 01-0728
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please .!VDe or Df ot and sign at bottom)
ADDRESS
J"YtJ 7!
G YN/_' '171'r
7rQ/1
Nt..J
LEGAL DES :RIPTION (office use only)
LOT if BL )CK 7' ADDITION
OWNER
(Name)
(Address)
BUILDER
(Name) t..1 t"NJ h1 QA,,/I,/
(Contact Narr e) --.G Q.J' Y
/
(Address)
. TYPE OF wbRK
I.White File
2. Pink City
3. Yellow Applicant
/;...
.-
"'~"'--'
/' c) Jf
(., /...//V I..; tIl'llr / A-d /
,
JJ II J1? I"J
~ew Construction
o Misc.
OLower Level Finish
PROJECTCOST/YALUE (excluding land) $
Date Rec' d
ZONING (offic,"se)
R - d--..
-~
PID :25-?'f 2-0J.Y-O
(Phone)
(Phone) ~S/- Y'IJt - 'YyoD
(Phone) ~ / .2 - J 6 ~ - 7 ~ / 2
ODeck
OPorch
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
I hereby certify tI at 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 y~~t'-"J 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 upo~..'e pr11perty to perfo~ nee"'inspections.
X /J aW ,,~ /Y.5~,f- 7-;2- 6/
/" tj7"Signature Contractor's License No. Date
I Permit Valuatic n I
1 Permit Fee 1 $
1 Plan Check Fee $
I State Surcharge $
1 Penalty. $
1 Plumbing permit Fee $
I Mechanical Petimit Fee $
I Sewer & Water!permit Fee $
I Gas Fireplace ~ermlt Fee $
/) - ~e'
(~'f::, _Y_~~':;.~7"'
ull 1fficlal Date
,
ISO. 00::).001
1;.p?/~ 1
p,~'J ,cf 1
75'. nO 1
I
I
1
1
1
{t> 0.00
fOQ.OC=>
3S.SO
L/O . ('y)
o Fireplace
OAddition
$ (N).OO
$ I, l en .cl:)
$ 17'-0 (')
$ 1./<::. o()
$ l,aOO.oD
$ '7oo.ac
$ (HC::;O(J . tJO
$ .
$qOd-;:t-, VI
I Paid
I Date
fMZZ '!v/
:' lirt' 1
I Receili,W: kJIBS;-
By / j,/i(/-
/'
This is to certify th~ : 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 :'ty Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
1 Park Support Fee
1 SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
1 Builder's Deposit
1 Other
1 TOTAL DUE
#
si9-'I".
~,.
#
#
#
7!VJ let
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
~
~~
White - Building
Canary - Engineering
Pink - Planning
ThC'.,nlf' nflh.,I.Mkf{'Ountr,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NJ ME OF APPLICANT
AF PLICATION RECEIVED
'j. /.
, '-.J J<_. ,';'.,-'Jr. '.j
-7 - ,:~;-o /
" c
,
,-,j
.--
Th 3 Building, Engineering, and Planning Departments have reviewed the building permit
ap )Iication for construction actiYity which is proposed at:
_ /.; 11/ () /j -r--
-=- / / /)/! /_L.{ t ..4 P'~'l J'
/ '
,
'-"
Ac :epted
l/
Accepted With Corrections
DE1nied
~t'~A
Date:
-:r / u, J (;:)1
. .
Re viewed By:
Co mments:
"Tt e issuance or granting of a permit or approval of plans, specifications and
cor nputations shall not be construed to be a permit for, or an approval of, any violation of
an~' of the proYisions of this code or of any other ordinance of the jurisdiction. Permits
pre suming to give authority to violate or cancel the provisions of this code or other
orcinances of the jurisdiction shall not be valid."
...--,.='"
White . Building
Canary - Engineering
Pink - Planning
Tht("tnltrof Ihr I.. lrCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME I)F APPLICANT
APPLlC:ATION RECEIVED
/ / ) ~ A1</L/KJJU
-- 7- ;g--oJ
The BL i1ding, Engineering, and Planning Departments have reviewed the building permit
applica lion for construction activity which is proposed at:
:3 '10'1 fJ,tJ/f/VI-lddp/1 ~'-.".--1/V I
Accep~ed
)(
Accepted With Corrections
Denie(1
Revie\ {ed By:
NnJ3
I
~
. Date:
)-0 -C){
Comrr ents: See Reverse Side for Additionallnform::ltion!
{(Ie. "1/\ Ft"1 e. ."
: I
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
~\I=r"c;ion 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 )f the provisions of this code or of any other ordinance of the jurisdiction. Permits
pres Jming to give authority to violate or cancel the provisions of this code or other
ordir ances of the jurisdiction shall not be valid."
Jul,3o, 2001 3:06PM
GENZ RVAN PLUMBING AND HEATING
No,9U27 P, 26/29
D,ate Rec:'d
t pR/O
€VN~
.1.....kB.O't'"
CITY OF PRIOR LAKE PLUMBING PERMIT
,f
H?"" S-I PERMIT NO. 1- 7~YI
fP1ease tvDc 01''DrlDt: ad mm 'atbotll;l~)
ADDRESS .,'.
,~ -,,' ,:61/1 yJ/A'J~i€-
ZONING (olllco...,
-r/Z. A- r L... g d----
LEGAL DES
ON (olllce use OIl!y)
U ADDmON tAJ? n~.f\ n. . tsr--'
PID;:) ''--5<) ~- 0)'-1- 0
OWNER
(Name) 'lJensD ann Homes
(Ad~) 189~ Plaza Dr
(Phone) 651-905-3709
Eagan, MN
55122
APPUCANT
(NaI:"'~' Genz....Ryan Plumbing & Heacing
(phone) 651-423-1144
(Ad~~ 14745 So Robert Irl Rosemounc. MN
(Ad~) (City)
(Con=Pmon) Marv Olson <\'1"'iie) 651-423-1144
APPucAlitlSIGNATURE (1 h,-.~ DATE ~nf
APPbcJ.m1LMsE COMPUTE ~b.~w-
I Type of Fb:ture I QIIlIDtity I
I :E ath Tub with or without shower I Rough-ins
I r ishwasher I I I Water Heater
I Foor))rain I ~ II I Waler Softner
1 L UG~'I (Bathroom Sink) I I Stand Pipe (Washing Machine)
I L mndI)' Tray (lor 2 compartment sink I I Sewage Ejector
S lOwer Stall I,.J Bacld:low Assembly
I S nks I I BackfIow AsS/lll1bly Test
I B II" Sink I I Lawn Sprinkler
:)., I 'i\ 'ater Closet (Toilet) I I Other
. 55068
'., (Zip Code)
,
QllllDtity
:Z.
I
I
4
I
\
I
Type ofF~
FEE SLJ:U!.IIULE
Industrial, ClJll1l7ler :jot & Mulb-fanljJ~ 1 'Yo of job cost with 0 $39,jO minimum
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PEBMlT FEE
$
$
$
Residential. New One & TWl>-Family S99.jO
Re.identiol, Additions & A1tenmon. $39.50
!SUI{~t~,,::>,
p. I.
eu"O:<1!D [. ~.;,'-
, '" fNG f-
...
.50
&limated Cost $
Building Permit #
(omee Un Only)
This Applicatioo Becomes Your Building pemrlt Wheo Approved
Paid
~tNO.
B.Ud\o. Ollidal
Dab:
Date
7-;]1-0!
'B~
U
1.4 huur Dotice ror all iD.pedioD' (951) 447-9850, ru (951) 447-4145
3:05PM GENZ RVAN PLUMBING AND HEATING No,9027 P, 25/29
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR C.....l l....mONINGIFIREPLACE PERMIT "
- -
- -
1Pl<ue m>cortll'Jat, l1CIsiG.ltbO...",)
ADDRESS . .-
,~r)~ - (;'hi-\f'l wl'i'T""et2., 'TiLft/ L
LEGAL DES~ON(Olli"" we oaly)
. LOT~ BLOdK 4 Au.vwON I.AJU1s~ f 0T
::~ ~ frILKMl.ll....v. ---. ('>
),y..... .....,... /- /.-::r-tJ
ZONING (0__)
(<,;)--
PID ;:5- 35,)- 0;2 <; -{)
VW.l.....Al.\..
~~~ U~~e~nn Hnm~~
(phon~ '<1-on~_~7no
Eagan, MN 55122
(~~ 1895 Plaza Dr S~e 200
APPUCANT
(Name) G~nz-Iftvan P1111'l'ihinr & Hea~;n~
(phone) "~1_h7<_111'h
(CJt;y)
55068
" , ' (Zip Code)
(Addr~) 14745 So Robert Trl
(Address)
Rosemount, MN
(Contact Pe:tl\oJJ.) M.'rV nl ~nl"
APPUCA~:nsltrNA T'lJRE
",
~.') '<1_h7~_)'H
,) ~ - I
',' DATE -, CD.l.^ J
,
PJ,EASE COMPLETE B:Et.OW
IJItlEW Cv","u~UCTION 0 REPLACEMENT 0 ALlDATIONS
FURNACE MA1Cl AND MODEL I.p Y'lJr\n 'l. ~/lnQ'C_ll JOD FUEL J.... ~ k c:::>
FLUESIZE RETURNOPEN'!NGS filLn INPUT 1M, IJOT) OUTPUT (;lIt On-O
TYPE OF ,,~ ,,! u'lf. HEATING OR PO'WER PLANT
/1lw""" M Plan," 0 Steam
DO/1lvity o Hot Wo=
o M.c/Wllcal 0 R.1diotion
IilAit Conditioning 0 Special J)cvi"""
DVellt. SySleln 0 ~r DeviCC3
PLEASE NOTE:
Air Conditioner UJJ.i'"
Cannot :BJJ.croa~ into
Required Sick> Yard
Setbacks
FIREPLACE MAI< E AND MODEL
Induotrial, CO/Illl1etci , &; Multi-Family
FEE s,-~ULE
1% of Job cost ll.osiderltial. Gu FirepJ_
$39,50 miDimmD
$99.'0 R..ldontiaJ. AddiuOllS &; Altcrat.loO$
$64.50 Rooidcallial, AC Only
$39.50
Rosidential, Healing c , AlC (New Con_Ion)
RllSidential, Healing Only (New Coll3truclion)
$39.50
$39.50
Estlmallld Coat $
BuildiD.g ponnit #
(f'-... U...\)aly)
f', ..oJS Applil:aaoD Becomes YOW' Building peJ1Dit When Approved
BaUdi.. Ollo:ial Doto
I Paid
I Oate7-3l-o I
,
I Receipt No;..-
,I BY,"^'
eVil ':."VD ,..
'-lJ11V(3 VVI,/-t
p~P.
'l'i.1r;-
I
]
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
24 hour Datice for all iwpoctian. ("2) 447-91150. t.. (952) 447-424/5
Jul,Z5, ZOO 1 lZ:14PM
GENZ RVAN PLUMBING AND HEATING
--::---t:Ifr. 8.6 7fi p" l/J .
\ ';' ,-, '
, ! " Date R~'d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
-,'
Jl!. 2 5 2001
,
"
\ ~ ..
qrIease tvD! 01''P~ ~U1l1 sUm Irbotmm)
ADDRESS-"" .. -_'
3L\ G;J _ - ,01;' J III u )M""P 'Z
, ...:)
LEGAL DEsciuPnON (cmce use cmly)
LOTL1 aw:x Lf ADDITION
i ~ ~ I PERMIT NO. )- 7' --, <V-
3_ Dald AppIicmt ~ tJ
'"'Tt2.Jt ( L
ZONlNG (._...j
K~
I A )lAl1~
{c... I
PIP J5-;?S;;Z -() ~-6
OWNER
(Nune) Wan9~ann Homas
(phone) 651-905-3709
Ealtan, MN 55122
rOtyl (z;" Code)
(Addtess) 189 5 Pla~a Dr Ste 200
(Addn:>$)
APPUCANT
~~~~~~-~v~~,Plumb1nlt & Haacin2
(phone) 651-423-1144
, ..
(Address) ll745 f;" aahlit- '1'Tl P.osemounr. "N
,(Address) ~<jtIJ
(co..".,ntar:;rsnrJ ~NA:n>,Ol,,""l'" I ~{1~ (l cPh~J -2,S1-423-1144 .
_ ............, " 'UA>> J'- A ~ JL..----- ,__ D\A'rt.e """'~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from sttuctuIe
Type of sewer pipe_ 0 ABC 0 PVC
Estimated length of sewer line feet_
,.: Clean out (if req~d) locate!il at feet from structure.
~~.R _
~'P Coclo)
feet_
o Cast Iron
FEESCBEDULE
Residential sewer, Old water line c01lllection $35.50 Industrial, Com'l &; Multi-fBmily 1% Dfjob cost with a $39.50 mmimWl1
Sewer connection mly $17 .50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$
50
(,'1/..') "
"[II ',- -"
C! I 1"\1~
'. 1- . \...,. r~
(Ollie. u.. Ooly)
This AppU<atilJl Becomes Your Bwldlng PC1'DIit Whc. Approved
BnndIDg 0 IIId,1
D."
I Paid
I Date 7~~ --0)
IU:ccjpt No.
--
Z4 hour aoticc tOr ,II in.spodioD' (9SZ) 447-9850, fax ~) 447-4245
BY0~
U
#1928 P.001/002
uau: J'WC' U
i::;:' ~~ I PERMIT NO. ( _ 7-; Gr
'.Y<MIo"'" AppI~~ ,'1)
CFleL'l( ~ '" "" ~r.IIlld..tll'1 atborlX>ml
ADDRESS ZONlNGcaIIio%...,
~t{(J 7 C~:.. ~/I..;
.>
LEGAL DES ::RIPTION (olllce DIe only)
WTCf ST.OCI{ L( ADDITION ~4fUttl/ili.r./~ .
/ /
i.k .r
( .
PrW5"- -3);;2- ();) l[ t
,
, OWNER
(Nam.e) _
/ J;AN>_r...
-
(pllone)
(Adlin:ss)
APPLICANT
(Name) ALLIED P.IRESIDE DBA FIRESIDE CORNER
(Phone) 651-633-256]
(Adlitess)~'OO N. FATRVIEW AVENUE
(AdMM)
BRENDA liUS'I'~
(Conca,ct Per: on)
, APPUCAN: - SIGNATURE ,,~
, -
I
.f.:I~
1 _._,-
ROSF.VTT .T~~ MN
(Otyl
(phone) 65l-633-256l
5J::Q' J
(Zip Collo)
_=_,_ DATE
qjploJ
,-
APPJ..ICANT PLEASE COMPLETE BEI..OW
~WCONSTRUCtION o REPLACEMENT o Ar.TERATIONS
FURNACE ~ AKE AND MODEL ' FUEL
FLUE SIZE ~TURN OPENINOS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air PIl1llts
OGrtwlty
o Meoh",,;cal
OAiT Conditioning
OVenl. Syslem
I FIREPLACE MAKE AND MODEL ~~ AJ {. {p
o sr."",
o Ho' Water
o RadhLl;on
o Special Dcv;oe.
o O1tler Devie..
~.Ji!_~.f-_~
PLEASE NOTE:
Air CondltiDller Unit>
Cannot En.=""" Into
Requlnd Side Yan!
Setbacks
Residential. HI :a-ting &. NC (New CQl"Istn.lctlon)
Residential HI :lI.'r.ing Only (New CQnr;truction)
Fl!.ESCHEDULJi:
J% of Job COSI Residential, 0.. Fircpl'"
$39,50 minimum
$9950 Residential. Addillons & Altorallon"
$64.50 Residential, AC Only
$39.50
IndustriAl. Con ,me",i,! & Mulli.Family
$39.50
$39.50
Estimated Co,t S
Building Perm!l /I
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
50
. l3u1t.t1ID 11-
''lVO /7)..,
j::Ji2,~ "
lIV1/j'
(om.. U.e On. y)
This Applleatlon Beeomes Yonr BIlUdlnll: Permit Wile. Approved
D.re
I Paid
I Dale q- flf- I
RecelD! Nn
-
B.lldlng Offid.1
BY~
%4 ho". nolle. 'D, nil In'pfclID'" (95%) 447-!1I!O, fox (95%) 447-4%45
SEP.26'2001 O~:28 651 633 8884
FIRESIDE CORNER
CITY OF pRIOR LAKE
HEATING/AIR CONDITlONINGIFIREPLACE PERMIT
#2481 P.001/001
I,II1."e ........IE:......
~. =- S,... \ PERMIT NO. /-'1 () 'is
, ZONtNG(.- use)
12 d--
(P.'lelJ}le:_~cr:'DriJl:t lD.I:'siAJlatbatlDm"J
\ ADDlUl"'S l-"
~CfO"7 r;&gu)/>~ ~~
LEGAL DES(.fUJ:'J.J.v,' (ollico....o.1y)
_ LOT Cj BL~'Crf _4 ADDlTlON ?y/J1 /d,-7.~/u!;)tJ
OWNER /) :i1:!s
(Na.me) ...... J dp;- /. It'" ...
. (phone)
Froc:o- 35"~- OdLj ,-()
(Add.ress)
APPLICANT PLEASE COMPLETE BELOW
;; W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FUJUolACE ~KE AND MODEL . FUEL
FLUE SIZE RETUllN OPE'NlNGS . INPUT oUTPUT
T'iPB OF SYSTEM HEATING OR paWER PLANT
OSt~
o Hol Water
o Rlldiallon
o Speciol pc.i_
o Olbcr P""i_
tft:D> 'flI.. /~tij(ri~m)_
FEE SomDUU&
l'Yoofjob cost llcsj~..lial. OIlS Fireplace
$39.50 minimum
$99,50
$64,50
, APPLlCAN'I
(Name) AtLIEO FIRESIDE: PBA FIBESIDE COElNER
(Phone) 651-~,,-2,,"'l,
ROSF!\TTT ,1 F. MN
(CIly)
,(phone) 651-633-256J.
(AddJ:CSs) 2.~ 00 N. FIIT.RV'IEW AV~lE
(Ad.dr<>.)
Il'RENDA lltlSTnN_.
(ContaCf Perl on) _ -r J
APPLICAN":SIGNATUllE ~~ALil iI~'
" - ~
DATE
O.Waml ^ir Planl>
o Gravl<y
o Mcc:hlllllca\
Ol\i, Conditlanini
OVent. SytiU'ltl
F1REPLAC:;: MAKE AND MODEL ~ l) C;f4
Industrial. C' ,mmcrci.I Ii. Multi-Family
Resident/ol_ Addition. &; jIo.lta.>tlons
i<csldc1ltlal, jIo.C Only
~sid..tiol, ~oatlng /Ir. Ale (Ne'" Con_cllon)
R..;~.ntjol, !;:ealing Only (Now ConsU'Uetion)
Building pennit #_
Estimated. Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
5
,50
(om". U.. Jnly)
Tld, Af plicatio. Becomes Your Building ponnlt When Approved
rPaict ---
loat"Cj_;;TJ-6 ,
u.tt:
illolldillll 0111.1.1
:l4 hnur noti", f.r all i..pectio.. (95~) 447-9850, ta. r'51) 447..4145
~~~1?
(Zip Code)
tj/.){,,/Ol
PLEASE NOTE:
Air Conditioner Unit.-
Cannot EncrollCh intO
Reqvired Side YBt~
SetbllC~
539,50
$39.50
539.50
. BUIt'tiWG WITH
PERMIT
Reee:t"~ t~~.
By rfC/
PRIOR LA DEPAATMENTOF
. BU).L.QING.AND INSPECTION
flU j--IL~
INSPEC I N RECORD
Ot'i /' / J (1'
SITE ADDRESS ,> -!O?CD-fYI/\ \At 0)'-...., //
NATIJRE OF WORK N.e..J U -
USE OF BUILDING sm
PERMIT NO. fJj-O 1;;}.-f? DATE ISSUED ?~/&-~
COf\TRACTOR 0~ ~ PH-ONE (.,(7.- 3~'1-/t,/2
NOT E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\
INSPECTOR
pATE
FO TING 0 fB ()
, FO JNDATION (Prior to Backfill) I ~ ~ ~ g bIoI I ~ ~ i 611
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN 'sIIGNED
ROUGH - INS
SEWER / WATER I SEPTIC ~ ~\\~
FRAMING CL 1014 ~ \)/I,UU
INSULATION 1, UA-y
ELI :CTRICAL
PLlIIMBING lO)A: );( \ l.~ q!I)1 !ql
HEATING (if required) 1~1.4- ~ _Jfl..W.I &{ ,ela
FIREPLACE /"1"" I r '
GA:; LINE AIR TEST t'L ~, b-- I ~ ~O-j G( I ,<vIol
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS I
I )./ L7 4,/ / ~ "e:..
I "'&-~t1Mtl tc I~.m
I \,
I IZ \\w,~ rfJ i;;2t{. () I
I '1-. ..lw to rlA of
OCCUpy UNTIL ABOVE HAS B EN SIG'NED
NOTICE
.
eiq 01
C:l~dIOl
, ~11
ct. oI{)tOI
I ,
j
GR, ~DING (Prior to Sodding)
BUI LDING
ELECTRICAL
PLlMBING
HE) lTING
DO NOT
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approyeci: On buildings and additions
. where no seryice 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3~7 &ty,,'VA/.U Tr.
OWNER
CONTR.
PHONE NO_
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
3 'It) 7 - 6.,..,d~ - t!> IL
C.ur~ &,1<_ Pi::-
3'{oQ -t.,,-v( <. - 19ft-
GJIo fl-.< - f)C:
, >
DATE TIME
1/ -/fj"62..
W4!.d~""" Ho1f'l t:.1
t'Jl- )) (
~E~LLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
pORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COYERING
Inspecto~/S.""" ~~ ",mer/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IftiSJ<<)TJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
DATE TIME
!fJ'J-q-( (j;~
3fJo7 {j~
CONTR. J , )
,-7rY
SCHEDULED
PERMIT NO.
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
k ~LUMBING FINAL 0 GASLINE AIR TST
~~:E~~::kr ()~
I SS Lle ~.lL C.O. tAM-+' ( fJ)OJt);L
-. r I I
+N),t'S ~ ~f)cL peA' rkJe1fhwe.v\.1-
o FOOTING
o FOUNDATION
o FRAMING
A"..--D INSULATION
n ,.I'!I""FINAL
o SITE INSPECTION
COMMENTS:
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~, CALL FOR REINSPECTlON BEFORE COYERING
Inspector: --g JJ f1Al4 Owner/Contr:
CALL 447-9850 FOJTHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
~
0~~
White - Building
Canary - Engineering
Pink - Planning
Th~ ('rnlt'. of fhr I..kr ('ountn'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlS
N.lM E OF APPLICANT ! I ) /Mt.-() /YJ'l./L/J;L/J-<J
AFPLlCATION RECEIVED - - 7- 2--0)
Th3 Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
03'10'i 0 jJ /~/l'I"dJAR ~--.J./L..-> I
V' /.
><
Ac :epted Accepted With Corrections
Cc mments:
_~ru-L aM.tL~
De nied / --y /J ~
Reviewed B~ ([).....~~
/
1-tJ~
Date:
? - / (p , 2a>c::V
"Tile issuance or granting of a permit or approval of plans, specifications and
co nputations shall not be construed to be a permit for, or an approval of, any violation of
an { of the provisions of this code or of any other ordinance of the jurisdiction, Permits
pn isuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Job Address 3'10"7 ~"'/~'/
HeatingContracto~J??~
.;./ ,;
Name of Tester _ ~ ~ (. ,
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
LtJ- _2-$ 'C)!
?
C>
~
ItJ5
Combustion air is adequately supplied per
UMC Sec. 606
Input