HomeMy WebLinkAboutBldg Permit 01-0741
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CITY OF PRIOR LAKE BUILDING PERMIT, Date Ree'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7 / -0/:/
AND UTILITY CONNECTION PERMIT -10
/
I PERMIT NO. O/-o7~1
File
City
Applicant
I. White
2_ Pink
\ \ 3_ Yellow
(Please.!Vt>~orVtintandsi,"!atbottom) bAII'}- 'I " J
ADDRESS "$~~lf ~~,~./J.UJI
~A1VL ~,~<~'2,7Q...
ZONING (offic,use)
J(I
LEGAL DE~ CRIPTION (office use only)
LOT 1'1 BI OCK ~ ADDITION fA) ~ ^ ~ _ I ~
PID :;c;- ::lyrf.,-od-.?>4
OWNER
(Name)
rv. j i IJrruuu nUIIIIl::J
14311 Ewing Ave. S.. Suite 200
~.
Burnsville. MN 553f)6
(Phone) tj,S,{). - RCJ.S"- ~4 '-I ~
(Address)
BUILDER
(Name)
(Contact Nan Ie)
(Address)
(Phone)
(Phone)
TYPE OF W JRK
~ew Construction
DLower Level Finish
DDeck
DPorcb
DAddition
DRe.Roofing
ORe-Siding
o Fireplace
DAlteration
Dutility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) S l <;:..,.::::. n?') I'J
.
I hereby certify llat I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certify that I am the owner or
authorized agen1 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 c revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon ~e p~pe'1Y kO~ needed in,ections ' L L
X _~~"'---<A.~... ~ 7 _~....nl
Signature ( / Contractor's License No. Date
I Permit Valuati m ISS,ooo.ool I Park Support Fee # $ ~~
! Permit Fee $ 'l~Ol . ?S-I I SAC # $
~ /. I "'C:l .c:r::;
I Plan Check Fe , $ I Water Meter Si~'l'" $ '.
i!~~. (" I ' , 1.25' <60
I State Surcharg' : $ 77.S0 I I Pressure Reducer $ LIt::;, 0;'
I Penalty $ I I Sewer/Water Connection Fee # $ I. "2.o'J .cd
I Plumbing Pern tit Fee $ 100 .D('j I I Water Tower Fee # $ . 7dd .19~ I
\ Mechanical Pe mit Fee $ Ion .06 I I Builder's Deposit $ (.~ ,acJ I
I Sewer & Wate' Permit Fee $ ~ S" . ~n I Other $ . I
I Gas Fireplace )ermit Fee $ "0. on I TOTAL DUE Of.lu EO 1- }q -0 I $ 8,070 , P1 I
(/lflG~ on Betes Your Building Permit When Approved I Paid '>< 0 ,}() , .1f.'1 I Receipt No. Llt)/ l(k7 I
I Date j- A-.t..-d I Bv ff-" . I
,..~-- )-/7-240,-
Buildin~ cial Date
This is to certify th it 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 thl City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issu'jf "..1 ~ A
~",~.~ _. 'Z//JJ{et ~~~~~_
, Planning Director ~ Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
--~-~---_.-
-.-.-...
*
White . Building
Canary . Engineering
Pink . Planning
Th~ {'~", ,. of Ih~ 1..1u ('ounll')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
,
NAME OF APPLICANT I J /1/11J I A JOoJ #O~
,
I ~ (a -0 I
A PPLlCATION RECEIVED
T 1e Building, Engineering, and Planning Departments have reviewed the building permit
a )plication for construction activity which is proposed at:
/5 ;;'d- L/ 9-tWtJ/-Ja;), 1Jcf pel
A :cepted
c><
Accepted With Corrections
j:::::ed By:.A14/!> Date:
domments: . See Revers!'! Rid!'! for Additional Information!
/- /:J. -01
. .
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
en Frm:inn r.f)ntrol Plan
,,- -he issuance or granting of a permit or approval of plans, specifications and
c )mputations shall not be construed to be a permit for, or an approval of, any violation of
a 1Y 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."
f::.~~~~
lr~m
White . Building
Canary . Engineering
Pink - Planning
The Crnlrr of the L.kt <:ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N)! ME OF APPLICANT. /
AF PLICATION RECEIVED
I,d ./.. (I
-'7 (' -OJ
-- '''7
1
I
.~
Th 3 Building, Engineering, and Planning Departments have reviewed the building permit
ap )Iication for construction activity which is proposed at:
J- ,//1...
I ,J/-'v ,',.,'
,..; II
)
i
/c.L
.
!
Ac ~epted
~
Accepted With Corrections
Denied
Reviewed By: ~~.I..?~~~~
Date:
? /;Jg/O (
:~r(! /lA,,~~~ (l~IW"-OAt- ~
_~~ ew-vmt' ~ 1 ,e.vr~8V' . ~~t'"j(; ~d
>~~ ~~ iO \='~" nn_~ - 0 '
_~J.w~ .2tf A- h-;J.A~~ ~ /fr
--R~~ ~ ~Vl) VJ_\t9~5L2
~~ -'~ .
"Tt Ie 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
an I of the provisions 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
orclinances of the jurisdiction shall not be valid."
Tht Ctntn or Ih. L.k. ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
<
NtME OF APPLICANT /1).//11) /A JOoJ #~
I_~-O "
AF PLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
ap )Iication for construction activity which is proposed at:
/5 ;;.,;;.. L/ ~CV-d..
· L-I'
Accepted With Corrections"'"<
----
~ peL
V
Ac cepted
De nied ~ ., /l f(
Reviewed BVY~ -
p~ nmAe:s~11
~ uYll t:r/bckd LoP.,uf"
Date: 7-/7-2zK:,(
"T 1e 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
ary of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr'lsuming to give authority to violate or cancel the provisions of this code or other
or jinances of the jurisdiction shall not be valid."
~f PR/C-t
t ;r 11\ <'~
u LI_~ '"
+'NNESO' "
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~~;;;'w ~;;~~. I PERMIT NO. j-74J
Gold Apphcant
(Please.!VPc:. 01 orint and si2ll at bottom)
ADDRESS ZONING (offic,use)
II);)'!
,_ LUfi/
(,4J"",:,_.) i./<:'::S, FO. rJ,t,<.J.
KI
LEGAL DI iSCRIPTION (office use only)
LOT I qliLOCK d-.. ADDITION !J).}/f1/VV1]{//1Vn) /.s.+
PIDrJZ; '37to - O~1-t)
OWNER
(Name)
11.._)
,JLlwCC;:>
HL1' r ~
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICM IT
(Name) DiZ IS/ltd [ >< (
(Phon,,( <jJ) \ S'1./ - io 90 b
J G J/ 2 J O/'(]',J
(Address)
(Contact P<rson) 1.5 c, 1 ( f/
APPLICAnT SIGNATUR~, .:;-L...
G
'-<J .4 'I
L II U{
(City)
S-IM/'I
(Zip Code)
(Address)
DJ_9--...
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure -
Type of sewer pipe. 0 ABC. ~ PVC
Estimated length of sewer line LI () feet.
Clean out (if required) located at ~ feet from structure.
feet.
o Cast Iron
Residential :ewer and water line connection
Sewer conn :ction only
$35.50
$17.50
"eI
Estimated Cost $ (; Do.
FEE SCHEDULE
Industrial, Com'] & Multi-family
Water connection only
1% of job cost with a $39.50 minimum
$17.50
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
~u ~
'1.~"J0
"ttG' I-t//'.
~~.y
~.
'~')..
(Office Use OJ Ily)
HI ilding Official
Date
I Paid
I Dat\:/ / 1"..0 !
...J Receipt No.
I BY(je....-/---
7
This App ication Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
~~~'
~~IIOY
3: 43PM METRO .e.~RrY OF PRIOR LAKE
HEATING/AIR CONDITIO,NING/FIREPLACE PERMIT
NO. 607
P.l
Dale Ree'd
(Plt;al'.f "l?C t?'J!!:i ,t and silth at bQl~nl)
, AI,lpRESS
\ ~~ ~':).'-\ +U;- iov"--J \\ ..,' ~\"b
:: :~" ~:,~ I I'E.'..RMlT NO. 0 \ -OIl' \
J, 'hUlIW Appl_1I1l1 ..._ -,
ZONING (om",.se)
AI
LE\'i!AL DES! :RIPTION (orne. u.. only)
~f\'\ BWCK~_ ADDITION \.J....b $"'t........
"
"
\ !,\-
I
PID;X:;-3i, Od?l-J
OWfER
(N~!,l1e)
(A\lq,ess)
\~""~\4\)\;\~ \\I;.,,'~,>
""- "-'.. "\ {\,j \
,
,'\:. \\.
~
(I'hone) ~ 5.::L ~ ~\ ~- ~ "'''' ~
(')"^~,,,..\,,\\t CO; ~')aL)
(CI,I'l!.ct Persor)
Al';~,1CA;NT S [GNATURE
AIlJlpCANf '/\ I -,-.
(1'/'1110) \'<\<L"\';;:f\) ,.",-. _L n r...
(AI!1Iess) \ ~ I C( ){ lJ \.j "'\ l (j,,> f\" '-
(Addre,,>
N (,,\1"<-\/ S L-\-...\C\...\\..
J..f\~ 1 LA.u.h
(Phone) C\ S :~ '-i \.\ l - ~ \ d \..(
~...\ ~)- \..L,\tl... {\~ S.<"SId.
(City) (Z;p Code)
. (Phone) "'l ~ :2. - "\ '-\ -, ~ \ D '--\
DATE ~- ~O- \
. APPLICANT PLEASE.COMPLETE BELOW
, ~NEW CONSTJl.UCTION 0 REJ'LACEMENT 0 ALTERATIONS
FUNjACE MAl ~E AND MODEL c........~.11_ <"l" 'f' - \ \)~ - a C\ _ FUEL N ~--t
rLi.)~ SIZE c:: V '- R.ETURN OPENINGS "6 INPUT 1 tl~, '\SOO OUTPUlf\ "3. ~\IV
TYP5 OF SYSTEM HEATING OR POWER PLANT
, . JlJwarm Air Plants 0 Sttnl11
[jGtavity 0 Hot W.ter
~Mel;:hallical , 0 Radiation
~^ir COlltlh/ol1ing 0 Special Devices
o Vent. System 0 OLher Dcvices
I'LEASE NOTE,
Air Conditiuner Unils
Cannot Encruach into
Required Side Yard
Setback.
fl~E,I'LACE MAiKE AND MODEL
Jnd\IS~ia.l. Cammer :iBI &. Multi-Family
Res1d\(ltial. Heatinl &. A./e (New ConslM.lction)
R.~id~rli.l. H.atinl Only (N." Con.lrUction)
E.ti",ated Cost $
FJi:E SCHEDULE
1% uf job east Rcsidcnlinl, Gas fil"eplllee
$.19.50 minimum
$99.50 Residential, Addilions &. Allcrlllions
$64.50 Residential. AC Only
$.19.50
$J9.50
$J9.50
Building Perlll;t /I
(Oftic:~ llu Only,
- .-1
1'hl, AI'pUcaliu. Becoloes Your Building Permit Whe" Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOtAL PEUMIT FEE
$
$
$
.50
I"
. ~~/()
~G ~'1)-J.;
<S';:-,
4~i'l1)->
Building I iml:lal
ball:
I Paid
IOalef?r ;)-{_/
I Receipt No.
1'3Y~
U---
24 bour nolice '0""" in.poction, (952) 447-9150, r.. (952) 447-4245
-------.---.-.---I------------."-~."._-
f~~
..../~N'ESO"{....
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please ~~ or ori~ It and sign at bottom)
ADDRESS /'
1'S~c.; ra.;rlVtlY
;J~
I?d IV .W.
l. Blue File
2_ wid City
J. Yellow Applicant
I PERMIT NO. [)/-7.!l1 0
ZONING (office",,) .
1< I
LEGAL DESC RlPTION (office use only)
h/t't.Urj
OWNER 11 / I
(Name) (;J 'h&:.~ 1'1bIJ1-cs.
,
(Address) 1~/3'/1 EVU/3 (j/;C, S
APPLlCAJJlJ, 1// /), I
(Name) l::f111-f"to Va [)/C., ~ (Phone)
(Address) ~).3D r!.o jl}/Df./y I ()Av (G"XJ?10i.jwf
(Address) / (City)
(C"O"" "0"'" J21Yi ~n,J" . A (,""0" .
APPLICANT ~;IGNATURE __ J.:J'7ir~ &. DATE
AM.LICANT PLEASttOMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower J
Dishwasher /
Floor Oraip
I Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
I SinkS -, 0'
I Bar Sink
I Water Closet (Toilet)
LOT 1'1 BLC ICK ;2. ADDITION
I!~ !jHs
11// ffl":i/)/ Ie...
Quantity
~
I
<f
I
I
/
,
PIr:O<5- 37(,,- 0073 -()
, (Phone) Cf7;).-55'15- 'XWJ
.553010
/J})J
{..5(- cf?3- ~ /~
mJ..J 5~<<g
(Zip Code)
G:.5/- L./;;J:3- 5730
~-dl-vJ
Type of Fixture
I
j
l
j
I
I
J
I
I
,
Rough- ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
I Lawn Sprinkler
Other ::JUmp Otl JrJ.(7
, I I
s
I
FEE SCHEDULE
Industrial, Com nercial & Multi-family 1% of job cost with a $39.50 minimum
Estimated Cost $
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
I TOTAL PERMIT FEE $
(Office Use Only)
This Applicat on Becomes Your Building Permit When Approved
Duildinl, Official
Date
Cf95D
.50
IDO.W
I Paid
I Date .-/)1
K'd//-v
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
,
131' P.4,'D
V'/.Jj,,.. W'7"/-f
'yGP€
R,'I/,'7"
I Receipt No.
IBY~
U
10/17/01 tWED 09:52 FAX 7635530887 GUYER'S BUILDERS EXPRESS
Vf~~ CITY OFPKlOR LAKE
~::::~ IlEA TING/AIR CONDmONlNGlFIREPLACE PERMIT
~::. ~:y I PERMIT NO. 01- 074-/ I
) y.n...... Appl'...l
141001
Date Ret'd
10-17-01
(Please iU'!l: D~".:'~nt &Ad sill!CD at bolUlm)
ADDRESS
/52.?- ~ ~LJ4/ff'/ A/P-/r:~ Nld
;
I ZONING(olfi",uoc)
LEGAL Dl ,sCRlPTION (offi<< OJ, o.ly)
LOT
cLOCK
ADDITION
1
PID 2.5-:37k - 02.3-~
OWNER
(Name)
/IIh /\/.0 IA/....~...~
(Phone)
(Address)
: ~~;~fZ ;.....e-L'S gVl~~~ s;...P;D~.."
(Addres.)/ g~~ /.S'll!. #Y .A/..
, (Add..ss)
(Contact Per 'on) n O:/'LA....Jl ~ K(J:"~
APPLICANfSIGNATURED~ c:...4.,~
(Phone)
(City) (Zip Code)
_ (phone) 7I:.~-/~q<l'~ 7~/3
DATE /".,{?/lrT
APPLICANT PLEASE COMPLETE BELOW
. ,PONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE l\lAKE AND MOqi" ~ :'. - - <"1i';--:-r-;,l'u -<'1.,4; FUEL 44f.~!~~l
FLUE SIZE '7 5~ RETURN OPENINGS INPUT ..24e~c> OUTPUT
mE OF SYSTEM
OWormAirPllUll!
BGravity
Mr:chllllical
DAir Conditioning
OVent. System
FIREPLACE. -tAKE AND MODEL /5'i.l~Jt'Jt!
HEATING OR POWER PLANT
DStcam
o Hot Water
o Radiation
o Special Devices
o Othe' Devices
f)P.J,0f? r;H/o..1
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach intO
Required Side Yard
Setback.
Indust.rial. Com ncrcial & Multi-Family
FEE SCHEDULE
I % of job cost Residential. Gas Firepla.ce
:&:39.50 minimum
599,50 Residential. Additions & Alterations
564.50 Residential. AC Only
539,50
R.esidcntial. HCl ring It. Ale (New ConStruction)
R~idcntiIlJ. HCl ling Only (New ConSlnlcricUl)
539.50
539.50
~
Estimated Cost S /eeo Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ ,50
TOTAL PERMIT FEE S
\?'i
?J>-.\O 0\2-
~\J\\))
(omt~ HSl: Only]
Thi. Applicltion Become. Your Buildihe Permit When Approved
Dart:
P'~
Ll.reIO_Il~OI
R.eceip[-No.
Buildl RI Official
By
24 hour notl.. ror.1I i..p.clio.. (952) 447-9850, r.. (952) 447-4245
I
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J~2.. if (;;/r-WCtJy J.Ic# M
NATURE OF WORK ---J 1~) - (/.
USE OF BUILDING SF J)
PERVlIT NO. rJ/-074/ D..ATE ISSUED '7-/?-~1
CO~TRACTOR JI.J\'~ ~~ ~ PHONE 8c;S- ~~ c.{'fe
NOl1E: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\ ,r:l~ECTOR
, FO~TING I 1f(/1 I B- }~- D 1
, FOIJNDATION (Prior to Backfill) I \:S ~~ ~!t7 AI.... '?!
PLACE NO CONCRETE UNTIL ABOtE HAS BEEN SIGNED
ROUGH - INS
~g rs-~t /
~\)'
~V~
~\\h.ul
FIR EPLACE ~ \ UJ..t\
GA) LINE AIR TEST tJ\ ~':l~~~ to? ,/I,),r /f:..j{. 16
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
DEPARTMENT OF
BUILDING AND INSPECTION
.
DATE
SE1IVER I WATER I SEPTIC
FRJ ~MING
'N1ULAT'ON
EL CTRICAL
PL MBING
HE,mNG (if required)
C?ifl7f
tJI" b\
.
q',~\~
~~
GR "DING (Prior to Sodding)
BUILDING
ELI :CTRICAL
PLI IMBING
HE,mNG
DO NOT
12{~~~ I[~r"'
"it. ~ t IX7L
'\k\J~ I 6sitn
OCCUPY UNTIL ABOVE HAS B~EN SIGNED
NOTICE
1-1~ w- /'] -'J-f., - . ~
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
! ~~A1P~~~~~~=:~~~;==~~A~.l~
.- " t'
':, ell r OF PRIOR LAKE :::.,,~
mtpartmtnt of .uilbing )n'ptction .1 ~~ .~
~inal Permitted 0 Conditional C.O. Expires . ~~. ~
This CertijicQu issued pursuant to the require_nls of Section 307 of the Uniform Building Code 1].
certifying that at the time of issuance rhis srrucrure was in compliance with the various ominanus of the ! ~.
City of Prior Lake regulating building construction or use. For the following: : ~7
SINGLE F~~ILY 01-0741
Use Classificatioo Bldg. Pennit N~'
Oc<uponcy Type
R3
. Fire Zone N/ A
Zoning District
Rl
VN
Type Construction
Legal Description
L19, B2, WENSMANN FIRST ADDITION
~iteAddre.. 15224 FAIRWAY HEIGHTS ROAD
14311 EWING AVE S., SUITE 200 BURNSVILLE
OwncrofBuilding
WINDWOOD HOMES,
Contractor's Name Ie. Address
rity Planner
DON RYE
Date: b
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/S'c224
---
-raN'l.()CU.l
l
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
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
COMMENTS: 2) E-l
-
t ;..s \.te..- c.... 0 w
do s e ~ .~le/
-7 ~~~;( ir;-
H.t.::;
1-74/
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR\j CALL FOR REINSPECTION BEFORE COVERING
Inspector: "1<.. CL.AJf Owner/Contr:
CALL 447.9850 FOR iHE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
I 5d1.,~'i
SCHEDULED ~~z... 9:.:ro
~ '#C,.
0'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0/-7<1/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Pr fII. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
,lK -b ('}(" L..U.r ' t
Lw R)Olloa.
t ~~ +reu;.
~u to, '\-,........ ,'II (fJ
,f WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~\ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. \J~ Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1-{/-O7- PlY!
PHONE NO.
fo,,'~wG,,'( J.(q-k, '-d.
vtI;"'/W~J
PERMIT NO. ~ 1- /'1/
CONTR.
ADDRESS 152..7.. II
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
OICI: FINAL
o "SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
C>C(EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
L.vlb &x- e?L
br,"/r- ~ K-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspector:#~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ll'iS/'fOTJ
0" TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
"7/df-":d-- '
PHONE NO.
/s :N:.l/ 7-rLULMJC) r~ls
PERMIT NO. 1- "1}'4/1
ADDRESS
OWNER
o FOOTING
o FOUNDATION
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~~REPLACE FINAL
)'; GAS LINE AIRJ.ST
o f:-O
. I
COMMENTS:
/
f):~
.,J
fAl
l"v
~
r e,---
lAC,
0-. ,-
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTlONfND PROCEED
o CORRE~, ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ /1.))..J/ Owner/Contr:
-. -
CALL 447.9850 ;OR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
ll'iSNOTl
i:-dM(
/S-?-?-L/ '-=fd~~/~ .J.~
CONTR. ( .-J
1- 71.//
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
-B""WA TER HOOKUP
~R HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/
DATE TIME
;:86
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/'
/
~RK SATISFACTORY, PROCEED
o CORR7fiA I AND PROCEED
o CORr CT CALL FOR REINSPECTION BEFORE COVERING
I nspecte : Owner/Centr:
\ / i-/
CALt' 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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
TIME
/1-71- J \ ?:36
i/c:u
DATE
/6: ;).;). t.J
~
(/
/-7l/J
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
J"i-r:l SEWER HOOKUP
r~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
v1^~O M~ rOt..
W1'f'-}p (' ~\,o d"
"
~K SATISFACTORY, PROCEED
o CORRECT ACTIO AND PROCEED
" ALL FOR REINSPECTION BEFORE COVERING
Inspector: C/A..A..J OWner/Contr:
CALL 447-9850 FOR T~ NEXT INSPECTION 24 HOURS IN ADVANCE,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETYI
INSNOTl
"Permitit'
'JobAdd,..' /.5~ </1'&. 'rW"- V
.H..ting Conb-__ METRO AIR
/~ ....-
"'T esters/Sfgn.ture ~ .,,-
.Gas Une
Pressurized
Inspected
.Percent c~
"'Percent ~
Final Inspection
Q!!!
Time
/l"i~
~,
M:U
Pounds
Pressure
PERFORMANCE TEST
6- r-/" O't.I~
( :a .p.,oon! CQ r"
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.Stack Temp.I'"' t:/
Date