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Home My WebLink AboutBldg Permit 03-0259 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Main File (Please type or print and sign at bottom) ADDRESS --:SU:2 7 "je~/- 01. IL i'1J' 1r-/br,V[ ),,;: 1. White File 2. Pink City 3. Yellow Applicant I PERMIT NO. 03 .,oz5q I LEGAL DESCRIPTION (office use only) i!r BL~CK ADDITION b&.;-v~{~/J j(Jlt. OWNER (Name) (Address) BUILDER.. (Name) r\1l #-Iu,"k"t (Contact Name) ::reSSt'"(: b. &~"" Ie. <, (Address) Date Rec' d ;)_ ;-03 ZONING (office use) PI PID ~5-LfOI- 01 g-o (Phone) (Phone) (Phone). f)~-9J:s--1.?ox: .;loJG;O 4i-1JJ,'-idf" (&".-/-.. u;bv,lkJ /t1/~Sq)s/~ TYPE OF WORK o Misc. ~ew Construction OLower Level Finish ODeck OPorch ORe-Roofing o Fireplace OAddition OAlteration PROJECT COST IV ALUE (excluding land) $ I L/ 1, q 0 D ORe-Siding OUtility Connection 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 u n e property to pe~ded. inspections. X -,f- ~ J~~:? .~ 1lO/?5l';S J 07 - (P -0 h J 'Signature V I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee ~ JL( 8,0~t9, 00 $ l.~(Pz... 55 $ , 8ZD.lob $ 7 L.f .00 $ $ $ $ $ I (J(J. 00 I (JO. {)O 3S-,5"0 40, 00 This Application Becomes Your Building Permit When Approved ~'1~ Building Official ~3/D3 Date Contractor's License No. I Park Support Fee I SAC I WaterMeter (Size5~'~ 1"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE # # ..- # # Date $ 550.00 $ , z.. 75. 0 0 $ c;;lSO,I)O $ LlS.DO $ I ZOOrDO $ 70().DO $ 1500.00 $ )$ e. 252.. 7 J ( , . ReceipfNo. ~JC)G, / By.4 U 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 ~t~ Planning Director , I Paid a ZbZ/7 / I Date :J -dO .(jJ ~ad~ ~/;3~3 · 'Date Special Con<<<tions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-l or R-2 Districts Reviewed by: ~ .::;-~ t-- Building Permit # Site Address: PID: Date: 3//1/l)~ Zoning: Legal: L /1. /9 , B / , Subdivision: ~c R-F'~ / () 'H- Existing Structure? YES riflY Existing Nonconforming Structure?.@! CONFORMS TO ZONING ORDINANCE Yard Setbacks: N/A I FAILS/(OMPLIES"") . Front Yard (setback average if in-fill lot) I. Side Yard (25' if abutting a street) I. Side Yard (Easements) . Sidewall exceeding 50 feet required additional side setback of 2" for every foot over 50' long I. Rear Yard (Easements) I. From 100 year flood elevation of wetland . From OHW (Prior or Spring Lake) -..- I Floor Area Ratio: N/A I FAILS I(tOMPLIESYI .- - J Yard Encroachments: NA I FAILS~MPLI~/I Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). NC and other equipment cannot encroach on interior side yards. .. Tree Preservation: ~~ FAILS I COMPLIES . Total caliper inches . Can remove 25 % of total . Caliper Inches Removed I. Caliper Inches Preserved I. Replacement L:\TEMPLA TE\BLDGLIST.DOC YES Standard 25' 10' 10' Wall over 50'? 25' 30' 75' or setback average of adjacent structures no less than 50" .30 Maximum Standard Standard Y2:1 NO Proposed Zto.~ 'Z..- e&;.35" S.e-. . zs ,t( tJ. (3I.,Oj' ~ert.R,.:n,,J No~e;- O"h.. O"k- rJA Z~s% Proposed No,uE; ~OtUG' Proposed ~ail1 File White - Building - I < ~anarv - t:n{uneerlnd) Pink . - Planning Tht' ('en.cor of Iht I..lit' Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,~~,/ ..-' -, .-:;. !',..--- ~1 -.... The Building, Engineering, and Planning Departments have reviewed the building permit application for constructi~~ activity.which is proposed at: I (", .f':'" .--. i .,- ..1 /'/' [iL, J .,.< . ~/ /".f-. / ~l-c;'...{'--.' " .;.:-~. I / 1'-' ~""., -,) Accepted x '" Accepted With Corrections Denied Reviewed By: /rJ:f- !3 , Date: '2-:27-03 Comments: See Reverse Side for Additional Information! 010,/1'\ h'/(_ See Attachments: I) Grading Plan. 2) Erosion Control Measurp.~ "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." Main File White - Building Canary - Enqineering I'~.!!!.K - Planni~ The ('tnler of Ihe t.kt ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST '*_.. NAME OF APPLICANT i \ APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~- . I I .,- I ; "",- Accepted Accepted With Corrections ~ '.~, 1l' -. ' Denied ".;,...;,'" Reviewed By: ~ ~/-J ..A../J.... -t-.' /. _ ., /J · Comments: -,,~tJ . - I ~ LtJ{J , ~ '-/ tJ4 ~ ~ .~A eL. A.C. , #', ~ ~ A-",~ ~~ ~~. ~ Date: c::l//3joJ ~~ , ~~ "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." Main File The Crnln of .he 1..1,,' ('ountl1' CWhite - BuilrliliCt-:> Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED j)R~ ;)- {- 3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: <~IJ;)r;/ /U(J~ miL- PI- &v.S E ..... Accepted Accepted With Corrections ~ Denied Reviewed By: Comments: ~ ~~ '-=If} , ~ Date: e:</; 3/0 3 ad ~ ~-~. "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." Apr. 2, 2003 9:21AM GENZ RVAN PLUMBING AND HEATING N 800 . 0, d I p. 9. i 9 :> Date Rec'd CITY ,OF PRIOR LAKE SE'WER AND WATER PERJ.\t.u:l' I Gre.. .ile , PE'D'!\'UT NO 2. y,l!;"" Cir5'" .I.'..J.... ,~-::::; J c.- Q ) Cold .\pplic>nt ~-J~ V J (Please lY'Pe or 'PnJlt aJ)d sj,~at bottom) ADDRESS bDa1- W. DCtt p+ b~. Sf-. ZONlliG rOlflLe'15e) LEGAL DESCRJPTION (office u~ only) LOT \ ~ BLOCK ADDITION '~td. IOiM PID OWNER ~ame)_~~ ~n~ton Cu~to~ HomQ~ (phone) _ Cf52 -qgS- -,[5(1\ (Address) 2oV,pO f..ev1ef<.:\ b6e. G- .:~ . J I'l, (Addres~) La~\JllIe.., (City) .t:JQ)Ll U (Zip Code:) . APPLICANT (N'ame) Genz-Ryan Plumbing & Heating (Phone) 651-423-1144 (Add1'ess) 14745 So Robert Trail Rosemount, HN ~l;IeiS h ~ (I ~. c::~) T.ICANTSIGNATURE__._~_ rAA.{A~ ~Q)M DATE 55068 (Zip Code) (Contact Person) . 651-423-1144, ,~/3/ lu,~ , APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron Estimated length of sewer line feet. Clean out (if required) located at feet from structure. ReSldentlaI sewer aod water hne connection Sewer cOlUlecnon only FEE SCHEDUL.E $35.50 Industrial, Com') & MuJti-fam~Jy 1 % of Job cost WIth a $39.50 mmimum $17.50 Water'connection only $1750 EstJmated Cost $ BUJJding Permit # PAID WITH (OffiCI! Use Only) BU~LD'NG PERM'T This Application Becomes Your Building Permit Wben Approved I. ,Paid .' I,J' 'J '\ Receipt No . "l.:5 \!) t..:=, . ' i\') , II I \, DA~R V.2 Z003 \ U) By lL -I SEWER AND WATER PElUvUr'FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 Building Ol1icJlIJ Dau a-, V 24 hour Dotice for all inspectioDs (952) 44'-9850, fax (952) 447-4245 6y- f~~O+~ .\. ''', ~ t- ."":" ~"''ESO :\l:.':.'''''''';''''''-'-: I~ ~\\\~~~t~t~~~ ~.~:. APr. 2, 200j 9:2iAM GENZ RVAN PLUMBING AND HEATING No,82ji P, 8, i 9 Date Rec'd :!! CITY OF PRIOR LAKE PLUMBING PERJYllT I Blue File 2. Gold CilY )_, '1el1o'IU Applic:..nt I PERl'UT N03- if5''r (Pl<:a::e t'l"Pe or WUlt and SieI1 at bottnm) I . ADDRESS. 1)D8..1- V'J. ~K R, ~. see ZONJNG (<1f6r.e'lSe) I LEGAl DESCRIPTION (office use only) LOT \gBLOCK l ADDITION ~f1e(o. I ~ PID OWNER ~~e) DR Horton Custom Homes (Address) 2C'S(.oo V...ettlBl~ll)(.;e.. Co S,re.. /60 A.PPLIC.A.NT ~a:me)~~..._tl:.:,~ 'I']."""?ing & H"_"'f.;"'.Z (Address) 14745 So Robert Tra.il (Address) (Contact Person) r AI) ~~.l ~'-l futll S APPLICANT SIGNAT~ J).A ~~ Quantity A I I ~3 ( I 1 .-:J (phone) 962-q~Fl-78lJO udu.1I tl k::.. j.t..l N .5 &.)Lj Ij (Phone) -651 _I.? .._1 1 !.I, Rosemount MN 55068 (Zip Code) (aty) /) (Phone) 651-42.3-1144. / ~ DATE ,2,/3)/0.3 APPLICANT PLEASE COM:PLETE BELO\V Type of Fixture Bath Tub with or without shower I Dishwasher , Floor Drain i Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Quantity ~ I . Q-I , Type of Fixture Rough~ins Water Heater Water Softner I Stand Pipe (Washing Machine) I Sewage Ejector I Backilow Assembly I Backflow Assembly Test La'\V1) Sprinkler Other FEESC.l::lLDULE IndustnaJ, ComrnCTClaJ & MultJ-famliy 1 % of Job cost with a $3950 minimum Re!udennal, New One & Two-FamIly $99 50 ReSIdential, Additions & Alterations $39..50 (Office U~e Only) EstImated Cost $ Bujlding Penmt # PLUMBING PERlvlIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ Building Officisl PAlO .! BUlL'OlNG ~ . . IR . N ~-, c-'lr~l~ IE n ill IE ~ ecelpt Q. [ ~Date - By (])- Dan ~---!\pp. '4--2.{lQ.3 ~ lY 24 hour notice for alllllspectlons (952) 447 j _50, fax (952) 447-4245 By 50 This Application Becomes Your Building Permit When Approved r5) fE @ [E 0 W fE ~.. CITY OF PRIOR LAKE In' n~lf Rec'd HEATING/AIR CONDITIONING/FIREPLACE PPlRMiIJR 032003 ~. BY~?4r.? ~: ::n ~!~ PERMIT NO. 3 ~ d S-9 3. Yellow Applicant (Please type or print and sign at bottom) I ADDRESS .~7 0 O~A/A-/ u,~ ZONING (office use) ~ I LEGAL DESCRIPTION (office use only) Lol ~LOCK / ADDITION PID ~'::e~RD.~, Horfon CLlslom Hom~ (Address)~ ,kcn6r;dC)P-. ~o.k evi lie Nt1\) APPLICANTA J I' 1 M h--- (Name) f Qr1T e~,.~ . (Address)300 J<e.t:lO~be(l_"Cr. Sie. #/ .i~aaQYI . L: (Address) V (City) (Zip Code) (Contact Person) ~ f~~;:mp.r rn .Gln (Phone) (P5/- /.I5~ - ,fln~ APPLICANTSIGNATU itfl.4:?~ DATE . (/ t/(/ () . f/ APPLICANT PLEASE COMPLETE BELOW 0NEW CONSTRUCTION o REPLACEMENT 0 ALTeRATIONS FURNACE MAKE AND MODEL "Br~4n+ 3S31(A-Vb'&Di CJ FUEL l\Jelfurrn.\ FLUE SIZE ':"" cla.S4D EL RETURN OPENINGS ~ INPUT ie, (1)0 OUTPUT 6lD~ /)00 TYPE OF SYSTEM HEATING OR POWER PLANT (Phone) C(5f;, q ~ -7,;<7:2- 650J...(J-f (Phone) 0/- .<.I5:/-- cf(775 55/.22 DWarm Air Plants DGravity o Mechanical ~)r Conditioning ~ent. System 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 FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 $39.50 $39.50 Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Pennit # HEA TING PERMIT FEE STATE SURCHARGE TOTAL :PERMIT FEE $ $ $ ~.50 eU11 P~/D 'A. ~DltvG "J'I'!7t . t)~ ~4fI'" (Office lIse Only) Building Official J~ )I[f~ f.e 0 I!J ~ Ir,T Receipt N~; ." ')' Date .wm-i! I i By 1/ h Date . ' APR 0 7 7 14,;,11 b+! I 24 hour notice for all inspections (952) 44 7-9~50, fax (952) 447-4245 _/ U By I r -=====--==-=--=::.-:.:=.-=:. j This Application Becomes Your Building Permit When Approved Todd 612-633-6432 p. 1 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGlFlREPLACE PERMIT Date Rec'd I. Pink 2. Or.... ). YO/low ~~. I PERMIT NO-3. ?):;o i A.ppJl~."t r::;Z:\ t (Please me or Print and silQ1 At ~v.~~.) ADDRESS ~-=+ \ l \(1 ~\ CJ &x- ]X)\~'\t 'V I ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) Dr. ~ (phone) 0)~~7xolO - ~:r~ (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE CORNER (phon~ 651-633-2561 (Address) 2700 N. FAIRVIEW AVENUE (Address) BRENDA H~ON (Contact Person) r )', (Phone) APPLICANT SIGNATURE LJl\\r.;t~ ll.)x! .. \(Q.~ DATE APPLICANT PL~A~~MPLETE BELOW ysJ.NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT ROSEVILLE MN (City) 651-633-2561 ""11':1 (Zip Code) 5- ~-O~ OWarm Air Plants OGravity o Mechanical DAir Conditioning DVent. System HEATINGORPO~RPLANT 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 TYPE OF SYSTEM FIREPLACE MAKE AND MODEL ~(u.. ~ l..JAD - ~l- -, <S1011t- Industrial. Commercial & Multi-Family FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 $39..50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ .SO TOTAL PERMIT FEE S ,(31.111 P-4Il> 'A~ c..DIIvG r~'11t PSf:/Alrr (Office Use Only) This Application IIo<omes Y onr B.Uding Po",d' When Approved '1\. ~r~UN !: ~ 2~O; : riP' No Building Omcial Date ,i \~t U 24 hour notice for all inspections (952) 447-9~';:.lt (952) 447-4245 ~ I PRIOR LAKE INSPECTION RECORD . SITE ADDRESS 50 ~r ~ fbi NTE ::tXIJIE s: E. NATURE OF WORK NEW CDI+J$rlUt~Tlii,:J USE OF BUILDING SaF:A. PERMIT NO. . (13~02.!:;:ij DATE ISSUED ;l.{1y'3 CONTRACTOR 1).R..~~, I~' PHONE -'as-~as NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF ~ain File BUILDING AND INSPECTION INSPECTOR DATE 'FOOTING (Vty~ Y I-oJ V'{? I ,~ I -x ,2?- d3 I . I FOUNDATION (Prior to Backfill) I ~ I~IJ /3 '103 14- ~0 PLACE NO CONCRETE UNTIL ABOVE H~S BEEN SIGN EO ROUGH - INS vw,) ., rvP ;yy7 SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING (},&- ~1~11 vvV' ~ Co- ~~C/) HEATING (if required) JI1tf Cs'IO (/~ FIREPLACE i1?" & ID,d3 GAS LINE AIR TEST /J,f (g. ,0 -' u1, COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS, r Alate. A #{Jif '-'/-/)'r./3 [,'10'0) G 01 ~.1 U7 . r GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT liLT/if q!J9/t1~ (I " JIVV'/ . J;z;V OCCUpy UNTIL ABOVE HAS NOTICE ~/ 1I-(f) /(J,/(, ,. t7J BEEN SIGNED 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. FOR ALL INSPECTIONS (952) 447-9850 . QItrfifitaft of ~ttUpantll CITY OF PRIOR LAKE ~epattment of ~uilbing Jfnspertion 'If Final Permitted D Conditional e.O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY Bldg. Permit No. 03-0259 Occupancy Type R3 Type Construction _ VN _ Fire Zone N/A . Zoning District . Contractor's Name & AddressD. R. HORTON, J~7' ROBERT D. HUTCHINS /t/X / ~ilding Official (j Date: C; / / t:J '05- //' L18, B1, DEERFIELD 10TH Site Address 5027 WEST OAK POINT DRIVE S.E. 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE I Legal Description Owner of Building City Planner DON RYE Date: CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 5"'6). 7 We.s + 04 /( OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~Q/"'-G> I( , (.,u r5 8()~, fr(L DATE TIME 7-).7-()J- p~/v'I+- Dr. D. /?, He 1"10 II'} h 3-:JJf l(~ILLING o C MPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~<< Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNon CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 50z7 weST o!tt::.- PI. OIL OWNER CONTR. PHONE NO. PERMIT NO. $.ZSCj o FOOTING o PLUMBING RI o EXIGRADIFILLlNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULA liON o SEWER HOOKUP o FIREPLACE FINAL o FINAL o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o 7CH FINAL 0 COMMENTS: ST ~ / ;-;/'1~/ ( _/ CJ{C- ---- ~'" " / ( r:lose j/1e-- ./ ~ORKSA~ORY. PRO~ ~~ORRECT ACTION AND PROCEED o CORRECT WORK; :A'::::.7' REINSPECTION BEFORE COVERING Inspector: ~y-- Owner/Contr: -...". ~ / /7/ ~/ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI /NSNOTJ DATE Tille CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ItJ-II~.cJ?, " ADDRESS {;O].., 7 W -Ol(k fr 0.... OWNER CONTR. PHONE NO. PERMIT NO. ~ - 2-.r'1 o FOOTING o FOUNDATION o FRAMING o I~TION B""FINAl o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL lii::-MECH FINAL o EXIGRADIFILlING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASlINE AIR TST o COMMENTS: - F--~~ ( t?) ~ k. \II' n /? {."4C#J I~VKI !-/r1~ ()Y>ct r (J/( o WO~FACTORY.PROCEED e:r1$"RRECT ACTION AND PROCEED o CORRECT WO":K:~ FOR REINSPECTION BEFORE COVERING Inspector: . Y ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSliOn DATE nME CITY OF PRIOR LAKE INSPECTION NOTISOL I ADDRESS ~ SCHEDULED _tff ,,/ ~ Wet-& OWNER CONTR. PHONE NO. PERMIT NO. ~-2--~ ..... 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 1(PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~A ~(~ o WORK SATISFACTORY. PROCEED /CORRECT ACTION AND PROCEED o CORRECT ~7f CALL FOR REINSPECTION BEFORE COVERING Inspector: L f,. (~Owner/Contr: . CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! 1N!l110n Job Address $'lbl7 E I.W~ 0- Heating Contractor B~7 ~~ Name of Tester ~ a , IJf~J A JB% JtJ;,,dAJ , , , ,~/~ &73 ~ Date Percent 02 Percent CO Percent C02 Stack Temp Combustion air is adequately supplied per UMC Sec. 606 ~ ~t7b?J 1$ fL) input