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Home My WebLink AboutBldg Permit 04-0708 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Main File Date Rec' d ~-I'J-1 1_ White File 2_ Pink City 3 . Yellow Applicant I PERMIT NO. 0+, 0100 I , ZONING (office use) ease type or print and sign at bottom) IJlr~to f:xzut;U).-lY~ $. LEGAL DESCRLt'llON (office use only) LOT q BLOCK ~ ADDITION ba(+i.etA Il~ OWNER (Name) (Address) . (Phone) BUILDER l\. (J \ \ (Name) D.~. 1),r\lNl-rAL. (Contact Name)-F'R.lt"Z-~ t-(J'0.fe 0 K..eJ1 J:;v.!."Il- C;:::f: &~ l 00 (Address) LW~ ife. 'fV"hq t77D<fC/ tL '2... PID 25. 401 e' OIL,-. () (Phone) CjS-2~-7tz33 (Phone) qS1~ ZZ&- i ~ TYPE OF WORK .. fJ New Construction OLower Level Finish DDeck DPorch o Re.Roofing o Mise, ORe-Siding o Fireplace DAddition o Alteration OUtility Connection PROJECT COST IV ALUE (excluding land) $1 ~ 7} set 5" 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 awar, th lding fficial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may exnter w;on e rope, rty to perro, ins recpns. . /) do l> V f#5"1 /p-/fp-07/ '--"/, . . Contractor's License No. Date 1,/ Permit Valuation Permit Fee I Plan Check Fee State Surcharge Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee YI/'I/ D (J O,OTJ I . 'J z-1t, 50 I ?C/l/ ,foV I i(),50 I Park Support Fee I SAC I Water Meter (Size 5~ 1"; Pressure Reducer- $ $ $ $ $ $ $ $ .,..-.... /00,0 ~ lOO.OO .gr:; ~-:;;O 1./0,00 City SAC and WAC I Water Tower Fee I Builder's Deposit Other TOTAL DUE 7,La!o r Date I Paid I Date ] - ( / J) ~ Ct'_ 1.!".UV This Application Becomes Your Building Permit When Approved ~~ Building Official # $ $ l '3 CSt> . €)'O J. -~o, on $ qC:;;eO 0 $ f'UJo,OO $ 700 , 0 0 $ rC::;dD ,00 $ # # # $ 7,535./91 J ReceiP~o. f'-/~'ri By o 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 ~ Planning D'irector 7b2.-/tJ~ ~ oJ-( ~ I D~te Special ConditioJl, 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.1 or R.2 Districts Reviewed by: ~ -1 d /..-I Date: :7// ;;>-/6f Building Permit # PID: Zoning: Address:/7o/'o/'iJ/ /70/'-/2/ I'/~I./L( ~F/i!::uJ ..iJ1Lti/c 5".e) Legal: L 9 , 8 2- Subdivision: J)6l51t.-Aw 1/.11- Existing Structure? cfftj NO Existing Nonconforming Structure?@ NO CONFORMS TO ZONING ORDINANCE 'YES Yard Setbacks: NA 1 FAIL~6MPL~ . Front Yard (can be 20' if avg. w/in 150') . Side Yards Standard 25' 10'1 25' if abutting a street · Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in length I. Rear Yard . Patio Door: provide for minimum 10' deck or sign statement indicating no deck will be built in the future . From 100 year flood elevation ofwetland/NURP pond . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 30' 75' or setback average of adjacent structures, but no less than 50' ------.. , Floor Area Ratio: NA 1 FAIL~MPL~ES) .30 Maximum . , Yard Encroachments: NA 1 FAILS .r~ Eaves and Gutters no more than 2 feet ih width and' no closer than 5 feet to a lot line (Easements). ALCaoo other equipment cannot encroach on interior side yards. Standard r' Tree Preservatfon:,{NA\hFAILS 1 COMPLIES · Total caliper inches I. Permit 25% Removal I. Caliper Inches Removed I. Caliper Inches Preserved I. Replacement Standard %:1 L:\TE:MPLA TE\BLDGLIST.DOC NO Proposed: . PJ.' . , z.,. , ZS" ~~tLf~; Z5.3(;};,:;c~; B~~. JJ C7'\C.-J " AlA j.),4 I'Pup ~ Proposecf': '<c '.' . ~ iJ~,.:Jiiii1;~::' :. JJ tJ ~~~:}n ""... Proposecl'6'i'i,ch:;;; l'. ~ Main File ~hite - ~~ Canary - Engineering Pink - Planning The eenle' of the toke Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED b. YL. HtJ VL/fU ~ ~ ./1 ~O4-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J744-o D~bruV{~L-D DrL. Accepted Accepted With Corrections / Denied Reviewed By: ~~~ -~~ r Comments: Date: 7 II z.-N '/ , ~ t'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 - ;!19.ineering c-;:rInK - t-i.~nnm9::> Tht" ('rnln of Ihe take Counlr)' BUILDING PERMIT APPLlCA110f\J DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 1-:' f I ( I:.. TC" ("J / //7 . C +- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , / "I"-t" ! t... i. i./ I I ( . Accepted Accepted With Corrections ~ Denied "3~~ ~ ~ oJLe ~~ J Date: 7 / I~/ov/ , Reviewed By: Comments: /~ ~ . .r- ~'1.:" dA~ / ~~ n~ , "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 - Buildin9... . ~rv - Enain~ Pink - Planning Thr ernl.. of Ihr I..kr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ["" t..; , . r L.j. '- I I . .--',. ! ~.. Vi tL'1 f . ',,--' '; I - ..,j V APPLICATION RECEIVED ( ,"" ,,1 J. . II .Uq..- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ; , ( 4:t.:j-- Ii \.::'.' ; ! (:.:..-- L {J i (, . Accepted x. Accepted With Corrections Denied Reviewed By: M#-~ /J1c,('~ (:,' ( ~ Date: 7,1-0lf I Comments: "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." . . '. . ." ...... ........ CITY OF PRIORL~' '.' .'I:i.EAJ;l1iG/Am CONDl'l"IONINGlll'!.KEPLACE PERl\tu l' 1/1K99 . Date'Rec'd . '. (Prease,~::Oi:iprintimd:si~at~~'::;)). .. .... . MJllPJ!j;S/'14jid;W/};~~ Q-e1J Dr.. E..E. . . "J:Pink" '2.:.0r.:e0" 3. .YeJkiw . . ," . . , .". . . .. . . ....~.... Fi~.PERMIT NO . '...... ..... . ~~icanl I ....'... '" .~.~~8 . ..' .,", :'., '.. ;~': ~. ::;; ~:. ," y.' ..' .' . Residential, lIeating~' Alq.<N~\l\';q'oristtuction) . Residential, Heating 0111YQ'lt:W:Co~~on) . ........ ," . '. . . . '. . . Residential, Additions & Alterations. .' Residential; AC Only . " "",' ".;: . . Estimated Cost $ Buildmg ~emiit # '. . HEATING PERMiT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .~- A~) ~\';JrJ- J . ~''')flrJll r"~;'t~'~ '~-''''J' ~!"'. . _.u~~..l..;;iJW!J.\!""L:~'1..J~~ . .50 (Office Use Only) This Application BecoinesYour Building Permit When Approved Building Official Date -~) ~~~ l~ u ~7'lE ~I Receipt No. D~ 1 6 2004 By _.J.-, . "24 hour notice for all inspections (952) 4.7-9850, fax (952) 447-4245 By. JUN, 24, 2004 1: 19PM GENZ RYAN SERVICE NO. 515 P. 2 Date Rec'd CITY OF PRIOR LAKE , SEWER AND WATER PERMIT I. o~~ Pik D4 . ''If) 11 a, VellOw Cilt'. I PERMIT NO. ;J -,.... : ) l:> 3. Gold AppliOOJlt I (Please ty'Oc or 'Prlnt lIJ1d sll/,ll':lt bottom) ADDRES;,-/L( O' D-tw: 1 e( J )vl 'b f ZONING (office use) LEGAL DESCRIPTION (ofll.ce use only) LOT ~ BLOCK ~ ADDITION Du~~t tJ I; I -11 . PID OWNER (Name) -9?, 13/.'1'''-:-"' ~,,- 'U.otM:: (Address) ZO~J/O ;(.evl~~\tX?e Cr- 0re...lM (Address) (phone) _ O/~ .Q8.5-18(')^ .L.au\lill~ 5Ci)LlU (City) (Ii? Code) APPLICANT (N~e) Genz-Ryan Plumbin~ & Heating (phone) . 651-423-1144 55068 (Zip Code) (Address) 14745 So Robert Trail (ContactP."on). fJitk% ~ L~ e,~ . ~ 'T,.ICANT SIGNATURE ' (/{.A.1'1./Jl;:Lt1J J1M Ro~emount. MN (Cily) (phone) DATE 651-423-1144 ( Lp~ ii(PJ'''04 APPLICANT PLEAsE COMPLETE BELOW Size of water service inches. Location of any couplings from structure' feet. Type of sewer pipe. 0 ABC D PVC 0 Cast Iron Estimated length of sewer line feet.' Clean out (if required) located at _ feet from stnlcture. FEE SCHEDULE Residential sewer and water line connection $35,50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17,50 Water connection only $17,50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE ' $ STATE SURCHARGE $ , TOTAL PERMIT FEE $ ~AQg vnrn .50 ~~wWU~~ P~~~J;:\IT' i I (Office Use Only) Tllis Application Becomes Your Building Permit Wilen .....pproved \ '"-- Building Offielal D~te ~[1:@~nm~~'\ ~ ~ , .'.' Rcc:ciptNo. _ DiUl I HUl1~ ~ By 24 hour Itotlce for alllnJpectlon. (952) 4, ijtJ'8!110JnJ251) 447 42.~ JUN, 24, 2004 ~. \,.~~~~ (Plene ~e or 'Print !Il1d siPJ1 at bottoUl) ADDi1S4LfO ',Da~1dd' Y;2, Sb ~-h~Cl 1: 20 PM GENZ RYAN SERVICE. NO, 515 p, 3 Date Rec'd CITY OFPRlOR LAKE PLUMBING PERMIT , -, I, Bill. Ftle L Gold Ci~ J YeI!cw Appllalll I PERMIT NO.~' ZONING (office use) LEGAL DESCRIPTION (otlice use only) LOT t1. BLOCK ~ ADDITION l.1tlrt PID OWNER ~ame) DR Horton Custom Homes (Address) ':2.0'Su,D KenBItL tx;e-o CT' Sre I DO APPLICANT (Name) Ge...7-l1y!1,;l,-'PV....?~ng & Hee"'rs (Address) 14745 So Robert Trail (.{\.ddre~s) ~ (Contact Person) C/,1rQ,r\~il ..-a I LSr APPLICANT SIGNATURE ('~ -. Quantity a.. I I I~ ,p. . (phone) q~2; q 51 f) -18D{) 4i,uvillc., MN .56bLl LJ (phone) _f.. c; 1 -4/ '1._ 1 1..4.4 Rosemount MN 55068 (Zip Code) (City) (Phone) 651-423-114.4 f DATE ~ APPLICANT PLEASE COMPLETE BELOW Type of Fixture QUllDtity Bath Tub with or without shower .3 Dishwasher I' I Floor Drain "f':;t: 1 Lavatory (Bathroom Sink) I I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks j Bar Sink I Water Closet (Toilet) Type of Fixture Rough-ins Water Heater Water Sofiner I Stand Pipe (Washing Machine) I Sewa~e ajector I BacktlowAssembly I Backflow Assembly Test I Lawn Sprinkler I Other FEE S""'.tU!JJJULE Industrial, Commercial & Multi-family 1% of job cost WiUl a $39:50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimnted Coat $ Building Permit # PAbrJ TJ'&'ITH f]rJrLDr~~ 1~I,"'F,.I'~,rrr-,' r' W" f ""1 I' I fJ'! , PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 (omee Use Only) I Tbis Application Becomes Your Building Permit When APprove~l) U -tr~ 0 \fI'-~~ ~\ Dato "\ I Bul1dlng Official Datil' )111 1 6 2004 I' 'L'. .-/ 24 hour notice tor ldl bupectlons (952) 447-9850, fIX (952) 447-424S By I Receipt No, By CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd L Pink File PERMIT NO () i ~~nw ;;~icant . ~- 70~ (Please type or print and siltll at bottom) ADDRESS ZONING (office use) 17440 DEERFIELD DRIVE S.E. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name D R HORTON (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561 (Address) _ 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BRf,Nf)A HUSTON DATE 8/17/04 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants OGravity o Mechanical OAir Conditioning OVent. 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 HEAT N GLO SL-750TR-D Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39,50 minimum $99,50 $64,50 $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 ~If::" , ...,~ ' IV~ ,,~~~ ~t" " (Office Use Only) This Application Becomes Your Building Permit When Approved P:mt-_.__._,~_.~~- ' R~eipt No. Buildinl!: Official bate . B~" Date . I i,i AIIG 2'{ 7ml41. 24 hour notice for all inspections (952) 447-985 ~ ~x (952) 447-4245 l_..i IBy ~ PRIOR LAKE INSPECTION RECORD SITE ADDRESS 1.!l4./1f1J 1)tfI;-n.A~Lt) /)1l1i/6' NATURE OF WORK NeIfJ ~~eJ7i1~ USE OF BUILDING ~~ A I ' PERMIT NO. 04-. 670f) DATE ISSUED ?1I2,~~ CONTRACTOR /),~. HoILr.,J ~ I~. PHON1f5Z -Z~ -IR~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF Main Fi BUILDING AND INSPECTION INSPECTOR DAJE , , FOOTING ~~ 7/..;2/ /br" FOUNDATION (Prior to Backfill) l.lhv~' ~ J(~/ti'4d I ~itti(/ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS / / SEWER I WATER I SEPTIC ~?/-; JY,Ly /cJ Y FRAMING /#:f I If' /.J;-7 ~~ INSULATION //11! ~1Y);1 ELECTRICAL, , " ?;/ ist"ol PLUMBING ~(;: /1# a/1//o( ~N ~ ~~/CJi HEATING (if required) ~ ~/Z7~~ I FIREPLACE , / . ~ r/7?~V, GASLlNEAIRTEST~,1t rf; I. ~ ~P?~Y COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED , .,. I I ;1;/,;, 4po/~ f)'/f'ftc/ceeJ FINALS , GRADING (Prior to Sodding) . _ ~ Alp /U, IJ"..()~ . BUILDING ~h"l/' (:/th l./hf; / /~~~V ~~ #ITA rh ~- ELECTRICAL ' /o/E?:'6/ I PLUMBING ,JIf/f,. /OPl2( J HEATING ~ /o,ijr/di/ . . . , DO tJO,.,T OCC):4P! pN;rIL ABOVE HAS BEEN SIGNED ~erLef/-t" ( /~ Uh~;/j'A~c:I NOTICE 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 <TIerfifirafe of @rrnpanrl! CITY OF PRIOR LAKE ~tpnrfntl~nf of Iiuilbing J1nspttfion Ji Final Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International 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: SINGLE FAMILY 04-0708 Use Classification Bldg, Permit No, R3 VN Occupancy Type Type Constructio 1 L9, B2, DEERFIELD 11TH Zoning District Legal Description R2 17440 DEERFIELD DRIVE S.E. Owner of Building Site Address D.R. HORTON, 20860 KENBRIDGE COURT, SUITE lOa, LAKEVILLE Contractor's Name & Address _.I /1 ROBERT D. HUTCHINS~ ,/ Byilding Official 9'//9/6.s - Date: ;/ " POST IN CONSPICUOUS PLACE DON RYE City Planner Date: .> -' __"~..'t.\,~ ,~..:.. ~ I ~ ~. '~n_ '"it "i...&:"~!tl:.._.,______ __ :~,~~___. ,,_ _____~,:,.e;4t~_d." ... ~-i ~ DATE nME CITY OF PRIOR LAKE / "'1/"- /. INSPECTION NOTICE SCHEDULED /0//,,/07 ADDRESS /7~YcJ ~e/4/d ,d , OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDA liON o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP -c.. r-..uMBING FINAL o MECH FINAL COMMENTS: / .AH~I!: h-- /' / /~':J T- ~ ./ /' [// A/~r'd /ijrV c~/ 9 ~)/;;~ 6'~-7?Z) o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o / O;C ,/// /" I' nu rq //,c;d ~/ j?/.net ( / L-c..-/ o WORK SATISFACTORY, PROCEED I C ~RRECT ACTION AND PROCEED ~ ~~RRECT W~R~. :ALL ~ REINSPECTION BEFORE COVERING Inspector: /~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. If<S/{OTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED Jo-/I-t1 ADDRESS J 7'1'1{) J2g,h'tfJ Dr. D. R. J-b~ o 4 . 1lJ'O CONTR. OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~SULATION FINAL o ITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL )!( EXI~ILLlNG o COMPLAINT o FIREPLACE R1 o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: b/~~- AK:- ~Jb !JM~s (PK: AJo~ OR( WORK 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. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNon DATE TIME ...ITY OF PRIOR LAKE - /:: L/ INSPECTION NOTICE SCHEDULED /MJ7dY - ., ADDRESS / ,7~.ytJ det?rf}c!j 4, OWNER CONTR. PHONE NO. PERMIT NO. - e:'J.tj - /,0' Y o FOOTING o FOUNDATION o FRAMING o INSULATION .,O!E1NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~H FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI ,..A::J'"1jREPLACE FINAL o GASLINE AIR TST o CO~N!.iNT$r' ~ I / p~c/I'/Lt:j( ~~ I dOhC- 4 / / t:>/c?" ft.v , , , - ~ ~ ~ h;'<edA-c.e h),tr; / O~--. / ~/ L4./~~ ' ~ ~;'?, ~/d /4eCh~ &~/- 0/( f /2eL~~ v,~.1 GJrs~ -r /e(~ g f~r!?i' :$0/-;- /r'e~j 4"d;r- h/;e;/ &;~ h"~/.rCJVq ( ~// ~dY" Q q~7- y?3c) ....-r:''/ .. / (, / ~/ /Z' /-7 /:J L: 0.. U-zft/ // / Jt1/dr , . o WORK SATISFACTORY, PROCEED ~CORRECT ACTION AND PROCEED :,=CT~ REINS:::::FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! UlSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME ADDRESS 17</4?} - /7~ LJEE/4?lat::J LJ~. OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o ~ULA TION A1=INAL o SITE INSPECTION o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL Sir , COMMENTS: - /f / n/l'~/ , / C}/C 4 -708 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ------------. /~/' ,...-./'j) \. (~/t!5J€..;0 /e-~ ..,( ----- --- )LWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~ 5~~7 REINSPECTION BEFORE COVERING Inspector: f$fj'/ Owner/Contr: r CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! Job Address /'1"1"'0 ~lcf Heating Contractor ,;41? ~ A~C#' Name of Tester .#-~ ~ / cJ -1'#-oY 9/7 9'd _ q:'~iV 6~LZ, / ()/ c:c Date Percent 02 Percent CO Percent C02 Stack Temp Combustion air is adequately supplied per UMC Sec. 606 Yt!"> 9' qtt> input