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Home My WebLink AboutBldg Permit 04-1075 Date Rec' d (1-30.01- ZONING (office use) -;e;;z LEGA' DESCRIPTT (office use only) LOT/~LOCK ADDITION PIndS -J/O'1- () 15 -0 OWNER (Name) (Phone) (Address) /) /l /. / ~~~~~ Name) LI If /lor 10/1 ../ /J C ~ (Contact~e) L1l...~ . tLDJ/Joc.... /? t..,.. '. (Addr~ () f b tJ ~e" j~/jf/a e/ 1/ /0 D I. ./ , ~ -TYPE OF WORK ~ew Construction ODeck o Porch ORe-Roofing ORe-Siding DAddition DAlteration DUtility Connection D Misc. CODE: ~.R.C. DI.B.c. Type of ~struction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: I 2 3 4 5 (Phone)YSJ-7JS-7J?J3 (Phone)h)2-L566- l/7?J? 1",J:eui/k ///lI L"')SD~~ .. OLower Level Finish 0 Fireplace PROJECTCOST/VALUE $ / / q 0 f 7 (excluding land) , /J e ifY that I have filmished mformation on this application which is to th,e best of my knowledge tnle and correct. I also certifY that I am the owne~or thon d agent for the lion .~~~~~hat al construe will conform to all existing state and local and will proceed in accordance with submitted plans. I ar tha\ihe 1dmg 1. :i a l' s ~se F rmore, I hereby agree that the CIty official or a eS~j 8es~5 perform needed msp onsr,; f /D '-I ature Contractor's License No. /bate / I Permit Valuation /,;2h J {)tJO, lID I Park Support Fee # $ I Permit Fee $" /Z09, SO SAC # $ J3S""o.00 I Plan Check Fee $ 78(0,18" Water Meter (Size 5/~ 1"; $ 2.S'O, () 0 I State Surcharge $ 0~ . 8-() Pressure Reducer $ L( S", CO I Penalty $ Sewer/Water Connection Fee # $ 12.00,. Do I Plumbing Permit Fee $ 100.00 I Water Tower Fee # $ 700 ( 0 0 I Mechanical Permit Fee $ J (10, D 0 I Builder's Deposit $ 1500, f!) () I Sewer & Water Permit Fee $ 3r; , s-o I Other $ I Gas Fireplace Permit Fee $ '-10,00 I TOTAL DUE $ 737'1. If ./ () This Application Becomes YourrBuilding Permit When Approved Paid '7137C/. I r Rec~t No. ~7% r~. ~fti,~ ~~</ Date 10. Wld~ U ThiS IS to certifY that the request in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThIS document :~ "'""~;'''''"' C""",,, ";;;;~:;d ,"ow. 'oo,~_ '" "mmm" Mm' =""",,. , C,~,'""' "' 0"0',"" mw' "' Planning 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 Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts ,.. Reviewed by: ~ ~" Date: /t9/7/ot/ Building Permit # PID: Zoning: Address: /7<17~ It7L/7~1 1?'l811 17t{~3 ~ ~ 90-/' Legal: LJS', t 10, 8 I Subdivision: -nnn," J,: I' () (J I ( tfL 17, 18" ~~ Existing Structure? YES@) Existing Nonconforming Structure? YES~ CONFORMS TO ZONING ORDINANCE YES . - -- '. , Yard Setbacks: NA I FAILSltOMPLlES) 1. 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 of wetland/N U RP 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 I FAILS (cOMPLlE~ ,30 Maximum "" . I Yard Encroachments: NAI FAIL~~.!,JES...V Eaves and Gutters no more than 2 feat in width and no cl'oser than 5 feet to a lot line (Easements). AtCand other equipment cannot encroach. on interior side yards. Standard C'o" Tree Preservatioll:(NP/) FAILS I COMPLIES . Iotafcaliperinches . Permit25% Removal . Caliper: Inches Removed . Caliper Inches Preserved I. Replacement Standard %:1 L:\TE:MPLA TE\BLDGLIST.DOC NO ~S~."':'" , Proposed; ZSr 30 ZS' B~"', (:5~. I LyJB~ e~:~=:~;::_.. -32, 'fc",::~ \':'--"',:'-<"--:-"-'" tJ A ",;Y11 f'JA IPu 0 t Proposecl'ht~:.'" I, Proposetf;~;,,?\t:,:: )llain ~ile c::Yt.hi~e - Buil~ Canary - Engineering Pink - Planning Tht" Crnlf'r of Ihe Like ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ 'e #m'~ 9- 30 --olj I The Building, Engineering, and Planning Departments have reviewed the building permit application for c7;~~;tiVity 70;:;;p;a kCh-- Accepted Accepted With Corrections ~. Denied Reviewed By: r- ~A~ -IedJ r- Date: /a,/7 fttLf- .1flr2/J.AJ ~ ~. ~ ~~ ~r ~ 'fl-4 I\~/,. ,"_'-?tZ~ ~. (/ , ~ ,. -&I Comments: liThe 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 ('enter or the Like ('ounlry White - Building Canary - En ineering ~k-=!Ianmn BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST "~ I /' i' -,~~.,..t_....- NAME OF APPLICANT APPLICATION RECEIVED 'r, !..../ f... "'1 ~J "'/-- I .::? ( \ ..,--) '" . !~I The Building, Engineering, and Planning Departments have reviewed the building permit application for constr,uction activity w. hf., h is P, ,r, 0., p9s,e, d~"t: ''', 1"7'-/77 J_~. v/{ 1!j1J.)C.Gl ) (~ Ij Accepted ...--- Accepted With Corrections Denied Reviewed By: ,~ Comments: ~ " r- ~ Date: /0/'7;/6 c/ , Q "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 r: C~nal"( - ~n9.ineering ') ,""inK - t3lanning Th~ Cf'nlrr of Ih. 1.8kp Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ,~AME OF APPLICANT APPLICATION RECEIVED ,,<:t / -"<~, (,...) \......_,.~. J " '--J I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity whtch is proposed at: / '. ;'.. ,.r'~ .' ...." J .j...,"'J~, i '. ' !.', _ l /1 ,_,/" ) r / / t..." ,-, '/'.. ,1',} ,., '," ,. ,. i 1/,-: i · I {', j \/ J:...l./L ~..;(Jl,.v'..... " \,~,"._,..../ Accepted Denied )( Accepted With Corrections Reviewed By: I)1fff3 Date: /0 - /'1-0 'I Comments: See Reverse Side for Additionallnformatjf"l~~ See Attachmen~s: 1) Grading Plan. 2) Erosion Control Measures "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." 10/11/2004 MON 8:56 FAX 6513226147 GENZ-RYAN III 010/017 Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERl\t.l.ll (Please tYPe or print and silttl at bottom) ADDRESS 111/7 ~7 ))fl,R-'f,' e(c~ /)12 S6 i ~ ~ii~ I PERMIT NO^",- I~....:- 3. Gold Appliant ~ U IY ZONING (office use) LEGAL DESCRli'uON (office use only) LOT /0BLOCK ( ADDmON ~IUie(rL, II'~ PID OWNER ~ame) DK Morton Custom MOm€F (Address) 20 8.00 Kev1Bi<..\ tx:-.e G- Srp _ j I'{\ (Address) (phone) _ O/~ -Q'65-1.8..Dfl . La,~\J i \ Ie.- (City) . &5(::()Lj U (Zip Code) , APPLICANT ~wn~ Genz-Ryan Plumbing & Heating (phone) 651-423-1144 T..ICANT SIGNATURE /) If (Address) , I;' uI1rt/S17 rt1lj~ (I ~) 'j J i A /lh Rosemount. MN (City) 55068 (Zip Code) (Address) 14745 So Robert Trail (Contact Person) _ (phone) 651-423-1144 /" '::/u.1.t/J DATE I D / II I ot ! { 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. FEE SCHEDULE Residential sewer and water line cOMection $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 $ $' $ .50 L_ Building Official Date tfc"l 2 2 2UQ1 PA1U WIl'tI r: ecelpt o. ~RMJl' (Office Use Only) This Application Becomes Your Building Permit When Approved ~cr~ [~~ li IJ I 24 hour notice for all inspections (952) 4- \7-9850, fax (952) 447-4245 By___-- 10/11/2004 MON 8:56 FAX 6513226147 GENZ-RYAN ~ 011/017 Date Rec'd CITY OF PRIOR LAKE PLm:tBING PERMIT (Please tyPe or ~rint and si2n at bottom) ADDr)t{lloo~r1t. elcL b'l2. [b , ~ EL ~ilicanl PERMIT NO'(Jf J~75 . ZONING (office use) LEGAL DESCRIPTION (office use only) LOT I V) BLOCK I ADDITION 'DuAlZti e I ~ II '1M. PID OWNER ONam~ DR Horton Custom Homes (phone) 962, q;;.r:; -iBLJO (Address) 2O'SLoO lUV'/ B~ 1 DGe... C r S"e ! liD L(.l k..-LvillG MN 5fuLj Li APPLICANT OName)..c;OM_~n 'Pl1.1mbiug & Hea::!..':\g (phone) /;C;1_1..?':\_11l..1~ (Awue~) 14745 So Robert Trail Rosemount MN 55068 (Address) [ (City) (Zip Code) (Contact Persnn) OtJ1z1.s:? 001 ~. (phnne) 651-423-1144 , APPLICANTSIGNA~- '('11J)--?(l) '!w/) DATE _11J/~1 APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quantity Type of Fixture d Bath Tub with or without shower Rough-ins I I Dishwasher I I- Water Heater I I I Floor Drain I f2d:: Water Softner I ,,~ 1 Lavatory (Bathroom Sink) I / Stand Pipe (Washing Machine) I I Laundry Tray (lor 2 compartment sink I Sewage Ejector I ; I Shower Stall I Backflow Assembly I I I Sinks I I Backflow Assembly Test I I Bar Sink I I Lawn Sprinkler I O? I Water Closet (Toilet) I I Other FEE SL.t:I.J!;DULE Industrial, Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ Building Omcial Date .sF A1U W I 11-1 BUiLDING --, ~ -- ~ . U I L. Ii lii : . - .. n lliJn 1~":1 !j' ii', '...'r"tlo,. .'1' U< \"I, ,.,', L, L, I i .KlVll . 1. LtlteT2 2 2004 l~)-H)' (Omee Use Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) '" 8-9850, fax (952) 447-4245 Y ------,_ , CITY OF PRIOR LAKE llliA 111~GI AIRCONDITIONING/~l.KEPLACE PERMIt. Date Rec'd (Pleasetypeororint and si~ at bottom) 'ADlJRESS \"'1 L.l,"-f"\. J ) q . <f. \ \ ~ ~ Oe.e. ,~.:~ ---.~ \ A .\) '"' ~ S:- ~: =., ~:~ PERMI,.T NO. J L lo'1'~ 3. Vellow Applicant ~ vr ~ , ZONING (office use) LEGAIT.,lJESCRIPTION (office use only) '.. .', LOT 'BLOCK ADDITION PID ()~ER DRHORTON (Name)__ 20860 KENBRIDGE CT (A.~4.i'qsl))i LAKEVILLE, MN 55044 (phone) ~[~~~t\NT~/x/~ ~r~./r~ (Address)~~ ~~~,~, ~ (AdDie' (COri",<;(I'",,"n) A 4U' ekJ1.d~ APPLICANtrSIGNATURE~; ..f.7 ' ,J/r___. (ph()ne).~5.A '4/f,?-,.? ?.?5" ~~..a.<. ~~-? ,(c:&ff " (Zip Code) (Ph()ne)~- ,~-~77~ DATE . ~~~nICANT PLEASE}COMPnE}TEll~I4Q~r · .."'""""""',,,,, ,',' . .,31,. NEWCO,~N"TR,., ',UC,',T,',IO"N .,,' ',ORE, "...pt,,'..,^,C,E, ME".",. m,."""'i,.",','.'.,<,.,..,E,'iJ...,^,',..,.,iL,.,, TE, RATl9NS ,~ . .,.' FURNACEMA~ANDMOD~~, ',. ',',...;;>/~~V~70. FU,E L d. ft-'~ FLuESIZE~~ RETURN OPENINGS " ' , .,""'" " '. INPUT~ OUTPUT _~,,~ TYPE OF SYSTEM' HEATING ORPOWERPLANT OWarm Air Plants OGravity o Mechanical DlAir Conditioning ~ent. System 'DSteam D Hot Water [J ltadiation D Special Devices DDther Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I%ofjob cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Building Official ~~). Estimated Cost $' ~r' , ,a:::> Building Permit # ,,"':, I~,c;i;"', f" HEATING PERMIT FEE ' $.-W/~~.,i'.,4.J;i~,;.,~:~.:/ STATE SURCHARGE $ ~ .50 "'1";"', TOTAL PERMIT FEE $ t7 _ _~~-..-L,..;..--'---- ~~~~ L I ~at~ HeJ'J 3 ~ Date \ L.\ :---~\ 24 hour notice for all inspections (952) 447-985~,-.:::::..:::..:~J (Office Use Only) This Application Becomes Your Building Permit When Approved \Re~eipt No. ZQQA By! \, If CITY OF PRIOR LAKE ltEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd I. Pink File 2, Green City 3, Yellow Applicant PERMIT NO"/-IO'lJ (Please type or print and siltD. at bottom) ADDRESS ZONING (office use) 17477 DEERFIELD DRIVE S.E. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name DR HORTON (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 11/26/04 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 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 FIREPLACE MAKE AND MODEL HEATN GLO SL-750TR-D 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 $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Date DEL R1~iPt No. I. :1 1 (004 '~)I VI- fJ Paid Buildine Official Date 24 hour notice for all inspections (952) 447-985q, !ax(952) 447-4245 PRIOR LAKE DEPARTMENT OF Main File BUILDING AND INSPECTION \NSPEC1"\ON RECO~D SITE ADDRESS I~ DEi'LFJ~, sa". NATURE OF WORK .-..sC-tAJ ~,." USE OF BUILDING ~ A. . PERMIT NO. ~4-. /075 D('TE ISSUED 0 .." CONTRACTOR p.R.~. PH NE · -'OSI NOTE: THIS IS NOT A PE~ OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ,- - , FOOTING /h~ I /~/..z7/0Y J FOUNDATION (Prior to Backfill) ,1~1~ / h./r.,/7, t{fJ I /:~%7 PLACE NO CONCRETE IUNTIL ABOVE HAS BEEN 'SIGNED ROUGH - INS SEWER/WATER/SEPTIC hf4 I ///r/as/: FRAMING #~ f >.2hr/~, \ INSULATION )1/1/)- ;)),29 /t/e:! ELECTRICAL / ) J- /"z.J/t-f/ PLUMBING () (t, JI{ff (~/7/o/ fa, /~/,2,/li~( HEATING {if required~".fifc ~/;/.//I~! /~ //'/~7~Y FIREPLACE J ~ /~/..PiYoY GAS LINE AIR TES~h ;-/?4 ~ /~~ftr- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED LA.TJ/. ~ AlItNl I #U--, I ///;d/P~ , FINALS / ~ GRADING (Prior to Sod~i.,g), . . I ~ 7: ~7/ :;'J- . ~ BUILDINGk#fC1 C 0, 0"- ty if /tJe /K~ VJr/", /IIJI ?/<7'/6f ELECTRICA~ ~ .,1./ y /~ PLUMBING 111/:/- ; lILt I~~ HEATING .~ ~ ktr/~- , , - DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED 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 .___..,_.._.^_......,~._"'__...... _ _..<>....... '"_.____..__,..... .~"~.~ ~'''-~m _~__..'^. <llerfifirafe of @rtupanry CITY OF PRIOR LAKE :!EltpZtrftutnf nf ~uil~ing Jlnspttfinn J!FinaJ Permitted ConditionaJ CO. Expires. This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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 FA.11ILY 04..1075 Use Classification Occupancy Type Legal Description R3 _ Type Construction L15, B1, DEERFIELD 11TH VN Bldg. Permit No. Zoning District_ R2 17477 DEERFIELD DRIVE S.E. Owner of Building Site Address D.R. HORTON, 20860 KENBRIDGE COURT, #100, LAKEVILLE 55044 Contractor's Name & Address ROBERT D. HUTCHINS 9 d9>~.~di~ffiCial .. ~~ City Planner Date: ~-_. . -_.._~-~~--,-"---_....--,---:..'._~ __""~IlIll~ . . """ . n'n ~.).",,,.....,,C._"'_'<"'V"'_ , Date: JANE KANSIER -_._,,--,_............~'-. , ~""""""'" CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME ADDRESS /74/1- 17~83 ce6fCtC'~GL-O OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL O~ ~CH FINAL Sj'( I ~ / /'//14-/ , /. OCC 1- -/075 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~:;;;:----- -_..__._---~ / /" ~/ ') "\ ('-- C/6r-e r/S----~ ~ SATISFACrORY, PKUGt:ED o CORRECT ACTION AND PROCEED o CORRECT WORK, ~~ REINSPECTION BEFORE COVERING Inspector: #.o-r Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! /NSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE . rJ{/t'C' .- /7'17;7 /Jeeyi~1/ Jlr SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. (J'f -/ C';O-- o FOOTING o FOUNDATION o FRAMING o IN~ULA TION ~NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL p-1iECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI ~EPLACE FINAL o GASLINE AIR TST o CQ""MEN;5: .---: / / g/~c.T;7;<r ( hkq / d~V1..~ ~;;e- ~4e Me;/ 0'': " / ./". , I' ~C~" /z~~/ c!!J~, / ~ecer ~cL c9r$t;, r- ~~ / /1..- / I ~ /' /J ,/ ,kt:7 A/e",c1 &rurHu-.- $/7t-ek/~/ ~ hc,," cJ ~/1 " r / /~,~ ~t-jA/7h9't ~,r:de /ff:~~~/ ~7/!A#e4d / Sex:!-t- 7.Yee......\ /? r I'~ o ~I'k tf?~~cI /~~~~~726~ ~~ #/c ~,IjP ~ ~*'1cJr / ~ ~'~~/!~ cc;, o~~r/ ~~-r . / ' - o WORK SATISFACTORY, PROCEED _ /' A"ORRECT ACTION AND PROCEED ~ C o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING /~~-/ Inspector: r F'C- z.--- Owner/Contr: r / -2/t;/n,- CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSIIOTl DATE nME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ;-:?7-cf) ADDRESS /7'777 Dt!.crr:e./I Dr/v(. OWNER CONTR. P.R. !-IorioV') PHONE NO. PERMIT NO. () 4-/0 7.5'" o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~EXI~ILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ G/,(jciL oL I t' ~ --' Cu/b Boy: c9 r _ '}(WORK SATISFACTORY, PROCEED v 0 doRRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: #~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IN$/IOn DATE TIME CITY OF PRIOR LAKE ., / ,/ L INSPECTION NOTICE SCHEDULED /?/ /,1'0).-" ADDRESS J 7r77, ae,hJr/c/ d OWNER ~V;'J / -ff; CONTR. f . PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION PERMIT NO. CJ~-/07L- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ...... '....dJMBING FINAL o MECH FINAL o EXIGRADIFILUNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASUNE AIR TST o COMMENTS: . ,/1/1 / / / /e/1 LJ/?1 e '-h:,- .-r' " J ,4z- /\-" / r))/c ~/ (/-/~~ / / /,(/A' ~ r[) ........ A// /. ~. . ~ / i / /' /I/eed $/ V /~sr"E//'l!?d , - /? / P /~ v//ct/~9 o 'WORK SATISFACTORY, PROCEED- ,.-/ ~ORRECT ACTION AND PROCEED /OC-ORRECT WORK, ,;",'fF}! REINSPECTION BEFORE COVERING Inspector: g~ Owner/Contr: , v .~ /' (' k<:.c.tt ./ :..L: ;, ~ / f r { CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSlWTl 'i ; -- ~ APPLIANCE pERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor Name of Tester Date Job Address Heating Contractor Name of Tester Date Percent 02 Percent CO Percent C02 Stack Temp ~ IJzKf/ Ik.AJ.... & :J..- d-~- 05 /7J1?7 I~r.'r::/cf --I!I!:...~ f'If tEe J/" A6HH1\ ). -'2, -z.. -oS' J(, {, % ,~ ,Jv /;,~ ~ 32..' jt: Combustion air is adequately supplied per UMC Sec. 606 f~ , input (..cJrnrl