The URL can be used to link to this page

Home My WebLink AboutBldg Permit 01-0811 \ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERIUICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT -Z- I q- Mll\~ +t"\ I. White File PERMIT NO 2. Pink City .0 d 0 ~ JI 3. Yellow Applicant v,. 0 r, (Please type or print and SiWl at bv..u~) ADDRESS.... Si/5'3 _ ~ ~M Ctww..1G LEGALDESCR1.t'uON(officeuseonlY)'BLt)G,. \L Ut'\. ,,+ 51 , - , LOT<[ BLOCK ( ADDITION D&Gr..h~\J. ~J. Vt\\a~ PID~5-~13- O($-() OWNER (Name) . (phone) (Address) BUILDER (J (Name) O.Q. ~ ..lh\ ' (Contact Name) _ M ,16- ~f}O'u-+~a./ (Address) dtJtJl.oO J<<vtbrl~ d. ~.f-E.l OD ~1)6J.AA tJ TYPE OF WORK ~New Construction OLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) S ']~. 112.0 ODeck o Misc. Plan Check Fee 1~.t ():')O . OC) ,1'1 .-,~ S/B"St1 3.G. . 00 $ $ $ $ $ I 00 . f) C) $ too .00 $ '"3$.. ~() I Gas Fireplace Permit Fee $ ~ '0 H'V'1 ~l .~ '01~~- 'ca Becomes Your Building Permit When Approved ~,- 7,?~-~( B i1' Official Date I S~ate Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee (Phone) !J':;"A-&fg~-~ (phone) tt~-,ga~"41?J2 CbLJU,"-, ~-- --- OPorch OAddition ORe-Roofing OAlteration ORe-Siding OUtility Connection , $ (h -....-.. ~..OO $ f1 lSO .OQ $ lLZS...dQ $ .1'10 .0 0 $ Ifl^OO.oO $ . ?tJO .00 $ !l ,CJOO.~ $ $1'} "";). ., .;7'1 Paid Date ?"~Z. 79 ~.../~(\ ! R.ecei1)~ fl)~ Bv /fz;r-r -. /'- This is to certify that the request in the above application and a~w...yanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a t.;.....,u...ry Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issU~'.~~"'If_. 7~'..' ~"- ~M CMl:;r-~# , Phmning Director Date ~ - ~~ Conditions~if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Park Support Fee # SAC @:j I WaterMeter Size 5/8"; I' (1" I Pressure Reducer Sewer/Water Connection Fee # Water Tower Fee Builder's Deposit I Other I TOTAL DUE # 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 lam 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 SUb~'tte an. S'. I am aware that th uilding 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 pc:rform n d inspections. X j~). , Si ~~~;?fi~:;NO. ']-/~O' - V I Permit Valuation Permit Fee ----/ Tht Ctnft, of fht Lob Cou'fry (lile- -~~lding Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D -e. .fdovtotJ APPLICATION RECEIVED 1- /9- 0 / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~ 1/53 Pa&I1 /lIlLr;tchw- ~ Accepted X Accepted With Corrections Denied Reviewed By: NAB Date: ~1")5 -ol Comments: 'See Reverse Side for Additionallnforrnationt b'Je.,'/1 f=,'/r see Attacnments: 1) Grading Plan, 2) Erosion COIIL.'~ Measures 3) ErQJion 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 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." "1 -..- ---- Th. ('.nl.. of th. Lab Coantry White . Building Canary . Engineering Pink . Planning ~~il~~"Wf~~i;lP" BUILDING PERMIT APPlJCATION D.EP,ARTI\4fNT CHECKLIST () I \ (I NAME OF APPLICANT D P HovL oJJ APPLICATION RECEIVED i- /9- 0 / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: j //5 3 J::;'l~J ;J/lLL{C/ &ur ( {t<-1/V~ Accepted ,/ Accepted With Corrections Denied Reviewed By: ~.....~.......~ Comments: . ~~nJ~bJ~ ~.~.~ C~Y1..~< &- ~~,.()~~, ~ t~l4 ~ ~ ~~l ~. Date: ? /3 e>/l:> ( ~("/D ~dOM a.-'M~~. 1:v.~ Vbl~ ~~ tAllh~Y2..;O.W.. 6' . "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." Th. C.nl., 01 th. !.ok. Country White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D 72- (Juy-toJ ,-/9-0 I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 51/53 patffJ7 ~~ Accepted Accepted With Corrections )( Denied Reviewed By: V~ Date: I-)c)-~OO(_ Comments: ~n& ~\ Qt\-o.c~ ~ (!)~ 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." ...-/ 651 633 8884 FIRESIDE CORNER #6031 P.010;013 Ll I. i OF PRIOR LAKE Date RK'd l1.JtATING/AIR CONDITIONING/ItudPLACE PE~llJ.OEC I 3 2001 .....,1 ~ S:. ::1411II I PERMa l'lffl.OT;;l)g t I J I (Plr.ue type or prim IDd.si"" Ilt bOt:lXlIJI) ADDRESS SV,53 ~~...n.. f),~ ~ ZONING (oI'IIa l*l LEGAL DESCR.u:- uON (ollke QH f)I11y) LOT BLOCK ADDITION Pro OWNER ~ (Name) ,I) fl (Address) . APPLICANT (Name) ALLIED FIRESIDE DBA FI~SIDE CORNER ~ (Phone) (Phone) ~S~,-633-,,561, (Address) 2700 N. FAIRVJ;EW AVENUE (Addttss) BRENDA h11STON (Contact P.eX'Son) -_ APPLICANT SIGNATURE r'" ~"-t. I).. J Ij.J~ ROSEVTT.r.1l: MIlot (City) (phone) 651-1533-2561 "'~,,~ (Zip Code) DATE /;)./1, a J APPLICANT PLEASE COMPLETE BELOW c. ~w CONSTRUCTION 0 REPLACEMENT 0 AL'tEMnONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS lNPUi OUTPUT TYPE OP SYSTEM HEATING OR POWEa PLANT :JWann Ak Plants :JGmv;ty ::r Mechanical , :JAir Cond1tioninl JVent. System FIREPLACE MAKE AND MODEL ~u. jJ 't;. ~ Steam Hot Water Radilltion ::J Special Devices ::J Other Devices $t,. ,\(J PLEASE Nu J ....: Air Condition.er Units CBDDDl Encroach into Required Si.de Yard Setbacks In4l.lSUial. Commercial & Multi-Family FE~ SCIttDt1LE J'Yo of jD\:I cost Rcsfdcntjat, Gu FirepljlCe $39.'0 minimum $99.50 Rcsidenlilll. Additions &t ALtGtlltionll $64.50 R&:sidenJial. AC Only $39.50 $39.50 539.'0 Rcsid.entipl, HcaUng & Ale (New CDnstruction) Rc:sld.c:ndBl, He.ling Only (New ConstnJetion) Estimllled Cost S Buildinl Permit # HEATING PERMIT FEE STATESURCHAROE TOTALPERMIT~.I!"Jl, $ $ $ .,..... 0 urrrH , PAl ".. EFJ/sr 81\\..D\NG p \-. (Offlee V_e O"Iy) nUdillg Permjt Whell ApproYed t DEe I A 211I Plli.d Receipt No. Date By Del\: U hoar ndc:e ror -n inlpectlon.. (,g) 447-9850. rIll: (952) 44104:145 CITY OF PRIOR LAKE HEA 111iG/AIRCONDITI0NING/~'.LKEPLACE PERlh.u. Date Rec'd ~: ~ ~:~ PERMIT NO.I--r?J.f 3. YeUow AppliClllt 0 . (Please type or print and SilUl at bottom) . ADDRESS ZONING ftice 64~3 K1WnffifJJ[DW 04yV~ R::Z use) LEGAL DESCRIPTION (office use only) g- , LOT Uti BLOCK I2-ADDITION ~f-M ~yd PID ;)'-3"13 - (J()1J-C I ~'::e~R l)f( \1DYM (Address) 3(5Cf W~9fuilpWt AvL Sulk 1JJ~ (1 ~;;~~ANnl JDM YntthtU1JctL! (Address)~D W1nebe[; I)r &ilk- \ (Address) . (City) (Zip Code) (Contact PeBon) ~.fY~ .U~ _ (Phone) --146 J. 45'l- 2:1'15 APPLICANT SIGNATURE ..Jt1;fuDi!.-- f/ 7Jmm1YlnIU1 f.J!JI1fJJDATE 7/3l>/O} ~ - / APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEMAKEANDMODEL g,rljln.J.- 2/6?JlLAVD2J.JblD . .FUEL~a1 FLUE SIZE l..\l\ t-lllSS> B RETURNOPENINGS 4- INPUT IDI DnD OUTPUT 51.o.bb..D TYPE OF SYSTEM HEATING OR POWER PLANT (phone) ~ MJ\J 55/2,1- (phone) 1tf31 4-52-- 2..115 j OWarm Air Plants OGravity o Mechanical ~ir Conditioning GPfCnt. System o Steam o flot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKEAND 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 Residential. Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 P'\{D BUILDlN. tWrH G PSAlv'lli (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date I Date~ - 3-0 ) BY(j0 , ....,.../ "V. . 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 J u I . 25 0 2001 6 : 53 AM GENZ RVAN PLUMBING AND HEATING l.:l.l r OF PRIOR LAKE . . SEWER ~ W A... J1,..K pERl\tll. ~ - -- I. lII-. PiIoI l. 'f ""'- Cltt- J. Gala ~ . . ," (l'1cuc: ~ onmar. slJIlIl'~L.." ......) AbJ5:D'Jioi::~ ~ .; ~ ....: _ ~L/ 5~~' .. . ~:C:-Au.) ~ ~A-~ ~, 1 (<-1.L _SF . LEGAL DESClUr uON (c1Bce U3I 0Dly) . LOT0 BLOC~ r ADDmON ~ -u ~ v to .3p 0 OWNER No.8621 po 15/30 r-.--:::- . pate Rec~d " / { JJL 2 4 2001 "'; '-...' _.0<...-/ , , PERMrr.NO~ f-JII -' ZON1NG{~~ tZ~ PTD)r~373'" bbg-C . I ~on~ 631-~SA-6~~~ (Name) ~ Ji^...~...... C'UIl'COJa lloaec (AcL;.........) 3459 Washington :Dr Ste 204 (Addrca) ~agan. HN 55122 (Oty) (ZIp Code) APPUCANT (Name) Genz-Rvan P1Wllb~~ & Heat1.n~ (f'~) 651-423-114.4. ~ · , ~ . (Addr~~ 14745 50 Robert Trail Rosemo~..,MN I I (Addras) U'P"l; (CoDtaot ~*\ _1larT Olson ~ ~ \ ~ ~t:. ) 651-423-1144 ( [' "'t.1CANT SIGNATURE '. ~ ~ \ ~L- D~' ......, 17- U f) ( , APPLI~E COMPLETE BELOW Size of water service inches. Location of any coup~ z..U.LL& structure feet Type o~ sewer pipe. 0 ABC 0 PVC 0 Cast hen Estimated length of sew~ line feet Clem out (if required)' located at . feet from ~cturc. 55068 (z.lp Code) :.~ SLlUiDULE ~idential sewer and Waler line connection $35.50 Inclustrial. Com'. &: Multi-fiamily 1% of job cost with a $39.50 minimum Sower ccmnectiOD anly $17.50 W~ cormection only $17.50 Estimated Cost $ Building Permit # SEWER .AND WATER. PERMIT r ~ $ STATE SURCHARGE $ .~ TOTAL~~JI'EE $ llIIcc UK Oaly) This ApplicaUOD .Beeomes Your BuJldiDg Per1IUt Me. Approv~ Paid Bldldmc Odidal >>.. Datc~:';'3 -01 ..... 14 hour .otice for a1lluped1o... (~5Z) 441-98SO, .tu (95]) 441-G45 .so ,SU/~'{ppt ~AMrr I :R... .~..t No. . ay~. \0 J u I . 25, 200 1 6 : 57 AM GENZ RVAN PLUMBING AND HEATING Jo.8621 P,3o/3o ,_. - LITi' OF PRIOR LAKE PLUMBING PERl\tul . ~te Rec'd " f Jl. 2 4 2001 --- -- ~=.:..../ PERMIT~:-7=glr"-'l-i t'P1oue 1t" ~.Gld Up a.tP..- ",. .,.) . ADDRESS . -,..""-:-" ,. - ~~ :t7A~ '\ tA \ 0 tf10DlD rL'l.~ :\~ ZONING (o6zt~ t:;),. LEGAL DESCR1.t' nON (of6ce'u:.e DAly) r LOT (, BLOCK I ADOmON [:)g e.rfu ~ (') ~.Q I OWNER '(Name) DR Ho;t'-con Custom Homes Pro ;;?5-S7~-CXJ~-().' ! (Phone) 651-454-4663 (AcUh'e$iJ) 3459 Washi.ngton Dr See 204 Eagan. MN 55122 APPUCANT (Name) r-......,-'Dyilll l'>>'xu)'-.:....e ~ 11....f"1...g (Phone) _~ C;, _6.2 ~_1 1 h..h. (Address) 14745 So Rober'G Trail R.osemount: MN . : ~~0l?8 (Address) (City), . ~ .. (Zip C~) (COD,ta.ctPerso~) Mary Oll!lon n ~) 651-42.3-1144 ruoort~GNAlURI! 11 ~ (~ ..r",;ftTE f /2.510 , \ - Ai:t. ...JCANT PLEASE COMPLETE BELOW Quantity Type of Fixture I QaaDtity I ' Bath Tub with or without shower Rough-ins I I Di:lhwasher I \ . I W~ter Heater J I Floor Drain I 12-1 I I Wati:t Softner ~ . 1 Lav~~f (Ba.tbroom Sink) I I I StandPipe (WashiDgMaclUDe) I I La1U1dJy Tray (1 or 2 co....k'... L......ent sink I I Sewage :e.j......~.... I SJ"OWCl' Stall I I Ba.cld1owAs5embly I Sinks I I B~ow AssemblY Test" IB~Smk I ILnmS~<< 2- I WatJ!Jr Closet (Toilet) I I Other Type of :Fixture ~UL S",..:u.uULE Indu.st:na~ Commercial &: Mult1-family 1 % of job eost wil:b a $39.50 minimum Rcsidc:Dtial. New 000 &: Two-Fmilly $99.50 Residential,. Additions &; At:.....,.IDIIS $39.50 EstD:natcd Cost $ Build.iDg Pennit # PLUMBING PERMIT .t'r..t. S STATE SURCHARGE S .50 TOTAL ..::t!.AMIT ~JUL $ BU'/~iff I!I/IIH GPt,... 1""./" 1-.. .'1/ )mea VI. o.dy) This AppUcatioD Becomes Your BQiIctiDC l"ermit Wlaeu Appro.-8lI Paid BlIiIdiDi OIIdal Daft Date X .-~-O , I RcQOjptNo. I By CIJ- /I --- ]4 hoW" lIotCu for aU iDspectiOIlS (95:Z) 4.&7-9150, fu CJ52) 447-4145 PRIOR LAKE INSPECTION RECORD SITEADDRESS 5~~ ~wIllM~"\' Curv..Q NATURE OF WORK JJ~w USE OF BUILDING SEf) PERMIT NO. tJ/- f' 8/1 DATE ISSUED 7- )("') - ~ ( CONTRACTOR ~~. HQ~~ PHONE NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING /fiS..CfOA 5J/ $I/'ro J DATE I FOUNDATION (Prior to Backfill) I~. /~/~!CI I~,,:r. ~. l0/3f6~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC /J FRAMING 1C:2t. INSULATION~.~ ~. r~/J"J /~, /Z-~!/OJ ELECTRICAL \ , I PLUMBING ~ u.~.~, ID~) M..6. (~ JtJ~ &r" JeIJ3/dJ HEATING (if requiredrr~, ,,:r~ (a/3/()I ~~ lOis/OJ (Jr. /cjUJ/Oj FIREPLACE " If;o, ;2/ W IIJ / GAS LINE AIR TEST ~ .t; F"f/ ~ /2/ MIIfl . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ ~. 1~/;tIof I ~ 15?- 1t./1f!az u_u -- J FINALS GRADING (Prior to Sodding) ~/ Bl p~ q-Q- D~ BUILDING'rIQ\O.-{l1 ~, f & 2 ~. ~~;);)/{)I- fJtJ Cf-/J--- (f... ELECTRICAL PLUMBING HEATING DO NOT DEPARTMENT OF MaiN FILE BUILDING AND INSPECTION . I /Z/ e- O/e1/ 6th , OCCUpy UNTIL ABOVE HAS 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. I/Jt/(j2, j/;:r;JDZ/ , . BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 Itrtifuau otlcnqtaRry CITY OF PRIOR LAM; .tpartment of _uUlIing In'pettion ~Final Permitted 0 Conditional C.O. Expires 1his CeniJicate issued pumumt to the requirements of Section 307 0/ the Uniform Building Code cenifying th4t at the time of isSIIQIICe this structure was in compliance with the various ordinonces. of the City of Prior LaJce regulating building construction or use. For the following: SINGLE FAMILY Use Oassificatiopo Bldg. Permit Nr. 01-0811 Owner of Buildinl J Site Address D.R. HORTON, 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE Con '.'. .I.'S Name & Address Fire Zone --.li/ A Zoning Distric:t R2 (BLDG 12. UNIT 57) 5453 FAWN MEADOW CURVE SE Oc..,.. ..Type . R3 TypeConstruction. VN Lepl Description L8. Bl. DEERFIELD THIRD ROBERT ~iIdi~=NS C) ~ tf- /~ - ()'J- . City Planner _ Date: . DON RYE Date: _ 5453 Fc,WYl lY/l~/OW{u/vt'. CONTR. D~ HOIIt>~ PERMIT NO. 6 1- g; I -,-..# CITY OF PRIOR LAKE INSPECTION NOTiCE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME SCHEDULED o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ../ EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: 5 If s... ~ - Lo'".!! tll//:IfJ.r fi-l r; l{ - hlru/~ / 0 K- . 5Lt55 - &r~/t'-Q'L 545"":- {tNvtt!,/ - V K S LfS /- &rlJf 11- ()f- 5 If 5 3 ~ ho~J{ - c.7 /<.- . 545 ~~&4/L-Ok- {JrAlVf fJv~'" /,Jfi~5qf .- /' I ( ) Ok . f) ~ 0'\,- 1'\0 / v:- - to.. 0 UV ~ ~ C1,) ~ /: I _" 5'1(, ()...- D/c(~~ .v<<.- o WORK SATISFACTORY. PROCEED .ORRECT ACTION AND PROCEED x: CORRECT WORK, CALL FOR. REiRSPECTION BEFO~E COVERING InSpector:~~' Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE Fo.R YOUR PERSONAl. HEALTH cl SAFETY! ~ J , CITY OF PRIOR LAKE INSPECTION NOTI~ $LI~3 - ADDRESS '- ~ '7/06 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: DATE TIllE SCHEDULED 91;2- o~ .;zaaJ/1 ~)~/~ CONTR. _ ".., OJII 01- &'1/ If I o'tJ f 0~&'- PERMIT NO. ?t.Si G>/ t.-. ,. ~~ o PLUMBING RI 0 EXlGRADIFILLlNG o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLlNE AIR TST o 'J{r;Lr 0 uK 1 .II /JA Il h ~1:r _ kLlO! I () FIT~ 7 ) \.-/ L/ ,. ,/ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ OwnerlContr: CALL ~~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALm & SAFETY/ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 5'1 S3 ~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING ~ WATER HOOKUP o INSULATION SEWER HOOKUP o FINAL PLUMBING FINAL o SITE INSPECTION MECH FINAL COMMENTS: ({) ~.... J< ~ . f - ~ -- rl\-/ DATE TIME ~/6"L rp,o tJl - f'11 o EX/GRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~, , o WORK SATISFACTORY, PROCEED ;0 CORRECT ACTION AND PROCEED o CORRECT WO~LL FOR REINSPECTION BEFORE COVERING Inspector: ~ ' Owner/Contr: J CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE #~~ <l:3o 545"3 ~ ~ ~. SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. Q I -Y/I o PLUMBING Rl 0 EXlGRADIFIUING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP I&)Jil FIREPLAC~ .FINAL ~ 0 PLUMBING FINAL .'t:: 9 GAsllNE AI~ TS~ ~}r MECH FINAL ..0 . .0 ........./. --L.s~ COMMENTS0 r~ ~ p;;. (~~ r ~~ ~_ fl~.aI.-...~ c;.. ~.~~I (11 ~:~-'7j --~~~ ~~\~I i o FOOTING o FOUNDATION o FRAMING o INSULATION ~ ~FINAL ~ o SITE INSPECTION - T r (L r O. -ti.J.f K'/ I / dt;.,~g I / o WORK SATISFACTORY, PROCEED " CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ -' Owner/Contr: PT CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI ~ - APPLIANce PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor Name of Tester Date A\""'-~ '"~~u- 1 c.c.;-\ -- :t- , -<:::l~ Job Address $'iS3 r____~_~ Heating Contractor A\ \', 0..--\ M~~ Name of Tester \<. e~~,,-- Date ~ - ,... t)~ Percent 02 Percent CO Percent CO2 <'...7 -0- Stack Temp Combustion air is adequately supplied per UMC Sec. 606 '< e '" input '" (.. .. ~1) Y.~ ~ , d."