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Home My WebLink AboutBldg Permit 01-0813 ITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd RARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT -7- / q - 0 I. White File 2. Pink City 3. Vellow Applicant (Please type or print and si2ll at bottom) ADDRESS . ,StfS5 _ f7J.u;Vl ~OW Ctw-w. US LEGAL DESCRil' uON (office use only) 'BL1) c:, ~ \1- \jt'l,..+ -t,.~,. , LOT fh BLOCK (ADDmON ~r..hG\d ~J V~.J PID:J5-3'13-06f?-O OWNER (Name) (Phone) (Address) BUILDER IJ (Name) O. Q . \111\'1t1Yl"tn \ ' (Contact Name) _M, ~L lA Jaf1Qtrtt-fl(a.l (Address)e:l()fj&JD 1<<.vtbrt~c1. &tE..IDD ~1)6,M kJ TYPE OF WORK '~New Constnlction OLower Level Finish o Fireplace PROJECf COST IV ALUE (excluding land) S ~ J; ! n /) ODed: . o Misc. 72J~.('1a .-,q"'i. 1 c::;- .IM: - ~~.~ 3(p . a:> Permit Fee $ I Plan Check Fee $ I State Surcharge $ I Penalty $ I Plumbing Permit Fee $ I DO .00 I Mechanical Permit Fee $ I DO . <9 CJ I Sewer & Water Permit Fee $" 0 - I Gas Fireplace Permit Fee $ Uo ., t!)() {l11 .I (I ~ . ;!ij~~ uil~g 0 i Date (Phone) -q~-e:rgt;"-IB O~ (Phone) '=t~-Bab'41?J2 4,UU <-I OPorch OAddition ORe-Roofing OAlteration ORe-Siding OUtility Connection # en:J .~ $ I. I 50. ('h:f) $ ';- (!) - $ &J $/~C;O.OO f 7-(!)~ . c9(J $ - C) . $ I hereby certify that I have furnished information on this application which is to the best of my knowledge tnle and correct. I also certify that I am the owner or authorized agent for the above-mentioned property and that all constnlction will conform to all existing state and local laws and will....vv....J in accordance with SUb~itte ans.. 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 up, n ,e property to p~orm n d inspections. X \AIl/'\..I1 /- ~/)O{)~(P ~~ '}-Itro I j~ Si Contractor's License No. Date V Permit Valuation I Park Support Fee I SAC I Water Meter Size 5/8"; I"; I PressUre Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit lather I TOTAL DUE I Paid :3 ~-?~ .~ I Date f ;!_? 0,' ' $ # # # $ ~'fCj d. 'd.CJ - - ReCeijtlf # ~ s J"'t.} By 7' 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 ?111A-A_~-e;~~ '7/3Dk( ~ ~t ~~~ u - - Planning Director Date Special Conditions, if any 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 No.B621 p. 17/30 LI1'X OF PRIOR LAKE , SEWER ANl) W A~Ji,.K PE~1J..l p-.te Rec'd " JJL 2 4 2001 ~ , Cl'kaM type or~_hip..atb. 0.....) I ADDRESS' .. . .. : ':-<,.:.: . fiJfij::. - . .' CP,(A)~ , . - . .., ,. - .- i =.. =- I PERMIT'NO. //- eF)~- J. lWd ~ /' 01----" MD~D r 11R~ ~SE-- ZONING (9IIb1ise) 12;;2- LEGAL DESCR.a.t- uON (a6:c UIe cm1y) . LOT <6 BLOCX: -I' ADOmON 1),.P..f ~ f1 b~p 0 PIIh 1::;;-~r;3- 068-q> l;,,,, OWNER, (Name) ))~ 119xfooW' ""r+-nv 'A~-:i (A.cU1n:ss) 3459 Washingco:n 'Dr S~e 204 (AddnIss) ~one). ~51-4S4-~~~1 Eagan. MN (City) 55122 (ZIp Cadc) APPIJCANT (Name) Genz-Ryal1 :PlumbU1,~ & Heating (Phone) 651-423-11" ~. j ,. . (Address) 14745 So Robert Trail 'R.osemou~Er' MN I I (AddraI) ~: . i~ (Contad:~~~ Marv Olson ~ r'- \,..",. (Ph~)" 'i\. ,651-423-1144 . {' 'UCANT SIGNATURE '. ~ Xl.A.JlJ- \ ~. ~ ..( r;~ .-, 12 U. \ 0 ( , APPLI~E COMPU.lJ!; BELO~ Size of water service inches. Location of any couplings from structure feet Type of sewer pipe. 0 ABC tJ PVC 0 Cast Iron Estimated l~ of sewer line feet Clean out (if req~d) located at . feet from stru.cture- 55068 (Z!P Codc:) iJiW!. SL.aJ!.UULE R.esidential sewer IOd water line cODDecti01l $35.50 Jndustria1, Com'l &: MuJti-mnwy 1 % of job cost wi1h a $39.50 m.iu.imum Sewer cODllection only $17.50 Water cOancdion only $17.50 ' Estimated Cost $ Building r ...-It # SEWER AND WATER PERMIT l'~ $ STATE SURCHARGE $ - TOTAL'.t '.&!.AlWT FEE S _so )ffia u. Only) Th~ AppUcaUon Becomes Your BailcliDe penuit When Ap~ I" ,~ Paid -- o ReceiptNo. 8U/~~~/D L-t,. ! 'lvG rrJ.f P~~Mrr I' ~~ BlIiI,-, t)mc;..l Daft , Dale g;'~1 . , BY~' U .;.... 24 bour llCJtb fot llII iupd... C'S,l) 447~150, ru ~ 441-Q45 J u I ' 25. 2001 6 : 57 AM GENZ RVAN PLUMBING AND HEATING No.8621 P, 28/30 ~ate Rec'd t I I Jll 2 4 2001 LiJ i OF PRIOR LAKE PLlJl\'iD.I.l~G PERJ.\i.u.J. (Pl~~QI'm:Int~sfm1r:ct:...,..) , ADDRESS . -r-:--. ",' - 'n ~A"illl "\ ~4t::-6 \^ \ ~ Pr--OfrLU fJd 1 ~/ ,\E_ J..... I'IJa I 'D'I:''D~.NO. ' ' 'r* 't ' ~ =...:.- ... ~Y~"" ';"7"'Yt--..J - _,.I . ZONING (odknH) I<~ .. ..-- : LEGAL DESCRi.r uON (o6:e'u.. aaly) , LOT (SBLOCK (ADDmON (Jg Q.rti, 1_0 ,~ pniJ9- 37'3 -CJ OJ'-y OWN:ER ~~~ DR Bo~tou Cus~om Homes (Address) 3459 Wash1.ng-con Dr Ste 204 Eagan. MN 55122 , (Phone) 651-454-4663 APPLICANT (Name)..Qe-~'-~- 'D1 n-,.1. .....:} " Jl- 'i'tj~~ (Pho:o.c) _1\1:\ 1-47~-11lW (A~) 14745 So 1l.obe:r11 Tra:l.l Rosemount MN , ;5,5068 (AddIess) (CitY,)', t ~ (Zip Code) (contac:l:P~~? Mary Olson /I CO/!P.~) 651-423-1144 ;:m-rCAIdkGl'I.-\TlJRB I 1 ~I.L-----",f(1TE __ f f 25/D " . APPLICANT PLEASE COMPLETE BELOW Quantity Type of Fixture Quutity I Type of Fixture I . Bath Tub with or without shower I Rough-ins { I Dish~er l \ . I W~ter Heater I I Floor Drain I J2../ I I WatCt So:ftner ':::2, , 1 Lavatory (BatbroOO1 SiDk) I' I Stmd. Pipe (Washing Machine) , I Laundry Tray (1 or 2 com.pcubent sink I I Sewage Ej.....~& I Sho~er Stall I I Backtlow Assembly j Sinks l I, Backflow Assembly Test IBMSmk I luwnS~<< z,. I W'at<< Closet (Toilet) I I Other ~ J!.J!. S.....w!dIULE Industnal. Commercial" Multi-flmUy 1,.. of job cost with II. S39~0 minimum R.a1dCDlial,. New One & Two-Family 599 ,50 Resideotial. Additions ~ Al__..~QDS $39..50 Estimated Cost $ Building Pemtit ~ PLUMBlNG PElUifiT .r~ $ STATE St.T.RCHARGE $ TOTAL x~dlT FEE $ .50 '" ,,..,,, < Uf :'D;~~''rf'''J.( ~Fi4t/'r )tUu u.. Only) Th.is AppBcation Becomes You.. B1IiIdiq Permit When ApproveCl Paid' RecoiotNo. ~. ~ . . .... BldIdilll OIDciaI lI_ft _0. ~-".:j -01 By?f 14 hoar DOtJ'ce for aU bupectiOJlS ~) 441-9150, fax (952) 4I&7-G45 CITY OF PRIOR LAKE HEAlll~G/AIR CONDIII0NING/FIREPLACE PERlVul Date Rec'd (Please type or print and siRJ1 at :'u..u~) ADDRESS ~6 H1Wn ffipjlf.DW CllVV6 I. Pink File PERMIT NO 2. Green City . oJ _ dr"2 3. Yellow AppliCll\I . 15 "-.) ZONING (office use) R~ LEGAL DESCRIPTION (office use only) LOT(P1,..B~ocL 11- ADDITION 10 IJn:Llof~ ~ rd I~J~~ PID~~- 3'73- 66~ OWNER ~() I L. (Name) V K... \10(. tI\ . (phone) (Address) '?i~ Wo..(/~ ftve,\~J ~ M1J 55/2.2- ~;;~~~l laM vYlecJflCU1icaJ (phone) ltf31 4Sc-ll75' (Address)-.3tf)D mnfbe0 I)r &il~ \ I c.. (Address) 0 (City) (Zip Code) (Contact Person) -.Jttl'rlv . U~ (phone) --115 I 451-- 2-176 APPLICANT SIGNATURE 1: t.'W' 11 rrI.i1UY(lJa/I f..l1fJb)DATE 7/30/0 I / APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL g,'Jjtn j., ~g 5k.A-V D2J-Ib 1 D . . FUEL t\tbhuraJ FLUE SIZE 4l\UltSS P, RETURN OPENINGS 4- INPUT ~D, DDD OUTPUT 5112~ bOO TYPE OF SYSTEM HEATING ORPOWER PLANT DWarm Air Plants DGravity o Mechanical W-ir Conditioning [jJ.l(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 MAKEAND MODEL 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 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 8UIL.D~~'? Vi/lr/J i'VG p '1 ~F;,V:tr (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Dateg -5--c) { BY~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 FIRESIDE CORNER #6031 P.00B/013 Date Rtc'd CITY OF PRIOR LAKE 11.EA III iGI AIR CONDIl lONINGI t J.J:4XPLACE PE~u 'DEe 1 3 2001 CPI.eue ~ qr I'rI!ll: m4 a11!;11. at ba=m) ADDkBSS .5 'f.n;- ~Jl. .1), ~J ~.H...f.6:. ~ =. ~~1etIII P~tlll !~\J. 6./-0 81 ~ ZONING (ot'fice., J..EGAJ.. DESCRu ,. ..ON (oiftr:e Ul. onJy) LOT BLOCK ADomON PID OWNER I J (Name) ~ I!- 1::J.oA{i[L.. (Address) (phone) APPUCANT (Name) ALLIED FIRESIDE DBA FIRESIbE CORNER (Phone) C5!il..-633-25q.l.. (Address) 2700 N.! F,uRVIEW AVtNPE (Addms) (C ~_ P ) BRENDA HI.1STON ont_. erson ) APPLICANTSJGNATURE ~ &#...FJ~ h. ,~ ~ ROSEVTT.T.~ MN c;l:i.l 1 ~ (CUy) (Zl:p Code) (phone) 651-633-2561 DATE J::J..~ 11- OJ APPLICANT PLEASE COMPLETE BELOW lQJNEW CONSTkUCnON 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL FUEL FJ_UE SrZE REnIRN OPENINGS INPUT OUTPUT TYPE OF SYS'mM HEATING OR POWER PLANT OWarm Air Plants J Steam :JGtavif:Y :J HDt W~r J Mechunical :J R.adilltion DAir Conclitioning :J Sp=ial Dcvic;es DVcnt. SYBfem J Qthlar DevicC6 FIREPLACE MAKE AND MODEL "Lq AJ ~.6. -S. t... ""']Sl PLEASE NOTE: Air Conditioner Units CUDot Enc.roac:h. mtCl Required Side Yard Setbacks Industrial. Commercia' It Mult!.Famlly FEE SCHEDULE 1% ofjob COISt Residential. Gas f'ireplaal $39,50 mlnimlJlD $99.50 Rcsidenti8l, Addillons &. Alta'll.tions $64.50 Residmthtl, AC Only $39.50 R.esidcn.tial. Heating IJr. AlC (New ConSkL/ction) RcsidmtfaJ. HeaIing Only (New Con$fJ'w:tlon) $39.50 $39.50 Estimated Cost $ Building Pmnit # REA 11NG PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ S ~ PAlO wrn-\.. 1T 'S'13un..D\NG p~ ~ (omel UJI; 0111)') r- r Build''', Permit When Approved DEe 1 4 2001 Dale Paid Receipt No. Date 8y 24 bOllf notice for .1I'n.pedloll. (952) "7-,ISO. In (9S~) ~7..a4S Thr ernl.. nf thr t.kt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED () R idrnr;tV - , - ... 7- lej-tJ/ The Building, Engineering, and Planning Departments have reviewed the building permit application for;;,ru;.?cIiVi~ro~d (1U) ~ "" Accepted X Accepted With Corrections ::::::00 By: Qp ~ Date: (- ~ I Comments: - ~ +t-L M~&'4I'- 4-&'~ l-E. 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.1I ".,~ I The ('enl.' of th. ".k. Country (,f:');' 'ti'i'.'~,," ..'.'.."', White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED () (~ 'l) (Jt~ 7- 19-()j The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /', /) 'I 5 6~OAAJ/? (,(l2t2c:<d CJ'UJ (!0.-(, /1...<, Accepted ~ Accepted With Corrections Denied __ Reviewed By: ~ ~~C~ Date: '/ /gD/~ ( Comments: ~.. .~ ~ffhYt",. '{O . ~ R~ aM/~$ 0ZIS3 ~ ~ ~ , " "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." rlf"""" \ ';"'1"'-.:"..";:','",,; 4t4lA\p", ',,~ ,:..j~<,,,!-- ;;'-,' :r'''''~''' . \,4;;:.;,-"...:~,.-"j/ '",:(>..,~~~,1[~ ' . .;-,: -.<. 'i!:+~t"11;:;)f.",,_ ....-.. '1'\'l1.JYI->' 'I' ~i Thr ern It< nr thr t.kr Country White - Building Canary - Engineering Pink - Planning BUILDING PE;RMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED () R -k-) ~ J1YV . I .>-. 7-17-0/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: IJ . ~ 'I S 6' ?au;rn tfY2ead CJW ~ -- Accepted 0/ ./ Accepted With Corrections Denied Reviewed By: Nft5 Date: 7~2 5-01 Comments: ,5c.e fV1fA/~ f='; 'f liThe issuance or granting of a . permit or approval of plans, specifications and computations shall not be construed to be a permit for, oran 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." . ~ -\-~ ~\~ ~ll~ PRIOR LAKE DEPARTMENT OF, . . BUILDING AND-INSPECTION Of- oef!1 ' INSPECTION RECORD SITE ADDRESS Sl/..sS &W'^ M~ C'.tJ~ NATURE OF WORK ~ USE OF BUILDING Sr:~ PERMIT NO. ttJl- /) <t 6..~ DATE ISSUED ?- '24!J - ~ ( CONTRACTOR D it. l-(d}~~ PHONE .,S~ - ~';U.-~7~~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING /tJ;;. , I ~ 30 I ~ ( FOUNDATION (Prior to Backfill) I ~. (0 I;;' d I I Ii.. / Q/:I /~ I p.r.' PLACE NO CONCRETE UNTIL ABOVE 'HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING ~~ 1;Y2tJ/Ql INSULATION ~,w. ~ 12-/'Z1}6t 14 - ( ELECTRICAL . '., / PLUMBING ~fA1' L4.~. ~, I~J'I/oJ J:toi1. ~, tD/llft.1 #,.. ./Z/j3/41 . ' HEATING (If requlred)1').;r4o ~l ~ lo! 3/ f) I -r~, /0/1#) ~ / ~ o/()) FIREPLACE fh- . j'-fZ6fo[ . GAS LINE AIR TEST ~/JhP/ ~ ' 1i/~/6( , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~~~-t A-, /~III/tJl I ~ ~I- ~ (/WQ~' J FINALS ' , GRADING (Prior to Sodding) N 8/ P 8 Cj - t.) --6;)J BUILDING r:c..t), ~ 8( lllJ ~ ("~ ~/UJ/b z-, fJB 1-/ ,,-()-- , \. ELECTRICAL ~ PLUMB'ING J /}/Ioe. HEATI~G ~ ' ~~;;,~ 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ", . ~.tJ2'~' :-."~~','/t:.'~t~r::,-~.::~:.~~,;;'~~,~?\r;;;-:-/:r'~::--:~'j.~~~r;~':li[.~-\">~~(~~(":~-~~,:~~~~t~:;:.jt~~~;~~t~!:'~~'t"~.""l:;,-j.,~~~~'Z;~~'t';-~-::' -.~ t'~,t.:;~.~'~-"'_."~-'" Qttrtiftrate of QDcmpanry CITY OF PKlOR LAIu; 1Bepattme.nt of _uilbing In'pettion 7 (Final Permitted 0 Conditional C.O. Expires_ This t:ertijicate issued pursuant to the requirements of Section 307 of the Uniform Building Code &rtifying that at the time of issuance this structure was in compliance with theVGrious ordi1fil1JCes. of the City of Prior lAke regulating building construction or use. For the following: SINGLE FAMILY Use Clusificatioll Bldg. Permit No 01-0813 CkcupIncy Type R3 Legal Description _ Type Construction VN Fire Zone -11/ A Zoning District R2 L8. Bl. DEERFIELD THIRD (BLDG 12. UNIT 62) SiteAddress 5455 FAWN MEADOW CURVE SE 20860 KENBRIDGE CT.. SUITE 100. LAKEVILLE Owner of Buildin. _ D.R. HORTON. c., ." .,. ,'s Name 01: Address ROBERT D. HUTCHINS /f0 City PIuner _ Buildin8 Ofticial "c(' q- 1-;)-0;)- POST IN A CONSPICUOUS PLACE DON RYE Date: Date: " DATE TIME CITY Opt PRIOR LAKE INSPECTION NOTICE SCHEDULED 2- UJ.() 'Z- z...:~---() ADDRESS 'S46'S ~WN OWNER CONTR. PHONE NO. PERMIT NO. QI- 0313 o PLUMBING RI 0 EXIGRAD/FILLING 'Jf( .~~ 0 COMPLAINT o WATER HOOKUP (8J ~"iI'''' _81!! Rl- D SEWER HOOKUP ~IREPLACE FINAL ~ PLUMBING FINAL . BlME MR.... ~rMECH FINAL 0 COMMENTS:(JJ) ~ ~ W~ to ~ ~ ~\ ~p~(~.~~ ~ ~~.. Uf (ej) ~~ t: . -,.. A/J _ (/_ .~ ,..~ -u.r y th-- ~, r@)JU V f~~t o FOOTING o FOUNDATION 'l4. aMINe'" o INSULATIO~ FINAL r'~ ~ SITE INSPE ION - - tc-,o I -tJ...2 8r \ /02,- , I ~~~ o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. ~ OwnerICont' CALL 447.9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS .~Lf 5S ~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING (@ 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP o FINAL J! PLUMBING FINAL o SITE INSPECTION .0 MECH FINAL COMMENTS: . r ~ 1f)) ~ /4.rl (I~. 1 ' -- ~~ DATE TIME I~ q/$t1 Of -P13 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o t/l t\J.t ~. -~u"". o WORK SATISFACTORY, PROCEED f CORRECT ACTION AND PROCEED :.=CTWO~ORREINS:~=FORE COVERING CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INmOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! J , "~ DATE nMe CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED PHONE NO. 5453 (qWYl M{"Jow{u/vt'_ CONTR. D~ Hol-MY1 PERMIT NO. 6 / - ?,/ I 1 ADDRESS OWNER o FOOTING C FOUNDATION o FRAMING o INSULATION o FINAL C SITE INSPECTION o PLUMBING RI o MECH RI C WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL C MECH FINAL ~ EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST C COMMENTS: 5 'i 53 - LOt.V1 I A/o,/I U", I vt r)LI~/-' WI f~(~ 54 C; 1./ - h,crelt, C) It- 5Y55 - &F~/t'-()'L ~ /' I ( I Ok \ () L c,L r \ 0 v'. ()B ~ \\' ~ ..) ;1 0/1 S4 t; v':- &/~rl1' vI( S ~5 / - G,Ter If. ()K- 5 If 5 3 - hr4l/(' <.J I<- '-i45 ~-&tA~-f)K ~ I _ ~ 5'1 (, ().,.- {:;>I c/~ 0( - v t..- o WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED x: CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector:".;J;1~, Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE $Ll33 - ADDRESS ~ Jj'o/' b6 DATE nilE SCHEDULED Cj>ld-~,)... I .;z:tUUn /J;Utdn)IIuA~ PHONE NO. CONTR. _,~ f 01- sm /fIt;!:? ~", PERMIT NO. ?L5:;~ 0.1 I ~/} OWNER o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION [J PLUMBING RI [J MECH RI [J WATER HOOKUP [J SEWER HOOKUP [J PLUMBING FINAL [J MECH FINAL ~f-/ o EXlGRADIFIWNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: )) I' Uf\.... 1 ) /JA /'J I~JL- iJ!~ '--.-/ ' L/ ~ ~ [J WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED- [J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: /~ Owner/Contr: CALL 44~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ~/ . - 't/Ilf"'" .~ APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor 1\.\\\ ---\ ~<.l-. Name of Tester ~; \.-... Date ';L. - )- O:a... S-'1~s-"'-- ~4..... c.>lr_ Job Address ~ -- 1I~ - - Lh- Heating Contractor ~ \ \ i' ~ Me ti- Name of Tester K.~;..\__ Date :l- , - O':l- Percent 02 ~ , ':l- Percent CO Percent CO2 -0- Stack Temp Combustion air is adequately supplied per UMC Sec. 606 '<~ > input (. f. .0(1) ~ . ").. "39\0