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Home My WebLink AboutBldg Permit 01-0814 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT '-7- I q- V-O$LfI , (Please tvDe or mint and sill11 at bu.........) ADDRESS 5'-1510 . I. White File 2. Pink City 3. Yellow Applicant Date Rec' d J " ~lVl VV\wlow ~ US LEGAL DESCRIPTION (office use only) 'BL1) & ~ \1- u.."..+ 5~ , . , LOT q BLOCKI ADDITION ~~r..ht;\J. ~J Vi\ \tt-S OWNER (Name) (Address) (phone) BUILDER fJ (Name) O. Q . l11/Y1-1vl)::n \ ' (Contact Name) _M, ~L ~Qttu,tl(a.l (Address) dt;f3u,O I<'~brt~d-. &tE..1 00 ~1}6J M 0 TYPE OF WORK~New Constnlction ODed OPorch OLower Level Finish f~ , Pill JS- 313~ Odt--? (Phone) -t:jt;;R-qg,"-IB ()~ (Phone) ~SOl-Bd~ ~ t1?/2 Q,{)t.J c..J I Park Support Fee I SAC I Water Meter Size 5/8"; I"; I Pressure Reducer I Sewer/Water Connection Fee Water Tower Fee Builder's Deposit Other I TOTAL DUE I Paid I Date 5'L(?~ .d-? r1~'a.j ORe-Roofing o Fireplace OAddition OAlteration ORe-Siding PROJEer COST IV ALUE (excluding land) S '7~. In 0 OUti1ity Connection 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 construction will conform to all existing state and local laws and will proceed in accordance with SUb:f:'tte ans. I am aware ~that th uil~g o~cial 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....~.~. n d mspecnons. X Si J.ft-- ~~~a~;:fi;~NO. I"}- 'teo I ~ V I Permit Valuation 7d . (XX:) .C:X:::;) I Permit Fee $ If? ~ I Plan Check Fee $ ~. S'I I State Surcharge $ 3(0 . C90 I I Penalty $ I I Plumbing Permit Fee $ I 06, ~ 0 I I Mechanical Permit Fee $ I C>CJ .. t)C) I I Sewer & Water Permit Fee $ - 0 - I I Gas Fireplace Permit Fee $ q () . 00 I IZa D. ( ) building o Misc. es Your Building Permit When Approved 7-~~( Date # PfSo.cO I!Js6.~ -0 -0 - I~.o(j '100 .~ -0 - # $ $ $ $ $ $ $ $ ~~ 1-/92 I a q # # Receip~.r3f. 46:3 4T) By Iii!{ / This is to certify that the request in the above application and accompanying documents is ii1 accordance with the City Zoning Ordinance and may proceed as requested. This document :~;:;;ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to~commence. Before occupancy, a Certificate of Occupancy must be (.~AA_ ~-''''''''~.4 "'/'S-~/~ ~"- t~l~ ~Pl ing Director Date pecial Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 4474245 Tht Ctnttr nr lht bkt Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D If- ilozhvJ 7-)Q-OJ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 5L/~(, ~ /J1l~rur(!~ Accepted Accepted With Corrections ~ Denied :2 ~t Reviewed B/v 1:::/ '. _ Comments: ~ ~ MtA1.\A..R (~ Date: 7- 2e, - 2ar 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. II Tht Ctn'" nr lht tokt Country White . Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLlCATI(fN~'OEPARTMENT CH~CKLlST NAME OF APPLICANT APPLICATION RECEIVED [) I€ 'fj~ i-)q-Ol Accepted Accepted With Corrections Denied Reviewed By: J/A-is , Date: 9- 2.')-~ / Comments: S-G<. rv'I4/'h F/( ( 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." ...'_.-~~-~.- '-. .-...........,., ~._~-_._--- ."-_._-~. - ---_._-~-- ,'"'.~. Th~ ('~nt~r or th~ I..k~ ('ountt)' White - Building Canary - Engineering Pink - Planning ()/- Of/i! BUilDING PERMIT APPLlCATIl5'KfBEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D;f '1lo'zJ~ I-;c;-ol . , i The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7 7rU071 !.~I#rrj(ru.r ~~. / J",lj Accepted With C~rrections 54S'~ ~ t T 1 Accepted , \ .. ." L.. 1 t . ~"',~. ..J ~. .....'...."'" I Denied /~-I 1 RevieWedBY:~~ Comments: Date: 7/5'~{e ( J * ...,,t:- 4 oCt~w ~Rk 6L!,~3 ~~~ ~) ~, -AI~);p ~" .. " . . .;;/'--/ f). I ~ 1 '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." Jul.25.2001 6:56AM GENZ RVAN PLUMBING AND HEATING No.8621 p. 27/30 ~a~e Rae" d L:.l.l'Y OF PRIOR LAKE PLUMBlNG PEDul , JUL '2 4 2001 '- - I _ m. :l. GaW Cllr J. 1.... A:,. :'"., PERMIT NO. !:'~rr!j;-''''-:1) (P]cue ~ Ql"~..-t':Sian at~criml) ADDRESS "'- -. - " . .. ,.... .. .. ~__." .. :~Pr1'J. ~ l " l.L\ <(, ~ ~fJ ~~ \e ZONlNG (al!ia:UR) R~ LEGAL DESCRIPTION (c>6:0'ueadly) LOTq BLOCK I ADDmON fJto y-R, 0 n-&D . PlD:?S'-:31;3- ~1'-6 I OWNER ~wme) DR Horton Custom Homas (Addze$S) 3459 Washington Dr See 204 Eagan.. MN 551.22 (phone) 651-454-4663 APPliCANT (Name) t:!aft=r-:R~a- 'D1....J"h...ng $.. Uea~~~.-:: (phone) JoI:O 1 -..? ~- Ua.A . ~j5068 .. , .. . (Address) (City). ." (Zip C~) (Contact Pers~) Mary Olson II ~&) 651-423-1144 ~CANt~GNATURBJ l~(:L---... ')"-~:ft"'l1! ,2510 I \ APPLICANT PLEASE COMPLETE BELOW QWlIltity I Type ofFinure Quantity I ' I Bath Tub with or without shower ( Dishwasher I Floor Drain ~ Lavatory (Bathroom Si1:I.k) , Laundry Tray (1 or 2 compartln.cnt sink I S~Owct Stall I Sinks I B. Sink z,. I Watm Closet (Toilet) (A~) 14745 So aobe~t Trail Rosemount MN Type ofri..,: ". ~ I I I I I I , I ) " Ifl-/, , . Rough-ins W~ Heater Wm:r Sober Stand Pipe (Washing Machine) I Sewage ~jec:tor I Backflow Assembly - I Backf10w Assembly Test I Lawn SJ'rinkler I Other .. ~.&.I!. S\....I1.ILJJ 1I.a..E Jndustn.al, Conun~ia1 &: Mu1ti~f8mily 1% of job cost wUh a $39.S0 minDDUDl :Reside:otial, New One &: Two-Faznuy $99.50 Rcsidoutial,. Additions &: A\tQ'atiou $39.jO :..:.~ Cost S Buildiq; Permit # PLUMBlNG J:"b.KMIT .t'J:l;b. $ STATE SURCHARGE $ TOTAL PERMIT .1Ij,J!j $ .50 PAID I~'I-' J " au ~'.' I f , ILOING PE."'" ,'''- J?'llVIl i )ftif;tl Use 9111y) This AppUcatiOD Becomes YOQr BuildblgPcrmit When App.",.JI BajJdbllOmdal Paid . ,--------+- Receipt No. Date ~/ 3 -Of I By (jfJ ~ bour Boda for _II ialpedioU (95l) 447-9850, fu (952) 447~ U . -1~ >>-~ l.:l'J i OF PRIOR LAKE . ' SEWER ~ W A",J1J.< PE~ll..1 No.8621 p. 18/30 , "'---J ~ D.ie~d / . , / J u I . 25. 2001 6 : 54AM GENZ RVAN PLUMBING AND HEATING JUL 2 4 2001 ._, '-'" ... .. '--'- I 0.- m. 2. y-,"- Cftt- " Gold ""*!*< PERMIT"NU:/__' X JI.! . . 0,,' ." - . (.pL::asc type Ql' ....:,.~ ~ sian 'lE 'I. ".... ) ADDRBSS . .' : ~ ,~~ _ 6J~.. -.. '~C~W~ vU.O~ ~Jl!Cvl-_.Sf I ZONlNG(~1ia) . f2,~ I LEGAL DBSCR..u- uON (office UN cm!y) . LOT q BLOCK. 'i ADDmON lli.x ~ ~ to);; 0 P;ID a ~- 173 - oo1-~ 6 OWNER (Name) J)~ tJ,..~'tQR C'vs't~~, 'Ctgaa:: (Phone) 651-45"1-4(10:'2 Eagan, MN 55122 (City) , (Zip Code) ~) 3459 WasbingtoB D~ Ste 204 ~) I APPLICANT (Name' Genz-Rvan PlumbinS & Hea1:in9; (Phone) 651-423-114.4. 1 T I 4 .. (~) 14745 So Robert Trail Rosemoun~. ~ 55068 I ' . (Adckas) ~, .. CZ1p Code) .~ ~~ (Contact~~) Marv Olson ~,-..". ,\ r (1'hOJ1~~:,~ .\651-423-1144 ( r ~UCANr SIGNATURE \ ~ ~ J \ ~, ..A. - d'Ai\t ~ t 2 ~ 0 ( \ AP~.o..I~E COMPU.lJ!. BELO~ Size of water service :i:nches_ Location of any couplings :l.u.a.u. 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 nVLU stIuc:tDrc. ~'.I!LI'.. S....J1l!J)ULE Reside:ntial seWet md water ]mB ccmnection $35.50 Industrial, Com 1. &; Multi-family 1% of job cost with a $:39.50 IJ1iDiIDum Sewer CQJ:mecticm only $17.50 Water ~rmnection only $17.50 Estimated Cost $ Building Permit '# SEWER AND WATER PERMIT .l'.~ STA'IE SURCHARGE TOTAL .&: JLAMlT .lUL S $ - $ .50 13lJ. PAID IA. , 1LoINGvvlirH PJ2R/V:rr JftIce Use OnlY) This App,lkatioll Bec.ouau You.. B~ Permit Wheu ApproY~ Paid '--- 'R'.,?; v'l -~. BY~ tJ - --- ' PIlk I .. Jl1dIdIIII os.. >>.. 14 laOlll' notice for all iDspectioDl (9S1) 447~J85O, tu: (951) 447~ CITY OF PRIOR LAKE tiEA TING/ AIR CONDITI0NING/FlREPLACE PERlVu l' Date Rec'd (Please We or Drint and sign at bottom) ADDRESS 5Lt5l.u H1WnmPllt"i.DW 01tyV~ , ( i: ~ ~:~, I PERMIT NO. 1_ f/IIJ; ), Yellow Apphcant 0 1'7 ZONING (office use) 1<-~ LEGAL DESCRIPTION (office use only) q -1 LOTc:fI BLOCK 1'2-- ADDITION 19..tol~ :3 rd I '" PIDb{b- ~13-d11"1) OWNER ~() I L., (Name) vK... nvy.tI\ (Address) '31t;1 Wo.,~.fm.t~ Ave, SMikJiJd ~;;~~ANT(1l )aMYYlethCUllicaJ (Phone) JtI3/ (Address) -.3trfjD ~nfbeu "'1)r \"~il~ \ (Address) . (City) (Zip Code) (Contact Person) ~fft.e1 .l1t~ (phone) --.lfi5 I 45Z- 2."176 APPLICANT SIGNATURE *~ f/ .11~ f.ffJJJJi) DATE 1 ~ 0 I / APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACEMAKEANDMODEL gr~J.. ~g~kA'VD2J.lb1D . ,FUEL ...~aJ FLUE SIZE 41\ Ult SS ~ RETURN OPENINGS LJ.. INPUT "'7D. DDD OUTPUT 5lo, bOO TYPE OF SYSTEM HEATING OR POWER PLANT '~ , (phone) ~ MAJ 55/22- 452,-ll15'1 DWarm Air Plants o Gravity o Mechanical ~ir Conditioning [iJ.'(Cnt. 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 $39.50 $39.50 Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 i"". Cv' . ''11.0, 14.I...i"iVG.' 11ft P~AI"v:rr (Office lIse Only) This Applicatioll Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Dat~/3_o I By 0.--/ U 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 FIRESIDE CORNER #6031 P.009/013 Cl J. i OF PRIOR LAKE Date Rec'd REA TING/AIR CaNOL J.IONING/~ lAEPLACE PERMIT DEe l 3 2001 ~: ==- ~~I_I PERMIT NO.OI-06 I ~ (Pleuc ~ or "riat ""cllWl. at !:lo1flDm) ADDRESS ZONING {<>I'IlQ Ull&) .5"f(s~ ,JIh.h /ft,A.j,~} ~ ~ J..F..GAL DESCRIPTION (oftlce Bile cmly) LOT Bf..OCK ADDITION PID OWNER (Name) rp"/2 r/.kaz~ (phone) (AddR:ss) . APPLICANT (Name) A!.LIED FIRESIDE CBA FIRESIDE CORNER (Address) 2 700 ~AIRV'tE101 A~ (Ad.dn:P) (C .... P ) BRENDA Hl'JSTON on_ct er.son . .? APPLICANT SIONATURELJ:.J/J I~.a. (Phone) 651-633-2561. I M~~ gEVTT.r.~ M!lt (Clry) (PbOD~ 651-633-2561 J:;.r::,,~ (Zip Code) DATE , (J.- jJ~ CJ J APPLICANT PLEASE COMPLETE BELOW ~w CONSTRUCTION 0 REPT..ACEMENT 0 ALmRA't'lONS FURNACE MAKE AND MODEL FUF.L FT.,UE SIZE RE'nJRN OPENJNOS INPUT OtJlllUT TYPE OF Sy., I.r.~ HEATING OR PO'WER PLANT OWIIlJtt Air PIDllu a Steam DOravlt)' B Hot Wib:r o Meehllllcal Radiltion OAir Conditionina 0 Special Devices OVcnt. SyStem 0 Other Devica FIREPLACE MAKE AND MODEL. iltU. IJ ~(;:> ~ 7SD PLEASE NOTE: Air Conditioner Units C82)b.ot Encroacb Into Rcqu.ired Side Yard Setbacks Industrial. Commercilll &; MUlti-Family FEE SCHEDULE 1 % of job CQIIl R.eJidemial, Gas Fi~lllCC 539.50 minimum. $99.50 Residential. Additions" Alr.enstiQJ1l1 $64.51) RaldcntiaJ. AC Only 539.50 $39.50 539.50 R.l!lSidcntial. Hating &. Ale (New Con9trlJcnon) Rcsidentie.l. Heating Onl)' (New Construction) Estim*cl Cost $ BuiJdini Permit N HEATING PERMIT FEE S STATE SURCHARGE $ TOTAL PERMIT FEE $ ~...- P"l~:~'JtiM\\ .50 ~~\>> (Oflj~e Vie On,!,) allll r IJldldllll Permit When ApprDYed DEe 1 4 2.001 Date I Pud Due Receipt No. By 24 hour ,.oUce fDr .Illftlpeetions (951) "7-9850, ,.. (~2) .47-4245 '. "........ "'.........'.'.... i.f,...,........,.. . ' .......,.'.....,....'......'.....'..........'..',..... .'. ..,....'..:,.~I.~~.'.'.'....'...',:".'.;.",..'..;'..,'..'....... '.... ....... e........ I. U , .'^- PRIOR r~KI!': ~~D'::~NJD~~~PE:;;O:;;:; &y J INSPECTION RECORD SITE ADDRESS 5tJf)~ FC,WVl M~ CJ;tu-t NATURE OF WORK 1Je.s..v USE OF BUILDING .<; FA PERMIT NO. tJl-, 0 <lll.../ DATE ISSUED 7-'2.o-~ CONTRACTOR pfL fft:J~ PHONE~~~ '2;tc.....ttlr2. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE r FOOTING fk; 18f3~/()1 r FOUNDATION (Prior to Backfill) I A, ./~/a /D/ Itzr. ftIJlt>l D, r, PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION Jj.". (i,R ~ \ r (7ft>-z.. ELECTRICAL , PLUMBING ~ ~,~, lfJ!4!{){ ~. U.6,. 4 JoIJ.1l/d f ~..t:S /,,? ./ HEATING (if required~, 1',1' 8>r /J!'f()~ 1~ 6.... /tf,~II/~~z FIREPLACE #:+- . / /J /. /d G ' GAS LINE AIR TEST ~ i F, fr $; . ; / II ";;, 2 J ' COVER NO WORK UNTIL ABOVE HAS 'BE~N SIGNED .~ a.., PIII/ot I ~ A 11/.I~/(J"2- -- -- J FINALS GRADING (Prior to Sodding) Nt3 / fJ ~ BUILDING ~~O' WJ ~h I 01.--- ~?j ~/o 2-- P f? ELECTRICAL \ . , PL.UMBING H~ATING ~ DO NOT ,.,., h!-> t.-/j] ~ k5~ (/~ OCCUpy UNTIL ABOV'~:S NOTICE JI/Ill)~ J -7 I q~/J-o~ it pJ'1 Y 2/",;)//0 <. 3/>/o~ BEEN SIGNED This card must be posted near an electrical service cabinet prior to rough-In Inspections and maintained until all Inspections have been approved. On buildings and additions where no service cabinet Is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all Inspections FOR ALL INSPECTIONS (952) 447-9850 Itrtifirau of IcmpanqJ CITY OF PRIOR LAKE 18epartment of _utllling In'pettion ~inal Pennitted 0 Conditional C.O. Expires This Certificate issued pursuant to tM require1Mnts of Section 307 of tM Uniform BuilJing Code certifying thtd at tM ti1M oju$UQ1ICe this structure was in compliance with tM various ordinonces. oftM City of PriorlAlce regulating building construction or use. For the following: SINGLE FAMILY Use Clusificatioll Bldg. Permit No 01-0814 Occupuc:y Type R3 , Type Construction VN . Fire Zone N / A Zoning District R2 L9, B1, DEERFIELD THIRD, (BLDG 12, UNIT 59) Lepl D...., .,", : DII OwnerofBuiJdin. lliteAddress 5456 FAWN MEADOW CURVE SE D.R. HORTON, 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE Con ," . ," 's Name & Address ,t ROBERT D. HUTCHINS City PIIIIner DON RYE tJ, iU;~ ~ Date: POST IN A CONSPICUOUS PLACE Date: i. f -- COMMENTS: DATE TIME SCHEDULED qld- t';l i I ~~ iJ1Lcdn)~i CONTR. _ ,,-, DJ~i 01- 811 ?f/~,j:7 W . PERMIT NO. ~_~~ 0/ I ~/~I [J PLUMBING RI [J EXIGRADIFILLING [J MECH RI [J COMPLAINT [J WATER HOOKUP [J FIREPLACE RI [J SEWER HOOKUP [J FIREPLACE FINAL [J PLUMBING FINAL [J GASLINE AIR TST [J MECH FINAL [J ~f- -r ;)r VI'- 1 f /JA (:J ji:r.)&//~ ~! L/ ~ CITY OF PRIOR LAKE INSPECnON NOTICE 5'133 - , ~''I0() ADDRESS OWNER PHONE NO. [J FOOTING [J FOUNDATION [J FRAMING [J INSULATION [J FINAL [J SITE INSPECTION [J WORK SATISFACTORY. PROCEED [J CORRECT ACnON AND PROCEED [J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING .~- Inspector: /' Owner/Contr: CALL 447- 50 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY! J 1 " -I DATE nue CITY OF PRIOR LAKE INSPECTION NonCE SCHEDULED PHONE NO. 5'153 Fc,WYl lY/{(J/OWGIIVt'. CONTR. D~ Holl-tJ~ PERMIT NO. 6 I - '2/1 I ADDRESS OWNER IJ FOOTING IJ FOUNDATION IJ FRAMING IJ INSULATION IJ FINAL IJ SITE INSPECTION IJ PLUMBING RI IJ MECH RI IJ W^ TER HOOKUP IJ SEWER HOOKUP IJ PLUMBING FINAL IJ MECH FINAL IJ EXIGRADIFILLING IJ COMPLAINT IJ FIREPLACE RI IJ FIREPLACE FINAL IJ GASLINE AIR TST IJ 1 COMMENTS: 5LfS 3 - L()t."j! 1/1/0,!-1 u~/vt (J/J~;'" WI f"J,s&c/ 54 c; L/ - hI4~' c; It- . 5Y55 - &N~rI(_()'L "- /' ) I ( l O ( '() ~"0'- /...".1..... \0 l /' ." ~'-1A 0, UV ~ ~ C1,,) SL/ ~ (,.:- b'4'1r11- vK c; ~5 / - G,ler If, r')K- S if S ~ - hre,tJI- &1<- . 545 ~-&G,"l-O/(.. / I_/" '3 't" (J.,- Die""'" L/ L- IJ WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED X CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING Inspector:/!;1~., Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! _n DATE TIME CITY OF PRIOR LAKE 3-~-~Cl 1- INSPECTION NOTICE SCHEDULED f:l~ ADDRESS 54570 ~VJN OWNER CONTR. PHONE NO. PERMIT NO. ;-1/4- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~ PLUMBING FINAL l!:Y' MECH FINAL COMMENTS@ ~ ~ ~ ~ ~L ~ fL\h~"~ ~. ~ A,-...i;.... ~ ~~ ~-', ch-~O, tt ~ ~'~ pt^ U o FOOTING o FOUNDATION~ o FRAMING o INSULATION \J' FINAL lei SITE INSPECTION o EXIGRADIFILLlNG o COMPLAINT ~ FIREPLACE RI '~FIREPLACE FINAL o GASLlNE AIR TST o ,. . , r CZ-. (), -tJ.i 8" 1 \ I 6 roL; ~~ o WORK SATISFACTORY, PROCEED )lJ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING Inspector: ~ /1 Owner/Contr: 711 CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lI'ISNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 2~I-o:t j{:(7() ADDRESS 54-Sf, hwYl OWNER CONTR. PHONE NO. PERMIT NO. /-~14 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP A .E..SEWER HOOKUP ~ PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENT~ (1,vt t9lM&~ OL... o 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/ . ,.... APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor A'" '- _~ M....u....... Name of Tester '(~ Date -J....- ,- ~ JobAddress ~S'1;. f,,-,_ "'.....~ ~..,'- Heating Contractor "h..o..-+ M cc.l-.. Name of Tester \C e~~ Date ? - r - o:t... Percent 02 C. . ) Percent CO Percent CO2 -(:)- Stack Temp Combustion air is adequately supplied per UMC Sec. 606 "(.4> ') input ". QibO 1..... 3%'-\"