The URL can be used to link to this page

Home My WebLink AboutBldg Permit 01-1013 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and siJ;tll at bottom) . ADDRESS 5~oo, tH.,rn ~ ILl J..n~ S t LEGAL DESCRIPTION (office use only) Lo~l BLOCK , Date Rec' d ~ /(if 1. White File 2. Pink City 3. Yellow Applicant 10 (.2J ADDITION f'lE3bRFI6/-D ~"\f:L PID~ - :~ 7;). ~O ()-/--o OWNER (Name) (Address) BUILDEIh I LA/) . (NameL_U.O. ~ ( . (ContactNamd) ,~4~v~ &i tbm (Address) dDBflO '~ParJJJAJ... e.:f. ~t~. I DD ('A.J!..tdLt k I M,_ \lb5b "1'-1 , ..... - TYPE OF WORK ~New Construction OLower Level Finish o Misc. (Phone) (Phone) E6a)9JJ~ -7110fi (Phone)&5~J ~~ 1?:134 ODeck OPorch OAddition ORe-Roofing ORe-Siding o Fireplace OAlteration OUtility Connection PROJECT COST IV ALUE (excluding land) S q(, .0'-11.0 , 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 aware that building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upo roperty to perJi inspections. x '0 I / I Permit VahTa.tion I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee / t'~l'JaO. d::) $ C;13.7~ $ ~<(S-. tt'4 $ oz:> .00 $ $ $ $ $ JIJIUJ f) to{J.OO ~_5;. $7) l{ () . tJ(/ 19~'nB ~~g , (J .3/-7e;o I Date e?J ()()()S;{, ~ . / ~/dV/OI Date 8f:n. ~ $ ~ / c::;r) . C2.l1..- $ , /2<;-.(<)1') $ L/~O $ I. QOt1. cJ{)1 $"lOt)_acJ $.. 0 -- $ -gs-. s-o $ (;,,070. b q I I Contractor's License No. I Park Support Fee I SAC I Water Meter Size~; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit Other S~ tJ ~ TOTAL DUE # # $ # # I Paid I Date &070.fRPj tI~rJ",fI J R.eceiP.~t 11 4()5BI By 1-- . ., 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 :"""'00 by ili;' Ci~ p"- ooomw,". .w,,"", cmn;j;;;'_ md -- ~ ~~M::ti .7" ~O=~ ~"~ Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 .- ., .CY"':i; :1': V'; ,. '"" . ....... ~.!r '~"''': ~.t ~ ~"l';1-I": ..'r'-",- .~...;. ,t.....: '" " ". ,.... . '~l"'-~ ;'':1., .., - .t....., .-.~ '1-...r' :,~',,?r~ n' "~'.'~ );\': . 1 ~',-.. ,.ll:'~' -~;'i-tr It"" '; ')';'. -' '. . ~:~ Tht ('tnlt' nr Iht I.ok< Counlry White - Building Canary . Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D J< t:}j cnj-.h7l--'" APpLICATION RECEIVED X"- ;?;).--() / - . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction a9tivity which .is Rroposed at: . .5 aOl( .1 CctiV<-~~& Accbpted X Accepted With Corrections Denied Reviewed By: I I Comments: ~ IV I-J. 13 Date: 9-1:l~O( See Reverse Side for Additional Information! .: IY7Cf/n hie .See Attachments: 1 )Erading Plan, .2) Erosion Control Measures . ~) Erosion' 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." ~ White - Building Canary - Engineering Pink - Planning Thr Ctn'rf of the talit ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D ~ Wot...~ 11- );;-/*()j The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 0;Mt, t{J I~ AccePt~ Accepted With Corrections Denied ~/1!? Reviewed B( -;;::y (~ .- Comments: J. ~ ~ y'lIt~ Ol2 Date: 8pJ/~ 'Oof 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. ('.nler nr 'h. tlk. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I /7 i/(- ),,) "oj / j l/" , I i \~--'" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,-/),)t.~~ / / / /.A_) /' Accepted ,~ Accepted With Corrections Denied /l Reviewed By: (~~~ Date: 41tJI <91. ~~O ?: 1~/' 'r '" 0 ~ _ (' ~n (J.'-J,(). +~~ ' ~~ ~~~, "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." Aug.27. 2001 3:41PM GENZ RVAN PLUMBING AND HEATING No.0949 P, 12/15 Date Ree'd LITY.OF PRIOR LAKE SEWER AND WATER PERl\'Ul I a...... 1'il.. PERMIT NO .:l. Ylli~ ci\t-. . 0 {- 10 f3 3. Gold ApptiClllt (Plea:u= type or J,Imt lIUd .s:iK1l :at boUOm) ADPRESS ' f52tJLo ~~tJQn la..A o. SE ZONING (D~ \tic} rk\ LEGAL DESCRlPTION (omce use onty) LOT 2/ BLOCK ADDmON ~ p.y F}p 0 n 2AJD p~~~- .?/7 ~ -0 d-(-O OWNER (Name) D~ RQr~QB Custom lIon:,,~ (Address) 3459 Washington Dr Ste 204 . (Addn::ls) (Phone) f,51 lf5~ 46F.? 55122 (Zip Cod.:) Eagan, ~ (Ci,ty) APPLICANT (NIDn~) Genz-Ryan Plumb~ng & Heating (phone) 651-423-1144 - (Address) 14745 So R.obert Trail Rosemount. MN 55068 . (Ac1d:(ess) (9ity) (Zip Code) , (Contact P~on) Mary Olson 1 II (Phone) 65a73-1144 "'LI~ SIGNATIJRJ; Ll ~ G-- DATE z1J6 ! APPLICANT PLEASE CO:MPLETE 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. Residennal sewer and water line connection Sewer connection o:o.1y ll.l!...Iii SL.I:1J!.DULE $35.50 Industrial, Com'} & Multi-fllIllily 1% of job cost with a 539.50 minimum $17.50 Water cQMection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL rJ!j.KMIT FEE $ s. s ,\,\r\ . .. ?~\O \N ~'Cr , .50~\~G- ,gU\; Y I. f (Ollic:e Use Only) L.:... BuildiDI OUkia) Date p~ Datcuq -- 0/' I Receipt No. I By This Application Becomes Your BuihUog Pennit When Approve~ . . SE~ I 9 2:\f\1 r 24 hour notice {or all inspedio.1L5 (95l) 447-9850, hx (95J) 447-4::Z4S Aug.i7, 2001 :1:41PM GENZ RVAN PLUMBING AND HEATING No,0949 P, 13/15 Date Rec'd L.lT y OF PRIOR LAKE PLUMBlNG PERlV.ll'l i '. i ~~ ~!~ PERMIT NO. 0 f ~ 10 {''7 1 YoIlow Appl~ ~ O?}c:ase ttPe or p.r1n.t and sIgn at b~.__) ADDRESS - . 5?f)I-.Q~xik_ 0 L) In.i/lo) .)r= ZONlNG (ofliccusc:) RI , LEGAL DESCRu:- HON (cmce use only) . LOT~ BLOCK I ADDITION 1):.eL.fit'.o_ [) :2A) 0 prrQ 5"- 3 r;~"" Od-' -() .' OWNER (N~e) DR HorLon Custom Homes (phone) 651-454-4663 (AdtU-ess) 3459 Washington Dr Ste 204 Eagan, MN 55122 APPUCANT (Name) Clil:a~-~a1:' ?] "m;Q~""g '" l-f., "....;.:'"\-g (Address) 14745 So Robert Trail (Address) (Phone) .J. c; 1 -{f? ~_ 1 1 t..t.. RosemounL MN 55068 (Zip Code) (City) J I 2- Mary Olson r ~~bn~ (A 1') uUi2--- DATE '-APPL:-~EASE COMPLETE BELOW I Type of Fixture Quantity Bath Tub with or without shower Dishwasher I Floor Drain 1 Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) 651-423-1144 I fjjZ-zJw (Contact Pe'ISon) . f .A.PPLlCA.N'f SIGNATURE Quantity , , I Z. Type of Fixture J . 12 J J 'I' / Rough-ins I Wa~ Heater I Water Softner f Stand Pipe (Washing Machine) I Sewage Ejector I Bacldlow Assembly Back:flow Asse:mbly Test Lawn Sprinkler I Other .If,!!;,!!; SL,I:I..I1.,DULE IndustnaJ, Commercial & Multi-family 1 % of job cost wIth a $39.50 minimum Rcsldential, New One & Two-FamHy $99.50 Residential, Additions & Alterations $39.50 Estunated Cost $ Building Permit # 'l\i\\t-\ . ~"r ~ ~~~G I'~f.."", , I,' l PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (OUic:e Use Only) I This Application B~ome$ Y ou,r Building Permit When Approved SEP I 92001 ,- ~ I~ ByT'~ :Bull<iing OfD;,ild _~..1 :Dati! Pai~ 1Jateq__/tj ",~O/ 1/ \" 24 bour notlce fOl" aU inspectJon$ (951) 447~.9850, fax (952) 447-4Z45 CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONINGIFIREPLACE PERl\tUT SEP 2 1 2001 1. Pink file PERMIT NO . 2. Green City '. {- 101.-:2 3. Yellow Applicant (I ) (Please type or print and siJ;tll at bottom) . ADDRESS 6U>l.P I) e.er +l ~Jd {JU1L ~t; ZONING (office use) Rt LEGAL DESCRIPTION (office use only) . ,vel LOT Zl BLOCK l ADDITION f 0 () J A J.~ D J rIJ /).. ~/)'V( ~~e~RD.t:\, Horfon (lJ.).slom Ho(Y)e~ (Address)dflZioO Ked>ridC)~- Q~J.-o.k ev; I1e M~ APPLICANTA J " M h-- (Name) , C\(i' e<!... .J,.v1C!. (Address)~() fctennehec.l::r. 5fe. #j ~-;aaQn .,/f5t2..r:l (Address) J (City) (Zip Code) (Contact Person) ~f.rr~ Z;mmp_rrn tAn (Phone) (P5/-45~- ~77~ APPLICANTSIGNATUC JnJ,J_ftjAI~'&~ DATE J.~'(/ . APP ICANT PLEASE COMPLETE BELOW !0NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL 'Br~t1n+ 3~A-v.b2J.l.Di () FUEL l'Jelt..,u'n.. , FLUE SIZE tI-"clClSfi>> EL RETURN OPENINGS '+ INPUT ,f),OCO OUTPUT 6lD..lJO 0 PIQ?<5-~7~ 'Odl-D (Phone) C(5().., q ~ -7c:l.7t2- 550 J..f J..I (Phone) to 5/- 4ff:L - cf? 775 TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical . ~r Conditioning Qt'Vent. System REA TING 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 Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family $39.50 $39.50 Estimated Cost $ Building Permit # REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 fJ.1 i . nO I-l,D ,I' "., g /L/:)/N " I i ii ....... Gp'-,-, L:::j- i....,.. "11.1 , (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Dateq1_ d 7-1 By ~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 DEG.14'2001 07:29 651 633 8884 #6301 P.004/005 CITY OF PRIOR LAKE Date Rec:'d J1.J;!;ATING/AIR CONDITIONING/fu<EPJ..,ACE PERMIU:c l 32001 FIRESIDE GORNER ~ S:. ~~knnl , PERMIT NO. 0 )-10 /3J CPl.eQe tY17P. or m:m.t Mil sim lit bot.lDm) ADDRESS .5~~ ~\t; tEGATJ DESCR.J.r. J, J.ON (om;; ule only) ZONING (olflQ!qsc) LOT BLOCK ADDITION PlD OWNER r-ct? 4~ eN am.e) (Phone) (Address) APPLICANT (Name) AI..LJ.ED FI~SIPE DBA FIRESIDE CORNER (Addxess) 2700 N. FAIIDaF-:W ~UE (Ad.d.m~) BRENDA HTJSTON (Contact: Person.) . _ I } APPLICANT SJ.GNATUREr ~DA.Jl. ~~_ (phone) 651-633-~S61 ROSEVIL):..E MN (City) 651-63:3-2561 I:j l:i 1 1 "l (ZIp Codc) (Phone) DATE ~!:/:i)J_ APPLICANT PLEASE COMPl.ETE BELOW ~EW CONSTRUCTION 0 REPLACEMENT 0 AI, TERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE REnJRN OPENTNGS INPUT OUTPUT 'TYPE OF SYSTEM IiEA'TING OR POWER PLANT OWarrn Air Pl~1lT.s 0 Steam OGraviry 0 Hat Wnter :J Mechllnlcnl 0 Radilldon :lAir Condltion.ing 0 Spec;illl Devices DVent. System 0 Other Devices . Fl.REPI...ACE MAKE AND MODEL iJeu J.J 0~ .)L .....~-(:.. PLEASE NOTE: Air Condftioner Units ClUlnot En.croach in,lo Required Side Yard Setbacks InduSD'ial. Commercial & Mult.I-Family FEE S'-'J::l.I!.DUJ..E 1% cfJob c;o~t Residential. GIIS Fireplace $39.50 mlnimtlTn $99.$0 Residentlel. Add.ltlolls &: Alrenlf,jol'JS $64,50 Residential, AC Only $39.50 $39.50 $39,~O Residential, Heating &: AlC (New ConstnJctlDll) Residcntlo.l, Heating Only (New Constrocrion) Esti.m.;tteg Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMlT FEE $ $ s r \' t _.;.. 1,_ ',I),;~..!I':r:,;. 50\~'sl \",11 LJ'\' '-^'. " '\...L3G'L~ -=-~~ ._ (om!:!: [Jle 0"')') nil "PI'I~Y..r JlUlldllltl;;~ ~h;O~"r".d BldldlJlg 0011:'/11 Dllte . Paid Rec:eipt N I), Date I By 14 hour nlltfCtt for 1I11ln5per.tlons (951) 447-9850, fAx (951) 44'74145 CITY OF PRIOR LAKE l4J 002 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec.'d /2-/3-0/ (Pltil.$(: CVDe ormiDt and dm ar bottom) ADDRESS L531D 1k WI/ds" I. Pink (1I~ 1. G.... Ci<')' 1. 't.II_ Ap?liclm PERMIT NO. OO-IQL3J Po. r!{UJa,V / ZONING Colliet use) LEGAL DESCRlPTION (office \1" QrJy) LOT BLOCK ADDITION PID ~= m~f)(la(rl~ flOfYl6 (Phone}j;/d-3j6-7cfdP (Address) I 0 I 8 eN.; b.' LctllQ. V tll e If) f1) . / ~:~fANT fl/J-1Yl ec.0o () I (a.) (phone) 9L)d--l/l;v'-6 ff'f __ (Address) ~ L/ / L/ q J\I '~ Yl J/t:'~) [J( ./0 L aJ{'e V ,/ k ~,<;z){)t..j!'; I J (X~; (CIty) I (Zip Ccdc:) , (Co.tactPerson) C!::lInu 17.. ~ ~ ,/).~ ~one) _ 169-69CZ9 APPLICANTSIGNATURE-J (jJj!!ZflJj./~ DATE _ , __ . /J I t!' mLICA~ 1 . LEASE COMPLETE BELOW ~EW CONSTRUC'T19N . Q ~~EME'ljlT ~ ^LTERATIO~S ' FURNACBMAKE AND MODEL JJ.i{J- f / (j(),fY'i) wId 113m t'll~ FUEL _~)a} ()a 5_ FLUE SIZE 5ea \edmdlbRETORN OPENr.-lGS I I C') INPlfT ~ d01\,OU'I'PUT u-- TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Planti 0 Steam o Gravity 8 Hot Water o Meclumical Radiation OAir Conditioning J Special Devices "~Vcnt. System J Other Devices tLEASENOTE: Air Conditioncr Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial. Cornmercia.! &. Multi-Family 1% Qfjob cost Rc::iidc:ntial. Gas Fireplace $39.'0 $39.50 minimum Rc:sidential. Heating It. AlC (New Construction) $99.50 Residential. Additions & AlteratiOOll 539,'0 Residential, Heating Only (New Consttur;tion) $64,'0 Residential, AC Only ll39.50 Estimated Con $ -b!f . 5' {) Building Permit # -.t)O -/013 HEATING PERMIT FEE $ fn 4 ~~o t'lm:~:~~M\T STATESVRCHARGE $_ ~so e:.'---- TOTAL PERMIT FEE S (0 {; () u (omtc: Vse Only) Thi. APPIiC~".~~ me5 Your Building Permit Wben Approved ifJ/J!r . 'Z-J~-O I Bulldillt ot'fic:i.1 Owtc ~ Paid .s:-- JZ:.:13 -Qj ..... ~J Receipt N I By J - 24 hour notice for 1111 inspections (932) 447.9850, fu (951) 447..4245 +-:- +k ~:wLP P RIO R LA KE ~~rto~~~~~D INSPECTION INSPECTION RECORD SITE ADDRESS 5d..Olo ~ arv-h~ NATURE OF WORK ~ USE OF BUILDING. SFPt PERMIT NO. (JI- /O/~ DATE ISSUED 8' -S/"''2ao ( CONTRACTOR Oil ~I~ ~ PHONE '75"2-?if.J-/33<( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING I {~ I ~/~~j(, / I FOUNDATION(PriortoBackfill)~~1 ~.1!--;llJl Ih J IOlll/fo/ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ,... h I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS fL. r~' (;1-:r INSPECTOR SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING vi;!. "'&t, ();r,/ofp....16t HEATING (if required) FIREPLACE GAS LINE AIR TEST th~ '(4. ~ ~ , A. M TbV I,;t Ol.f- GRADING (Prior to Sodding) BUILDING ,-;~ ,-iiU gft/ 0-'2- ~"$/ Ie ../4 1- ELECTRICAL PLUMBING HEATING DO NOT 11 litre ?~- OCCUpy UNTIL ABOVE HAS NOTICE DATE /~/;;.ID/ i/J7/fJ V I,)'<~~ /(j ~ ~/4)D( A>!4-~2- 1/';Z 2- 1/ ,-/ !f) z, f":f, .~. II 17 J~z.- Ii' .7 (ITf(6~ 1IJ~/o~ 3/q /02, 3//,A2- 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 sh,all be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ADDRESS SZ-tJ0 DATE TIME SCHEDULED ~ 10: DO tS-~~ (/ CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. PERMIT NO. l) 1-10/3 o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION ~ 0 SEWER HOOKUP '" FINAL ~ 0 PLUMBING FINAL o SITE INSPECTION @JQ MECH FINAL COMMENTS:ro ~ (J~ ~,J~ IJ~~ ~ ~V ~f- -(~ ~) ~ ~~I I~, ~' (iB) ~ ~I~ ~~ ~~} o EXIGRAD/FILLlNG o COMPLAINT ~ FIREPLACE RI FIREPLACE FINAL o GASLlNE AIR TST o .r T.<!..,(), -fAd ~/,' (j'Z- I . ~~ o WORK SATISFACTORY, PROCEED )i11 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! INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED :t&,IoL 10,'30 ADDRESS 5" 2 0" ~ OWNER CONTR. PHONE NO. PERMIT NO. -.t) ( - J D 1.3 o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACE RI o INSULA nON 0 SEWER HOOKUP 0 FIREPLACE FINAL o FINAL ~ PLUMBING FINAL 0 GASLlNE AIR TST o SITE INSPECTION 0 MECH FINAL 0 COMMENTIiJ.# ~ ~ ~ ~ ~I ' J ~ ~ -- ~-f-e UJ. H? - r1 _ d;.... ~ A f~ ~/ f"trr:1d I . I ~ ,I( \JJ, ~., ~m~.~ -Div o WORK SATISFACTORY, PROCEED ?tCORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING '''pecto" ~ ' . awn"'Conl,, CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ OA TE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED Z/Jjjo z... A--. r; ADDRESS .s2~ a~:..fl8 OEEtePlbl-O LN. OWNER CONTR. ...... PHONE NO. PERMIT NO. I-I O/2..~ 101 3.ltJ/4- 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 o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~O/77tG6 ~~ ( I /) ~ 4~ l5~ lJi;~ /i/~. / )I WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~_. . 4~ ~.rrV A"'O '1,1'1 Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ - . - APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor A \ \ \o--\-. t'\ ~~ . Name of Tester \~...~"-- Date ""'3 - '-f - CI '"'l.. Job Address 9o(,,(k~....Ii\;~\~L~.. ~ Heating Contractor A \ \ ~~ h t...-..l- Name of Tester \<"-t.. ~-t "- Date "1- &.of -a~ Percent 02 Percent CO Percent C02 ", --, -0- ~.~ JCj,. Stack Temp Combustion air is adequately supplied per UMC Sec. 606 '( e..S input Y"~ ob\)