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Home My WebLink AboutBldg Permit 01-1015 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND ~TILITY CONNECTIO~T IYI III AI 1= I ~1~ ~~'"' I PERMIT NO. Date Rec' d -01 (Please type or print and sign at bottom) ADDRESS 5~ltJ Ded~ltL (~nl- S6 C>~~<J(officeure) RI LC>~~ BLC>CK LE<JAL DESCRIPTIC>~ (office use only) ADDITIC>~ ~d L ~ PID,.J5""- \~ '7.2- 6J.3-C~ C>WNER (Name) (Address) (Phone) . (Phone) f9~:JJ .., 8t; -7 ~ (Phone{dl")3~(p -42.rtJ?:J BUILDER (Name) D. R. .~ (Contact~ame) S~_ .fr..{.dtSdY1- (Address)~09(PO K~bt:1f~~.O:I. - .Yt-l. {DC I ~ Vh/ll Lt, I A/UV b"qJj!-f '# .. 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 the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon roperty to perform ne ded inspections. , S; !Jou TYPE C>F WC>RK o Misc. x V Permit Valuation Permit Fee Plan Check Fee State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee ~ New Construction OPorch ORe-Roofing ORe-Siding OUtility Connection ODeck o Fireplace OAddition OAlteration OLower Level Finish PROJECT COST/VALUE (excluding land) $ .I n ~ 15:'1 ~()(){)SJp <; 7 Conttactor's License No. fl) a.. I ./w Date sm.cfJ. I. I SO. 00 $ '. [2~yO() $ tiS, CJO $ f I Qat) "CXJ $ ~ 700.a:J /500.00 ..s:)'sQ $ '11 57(). ~q . 11(1 - / R.eceirltJ6pAf)'-rv By /f/?' . 11' / PO?eJOtJ. oJ $ ~ q~'. 7S- I $ CrB.5. CJ <I $ ~..~ $ $ $ $ $ I Park Support Fee I SAC Water Meter Si~; I"; Pressure Reducer # # $ $ Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit Other <:; (J TOTAL DUE # # 'C9CJ _rXJ I at) - cKJ J~..S-O t-tt; ..60 $ $ ~ uiIding Permit When Approved q-(p"~Or I Paid I Date '7r71J. tv 7 . I( ."- r......./l J /u \) \, Date 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 isS?j{~~ _' Planning Director ~~ao4 r~VfhM6 Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 q/1!(!)-t White - Building Canary - Engineering Pink - Planning Th. C.nt., of lh. Lak. Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST -;...~-_." NAME OF APPLICANT I ( ) i\ l / t) r' I, ..-'\ j .f " , 1'-.... ~. ~ -J'" . APPLICATION RECEIVED /-() ) ," . " 'I 'I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /' /1 , /. '/ / '/.f./ ,..::' ~ I; , I ' ,\. 1/ Accepted v Accepted With Corrections Denied I JJ Reviewed By: ~~~ Commerts: I~~ ~6,ed .~& C~ ~- ~,IJ. ~, (~fJ&.:t- ~ f~~ 2~,~, ~ ~~~~ _~e_I hV\rh~~~ ~JA ~ t~-~~-~~k~~ Date: cr/7/el "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 Tht' C'rnlf'r of rhe Lib Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT [) ~ ~ ~ - I APPLICATION RECEIVED f / dJ-o J . The Building, Engineering, and Planning Departments have reviewed the building permit application for co;~~nijcliVi/g~~at:0v Accepted Accepted With Corrections V Denied /~/7 fL Reviewed B~V lJ)7A'l;;.. Comments: Date: ?-s:- ~I ( ~ ReuJL a.ll atto.ckct h.~<!Vk~ "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." fil"'".f ... ... 7/IS (5/- /O/s- The ('enlt>r of tht> I..kt Country White . Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT [) I;: el! o2107~ . . APPLICATION RECEIVED ? /' ),1/-0 ) , The Building, Engineering, and Planning Departments have reviewed the building permit applicaUon for construction activity~ich is prof?os.~d at: .5 o? / 1/ /(/ IJlA!uitf Ltv Accepted ,x -- Accepted With Corrections Denied Reviewed By: Comments: /'I1t~ Date: Q"-7-" , , See Reverse Side for Additional Information! !Y1. /n (/ /~ . See Attachments: 1) Grading Plan, 2) Erosion Control Measures 3) 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." Aug,27. 2001 3:40PM GENZ RVAN PLUMBING AND HEATING No.0949 p. 8/15 Date Rec'd CII'-r,OF PRIOR LAKE SEWER AND W AlEX PERl\'u I 1:. ;: ~ ~~ I PERMIT NO. 01- /0/ c:::- 3. Gola A,ppll_. 1-...1 (Please tVJ;1e or-ptlnt anc1 sig!u.tboOnm) ADDRESS f)2.W tR~t;p .0 0 {CLY1 0 _ \ 'i=__ kfieiD 2No ZONING ('?ffi.c:e US~) ~\ LEGAL DESCR.u:'TIC>N (officc \L'lC o~) Lor23BLOCK r ADDmoN' P1I{l~ -37;).. - OJ3-0 OWNER (Name) _Tl"9 u"'.....-I-"'~+-"'Tn "l1cl;J;r~~ (Address) 3459 Washingt.on Dr Ste 204 (Address) Eagan. MN (City) (phone) Ej51-1'51..-46{;.~ 55122 (Zip Code) APPUCANT (Nmne) Genz-Ryan Plumbing & Heating (phone) 651-423-1144 - (Ad~es~ 14745 So Robert Trail (AI1dre3s) t (Contact Per-Jon) Marv Olson ~U~ SI<J~A'I'URE \J Rosemount. MN (<;1iy) 55068 (Zip Cgdc) (A~,- (phone) 651-423-111+4 DATE /?J II 7 fcj / APPLICANT PLEASE CO~u LETE 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. Residential sewer and water line connection Sewer connection only J1,ILESCBEDULE S3S.S0 Industrial. COOl'1 & Multi-family 1 % of job cost with a $39.50 minimum $17.50 Water connection only $1750 Estimated Cost $ Building Permit # SEWER AND W A'TER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $' $ \N\\\-\ . ~ '\ f' ?~\O ~~~\J..\, '~~/ , " ./ (Office U5C Only) Thi:!l Applil:.lltioD Becomes Y oeir a~l~ing Permit When Appl"oved ; 10 SEP I 92iJUl L.. . Building O1Dcial .Date ~ Dattr';/q~O/ Receipt No. -____ ~J'- By- /!%L--- f :24 hour notice for all inspections (~5Z) 441-9850, tax (952) 447....245 Aug.27. 2001 3:40PM GENZ RVAN PLUMBING AND HEATING No.0949 p. 9/15 Date Rec'd CITY OF PRIOR LAKE PLUMBING PE~llT i :'~ ~~ I PERMIT NO.Of ,/0/' c- " yel...... Appr..,."l -J (Pl<:a.lIc type< OJ:" print .and sign u bottom) ADD:R.l!SS ' . ,(\ ZONlNG (o1lke use) 62-/W ~IDW ~ ~'e- K\ , LEGAL DESCRJPTIC>N' (Q.tticeusco~y) LOT Z3BLOCK I ADDITIC>~ ~..e..r~.e 0 D 200 PIDc::l c;"- 3'7.:2--(,) d-3-() OWNER ~~e) DR Horton Cuscom Homes (phone) 651-454-4663 (Ad~s) 3459 Washington Dr Ste 204 Eagan. MN 55122 APPUCANT (Nanie)...G.e,... <>- "'!'<>'" Vl'Jmb in~ K.. u ~ ~... -1....{I (Address) 14745 So Robert Trail (Address) (phone:) 6 <; 1 -6 ? ~- 1 1 ",. :Rose-1lJ.ount MN .55068 (Zip Code) (Contact Pers~n) _Mary Olson I' , APPLICANT SIGNAlURE (City) (Pb.One) 651-423-1144 f9>/2/ ItJ ( , , _ DATE APPLI~SE COMPLETE BELOW Quantity I Type of Fixture I Qllan1ity Type of Fbtore r I Bath Tub with or without shower I Rough-ins \ J Dishwasher I ,- Water Heater I Floor Drain I .e.11 I Waier Sofiner 2- I Lavatory (Bathroom Sink) I J I Stand Pipe (Washing Machine) I I Laundry Tray (1 or 2 compartment sink I I Sewage Ejector I I Shower Stall I I Backflow Assembly , J Sinks I Backflow Assembly Test Bar Sink I Lawn Sprinkler 2- Water Closet (Toilet) I I Other .l".I!,Jl., SCHEDULE Industrial, Commc:rcial &. Multt~faml1y ] % of job Clost with a $3950 minimum Residential, New One &. Two-Fam1.ly $99.50 Residential, Additions &. Al""'Q~ons $39.50 Estimated Cost $ Building Permit -# '-"I\\~ ,r.'1' (_.;~G~~~\'j'\ ~--' I' / PLUMBING PERMIT t'h.t. $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (bmc~ Use Only) I This Application Becomes You.. BuiJdixag P~rmi1 wh~n Approv~ : ( SEP I 92QUI BuDding omaal ..',~ Date .p~ DatCl//tj_O I , '...--" 24 hour Donee for aJl iDspectiollS(95Z}447-98S0, flU: (952) 447-4245 f~; " CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONDITIONINGlFlREPLACE PE~~fl SEP 2. 12001 (Please type or print and sign at bottom) ADDRESS ':)~, 4 ;: ~~:n ~:~y. I PERMIT-NO~ 1_ ~/l!f5' 3. Yellow Applicant r u {)eer+1~-'d (p)~ Sf LEGAL DESCRIPTIC>~ (office use only) ;QOPAJ~ d~ / ) ~::e~R1).~. Horfon Ousbm Ho;e~ (Address)dl1i1oO KenbridC)p- QJ., LOkevi l1e. Mf\) APPLICA~TA II. t M h--- (Name) f Qt1 e~. ,:.L:a . (Address)3JJQ() Ke.ruJehec...~. S+e. #/ .f~Q3Qn . C (Address) (City) (Zip Code) (Contact Person) J.ef.rre-v Z;mmp_rrn Q,n (Phone) (P5/-45~- ~77~ APPLICANTSIG~ATUC JnJ.I_~A.~.4~~ DATE J.~.V APP ICANT PLEASE COMPLETE BELOW 0NEW CONSTRUCTION DREPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL 1Jr~4n+ 3S3KA-vb2!iD' () FUEL J\JQ..h.U'u.1 FLUE SIZE ~'~cI(1.S~ EL RETURN OPENINGS J.l. INPUT 10.000 OUTPUT 6lDLtJO 0 ZC>~~<J (office use) (<,j LOTt, BLOCK , ADDITION PID.2S-37;)- 0;13-D (Phone) q5a-q~5-7:l7~ S5o~L.t (Phone) 105/- 45:L - tf?775 55/.22 TYPE C>P SYSTEM DWarm Air Plants DGravity o Mechanical ~ Conditioning Qt'Vent. System HEA~<J C>R PC>WER PLA~T 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 M.A.KE AND 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 & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE ST A IE SURCHARGE TOTAL PERMIT FEE $ $ $ oil, f;:' ,,, .' ! r '. -' , . .5 .\..1..-' t~;, '- I /II ~r.,... .....4.."..i\!r---' '1/' ''-# I- ' 'f Lllf'#: ~ . (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Dati? -;;;17-( B~ (/- 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ANJJ UTILITY LUNNECnUN 1"EKlVIU (please (Yfle or print and si~ at bottom) ADDRESS .l- S J/ILf Deddo.... (~n<, S G I. White File 2. Pink City 3. Vellow Applicant LE<JAL DESCR.u- UC>~ (office use only) LO~~ BLOCK ADDITION ~d L~ OWNER (Name) (phone) (Address) BUILDER (Name) ('t ((. . \tvv4nt.. (Contact Name) S-f1?-u.P- fy-{.dtSdY:L (Address)~09(Po K~bn~ 0:1. _ .ft"l. (DC I ~ V-1..1/11 U ./ MJV h".!5/1i1-f '6 ~ cJ, l./-O/ I PERMIT NO. ZC>~<J (office use) RI PID,..J~-\3'7.l- OJ.3-C: (Phone) ~ 8t; -7lJQfJ (PhOne)@"' ,;j3t/~ -1..f1!b?:J TYPE C>F WORK ~ New Construction ORe-Roofing OAIteration o Deck OPorch OLower Level Finish o Fireplace OAddition PROJEcrCOSTIVALUE (excluding land) S I nB,...1S,? 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 the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon roperty to perform ne d inspections. \../" 's;,~ V I Permit Valuation I Permit Fee I Plan Check Fee State Surcharge o Misc. x ~(;I)f),~ ~ 7 Contractor's License No. $ $ I Park Support Fee I SAC I Water Meter Size 5/8"; 1"; , Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee I $ I $ $ $ I $ I $ This Application Becomes Your Building Permit When Approved r Paid I Date Building Official Date # # # # ORe-Siding OUtiIity Connection $l/ a..l /.1lJ Date $ $ $ $ $ $ $ IS I $ ReceiPt No. By 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 issued. Planning Director Date Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 DEC.31'2001 13:12 651 633 8884 FIRESIDE CORNER #6920 P.003/004 Date Rec'd ell i OF PRIOR LAKE . hEA TINGI AIR CONDITIONING/J.1u<.EPLACE PERMIT i: ~ ~ I PERMIT NO'n 1- (O I ,-1 ]. yellow J.ppltcanl L::2.J cPtease tYDlI or print M4 Bi~ lit batl>>m) ADDRESS ..6,;)/ f.t "J:)~,.{) ~'J ZONING (cfflae D..U:) . LEGAL DESCRJx uON (Qffice UBI: only) LOT Br~OCK AODJTION pro oWNER (7) IZ. r,f; J, (Name) ~ (AddJ:es$) (phone) APPLICANT (Name\ AT~LIED FIRESIDE DBA FIRESIDE CO~ER (Add,resll) 2700 N. F.~R9'IEW WlSUE (Al14te98) BRENDA HUSTON (ContaCl: PeJ:Son) _, I I APPUCANTSIGNAn~:t$t)".L).. ~..::::_-__. . (Phone) 6S1....63.3-2561 ~'1"T.TJ:! M1'\1 (City) 651-633-2561 (Phone) DATE n(?(.J/r.J' s;;r:;.' , ~ (Zip Co4e) APPLICANT PLEASE COMPLETE BELOW ~EW CONSTllUCnON 0 IlEPLACEMENT 0 AL TERATlONS FURNACE MAKE AND MODt;:t . FTJEL FI...UE SIZE REnJR.N urr..loJI'NCS INPUT OUTPUT TYPE OF. SYSTEM HEATING OR POWER PLANT OW.,.", Air PIDI1t. :J Stenm OOravUy ::J Hot Water o Mcc:hanical :J Rsdllll:ion OAir Conditioning J Special Devices DVent. Sy~ ..J OJher Davices FlREPtACB MAKE AND MODEL rJJeu A.) (;6:- S..f.."7SD PLEASE NOTE: Air Conditioner Units CBIlnot Encroach ;nto Required. Side Yard Setbacks InduStrial. Commercial &. MIJlti-F'amiIy FEE SCHEDULE J % of jOb t:OS[ Residential. Gas f'irepl8l"..e $39.50 minimum $519.50 Residential, Additions & Altenuiol'lS $64.50 ResidentiAl.. AC Dnty $39.50 539.$0 53-9.s0 Rc:Sidcntial. Heating &. Ale (New CpnsU1lction) Residential, HeatIng Only (New Consr.ruction) Estfrtlated COllt $ Building Permit # (Office Use Only) This AppUC8tion: lIecom~ YOur Building Permit When ApprDved HEA TINO PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ ~\D \N~\,. .S~.W"'O\~ J Paid Receipt No. Building Om~llll Date I By Dille ~4 hour notice ror 1I11lnllpettfons (952) 447-9I1SQ, '111: (95.1) 447"'&:Z45 PRIOR LAKE INSPECTION RECORD SITE ADDRESS -.5a\ t{ C)J2.J2.r~ ~~cl J:h. NATURE OF WORK t0~ USE OF BUILDING ~<ED PERMIT NO. QI.::.J,O/6- DATE ISSUED 7-5-~/ CONTRACTOR Dl( ~ PHONE {,f2. ~-q~5 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION I/t'/I~/ r , FOUNDATION (Prior to Backfill)~~ I A. . /o/llt, J - ~~ ~ , I - PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC ffr:I, FRAMING /4._ INSULATION Iq~ ' . . ELECTRICAL PLUMBING J4g.IA~. ~ (/ Mil (~_ l/J 7(O"L HEATING (if required) . . ~.' I~. ./(;).1(/0 ~ FIREPLACE ~ li~t//6L GAS LINE AIR TEST I ~~~ ~t V~ I I COVER NO WO;R-K UNTIL ABOVE HAS BEe'N SIGNED ~ I I / FINALS GRADING (Prior toSodding) ~.\ BUILDING-{ ~b, -tW C(f!r k'l/ In- 311 ~~ i~ ELECTRICAL fl' PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE NOTICE I FOOTING , n INSPECTOR tf~~ . DATE I oj I ~ f O( JJ,.1/~ ~ 1 /;;.1( jD~ l' /7. ~"Z 7/d4ft" ~, 0. ~ I fJ:r 31,qln~ I " HAS BEEN SIGNED ~41(fl/ 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 QLrrtificau of QDcnqtanry CITY OF PRIOR LAKE Department of Jiuilbing Jn~pection ,~Final Permitted 0 Conditional C.O. Expires This Certificate issued pursuant to the requirements of SectionJ07 of the Uniform Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances. of the City of Prior lAIce regulating building construction or use. For the following: SINGLE FAMILY 01-1015 Use Classification Bldg. ~rmit Nr> Occupancy Type R3 Type Construction VN Fire Zone _ N / A Zoning District R1 Legal Description L23, B1, DEERFIELD SECOND ADDITION S..'A Address . 5214 DEERFIELD LANE SE Owner of Building ~ D.R. HORTON, 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE C" . >, .tor.s Name cI: Address City Planner Dale: DON RYE CATE 1/1~k2, A. it IIJIII., /(,/ /@ f)6E~FIGLD LN. CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTRo TIME PHONE NO. PERMIT NO. 1"/OIS. 10/7. /0/1,:, , . 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 .son/71U6 ~ I COMMENTS: ~ ~ ~" 0><1 o EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~ ti ,.. ~ ~~ o/~ ~ ~~ 3~'.+-, ; 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. . , - ~1f ,.-"",AIfi,. .~ Vr-I 1,r1/() z.,. IIVSIVOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS .521'1 SCHEDULED J,d; ~ l.- ~ ~ CONTR. /1 r'tJa OWNER PHONE NO. PERMIT NO. OJ-jolS o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS~ b-t- ~ A/*_,~ .~~ ~ @ ~ f~, o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP @) 0 SEWER HOOKUP .. PLUMBING FINAL o MECH FINAL ~ \.l( 0.C-, WtJ:ti.,. ~ ~ ~ '0 WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK'~ CFOR 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! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME ADDRESS 51.. 11../ SCHEDULED .sl.B/tJ2- 10: 00 ~~ CONTR. OWNER PHONE NO. PERMIT NO. 0/-/0/5 o FOOTING 0 PLUMBING RI o FOUNDAT~ON 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULA TI r@O SEWER HOOKUP 2 FINAL 0 PLUMBING FINAL o SITE INSPECTION jJit MECH FINAL o EX/GRAD/FILLING o COMPLAINT 4JlD FIREPLACE RI 'l!J)D FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS:1\1 A<~ p~ ~...". ~, (Z)~,-~~ ~ ~~ / (~~~~ ~-~'. ~~~ I ~9'~~.. Ire.o. UJ <?) t/ tJ 1- ~~ o WORK SATISFACTORY, PROCEED J1C 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 & SAFETYl INSNon ...,.....,-"-_._-,.-._".._...,..,-""_..~-~~..._,'-_'""^."....-.....-.._._,_....._.__"~.__.,_."" m._~__.~._~._.__._.~.~__.".. CITY OF PRIOR LAKE INSPECTION NOTICE OA TE TIME SCHEDULED W- ADDRESS 51.1~) 51..1 (Lr57.1~ 06..f,~t'1.t..I-~ l_~ OWNER CONTR. 0 R \-b~-cn ~ \ PHONE NO. PERMIT NO. 01- }() l t, , (0 l G;. \ Ie:) \ 1 t - o FOOTING o FOUNDATION o FRAMING o INSULATION XFINAL o SITE INSPECTION COMMENTS: 5 l-IY ~ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ')( EXI~/FILLlNG 'Ii COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o~ c;"') \ (n:;' (~) 11\ (';7,J~- -' ~---- ()L< -- \ ~ r- 'I . :>< WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED LL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: 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\ \;....~ M~L- ~, L..-. 3- y -b~ Job Address 5:ltLt (ftH'\; ~\J: L.__ Heating Contractor A' \ j.... -~ ,,""'\~.....L Name otTester ~~:~ - Date ~ -J.t - C) ~ Percent 02 ,.~ Percent CO -0- Percent CO2 ~.3 Stack Temp .3~~o Combustion air is adequately supplied per UMC Sec. 606 '( ti input i"'%'J o~o