HomeMy WebLinkAboutBldg Permit 01-1294
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I 0::), /~ }
(Please type or print and silm at bottom)
ADDRESS
JIll W:Uc.. ~ AII.J_
LEGAL DESCRll:'uON (office use only)
LOrJ-'i BLOCK ( ADDITION Sl'4..,l/11. .sd;;1~
~
OWNER /I I
(Name) 1J11U;vlc-J,) (7Q41 I
(Address) 7(po ( I c..r c-JL. sr- fA, .Il.S..1. Ap,t1J-l.. (,,,/'..1;;-
BUILDER (J
(Name) g~LLs-.GV Co-o;:? -
(Contact Name) .Te/:';;:: (";,..11,\ ~c:>-
(Address) 9 bor Il;/S-' ^- C'; 7 r Ct/, c- 'I.
TYPE OF WORK
~ew Construction
o Misc.
~er Level Finish
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
t1;tJJ ."JI...
~
~eck
~orch
1. White File
2. Pink City
3. Yenow Applicant
PERMIT NO'ili ztf4d
)
ZONING (office use)
PU.0
PIDa~-?XJ~ O~9-e
(Phone) ctf;;J... 43:1 - J ~ 0 I
/17,... r:::>-/ ~ l{
(Phone)~rL;.s~- /b 6 I
(Phone)(,/~r 70l - ~ ~ 4 4-
/7~.
ORe-Roofing
<<i~/4- L--(
ORe-Siding
~ireplace OAddition OAIteration ~tiIity Connection
PROJECT COST/VALUE (exdudingland) $ nU ~,~
. ~
$
$
$
$
$
$
$
$
r t.t '1 J OQO ..en
Ip3~ · 'is-
~,~ .O'Z
qa . ~O
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
=diiJer po e rperty to perform needed inspections. {4,?j L, J 0-, ? 1_ [) l
-~..
Signature Contractor's License No. Date
V
I Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I (')0. () 0
I Of) . 0 ()
35"".5D
((.0 . D"5
comes Your Building Permit When Approved
11- ., -0 (
Date
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
TOTAL DUE
tftlWO
I Paid ~ )( I- '70/, '-11
I Date j- 14-0 (
$
$
$
$
$
$ , 1(2{) .~
$I.~&&o
$ I
I\~ 1l:12J $ a, 41~
Receipt No. Li{)7 diJ
Bv ~
#
e.so .CX5
(J ( StJ .c.JO
J ;J.S. c)C
Q5.l90
II '2,0 O..CJ::)
#
#
#
This is to certif'y 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
issu/~ . ~ h,t'1itot ~.~
~~~ << Date ~a1C~~ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
...- - ---.-'-- -----:--
... -..::..:.... -&' L Z\ J. V.l't LAlU?;
~OOJ
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/J:I.LKEPLACE PERlVll~'
Date Rec'd
CPI....:;e ~e or OrUl' utl1 sita:l at bottg~
I ADDRESS
c9 7/1 t,.J //~.s: ~1"9 Me
t ~~ ~~"' I PERMIT NO. 01-' ZCf4~
,u.. ~.
ZONING (om.:. Uk)
LEGAL DESClUPTION Coliic:c U3<;! only)
LOT
BLOCK
AODmON
PID
OWNER. . In
(Name) ./':7~,.v~
~~1.
, (l'hone) .....~- 7e:::;o I
(Ad.dress)
. APl'LICAlST
(Name) t::.-oNfr.ot/~1J Q1r
(AddTl:SS)t.:9/d/c:'\ ~/~ 4.ue
(^(ldrl!J$)
(Phone) ~l
r~
- ~ CCi~
~~ - ~~
'~~4
(Zi~ Code)
(Contact Pctson)
. J/ /
. APPLICANT SIGNATURE ~~......,,,
-?4:1:~
_ _' (Pho:t1e)
DATE
r' APPLICANT PLEASE COMPLETE BELOW
)a1QEW CONSnUCTIO~ 0 REPLACEMENT 0 AL TEM nONS
FURNACE MAKE AND MODEL z;;JCJA} ~ /(/"7( (!GQC Q ~ b FUEL AJ /I--r
FLUE srZE r( II ~VC- ~TI1R.N oPE:NINGs, _ . INPUT OUTPUT
'IYPE OF sYSTEM: HEATING OR POWER, PLANT
OWllnIl Air Plllllt~ 0 StQllln
o Gruvil)' 0 Hot Wa~er
o MeehaniCll.1 0 Rlldillt/oo
DAir Canditi01\lng 0 Sp.':!1l1 Dcvict:s
DV~nr. Systl;'lTl 0 Other D.vlces
PLEASE NOTE;
Air Conditioner Units
Cannot Encroa~h into
Regutrlld Sicir: Yard.
Setbacks
FIREPLACE MAKE AND MODEL
FEE SI...,I:1,J:!,DULE
TndlJS\'ri01l. Commlllrcial & M~Iti.FarnHy 1"- of job r;o~ ~siclcn.tial. G~ Firl!!pl~e
539.50 minimum.
R:::s1d,,"tial. Hcatinlt &. NC (New Consuuctiol1} . $9~.So Residential. Additions & Alter;uiQns
Residential. Heating Only (New Construotion) $lS4.~O Residennll.l. AC Only
S39..50
S39.50
S3!l.5Q
EstimatcQ Cost S
Buildm.g Pel7Illt #.
(Omer Un Only)
This Applili:atlon Becomes Your BIlHdllSg :Permit Whcn ApprDved
HEATING PERMIT FEB
STATE SURCHARGE
TOTAL PERMIT FEE
s
s
$.
re.. PAlO WlTH
.50~~W~_~~_PERM'T_
.PlliQ
I RecciptNa.
I By
Bllildlng Offi.:illJ
DltI
IDI!.tP.
1.4 hlll,lf notiE:. for all insp..ctil."" (952) 447-9850, (as (9~2) 447--4;245
100 III
lIlV a3110lLLNO::>
9LG909tlS9 YVd 6C:Ol IHd 100G/tl/Gl
13:11 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONING/ r IKEPLACE PERMIT
#692D P.DD1/DD4
Date Rec'd
t ~ al.1IIl I PERMIT NO. () 1- ,f z,q 4- ,
(Please l"(pll or mim: Md. sim at bottom)
ADDRESS ZONING (office 1I,1C)
:;hJ1 (N;ld\ ~ AJ,;)
LEGAL DESCRu uON (otfic:e use pnly)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) lh-. ~vJ ~
(Ad.d.ress)
, (phone)
A!'PUCANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Addre:s15) 2700 N. FAJ:RVIEW AVENUE
(Address)
(Contact Person.) BRENDA Hl'JS'l'ON
APPLICANTSIGNATU~~~JJ)- II~~_
. (Phone) 651-633-25~1
~OSEVI.LLE MN'
(Cir.y)
651-633-2561
r:;r:;, , .
(Zip Code)
, (Phone)
_'_'_'.'..__' DATE _Dl3Jjo
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION - U i&eLAcbivi~i~T 0 ALTERATIONS
FURNACE MAI<E AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
:JWarm Air PllU')ts
:JOravh:y
o Mec:hlllical
OAir Conditioning
OVent. System
FlREPI~ACE MAKE AND MODEL ~ .J 6~
o Steam
o Hot W,"r
[] R.adlation
o SpC(:l.lJl Oevlcr:s
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot EncrolU:h into
Required Side Yard
Setbadc;s
~~
k.l-
R.esidential, HeatIng &. AlC (New Constmction)
((esidentiaJ, Healing Only (New Conwuctian)
FEE SCHEDULE
I % of job CClllt Residential. Oas Fireplace
$39S0 minimum
$99.~O Residcntlf1l. Ac1ditJons &. Alterations
$64.50 RC5identi~, AC Only
539.50
lndllsuial. Commercial & Muld,Plmlily
$39.50
$39.50
E$~ima~d Coat S
Building Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
. ., -~ I
.~"'.,) ~\,I' \T
itl!l'LO\Nb ~ ..
(Offiell {JIll Only)
This AppUf:D.tton Demma Your Build'", Permit When Approved
Dar.e
I Recejpt No.
I By
Paid
Bujldilll om!:,.,
Dlle
:u Ilour notice fllr all tnspections (952) "47-9850. '8;1 (9g) 447-4Z45
no c.- .. IlIe ta. C....nlry
CITY OF PRIOR LAKE ~. ~:_ ~CUI
PLU/.fS!1IG PERMIT PP NO.12i:.JZ14-
~ucantEYe ~/iJA.~\7I1(' Phone:hs"J-_~.$!j-~)~Q
Address: 2&.9~~ ~e~J . (' ~~ P G""lIl9j P1n S-''-WL6
Signature: Jf!~ ./ ~/ , ,
Legal DeSCriPtio'n: Lot ~ q Block f)) SUb~t! f1/iit.n ...CNJ--rl
Site Address: (::)--; /.LJi1iJ.ld _\: I ~a tl..f1 tJ.LII I. .~.
Building Permit # 7"5T=! ::J 9 Y . PIC # 329 (>2 - fJf\
NOTE: This permit will not be processed without complete information
FIXTURE UNITS
Quantity Type of Fixture Quantity Type ()i Fixture
/ Sath Tub with or without shower Rough-Ins
I Dishwasher / Water Heater
/ Floor Drain Water Softner
Y' Lavatory (bathroom sink) / Stand Pipe (washing ma.chlne)
J Laundry Tray (1 or 2 compartment sink) Sewage Ejector
rcJ,. Shower Stall Backflow Assembly (RPZ, Doubse Ctieck. PVE
/ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
::..J Water Closet (toilet) Other
. .
FE! SCHEDULE
Industrial, Commercial & Multi-Family
(' % of job cost. $39.50 minimum) $
Residential, New One & Two Family $99.60 $
Residential, Additions & Alterations $39.50 $
State Surcharge $ .50
GRANO TOTAL $~~
This permil is itanted up~n the express condition that said . iH
contractor, shall comply in all respects with the ordil1ance, p,,'O W\ C:RM\l
of.the State P1u~ d the amendme~. 8U\\J)\NG p~ .
~~ .~ DATE~-
-- ATrEST
~. ~
:' ~
~!~
Call for aU i
tions 24 hours in advance.
16200Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447..4230/ FAX (612) 447-4245
. ..'- ,.' An Equal Opportunity Employer
From JECHEEXC
PHONE No. 612 8926396
Nov. 26 2001 6:22AM P01
. .
"
CITY OF PlUOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
(P......"" lyt>.. or ~rint and Jl~.!l.t. bot~~
^nORESS
-~ 'T ( l.-- ~))' J cL, L .t'f V' () . M?!.)
I. 0,_ I'll. [ . ~ .....1.'1. NO
!I YoI"... ('II, .. JS.~t'1 . ,,_ / '"' L4 I J
,. Ck>ld ^Pl,"...lI ~ <T"I ~I
ZONlNC (ullb un)
E0. ()
"I.
LBGA l. nESCIUl'TION (uffice Ull!' only)
n I ---..L,-)\_./. \ . __
LOT/A1DLOC4- ADDlTION S I.~
OWNER\!1A f . _J I I C-' ...J....
(NltmeL.LfF' .-J)O ~1-'ll..U.... -> "Jd. S,
fJtn C') I , U (.-.r~ ....-
(Address) _' -- ~l~ '9 L
(M~!.~.~)
cs()
PID ~-.~17 -O;)q .:-<?
- (Phone) 9.5;;1 ~. ~76 cY'
J4.nl'~Je I!..~v . ~S-l:J.,Y
'"I:L.(~Jtot) ... " . (7.ip (,,odr.)
. A P:PUC~N'I'-T~. I E
(Name) v t;.c.. ",e." ~
(Ac!~l'e$s) J.aLD. J~f.-.-
(Addren)
(Contact Fel $UU) ~) JP. r~ ...
AI'I'UCANT SlONATURE ~
. .. - (Phone:) /.. J a ')DJO 7c...J ~"'~'-~h'_
_f1//Jf)WJ;~+DY7 M1J l;S-'.J.~!
. ( ly) (Zip CodC)
(Phone) f4 t1 ?~ 0 7tf.rt,
DATB
APl>LICANT PLEASE COMPLETE BELOW
Size ofwaler service I inches.
LOcation o{ allY coupliJigs fl'om ::olructure fect.
Type of sewer pipe. 0 ABC 10 PVC 0 Cast Iron
Estimated length of scwer line 412- feet.
Clean uut (if rcquired) locatt:d td feet from structure.
FEE SCHEDULE
Residential sewer and watel' lil~c !;:"'IUII.>ction $35.50 Industrial, Com'l &. Multi-family 1% of job cost with.. S39.S0 minimum
Sewer connection only $17.50 Water connection only $17.50
nstimated Cost $ <JS ZJ tJ
--
UuUdlng Permit # _
SEWBR ANt) WATER PERMIT FEh $
STA "E SURCHARGE $
TOTAL PERMl'r FEE $
.JQ
This Apfllilo:lttJun Be~omes Your lIuildhlt Pnrnlt When Approved ~aid
,... .
&'v<';'.'
t..,tI;i' 'f- \
.~ I-
" '/l{:''''
Receipt No. I
--
(omt.. UJC' O.dy)
--
Bulldlne ornel.'
POII*
.. Dltte
1/ -:~/;"-o/
I By C;.c.---.
(;I
14 hoUr notl~. fur .11 hlll.pedlun. (9's2) 447-9850, f.. (95Z) 447~Z4S
White - Building
Canary - Engineering
Pink - Planning
The (Ornfrr of Ihe take ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANTm~_ ~~ ~
r J
j()- 3/-()/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
02 '7// /~Ma L/J ;vi;)
Accepted Y--
Accepted With Corrections
Denied I
Reviewed By: 0 j~~
\1i~ /
Date: II...07.(J(
Comments:
-1ZaJ ~ ttrkdu( LJ ~
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
1;; 1''',', _, I _ , , >...;. .;.,....~.J". ,., ,.\
1I~ .';:.. ;~, -. .. "(' -,1"X'" ". "fI"- ~r-' '';''&!,;~'''<l.''''''''''''<;':;~'~''''~T'; ,_.
r;-:-;~ - -;<. l;'-'-~'------" - -
..."<\"
"
Tht etnlt, of Iht Lib Counlry
'~,j
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l.q,JJrcdd (b~,
) () - I-(~/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity w~ich is proposed at:
/. I ) I)- I) .. . A."
./ / J.I (.(::.:,> i-.. J.J IV/{)
C) 7//
Accepted
,/
Accepted With Corrections
Denied
/.',r"'. .. I'Ii
/~/~
~
Date:
L L/8/e {
Reviewed By:
Comments:
A
,IttP ~../T'"lSO ~ ~11~<'
~_ (LJ. U ~ 'J.. + pt(::r .
/{~ ~l.M .D~--W1~..
"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."
~ ,..,"'t..,
.., ..... f,
~iC~ '
0[- 12'11
White - Building
Canary - Engineering
Pink - Planning
Tho Coni.. of Iho t.k< ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT )?)tf! {JJo.-xtdd ~
J () - 3/-() /
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.
027/1 /-1)d~ 1.1J ;UtU
Accepted
y
Accepted With Corrections
Denied
Reviewed By:
It! 11-'13
Date:
11-f1~ol
Comments:
12",'Yl"""~ ",115+ ~t"t. C.OAl. AP'''fl-
., . ~..
"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."
~
PR 10 R LA KE bEPARTMENT OF
' BUILDING AND INSPECTION
INSPECTION RECORD
SITEADDRESS ;}1// tJe"lh ~
NATURE OF WORK I )~
USE OF BUILDING ~10,
PERMIT NO. 'J}- QqL,t DATE ISSUED -11-07 -01
CONTRACTOR r~eJv..~ PHONE 4-12-7al-Rl.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING 11_ cH _(/ )
. f
, FOUNDATION (Prior to Backfill) I ~ . I[ ItA, f)f I ~J ~l ~~ -':u
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
1> .\\ l.Lt.w J c;z.. 0 ~ 0 (
! ~ w\)~ ~1iL2J
~ / A/8/ov \
I
~~~ I 1~}I7)OT
'f-~' ~Ol
1>\~AAU I)H"iD~
l ~
COVER NO WORK UNTIL ABOVE HAS B :EN SIGNED
I I
FINALS
.<<-. /1-7- ~L
~ VIJ.AAa b l f~)Ok
\ t I .
'bU~ f ~-a.e-1)~
~,U~ I ~-Ia~o~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~Qe,v-J
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
J
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
This card must be posted near an electrical service cabinet prior to roughwin 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
"
QLrrtiftrau nf. ODrrupanry
Cl'l'YOF PRIOR LAKE
lBepartment of _nUlling Jnjptttion
UI Final Permitted 0 Conditional C.O. Expires
~.
This Certificate issued pursuant to the requirements of Section 307 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 Lake regulating building construction or use. For the following:
Use Classification.
SINGLE FAMILY
Bid Pe . N 01-1294
g. nmt 0..
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description
L29, Bl, STERLING SOUTH
Contractor's Name & AcldreJ'1CDONALD CONSTR.,
ROBERT D. HUTCHINS f1;f/
I Building Official
I -rS-'G2
Clite Address 2711 WILDS LANE NORTHWEST
7601 145TH ST. W., APPLE VALLEY 55124
DON RYE
Owner of Building
City Planner
Date:
Date: _
POST IN A CONSPICUOUS PLACE
~. .'.~:
'......' ..~.
,,,-,,,~"., ,..~,- <_.':.~ lll~' I I "'~~''''''II
1110 ': lIiiIilII
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
z"Z,S ./)L
2:0 b
ADDRESS
2-7/1 /AI I LO..5 LA N6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-(Z,q4-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
ft:D SEWER HOOKUP
, ~PLUMBING FINAL
;fJ MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: r
(L^Aa.M..OlMEY~f t9K
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTI~N AND PROCEED
o CORRE~OR!-., CALL FOR REINSPECTlON BEFORE COVERING
Inspector: \ ~ Owner/Contr:
CALL 447-9850 FOJTHE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
2- 711 t,J~J:-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A r6. FINAL
'D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
l'1- 0 PLUMBING FINAL
. n 1l MECH FINAL
DATE TIME
3,ln/o"-' 1(/ I $.(J
D ( -/.;;>.11 'I
o EXIGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ C,Qu +0 q~ol-4~02.-rt~
-6i 8/0l 001..
- fef'oMt1IA&lN\,+ r1r;J~'
- ~I-h'e>e&: 1~~~
I!:;s.~ If ~G..O.
()~ 4v oa-:u ~ u
- . ~ \
}l"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO,K. CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~J . Owner/Contr:
CALL 447-9850 Fol THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSliOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
;),7//
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
G:,r<ADf.-- O~
~()()..f'. e...~- O,^,-
DATE TIME
SCHEDULED
11-7-Ol-
w,.1t;b L~I1(
. CONTR. /J1l:. Dv.V c,A.S:I
PERMIT NO. ~ - ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLING
o CO~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~IJ K~S 1:~L.~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'",peeto<, ~~.. v Owo.,lCootc
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED I/-IS-~~
11//'-'05 LJiN6
27//
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: # !.fIS \.()L Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
Job Address
.z 7 II 1v4'/, ~'"
Heating Contractor Controlled Air
Name of Tester CO
Date 2- 7-~.
Percent O2 r.1
Percent CO2 t.,
Percent CO (}II
Stack Temp. 1It/~