HomeMy WebLinkAboutBldg Permit 01-1298
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CITY OF PRIOR LAKE BUILDING PERMIT, - i3<1::~
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 10--' 3 ~,~I' J
PERMIT NO. rJ;Z98
.t; -
r
I.. l.t ONING (office use)
;' ICZ-
r--'
I. White File
2. Pink City
3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
35CJ7 FOX miL- /IGL"
..,
LEGAL DESCRIPTION (office use only)
LOT c;, BLOCK
ADDITION W~M
-2~
OWNER
(Name) ~'iY\.i:u\{\
PIDZS-386- OO(P-o
l-br'\'\D~ _ .:r fA.r'
J
(Phone) 0s ,) '-lex;. - 44cn
(Address)
PICOA
fr,' .H>
~ ""',0
~
l %'1~
BUILDER
(Name) ~
(Contact Name)
(Address)
a~,w
(Phone)
(Phone)
~
TYPE OF WORK
;JifNew Construction
OLower Level Finish
o Fireplace
OAddition
OAlteration
ORe-Roofing
OUtility Connection
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 the property to perform needed inspections.
VJe~ I-b~s ~"f"-"C 14S~
Signature ~ ) P'11 b R . ~ Contractor's License No.
-- 85J C:SOO. c:> 0 I Park Support Fee
8e~ .15 I SAC
57 tt. (q' I Water Meter SiZ<@'; 1";
4;2 .,t::rD I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
ODeck
o Porch
o Misc.
PROJECT COST IV ALUE (excluding land) $
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
$
$
$
$
$
$
$
$
'100. (;)'0
100.00
g5.5O
LtO.oo
Plumbing Permit Fee
Mechanical Permit Fee
I Paid
I Date
_ , e . (
.0 S(0lj ,-lfLf
J l-- I t.. --0 J
- ,
1/ -(p-o[
Date
~a.f\,MfJ
u
5:S1..2-2
ORe-Siding
&5 ,en:::;
..
I oj 31 101
. Date
#
~.061
I , B:) . 061
I-las_on I
45~oo
, I aoo . CJ(L
700.on
#
$
$
$
$
$
$
$
$ .-
$~ 854-. 44-
Receipt No. /-/u15 U I
By c,.r-,/ I
u~
#
#
~
This is to certify that the reques0n the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when si ned by the City Plannp- constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue ( . - . b-~ l\./ct I t9 \ ~ A ~~~ Ceu~ t-t.9v\.<...
.. i'lanning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Tht" ("t"nlt"r of tht t.kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
o.
,'<::._. "..;.~i
!~ C./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ .~
/
)
',/
Accepted
t~
Accepted With Corrections
Denied
Date:
~l/7/o1
Reviewed By:
~J""/"~ ~ ~ C_ '{ ~~
"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."
The Center 01 fhe toke Country
C9 f - 1:< 1 y
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W rl/)z/>()/Y)1~~ ~j~
/ /J - ;.:<, 1- 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is prOp!ed at:
}dl;"t /.., b1 / WPiUrn14/ivo'-<). tv~JU~ ~
jS-f7So-fJ~5A/' ~.1/'
Accepted.X Accepted With Corrections
Denied
Reviewed By:
M4D
Date:
/(-~-bl
'.
Comments:
6e.<-
\
fYlf4(j/'\
Ft'((
"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."
Th(' ('('nln of (he I..ke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
j ;7 -) ')
.LA-' rkn. ,j./J1/ u- 7'l-~ ) v
II) - ~/-() I
'fjVYYU2~J
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
51 (it &1 bL /[u&i1.<Yn1~WK-<) ",J 'R.u{ff 1./ ~ t0~
Accepted ~
Accepted With Corrections
Denied /) IY2
Reviewed Bl~~_f-s
Comments:
~ ~. M ~\A ~rle
Date: l\ - QLo - C) (
"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."
,/
"
I
I. Pink
2. ar....
]. Vell_
CITY OF PRIOR LAKE
IlEA TINGI AIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
(Please type or orint and sill! at bottom)
ADDRESS
359, Fcr~,-OT~
r.1e .
ip~i_1 I PERMIT NO. 0 I-I Z q pLJ
,
, ZONING (oftk~ W~)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) W.Q/""~..o/YnOJhrn ~ ~ (Phone)lt2SI-~Olo-4YOO
\
(Address) \)<QS p~~: 4!=~0 ~. /??n SS-/~.:l
APPLICANT
(NamefO, .~ ~f)r.r-, +-FP (Phone)~''3.S-J.soO
U
(Address)CfO>\O ULt~ ~~ tV ~~ yrn R::u....L (tin S:5l-/l-/S
~. (A~SS) 0 (City) . - (Zip Code)
(Contact Person) ~ r\ S. ~nn~ ('\ . (Phone) 1(P3-3/s -7SIVJ
c J/ - /L . DATE ///0' /..0"""
APPLICANT SIGNATURE 7~~ '// ~ Of
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE A~D MODEL FUBL
FLUE SIZE RE11JRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
,. OWnrm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAil" Conditioning 0 Special Devices
OVent. System 0 Other Devices
FIREPLACE M"'-KE AND MODEL rn :5 ~g C,OVT{2.U
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39."0 minimum
$99.50 Residential. Additions & Alteratio>>s
564..50 Residentia.I, AC Only
Residential. Heating & Ale (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
Building Permit #
PLEAS~ NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
539."0
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
S
.---! W\1H
r- ~,,\O G PSF'(lXf
.50 'f)\J\!~.O\N
I Receipt No~
~IH
-BY~.
IV
60LOS1t619 XVd 01:t1 60/01/10
(Offite Use Only)
This Application Becomes Your Building Permit Wben Approved
-~
DS!1AN I ~ 2002
DuiJding omdlll
D.te
24 hour notice for all inspections (952) 447-9850, fall (952) 447-4245
too~
X310IHd 3~VHV~ ~I~vwo~nv
200111:29AM
GENZ RVAN PLUMBING AND HEATING
No.9397 p. 1l)
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
!."
,',.'.,
.~. .
t. BIu. Fil.
~. GQh1 City
1. YoU_ Appli<:vrt
PERMIT NO. 0(-1 ZqfJ I
,
ZONIN"G (oBice use) I
CPlc:a:sc [ypC: or ]:lIme and. Sign at bottJ;>;t;n)
ADDRESS
,~~'1
f~'\AIL--
....-:-
1(l"~'1 L-
LEGAL DESCRIPTION (office use only)
LOT
:BLOCK
ADDITION
PlD
OWNER
(Name) Wensmann Homes
I (Address). 1895 Plaza Dr
(phone) 651-905-3709
Eagan. MN
55122
Al'PLrCA.NT
(Name) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(phone) 651-423-1144
Rosemount. tIN
(City)
55068
(Zip Code)
Quantity
!
I
I
2-
I
t
I
Marv Olson _ (Phon~ 651-441-1144
\J~~ DATE lZ\-o1 \DI
APPLIC~ P~SE COMPLETE BELOW
I Type of Fixture- / Quantity I
Bath Tub with or without shower . c~ I Rough-ins
Dishwasher i I Water Heater
Floor Drain J:J.. J I Water Soflner
Lavatory (Bathroom Sink) J stand Pipe (Washing Ma.chine)
Laundry Tray (l or 2 compartment sink I Sewage Ejector .
I Shower Stall I- Backflow Assembly
I Sinks I Backflow Assembly Test
, Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other -
Type of Fixture
~
(Contact Person)
APPLICANT SIGNATIJRE
1...-
~.E~ SLJ::U!,DUL'E
IndustrIal, Commercial & Multi-famIly I % of job cost with a.. $39.50 minimum Residennal, New One & Two.Family $99.50
Residential, .Additions & Alterations $39..50
Estimated Cost $
Building Pennit #
'.J'Irn~
, f*.\O pe.fi'"
~\,Q\~_G
\
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
Office U3C Only)
This Application Becomes Your Building Permit When Approved
Paid
I Receipt No.
I By
Date
Building Offid.~1
Datil
24 hOlu. notice for alllnspect.ions (952) 447-9850, fax (952) 447-4245
2001 11 :27AM GENZ RVAN PLUMBING AND HEATING No,9397
CITY OF PRIOR LAKE
lli\;A TING/AlR CONDITIONlNGI J:I1KEPLACE PERMIT
P, 15/21
Date Rec'd
, II
(Please tvDe or orint :m.d si~ at bottom)
ADDRESS
;:~ ;;;1_1 ~PERMITNO. 0 l-/290
,
ZONING (otDa:1l:le)
3fPIJ
-h'J'l-.1R! l -
t)? .CrlL-
LBGAL DESCR1.ruON (office use only)
LOT
BLOer<
}U)DITION
PID
OWNER
(Na.m~) Wl2nRm,qnn HnmA"l
(phone) 651-Q()" 17n~
Eagan. MN 55122
(Address) 1895 Plaza Dr Ste 200"
APPLICANT
(Name:) Genz-RVATl l'll1mhing & Heat.;Tl.i'.
~hon~ ~,1-4'~-1144
(Address) 14745 So Robert Trl
(Address)
Ro s e1Iloun t , MN
(Oty)
55068
(Zip Co&)
(Contact Person) _ 1'1;:J TV
, ;\PPLICANT SIGNATURE
01 f'lnn \ ---.. (phone)
\ l _ ~. DATE
-APPLIC"T PL ~SE COMPLETE BELOW
tiJNEW CONSTRUCTION.~ 0 REPLACEMENT 0 AL TERA rIONS
I, '\
FURNACEMAKEANDMODEL le..vLn.b~ G.qO~Hr3i?A--1n FUEL ~~. ~ c:..,
.FLUE SIZE RETURN OPENlNGS . LJ INPUT ~l Of) 0 OUTPUT ,=;;:;;.'/'")()U
TYPE OF SYSTEM HEATING OR POWER PLANT
(Xiwann All' Plants 0 Steam
OGJ;avHy 0 Hot Water:
o Mechanical 0 Radiation
(EAir Conditioning 0 Speda! Devices
OVcnt. System 0 .Other Devices
h"1_LL?":l.~11!J.!J.
. I
\2-\ .~jJ D I
PLEASE NOTE:
Air Conditioner Units
Cannot Encroac:h into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commc;.ri;la.l & Multi-Family
FE:E SLJ::Ul;DULE
1 % of Job cost Residential, Gas Firc:plac~
$39..50 minimum
$99.50
$6450
$39.50
Residential, Heating & Ale (New Constnlct'lon)
Residential, Heating Only (New ConstrulZtion)
R=sjcl~tial, Additions & Alterations
Residential, AC Only
$39,.50
$3950
Estimated Cost $
Bu.ild(tJ.g peunit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,. N\\\l.,
,?p..O ~ OE:l;.~-'t '
iI"\~",\\ji ~
.50 7.'" \\'i\,,~t.J"
~'~'
('.= -~ Usepnly)
"._AS Application Become'; Y OUT Building Pennit When Approved
I Paid
Date
I Receipt No:
I By
Building OffiQal
Date
. ,
24 hOllr notice for all inspections (952) 447-9850, fax (952) 447-4245
De c . 31. 2 II U 1 11: 26 AM
GENZ RVAN PLUMBING AND HEATING
No.9397
p. 11 /21
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PE~lll
.! '
(Pkase type: OJ" llr,mt and. sign at bottDm)
. ADDRESS
I. Gr_ File I PERMIT NO ~
2. Y.Il~w dtt-. - 0 \_/--;/1
3. a..1d ApI'''''''''' t.-'-1
r
ZONING (offiCIO""")
~I
~j~'HII
rill _A1' A
I .. ~
LEGAL DESCRLr HON (office use only)
LOT
BLOCK
.A.DDfTION
Pill
OWNER
~~e\ Wensmann Homes
, ~
(Phone)
651-905-3709
(Address) 1895 Plaza Dr See 200
(A~s)
Eagan, MN
(City)
55122
(Zip Code)
APPUCANT
~~~ Genz-Rvan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl
(A~t:Ss)
RORemount. ''N
(City)
55068
(Zip Code)
(Contact Person) _Marv Olson ~ (phone) 6') 1-421-1144
UCANT SIGNATURE ~~LI~~: :~:'LET:A:LO:\ ~\ \ Q I
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
'Clean out (it" required) located af feet from structure.
Residential sewer and water line connectlon
Sewer connection only
!lEE SLtlEDULE
S35.50 Industrial, Com'1 & Multi-family
$17.50 Water connection only
1 % of job cost W1th a $39.50 minilllum
$17,50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~\
D... q
PP., '--.)'
@U~~g\HG pI;;}
.50
:O(fic"" Use Only)
This Application Be,oroes Your Building Permit When Approved.
Paid
r Receipt No.
I By~
Date
;Building Officill
Datt
24 hour n06e:" fo.- all inspections (9SZ) 447-9850, fax (952) 447-4245
Oct,31. 2001 11:21AM
GENZ RVAN PLUMBING AND HEATING
No.5282 p,3/5
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERM..tT
. ~~~~~vtiJJt~dsi~arbottQm)0 q7 rOJ "17\1 ~
X"I-. 'J... "'- .. K.' 'D(...f \J i e..u.J Q D~
. .
i ~.. ~'. I PERMIT NO.OI_/....,q/l,../.
3. Gold Apph...., ~ T ..J
--r-y:> I I
, F-r L-' ZONING (atIia: \l$e)
LEGAL DESCRIPTION (office \lSC only)
LOT loBLOCK \ ADDITION LA,}P.v1 XvYlt!\.YLY\-.- ?~ PID
OWNER
~~~ Wensmann Homes
(phone)
651-905-3709
,(Address) 1895 Plaza Dr St.e 200
(Address)
Eagan, MN
(City)
55122
(Zip Cock)
APPLICANT
(Name) Genz-Rvan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 So Robert: Trl
(Addn::$~ )
(Contact Person) Marv 01]0
.. ~:LICANT SIGNA TIJRE
~ .
Rnsa!monnt _ ''N
(City)
55068
(Zip Code)
EASE COMPLETE 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) locate~ at feet trop} structure.
(phone)
~ DATE
651-423-1144
} D./.3LI D f
Residentta1 sewer and water' line conoeetion
Sewer connection only
$35.50
$17.50
14'J!,;Jl,; SL.tIJ!;DULE
!J;r,dlistrial, Com'1 & Multi-family 1 % of job cost with a $39.50 minimum
Water c:onnection only I. 1$~7/5: tr?
Building Permit # () - c::r J
. ,
Estimated Cost $
SEWER AND W ATERPERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
r-PA1D WITH '
.50 lBU!W~NG..!,EF~;"aT_
.... ..-------..-.--
(OMl:C Use Only)
aVOOTlIUildla'7tiq:07pru..d ~O I I ::cei~~rcNO
. Date ' ~ --- '-
14 hour notice for all inspections (952) 447-98S0, fa" (932) 447-42~~ !--
i'
j"
See. ""-Gut ~:,^~:UL
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION Ft~~Q~Jl_~
SITE ADDRESS 3517 rd,X/R1'--
NATU RE OF WORK lJe...J
USE OF BUILDING S t="A ..
PERMIT NO. O/--/d-9X DATEISSUED Il-o~- 01
CONTRACTOR W~..~'^~ PHONE &c;/- lUJ~ ...~tfoo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING l.l... f0r 'tl Jot D1-
INSULATION t,.(..., ftJ;,.. t)llo(01-'
ELECTRICAL
PLUMBING t.. (,.. - ~ qJ I ~'()(.,
HEATING (if required) L.. (,. ~ qllo(~1-
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I
FINALS
1j~"\.
~~--~
;2,..... 1'5 ~ e> a.
;Z-,~-,()2.
r
~~I~
'1,,\ ~
\
I ,2>0\ Oel-.
::2- r-:s--oJ
GRADING (Prior to Sodding)
BUILDING ~ 10-1.-:';
ELECTRICAL
PLUMBING WLlW SJ.t-r- V"f IO,l.-'iA/l- ~ /e7 -/8
HEATING JIW Iv - 2-r-
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3S-11 Fox -for I r;.1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JiIf FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
..~ LUMBING FINAL
~ECH FINAL
COMMENTS:
~J
f?j
Jl/AOlJt' (llusht:.. ~Wt)\/ f J..-v'-'
ShtJd-,,,, [{)W? bU'5~';vt a jr
f-f-.",v"f JA1 e L- v -f' S e tI Ie C
.Aa?ULK cf 'C, v1 t4 I oracll'.
. ;
rr r"C'-<f' 5> ql/"6l;:-!'-/ I V1 ,
r
7.eVV1 0 L- of 0 VA. -f< f
. ,
DATE TIME
It) -J-') L'~3fD
01- IJ-qr
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
{vrYl"C-C
Que -1-.
[I(.:c
Sdd~
K"-I-c)S
o WORK SATISFACTORY, PROCEED
jI! CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: vV'r 10 -1-t -(/2- Owner/Contr.
, .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
Il'ISIIOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J~ -t1Z-- 9: ad
ADDRESS
3S/7
-fox +~ / f--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
" , - {:;.. 99-.;
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
./d""f'LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
J, RQ.~ ~~ ~J15
DrRK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRE~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,1/ Owner/Contr:
-3V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
..
riZ DATE
CITY OF PRIOR LAKE I
INSPECTION NOTICE:) )Cf.r; CHEDULED I -/Jt:Jl
ADDRESS Ss 7 Ft)x fo, 1'/ Tr I
TIME
PHONE NO.
PERMIT NO.
W<45""""'" J-!01H6
--L/ t -121:~
OWNER
CONTR.
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/lj/ (9 K-
. -
~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!
INSNOTl
\
\
\
,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1(-)., {
3(",01
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1--/J4t
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 EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
SOD! 7?206 Il\
{ t{'1~
/' '0""- C;/.(
L-AVL-/'"
11 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: N (("\ ll-OL OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
If'/Sf'/OTl
'I'
~o(~IVi\Lo ~~
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ~7- M/~
1
Name of Tester 7b.
Date ~-I ' cr> '--
Job Address
Heating Contractor
Name of Tester
Date
Percent 0
Percent CO2
Percent CO
Stack Temp.
35 97 ff>~+t>v' <
~AA
t:c. .
~_1-6?
7~
g.li~
o
3b'