HomeMy WebLinkAboutBldg Permit 01-1417
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT /1- .;;2/- ([) /
~. ~i~~e ~:;y I PERMIT NO. A J.... 1'4/7
3. Yellow Applicant U / '"
/4-934- Plx/g POINT C/~CLE
LEGAL DESCRIPTION (office use only)
LOT4 BLOCK I ADDITION 611STWOOfJ 2ND AD ON.
, ,
ZONING (office use)
leI S.o
PIDZS-z45-004-C
~w.:e~~~~~ ~'~~ (Phone) qs~. l/l/Z.'rJ100
(Address) ~l /~\JJ0IJ -r~ P:tvD~N~ 55?:fi01
"';JiM ~, t::;'e/. filA -I \UM-t:,-, (phone) CJ 5 -z.. d;.u,. ?oCl2.-
(Contact Name) ~- ~~~ --' (Phone)qe::=,7J Z7h~
(Address) (J5LJ1::j ~MP<DV)~ ~ \\Je; f)JAJJfJ.-~ ~'5S~/~
1:"::.~ C&1t ~ (,1'2..- '2.~ \ - U~OC
ORe-Roofing ORe-Siding ,
DAlteration 'DUtility Connection
PROJECT COST IV ALUE (excluding land) $ WtfltJO
TYPE OF WORK
o Misc.
)'! New Construction
o Lower Level Finish
ODeck
o Porch
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
t for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
. I a aware that the buil . g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
rope to erform nee do' SP_criJYS.' " . L.-1
/ \ ULVi I J -1J-ol
Contractor's License No. ____
X --I- .
I Permit Valuation
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
$
$
$
$
$
$
$
$
SOO/~,dO
3,~3~.~
~~ .'f~
~.ro
l ()() .C) 0
100 .00
J~ · ~()
L{o . ()()
o Fireplace
DAddition
$
$
$ I "S.OO
$ 1-/ r.OD
$//2.,,0 ~ 00
$ '10(9. eo
$ \f~tC .
$ ~Cj~ I
$ \ fl ~l"! - 11 I
8 So. 00
, ,~fiJ.DO
I Paid /1,"13 I" 17
I Date i~::2f" d /
(!,.l.A) ''l- (<$ , of
'lis is to certifY that the request io the above application and accompanyiog documents is io accordance with the City Zoniog Ordinance and may proceed as requested. This document
'n signed by the City Planner constitutes a temporary Certificate of Zoniog compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
1~'VC~~~ ~ti"'6(IJ\ ~~~ ~:rf-A-vt~
PlamlMg Director Date ~pecial Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Park Support Fee #
I SAC #
I Water Meter Siz@; I";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
I Other t-1~~
I TOTAL DUE
EJRe C0PY
~Ie,
~
~ r ~V/, P6I'c/VI (~
[}J jll 16' oft) r~ or- (oWJcXL-
January 9,2002
Dear Mr. Koestering:
Jim Koestering
Koestering Homes
6545 Broadview Drive
Prior Lake, MN 55372
RE: Driveway and Retaining Wall Issues at Lot 4, Block 1, Eastwood 2nd Addition
The City staff has reviewed your request to locate a retaining wall in the easement on
the above lot. As you know, the sanitary sewer is located in the existing easement. The
retaining wall you propose would be located directly on the sewer line. For this reason,
we cannot allow the structure to encroach on the easement. We have also reviewed the
certificate of survey submitted with your building permit application. This survey
identifies retaining walls that are not located on the easement.
We have also reviewed your request to postpone paving the driveway until after we
have established grades for Pixie Point Road. It is our understanding that the house will
not be completed until sometime this summer. By that time, the Pixie Point project will
be underway, and we should be able to provide you with the necessary information. e
(. will not require the driveway be paved until that time.
~ _ _ _ - J
If you have any questions relative to the review process or related issues, please
contact me at 952-447-9810.
Sincerely, ~ .
~~~. I~'~^-
( I Jane Kansier, AICP
\JPlanning Coordinator
cc: DRC Members
Building Permit File #01-1417
1:\01files\01variances\01-QS2\easement.doc Page 1
16200 Eagle Creek Ave. S.E., Prior Lake, Minnesota 55372-1714 / Ph. (952) 447-4230 / Fax (952) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
\1'
Th. ('.nl.rof lh. La" Country
White - Building
Canary - Engineering
Pink - Planning
BUII.PING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME ~F APPLICANT 90n. 1(9-t'/llh./;"f/) -j.~
APPLICATION RECEIVED /1- ;;;2,/-0/ ()
,,- '
The Building,. Engineering, andPlanniRg Departments have reviewed the building permit
application for construction activity ~hich is proposed at: _
/jlq;lJ/~ PL/u-. PdVlCl ~
",
I
Accepted
Denied
x
Accepted :With Corrections
Reviewed By:
II/fJfJ
Date:
/1 / I g -~ I
Comments:. See Reverse Side for Additional Information!
~ee Attachments: 1} Grading Plan, :2} Erosion Control Measures
3) ~rosion 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. II
ff'
White - Building
Canary - Engineering
Pink - Planning
The ('('nlef of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANT 9Un I(NKJf.J1~!J' ~
APPLICATION RECEIVED 1/- d4-o /
'" .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity ~hich is pr~osed at: _
/L(q,~~ P*P~(luu
Accepted
Accepted With Correction5-/
Denied
Date: Ir - 27-0 (
Reviewed B
Comments:
~afJQ a~
,
~-oJ- ~
. .
"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."
Thr- ('''nler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;'
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"1,'
/ /'~~ll"
I:'
.'1~ I
,<......--
Accepted
Accepted With Corrections I~
Denied
Reviewed By: (~~
com/ents:
1-<fJIY~ bu~<''' \ ~ 1..6v~~ ~wJ.vl fI:>f,
+- IJl-62-:3 (JL,
~ ~~~ ::J-L( ~ wuge ~~.;u ~iDi/j,
Ne- ~tz:ov, rJf!. 8'v" LJ.4 ~ 4J$2~OZ-(!,/I
'~~'.MD~ ~
- ~~Vv/,).AM t:J- t, .~ .. ..~
~ 0MA-a-~/. ..,.' '
- e:e1~... ~j~il~~~.~
~~ ...
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be constru~d 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." .
Date:
12-/1~h-1
,
-- (f)~_ ~~~ ~
v~*
Apr-01-02 12:4BP Clearwater/Alta Htg & Plg 4401740
Y.a.'6"'U'" .......,1;0 .......-........ J:a.:. u~.....,...... ....La... .... _"_'1ft .....,......
P.01
~-..-
,',~''''i~.
. .~ ::: . .
\...&1 { OF PRIOR LALt..
IlEA TlNG/AIR CONDI & ..ONlNGJPIRI.PLACE PERMIT
Pa.. ,,'d
APR - 5 2002
~~,......-~.~
ADDRESS
/'fq3Lf rp;~;~~ t=t..~ r'y"
t:. ~ ,.PDM;1T "O./)l~ / t.{ /7
- ZONINO.....
LIlGAL D~ &...IA (~-8IIIJ)
,LOT BLOCK
ADD.. ........Al
i "
'~5-Jif5- C/5l/-O
OWNER. . . ......
(Na-.l~T'<,",,", 1<..r:.~fJ~ '""""" ~-~
~) (~C;;l./'~ 12,YI~d ,[)y. ?rier- ~ ~.~ ~ '!~
. ~~~:rL.'.R-L ~ijtr;;;~!J.:;:::~:.t-
(AAIMP) - (air) . (ZIp Qde)
(~PaIoD) c::::::~, ~ ~ 4 L0'iS'??
APPLICANT stGNATUU DATS f1-I-IJ~"
,...
. APPLICANT PLEAS~ COMPu.n aKLO'" .
...... ~~LI...&...,.,1 DItEPLA.CEMDIT: DAL1DA~ONS ,,:
FURNACEMAlaiANJ)~...i.-~ ~"0l.I~ FUlL ~
PLUESlZE ~ ertJRN 'ENlNGS /.~ INPUT ----:a".~ 0lJ11IUT LTJ,
TYPI! OF 5\........ HBATDlG DAPOWBIlI'1.ANT
. '1_ Air,..... ~ s-
~ HocW_
........... . a.r:.....v
~..... .....>>.:..1
VCIIL __ <-. Dcwic:a
I PLIAD MOft:
M ~ Jr" . u.iII
c...iwn." ...
.....!fide Yd
ScIME:b
rllEPl..ACE MAkE AND MODEL
J ~.~__~:,~(j i ~. !
.':"'".....__.~
Ea_'" CaIt S
na'lCIDD1JLE
.%ofjDb~ 'aIP~"'GMP~_
""'0......... - .-".
".50 .-r or · .AIIIUII... & ~
11'.50 . p. . . IW. oM; QII,
BlIlldlDll'Walil ft
1S9.50 .
SB.50
".50
~... ConIIIwdaI. Muld-Il..u,
........... HcC... AI<:. (III-~)
.......... H.... Oldy ~ 0......,
REA 11NG PERMIT P.E2 S
STATE SlJJ.CHAllG2 . " . S
"IOTALl'DMITftZ S
.50
1"--
. IS . PAID
. Un D'^ V1r...I"r-',
. .... J )0",1'
. . . ,
l~U..cw,)
nil ""........ Wrr.'-- Y_r ....... ....,..... ......... hid
.: ".- 'i
... -.,. .
....No.
.'
D.. APR - 5 ZUUl
~~
U
........ ....
....
Z. ....r n.... .r .h 1M...... <"2) ..-,._. 'u (9b) "7~
#3669 p.ool/OOl
Date REc'd
FIRESIDE CORNER
ell i OF PRIOR LAKE
h.t.A TINGI AIR CONDITIONING, t udPLACE PERMIT
APR - 3 2002
J. PI,.k :/III. I .ul'TT NO
1. a.- CllJ J1.Al.l'..... I./J I _IL I,/?
J. V"1ow ^""1cNIt (J,/ I -"
q>leue MJe at orIDJ: -.ad sim ;rt~'
AD:DRESS /J /)
/YfI.$.(j t:-kU...f6Wt ~(zp
zoNING (..,me. u..,)
LEGAL DESCR.u- J. J.ON (ofrlcc ula on.1y)
LOT
B~~ :;~ ~l
PID ;;/i -;), 45- {!X)q- 0
OWNER
(Name)
. (Phone)
(Address)
APPLICANT
(Name) ALLIED FI~SIDE OBA FI:RESIDE COICNER
,(phone) 651-633-2561
(Addrc$s) 2700 N. FA.:IRV'tEW ~
(Addfl'l")
(Contact Person) BRENOA HTJST~
APPLICANT SIGNATUREr/~'
,_. I
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE ANbMODEL ' FUEL -
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER pLANT
OWum Alr Phmts J Str:lU11
OOravity J Hot W&fJ;t
:J Mechanical J lWJjarloD
:JAir C,,"didonlng J Special Devfces
DVcnl sysum J Other DevLces
FIREPLACE MAKE AND MODEL ;1<<.1 N ~c.o Sr.7fl<, (fJ.) ~
FEESCUEDULE
1% of job ~1St Rc,idcntiaJ. Gu FlrcpJllCc
$39.50 minimum
$99.50
$64.'0
;)~
ROSEVTT.T.'F; MN
lY:1.qr)
(Phone) 651-633-2561
l;.~"~
'(Zlp-cClde)
DATE
'I?/d~
PLEASE NOTE:
Air Conditioner Units
Cann.ot Enc;roach iDto
Required Side Y.ro
Setbacks
$39.50
industrla.I. Commcrcial I: Multl.Family
Residentilll. Heating & AlC (New ConSJruction)
Residential, Hl:81ing On.ly (New ConsD'uctlon)
Rcilidcntil1l. Additions a: Alterptions
ftc,jdcntial, AC Only
$39.50
539.S0
EISEimated Cost $
Building Permit #I
HEA TINa PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$.
5
.50
. BUJt6;~Gt~;,~, r.
j IJ\idT
(OffiCI: UI!IC Only)
This Applialtton koml:S Your B..Udtng PermiE When Approved
Bllildl,,# omctn'
DIIIII;
Da" APR - 3 20UL
I RcclCjptNo.
I By iliV'
Paid
24 hOllr ltDtlce fDr .n inllpaetlBftII <9g) "7-'8~, fu (9SZ) 4(7-4245
. .1 ..
""-'-a
~>>)
.,.... /.
............----....."/
"b'C' ( ,,"1'~ ." ,... l._Jt.t C,.",.d"
I "hIt.
1.. 0"'<<
Appllfirlnt:
O\JzI.,,~.l'i
I
-..----
.-.....--
Tvv. ul Fillt",rtl
QuMll\i\V
T.,PIt of Fi~\"'r'
8ath Tub with or ,.,ithout shower
~
Rough-ins
,..-.-....-. .".- .........----...--
,.._..__0
_.d
\
~_.__..2
r1
I
.,. "I 01'_."_'-.' ....-..__,._.__.... __ ._-,-----.--- ... -_...~.-... "l''' .
,....-----.-.,--.....- -. -.--.-
UIISflV'I8sner
-
Water Sot\ner
Stand Pipe (washing machine)
Sewage Ejec::tor
._-~------
eaclcllow Astem~ (RPZ, Double Chetk, PVB)
igoldtow AOoombly .'{ DOt
Lawn Spr1n~h,r
----~r'..--Qtt;;;~~urn t -- tIl-;;;::~.7J-' _"~_"'d-'-!
__._--- - p ~.-~.TJf.:=- '
water HRater
Floor Drain
Lavatory (batt'lroom slnk~
I Allnrhy Tmy (1 nr? r.Om('lFutmlltnT ~ink)
Shower Stell
CI"he
Bar Sink f:"!:. ~
~--_., -:s ..- Water Clooc:I (toilc~. ~
FeE SCHEDULE
lnduamal, Commercial & Multi-Far nily
(1'Y.. of job cost. $:39.50 minimum)
Residential. New One & Two Fal'l' lIy
RIIll~id8"tIRI. .A.dr.:1itioM &. Alteratit.:lr ,'0
Slate SIJrchars;e
$1:19.50
$'39. SO
S;
$
$
$ -_..:.~~-
GRAHO TOTAL
$~~~
'.
Thllllwnn; ~ if arll.....d upon tn. '''prw.: _dlt,.n lh:lt uid
_ ~1J'rllctii't. .haJl comply in all fapCQ.' .,..hb the Dfdlnan"~
,.... PAlO W\'1iti!'~J1'fc P1\lmbi", CtXk and the ;lmcndrnc:rIlS t~Df. .../
euU..O\NG p~h, \ RECEIPT NO. t.;-d--O~T:,
,(:2'fJ;/ A TrEST
Call fOI' all in speeli 0" $ 2~Mol.lrs in advance.
. __M'" ..1_ ,.....-.1_ A.. C t: 'Pr;M t al'l": Minne~nta 55372 I Ph. (612) 441-4230 J FAX (612) 447-4245
I
I I
! :1'
I :
J :,
Ii
__.. PIL j.
"..~ . al..i~..,
... . an :
i
, :
\'7ITY. OF PRIOR lAKE
SEWE~ AND WATER PERMI~
NO'I'E:
s.w No,~61"" d~(7
-J-r-
"
I.
I
Se...,er and w~tjer
contractors r~st
be regist, .Jt~d
wi th the c: ,ity.
!
ADDRESS:
SIGNA1'URE:
'/tJJ'4r ~ III~ v R4~
ItJ./-I,. ~~077
_924:~ j'r
PHONE: '~/- y~~ ~~P'l)
DATE: J 2.-v20 - 0./ I I
I
BLDG. . PERJotIT # 0 '\-'V~/7
_P!D# I I
I,
SITE ADDRESS:
1.
E$timate~ length ot W3~er s~~v~ce
FILL Il'l THE BLANKS
5'2:J
te~t.
!
;
,;
2.
size of wat:.Qr service
,,.
inc.h(es).
!:
I
I
1';
{
i'l.
flJ~m
i
~=~===~~~~~~~#=~~~:~~~==~==~~===~=~~~~~~~~~==~~=~=~c_=~~~_.~__z~ ~~~~
4 .
l.ocation of any coupl.i.ngs from strl.Jcture:..~feet..
Type of se'-'er pipe. l\~-iS pvc ".- CaS1: Iron
./
Estin'l8ted lengi:h of Se..ier line...-r2.5:
feet.
J .
5.
6 .
clean out
st.ructure.
(i f
requ i :t"ed) ,
.locat~d
at..
~
f~8t
This application b comes Y0ur permit when approved.
BY _g_ -4..- _._ D.Z\TE: _I 2. ~ (!).-~ /
/
"
, '
I.
==:::ZB=~==~===-=::'::;;#~
=~~~~~_~~~~~~~~~R~~_=:C~~~~~=~~====~~=:~:==E=~;~;==
FEES;
$
$
$
35.00
.50
35-50
Sewer and water line connection pertti1 .
5ulftcharge
TOTAL
*
Fee for either seWer or water individually is
$ .50 surcha.rge.
,
$ 2 0 . 00 I'!J.. Ii ~
i.
. S~wer and water permits issued for new construction must, be
recorded Oh the buildin7 permit card at tt:e time of issu~nce
~o insure that nO dup11C~tO sew~r ar.d water permits ar~
DATE'::~:d . AMOUNT PA~~>l
RECETPT 1# REC'O BY I:
1
16200 Eagle Creek Av. S.E., Prio.- Lakl~, Minnesot.a 55372 l Ph. (612) 447ft4230 I FAX (6i2) 4t17-4245
An Fiqual Opportunity Bmployer .
~
_iil
113 39l;;1d 9NIll;;lAl;;I:)X3 NOSNHOr 139ll1St> L13 : 913 13l3l3l It> 1/131
PRIOR LAKE
.
INSPECTION RECORD
SITEADDRESS m~t./ P<2ljp. Q,,'vt+- G"rd2
NATURE OF WORK ~).e"..J
USE OF BUILDING S'PfJ
PERMIT NO. ()/" 14"1, DATE ISSUED /1-').8- 0/
CONTRACTOR ~ r\?XOste.rtnq ~-'S PHONE 9s.:2~2~G,-~
NOTE: THIS IS NOT A PERMIT FCSR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT f'
INSPECTOR DATE 2J2.-i'f:?
, FOOTING(;) M ~ 5fZ7ftlv vJlt I f5r IU 1'1 /DI ~J~,c41l~. \It.JIO~ --r
I FOUNDATION (Prior t~ Backfill) r~ I 8.:r, I z./wlo(' I~. I z..jai /0 I
PLACE NO CONCRETE UNTIL 'ABOVE HAS BEEN SIGNED
ROUGH
DEPARTMENT OF
BUILDING AND INSPECTION
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ ~/~~{()'V' ~, If/75/01.J
HEATING (if required) · f1:}-' 'f f .;)-S'"/d z-
FIREPLACE {"2.:) ~ . I.ff,t:;(o '2,;
GAS LINE AIR TEST t "Z.,) ~. p. ~ ~ / S' ro~' :T~ ffl1L...... fz3J'~ ~
COVER NO WORK UNTIL ABO~E HAS BEEN SIGNED '
I I j
FINALS
GRADING (Prior to Sodding) lV k~ ....tfl/
BUILDING ~~ 6:r. t,h'l/ov /\.u11..r?,.()tf{ df~\
ELECTRICAL ~
PLUMBING ~ 6/,)--f/du .
HEATING ' t oJ 7"5"0-1/
.
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.
-;r
~
rz/w/~ J
l{(;;S-/d~
if/ 8~/"~
(t) d7 or
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
QLtrtifiC8U of ODcrnpanry
ell i OF PRIOR LAKE
Ilepartment of _uilbing Jn~pettion
II 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 ordi1/Q1lces. of the
City of Prior /AU regultmng building construction or use. For the following:
SINGLE FAMILY
Use ClassiticatiOll
. Bldg. Permit No..
01-1417
Occupancy Type R3 Type Construction VN _ Fire Zone N / A . Zoning District R 1 SD
Legal Description _ L4, B1, EASTWOOD SECOND ADDITION
Owner of Building
KOESTERING HOMES,
ContractOr's Name &; Address
ROBERT D. HUTCHINS rl1?
City Planner
CUte Address
14934 PIXIE POINT CIRCLE
6545 BROADVIEW DR., PRIOR LAKE 55372
DON RYE
Date:
DATE TIME
6 ~f/.7 voz>
p~~ fJj- ~
''- /
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~SEWER HOOKUP
LUMBING FINAL,
o MECH FINAL
COMMENT~ Vf'Wt~ ~ 01-
-sLlM&v I~ ~ .~
~~ "',
~ )
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ t!1/3 4
I
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~~.~r
~-'\-) -- o-k,
j- IV/,,?
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
aNt~
(
~.....wR\"r'~
~ CORRECT ACTION AND PROCEED
:,::~ECT wo~:mR REINS:~::/:::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1O;~" ~ T}3::)
ADDRESS
/L/9,;;;Lj'" H'YI"ePf-~'.
, ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-ILlI '{
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~ FIREPLACE FINAL
~ GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~AL 0 PLUMBING FINAL
o SITE INSPEE10N f!( MECH FINAL
COMME~S(Q J(/~ ~ tY1 2-'7 '-I ~Y:-fl'\
~-~ ~-v~~t?
~-~~~~~I
O\<-~~ ~ ~- ~,~
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
., CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'"pedO" ~ OwoedComr
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
7-tf-rJX. JO:;a:;J
J4q34 ?~x~e4)t-Or
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ ~LUMBING FINAL
~ECH FINAL
"
COMMENTS: re....- \ ~S~
~
\. ~ Sur~C~ \)..\~ ~.
2.~ 'r~. U
3, t'\o.:""~ '&:st~ ~~
4. C'&H;:~ - ~ . /i'
DATE TIME
Ol-141!
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
fr
~ }~Q U. at; (:)
...
+Q
S'~-'{ .
\, LtV'.2..
o WORK SATISFACTORY, PROCEED
o COR~RTION AND PROCEED
NOR CORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto ': Owner/Contr:
CAh: ~-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
I/'iS/'iOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I "-2S-oz-
ADDRESS
1413'1 fl}(J't.- PI-
OWNER
CONTR.
C,'r
J',~
~'~;<l,) f{1J~
t)/-1L//7
PHONE NO.
PERMIT NO.
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
')g""E~ILLlNG
.... 0 ~MPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
/2r.,t, - ~ ~
G,lb Bmc-- dK....
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'nspector:4/~
- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
- -- ~o~ ~d~~~S - }Zf43l{ PI ~ ~ ~ -1=>+ ~
Heating Contractor ALTA, LTD.
Name of Tester '0 +--..-----,-.--
(p-a.S ..'O~
7.lq~
t . Q- 90
~ -ppVJl\.
I~~C) ~
Date
Percent O2
Percent CO
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input