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Home My WebLink AboutBldg Permit 01-1332 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and si2l1 at bottom) ADDRESS 113DZ, t,idC/ ~l1e % File City Applicant PERMIT NO. LRG~ DESCRIPTION (office use only) ~/u.J, (,5 B (~ I~ . ~ f -BL I ADDITION 1urA1P~L h"'fl\. U ll\tl-'- OWNER (Name) (Address) BUILDER.D Il (Name) . t!. 'H7:1ibJY\ JGk..{. (Contact Name) )A..,tk.t Wohno u:fk.~ (Add ) Z-oB (co ~n~e. d. ST~ ./OD ress U~IU I ;:,u...r /!bl)1./'-I ,,- TYPE OF WORK o Misc. ~ew Construction OLower Level Finish ODeck o Fireplace PROJECTCOST/VALUE (excluding land) $ eo" D22- (Phone) Date Rec' d PID 25-.38/- ()0.1:::1) (Phone) 1152rt:ff1t:j-- 78()fj (Phone) 'tS7--4a V - &/73.z. o Porch ORe-Roofing OAlteration ORe-Siding 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 tha e 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 pee 0 eded inspections. x 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 ~ I ~ ~_Yom Building O;cial -.....- ~,oc>o.c>d $-R53 ./e;- I $ S-~'I.!i 1: I $ 1ft) . 00 $ $ )00-00 $ /()O L>lJ $ 3'5,7}t) $ t.to .0D it When Approved If-f~-O{ Date OAddition ~t't>o5l,S7 Contractor's License No. I Park Support Fee I SAC I Water Meter Size 5/8"@ I Pressure Reducer I Sewer/Water Connection Fee I WaterTowerFee I Builder's Deposit lather I TOTAL DUE I Paid I Date - L#f4~ . 11_'7. ... I 1"1 v w ~ $ B5'O.~ $/f fSO.aO $ , ~60.a6 $ 1)0 . eX:) $ !JQ...l')O.c>O $ 7 ()O ."0 $//5tJo.da $ . $7 444./9 , , , . Recei~qS i By ~v- # # # # /~"/o/ 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 documen 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 t ~~ ll/tD,;;!/0t ~. ~b1('--<)W~~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 - "'"" Noy.27,2001 8:11AM GENZ RVAN PLUMBING AND HEATING No.6838 p. 8/19 Date Rec'd CITY ,OF PRIOR LAKE SEWER AlW. WATER PERlVul (1'1eJ;iSC: ~~ or'PUnr md sij;nat:'._loAA) ADDRESS 11 "?JD2. .t _\ \.(l c.. l f'1 1\ j) ~ I. ~ .fll~ I PERMIT NO ~. 2. YoIIn citY. . /1(_ 3 1. 3. Gold AppHOIlI)< (../ I :? ~E. ZONING (gffiCe USc:) R-~. LEGAL DESCRlr nON (o1lice use only) . LOT ~OCK r? ADDITION ~y \{ eJ2.o s ~ { I OWNER PID;)5 - 32?/- 0/)1- 0 (Name) _~~_ ~~:':'+-a:":':'. f"..,~""",,~ ~~n~~ (phone) 651-1.5/._u~':-t (Address) 3459 Washington Dr Ste 204 (Address) Eagan, MN (CitY) 55122 (Zip Code) APPLICANT ~wn~ Genz-Ryan Plumb~n~ & Heatin~ (phone) 651-423-1144 (Address) 14745 So Robert Trail Rosemount. MN 55068 (Address) (City) (Zip Code) (Conta.ctPerson) Mary 016on1 n / (phone) 651-423-1144 . TICANTSIGNATURE l Jf i~ PATE 1/1'"2-"1101 APP~WASE 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) located at feet from structure. Residential sewer and water line connection Sewer connection only FEE St.:.u.!J)ULE $35.50 Industrial, Com'l & Multi-family 1'Yo of job cost with a $39.50 minimum $17.50 Water connection only $11.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT l'b.h STATE SURCHARGE TOTALr~FEE $ $' $ .50 .. I I (Office Uac Ooly) { This Applil:ation Becomes Y Oll.. BllUding Permit When Approved ~lJl~1I9 ~.' } 'yG f:.. .... Paid Receipt No. L.. :BulldlDg OftidlLl bate Date Ji-;}/- / IBy rp 24 hour l.1l.ltlc.e for all inspections ('52) 441-9850, tal[ (931) 447-4245 Noy.27.2001 8:11AM GENZ RVAN PLUMBING AND HEATING No.6838 p. 9/19 Date Rec~d ell y OF PRIOR LAKE PLUMBING PERMlT I. '$blc file PERMIT NO 1. 0014 C"n;Y . /_ /.'"J """) - j, :l. VoIlaw Appli""'l '7 J ol-"'I (P1e;ue tvpe or print lU),d s;,1t1). .t aatmm) ADDREss 11~f)?,. L-llrl(. Cn.-J1 0.. ~ ZONING (affi<:211$l!) /?~ LEGAL DESCRIPTION (office. use only) (1, LOT~OCK~ ADPlnON ~d1ieidJ +V1 5-- PID ~ 5' - ,-3 go; ."t.1:b$--7) OWNER (Name) DR Hox:ton Custom Homes I (Address) 3459 Washington Dr St:e 204 Eagan. MN 55122 . (Phone) 651-454-4663 APPLICANT (Name)-G~~~-~'''''''' l>1'~';.:':'lJ 1:. "1- - -t~J:;.;; (Address) ~4 745 So Robert. Trail (Address) (phone) ....6.5..1 -/" ? ~-lUI/. RoseJllount: MN (City) 55068 (Zip Code) (Contact Person) Mary Olson (phone) 651-423-1144 APPLICANTSIGNA'JlJlm JA J~nn. DATE i I {7-t lal AP(:C~LEASE COMFLETE BELOW 2- I I I I I I I I I' ~I , I Type of Fixnu'e ' I Rough-ins I Wat.er Heater I Water Soflner I Stand Pipe (Washing Machine) I Sewage Ejector I Ba.ckflow Assembly I Ba.ddlow Assembly Test I Lawn Sprinkler I Other Quantity - I l I "2- Type ofl;;...~...re Bath Tub with or without shower I Dishwasher I Floor Drain 1 Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Warer Closet (Toilet) Quantity FEE SL..tI,1!;DULE lndustnal, Cornmcn)jal &. Multi.famdy 1 % of job cost with a $39.50 minimum Residcntia~ Ncw One & Two-Family S9950 Residential, Additions & AJtenttions $39.50 Estunated Cost $ :Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOT.AL PERl\fiT FEE $ .50 1SlJ, P,.q tD I.' ...- ~! '"'..' , 'I' ~ '""4J'A, '''' , IIV/":'I' ", . \,;? f: ," 4:::, :,~~. , (omct UBI: Only) This Application Becomes Your Building perJ:llit When Approved Paid ) Building OMdlll Date Date //-;?;-J I Receipt No. By (J/lJ/ -p 24 hour notice for all inspec:tians (951) 447~51850, fax (952) 447-4245 CITY OF PRIOR LAKE Date Rec'd HEATING/AIR CONI>ITIONINGIFIREPLACE PEltMlNOV 2 82001 (Please type or print and sign at bottom) ADDRESS \13D2. Li I Qc Ln ~. ~;':n ~:~ PERMIT NO. 0/-/--32 '7 I 3. Yellow Applicant W ~ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT 1.o5BLOCK 1'3 ADDITION prD OWNER "l){) \ 1... ^ (Name) K.. .... "Dr-, DY l (Addre,,) '~tB1 Wllyk,thflhM AvL Swk 2D~ 11~;;~~ANnl 'Ietn+ YntCJllt/1/CtU (Address) 3rhD i(tVlnfbe6 "Vr ,\U"I-k l r. (Address) . (City) (Zip Code) (Contact P=on) ~il.eJj , C,- 14YY1f11fJ;'/'Yltl.IL.- (Phone) &5 I %Z' ZJ7q APPLICANT SIGNATURE ~1~ e, 1Jmmenn/1/1 (I!iIJ!>)DATE /lh1(OI " APPLICANT PLEASE COMPLETE BELOW I ~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TrONS FURNACE MA~ AN~cMODEL Blr~tnl- 38;JkJiV D2JJD 1 D "FUEL f\lt,~raj7 FLUESIZE q\e--lO,):;;J& RETURNOPENINGS '+ INPUT 1D.DDD OUTPUT 5lo~DDD (Phone) f{ljti)t) MJJ 551 z- '- J (Phone) Ltfj, %2- --ll"76 1 TYPE OF SYSTEM HEATING OR POWER PLANT DWarm Air Plants DGravity o Mechanical lBAir Conditioning [jJX"ent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOtE: Air Conditioner Units Cannot Encroach into Required Side Yard S(~tbacks FIREPLACE MAKEAND MODEL Estimated Cost $ FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential; Additions & Alterations $64.50 Residential, AC Only Building Penrtit # () / -/33 2-- $39.50 Industrial, Commercial & Multi-Family Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 ;fJ'; REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ r- PAID W'~ulT ~~lNG P.-na'" _ - (Office Use On I)') /1 /~ Building Officilll Dllte I Paid Date rz,-.-' 6"0 ( By T)1;;: ~pp~~~ayoh B,i9.n,~~Youi- Building Permit When Approved I' .~.i-,...,... 1 "- .' " . .,;/" ,..' .' ..'; v . . ~_ .....~ /' '..-' "-", /'-;, ---"'--~ 24 holtt notice fOi' all inspections (952) 447-9850, fax (952) 447-4245 14:38 651 633 8884 FIRESIDE CORNER '-'J. J. ~ 'JI"" ... .I.~_"."" ........,...,......:J #0717 P. 0041_99-7_ __u _ tt.tjA TING/ AIR CONDITIONlNGfFJREPLACE PERMIT ~:::" ~:~ PERMlT NO. OI-/33? J. Yellow A4lPI'Cln. '-- fPl~ tYDE: r:n: t1rnu ~Dc13il!J1llt l.~_ ,- ) ADDRESS ZONING (olflc= use) \ +~d lJ..u. ~ L..N ~~. LEGAT. DESCRIPTION (olfice: lue only) LOT aLOCK ADDmON PID OWNER (N ame) (Address) \jQ... UM-DcJ (ph.one) APPUCANT (Name) ALLIEO FI~ST.PE PBA FIRESIDE CORNER (Phone) 651-633-2561 (Address) 2700 N. FAIRVIEW A~ (Address) BRENDA t);N (Contact Penon) APPLICANT SIGNATURE ~b.. ~., R05EVI.LL.~ M1\l' (City) 651-633-2561 (Phone) DAT~ ~~ _.~-==-Od-- 1;"11, (Zip Cod.e) APPLICANT PU r ~EW CONSTRUCTION FURNACE MAKE AND MODEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWnrm Air Phlllts OGrllvity o McchllllicDl OAir Conditioning OV I!I'lL Systan FIREPLACE MAKE AND MODEL ~ E COMPLETE BELOW o REPLACEMENT 0 AL TERA TIONS FUEl. INPUT OUTPUT HEA'I'ING OR POWER. PLANT ] StCll/Tl J Hot Wew ::I Radiation ] Special Devices J Other Devices PLEASE NOTE: Air Conditietler Units Cannot En~acb in[o Required Side Yard Setbacks ~ tolD - SL ,~')-rf2.- rndlJstrlal. Commercial & MIJ.ltt.Fomily FEE SCHEDULE I~ of Job CDst Re$ldcptl.f. 0lI5 Fireplace $39.50 minimum $99.5/) Reslden.tinl. Acidilions & Aller.ltions $64.'0 IU:sldcntia[, AC Only $39.$0 Residential. Hearlng &. AlC (New ConstMlction) Residc:ntla/, HCDting Only (New Consr.ruc:t.ion) $J9.~ $39.'0 HEA TINO PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ 1) 1-/33"2- r PAIDWIT:! 10' ~'" F"\!NG PE'-' . ,. 19~!u-IJ ~ ~. :.\"~I. .sq L Estimated Cost $ Building Permit #- (omee U,e OnlY) Tbi, Application Becomes Your BuildIng Permit Wh.en Approved Bujldinll omcllll DRtt; p~ D~ I I lUlU. I Receipt No.____ ~/~ I By (I^-- 24 bl)ur notlE:e ror JIll in,pections (95Z) 447-911~, fn (9~) 447-4Z4! White - Building Canary - Engineering Pink - Planning Tho Conlo' .'tho Loko Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /f) ~. fJn(~ . \ . / /- 7- 0 / Accepted The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7307 dttac/ ~ .. S~ X J '\ Accepted With Corrections Denied ./\ I /Z i Reviewed ~(/X \ Comments: _ --v ! _~ c&V, ~JL Date: l ( - t)-of ~ '\ "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 The ernler of 'he l...kr ('ountry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .4- ~. !-Itr~/A J / / - 7- () / " The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /73 0 7dda(~ ..::It:?; LfI..-, S C Accepted J/ ..... Accepted With Corrections Denied Reviewed By: ~ I I A - _ i Date: Ii //t{ /9 I P"-~~ - COZ;;;S~WuO ~~ \6 Y I-\"f ~i€ itM(, ';;," ~ f:>. 0, fJ. ~ tJCtLt- ~ VJpp~ 0{ ~~{~ ~'tfbl\ 0 ~ iI ~ ~ . 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 -- '. ; ,'- ! \ .> \.'- ~.., ; I ("'j , ,.~ The Cf'nfer or 'he Like ('ountry QL -- L~}.f Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 4. '-R. 1Jni~ . \ . / /- 7- 0 I -o! The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1L7.3P~ ~A ~J;fl... . SE: Accepted X - (;~. Denied Accepted With Corrections Reviewed By: C~ Comments: IlII4R Date: //;-)./-0/ See Reverse Side for Additional Information! h1Q,^ f'J( l "In '- , T .; S ' L) 1-1-" >< "7 ~' /~~'~l ".; :~ See Attachments: 1) Grading Plan, 2) Erosion Control Me~isures 3) Erosion Control PI~n "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." PRIOR LAKE INSPECTION RECOR ~, DEPARTMENT OF BUILDING AND INSPECTION l, l~~ SITE ADDRESS I ~L~()a.... NATURE OF WORK A.)~') USE OF BUILDING -'S~A- PERMIT NO. Ol- '2{3'2- DATE ISSUED f\-/<l-of CONTRACTOR fJ.\L. (..:o~ PHONE CC,,1,..:l)t... d?~t--- NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I 1/ /~ itJ I I , . FOUNDATION (Prior to Backfill) I tfJ:t. lZ./'lO!M IJ),T'~, tl.'/l.t/O( I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS Jt 'h SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL I PLUMBING ~ U.G... ~. 1~'2-"o, ~ ~. I J ~l/(J '2, fh. " ;>/11/oz. HEATING (if required) T~. ~ iJ.e. 12.j-l.,}o t.''\~. ~ t!g//tJ't IS, .~t.~sjt,~ FIREPLACE , f;::t , J/:;;) S~~ GAS LINE AIR TEST ~~t=: p~ ~,JI ;s-/o~ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ 1!7:- ~7/~ I I . J FINALS . I tv IP . {D - aO- 0 d.- b-::, ~I 1;/61/ c 6.fo 0 c:.. /1., '1- fJJ.. , ' FOOTING ~SPE=" / GRADING (Prior to Sodding) BUILDINGf.e...o 'W Ic>/'!J 1/6t,. ELECTRICAL PLUMBING HEATING , DO NOT OCCUpy UNTIL ABOVE HAS NOTICE ~ '/h DATE I . d/.) S/o..;U d/~ /tpu . , 1/ ~!()?.. ~ri (11 v 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 s!:liw.l be'placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ,- ,~,~~ ~....;" ,~.,;.,.v"'>"i',,-~,' .<~~ ,.......,,\ '~'~ '.-:-;-',~'~ '~>'"'i1o"'I'J';:,V.:~~ ",~"..: "-'Jr3}'!. ,:,..~,_<l';>;,_,~:",.,,"< "",~~ ....>-If;(-H,-l(-:a;:~j!,/;.;lli'f.f>1''''!'11'!f('!ll';..~'''''~;~~'''>..."\,.~'iq;:.'< ,,,"'~-~:I1.~'(:I:,:~~,-t;;-~;;wWJ:"',"i"''''''''~~~'~tr _',X}~.4,l'~ ::.7~i'."0~ ,;~I> i' ~~.~~.I""'~~~ ":.1.'., ~-..r. ',-" t"'~"t ~t'~t... jtI'..:,.-:.. t ''''zt''''i ,.t r -~~.... .. .'" ,', .,' ,. " { ~, ;i;, (trtiftrau of QDcrupanry ~~-~ CIIY OF PRIOR LAKE 1(- ~t~ ~tpartmtnt of _uUbing 3Jn~ptttion (i;. iil Final Permitted 0 Conditional C.O. Expires. (~. (~~-' ~. :1;- t~ 1(- (J~ rt: . );'~ , ~t:, ) - J (~_\ ( .#~~ ~~- \~" . ~~.' .l ':'" ',. ,_ '., . . POST IN A CONSPICUOUS PLACE ('-,!"'~"'J it. ";;.; t.".r~.~'!. .,.. ~;.t.1I.:"',:"+"'" ~'f> ~"'"""",...."" This Certificate issued pursUQ1ll 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 Lalce regulating building construction or use. For the following: Use Clusificatioo SINGLE FAMILY 01-1332 R2 Bldg, Permit No. N/A R3 VN 0c:c1", , _.: Type _ _ Type Construction . Fire Zone Legal Description L1, B 1, DEERFIELD FIFTH VILLAS Zoning District Owner of Building _ Site Address D.R. HORTON, 20860 KENBRIDGE Contractor's Name a: Address /") II/IY / V r I _ City Planner 17302 LILAC LANE SE CT., SUITE 100, LAKEVILLE Dare: ROBERT D. HUTCHINS Building Official II L(- ())... Date: DON RYE CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION II:V FINAL b SITE INSPECTION COMMENTS@ ~t DATE TIME SCHEDULED ~ (../ a 2... 17302.,J~ ~f /.' 50 CONTR. PERMIT NO. tJ( - I 3 S 2- o EX/GRAD/FILLING o COMPLAINT f7S"€. FIREPLACE RI ~FIREPLACE FINAL D GAS LINE AIR TST o o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~D PLUMBING FINAL ~MECH FINAL C'" .~ ~ --0;1 av- n~~~ r 'fe.O. W ~~ /d>/:?//G 7L. I , o WORK SATISFACTORY, PROCEED !'!. CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ _ Owner/Contr: CALL 447-9850 :jTHE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI '-I.... ;Z--()~ ~: cv L/-/~(' LJU CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS I ~ 3 Od-... OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING ~WATERHOOKUP ~TION 0 SEWERHOOKUP , UMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS:Cll-r2...ett( ae f-' ' ~--~ DATE TIME 1- 133~ o EXlGRADfFlLLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o WORK SATISFACTORY, PROCEED )I CORRECT ACTION AND PROCEED o CORRECT WORK~LL FOR REINSPECTION BEFORE COVERING Inspector: rt1:: ..-, Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED J } - t.( ~ 01- ADDRESS 1'130/- V/~ v~ oWNQ?BOJ:;)I-?~ CclN~~/ /[17300 '. PHONE NO. PERMIT NO. (?) / -/33c:7- COMMENTS: o PLUMBING RI 0 EXlGRADIFILLlNG o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLlNE AIR TST Dz;r /A') · ~ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION (:) uS-C ~ r1 WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: r!;rJ I / oJ l.{ ,.O'owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INS/'iOTl CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME p,...;r. "192....... ADDRESS L7])t9l.-..1tJ / (,/I(/~S} 7'" OWNER CONTR. i'. R.. fi,rJu,,", SCHEDULED PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING .~ 0;.: IN;SULATION ~~NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL c;e~TS:~ ~ 7"3~ "Z./'fp;-~ - eP /C- '730'(-~r~-&/~ I ..., "3 0 ( - &,... Lt. - '" "- [1 "b".3 - 6,....-(<. -0 K- Q2C.aXl~ILLlNG o CO~T o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o Lilac Ln. /_,1<<<. ~Yl lA/i ll+-I'I( >c;. T.r wi Id-frl't"t ~ 5 l' r ~ J..- r- ~ORK 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. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator ~:~".., f'-(, - 0 z... ~A Heating Contractor Name of Tester Date Job Address Heating Contractor Name of Tester Date Percent 02 Percent CO Percent C02 Stack Temp /7302 (,Ya.... t.4- #/JJt.-.;? ~rL~ ~~~ I!I-~ -O~ ~Y9h .~~ ~.~ ~8~ Combustion air is adequately supplied per UMC Sec. 606 Yol!'S input ~Om,) ~.