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Home My WebLink AboutBldg Permit 01-1337 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERn.nCATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and si$tD. at bu..,,~) . ADDRESS --L!I3 ~ ./)", Vt? C/J N r! ;1/ F LEGAL DESCRLt'uON (office use only) I. White File 2. Pink City 3. Vellow Applicant Date Rec' d tJ1 I PERMIT NO. LOT, S- BLOCK / ADDITION c-.2.6- K.RJO ~ II,' J ( OWNER (Name) ~ Ia~ /lc70M , (Address) (Phone) BUILDER (Name) ~ /((;>1 ~.P - r.fl VlS/' -,::~ C. (Contact Name) !A ~ (Address) ~ <17 76e.i....s NING (office use) Rl PI~S- ""%~, 005-D -(Phone)Cd/ <=jsJ--J-CJil"'/~~ (Phone) '?Q....~-i)1{J93 Or ShcvtnO~ P , TYPE OF WORK ~ Construction DLower Level Finish o Deck OPorch OAddition ORe-Roofing DAlteration PROJECT COST IV ALUE (excluding land) S l!:ZJ.rJa:J . ., o Misc. o Fireplace 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 10ca1laws 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. 7."/d ~- , Signature x I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee IS~. rLJt1.~{'J ',:fIB.55 13S'7 . or D lq .00 $ $ $ $ $ too .00 $ 100.00 $ 3MV I Gas Fireplace Permit Fee $ l{1J . (!) ~ ~ r-Y=BnllmngPemiliWbmAppro><d ( BUI' ~~ kZJ~;; ( Sewer & Water Permit Fee 'tb 7~ Contrad'or's License No. I Park Support Fee I SAC I WaterMeter SiZ~; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit lather I TOTAL DUE Paid ~~I Date I -- I , # # # # -II' "':2.9-0/ Date $ $ 'I' eO .0 d $ I tk. .~C> $ " l~ $/, ~O(f .Ol;L $ . m.BeJ $11~OO .Dd $ $ 8J J 00. II ~.CV>-~ Receipt No. ~O'I, ~ By IJ}A- , 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 I / ::~ by the~City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~ _~ - '2' ---A{2bfDt ~ (anm Director Dak . Special Conditions, if any 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 \7 l DEC-18-01 TUE 03:50 PM KLINGBERG CO. 4473982 P.01 fax ~47-4245 G_.' . ..... ylLLOW . ."LIC"'T GO"" - 0''1 'I ...Lnspa; "'^' 1~1 CITY OF PRIOR LARE SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the city. NO .1l833J ": ~O AW\. APPLICANT: Klin~bera Ex~avatina. Inc. PHONE: 447-2557 ADDRESS: PO#6, Prior La~e, Mn. 55372 SIGNATURE: ~r'g.i' ,K~ //''';-1/ SITE ADDRESS: 14354 Dove ~urt _DATE: 12/18/01 BLDG. PERMIT # .PID# Tom aolma const.ruction FILL IN THE BLANRS, 1. Estimated length of water service 40 feet. 2. size of water service 1 " inch(es). 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS pvc~ Cast Iron 5. Estimated length of sewer line 40 .feet. 6. Clean out (if required) I structure. located at teet from ~======a.~-=====~~~===~=~==~~-====~~~~==~=~=~~=~==~-~==~~-~=~~~~=: This application becomes your permit when approved. BY DATE: ~c==~==~~==~_~~====~~~_:==a_~-===~--=~==~===~-==~-==:==--===-~~:~= FEES: $ $ $ 35.00 _50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individuallY is $20.00 plus $ .50 surcharge. DATE PAID Sewer and water permits issued for new construction ~ust be recorded on the buildin~ permit card at the time of issuance to insure that no dupl~cate sewer and water permits are issued.:\\-\ f'" ""0 \N\ ," r':\ AMOUNT PAl D t t'~ p~h'~"\ - e\)\~"" REC'O BY ~ ~ _ * RECEIPT , 4629 Dakota St. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I Fax (612) 447-4245 /'oN EQUAL OPPORTUNITY EMPlDVER NO. 022 P.l 1: 38PM ME,TRO RI~ITY OF PRIOR LAKE HEATING/AIR CONDITIONING/f4'IREPLACE PERMIT JAN 2 5 2002 (Pllille l'iJ.'C Of Print and 11m at boUOm) I AQDRESS ''''' ') 5'-'\ ~ \,) \J" L '= LaGAL DBSCRlPTION (omO! use only) LOT BLOCK ADOITION OWNER. (N~me) bote l~ec'd ~::-~ ~:~. IIJERMJT NO.~\~... "'. ,. Yellow Appl_nl 'OJ ~...3 J ZONING (office we) PID \ Or-... , \.\\.\l ~., ~ \\- ~ \~ \.. Ol'"'l)\- . ~.... s \ ,,\(..} fl U.... (Phune) '\ ~ :2. ~ t, -:J.. \ '" ~ ~ (A~dress) APPLICANT t\ I ' (~arne) '\l\l:L~~~' - ~- r\ t. (AiJdress) \ ~ ~ ~ C) \J ~ \ L lJ ~ Pnf "- (Address) (Cyntact Person) N (,,\ n t......\l s;, l.-~ ~ "- \ \. A.fIPLlCANTSIG~RE ~.~ 1....A.~~ (Phone) U, S :J. - \..\ \.\ 1- ~ \ ~ l{ "r\ ~\- l~\u.. ("\~ s~ ~'I~ (City) (Zip Codc!) (Phone) <1 ~ ~. \:\ \..\ t. 'lS \ \:) \..\ \-d c:;--~ DATE APPLICANT PLEASE COMPLETE BELOW ~EW CONSTRUCTION FU~NACE. MAKE AND MODEL (~..r~~ ~.... FqJE SIZE PV t.. RETURN OPENINOS TYPE OF SYSTEM '. /SIWllrtn Air PlantS .JOravily 51 Mechanical . idAir COlldilioning DVel,t. SysLcm FI~EPLACE MAKE AND MODEL, . .... ~'.'''-'"~r__. -..'''''''' ,.- o REPl..ACEMEN1' 0 ALTERATIONS '''It 'A- ,~~ . fUEL N "-\ + -, INPUT ,\~. 6c'\~ OUTPUT l\"\. <..,~ HEATING OR. POWER PLANT o StealP o Hot Water o Radialion o SI>OCilll Devices o OrlIer Deviccll .>>LEASE NOTE: Air Conditioner Units Cannot Encl'uach into l'le(luired Side Yard Setbacks In<.l~lstrial. Cornmcrcialll Mulli-falnily Re,ldehlial. Heati/ll &. AIC (New Construction) Re~idcntial, Healing Only (New Construction) FEESCH~DULE 1 % oOob cosl R=idcntial. GD" Fifcpl8cc $J9.50 minimum $99.50 Residential, Additions & AJtcrQlions $6'1.50 RcsidcnLial. AC Only $J9,SO SJ9.S0 SJ9,SO ~slimaled Cost $ Building Pelluit # 0/-/337 HEATING PERMIT FEE $ STATB SURCHARGE $ TOTAL PERMIT FEE $ r . PAID WiTl! ",SlBUlL01NG ~ERM1T_ (Oll.lce \1n Onl)') l'hir AplJl1cation Becomes Your Building rermlt WIle" AIJprovetJ bullltl.. Official D.le 24 hour notice ror all inspcetJonS' (952) 447-9850. rill( <'51) 447--4145 ~ D~ 2 5 2002 Receipl No. --- - By ;t:P ."... 12:45 651 633 8884 FIRESIDE CORNER ""~. L L "'I.' I. J......."'...... .L.I.rll....-....:", #0771 P. 002~..o_Q.3_ ____.. REA TINGI AIR CONDITIONING/l11KEPLACE PERl\'.u 1 1. PI"- flU. PERMIT NO I 2. ClfOml CiIY '01-1,??--7 . 3. y_n..... Iloppllllll" ~ ...::> I _ (PIC<!J( f:Yl)f; or tm:nt anc1 sim at 'bor:wm) ADDRESS \ \.\~S'-\ \)J\S~ ~LlR.X- ZONING (off'ICI use) J..E.GAL DESCR..l.r. I.I.ON (ol!l.ai UIe cm1y) LOT BLOCK ADDITION PIP OWNER ....--r- \ \ . _ f" (Name) \~ ~ \...bt'\~ . (phone) (Address) APPLICANT (Name) ALT"lED FI:RESIDE DBA FIRESIDE CORNER ,(phone) 651-F.i33-2561 (Ad.dreS5) 2700 N. F~RVIEW AVENUE (Add:~$) BRENDA HUSTON (CODta.ct Person) __ . (phone) APPLICANT SIGNATURE ~~ ~~~ DATE '-.) APPLICANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION D REPLACEMENT 0 AL rERA TfONS FURNACE MAKE AND MODEJ.. FUEL FLUE S1.ZE RETURN OPENINGS INPUT OUTPUT ROSEV]:LI,p: ~ (City) 651-633 -2561 J:;i;1'~ (Zip Co~) d-S l'"'\-a- TYPE OF SYSTEM HEATING OR POWER PLANT DStenm o Hot WJJt&r o Radhltion o Special Devices o OUler Devices ~ ~ ~ - <;\.."'1'5::) u t.- PLEASE NOTE: Air Conditioner Units CQ7Jn.ot Encroach into Required Side Yard SetblU:ks OWarm Air Plants o Grav;ty o Mec:h.an;cal OAir Condilioning DVent System FIREPLACE MAKE AND MODEL E$timatcd Cost $ FEE SCHEDULE 1% ofjcb cost Residential, 01.5 Fireplace $39.S0 minimum $99. SO Residentiltl, Additlons" Alterations $64.'0 Residentilll, AC Onl~ Building Permit # 01- /337 $39.50 Industrial. Cammerc;sl & Mlllti-F8Ii'Illy R.esidential. HCIltl"g & Ale (Nl:W ConSTll.lction) Resid.ential, HClIIlng Only (New Construc:t!on) $39.S0 $39.50 HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ s ~r PAlO ~ ~.' '\'. D\NG PI:.. .50 IO"-~.. "- . I (omce I;,e Onl)', Thi, Applh:ati.on Become. Your Building Permit When Approved - BllildlnJ omr:lnl DAtE '~ Date fEB - 1 tWl I Rece~ I By fZ- 24 hallr notice for all h...ptll.:tlonl (95'1.) "7.9850. ralf (952) 447..4Z45 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd 2 -1-02- ~: ~~ ~~~ PERMIT NO'OJ-/337 3. Vellow Applicant (Please tvlle or tlrint and sim at b~.......) ADDRESS /4-3 5 f- iJ d V 6 e:J fV 6 ZONING (office use) 12-/ LOT LEGAL DESCRLt' lION (office use only) BLOCK ADDITION PID 2.5' ' 3" ~ 8'... () 05: -0 (Address) ~ - A A / (" APPLICANYV' { 1/ /. (Name) I "c ~ . L.t4 4.. 4 ;'~-1 (Phone) t')S? -L/~J -- /-7 t:iJ ~)(AddreSS) i 2/r ~?/J-/l (/I,v{ (ih~,d1#: LJ5r/'p ) (AddreS~ ...., ~ (City) . __ _ . -oc (Zip Code) Ccontactperson) h$l.--~ . ~ -~ . ~/ (phone) ~ L/ff.l?09 APPLICANT SIGNATURE ~ S-- ;/.d. _L DATE t I. ../- -- /-0 "2- (C- J / ;' - ~7' APPLICANT PLEASE COMPLETE BEl:J).W Type-o'nl iKtiir.. 'luanttty Bath Tub with or without shower S Dishwasher ( Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) OWNER (Name) Quantity , / ~ i / ./ "? .- (Phone) Type of Fixture I Rough- ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 (Office Use Only) This Application ~ Estimated Cost $ Building Permit # 6/-/337 ~ ~f\\O f,O~ .50 6lJ' V PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTALPERNnTFEE $ ,~ Date 2-,1- 0"-- ~ By /Vtv L 'f t,/( 'OV Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 White - Building Canary - Engineering Pink - Planning Tho Coni.. nl tho tok< Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT "---)l9-nt ~~ JO/dq -0 ) APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1J3SL/- VO Ue- ~T 1J~- Accepted Accepted With Corrections Denied ~~ I Reviewed By: (btJ!~ ~ ; ~n:Jp ~1.u~ Date: )(- 2/-0/ "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 nl the take Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ..~ -,J:"./ APPLICATION RECEIVED Ji}' ".-) i - ) I, "'/' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I (,1 :;) 5' 1/ - .,' i 1,),----- Accepted Accepted With Corrections ~. Denied I /-~-~ I~/\ __ ReviewedBy:~~~~ Date: tL/~/e1 Comments: AIL I~~ err"'t:.~ ~ ~ B1/lLY<D~ tllt\e-VVeY ~ IAtw71 ~ ~ ~ ~ if) ~ 1n ~./t~1' UrAe t} ----1Je. ~ &f 'S\\{{)L'1;<),r~ I. ~~ ~~ I ~~ eV\CJ{l~u:"".k. &U.5P0-1t>.M'iS, ~ \L~ 1I\A.u.AA, ..2-t.( F\ ~~ ~ ~~ CiAvQ;1 "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 violafum'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." 1W-0~ t,A),'A_l t., dr l~_ +~c.J vQ~OtlJ ~ ',~,~'~t.,: ~..~,; .t, ;;';;;':'1 ";;~'~;, A"~ ~,~'': A' ..... ;,~ ''t-'''f~';;, ,,-<I.; .. .:.,. "'.'':-~''''f'',,:,,'1''.~~~1\,;\.~\.~,:$'~r.::,,''\14'."t,;' ' :>'~"ji',""'~-l".....,j,,,;<f\;,,, ~. ';1 ...."..~,.iY":'ti;~~. ..'l Ii ,.. OJit:- - '~~JiZ Canary - Engineering Pink - Planning Tht etn't, n' lht Llkt Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT "--....)en1 cf/fJI/J?Lk.(:le~ APPLICATION RECEIVED J () /' d <i --0 ) (..", if,. - t: t The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , j- I LL:JSLI- (/')0 I. p ct ",) e.---. \....111/..) I.' f.,y _ t1...C.J ~ v,- . ,V' Accepted ---1\ Denied Reviewed By: _.(VffB Date: II-2/;. -0/ Comments: See Reverse Side for AdQitionallnformatiool Accepted With CQrr,cvons )L /.,;,' ';":!Je:;,:~?' /. ~'i:-V... _ >- -See Anacnments: 1) Grading Plan, 2) Erosion Control Measures 3) Erosion Control Plan . 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." ~ ~ P R 10 R LA KE DEPARTMENT OF . ,. BUILDING AND INSPECTION INSPECTION RECORD Qt. SITE ADDRESS Jli354' Do,le. NATURE OF WORK 7Jew USE OF BUILDING .<:.. FT1 PERMIT NO. 0l::..733rJ DATE ISSUED 1/-2/-o{ CONTRACTOR J/oIlMn t2. (\~. PHONE 952 -2q2 -/</88 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I / ;;.l1jtJ / FOUNDATION (Prior to Backfill) I ~ 11'2/ I'll) I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~, ~ l, / ~1~/. I "'.;;0 2.- r (' - o? /1 ~/~Iii ~ @r IM/~~ '2/ /\,. . I. t ~ . fJ2;~~/tJ2/ f,:p~. ~..JS;J(!)t COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) N (/ BUILDING l.CD.-r:JJ 8'ft/{)t, ~ 3k~/d2-- ELECTRICAL ' , / I PLUMBING HEATING DO NOT OCCUpy /j:J/ SEWER I WATER I SEPTIC FRAMING INSULATION ~. ~ ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST ~( ;)/~/02' I IJh ~- I I~/}, lD' ~ t/~:J- c;)ft- 1'-17,6<- ';?,. d-;).- d- /~. I 4 UNTIL ABOVE HAS NOTICE This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until aU inspections have been approved. On buildings and additions where no service cabinet is available, card sbaU be placed near main entrance. :3 h '6/ 0""" 1/l~!dL BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 " ''t'' ...... ',.j',. .. ;.r"~ '/" i~'" ,k '.';;~..'.'" '. f~:1I ~~..: of ODcnqtaltry ell f OF PRIOR LAKE Ilepartment of }Builtling Jnspection ~ Final Permitted 0 Conditional C.O. Expires This Cl!rtificall! issrud pumu:utl to tM rl!quirl!~nts of Sl!ction 307 of tM Uniform Building Cotk cl!rtifying tlrm al tM ti~ of isSUDIICI! this slrucmrl! was in compliancl! with tM various ordiMnCI!$ of tM City of Prior l.oJcl! rl!gulming building construction or USI!. For thl! following: SINGLE FAMILY Use ClusificatiOll Bldg. Permit No 01-1337 0cc:1 '.,."" ",' Type _ R3 , Type Construction VN Fire Zone _ N / A L5, B1, KNOB HILL FIFTH ADDITION Legal Dc..,., .... :.OR Zoning District R1 Owner of Building TOM HOLME CONSTR., 447 THEIS DR., SHAKOPEE, MN 55379 Contractor's Name & Address ROBERT D. HUTCHINS A If City ~ Buildjng Official ../ I ' s< r () ;)--,' 0 ::> -- _ Date: - POST IN A CONSPICUOUS PLACE SiteAddress 14354 DOVE COURT NORTHEAST DON RYE Date: , CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED 2-1-oz- 11 ADDRESS 143~~ Dove.. GT CONTR. Td,., Hi)/trK. ~ PERMIT NO. tt>L - /33 7 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION Xf!NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL OI!(,~ILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~~ - oK. c. u/6 I~ - (:) J::: ^ .f'\. No S ,,-,- ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InSpector~ ____ -.Dwner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI DATE TIME CITY OF PRIOR LAKE ~ INSPECTION NOTICE SCHEDULED 0 - ~ - ~ --i!J . / *' ADDRESS I ~3 S L/ - IJ 0 ()e.-Cl-f- OWNER CONTR. PHONE NO. PERMIT NO. j-/33vJ COMMENTS: o PLUMBING RI 0 EXIGRADIFILLING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLlNE AIR TST o MECH FINAL 0 -r A & t--r ',/a~lv' o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION cA..-?~ ~< r:t? o 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! INSNOTI ~z, /'-I35~ ~ (jL, CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. DATE TIME /o:~o ()/ -1337 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING ~ 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP o FINAL ~ PLUMBING FINAL o SITE INSPECTIO 0 MECH FINAL COMMENTS:(l\ ~ ~ ~-~ ~~~ o WORK SATISFACTORY, PROCEED ,)t CORRECT ACTION AND PROCEED o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ I Owner/Contr: , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING J INSULATION ( FINAL '0 SITE INSPECTION .~. MMENTS: ((l\j 7Jb.d I SCHEDULED /4-354- 00(/6 CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP IfEJ. 0 PLUMBING FINAL (l!Y )(MECH FINAL ~,. ~~ DATE TIME :$ -lr.(l 2- /; ..uJ u /--/33 7 o EXIGRADfFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED )l CORRECT W K, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! /liSIVOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED '3-2.0-0'Z- Z;{J?) ADDRESS /4-3'04- OoV6 CE.{. OWNER CONTR. PHONE NO. PERMIT NO. /-/33 '7 o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP )!D INSULATIO~ 0 SEWER HOOKUP FINAL ~PLUMBING FINAL o SITE INSPE N MECH FINAL COMME_NTS: J> ,. r~. ~~f'~~~' ~~. @ t4~' f~~&2! J;i;dL~ (,I.e. 'f-:- Q ~ "<) ~.~, .v /U.4r,,) ~ s;;.,Q..{:- t~ ~ / ,,-. U . ~ f.AA: J~ ~'S_~ ~t A...~.~. d J o o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI /@Pt FIREPLACE FINAL '0' GASLlNE AIR TST o .,... <!.~ o. t.LQ ~ (\ (0 2- o WORK SATISFACTORY, PROCEED )J CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ ~1'1 CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Inspector: Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSIiOTl .Permitllt .Job Addr_ 'L.{~ 5 ~ {~ve... C'f .HelIIing c. ...lor Me II'~O AIR ,-.- ~ .T..terl/Signature ~ .Qaa line PretllUfiDld Inspected .Percent c~ .Percent ~ Finallnapeclion I L-.. 2!!! Ii!!!! PERFORMANCE TEST ,. 4{ (t> 1..~"c:. .Percent CO .Stack Temp. Pounda Preaure (Yfo I/r' Date ~__ J