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Home My WebLink AboutBldg Permit 01-1345 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT MAl'-l FILE (Please type or print and siJtll at b~..u~) ADDRESS /1a10 lJUrf;d.tL Dr. s, LEGAL DESCR.1.t' uON (office use only) LOTJ~ BLOCK I ADDITION ~deL ~I.V OWNER (Name) (Address) BUILDER n (Name) D. (l... ~ ~A/.-L . (Con~act Name) ~ -t.\Io(j &a..c.ks Dr\ (AddreSS)!:t:O k~~'" ~ S~i IOU , YIII~1 '8'!l.o ~ TYPE OF WORK ~New Construction OLower Level Finish o Fireplace PROJECfCOST/VALUE (excluding land) $ lOS J Bh,t;' , /"'-- liJDeck o Misc. Date Rec' d t I-I q-O I I. White File 2. Pink City 3. Yenow Applicant PID?C::;-372- 02.(P-Q (Phone) (Phone) q~.qlJ6"-1~DB (Phone) t15'." ~VJ ~J~" OPorch OAddition ORe-Roofing 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 th the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon property \0 0 eded inspections. x ; v Permit Valuation , O~ , roo.DO Permit Fee $ 1:(t'2?> -:J I Plan Check Fee $ fdt 7.if> I State Surcharge $ 53 .. 00 I Penalty $ I Plumbing Permit Fee $ I tJO .t!JO I Mechanical Permit Fee $ I t)O .t:)i!) I Sewer & Water Permit Fee $ '3'S-,~ I Gas Fireplace Permit Fee $ i..{o .. t) tJ es Your Building Permit When Approved jJ-2?-o Date $ ~..CO $ " ( ~ ..ff) $ (~.Cl1 $ l 45, ~ $ ( '2,.OO.O(L $ ct IOO..(X) $ 1,500. DO $ . . . ~~ . .C::;- rJ $1 ~Jf/. /3 I . Rece~' t. '7'7 B . y . I - OAlteration ~pt)D5 6, ~"7 Contractor's License No. I Park Support Fee I SAC Water Meter SiZ~; I"; Pressure Reducer # # I/WPJ Date This is to certify that the request in the above application and a.w...yanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when s' ed by the City Planner constitutes a k..."u.oIy Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other S~~ ~~ I TOTAL DUE # # Paid Date '/~,/J . 'z,~"pl f , ~ ~ Planning Director tn 1,,4. ht J~ pecial Conditions, if any 24 hour notice (or all inspections (952) 447-9850, tax (95~) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ----- Tht ("tnlt, of Iht tok< Counlry White - Building Canary - Engineering Pink .. Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. g. I- Ok I 0" Il-10- 0' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1,31 0 D~~.er/6l J) De. SE . , ~ Accepted K. Accepted With Corrections Denied Reviewed By: M4/3 Date: i 1- ,)c'-ol Comments: See Reverse Side for Additional Information! /Ylc" ~ (,'/ t ~ , - .. , I See Attachments: 1) Grading Plan, 2) Erosion Control Measures ,.. .... ~) 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. II ~~N\ White - Building Canary - Engineering Pink - Planning Thr ("rnl.. of thr I.ok< Coonlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D.g.. l--oeIO~J 11-( C1 - 0 APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1,310 QEee~/6CD De~ SE Accepted ./ ~ Accepted With Corrections Reviewed By: Date: I J - L~ - 0 ( Denied Comments: _ ~ ~ ~~Sl--- - ~ 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 Th. C.nl., of Ih. t..kr Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. g. f-' Gk Il)~"J 11-(0- G'I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: "'--.'\ ~ - f)Ft-_ Lrl E-l_>l~ u ~. 0 <::..- 1{3/0 Accepted V Accepted With Corrections Denied _ Reviewed BY:~ [/\~~ - ~- Date:, I, tl/U/81 ."\0 t'~~ ~<; ~ Pv . ~~~O?~~, -J- . I' 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." ~.. .;< Nov,27. 2001 8:13AM GENZ RVAN PLUMBING AND HEATING No.6838 p. 16/19 Date Ret'd ell ~ .OF PRIOR LAKE SEWER AN)? WATER PERl\IllI' J em... File PERMIT NO i. YoIra..- cil1" . 0 t,. 1"2.11 r::- 3. GoI<I Appli-.t ~ (Please type or 1)rlnt and.siRD. 'at bottom) ADDRESS 1'l~1 0 <JY~ 1di2.. ~.e.. ZONING (9fIb use) (1,J) PID OWNER ~~~ ~~ ~r~gR Cy~tgm agm~= (Address) 3459 Washington Dr Ste 204 (.Addn:ss) (phone) 65t-45.(1 ':t;;~~ Eagan. MN (City) 55122 (Zip COck) APPUCANT ~~~ Genz-Ryan Plumb~nK & Heatin~ (Address) 14745 50 R.obert Trail (Address) (:Phone) 651-423-1144 Rosemount. MN 55068 (City) (Zip Code) (Contact Person) Mary Olson {\ (Phone) 651-423-1144 --UCANTSIGNA'I'UREll k~ 0 DATE (I (Zt lo I APPLW PLEASE COMPLETE BELOW Size of water service inches. Location of any coup~ings 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 watet line connection Sewer connection only .lIE.I!lS\...I:U!...DULE $:35.$0 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 mi;JW:ouu:l $17.50 Water connec:tion only $17.50 E$timated Cost $ Building Pennit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL.r~FEE $ $' $ ......., -. \,N\11-\ .5r PA~~G PEF,tJ,\!.- 8U\\.I)___---- 1 ~ . ! (Offitc: Use Only) Thi$ Applir:.a~ mes Yo,:r BuiJdiog Permit When Approvc~ KUf1-1 IZ.<3 -0 , Buildilll; Offici.. .Date ~ Date - L.. 24 hQlu' nonl;e for all inspectioDJ (95)) 447~9850, tax (95:Z) 441-424S Noy.27. 2001 8:14AM GENZ RVAN PLUMBING AND HEATING No.6838 P, 17/19 Date Rec'd ell oj OF PRIOR LAKE PLUMBING PERMIT J;S1ue Pil. PEn lL. . ~O .. ClaW cI\Y :.I:'lo.I.T......l h . 0 1_ (2 .Le'"' 3.. VoIn AppIirMt :7'f" :..I rPkasc: l:<tpc ortJrmt.an1l sUm a.tb~~_) ADDRESS ZONING (ofticnse) II~ID <DL~eLo ~ LEGAL lJESCRIPTION (ofiice use oDly) LOT 210 BLOCK I ADDITION wrReJ?.LJ 2no PID OWNER (Name) _ DR Horton Custom Homes . ~e) 651-454-4663 (Address) 3459 Washingt~m Dr Ste 204 Eagan, MN 55122 APPUCANT (Name)..c~:,:,~-'P:>:.a.~ -P1mnh-fng ^' 'R~iI-:'.:-:-_: (phone) he: 1_<V~_11 "-I. (Address) 14745 So Robert Trail (Adch'~$) Rosemount (City) MN 55068 (Zip Code) I I I I I (Contact Person) Mary Olson 11 (Phone) . APPUcANT SIGNATURE tA.. ~ DATE -~ PLEASE COMPLETE BELOW Type of FUture Quantity I Bath Tub with or lVithout shower I Rough-ins I Dishwasher I ,- I Warer Heater I Floor Drain 1 I Water Softner 1 Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine) I Laundry Tray (lor 2 compartment sink I I Sewage Ejector I Shower Stall I I Baddlow Assembly Sinks r Bacldlow Assembly Test Bar Sink 1- Lawn Sprinkler ~ I Water Closet (Toilet) I I Other 651-423-1144 II J.~l 'D f Quantity . f I , ~ I 2- I Type of FIXture J1'.I!I.I!I SLJ::l.ILDULE Industnal, Commercial & Multl-famlly 1% of job cost with a $39,50 minimum Residential, New One &. Two~Fanllly $99.50 Residential, Additions &. Alterations $3950 EstllD.ated Cost $ Building Permit # PLUMBING l".t:.KMlT .r.t..t. STATE SURCHARGE TOTAL PERWT FEE $ $ $ ........-A\O wr\"H I .' .50 leu\~U~~~~~J'l~} -:;:;..--- (00;;1:1: USI: ODJy) . Thi. APPli"'I2f5ll~B..diJ>g p-;~ ~.~ ~Pi'od I . 1l1lilding Official Date -p~ Date -- I R.eceipt~ ~//I,f I By jl/{,A r --" 24 ho.." llotice for all iDspedions (9S~) 447~9850. fax (952) 447-424S CITY OF PRIOR LAKE HEATING/AIR CONDITIO~ING/I11KEPLACE PERMIT Date Rec'd (Please type or Print and silUl at bottom) ADDRESS 1'31 b I) e.er +1 f'J d brse i =w fl~iC8nl I PERMIT NO.OI-15i..f.b ZONING (office use) LEGAL DESCRIPTION (office use only) , LOT lbBLOCK } ADDITION PID ~~e~RD.~. Horfon (lusbm Hom~ (Address)~ .K..:~ridC)~. ~o.keV; L1e. M~ APPLICANT 1\ ". M ----. (Name) l:1Lc r CAr'-' eL 1. J...~ . (Phone) 1.~.s---'-45~- ef?775l (Address)3lrJSO '1..e.n()ebe~~. 5:I:e. #j ~QaQY1 55/~ (Address) v (City) (Zip COde) (Contact Person) ~f'..pr Z;r11mp.rrn CAn (Phone) ~-..t.I.5~- :/77!'J fl.4?~~ DATE . V ------ . APP .ICANT PLEASE COMPLETE BELOW 0NEW CONSTRUCTION o REPLACEMENT DALTERA TIONS FURNACE MAKE AND MODEL 1Jr~4n+ 3S'3KA-vb2Jun 0 FUEL 1\JC\.~l.\m.] FLUE SIZE q.1'clQ,s~ "'2L RETURN OPENINGS ~ INPUT 10.(>DO OUTPUT 6lD..tJOc) TYPE OF SYSTEM HEATING OR POWER PLANT (Phone) c;5() -- q ~ -7o?7-Z .5 50A-l L.{ APPLICANT SIGNA TU I , II I 02.- - DWarm Air Plants o Gravity o Mechanical . ~ Conditioning lJt'Vent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOTE: Air Conditioner Unitg Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi...Family FEE SCHE])ULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Ohly $39.50 $39.50 $39.50 Residential, Heating & AIC (New Construction) Residential, Heating Ohly (New Construction) Estimated Cost $ BuildingPemiit # REA TING PERMIT FEE $ ST A tESURCHARGE $ TOTALPERMl'r FEE $ PAID WITH IT aU\LD\NG PERM ~ .50- (Office Use Only) Tltis Application Becomes Your Buildlngpermit When Approved Building Official Date ~ . ""DatjAN I 5 2002 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 " 15:56 651 633 8884 FIRESIDE CORNER Cl'1''X 014' J:"KlUK 1J^~ #1874 P. 003{008 . I:lJi;A TlNGI AIR CONDITIONlNG/,lt lKEPLACE PERl'flll cP1eue tvPe or T:IiiDt mil. sica. at bcrtJlmll ADDREsS 173/0 r;)+~ LEGAL DESCRJ.r .. .l.ON (olfic! use only) LOT (j~LOCK I ADDmON fJJP1Iiid C)vJ OWNER. ~ . I (Name) I VIG #/ob.. ~: =- fS,- PERMIT NOt! 1--- /3lf 51 ZONING (016= lIse) PIDc9S- 37;2'" Odb-q _ (Phone). (AcJ.dre:ss) APPUCAN! (Name) ALLIEO FIRE.SIOE OBJl FIRESIDE CORNEiR (phone) 651-633-2561 (Address) 2700 N. F.b.EtV1:EW A'JENUE ROSEVTT.1.J! MIl' (A4dI!ss) (City) (Contac:tPetson) BRENDA HU~ 1 (phone) 651-633-2561 ,APPLlCANTSIGNATTJ~~.JJ.., tJh.d;C DATE _~ APPLICANT PLEASE COMPLETE BELOW -[]:JEW CONSnUCTIC?N 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL . FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT J Steam J Hot Witter J RlIdiatlon J Special Dcvfc:1lS JOt11m' Pr:vil:1:8 'i1;,1" (Zip Codl:) 8wum. AIr Plsnts Ol'1lvity C Mechanjcal . C Air CondUiDrUng OVcnL S)'Sbm1 I 1 FlREPLACE MA.KE AND MODEL -I:=Jt1ld PLEASE NOTE: Air ColUliEioner Units ClI7lcot Enc:rol!leh intc lUquired Side Yard Setbacks !J 6~ ..?L< 1.s"b1fl- Industrial. Commercial & Multi-Family FEE Scm:DUU 1% Dfjob cost Rmldcntial. au Fin:pI&:c $39.50 minhnum $99.50 Residential. Addition, & Altcations $64.50 ~ldential, AC Only $39,'0 ~Cl5idcnt/al. Jicuini /k. ^,C (New C"nswct;on) Residential, H9dng Only (New Canstl'Ucdon) $39,50 J39.'O Estimated Cost $ Building Pennit # HEATING PERMIT FEE $. STATE SURCHARGE $ .50 TOTAL PERMIT FElt S ~~~~ f)N:a-'~3 ____~Ol'v'dl,ll --- (om~e 0.. Only) This AppUcetiOA Bel:omes Your Bulldtnl Permit When Approyed Paid -R=eiptNo. Bpl/df_. ornd.. Dlte om: 3 -fo-;;L By ~ (/ 14 hluar "odce fb,-lllllnlpec:tlon, ("2) A47-91l~, rn (,g) 4A7-4245 Th. C.nlor of th. I..k. ('ounlry Of - 13'-1 S- White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST '. NAME OF APPLICANT APPLICATION RECEIVED / D. g. f- Ok 1 O~J 11-10-0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,,310 D~t-,er/~lA) De. SE: ~ I I l Accepted Accepted With Corrections Denied I / Reviewed By: M4fJ Date: 11- 'J(; -of t'1 ,l/ Comments: See Reverse Side for Additional Information! JY1c,(~ (,'It \ See Attachments: 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." ." PR 10 R LA KE aEPARTMENT OF ~ BUILDING AND INSPECTION INSPECTION RECORD SITEADDRESS mo ~~:e.U. NATURE OF WORK fv.QJ..c.) _ USE OF BUILDING ....<; r: It- . PERMIT NO. al:::..l345 DATE ISSUED 1(-2>-01 . CONTRACTOR 1)1( ~~~l PHONEq5:J~2~"1.3~sZ' NOTE: THIS IS NOT A PERMITFOR ANY OF THE INSPECTIONS 'BEi:OW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~ FOOTING I ~/ IPlr~!tJ/ FOUNDATION (Prior to BaCkfill)~~ I~. I;)J/~I Ii" 1)9J- PLACE NO CONCRETE UNTIL ABOVE HAS BEEN StGNED ROUGH - INS _t SEWER I WATER I SEPTIC '\~ -\l/l!!''\. I, J alA 101 FRAMING ~( ~ INSULATION /f:Jr ~aQ.Jo Q;. ELECTRICAL b PLUMBING ~\~. /.2---. i ;;l..... .....Jf>I\~ 'R ""~ r ~,'~ 'fiL1OV- HEATING (if required) , 3/f.,tJ!61-o FIREPLACE j . 3)Z,C ~ L. GAS LINE AIR TEST ~ <-.Ee ~ 1;h 0'- I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED JI/;U-~'~~I ~ ~/;;-?'jo;- I I J I 'FINALS GRADING (Prior to Sodding) I P: R. BUILDING1:~ d. -tJ.O ~/I I O'2.-r ~ to / 1 f /t>v , ELECTRICAL PLUMBING HEATING '7--- :;2 (p -0 a--.- DO NOT OCCUpy /) Pr. I /~ / UNTIL ABOVE HAS NOTICE S-/z.~ ~ /t;/ I rill ~ 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, G-ard shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 . "'., ,'.- "- ""~,,",- ',0. " , "h ~:: This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time of isSUlJllCe this structure was in compliance with the various ordi1Ul1lces. of the City of Prior lAIce regulating building construction or use. For the following: Use Classificalioo SINGLE FAMILY R3 VN 0cc:1" '" _..' Type . Type Construction Fire Zone Lepl Description L26, Bl, DEERFIELD SECOND ADDN. Bldg. Permit No. N/A 01-1345 Zoning District R1 .SiteAddress 17310 DEERFIELD DRIVE S. E. Owner of Building D.R. HORTON, 20860 KENBRIDGE CT., SUITE ContnM:tOr's Name &: Address ~ ROBERT D. HUTCHINS ,nr Cil)' P\anne~ DON RYE Buildi Oftic:ial ' II- '-/- 01 Date: . Date: 100, LAKEVILLE CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /7~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: DATE TIME SCHEDULED /I.r. /73 /(P P6ee,qt:;.Z-O O~. CONTR. PERMIT NO. o/-/:J'If'''-- 0/-/$4fJ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL SoD / 77/.Et/ ?t:) / C i/ o EXlGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o I / I nsc ~~ ~\ - {-, Le. , WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: N-u -/-01- Owner/Contr: 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 /7310 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION XFINAL o SITE INSPECTION DATE TIME SCHEDULED 7- .<t-oz- Pt: ~rr."IJ Dr, [) t I-It, 1'10", , PERMIT NO. 61""~~5 ~~1:LE CONTR. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL :Ii( EXl8Iti1i1FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~I"I~ ( -':z3iO tbu..;f-iC _ (' ~ ~.A._A '(L..o'K.... ------- c::./<..AO~ 0 I<. J.13/2.. - C-u~ ~ f::DX" C) b( ~ ..a Ni) €: ('.>Ll /731'1 - louJE~ c..ufA. 6 ~ 0><- (-A..A<OE 0 \,( 17?fI, - w~f.:.'fC. (f ~I<."'" ~ OX (' ....e. An re. 0 )( ..... Tcf.-S P WORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: HE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI lliSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED 0-/f~ 10 aU r 178/0 JQ~ <-J ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. (J 13i1S;- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP EPLUMBING FINAL X MECH FINAL ,.. . COMMENTS(() ~rtt ~~ t (FU ~ .-tvz..oO ~ ~ rJ- o FOOTING o FOUNDATION o FRAMING o INSULATION ;)f FINAL o SITE INSPECTION o EX/GRADfFILLlNG ~ COMPLAINT FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o T: c... 0 . -tAi..R <x>r II ) ~ '2-- J . M4tJ- ~ o WORK SATISFACTORY, PROCEED " CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspectoc ~/. QwneriContc CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI INSNOTl ~'l. ~1f) CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS I? 3/tJ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING @D WATER HOOKUP o INSULATION 0 SEWER HOOKUP o FINAL li PLUMBING FINAL o SITE INSPECTION b MECH FINAL COMMENTS:(O ~ DATE TIME J/~ttrJ ~I -r~l(S" o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~~ ~ . ~~... ~~ ~ 4JU-~ I~ t~ ~' ~ ""(~,IJ, VS~ - o WORK SATISFACTORY, PROCEED )l1 CORRECT ACTION AND PROCEED :.::ECT ~~ FOR REINS:::::FORE COVEffiNG CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1Z,'lf,-tJ I /73/0 ADDRESS /13/4- 06ti,efiGL-O OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI )t~WATERHOOKUP it" SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: OK 01 - 1'3..fG" 01- 12.4.-7 , r - . I o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o , ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~=OR REINSPECTlON BEFORE COVERING Inspector: ~.; , Owner/Contr: CALL 447-9850 FOR' 'HE NEXT INSPECTION 24 HOURS IN ADVANCE. \ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl .- ~ ',--- APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor Name of Tester Date Job Address Heating Contractor Name of Tester Date Percent 02 Percent CO Percent CO2 Stack Temp HMV'r KtEr~ ,~ ~ z.z(tJ1.. , ~'br. 1Itf,-.-,. _~ 4-~ ~h.o/Q.1. '7. 3 7'0\ at:3P- " 1':77d #de";C Combustion air is adequately supplied per UMC Sec. 606 ,.eS input ~ (/()Q a. 'Tv .