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Home My WebLink AboutBldg Permit 05-1052 ~r9 f)',% I 't LEGAL DESCRIPTION (office use only) LOT 1 BLOCK A ADDITION (Please troe or orint and sicn at bottom) ADDRESS 11@f OWNER (Name) (Address) CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Main File Date Rec' d I White File 2. Pink City 3 Yellow Applicant I PERMIT NO. 05. 105 2- I ZONING (office use) ~Z- ~& I~~ BUILDER c---..n~ "to\. (CompanYName)~~ ~'_ . -Jl.A)f ~ (Contact Name) tlWLL ~. (Address) ~n ~.ttfntJL~ (1 ~ !f:>o , TYPE OF WORK ~ew Construction ODeck o Porch ORe-Roofing ORe-Siding /LI"Addition DAlteration DUtility Connection 0 Misc. CODE~' . LR.C. OLB.C. Type of onstruction: I II III IV V A B Occup cy Group: A B E F HIM R S U Division: I 2 3 4 5 PIDZS. ""U. O/D.O (Phone) (Phone0$,4~-"18tb (Phone~~- A. 'd.Lr l.f]:!::,~ {~,Mn 65CXJ4" . . DLower Level Finish o Fireplace PROJECT COST IV ALUE (excluding land) $ ICJt/d\ I hereby certifY that I have filmished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the abov mentIOned property and that all constmction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offici n re e tlUs per~fl tr^~bY agree that the city offic~n 7 property to perform neede~nspccti:fs SigU~re Contractor's License No. ~ate I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee I/&.. (JOO, Ot) 5; ~Zb~.SO $ 'ff;}.~ $ G,~. 00 $ $ $ $ $ , eO. D D lad,.Oo 35".. '>0 ~ 0... 00 . This Application Becomes Your Building Permit When Approved ~~ Building Otlicial -LP/s:/tJ5 Date I Park Support Fee I SAC I Water Meter ~ie5/8J; 1"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE # # $ $ $ $ $ IS()o.t)o $/OOO.OG $ 1':::00, 0 e $ # # I~~o ~ (JlJ z..~O. 00 5'"0. () 0 .-: $ fl. I Bl!J. / P/ , ReJ/PtNo. ?1JJ7 d r I Paid I Date . .I i'1,{ r if I:- /1I.x".,r 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 when . ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be '" ~~ 1"J1~.> ~ aU ~~~M~' 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Residential Building Permit Checklist New Construction for Single or Two.family Dwellings in R-1 or R~2 Districts' . ,.. Reviewed by: ~ ~ Date: '/O/S-/o5" Building Permit # PID: Zoning: Address: /75a ') c 3"" 0 ')" 07 fj~ ~ S.E) Legal: L I . B~ Subdivision: fj~ I';>-~ Existing Structure? YES @) Existing Nonconforming Structure? YES I~ CONFORMS TO ZONING ORDINANCE YES Yard Setbacks: NAI FAILs(CoMPcl~ . Front Yard (can be 20' if avg. w/in 150') . Side Yards Standard 25' 10'/ 25' if abutting a street . Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in length I. Rear Yard . Patio Door: provide for minimum 10' deck or sign statement indicating no deck will be built in the future . From 100 year flood elevation of wetland/NURP pond . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 30' 75' or setback average of adjacent structures, but no less than 50' , Floor Area Ratio: NA I FAILS~OM~ .30 Maximum 1 Yard Encroachments: NA I FAI~t()MPLlEP Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). AlC and other equipment cannot encroach on interior side yards. Standard .- Tree Preservation:(flfA) FAILS I COMPLIES . Total caliper inches . Permit 25% Removal . Caliper Inches Removed I. Caliper Inches Preserved I. Replacement Standard :h:l L\TE?vIPLA TE\BLDGLlST.DOC NO Proposed ZG:,.2.5' 25.CI' , ~ ZS ~ /.tGP,... t1k.. ' t-JA.. tJA NA I. f~a.. PuO Proposed t--JorJb ~6,J C Proposed .. -' - Driveway: NA I FAILS (COMPLIES>' · Maximum width at property line · Required setback I. Maximum slope · All parking areas to be paved including R-V or spaces adjacent to the garage I. location to match subdivision grading plan J Building Height: ~MP~~I FAILS I Shoreland District: ~~ FAILS I COMPLIES Minimum lot area (square feet) Minimum lot width I Shoreland alterations I Impervious surface i Bluff in Shoreland~~'FAILS I COMPLIES . Setback from top-'of bluff · Bruff impact zone · Engineering certification submitted/approved · Gradinq in bluff or bluff impact zone I Floodplain:~A)FAILS I COMPLIES . 100 year flood elevation · lowest floor elevation · Proposed lowest floor elevation · Elevations 15 feet from structure · Road access must be no more than 2 feet below Regulatory Flood Protection Elevation Accessory Structure(c1'JAlI)FAILS I COMPLIES . Size I. Not located in front yard (Materials) I. Side yard and rear yard setbacks I. Maximum height I. Materials compatible with principle structure L:\TENIPLA TE\BLDGLIST.DOC :r~!','!'~':~;':.~::B"",~~~~_' ~~' JtlL:Jf~l!llli.~~ ._." Standard 24' 5' from side lot line or 30' from r-o-w on comer lots 10% 35' Maximum Standard 7,500 Rip, 7,999 Non-rip 50' Rip, 57.3' Non-rip 30% Maximum Standard By planning dept. 20' From Top of Bluff By City Engineer No importing/exportinq Standard 908.9' Prior lake 914.4' Spring lake 909.9' Prior lake / 915.4' Spring lake Must be l' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90-11/22/97 then additional foot is not required. Must be flood elevation or higher 907.9' for Prior lake 913.4' for Spring lake Standard 832 sq.ft. or 25% rear yard 10' 15' ...:L",.;~:,::,:~~ .~. Proposed LI @. lS' ~S I ..,. '3. 'I. S, S". t i !S'''ta ~ a"'- 2. G. t ak.. Proposed Proposed Proposed Proposed ~L1.[lJ~~ .111 d)II,l~ LL,;I~IJ I ..;~_.L ~ r--A.-." .- --. ~ Main F~ile Whit!.........:: liJulldlng '-Canary - I:nglneerfrtu> Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. /2. flcl~ TON The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /750! ..LJEE~/~LU OIL ~S Accepted )( Accepted With Corrections Denied Reviewed By: ~ . Date: -!c>" (9-0..) Comments: See Reverse Side for Additional I nformatlon I IIlGtI~ F,'I<.. See Attachments: 1) Grading ~ian~. 2).E~qsioh Control Measures 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." Main File White - Building Canary - En9!.n~g (fLnk - Plann n BUILDING PERMIT APPLICATION D~RTMENT 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: / ,,-- (' / t ;c:....L. I C I I J 1.) l L /-- __" ,~...... J..............,. ~ '~ Accepted ~ Accepted With Corrections Denied Reviewed By: ~ :#L-< {J 1-.J Date: /a/'S"~ 5 Comments: 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." Main File ~hite . Bul~ ~ry =1::.nglneel1r.g Pink . Planning BUILDING PERMIT APPLICATION ~RT'4ENT CHECKLIST NAME OF APPLICANT D. 12... flOfLTOAI APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /750/ .fJee,e.Fleu) Dft..... S6 Accepted Accepted With Corrections V" Denied Reviewed By: Comments: ~ afl.R ~ ~ ,. ;k.lP~ Date: IO/S~s- t DZ6:t:J..e ~ ~~ , ~~ ()-u;. ~~. t:1 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." 10/06/2005 THO 14:52 FAX 952 767 1900 GENZ-RYAN [l! 0021009 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please type orprmt andsi~ atbottom) - ADDRESS nil.') .f); 0 1050 l 'wY-ntJ d - V. ~: ~:w ~\~ I PERMIT NO. ~ IAIIr*'1!l J. Gold Applieanl ..., ., ".., ~ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT j.,.. BLOCK SJ- ADDITION DfQ (flc:td (~;2'~ OWNER 1~':J .-\...\.-r-- (Name) _) k \ TJ ( I U )') (Address) (9f)~ O{, \~rJ'I\f)v\ck)C ()t.. Sic ICD (Address) J Pill (phone) Q5d,- QX5" 'I((U) //(UCLVi'{it,. 55(JLJL/ (City) (Zip Code) , APPLICANT (l. n J . (Name) 0/(11l2- \U1 a/I) (Address) lWO W. I f11AfU (~ . (Address)" I (Contact Person) L- e CU, . . ':'LICANT SIGNATU~ .,fg;fH ~ ,~...flit.liL/'; APPLICANT PLEASE COMPLETE BELOW (Phone) t1F)2,.. 71Pt- (000 P1JA ~!I \ Vi f I-G- ~~ rX337 (CitY) (Zip Code) . n 4 ::J--Tf ;:I"'lnw, (Phone) vI. -- "-P I V DATE 10 ,to-Cf7 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. J!'EE SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'} & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Penn it # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 PAID WITH BUJLDING PERMIT (Office Use Only) I This Application Becomes Your Building Permit When Approved .r' \Riid@ Ic;.~ \ \ \\~J \ e\!,lReceiPt No. r fLS l~ \ cJ . '. l_ r :', 1\",Da~CT n 0 2005 I~y Building Orocial Date U &I L L' 24 hour notice for all inspections (952.) 447< 1>850, fax (952) 447-4145 ..., '"" :.J 10/06/2005 THU 14:52 FAX 952 767 1900 GENZ-RYAN I(] 003/009 Date Ree'd CITY OF PRIOR LAKE PLUMBING PERMIT t~~ ~~ PERMIT NO. Ir. IA~" 3. V.llow Applicanl .., . I "filii ... (Please type or print and si~ at bottom) ADDRESS /0501 Dfertl'v\c\ Dr, ZONIN"G (office use) LEGAL DESCRIPTION (office use only) LOT I BLOCK :J. ADDITION Deer 2ftI'd , '")1-h 1.7\- PID ~=R D I~ +-uVlO(j (Address) ().O~LoD kCv,bt'1C[t/rC (0+ ~~-e.l()r) - \ J - . . ~~~ ~tI1'l- - IUJav1 (Address) 1-'2.00 \N. I-h/\J fA "-.3 (Address) ) (Contact Person) 1--tOJi\ APPLICANT SIGNATURI( Jid1Ajr:!.! J1j jJJj '-- APPLICANT PLEASE COMPLETE BELOW I Type of Fixture Quantity I Bath Tub with or without shower I Dishwasher I Floor Drain I Lavatory (Bathroom Sink) I I Laundry Tray (1 or 2 compartment sink I I Shower Stall I Sinks I Bar Sink j Water Closet (Toilet) (Phone) C1t=):~ -- q vt=)- 7 f{ y> LoJ<'cvi II G 5504 Y (Phone) QCJ'2- f(P1 - l aDQ BUt2.~~c,v t ( I~ M tV ~3'37 (City) (Zip Code) (phone) 0f5~-7(ol- tcYl) DATE JJ I (iJl()") Quantity I I I Type of Fixture f}... Rough- ins Water Heater I Water Softner I Stand Pipe (Washing Machine) I Sewage Ejector I Backflow Assembly I Backflow Assembly Test I Lawn Sprinkler I Other ;:L FEES\,".tI.JI.,DULE 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 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTALPERMaTFEE $ PAID WlTH -iuILDING PERMIT (Office Use Only) I This Application Becomes Your Building Permit When Approved ..~ lU:l~ [~ [I , ,,<Date i OCT 2 0 2005 , I, _I L 24 hour notice for all inspections (952) 441 -9850, fax (952) 447-4245 By Building Official Date I "j,ReceiPt No. I c' -' :hBY ~:~S;~9 ':'D;'ie'~ec'd'. ,:<:',:~:; :.... " ....-::,....:....,'.....:. ,.' . -,,;. . . '':' .' . . : >".: :\;}i~'.' .File I'PERMIT'NO~':"IA . D~~~~l~.:;fi:~~:~....',X;':\~..;~~~~~~" '.... .::: ',' "'::''':..:. . (Office Qse Only). . Thls.Application Be.cqiiits'Y:~ur. BUilding Permit When Approved' Paid ',.:':::-. " " .' HEA'fING PERMIT FEE STATE StJRCHARGE TOTAL PERMIT FEE ',. Bui.ldiDg~~it..# ' .,' "','. '.;'\.Q^,~'D"Y'~H.::' .". '. .$, . .' .50 ." 'NG.PERMI.T. $'. . . ~ 1 ~ 2006 Receipt N~. ) By/... !.O' . .\'..... Building Official, Date .... : . '2'4 hour notice for all inspections (952) 447~9~~ fax (952) 447-4245 . . ': . ~.~ .. '. . CITY OF PRIOR LAKE HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 1. Pink 2. Green 3. Yellow ~:~. I PERMIT NO. r.. J-It-r-, Applicant ~. fV~~ (Please type or 1Jrint and sicn at bottom) ADDRESS 17501 DEERFIELD DRIVE ZONING (office use) LEGAL DESCRu- J.J.ON (office use only) LOT BLOCK ADDITION PID OWNER (Name DR HORTON (Phone) (Address) APPLICANT (Name)HEAR'!'tl A~n HOME TECmroLOGIES DBA FIRESIDE HEARTH & HOME (Phone) 2561 651-633- (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE BREf\JI)A HUSTON DATE 5/4/06 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants o Gravity o Mechanical OAir Conditioning OVent. SysteIit INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL REA TN GLO SL-750TR FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family Residential, Heating & NC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 f; IV ~l\ Receipt No DatS' ." f {}-- _I- By Paid (Office Use Only) This Application Becomes Your Building Permit When Approved Buildine: Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE DEPARTMENT OF BUILDIt(G 'AND INSPECTION INSPECTION RECORD . . SITE ADDRESS "SOI bef11ll~&.O J>rLi"~ S.C' NATURE OF WOR~ ~~oA (NO c...L.) USE OF BUILDING S,t=': A.. _ PERMIT NO. a5./oSz. DATE ISSUED 101 S'IDS- CONTRACTOR n<<.. ...~~, ,,,,c... PHONE.'lQ-2Z4t-473Z, NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT Main File INSPECTO, DATE I FOOTING, I /1/1- I ///;/O~ I FOUNDATION (Prior to BaCkfill)~~/~ //~~ I N~ ~/Lf""/~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S.IGNED ROUGH - INS . f?&/I-. /1//6pa;- ~Uk- / /~J~{ ~ i/Z:S/.D~ ~ ///9/b~ ~ /(l.1/'o G r/f/i- , ///~?/O;G .~ //~~ GAS LINE AIR TEST ~,), {- A I/, ~ / Ie J /e?6 COYER NO WORK UNTIL AB9VE HAS !3E~N SIGNED 1tA.,..tlL/ HoMS" IMu.o III./t/V ~. //4 I /JJ'lo~1 FINALS GRA~DING (~rior to SoJlJlin,g) / I N 15 ~.;;.J.()6 BUILriJN~#Gt' ,t)N-/4 1 /,-,kJtltsj' /IJ, ~ ELECTRICAl! . ~ PLUMBING H HEATING )114- DO NOT OCCUPY UNTIL ABOVE HAS NOTICE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING tJj- $. ~ /1"IH6 I HEATING (if required)~~ 1/tI1/5JJh FIREPLACE .. ~~6 ~ft' //.J.r'V6 67t/cl, .- 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 shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 ~ttfifitaft of <'0ttupant\1 CITY OF PRIOR LAKE ~tpatfmeuf nf ~uilbiug Jluspetfinu ptFinal Permitted D Conditional C.O. Expires_ This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification . S I /II G L e ;:"1'1 I? / '- Y Bldg. Permit No. 0.5. /05 Z- Occupancy Type _ /<. 3 Type Construction V 1\/ Zoning District R "2..- Legal Description _ '-I, e z . U E.. EJif /6-'-.0 /2.. m Owner of Building Contractor's Name & Address .D /2 . ~h Date: h' h h6ding Official / / Site Address 17!:;O/ Dt..E/~/€'-O LJI<L. 2C8t'cO 1<<;;/VClI4UC-,E C!..7. L h4~V(U€:, City Planner Date: ADDRESS 17~-o/ .... i-r:. r-./I. nME SCHEDULED ,;!J2i[/dG, tJe-erM./J zJr CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. s-- -/15::2- [] FOOTING [] FOUNDATION [] FRAMING [] INSULATION [] FINAL [] SITE INSPECTION [] PLUMBING RI [] MECH RI [] WATER HOOKUP ~ ~ HOOKUP ~.~~~B!NG FINAL [] MECH FINAL [] EXIGRADlFILLlNG [] COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASLINE AIR TST [] COMMENTS: /./1/ ) · r?Vft-1A./ j" q -/. _A /-/-. ~./?a~~e~ rc7 /( - ",/: / ~n7/ , ~~ /' / ?-~ ./ r) rl.--~, / - ./ ~ VkL ~TISFACTORY, PROCEED , [] CORRECT ACTION AND PROCEED [] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~er/contr: , CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! UtSlfCm " /0-yJAcc- r-~/ ~,t __ . ~/ ~ ~ J" ~?J,,-LJ ~c;"r ~ r- otc /, ti~y4e Rh-, ~ Y A' ,- r 7Ny"'- 1t;" p~ .ffI)/:'P" ~'2Y/~,' , ~~ -~y g4,/~ a-,,~ #J:Jnr~(,! . ~ I t?JAi;~~ rR../iAfr,. ,1,/,,';1/ ov-/-h?J;f- ~fl ~~, C?Z /./n~/ ?~AC , - ~ r CITY OF PRIOR LAKE INSPECnON NOTICE ADDRESS /7SO/ OWNER PHONE NO. [] FOOTING [] FOUNDATION [] FRAMING [] INSULATION ~NAL [] SITE INSPECTION COM...NI~TS1 / ~~7>--,~/ SCHEDULED ~~~ tL~~d ~ TIME CONTR. PERMIT NO. s- - /or ...z- [] PLUMBING RI [] MECH RI [] WATER HOOKUP [] SEWER HOOKUP [] PLUMBING FINAL ~CH FINAL [] EXlGRADIFILUNG [] COMPLAINT [] FIREPLACE RI ~EPLACE FINAL [] GASLlNE AIR TST [] ~ /74/ Jft /;~ --- "'" c:::>/~ [] WORK SATISFACTORY, PROCEED ~RECT ACTION AND PROCEED [] CORRECT WO~';.~~FOR REINSPECTION BEFORE COVERING Inspector: ~, Owner/Contr: //' ~, CAI}.441-9850 FOR, TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! UtSNOTI DATE TIME CITY OF PRIOR LAKE ./ A /. INSPECTION NOTICE SCHEDULED 9' ~~ ADDRESS /7S6/ ~erkld dr I OWNER CONTR. PHONE NO. PERMIT NO. 0'- AJS'-2- o FOOTING o FOUNDATION o FRAMING o jNSULATION ~FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADlFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: .J' /, /' //.h~ / _/ ~/C ~ ~ /' // ~: ~ ( ~/oSe- /7 /p / ~RKS~QRVP~ 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 cl SAFETY/ _11 CITY OF PRIOR LAKE INSPECTION NOTICE DATE nME SCHEDULED s'~~ ADDRESS J 7 57>1 D~~(;~Y 01'. CONTR. D.I.. "r~ PERMIT NO. b.5....../~(Z OWNER PHONE 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 ~ILLlNG tJ COllP'LA,NT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: 6'~~ - r.9 {e, L,/16 ~~ t!;fL ~RK 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 &I SAFETY! /NSNOn ~ APPLIANCE PERFORMANCE TEST Attach to gas line adjacent to regulator Heating Contractor Name of Tester Date AII,~ \ "f.~H- (!)~,J) ?/rv((); Job Address Heating Contractor -A.Jwa...rr I~ Name of Tester t' ~J ~4'~n~ !fff'" .-::!J2i () ,~ Date Percent 02 Percent CO Percent C02 Stack Temp Combustion air is adequa, supplied per UMC Sec. 606 \ f- " input ~ iJ I "fl'D ,T[t> L