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Home My WebLink AboutBldg Permit 00-1034 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS /7;l..y'dR ~C'~~z.c ~/J;'G'" ~- 3. LEGAL DESCRIPTION LOT / BLOCK ~.,",?>Q'~ (Name) (Address) / .;l~ ADDITION 4. OWNER 5. ARCHITECT (Name) (Address) 1. DATE //-.,,:? - c>o 1<./ PlDzE-37L- 001-0 6. BUILDER (Name) (Address) t<J.~. ~..tf~ ~ ",.y.ff- ~~~ ~,??/V" ~~ 7. TYPE OF WORK New constructiOn}(' Chimney CJ Misc. 8. PROPERTY AREA OR ACRES Sq.Ft Fireplace CJ Alterations CJ Septic CJ Addition CJ Deck CJ Finish Attic CJ 9. PROPERTY DIMENSIONS Width Depth (Tel. No.) (Tel. No.) (Tel. No.) ~_ c::In- ~t!:' ~ ~~/-~..;;;,e. - :::>.Y.:Y,,=, Re-roofing CJ Porch CJ Re-siding CJ Finish Basement CJ 1 O. CULVERT SIZE Yes No M~,^ F.4.., 1. White 2. Pink 3. Yellow Permit No. BUILDI 11.SIZEOFS (Height) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE /~, ~7r 17. COMPLETiON DATE I hereby certify that I have fumished 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 that the building official ~ rev?ke thit p~it for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ~~ ~~~ /-'l"'..../~ , Signature License No. ~ Daie l SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back BUILDING DEPARTMENT VALUATION Side Side USE OF BUILDING ---.?f;A. OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION -1 OO,.I'":JrY). Od TYPE OF CONSTRUCTION: I II III IV V OccupancyGroup A B E F HIM R S U Division 1 2 3 4 Perm~ Fee ................................... $ ~~ '1.:;2'\ S-r-r Ga.'1\ So 4JO Plan Check Fee ............................. $ State Surcharge............................. $ Penalty ....................................... $ (oo,eo Plumbing Permit Fee ....................... !I' (OC,OO Mechanical Perm~ Fee ..................... $ Sewer & Water Perm~ ...................... $ "35 .90 Gas~'" ~..;..*. &/0.00 This ca mes Your ermlt \I\I1t~ .A2i>ro~. By _ . Date IJ ?...~ Certificate of Occupancy Issued City: ~A~'O " 00 rz.,.1' Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap .... ...................... ......... $ $ Pressure Reducer .......................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ MATERIAL FILED WITH APPLICATION SOIL TESTS CJ ENERGY DATA CJ PILING LOGS CJ PERCOLATION TESTS CJ j PLANS & SPECS CJ SURVEY CJ PLOT PLAN CJ SETS COPIES \ r,sn .~a It I 00 .8Q IZ 5.00 ~.~ ',200,c9q 100. OC) Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $ I,S ~ . ~ Other ......................................... $ Total Due .............................. $ 'l;:3CF/~- Paid ReceiP~ !tS2ll . Datel2-f~-?~ By 0 . 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~umen when s~ (Irf Planner constitutes a temporary Certtl(it~ P9~mpliance and allows. cqnstruction '{commence. Bef~ ~~. a ee.1tlC8te of Oclfen~J lust ~",^~.. ~\>V ~~~ <:fh . ..).\J.C:\ '"'- ~ t"QV" ~ . City Planner Date Special CondItions ij any 24 hour notice for all inspections 447-9850 ~ J72.42 J7Z~ J?z% I~ 17Z4g Oall-FlraO DR. . bO~I03~.. MAIO Sf/EEl Th. C..l.. 0' lh. ....k. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENTCHEc::KIJ~T NAME OF APPLICANT APPLICATION RECEIVED D /2. HoI,z/OrJ /1- /? -00 . ,- The Building, Engineering, and Planning Departments have reviewed the bUilding permit application for construction activity which is proposed at: [)6EEF/EL/..J iJ.i2-5c. _/7242 / ". Accepted Accepted With Corrections Denied Reviewed By: L-LL Date: / / - / 3 -00 Comments: .5EC;- R&v~5C 5t~ RR AJpd/I?I'lI/1L lnm/LJE:V7S '.1 JEClhr/ICHmW73 = f) GRf1DIJ..Y;, PlIW 2)E~1J~II.RF:h 3) e:rz'}~/()I'J ~L fLA1tJ . '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." A ...! 6~-163Lr The Crnlrr of the Lake Country White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D /2. HD/<--/ ON // - 2. - c' 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /7242 l)[/E;k! f / e L./ ~ LJ~' sc Accepted Denied v Accepted With Corrections Reviewed By: ~~~~- Date: It / Z 2-/ &J() Comments: ~eJe~ '5'~ '\ lD \j ~#\'fOM s <!>iZ ~. P.L9..<J +- ~ fJU" FW ~~ -~\~., "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." ~D. 'o3~ Th. C.nl., of lh. Lob Counlry White . Building Canary - Engineering Pink . Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D 12-. Hofi2-/0N 1/- 2-00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: _/7 242 128beFI E3LO DE- 5b Accepted Accepted With Corrections x Denied ~"/ /Y:? _ . f' Reviewed BY(~ .~ ~ p;:t J1 Q.~ .14J~ - Date: / / - I 3 - '2oc:>o "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." J~N. 9.2001 12:38PM GENZ RYAN 6513226147 NO. 225'-P. 17" - n. c..." -! I.. &.II. c.nl., " . Quantity '2-. .\ ! \ ;~ ; \ "2- \ I .-:"--:-.... :".:.~:) '~ " ....":, I ,.-; CITY OF PRIOR LAKE ~ a L ,PLUMBING PERMIT II on ../034:: Applieant: (?R{) 7 -~ ~ . Phon.:JaC>I~ L.fZ.~ -u..Yht, Acld.-: !tt4-1ue=.... I~ ~ -r2J ~ (?""'VYOlJ.lrtr ~ Signature: ~n ~. .w- Legal DlIICrip,tion: Lot, I. Block 1 . Sub ]'y"J(9d D Site Adcl,...: I 'f..:/.-w:-z... ~ p ,~~ 'D"D2 ~E.. BuildinG P,rmit #. PID # NOTE: This permit will not be prOQ.I.ed without complete Imormation, . fiXTURE UNrr& ...,. ., Type of FIXture B8.th Tub with or without shower Dishwasher Flcor Drain . Lavatory (bathroom Ilnle) . Laundry Tray (' or 2 compartmenf sinl9 Shower Stall Sinks Bar Sink Water Closet (toilet) Quantity Type of F'1Xtu1'8 \ Llr I. Rough..ins . Water Heater Water. Softner Stand. Pipe lwaahing machine) $ewage Ejector , Baclcflaw Assembly (RPZ. Double Chick, PVB) BackflollY As.embly Test Lawn Sprinkler Other ., FEE SCHEDULE . . ~ = ,.. Industrial, Commercial & Multi-Family (1'" of job coat, $38.50 minimum) R..iclemilil. New One & Two FamilY" Residentiall, Additions & Alterations State Surcharge , -, $ $ . .. $ S89.50 $39.50 ~ , .50 " . .. G~.AND TOTAL! i $ r' PA\O \N'1\-\RW\\\ \ eu\\.,O\t~G pE. : . f . nil permit is JI'IUltod Upol\ die IDXprcI. condition Chat...ld cofttrlctor, shin' chmply in all rupeats \11Im thea otclinau o( ~ Stale P1umbiq cl c amenchnenta thereat'. : : - .J:::,J, Df DATE AT1'l!sT . Call for all inspee ans 24 hours in advance. 16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230) FAX (612) 447-42~S All Equal OpportUnity Employer . CITYOFPmORlAKE MC J/ 16200 Eagle CreekAv. S.E. Permil No. 00- /03, Prlor lake, MN 55:172 HEATING APPLICATION I PERMIT Da\g 3j~o/ (JI >. PI~ II d g-.- 3 j'd.- - o()/--6 sae Addrll~ /701$101 adt;flJ.' . (j lot L B!ode j Addition / \()e!A'...tnlct Owner's Name ~ ~ ~ Addr9ss Healing Contractor AL1.IED FIRHSTDE d ba FIRESIDE CORDER Address Z1 00 If. FAIRVIEW. l'Bl~phone . 651- 63.3 - 2561 FIREPLACE 1 I lMneD Make 3. Model ~~ JJ (;,(~ Model Siz~ 5.L 7 SD ROSEVILLE, MN 55113 Conn. load 'TYPe OF SYSTEM W;nm Air Plants Gravity . Mechanical Air Condillonfng Venl. Systllm HEATItlG OR POWER PLA'NT Steam Hol Waler Radiation Special D9vlcas Fuel 6b Flue 5119 Supply Openings Return Openings lnpul Edr. Outpul ;)..3. O(P Other Oevic9s ctm. lYPE OF WORK )c Aftsmtlons . Rep1acl!ment Nevi Construction Repair . Esl Comp. Date d~q , Esl. Cost $ II en QJ HEATING PERMIT FEE $ Sl'ATESURCHARG.E $ TOTAL PEAMITFEES $ Bunding Permit . .50 PAID WITH BUILDING PERMIT Re<:eip\ " t f1... . File ;:;:: 1. 0-.. . Oty >' 1. Yt:llcnr - c-.:lll ~ TYPE OF ,i:) I HUCTUHI; Single Family Two-Famity fndustrial Commercial fee Schedula Industrial, C" ",ardal & Mullt-Famiy Residential, Heating & AC Residenlia~ Heating Onty R9sid9nlia.~ Gas rTJl!place Residenlia\ Addtlions & Alterations R esidenlia~ AC Only f'V CD Public MulU-Family OthBl . f'V o o ...... ...... ..,. ..,. ..,. 0\ U1 ...... 1% 0' Job cost ($39.SO minlrIMn) 0\ '99.50 ~ $.64.50 $39.50 $39.50 139.50 CD CD CD ..,. Remember to add Ihe Slale Surehargu on the bottom or tNs app1icativn. The price 01 your heating pem1i1 includes Dne rotrgh-ln and 008 flnBIInsp9Cl:lon. Addilional iIlspeclions wiI be billed a' $35.00 each. '"'l H :>:l t>:I [J) H t::I t>:I House Heating Tesl Record must be submiUed with burldinv.1IIIDliI mu:J1bm before bup8 ing ~rlilica'e 01 occupancy wiD be issued. ~ t>:I tlf& .GAlCULATlON& REQ\JItfl;Y, with number 01 supply and ~lum ope'" fisted :>:l room wrlh C FM's per openfng.. New slrucl1m!s OJ additions send HOOT plan with suppl) and return lucafions shown. HEM lOSS CALCUlATIONS, PAYMeNT AND APPLICATIONS MAY Be MAILED 10 THE CITY OF PRIOR lAKE. hiLV" EAGLE CREEK AVE.. S.E. PRIOR lAKE, MN 55372. city Hall busim~ss hours are 8 8.m. - 4:30 p.rn. I ALL WORK MUST BE INSPE...II:.JJ (ROUGH-IN AND FINAL). CALL CRY HALL 447-4230 I hereby apply lOJ a mechanical systems permil and 1 acknowledge lha' the ~ Infarmatio" above Is complete ami accmalB; lhalthe WOlk will be In con'ormanl~ with the ordinances and codes o' the clly and with the slate buildinglm. ~~ ,..nbo codes: Ihat this form does not become II pennit unlll signed by tha BU'lDlfl~ OFFICIAL; Iha1 lhe work will be In accordance with 'he approved plan in th~~ case 01 work which requires review a.nd approval of plans. ~ 'f)l ~ ~ H~... ~rJJ ~. . ficaq... t's Signature Date ~ if--;)-- f ~ng OJricafs Signature Da\e JAN. 9.2001 12:38PM GENZ RYAN 6513226147 NO. 225-P. 16'--- .d~, I',.." I .. .".;;J .~ ... .. . " . I : : I._r' ! -.,.,. . I ftLLeW , .ruu.rr ..... . aT" . . NO. OO-I03m-r . CITY OF PRIOR IA1a: . SEWER. AND WATER PERMIT NOTE: Sewer and Water 'con~r.ctors must be: registered wi'th the city. APPLICANT:' ~ .Y't';& - ~'~ ~t'I~ut'-. PHONE: ~I. 41-'!a-' "'-"LJ ADDRI!SS'~ cC'" "T"CoI. ~~..<<~ ~!rE: . SIGNATURE:~ ~ _ . BLDG. PERMIT t SITE ADDRESS:; l-;'Z-~ ~"~'~P~D* i . :'. - FILL IN THE BLANKS ~ t J I~' -,u 1. Estim&ted:lenqth of water service I ,( . Siz8 of water service, inchee.). I Location of any couplin98 from .~ructure feet. feet. 2. J . 4. S. 6. Type of ..wer pipe. ASS PVC X Estimated lenqth of ..wer l1n, ~' Clean ou~ ,e tt required), located structure. . Cas't Iron , f~et. ~t . . feet - from . 8!1R!!!=___===__.__" '., ,-...___.iI::a_........_====__.::,___,......-___,_,__-_- ___..~ -===- ==___-===...,..._I!lII!__ your pend t when approved. ~ . I q' 0". O.,.[,n,- . . _ ". PA.\ ,""eo', D~TE:./ ;..,t lr.; \"' I : aUI\-~' =--==-----=-====---==-_.,-,----==-""""=----.."._-- FEES: $ $ $ 35.00 1 . 5a ~5.50 Sewer and water 11ne connec.tion permit.. ,. Surcharge TOTAL . . . t " * Fee for .ither sewer or water inaividualiy i~) $20.00 plus $. .50 :su~eharge. . . . * S4!wer 'and i watcar permit.s issued for new' construcfion must. be recorded'9n the buildin! permit.card at the t1~ of 1ss~ance to insurelth~t no aupl cat. s~wer a~~ water permits: ~re issued. ~ \Nft\-\ ~ DATE ~AID I AMOONT~ PAID '\ p",O Go ~~t\N\\ , e\)\~' RECEIPT t REC'D" BY" ~ . 4629 Dako~ Sl 5.f., Prier Lake, Minnuota 55372' I Ph. (612) 447-4230 I Fax (612) 447-4245 AN EQ~L OPPOlmlNm' ~ CITY OF PRIOR LAKE Me 16200 Eagle CreekAv. $.E. Permit No. DD - (034- Prior Lake, MN 55372 1. I'iak 2.. Oren :\, ycU.... File Oty o..1DaOr TYPI: OF STRUCnJRE ~ of , HEAnNG APPUCATION I PERMIT 2-'7]J D I PIO' Site Address' 112J+ 1.. 'Dt'l,V -he_ (d -7') r , . I Lot t Block , Addition Owne(s Name,.J) (2.. rill r+t: Fl Address '3tf:A' \JJCt<:)WWdOl'LDV '$2.04 Eatit1l1 Heating Contractor A L LlCvd U AAtcJrltl n Ie Cc ( .J Address 2L;SD . ktnntbeG })jr :J:i;. L fi11w1 fv'!N G&JiZ'Z- Telephone' lf6 i 402 - L -ns J Furnace Make & Model br,~' '$+- TYPE OF SY~u~ · . Warm Air Plants Model Size 3R 'JK-It Vb 7... 07 D Gravity . Addition. in.........1ions will be biUed at $35.00 each. Conn. Load --1-1 ~ Ll-OJ - ~.chani~I.~. <"lI.J..... House Healing Test Record must be submitted with buikIiog Rmmil number before build- I r I I Air ConditlDnlr1g () . l., -,l> a- in9 certilicate of occupancy will be issued. Fuel fJ~f ~ueSize '1' tIC:6"SB VenLSystem 1-- (~)t.t p"tfh RUts liEAt CALCUl.ATIO~ eEaUIRED with number of supply and return openings fisted per S~ Operings g HEAlWG OR !'OWER PLANT """" _ CAoI's "'" _9- _ _ or __ ..... ftoo, plan _ -,. 4' Steam and relUrn locations shown. HEAT lOSS CALCULATIONS, PAVMENT AND Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE. 16200 EAGLE Radiation CREEK AVE. S.E. PFUOR LAKE. MN 55372. . Special Devices Single Family Two.family . Industrial Date Commercial Fee Schedule Industrial. Cornmerca &; Multi-rc:....Bf Residential. Heamg & AC , Residential, '-!aati- Only I ~ f r,.- . --'l;j (vlJv :'T) 122Residentiar, Gas Fnplace A,_~~...;al, ArSditions & Alterations Ae....~J. ,Jial. AC Only ~ ,. , Multi-Family ~. II Q Public _ Other .. c l' .. .. to c: 1%'of job cost ($39.50 mininun) $99.50 PLEASE NOTE: ~ $64.50 Air Conditioner Units Canm: $39.50 Encroac111nto Required Side 5 $39.5C Yard Setbacks. ~ $39.5C : 01: c: Rememberto add the State Surcharge on lhe bottom 01 this application. The prir:e of your heating permit includes one rough-in and one final inspection. All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CAll CITY HALL 447-H50 I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state bulding/mechanicaI codes; that this form does not become a permit until signed by the BUILDING OFACIAL; that the work will be in accordance with the approved plan in the case of an work which requires review and approval of plans. .; Return O,o.nings Input 1V: bDO OUtpUl 5u,OOe Edr. CIly Hall busin~ hours are 8 a.m.. 4:30 p.m. atm. () !~;r, Dl.--I.../ Other Devices TYPE OF WORK Alteralions Repair . Replacement Est. Comp. Date . Buicfing Permit , 00 - /034- New Construction v Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 . f' \Nrt~ .-- \ p~\O per"II.\ \ ~, '\\..D,,"G Rece~1 # P'" G~r\ -Ufn1rl!-rmdYJ UrlIltdJ . uV UAPPJ7.J;ll:: Building 'fiC';;.S Signature c- .. .. .. C ':l "t ~ .. c ~ t- ~ ~ r.r 2- /2CJ / lJ/ Date 2~Z~-OI Date ~ <: <: 1-0 P.L. FA;L 447- 424g PRIORLAKE INSPECTION RECORD Dee,~\d Dt-. DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS l!J a 4 ':t NATURE OF WORK ~ USE OF BUILDING 8FD PERMIT NO. QO - /034- . DATE ISSUED J I - '1- Zooo CONTRACTOR D. R. \..tn~ _ c..SI - 26G,-71 'j~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ( INSPECTOR I FOOTING I I!J1:r II/Z/~I J FOUNDATION (Prior to BaCkfill)f~~ I ~ //'-1 /~ ( I '~, / /1 to ill I PLACE NO CONCRETE UNTIL AB'OVE HAS BEEN SrGNE"D ROUGH - INS DATE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBINGu,., U.G.. ~ 3/l.of() { I L.L-. · ~~. ~l.'3!~9!tJl HEATING (if required) /? ~ , " V4 I FIREPLACE" . U. :.//.:Ya t#/ I GAS LINE AIR TEST ~PJ~~I~ if:r ' 4;;~/b, f=j,f ~t LfI'S"/o I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I~~~ 6:r t1M'/~1 A. co/$J1 f?;p 3{~cg'IDJ 1.1 FINALS NI\ / th-~ .~ 413/tJ} ~/f; I 01 GRADING (Prior to Sodding) BUILDINQf:c..D, .f-J.r t\ \ !ooz, '1m- ?I'6!~ / ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE 6.~?Jo(P I /l t3t--fh . , . l s(;~/()/ 5/lflAI 5/~o {Ol , 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 shaill')e p18ced near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 ~,~~,~~)!.~.....--.,,~~~--:- - - ' ;r~'.ov:r'.':'i-'.'.'~~..~..~'.~.'i:~~;'.' ~b(" (t~~ .. - ' . I~ , ~~~ QLtrtifirate lit (Jrmpanry ,~:._( :~~ CIIY OF PKlOR LAKE ~_' (>>~ T~ <~~ .:\:~ I. I"~ \l ...~, ~ i~:~ ~ . I ."~I' : ::rr ..~ !~ ) . '. .:;", '-: ;,,'.~' .~~ , .... t 1Bepartment of Jiuilbing Inspection 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 ordinances. of the City of Prior lAke regulating building construction or use. For the following: Use Classificatiol' SINGLE FAMILY Bldg. Pennit No 00-1034 Rl Occupancy Type R3 N/A Zoning District Type Construction VN Fire Zone Legal Description 1, 1, DEERFIELD SECOND ADDN. Owner of Building 17242 DEERFIELD DRIVE SOUTHEAST . Site Address Contractor'sNamc&Address D.R. HORTON, 3459 WASHINGTON DR., SUITE 204, EAGAN, 55122 DON RYE Date: ROBERT D. HUTCHINS Building Official ~ S. 2.5. 0& Date: / "? POST IN A CONSPICUOUS PLACE City Planner . ,~ .: ,',. ',..".. .. ." -,' ,:. ........ . .." '"....,. I" .".....',., .il.a..,;. .,' ~ !o:.;,~", i.:. '...'.t. -U.' , ",'" ^ .--:., . :", ,,~::':',.."" ,,,,, ": -,'., ",' ~'.- '>>.,,- ....,. ,-,- ,..i.... ....:r.:i..:...- _'_'''.w ....<<1:. -," r lilt, II ~I <.~. " i.~....", . ',".. "...' ~,~;">""~:.<,,,,. ...';,. .' . >-Hi..' 'II: ", ~. lito " ... DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED S"7S~ ADDRESS JJ~l/:1 Jk~r.(]'~1i Dr" OWNER CONTR. D.I<. ~ PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING ~~SULATION INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~~ILLlNG DC~T o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: D"~~r ~ X 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! INIlNOTl DATE TIME SCHEDULED ~-d.7'-oJ I, ~'- ~O ~ U 0- /03L/ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS / 'lq!f~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION~. o FRAMING l" o INSUL..UIQ,N .Ji:::1=INAL /< e I-Ep '0 SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTSm ~ ~l ~ ;k ..71 lh-. ~ ~ S<:&~..e. ~ ~ ~ "_""'0'" .CL -.. __ Sf \ /0<'- ~ II _,~ , --. ,.>.- ,.~ o WORK SATISFACTORY, PROCEED ? CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner!Contr: ~, I CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ADDRESS I ~a t{J. DATE TIME SCHEDULED ~...;<) -0/ 1~;otJ c~2~ PERMIT NO. () - It) 3l/ CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI DJNSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL .-r1'"FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST o SITE INSPECTION ~ECH FINAL 0 ~ COMMENTS4} ~ ~ ~~ h ~~ ~ II / cJ--rJ ~ ~ r<..vrO~. ~ ~ ~ ~') ~~. -:-:..r ~ tl~~..JE ~~ ~t[f'~ ~~- r-fa ~~, ~ ~ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ? 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! INSNOTl SCHEDULED (5-j~tJll;~ !/];J '-J;}.-L/lI 1fJ~~ CONTR. PERMIT NO. O/}-/O 3l/ (03 S- CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP "'LUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o CQ..MMENTS:~ {!lit) -~ - ~ '---(@) &,::tL ~ ~-~ (!Jp,,+I?~ ~ ~..~~, ~ ~~~ C~) o WORK SATISFACTORY, PROCEED }iQCORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~, I CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl r "-" APPLIANCE PERFORMANCE TEST Anach to gas line adjacent to regulator Hollling C<<d_~.1 /'_.v~~ Name of Tester ~r Date V -/3 -d/ Job Address / 7.Jy..L /.)-~4 Heating Contractor ~~r" L,., Name of Tester ~~ "" (/-tl:;7 ,tft Date Percent O2 Percent CO Percent CO2 7, I -'70 Stack Temp. Combustion air is adequately supplied per UMC See. 606 Input ~