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Home My WebLink AboutBldg Permits 01-1393 & 02-0078 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d I/-z.r-o! 1. White File I PERMIT NO I 2. Pink City . ^ -/ 3. Yellow Applicant V (Please type or print and si2D. at:' _ ~"__) ADDRESS /1 ;JY Dt~+;aL~. (G LEGAL DESCRt.t' nON (office use only) LOT ~ BLOCK I ADDITION Dewh,J d 4 ~n J-- PID 2S - 372 - 032.-0 OWNER (Name) . (Phone) (Address) BUILDER 1'\./) l _ f\ (Name) U. 1'(.. t'1'1JY-hJYl UJA.A.. A (Contact Name) ~f'.. tn..cX.~(N1 (Address)~e8fto K.~br'\4;t\t. ~ G+t- .\(:)'1) lAXLvl HoC; mYLJ2~o~~ (Phone) (Phone) q5;:}~ '1 g~-180~ GSJ-- 2.ZL,-I?" ~V TYPE OF WORK OtNew Construction o Deck o Porch OAddition ORe-Roofing ORe-Siding ~ OLower Level Finish o Fireplace OAlteration OUtility Connection o Misc. PROJECTCOST/VALUE (exc1udingland) $ q <; ,1f'1 Plumbing Permit Fee I Mechanical Permit Fee Sewer & Water Permit Fee 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 that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may _upoo th'~ fly =;;~n. spections. J "'_ J _ X . af)oo~c;1 !I~I Signature'" Contractor's License No. Date t.I Permit Valuation I 9 p>,crr'J ,ex) Park Support Fee # $ t:f;{J, ()() $ 9'IJQ. 7C;- SAC r' # $ if f &)f) & 06- $ to3~ .Sff- Water Meter Siz~'; 1"; $ ',~~- ,D{3 $ I ,,/~ Pressure Reducer $ · (r::' ~<<=\X f..f I . tJ \:r::u ~ $ I Sewer/Water Connection Fee # $ {.?-O -U, 0l5' $ .I p(J). t) 0 I WaterTowerFee # $ 1100 ~6JO $ If) () _fJ 6 Builder's Deposit $ - l $ ~c:-.SO Other $ ~5'f~O $ l( 0 . C)(;J I TOTAL DUE $ ~ 04(,. 57-- oil. , . R~ce~o.Al1l/ Byr- Permit Fee I Plan Check Fee I State Surcharge Penalty Gas Fireplace Permit Fee es Your Building Permit When Approved Paid Date t, 01.../(, . r' CJ /1,.-, I 'i "IJ / I') -05- 0./ 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 document when si&!!ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issue '*/& l&n ~ ~~ ~ \> 0 v - S 'aJ C d" 'f ~ ate peel on Itlons, I any 24 hour notice Cor all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 '. CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White File 2. Pink City 3 . Yellow Applicant (Please type or print and si2D. at: " ~""__) ADDRESS J 73.2t/ lk,--h~ I j by/v~ S, E'~ LEGAL DESCRL.t' llON (o~ce use o~ly), I ~ I ~~"Cld :?",J LOT BLOCK ADDITION OWNER (Name) (Address) (Phone) BUILDER _ (Name) C>. d. Jt,/v... . ..L~~. - M.A./ 111, ~411( We/If", J(Mtbv;d~ v..r+ 5k.lt)O i (Contact Name) . (Address) ;10 '1(,0 TYPE OF WORK o Misc. (Phone) (Phone) L.~k:.v, rJ/~1 /J4/t/ SSt''/t/ o New Construction o Deck o Porch ORe-Roofing Date Rec' d 1-/7-02- PERMIT NO. at, 001~ ZONING (office use) e,1 PIDZS -372. - 032--0 9s;;~9,iS-7J'Jb {J r-.-..." ~ower Level Finish o Fireplace OAddition OAlteration PROJECT COST IV ALUE (excluding land) $ /9. u~L? OUtility Connection ORe-Siding 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 that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ;teru)1~n0~~s. 07tva5ZS7 I-/l-p"z / Signature Contractor's License No. Date 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 ~~. 'olcomes Your Building Permit When Approved .1):7I!J. - I -:2. 2-", ? Buil . g Official Date :7. "r~ . (')t'l $ . 7~.75 $ -- $ 1.'60 $ $ 40.00 $ $ $ Park Support Fee SAC # $ # $ $ $ # $ # $ $ $ $ 11&. Z5 Rec~. er/~3-1J Bv '7 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 signed by the City Planner constitutes a k...yv...ry Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. Planning Director I Water Meter Size 5/8"; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE I Paid I Date /1 ~.z,.s ~j'/" -01- Date Special Conditions, ifany 24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 "', "~~ - White - Building Canary - Engineering Pink - Planning Tht etnl.. of tht Lake Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED iF. k.~ /1-~q.O / , . , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activit which is proposed at: /l/'L. _ 1~324- a ~~ . , Accepted nZ --- Accepted With Corrections Denied Reviewed By: /YIJG Date: /2 -1/-01 Comments: See /i1c,/~ F>/r 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." Th. e.nl., of lh. L.k. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ./R./2 .~ I / -dq.. 0 / , . , The Building, Engineering, and Planning Departments have reviewed the building permit app'icai~r~2'~n act~ which is pr~posed at: ~ . I 4fJ Accepted Accepted With Corrections y Denied ,~/Il Reviewed By: ~Pa Comments: .~/1 I' Date: /~ -C>~ -0/ ~~~ m~ CLc J 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." r White - Building Canary - Engineering Pink - Planning Th. ('.nl.. of Ih. ".k. Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED .1f.1<! /:Jo--tfnJ / I -dtJ .. 0 I , . I' The Building, Engineering, and Planning Departments have reviewed the building permit apPlication. for.construction act~... it which is pro. po.. sed. at: . /?~4- /J(~U ~ Accepted ~ Accepted With Corrections Denied Reviewed By: /~~1~ Date: t2-/ hi t!Jl 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. II 16:16 651 633 BBB4 FIRESIDE CORNER l:lT'X Ulf l"'KlUK 1.JA~ J:UA TING/AIR CONDITIONINGI ~ LKEPLACE PER1\tu.l. #3127 P.003 ~_..- .....-- - I. PI" FIle :z. 0,..,. City 1, V...... o\fl1lU..", ~k_ tvpl! or urmt lUll!. si~baDDml ADDRESS /7.3.J.Y 7:J"+-,J 2k...;..c LEGAL DESCR.J..t' liON (olfi~e 1UC ollly) ZONING (ol!Ql:I QR) R\ LOT BLOCK ADDmON PTD;:15 ---31 ::J=-1)3::J--n OWNER (Name) ~/L~ .. . (Phone) (Address) APPLICANT (Nunc) ALLIED FIRESIDE DBA FIRESIOE CORNER' (Address) _2700 N. FJIR.V!EW AVENUE , (A4d.ress) , BRENDA HUSTON (Contact Person) _. APPLlCAJ."\TT SIG:NA~ ~ . .- (phone) 651-633 - 2 5S.J I d~ ROS~TT.T.J:! .Jm'T (CIty) . (phone) 651-633-2561 DATE J/..J(Io--. 1:\J::'1~ (Zip Code) APPLICANT PLEASE COMPLETE BELOW ~bW CONSmUCTIC?N U Rt;~LACBMENT 0 IlL TERA TrONS F'tJ'kNACE MAKE AND MODEL FUEL FLIJE SIZE MTUllN OPENINGS INPUT OUTPUT TYPE OF Si:.) Letd HEATING OR. POWER. PLANT OWenn Air PIJUI,tlI 0 Steam OGravlty 0 Hoc WatIIr o Meghllllicl1l , 0 Radilllion DAlr Cooditioning 0 Special D.....iecs (JVCt'lc. System 0 Othl't" Dcvi= FIREPLACE MAKE AND MODEL IJu.,. /J r;~ .s:L 7rcTt'- PLEASE NOTE: Air Concfitionllr Uriits Cannot Encroach into Required. Side Yard Setbacks n.l SCHEDULE Industrial. Commercial &. Multl.Family 1 % of job c.o.It Residentiral, au FizqllllCC $351.:10 minimum R=1d.cn.Cial. HliIllt/ng .k Ale (New Con.nucdon) $99.50 Residential, Additl.ons &: Altmdons Rafd.en.tiol. H08linl Only (New Con.crucUOI1) $64.'0 ~csidl:l'lci.l, AC Only 539.50 S39.~O 539.50 Estimated Cost S aundhlg Permit *' HEATING PERMIT FEE $ STATE SURCHARGE S TOTAL I! ......MlT FEE $ .50 r- PAID WITH ,/BUILDING PERlVilT (0fIfc.'l! V.e Onl;Jl This Appliiettfo~ Deco...<<I Your suUdln, Permit Whell Approved Paid . Receipt No. 1IIIfldt".omllla' Daft Date 3 - J..d.--- ()- By fjC- 24 hDdr notice 'or all tn.pedlons (952) ~1-'850, ftI:t (95%) 447.4Z4! Dec.l0.2001 2:03PM GENZ RVAN PLUMBING AND HEATING CIli OF PRIOR LAKE PLUMBING PERl\ul No.7996 P, 18/21 Date Rec:' d DEe I 3 2001 I Blue Pil- I PERMIT NO 1. Gold City .0 (_(,' ';? t'J '2 " ~. y........ ApplOl><< ...::> -, J _ (Please ~ or 'PXim.md :ngn u bottom) ADDRESS . . . - _ \I~ lJ/.t1.BeY () rt)~ SF ZONING (OilicellSC) LEGAL DESCRlrnON (o:ffice use only) LOT~Z,BLOCK f ADOmON 1'1z.e.rB () J)D PID OWNER (N~~ DR Horton Custom Homes SA~e~) 3459 Washingto~ Dr See 204 Eagan~ MN 55122 (phone) 651-454-4663 - APPUCANT (Name)..G.~:,,:,:-'i.;ta.":'. 'D~-,l.:/f""'';'''1J ~. ~-I~a (Phone) ""1-47';\...1111.11. (Address) 14745 So Roberc Trail Rosemount MN 55068 (Address) (City) (Zip Code) ~ :ContactPerson) Mary Olson q J~ \. ~I Ii"J (phone) _ 651-423-1144 !\PPLICANT SIGNATURE ()~^'- . DATE _f 2-/ JD / ()! - AP~I~ANT~ASE COMPLETE BELOW Quantity 1 Type ofF.ixtliie I Quantity I Type ofF......~..re I .. J ' I Bath Tub with or without shower I ... ~ / Rough-ins I I I Dishwasher I t I Water !reaM r- J I Floor Drain I /Water Softner I 2.-. . 1 Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine) I Lauacby Tray (1 or 2 compartment s:i:ok I I Sewage Ejector i I Shower Stall I I :Bac:kf1ow Assembly ; I Sinks I I Ba.ckflow Assembly Test I Bar Sink . I r Lawn Sprinkler 2- I Water Closet (Toilet) I r Other JI.ILJL St::.I:UlJ)'ULE Industrlal, Cc>rnmetctaJ & Muln.famLly 1 % of job cost with a $39.50 minimum Rc:Sldcntta.l, New One & Two-Famdy $99, SO :Residential, AddmoDS & AJtc;rations $39_S0 Estimated Cost S Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT .lfEE $ r PA\O W\'ii:~Mrr -%U\U)\!'!G p ~ \0.-- --- -- I ! Ilia UIe Only) _____- ~is Ap'pJic~~T Bllilding Pemlit WheD Approved VV fJ DEe' 42001 .8lJjJdlng O1!IciaI Dab: Paid Receipt No. Date By 24 hOllr Dotlce for all iD:Ipediolll!l (95Z) 447~9850. fu <"2) 4414245 Dec.10.2001 2:04PM GENZ RVAN PLUMBING AND HEATING No.7996 p. 19/21 Date Rec'd l:11 r.OF'PRIORLAKE SltWER AND WATER PERl\tUl DEG I 3 2001 f.;' r:U-.1 PERMIT NO. 0 1-/313 (}'lease: type Of T>>inl: snd ~ .t b........_) ADORESS \102J.1 'Dar,R"d D Oe. Sf ZONlNG (~a;ceuse) LEGAL DESCRJ.r nON (office use only) LOTaZ-BLOCx I ADDmON 1Y(/Rh}j~n ,- - PID OWNER (Name) ,..Im......P~......~IZI....-"'....~-V. Vagma2 (Address) 3459 Waahing1:on Dr Ste 204 (Ad..:...... J ~hon~ --~5~-45~-~66. Eagan, MN (City) 55122 (Zip Code) - APPliCANT (N~~ Genz-Ryan Plumbin~ & HeaLing (Phone) 651-423-1144 (A~~) 14745 So. ~obert T.r.~il Rosemount. MN 55068 (Address) 1 (City) (Zip Code) (Contact Person) Mary 01s~n I 1/.- . . 'JJ (phone) 651-423-1144 ~UCANT SIGNATITRE 1_ ^ r~lJt ~.-LO ~TE -/ "2:;lJ 1) iLc.1..! . . APl'UC~E COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. 0 ABC 0 PVC 0 CastIron Estimated length of sewer line feet:. Clean out (if required) located at _ feet from structure. Estimated Cost $ FEE SLJ:1.1!,UULE $35...50 Indwtrial, Com'l &; Multi-iiu:oJly 1% of job c:03t Wlth a $39.50 mlIrimuxu $17.50 Water ~onnection only $1750 Building Permit # ~esidcntJ.al sewer and water line connection ewer CQDne~tiOD only SEWER AND WATER PERMlT .r.t:..r. STATE SURCHARGE TOTAL PERlW'I FEE $ $- $ r. PAlO W\TH .S$B\J1LD1NG PERt~~~-, ~-- -- , / Iffit:e Use Only) Thi.s AppJic.atio r llilding- Permit When Approved . DEe , 4 2001 Paid I Receipt No. I By Date - BIIi1dilll Date 24 hollr noticll for aJl inspecUoll. <"2) 441-9850, fax (.952) 441-4245 CITY OF PRIOR LAKE HEATING/AIR CONDl'110~NGIFIREPLACE PERlVul' Date Rec'd (Please type ~!i..!!! and sign at bottom) ADDRESS 11 ~~4 I) e.er +1 tAlc I. Pink File PERMIT NO 2, Green City .0..1- t 3q3 3 , Yellow Applicant ZONING (office use) bY" se: LEGAL DESCRIPTION (office use only) LOT 32BLOCK I ADDITION PID ~=e~RD~. Horfon Guslom Home~ (Address)dl)ijpo .~ridC)p.. QJ'I Lo.kev1l1.e. Mf\) APPLICANT 1\ , I. t M h--- (Name) llllJ at1 ee... ,L.~ . (Address)~{) J<~he(J.~. S:I:e. #/E"aaOY1 . [ (Address) .J (City) (Zip Code) r Z;mmp_r.rn Q.n (Phone) ~-~~- ~n~ .4?~~ DATE '111'0'1..- (/ t1 - ----- APP ICANT PLEASE COMPLETE BELOW ~'NEW CONSTRUCTION o REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL 1>r~4n+ 3S3l(A-Vb7UD'O FUEL tJ~h.u'l.).,] FLUE SIZE 'f"cla.S-D tL RETURN OPENINGS 4 INPUT "10.01>0 OUTPUT 6iD..DOO TYPE OF SYSTEM HEATING OR POWER PLANT (Phone) q5~... q ~ -7c:l7"z, 550~.L.1 (Phone) t.&.-I- .<./ff.~- tIl77S) 55/.22 (Contact Person) OWarm Air Plants OGravity o Mechanical ~ Conditioning ~ ent. System o Steam o Hot Water o Radiation o Special Devices o Other Devices PLEASE NOtE: Air Conditioner Units Cannot Encroach into Required SideYard Setb~cks FIREPLACE MAKEAND MODEL Industrial, Commercial & Multi~Family FEE SL:uEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimulll $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 $39.50 $39.50 Residential, Heating & AIC (New Construction) Residential, HeatingOrily (New Construction) Estimated Cost $ Building Permit # REA TING PERMIT FEE STATE SURCHARGE tOTAL PERMIT FEE $ $ $ ~ PA\OW\TH U'. \LO\NG PEHM\1 .soB I. (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date rJ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE. INSPECTION RECORD l ~~~i\t-4. DEPARTMENT OF BUILDING AND INSPECTION ----> SITE ADDRESS ~~2t..( . Lk-€rr;'eld Dr-. NATURE OF WORK AJPI,) USE OF BUILDING ~FA-' PERMIT NO. DATE ISSUED /2.-os- 0 1 CONTRACTOR . PHONE~' f).~'<Zfo NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE ~ FOOTING I FOUNDATION (Prior to Backfill)0u.~1 f3n... 'I:J'II,~ ~. ~/l{/()~ . . .. I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING U... (b, , Itn I 3fd-al~ r I HEATING (if required) FIREPLACE GASLlNEAIRTEST~~.L.l. F_~ 4. 3/~L . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I ~~ ~. 1"/6/J~ I I V FINALS GRADING (Prior to Sodding) .... f( 1< '-/ - ex & r(} d-- BUILDING-':~./). ";11 /ohr!&wz-- IO:r ?/~/h1- OJ OW\ 11-, (WI 1(- (,"'0" ELECTRICAL PLUMBING HEATING DO NOT k ~ /1- I /30/0<- '1/ ;;3M 'L ~/b:sI/J2J , /J Iq-, h /tltr. ' t/ //'5/07./ #; 3/112- 1!,;3io 2..- ~ · tt.Nb ~&-. 7n/j,-z/ OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE 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,!'lall be-.placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 " .r.'__',o.__. ,'-.." '. '..l,. -~".7~'r:" -:-~'::.~7~.;:'-:.'.7~' '::7:;~~.:;:~';:J~ "I --"". CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED -J-3/....~ =<; '36 .. ADDRESS / '23~Lf D~ OWNER CONTR. PHONE NO. PERMIT NO. /~ 13~ o FOOTING o FOUNDATION@ o FRAMING o INSULATION ~ ..-B""FINAL o SITE INSPECTION COMMENT~ (!i~.JtJ.. , ~ o PLUMBING RI 0 EX/GRAD/FILLING o MECH RI 0 COMPLAINT o WATER HOOKUP (&J 0 FIREPLACE RI o SEWER HOOKUP J j( FIREPLACE FINAL Cl PLUMBING FINAL rd GASLlNE AIR TST ~ECH FINA~? . 0 t1J6 r T. C- {). lJ-O . . 1~/31brz- I ~~~~ ~, ~~ V -0---- o WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORKJALL 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! INSNOT/ ADDRESS 113011 DATE TIME SCHEDULED ((,...{f- ~ d ~CJ() c!)~1JcO J)r CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. PERMIT NO. /-i8Q3 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTI N o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~.e ~ Q~ ~~~ ~-~ o WORK SATISFACTORY, PROCEED ~CORRECT ACTION AND PROCEED o CORRECT W2rO~K' CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ \ Owner/Contr: """ r CALL 447.9850 R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl ./ .," DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE GiJEDULED )..t.f Zr, CJ6e,er:7GW II' .1. ADDRESS /7320 OWNER CONTR. PERMIT NO. (J/-/39/ O/-/.3q4-- PHONE NO. [J FOOTING [J FOUNDATION [J FRAMING [J INSULATION [J FINAL [J SITE INSPECTION [J PLUMBING RI [J MECH RI [J WATER HOOKUP [J SEWER HOOKUP [J PLUMBING FINAL [J MECH FINAL SOp / 7/l.6G [J EXIGRADIFILLING [J COMPLAINT [J FIREPLACE RI [J FIREPLACE FINAL [J GAS LINE AIR TST [J ------ COMMENTS: [J WORK SATISFACTORY, PROCEED [J CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALL 447.~850 F<?~ THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl " "..;/ OA TE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 7-2'-0'1.... ADDRESS / 73z0 ~t:r.{', ,<.It! /)r, OWNER CONTR. PR Ha&>,.., PHONE NO. PERMIT NO. 01- l~" I ~ MJ.J ~r~ [J FOOTING [J FOUNDATION [J FRAMING [J INSULATION c::s:.aNAL [J SITE INSPECTION [J PLUMBING RI [J MECH RI [J WATER HOOKUP [J SEWER HOOKUP [J PLUMBING FINAL [J MECH FINAL .::m::...EXI~ILLING [J COMPLAINT [J FIREPLACE RI [J FIREPLACE FINAL [J GASLINE AIR TST [J ~- -...----..---. ,- COMMENTS: l{]20 ..... ~t:..L (A ,./!..a... ~d'X 0~AJ)~ rz'il ~ , 17.3Z~ - - \ ~ ( " CUI<.. R ~ 0 )( (.,(</+j)t. Q ~ (' ) l,( '- I /732- LJ 1- ~~ c"v< p., ~/ 1~...Ali~ ()\.J... 1732.ft, -- ~CJ)< , , LI ~R ~ ~d 'K .-(')Lf.. (-~ hcE - n\L. '" ~" \ k'()-] ...,,?) S I [J WORK SATISFACTORY, PROCEED ~CORRECT ACTION AND PROCEED [J CORRECT WORK, C~LL 0 REINSPECTION BEFORE COVERING Inspector: A;'~ .' l' Owner/Contr: CALL ~7-985~O~ T E N~XT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! I/'ISNOTI , - ,... AI '--' 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 C02 A/li~~ r!(!' IMJ "'-3t;Z~o~ -Dee< f:e1cl bf' 4t(i(J.~T 1'1t't:.iI ..11.LroJ L.{ .. 'l:l.;.q :J .... 7..!>~ -C!)- 7. 7 'io '331 0 c; Stack Temp Combustion air is adequately supplied per UMC Sec. 606 i(,#IZ, input 4<'&.61fC}