HomeMy WebLinkAboutBldg Permit 01-1394
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERIUICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siRl1 at bv.."~,)
ADDRESS
11~ (), Dee-r-h.et L C-. s e-
LEGAL DESCRIPTION (office use only)
Date Rec' d
I. White File I PERMIT NO I
2. Pink City . (J.. ;;../3 a A ~
3. Yellow Applicant -/~
LOT 33 BLOCK
ADDITION .J~ Ol~
PID25-/6S-009-0
OWNER
(Name)
(Address)
~~~)ER () (2. \-h1Vhrn
(Contact Name) S..,...., lI,. tv-, c.tSOYl
,(AddreSS)g~~~ 1t!~J()()
I
TYPE OF WORK
plNew Construction
OLower Level Finish
o Fireplace
PROJEer COST IV ALUE (excluding land) $ J 05, ft,t:;
o Deck
. o Misc.
IOn. 06
tocJ . cOO
3S- , So
<to . cgE)
nrafIV=-:7_:::
~lding oIiicial Date '
(Phone)
"
(Phone) ~- CjJt;;-1JloE
(Phone) t::tsa -~I,p- 13~q
SS.$O
$ "'~/2-q.. 13
Rec~i o. Aii~/
By /
/
OPorch
OAddition
ORe-Roofing
OAlteration
I
--~
ORe-Siding
OUtility Connection
$ ~SO.c:S
$ 1./ S-o. eX:)
$ ., I 2~ r)
$ 4S ("\0-
$1.20Q..~
$-',00. ex:5
$
$
-
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 Ci~ Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issue~{4L~~ ---1?-/~ I~ ~ . &l~"
Planning Director Date Special Conditions, i any -
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Park Support Fee
I SAC -.,."
I Water Meter Siz~f; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
#
#
#
#
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-m" a.. 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 e ding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enx ter upon ~oPerty to perfi e spections. uk!IlJ /
!1 b 1JD'6lt <.1
I Signa ' e I Contractor's License No. Date
V
I Permit Valuation / 0(0 ~tZt5. 0<5
I Permit Fee $ I 0 ~ J. -s::;-
I Plan Check Fee $ {, "'7. 7B
State Surcharge $ l.5"3. () 0
P~~~ $
Plumbing Permit Fee $
I Mechanic~ Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
TOTAL DUE
I Paid
I Date
~ /~... /5
,~ 9 .-ILI.
The eenl.. of the take Coonrry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1./~. ~J
/1d-c;'OI
I , , .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)r732& JL'j/j/1k/~ I!}/l-.
. - \ !/
~ Accepted With Corrections
Accepted
Denied
~.h-;j4~...~ Date:
r 2-/ ~J 6>1
Reviewed By:
Comments:
"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."
Th. C.ntrr of Ih. !.ok. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/P. ;e. ,1ItninJ
//-d-9-0/
I , , .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1..3 Z& .
X
Jfh.
Accepted
"
Accepted With Corrections
Denied
Reviewed By:
I/Il1 Z")
.5e~ (11~,~ f( Ie.,
Date:
/2-11-0/
,
Comments:
"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."
Th, C,nlfF of lh, !.ok, Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,Jr. Je. ~
/ /-d-9- 0/
I , , .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J73Z& If) . A.
. l
AccepteV
Accepted With Corrections
Denied /"""'\ /J
Reviewed sif(J /p;';L
Comments:
Date: /2-0< =-0/
~ +h J;t a.l~ ~~-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 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."
Dec.lo. 2001 2:04PM
GENZ RVAN PLUMBING AND HEATING
No.7996 p. 21/21
Date ~~'d
LJ.l'i,OF PRIOR LAKE
~~WER AND W A.I LX PERl\iu 1
i =.. ~ PERMIT NO.", (-13q4-!
J. Gold Appti_ U
. (Please tvoe ormmt _s:lp 'at bottom)
ADDRESS
1,3Z-lo Deer.R!:.1 D De Sf.
ZO:NlNG (~U$lI)
LEGAL DESCRlr nON (office: use oJJl:y)
t
LOT~BLOCK I ADDmON
J"pPRh1d.n
-'. ~
PID
i OWNER
(Name) :D~ ggr....~:":'. f".,-:-tQ'IIl 119w'u-
(phone) __~51_~54-~66?
(Ad~~ 3459 Washington Dr Ste 204
V\ddIl::ts)
Eagan, MN
(City)-
55122
(Zip Code)
APPUCANr
(Name) Genz-Ryan Plumbing & Heating
(phone)
651-423~1l44
(Ad~~~ 14745 So Robert TTail
(Addtesa) I~l!
(Contact Pason) Mary Olson.
'~UCANT SIGNATURE 1 A. _ r- ~
. 1-
APPLICAI~" ASE COl\1PLETE BELOW
Size of water service inches.
Location of any couplings from stroctW'e 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.
Rosemount, MN
(City)
55068
(Zip Code)
(phone) _ 651-423-1144
/'2-/ Ll) / r\ I
I
--oATE
(
~ll1dcnti.a.I :sewer and water liue co.tll10ctlon
lewer c~ectioIl only
.l4J!;J!; S(;J:lJ!;]lULE
$35.50 hldwtrial, Com'l & Multi-family 1% of job cost Wlth a $39,50 minimum
$17.50 W'atel'CoJUlectionanly $17.50
E~iII1ated Cost $
Building Petmit #
. wn'\-1
,~\~~~--~~
.....---.-
SEWER .AND WATER PERMIT FEE $
STATE SURCHARGE. $ .
TOTALrJL~FEE S
.50
I
l
)Oiee Use Only)
-
This Application Becomes Your :BufidiDg permit When Approv~
Paid
I RccciptNo.
lay
Date -
Jl1lJlc;1iDg ~d.l
Date
14 hour lIotit.e for all inspections (951) 447~98S0, fax (9S) 447-414!
Dec.lo. 2001 2:04PM
GENZ RVAN PLUMBING AND HEATING
No.7996 p. 20/21
Date Rec'd
(:l.l.t: OF PRIOR LAKE PLUMBING PERl\'lll
...
.,
I. JlIuc TII.
1. Golll ch:y
3, YeI1aw Appljqut
PERMIT NO, () 1-13q4-
,
(l'1ea5e type oX'mint snd s1lD1 at bottom)
r AbDRESS . . . -
l127 k) 1)/J'? 1'~ e...Q,O
ZONING (01&l:\Uc)
('7) tG
~,~
':)~
LEGAL DESCRIPTION (oma 115e only)
LO~LOCK ( ADDmON ~~(l.Q D
PlD
OWNER
~~~ DR Hotton Cus~om Homes
. (phone) 651-454-4663
(Address) 34.59 Washing~o'O: Dr Ste 204 Eagan, MN 55122
. APPLICANT
(NlUD.e)..a-~~-i.p'" "p'-.mgi~g ~ u""<>'P":i_~g
(Address) 14745 So Robert Trail
(.Address)
. (phone) 6" 1-4 ' ':1_ \...W.
Rosemoun't MN
(City)
55068
CZi1;1 Code)
I
(Contact Fason) Mary Olson " L.. ' I (Phone)
APPUCANT SIGNATURE (L ~ DATE -L,2-/ if) 1'1\1
-:u.:r(ICANT ~ASE COMPLETE BELOW
I Type of :FiA~~ Quantity I Type ofFjxtun
J Bath Tub with or without shower .:~ Rough-ins
I Dishwasher t Water Heater"
I Floor Drain . Water Softner
1 Lavatory (Bathroom Sink.) I Stmd Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I Sewage Ejector
I Shower Stall' I" -Backtlow Assembly
Sinks I Backflow As~bly Test
Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other
651-423-1144
Qllao:dty
.1 .
I
/
;2-.
I
#
2-
~'.I!.J!i St.:.w..DULE
Industnal, CommercIal & Multl-famtly 1 % o{Job cost WIth II $39.50 minimum Residential, New One & Two-Family $99..50
:Residential, Additions & AI=ratioDS $39.50
Estimllted Cost $
Building PeJDUt #
PLUMBING PERMIT .t' ~ $
STATE SURCHARGE $
TOTAL PERMIT FEE $
so.
'0 wrTH I
pl\\ nCRMrt
~\~\NG po.
)fticr: U5C Ollly)
This AppliatioJ1 Become:w Your Building Permit Wheu AppJ"oved
Paid
I Receipt No
Date
IBy
BuUding Olficial
Da2.
24 hoUT DotiE:e for alllDsped,lons (952) 447~9850, fn (952.) 4414245
CITY OF PRIOR LAKE
HEATING/Am CONDITIO~NG/~l.KEPLACE PERMIT
Date Rec'd
(Please type or nrint and siRl1 at bottom)
ADDRESS
113Uv I) e.er.+1 ~lc
I. Pink File PERMIT NO
2. Green City '(J/- J 3.q4-
3. Yellow Apjllicant
ZONING (office use)
l::>r-Se..
LEGAL DESCRIPTION (office use only)
LOT 33BLOCK I ADDITION
PID
~~~RD.~. Horfon ()~m HO(Yle~
(Address)~ ~rid~_ QJ., Lo.keviljp_ Mkl
~;;~~ANT A II i 0(\' M e~h. J:tIr! . (Phone) /&)- ~:L- cf?775'
(Address)~() J<~be(l.fr. Sk. #j J,-;aaoY1 55/.22-
. [ (Address) . .J (City) (Zip Code)
(Contact Person) ~f..pr Z;mmp.rrn (tAn (Phone) (P5/-.i../5~- tl77~
APPLICANTSIGNATU ./t?~. DATE lIUIO'2..-
V1.'v -
. APP ICANT PLEASE COMPLETE BELOW
0NEW CONSTRUCTION o ,REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL 1>r~t1n+ 3S3KA-vb?&.U>'O FUEL J\JCl~U.m.]
FLUE SIZE ~'cla.sc;, "B-- RETURN OPENINGS 4 INPUT "'1D.I>I)O OUTPUT 5lD..tJOO
TYPE OF SYSTEM HEATING OR POWER PLANT
_ (phone) C(5:J - q ~ -7;l7.2..
.5 5oA.l L.I
DWarm Air Plants
DGravity
o Mechanical .
~ Conditioning
~ ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air ConditiotlerUnits
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKEAND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Orily (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
'I'OTALPERMrr FEE
$
$
$
r PAID WITH
.50 eUlLDINGPERM\T.
~
(Office lIse Only)
This Application Becomes YOUr Building Permit When Approved
Building Official
Date
P~
. -Da~AN I 5 2002
......
?fl
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16:16 651 633 8884 FIRESIDE CORNER
ell i OF PRlOK ~
,tU,AllliG/AlR CONDII10NING/JaJ.dPLACE PE~J.ll
#3127 P.004
..,...'- .A.~~ ...
MAR 2, 2002
I. I'lnII '111I
1. a.- Chy
3. '(-II'"' I'ppll_t
PERMIT NOO/-/.39L/
,
(P~- tvrlc at l)tiDl: ud aillla.c bOttOm)
ADDRESS
ZONING (omce aa)
1<1
/ 13:U:~
~~ ~:'"
LEGAL DESCR.i.t' uON (affice \118 01l1y)
LOT BLOCK
ADDmON
1'U"-t?<?-",?1,l- 033-0 I
OWNER. ~
(Name) .' ~/l
(Md:ess)
APPUCANT
(Name~ ALLI!D P'I~SIDE DBA FIRESIDE CO~ElR'
~~
,
(Phone)
,...-
(Phone) €51-633~12QJ,
(Address) ~700 N. F~VIElLJlV'ENm:
(Addrr.ss)
. BRENDA HUSTON
(Cont.act P~on) , ..-
APPLICANT SIGNATU/ ~
1
~
'P,QSEVTT..LF. Ml\T
(CI.I:y)
6.51-633 -2 561
~ lq li
(Zip Code)
(Phone)
DATE
~~z..
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTI9N 0 REPLACEMENT 0 AL!ERA TIONS
FURNACE MAKE AND MODEL FUEL
FT..UE SIZE RS'T'URN OPENINGS INPUT OUTPUT
"m'E OP S"J 0) ~.eM HEATING OR POWER PLANT
JWortn Air PhmCS
JG1'I1vity
J Mechaniclll
JAlr Concliuonmg
:JVc:nt. Sysmn
rJ.1A.I JJ ~.._ ~~. ..c
". , -
8 Sleam
Hot Water
o Radilnion
o Spec!a1 Devices
o Oth~ pr:vlees
PLEASE NOTE:
Air Condftioner Units
Cannot E.ncroad1 into
Required. Si.de Yard
Setbacks
FIREPLACE MAJ(E AND MODEL
FEE SCHEDULE
tndustrlaJ. Commt:rC1e1 " Ml1lti.PIII1'Uy 1 % Dr job CIlst Re5tclenriJlJ, o.s P'JrcplllCll
$39.'0 minimum
~eside"dal. HeIl.Iln, & Ale (New Construction) $99.'0 RosldentilSl, AdditlDns 11 Altm'ItlDns
ResidendBJ, Heating Only (New Construedon) $64.50 Resldential, AC Only
$39.50
$39.50
$39.50
Estimated Co~ S
SulldfD, Pennit ".
HEATING PERMIT FEE S
STATE SURCHARGE S
TOTAL~AAMlTJ1J!,.II. S
.so
r--
kBU1&iWG~TH
ERMIT
(om~ Vn Only)
This Application BeeolJle8 Your Bulldlnc Perm.t Wben Apprp"ed Paid
R.ec;rJipt No.
Date
3'''' ()-~-o-- By cre--
""'Ielflll omd.'
Dall
%4 hOll' "odct 'or .Illa.pectlon. (951) ~7_0, fax "5~) "4'7-"204!
4:53PM
No.6806
P. 10/10
GENZ RVAN PLUMBING AND HEATING
elJ. i OF PRIOR LAKE
.HEA.l.li~G/AlR COND1T10NING'..fJ.J.<EPLACE PERMIT
Date Rec'd
DECJ3.1
(Please me OfDDlltandsiatn atboar..:u:t)
. ADDRaSS .
\~4\n \ ~~A (L..- ('-r ~ \\ 1)
i~ S- ,PERMITNO()/-139hl
.,
, ZONING (QlIkEllse)
Rl
I LEGAL DESCluPTION (office: U$e cndy)
LOT \ :SLaCK 2. ADDITION ~~
~
prodS - :j1?1c-OJr;-O
OWNER
(N~) Wen~m~nn Romp.
(Phon~ _~~1_0~~_'~
Eagan. MN
55122
(Address) 1895 Plaza Dr S1:e 200
APPLICANT
(Nron~ GQuz-RvaQ Plumbi"~ & ~~in~
(Address) 14745 So Rober-t Trl
(Phon~ ~~1_A?~_11~~
Rosemount. MN
55068
(Zip Coda)
CAddtess) (City)
(Contact Person) M'~v 01f"gC Ch.- (phone) F. <; 1_~? ~_ , \~!..
APPLICANT SIGNA~ \.k _ ~__ ~__U _ (k - DATE ,\ 2L.P-..D'
, v ~(UCANT P~ASE COMPLETE BELOW - .
- ~W CONSTRV&lPN ./ 0 REPLACEMENT 0 ALl'ERATIONS
'FURNACEMAKEANDMODEL LL.rut.ts)~ ~~\j \~- \71\ FUEL ~~ ~ "'-
FLUE SIZE RElURN OPENINGS 10 INPUT 12-D., uuu OUTPUT I J /oj lJ6i)
TYPE OF SYSTEM HEATING OR POWER PLANT
.~1IIlD Air Plant9 0 StelUJ1
uvravity 0 Hot W~
~M~anlCll1 0 Radilltion
Air ConditiOning 0 Spcqilll Devices
ent. System 0 Other Dc-vices
PLEASE NOTE:
Air Conditioner Units
Cannot EUq'oach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial &; Multi-Family
FEE SCHEDULE
1 % of Job cost RC3idcutilll, Gas FitepJace
$39..50 minimum
$99,50 Resic1mtia~ Additions &; Altentions
$64.50 Residential, AC Only
$39.50
Residential, Heating &; Ale (New Constr:uctJon)
Residential, Halting Only (New ConStrUction)
$39..50
539.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTALJ::.J!..KMIT.fJLJ!..
$
$
s
t.. wnH
.5 ~~~PERNlI1
(('--'! Use .9nly)
[.. ."~~li..:~~Wti.g~~7~,.pP--d
Building Ofiicial - Date
14 hour notice for aJl impoctiolll (~Z) 447-9850, fu CJS2) 447-42~
Paid
I Receipt No.
By .
Date
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS -tJ~;Jf- ~.rC'...JoO Or-
NATURE OF WORK - A ~ J .
USE OF BUILDING ~A-
PERMIT NO, Q/-/~q4- DATE ISSUED 12-O:;--or
CONTRACTOR -D. ~~ PHONE..2S2-'22G---IS3%...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
( INSPECTOR
\
\ Sae.. ~ y\~\'\A. 'h ~
DEPARTMENT OFL
BUILDING AND INSPECTION
~
.
l
DATE
, FOOTING
I
, FOUNDATION (Prior to BaCkfill)~~~ I~. 1/;:;4/0"V I h ' d!d!n z..-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG'N1D
ROUGH - INS
SEWER I WATER I SEPTIC ~ /1 /1 d5j II) z.
FRAMING ~ 1f/I?'! &2"
INSULATION ~. 77~I" ~
ELECTRICAL I /.
PLUMBING U <<Q:r , m, 3/ ()-,'rff6 (}- b. ~ 2-
HEATING (if required) '~l 6....
FIREPLACE f;?,-. . ~ Iq (6 '\;
GASLlNEAIRTEST~iF:'~ LlL, ~. 8/~~2.l
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,.~AI;~ ~. ,!/,/~ft1~ I
~'"--''' LJ FINALS
GRADING (Prior to Sodding) f~ ,<-
BUILDING""-:-~"" I), -ffjJI1~/ '1/;' L- 1ft . 713 ( ~ v
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
~ -~~""CYd-
CD ~ ll-c.,o~ rlfJ ll...fJ-OJ..
tk,
~ 7/3//67/
, I
HAS BEEN SIGNED
6/~/o'l"
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 ~hall b~ placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
1-
, V', "" "~''<.
..:-\' -,'~ './,"',.. . """/"~ f"
..' ~ _ -~..~.j';;'i" ,;--.,: ";"'i;r~':""~",,r"f>" ','. ,;; -1t.,.# ";';"~'r-",~-';i"'-'" ..."",",{: ,. ';'-r ' '1i'1.l' ':'-'-Ni!h~ ~
QLrrtifuau of Ql)cmpanry
CITY OF PRIOR LAKE
J)epartment of _uUbing In'pettion
Iii Final Pennitted 0 Conditional C. 0, Expires
This C~nijicat~ issued pllrsUtl1ll to tM r~qllir~ments of S~ction 307 of tM Uniform Building Cod~
cenifying that at tM time ofissu.ance this st1'llctur~ was in .M....liance with tM various ordi1UJ1lCes. of the
City of Prior lAU r~gu/oting building const1'llction or IIS~. For tM following:
SINGLE FAMILY
Use Oassification
Bldg. Permit N<,'
01-1394
Oc:c:upanc:y Type R3
Type Construction
VN
Fire Zone
N / A Zoning District
v
Legal Description
L33, B1, DEERFIELD SECOND ADDITION
OwnerofBui1ding .SiteAddress .17326 DEERFIELD DRIVE SE
D,R, HORTON, 20860 KENBRIDGE CT" SUITE 100, LAKEVILLE
C.., ,[)J"sNamecl:Address Ii J
ROBERT D, HUTCHINS blff City Planller
Buildina Ofticial
IJ-c'- 01-
DON RYE
Date:
Date: .
POST IN A CONSPICUOUS PLACE
5~;i-) n~~ ~ em
,
Pl3ab 7)~-utkO
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ 0 ~EWER HOOKUP
J8 PLUMBING FINAL
o MECH FINAL
~
COMMENTS:~ ~
~-~A
~~~
"'",,:-:,,~~~
I-;~q V
C"'"
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~I
,
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspedoc ~ OwnerlCoot,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE TIME
CITY OF PRIOR LAKE 7 3 ( -;;r--' 3~
INSPECTION NOTICE SCHEDULED
ADDRESS //f3ab DJ2W~
u
OWNER CONTR.
PHONE NO. PERMIT NO. )- 137<1
o FOOTING 0 PLUMBING RI 0 EXlGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP ~ FIREPLACE RI
D.JNSULATION 0 SEWER HOOKUP FIREPLACE FINAL
~ FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION ~ f4. MECH-FINAL 0
COMMENT@ ~ ~-ef6
(i))~'€~ U
,..
10/"3 dO'L
. ,
~<l.. ()~ W
~ ~ ~-~ -JJ'o-ocR ,
. _An tJ
~ ~t ~-< J.G.V
o WORK SATISFACTORY, PROCEED
rCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~r
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
SCHEDULED
DATE
II-c
TIME
.A./.
OWNER
n@ t?6e.en6U?
CONTR.
ADDRESS /7320
PHONE NO.
PERMIT NO. 0/-/391
01-1.$,?4--
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
S 0.0 / 7/l..6G
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-------. ..
COMMENTS:
.- #
/' ! ffic
-~
I--iu
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ;1p /1-G-oL Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
",0'-/'
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-2'--07....
ADDRESS 17320 ~t!r(,</" Dr,
OWNER CONTR. p~ HiKb')
PHONE NO. PERMIT NO. 0 ,~ I ~ft I ~ A;!.U ~rl..f.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
c:s:.EtNAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.)I(.EXI~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
------- .-
COMMENTS:
({320 0./ I~(...L (A ,~~ ~d"x
0~.AD" c}1
\
173Z-"Z- - CUI{~ fllo)(
(., (( t+t; t.. c) v....
(') II(
'-
/732-L) - L-o~ (-, ,v<.(J., ~o'x
r ~...A/\ C::- (') \-/... ,
, ,
.-
F~)
~
c.., JR ~ I?:::.d X ... n 11
~"'Qf.. - n\L. \.
\
l.. '}O-r ... 'Vl C
I ~
o WORK SATISFACTORY, PROCEED
...sEt'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL OR RElNSPECTION BEFORE COVERING
Inspector: At.*" .. Owner/Contr.
CALL ~7.985~0~ T E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
~
\
\
a
"-
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
Stack Temp
'~-I-~~
~rfI1
f4~
~r~~/~ be-
.
~--~
f'w,~
?; d7-o
~--'~
, .
t. 7'~
Zfl ) 'tc'
Combustion air is adequately supplied per
UMC Sec. 606 ~
,
input ~/ tL:i.BTU