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Home My WebLink AboutBldg Permit 05-0066 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d /1/,i)S- Main File White Pink Yellow File City Applicant PERMIT NO. 05 0 C(P " (Please tvpe or print and si~ at bottom) ADDRESS 1'1 y 1tc D~ ~v.-r:' c_\v'-. U V \ voL. S~ ZONING (office use) /22- LEGAL DESCRIPTION (office use only) LOT~ BLOCKbZ ADDITION ~~0~-el~ ll~ PID 25. 4Cn. 04(,,".0 OWNER (Name) (Phone) (Address) BUILDER '~ n (Company Name) 0. ", +\0 ":-\0 ~ (Contact Name) t'v'\\k Lui)~\Y1vu-{-I<..c:., . (Address) B-D :B (..., 0 ~hbr~ t'~;~ . C;- . .J_~.I',\\l......... J.-t.N :='~_O'--l'i (Phone) 'iSa- - c1 ~"~- ('BO~~ (Phone) C( ':>ct- d-d..l",-l(."l '::>d--. TYPE OF WORK ~ew Construction l5C1'beck OPorch ORe-Roofing ORe-Siding ~ower Level Finish 0 Fireplace DAddition DAlteralcJ~ DUtility ConnectIOn 0 Misc. CODE: ~.R.C. DI.B.c. Type of onstmction: I II III IV V A B Occupancy Group: A B E F H I M R S U Division: I 2 3 4 5 PROJECT COST IV ALUE $ (excluding land) ~ L,L. F~/hdI/~/n, ( I I c~.)-+) 30 () I hereby certifY that I have filrnlshed 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 per~ause F~:thermore. ,rebY agree that the CIty official or a designee may enter upon the property to perform needed Inspecttons X ~-(J---.~)L-<..4--....L-<- ,- ~JOOS(.., 'S,'7 \/1 D 10 s ~. Signature Contractor's License No. '. 'Date Permit Valuation I "17"/. ~tJ d. (;)0 Park Support Fee # $ Permit Fee $ I SAC # $ I~S-O.oo I 2- 9&:J. '50 QiJ;l"; Plan Check Fee $ <i L.ft-{. It,,. Water Meter $ d/S() ,6)0 State Surcharge $ 70, 50 Pressure Reducer $ 5o,ao Penalty $ Sewer/Water Connection Fee # $ l'Soo.vo Plumbing Permit Fee $ /00,00 Water Tower Fee # $ /000,00 Mechanical Permit Fee $ l()o.oO Builder's Deposit $ I SdO, Of) Sewer & Water Permit Fee $ J s , ~O Other $ Gas Fireplace Permit Fee $ 40,00 TOTAL DUE $ R.240. J 6 This Application Becomes Your Building Permit When Approved I Paid_~. to ./ Rec, No. 4tr~- ~~ 4q~()f) I Date J. ;x",O !.' By U Buildll1g onklal 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 temporary Certificate of ZonIng compliance and allows construction to commence. Before occupancy. a CertIficate of Occupancy must be i~ 7o,.,0J-; /I/q~~ ~41 ~~ Planning Director f 'Date Special Conditions, if any 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: I j;? /06 Building Permit # Address: 1'1'1 'J fJ, I Legal: L J3/)'/ B ~ ~ .?~ Existing Structure? YES@ PID: Zoning: 1"7'13'6) I,>~L :z:>~ D~.//b S".E:, Subdivision: ~~,/,;.11l 1/ H- I Existing Nonconforming Structure? YES@ / 7 if '?f?' I ,;L CONFORMS TO ZONING ORDINANCE Yard Setbacks: NAI FAIL~C~s0 . Front Yard (can be 20' if avg. w/in 150') . Side Yards . Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in lenqth I. Rear Yard . Patio Door: provide for minimum 10' deck or sign statement indicatinq no deck will be built in the future . From 100 year flood elevation of wetland/NURP pond . From OHW (Prior or Spring Lake) I Floor Area Ratio: NA / FAILS I<@MPLlES'j I Yard Encroachments~1 FAILS~PLlF~ / 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. YES Standard 25' 10'1 25' if abutting a street 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 3D' 75' or setback average of adjacent structures, but no less than 50' .30 Maximum Standard I Tree Preser/ation:~ FAILS 1 COMPLIES 1. Total calicer inches . Permit 25% Removal . Calioer Inches Removed . Caliper Inches Preser/ed I. Replacement L:'TE:VIPLA TE'BLDGLISTDOC Standard %:1 NO Proposed 2 S,' ( 025'. (7 ~ tw-r-- f) \,&~ ' . ,:;c" ~9 c~B~. 30, \-S-' 1 ~ 30 ./ <:> ~ e {i" ' fhRcA-i ~s N'~ pl)2... fit 0 Proposed Nc1 ,-J E: tJ'thJ c- Proposed -==;;;.. I Driveway: NA / FAIL~ COMPLlE&) I. Maximum width at property line · Required setback I. Maximum slope · All parking areas to be paved including R-V or spaces adjacent to the QaraQe I. Location to match subdivision QradinQ plan I Building Height(06MPL'IES)rfbILS I Shoreland District: (NI{)/ FAILS / COMPllES Minimum lot area (square feet) I Minimum lot width I Shoreland alterations I Impervious surface , Bluff in Shorelanc(!iW FAILS I COMPLIES · Setback from top' of bluff I. Bluff impact zone I. Engineering certification submitted/approved I. Grading in bluff or bluff impact zone I FloodPlain:t1l:J FAILS I COMPllES · 100 yectHt60d 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 I Accessory StructurerN4J1 FAILS I COMPLIES · Size · Not lecated in front yard (Materials) I. Side yard and rear 'lard setbacks !. Maximum heiqht I. Materials compatible with principle structure L : TEMP LA Tf' BLDGLlST.DOC Standard 24' 5' from side lot line or 30' from r-o-w on corner 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/exporting Standard 908.9' Prior Lake 914.4' Sprinq Lake 909.9' Prior Lake I 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 I Standard I 832 sa.ft. or 25% rear yard 10' 15' I Proposed L( (jiJ ( Ca ' ~ 111. q /0. '3. 7.0. l. t 10 , ~ t5k...., .~ Proposed Proposed Proposed Proposed -----,..- Main File White - Buildinq r-Ganarv - En~inee~ Pink . - Pla"nning Thl" Ct'nlr-r of thf' Lakr Couner)" BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT - APPLICATION RECEIVED /<t'. X" ~-;J;;z:{jf'l./l /. 1/ cS- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction, activity which is proposed g~: , . ",</ (l".. .i /' " //""'7/-1 ""7 1>/1>/.1/) ~A;: .{cd. l ,j'}jt../ / // ?':-(\ . I '-r U / 'i~--<./\..-,~.,..../ -' ~.~ '--"'" / (,..v" (..... ~ ~ (J i .; f \ ~ / Accepted x Accepted With Corrections Denied Reviewed By: MffI3 Date: I-JO~05 I Comments: '" '\'laiB-FiIe "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." 0~ _/ Main File C White - auildino:> . Canary - Engineering Pink - Planning lh(' Cf'nlt'r of the I.akr ('ount~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED A:-R dlrzljlJJ l /1 Ci.S~ The Building, Engineering, and Planning Departments have reviewed the building permit application tor construct~ activity which is proposed})!\. ~-:> /-747f/ /l{Lee~~~ ;U!/k,u(./ (C \ Ii , .f / Accepted Accepted With Corrections Denied , Reviewed By: ~ , ~CJ-dl /LV ~ , ~~, Date: 1//9/1s 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. Permitf presuming to give authority to violate or cancel the provisions of this code or othE' ordinances of the jurisdiction shall not be valid." Main File White - Building Canary - Engineering ('"P~~~;- - Pla~ -- [he Crnlf"r of lhf' Lake Countr) BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT 'APPLICATION RECEIVED i .'_,.J .\. /" ," /,~..... /' I r. ( // I ' --'" 1/' ( , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I I / I" /' '. / .,/ , ,I 4I( /"'~'.-' Accepted Accepted With Corrections / Denied ~ ~7~ tf.uLJ a.ef ~ ~ Date: (/1'1 /t;~ 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." 01/19/2005 WED 9:42 FAX 6513226147 GENZ-RYAN ~ 009/009 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Please ty{>e or print and ~ign at bonum) ADDRESS /7LI}? 1)r'YE~l~'-rL~~ Or, Sf:- r .- .. I. Illue File PERMIT NO.~. 0 cD, 2. Gold City 1. Vellow AppliQnl ZONING (office use) 11:./Q fj 'f.r;tlc. / /11:2 LEGAL DESCR1t' nON (office use only) LOT ~)BLOCK ~ ADDITION OC:~~-?{T".J,llfff- OWNER ~am~ DR Horton Custom Homes (Address)' 20'S~D KeVlBtel ~ Cr Sre IDa APPLICANT ~~e)~on~-iyan Plumbing ~ ~eating (Address) 14745 So Robert Trail (Address) (hi' (0 Jvj Foj !0 (. l' "~"-'--'" j) APPLICANT SIGNATUREt~('r;~L( )-:j--r:f Ll'<'\ (Contact Person) Quantity .1 / t or. I / ~ Rosemount PID (phone) 962 - q ;{ f) - 78lJO I I I I I I I I I I Quantity , /- RT' f /.J;tW..-Lvi/lG VUN .56bL{ W (phone) ~" 1 _I. ? ~_ 1 1 L.t.. MN 55068 (Zip Code) (City) (Phone) 651-423-1144 DATE J-lq~O/J APPLICANT PLEASE COMPLETE BELOW Estimated Cost $ Building Permit # PLillvfBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 $ $ $ (Office Use Only) This Application Becomes Your Building Permit When Approved , Type of Fixture I Bath Tub with or without shower I Dishwasher Floor Drain Lavatory (Bathroom Sink) I Laundry Tray (l or 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) . Paid I Type of Fixture r Rough-ins I 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 j1J!.ESCHEDULE 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 ,50 ~\11'\ . f>>"\O PE.~~" eU\\..O\~G D~!~N' 2 7 2005 I Receipt No. I By 01/19/2005 WED 9:42 FAX 6513226147 GENZ-RYAN 14I 008/009 Date Rec'd CITY ,OF PRIOR LAKE SEWER AND WATER PERMIT i ~nw ~;~ I PERMITNO.~ ~ 3. Gold Applicant tJ . ~ (Please type or print and s~ at bottom) ADDRESS /71{ /~' . [)~i-G\.ll ~j lr~ Dr; , ZONING (olliceuse) ~ ~'\ 17rc'O\ 1 (.J.;~ I 1lA II ) qII ,.LJ.+1l LEGAL DESCRIPTION (office use only) LOT 1.3 BLOCK ~ ADDITION O"',;"J--~Ir~ \ 1 \ \ t\.- PID OWNER (Name) DR HOl:t^~ "'ystOlR Hmlln~ (Address) 20&.00 I\e.VIBi<-\bCe Cr- Sw.Jm (Address) (phone) _ ,la,~1J i lie., (City) q~)2 -QiiS-,8(J(\ ,C)fX)L.I U (Zip Code) APPLICANT (Name) Genz-Ryan Plumbing & Heating (phone) 651-423-1144 J (Addre~) 14745 So Robert Trail (Address) (Contact Person) _ (~k\\ :1l~ ~ \ \ <S _ ':.ICANTSIGNATURE ri)J,/'~~~) ~(f)^() Rosemount. MN (City) 55068 (Zip Code) t (Phone) 651-423-1144 DATE ~ /Iq / O~ APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure feet. Type of sewer pipe. D ABC 0 PVC 0 Cast Iron Estimated length of sewer line feet. Clean out (if required) located at _ feet from structure. FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 f>>~\O ~~f\~\" 8\J\LO\NG P ; (Office Use Only) This Application Becomes Your Building Permit When Approved Paid' I Receipt No. I By , '-- Building Official Date Date 2 7 2005 JAN 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 1. Pink File 2. Green City 3, Yellow Applicant PERMIT NOS _~~ (Please type or print and sign at bottom) ADDRESS ZONING (office use) 17476 DEERFIELD DRIVE S.E. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name DR HORTON (Address) (Phone) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH F AIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (Phone) 651-633-2561 APPLICANT SIGNATURE IJRfNI)A HUSTON DATE 2/9/05 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM INPUT IlEA TING OR POWER PLANT OUTPUT DWarm Air Plants DGravity o Mechanical DAir Conditioning DVent. System o Steam o Hot Water o Radiation D Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) HEAT N GLO SL-750TRD FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FE E Building Permit # $ $ $ Residential, Additions & Alterations $39.50 Residential, AC Only ~,()-4 $39.50 'UII...O 1() ~ 11"'0 ~1!J..J ~-94?/7' .50 (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Date F EB [; 2001 By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 HEATING PERMiT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. ' Date By FFR 2 it 2005 Building Official Date '24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 PRIOR LAKE INSPECTION RECORD SITE ADDRESS . ~ &.f .., ltJ bEEltJ:i €Lb J>2,"u/E S; ~ · NATURE OF WORK ~W ~tP'TIt"~oJ. (J~.t., USE OF BUILDING S.F:"'. . PERMIT NO. oS: OO{p(p DATE ISSUED ~ CONTRACTOR ~ , lJ-IC. PHbNE9 - 2U.- tf13z. N,OTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF Main File BUILDING AND INSPECTION INSPECTOR , DATE #f~ I /P'~) , '" FOUNDATION (Prior to Backfill) J'?b'-"~U I.</~/, 4:/' I -:-ffZes' PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS , / SEWER I WATER I SEPTIC ~ .-2//#(Jr FRAMING ~. 70/os- INSULATION /JPI- -# ~/o5- ELECTRICAL .f/ 25 2d 5 - PLUMBING ~{/ J/..2cY/CS-- HEATING (if required) #PI- ~ I ;~.s -- FIREPLACE ~ ~~/~5/ GAS LINE AIR TEST~~ f- / f! ~/ 70/0;- COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED t.A711e 1140ftSE ~1Ut.P I ,I ,- J ~ ~~p' ~~f? /d~2/;LAI FINALS. 47f~ 40, ~~c~t:d GRADING (Prior to /Soddin~\), ~r< 1. .10.0t, I BUILDINGk~, {; 0; v,nf,,/ ~)/~':~ .5/Z,/or ELECTRICAL" I . 'II PLUMBING JI}I1/ r HEATING ~ #' DO NOT OCCUpy UNTIL ABOVE HAS NOTICE I FOOTING sP4(aJ /;/1/ I O~ ffip/u-- , ~ 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 @erfifit,de of <IDttupant\! CITY OF PRIOR LAKE < ~tparfttttuf nf ~uil~iug Jluspttfinu ;/ ctJ Final Permitted D Conditional e.O. Expires ;' This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 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: Sf NG[~E FA"ELY 05.. 006f'i Use Classification Bldg. Permit No. Occupancy Type R3 U3, Type Construction, h". DEERF r E'Jl 11 TH 'in' j,';; Zoning District_ R Legal Description, Owner of Building Site Address 17L176 iEERFTE;.D DRTVE SE n.R. YORTON. 20860 Contractor's Name & Address .. "" ROBERT D, HUTCHINS/.f!'j(.:?/': /r//~ Building Official';' v 'r{ KENBRTDGE COURT, LAKEVTLLE. \1N 55044 City Planner 'A\'E KANSTER Date: / " Date: ,.....w.~. .~".' DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 8-30~ ADDRESS J:J.#J (, ])~~t?:~ Vl)r. OWNER CONTR. PHONE NO. PERMIT NO. os. (,C o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL If SITE INSPECTION /COMMENTS: J o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL :J1lE~ILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o b rJL "'nt ("vI'::, ~(P~~J""<,IL 9(WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT W?R'j C~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 6J? SCHEDULED ~~~~ / / /7r7b /J~er4~ tI Or CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL o SITE INSPECTION TIME CONTR. PERMIT NO. 0) -~C o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL "...e-MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI '? RREPLACE FINAL o GAS LINE AIR TST o C~MENT~ .' ~ . ,I ~/ed/Zc~1 h~ / ~ ,#?'ec/z~~ 7":CC ( ~;[~4 ~e~" bt&' .,' &rS?r ~r- -- /' /' )')'/L~_t~ ~. ~ /' hJc~~c:~ hhq/ ~G7/- ~k{ ~ ~~L"I/..../d / Jr/f':e:/ r .y.as:. /0.-- .:z: 4, :6:7 ~y- OA Md Y~~.u-G- .f/fth P t:P'- ~ *~ _ ~ ;v-'/uf h4rd'<tvr Ii=- d;,,~~v {.l/#:ed /?Ok -r: <5r;~~ / a-7 o WORK SATISFACTORY, PROCEED ~RECT 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! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /7r7b OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION DATE TIME SCHEDULED ~~j'~- de&rA// d CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ...,.G-1'LUMBING FINAL o MECH FINAL COMMENTS: .44 / / / ///~/4c?H-1r;.~.r j-'t!JT- ~j rJ7 ,/ ----- / h~~/ /' C/C . / / //-I! ~ J h4 TU CJ ~--6-6' o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o / OK / / /~o;4 //-e d ~/ / ~~~ ~ ~ L-- 4-ec(c.- ~ ,LJ~ / c'/kq. '-- --6 o WORK SATISFACTORY, PROCEED ~~ECT ACTION AND PROCEED o CORRECT W01/7 REINSPECTION BEFORE COVERING In.pedo" ft.-- /'" awne''':'">t,, CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~' / /~t~.e:z/ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSlVOT/ @ ~"7"" SCHEDULED ~~~~ /?r?6 .de erlJif ~ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL o SITE INSPECTION CONTR. PERMIT NO. ~s-~~ o PLUMBING RI D MECH R1 o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ~ECH FINAL o EXIGRADIFILLING D COMPLAINT o FIREPLACE R1 ~EPLACE FINAL o GASLINE AIR TST o COMMENTS: /dl-/(.:ec/ ~/-I- ;';~..,S' fi:.r ~ ~ (./1 ~-~ 6) ~::#' ~9/heer/-'?? d~/ J)r .hh-~/ ~.~ .#~~~~ ~ , , <7e h ./. , / /' ( C:c2 ('/ vn-77 (' / / 3-// /(J;-- . ~ - o WORK SATISFACTORY, PROCEED ~ f'",ul'\RECT 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! INSItOn - ,... 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 4t1~7/hfiP ~rlg ~/Jflp~ L2f7" kukL P/Jrl9-/7 /}d~C// 4dY1~ ~/if/t;f 7, Z. 9" ~.A/ 7.7~ .-3$& Dr UMC Sec. 606 Combustion air is adequately supplied per input Ipr ~/.fVl} &'7"'/ ,