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HomeMy WebLinkAboutBuilding Permit #00-0354 pATE RECEIVEQ CITY OF PRIOR LAKE BUILDING PERMIT, APR 2 1 2000 TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 6. BUILDER (Name) (Address) (Tel. No.) M,1t~t~ 73w1-. ~ ;L'I:JS ft~ SiE. [''>1/'>;-;;;'-(77/ ~ -:C~ -::I;vt/ (~- /kjllt ~(;"v77 7. TYPE OF W~K.., Fireplace 0 Septic 0 Deck 0 Rei-roofing 0 Porch 0 New Constructio~ Alterations 0 Addition 0 Finish Attic 0 Re-sidil1g 0 Finish Basement 0 16. PROJECT COSTNALUE Chimneyd Misc. 3 '15t. (JOO- 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10 CULVERT SIZE 17. COMPLETION DATE Sq.Ft. r;; /1 (j~ Width /70 Depth '2-1'1 Yes No }1-3/- 00 I hereby certify that I have fumished information on this application which is tb the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for the above mentioned prope 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 buildin 0 icial can revok pe t fo just cause. Furthermore, I hereby agree that the Gity official or a designee may enter upon the property to perform needed inspections. ~>'t y3 lJ.?7'?J7J License No. ,-. Date - 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 .3 Wi w~ D~ Dr/~ 3. LEGAL DESCRIPTION LOT 3 I BLOCK ~ J.'IJs. / Art4~\~ ADDITION 3~ 4. OWNER (Name) (Address) 5. ARCHITECT (Name) (Address) x 1. DATE 1'1-7-0-0 puo PID@5-337-()3>) -() (Tel. No.) (Tel. No.) SETBACKS: Required Actual FOR ADMINISTRATIVE USE Front Back BUILDING DEPARTMENT VALUATION Side Side USE OF BUILDING ~ ", OFF STREET PARKING SPACES REO. SPACES ON PLAN 1, ~ . PERMITVALUATION~ ~,.- TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $2, 3(;2. 2~ Plan Check Fee ............................. $-1. 53~. C/(, State Surcharge ............................. $ , a!J. S- 0 /~() . (9 0 L/1O · o-i) I "'J.~.SifL 5'0 l{(J . 0t:Li! Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ 1. White 2. Pink 3. Yellow File City Applicant Permit No. {)O ~35L... BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (7~ 12. NO. OF S~R~ES (Depth) i./a '/ 13. TYPE OF CONSTRUCTIOf-J n r:::.. _ ~~ n,_1~~~1 14. fLOOR ARE; APPORTIONMENT USE B /78S I ~'/7tY' ;1- 1~/7 15. NUMBER dF OCCUPANTS OR SEATS OCCUPANTS SEATS MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS a PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. .. . .. .. .. .. . .. . .. .. . .. .. .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Ci~,: Et:L>.06 I, /IJO # 00 Pressure Reducer .......................... $ 7t1 . 00 ~~ 24 hour notice for all inspections 447-9850 Meter Horn... .... .... ..... .... ............... $ Water Meter ................................. $-3 "SO & O(l Sewer & Water Connection Fee ........... $ (, '2 rJO .ex) Water Tower Fee ........................... $ ~ a.o .t!) e> Water Tap ................................... $ ~ Builder's Deposit............................ $-1.,900 .. Other ......................................... $ · Paid 10 Due Li(r1i.....~:i~;~O$f?f~~~. 71 Issued Dale <O/?~ On By I This is to certify that the request in the above application and accompanying documents is in accordance with the City zon~~ and may proceed r quested. This document when sig~. ., L~ .!}Pl.n nnneerr c coonnststitituutteess a a. temporary Certificate of Zoning compliance an. d allo, ~xonst~~ to commenc Before occupancy. a ~rtifiC. at of ~~ ...y~.e:() ~-,,!~C ?"'C. . ... City Planner '- Date 00 - 0354-- White - Building Canary - Engineering Pink - Planning The Centef of the Lake Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT M'rt--.~.. \stQe..f.+ ~ro-\-~e X'~ APPLICATION RECEIVED Afxi', d1 rll ) 0JtJ u The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~" L-j 4 LJ W 0-0 ct fJu U.-Pri "Ie~ Accepte~ Accepted With Corrections Denied uZ ~ Reviewed By: ~ ~ Comments: -~ Date: ~ -re;, '2=>00 ~- 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.1I M~() 354/ The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICAtiON DEPARTMENT CHECKLIST NAME OF APPLICANT "hHe. b to e..L + ~(tA-\e,~ APPLICATION RECEIVED Ap, \ dr-I f\ ) ~ c?' 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '-'1 L.J L_) \tj 00 etf),) c/!.- \:)1" \~\/e.; Accepted v Accepted With Corrections Denied Reviewed By: ~~ I~~ Date: ~ - ~ ~6'0 Comments: Mt.xJ~ 2-1-{ F~4~ Wtd:,4" ~ "f}~ .JJ,r~v' Uv..e ~ q Vtvu v2.c9~1O CvvLj, /./C ~.~~:cA!.~~'~ ~ ~MI~er5~<t'~ ~ks., .~ 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." t: Th~ CUln of 'h~ L.h Counl..," 00 ~036lV . White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT _.'J\\ltf'", \ ~ta e. C\+.~(tJ.i- he\~ APPLICATION RECEIVED Apn ~'1IY) )6..6:'10 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~". L-J 4 LJ ""J 0 0 c, _ fju (j!- p(-, '-./ t' ~ Accepted \I' Accepted With Corrections Denied Reviewed By: ~~ ~MANtJ Date: 3/'" /00 I , Comments: SEE IIJFoa.tll\AT1oN orJ ,HE R.Etlf!fS~ SiaL. sre: ATmt"'ME..hD3: I. h~A---an.AoE.. 11J~p(C!T,otJ MFo~t'11trJt)N 2. Gntlo".J(. 11AN 3~ EaDs 10,.,) C.oAf'rnOL, r\1EAs~ tf. Ea.o.s I D1.J C6tJmoL Pc-11M 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." ~PR~ ftfl'~~ u~~/ ~NE~V ~E. - ....E YEllOW - APtt\.1CA1fT GOl.D - en., CITY OF PRIOR LAKE NO. 60-03E)Lj SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the City. APPLICANT: DC Mechanical/Stocker Excavating FILL IN THE BLANKS PHONE: 890-4241 DATE:~JUU I J BLDG. PERMIT # 00 0093 PID# 25-342-012-0 Lot 3, i B\f:..- i ADDRESS: 8247 West 125th St.. Sava2e. MN 55378 SIGNATURE: SITE ADDRESS: 3444 Wood Duck Drive 1. Estimated length of water service f eet-. 2. Size of water service inch ( es) . 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC x Cast Iron 5. Estimated length of sewer line feet. 6. Clean out (if required) f located at structure. feet from ------------------------------------------------------------------- ------------------------------------------------------------------- This a., PP,l_ication n. omes you,r permit when approved. BY ( J fJ.~ . '7 .~"cl,.dv 1>., -1 '. DATE: for either sewer or water individually is $20.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. -.~,.".,,_ DATE PAID ~~~~ AMOUNT PAID RECEIP'I' # '- REC'O BY 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer ~ Dale "7/ ~/Qi) Site Address .Jlfllv l hl1'Jh.LA- 'O/Ui;e, tJW Block I Ad~jtlon w; \ti.A ()~ A-t\J\ I\l TYPE OF STRUCTURE 1. "Ill! . fi Ie. (l) 1. lin.n . C~IJ ~ J. Yellow . COli".''''' CITY.OF PRIOR LAKE Me 16200 Eagle Creek Av. S.E. Psrmlt N.o. ()()-oSS'i Prior Lake, MN 55372 HEATING APPLICATION I PERMIT PIO II ,.:<5 - 337 -()3/- () Lot6 , OWns(s Name Address , Hsaling Conlraclor ~LLIED FIRESIDE dba FIRESIDE CORNE! Addre9s, 2 7 0 0 N. F A I R V I RW. It 0 S E " ILL E. M N 5 5 1 1 3 TeJ~phor.e f 651.. 633 - 2561 FIREPLACE - UJf;r ~ fMntfP Make & ModeJ ./J.,..u- AJG l:i Model Size. . {r:Cll' 1i2- Conn. Load . Fuel ()W FkJe Size Supply Openings Relurn Openings r lnput Edr. Output .) 7.PD.J elm. TYPE OF SYSTEM Warm Air Plants Graviry . M9Ch anical Air CondiUoning . Vent. System HEA TING OR POWER PLANT Steam . Hot Water Radiation . SpecialOevices . Olher De"/ices AtteraUons Replacement TYPE OF WORK New Consl ruction y Repair, Est. Cosl S 1 . Est Comp. Dale -<-?{)v. u ., '7-/J.-QJ ffD -()3S4 . PAlO WfP) 6U\\..O"-lG pE HEATING PERMIT FEE $ STATESURCIiARGE $ TOTAL PERMIT FEES $ BU7 Permk /I /.50 / Receipt ,. ,- OJ '< Single Family / " ..... "'] (l) (I) ..... a. (l) Commercial Two-Famiy Industrial Multi-family Public Olher Fee &hedole o o "'] ::::J (l) "'] Industrial. Commercial 6 Multi.Family A esidenlial. Heating & AC R esidenlial, H ea ling 0 nly ResidenUal, Gas Fireplace Restdenlial, AddU ons & Alterations Residenlia1, AC Only 1% o( job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 -32Wl Remember ro add Ihe State Surcharge on the bottom 01 this apptication. m U1 -'" Th& price of your heating permit includes one rough-in and one (Ina' Inspection. Additional inspeCliQrlS will 00 billed at $35.00 each. m U) U) C>> House Heating Tesl Record musl be $wmitled \'lith buildil1Q rp.~~-l1WDlttr before buMd. : Ing cer\iJtcale 01 occupancy wil be issued. ~ HEAT CALCULATIONS ~,fn'HRFn wilh number 01 suPP'Y and return openings Isted pi room with C FM'. per opening. New slruclures or additions send 'Ioor plan wilh supply and relurn locations shown. HEAT lOSS CALCULATIONS. PAYMENT AND APPLICATIONS MAY BE MAILEO TO THE CITY OF PRIOR lAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. Cily Hall buskle$s hours are 8 a.m. -.4:30 p.m. L c: ...... I U) J o o r ALL WORK MUST BE ~NSPECTED (ROUGH.IN AND FINAL) · CALL CITY HALL 447-4230 N U) I hereby apply for a mechanical systems permit and I acknowledge that the PJ in'mmation above Is comple1e and accurate; that the work will be In conJormance"~ wilh the ordinances and codes of the clly and with the s'ale building/mechanice codes~ lhat lhis form does not become a permit until sIgned by the BUILOIN(; OFFICIAL~ that the work will be in accordance wi1h the approved ptan in the case or an Ya'ork which requires rev.lew and approval of plans. A;~.A ~~ , I J ~ ptica~ur8 r ~ Vr'l ~..h11 7 If) ~d,,~.lu.~ ",., / CJ OIIi ding Ojssignature - 7h~" I ~ Dale 7 ~31()?:J I Oal8 "1J lD to (l) - N 10/21/99 THU 13:14 FAX 6124474245 Jr1j 3) aD CITY OF PRIOR LAKE ~. ~t CITY OF PRIOR LAKE I4J 001 file City ^rr1ic:an1 lilt ("',,'cor '"~ ,~ J ....f Counlr~ PLUItlJlJING PERMIT Applicant: 1r!1 Ru c. -..Ptwnbi.IJ::>.? [1() . Phone: 49:J.. - :J..J flJ Address; JlJy) (Ul1C'1rtJ~1 ~ c,bLdelf) oYl(L ,~35J ~ Signature: " Legal Description: Lot . Block Site Address:.a44~ ~~ On. Building Permit # PID # NOTE: This permit will not be processed without complete information. # Sub FIXTURE UNITS .... Quantity Type of Fixture Quantity d- Bath Tub with or without shower :3 t Dishwasher I I Floor Oraln f~ Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) , Shower Stall , Sinks Bar Sink 3 Water Closet (toilet) Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (APZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other FEE SCHEDULE Industriar. Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39,50 $ $ $ $ .50 ~.. GRAND TOTAL $ *-,_.. This permit is granted upon lhc express condition that said contractor. shall comply in all respects Wilh the ordin:tnccs of the St:tte Plumbing Code and the amendments thereof. RECEIPT NO. DATE ^ I 1 cST JU\" ?. 5 LauD Call for all inspections 24 hours in advance. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245 An Equal Opportunity Employer j II ~ f r i ,J t f f ,~ i J J , fl. I f i f. ~ ~ III ~ 155'. ,~. -!~~f IN.'.' ',I ~ 'i ~ . ~ ()f~J T~:s:II)JO . ~.. ! ~ . ~5~r '~90~rJ~~f~1 ( \S:> ~ as f ,-D , :1 :.., ~ ~(L ~'.c r ~ I g 3 ...s;::; D'f -, , () I. f \J)::J -0 \ V C> ~ r --""'-J~:J - I · &J ! J '~ -?j (tJ jJ ~~ ~~ .- ",0 81 J'f r I ~ v - .>-i~ ~.~~;5 j i I . I, I. f Ilift f~I'ft8:~~~ (~! , IIJi .. "'I r ',' I" ..t '-J r\J;:;)!Jl7~ I :i ~ -,~_ .? r I r II J. 'I ~~1T. 3 '; ~ I :6 Q I t; I. v ~ ;1 r-- --J I ~ w ='./) ". I' "'::\ ~ ~ ! ~ v -t"") Vo 0 m:t ....c: ,... ~ ,.." 0 ') w 0 ~ Z': tC... -( --.. l I ~ 8 - s: '~,' 0 ;...j · · , ~ ':;>' ~,.. 0 ~ J) · ( il I I Il: -r I i ~ f r j J . .' tl'll'! · f i!Jl If, I i J ~Ji!.. ~ ~~ 11111 I lil ,I. I, f f IIIIlii b 'LIllI! J I t If; iilii.i i i !. .~ JII"I * ~Ih I r J --- . JI ~~~ -....J...'-J.~ .r [r · ... I I I I '-- "I 0. D r J't 9 811 . i= ,'1;) i "l~r'A 1; I-I' I i I i - /L,p . f'" ~ 0 i I i ~ ; J f i i ,';~ I if P.~.'~.'T..UijUJ r~"T nUT DAJOhiftT -..... .",.,.,.,." ,..^ · T.,.... --I ---.. ~.~-::..~-::;J PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS Sl/l/q lJo~ DOJCk D~, NATURE OF WORK tJ~ USE OF BUILDING S\='\'\ PERMIT NO. 00- o~54-- CONTRACTOR '1,- ~~s.-k~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING QjSPECT6/t 3/~ .. II ' .. FOUNDATION (Prior to BaCkfill)~ ~. t),/z.;hof!J;r. 0/7/t'J PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS ~ /1 ~ , DATE ISSUED 5./e:;,. (,or')o DATE ~I/?/t'o -j-Ic,,~ 7)&.61 Cf1; 1'" (1It1 SEWER I WATER I SEPTIC FRAMING - INSULATION ~./.. {C)J ~ .,if.DO ELECTRICAL V PLUMBING HEATING (if required) /) FIREPLACE ~ ~ Qh , GAS LINE AIR TEST :)f".f, ~ tfit' , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ GRADING (Prior to Sodding) BUILDING "f.C'~ lv/IUD #J;;. (a/-s-/btJ , . ELECTRICAL PLUMBING HEATING DO NOT ~ ~ \. 1 / ;}-r/~ FINALS 7~1), \ .{ / /,L \ \8 \ flA..ijJ _ I?/Ii /~ I " ~.5' 6 J Jo ~l{ cJ( .;{, ItJ/4/~ ~ I~/$v" 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 shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 QLtrtifirate nf (!)rrnpanry CITY OF PRIOR LAKE J.\epartment of .uilbing 3Jn~ection "Final Permitted 0 Conditional C. o. Expires I 01" 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: Occupancy Type ~ Type Construction VN _ Fire Zone Bldg. Permit No 00-0354 NI A . Zoning District . PDD Use Classification. SINGLE FAMILY Legal Description L31, Bl, 'tnt.. WILDS THIID ADDITION Owner of Building Site Address 3444 WOOD DUCK DRIVE Contractor's Name &. AddreslU Ut.LSTAED~ \. ~:25 96TH ST.. 11,. t.R GROVE BTS.. 55077 ROBERT D. nu s CHINS ~. ~ity P1l11111Cf J ""sf! TOVAR Date: , '," ,,'~ DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED /tJb.fInL A.T; , / ADDRESS 0'1 L/ LftJtnnfl ~. OWNER CONTR. PHONE NO. PERMIT NO. () - Scsi o FOOTING o FOUNDATION o FRAMING o INSULATION & V1FINAL n /0'" SITE INSPECTION COMMENTS: ~ r: 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 GASLlNE AIR TST o ~ ~~~ t..S(-S~2-1??1 /WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~K, CALL FOR REINSPECTION BEFORE COVERING Inspector: h ~ ~.{;.J.J.JIf Owner/Contr. CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED IO-~-o' ffYJ ADDRESS 3L1'if W()fx/ D~t:. D".. OWNER CONTR. /1ll-li-I-{l',h~,Jf PHONE NO. PERMIT NO. f9() - 3Sl./ o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL )(' E~RAD1J=ILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: Cu/~ SO/<.-- Qr )li{WORK SATISFACTORY, PROCEED ." 0 ~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 SCHEDULED ADDRESS 3'-/ t.J4 Wooc1 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI ~ fi?ECH RI TER HOOKUP SEWER HOOKUP ~ 0 PLUMBING FINAL o MECH FINAL TIME [(:-00 0.. 354 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS:(lJ '"~~ ~,~ ~ - I ~ -/J(.c!1f ~ 'ttJ Ctv\~ r:5)~~~ - / , ...,~ 0- , I --- ft~!e 1 _L," I / ~ 0/ , ::. 0_ ~l ~i' fI" -Pic ~ 4d s~ J ~"s- AI j { - ..J::J~~~r / \ If' 7- ~\)t.'f ~ ~ ~d!~r' d- ~ k-d-~ 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. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! DATE TIME CITY OF PRIOR LAKE /~/~4 INSPECTION NOTICE SCHEDULED It)! ()O { ADDRESS 3 ,-/'-/ '-I L.Jl) 0 0 Du. d<.._ 1)/2.. OWNER CONTR. PHONE NO. PERMIT NO. D - 0'35'{ o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FIN~ /if MECH FINAL f..l:YJ COMMENTs:13I~. ~ f~/4~14 ~ ~ ~ p~ ( r Vtl cg)~.r)~ ~ ~ Jo~~ (jJ t!-:L~ ~t- *.~ ~. --~ W-tV~ r .. r-- ><::::c:.tJ , '- ~ At -~) o FOOTING o FOUNDATION o FRAMING o INSULATIO~41 ~FINAL ,~ o SITE INSPECTION o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ - --~~ 1IIIIm J) (I ./ ~-'1f ~Q~-9-, ---:::~....- o WORK S ACTORY, PROCEED ~ 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! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED I#~ !ll3o ADDRESS .:3Y ~ ~ tUtJdtJ DUG!:::- J)/t, OWNER CONTR. PHONE NO. PERMIT NO. {J- 35Y o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL o FINAL ~ PLUMBING FINAL 0 GASLlNE AIR TST o SITE INSPECTION /[] MECH FINAL ':,.. 0 \ :\ (J;M1e;T~u.Ir~ ()~ / ~ ~~kAL ~ ~ ~0.~~___ ~'~ L.pXZiAl-:; / tJ -,- - _. Ilf W, e, - ttf.-,r ~ AU~ ~ ~r o WORK SATISFACTORY, PROCEED " CORRECT ACTION AND PROCEED o CORRECT ~RK, CALL FOR REINSPECTION BEFORE COVERING Inspector: . ~ Owner/Contr: I CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl [j ---= C. it: " ,\: ( ;.l ~ ~ ORSAT TEST , .--'.- ~b Address3!:fl'f- tJ&,,~ 1)" Heating contractor _ · \' JJI3Ii!1i- Date ~ ~ S ; tJj) Pressure ,g" S' tJc.. Percent 02 ~ . PercentCO ~JYl Percent C02 ~" _ Stock Temp ! () 7'" ' I ...- " ...- - .. .' .., ..