HomeMy WebLinkAboutBuilding Permit 99-0013
DATE RECEIVED
ADDITION
.5 P (Z..t ,J c..
~r I~Y-l
BLOCK 5
t.A1CWo ~w.>N'
.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE S~E:. D€.MO p~ \T'~~- to I~
/ J.. ) :;2 / k BUILDING INFORMATION
f /) f} / 11. SIZE OF STRUCTURE
/ ~ ." It of, J(./ '$ p (Height) (Width) (Depth)
) ,
PID tZ';.\~~"'C::>'O.O
1. White
2. Pink
3. Yellow
File
City
Applicant
.31.
Permit No.
Cjf-t:e?/3
DIREcnONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS /.:) () J 3
3. LEGAL DESCRIPTION
/
12. NO. OF STORIES
LOT
13. TYPE OF CONSTRUCTION
.~ (Tel. No.)
~ ~l -;;.::- O"2:.L ~
f
(Name) /( (Addres~ \.... ' (Tel. No.) {lr' I" /1"1 '~15. NUMBER OF OCCUPANTS OR SEATS
J/ \'g<j(- S?3D) ~\z..- ~~f,5SS: .AI "
IJ1 () 1:1- /f-d /'Jt)'-/4~11 ~ /t.e M S5-'J.'I OCCUPANTS
7ivp~ o';w~f V I Fireplace 0 IJ1 ~~ 0 Deck 0 Re-roofing 0 Porch 0 SEATS
New constructio~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COST N ALUE
Chimney 0 Misc. r.!T' ~ C) cf) I- o-c:ro
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No
4. OWNER
(Name)
SA1'Y\6
(Address)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
'i<~ I .~ b 1 ;3 0
6. BUILDER
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 constructi will conform to all existing state and local laws and will proceed in accord. &nee with submitted plans. I am aware that the
:uilding official c7Y~7~st caus ermore, I hereby agree that ~ ~ff~:;4. d\s~e may enteryPtin the property to p~~rm;e:;~ /;~s.
c......--- ~ ~ig~ure <:.I:> L-& 'f '\J 0"'" license No. Date
,,, FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICAnON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~~t:>
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
~"",",""--'--'20
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV 0:J)
Occupancy Group A B E F H I M~ S U
Division 1 :6> 4
Permit Fee ................................... $
City:
Amount Brought Forward .................. $
Park Support Fee .............. ............. $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
-0-
-0-
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
. P . F OP'-'1-00J ~ $
Plumbing ermlt ee r. ..............t..;>....
Mechanical Permit Feei\'f.~l~.~J1.... $
Sewer & Water Permi.s.~. n -:-.0.0.13:... $
1,3e'?~~
901.1i-
1(')0 .00
c.LJ> \ 1-'\h"
100.0(\
1 ()t'\ . 0 0
,~ ..so
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $ 1,5"l)n .1")7)
Other ......................................... $
Total Due .............................. $ 41A4,+1.o
Paid '1. 2. c; t./_ t...f" Receipt No. 3lf :; 7 '2..
Date i-I - ., , By {;./~
J../5.0D
l 2S . 0 (J
Ll -
- (j-
~...................... $
Thi~iOn BecomAs Your Building Permit When Approved.
By .~ Date 1- T- 99-
d -
Certificate of Occupancy
Issued
T~is is 'Iy that the requ in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
sign by C~ner itutes a temporary Certifica., JO~ 7r,!~jl..complian~ allo~s co~truction to co~~<;e..:. Before occu~ ()/ Occupancy must be issued.
_ '77 ~ 1 ~ "",t.e.IcR. t'; e-c. !y-v~,: 1{) Vh A.A"1~-'/1_
- City Planner Date Special ConditM'ns K any ..,.--- ~...
24 hour notice for all inspections 447-9850
.. -... . - .. .. - .. .. .. .. .. _._".....-r.-...~.~-:;.. -.,. - - - -:""--- -"': eo ~ - ~ .1lIM'J\I~IIIIM .~"".1J'" ~"",p.w- w..",. _ ___...._ __ ___ L _ _ _ L .. __~ .,.,~
m~",S::~~1f'ft'il;:A';~h:'J;"'i'MI.A~~''';~~~!~';:~~t.'' ;i.;"f~:~~~c'l('~"'l"'!,~~~ ,- "':'.".'.',~_>~j, "..;,>~,,,\'.J'." :~::_' _'_ ,.", ;:," _, "',
03/10/99 WED 15:31 FAX 6124474245
CITY OF PRIOR LAKE
~OOl
CITY OF PRIOR LAKE
PLUMBING PERMIT
1.._ FIle'
2.. Gold C1\y
3. Y~II\>w ~b,)MI
pp~O. C(Q-/3
Phone; c., ~ 1- Co S I.,. ~;;.; $ ~.
../
,
j
Applicant:
HESSIAN ~LUMt\IN\:I Ol:Kl......:.:., 11'48.
Address; 1IOUFI:I:I:qsON TRAI,L WEST ,
Signature: _ INVER GROVE HEIGHTS, MN btMl (.
Legal Description: Lot I ,Block 5""1 .Sub SPe.INtS /-it:-,
Site Address: 3013 S Pie I ^h~ L,q- /Cg: ,eL).
Building Permit # . 99 -8 PIO,,_2S-/3.3 _ OQO-o
NOTE: This permit will not be processed without complete information.
FIXTURE ONITS
lb, ("nIt' GII~, wk, Co..,I1'
Quantity
(
I
I
-3
I
;:)
I
\5
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Quantity
Type of Fixture
I
Rough-ins
Water Heater 'if-
W4ilter Softnor
'-
(
Stand Pipe (washing machine) . d
Sewage Ejector
Baekflow Assembly (RPZ, Double Check, PVB)
BackfJow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-FamilY
(1 % of job oost. $39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Surcharge
Q99.50)
$39.50
$,
$ 9'1.5u
$~
$ .50
GRANO TOTAL
$ 100,ov
This permit is granted upon the eXl'lrcss condition that said
contractor. shall comply in all respects with the ordinances
of the State Plumbing Code and the amen~me9t5 thereof.
~ EEC NO,_S-/~/q1-DATE
. ,
. A1TEST
Call for all in pections 24 hours in advance.
~~~~~
/' ~~O e ~~;../
/ VJu\\J)~~
~
16200 Eagle Creek Av. S.R. Prior T :lie,. \,f1\T ~"~"7"'1 ,tl1-. Irl"'l' 4 4~ Mr-....
I.,....., .....
CITY Of PilIOll ~
No. 0574 P. 1/1.....---
.... ....
~ - .....JC"I"ft
..... . Gin
CITY OF PRIOR LAXE
sEWER AND WA~~~ PE~T
NOTE: Sewer and Nater
cone~actors must
be registered
with the city~
APPLICANT:JJjj.,<~ bvA. ff'~ ~ lc~;:;p "I7.(,,;L -l,y--u,,:>
ADDRESS: _: -LL jJl..J ?rl~JJ- .OATE: 3/..2-h? ,
SIGNA~: ~:::.. w.....:.;...... . -"LOG. ;BllMIT I CI,/-{x)/.3
SITE ADDRESS: 3c> 13 77... ..u~ " .~In~t- PIO' l:>c>7,2.f'''
. 1 fl, t'&:S1!. l. A tIJ.- . 'JpnnCTLa..i&. (<q.. .... i'~ ""-
FILL I~'-".rIm BLANKS, 5<5-/33-090-0
1. Estimated length of water ~ervic. teet.
NO. qt(-oO/3
2. S1~e of water service
inchC.").
3. Location of any couplings from structur~
feet:.
4. Type of sewer pipe. ABS PVC
5. Estimated length of sewer line
Cast Iron
feet..
6_ Clean out. (if required), located at
structure.
feet
fro1O
=-=~===~~..~__=s====~==sc=:==~==.=~=-~~~--===_---_----~a_-
:l'l>is "p~ion
BY. ' ..,
. .~
,.~.,
__---=-&:==;---=-m-~-=~--------c---=-=C2--~----====--------=-----~
ur permit when apprdVe4.
3-L(-Cfc;
DATE:
'.
. Fee tor either'5ewer or water indi~idually is $20.00 plus
S .50 surcharqe. --
* Sewer ana vater permits issued for neW ,construction must be
recorded on the buildin~ permit card a~ the timQ of issuance
to insure that no Qup11cate sewer and water permits a~e
issued. PAID WITH . .~
DATI' PAID (f;P 3 -Lf.L(Cj A1fOIJll'r pAID BUILDING pERMIT
RECEIPT # I llEC'D BY {!IlIA )
~
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharqe
TO'I'AL
FEES:
16200 Ea&le Creek Av. S.E.. Prior Lake, Minnesota 55372./ Ph. (611) 447-42.30/ FAX (612) 447-42.45
AD Bq\aal Opp:Il'UUa1l)' Emplayer
C'l
o
o
~
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. qq-/3
Prior Lake, UN 55372
HEATING APPLICATION / PERMIT
Date. ~-,,-~, _ PI0,;zE-/.33-0QO-o
Site Address -. '1O} 3 .s !,IL(~ lAM 12. d /2.150
Lot / Block SI Addition. SPJe/N6 tAK.5 TDW/I!SHII'
Owner's Name. /VIe lJ<. u I t-~ ,~..,
u
z
....
Address
Heating Contractor. Al'\nct2~ A-L~
Address. 5b'?> U fA It <H (.j. t ~ t.-I-
Telephone '-~t).) ca , 4 - 7' 3;
Furnace Make & Model &VM-'1J
*
Model Size :ri 3 J< /4-v otJ f 1 ~5'"
8we.vJ'cJV/l~ .
S5""33,)
,.--...
l-~c.
1t.J.
~
....
<:
z
o
tn
~
t;l;l
Q
Z
<:
(,I(
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning .
Venl System . ,.---
HEAlING OR POWER PLANTL--1
Steam . --
Hot Water
Radialion
Special Devices .
Conn. Load
Fuel A I9-kwt+'
Flue Size
d
()
,
. OUtput leD, ~
'-..{:.
_-1
^>
Supply Openings
Return Openings
Input/.3J ,lJli)
..-..
I
--
al
..,
al
I'-
"'"
al
ClO
Edr.
Cfm.
Other Devices
;.<
<:
~
TVPE OF WORK
c/
Aheralions
Replacement New Construction
Est Comp. Date
.-i
.-i
Repair
ClO
o
_ Building Permit' .
qq-/3
al
al
"-
co
o
"-
'"
o
Est. Cost $ .
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Receipt # .
.50
PAID WITH ~"
~ BUILDING PERMIT
I. Piuk
2. GrecD
3. Yellow
File
Ciry
CoDtradDr
MA~ \0\999
TYPE OF STRUCTURE
v
_ Two-Family
Multi-Family
Other
Single Family
Commercial
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed al $35.00 each.
House Heating Test Record must be submitted with buildina pArmit number belore build-
ing certificate of occupancy will be issued.
HF.AT CALCULATIONS REOUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or addilions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE, S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
.,~.
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete ;\nd accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
~~ A.. A
.j. }p 7P11i'vr .:~ S'
~.I
,
-s--~ - 51~
Date
o////9Q
Date
Building Offical's Signature
White - Building
Canary - Engineering
Pink - Planning
Thf' ("f'nlrr or thf' Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1\c.\.)Nitt \tClW'\€S
APPLICATION RECEIVED (::t - 3\- 'lA
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.30 l3 So"I'~ ~~ ~cR.
Accepted
Accepted With Corrections X
Denied
Reviewed By: (2p L k
I
Comments:
Date:
J-]-CJFJ
I. ~t,\..:.\i \L... c......cJ.. ~Q.~....~c.\"'- Q:g,,'l:l\A ~
2. 9,0& 0.\\ \o,"",e. ~i \ areAS
J. R.&A.~ 0( \ \ ~~C4L~eJ. I{.c-J 6u~~
"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."
99- 00/3
Th. f.nl.r or Ih. Lakt Coualry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Me \:>- VI H \.\0 i' \i2.~,
APPLICATION RECEIVED \ :: - .": \ - 1 '&
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r~ ~
\{~ c>-
~"Ot..~.
"--' \~-l"-', " ,
'\ r \- .
~'. . .-'<.
......,
Accepted
./
Accepted With Corrections
Denied
Reviewed By: JJI1L:r~1? Elf~_'fJ'l1"AlA.I Date: 12 aj?~
Comments: _KUAJOF~ J:!/gg- 8/5 &Alt/~ 10 AAJO ALaA.J~., ~F
.Lor J ~ t1s ~ Ils Hu~.CTlC,qL .
A PtitMrr ",vsr
Be:
OBTAIIIJE 1\ FRo 111
SC,.o-rT
r;. ovATrY
F o~ //U..ESS 10
Covl\JrV .'K D 1'2.
.sEe
IAlF'DlC.MA-.,a..oJ ON REvEtt., E SllJe.
SE'"E: ~C~IU.EAlrs : I ~ ~t(A-OIA1(.. /NSp~crICIU )""FoA..1'14-n~
2. 6"~O.sION CONrn...O L MFA.!\tlIU!!S
3. ~lnAJ /:,,.sT!?IJ(..PL.I4A.J
"The issuance or granting ofa 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."
The ('enter or the L.ke Country
White - Building
Canary - EngineeFing
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
j'-!.. ~ \
I \_
~' ~
, '
APPLICATION RECEIVED
I"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Denied
v
()4.~ ,Date
,/Y'LU.o. F ibtd riJ WGJ/;(Jr) (eAr f1 co.k.
<
~ -ro ~~/l ~~
Accepted With Corrections
Accepted
Reviewed By:
JilL( 1CJ
- . -
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."
.Permit#
~
.JobAddreaa ~O/~ ~~U /2..0
.Heating Contractor ,~<;-o" I-J I fL ~ .
.Testers/Signature ~
Date
Ii!!!!
Pounds
Pressure
.Gas Une
Pressurized
Inspected
· Percent CO2
PERFORMANCE TEST
70/-6
;:. OJ 0
.Percent co
~~
<?;2 'i 0
.Percent 02
.Stack Temp.
,.
Final Inspection
Date
'"
'.
~. "'; '. '..J/';:'~"'.i'~ IIII I""~:'>';" IJ..,.....Jt.,:;.~-~ "oc.l..'~(,'" ;"'"".!~"cii,~~"",,&,;~{-,~,~i..;'":..'>J.~~I';"'.' 1"'11<'""".,;,> ...~,','ft<, ,:,:...~.,..; ....,~.'-:~"'"....J,~I;.~'~~:~JIII-,.,'-,.'-'..,I';'; "':',n.j;~'~.i;""ij;'Jb~i~';;;""':;"Jl'.i-:~:Y" ',,""'." ',',; ,'-.1;." :'~'.J...' ,}:ii.'~,;"'/-j.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
~ 1~:Ob
ADDRESS 3013 5~ kJv.. ell
OWNER ~ flQ.ll....vtr CONTR.
PHONE NO.
PERMIT NO.
'\'i... 13
o FOOTING
o FOUNDATION
o FRAMING
~ INSULATIONIl
FINAL T\
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 GASLlNE AIR TST
o
COMMENTS: tkcA. ~~(
>~ ~ ~fl~
\; ~
("
fIf/
VAil' !.IA-"
~K
I
~o~..-_-
".
.
Inspector:
Owner/Contr:
CALL
CODE
INSNOTl
CITY OF PRIOR LAKE
INSPEC1;ION NOTICE
SCHEDULED
DATE TIME
2jE=bk
ADDRESS 30!.3 ~PA.11I..' l'. ( .~Ke 7?J:>
OWNER CONTR. f!!kjJl!:vlff ~
PHONE NO. PERMIT NO. 91- 0/3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)I. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
QIt..~ I~ dt-~
~~)( IS. dJEIli1JjDNlh.
bmAE- y",U) IS ~LJ I &,.,vp sc."'iJeD
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 8J...
:: vner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
~ 3,'.3>0
3013 5 PQII\J G LK Je.L)
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
QC;-/3
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
APLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
S!J //V'('J'7J?L. t,lttJ/lI' P~y 7V6
(;;i) If ~17UI C/,..J SINk:- 4j D J > f/ W /l ~ I-! ct::...
(3) VGtJ"{ 1', cEft.5 wA7EIL HEF\1 t::J!L.
@ //VYIr1((, I~ h~/CEX- l..,JN6S
(f) /J/F'EO S' M-7Jl7V..$ P 71<1'1? ffc06S 5' FoIL
(J f~pN ~7J/?"\f Ir- ~
\0ML ~ cY
/
/
'=ORK SATISFA 0 Y, PROCEED
RECT ACTI IN NO PROCEED
o CORRECT WOR (, R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447~230\- FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COnE REQ~~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE 5, ~ ~79 "?~
INSPECTION NOTICE SCHEDULED
ADDRESS 36/3 CS~t"O U Ri
OWNER CONTR.
PHONE NO. PERMIT NO. 9tt!-'-/3
o FOOTING 0 PLUMBING RI
o FRAMING 0 MECHANICAL
o INSULATION /J ~ATER HOOKUP
~~~DATION tJ r" ~~~~T~~ ~~~:~~
r'~ ~EMOLITION 0 PLUMBING FINAL
o FIRE PREVo F 'C/'Vll 0 SITE IN JPECTION
COMMENTS: R r Cutt "t'u;k Vtq.
& 0 I !.} (XI,~JjAA Qg 40 P V G- v
I If ll?-\')/Ii LL ~~ Q() _
\ Gl/V~ c..>t 4u 2- ~
J ?-1>I\ ~ ~(,(~ u
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
&r~~ ofl./
t-1 ~
~ +- V(~K 0.~)( 1b Gre-tt<-
(J fur l) c..h,.. ~ *~ ~~ v c.A~ +t (LTl-
Srij ,ahtA I}~ r'1J'''f
AN~Af1, ~Ji ~ ()~
. ,0
~l/h fL--l& PDN
~ W~SFAC~~CEr: &:
~ORRECTAC~PROCEED
o CORRECT WO (' tl FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
v[~ .
5" {J {,
~
(Jun
(fir 0 pwt-y
. I
CALL 44~-42.';O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQiiREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
30/3
(j
1J1Vlf<V-
() /L-
SCHEDULED
Sfl-'''':.J
L4~ Il J,
CONTR.
PERMIT NO.
o PLUMBING RI
o MECHANICAL
ca..WATER HOOKUP C A-f
j)!A SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
rM
f
KWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL ~OR REINSPECTION BEFORE COVERING
Inspector: t.,../ Owner/Contr:
DATE TIME
I -20 -''1 1/: 00
~~~"
99-01~
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI