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HomeMy WebLinkAboutBuilding Permit #00-0021 DATE R~ CITY OF PRIOR LAKE / 11+-/:2 000 BUILDING PERMIT, I j TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1.;/~ ~/ ()O DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ALl:;' ~ q 3. LEGAL DESC'RIPTION . LOT -.3 ADDITION J J1~ //tt1J1 h/1rl J ," yr L .7 .-~, \) ( b :2 Ad Add.. IZI BLOCK II ~ /,/ PID 25 - 3?/j- 040 - 0 4. OWNER (Name) D I'd..... ~ g~SJ'\""'s.c:. 5. ARCHITECT (Name) Ifle V /q I-.- t/ Is 6~ 6. BUILDER (Name) (Address) '/ t1 t? ~ " IA. Ll;JtJOJ.. (Address) I??~ t;;' ~ i'V'-4!.-d.1: (Address) (Tel. No.) ~.P.:l...1 (Tel. No.) b j z.. - S" 2.. V~ ., tp 7~/- /<; ~ (Tel. No.) l/1e {/trl- O),>"p~-/J,}. ~> ) >~~~.- E~;;) t"tiL. 7. TYPE OF WORK Fireplace 0 Septic 0 New Construction ~ Alterations 0 Addition 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. C'i'flf SIZE 17. COMPLETION DATE Sq.FI. Width Depth Yes'JI~o M d 4 ~OJ~t!) 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 owi\er or authorized agent for the above mentioned property and tha~~tru' . I conform to all existing state and local laws and will proceed in accordance with submilled plans. I am aware that the buildin~ ~n reV/1B this permit f r jus ca ermore, I hereby agree that the city official or a designee may enter upon the property to pertorm7e ed in~~ns. X '/A~ ~_ </~ / /9'9~ . . "Signatu# V - - . license No. . I Date" , SETBACKS: Required Actual BUILDING DEPARTMENT VALUATION USE OF BUILDING SP.D Deck 0 Finish Allie 0 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 FOR ADMINISTRATIVE USE Front Back Side Side OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION I (3JI'll'Y") . L""\O TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R Division 1 2 3 4 Permit Fee ................................... $ S U City: Plan Check Fee ............................. $ q ~2 .::2~ CPI$ . 'U. 6lD.SO State Surcharge............................. $ Penalty ....................................... $ t 00 ' ~ 0 (00 .60 3S'. SO 40.00 Plumbing Permit Fee ....................... $ ~ -,,\ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ Thi~li~o~ecom1"'our Building Permit When Approved. By ~r-- Date /- Z~-c:t::) Certificate of Occupancy Issued 1. White 2. Pink 3. Yellow File City Applicant Permit No. 00. -06 Z / BUILDING INFORMATION 11. SIZE OF STRUCTURE (H9ig~? (Wi~4 ( (D9Pth)J/;1 12. NO. OF ST07S 13. TY~tr~~CTION 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 SETS COPIES PLOT PLAN o Amount Brought Forward .................. $ Parl< Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ ;,1" $ Pressure Reducer .....~................... $ Meter Hom ................................... $ Water Meter ................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $~ct' .00 Other ......................................... $ Total Due .............................. $~ ~z...3- 2/ , Paid ~3. 1.,/ Receipt,.:3(' 'J Is-' Date . ~114/00 24 hour notice for all inspections 447-9850 85:0.0-0 l { (") 0 . 6)6 46 . CJ1'l I ~ 5'.00 I. 200 . 06 . 100 .OlJ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce s requested. This document when sign . lanner const~utes a temporary Certificate of Zoning complia~n<:.al~ws co trucllon 0 comm n e. Befor occu a ~te_ of Occupancy must be issued. t-~(-CO ~- ~_~~ C' Planner \ Date Special Conditions ~ any , Tho Conlo' of Iho L.... Counlry 0(;-002 / White - Building Canary - Engineering Pink - Planning .BUILDING PERMIT APPLICATION DefARTNlENT CHECKLIST NAME OF APPLICANT Iv/~'/;:;JL vrJ (JL'::6N if()tl65 , APPLICATION RECEIVED I / J 4 / Z 0 (; 0 I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 41704-- III Ivl/'/I N(513//2D -lie... /v/E I Accepted ~ Accepted With Corrections Denied Reviewed By: ~-r;p~-", Date: 1- ;:{- eo Comments: :2-'1 f\ ~\MwNo ~ f/IIy~ tl)t ~ . W~1 (~'r~U J:J_-t9-lAl "1'; u.w!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." 00-002 / The Cenler of Ihe Like Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED Ht;RLVN {)L-SON Hol16S I I I / ~/ ZooD I , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4 '704- H{}/'1I1/NQ13//2D'IK- f N6 Accepted Accepted With Corrections )Z Denied I Reviewed By: 9...Q ~. * Date: I - 2 <; - 2t!JOCl Comments: ,~ ea.J. a.U Q~~ -UJ~ '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." /' /; Thf Cfnlf'r of thl' l..h Country ~ ( (," ') / Of,j - V:( "L- White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT f/(;.kJL LI/V' CL~O,1\/ l , ;' I ' I -. ., .I 4-/ L.-OOC I f" ," ,- .- -- -/;,- I- <- G.! ! l-/~' APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4 i7(} 4-- Ifr.. til'! / Iv' (jl..3/ Ie:!.) -/Z I 1\: C' '< "--- Accepted / Accepted With Corrections Denied Reviewed By: ~rE'A ~MAN~I Daie: I I //ZK/tJO ., . Comments: S~E jtJFottrttr'tnON ON II-IE- i?cllCll SC SJJJe. Sff. ~TTIKHr"IE","S: J. nAlAL. GtlAoE. /~SP€.Cr/(Mj l""ron."'1I'i1tJAJ z.. arfd/Jw/~ !tAN ~. ERo~ f..o/JrR.oL. MEA.su/C"F-S </. ~o.$~,.J CONT1{"c... RAAJ "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." ~ ,. Job Address . :;70 .~-I /I""1AAf L"'/ Heating Contractor ~~ Name of Tester ~.I'- Date --z:- b-od f:{,/()16 ()% 7.9% ...2.&<;0 Percent O2 Percent CO Percent CO2 Stack Temp. Combustion air is adequately supplied per UMC Sec. 606 / ~ '" Input ~Ja:tJ / ", I PIal< 2. Greco ] y.u_ 'F,k LH} CuolnJ:t.:)1 CITY OF PRIOR LAKE 16200 Eagle Creek Av. S.E. Prior Lake. MN 55372 00"002/ _ .-.JHEAllNG APPlICAT10N I PERMIT Date )1f~3// /YO PID . 25 - 33q - ()4() - CJ ,. . - stoll Addre~. J/ ?~~ /l-U/71/n/n'r t;'r-oI /t~;,~L,d~ v l..DI 3 BIod\ to _ A.doi\ion t::/IIo/3 HIl.A_ 2 ~ .lnf.. r u / n ~ /5 trn- #~~n~..5' r ~U~ /rU~.han.-,~-'. 1~:5/S' 0c""n~ ~YW Sc /;/~-L-/~CJ-:?~ 3/ ~-rroA!.. - . Model Size ---J.I (. ~ .6 nL Ownllr's Name v Address . Hea1ing Conll a::'D1 Addless Telephone' Furl'\allll Mike & Model Conn. LOla Fuel .FlUB Size Supply Openil\gs Returr, Openings Input Output Edl. elm. TYPE OF WORK Alteralions Replacemem Repair_ ESI :Orrp Oal' Bu~dil'\g Pe,m~ . ()O -002-1 Est CosI S . HEATING PERMIT FEE $_ STArE SURCHARGE $ TOTAl PERMIT FEES $ ,50 MC Permli No, TYPE OF STRUCTURE Siflgle Famdy Commercial Two-Family Mulfl.Famlly Induslrial ~ubltc Olher Fee Schedule 1% 01 iobf~osI1S39.S0 minimum) $99.5) $64.50 $39.50 $39.50 539.50 Industrial. CDmmerciaJ & Mullr.Family Residential Heating & AC Residential, Healing Only Residential. Gas Fireplace Residenlial, Addilions &. Aheralions /.J Residenual. ~C Only J1;7ff/-V,,: . ~emember 10 add Ihe Stale Surcharge 01\ the bonom ollhis apptica1ion. a232Wl TYPf OF SYSTEM Warm Air Plal'\ls G'aviry . Mechanical Air Cond~ioning Vent. SyS1em The price 01 your healing permll,nctudes one lOugr,.jn and one flfulnspec1ior1. Additional inspeC\lof'1s wilt be billed OIl S3!l.OO each House Healing Test Record f"'usl be submrl\ed Wllh t>u,ldmo oermil f'1umb!t! [)elore bu.ld- .l1g certificale 01 oceupancy wiq be ISSloed. c.---- o HfAT C:ALCUl.ATION~ REQuiRED wilh number 01 supply anI:: return oper,I'9s lisled per ..., room wilh CF....s per opening. New S1I\JclureS or adcliliof'1s sel\C floor plan wllh sllpply and return localions shOVln. HE~T lOSS CALCUlATIONS. PAYMENT AND APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE. 16;lOO EAGLE CREEK AVE S.E PRIOR LAKE. MN 55372. . HEATlNG OR POWER PLANT Slearn 'tiol Water Radiallon Special Devices Cify Hall business hours ale 8 a.m. . 4 JO pm OIhe, Devices ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL U7-9SS0 ~ew ConS1ruC1ion I hereby apply lor a mecharllcal syslems permll and I aCk"owledge that lhe il\lormalion above is complete and acculale; Ihal Ihe work Will be in conlormance wilh Ihe ordinances and codes 01 the cily and wilh Ihe slale bUlfdi"g/mechanical codes; thai this form does 1'01 beoome a permil UI'lil signed )y Ihe BUilDING OF~ICtAL: Ihallhe work. will be i'1 accordar:e w,th Ihe approved plan in Ihe case 01 all work which requires review and approval 01 plans /lz. xA~ ~~ . . 'PP"<>. ..- 3;:-: /a Cl- Building oyat.s Sigl'alvre Dale - . / "-lO \N"'\"\ ..' ~ ( t'r ",'G r~\:;l"\\\ ReceiPI'@U\\"O~\"" o (., o C> '" '" --i :x: .-: o 'oO ..., :.- ;.< '" .... 'oO ... ... -I ... roO .... c..' ~ o :J III ~ Q. ~ o '" II ." ::r en o ::r ~ ... :J ,. ,.., --i --: ." :xl o :xl r :.- ::>:: ro; en .... N I ~ ~ o I (Xl en .... (Xl 5 .. 0 o ... ." . N Ronald Joseph Schlink 612-440-8618 p. 1 05:06/99 THt' J1:01 F.o\X 612HH2~5 ~ (' ITY OF PR I OR L:\KE I?: (J 0: CITY OF PRIOR LAKE PLUMBING PERMIT I Blue Z Oo,t] .\ Yellow F'il, \.:.!; ^pplJU/H tI ()() - 002-1 Applicanl:_-._~""A..J-i... /rlu;..~IE.>c.../t::.~...L Phone: .y~CJ -J4-3/ Address: /k5/,.? LJ,'e ~r~'~ &"".r""c .sC Signature: ./";7~~:,~ ~~.~__ ______. Legal Descrlptiorr lot 3 Block _.J2 sUb_K#Oa~lfi~ ..1--II!..i? Site Address, ~7t' ~ #/L./nlH;YJ C'~ ~/L"h- ~p //,(A.. Building Permil /I fJO - ()() 21 - PID If 2~,.,~g-f14Q.-O NOTE: This perml' will nOI be process~1:l wl1hout complele Inlormalion 1..... ( ,,,.,, .., Ih. I.", .'......." Quantity .:;J. I I Y / I / .3 I!?. I FIXTURE UNITS Type 01 Fixture Qualltity Type 01 Fixlure Balh Tub wilh or without shower I .I Rough-Ins Water Healer Dishwasher Floor Drain Water Sonner lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall / Stand Pipe (waShing machine) Sewage EJsctor Back1low Assembly (RPZ, Double Ch~ck. PVB) Backtlow Assembly TesJ lawn Sprinkler Qlher Sinks Bar Sink Waler Closet (toilel) FEE SCHEDULE .. 23 aQJ IndUSlrial, Commercial & Mulli-Famlly (1% of job cost. S39.50 minimum) Residential, New One & Two Family ReSIdential, Addlllons & AllorallOns Slate Surcharge $!:I9 ~O 539.50 $ $ $ $ .50 /PA',.R:~~M\T $ r OU\lO ''4 GAANDTOT At 'I'll.. permll H Il'~nlcd upon Illc Clprc~. (UndlIICl/l Ihll uid cnnUlCIOI, .\hDII comply in I le< ,,,,< Wllh Ihe "'Ulna/lC" nl .he 51;11\: PlumbIng C d a'i~~lolo'hcr~: re I AT'TnST t- Call for all imp 'lions 24 hours III i1dVilnCC 16200 Eagle Creek Av. S.E., Prior Lake, MinnC'iOlil 55372 / Ph. (612) 447-41.3U I FAX (612) 4-<11 LI2<15 An Equal Orronllnirv Employer ~ FROM : KLINGBERG COMPANY PHONE NO. M 'AAillt/J: ~ h '7, PR~~ <:\ 5/\E ~NE~~ ~..O .... NQTE: Sewer a'nd Water ~..., 0", . ~.. . .... "',.,. ....,:::~..:.. ~~n.tra~';~I:t:~:~ ~ ..w'it.Il.: the city. )j; ()~";; A~PLICANT: hf!j . .... - . ~> .~~: 4frJ. ;657 ~1'Y6 ADDRESS: fb~1o .' ",.t?A'rE: 3-~7-(JO SIGNATURE: ~.: '-.J .. &LDG. PERMIT * (P!X>(;l/ R:;t'~ SITE ADDRESS: 4'liJJ/ '~~i~ prD~ 'ZS-33?-lJ4<;"O JI1+{)/~ ~ <~~ FILL -4 THE BLANKS .".... 1. Estimated length of water service ~ 2. Size of water service In inch(.s). Mar. 28 2000 09:21AM P1 ...... . ....e ftiLL.ft - APPUC..l' lIOU) .. CIT Y .... ::''''..'dfAj .:" .., .:~'t~'" : ~11~ 'u;-';':-':". ',' " H'1-- ;;:'1~".., .("T~ .: :",'.' .. CITY OF PRI.OR LAKE SEWER AND WA~R PERMrT . No~1JO-0021 .feet. ll'.oo A~ f,.J~~ S/23:' 3. Location of any couplings from structure 4. Type of sewer pipe. ABS PVC~. Cast Iron 5. Estimated length of sewer line ~ feet. 6. Clean out (if required), located at structure. feet. feet from This ___==========*~=~_~_~~~~=~~~~~__~w==~==:===== . BY mes your permit when 'approve.;d/ / DATE: 4/3/di I ----------- ----------- -~~~~===~==-=-===-==-====-~-=-~=-**=~*======~-~~=-~==~ \u:.t:'S : $ L~$ Sewer and water line Surcharge TOTAL * Fee for either sew $ .50 surcharge. $20.00 plus ... must be are DATE PAID RECEIY REC'O' BY 4629 DDkotZl St. S.E., Prior Lake, Minnesote 55372 I Ph. (612) 4474230 I Fax (612) 4474245 . AN EQU....L ...;.~ ...RTUNITV EMPLOVER Date. Sile Address Lol 3 OWner's Name Furnace Make & Model Model Size . Conn. Load. Fuel Supply Openings Return Openings Input Edr. Crm., Alterations Repair Est Cos1 $ -i ~ HEATING PERMIT FEE $ D r ." ~ ,... STATE SURCHARGE $ TOTAL PERMIT FEES' ~ CITY OF PRIOR LAKE Me 16200 E.agle.Creek Av. S.E. Permit No. ()() -()n;{ J Prior Lake, MN 55372 PID# dS-- '!>3Q-CflO ~O Flue Size TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Condilion ing . Vent System HEAnNG OR POWER PLANT Steam . Hot'Water Radiation Special Devices , Output OIherDevlces hW'~ a.1"M . TYPE OF WORK New ConstrudLon '-i v Replacement Est. Comp. Date . Bulding Permll'. 0(') - c)('") a \ .50 Receipt tI ,TVPE OF STRUCTURE 3. 'icUOYI \.oDIn..... Single Family \1 Di .,,1 ;;0' I ,... ~ I I\J ~ ~ ~ I '" Two-Family Industrial Multi-Famlly Public , Other Commercial. Fee Schedule Industrial, Commercial & MIJti-Family Residential, Heating & AC Residential. Heating Only Residential, Gas Fireptace Residential. Additions & Alterations Residential, AC Only 1 % of job cosl ($39.50 minimum) $99.50 $64.50 $39.60 $39.50 $39.59 ,... . I\JI Ul (.oJ c .... 93 m n ^ "Tl .... ;;0 It] House Heating Test Record must be subrrilted with "'.1!ril.."p "f'I'ITlit"" ~rMf\r before build- ~ ing certificate 01 occupancy will be issued. . ~ HFAT rolll r,l" ATlnN~ RFnl HJ:lFn with number of supply and return openings ll&ted per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF ~RIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE. MN 55372. Remember 10 add the State Surcharge on the bottom of this application. The price of your heating permit includes one rough-in and one final inspection. Addtlonal inspections wiU be billed at $35.00 each. Cily Hall business hours are B a.m. -.4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CaTV HALL 447-4230 I hereby apply for a mechanical systems permit and I acJmowledge that the Information above is complete and accurate; that the work will be In ~onformance with the ordinances and codes of tRe city and with the state buildingfmechanlcal codes; that this form does nol become a petmit until signed by the BUiLDING ffi OFFICIAL; that the work will be in accordance with the approved plan in the ,... case 01 all work which requires review and approval of plans. ~ ...a,hl JI~h<-V-L '1')r!dV il1 . AppliC+nt's s~ur~ .~ _ . Dale U (J~{) -t /1) d O/1!,I)Ai.4J 4' /;4 Irm (). lluIdng 0tliciI's ~.. I D'oI. ." ~ ,... "- ~ ,... PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS i.l7Ct( Hu~wd~ Ie",-&. ti-. NATURE OF WORK ~, ~lJc.kav\.. USE OF BUILDING S'FL\ PERMIT NO. 00 -co"' DATE ISSUED 1-'2,5- 2..000 CONTRACTOR ~. a(~ NOTE: THIS IS NOT APER-MIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING _.' _, _ f'hA. I ~"1'1.oc FOUNDATION (Prior to Backfill) I (< ')) 51; )~b I PLACE NO CONCRETE UNTIL{j/BOVE HAS BEEN SIGNED ROUGH gs SEWER I WATER I SEPTIC 317 Q hfl FRAMING S ,r/-/ ~ I;i /00 INSULATION .. f }7/;1) ELECTRICAL / I PLUMBING ~ LI- ~-- (50 ~ ~ HEATING (if required) \ 0>\ r- '3--fJ{) FIREPLACE ' \I) t.-\ - 1 ~ CO GAS LINE AIR TEST Vff} t-) -"1' ft..) COVER NO WORK UNTIL ABO~E HAS BEEN SIGNED I I FINALS G ! -' g: 2 c; ,,(/T-J . ~ LtJ/4F. 8r-' ,. : ~ _co::~:-. - - - _ ~. GRADING (Prior to Sodding) BUILDINGle.o T~ B/I/()() ~fpllL{IDO ELECTRICAL PLUMBING HEATING DO NOT OCCUpy UNTIL ABOVE HAS NOTICE fj( f/U 01> t,18/!xJ ~lls/ tfb I 6//t/lt/O BEEN SIGNED CM. ~ Thi~ card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections have been approved. On buildingsahd 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 ',' '\ SCHEDULED 1/2 z/O'tI A.T; f( ttlfA. "^-I NJ h (M r Te , CONTR. VI' I \Jr ,..nl\.In. Ll'\I\C INSPECTION NOTICE ADDRESS 1 ?/J '-I OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION It FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~ oJ. / \. ~, at=' B (.4-cI ~ -l)Z( o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST ...", ~;:- ~-~ plWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED :.::~CT wo~; FOR REINS::::::FORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl .J,D:J~ SCH~DUlED ff ~'kd TIL CONTR. ( - (1JJAivar ~ ,6< Th ~bJJ V~ tt ~~~~'b." CS>)~~~ /(~ / o W~SATISFACTORY, PROCEED ~~~~T A~I AND PROCEED o CORRECT W . ,A FOR REINSPECTION BEFORE COVERING Inspector: l.-- Owner/Contr: CAll 44~-9850 VOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 4704 OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION .tf\.. 0 PLUMBING RI ~ ~ECH RI l\ ATER HOOKUP ~ EWER HOOKUP o PLUMBING FINAL o MECH FINAL 4;~E~1:! Ii - ./ 4-0 (llle..- ~~ v TIME , (.70 0- z,J o EX/GRAD/FilliNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o - NO ~ r;/\,~L M~ 'b Gv4Lh..- OJ^- INSNOTI OWNER DATE TIME SCHEDULED Wc() 5iftf> /-h} rn tri'j b c.cd 7 R;d l CONTR. CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS Lf7()4 PHONE NO. PERMIT NO. CJ7) -0 () ;)} o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACERI o INSULAl'ION 0 SEWER HOOKUP 0 FIREPLACE FINAL N' FINAL ~\ ~PLUMBING FINAL 0 GASLlNE AIR TST VO' SITE INSPEC ON \.QJ ^ MECH FINAL 0 COMMENTS: fD.~ ~ ~ ~ f~,ck ~~ I UJ ~.~. tJiJ.L1.; /J4 flU' ~f ~ b-o-L -cPIIJ - A-. G ~ I Tifl ~~, I ~ f'~ ~ 1p..{ ito ~~~iflJ. (5!)~ ~ ~ ~ ~ ~..ad, ffJ ~ ~" ti.d~ Q cf-.-.. ~I , ~e,~, ~ ~ ?5(r loa I , Ff ~-u& --~ ~)I ~/U.F.~. ~t~/f.l!!. o WORK SATISFACTtRV, PROCEED )( CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING fu-, I Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! 'NSNOTI WdV 4704- H()/1/"1/NGL!//eZ) CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER CONTR. 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 A 0 SEWER HOOKUP ~PLUMBING FINAL o MECH FINAL DATE TIME z:cso (J?J -OOzl o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o )<.OMMENTS: ~ ~~ ~!Ju tvJp .1 g;~ A ~ ~A~-U f lY~ ~~ ~ ~ If~ ~~~-J fu DJt (H14J ~ i.A.~/") 'V' ~/ 'Dfuln 'to- " . ( ) \.fi J.J.t.rn in, / / / / ..- ())~' Inspector: Owner/Contr: CAl. 447.9850 JOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~EQUIRIMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! V INSNOTI ADDRESS 'f 7()'f -..... ?~ no, M#1J12'!J-1/d J;. AE CONTR. M"1m Oh- 6" 1b111~ PERMIT NO. tZ' -d:h;l J' ___ o PLUMBING RI ~D/FILLlNG o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLlNE AIR TST o MECH FINAL 0 SCHEDULED CITY OF PRIOR LAKE INSPECTION NOTICE OWNER PHONE NO. o FOOTING o FOUNDATION ~RA DILATION FINAL o SITE INSPECTION COMMENTS: 6ra~ '5 Of:.. (~Ybbd.)( "';$ o!:- / / \~ ~ \ ~ / ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED REINSPECTION BEFORE COVERING Inspector: wner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOT'