HomeMy WebLinkAboutBuilding Permit #00-0068
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
t-t:tJ J 0 2000
LOT
ADDITION
4.0~
. //n?
5.AR~
6. BUILDER
1. DATE
2-B-oo
1(.1
C!; R '
PID Z 5'" 3{q2. - f)32.-0
45
(Address)
./JJff77ZtJ &A5J/c... ~/77~'
7. TYPE OF WORI{ /' Fireplace 0 Septic 0 Deck 0
New Construction.;'\. Alterations 0 Addition 0 Finish Attic 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft. l~oB _Width lit, Depth 1~3
I hereby certify that I have furnished information on this a plication 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 enti ed pro an all tructio ill conf II existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
buildin icia n rev this rmit for j use. urther re, I hereby agree that the city official or a ~nee may enter upon the property to perform needed inspections.
X . /'~4? 2-Pl-oO
License No. Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SFD
(Address)
(Address)
9. PROPERTY DIMENSIONS
Back
e3r~' 309 '-f
W7~0#~O
(Tel. No.)
~cP/ OcJ
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
10. CULVERT SIZE
(t9
Yes
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. DO ..fX)~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) I R f (Width) #(Depth)35
12. NO. OF STORIES ?
~TYPE.OF CONSTRJJ6jION j
~I ~t:7 /r:-t-t2oJ.J-/
14. FLOOR AREA APPORTIONMEt4'T USE
l.5.2- <f
15. NUMBER OF OCCUPANTS OR SEATS
Z.
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
/~O~ (00
17. COMPLETION DATE
'-I-~O-oo
FOR ADMINISTRATIVE USE
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMITVALUATIO,f I ~/(')t!)C ~ 00
TYPE OF CONSTRUCTION: I II '" IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Builder's Deposit ............................ $ ) ~ ~t::)O ~ CO
,
Other......................................... $
Paki T~ ~"i;-:;j"r;;....~~;~~1 $;~~-;~ r-
Date -z,/ ~ 7.,/ 00
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~ce and may proceed s requested. This document when
sig.n P ner constitutes a temporary Certificate of Zoning comPIi~ allows nstruc 'on to c menc Before occupancy, a Certific of Ociupancy must be issued.
City lanner 2- \.\ f'tt:O -. 'P . specialcondi~ ~~S
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee .1J.():~....".6.... $
Mechanical Permit Fee OJl::..&te.... $
Sewer & Water Permit (f]).~..fA'/).... $
Gas Fireplace Permit ....................... $
I J 631} . z~
· lief. 2L
(. S". 00
I oo.~
I tj (:) . (!)O
3S.6-o
mes Your uilding Permit"When Approved.
Date ~ - Lt{...~
This
By
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ................... .J., 1 f.),Q f..~~. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
t;/. " $
Pressure Reducer ...0.................. $
Meter Horn................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
City:
~~
IfJ '
1/
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
SURVEY 0
COPIES
PLOT PLAN 0
S5rJ.~t9
1"6 ad
qS.t:JO
I 26'. OC)
I i2Q~ .00
r1oo.~
~
07J -(57)& {
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT JVl.6-ne. 0 ~L.,qSSIe. 1-/Of165
APPLICATION RECEIVED 2/ / 0 I 0 ()
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-4 ~~ ,A//6flJ JAlGI7L-6 ~/1e-
,
Accepted Accepted With Corrections )<...
Denied
Reviewed By: {2; 6..,;( Date: Z-- II./-2eee>
Comments:
t, W cJJ- G~~ ~9-~~
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
bi
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;' /
/ /'-....
I '..' ,/' I (. I
t~_ r-J h___ ../ _".
/it. 1"- / E~~:=
.-;;;
..:--
I
/'
(....I
,It
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i.' / /1
/ ~"-I' -..-
!
"..-
t '.~ .,' i.,.
t.../I I L t......,
':. .I J .
...,/ I'---..
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~
?
Date:
2-~(~i90
Comments:
Z~c"\ ~~ W~ l./Il;~ /At- 0~
\~~, ~ c\ ~ ~.() .l..t) "lD ~.
A-/L .t-~
~.H~ ~v~
\tf; iU}.~~
v
I'JA. ~~eA~ ~~c;;:"
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."
/
J
61J ...6\5
Th~ ("tnln or 'h~ L."t ("oun'rl
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ji-/6 -Tk C) C L I-J.S S' I C
APPLICATION RECEIVED 2,/ / 0 I 0 ()
I 1
1-10/-165
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/44 ~6 ~'/6f/TJ/VG'IiL.E elK-
,
Accepted
t/
Accepted With Corrections
Denied
Reviewed By:
'L _
klALT"'Ffl_
E~RiSMAI\J N
,",-I.e' - I I d
Udl : ~II/ I 0(/
Comments: ~ONS""llvc:n~1U tJ~,.",L.E..S Att~ IJdI Au..oc..vE..D -ro ~€SS
~HIS LO; F~o~
eA lUll (.JGE 1-/, (..I..S p"q flKw d!L-
j)AMAG.~ 10 mE.
Blrv~'~ovs PAl'ff WIL.L.
f3E.. -r;.., E. R~s P()I..)S I B 'c..I TY oF IH e. EUII-D~
.sa: JH(.o~~A'no...J otJ .,..,~ KE\Jr:A.St:.. SlOE.
SEE. Arr~tt4&rn.: I. h~It'- &~AOe INSf~cnOAJ J,JFottrtt~r~
z. a",~IJvJ{. RtfW
3. faDS I .,u CD Alnta<- f'1&4'I1/U 5
t/. &OSfolJ (OIJ1Tt()(.. RAN
"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. II
~
.
"
.Permit#
*JObAddress/ <f <l5!, AJ(~__Itfr.~(;I.k ('c.';r
*He8ting Contractor METRcf AIR
*r esters/Signature
* Gas Une
Pressurized
Inspected
* Percent C02
* Percent O2
Final Inspection
r
Date
Time
PERFORMA,NCE TEST
~ ( f'c( 0 .Percent CO
.." {C/O *Stack Temp.
Pounds
Pressure
0%
Old-(~ 0
Date
\
\',:
~~
~NE~
GREEN - fILE
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No. 01J -O(k;rI
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: ~e...C-j'\..L- :; X L-/ PHONE: 2r;J 0 7 Lf 0~
ADDRESS: OJ:}; 1 b., :ti~~'fL DATE: J p ~ } c) IJ ;/
SIGNATURE: 1I~ ~ BLDG. PERMIT 1# ~J6'6
SITE ADDRESS: IL,I~S tJ/jJlti'111olL. O,''}' PID# z..S:-~Z.-()32.- 0
FILL IN THE BLANKS /
1. Estimated length of water service ~~ feet.
2 .
Size of water service
I
inch(es}.
1
feet.
3 .
Location of any couplings from structure
5.
Type of sewer pipe. ABS PVC V"
Estimated length of sewer line ~)
Clean out (if required), located
structure.
Cast Iron
4 .
6.
feet. ,
at!l...b feet
from
---------------
---------------
-----------------------------------------------
-- - ------------------------------------------
s your permit when approve!. In)
BY DATE: 3/ZPjUU
1= - I I
============ =====================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $t?~ 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
..-
_ 'j;
RECEIPT #
REC'D BY
Co" f\' 'l,_
.- .. -j, .
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permi: NtI. 00 -00(08
Prior Lake, MN 55372
\. PW:.
2. GK=
1. YcDaw
Rk
Q;J
em.~
jVPE OF STRUCTURE
Single famfly X
Commen:ial
Two-Famiy
lndusbial
T"i
/e...1 Fee s..--h~ul~
Industri~ Commercial & MuJD-Famay _
ResidenbJ. Heating l AC
Resirleni~ Haating Only
Resrdenial, G2S rl1epla~
Residential, Additions & Ale rations
ResidentiaJt AC Only
iJ.~; t.r' \. 4 K-tl
?ublic
Multj.m~ _...
OIher
1 % 01 j Db t::)s11S39.50 minimum)
599.50
S64.50
S39.50
S39.50
S39.50
Remember to adtl the Sta Surcharge on ,he bott~m of this appIicaiol\.
The price of your heEding permit includes one roLl9~r-in and one final inspedion.
Additional lnspections wiD be tilled ill $35.00 II' ~
HDuse Heating Test Re::or11 must be submitted Wi2h bllilrfinn hP.rmit "' .mnftr before buUc.L
jog cer1iiicaae of oc.-upancy W11 be issuecl.
. H=A'Y: .r.A\ ~i Ii ATlON'.~R:nt "R=n wftI1 number of supply and return. openin9S 6steo P'!f
rtlom witt\ eRrS" per opening. New S'b'uctlll'es 01 adaltions send DDor plan with'supply
and return kx:ztions .hown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUC,IJ10NS MAY BE MAti =r, TO THE CJTY OF PRIOR LAKE. 16200 EAGLE
eRE)( AYE- S.E. PRlOR lAKE. MN 553n.
City Hall ~usine.ss hours an e a.m. . 4;30 p.m.
ALl WORK MUST BE JNSPEC,. n:&J (ROUcaH-lN AND FINAL) .. C4L1. CITY HALL
4C1-4Z3D
Return Openings .
~lnputl~~. ~(\() OUlpul~ ~. ~
a:
o &lr. .
g: , "'1 ~ l-
w Cfm.. _ ~
E I
TYPE OF SYSlCM v
Warm IW Plants. .-^
Gravity,
Mechanical
Air Conditioning . )(
Vent. System,
HEAllNCl OR POWER PlANT
Steam,
Hal Wate,
RadiEdiDn I
SpeQaJ Oevices .
Other Devi:as
~~~. ~ .
] hereby appty tor I. mechanIcal systems permit and I acknowlitOge that the
~ Al\eraliDns' Re:- ...~, ,,.It NIIW OanslnldiOft . .in~lIlUdion abow is complete snd aDCUrale; 1hal the work wllI-be in conIonnance .
~ . . .. . with iii. "nII~ and codas aI the ally .lId wI\Illbe sl!M buDdIng/mechanical
~ FI8palr. - ".. CcIlIlP. Dm " , codes; thai ttu. foll1\ does not become a ptIl'1}llllllll1l si;ned by the BUILDING
.... .,... c::~~ - - ~ . ~ . OFFICIAl..; thallh. writ .... be in accordance with lb. ~ plall in Ihe
~ ~ CllsI $. ,~\'.J;"-- - Bu8dl"ll Pelmilll. ~ - C)'C).. ~'-a g c:ase 01 all ~Drk whi~ Fequns review and approvallll plans,. ' .
~_~~PERMITfEEl.' PAID WITH "-.~.~~~ :. :-YQ. \~~~:" .
rq~e:~",:~RCHAFlGE s. .5~ \eUILOINGPERMIT '.., Ap~. .. '..:" . . . ':':/D~l :'.~_'. .
8: TOTAl PEFDm' FEES S ~. .. *,-;j I Z..? 100. .
:E.,.~. ,..... . - .... . NcIi Si;r-... D_ .
-~, ~~." ,;. , ',. '.' ,^, .:.: :".~;,~,., :. .' ,-;,,~: :.{...:..: '. ,:... . ,":.';. ~..... . ,:. '. -".;~.. :..~" :... . .<.. ""'" :'~,. ;,~ .~:.. ::.;.. . .... . .' ~'.. ;. . ~ :". . j :'~. '-~. . ....' ,
. ~~' :-r", - '.: :'., ....,. '...~~?;:wiiP1~1a.I.-i-. }\~~'-;"i'\ ~- 5.",- ;. .: ~!l<:' ~~i~J~ ;;"{~~ ".,.-==:--.;?~;:.~~. ,c.~.,.~.=~.,~.",,<~ ",~",_-.
. ........... .... . . ':.. ...,:,,~. -.,..... .., ~ ~'. ~~ _a:~':!._. ;}~:'.. ." .: ~.. .:........ .~......~:'..7 .... .a':::'"'-_.. 'L' ..
.....,..... -:.... -
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. QQ"bOwS
Applicant: ~fti 11)) ~AI'J II~ , ~ /'~. Phone: (tAl') 4~ -..:3'7.:jD
A~dress: /S-flijO tt;;~':: ~ '~IElUYJ'u+',~ ~Q(1tg3
Signature: llilH L . I. ",-,-,.;or
Legal De~CriPtion~ Lot - CoSio 3 Sub ~AlOJ:; AlIA- 4-7t-f
Site Address: 1'-1'-151'( 'fiIb. ';J' J;) e.~~ ii) /2 I
Building Permit # O. 0 fd; PIC #
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
n. CtIIlft' 01 11M Lake Coun.ry
, i
, \
I,
FEB 2 9 2000
Quantity Type of Fixture Quantity
I Bath Tub with or without shower d
I Dishwasher I
/ Floor Drain /
-3 Lavatory (bathroom sink) I
I Laundry Tray (1 or 2 compartment sink)
/ Shower Stall
/ Sinks
Bar Sink
~ Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1~'o of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
1. Blue
2. Gold
J. Yellow
File
City
Applic::mc
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Bacl<flow Assembly (RPZ, Double Check, P'IB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$ 9Q. sa.
$
$ .50
$~
- \"rH
~\\.o~~~ PERMli
This permit is granted upon the express condition that said
contractor, shall compl - all respects with the ordinances
of the State Plumbing amendm~ts thereof.
3/~/O 0 DATE
All cST
Call for all i
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I F.~ (612) 447-4245
An Equal OpportUnity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1!1YSP> tJ,'{~v..Q~
NATURE OF WORK I\J~\.&, ~ \oJ
USE OF BUILDING '5F'D
PERMIT NO. 00 - O()(oB DATE ISSUED 2-(4- 2"00
CONTRACTOR ,,,\p~m rllL~~"c... ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~...I;J CTOR DATE
FOOTING \L // 2/zzh ()
I V 'I i I
FOUNDATION (Prior to Backfill) V f (! 5/ JI Vb
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
SEWER I WATER I SEPTIC R 0 UGH if1!!/fl {/~4in ~~ ti.. ir
FRAMING _ ""'-:- 'il/ /1 ) 1> ~I ~
INSULATION \ /(:) L\~'p\i) \
ELECTRICAL U .~
PLUMBING J li - ~ - 3 ~ f'h ~} ---'L:sef?fi ~
HEATING (if required) 3/ d s ) /l () LL. tl. ~. tJ/~ t.(-l'l...,t)
GAS LINE AiR TEST (iJ J '3 Ja.:y / Vo
COVER NO WORK UNTIL Alf30VE HAS BEEN SIGNED
GRADING (Prior to Soddit:l9)
BUILDING 7&; '/l) 3' ~ (o~
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
~G,CI
~.
.
(p (ir / /JCJ ~ ~, ?It/ tf11J
7;i ht;
( I
{)sho,hD
0/2;-1 ~ Jil?5~
OCCUpy UNTIL AlOvE 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 apP!o~~d., 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
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:
Use Classification
SINGLE FAMILY
Bldg. Permit No. 00-0068
Occupancy Type R3 Type Construction VN Fire Zone N I A
Le at De ., L6, B3, Knob Hill Fourth Addition
g scnptlon
_ Zoning District
Rl
Owner of Building
14458 Nightingale Circle
. Site Address _
Contractor's Name & Address Metro Class:k: Homes, Prior
Robert D. Hutchins ~. City Planner
77Z/c;;al I Date:
Lake, MN 55372
Jenni Tovar
Date:
POST IN A CONSPICUOUS PLACE
_ _--.L_____
tDr TIME
CITY OF PRIOR LAKE A7
INSPECTION NOTICE SCHEDULED 7 (. Pt:f
I-
ADDRESS 14458 ....J~~-
OWNER CONTR.
PHONE NO. PERMIT NO. O-~e
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~NSULATION ~ o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTI o MECH FINAL 0
COMMENTS: <;+,
4 Pl~ If Cld,. r1 ~ ~
~ ~- ~ ~ ~ ~,
~ C-()"tJk-~ ~ ~ ~
~ V-o .~.
v ~ _____ - ___
(~ r;:-~>>;~)
""---- --"
~ WORK SATISFACTORY. PROCEED
o 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 & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED ~r_
o fJ'J,fJ2D.
^:~~h~
TIME
8: 30
ADDRESS I '-I 4, '>1>
OWNER
PHONE NO.
PERMIT NO. rrn - rr(Jh X'
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING It- 0 WATER HOOKUP 0 FIREPLACE RI
tiESULATION ~ P 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL ~lOC:J'- A ~lLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION ~ECH FINAL 0
:jMMENTS: Bk M ~.~ O~ .
Z)t;f~ ~~'\I\ ~ mcwJ-
G(e.on ~"'- I
~Vl.. S+V~ ~~~.:<.
~\A.S(. A ~ss fJ~ f'lA-S' o~ ~~
&d.cl ({ock.../ ~r~g ~ WIVt&Ohi wJ2{
t
ilil1f/ Wt- t,J~
~
\~ C~O~ Th
\
f ~l-W
/
I
Inspector:
QUIRI. MENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI
,~!tJ
N,~
cMmo CJ ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Ll4s-fs-
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA liON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
A, PLUMBING FINAL
o ECH FINAL
COMMENTS:
-' bJa:t- (-~J 1 ~ _ N"\.-
/J
y~
TIME
3 : 3:i')
Ol) - OO~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
O'^-
fLvv! oJ J ~ L>A~
. :) f\ V~ ()/ ('.. -.J1a=-. - - J
Lt~ L~
~
/
/
/
I
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
'ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
t./21/DO
ADDRESS J 4'-f 5 R N ,c;,., 'rWr..14 f..E. C, ~ l-E
PHONE NO.
CONTR. 1't1 E!. r" (tn C La" ", c... J-Io.... f..L
PERMIT NO. ~O- 0<. f(
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ 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:
5~/A}Pr'" ~/~tU16 tA-r~..r b~ /~~J -10
ao:uJp -
J -
-L~y~ I s ~k..
()/l -I-h~ 50u it, c: /d~
:1. /Y:I? J1 dc:k .;..
~/~~~ -Iz:> wo.r/
J
pf t4e j,oure;
t e -hA' ~ t:/ -1-0
/-Ie hD~
~~
~r~l/e~1-
,
o WORK SATISFACTORY, PROCEED
o <;01iRECT ACTION AND PROCEED
.rcORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~~er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI