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Home My WebLink AboutBuilding Permit #00-0112 ~ MAIN F'I Lb CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 2i;~/0o 1. White 2. Pink 3. Yellow File City Applicant O(J -0 uZ- Permit No. 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 .?.JiJ.-Y G/vNtvl1fr 3. LEGAL DESCRIPTION ' LOT ~ BLOCK ADDITION G'/yiVIN~ TPr (Name) 1. DATE ~ -,;lS-- () () I<..;;~D BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) T rai I NW 12. NO. OF STORIES :2. ;l /V P' PID ~S-j'f-"d7"'O at/d','r:OIV 13. TYPE OF CONSTRUCTION (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE 4. OWNER (Tel. No.) (Address) 5. ARCHITECT (Name) (Address) (Tel. No.) /89'> //4'2.'" ./)(','1/(' Ci:r PQ/V /71/'/ ~ 5JJ')'~ "5"1 - f(J~ ,.:.;~OO ~PtiC 0 Deck 0 Re-roofing 0 Porch 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 6. BUILDER (Name) tJeNJ h7q./VN IJO/TJ (' r 7. TYPE OF WORK Fireplace CJ New Construction ~ Alterations 0 Chimney 0 Misc._ I 8. PROPERTY AREA OR ACRES Sq.Ft. SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE 9. PROPERTY DIMENSIONS 10. CULVERT SIZE Width Depth Yes No 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 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building offici~n revoke th.iS pegnit for i#cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X /-/ ~_. t~. I~.j-~ ~ / \ / Signature License No. Date v FOR ADMINISTRATIVE USE SETBACKS: Required Actual MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA CJ PILING LOGS 0 PERCOLATION TESTS 0 Side Back Side Front BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION t oc : 000 . C> CJ PLANS & SPECS CJ SURVEY 0 SETS COPIES SPF/ USE OF BUILDING PLOT PLAN o TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. .. .. . .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. ... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ ~ I' $ Pressure Reducer ....... ~................ $ Meter Horn ................................... $ Water Meter ................................. $ City: aso..oC) I., 1 00 .0 0 88'1 .?,~ ~/(o.ll SO .00 Permit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge ............................. $ L..(s.oo Penalty ....................................... $ I nt) . c)o tfJ(J · c:> c) Sewer & Water Permit ...................... $ 3 S-. ':> U Gas Fireplace Permit ....................... $ 40 . 0 0 This ~1I91ti"b-7":: J. J~ilcltng Permit When ~proved. By ~ Date 3-3-~ Certificate of Occupancy Plumbing Permit Fee ....................... $ l ~.oC> '1200.00 . '100.00 Mechanical Permit Fee ..................... $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $~ 00. t!>O Other......................................... $ Total Due .............................. $pO'1. '/-fc> Paid 7301, ~6 Receipt ~;?"tj"0 Date -:s//~/() 0 By ~ 'f ~ This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceedp requested. This document when si~~the City ner constitutes a temporary Ce~cate of Zoning comPlian~:;::: c~ommence. Before occupancy, a Certificate of ~Cy must be issued. Af tM-- . ~ - (p '-~ e- (' AAe~ fbv-- G lf~ J1Ov\5 ,. - City Planner" Date Special Conditions tf any Issued 24 hour notice for all inspections 447-9850 ~ ~ 0 ' (z The Cenler of Ihe Lab Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~' 7'-""- i. t \ f, I \, ~ L' l;' i \ .If/I,/. -' j i! ! I \. , \, 1 '\''V I ;~ / / ~.) / ( / ,.::.-.~"' / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . I _._ ~_ L k-j- j \./'1"; \ I \ ~-~~ I "1 t I, l: i--~ .----:--~1 \ ( ~~. . Accepted v Accepted With Corrections Denied Reviewed By: ~ ~ G/ Date: J-~r-CKJ Comments: /trfrtJv& ~~ .~b"f2-.< ~~LTh9v1( ~ ~ ~.LJ.P, I ~ . . 'bl_JeJ0~- ~ ~~ ~fbb-l9vl, \:V~~I ~J4:"~e-- ~ /o.e tJ-l"t~ Lo"t ~~S tLMd~ ~ ~i< ~yw-~~ - - 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. II Oll~ Thl' Cl'ntl'r of thl' takl' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED W6NS HfW rJ ?j 2- '::J jo 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 33?4- qLy'NVVA (bf<- (12-. Accepted Accepted With Corrections ~ Denied / ~) K I Reviewed By:w(fjA- Comments: Date: ~ - 3- 2coo f. ~~af6.cL.eQ ~~ 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." /0 q"''; . White - Building Canary - Engineering Pink - Planning Th~ ("~nl~r of lh~ I.akr Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ,..--., 1,.-- . 'J I f' I 'vV t;. tv ~ /vI r\ Iv 'V k/2,~ /() () I / APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3324- (jLYN ~\jf\ (~ <- (!2-. , Accepted ./ Accepted With Corrections Denied Reviewed By: JJn~rE/t. [,.IIU:.,sMANt\J Date: _'_1 _ ~ " '00 Comments: ...s(~ I1JFDtV1~"'ON ON IHE.. RE..vE.es€:. SlOE:.. .5E.f:. An-~MfAllS: Lf;NfL t;AflO~A1 INF'DItJffA'JO~ 2. ~AO""'~ Pc..IJN ,3. E:n.OSCON r ,bf\1"rROt- MDt'ScJ(tf:<:... i. &o$lal\1 C()NT12.0(., Pt-l'ftJ 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." , " Job Address '33.1-9 ;C~11 t/J4tf l~-~ Heating Contractor (1,,, ~ R yiIKr"" )I,{. c-' 7-/1~OC 7 o ~ :3~r ~ Name of Tester ,--. Date Percent O2 'Percent CO Percent C02 Stack Temp. Combustion air is adequately supplied per UMC Sec. 606 Input .f .'" MRR.14.2000 11:51RM GENZ RYRN 6513226147 NO. 763 P.2/5 ~PR~ ,.-~(f (;.\\~ \~j ~IVE~ -- . PILI YElLOW - ~.,. . IIOLD - 01'9 CITY OF PRIOR LAKE No..f)6-Q 1/7 SEWER AND WA'J.:J:.!'( PERKIT NOTE: Sewer and water contractors must :be registered with the city. 2. 3 . .- \ 4 . I , 5. 6. APPLICANT: r~IQ2-e..r!Jif' flb"'l Wr6 PHONE: (o$1~4ZO-1l4\..1 ADDRESS: IU1US- r~ rt~or -ref-. ~f' ~~~~ATE:-81 tW ~ SIGNATURE: ~ BLDG. PERMIT ~ ()() -0/ /2- SITE ADDRESS: ~4 ~ I'nT~~ TIi1~ ~PID#25-3"'5-007-0 FILL IN THE BLANKS '-10 ' 1. Estimated lenqth of water service feet. I ' C Size of water service inch(es). Location of any couplinqs from s~ructure Type of seWer pipe. ABS PVC X Cast Iron Estimated length ot sewer lin~ ~I feet. Clean out (if required), located at feet from st.ructure. feet.. =====-~-~--~-==~ ------..-.--.................... --- -------- BY =~~------- --I- --~--------- --- ---~~- ---~--~~ - our permit when approved. . ./ D~TE : 3 /; 4-- i(J7) , I iiiiii ,. ... .,__=.__~===~ --- - --- -~----~------......... FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $20.00 plus $ ..50 surcharqe. * Sewer and vater permits issued for new construction must be recorded on the buildin~ permit card at the time of issuance to insure that no dupl~cate sewer and water permits are issued. DATE PAID , , " RECEIPT 1# REC'O BY - .L I'."\' 'r \ . ; "(' \t \ 'i'I-, :'.,,\' /..~~\'";G \'\;.,-....l~ .\ ~\~ . , ~\)\"" AMOUNT PAID . 4629 Dakota St S,E" Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I m (612) 4474245 AN EQUAL oPPOR!lJNITY ~ . CITY OF PRIOR LAKE (2:,) . 18200 EIllIe C..1c Av. S.E. Permit No. 00 - 0 I J 2- Prior Lake. MN 55372 liEAnNG APPLICATION I PERMIT U H~\$""')(J pm I 25 - 3ft,5 - 007- 0 - -- ~SllaMdI8. -332.L n..h~,. ~,,p --r", A-I\ Je2.SD ~Lot 4- Bloc:k Z. Add.1on GLV;v'W'Ff' c.e... ~ND AOON. o . z Owner'. Name1l. 'n nc:.....\NV\ "''' ~ Addr.., \~~ O\Pr-z..t:\ $(1 . Sr, 'rY0 F ..Ar_"':"'" ~~.?., He8llngConlrador .~'L- (l.~ U Address. ,U 1 U c., ~ (l ~ 11 T "-0 Orl L.. T~.phDn8. ',n\ - L\?~- \ \ULt- Furnace Make & Model ".n ",n l Model SIz8 ('., 2. ~~ ?_I ~-1S- ...... ...... " IJ) a.. D.te CoM. Load t'- f\. \\ ~ ~Fu81 f\. \A'r. \.~~ue SIz8 U n~ nr IJ) ~Supply Opening. . ~ I @Reklm OpenIng. , Lf ~Inpull~noo OuIput ~\~ 0:: NEd,. z w l!) elm. TYPE OF WORK E a.. (DAlleratlons If) (T)Repafr Replacement Ell. Camp. Date Industrial. Comme rcJaI . Multl-Famly R86Idenla'A Heating & AC R881dentialA Heating OntJ. Reslden'.t. Gu Areplace ReeklenlaJ, Additions l A1teratfons. ReeldenUaf, AC OnJy " f:\~ihn\ Remember to add the Staie SurchariJ& 011 fie bolom 0' th.. 8PJllc.~Ion. TYPE OF SYSTEM W.,m Air P1antl Gravfty Machanrcal Air Condltlonklg "l. ?\ I"L "1l-\., Vent. Syste". HEATING OR POWER PLANT Sleam Hal Waa8f Raclatloft Spedal Davlces 01 her Davie.. New Construction ~ Building Permit. 00 - 0/ /2- ~-F' '--' ~ ':, . -'~, ~ . "',. :~ : ~ .~~ -; ~.~ ~ ,2'. ~. r ' ~=... CoeI' , ~ ~-lEATING PERMIT FEE $ (D ...... ~STATE SURCHARGE . a.. . a: TOTAL PERMIT FEES ., .50 Receipt' TYPE OF STRUCTURE I. II.. ~ Ale 2. ar. j 0., 1 Idk._..,I C.raw:w Single Famlty ~ Commercia! l\vo- Family Industri~1 Publlo Mull-Family Olller Fee Schedule 1% 01 Job CO~I (189.50 minimum) '99.6Ct:-,-. 864.50 $39.50 $39.50 $39.60 Ai 2000 The.prlce of ~U, healing permit Include. one rough-In and one 'lnallnspection. I Addirlonellnspectlona wMI be billed aI 135.00 each. I House Healing Telt Record rooa' be altmlled wlh maLa PJWDil "'I~bp, llefore build- Ing cerlltca1e 0' occupancy wi. beluued. . H1=4,. ~"I rJ .. AT'rw.~ A~nl"Rl=n willi I1Qnber of wpply end I8turft openllgs lilted per room wlth CFM\ pm opening. New strowr.. or adcIQona send aoor pllft '*11 aupplv and I8tum Iocatkwla shown, HEAT lOSS CALCUlATIONS. PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 eAGLE CREEK AVE. S.E. PRIOR LAME, MN 65372. CIy HaD buslnelS haurs ar. 8 a.m. .. 4:30 p.m_ . ,- I ALL WORK MUST BE INSPECTED (ROu6H-1N AND FINAL) · CALL CI" HALL .,47-4230 I hereby applv 101 8 mechanical svstems permit and I acknowledge thai the Inlormallon above Js completa and accurale; thai the work win be In conformance. with lhe ordinances and codes of Ihe city and with the stale bulldlng/n.chanlaal codel; that Ihl. 'orm does not become a permit until signed by the BUILDING OFFICIAl; tha' Ine wotk win be rn accordance wl1h 1he approved plan In Ihe case of all ~ork which 'equlres review end approval of pJani. Lf I /'~ InD D~~ 4;~av APR. 18.2000 3:58PM GENZ RYAN 6513226147 NO.013 P.5/11 ne. c.... all" 1".... c..nll7 CITY OF PRIOR LAKE . PLUMBING PERM" # 00-01/2- Applicant: r-~l!112..- ~ Phone: lDS l-U-Z ~-, Il..tU Address:.ru..:r~ .<:0 ~ ~~. J llos~.,.. Slgl'lllture:'u0 ~ · Legal Description: Lot 4-- Block Z Sub 6LJ1NNRI e:;e., 2-AO SlteAddress:...s~2~ ~"e" ItlDr,.'/22S0 Building Permit. .. ~oo-l.QJ 12- PIC' 2S'3~5 - 007- 0 , NOTE: This permit ~n not be processed without complete information. FIXTURE UNrr5 I. iliac Fila 2. GeW ClIJ 3. 'Y..... App'" /Ci. PRlgn ~~j~\~ U 0,:. ()~ ~ .. , ;" ~ . Quantity Type of FIXture Quantity Type of FIXture , Bath Tub with or Without shower ~ Rough-ins \ Dishwasher , Water Heater \ Floor Drain tt.\\ Water Softner 2 Lavatory (bathroom sink) , Stand Pipe (washing machine) \ Laundry Tray (1 or 2 compartment sink) sewage EJector. \ Shower stall BacIdIow Assembly (RPl, Double Check, PVB) \ SInks Backttow Assembly Test ~-. ear Sink Lawn Spa;nkler : ...., ~ Water Closet (toilet) Other i"' - . FEE SCHEDULE .. Industrial, Commercial & Multi-Family (1 % of job cast. $39.50 minimum) Residential, New One & Two Farnny Residential. Additions & Alterations State Surcharge GRAND TOTAL $ $ $ $ --5Q-,;"; -',';; ..... ~)"j.J lJ .:~. C":~~C.h'''. 'I r _, ,,: :... t' \'e'; r: \.::.n.".l , j 'I ::,'.~1 _~...; ~l. "- . $ $99,50 $39.50 I -- co ~ This ponDit iJ ..,,,...tJd upon the expn::ss eonditian that: said conuuctar, shall comply in all rupectI with the ordinances ordle SloIc Pl~r1rc. ~'" theNDt. - _ o. 2...(){P (j DATE I ,__. A.. j J:.:t .. Call for all . tions 24 hours in advance. :J 16200 &.ale CrcckAv. S.E.. Prior Lake, Minnesota. 55372/ Ph. (612) 447-4230 I FAX (612) 447-42~S An Equal OpportUnity Employer PRI'OR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITEADDRESS~.<;;;{LI C!jv\Wa:tJ.-' !\Ct;\ NATURE OF WORK -11ew ~~~IUC~l--ctv\ USE OF BUILDING ~~A PERMIT NO. 00 .., 0 1/2.. DATE ISSUED S - ~- 2000 CONTRACTOR LJ~'Mcu.Av-- \-\~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT , ~ECTOR . DATE - FOOTING 3 1(, ~ FOUNDATION (Prior to Backfill) fl'E (7J 3!rJ, (7Jr!z~ \ PLACE NO CONCRETE UNti{ ABOVE HrS BEEN SIGNED ROUGI-h- INS (/Q3).IS!rv {/~ ~~' SEWER I WATER I SEPTIC FRAMING INSULATION~, fA- '10/ 13!M ELECTRICAL r PLUMBING )~rjQsitO . HEATING (if required) ~ y rp; ~/l/~ FIREPLACE I/) GAS LINE AIR TEST t--i> ,Y! ~ COVER NO WORK UNTIL A13'OVE/HAS BEEN SIGNED .. ~I L8u FINALS GRADING (Prior to Sodding) ~(!; BUILDING, t,o. b.lt '?!t-J/KJ ~. 7/ tJV. ~ ELECTRICAL PLUMBING HEATING DO NOT OCCUpy /o./fJ.oo fo;rJ ~\ (/h, I UNTIL ABOVE HAS NOTICE ~ l!1dV ~f1f;b J/? ;~ ~ '1 (~/(JtJ~fO/~!fo 7/~ft IIJ1J /18-h'I{)~ BEEN SIGNED This card must be posted near an electrical ser~ice 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 tertincatt at (Uccupancy CITY O~l PRIOR LAKE U\tpartmtnt of .uilbing Jnsptttion o Final Permitted A3l Conditional C. o. Expires Cj.r I LS/oo 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. 00-0112 N I A Zoning District R2 SD Legal Description R3 Type Construction VN _ Fire Zone L4. B2. Glyawater Second Addition Occupancy Type Owner of Building Site Address 3324 Glvnwater Trail NW Contractor's Name & AddressWensma.nn Homes. Robert D. Hutchins ~~. / ... B.Uil~g Official 1.:JIr I r;; 1895 Plaza Dr., Eagan, MN Jenni Tovar 55122 . City Planner _ Date: Date: POST IN A CONSPICUOUS PLACE DATE TIME CITY OF PRIOR LAKE 'I }:J I b.,... INSPECTION NOTICE SCHEDULED ~ ;;?: C/) ADDRESS -3< ~ <...J ( ..., I 'j-Y\ V.. 0 k.(' OWNER CONTR. PERMIT NO. ~ -;) 91 ~ o PLUMBING RI ~ ~D/FILLlNG o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI . ] SEWER HOOKU~ 0 FIREPLACE FINAL . ~PLUMBING FINAL ~ 0 GASLlNE AIR TST ~MECH FINAL 0 COMMENTS@~~ ~ -at! ~ ~ ~~() r~~ Ol~~~~~ fl ~,/~,. ~/~~~~~" ~ ~wI- ~X ~ ~,.~ ~ r-o-- ~--_..- . c~ i..::r.JJM ~/I~/fk) f ~- m ~ ~"tr;.~"'~'"'' ~ .l,t 1}~~U~ ck PHONE NO. o FOOTING o FOUNDATION o FRAMING ~NSULATIO~ FINAL ~ o ITE INSPECTION ~-~ ~~ o WORK SATISFACTORY, PROCEED ;! CORRECT ACTION AND PROCEED :S:::O:ECT ~L.L FOR REINS:::,::n:EFORE COVEmNG / CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl INSNOTI DATE TIME CITY OF PRIOR LAKE /1 cAr fh INSPECTION NOTICE SCHEDULED ~~ q:(}1) ADDRESS 3~ '-1 f-.J (). Yl '. A t?A i-r -r OWNER GCONTR. PHONE NO. PERMIT NO. () {) - 0 'I~ o FOOTING 0 PLUMBING RI o FOUNDA TI~_ 0 MECH RI \cy FRAMING 1~ - \ n'i1 0 WATER HOOKUP vD1NSULA TION ~ -r 0 SEWER HOOKUP o FINAL ~ 0 PLUMBING FINAL o SITE INSPECTION ~ MECH F~NAL COMMENTS: ~ ~ o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~ M-6~ ,..)()WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOa CALL FOR REINSPECTION BEFORE COVERING Inspector: , d>- . Owner/Contr: I CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl ADDRESS _'~,3{~l( DATE TIME SCI;IEDULE~ I b ).1~/ tJ () If r 0/LI)..JiUaf-~y- / CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONTR. PHONE NO. PERMIT NO. D - II;) o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP o FINAL 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: ~ f-- J - o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o "","~.,t......',L.\.!!'~V~w~'J'IIi:.'~""~~~!~." fi WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~, I Inspector: Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI ~ CITY OF PRIOR LAKE - --------L - ~ INSPECTION NOTICE DATE TIME SCHEDULED ~!~ (;///1/ U/~ter 7/1 / - CONTR. J~t/t$IN.f7/ILL ADDRESS $~~ OWNER PHONE NO. --1:7J -~ ~RAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: c;,.t2t6.itd I) J ~'!f /5 tJ~ /J~ ~ / ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT W:;7' ~:~ REINSPECTION BEFORE COVERING Inspector. ~ ~ CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IIVSIVOTI ~