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Home My WebLink AboutBuilding Permit #00-0147 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~ DATE RECEIVED . 7 200[: 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 4212 Hidden Pond Trail 3. LEGAL DESCRIPTION LOT 1 BLOCK 3 Raspbe.L.Lj" Ridge ...5t-d ADDITION 4. OWNER (Name) (Address) 5. ARCHITECT (Name) (Address) 6. BUILDER (Name) (Address) N::M3k-FlaX, ~., fH57 ~ lsM3. N., B...u..klyn Park, M-J 55445 (612) 424-4955 (Tel. No.) 7. TYPE OF WORK New Constructior}O{ Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. Septic 0 Addition 0 Deck 0 Finish Attic 0 Fireplace 0 Alterations 0 9. PROPERTY DIMENSIONS Width Depth 1. DATE 2/25/00 ,< IS,P PID ?5'" 3'-1 Z - () I ~ ....0 Adq t") . (Tel. No.) (Tel. No.) Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 10. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit No. 1)0- OIH BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES Sire EPlit 13. TYPE OF CONSTRUCTION SFD, IStal.t:d, ~llial 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE $1l7,795 17. COMPLETION DATE 6/24/00 /wLu{ 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 ~Uilding 0 i' ~n revok thi ermit for jus use. Fu ermore, I hereby agree that the city oWOi/e~a3er ion the property to p~'%7sm License No. / Date SETBACKS: Required Actual Front Back BUILDING DEPARTMENT VALUATION FOR ADMINISTRATIVE USE Side Side USE OF BUILDING ..=; P D OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION I '51 JO~O TYPE OF CONSTRUCTION: I " III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Z ~ Permit Fee................................... $---1r 0 4..2 · g Plan Check Fee ............................. $ O!J. t.{ ~ 1- ~-. 5"'_. State Surcharge ............................. $ ~ ( J Penalty....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ I dO . Od' t;b".OO :J s-, t::;" () 40 · C) 0 Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ Thi~i f Becomes.J'our Building Permit When Approved.. .1 By ,[ - Date 3 -! ~- ~OOL Certificate of Occ pancy Issued MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SETS COPIES SURVEY 0 PLOT PLAN o Amount Brought Forward . .. . .. .. .. .. .. .... $ Park Support Fee ........................... $ ~ ..tr:;O. 00 SAC .................................... ..... $ / ~ I 00. c::> 0 r 24 hour notice for all inspections 447-9850 City: Collective Street Fee ....................... $ Sewer Tap ................................... $ Pressure Reducer ..%.................... : Meter Horn ....... ~........ ........ ....... $ Water Meter .....:~....................... $ Sewer & Water Connection Fee ........... $ I J 2.0.0 L c::>C> . , Water Tower Fee ........................... $ ? OD . 00 Water Tap ................................... $ Builder's Deposit ............................ $ / ~ e::;- CJ (!) . Q!;J f I Other......................................... $ Total Due .............................. $-2 S'l-5. '7 I Paid h <.)~ r 7 ( Receipt N '/1_37/0-t.- , , ~GO 3\p~ Date l/ r;--4 00 /2t;;.oo By This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordinance and may proceed a requested. This document when . bv th~ . Planner constitutes a temporary Certificate of zonilJ9,WmPliance.. and .al.lo~i\CO~~ctiO. n to comf.;,nce. Before occupan~ a Certiflcate of Occupancy must be issued. ~,-22-\CJU ~A~V~ r~~v~\=&(.Z W9W.'1~ City Planner Date - - Special Conditions if any - ~ IJ) - 0 (4'1 Tht ("tnltr or lht l.kt Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED //VU'V/7 K- FLECK- 3/ l /00 / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~Zl? )-/ J D -;1:/ 10061\; /.::Jo/v ,'- Accepted / Accepted With Corrections Denied D "'. ,;",..,,,,,..1 D.,. I' A . --.. ~ u.~ ::,J-M" '..<i. i.. i 'lCVIC:;YYC:;U uy. I'VMc... e.1\. _.....,... .-.......v Date: 3.1'3/00 Comments:.1\u. Srottt'1w~TUl RUNoFF M~sr aE C.otJ\JEYE:./) 7DHIOJ)~N H,M() 1AAU~ . SeE: ItJFoltMATloN ON #'"HE: REIIEJUE SloE. S""",p PVN\P ~U$r liE. INlo ('-\S n,JC DttA,tJ 1iL~ SEA.. \lIcE... . lHF.: WArf"a I ~'n1ltv ..sE"'EA. AND vll~l^, TiLE 5~\I'C.e:S ALL ~e: OFF oF APPAt..oos,q 1RIt't-. SE;E. ()1l~HMEJJT:S: I. hAl4 L. tJt'tACe: INSPEC.tION /NfOllftf4Tl0t\J z. ~AA!}IN6 Pc.AN 3- tllOSlO^-.1 CONr~Oc... rt1EASu~.s 'I. As- ~,~,... 5E.ttv'c.E... ItJFotl.MI11iDN 5. EA.OllDI\J ""- oaJrll.Jx- {{AN "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.1I ()lJ c 6 I tV' The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED IV 0 V r1 K- -- Ft,66K- 3/ / /00 I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 4212 #/006/\/ POND -pe Accepted Accepted With Corrections Comments: Denied Reviewed By: 0l.) \, ~ ah ~~ Date: 5-13-~ ~~~ 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." ","' (fO~Olf1 The Center of the Like Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPA~TMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ;/v'C ~/1-1 K. - ;:-L 6, L~- K- -2 1/ If.~ /\ ,--j I; (/ L./ I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ./-7--L,j ..:::/. 2" / .:? AI // j!-/!....) E l ',,/ /vi U I"- ~0",J -' "\ Accepted With Corrections v Denied Reviewed By: ~ kJ~ Date:? - 2 2./(90 ~~ vW \~~.~ ~v-B:1 ~~ . ~t-" 1.J, ~I ~~~l~ L{ 1-\ ~l<. ~ ~ ~ l.e.1tev /A.C-_~~~<;f0a\~, 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 {f)\.~ 'E ~'-" " "",:'I ~~ ~NESO .-E. . ....E .,EllOW . A~ltCA," GOLD . en., CITY OF PRIOR LAKE NO. 00 -0 I ~7 SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registered with the City. APPLI CANT: \ ~()m~ '\='\ \.A.'N'\b!\. ~ ~ ~-r-O PHONE:C15~ - ~~-'1r'l 1'1 , ~ \ ADDRESS:\500\ ~~,?0, ~ 55~4~DATE: ~ '1-0!::> SIGNATURE:~fQ{L~ BLDG. PERMIT #JJ{)-O/+7 SITE ADDRESS:~~\~ ~\~=?o~ -r\"')~ PID;2..:5-3c.f2..- olE3,'O 1. FILL IN THE BLANKS Estimated length of water ser..rice 4s feet". .'. 2 . Size of water service \ inch(es) . 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC~. Cast Iron 5. Estimated length of sewer line Lf~ feet. 6. Clean out (if required), located at structure. feet from =====================================================~=========== This application becones your permit when approved. BY~~ DATE: 5- '7- 00 ========================================================~======::== FEES: $ 35.00 Sewer and water line connection permit. .~ Q-5: ;g~ i~f~~?d ~ ~ . Lr0o"cMt..- 1t~ * Fee for either se~er or water individually is $20.00 Flus $ .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. - ~ \N\'\~ ~ ~f\ AMOUNT PAI~. I"-~t...\~ p~,(\\", ~~~~o. . REC' 0 BY '3\)\\,0, DATE PAID RECEIPT # 16200 Eagle Creek Av. S.E., Prior Lake, !\1innesota 55372/ Ph. (612) 447-4230/ FAX (612) ~7-4245 An Equal Oppor-unit)' Employer '~lrr 011'" Lab Count" Quantity I I I t;L I , J c;L - CITY OF PRIOR LAKE ~ ~1w ~llcaDt PLUMBING PERMIT PPNo. 00 -0/47 APPlica~t:\"'()~, ," V.\\"A.,",,'o\.~ 0..I2JQ:-Phone: qf5~ - '1~~-'1'lll Address: ~\ ~ ~u..-~ ~~ ~ a:=sS~4b Signature: ~ F~ ' Legal Description: Lot / Block 3 Sub R/tS~ /ZltXilF 3~ Site Address: Lh;ll~ \~\~~-=?orx\' \f ~\ /2/~ Building Permit # (JO- 0 14 '7 PID # 2-5 -:' -34-2.. - OJ e> -~ I NOTE: This permit will not be processed without complete information. FIXTURE UNITS Type of Fixture Quantity Type of Fixture Bath Tub with er nit~,out shower ~ I Rough-ins Water Heater Dishwasher Floor Drain Water Softner Lavatory (bathroom sink) Laundry Tray &~ compartment sink} Shower Stall Stand Pipe (washing machine) Sewage Eje-ctor Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler - - Other 1- d.'~pcs.~ :A - ~ .l\.c.o~ Sinks Bar Sink V\,'Citer Closet (tc,ier) ,~ FEE SCHEDULE Industrial, Commercial & Multi-Family (1 % of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $ $ $ $ $99.50 $39.50 p~ ~"~&'lleJc. GRAND TOTAL (',~. tt~~?-\~\r\ \ e\l\~ This pennit is granted upon the express condition that said contractor. shall comply iOn all respects with the ordinances of the State Plumbing the amenpmel}ls thereof. ~ '0. .3,b~/()() DATE A j j t:.ST II Call for all i f. pections 24 hours in ad\-ance. .8. 16200 Eagle Creek Av. S.E.. Prior Lake, Nfinnesota 55372/ Ph. (612) ~7-4:30 / FA..X (612) 4-f7--r245 An Eql1al Oppor:l1r.ir:. Employer ... c::> c::> lS1 CITY OF PRIOR LAKE 16200 Elgie Creek Av. B.E. P.rnit No. 00 -0/1-7 PI'... Le". MN 5137a ~ HEAlING APPUCATION I PERMIT Date 3/;51cu PlOt 2.5-342-- O/B-O Sft_Add,.. ,Lf9,~ .J/dele1 IfYJellrG.f"/ Il ISO loS / Block 3 Add~ron ,e~SPt3~;eV IeJ066 ..3eJ? OWn.,.. Name A h.l:t-k -riRr.l (()~~ri~ RICCAR HEATiNG & AIR 23s7'1;UIVlMr:.HCIAL tsL VU. NVV ~l\lnr)\II'::~ 1\IIl\1~"1n4 7&3";'754-4000 Addr... H.lllng Contractor . Addr... Tellphone , (j)L KG (<A OiE fY)PES Furn.. Make' Model /( nee /Yl TYPE OF SYSTEM /5--: u..o Q; o .... g: LI. o Mad.. Sfze Warm Arr PJants Gravity Mechanical Air Cond.tlonlng ~ Vent. System HEAlING OR POWER PLANT Steam Hot Water Radiation Spec'.' Oevk:.. i: .... u C'A)m. I.o8d FUel Abfc~.", Flu. Stze /1 Co 5/1 Supply Openfngs It) ~ N ~ .... ~ ~ N ... co Return Openings Input '75 cLf) Output &c? C(t) Edr. elm.. Other [)QvJce. , "PE OF WORK E Afte,8Ilona Repair Ell. eolt . HEATING PERMIT FEE $ STATE SURCHARGE . TOTAL PERMIT FEES S Repracement Naw Construction ~ N .. ." ..-4 Eat. Comp. Da.. , ~ Building Permit ., 00- () / 4-~ I GO ~ " f") N " co c::> .50 PArD WITH BUilDING PERMIT Receipt" T'.'PE OF STRUCTURE t. ftta.. . File 2. Orem . C'ilJ 3. Yellow . CD...erer Single Family Commercia' ()( . , M ulll.Famlly _ Public Other lwo-Family Industrial Fee SChedUB Induslrlal, Commercial &: Mufti-Famj~ Residential. Heatrng & AC Resident..I. Heating Only Residential. Gas Fireplace Residential. AddiUons & Aleratk,ns Residentl.', AC Only 1% of job cost ($39.50 mlntmum) $99.50 $64.50 $39.50 . 11 . $39.50 $39.50 Remember to add the Slale Surt:harge on the bottom ot Ihls application. The price Df your heating permltlncrudes one lOugh-in and one final Inspection. AddlUonallnspedlons wjlt be bilflld lit S3S.00 each. House Healing Test Record must be submitted w;1h b.u.ikIog QJUJJ1j1 ~n~Mr, before build- Ing cerll';cale of occupancy wil bot issued. ,HEAT f':AI.CUI AT'ON~ RFnl "~Fn wIIh number of supply and return openings lisled per room wiIh CFM's per opening. NtM structures or addiliDns send ftocr pran with suppfy and return locations shown. HEAr LOSS CALCULATIONS, PAYMENT AND APPUCATIONS MAY BE MAlLEt, TO THE CITY OF PRIOR lAKE. 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE. MN 65372. City Hall business hour8 are 8 a.m. .4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FWAL) - CALL CITY HALL 447004230 I hereby app'Y for a mechanical syslems permit and I acknow'edge that the In'ormaUon above is compJele ,g.nd accurate; that Ihe work wllf be in conformance with the ordinances and codes of the city and with the slate build~n9/mectlanlca. codes; that this form does not become a permit until signed by the BUILDING OFFIC'AL; that the work wiU be In aCCOrd8"Ce with the approved plan in the eElae 0' all wDrk which requirei. review and approval of pJens. f ~otJP '-'Aplifrc c3/;5/0 :3/ :''4-/ffV Date Buig OIfical.s Slgm..tur. PRjOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~;) D. l:I..cldwA- 9~ . I~ I NATURE OF WORK fJpLJ ~ USE OF BUILDING 3r D PERMIT NO. 1J7), ()/'~ DATE ISSUED -3-/~-L6C)O- CONTRACTOR l1avr. (c - F/oJk ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING ~OR.s ...,- ~eE . FOUNDATION (Prior to Backfill) ( ~ h 11J1}:Jf::';"'~ ~ PLACE NO CONCRETE UNTIL (('BOVE HAS BEEN SIGN'iffi' "fzfdlJ ROUGH - INS SEWER I WATER I SEPTIC 6f.... f7:r A f/Zff/4~ FRAMING ft . '514 J rm INSULATION 0 ~ih-J' ELECTRICAL PLUMBING (L, ~) ~ HEATING (if required) tT[' ,';j~~ FIREPLACE iT ' GAS LINE AIR TEST . {k h1cJlJ~ COVER NO WORK UNTIL AlBOV'E HAS BEEN SIGNED .-r~ GRADING (Prior to Sodding) J I BUILDING /,(;D. 7k~o 1211- ELECTRICAL PLUMBING HEATING FINALS 11/ It B /7 J?:J ' r2 (~. 6 '-~-'O~ ~/ /<(/oz- , '{ / I 7 1M/&:> 12- ~.' --7(~ (CD HAS BEEN SIGNED DO NOT OCCUpy UNTIL ABOVE 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 HOUSE HEATING TEST RECORD l~~~ ADDR ESS .f12 1] . OCCUPANT HEAT LOSS SOLD BY Electrical Work By TYPE OF HEAT DATE HTG. INST.'-~ /2. \c:.~ FA _~HW GA GAS DESIGN MAK E Q"e~ ~ \- Mode I ~~~~ ()f~l-R Seria I _ F()S(\3~ft.tc\\\,O~ INPUT to(')jC1D ~k) THERMOST~T ~ Valve ttUJ L i m it U'<\hlt>n:.cJ.. Limit Setting. \It)CJ~ Fan Setting - ~7 Pilot Type _ 'S Pilot Make \)I'\1~C.~ Pilot Model - Pilot Timin~~ L. W. Cut Off Pressure _ '1.:5 {r Vu.'(.. if "V'\ r, r. . Input CFH _~CA ,:.\00 Stack Temp. '4.1.c. Form 235 CONTROLS Heat Plug Percent CO g.,S 2 . Percent O2 ~ '1 Percent CO (') APT. OWNER FLOOR_ STEAM INSTALLED BY ~'iC.U-\ Gas Line By (J...\( /' U- SPACE HTR. _UNIT HTR. MAKE OF BURNER _ Model _ _Max. BTU Rating _ MAKE OF FURNACE Model Vent Size _ ('(' KIND OF LINER _ Draft Hood Fi Iters Size 161Z~jC' Chimney Location _Ifside Chimney Construction ~ is II Smoke Bomb Dr 0 ft - Door Pressure _____ Date Tested _2=-2\.-~ _ Company Testing f.l2JLcr< _ Name of Tester ~ CITY ~~ '~BURB OTHER CONVERSION SIZE NONF RegulaTorbv.y 16-f)J 3)S3.~r Number X Outside Wiring _ Test Tag Lighting Inst. _ Form # 5 CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 4ZJ'L . OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION COMMENTS: ~ DATE TIME SCHEDULED ~ A~ ~ /'~ kr CONTR. PERMIT NO. t:Jo - tJ/"f 7 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 GAS LINE AIR TST o /"1 ~ ~ . /") ,SJ ~ ~ /6.}- ~ORKSATISFACTORYI PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~ALL 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 !vt( ~ DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS If d.-/:A SCHEDULED ~ 3-0J- --- tJr ~ ,/J f/Yld OWNER CONTR. PHONE NO. PERMIT NO. O,-Ji/7 ~EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o FOOTING o FOUNDATION o FRAMING o INSULATION X FINAL "0 SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: ~- t2Jt, &~--61t_ )( WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector:~ Owner/Conlr. 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 SCHEDULED DATE TIME 7!Z&./!oo cr:3o ADDRESS 1 LIZ- f-f I D D E1--J Po,.J c --r-rc, OWNER CONTR. PHONE NO. PERMIT NO. 0 - 0 J L( 7 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 SEWERHOOKUP /J 0 FIREPLACE FINAL ~ FINAL 13LA. tV. ~ PLUMBING FI~ (1:/ 0 GASLlNE AIR TST o SITE INSPECTI ~ MECH FINALcy 0 COMMENTS: 2tI~. CA-() L.IL /)(2 vtbIL ~ ~ ~/+1'1r;e.. )!<-. CA~ vJj f< E..t..( ep aN 41\1 STr2Ct< V(lAIN Ti L-.t: ~_ TA&. ~lf} ~ l-,^Je.. 4. EN~~r-r SLr.....vcC(" ~. ~~tT; . k~. t=-NCt-,C;5:G-- E;cp~~ )-Lt..,Ie;:: p<7. };</~/AL-L- ::;,,-, .J=.GNoGONA/.€~;:'~ J ; rC-.r.//V)6/~~ I11Al'vo M~ O. /L.. o WORK SATISFACTORY, PROCEED ~ORRECT ACTION A",~J PROCEED o CORRECT wr7"1~ ~OR REINSPECTION BEFORE COVERING Inspector: fC- · ! " Owner/Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1- Zf:J ~ II ; 3 ~ fd/ tJ paJ ~,J b ' I ii ( ADDRESS ~Z / 2- OWNER CONTR. PHONE NO. PERMIT NO. f) - 1t.f7 o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI ~ 0 MECHRI WATER HOOKUP SEWER HOOKUP ! PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ([J) ~ .w -t;) ~eUf. ~ ~ ~. J 'f:' \ if'_; ~ .b~A.''1. rh-- I ?5'~, 7f~ ~f <(e; i/vc _~" ~'~.?r-~ /"TfpH ('J<N ~ "5/- ~i.{' -8'51 /~ - Z"Z,'-:Jo v ~ -. .,L1.c.. o WORK SATISFACTORY, PROCEED 4. ! )tJCORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. ~. Own er/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl