HomeMy WebLinkAboutBuilding Permit #00-0180
~
.DATE RECEIVE;Q
.22ml
ADDITION
4. OWNER
5. ARCHITECT
(Name)
6. BUILDER (Name)
WjJ(?N 5/tt 1/ N#
am fJ
7. TYPE OF WORK Fireplace 0
New Construction V Alterations 0
Chimney 0 Misc. -'_
8. PROPERTY AREA OR ACRES
Sq.Ft.
CITY OF PRIOR LAKE S6.€: 1'119/# 1. White File
BUILDING PERMIT, Rt.& #1)-/7q ;: ~:l~OW ~~~licant
TEMPORARY CERTIFICATE OF I...L..f
ZONING COMPLIANCE _
AND UTILITY CONNECTION PERMIT Permit No. 00 -0 I 80
3
,,;J Iv P
1. DATE
3 - .:J.J -.,;J.() ", D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
IVtJ
12. NO. OF STORIES
PID :2f - 3~> - 0.,;17- 0
&1./ eI/' .7/ (}/v
13. TYPE OF CONSTRUCTION
Back
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
(Address)
(Address)
(Ad~ss)
/ir~ r/1J2~ Or
caf4/V /J11V.
~tic 0 Deck 0
Addition 0 Finish Attic 0
9. PROPERTY DIMENSIONS
Width Depth
ee'1.2~
'i!JfJJ , V
SO ,f!) (J
!(}O .0 (!)
/00 .00
~~ J ~ .35: 5'0
: 27i~Brm.e il..... .~:"~;~I~~.~e~~ When Aj!pnlVed
By U~~ Date 3-2.7-2000
Certificate of 0 upancy
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
, 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
33~7 b/v/vWI4/fr TrQ/'/
3. LEGAL DESCRIPTION /
LOT II BLOCK
C' /y/v tJe.t7 er
(Name)
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
G S'I- .y O(,-",Y (J iJ
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have fumished 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 offi~can revoke thisiermit ~ust cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /J ~ - f~ /Y5-r J-~;2-,;20()i)
/ (/ Signature ' License No. Date
V FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
S.1=H
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ID~O
MA TERIAL FILED WITH APPLICATION
Side
SOIL TESTS
o
o ENERGY DATA
Side
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer ... ~.................. $
4b. t')C>
8SO.(")CL
1_ I ()O . ~
, ~
~@
Meter Horn................................... $
Water Meter ................................. $ ~. (!)O
Sewer & Water Connection Fee ........... $~ 0 .. C)..Q>
Water Tower Fee ........................... $ ? a 0 . 00....
Water Tap ................................... $
Builder's Deposit............................ $
.......,
:~:r;~~;.~~~.:::::::::::::::::::~:i~;~':~fi. ~tf fk
Issued r.. f' I f"if'\ r -
Date ()Y- ~ By J /
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zo~ng Ordinance and may proceed ~ .1st"ed. This document when
sign b the City nner constitutes a temporary Certificate of Zoning complianc;Jnd allow~~nstru~~o commence. Before. occupancy, a Certificate upancy ust be issued.
~ -l"c,-f!Y) ~ v~ ~ K !.--x.. <fO ~~~ ,
City Planner Date Special Co~ any ,
24 hour notice for all inspections 447-9850
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I ~i ~.._-
I .. i '
1: f ";'
j. .~. I
. -
-.. /
.~ :/ _ . /: l r J
j /t / /-1 / Vi /t.,/
-"::>/ ':;J
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,33 '2~7 (;JL Lj//t/ (V/fl-/-E'/,--7/~
I /
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~~ ~
Date:
g -t~ .6t)
L c-, c).
r ~'11/11~;Jt:;.
S1;1ied . 'i~ ~ &~~ [)~
P, C"~_ ~~ \0fd:j ~
L~ .}~Th9V\ ~
?te~ 4t7\J~V/P ~ rse- tAJ~ ~~
G~~e-<; ~ \fvvu:r ~-O~1L~~.
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."
White - Building
Canary - Engineering
Pink - Planning
The Cenler of Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W {;I\! <;; M 11 IV AI
3/-z-7jffu
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
337-7 GLYNWA /6/2. "IlL
Accepted
Accepted With Corrections ~
Denied
r20~%
Date: J- 2c;-~
Reviewed By:
Comments:
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."
Th~ C~nlfr or lhf Lab Country
White - Building
Canary - Engin~ring
Pink - Planning
" -
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
" NAME OF APPLICANT
APPLICATION RECEIVED
lIV'kl\/~C; jlr/f3 IV/vi
. - -;J", '- /(. 't" 7)
~ ,2?- It; V
/ /
The Building, ,Engineering, and Planning Departments have revi~wed, the building permit
.' application for construction activity which is proposed at:
3"37-7 6LVNv'V'19 16R- '; /L
-/"I
Accepted" \I
" "
Accepted With, Corrections
Denied
Reviewed By": W-"L'ral ,E"UtESMt4~J "
Date: -31 z,ltJ 0
) .
Comments: .sEf: -rHE I3UIL.OIAJf. P(Jt w'tt 1" ron." 3.:U.S ~<...iAJwA"'~ '7:J1:,QIl... .rDA."
, "
"'~~ IAiFol\.r\otA,.-;,~f4:rr&"'ME~.
liThe issuance or granting ota 'permit or approval ot 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 shallnot be valid. II
"'-
.
JobAddress 30j 7 G~;1~f.,(/
Heating Contract~ 2- aY"~
fI"cr ~
.!t- I f, p a:?
?
o
~
{35t3J
Name of Tester
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
r
'"
APR.5.2000 8:55AM
GENZ RYAN 6513226147
NO. 540
P.3/16
1"Iw ~tcr .r .... r..u c.lMftft'
CITY OF PRIOR LAKE ~ a. S-
, PLUMBING PERMIT , <20 ~ 0 LtO
AppflCllllt ~.nZ-- ~ Ph?ne:.....Y>Sl-~.Z:~-\I\44
Address: 111"~ ~ ~..,- -r'"LL- ~\
Signature:_~ ",.
Legal DesCrlplion:~ ,Block <, SubG. ~ ~ Yo{.
Site Address: '352., ~ 'LFt II
BuDding Permit # ~ - OfJ(O PID ,~~ - ~.6S-... ~7--(J
NOTE: This permit ~II not be processed without complete informaticn.
FIXTURE UNII:)
- ,
Quantity Type of Fixture
I III Bath Tub with or without shower
\ Cishwasher
, Floor Drain
2 Lavatory (bathrocm sink)
\ lmJndry Tray (1 or 2 compartment sink)
, Shower Stall
\ Sinks
Bar Sink
; . 2- Water Closet (toilet)
Quantity
Type of Fixture
3
,
Rough-ins
Water Heater
Water Softner
\ Stand Pipe (washing machine)
Sewage Ejector
Backf1aw Assembly (RPZ. Double Check. PVB)
Baclct10w Assembly Test
Lawn Sprinlder
Other
FEE SCHEDUL.E .
~ Industrial, Commercial & Multi-Family
(1 % of job cost. 539.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
S99.50
$39.50
$
$
$
$
,.... f:'1 t
oUILC ,;n?,! ~ '"
j I \, i....; ,_
........
<-..j r
.50
GRANO TOTAL S
.-
." '" '\
\ .'
-
This permit is ~ upon the apreas condition that $.ud
contrlCtor. shall comply ill all rr.speqs wirh the DrdinlDC9
o~ me State Pbunbinl Code and die 11m nts tIlcreof.
... /" - RE\..cu . ATE
-1~. r
- ,
C or all inspectio 24 hours in advance.
APR - 5. 2000
16200 Eagle CreekAv. S,e., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4~5
An Equal Opponunity Employer
,*Cj' - . 'CITY OF pmOR LAKE'. - (J
S r.. \~ - 18200 Eegle C,nk Av. S.E. Pe,mh No.~ -0 I ~
. ..~ Prior Lake. UN 55372
~ m e~d
::: ~ HEATING APPUCATlON I PERMIT ngl ~
~ Date Ll ~ \QL:)
Industrial. CommerctaJ & Muru.FamNy
ResldenUaI. Heating & AC
ResldenUaI.. Heating On~.
Realdendal. a.. Rreplace
R88Jdenl'.J. Adttllfons & AlleralloM
R88ldentfal. AC Only
R^t.(~'-
. ' S'Q)Colf Remember 10 add the S1all Surcharge on the boUom of this 8p~lca~lon.
PID I ~ S- - 36s- -'0;;0-0
Site Address ~~., c;,\VW\\ ,"l\".-r~ '\" Il...A I L
~ lpl ! ( Bb*;; AcIdllan ~ aNt AU)
Z Own,". Hlme, ~'(Y"'OJ(\" ~
Addllu ,~C\ ~ v\ A~o.. \Jt2.- '<,~.20D 61~AN ~';I2.?-
HaaUnl Conltactor C' -:e...r1 'Z. - () UA ~
Address IU1US ~ P~fl-r '["p I.
LQ-; \ -42,""'J - \ \4'--1
Telephone"
FUlnace Make & Mod,r \ J} .lJ'\m ~
ModelSlze r~?~2_\~-~
Conn. Load
1 , II
Fuel N A=r'. Gil~tue Size 4 /!)\ItAr
TYPE OF SYSTEM
Warm Air Pllnls 'I..
Gravity
Mechanical ,
Air Conditioning X
VenL Syatem
HEA11NO OR POWER PLANT
Sleam
Hot Water
Radiation
Spectel Devices
[\-
~
T'"'l
~
RI Supply Openings .
(T)
T'"'l
If) Relum Openings
~
~ Inpul .,~& OTJC) Output <..,,0. ra:>
)-
0:: .
Edr.
N
Z
~ Cfm.
1\
L.J
Other Devices
E
$ Alterallona
If)
CD Aepal,
TYPE OF WORK
Rlp;acemenl New ConatnJctlon
Elt. Camp. Dale
([
~ Eat. Cost $
~ ,
re HEATING PERMIT FEE'
If)
STATE SURCHARGE $
~ . ,
8: TOTAL PERMIT FEES S
00.- at Cj(O
. BulJdlng Permll'
.50
Receipt" ·
TYPE OF STRUCTURE
I. It.. _ '-'-\ RIe
2. Ore ,- ! all
3. Yal~ _. I' CDIIhdar
x
Two.Famlly
InOOstrlal
MultI-Family
Publo. Other
CommercIal
Fee SchlKlule
---.
r- -
A .
_ i3lJILD~(~ "r!77-t ~
~1 i~t:::- _
1% at Job coal ($39.~um, ,1rr
199.60 ___
164.60
$39.60
$39.50
$39.60
APR _5 ml
The,price of yGur healing permtllncludel OM rough-In and one fin.. Inspection.
AddiUonallnspecUonl wll be billed ., '35.00 each.
House Helltfng Tee' Recotd musl be aubmlned wllb building RiHIIlil WIDbH before bu.ld"
Ing eerrrnca,e of occupancy wi. be Rued.
I-II=_T n.t nUl 4'Tln~.q r;n=,,~ ,IRFn wrth number of stlppl, and leturn operllngs lilted per
room wJth CFM'a per openlng. New structu,ea 01 addittona lend 800. ptan wllh auppty
Bnd relum lacattona shown. HEAT LOSS CALCUlATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PAlOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRrOR LAKE. fAN 55312.
City Hall OO,'ne88 hours are 9 8.m. -~:30 p.m.
ALL WORK MUST BE INSPECTED (ROUBH-IN AND FjNAt.) . CALL CITY HALL
~47-4230
I hereby apply for. mechanlcal.ysterns permlland I acknowledge thai the
Inform81Jon ebovela complete and accurale: Itlat the work will be In confo.rnanoe
wllh the ordinances and codes or Ihe city end wllh 'he 8tale buUdlnglmechanlcal
codes; that Ihls form dOl8 nol become a permit until .Igned by 'he BUILDING
OFFICIAL: that the work will be In accordance with Ihe approved ptan In th.
case oJ all work whIch requires review and approval of pllna.
· wOl ~. · .LJ/5 ~
App~a'pc8 Slgnaltue ~ . 'Date
\ to !i/6f. /'rF"""\
, A rl~ ~ /\1-..1 tA: .J
BuIliltn{l9"fcal'il Sfgn~ Dele
(~C#j
1
APR. 5.2000 8:55AM
GENZ RYAN 6513226147
NO. 540
P.4/16
1M Ccw., .. ..... 1M. c......,
I
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Apprrcant: ~'Z..- ~
Addreu: 14"~ Ff-:> -rLIw-
SIgnature; un,~ g .--
LegsI DescrIption: Lot - t?-- Block 3 SUb~ ~~4U?
Site Address: '3~2~ ~. -n..,-c) t; T~"'II
BUfldingPermitt..oO - 0 ,,*1 .PID#....a~.. ~~~~
Nu I t=: This t:3ermit '^!ill not be processed without complete information.
FIXTURE UNITS
.. Blue I!1e
2., Galli Qy
3. "tcllaNr ~
# DO-/~I
Phonca:-LPS"l - \...l: '2~-\ ,\.1\..1
~
.. .,
..
Quantity Type of Fixture
a Bath Tub with or without shower
\ Dishwasher
\ Roor Drain
2 Lavatory (bathroom sink)
\ Laundry Tray C' or 2 compartment sink)
t ShQwer Statl
\ Sinks
,- Bar Sink
i ." ' 2- Water Closet (toilet)
Quantity
Type of FIXture
.3
,
Rough-ins
Water Heater
Water Softner
\ Stand Pipe (washing machine)
Sewage Ejector
Badcf1aw Assembly (RPz, Double Check. PV8)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Mufti-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
S
$
$-
.50
,...., r"
L tll . '1.
",",,' .. ;:.... l ~ .. > .~
'" I.
'--I
~.....;"
"'''"j"
GRAND TOTAL S
""-
. :' ',. 'I
i _____,'
This penniE is 1Rft= upon the apress condition that said
c:onrraetor. shall comply in all oo.lrcc!S with the ordinamccs
of the Seaa: Plumbinr Ccxlr: and the CD u Ehm:af.
,... - RE\..c&r. 0, ~ DATE
leST
I for all iDspecrio s 24 hou~ in advrmce.
APR. - 5 2Wl.
16200 Eagle CreekAv. S.E., Prior Lakes Minnesota 55372/ Ph. (612) 447-4230/ FA..}( (6J2) 44742~5
An Equal Op"ortunity Employer -
MAR. 30. 2000 4:58PM
GENZ RYAN 6513226147
NO. 357
P.3/7
-.IIQ .
YIU.OW - ~
tIGLD . CIT'r
CITY OF PRIOR I.aAXE
SEWER AND WATER PERMIT
NOm-ClO-
NOTE: Sewer and Water
con~ractors must
be reqistered
wi"Ch the city.
SIGNATURE:
PHONE: t II ~ I - l(,~ ~( \ l.tU
DATE: a- ~~/tJU
.. SLOG. PERMIT # (,0- 61w9
~~7;1 c"1~"n.Te~:TlI!.I.,...PJ:D# d;r -.~ -0;(6-0
FILL IN THE BLANKS
- ,
Estimated lenqth of water service ~
I \ ,
Size of water service inch(es).
APPLICANT:
ADDRESS:
SITE ADDRESS:
1.
2.
:3 .
/~ 4.
5.
ES.
.feet ~
.3tm
Location of any couplinqs from s~ructure feet.
Type of sewer pipe. ABS PVC X Cast Iron
Estimated length of sewer lin~~' .teet.
Clean out (if required), loca~ed at feet from
structure.
Thi~~:ionbecomeS.YO~it when approved. ,
BY · _/\)d,f>A.~;"'1 ') DATE: U/2/trO
. /' // . _..~'
~ \.J' - ....- - - -
FEES: S 35.00 Sewer ana water line connection permit.
S .50 Surchar~e
$ 35.50 TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the buildinq permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. .
PAID \;\1/
DATE PAID AMOUNT 'PAI06UILDING ~-~" ir
,L.
'.-....".
RECEIPT *
REC/D BY
I 4629 Dakota St. ~ ~ Prior Lake, Minnesota SSS72 I Ph. (612) 4474230 I Fax (612) 4474245
Nf EQUAL OpPOR'11.,,~ -" f EHPlO'1'!R
PRIOR LAKE
INSPECTION RECORD
DEPARTMeNT OF
BUILDING AND INSPECTION
--
SITE ADDRESS -:? r~ c... IjV\ 1a.la..;--QJ , t'q,,-l
NATURE OF WORK N-ew ~cf,rtv\.
USE OF BUILDING Sf=' It
PERMIT NO. (JO- /fhO DATE ISSUED :3"~"" :2ot:lo
CONTRACTOR W.e.",s. UV\tJ.\AV\ l1~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
itJ INSPECTOR
FOOTING .~ tf ! f~/(JO
FOUNDATION (Prior to Backfill)~~ I.. 'o+.'l\'13-O~ tsr. (b ~ /117
PLACE NO CONCRETE UNTIL ABOVE ~S B'EE'N SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
~ .1
FRAMING We. /'~, 7/ / 3/1ft
INSULATION U '711'7 J(j()
ELECTRICAL (/ , I 7//3/~4
PLUMBING b:h f./!/)Wo
HEATING (if required) . /4!r 17 !3/1b
FIREPLACE r- ~ 1!11/1a
GAS LINE AIR TEST ~ 7 Jb M ~ 'IT' b./~{J!io
COVER NO WORK UNTIL~Atl~EEN SIGNED
vtf~~~f)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HA
NOTICE
FINALS
~,(,';
j
rZ-7- 0
th.
~
~/t-SAi' /
. ''6 '1,~ iJ
BEEN SIG E~
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
8/Z:~ TIME
CITY OF PRIOR LAKE t:p.. "-0
INSPECTION NOTICE SCHEDULED
ADDRESS 33ZJ ~I.V~
OWNER CONTR.
PHONE NO. PERMIT NO. t) -15"(;
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOK~
~ PLUMBING FINAL reJ
~ MECH FINAL
COMMENTS:m' ~ - aft ~
~ ~-dI'L I
~ ~ ~', t:xv~, tLo.Ll.LA. ~
~,<--<f ~~,
cI e~ ~~
P~,(!)J&J ~ ~ rq ~,
c;1J ~ ~ ~r'~ f
~-~
MuJ..-ffi ~ ~ ~.
0)~ ~~ J
j, ~~~~~'/
. ~ ~~~.
~ ~ ~ ~ <I.....'r .
@ ~ ~"_.L'V en- ID ~'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~
"jf FINAL ~
o SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
1< CORRECT WOrt 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 & SAFETY!
INSNOTl
dzDAT]gJ TIME
CITY OF PRIOR LAKE 8' 4 9 .7/Q
INSPECTION NOTICE S~H~DULED
ADDRESS '" 2., 7:J (;rlFc1Z-
OWNER CONTR.
PHONE NO. PERMIT NO. d -- L fo
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
il:NSULA TI~ r. o SEWER HOOKUP o FIREPLACE FINAL
FINAL ~LUMBING FI~ o GASLlNE AIR TST
SITE INSPECTION ECH FINAL 0
~OMMENTS:
\0 Final '>>-. &"'el;I'\Uv.~ ~
(i;) ~ ev..& 1-vee-~ .~ dh~JJ?~A...r
.------ -------- Q
~ ~
/ '"
( -,ItV'()- c,o.~ e-sl-~ '"
\' /)
',,-- -------- /'" /
-----
o WORK SATISFACTORY, PROCEED
o COR ECT A AND PROCEED
tCOR >.ECT . CALL FOR REINSPECTION BEFORE COVERING
~.
Inspector: , Owner/Contr:
CALLf7-9fO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~IREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED I Z -7-o(
ADDRESS 33..2 7 &t.ynvc.1v- u/
OWNER . CONTR. ~(v1~MI;I1"
PHONE NO. PERMIT NO. 120 -I? ()
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
..K-EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
A-Il 01(
J<.... WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector#'~, ~/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ;:Sz;;J 7 G \ 'f~..~0)~
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
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: S4- \
I ~~I). t (,O~
C- Ose .( '\' \ -e
DATE TIME
';2 ''''0'
t r
I .
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
..a""WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. '1). ~ (AM/I Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl