HomeMy WebLinkAboutBuilding Permit #00-0183
CITY OF PRIOR LAKE 5l3b /VI/!/ AI 1. White
BUILDING PERMI'r ~~~ L::' #. ^_/~ 2. Pink
, , I ~ -J..I .' 3. Yellow
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~
DATE RECEIVED
.22 2000
. 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
33.53 G/v/VItJ.Ja 11'1
3. LEGAL DESCRIPTION '
LOT I 'Y" BLOCK
ADDITION b lyN watf7r
(Name)
7 r It /' J
3
~ Nc/
NtJ
Permit No.
1. DATE
J - :2.2,. ~ Di) I.)
File
City
Applicant
IJU -01 f3--
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID "',- 3&15' - O:JtJ ~ {)
Od/; 7/ oN
4. OWNER
(Address)
5. ARCHITECT
(Name)
(Address)
6. BUILDER (Name)
IN I'NJ/Tltf/V/V
fJomfs
7. TYPE OF WORK
New Construction ~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Fireplace 0
Alterations 0
(Addrj3~)
/6 y.> ~11f:2.~
f ti 91i jV /11 N
~tiC 0 Deck 0
Addition 0 Finish Attic 0
9. PROPERTY DIMENSIONS
Width Depth
13. TYPE OF CONSTRUCTION
(Tel. No.)
. 14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
Or,
(Tel. No.)
'5/- .y/) ,. y',/()"
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
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 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 mention ed prope~d that all onstruction will conform to all existing state and local laws and will proceed in accordance with submitted Plans.. I am aware that the
building offj;pl can revoke this ermit fo st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X AJ ~ t. /ys<f 3-.;.7.)-,;J.ot) iJ
/ II Signature ' License No. Date
V FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION I Oo,~ a:?O. (!) 0 PLOT PLAN 0
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
$fl4
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
APfl. as-
1??(g!11
5D.()Q
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
lO-O . on
l 00 .6>(L
3S.SD
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
~::~F;ace !d;~]...~i~~.;e:tt When AeP.roved
By ~u Date "3 -2~-20C)o
- /
Certificate of Occupancy
City:
'Jw)
'3.31\00
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
'i~ \I . $
Pressure Reducer ...... eL............... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
BSC.OO
W OChoa
LIS. "D
I t;tS. 00
~CJO .00
!-DO , ~O
Water Tap ................................... $
Builder's Deposit ............................ $ ~ I~ -.-s>
Other......................................... $
Total Due .............................. $ 5k'7fp9. ~
Paid Receipt No. =>/13 J
:::" ce<tify thattha request in the above application and accompanying documents;s in aCCOldance will> the c:;on~y P'.OC.:d a~C(;._AJuested. This document when
sign by the C' lanner constitutes a temporary Ce~cate of zoni~mPlian~nd allows c~tion to com'9.ence. Before occupancy, a ~~icate f 0 cupancy must be issued.
_ .~r2Pt- 2)~. ~ (~beLKlta- ~ M.dir~~.
City Planner Date Special Condiiio~s l' any
24 hour notice for all inspections 447-9850
r;v - I tJ
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6Nb fV!/i1J1l!
3/22-/00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3333
GL'v/ tJ '1/ ~~ / (-::;,!<- TIC-
I
Accepted
Accepted With Corrections~
::::::ed By: QJ a!~)C
Comments:
Date: 3-2.9'-~
Se~ ~\~.tP. S5:2~ GI1rV\w~
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
.~
(J1J -( ~3
Thr Crntrr of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
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i
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Y'
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~.) . .~.~ ~'\"L' . i/'/I / I t,,/ /-'1 I I-'.-'/~ -7-7::-
~,,----..J---LJ' C:, \.. \j f 1 .............
'" I -
Accepted
v
Accepted With Corrections
Denied
~ '/A__.. .
Reviewed By: A ~
Date: 3 ~ 2- ~ ~ t.9O
Comments:
.~~ ~~~ ~6 ~_ ~"\~$ ~
~lAL C-. L). (). I &~ .Afqv-~ ~)bt) ~
(/ ~'It~ l~ w....,h~...
fV'~~ ~vbd{~ ~~ ~e- L->>cU/l'V\
L~ ~~-aAAtl LL\M4~ ~~~
~Vvv~
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 333 3 ;f~~~f'i/
Heating contract<6',r.-e /<r-'"
Name of Tester fl. , .
Date 9 - / /, t::?o
Percent 02 7
Percent co p
Stack Temp. 35"z>
Percent CO2 {5
',,-
tSV ~o{f3
The' ("nle'r of lhe' Lake' Count"
White - Building
Canary - Engineerhlg
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
i"~/E /\/~ /l"J Ii /t/ IV
3/22-!()O
I . I
APPLICATION RECEIVED
The Building,. Engineering, and Planning Departments have reviewed the building permit
application for construction activity wh~ch is proposed at: .
3333 GL~j/\JyVA I ~R- Tl::-.
f
Accepted
Denied
Revi~wed By: ~. EwtlfSMI4.A1Al
/
Accepted With Corrections
Date: 3/t. '/OD
Comments: -.StE. rt-\E B\J''-~\~(,,' ~b4I'T Fott.. 3JZS aLYNWATEtt 7R~Ic_ FeR.
, ..
CoW"'\l"'\ ~AJT"SI IA.JFo r1..~ ,'c'JN fATTt:t CJ-IMGJI.5 .
"The issuance or granting. of a permit or' approval of plans, specifications. arid
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."
MAR. 30. 2000 4:59PM
GENZ RYAN 6513226147
NO. 357
P.6/7
_..... .
~...-.~
~ .. err.,
CITY OF PRIOR IAXE
SEWER AND WA.J:.A PERla'l'
NO.on -tiE 3
NOTE: Sewer and Water
contractors must
be reqistered
with the City.
APPLICANT: (;z.}/J:Z- (U~n
ADDRESS: ll.!..., l,~ , ~ & 0Uf_'1 .T t2..L-. DATE:
SIGNA"L'u..x:Jk., b L\l.C=S::: ,BLDG.
SI:TE ADDRESS: .~~ G'~I.COT~~"'fY-.L..PI:D#
FrLL IN 4n~ BLANRS
40,
1. Estimated lenqth of va~er service
,H
2. Size of water service inch(es).
PHONE: (,I~I- lf~~(\~LJ
3' ?-'o ! tJ L.)
PERMIT i ~O-OJ~3
QS:-3~- O~-O
feet.
MM 3 , 2IIJ)
3. Location of any couplings from s~ructure
feet.
.~
. . ~l.-
4.
s.
Type of sewer pipe. ABS PVc X
Estimated length of sewer lin~ ~l
Clean cut (if required), located
structure.
Cast Iron
6.
feet..
at feet
from
-"_,'\..\.I_"'~l'rf_~__-I-'''1 .. ,-ol..I,...'~_____'''..I~L-~~
Thi.~ ~jli:a~ion ~ecQme$ Y~it ~&en approved. .
B~_ ~~ 1~'rL.~ ~ J D~TB: CJl.f/I'J6joo
--tJ--~.."._._--_.,."., ,"'~--
FEES: S 35.00 Sewer and water line connection
$ .50 Surcharge
$ 35.50 TOTAL
* Fee fer either sewer or water individually is $20.00 plus
$ .50 surcharqe.
perm!t.
.0. ,.
* Sewer and water permits issued for new construction must ~e
recorded on the buildinq permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. - r PAID \rViT;-1
. , BUILDING F~. ""if
DATE PAID AMOUNT PAID' ~
I
~ ",~,---
.....,-,r
RECEIPT f
REC'D BY
. 4629 Dakcta St. 5.E., Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
AN EQUAL OPPORroNrTV EMPtoVER - .
DA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ L/:M
1'3 S-- Gl'f(\~
ADDRESS 3 3~q J" 31) " 3 '6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
UO - I ~ J I ) B ~) '8 S ,_lRq
o FOOTING
o FOUNOA TION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
A 0 MECH RI
}zJ::.yvA TER HOOKUP
" p< SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'.
CO~
~T~. (t<~~ ~J&:jSf
Uhv~ 0 -H (/ '7r'
~
(V ~K -r
,'-,; (~-
(;) ~ ~~
40
PV'~
~
~.
lv'-c4-
-
~~
~
~6t/-
o vrORK SATI~C ORY, PROCEED
~RRECTf"'TI NO P OCEEO
o CORRECT W K, C lL R REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ~7-985;;~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~QUlREMjNTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V INSNOTl
-
CITY OF PRIOR LAKE .' (i..)
. 16200 Eagle CreekAv. I.E. ParmtlNG. fP'JO -()fff 5
Prfor Lake. MN 55372
TYPE OF STRUCTURE
I. PI" ,- -. All:
1. Ore . i 0tJ
3. Ycl~ " DafIIrIdIII
IJ)
....-t
"-
('IJ
....-t
Single Fsmlly
Commercial
x
Multi-Family
Olher
Two.Famly
IndualrJal
Publlo
PID'~) - t"~~-oro-o
b\VtV\~~ \ll-fl' L
'-l
Est: Comp. Oa1e
, Bundlng Permll" dO....o r g 3
0..
~
"""
If)
o
z
Telephone t ,
Furnace Make & Model \ .J} In.~''''
ModelSlz8 C:::>>2~L\ ~-~
.
Conn. Load
~ Fuel ~Pf1,Ga~l=lue Size 4 It/!}vurr
IJ)
~ Supply Openings I'
(T)
....-t
~ Return Openings
~ Input <<1(",MJO Output laO.reo
>-
0:: -
NEd,. .
z
~ Cfm.
Lj
TYPE OF WORK
E
fE Alterations
If)
CD Repal.
Repiacemenl,
~ Esl. Coal $
~
~ HEATING PERMrr FEE'
If)
. STAlE SURCHARGE .
0:: .
8: TOTALPEAMITFEES to
.50
Fee Schedule
r ,..!> 'D \ '
. . ~~ l. .. /llITl-l
1% of Job cost (~) "=':~:vur
$99.50 .
'64.60
'39.60
139.50
$39.60
"-.P I ~
Indusl,lel, Commercial & MullJ.Faml'v
Reskrenllal. Heating & AC
Reakfenllal. Healng Ontv
r;,~N ~'r'Z.:'L R.rdenlf.l. Gas Arepl8ce
R&8'dentr~l. Adrtlllons & APterallons
ResldenUa', AC Only
Rr\C4 rnou.n\
- ~lt Remember to add the State Surchalg8 on the bo1tom oIlhfa .ppllc.~Jon.
f\P~ - 5 2llJl
Other Davlces
The.price 01 your healing pelmJ11ncludl8 one rough.!n and one IInallnspeclloll.
Adcltlonal !nspecllons wAI be blrred al .36.00 eaoh.
House Heatrng Test Record must be l.mmJUBd wllh bulklno ~rm' numb&r be'ore bufJd.
(ng cerlllicale 01 occupancy wi. be Issued.
I-U=A'" n.ol r:. u _Tln~t~ ~Fnt UJU=O wllh number of lupplV end ,eturn openings Riled plf
room with CFM. per opening. New struclures or adelllons Hnd 'foGr plaia wllh eupplv
and rtturn locetton. shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, UN 65372.
CIIy Hall buslO8s. hOUII ar. 8 a.m. .4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH..JN AND FINAL) · CALL CITY HALL
~47-4230
I herebv appfv lor a mechanical systems pelmll and I acknowledge Ihat the
Informallon above I, compters and accurate; that the work will be In conformance
with the ardln.nces and codes of Ihe cUV end with the 81.'. butfdlnglmechtlnlcel
codel: 'hat Ihl. 'olm does nol become 8 permll until elgned by the BUILDING
OFFICIAL; Ihat the work wIll be In accordance wUh the approved p'.n fn Ine
case 01.11 work which requrres review and approval of plans.
~Ol__ · LJ/S ~
..~,an~a sture I (/. .. ~ . i ')ete
11' ~1~ o//h/~ 1
BuU5ng Office · 9 alure I I ~
New Construcllon
([
..;
Recefpl' ---
APR. 5.2000 8:55AM
GENZ RYAN 6513226147
NO. 540
P.6/16
'I'1w Cn.. a' ... La... C, ~
CITY OF PRIOR LAKE
. PLUMBING PERMIT
AppliC:ant: ~ "?-- ~
Address= t4"~ ~ -r~l-
Signature:
lsgal Description: Lot f q Block_ fJ., Sub~ af'4 ~
SiteAddllHls: ~~'? ~T\.~t!}. 1f..~11 ~
BuildingPermit# t)(!) -- 3 PIC. ~,- ~~-c
Nv I c: This pennit ~ill not be processed without complete infonnation.
FIXTURE UNII.:)
.
I. ... ..
l.&Id CIy
3. Yea.. ~
# aO -0(l(8
Phone:~l - Lt L. ~-\ l\.ll.(
(/ r-v '.v..r... -LJ. ..,
. ,
Quantity T~e of FIXture
l II. Bath Tub with or without shower
\ Dishwasher
l Floor Drain
2 Lavatory (bathraam sink)
\ Ulundry Tray (1 or 2 compartment sink)
t Shower Stall
, Sinks
Bar Sink
""-
j '. 2- Water Closet (toilet)
QtJantity
Type of FIXture
,3
,
Rough-ins
Water Heater
Water Softner
\ Stand Pipe (washing machine)
Sewage Ejector
BacIcfIoW Assembly (RPl, Cauble Check, PVB)
Backffow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE .
Industrial, CommerdaJ & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
s
S .50
---
'.
$
599.50
S39.50
~ P,.'. -'0
OUILt':~~ ,~vV.lj~I1"
......., " "r:.;.. - .
~. '. dr
: . 'j
\ .'
-
This 1-.._it is gnmed upon the =r.....s col!dflion that said
contraCtor, shall comply in all "~t'~ wilh the ordinances
of the. Stacc: Phambinl Code me! ElM: am dm ES thc:.,..!~
R.E NO. DA TB
..
APR - 5 2000
1 u:.ST
16200 Eagle CreekAv. S.E., Prior Lake, Minncsor.a 55372/ Ph. (612) 447-4230/ FAX (612) 44742~S
- An Equal OpportWlity ETtlployer
PRIOR LAKE
INSPECTION RECORD
DEPARTM~NT OF
BUILDING AND INSPECTION
SITE ADDRESS 3~~ C{--r--Lu~ T'r-C5,i\
NATURE OF WORK ~"\ C:~~{"'-tJcJ.'<...J\.
USE OF BUILDING ~+= ~
PERMIT NO. no :..- () 183 DATE ISSUED :s .. 2cr -'"2 CJ~
CONTRACTOR lA.)~ ~ ~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
_ It:#ECTOR DAT~
FOOTING~"(O'X(2t~, ~/rll()() & /) Llill/go
FOUNDATION {Prior to Backfill)ftlp6"'" . ~r {-I ,., ~tJO (j; l' ,fpP7
PLACE NO CONCRETE UNTIL ABOVE HA~E~N SIGNED
ROUGH-~S ,
SEWER I WATER I SEPTIC - ( ~ ~/ 6/(T[ /
FRAMING (fJzit. .1~7l) #
INSULATION /' 17i, P/of /10
ELECTRICAL / /
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ ~f 11 lIe-; Ill/)
, .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
WALLBOARD
GRADING (Prior to Sodd~ng)
BUILDING~~ \\/\161> ~ lI2ll~//Yb
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
I / If 5 ~1. } 1
~,
Ilk,
,/
OCCUPY UNTIL ABOVE HAS
NOTICE
. .
/~ /12/~
;) II ~/t76
I I
BEEN SIGNED
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
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
cenifying 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 Famil V _ Bldg, Permit No. 00-0183
Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District .R2 SD
Legal Description 114, B3, Glynwater 2nd Addn.
..I Owner of Building Site Address 3333 Glvnwater Trail NI,o/
Contractor'sName&Address Wensmann, 1895 Plaza Dr., Eagan, MN
Jenni Tovar
!
Robert D. Hutchins
Building Official
Date: ~ \'/1 '.III V7-0~ Date:
~ POST IN A CONSPICUOUS PLACE
City Planner
r .
r T1
.L..-:....;.. -
...- ~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ;;2-;;J:7-oa
ADDRESS z>.3~) ~ M W~ \ r
OWNER CONTR.
PHONE NO.
PERMIT NO.
00- Dl~3
o FOOTING
o FOUNDATION
o FRAMING
o )NSULA TION
H FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
"~S"€ C~O
~.C>~ e.. ~~'-{e
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~_ \IJ.ANJ Owner/Contr:
CALL 447-9850 FOR Tt E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
\? 3"3 3
S"CHEDULED ;O-B..{)O
(:, / lj)/J tv t2 ~y-
I
CONTR.
;2~60
OWNER
PHONE NO.
PERMIT NO.
I)-/~~~
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 INSULA TIO~ 0 SEWER HOOKUP ~ 0 FIREPLACE FINAL
~ FINAL ! ~ PLUMBING FINAL 'e9ltJ/c..O GASLlNE AIR TST
o SITE INSPE TION j:t MECH FINAL ~ 0
p~ I t.:r:5I
COMMENTS: ((:) ~ ~ ~,
~J~ ~(g) ~ kJf~'
~ ~~~1
~.-~
~m~~ ~ _~ rn-
~ ~ ~~I.
@~~
~
t""
~
l<)
~.~....:.-;;;;...-:;:._.;....:.;..
-~._.~--
T;'C.O;-- ~
""'~..'"
-o.::"'lIfi!r .... .
/, /tJ-o
( ,
----....
uJ~ ~~ ~
o WORKSATISFA~ ,PROCEED (~~
)ir7CORRECT AC' ND PROCEED
o CORRECT WO , CALL FOR REINSPECTION BEFORE COVERING
~(
.-. /
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
54-0/
ADDRESS 333 3 &~V'1 WC1 {(, T/".
OWNER CONTR. W~~MqlJY)
PHONE NO. PERMIT NO. 00-1 ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.::m... 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:
LV r b [5(') ~ - c:; K
{;rctc!t'n:/ - 6> K.
T;"u~~. No 5(1)1
/
~ORK 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 & SAFETYl
INSNOTI