HomeMy WebLinkAboutBuilding Permit #00-0184
CITY OF PRIOR LAKE .6 G e MAl A/
BUILDING PERMIT, rlt..6 #-1rtKJ
TEMPORARY CERTIFICATE OF ~ J
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT Permit No. tV. )-0 I B4-
DATE RECElYEQ
MAR 2 2 200l
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
3....~;l-~o(J()
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS r
??3S b/VNIJ4Tfl"
3. LEGAL DESCRIPTION /
LOT / 5' BLOCK
r;; /V/V UJ II( /pr
,
7rtt;/
Nw
12. NO. OF STORIES
3
;:l /V #
PID~-~--3'5" -/)J/- 0
0';/ t/,' t; o~./
(Tel. No.)
1. White
2. Pink
3. Yellow
File
City
Applicant
13. TYPE OF CONSTRUCTION
ADDITION
4. OWNER
(Name)
(Address)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Address)
(Tel. No.)
(Name)
6. BUILDER (Name)
t,)fNf/nefJ./N'
p6mf'J'
7. TYPE OF WORK Fireplace 0
New Construction~ Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
(Address)
1J-?5 /1~26-. Dr.
Ct::i ,L/V /Jl/\/
~iC 0 Deck 0
Addition 0 Finish Attic 0
(Tel. No.)
(,51- ~o(, ,~.y() 0
OCCUPANTS
15. NUMBER OF OCCUPANTS OR SEATS
REHoofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Ye:s 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 ~o truction '11 conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official c;JI rev~ke this permj!JP4' jus use. ermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /J IflA"v d /.. . /y 5tf' 3-.;J:;J- ()O
. / ~gnafy License No. Date
....
FOR ADMINISTRATIVE USE
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 cj 100,000. ~ PLOT PLAN 0
Water Tap ................................... $
Builder's Deposit ............................ $~"""':"
Other......................................... $
Pakj Total D,U. ...................~:i~;..O$ ~"7~. ~
Issued ~ A . \J
This ~ to certify "'at the request in the above application and accompanying documents ~ In accordance wi'" the ::;on~Jo2na'1&, ~ ~y p~ /:.-. Th~ document when
s~ City nner constitutes a temporary Certificate of Zoning comPlian~d ~"0WS CS~.;it co~ence. Before occupancy, a Certificat upancy must be issued.
~ _ ~"2-"\-t1O '_. _~ '. (~_\<l~~
City Planner Date Special Conditions if any
SETBACKS: Required
Actual
Front
9UILDING DEPARTMENT VALUATION
USE OF BUILDING
5FJ4
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. .. . .. .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap .... .......................... ..... $
c::I $
Pressure Reducer .... :1tJ................ $
Meter Horn................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Permit Fee ................................... $
ePJ7 · 2 c;
S ~~. 7'
50 .~ (J
Plan Check Fee............................. $
State Surcharge............................. $_
Penalty ....................................... $
Plumbing Permit Fee ....................... $_
I 00 . 0 6
'00 .0 0
3~..s-O
~.e
-;.,3\ ~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $_
This "o;r::_e~m~~~. r . ding Permit When ~proved.
By ~~__' Date 3'~1--2coo
Certificate of Occupancy
Pf~().OQ
I . I ('YJ . t:JO
, ,
'-/6". tJO
I Pl~-. Oc"
/ 200.00
?()(). O~
"'"I
24 hour notice for all in:spections 447-9850
~
White - Building
Canary - Engineering
Pink - Planning
The ('enter of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
V\fJ5 (I/~ M 11 AI tV
3/ZZ/(JO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
336~~ Go/NWAibK... --IR::.-
Accepted ~.
,~(/ U!->~ l ---
Reviewed By: ~ V -
Accepted With Corrections
Denied
Date:
3-2?~. ...
Comments:
SQe~
"3320
Gae -\.A- ~ "'_
,
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be va.lid,1I
.-'
"
./
White - Building
Canary - Engineering
Pink - Planning
The Center of the like Country
BUILDING PERMIT APPLICATI()N DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ ; Ill. / l / /4.' ;'
" l\ .....'. ,,'v I
t
APPLICATION RECEIVED
,
. .; ,/' /' """oJ
..--/ z c./ (, L
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
....__,..-:J. /~.:}__" ._.c" _'; L l ~ f I-'~" k
- - _ ,,"~' '_. i./j /~ C.. /j~
I
'7"'J,/"
l ^ ~,
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
3 .-1-C!t ,60
Comments:
~f~ ~~ ~') 1he- [~i'\~ 6~
~ ~tUIP\J t ~ ~
6-/'1\'\'~ t~ &Ml
fv~ ~ve\J/€..- ?~ ~e- l/J(\ ~\;t
I~ ~ tvAcl {}.-\-e.,e$l - ~~.
Kcq;vrv~
"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,"
Th~ ('~nl~r or lh~ L.k~ Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~v F.lv~ JL-J ~7 A/IV
3/2Z/() 0
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~33~- GL,VN'f'l/A7cK- -IL
I
Accepted
/
Accepted With Corrections
Denied
Reviewed By: JJA.;r!~ &~MI'fAW
Date: 3/t.' /tJo
Comments: SEe 7ite: &.J1t..OIAJ(. ?fLI"\tT Foil 332S GL'fJJlA.MrE/l.. TtiA,,- h/C
COlf'\f'IlE'~..s I
,
JNFott..M4r.0AJ ~ ,qrrAc..rlIl(~rs.
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 va.lid."
Si&e Address
CITY OF PRIOR LAKE Me
16200 Esgle Creek Av. S.E. PSJmit NQ.
Prior Lake, MN 55372
OO-Ol~ 0<
J. f"jn\
2. tkutl
J. Yellow
File en
- Cil} ~
ConttllCetIf r+-
III
'<
TYPE OF STRUCTURE
Daia
PIOI ~5-:,~S- 031-0
TO'\N~ ,",Ctt\6 /""
Sin,gli! Family \/
A t-tc:u:..hW .
Commercial. Industrial
Two-FamMy
Public
MuUl-Fam~1y
Other
"T1
1-"
'"1
(I)
(I)
1-"
a.
(I)
~ ~ A-\Jt)~
Industrial. Commerdal &. Munl-Famify
Residenlial, Hea1ing & AC
Resldenlial. Healing OnEy
AesidenUa1. Gas Fireplace
Residential. Additions & Alterations
Aesfdential. AC Only
1 % of Job ~i$-39.~-~nlrrwm)
S99.50 ., , Us
$64.50
539.50
$39.50
$39.50
o
o
'"1
::J
(I)
'"1
Fee Schedule
Owner', Namtt .
/'1\ I
1du'1M~
Address
HeaHng Conlractor ALL lED FIRES ID"E d ba FIRES I DE CORNER
55113
JUN ~;8 311)
^ddress. 2700 N. FAIRVI EW I ROSEVILLE I MN
Telephone' , 6 5 1 - 63 3 - 2 5 6 1
FI REPLACE II
~D Make & Model .t-bJ JJ (;/ ~
Model Siz~ . c4i: 1~~ 7Jf'_
Remember to add lhe State Surcharge on lhe bottom of lhis apptication.
Conn. load
Fuel 1i1,s
Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity .
Mechanical
Air Co nd 11 10 ninQ
Vent. System
The price of your heating permil ;ncludes {)ne rough-in and one Unat inspection.
CD
U1
-A.
Input
Edr.
Output r:2? IrD
,
HEATING OR POWER PLANT
Steam
HGt Waler
Radiation
Speciat Devices
CD
^ddiUonallnspeclions will be billed al 135.00 each. ~
House HeaUng Tesl Record musl be submUted with buildlno "P~~ nnlllM. belore buUd ~
Ing c ertirtcale 01 occupallCY wi11 be iS$ued. . ~
HEAT CAlC.UJ.ATlONS REOUIRFn Mlh number of supp1y and return openings listed p
mom with CFM's per opening. New slruc'ure~ OT addilioos send floor p1an with suppty
and (elurn locallOns shown. HEAT lOSS CALCUlAT10NS. PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE. MN 55312.
L
E:
::J
I
SupplV Openil\gs
Ail'UfR Openhlgs
Other OeviC9S
City Hall business hours are 8 a.m. .4:30 p,m.
ALL WORK MUST BE INSPECTED (ROUGH-lN AND fiNAL) . CALL CITY HALL
447-4230
CD
I
o
o
I\)
am.
o
I heretJy apply 'or a mechanical syst9ms permilllnd l acknowledge thai the ~
Inlormatlon above is complete and ac.curale; lhal the work will be in conlorm3ncl..S;
with 'he ordinances and codes o1lhe city and wt\h lhe slate bultdtng/mechanicl
codes: that lhis form does not become a permil unlil signed by the BUILDIN(
OFFICIAL: thai the wort< will be in accordance with the approved ptan tn 'he
case of all \York which requires review and approval of plans.
/' /!
Ht14lA. Jf~ ?;/t~
. ;" .- ~PPlican.l~tul~. .. ~ . '~t Dale
!da~./J-,f1 . I lQ_Jd-rA'MJ {., {)
U B~ Ollic.rrlgnalure . Dale
"1J
ID
cc
(I)
TYPE OF WORK
Alterations Raplacemlnl New ConslructEon )v)c
Repair, ~Est. Compo Dale (dC;/&
. I
Est Cost $ ~ I!m,-;J) Buitding ~ermit # OQ- 01 ~li
HEATING PERMH FEE $ 5 Cf. 5 9 ot\\:,.>t ~~
STATE SURCHARGE $ .SO ' ....,~
TOTALPERMITfEES $_~O. 00 Receiflt".37~b:3
-
-A.
MAR. 30. 2000 4:59PM
GENZ RYAN 6513226147
NO. 357
P.7/7
.... .. ... .
YII.Latf . APPI.ICa...
GaLlI . ... ,
-.
CITY OF PRIOR IAKE
SE'W.CJ,l( AND WA..J:.,r(, PERMIT
NOTE: Sewer and Wa ter
contractors must
be reqistered
with the City.
NO.OO -Q}[)4
APPLICANT: ~? - (L ~/l PHONE: -L,. ") I - la. ~(\ ll-LJ
ADDRESS: tu~UC:; ~ (l~O(.L.~ .TtfJ.-. DATJ:.: 3 ~/tJU
SIGNATURE:_lk...}o ~~ rI' BLDG. PERMJ:T ,C().... Ol%''-/
SITE ADDRESS: C. -) ~~~ ~\~.'O.WC..~&.-'PID# dS-- a.6S"-()3/-D
FILL IN THE BIANKS
40. ,
1. Estimated length of wat.er service
, "
2. Size of water service inch(es).
feet.
.31m
3. Location of any couplinqs from s~ructure
feet.
'-:'L
I .
4.
5-
6.
Type of sewer pipe. ASS PVC X Cast Iron
Estimated length of sewer lin~ ~J teet.
Clean out (if required), located at feet
structure.
trom
--.
Thi~ ?plication ~~es YQ~it wnen approved. .
B~,_~ (J~:=~~2l~~)WJ--) ~TE: tJ~~~/O:O
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 surcharge.
~ Sewer and ~ater permits issued for new construction must be
recorded an the building permit card at the time of issuance
-;'0 insur~ that no duplicate sewer ~d w,at"e:pAIB~s are
J.ss.ued. - lBUILDING Pc..~.."~IT
DATE PAID AMOUNT PAID
,
-. ~_ .. -"1/----.
RECEIPT I
REC'D BY
. 4629 Dakata St. ~ p. Prior Lake, Minnesoa 55372' I Ph. (612) 447:4230 I Fax (612) 447-4245
AN F.Ol IAr nClW'W:Pn!M'!'\l' INDr ~
I
CITY OF PRIOR LAKE ~ 50w =__
. PLUMBING PERMIT # ~ -0, ~
ApprlC8f1t: ~"?--- () ~~ Phone:..!ISl-4-z.~-\I~~
Address: t4'Ll.~ ~ -rLIw- ~
Signature: U. (} ~ r ~
Legal Description: Lot I \ Black ~ Sub C~/1YA 7 ~ ~' ~ A.lb
SiteAddre$S:-'3?~ ~ '~I'rl'
Bunding Permit. 00- 0"'1 ~o/ PIC t~::r~ ~5' -QkJ-O
NOTE: This permit will nat be processed without complete information.
FtXTURE UNrr5
APR. 5.2000 8:55AM
GENZ RYAN 6513226147
~
n. CdI_ ., ,~ y'" C-1Ib7
- ,
Quantity Type of rlXtUre
t fiL 8ath Tub with or without shower
\ Dishwasher
l Floor Drain
2 Lavatory (bathroom sink)
\ Laundry Tray (1 or 2 compartrTlent sink)
t Shower Stall
\ Sinks
",- Bat Sink
, ". " 2- Water Clcset (tanet)
Quantity
.3
,
\
r-r::c. SChc....ULE .
_ Industrial, Commercial & Multi-Family
C1 % of job cast. $39.50 minimum)
Residential, New One & Two Famny
Residential, Additions & Alterations
State Surcharge
599.50
539.50
NO. 540
P.7/16
Type of FixtUre
Rough-ins
Water Heater
Water Saftner
Stand Pipe (washing machine)
I
Sewage Ejector
Baddlow Assembly (RPz. Dauble Chtck. ?VB)
Baekflow Assembly Test
Lawn Sprinkler
Other
s
s
$
$
.50
GRANC TOTAL $
This penniE is gr:mted upon the expresa condition lhat said
contractor. shall.... ...ply in all .....t'~ widt the ordinances
of the Scare Plumbing Code and the ears tL _ ..Dr.
~~. t<J::\.,.CU; NO. .'~ DATE
~ Ie,) 1
I fer all inspecti
16200 Eagle Creek Av. S.E.. Prior Lake, MinneSota 55372/ Ph. (612) 447-4230 I F~ (6 12) 44742~5
AD "'"Equal Opponunity Employer
,....
" 'j
-'
APR - 5 2000
*[ :. . 'CITY OF PRIOR LAKE',. I.:." )
~y..,~ . . 18200EagleCfeekAv.S.E. p.JmIlNo.('fJ~""
\0 ~ Prior Lake. IIN 55372 -
~ HEAnNG APPUCAll0N I PERMIT Smgle Family
iL Date LI ~,~ PID tI ~ ~ -~) _ oBf-O Commercial
~ SI. Add,en 3~~S- G,\\)(\A~ -,- ~A , L Fee Schadula
~ 4" F7 BIookiil!bAddllon '-l ~~,
Z OWn"'. Name W~~ tf''f' ~
Address \~C\ 6?\ PI~o.. 1li2.- Sri::,.20D r51f..AN ~-;-/L"L
H<lngCont,ector C~?- P,L~ ~
Add,ess 'U1U~ ~ P~t7...1 "IJI,.
la-s. \ -4 L.~ - \ \4'-1
Tllephone' ,
Furn808 Make & Model \ JLln~ ~
ModelSlze r??~7 .\~-~
.
Conn. load
I:'- 1"'-.1 ,t
~ FueI,~ Pfr.. '3\l~"'e st%a 4 tJ vurr
I..D
N
N supplV OpenlAgs I \
(T)
..-t
~ ReturA OpenIng.
~ "put '1 ~ nDO Output L,o. cD::)
0:: .
NEd,.
Z
w
U) Cfm.
J-J
"PE OF WORK
E
<I
I:'- Alterations
If)
CD Repel,
~ Ell. Cost .
~
~ ,
~ HEATING PERMrr FEE $
If)
. STATE SURCHARGE .
0:: -
a.. .
<I TOTAL PERMIT FEES .
, RepillC&menl
TYPE OF STRUCTURE
I, ftllk .1. ~ \ JI1Ie
. 1.0re~ ! OIJ
J.Yea" " ~
Induslrial, C<JmmercJaI & Mulll.Famllv
Realdenllal. Hesing & AC
Residential, Healng On~
Resldenttal. Gas FlrepllKle
R Illde ntlal. Acklltton. & AJle ratrons
ResldenUa'. AC Only
Rnc.r W'"G.U1,
- ~tf Remember 10 add 1he State Surcha'ge on the bo1tom 0' tills 8pprrca~on.
The.prfce 0' your h&atrng pelmlllncludel one rough-ln end one Onal Inapectron.
Additional (nspectlons will be bJlled at '36.00 each.
HOllas Healing Tell Record DlUlI be submitted wllh buUdlng ummIIltiIIIIbar before build-
Ing certificate 0' occupancy will be Issued.
HFAT ~A' r,t It ATrn~l~ AFO' UAFn with number of IUPPIV and return ope flings ftsted per
loom with CFM.. per ope111ng. New st,uctures 01 addItfons 8end Roor plan with supply
and relUm locaUona shown. HEAT lOSS CALCULATIONSw PAYMENT AND
APPUCATlONS MAY BE MALED TO THE CITY OF PRrOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PAIOR LAKE, MN 65372.
City HafJ business hour. .re 8 8.m." 4:30 P.Rl.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FJNAL). CALL em HALL
447-4.00
. hereby app1v for a mechanIcal syalems pelmll and I acknowledge that lhe
Informallon above I. complete and accurate; thai 'he work win be In aonformanoe
wUh the ordinances and codes 0' the cllV and with Ihe etel8 bulldlnglmeohanloel
aods.; thai Ihla form does not become. pe,mll until atgned bV the BUILDING
OFFICtAL; that the work will be In 8ccordanc8 with Ihe approved pfan In the
:T 1.~ work Otu=~ew end ~pproval of PI.~/S . ()O
J '~~~re, ' 'Dale
[ A/~ /hriu~ ~/rJr')
)(
Two-Fal1lly
Indualrtal
"PI: OF SYSTEM
Warm Air Plants 'tl.
Gravttv
Mechanical
Air Condilionlng 'l
Vant. SVllem
HEATlNG OR POWER PLANT
Steam
HoI Wall'
RlldfaUon
Spectal Devtce.
Other Devk:es
. New Conllruc1lon
({
, E.,. Comp~ Date
BuDding Permil' ao -or 15'-1
.50
Recap!' --
. M ulll-Famlly
Public OIher
p'~"\ /D .
DU/I r:~ 0 t-vn'''y. !
.........':,;....\J("-" .'
........" t ...!~
. /
1 % of Job cosl ($39.50 mln(mum)
$99.60
$84.60
'39.60
S39.SO
$39.60
P\PR - 5 21Jl1
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 33...~5 ~':;n~~ - \~\\
NATURE OF WORK tJ~\J.J ~"t-.uc{'''ot...(
USE OF BUILDING SFJ4 .
PERMIT NO. ()O - ()/~4-- DATE ISSUED ~-2~-~C>C>
CONTRACTOR M\I\~~ ~~'S.
NOTE: THIS IS NOT A PERMIT FOR .ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING ~~'t14' ~I 'JrZ/f)~ ,iNSPECTOR ,1 ,!jj;!~
FOUNDATION (Prior to Backfill}~~~r ~. ~-ILlJD() l); tj / /rltJJ
PLACE NO CONCRETE UNTIL ABOVE HA~BEit.N 'SIGNED
ROUGH-.NS
.../'
SEWER I WATER I SEPTIC ( . c; / i/./!fJ ~
FRAMING ~~ L {j .. fJ/tl/~ . r
INSULATION 'h- !/z( lot:)
ELECTRICAL
PLUMBING IJ/rs/{J)
HEATING (if required) , 1714/1V
FIREPLACE /' " I -ei/I'/
GAS LINE AIR TEST ~<.~. C f'd;,- . · , ' c. ( I ,f" I tJ/)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
MIl__Af\8
GRADING {Prior to Sodding}
BUILDING "fl;t} -ro t() -,.()()
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
)~\~
. !
(l-1.;O
'J.-0/-~
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTtCE
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
. ~
.It
.
. "
.
DATE TIME
CITY OF PRIOR LAKE e ltb \t>.... 3'0
INSPECTION NOTICE SCHEDULED
ADDRESS .3335 ~fl()~
v
OWNER CONTR.
PHONE NO. PERMIT NO. \.) - 18Lf
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~TIO~ o SEWER HOOKUP o FIREPLACE FINAL
INAL ~~UMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION CH IFINAL 0
COMMENTS:
(IJ P",N& f<A E~lt\~~ rl..-tf:
Q ~ ar-d -1Vc.es -pd- ~p~
(].I r~()-v\~ . rltal- ~ r /}rN~
(;J ~~ J ~~~~_ Ue;(f~
(.l; V ~
(i) Mwt ~S1ruh
wo1Jr.. ~ i~ 0
(j) 'foJ ~. r~ k~ ~~
(3) ~\J~ .tv ~'i( <h., ~uJrJj _
Y\b~ -~~~
W~ (..J)~ ~~ U
o WORK SATISFACTORY, PROCEED r~ (/L.uvf\ o.Lo
o CORRECT~TIO AND PROCEED - ~V U b-
o CORRECT ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,) Owner/Contr:
CALL k.7-;; FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
A :,~
~ CA.~
frON-\
CODE
l~AL HEALTH & SAFETYI
L< ~.!~jli:b
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED f}. -b2 7-0;<
ADDRESS ~ :3 ~ G--\ '1 r\ IA.l a.,\er \ ('
OWNER CONTR.
PHONE NO,
PERMIT NO,
..(2{) -6 I M
o FOOTING
o FOUNDATION
o FRAMING
~INSULA TION
.;a FINAL
o SITE INSPECTION
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 GASLlNE AIR TST
o
COMMENTS:
~su.e C,.Ot:
/' ~e ~e/
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ l~ Owner/Contr:
CALL 447-9850 FO~THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
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,~ I
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PE:RMIT NO, ()O- ( ~r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.~ FINAL
V' 0 SlTE INSPECTION
o PLUMBING RI
o MECH I~I
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
All -~K...
DATE TIME
~GRAD/FllLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
kORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'nspector~4 - Own;;:tContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!