HomeMy WebLinkAboutBuilding Permit 00-0367
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 G ~
jJtJ5 / V /'v tv a 7 fr / "PI /-/
3. LEGAL DESCRIPTION /
LOT" BLOCK
a/YNW~,1'tr
, (Name)
DATE RECEIVED
MAY
ADDITION
4. OWNER
5. ARCHITECT
(Name)
6. BUILDER (Name)
W ~ Nf/11 If'IVN /JO m"'..I'
7. TYPE OF WORK Fireplace 0
New Construction~Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
CITY OF PRIOR LAKE ."\ A -,\.
BUILDING PERMIT,
TEMPORARY CERTIFICATE OFF \ L 5
4 am ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Permit No.
1. DATE
s- "I-;2(J {J J
1. White
2. Pink
3. Yellow
File
City
Applicant
00 -(J3fp 7-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WIdth) (Depth)
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
l\!iJ
12. NO. OF STORIES
5'
;:) A/ t?'
PID ~- 3(,J - 0/7- 0
q d~' 7/ tJA/
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
(Address)
/ d'S 1'/4 Ze... f),-
(c. 1~/V /J1 IV
Selbfc 0 Deck 0
Addition 0 Finish Attic 0
(Tel. No.)
tfl' y()~- Jf'fO tJ
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. . .. . . .. . . . . . . . . . . . . . . . . . . . . . . . . . .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .. %.................... :
Meter Horn... .... .... ........................ $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
eel"}. L<"'
~.((
50.(tL
24 hour notice for all inspections 447-9850
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 prope. ~nd 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
buildin~fjcial can revoke thi ermit fo st cause. Furthermore, I hereby agree that thel city official or a designee may enter upon the property to perform needed inspections.
X/J~ _ ,- /~5r S-j/-.;;20tJl)
- - ~ / / Signature License No. Date
V FOR ADMINISTRATIVE USE
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
SETBACKS: Required MATERIAL FILED WITH APPLICATION
Actual SOIL TESTS 0 ENERGY DATA 0
Front Back Side Side
BUILDING DEPARTMENT VALUATION OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REa. PLANS & SPECS 0 SETS
USE OF BUILDING SURVEY 0 COPIES
~FfI SPACES ON PLAN
PERMIT VALUATION -I~. on PLOT PLAN 0
I t)O. Of!)
I ex::> a::)
3;.SO
rmit~ ....... ............. $ t/O . 00
ecomes "ding Permit W,ben ~roved.
Date ~ - I:J. ~a:::JO
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $-'.,5 /)() · c!Jt::L.
Other......................................... $
Paid T~~/J',];;c, ..oijio.... ~~:i~; ~o$ ;; 4'5rtfo
Issued Ie P ~
Ths ~ to certify lt1at the request in lt1e above application and accompanying documents s In accordance .n1t1 the C~:~oni~ Ord::' and ~y pr~ as requ _.J Ths document when
Si~~=;:nutes a. temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of pancy must be issued.
. ~_ ~-r-'-l\-t90 \..
City Planner Date Special Conditions if any ""
\
Permit Fee ................................... $
Plan Check Fee ......... .................... $
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Thi
By
Certificate of Occupancy
e50 -~O
ftl€JtI'l -~
1
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~.
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C/b, ~O
/ :2S,OD-
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., t? Otfj .(9~
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)0 v03lo 1
The Center of the Lake Country
White .. Building
Canary .. Engineering
Pink .. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT'\~ Q...() ~ ,ry\v), () (1
APPLICATION RECEIVED . fV\ Q\ J 0 1-1
I
, .j .. (\ ./r~ c.
i '-' I I\.~....)
~ (){)O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 (:) \ "1 Y'\ \r\.J CJ\ '~-C r . '\ f C\ , \
!
Accepted
Denied
v
Accepted With Corrections
Reviewed By:
Date: s: ItL-6Q
Comments:
~~ ~~,,\ ~ ~ ~f\ ~~ ere... ~
r~, L).,{J. ~ ~ove.J ~ ~ C~~IA~~
~ 4u~ \&t'\, .
e(~ ~tJ~'tLY.e.- ~ Ybe- ~ a-
1,~J\ ~ ~ ?e11Ja.d<_ ~~
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
presumjng to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,lI
)OJ01P 1
Tht' Ct'nlt'r of Iht' Lakt' ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \J eAt" 'fY'v>... .n n · +orne. ~
APPLICATION RECEIVED __ \V\ ~ C> l... _) ~ 000
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
?, 305 G \'1 f\~\-e.x-- - ) m\ ,
Accepted / Accepted With Corrections
Denied //}} () f
Reviewed By: ~ fIL-~
,
Date: ~/5-2of:) D
-'
Comments:
~ ol.{ 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 valid."
MAY. 18.2000 6:05AM
GENZ RYAN 6513226147
NO, 127
P.6/6
_.... .
~ . "'-IlCAIIJ
CIOI.D. _. W
CITY OF PRIOR LAKE
SEWER AND WA'.I:r...t< PERMIT
NOTE: Se~er and Water~
'contractors must
ce registered
with the City.
NO. OQ- ()~b 7
APPLICANT:-GznZ- ~ PHONE: l.t~"t..t?3 - tLL/4
ADDRESS; I Lf-1UC::: ~ ~ ~ i - f~ATE: 6l.t 8 / lID
SIGNATURE: r~ BLDG. PERMIT tff{J -0367
.. .
SITE ADORESS:5~S;(J' .PIDj;J~-~-('Jl-O
FILL IN THE BLANKS
40,
Estimated length of water service
f ,(
Size of water service inch(es).
1.
feet..
2.
MAY j 8 2000
~
"Io:,,~ . J
3. Location of any couplings fro~ s~ructure feet.
4. Typ~ of sewer pip~. ABS PVC ~ Cas~ Iron
5. Esti~ated length of sewer lin~ ~' feet.
6. Cle~n out (if required), located at feet
structure..
from
I
-------- __.....~::z==_====____.-......--I-:=-.-=
_~____ ___-_...t~,-~--
.1';0::-: '1l,
C.... ".J
'"~ ;../
Thi;;(apP1i:ation ~otl1es y~ernit when appr~,~d. .
~:_*~~f/~~~~~_~_D~:~~~!C()
FEES: $ '35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 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 building permit card at the time of issuance
to insure that no duplioate ~ewer and water permits are
issued. / ~ ~ /
DATE PAID ~~f:l~~' AMOUNT PAJ:D /
RECEIPT j /..\ ,~., REC' 0 BY
/ ~. '.
, 4629 DekOta Sl S.E., Prior l..a~ Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
AN EQUAL OPPORTuNrTY ~
~~~:t p~~.~ cnv OF PRIOR LAKE' .. }
~rn '1~200!.gIeCfHkAv.S,E. PermltNo. OO-h~7
Prior Lake. UN 55372
(T)
S HEAnNG APPLICAnON/PERMIT Single FamlJy
~ Date , 12.<.0 \~J PJD, QS - ,1h~ -' {)l 7-0
SI.Add.ess ~~ G\l.,W\\LlPrTR'-'L \:O.L__
~ LOS ( Block 3 Addftlon 6;~~ ~ Y"Ol ~
ci U . .'
z: OwnetsName_ lJ....Yl..Jr\~ ~ ~
Addreas lPA 5 ()IA~A IJ.p _ .~r~ ?...lYJ fuc~Pr,...)
~ 2- fl.LM.-'"
Address IU-'u~ ~ ~0L8- TILL.
Telephone., lJ'~- Ur/~- \l4Y'1
Furnace Maks & Model l..JI_J^_YV1Sk TYPE OF SYSTEM
r' r;) ( Warm Atr PIIJ\Is "
ModeJSlz. .'-~ _~2. ~-'1', GravllV
Mechanical
rf AI, Condblonlng ~ '2 ./7_ ;-n~
LJ /h.,tK11 Vent Sy51em
HEAlING OR POWER PLANT
salam
HoI Water
Rad ra110n
ld:), onll> SpedaJ Devices
Indusltlar, Comm&r~al & Mullt-FamDv
Residential, Haat[ng & AC
Residentral. Heating Ontv.
ResJdential, Gas Fireplace
Residential, Acktiltons & AUerallons
A~ldenlial~ AG Only
~u.. '.VYY\lAY\r
S'CO\.o' . Remember 10 add lhe SIale Surcharge on the bottom of 'hla appllca~ion.
Heating Conlraclor
CoM. load
~ Fue-l ~ ('-:O..~lIe Size
..-l
l.D
gj Supply Openings
(T)
..-l
I.() Ae1urn OpenIngs
l.D
~ Jnput .,~ aco . Output
>- .
a:: .
N Edr...
z:
~ Cfm..
t .\
L\
Other Devices
TYPE OF WOFlK
E
~ A_etaUons
N
~ Repair
Replacement
Est. Comp, Dale
New ConstrucUon v..
~ Est. Cost $
~
~
~ HEATING PERMIT FEE $
l.D
~ STATE SURCHARGE .
..J -
~ TOTAL PERM IT FEES
00 -C 3_€\'~-~~
0' o~.
" ~~~e~.'
~'
Bulfding Permb #I
/
/50
,/
/
Receipt 1# .
TYPE OF STRUCTURE
I. iii_ -. .. FiJc
Z. (h . all
1. Yel"_ .. c....caar
\(
Two-Famiy .
Indus1rlal.
Muhl-Famlly
Publfc " Other
Commercfal
Fee Schedule
1 % of fob cost ($39.50 minimum)
$99.60
$&4.60
'S9.50 '1
'39.50
'39.50 I
27
Th&.pdce of your heatlog permit Include. one rough-In and Me Ifnallnspec1ion.
. ,
Additionallnspeclions will be blUed at IS5.00 ~h.
House Healing Test Record mu61 be submitted whh buUrling p~rmrt. nllmber before buIld-
ing ceflilicate 01 occupancy wII be Issued.
....FAT ~AI~' U ATIOM,~ ~I=(\I UJ:J1=11 wflh number of supply and relum openings listed per
room wllh CFM's per opening. New struclures or additions send floot plan wIth supply
and rei urn roca11on.s shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
I
Cily HaU business hours a,e 8 a,m. -4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
I
447-4230
I hereby apply' for a mechanical systems permit and I acknowledge 'hal the
information above is complele and aocurate; thaI Ihe work wm he In conformance
wllh the ordinances end codes o1lhe clly and with Ihe state bulldlnghnachanlcal
codes; that 1hls form does not become a permll untn signed by the BUILDING
OFFICIAL: thallhe WOIJc will be In accoldance w[th the approved plan In 'he
CBA 01 ~~ work whlnh ;t~vla: and ~pprov~ 01 Pia; f 2 cf r c{)
~- ~~.~ I Dala '
( ~OJI~tG ,',..1, ,h,~ 7h7/r/fJ
(; - BlJIIding ontcal'sruna(Ur8 · 'Data -
JUL. 26. 2000 4:21PM
GENZ RYAN 6513226147
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Applicant ~eJl1 Z. - ~
Address: 14'U~~, ~ TtU--
.Signature: \l 1 {"' ~ 0
Lsgal Description: Lot 'Block 3 SUb~~
Site Address: .3~ r...1 '!ffi' ~c.g I II! l. ~ ~
Building Permit' -CJ:I! -~ . PIC ,a~...<~Gs-- C)t7-o
NOTE: This pennit ~ilI not be processed without c:omplete information.
FIXTURE UNITS
".. CIIII..r ., ,_ LIb C.......,
,427 I
Quantity
\
\
1
L
1
1
t
co
2-
. ,
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Crain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Quantity
,~
I
NO. 994
P.10/13
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(10;0 of job cost, $39_50 minimum)
Residential. New One & Two Family
Residential. Additions & Alterations
State Surcharge
$99.50
$39.50
I. BIw=
:2. Gold
3. Yc:Uaw
File
Cil)
AppIicapc
GRAND TOTAL
# ..oD-a3'L
Phone: t 9~' -\,j. ~ -\ \ "-l\.J
~ ~,,,,"~
Type of Rxture
(
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPz, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
- other
/
L
I
$ / ,50
!
$
$
$ ..
6~ ~/D -
D/J\1G *'J-'J..I
J:>cS '7
. i9~J-'
~
This permit is granted upon the upress ~ndition that said
contractor. shall comply in all respects witb the ol'din::lnc:es
of ~e Stnte Plumbing C, and the ?BthcreOf' - .
1 4~ .~'.. L "- RE N~. ro2.? DATE
_ _ I ~.J u:,sT
;:;./ for all inspec:tions 24 hours in adVllllce.
16200 Eagle Creek Av. S.E., ~ Lake, Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) 447-42~5
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 330S- Q,l~V\~ I r.
NATURE OF WORK ~
USE OF BUILDING S~A.
PEFtMIT NO. () CJ - ()3~ 7 DATE ISSUED 5" -/c;- LOoc)
CONTRACTOR uJ.t~~~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING ~~. ?fithe ~ I INSPECTOR 6/31/;;E
FOUNDATION (Prior to B~cidill)~ ~.' ft(tJ(otJ ~:' ~(Ll/bD
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH~INS
SEWER I WATER I SEPTIC - t! ~ I I
FRAMING ((/f' q /J/ L 6
INSULATION r //Z Z6.:
" / '
ELECTRICAL
PLUMBING (fA 1-/, (/l) I
HEATING (if required) {/ W~/)/(c:(b
FIREPLACE I / '.'-
GAS LINE AIR TEST ~ (;: r;~~
. '{
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
~
GRADING (Prior to Soddit:1g)
BUILDING "J-. L ,v. 10 IB ~ /0,
, ,
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
11/8
5-Q.(J(J}
,
/ tJ /iW/ va
) /C~ loh6~
OCCUpy UNTil ABOVE HAS BEEN SIGNED
NOTICE
/)
fA..
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 shan be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
...\, ....~. ''!i;.w'', '..a....'.' '1liIiIII''''
~ 'olW ,;,.............
"./....~.....~
r ,
, .
....- rLIAN\;t:.
PERFORMANCE TEST
Locate near the furnace manual
.LP Gas Natural Gas -<
Job Address 33'oj- 6(~n ~~/
Heating Contractor &"'I'f z.- /'<y&.--
v
/(. {.
Name of Tester
Date
/ t::J' Jy-
Percent O2 7
Percent co 6
~
(70
Percent cO2
Stack Temp. 0 5t'
~ II
Pressure 5.. ::> CV. ( .
White - City Copy Tag - Site Copy
DA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
330$"'
SCHEDULED EX -~7-oa
~ Ii',
CONTR.
OWNER
PHONE NO.
PERMIT NO.
O()-O~~7
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
J{'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:
!ss>ue CLO I
C- os..e ~\ P-,
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ -VO>>et Owner/Contr:
CALL 447-9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5-9-0/ /0:30
ADDRESS
SSOS- (;,lyl"1 We,-k". Tf'.
PHONE NO.
PERMIT NO.
\tv ~,.,S man"
-bO - 3~7
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~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:
Cvrb i30'k - <::) k:.
brGdl'~ - c>1<
1r!t:..5. No soc/
./
.:xl... WORK SA TISFACTORV, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~~ Own er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
L!/e'/bv It): 30
,J3tJ 5 G L J I'\J W A-, t::.Jh
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
..!2. ~I?I IJUR~G FINAL....
~ IS MECH FINAL t}-
COMMENTS: 15{J.~,
,.. ~.f / ~
-i.. ~,' ~ cOA"'-
DATE TIME
C) - 3" 7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,
1/
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION I PROCEE'1-..-" ^
o CORRECT R, F EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~QjIJ tJO
TIME
SCHEDULED
ADDRESS$OS, 0 '7 ~:~
OWNER
(I .
--\ J \ J n ~" JC~ 'H,I-
- I ~-~
ERMITNO. (iJ-6~b 7) Q%~8'.(369)
O.'g7C 03'1
A 0 PLUMB~ lO EX/bRAD/FILLING
~D ECH RI ~~. ___ 0 COMPLAINT
WATER HOOKUP U "'I~t: RI
EWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0 II
Mo~
-f~
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COM~ENTS:
~M
~;C -rfffl~U- ~
~
,LSsL
~~ ~ ~~
4.. r)
f vc-
&r~
(_.~')
~+,A
~ -g~
,S- rf7Al I
r -!r~~
0^
~
-uA- s
Inspector:
CALL 44~ -985~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE
CITY OF PRIOR LAKE " / ,}
INSPECTION NOTICE SCHEDULED / OJ 2tf/ tJl
ADDRESS _g365 Jd~~
OWNER CONTR.
TIME
(//go
PHONE NO.
o -- ~~ 7
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION P() 0 SEWER HOOKUP
o FINAL C!5' )(\ PLUMBING FINAL
o SITE INSPECTION /0" MECH FINAL
CgMMENTS: () ~"-'-14J ~
@~ ~.I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~-)
~
I ' '\
lill I:fJ
~)-~
o WORKSAT'SFACTORY, PROCEED
~ CORRECT ACT'ON AND PROCEED
o CORRECT WORK, CALL FOR RE'NSPECTION BEFORE COVERING
Inspector: _ ~l Owner/Conte
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
-