HomeMy WebLinkAboutBuilding Permit 00-0369
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
A 20 ZONING COMPLIANCE
. [..JD UTILITY CONNECTION PERMIT
<s:t M1\'N
F'L~
1. White
2. Pink
3. Yellow
File
City
Applicant
l' ,
Permit No.
oo-o~1
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
2. SITE ADDRESS
E09 C /v/V tJ<.7-f'r
3. LEGAL DESCRIPTION /
LOT 3 BLOCK
r; IvAI IA.I ~1(Jr
,
Tr,,;;
/VtJ
s- y- :ZOU ()
ft2S0
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
ADDITION
-3
) /Vt/
PID .)5-3".>- 0) 9- 0
q///T; OJY
13. TYPE OF CONSTRUCTION
4. OWNER
(Name)
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER (Name)
tJ t:.NJ)'h~/V#
)JDlnt'S
7.'TYPE OF WORK Fireplace 0
New Construction V-- Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
(Addre~s)
/;95 I'/G2i:- /) r
{aqA'# /lIN
~ticO
Addition 0
(Tel. No.)
~Sl- .y()~ - ~f'tJu
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
. 9. PROPERTY DIMENSIONS
Width Depth
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 ~ial can revoke;;Zhis pe . fo.r just9l/Jse. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X A-J ~ . " ~ /~S-d' 5-tY- 00
- r nature' License No. Date
, V FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
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 100 OOb. c..o PLOT PLAN 0
.
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
<SFIt
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.................. ............. .... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . . . . . .. . . .. . . . . . . . . . . . . . . . . . .. . . . . . .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
8So.~o
J I~" .~C>
. ,
Plan Check Fee............................. $
State Su rcharge ............................. $
Penalty ....................................... $
8e~.~
~U-{J
SO. 0 0
r:;L .t $
Pressure Reducer ......~............... $
I
qe; . ()7J'
Plumbing Permit Fee ....................... $ I 0 () . CJ ~ Meter Horn... .... ...... ....... .... .... ....... $
/00 .f5Jt2 Water Meter ................................. $ /;l S' · &J "
Mechanical Permit Fee ..................... $ I 2 in "" (!7 ,.-,
-?S- . ("'-0 Sewer & Water Connection Fee ........... $ , L,Il"""",. b"
Sewer & Water Permit ...................... $ u 0 W t T F $ '100 ~O
t a er ower ee ........................... ,
.. $ Water Tap ................................... $
me~"'. .:;~;;~.;enn'W~:<h. Builders Deposit .......7...~..~........ $-1, ~ -'\I.
/ Dare () ,/~' CQOO :::~~;;~~::~~::::::~=i~;~O: ~7~1o f~
Issued J
Th~ Is to certify lhat the request in lhe ab<we application and accompan~ng documents Is in accordance wilh the c~:;on~ may ~ ~ested. ThIS document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificater;;}~~~pancy must be issued.
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
~i
Th~ C~nl~ro( th~ Lakr Country
wQ9 ~~~i~ 1
Canary. - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \~ e,,(~n\CL(Jn '17rYn~-~
APPLICATION RECEIVED f'I\ ()...\) 0 Lj ).:::lCJO () .
.' The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
? 3 ()q C:, \1 ()woJ-cr Irrid
./
Accepted
Accepted. With Corrections
Denied
Reviewed By: .lJAJ.rot CHIILS"''''''N
Date: ~!I(,!OO
Comments: SEE PER.-Ilr Fon. ~ (;"LYAJWflTDt.. ~141'- Felt ~'''''''c",r.s 1
l~folt~~TIt)N ANO A1TIfC~"'EtJTS.
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."
00 .03(c/1
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \rJ e _f\~Yy\[~~"1}\ \A7rm~.~
APPLICATION RECEIVED 'V\ C^'- '} 04 j ,;l OD 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
;; 3 Dq (" k) nl'-lC\JGr . I cn\ \
Accepted V
Accepted With Corrections
Denied
Reviewed By: /~.~
Comments:
Date: 5- it-t9D
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."
CD -O.>ta 0
White - Building
Canary - Engineering
Pink - Planning
The ('enter of the t.b Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \rJ ~ Y'f\a.XJ n \-hrrn ~~
APPLICATION RECEIVED V\Ov'1 OL{ ) .:lemO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'2 3 DC{ c::. · 'I ()~ I- r7~' \
Accepted
Accepted With Corrections '><'
Denied /~/N I'___
Reviewed By: ~~r
Date: ~~-~~
Comments:
Se(! S30S t~ p~ SUll'~/ ?~.
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."
..
-.L
....
Job Address 3'~/ll~'At"..,
Heating Contractor ~ . ~~ p1
Name of Tester ~.. L...
-Y}- "'-Ot?
7
o
~
30
Date
Percent O2
Percent CO
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
~ 11....l ~'l~
'\
JUL. 26.2000 4:19PM
GENZ RYAN 6513226147
NO. 994
P.6/13
1. Blue Pile
:1. Gold o~
J. Yellow AppUCIIIl
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Applicant C~, JlJ:7, - ~
Address; t4l~<:;- ~ ~ 7lfU.-
'Signature: 'U ("\. ~ Q
" Legal Description: Let :3 Block .?> Sub (' .",ll tf'lE r- ~
SIte Address: 3~~ ~l~l us:l'r' ~ I , ~ ..M.J1
Building p~rmit # CJ:J- 0 '. . PIO # 'd5- 3 ~ - 01 Cc -0
NOTE: This permit v.;n not be processed without complete informatiQn_
FIXTURE UNITS
".. e.....,.. IIIe Lake c.u.n,
.: ,~
JUt 2.7
Quantity
\
\
1
?
1
t
2-
........~
Type of Fixture
Quantity
Bath Tub with or without shower
Dishwasher
l~
I
Accr Drat"
Lavatory (bathroom sink)
Laundry Tray <1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
( .
FEE SCHEDUlE
Industrial. Commercial & Multi-Family
(; % af job coat. $39.50 minimum)
Residential. New One & Two Family
Residential. Additicns-& Alterations
State Surcharge
$;9.50
$39 ,5~
GR"AND TOTAL
# _ri I ) --ay.,<t.
Fhone~-LPC;-\-\J.~-t ,~
~~f~~ ~~
Type at Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
8ackf1ow Assembly (API, Double Check, ?VB)
8ackflow Assembly Test
Lawn Sprinkler
Other
-
f
s
I
/
I r.
.50
~~~~'t}~
~~~0 ~~
<o~~ f
16200 Eagle Creek Av. S.E..
Lakel Minnes~ta 55372 I Ph. (612) 44~4230 I FAX (612) 447-42~5
An Equnl OpJ'ortunity Ernployer
Industrlall CommerchlJ l Mum-family
Residential; Healing & AC
Residential. HeaUng Only,
Resldanlla', Gas ArtJplac8
A &sldenUe t, AdtiiUqns & AUeralIQf\S
, A es~d&nrraJ. AC Onlv
~~ vYY\l~y"r
SCOl., " . Remember to add lhe Slale Surcharge on Ih8 bolt om 01 this eppftcallon.
I
~'Ci CITY OF PRIOR LAKE
li~~ . 1!11oo Ellgle Creek Av. S.E. Permit No. (.1)~ ~
~ J Prior Lake, UN 55372
~:/ HEATING APPUCATlON I PERMJT
~ 2-lo\~ PIO. ot')-1-:,C-..~-O,q-()
. .
~ sr._Md,.ss 3~ GlLW\\.. "\~TRt/L.. 'O.l -I
~ Lot 3- Blade .... Z, Acld.lan ~h 0'A ~.r <9\Ol A-lJ\)N
z: OWnl". Name llll..n~ . ~ ~
Address IPA E::J PIA-:i:A f"")p _ ."r~ 2(Y) me. A N
Healing Contractot & -Y1 '2.. - f2...LJt'! ~
AddllSS f U4US- S0 e.l,)~ Tit- l-
Telephone' t.o~-L\I~- \l4Y
Furnace Make & Model l ~"" TYPE Of SYSTEM
C . · - Warm Air Plants ~
ModefSlze ~2?-1~2- ~-1, Gravity
Mechanical
['- Conn. Load I' Aft ~ndilloAlng , ',C. '2. ' 17_ -rn ~
~ Fuel ~ r -A~lue Size J-/.'~'" Vent. System .
IJ) .
{\J ft____Iu ..
~ - ~r,--, -
~ .
~ RAhun (
z: Radlallon
~ Input ,~ GOO OUlput l.d1t..00(1) Special D8V~'S ,
0:::
N
z:
W
t!)
(T)
~
"
['-
0... Date
,;:]IUI.:JIV Openings
1'\
L\
__ _ JpenIngs
Edr.
other Devices
elm.
'J
TYPE OF WORK
E
0...
CS) A~eraUon8
(\J
~ Repair
Replacement
New Conslructton v..
Est. Camp. Date
BuHdlng Plrmh It ----Cr) -u:s c. q
/" ..PA'DW'TH ~
./.'50 BUILDING PERMIT
$ ./
/'
---
CS) Elf. Cost S
CS)
CS)
(\J
IJ)
{\J
-.J
::J
I-;
HEATING PEAMrr FEE S
STATE SURCHARGE .
Rec9~ " - ,
TOTAl PERMIT FEES
- .,
I. lid:
1.. G~
J. Yd"
. fire
: Qt~
I COMlIeIllr
TYPE OF STRUCTURE
. .
Single FamilY
Com me rc1al
,\(
M~l-Famlty
01
"J\vo. F&mlly
Indusl rtal
Public ~
Olher
Fee Schedule
.,
1 % of lob cOil ($39.60 mInimum)
$99.60 '.
$64.50
4.19.50 'I
,$39.60
$39.60 I
21_
" .
The~pric8 of your heatfng perml' Includes ol\e r~ugh-In ~d one 'lnallnspectlon.
AddiUonaJ inspections will be blUed at $35.00 Bach_
House HeallngTast Retord must be submftted wllh building f'Mmlt "limA' be{Ole build-
Ing cer1l1icale 01 occupancy wiD be Issued.
HFAT ~AI ~,'I ATION,q R~(\' ulll=n wllh mmber of supply and relum openngs Bsted per
'room wilh CFM1s pST opening.. New s1rucfures or additions send llool plan wllh aupplv
and return locaUons shown_ HEAT LOSS CALCULATJONS. PAYMENT AND
APPLICATIONS MAY DE MAtLEO TO THE CITY OF PRrOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PAroA LAKE. MN 55372.
I
Crty Hall business hours are 0 8.m.. 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.JN AND FINAl) . CALL CITY HALL
I
4474230
I hereby apply 'or a mechanical systems permrl and I BcknowJadge Chal 'he
Information above Js complele and accurate; Ihal 1ha work will be In confo'man~e
wllh the ordinances and codes 0' the oily end wl1h the 8'alll bulldrng/mechanfcal
oodss; that this form does not became a permit unlil signed by 1he BUILDING
OFFICIAL; Ihat Iha work will be tn accordence wllh the approved plan In the
case of IYrork which ra uhas review and approval of plans. I
itV1 - '. ,f2LI Ill)
.. pr canfs ~ur ( - ate'
(11 /I I " ^' L< 4.,;"" ;) 7kfJ 1171
a Bulldlng"ORfclors S' Mlula ' Dall ~
MRY.18.2000 6: 05RM
GENZ RYRN 6513226147
NO. 127
P.4/6
_...... '
.,...... . -- IIC&IIT
...... . '..'. ,
CITY OF PRiOR LAKE No..Q1)-Q3..6Q
SEW~j( AND WATr..tt PERMIT
NOTE: Sewer and Water
contractors must
. be reqistered
'lith the city.
APPLICANT: ~ z. - ~ y! PHONE: ~S I -Wz... ~ - 114 <J
ADDRESS: lu1~ S~. ~ 1/Zd..- ~, I uATE: ~ ,,& /5Q
SIGNATURE: t \ ~ ---- BLDG. PERMIT .,121.; -():~6q
SITE ADDRESS :~~ (l..,1'CSlJ~t" re_I/l.L PIDil8-S- ,30"-0 let-o
FILL IN THE BIANKS
. ,
1. Estimated lenqth of water service LfiC)
r ~ (
2. Size of water service inch(es).
feet.
MAY J 8 2000
5.
Location of any couplinqs from s~ructure ,feet.
Type of sewer pip~. ABS PVC X cast Iron
Estimated lenqth of sewer l;n~ ~I feet.
Clean out (if required), located at teet
structure.
from
3.
~
(). t
4 .
6.
ThiraPPlicatio1t;J.....' e omes your permit
- I - " . r:-. ""
BY_ / /I, .,." J^'l~ . .IA~ J )
............~" '/
1- . .
--- 0 - ,--.-.., -., .--.
when approved.
DATE: j hctlr/>J .
. I { V
a_
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
o
* Fee for either sewer or water -individually is $20.00 plus
$ .50 surcharge.
* Sewer and vater permits issued for new construction must be
recorded on the buildin~ permit card at the time of issuance
~o insure that?:o d l1cate sewer and water permits are
1ssued. ~y.. ~~ '
DATE PAID ~~~ AMOUNT PAID /
RECEIPT # / ~v>~ REC' D BY /'
/ V- ./
. 4629 Dakota St, S.E., Prior Lakf, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
~ EQUAL OPPORnJN11'V EMPLOYER
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3~9 G (~II ~
NATURE OF WORK _,C).~ ~.)
USE OF BUILDING SFtJ
PERMIT NO. 00- 03fr;;CJ DATE ISSUED ')-/S--20cJO
CONTRACTOR _L.JQ~~~.uD.A.A.l ~
-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FOOTING ~u.l~ in-. ?(t."Z-~ I" ffir. !3/3~/~
FOUNDATION (Prior to Backfill)VJI'{r /~ t.,15/bD tf;:rJ {'I/ z.j/)t'J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUG~H - INS
SEWER I WATER I SEPTIC s-I- r-1. Ii
FRAMING ~ 0<0 ~ 9/ 3/ /OTJ
INSULATION l' ,- (ftJ
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
DATE
y. Zt-'- ~
btf
~. 7/r'm
?13;/4tJ
, ,.
~
i
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.~
GRADING (Prior to Sodding)
BUILDING.1~ jD/; B/OC
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
N (~
'7.1~7-0
I ,/
,J ~6 -; !~ ~~
j:::H - /O/il/U)
, I
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
.......,
+Jjb
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
~
~,~",,'-'. ,;,
. ,~t.i
"",.
.........
~':
~'-..'.. :.i.ii'1I
SpHI:DULED
,(1t;r .'
ADDRESS<... q,?Q) J (') '7 ~ -J L ~
COM~ENTS:
~c9-uJt
~;( -r~~lL-- ~
~
LSt<-
'R~~ ~ V\~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
S;;~ /~Q
Gh! n ,. lcukr ~
C R.
ERMITNO. (1J-6~b 7) Q~8'..a36q;
03)0 o3Q, ~
J>... 0 PLUM., ...~ '0 EXlt;RADIFILLlNG
, -.~ ijECH RI ~ 0 COMPLAINT
ff WATER HOOKUP u t'IKt:t-'LAl,t: I
EWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0 I
t:JA a/;,
-t:
~
40
fvc--
&r~
~
/
-QA- s
~+,A
bt~
.WAJ ~
fr~~
(W'J
OY\
S~TISFACTORY, PROCEED
REC'i N A PROCEED
CORREC R , CAL FOR REINSPECTION BEFORE COVERING
Inspector: '.......... ~owner/Contr:
CALL 44{-985~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI
'''~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~Q /O::!tJ
ADDRESS
33 0 9 G L Y'tJ ~~ It=/'L 7t€,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
.
/J
/
~7\.:o~ yf_
CONTR.
PERMIT NO.
()-3Co9
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
la" PLUMBING FINAL
/0' MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~7 /
U~~
1/
II
II ?<-1'~'9
o WORK SATISFACTORY I PROCEED
~CORREC7TION AND PROCEED
o CORRE T W ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ..) Owner/Contr:
CALL ;:;'9 ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
SCHEDULED /0- n/{X) l.-J;CfJ
G /U,u Lvct.-+vr llr
/
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3309'
OWNER
PHONE NO.
PERMIT NO.
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
P' FINAL 81-
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FI~
,)KMECH FINA~
A,.vp't-c6JO - B8 !
COMMENTS:
Q-3b9
D EX/GRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
W/s
) t
, 1ft
I I
(t, \
,~ ~
/\0P
D WORK SATISFACTORY, PROCEED
~ORRECT ACT~ Ij AND PROCEED
D CORRECp III,~ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
Ii'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1~~rO/
TIME
ADDRESS ~30q &i"1I1a~ev
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r sSue (,0,
-
C- o~e ~~ e
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORt<. CALL FOR REINSPECTION BEFORE COVERING
Inspector. .B \...Q.AJ~ Owne rICo ntr.
CALL 447-9850 FOJrHE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
fl- 1-0(
ADDRESS 3301 Gly~I,ft;.I(f-'-;/
OWNER CONTR. W(~"'If'7
PHONE NO. PERMIT NO. ~,,~ 9
.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
cc....FINAL
o "liTE INSPECTION
~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
GrruU,- O~
Cvlb a,)', ~t.
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpecto~".~~ .- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
-