HomeMy WebLinkAboutBuilding Permit 00-0370
SEE
t: \ LE"
Permit NO.-O()"'O~O
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
" AND UTILITY CONNECTION PERMIT
V ~\1\.' 1. White
" \\" 2. Pink
File
City
Applicant
DATE RECEIVED.
MAY ~ am
..
3. Yellow
. 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 r
3.31/ ~ Iy/v tv~1-1r
3. LEGAL DESCRIPTION '
LOT .y BLOCK
ADDITION C ~ Ntv '" f t',-
(Name)
4. OWNER
5. ARCHITECT
(Name)
6. BUILDER (Name)
W~ /V.f h1 ~,lV1V
Ac m f"J
7. TYPE OF WORK Fireplace 0
New Construction ~ Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
1. DATE
5- y- ,zoo iJ
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
1r4;/
NtJ
12. NO. OF STORIES
..3
2N,I
PID ;JS -J'S- CJ;lo - ()
Q///'7idIV
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Address)
/J~f 1'162~ /)r
(t2 ~~# /11/V
~tic 0 Deck 0
Addition 0 Finish Attic 0
(Tel. No.)
t~/- ~O~.* 'IrOO
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
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 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 0 ticial can revoke this ~it for' t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X Z ~ // ~ /.y~-r S-y-~ov~
.... ...... / / / Sigr4ture License No. Date
(/
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SFtJ
FOR ADMINISTRATIVE USE
Back
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
SURVEY
PLOT PLAN
o COPIES
o
/()fl- 0CJ0...00
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. ................. ............. .... $
Plumbing Permit Fee ....................... $ /00 . 00
100 ,00
~, '50
it ...~...... ........ $ </0 .C> c)
es Your i1ding Permit ~.:n A~v~ .ft 0
By Date ), (~, t:O~
Certificate of Oc~
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. .. .. .. .. . .. . .. . .. .. . .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
aso.co
I./C'J(f).OQ
.. ,
Be? 2~
s~.21
~lJ · ~
<L ,e $
Pressure Reducer ...... ~.............. $
Meter Horn... .... .... ......... ........ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
L2S.00
I, "ZrJO .~Q
1?ob .()I
Q5..QO
Builder's Deposit ............................ $ .---- 0
Other......................................... $
Total Due.............................. $
Paid (C:;-- y^C( 46
Issued - ~
Th~ Is'" cef1ify lhat lhe requesl in lhe abo1le application and accompan~ng documents ~ in accordance wilh lhe C~:~on~lnance :oo~ pr~ af req ested. Th~ documenl when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate 0
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
',' ~
aa - 6175-
(JlJ -- 6310
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \\f:J eX\.':,:" rY"{"r\
LI d (In. 0
) '..1 _,
+'.n (Y\Q "
APPLICATION RECEIVED
iV} (\. \ J
f
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
II (-, \ "'} (\ j/\J c\-)c ..r l' r C\ \
,
Accepted
Accepted With Corrections
/i
Denied /.//{
Reviewed By: ~ ~
/
-
I. - /1,.
r::.j (:::::
Date:
.~tl-~
Comments:
,,.,,,
~ Ci' --Z 7,.-,'<:_,
:z ::-./ ,.....( ,,' )
;;.,.J .(
,.....-
r. C"))
/Jt c-
i/V/D<..
r
d ~:.) u I U -' '-..)
I
rC
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 ~ 37 0
White - Building
Canary - Engineering
Pink - Planning
The Cenler of Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \r1 ~ \ U'(Y\Q "
APPLICATION RECEIVED ~ 0 L.l ) ~ 01) 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
331 ~I~OI.-kr T rc(\ 1
Accepted Y Accepted With Corrections
Reviewed By:
12
Date:
~6-:~O
Denied
Comments:
Se-t.. ~. ~3c15) ~~ (f1CM-JC.
rt- S'tJ,.~ ).{c.
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."
The' ('e'nln or !he' Lab Country
00 -0370
White .. Building
Canary .. Engineering
Pink - Planning .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \r:J ~ ~ (b[)f\. .nl-\ (fJY\Q .~"
APPLICATION RECEIVED Mr:\ 'i 0 Y ) d 0--00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1 . ~, &
j 31 (~\ '" V\ I/v C\ -*:1 . co...' \
t - .
Accepted
./
Accepted With Corrections
Denied
Reviewed By: 1Y&.1"lJt EHIl.E.SMIlNAJ
Date: 4tp!oo
Comments: ~ re-tt...,1'" ;Oft 3305 r;l-'IAJIAJ~ IRA.'-- Foil. ~DM""E~
liJFoI(Mt1T",ot-.) I1AJD ,qTTA~ATrS-
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
.
Job Address g B / I ~~" ~ I.." ~
L' fJ
Heating Contracto~~ AV'~
Name of Tester tl .. t. V
/O:-6rOb
7
c;
6
C::f~t:)
'oi
Date
Percent O2
Percent CO
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
t.:t.1V -1 "~ 1,.7
<,.j~ ,,-_~ . AS . __
l r~;
V ~LL .:: .~
"
~~~J;..i CITY OF PRIOR LAKE . . J
rfir... ~ ~ .~ . 1'200 Eagre Creek Av. S.E. Pe,mh No. (\{)- C1...'37 O' .
.. PrIor Lake, MN 55372 -
~ ~ HEATING APPUCATlON , PERMIT
cL Date -, 12.<.0 \(7't..-:> PIO' ::?5""- 6bb - C'>~O-O
~ SHe Addr&M I ~, \ C;, ~\ 1. -, Pt:~' VL~ ~(} .L_
~ lot.L Block 3 AddilJon <t-J 1 A 'AlA ti.Je r ~ MJ1\ C\
o - '-l .
z: Owns" Name, l A.. l2.x"\~ ~o ~
Address IPA 5 PIA~A 'T>>_ ."r~ 2(X) En..c~A-~
"esUng Contractor ex J12 -' R- l ~ .r\
Addreu (U1U~ """ e.l'lVJL&- TIL L
Telephone' l.!'~- U.7~- \ (4'-\ I
F\Knace Make & Model l () ~_YVISk TYPE OF SYSTEM
C ' I . Warm AI, Planls "
McdeJSize _ _~2~2, ~-1~ Glavlty
Co n La d Mechanlcal
[\- n, I "Air Conditioning ~ '2. I , 7~ "17,~
~ Fuel ~ r ~~Iue Site 4- /?,vu'l'T Vant. S,stem
~ I
N ...u__.._ ~
[T) --rr" -,
...... -
~ RefulJl I.: -
z: RadleUon
~ Input l~ 000 Oulput l.t.()~ 00"0> Special Devtcls
0::
N
z:
W
l!)
TYPE OF STRUCTURE
1. Piu
1. Ore
). YelJ,
Fil;
Qty
. C.1IlII-.c1lDl
STngle Family
\(
Muftl-Famltv
. Two-family'
tnduslrlal
Pub11c ..
Olher
Commercial
Fee Schedule
I' ,
1 % of Job cost ($39.60 minimum)
S99.50
$64.60
$39.50 ".i ,) 1
$39.50 'i;'JIJ,," (..
$39.50 1
Induslrtal, Commercial & Mulll-Famllv
ResldenHat. Heating & AC
R88ldenlla'~ Hflat~g O,,~
Rssrdenlla'. Gas Rl8place
. ResldenllaY.AdctarC?ns & A118J8Uons
R 8sldenttaJ. AC Onlv
~<.A. 'r/YV'~lA..Yrr: .
SCO\..) " I . . Remember 10 add Ihe Slate SUlCharge on the boUom 0' this appHcalfon.
~ IIDnlV Openings
1'\
L\
.. _ _ _ no Opening I
Edr.
aha, Devices
Cfm,
I. .
TYPE OFWORK
E
0...
en A~e ratfons
......
fleplacem G nt
Eel. Comp. Dale .
New Construcllon v...
~ A.palr
~ Esl. Cost,
~
~
~ HEATING PERUfT FEE'
IJ)
~ STATESURCHAAGE
....J
:J
IJ TOTAL PERMIT FEES
0<...) -0370
, ~~Q ~~~~~
~~O\~G
R&Celpt II ~ -:- .
--
BUldyermh. .
$ _ /50
,/
./
The.price 0' your heating permh lncrudes one rough.1n and ooelJnallnapedlon.
. . ,
Addrttonallnspecllons wJ11 be billed 81 $35.00 each.
Hoose HeatIng Test Record musl be LWbml"ed with ....,dldfn(l rfurnU "HmbAf be'ore buld-
Ing certificate 0' occupanCy wil be Issued.
t.4 r: AT ,...,.. n." t ~TlnMR R I=(ll t~~Fn wlth number 0' lupplV and 'atum openings lliled per
loom wIth CfM'~ per opening. New structures Of addilions a.end ftoor p'an with supplv
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E- PRIOR LAKE, MN 55372.
L
CJty Hart business hoom are 8 8.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.jN AND FINAL) - CALL crrv HALL
t
447-4230
I hereby apply for a mechanrcal .systems peJmlt end I acknowledge th.' Ihe
In'ormatlon above I. complete and accurate; Ihallhe work will be fn conformance
with the ordinances and codes 01 'he (lilV end with the stale buJldlnglmeohanlcal
codes; Ihat this fbrm does not become 8 permit unIU &Igned by the BUILDING
OFFICIAL; that tho work will be In accordance wllh 'he approved plan In the
case of .. ork which re,urres 18vlew and approval 0' plans. I I
~ ~' -' I 2L/ OC)
pi canl's S r - I Date .
)(1)1 A 7J~.~ 7/orJlrm
:; BuDding 01lical's'Slg/Calu'tii f DIIlo-
JUL. 26. 2000 4:19PM
GENZ RYAN 6513226147
NO. 994
P.4/13
~
;-
.J
CITY OF PRIOR LAKE ~ a. =-.
PLUMBING PERMIT # ()()-g70
Applicant: C~f' 111 ? ,- fL~ Phone:...J..p~ \ -\..1 'i ~ - t \ \..t ~
Address: T41~ ~ ~ 'TiU- ~ ~!;"'{I ~ . .,. S'~
'Signature: U.
.' Uigall?escripticn: Let Block 3 Sub ~ ~ ::J ~
Site Address: ~~ I r:.....' ~l LjA-'r'P ~ ' "-,, ~ _
BUilding Permit I ()t) - a..:~;1_~ . PIC #$- 3bS - CiX.CJ-Q
NOTE: This permit wlll not be processed without complete info~tiQn.
FlXTURE UNITS
1"k Cftllll' ... me ~e Caall'"
J.I. 27
Quantity Type of Fixture Quantity Type of Rxture
\ Bath Tub with or without shower ,~ Rough.ins
, Dishwasher J Water Heater
1 Floor Drain Water Softner
2- Lavatory (bathrcom sink) Stand Pipe (washing macl'line)
1 Laundry Tray (1 or 2 compartment sink) Sewage Ejector
\ Shciwer Stafl BaclctJow AssemblY (RPI. Double Check, PVB)
1 Sinks , 8ackflo\N Assembly Test
Bar Sink Lawn .Sp rinfder
~ Water Closet (toilet) Other -
. r-cc SCHEDULE
GRAND TOTAL
-
I
/
s - /
j
$
$
~~~~~~
~ ~~.
.50 ~~ ~e
<Q~~
I~dustrial. Commercial & Multi-Family
(1 a~ of job cast. $39.50 minimum)
Resident1a1. New One & Two Family
_ Residential. Additions & Alterations
State Surcharge
$99.50'
539.50
~
16200 Eagle .Creek A v. S .E..
This permit is granted upon the apre~ condition tJ'lat said
cantnCtor. shall comply in all respects with the ordi"ances
~r ~he Stare Pl\lmbi~g d !he :P.iF _f.
-{ . P1 NO. " DATE
~ I U. A' ",I./ I}"A -o...i, rcST
C ror all inspe~ti~s 24 hours in nclvQJlce.
~
- ,.,_0
L~e, Minnesota 55372/ Ph. (612) 447-4230 I FA.X: (612) 447-42~5
An Equal OpportUnity Employer
MRY.18.2000 6: 04RM
GENZ RYRN 6513226147
NO. 127
P.3/6
f~7~ PR\~
(, )..J / \ \ ~
',~/
~IYNi.~
_.P1U
YEI.UIIr . ...uca.-r
IIOI.D . ',..,. ,
CITY OF PRIOR LAD NO./)I)-0'370
SEWER AND WATER t'~RKIT
. NOTE: Sewer and Water
contractors must
be req1stered
with the city.
APPLICANT: ~- ~ PHONE:~1~4l.5 -f/4U
ADDRESS:ILt1~ ~~T(L~f:OUTI.DATE: ~p,/IJO
SIGNATURE: ih ....J\... 0 _ _ BLDG. PERMIT Irr[1 -0.3 70
SITE ADDRESS~ljJ (2..~ TaL-PID#()S-36S-620-0
FI~ THE BLANKS .
40,
1. Estimated length of water service
, ,(
2. Size of vater service ineh(es).
feet.
MAY I 8 2000
(7'
3. Location of any couplinqs from s~ruc~ure
4 . Type of sewer pip~. ABS pve X' Cast :Iron
5.' Estimated lenqth of sewer lin~ ~t feet.
6. Clean out (if required) I l'ocated at feet
struct.ure.
feet.
from
..
.... J ,
Thi:5 )lPPlication~, .mmee~.s y~~r permit ."hen ap~r~r~'1 .
By'_{ ;f a,,,,.h, '-1 .I.4.dAJ;'~~ ~TE:,) ,Ll..::1.((/T)
::~s~-~ - 35.::L Sewer and water line ~onnection
$ .50 Surcharqe
$ 35.50 TOTAL
* Fee for either sewer or wat.er -individually is $20.00 plus
$ .50 surcharge.
pe11nit..
(' ,::~0
....,J
* 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 duplieate sewer and water permits are
issued. '-(\ ~
DATE PAID / ~~~f(;.~~ AMOUNT PAID
RECEIPT 4. // ~~~ REC'O.BY .//
. ~29 Dekota Sl 5.E., PrIor Lake, Minnesota 55372 J Ph. (612) 4474230 I Fax (612) 4474245
~ EQUAL QPPORI'UNITV EMPI.OVER
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS :$ 3> / I C I 'f^ I , )"" -Q. - _ \ Cl'-
NATURE OF WORK ~)
USE OF BUILDING SF"t:)
PERMIT NO. 00- 037'0 DATE ISSUED Ci-/~-2.oOJ
CONTRACTOR v)e~ ~ ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING ~ ~, 1!1.Jln ~. 6/3t1n
- ....., .... ,
FOUNDATION (Prior to Backfill~~ I /~. ~//,(f)() 1!J:r., IfJ jIZ/,!JiJ
/ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUG~- I~S ,
SEWER I WATER I SEPTIC ( ~-1~ 151dD
I~ f I I
FRAMING .... ~31 ! ~
INSULATION ~."'aJ
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~t0
'0;; Sr-., r. ell.
(/ ~,
~I rlPliH
I '
ft51/t7t)
/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~D
. GRADING (Prior to Sodding)
BUILDINGi'(\.'~~l'l ft7.r1 ~
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
/LLB
S-9-07
ft:B /o-.J~
fr;r' I flll1 / rra
OCCUpy UNTIL ABOVE HAS BEEN SiGNED
NOTICE
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
~--.~~-~--
~"'~7~7~i~~'~'\.':~h
r~r ~rtirttau of Q)Cmpanry
:~':~~ CITY OF PRIOR LAIili
,"\f, Department of Jiluilbing Inspection
j2fFinal Permitted 0 Conditional C. o. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances. of the
City of Prior Uzke regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No. 00-0370
N/ A Z . Di tri' R2SD
onmg s ct
Occupancy Type R3
VN
Type Construction . Fire Zone
L4, B3, GLYNWATER SECOND ADDN.
Legal Description
Owner of Building Site Address 3311 GLYNWATER TRAIL NORTHWEST
Contractor's Name & Address WENSMAN~ HOMES, 1895 PLAZA DR., EAGAN, MN
DON RYE
ROBERT D. HUTCHINS
/'J \ \ BUi.lding OfficW -
Date: ~ t2- ~ 0 ! Date:
POST IN A CONSPICUOUS PLACE
City Planner
~.'.; .l. l ,A.
':~
~'. '"-':
~ .,.. ,..
,'-.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DAlE
1;1 '~J2l
-, (
TIME
ADDRESS .33 II G 11 Y\ l,va'rf'.A'
OWNER CONTR.
PHONE NO. PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
}it FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
t.5S,u e
("..- D&e
C,.o.
~:tt'
,( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK:, CALL FOR REINSPECTION BEFORE COVERING
Inspector: -:b. \ r J.M.1 Owner/Contr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INS1iOTI
DA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5-9-01 /CJ!30
ADDRESS 5 s II GlvYJ WOJ k, Tr.
OWNER CONTR. Wl.-15n14111J Ho,nt.S
PHONE NO. PERMIT NO. C;O-.370
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
a FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
H:. EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
C(.Irb Bt9.-k - (:) ~
&rc, rAt ',,~ - 0 I<
J
'f r~(:~ Ale} ~
/
~WORK 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 & SAFETYI
INSNOTJ
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
ERMITNO. ~-9.~b] I CJ~8',0369J
.a7O\ o3Q, ~
fA. 0 PLUMd .."-..~ . 0 Ex/(;RADIFILLING
~o ECH RI "'- ~ /__ 0 COMPLAINT
WA TER t:lOOKUP U FTREPLA\#t: I
EWER HOOKUP 0 FIREPLACE FINAL
oJ PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0 I
Mo~
--fvt
~
~~ 1;0_
C-~" \ / n 'of J~ J.4r'
---/- ~.".~
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
(rf(
ADDRESS~ ~~OSJ 0'7 ) II~ I I.~
OWNER
PHONE NO.
COMMENTS:
~tiuJt
~;( -rffflcJ0 it.-- 0-rr-
~
IS!<-
T~ 'f V\~
40
f vc-
.... If
(g(~
~
-f:L;t s
~+~A
(~? kn< -g~
. <; rf7AJ J
-fr~~
0^
/
/
o SATISFACTORY, PROCEED
REc.rfflPROCEED
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
IlVSNOTI
I."'~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
331 t
SCHEDULED I..f/.1d.O (J ! ) : () IJ
G L v, N JA., t;:;12... , re-,
J
CONTR.
OWNER
PHONE NO.
PERMIT NO.
Q - 57 0
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
~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
'1 e~ ~\? Q~~
.L. ~ ~t.)(t1I\..4..-s
...3. 3.p<:u r-t..e. \)t<l.., \w.-~ ~
..\. l~ (" (~e. R
y
o ~RK SATISFACTORY, PROCEED
,If CORRECT ACTION AND PROCEED
o CO~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspec~ct V Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY O~ PRIOR. LAKI!.
INSPECTION NOTICE
SCHEDULED
ADDRESS
3311
G{Jt".iW~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
DATE TIME
IdJI9) IJO
/": do
t) - 370
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMINGe) 0 WATER HOOKUP
o INSULA TIO' 0 SEWER HOOKUP
~FINAL .. ~.lUMBING FINAL
o SITE INSP ~ rmECH FINAL
COMMENTS: ~LJ.j'
..1Q ~.,~~~ ~~
(}j E'~ ~-6)1 ~. ~ ~.
~'~ ~~...'X Ud.~J
~ ~ (l... ~fP 1/
G:ro,,,,,-JJ.... ~ ...2 - 7 ,(, t). ~,
~
~~
8/( ItJ I
( I
o WORK SATISFACTORY I PROCEED
~:CORRECT ACTIO~D PROC~
~CORREC;WORK. CALL FOR RE;~SPECTION BEFORE COVERING
Inspector. ~ t Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI