HomeMy WebLinkAboutBuilding Permit 00-0414
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;;1;;7;0
- 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
4- \ 1 t..o -t\\ PQ~ ?eND -r~\... NE--
3. LEGAL DESCRIPTION
LOT
:t- BLOCK
~E.-QjL'(
ADDITION
4. OWNER
(Name)
5. ARCHITECT
(Name)
6. BUILDER
(Name)
1. DATE
4 ( \':? I ?-IJCJO
/<./SD
\
~\xrE--
PID 25-3~4- 002..-0
1. White
2. Pink
3. Yellow
File
City
Applicant
?-~
(Address)
(Tel. No.)
Permit No.
()O-otfIL~
(Address)
(Tel. No.)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) I (Wi~).A I (Depth) r-_A J
=?;>O Y7\ ......--~
12. NO. OF STORIES
,\NO
13. TYPE OF CONSTRUCTION
NSw
14. FLOOR AREA APPORTIONMENT USE
'1 nto~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
V f'< ~D fuMSS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. Pf\OJECT COSTNALUE
ChimneyO Misc. ~ ,~O (000
8. PROPERTY AREA OR A~ 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. ~\It:..- '( Width Depth Yes No 06'-. lq I '}-aGO
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
th9 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
:Uild~ ~ke t~~~m Furthermore, I hereby agree that the city official T~~e may enter upon the property to perf4- r~dt~tiOO
- Signature - License No. . Daie
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
-51=.D
(Address) (Tel. No.)
\ID2-\ f\S\\ ~\~T ~O. ~C- -,\"'\0 -C\<\.-a:
P\t..\OV- L~I MN ~'?J11..--
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ----13O'.6t!:>~ 0
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.................. ................. $
Plan Check Fee ............................. $
State Surcharge ., ........................... $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
'}O:Sf) .2S-
ltlrI. zl
U1~{) 0
Amount Brought Forward .................. $
Park Support Fee ........................... $ 82::> .06
SAC ......................................... $-41 CJ CJ ...~ ~
Collective Street Fee ....................... $
Sewer Tap ..................... "'....\...:........ $
".. $
City:
c{L;J .~O
J fJO ~-e;
/lJO.<90
3S".SO
"' '
Pressure Reducer .......................... $
Meter Hom ........................ ........... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
1"2S",bO
II UX!J.~
-.~.~
mes You/Building Permit~ Approved.
-~ Date ~ 3-~
cf, \00
to
Builder's Deposit ............................ $ /~ 6'""'~.t9f!!!)
, -
Other......................................... $
Paid Tr;jX9.l;.....~~~~i~~~.1i~~7b
Date' · iC · 00 By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed sI requested. This document when
siQJ:)ftd ~ . Planner constitutes a temporary Certifjca~o! Zoning compliance and allows struction to commence. efore occupa~ a Certificate of Occupancy must be issued.
/ ;)(ft-, _ ,><:~,Q:) ~'t:'_ ~ ~~
L-' City Planner Date Special Conditions if any
This
By
Issued
24 hour notice for all inspections 447-9850
,
.if~.~~~
/u..rn
~~
OQ- Lfl c.J
Th~ ('~nt~r of th~ L.k~ Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
K6.VLliNO I-I(;~I ES
4/ / 4-/(;()
/ /
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4/7(0 .H/IJOEN Pu/Vu /)2 ;J6
Accepted
0/
Accepted With Corrections
Denied
Reviewed By: ~Il. 6tIlisMIIAJN
Date: 4/-/Zc,/oo
. .
Comments: S"~",p ~""p l..'AJE:.
WI&.l- HAllE: Tie. (!O~t\JE.cT~f) .,e T:i~
~""I~
DtlAIAl.,...,t..E.. IN 1li~
~~o,J or R....D- LJ . SEE: JNl="oll~ArU:MJ
OtJ 1"",* RE tJEIl.SE SlOE- .
..sg. A1TACHMe,J1'J: I. F;AJt4~r;A.t40e; I~Sp~rID~ IAJFo~tffA:11.AJ Z. (JAtflOIAf6, IllltJ
3. ER.D~ IOAJ eotJ17toc.. ~<;~ l.f. ~rll..E~. So FIlOSloAJ (!(J~rItQ,- fl~t\J
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. II
. j
ffi) - Ct'", ~
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;ceYU1NO HOMES
4p~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4/7(0 1I/006N PoNLJ ';/2- Ai6
Accepted
Accepted With Corrections I-
Denied
(2rit.~~
/
~afJJ ~ ~
Date:
S:3-~
Reviewed By:
Comments:
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
----'-..--~.~~-7""---.--___
~;C~
Thl.' el.'ntl.'r of thl.' Lakl.' Country
(JU-04 ~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'~
NAME OF APPLICANT
APPLICATION RECEIVED
t::~ E VL ;-'} NO f!(/t./ [,5
. 4( / I'. j// /'
/j /4/ (/\j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ---1:,..J I r---
4' /7 (c) ,f///,/L,.) E 1\/ /,;;(./\/.U II'- /\! v
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~.~
,
Date: 6r- 2-...b ..eo
Comments:
?-l1 F' )A/<.4~ Qr~ ~ a>t Ff.91A:1
~ l' ~ ~ \J VLv-vl f2..t) rUJ ID ~b,
[2-..'-1 II 5~-41~l< ~ CM Csw-~<;Jdkf
Aft' +-eVvv ~ €4~~\A ~4k)
v II' I. A.
.~ €V\l:V~ ~~ ~ L(cvd_-~~~
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."
, J
~ H=A.Tl~G A??UCATlON I ?E.RMii
:=.1., ~ - :>..,~ - OC) PIt) : ,~~ -. 3 () ~ - OOd<-~
~ ADdress '-\ \,\0 \\~\~V\ ~ 0"1 OJ. \}--.~.\ l
=.:l ~I=:k \ Ati:i"J:m t. ~-ll. -,... / 6l.:~ ~~ ~ '1" ,
~n.rs Nam. ~ Q .'J.\~'" ^ \\ l\~ '
'~dr.~, r'jU~\. ~~ ~\ ~ 'r ";\)-' ~\Ul. ~t0
\\ \ (1 \ .
-i6ii!m~ Co:rL-a..~:1i , '\. ~~ \ \\ ,..... ~ '\ \
~Xlress '\ \.. t.\.-~ t\ ~ ~ \ lOr""", \" l 1J,~; loT"'~!.jLt.
, '-\'-\1- ~ \~""
CITY OF PRiOR LAKE \.~
16200 Eagle Creek Av, S~ ?a~tL N~ Q (") - '1~ '\
Prior Laket MN 55372 .
LFmk.
i='a:
Or,
,.~
l. ~I"'- .
.TYPE OF ~ . t-1UCTURE
3. y.... _
Si~ple ~"nUy ,X
Two-Family ,
MuJii..Fs:'J1Uy _'.'
Comme::lal_
ln~~~
? L:!:Ii::
~...~i.
~e S:ne:iul!
In:iL.3trial, em:,:n~ & Mutti-Fa:nUy
F\es~:i~, Heati09 & AC
:1~i~rma!, Heating 0n1y
R~si:ie~ G.~ F1re~~iC!
::\esi:i9rrKl, A::i:iiUans ! AA~~DI"..s
~esiQentia!, AC Only
~ % m job Q~ (S3:.50 min[m~)
S2S..50
T aie?hone -:
,
7~.:n'l"~ Mak& ~ t.boellc.~r _ I 'c ~
M:del St!8. 'f?, V - Q '-\ ~
:Onn. 1 ...,.. ~ \ ~ \ <\
F....l. f\} ~ ~ Flue S1z.. S "
Supp5y OJ)enin;s , \ S
Neturn O?enin;s I ~
~~'l\: ~t\ O\ll;)~ \ \. mi)
~~'" \
~lhn., \ ~ ~ s:- ",. 40....".,
~ ,
If! " 'TYPE OF WDRIt. \.1 I hereby IIPply lor . lII_chanIea/ S)'Nms permII Mdl ackncwI_llge hit th_
. \ . ~ · .inIlIl1IIaIilln c.o..ls CIIlIIpleIm 11I11 -'nIR;1haI tiJeWQl\( wIIlh In ClIlIk.m-.l:a .
AIlimdi:ms . 'Floor"-....... Nwt CansIr--... . . with 11M Dnlinances and ....... of... dIy ll/IcI wIIh lbe --:- bIlI~
E' .' . . r::..,.~ \om ". .' CDII~ _this ~ 11_ nDl. becarn. a pet1}lIt IIl1lh!II""!' by ,... 8UJ1DING
~U;I;Ur, . ,. · ,-......, A ,- OFFlCI),J,;; tIE hI'1I<<Irk will ba In ,.~ wIIh Ihuppr_lll'l!m in 11M
~t;:$~~~\'O~ ~~~u.~(\-~4,',~tH ~~~IIPP~.<t"~~<CtY
~m~~ I, /~ uliE:~G PERMlT - - ~!!;,.~ t.^::. , . f"/1'~- :".'",,'oi.::-..:
.::".. -. . / 6 f'tN.l>f"</.v. '!''f'>A/ AA v~ 1'1, .:i.(f!O I .
RlmA1.PERMrr........ I, ~. - - ~0IIbrI, I lID,. .
l!istl,:,=.. .'. './',. , "" '. '.,.. " . ;"", , ,::: ':'. . ..... :.' .., _ ':':.', ' "
::J:%iO: '.. '. ./. . . . . , .. , . _... .... ,.... .... ..... --1II. .... .
· . ....~ '. ~. ..--.. ~. ~.- - - ... ,- ---;..- .......~.... ~..~~..... ~... ....... .a:...,.... ~_.u ..~~
-'': ~ -' .. - .... . ".I'c>': -:..... iL-~ ~.~. -..- .... . ..- '-.': "'-..... - ," L' .. - . '. ,~_ ,. ._."., ~""'a..-...... '.:.....~....~... .. ~.r!~~_ "t' ~--.... ..
' . ......;.- · '.. . . . -~-" .,~.' -. -.- ",O"..!I'.' .. "'......." - -a-= -. -'. . <!(~.. r =->, _ "':= _...... _ _.
· ~".::r:... . : .:-:.:'~)~ .(.r.;~~~._~.,.-~..';,l;,,~':.i~.~.~, -} ; ...:; · ''''''~~ ';:!;~,r .~-.. ..,~~t:ti:.~g . 'tott ...:.;.~ "!ii~/ ~.
. .-_., ' " ,"" '. - .' :, ,",' .' ,'. .'" .. '- ':', - - . .', -," .,,,,,. ", -;;'--" ,,,~~.i\1~,~,,_.__,, . , .. ,
.... .: : . .~[. .. - - ':;".":;.-" ........~.. -", -='. ,...... _."",:-- i:'i'F'~~:!''''~~''~t:.~~,,:_~~_
:~~ii~{~4~'~;'r-:~-l:~~'~',':'; ...._~.--..... ~ . ~::-:f.'f."':9.~:-"~':,:~ :;-;7:::0:;::.:",:,~"~-'",,:' h~. '''',___ _"._ _
. -
~ o~ SY!:lI::ld \/
Warm Air ~ ~
Q .
TilVIty ,
Ms=a.-u:al,
Nr Conaaionin; ,
Vent System,
~l1N~ OR i'O\Y:RPlANT
Stlam .
t-C1 Wztar
'~rn @ ~]'W ~"~\
.)( 11128DJ ii
I ,\ \
~~'71ember CD i!ci~ the ~ S~e on the bot::r.n D~ tills ~r.~~ .
$5(.30
~.5D
~3.50
~e.5D
The PrL-"'a of your heating pennh lduOes ane rou;t.-in Rnd ana fsnaJ ~on..
k!:6Iicna! ir:s;t-+i".. wiD b! bmad ill $:5..00 ~......
Ohr Deveas
Ho~ H"~gTest r\eeord ITIUSI be SLOmitled Yd:i'I.h"i1~m".Mrmr. ""m~r bsiDTe buDd-
in~ ~ 01 ~I wi be 'issug
H=IJ'r'..l' ("'" ,. (iln1\~.=-=nt n~ with n&DrOer of su;;.Jy and ~ openin~ Btecl J3!r
~:Jm with C::V~per Dpehin~ NBW strt....'ge$ or 2:3dibns sendfioor plan wfItr~1y
and mum II"'-.cons shown.. H:1J LOSS ~ONS, PAYM3iT AND
A??UOOlOHS MAY a: MAn ::n 1t) THE em OF nuOR 1..AKE. 162CO EA~ r
CnE:K AVE.. s..:. ?iilon ~ MN S5372..
Cit). !-'.a!I ~LSi:r- hours II1t I Ln\. . 4:30 p.m.
AL.1. WOnK MUST BE 1NSP5l.1~ (ROUGH-IN AND FINAl) . CALl. em HALl
pio:.,.t.''''l....:m
SpII:ia1 Dsvbes .
FILE No.576 08/29 '00 AM 09:56 ID:D & D MECHANICAL
/ j;
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QuanUty . ,
FAX:6128904650
PAGE 1
. .CITY OF PRIOR L'~KE ~ =. 5.-
PLUMBING PERMIT # Ql) - 0 LlI L/
.:'~.'~nt:.ant:.JJ""lJ m e~U I}AJ ~ 'rA L (!.D.. Ph~n.,:~'(I - , ~ 8'~
Address: 9()~ ~ W. ~~L~ -.slLc"~r: :5S~?X
=t~;~~pt~n;~~ -i /~~ ;~~ j' Sua r1j~ ~
81te Add..s.: 4 I 7 ~ J"~:JA ~ ~d Lfl... ~." ~NJ,t ",
BUilding Permit # 0 tJ - ,,1../1 ~ PIO It .
NOTE: TIll. permit wUl not be processed without ex lmplete fnfonl18tlon,
FIXTURE UNITS
TyPe of Fbdur.
Quantity
& . ".' Bath Tub with 'or without shower
I :";' :.:: Dlahwuher
i!~.J.' ~, I,.'.: Floor Drain
J~~~
~if _ J" .' ~,.~.~ '. \J ~:>,. .;:: . ::.~. ,::1. Lavatory (bathroom sink)
/if ~. '. I . :, 7~~~t~~r..;. ~rL4undry Tray (1 or 2 compartment .Ink)
. ,. <'. . ._ '!.8hOwer,:81a1l.;;'.;. .
"C.: "... '.:~~8Inka7'"
. :~
.' . ,..:
" .,". '.~" :. ..' '~.:' . Bar Sink
. .J::;~\~r'.">.' " ~'Water Cl08et (toilet)
.3
I
;,t'J.' . .... 'CH.DU~
.;, ~I;, . .
~:'it:' . .';;'\.;<::;." Indultrlal, Commercial & Multi-Family
".;.t.~.'I' '~"'.?-';~<.\~;: (1% of job coat, 538.50 m'nlmum)
\. ~:'.}~~~~1~\':,;, .1'"
~.:;' ,;f,:'" . ~;(f'~k\~;~:..~lt ~~Id....tlal, New One & Two Family
}: t)t '~~:{R';'Id.ntIBI, Adona & AIIefallona
.' State Surcharge
$99.60
$39.60
GRAND TOTAL
'Type c)f Fixture
Rough-Ins
Water Heatt,r
Water Boftnllr
Stand Pipe (wa.hlng machine)
Sewage EJ8IJtor
BacktIow AllClI'nbIy:.,(I=lPZ, Double Check. PVB)
Backflow Aaaembl" Telt
Lawn Sprinkler
Other
$ -.:tj'r
$
$
$ ~.50
ftJ().o~,
PA\OGVJ~':RWI\1
BU\\.D\N
(JJ.~
~
10200 Eagle Creek Av. S.E ,Pr' r Lake, Minnesota 55372 I Ph, (612) 1147~4230 I PAX (,512) 447-4245
An Equal Opportunity Employer
08/22/00 TUE 11:45 FAX 6128902753
STO~A~~ EXCAVATING
laJ 001
~ - ......
"~D. . APPUCAII'Y'
CIiOUt . ClT,.
i CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. 00 -041 '-I
I
;Vi
APPLICANT: Ill: kecnanJal/S tocker Excavating
ADDRESS:. 824rYest 12n~~' KIf
SIGNATURE: k~
SITE ADDRESS .4176' Hidden ~'Qnc;i Tr:a.i1
NOTE: Sewer and Water
contractors must
be registered
with the city.
PHONE:
890-4241
c;\lla-OATE: August 21. 2000
SLOG w PERMIT # OtJ-OWY
PID# /Xo-{~04 -OO~-O
FILL IN THE BLANKS
1. Estimated length of water service
feet".
2w size of water service
inch(es).
J. Location of any couplings from structure
feet.
4. Type of seyar pipe. ASS pvc ~
5. Estimated length of sewer line
Cast Iron
feet.
6. Clean out (if ~required), located at
structure.
feet
from
=_~_~~==~==~==s_~:============~~_==~~~~===~-~-~~~~==~======~===o_
ThiS!I!1P'f'l i::ation b comes Y,our pe:rtllit when approved-
BY ~_ / . ~. . DATE: ~l9a!lIf)
:~==;===::~~~~~=~;;;;;:;;;=:::::-::::-::::::::::=::::::~===
~ 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 duplicate sewer and water permits are
DATEi::::cl./ ~~~~~\r.OUNT PAID /.
RECEIPT # ~ ~~~G REC'D BY ~
/ ~~~ .../
16200 Eagle Creek Av. S.E., Prior Lakey Minnesota 55372/ Ph. (612) 4474230/ FAX (612) 447-4245
An Equal Opportunity EmployeI'
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~ ~ -n:. t
NATURE OF WORK We.w
USE OF BUILDING -SFD
PER'MIT NO. (']()- 04.::@- DATE ISSUED s-~a
CONTRACTOR ~ ~~
NOTE: THIS IS NO~PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
,
4-. !sJ~3/6rJ
~ ~
FOUNDATION (Prior to Backfill) f!H c ?/I()/t7t)
PLACE NO CONCRETE UNTIL A'BOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AI'R TEST ~O:W f~+1 lo?).o-oo
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
INSPECTOR
FOOTING
.
1Jl/e"
~
,
DATE
i -I ~;,~i{tTV
fh.
F<I-I-
J
111 '1-J~O
~
IO/d1 //Ji)
IO'-~-~ ~O
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
lltf
"\:UJ ~ ~la.:oo
t"'1
t>:n
~~ toY 1:\' sO
. ..
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
..5 -/~-~() L
~I I(:)S(~ IF
/d-/i /~,
. I
~
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 ~;OO A .M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
,~i"~ ~i,~,j~:,~'i';:,';::~ii~::~:~A: 'I ,'~~ji"i;;P~~ t;:~,~': \:>r~ "~IoI:': -';y .~;; ,~~ t~t.~~!I~"-"~~; . 'l':f-~'>'
DATE TIME
1-J-,s!6}, ~~
HI0015A1 J?flNO
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
+17r,
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
-SOl) /~
COMMENTS:
O~ - 04/4-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,
(1~~
~~A~
" WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contc
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
. INSlVOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
o-lS-oz..
PHONE NO.
'1/7' H/dt" Ponl -r,l
CONTR. t~ Y k"d H~MO
PERMIT NO. -'20 -'{If
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JtJ=INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
'XE~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~-(!)K-
Cvrb Bdx- ~
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ ,~7", Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
';J.}~7~
417~ +\-,~~ ~vd ~t
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION 6)
~ FINAL ,W "0'
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FI~L
}it. MECH FINAL C'!:I
TIME
q ~(J()
CKP- 4/4
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~o~~. 1Y'ef5 'eC ~.<i.bJelOfJ';'
- Y€Ar\N\~,V\aM, +- rp1, IL)(&'
ck~4MfomVo . ~ ()l~
jZ('WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~'K, CALL FOR REINSPECTION BEFORE COVERING
Inspector~..... \) {).)..}.eI Owner/Contr:
CALL 447-9850 FOJ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 1;;Z - 7 -00
L/t7b '/J1/~fJth1d
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP LL-
7PLUMBING FINAL, I
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o 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 & SAFETY!
IJIISlVOTI