HomeMy WebLinkAboutBuilding Permit 00-0541
DATE RECEIVED
{l!,Ot~ ~ ~
File
City
Applicant
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
roj 5:00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
(P-/~-~
2.SITEADDRESS/SO!ptJ /jrCYJkstdtL LN. Ni) r<.ZSV
I PID ;).~., 3(p 7- (X)t;,-D
3rd AM--
3. LEGAL DESCRIPTION
LOT ft:! BLOCK
ADDITION {~( l .( n I~() W
4. OWNER
(Name)
(Address)
(Tel. No.)
5. ARCHITECT
(Address)
(Tel. No.)
(Name)
6. BUILDER (Name)
~~h
7. TYPE OF WORK ~ FireplaceLJ
New Construction r Alterations a
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
/89 tff'fd:za.. .Dr. (P5'l-e1tJl,' I "I ttJ
5IA.it-./l <f)Oj ~I
Septic LJ Deck LJ Re-roofing LJ Porch LJ
Addition a Finish Attic a Re-siding a Finish Basement a
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
Permit No. JJj).D 5 tf /
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
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 I construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~~ ~7ke . pe~it Just cause. Furthermore, I hereby agree that the city official or Iq~y enter upon the property to perf~~er~~~
-- Signature License No. Date
Amount Brought Forward ... . .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. . .. .. .. .. .. .. .. .. ... $
Sewer Tap ................................... $
$
(I
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION l:}~p~. C)O
USE OF BUILDING ~f ~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 0
Permit Fee ................................... $~ 5:."='. "0
Plan Check Fee ............................. $ '5 5' ~ · <-( 0
State Surcharge ............................. $ 'tJ · ~
City:
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA CJ
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS LJ SETS
SURVEY
PLOT PLAN
LJ COPIES
LJ
e3:).a:>
~.co.-
qs', C!,C)
Penalty ....................................... $ Pressure Reducer .......................... $
Plumbing Permit Fee ....................... $--' ~O · c!J() Meter Horn ................................... $
I At 0 . {!)t!S Water Meter ................................. $
Mechanical Permit Fee ..................... $ _ Ll _
., eo.. ~ Sewer & Water Connection Fee ........... $
Sewer & Water Permit ...................... $ ~ tl.5 W t T F $
~ a er ower ee ...........................
Gas A ace ~ ...... ............... $ l.{l; · (!)O Water Tap ................................... $
This I m Building Permit ~enAPJlro~~ _ 0-.. Builder's Deposit ............................ $ '. S"a:> .()()
By Date ~ ~ Other ......................................... $
::me of Occupe cy Paid Total Due .....CJ"(j.......~:~!... o$-1~ 'Jy?-
Date -? By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdina and may proceed a~ uested. This document when
~f~ner constitutes a temporary Certificate of zo. ning~liance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
'r' ~ y~ ~-~--OJU
City Planner Date Special Conditions if any
24 hour notice for all inspections (952) 447-9850
/-25'.00
I . 2.cc) ~
r -'ca.dtP
\
-
-.t
...
JobAddress 165/dJ 2/Cb/t $,') ~
Heating contractor~~~>#? eX p'" ~
f{ .. I .
/ I; / }'., O(J
7
o
6
36~
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
/
"
..~
d:~'P..R/O~~' ....
.~~..;<..
. t.......... ''':.7'
. U .. ~. . .
. .
.\\~., ,~J.;'
. ~ ~,
-... .
00 .(J5lf:
. TIlr ,trnlfr or t.~. likt Country
White - Building
Canary - Engin.eering .
Pink. . - Planning . ..
BUILDING PERMliAPPLICATION DEPARTMENt CHECKLIST
'. '1',
\.' .
. '. I . . '. .
. NAME OFAPPLlQANTJ'vl"N:; rv'0)\Y"\';V~IL.-) .
, APPLlQATION RECEIVED .JlJV\n~ .... \.Sf-t"\J~lvtr ..
. .:The Bunding, Engipeering, and Planning' Dep~rtments ~ave' reviewed the'building.' permit
. '::applicati'on t.or cOf'l~.tr~~tion ':ac~i~ity which is prop.osed at:. . ..... .':' . . . . . .
. .... ...L')?7~'B~ dJjL-e\/T'J, \JK)
- . - .,' . ',' .,'
Ac(:ep~ed ....7. .
.. '. :'.'
'.' . A~C.epted . With. porre'cliC?rlS: ..
. Denied.
. .
. .
. . . .
. .
. . "',' . .
ReviewedBy:Go.n+ Ca.c.lson, . Oale:~/" .
Comments: . <; ~ .' iJJ,r,.,.~-I'.~.It' o,,-H,t,. r~t'ers~ side ~ .
. "
. '. . . :' .... ," .' .' . . '.' . .
...~. :~.w:lAd,~~".fs.ll.P~IGo.Jt.:L~f)ecfi., :[;,/;,._-1;.. ;z. GntJi~ e(~
. J;Ertigln6i1frd/ ',*a.s~res '.-%..' Er;p~ . (1,/1#0/ f'/ti,z . .. .. ·
.' . ' , " ",'.,...;. . '. ..... " " . . . '. . .
. . .
. "The. 'h5suance.. .or granting;.' of a. permit .or' approval of. plans,. ~pecifications and .
. <;:omputations.shall'not b.~construecfto be a permittor; oran approval of, any violation of
. anY9f ihe 'provisions'of this code or at .any othe~ ordinance .of,the jurisdiction. Permits.
. presuming.. to giv~ authority. to '. "iolate or cancel the. provisions' of .. this code or other
'. ordinances of the ju~isdic~iori shaH not be valid." .
..~
00 -05L:.
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~~~
J
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 6-S-{p() ~ fV-c;"b,~ L""
Accepted
" ./
Accepted With Corrections ./
Denied ./) /7/D d-
Reviewed BY:{~W "j/
CZ/2:dQ ~
'II
Date: c" - 2(# ..~ooC>
~.
(... - ~
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 ,.Building~Erlgil"lef)ring"anpPl.nningpepa~rnents have, reviewed the buildlngpermit
~~plication forCOnswcti~n activit)'whichlsProposed at .. . .......
. '~hO$~d..a..,., I~,~ \J tJ
,~ccepted ~
Accepted With Corrections
Date: ~ -~- &i)
'':!''-~'---''.-..".
.~~ .~ 0
~ c'tJl~, uvtJ
~~ ~t-bvl1>
~ W_ r~Jii t~
1\, ~ ~ f...J. ~,'.,,'
I~ -1
UThe 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 I 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
JUI'I. 30. 2000 8: 34AM
GENZ RYAN 6513226147
NO. 977
P.2/9
~PR~
'-€7~f
"~NE~.
2.
3.
.\ 4.
5.
6.
." ,
. ~
I.. .
- -....
........ . .N'PLICA"
... . an
Cl;~Y-oF PRIOR LAKE .
S~'AND WATI..&( PDKI'l
NOTE::
NO · J).f) - (1.:;L.ti
. JUL as 2000
Sewer and Water
contractors must
ba ragist.e;:ed
with the city.
APPLICANT: ~Jn~,- ~ PtLLWI\o''''~ u,nrl~""S PHONE:~1"'4'2~-' 14AJ
ADDRESS: 1~1~e.~ ~;::'. tir <<bIJJ..DAu:-1Q/:z.c 1r::L:J
SIGNA'l'URE:~ ~_ BLDG. PERMIT '..00-I'IS41
SITE ADDRESS:J~~/OIL L.AJ PIDt~S-~1-ao6" C
FILL IN THE BLANXS
~ J,,'
1. .Estimated lanqth of water service ~ tee~.
r 'c
.Size at water service inch(es).
Location of any couplings fram s~ructure feet.
Type of sewer pipe. ASS PVC X Cas~ Iran
Estimated length of sewer lin, ~' feet.
Clean out (if required), lacated at feet tram
struct.ure.
.~"~.___...&.h. - _.._ """""<I"
.
~~~~.T.._______--~_82__2_
Thi~ a~~ic~tio~ ~.s r-:,yo~r penit wllen approVed. .
B~ UJru~7 1u;olnJ......;:J ~'l'E: Ljnc,/O()
~-~- --"-,,.... --- '-'--'--'..
FEES: $ 35.00 Sewer and water line connection permit.
$ .50 Surcha.~.
$ 35.50 TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharie.
*
Sewer and water permits issued for new construction must be
recorded on the buildin9 permit card at the time of issuance
~o insure that no dup11cate sewer and water permits are
issued.
DATE PAID , ~
RECEIPT t /
/
.. AMOUNT PAID _ ~
~O~~ttu:CID BY ./'
eU\\.O\NG /
. 4629 Dakota Sl 5.E.. Prier Lake, Minnaota 55372 I Ph. (612) ~74230 I Fax (612) 447-4245
~ ~L 0PP0ImJNr1Y DIPl.O't!R
JUL. 26.2000 7:46AM
GENZ RYAN 6513226147
NO.939- P.3/11-'---
CITY OF PRIOR LAKE ~ ~ =-
PLUMBING PERM" # _(Tn ~
Applicant: CJ..- fP--iI12. - L~ Phone: /41!51" '-I.Z ~ -, I tJ I.J
Address: -'4"1.!:.i~ & ~ 'f'1fU- ~ \I ...s~-r 'i'"~Q(,g"
"SIgnature: '" 9 n.. ~ ~I 0 _ . .
l.egal Description: Let rr.- Block I Sub ('...tt <r uJA.Jq. 3,1ll'
Site Aadrass; ,~U;O ~~ I QIL L.....J . ~
Suilding Permit # QD ,.. ""~ Lit PfO #~ ") - ...20 ~ 6J)b-{2
NOTE: This permit ~DI not be processed without complete information.
FlA I URE UNITS
T1l!_~~!!r,.,.... ...... c...."
-r' .
.. 262000
....-^."....'<'-_.",."-....,,."'.~.,'-.,_....
Qua, .1.:11
2-
\
,
Z-
,
\
?,
;
I
..- ..-
- ~
Type of FIXture
Bath Tub with or Without shower
Dishwasher
Roar Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Quantity
Type of FIXture
3
I
Rough..ins
Water Heater
Water Softner
stand Pipe (washing machine)
Sewage Ejector
Backflcw Assembly (RPZ, Double Check. PVB)
BackfJow Assembly Test
Lawn Sprinkle,
Other
,.1:1: SCHEDUle .
Industrial, Commercial & MultI-Family
(1 % of job coJt, $39.50 minimum) -
Resid~ntfal. New One &. Two FamHy
Residential, Additions & AlteratJon$
- -
State Surcharge
I
I
!
$ / .50
1~~~~wrH
P~AA;ltr
599.50
$39.50
$
$
$
GRAND TOTAL
16200 Eagle CreekAv. S.., or Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-42~S
.An Equal OpportUnity Employer
~f:l. PAlOii'. --.~~. I CITY QF PRIOR LAKE' I:)
YAi, . tI2GOe.gIeCrMUv.8.E. p..ntNa.OO..OSlf\
e ~rlar L11In1, MN 55372 "X
~ '-..: ~ HEATING. APPUC~nON I PERMIT SIngle F....,
~ Data ., '2lo \()O I . PI~' (;)5 ~~ry - ()Of.,- '"
a... . _
SlIe Addre. '60 (00 @:src:or.:s, aL L~
~ Lot (0 Block \ Addllon, C-,l .L,\.('\ r~r ~(q.At)O\)
2 OWne,..Name. Ll.)q~ ~ ~s..
Add,... I~o,t) Ph.=1:t1 \)~ ,<\te, 2lX) ~Prf"\A-~
. -.
H8IIIIngConlrQlr . f''"1?n?- ., tf.v'l .
Addless 'U'1U~ .c;,....... ~fa w-r- .,-,. . ~.en.~~"'I'rlr
TeleJJtone', t tt=->I- 4 2~ - II Ll L\
Furnace Make & Model ~V"'D '" TYPE OF SYSTEM
f'\ J W.rm Air Plants If
Mod.. SIz8 \. -., '7-~ Q? .~- 10 Gravity
Mechanical
~ rlt AIr CondilJontng V 7_ 'I '7_ ~....:)
~ bJf.K11 VenL Sv81em .
HEA~NOORPOW!RPuurr
Steam
HoI Water
AadIaIJon
SpecIal Devfcea
I. ~ -.. .Ria
La. .: a.,
]. Ye& .' 0.....
TYPE OF STRUCTURE
1WG-FamHy
Indusllial
fluIIi-FamHv
Pubic - Oller
Commercial
Fee Sd1ecUe
Indualrllr. Commercial & MulU.Famlly
Relldenlfal. Heating & AC
Relldenliala Heating On~
Resldenlla'. Gu Fireplace
Re&fdenlal. AddlloflS & AUa rations
ResJd8ntia~ AC Only
~SO~
Remember 10 add ahe State SYrcharge an 1he boHom oIthfa applfca~n.
1 % of J. c03tjt39.S0 1lInfmww)
'99.60
184.60
$39.50"
SS9.60
$38.60 I
JUl 262Wl
The,prlce of your healing perm mcludea one rough-In and one final Inspecllon.
,Adcltionellnepeclionl wi be billed at t35.~O each.
House Heating Tes' Record mus' be .ubmltled with &uIdIml PIDDIl "~~~~iT before bulfd..
rng cef1iJlca1e 01 occupancy will be 'saued.
t-IF.T ~.. ~I ,. A"'n~r~ AJ;(\"~F" wilh number 01 supply and .etum op8ft1n1Jl bled p.r
room with CFM'. per opeNng. New altuetU18S or Idd"IIIons send Door pMn with aupply
aM return Iocalon. shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE ClTV OF PRtOR LAKE. 18200 EAGLE
CREEK AVE. S.E PRIOR LAKE. UN 65372.
Conn. Load.
Fuel tJM. ea~flue Sf.!.
Su~ Openings . I ~
Return Openl~s " Ll
Input i~: ana Ou1put lQD, t:O'O
['-
'"It
oc-i
IJJ
N
N.
(T)
oc-i
If)
IJJ
Z
<I
)-
0:: Edr..
N
~ Cfm.,
t!:l
CiIy Hili buUl... MUll ar8 8 a.m.. 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUOtt-lN AND FINAL) . CALL CITY HALL
447-4210
Othe, Device.
TYPE OF WORK
I hereby apply lor a mechanloal ayatems pelmtl and I acknowladge that Ihe
Information above .s compl.te and acoul.lei 'hal the work wll' be In conformance
I whh the ordinances and cod.. of Ihe city end wl1h Ihe etate bulJdlngfmechanlcal
codes: 'hat Ihls 101m does nol become a permit untfl .rgned by 'he BUILDING
OFFICIAL; thai the work wilt be In accordance with the approved plan In the
. ~ ca88 01 alA work which requIres review and approval 0' prans.
.. ~ · -'/2l.r; /00
J.PpIt:a~fJS~le _ / Date
- nJ~r r \ A~~") 7/::Jrf)
U BtlRdng Olllnal'o B IDa I . i v
~ AfterllTon,
If)
'"It
.. Ra-I.
['- ..-.,
Ell. Cos1 . "
IS)
~ HEATING PERMIT FEE'
N '
~ STATE SURCHARGE $,
. .
~ TOTAl PERMIT fEES
....., I .J
)(
Replacemenl,
New Conslructfon
EI'. Comp. Data
Building Pennil ,
/ (')tl-:; tr6f{ I..;
p~'
../50 . aU\\,.O\\'lG pel ,
" ;-/
, Rocstpl' c
PRIOR LAKE DEPARTMENTOF -...
.. BUILDING AND INSPECTION
.."
INSPECTION · RECORD
SITE ADDRESS J~Cao ~ ~'dto. hV' t
NATURE OF WORK jJev-
USE OF BUILDING 9J:IL\
PERMIT NO. OO~{) 5Lf-1 DATE ISSUED fs,.. Z(g- ~
CONTRACTOR J..J~~V\. fHoNE~ CoS/-<((.>~- 'l400"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
INSPECTOR DATE
FOOTING Ifrl. 7/('Z,.(Di n
FOlJNDATION {Prior to Backflll~fr I~ 7// t(/~b er ' ,7Iz4'8tl
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED' .
ROUGHh}JNS
j( ~ -? I ~ -(J()
~.\,,~ ~ I {/'1(~ ' :v R/I I~~ /~
Vt'-' · &r. /lIIf! fit' f{ If 10 -- 31 -~o
I I
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
&l
It> It ~ I /J1J
PI:/
J I
/ cJ/2~ ftn
fl, rJ\1\i>>J 9//5/ tJ7; 6r
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
GRADING (Prior to Sodding) /?
BUILDING1,e.t1 r ~ ~(//)I tJrl
I I
E~ECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
/VB 7./T.o/
II prtfK
""
~ /11cJ..9/ao
13r. . itJ~k
OCCUpy UNTIL ABOVE HAS BEEN1 SI'GNED
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:()(.l A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
"r'" ,....".-<<.....(;1'
QLtrtifuau n!(Occupanry
CITY OF PRIOR LAKE
Department of .uilb'ing In'ptttion
]2J:.piriaI 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 isslUJnce this structure was in compliance with the various ordi1UJ1lces. of the
City of Prior Lalce regulating building construction or use. For the following:
~pancy Type
R3
Type Construction
VN
_ Fire Zone
Bldg. Permit No. 00-0541
N/ A Zoning District R2SD
Use Classification
SINGLE FAMILY
L6, Bl, GLYNWATER THIRD ADDN.
Legal Description _
Owner of Building Site Address 15560 BROOKSIDE LANE NW
Conttactor'sNameclAddress WENSMANN, 1895 PLAZA DR., EAGAN, MN
ROBERT D. HUTCHINS DON RYE
1 _' City Planner .
~ \ \ Building OfficN .
Date: '" ~~ l-;t 04 Df Date:
( POST IN A-CONSPICUOUS PLACE
.'r'd ~~..:f~,;";~:';,:iir
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J 5S " 0
SCHEDULED t t'"L~.O 0
IS R-O 0 1<:::"5 ( D 6
z~oo
OWNER
CONTR.
PHONE NO.
(1)-54-
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
XPLUMBING FINAL
)1L MECH FINAL
COMM~NTS: e............~. I'" .~. r ~ A!IIS8..'
~ ~-h..~~
~~iA~~~ ~I
IJ ' . _, ........~ ,. /Jr. ..d /11 ~li I
r~ ~... ~---g ~
~~~ ~J ..~~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
b( FINAL
I6'SITE INSPECTION
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~
~
~
o WORK SATISFACTORY, PROCEED
,.)'1ICORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~~
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
---~
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
/s 5(,0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
5'0 -- o~
~2-- cPt-
5'4 - of<..
,
5'fo- ~K-
DATE TIME
SCHEDULED .,; :J M AIYJ
/-11--.0/
131"00 ~ $ ,'d (., L(tlle. Nw
CONTR. Wt/lSll1Ctn'l
PERMIT NO. 00 - SJt I
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
..B:::..E>uGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: -C>Wner/Contr:
CALL 447-9850 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOIl YOUll PEllSONAL HEALTH & SAFETY!
I/IISNOTl
DATE TIME
CITY OF PRIOR LAKE . ~ \
INSPECTION NOTICE SCHEDULED I~~I
ADDRESS /6b(,O Stook~~d.e.- L..",
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-1Jb-s~1
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
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
..l...~ ~CAe. C" to Co
.
C-J t?Se "Fl"'e-
60RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1S...f~ Owner/Contr.
CALL 447-9850 Fc:k. THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl