HomeMy WebLinkAboutPermits 00-0655 & 00-0762
DATE RECEIVED
7/3 /00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
/5875 PAH/V~L.I^, /',
3. LEGAL DESCRIPTION
LOT BLOCK
ADDITION D., ~ \ ~ C4I
4. OWNER '" (Name)
VCV(f ~ ~VeM.> ~
5. ARCHITECT (Name)
6. BUILDER
(Name)
1;73/00
8/
PID ZS ".9.3{,.. 6..JJS -'t)
(Address) (Tel. No.)
IS1.:J:S ~k1.tr 'r.d.. .LI'Q{ Cjt{1-1S'11
(Address) (Tel. No.)
(Address)
(Tel. No.)
1. White File
2. Pink
3. Yellow
Permit No. ~:' :0 (P5S
.~,
,:' .'-:'.{l:'~
BUILDING IN_."- AnON
11. SIZE OF STRUCTliI'
(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. PR~ECT COSTNALUE
o ~c:(>. .~
17. COM~ETION DATE
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction 0 Alterations 0 Addition 0 . Finish Attic~ Re-siding 0 Finis~ Basement 0
Chimney 0 Misc. /t:;:/fIA~ , ,q N~H $AU:JN ,AtY F/t;.1
- ~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS' 10. CULVERT SIZE
Sq. Ft. Width Depth 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
bUildin~~:~;evoke)ftif pe~it for just calJ.>e. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins~~ons.
X ~ ~~
SVaabn License No. . em.
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
-~/~ ~
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 8,llnO ..t!U~
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 ................................... $~'" "2.. ~
Plan Check Fee ............................. $ ~, . l ,
4.00
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee .. ... .. ... . .. .. . .. ..... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward . .. .. .. ... .. . ..... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. . .. .. .. .. .. . .. .. .... $
Sewer Tap ................................... $
$
City:
~
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter................................. $
Sewer & Water Connection Fee ........... $
GaS~ir9P! Pe it ....~.... ......... $
This Ii as Y . ermit When Approved.
By Date "-IO-2.~
Certificate of Occupancyr
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due.............................. $
Paid ~4' Receipt No.
Issued
Date By (
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ina and may proceed a
sign C ner constitutes a temporary CertifiC8. te of Zoning compliance a~lIows con. s~'on to commence. Before occ~~ Certificate 0
2-2.:) {i)O ~.. -<e.... _' l:l~ "
Planner. Date - Special Conditions n- any
24 hour notice for all inspections (952) 447-9850
Z~.~
>fa"
R LAKE
REVIEW
/
7::/L:J - ~ PERMIf NO
TED AS SUBMIIII:D
'~r.: D WITH CORRECTIONS AS NOTED
r EPTED-CORRECT Ie RESUBMIT
..;.,.'ts are for your informetion. All work...._done
""-=1"(1;) with all applicable building A zoning code At-
'1. Ii ,(imp items not specifically noted in this NWiew.
n..4,s, PLAN SET ON SITE AT AU nMES.
1
Separate permits are required
for Plumbing, Heating,
Outside Sewer and Water,
E1eCtrIC8I. eta.
ftJVrct U.eJj:1.c.,A to
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re l ail
20' -6"
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ENTRANCE3'-0"
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7' -6"
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5' - 6"
. 6' - 6"
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10' - 0"
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The preliminary
information pr<
and is for i
This drawing include~
components of the p
by the customer.
indicate or de
for design
product due tc
electrical, pI
The CL
rlimensions. loce
GUSj'OM S./-_LON D~'SIGN
Doreen Andrews
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1. Blue File j
2. Gold City \ ';j )
3. Yellow APPli~ \Y
QO- CJ1 CoOl
CITY OF PRIOR LAKE
PLUMBING PERMIT PP No.
Applicant: pro M..-s-kr- (JIb! Phone:J 5)- ~b 0-8ttZ'Z-
Address: 1~S- tv I p 1+ '51' ~ ~
Signature: ~ . ~. ~
Legal Descri Ion: Lot Block , sUbf~- ~ p+"CIY1
Site Address: \S)<'lS- ~\-rA\(\ \~
Building Permit # QO.... C'1b a PID# ot)"'Vb-6Qt-{)
NOTE: This permit will not be processed without complete information.
FIXTURE. UHfTS
Thr Crntrr of thr L.kr Country
~antity
,\
\.
\
\
\..
t
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$ 39.So
$ .50
$ 40 . a:J
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects. with the ordinances
of the State PIU. mbing Code and the 'iJdmentJ- ~ereof,
5~~~\ RECEuttiP. ~ 6lSjaJ DATE
f'lAf ~" ~ All~ST
Call for c';' i ~pections 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
OO-(k)('
Thr Crnlrr of lhr Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLISI
NAME OF APPLICANT
APPLICATION RECEIVED
A/IIOeGWs., DOEE-EN
7,/3/00
SALON
~Flc..,,;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5675 F/&9Nt:.L,IN IK.A/L-
,
Accepted
Accepted With Corrections ~
Denied CdrA L
Reviewed B . ~
- /
Date: 7- /0 . '2CX) u
Comments:
~Q~" p~..~~
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~t~ 1;,.- D~c~ 4""' ~ +
f?1Ut.41o-o- ... I-.lcAiL'd- ~I-elc.b-s. sw.i.
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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
/
..--'
o 0 ~o(Pss
Tht> Ct>ntt>r of tht> Lake Country
White - Building
Canary - Engineering
Pink - Planning
..;":'.ii't,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.I
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NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~,"... C' 7 5' fA/I"l; \ ;:.- L, I /,\j/ "";-'/<';") / ( , ~
Accepted
Accepted With Corrections
v
Denied
Reviewed By:
Date:
7-7~ .C9Q
Comments:
"T'AL rUN-~~ ~f= D~~~t( :S~~
~~~ ~l~e.<!l \fO_ ~~
~UV~ A- ~Me-6~ 1~--1~<.e..
~~ ~ C.lb 1.( Of?- .p;;.vX<. ~ c:;~
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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."
- 1341.0446, Subpart 5. ADAAG 4.15.5:
Clearances.
1341.0446, Subpart 5, Item A. ADAAG
4.15.5(1): Wall-mounted and post-mounted
cantilevered units shall have a clear knee space
between the bottom of. the apron and the floor or
ground at least 27 inches (685 mm) high, 30 inches
(760 mm) wide, and 17 inches (430 mm) to 19 inches
(485 mm) deep. See Figures 27(a) and (b) in subpart
2. The units shall also have a minimum clear floor
space 30 inches (760 mm) by 48 inches (1.220 mm)
centered on the unit to allow, a person in a wheelchair
to approach the unit facing forward.
EXCEt" liON: The clearances in this item shall
not be required at units used primarily by
children ages 12 and younger where clear floor
space for a parallel approach complying with
part. 1341.0420, subpart 4. is provided and
where the spout is no higher than 30 inches
(760 mm), measured from the floor or ground
surface to the spout outlet.
1341.0446, Subpart 5, Item B. ADAAG
4.15.5(2): Free-standing or built-in units not having a
clear space under them shall have a clear floor space
at least 30 inches (760 mm) by 48 inches (1,220 mm)
that allows a person in a wheelchair to make a parallel
approach to the unit. See Figures 27(c} and (d) in
subpart 2. This, dear floor space shall comply with part
1341.0420, subpart 4, and be centered on the unit.
1341.0448 ADAAG 4.16: WATER CLOSETS.
Subpart 1. ADAAG 4.16.1: General. Accessible
water closets shall comply with part 1341.0448.
subparts 2 to 6.
EXCEPTION: Water closets used primarily by
children ages 12 and younger are permitted to
comply with part 1341.0448, subpart 7.
1341.0448, Subpart 2. ADAAG 4.16.2: Clear
Chapter 1341, Minnesota Accessibility Code
floor space. Clear floor space for water closets not"
in stalls shall comply with Figure 28. Clear floor space
may be arranged to allow either a, left-handed or
right-handed approach.
42 min . 18
10tS 455
:
.
.
.
.
.
l'"
T
J)I~
~
c
clear .e <:)
floor CO ~
space ~ or"
..(
.
.
.. . . ... . . . . . . ... . . .. . . ..
~
60 min
1525
Fig. 28
Clear Floor Space at Water Closets
1341.0448, Subpart 3. ADAAG 4.16.3: Height.
The height of water closets shall be 17 inches (430
mm) to 19 inches (485 mm), measured to the top of
the toilet seat. See Figure 29(b). Seats shall not be
sprung to return to a lifted position.
1341-46
36 min .
t15
.36 min
.
12 min
3GS
~
12 min
305
~-:.:....: ..:~-
CO",
)( ~i
""",,'"v-
(a)
Back Walt
..-
12
305
42 min
1065
1~13 r-
27s.:325
,I 4(.L..
J
75-150
r:
"e ~
co
~. 3-6
o (,
\( ~~
"""""\;,, -
(b)
Side Wall
CD",
M-
. ..
Melt
M:
FIg. 29
Grab Bars at Water CJosets
'"
7.9
17$.230 l c..a
o .,.. -or, 2 min
r-r 6Q
I I
---" I
\ ~ ~ -. · 1;.min
"""""'"
Surface mounted dispenser
Fig. 29(c)
T oUet Paper Dispenser
1341.0448, Subpart 4. ADAAG 4.16.4: Grab
bars. Grab bars for water closets not located in stalls
shall comply with Figure 29 in subpart 3 and part
1341.0468. The grab bar behind the water closet shall
be a minimum of 36 inches (915 mm). ,
EXCEPTION: In nursing home and boarding
care resident rooms required to be accessible,
an L-shaped grab bar with each leg at least 18
inches (455 mm) in length shall be provided on
the side wall. The vertical portion of the grab
bar must be mounted 12 inches (305 mm) past
the front edge of the water closet with the
horizontal portion extending toward the rear wall
at a height of ten inches (252 mm) above the
toilet seat.
1341.0448, Subpart 5. ADAAG 4.16.5: Flush
. controls. Flush controls shall be hand-operated or
Chapter 1341, Minnesota Accessibility Code
-~
automatic and shall comply with part 1341.0470,
subpart 4. Hand-operated flush controls shall be
mounted on the wide side of toilet areas no more than
44 inches (1 ,120 mm) above the floor.
1341.0448, Subpart 6. ADAAG 4.16.6:
Dispensers. Toilet paper dispensers shall be
installed within reach, as shown in Figure 29(c) in
subpart 3, below the horizontal grab bar with the
leading edge of the dispenser seven inches (180 mm)
to nine inches (230 mm) in front of the water closet.
The outlet of the dispenser shall be located a minimum
of 15 inches (380 mm) above the floor with at least two
inches (50 mm) of clearance between the top of the
dispenser and the horizontal grab bar.
EXCEPTION: In nursing home and boarding
care resident rooms required to be accessible,
the toilet paper dispensers must be centered
1341-47
1341.0452 ADAAG 4.18: URINALS.
1341.0452, Subpart 1. ADAAG 4.18.1 :
General. Accessible urinals shall comply with this
part.
1341.0452, Subpart 2. ADAAG 4.18.2: Height.
Urinals shall be stall-type or wall-hung with an
elongated rim at a maximum of 17 inches (430 mm)
above the finished floor.
1341.0452, Subpart 3. ADAAG 4.18.3: Clear
floor space. A dear floor space 30 inches (760 mm)
by 48 inches (1,220 mm) shall be provided in front of
urinals to allow forward approach. The clear space
shall be centered on the urinal, shall adjoin or overlap
an accessible route, and shall comply with part
1341.0420, subpart 4. Urinal shields that do not
extend beyond the front edge of the urinal rim may be
provided with 29 inches (735 mm) of clearance
between them.
1341.0452, Subpart 4. ADAAG 4.18.4: Flush
controls. Flush controls shall be hand-operated or
automatic, shall comply with part 1341.0470, subpart
4, and shall be mounted no more than 44 inches
(1,120 mm) above the finished floor.
1341.0454 ADAAG 4.19: LAVATORIES AND
MIRRORS.
1341.0454, Subpart 1. ADAAG 4.19.1:
General. The requirements of this part apply to
lavatory fixtures, vanities, and built-in lavatories.
1341.0454, Subpart 2. ADAAG 4.19.2: Height
and clearances. Lavatories shall be mounted with
the rim or counter surface no higher than 34 inches
(865 mm) above the finished floor. A clearance of at
least 29 inches (735 mm) shall be provided above the
finished floor to the bottom of the apron. Knee and toe
clearance shall comply with Figure 31 .
EXCEPTION 1: Lavatories used primarily by
children ages six through 12 are permitted to
have an apron dearance and a knee clearance
a minimum of 24 inches (610 mm) high,
provided that the rim or counter surface is no
higher than 31 inches (760 mm).
EXCEPTION 2: Lavatories used primarily by
children ages five and younger are not required
to meet the clearances in this subpart if clear
floor space for a parallel approach complying
with part 1341.0420, subpart 4, is provided that
is centered on the lavatory.
Chapter 1341, Minnesota Accessibility Code
.'
oS c:. =
.5 e i e e
e~~;gG)="= c~
cnNr\I~~"'C"). ...
knee 8 min
clearance 205
6ma toe
1M clearance
11m;" depth
.30
FIg. 31
Lavatory Clearances
1341.0454, Subpart 3. ADAAG 4.19.3: Clear
floor space. A clear floor space 30 inches (760 mm)
by 48 inches (1,220 mm) complying with part
1341.0420, subpart 4, shall be provided in front of a
.Iavatory to allow forward approach.'. The clear floor
space shall be centered on the lavatory', shall adjoin or
overlap an accessible route, and shall extend a
maximum of 19 inches (485 mm) underneath the
lavatory. See Figure 32.
.17 mln
.1 11-
430
---
c
e
01
M.
.....................
.
.
.
clear
floor
space
"
o
"
I
......
.
.
....................:
19 max
415 "
I r I'
48 mln T
1220
FIg. 32
Clear Floor Space at lavatories
1
1341-50
PRIOR LAKE DEPARTMENTOF -...
. . BUILDING AND INSPECTION
..
INSPECTION RECORD
SITE ADDRESS JS~l7S- ~~\:'^-"-.
NATURE OF WORK ~ ~',^\"lIl\~_
USE OF BUILDING <;V.I:. . A- /~
PERMIT NO. Q[) -?J frJ55 - DATE ISSUED .7 --10 PGaoo
CONTRACTOR -A~~h.." PftC"e.- "'~?-7577
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
PLACE. NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I~S
FRAMING
f/R.
It 11'-' {JtJ
I
ELECTRICAL
PLUMBING ~Jur..J~
HEATING (if required)
IJ~? ~
)I!J~/oo
( I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
6r
J$f1
(7,i- i
OCCUpy ~TIL ABOVE HAS
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 shellbe placed near main entrance.
~~
f2j{~
11 J '7 /8fJ
l~ll(/I;I
,/t1/ t/tfO
BEEN! SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
ADDRESS
IS? 7 S
DATE
SCHEDULED /~~~
r-:~/G-L/ tJ
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~:3{)
TI2,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() - 7 ro z:...
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ 0 SEWER HOOKUP
\I!5J g PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
,.)ZlJ 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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
1):l
I
. '5 B 1 S- . \?At.J \C-L\N ~
TIME
SCHEDULED
l:lS
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C>O"fs:6~
o FOOTING XPLUMBING RI UNO
o FOUNDATION 0 MECH RI ~~C
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ e. ~~N
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~~ ok
iL\( - J --J- 120..~
. ~ L9
o WORK SATISFACTORY, PROCEED
o CORRECT N PROCEED
X CORRE T WOR, LL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
CALL OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFRTY!
/N8NOTl
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ Sf? 7:5
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ PLUMBINGRI U(S.
(~ MECHRI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATIjH)
~ FRAMING
o INSULA TIO
o FINAL
o SITE INSPECTION
COMMENTS:
rlt-~
-.
~b_~
DATE TIME
1/ /"/8(J r:t3(;)
t ·
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
ftJ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~I
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED l?j n,14L 9: 3 ()
ADDRESS - I 5%'75 F~!t-L/J 112.,.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATI~
FINAL
~ SITE INSP.:\;,...... N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ SEWER HOOKUP
~ PLUMBING FINAL
MECH FINAL
COMMENTS:
()- ,~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
r-
!!. WORK SA TIS FACT , PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ . Owner/Contr.
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
tl:/K/oo C; , 50
ADDRESS
/ 53'75
lj-kANK.. L/J.J TFe ,
f1t-..c- S"f' '" D -11S
. 0- ?!.?"
OWNER CONTR.
PHONE NO. t 1(; A I"'" t1 - 7 "lpERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULA TIO
FINAL
~ SITE INSPE~ II N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
D -I.- S r;;
Sp,u,.'" "'d - () -4~ 3
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.cOMMENTS:TgN N' Af'J1 \r~-'t\J{St+
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
, CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ J Owner/Contr. ,
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTl