HomeMy WebLinkAboutBuilding Permit 03-0708
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICAtE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(please type or print and sip at bottom)
ADDRESS
Main ~'ile
~q'i\
~~~
~~
LEGAL DESCRIPTION (office use only)
LOT 37 BLOCK A ADDITION ~~
OWNER
(Name)
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. 09/ 7 o~\
~
Date Rec'd
~-:2 -03
ZONING (office use)
RI
PID ...2$ - 3>~ -as,--o
w~ ~::) )~.
laC\s p~ ~ ~k -4:J:)
(Phone) (' t;S1 ) 4~-4:Kx:J
~ m'\.\ ~IJ?
(Address)
BUILDER ~_ _ _ _........ _,~_
(Name) ~ ~ ~
(Contact Name) ~ ~
(Address)
TYPE OF WORK
~ew Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
06.fXXJ
o Misc.
o Deck
(Phone)
(Phone) ~~
o Porch
OAddition
ORe-Roofing
o Alteration
'lID -'-IS87
ORe-Siding
OUtility Connection
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
X -tJ~
~~\Tr.e~
Signature h \ p"..o R- ~..J
~q5, O()I)
f/5f ,1,'Y Q375'
$ ~a3-, I q
'I!1,S-O.
/tJ(i). -
KJ{}.--
, ~\~,SO
l/ (), ----
Pc.uuit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Pc.uuit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
$
$
$
$
$
$
This Application Becomes Your Building Permit When Approved
.~~ ?dJp
Building Official
6//f4N3
,
Date
$
$
$
$
$
$
$
$
$ fa ff71./ Jf CI Lf
/)
. ReceiPt/Vo. ~~e/
Bo
1~S2
Contractor's License No.
I Park Support Fee
SAC
Water Meter
Size 5/8"; I";
#
#
#
#
5/ ..,..... J ^ ~
~
I;), 7$: ---
d50, --
1/6,-
lioo · ~
7 O(). -
t500~
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 as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compUance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iw~~ ~ 6/1&./63 ~ aL/' J
Planning Director Date ~ Special Conditio
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
~ e,7 " ~ ~ ~
j; .J ().. (;;>
03- 70~
Main File
c::.. White - Building'"")
~a'ft'arY - Engineering
Pink - Planning
Th~ ("~nl~r of Ih~ t.k~ ('ountry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~~
/p - ~-O~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application forcS91;n ~;~;z:;se~~ ed
Accepted
~
Accepted With Corrections
Denied
,.
Reviewed By:
{j~
:t~
Date:
c,// ft, /d 3
, .
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
~
f ) -, --...11'./:) r........_,~.,
.. .' ..;.- . ~ ...
t ,....... ..~...;
Main File
White - Building
~~n,~glneer.!!!9->
PInk - Planning
Th. ('tn'" nf lht 1..1It Coun,ry
BUILDING PERMIT APPLICATION OEeARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
, 1
.t'; :',~, . "".Ai o'S '.,.<? ~ ~ ;
I #T //r/Jl-<::,/"".rp{(;../If/"'f(.,
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r j j
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, " ,"+,,, 7,1 ~..............
t~'1'-"1"../ F'l '.. .
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t.p '-:-;;1- .... C. '....,.1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction acti~.i!y which is proposed C!~:. _. ,
""'C . /'/ ,.-- //.../ ? .)j ,/1 ./..,}
........ 1 i. ' ,'1 ...., .".'.; /~ ." .( ~1 /'.. ',' "" ~ k.... . ' ""
...<'": I t. I"'l,;, .p.,-::, /. /./ '-(" ,,/ /J,.-'f..~.... '. I VI.., l.~ ').... -- :.\~.. '-...I-
". 1.4~... I I". ,.,pf.:,OYL.w' ,"~~' .,~ .'.........,; ....
i. f U j
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1IIl'ti3
Date:
(-7-6)
Comments: See Reverse Side for Additional Information!
tr1Ct"n F; (<-
See Attachments: 1) Grading Plan, 2) Erosion C;ontrol Measures
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
~
..
..,
..,'I t
Job Address
Heating Contractor
Name of Tester
Date
Percent O2
Percent CO
Percent C02
Stack Temp,
....,
:J9~/ R~~~ K4~K~_
".111- Rv~
,
1':(,.
,j
10- 11- 0 ]
9. , oh>
-4f1'-J
~ ~ I '/iI
'jo '!.,
Combustion air is adequately supplied per
UMC See, 606
Input
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/
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S e p, 5, 2003 1 0 : 37 AM
GENZ RVAN PLUMBiNG AND HEATING
No,0181 p. 9/16
Date Rec'd
CITY OF PRIOR LAKE PLUl.\fBIN:G PERlVul
, ..
I Blll& l'1.1.
2, G:Nd City
3. Y clIo,., ADPtlCll\'
URMuNO. :3 -76f
(~c tvPc or 1)rhU an&1 S1,!J1 at bottDm)
ADDRESS .
:!ft41 12aspm~ l2icf.q0
ZONJN'G (otJice use) .
LEGAL DESCR.1.r .L iON (o1Jice ase only)
LOT~7BLOCK tA ADDmON veffeJ7 s. r;l51Lft"v
Pro
OWNER
(Name) Wensmann Homes
(Address) 1$95 Plaza Dr
(phone) 651-905-3709
Eagan, MN 55122
APPUCANT
~~~ Genz-Ryan Plumbing & Heating
(Phone) 651-423-1144
V\ddr~) 14745 So Robert Trl Rosemount, MN 55068
. (Address) (City) (Zip Code)
(ContactPezson) ('llf tZisfr fz{ L S ~ (Phone) 651-42~-1144
r.h~l.~ -tn (l,(~ DATE q~-o3
APPUCANT SIGNATURE
Quantity
I
t
d.
,
t
,
~
APPLICANT PLEASE COMPLETE BELOW
Type of F......~dre
Bath Tub with or withO\1t shower
I Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
J Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
-,'Water Closet (Toilet)
Quantity
./..
'r ",
I
12,.-~r.:
i
Type of Fixture
Rough~ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage ~jector .
I Bacldlow' Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other .
FEE SCJ:u!.;DULE
Tndustnal, CommercIal &. Multi-family 1 % of job eost with 9. S3950 minimum Residennal. New One & Two-Famtly S99..50
Residential, Additions & .AJ1.....<l<l~OnS $3950
(Offiu Use Only)
Estimated Cost S
Building Permtt #
PLUMBn-lG PERMIT1'.t:..t $
STATE SURCHARGE $
TOTAL PE.Rl\tJJ.~ FEE $
8lJll.~1:~ w,1"H
IVG PEp
,-f4fr,.
-
.50
This Application'Becomes Your Building Permit When Approved ,"D1i.1 ~". cl' -"J'~ tKeceipt No
r~ -~ '\1' n \\/ e \ 1',\.\.
\ UI,l).rte --.3y .
Ii < .
Date .... l!\ SEP Q 8 Z002 !;
24 houl" notice for aUlnsptlctions <'52) 447-J~, fu (9S~) 447-4245
if
J
BuildjngOfficial
By
2003 10:38AM GENZ RVAN PLUMBING AND HEATING No,0181 P. 13/16
ell i OF PRIOR LAKE Date Rec'd
.l:l.EAlJl~G/AlR CONDlilO~.LNG/.r].KEPLAt.;J!j PERMll
I. !'ink. tile PEl'nMIT NO
~ an. CiIy ..n.J. · :3 - 7~--
~. yen- App!icuII ("...;" 0
(Please type or wiut and rip at bottom)
ADDRESS ~?() L II () jfi
0'11 t<1J1I. r.f~ ;~d~
LEGAL DEStRrPTION (office ~ only)
't . I' \'~ ~ ·
lorJ 7 BLOCX 0< ADDmON \..... v" 'i..fJe.6 (wf11\..
ZONlNG (ot&eusc) .
PlD
OWNu
~~e) W@n~m~~" ~~~
(phon~ 65J-905-3700
Eagan, MN
55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
(Name),... ~~nz-RyaTl P1ttmh1na & lie?rine
(Addre~s) 14745 So Robert Trl
'1 (A~)~. I
(ConraaPerson) .1)1) jiljsfj"Wl3 ,.,
(1' c:;::>C' '-I-~
APPLICANTSIGNATURE Ij~J}-'~A f',,) '{u I ~
(phone) ,; c; 1 -La. ? ~-, , L..I.L
Rose:mount, MN
(City)
55068
(Zip Cadi:)
(phone)
DATE
';~1-la.'~-11L..L..
Q-0VA
APPLICANT PLEASECOl\RLE1E BELOW
':'" ~CON~TRUCTION DREPL~CE:MENT OALu:..t<ATIONS ,
FURNACE MAKE AND MODEl ~ ot - ct=Jp.ll t - '=3t2f1- "1n FUEL }1 Af--eu1:S
FLUE SIZE RE11.JRN OPENINGS t?f INPUT "70; 012D Ou l.rVT '0((( rY) {j
n rot OF SYSTEM HEATING OR POWER PLANT
~arm AIr Plants 0 Stemn
OGravity 0 Hot WUet'
[Jj4cch8D1c:al 0 Radiation
, ~r Condition1ll8 0 Special Devices
· JVcnt System 0 Other Devices
PLEASE NOTE:
Air Conditione,- Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercja! & Multi-Family
.tI~J!;S\...l:l.ADULE
1% of Job cost Residennal. Gas Fireplace
$39 SO minimum
$99 ,50 Residential, Additions &1: Alterations
$64.50 Residential, AC Only
$39.50
$3950
$39.50
Resi,dentIal. HeaflOg & Ale (New ConstrUction)
Residential, Heating Only (New Conmuction)
EstUnated Cost $
Building P....~it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL P,t.,1<l\'UJ. FEE
$
$
S
,50
8U P~'D
~I.DIAIl Wi"'/j
Gp~
7:lAi,.,.
(r'-" -. (]~C: .ooly)
Banding Official
))a~
~~r ~ ~ ~o~ :~ri~NOtr
.. ~.~ Appl~ati~D. Becomes Your Building Permit When Approved
24 hour nod<:1t for .U' llUpecnol1s (952) 447-9iG'..~"?'} U"..d:'4.c
A
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~lREPLALE PERMIT
Dale Rec'u
I, Pink F;lc PERMIT NO
:. ~ Ciry. . <-. _ '"/1""\ 0"
), Ye-lIow "ppli~ -J { V 0
(Please type or "Me and si-= al bom:lJtI)
ADDRESS ZO:N'lNG (Qffi"llSr:l
39L\ R~ ~ Rend 10t:
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
I
J
OWNER
(Name)10~ (Phone) Lrt51-yao-Lll/OO
(Address) \~C1S p~ DN..ve I~: ~J mn ~~d.
APPLIC~T \.. ' + ' -, ~.
(Name1 r.u.L,1 ,f),OX.J.,A" ,r-'{1..n,o..c5~ ~ s...~~:c.~ (Phone) iJ ( ,;..:;y..) /5-7500
(Address)~lQ tJ~'iC"Yr\l ""'J Od 0: &!l..n:~' ~Y"\ Fb-Jt. rhn 5-~c...;L/~S
, " r( ddrc:u) 0 (City) (Zip Code)
., ,
(ContaaPerson) "'<r\~.U, (Phone) 'll&3-3tS-75/w,
APPLICANT SIGNATURE 7f:;;...1.:;" ~/j?r.... ~~'7?1a.~ DATE
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL1J:AATIONS
FURNACE MAKE AND MODEL FUEL
I
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
,. OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. Sys[em
FIREPLACE MAKE AND MODEL ~
J
o Steam
o Hal WatJ:r
o Radiation
o Special Devices
o Other Devices
396t) V ~ I\J
PLEASE NOTE:
Air Conditionet Units
Cannot Encroacb into
Required Side Yard
Setbacks
FEE SCHEDULE
Il\du~rjal. Commercial a. Multi-Family 1 % of job COiSt Residential, Gas Fireplace
$39,50 minimum
Residential. Heating &. Ale (New Constnlction) S99.50 Residential. Additions &: Alterations
Residential, Heating Only (New Construction) $64,50 Residential, AC Only
539.50
S39.50
S39,50
Estimated Cost S
Building Permit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\-.u 1 FEE
$
$
s
.50
/3UII ~~/O 'A~
c...OIN~ rY/11-(
~ /:It:':
>t::?4f,.,..
(Omce Un Only)
This Application Becomes Your Building Permit Wh... Approved i ~ ~a@ [~ U W g. 0.-
I- ~ -.-.
Building Omclal DI"'C L _ 2 3 2091...- ~I
24 hour notke for an inspections (952) 4tI1S50. r.x (952) 447-4245
Receipt No.
By "1J '
~ ----
i:00 III
A31QIHd 3~VHV~ ~IIVWO~1V
i:0J.OstC'i:t9 XV.::I ot: ot CO/8t/60
SeD, 5,2003 10:37AM
GENZ RVAN PLUMBING AND HEAilNG
No.0181 P, 5/16
.
ell i OF PRIOR LAKE
SEWER AND W A"l~R PERM1'!
Date Rec'd
1 Grw:al Fil.
2. Y..1Ow CitY-
3. Gold Appel--.
PE~ll.l NO.3,... 7o~
(Plca.sc type or 1X1Dt and sip. at bottom)
ADD~SS .
-3q4/ 0:(.sph~'~J- ~"dCJL
LEGAL DESCRIPTION (o6ice we only)
LOT3 lBLOCK;1. ADDITION ,ct-feP(: So~d.1A..
ZONnlG (oike ute)
Pro
OWN.t..K
(Name) Wensmann Romes
(phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, MN 55122
(City) (Zip Code)
APPUCANr
(Name) Genz-Rvan Plumbi~e: & Heatins;t
(phone) 651-423-1144
(Address) 14745 .s..o,~ert Tr 1
. (A~). (' ,
(Contact Person) _ (\,Vl 1'<../ S -h - -a J. ( $"
i,",' ~_ICANTSIGNATUR.E ~~) ~I fA\
" _ __ _rr....
RO~e11l011nt.. .,~
(City)
25Qt;lij
(Zip Code)
(phone) 651-4.U:J..l44
DATE q -- 5-:' c6~ .
;,.\...:,~",::
/_....
APPLICANT PLEAsE COMPLE1]~~ BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC 0 PVC D Cast Iron
Estimated length of sewer line feet
. .:Clean out (lfrequiredY located at feet from structure_
j:l'EE SCHEDULE
ReSIdential sewer and water line connection S35..s0 Indusnial, Com'l & Multi-family 1% of job cost with a $39.50 m.iDJmum.
Sewer connection only $1750 Water cOJlDection only $17.50
Estimated Cost $
Building Permit #
PAID
8(JILD/~ WI"..,
G PERMI;
SEWER AND \\lATER PERMIT FEE S
STATE SURCHARGE $
TOTAL PJ!.,.tUVu. J.' FEE S
,50
(Office Use Oaly)
This Application Becomes Y onr BuildiDg Permit When Approved
BuildiDl Official
Date
. Paf~ ] @ ] ~ ill r~tNo,
Dare.. <, - B ~
SEP 0 5 2.o.0J _,
J
q-
,'\, ~
24 hour notice for all inspections (951) 447-98~O, ~x (951) 447-4245
By
......
~'H'_ .Jun, 9. 2003 8:30AM"-'~~--GENZ RVAN PLUMBING AND HEATING
'N 0 ' 6 6 9 3 .~.~. '''p, 5 ,/2 4 ....,"'_.._~~...,...'...'
Date Ree'd
ClrY OF PRIOR LAKE
SEWER AND W A'l',ER PERJ\I.ul'
,.. G<<een Pi,Je PERMI NO
2.. "uk,., c...-' ..1'. '3 -10.;;)
3. Geld Applicant 0
(Please tvpc err 'Print and SlBPlt bottom)
. ADDN1!SS31'1 i Ro.sp~ ~ 11d.
LEGAL DESCltu' lION (ofiice U.te only)
LOT3 ~LOCK o'2..ADDmON Jeffoes
ZONING (officcusc:)
P;ID
OWNER
~~~ Wensmann Homes
~hone) 651-905-3709
(Address) 1895 Pla.za Dr See 200
(AdJ........)
Ea~an, MN 55122
(City) (Zip Code)
A2PLICANT
~~cl Genz-Rvan Plumbi~2 & Hea~1n~
(phone) 6.51-423-1144
(Address) 14lli So Robert Trl Ro~e1l1ount. '~ 55068
(A~s). · &f' (City) (Zip Code)
(ContactPerson) _ 0Y1Je,(,s h. J' (Phone) 6:;1-421-1)44
1[;'<.JCANf SIGNATURE & ..l 1 ~ DATE f4/Jp/ Q ~
~ .} - ~
APPLICANT PLE.ASE COMPLE'l',E BELOW
Size of water service inches.
Location of any couplings from .:IL. ucture feet.
Type of sewer pipe. 0 ABC 0 pve D Cast Iron
Estimated length of sewer line feet.
; Clean out (if required) located at: feet from structure.
~EE SC.tI.EDULE
ReSIdential sewer and water line connection $35.50 Industrial, Com'1 '" Multi-family 1 % of job cost wrth a $39.50 minimum
Sewer connection only S 17,50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND W A!LK PERMIT FEE $
STATE SURCHARGE S
TOT..U PJL.1<M..J.l ~Jt.E .$
.50
(OUiet Use ODly)
This ApplicatioD Become! Your BuildiDg p,,-& AIlait When Appro~ed Paid
"~'~~~~"".\I
0" '.'.
i ,......-. ~. Buildi.nc OftlciaJ
Date .
Receipt No. -
By
Date:
14 hour notice for all in.spectiODS (952) 447-9850, fax (9S2) 447~2~
PRIOR LAKE DEP~RTMENTOFSte-Main !tile
BUILDING AND INSPECTION
.
INSP,ECTION RECORD
SITE ADDRESS 39'1' ~~r~ 7(,~~. 131
NATURE OF WORK JIlew ~ .
USE OF BUILDING ~ 0 ,
PERMIT NO. ~.. 2c26 DATE ISSUED _
CONTRACTOR --lJ.,H:AJS"N~ PHONE qqo. 'l6J'I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE Q@PUMENT
t).D,I,_ ~ if ~ ~ ~INSPE~,'~ DATE
FOOTING --, t..( ~~ ~l!:>, 7...j!
C( FOUNDATION (Prior to Backfill) >---Gl, ,.)IC/~ ~~r-
A/?.f' PLACE NO CONCRETE UN.TIL ABOVE HAS BEEN SIGNED
~ ROU:GH - I~~
SEWER I WATER I SEPTIC ""I v~ r ~ ::> '" (I
FRAMING ~, ~ ~ V
INSULATION /
ELECTRICAL
PLUMBING 1?<7.~.
HEATING (if required) ""' p~
FIREPLACE 1/1Aa\\\ W v'/;y / f--II(...I)
· GAS LINE AIR TEST~4- . I yvp j 1-/'-,>
COVER ~WORK UNTIL ABOVE HAS BEEN SIGNED
GRADING (Prior to Sodding)
BUILDING <f LV \ 1,( l ~
ELECTRICAL ~
PLUMBING II / t- ~
HEATING W I e-- ~~ .
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
FINALS
~IX-
If), ~Z,.,O.7
?~
~
\1, \ \ \OJ
l 11 ~ kf!;;
~l/-? leS
BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
.
dlttfifitaf:e Itf d~ ~~UflantlJ
CITY OF PllIOR LAK~
/' @.tpatfmtttf nf. ~lMug Jfusptdinu
~Final Permitted D 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
Lake regulating building construction or use, For the following:
SINGLE FAMILY 03-0708
OC!;:upancy Type
VN
J'ype Construction
L37, B2, JEFFERS -SOUTH
. Fire Zone
Bldg, Permit No,
N/A
Zoning District
Rl
Use Classification
R3
Legal Description
3941 RASPBERRY RIDGE ROAD'N.W.
Site Address
WENSMANN HOMES, 1895 PLAZA DRiVE, ~uLTE 200, EAGAN, MN 55122
Contractor's Name & Address
ROBERT D. Hlrn.atj,NS
Owner of Building
~\k
DON RYE
Date:
\ \ _ ~B~ilOgffficial
,
_ City Planner
Date:
,/
/1 II ;'l~>. r
CITY OF PRIOR LAKE
INSPECTION NonCE
ADDRESS
~ct~ 1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
......:;t FINAL
/[] SITE INSPECTION
COMMENTS:
l?i..A06 ~('J'I..
"
N\ ~ ~~!.-t:
DATE TIME
SCHEDULED
lL21d.03
(J.}f;~,:~i<..4.( ~(?~ (:(n
CONTR.
PERMIT NO.
~ "7",\ - '1L> ~)
o ~IWNG
o C~iNr
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING, FINAL
o MECH FINAL
G~ fL> S1 O{)S -' Ot(
~~~S DO S2D
;c( WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, ~ ........ OwnertContr.
CALL 447-Lso FOR l~~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUJ( PERSONAL HEALTH & SAFETYI
INSJ<<1T1
DATE TIllE
CITY OF PRIOR LAKe
INSPECOON NOTICE SCHEDULED l\11/~
ADDRESS _g~iL ~~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3'?C~
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
~ ~INAL
o SITE INSPECTION
o PLUMBINGRI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBINGFINAL
,MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
111' FIREPLACE FINAL
f6 GASUNE AIR TST
o
COMMENTS:
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:s::CTWO*R REINS=::~:'FORE COVEmNG
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOlNl PERSONAL HEALTH & SAFETYI
INS1I07'l
CITY Of PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~l
OWNER
PHONE NO.
o FOOTING
C FOUNDATION
o FRAMING
o INSULATION
[] FINAL
[] SITE INSPECTION
COMMENTS:
DATE TIllE
SCHEDULED 1/3/9J
~~~
CONTR.
PERMIT NO. :3 - ?Oe
o PLUMBING RI
C MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
f:J MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
[] FIREPLACE RI
o FIREPLACE FINAL
[] GASLlNE AIR TST
o
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o rRK SATISFACTORY. PROCEED
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o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE N~XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
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