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HomeMy WebLinkAboutBuilding Permit 00-1056 DATE RECEBlEQ. ~ - CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF 111 2 1 . ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT I ( I. White 2. Pink 3. Yellow File City Applicant DIRECTIONS_ ~ '. SPACES NUMBERED 1 THRU 17 MUS.! BF FII I J:n IN BEFORE PERMIT IS ltiSUED TPI~se Print or Type and sign at bottom) 2. SITE ADDRESS 3/qj 3. LEGAL DESCRIPTION LOT c:E..B BLOCK eJ,({1 OtId)/17Jh 1. DATE Permit NO.-.!JO' I05fo lffIutlw ~. ~~, 7. TYPE OF ~cffi.K Fireplace 0 Septic 0 Deck 0 v Re-roofing 0 Porch 0 New construction~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE ChimneyO Misc. ~OD 000 --. ._~ . 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. L;UM~lErION DATE Sq. Ft. 001~ V Width Depth Yes No 100 W-ts ~6t 'tx:.t:~. 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 aut~zed 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,o~~1 can revok"his ~it_for jUjt cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X -,PLt(j(/"\ \U IIICf/JJI/ J..4I-; ~CYY5 t../~:;.. 7 W do Lao Signature "} . License No. Date :'ah- 1 ~ -dO-on ~ CVd.v 8)5D I PID -d5- 31/- cJ~g-o lJorfflJJnd o~ 6s.Ja+~ ADDITION 4. OWNER (Name) (Address) (Tel. No.) 5. ARCHITEp' . (Name) /fln!/) 6. BUILDER (Name) 341>S /))aJ;~~))r_ (atJan &S;:e~6l1-07;)V (Adctr.Jss)' - U (Tel. No.) 10118 1f'f;~Y\ ~:!6H ;5//t./~<l1?3 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 1~. TYPE OF CONSTRUCTION AjlW/-{6/h/L 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS FOR ADMINISTRATIVE USE Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC ......................................... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ ,I $ Pressure Reducer .~.................... $ Meter Horn ................................... $ SETBACKS: Required Actual Front Back Side Side BUILDING DEPARTMENT VALUATION OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~l2:)lI'~ · 00 USE OF BUILDING AS F -"D TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U City: Division 1 2 3 4 l,ag'7.~ J . ~ 2~ .11 150.00 Permit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ I 00.00 I oc .CJ("'") 3S t St2 ~O"0C2 Water Meter..... ...................... ...... $ I 25.00 Sewer & Water Connection Fee ........... $-1, ~OO .CJC) Water Tower Fee ........................... $ ~ . et::l I. SOo.~ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ This ~t:;ftour Building Pennit 'fIhen Approved. By Date JJ-~-"~ Certificate of Occupancy 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 ~s-o.c:P ! ,L 00 . 00 4s.00 Water Tap ................................... $ Builder's Deposit............................ $ Other......................................... $ Total Due .............................. $ 'I/) 5",/- t.f-.b Paid q O~, ,j ~ Rece~.p o. Srw ~ , ~. Date l'b'" 7/Jj,; uz,J By 'P "- 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 s requested. This document when Si99ti!. by the C' Planner constitutes a temporary Certificate <:>f Zoning cOmplian?d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. ( A "' --lJ2/'UYa7 ~ _ ~ {' J --- - 4 I.,r.... ~ t C"'-~ ~< . , ity Planner Dafe ~'ons if any -- 24 hour notice for all inspections 447-9850 DOl (051p The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST '/)1 / NAME OF APPLICANT / /' / .,( /j / \ / I APPLICATION RECEIVED / l-- J - () () " " ,~) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '2 ) ,".... I ./ / ~7;) I (I L- / l- \..!~. / /" ( I c..... Accepted Accepted With Corrections v-- Comments: Denied Reviewed By: ~~ V J-'-{ ~ ~ ~~,~ ~~ aU- ~ Ar~ /.)M.e -4-Wv:J A~f)'f.AJ ~ CtA64> 4--> ,.~~\ <;Xivc-~.j,r~ ~~_~ ~ h :d> q ~\ J t&.-1h> -,<' ~ ~ ~ ~\O 1\1 LL-~_~,,_ Date: / 2-~/&D ier't/2. (' ~./'~.L~ -s> ~<:. fcY~ "\.;; '~1 ~<~,\.~ 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." (JD- 'O~ The Cenler of Ihe Lake Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT m aM ley 13 roS APPLICATION RECEIVED / 1- ~) -00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~ I q 1 Wee- 13) IL -F' F' (l i rc/ Ie- Accepted Accepted With Corrections -:>t.. Denied /~/1fJ . / Reviewed By: t.J;;;::,f/ ~~ ~ Comments: J. f.earl qjJ ()#acW ~ or..ls. Date: /1- *8;) -~aoo 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 ~ OO-/O~0 The Center of the Lake Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT m elM / e \.1 i3 rO,S / . APPLICATION RECEIVED J 1- ~) -00 The 8uilding,Enginee(ing, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~ J q. f [;d/(e B) u.,F F (l.j Ire Ie-, / Accepted With Corrections ~ LI-'-' Accepted Denied Reviewed By: L L L Date: 12/7 /00 , Comments: ~E REV~.sE ~O€ F~ Aoolno/LJf:lG CoPJ/J1,E.If../r>- *' /lJor~ / ffobYl9C -1\ Rc.-'i/.5ilJ ~ r iJll/c.H1Ji/)ML5 "TJlc E;7J~V t2..JLe'I2FLaJ ElE1/l1TJoAJ If 9'& /[[) IJN 171~ AJtJR[JI f'RLJPc.-klY LINE: ~TIII~ ELElLLlZ1W; 9~~0: IS 71) B~771E ~ IlLO~ rilE #~ '<--L.IL1ff'.) t.J ,U Q/G"ckUT FtIJ//JL- 6~ 4 .s6tf 1J1llICHDJE/III3.: J) t9ftV/N6 PL/JA) ~E"E!t2Y/JA/ Ck/T1<a:. //l~,eE5 3) nQSd;jAI ~ fi&/ 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,lI ..t :_ Job Address Heating Contractor \. Name of Test~: ': Date Percent O2 Percent CO Stack Temp: Percent CO2 . ~/~'l /./r-i .G._,or G' ;>'-01 7~ . " ,rt; //wJ6 00 \ I. l'inl. ~ File 1. <lran - 01, 1- 'idlOlf - Co,*K:Im CITY OF PRIOR LAKE Me .--/ 162.00 Eagle Creek Av. S.E. PermilNo. ()o- / tJ,:,~ Prior Lake, MN 55372 . TYPE OF S I HUCTURE \Q Cl Cl -........ N Cl Cl Single Famil)' TwD-FarnUy MulU-Famly Othar HEATING APPlICATION I PERMIT ,$/.HOJ PID It :J 5" - 311- Qiff-O , , ~...., ~~ ~ &. . ~ sne Addl8SS bH91 /7\t1.J!L. elL, . Fe Schedule ~ Lot 0 <{- Block I AddiliDn -:7J. woai (l)o~~-r-:;: ~Ir\al. Commercial & MulU-Family I ~ ~ Residential. HeaUhg 8L AC OWner s Name R ~.,I t'aJ H I~.... 0 ty ,- eSlUsn I . eauHg n Addres~ Residential. Gas Rfeptace RestdenUa1, AddiliQns & Altstat]cms ResidenUaJ. AC Only <Almmercial Industrial Public Oats P-l 1 ~a or job ClOsl ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 ~ Heating Contractor ALLIED FIRES IDK dba FIRES IDE CORNER. Address. 2700 N. FAIRVIEW. ROSEVILLE ~ MN 55113 TrdephDr1S' 651- 6 33-2561 FIREPLACE L fMnID Mako & Model " or JJ ~ (;, . .. fdJro '1j1 Remember lQ add the Slate Surcharge on Ihs. bottom 01 this appficalion. et: rLI ~ o u TYPE OF SYSTEM Wat [1\ Air Plan\s Gravity Mtfchanical Air Conditionlng VenL System HEATING OR POY/ER PLANT Steam Hat Water A adialion Special Devices The price oJ your heating parmll ;nc/ud9S one fough-in and one 'inallnspec1ion. Additional Inspeclions will be bllled at 135.00 each. House Heating Tesl Record musl be submmed wiOl buildinq HOllilD!lDtm befOfe buld- ing CC!rliflcale of ...'.......upancy wiD be Issued. I:::J.EAI CAlCWJ\T10NS REOU1RED wilh numbel ot supplyan<t return openings listed p8 room wilh CfM's per opening. New slJuclwes Of additions send 11001 plan with Bupply and retum locations showFl. HEAT' lOSS CALCULAllONS. PAYMENT AND APPUCATIONS MAY BE MAILED "TO THE CITY OF PRIOR 1..AKE. 162.00 FAGLE CREEk AVE S~E. PRIOR LAKE. MN 55372.. Cily Hall business hours are 8 a.m, - 4:30 p. m. Mod el Sil.~ rLI o H U) rLI et: H ~ Conn. load Fuel ~ flUB Size SuPP'Y OpGnings Ae1um Op~nlAg s [npul Ed!. Output .::J{,ro~ ~ OJ OJ OJ t ALL WORK MUST BE INSPECTED (ROUGH-IN AND RNAl) · CALL CITY HALL 441-4230 0\h91 Devices Cfm. c-<) c-<) \Q TYPE Of WORK I hereby apply for a mechanical systems permit and I acknowled98 thal the info,mation above. is eomptele and accurate: thal Ihe work will be in contofmanoe with th.e onlinances and codes ot lhe city and wllh (he state buIlding/mec....anical codes; (hat lhis 10rm does not become a permit \Jnlil signed by the BUllDlNG OFFICIAL.; Lha.llhe work wilJ be in aceordWlcswith lhe approved plan in the ~as.e.. D,. all work w~t requires review llnd approval or plans. . ~~ ~.M> , ~. - rij~C&n. ".1'$ Signature ' . Da18 Yfl.--. t/ - J- - I B~og OUlcars Signature Dale ~ M U) \Q A splacemeot New ConslJuction Alterations U) Cl 'f.f/-() j . Est Comp~ Dale Repair c-<) M Est. Cost $ II DO OJ HEA TlNG PERMiT FEE $, STATE SURCHARGE $, TOTAL PERMIT FEES $ BuUdlng Permit 1/ M Cl Cl N r PAID WIT: BUILDING I-'i::;- loCo i . ~ Cl c-<) .50 et: ~ Recoip\ # CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. J)O ., I ClS b Prior Lake, MN 55372 HEATING APPLICATION I PERMIT Date ~-}4-0! PID# 25-37/-02.8-0 SneAddress 3/91 >/Jo _'/1)fj rJjt lot Block Addition Owne~s Name ~~I1.!2ffiD Address . 7 . Healing Contractor -):/ ~ Yi.D ~ fl.Jt:- . Address ;)O)()f) ~D/0Z'4.1; FVAMJ-'~ T eJephone # .b..,5) - LJ MCL ?i: ~ "3 . Furnace Make & M~O~dl '/n...Q AIR CONDITIONER' UNITS CANNOT cJ ENCROACH INTO SIDEYARD SETBACKS. Model Size J /") TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices Conn. load Fuel Flue Size -3 II Supply Openings J~ 9' Return Openings Input Output Edr. Cfm. TYPE OF WORK Alterations V f Replacement New Construction Repair . Est. Comp. Date , Building Permit # OO-I05&; PA\OW"'" BUILDING PERM" Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 Receipt # TYPE OF STRUCTURE, I. Pink File 2, Green - City 3. Yellow - Contractor Single Family -'iL Commercial Two-Family Industrial Multi-Family Public Other Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add the State Surcharge on the bottom of this application. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted with building permit number before build- ing certificate of occupancy will be issued. HEAT CALCULATIONS REQUIREQ with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL Phone: (952) 447-9850 Fax: (952) 447-4245 I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the /l;~k Wh~UA7/ approval of PI;_-JL/-q/ I tl A - anfs ~~ Date , ~ . 3-/'1-01 ( ; ai' O~"s Ignature Date 01/03/01 WED 12:53 FAX 6128902753 STOCKER EXCAVATING 141 002 ~ . I"1U: YEUOW - AIIPI.IC&IIT GOl.J>> . CITY CITY OF PRIOR LAKE No..fj)-I05b SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be registGred with the city. APPLICANT: DC Mechanical/ScC?cker Excavat:ing ADDRESS: 82r7Wesr. 125t:h it~. JgI SIGNATURE; ~~~ . SITE ADORES': ~l Q~'" 'A1.u..U-~1~g,.k. FILL IN THE BLANKS ,PHONE: 890-4241 1/03/01 -;5..llLDATE::: BLDG. PERMIT #~ PID~2,C)-31J ,., QZB..O I. Estimated length of vater service__ feet'. 2. size of water service inch(es) . J. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVCJ cast Iron 5. Estimated length of sewer line feet. 6. Clean out (if required), located at structure. feet from ~~====~~~==~=====~~~==________~~__~==~~~~~~=:~===~==w~~_~=~~---~~~ ~===~--~-~-~~==~ your permit when approver- / . DATE: I 4- 0 , , I ~--~----~-~=~~~~~~:===:~~~~~~~--=~~~--- This application BY FEES: $ S $ 35.00 .50 35.50 Se~er and water line connection permit- Surcharge TOTAL * Fee for either sewer or vater 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 ~at&r permits are issued. . ~ '. I ~ DATE PAID AMOUNT PAID ~~ 'f~-6 RECEIPT # REC'D BY -/ 16200 Eagle Creek Av_ S.E., Prior Lake, Minnesota 55372 J Ph. (612) 447-4230 I FAX (612) 447-4245 All Equal Opportunity Employer .." n. c_ ., .. .... c..., CITY OF PRIOR LAKE I'LU".'NG PERM" ~... -wt.5~QY "\~~\>\nC\ , rlln It: l\~oo ~ cl.t' <Q,c"\ C. ~r-l\", S~ ......-n: ~ q~ LeIIII elf = ~ I. Lac Block .. AddtI.: 3 \ q \ ~ f'"'~ \~ ~Q. \~ .. -11. PMftIe 00- rJ) 5~ PIC. NOTE: "........... naI _pia [ I ITN wtIftout comp.... information. IIIXftJM UNITS I...... .... 1. cw. ~ t "... .,.,..... pp No. ..1lf) - 'I () 50 , PAO".~ q~~_\.-l4.""'-~;134 \..J \ \ or L ~ \<...Q .Sub ~ ~~\\r>?;}~ . Q~ TWe 01 FIIIan QUM_ Tvp. of Fill1ur. ;;. ~ Tub ... or.... ...., 3 Rough-in. l DllhL\.... , W.., H..lllr \ Floor ~ Water Softner y Laa10Iy (llMftraotft link) Stand Pip. (wash.ng machiM) l ~TIay (1 or 2 ~ sink) Sewag. EiectOt :+- "'bMI .... ~ Auambllt (RPZ. Oow. C"eck. PVB' t ..... 8ackftow A...mb.y Te., ~ . .. .",. Lawn SpMkJar .. 3 W..r c.... ~ Other ,. ---DULa .. I~t CoIM_ aIM & ~,~ C'" flljoO .... ".10 rnInImunt) s "...fl...., New er. I ,.. '-""Y s ...... ~IW, .&oIa.. . s_ S .50 GRAND TOTAL ~~gt~-rRMrr "... .... Ia ..- .... ... .... CCHldlIian daM laid *~ 1 . IIIIIIIU ....., Iia .. ...-u .tdl .. CIni&-ea 0'" - ~. CallI_ .... - r ...... die..,. '~ 3-1--0/ DA"r!! .A..~ Call lot... :-,- ('IL. 24 houn ia ""'Me.. 16200 &ale CreetAv. J.E.. Prior Lab. ~ 55312/ Ph. (612) 447-4230 I F.a\X (612) 447~424S All.... ~...l__lmplD'.r PRIOR LAKE INSPECTION RECORD SITE ADDRESS :?ILJ ~ 6/u~ Q"r~ NATURE OF WORK ~ USE OF BUILDING S F~ PERMIT NO. ()O . /6sb DATE ISSUED (l - ~ - '2t...-O CONTRACTOR ("1~ 'Ktm:.. (l4llLu. PHONE ~b/-t{S!i:!/J3-S NOTE: THIS IS NOT A PeRMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR DATE FOOTING ~~~. llogjOJ FOUNDATION (Prior to Backfill) _ 1). \hi, ;),;) 0 J PLACE NO CONCRETE UNTIL ABOV~ HAS BEEN SiGN'ED ROUGH - INS SEWER I WATER I SEPTIC 'B. VM FRAMING I ~ ..V4tU, INSULATION ~ <-\)fiJ~ ELECTRICAL \ PLUMBING 15..~ 4 li}'\ HEATING (if required) : ~ -~.~ 4. ..'Q.... O( FIREPLACE : '1>'~~ A'l~rDt GAS LINE AIR TEST ,.. \ 4 '.:If\ ~. A..c.. ~ pI COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED l ) q, 0\ '1.1 .to! Ol ~ I~ O( l ~ II FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING I/JC-~~\~-,:. ,~~.\.~Jf' DO NOT OCCUpy UNTIL ABOVE 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 s~.aJl be placed near main entrance. '%.~ewJt ~ (3 )01 t , ~~ I' I" - ~ 11s 61 ~ I HAS BEEN SIGNED Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ....". " '~tSIllll I'''' 1 IltIIiiMiII , ,; ,;,:,' --.... c" - DATE nME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED (,-2J-c;c.J ADDRESS 3/11 LCf~ fl>>/rP C,V OWNER CONTR. /fJ4~ '~." [!vO.$ .. PHONE NO. PERMIT NO. no-{ 0 S~ 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 ~E)(J(#u.D~LLlNG "Doo11i5tAiN,. o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: _ Gf~- (9'- 1'~~/6 8.,~ ' c;r 1)(' WORK SATISFACTORY, PROCEED ~ 0 ~RRECT 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 SCHEDULED ~ -) S -b l 1'M t ADDRESS ZICl/ La~ El.R- G'r(,'~ DA TE TIME OWNER CONTR. PHONE NO. . PERMIT NO. "t> -I () 5h o FOOTING o FOUNDATION o FRAMING o )NSULA TION pr FINAL o SITE INSPECTION -" n WlM o PLUMBING RI o MECH RI o WATER HOOKUP q SEWER HOOKUP ~ PLUMBING FIN o MECH IN - o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ . - I \Je.- r~ k~ &- O~ Cl~ ~~e-v- ~PA ~od.- affi- trees. fer cbIvflMeu 1- - ~t='l -~f ('~(). ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: :t).l~ Owner/Contr. CALL 447-9850 FOrJTHE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 3f9( OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING QJN&ULA TION ;1] FINAL o SITE INSPECTION COMMENTS: DATE TIME SCHEDULED 0-Z1 -a1 ~ cplc^}}L . CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL -';;J +--- ~ } bo I 0 5\0 o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL ~ GA~~ TST M ./ ~RK SATISFACTORY, PROCEED o CORRECT ION AND PROCEED o CORREC W R ,CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CAL 447- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! /NSNOTl