HomeMy WebLinkAboutBuilding Permit 03-0331
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
j- d 1-03
Main File
(Please ~ or Drint and si2Jl at bottom)
ADDRESS
3CU-, R",:-~ ~,..\of l)....J
.)
LEGAL DESCRIPTION (office use only)
LOT:::lC-BLOCK .2 ADDITION 'J,.....u.~
OWNER
(Name) t.:)...~^
(Address) 116"\5 tllClL2G
BUILDER
(Name) ~ ~
(Contact Name) --p^..l
(Address)
~'"
Xtv'
.Dr-,I,p
L Wh;~ F;t, I PERMIT NO'IJ.3 - 33 J
2. Pink City _
3. Yellow Applicant
~W
I ZO~\(Officeuse) I
s".",""
PID ~ . ~"\<' - ^'tl::Q.
(Phone) ((i..."SI ) lfoc,. -~"OO
~~
1Yt~
.551.2.2.
~!\e. ..2.f:>D
~
~
TYPE OF WORK
'Ji!New Construction
DLower Level Finish
o Misc.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
ODeck
o Fireplace
(Phone)
(Phonel9'~ )
440 - tts~ ?
~n~Buildingpermit~Awroved
Building Official ---fz-Late
OPorch
OAddition
ORe-Roofing
ORe-Siding
OUtility Connection
OAlteration
PROJECTCOSTIVALUE (excludinglandl $
'1.<;' . f'ldC)
..
$
$
$
$
$
$
$
$
/tJD.()()
J (j[) _ If/)
J..~,5V
~.(JlJ
JlISfl
31.;;lllo~
. Date
I hereby certity 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 Y'~Y-"J 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 ~f'lIAN\ ~ Tf'C
Signature ~..J
tl5ooo-o0 I
15(1, '1eJ I
h 7..3..,.Lq I
47.50 I
I
I
I
I
I
Contractor's License No.
I Park Support Fee
I SAC _
I Water Meter Size'l'/8"11'"
~' ,
I Pres,sure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
"Y7'r.76-
II. 1_ () ?
I
$J/27b.OO I
$' 2EO ()7) I
$ +s:oD I
$ II U) 0 () 0 I
$ '7{)O.OCJ
$ /, 5lJV . {/(..
$ I
r) $ ',. _~14. q4-+
I ReceJ.rJt'No. Y'YU V"'"'- I
By~l_ I
()
#
#
$
#
#
I 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
~hen signed by the City Planner constitu~~s a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must b
~ning!~ f~5 ~ ~w~.
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
Main File
~.i1(!_ . Bulldlno
(Canary - Engineering::::.
Pink - r14.III11IY
y.... c......., Dr Ih..l,.Ir... COUft.".
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
, . ;,1
/ 1);?/Yl/.:U711/';,</-::0 I,Yt.rnl-t...;/
APPLICATION RECEIVED
.:::) - ~J. ~ --3
- .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-3'9 '--~ 7 l?rtd n);Le/i/':u.A j'?/ d y) ?<?oL
I .'I (j
.-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Alni3
Date: '1-3-03
Comments: See Reverse Side for Addition::!llnfnrl1')::!tinnl
See Attachrhent~. 1) f'trarling Plan. 2) Erosion C;ontrol MellSIITf''''
"The 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."
"
---
\L-
Main File
White - Building
Canary - !;!'I!1lneering
,- ,"In'" - ,"II!1n",n~
Tht'C"lI'nlt'foflflt'I..uCounlry
BUILDING PERMIT APPLICATION OE.fARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11) hrJ/.J/rH,;...}1 --x...J A~TYJLW
....) .':-) 1- 3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for conslruction activity which is proposed at:
~9 d 7 i?.. -,/,~; .I/\/~)( 1 .7){',1
~ .f j / /~y ~\ ~.AC1 ''''yv I\('L
Accepted Accepted With Corrections /'
Denied
Reviewed By: ~ '=1~P- Date: 1/.z..)>3
Comments: ~~d,.) 'F ~~ ~ B'~
" ,
~rJ.
~
"The 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 oth~r
ordinances of the jurisdiction shall not be valid."
Main File
~hite - Bullc!li'ib
Canary - Engineering
Pink - Planning
Tht'C"pnlt'foflllp I.ab('ountry
BUILDING PERMIT APPLICATION D..EeARTMENT CHECKLIST
NAME OF APPLICANT ----1J 1 ;/Y),(VYJ1.f}/l1/Yo) ~
APPLICATION RECEIVED ~ - ~I""- ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
39027 /?O~ 1f1o/yJ?rl
Accepted
Accepted With Corrections
.--
Denied
Reviewed By:
~~
~"tJ oJ-(
.
Comments:
::t.L< ~ J..;
~~
Date:
4/Z/(13
. .
f:~
"The 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."
APr. 2, 2003 2:47PM
GENZ RVAN PLUMBING AND HEATING
N0.8301 P, 6.9
"'~ffif \'R1009'<!,
/0. 7
- "
<.) to
,~:.~
~<, 2';:i:..i.\~,~:..\}
~~t~f,~,\\ "'llfESO-<t-
~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
_ <r'l!'a.lIl: t'Vp!' or nnn[ and M20. .\t bottOm)
ADORES: qqar; IiaSDbeff11 !3dOJE;ec/
" J '--./
~ ~ ~i~ I PERMIT NO. ':::. ~ -:::231
l QcJd Appl.WIt <-.:> ...,)
ZONING (o/lh,u<l
,
LEGAL DESCRIPTION (ollice we only)
LO-a{ltLOCK b? ADDmON" )~S ~\(J u"f-R
PID
OWNER
(Name) Wensll\ann Homes (phone)
(Address) 189.5 Plaza Dr Ste 200 Eagan, MN
(Addr=l (City)
651-905-3709
55122
(Z;p Code)
APPLICANT
(N~~ Genz-Rvan Plumbin2 & Heatin2
(phone) 651-423-1144
(Address) 14745 S" R"b..rt Tr1 R"Se'!l"llnt. ''1Ij 55068
~') ,(City) (Zip Code)
(ConractPerson) _ I ~ert:L ~. _ /) (J?ho.~ 651-423-1144
y.ICN<TSIGNATlJRE:LLIlmJ./ () /YJ~ATE Lfla-- j().~
APPLICANT PLEASE COMPLETE B:ELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimate4 length of sewer line feet.
Clean out (if required) locate(j, at feet from structure.
feet.
o Cast Iron
ResidentIal sewer and water hoe connection
Sewer cOMcction only
FEE SCHEDULE
S3550 Industrial, Com ') & Multi-family 1% of Job cost wiih a $39.50 UJJDlmWO
$17.50 WamHonneetiononly $17.50
Estimated Cost $
Building Permit #
SEWER ANP WATER PERMTI'FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
.so
Building Of/Id.J
J
~~ a QI!l~~
Dare
U.1 'I
24 bour notice for aUlnspc<:ttons (9~) 4 850, fax (95Z) 44742~
PAID WITH
PU1LDING PERMIT I
Receipt No. I'
I
f{
(om.. U.. Only)
I This Application Becomes Your Building Permit When Approved
By
By
_.NII
...... 1Ii-~~1I'r
..... . llm'
.," ","
"
,.....~., , .' ,. I I
CITY OF PRIOR LAl'l'!:
SEWER AND WATER PElI!lf~:-~~
S.W, No. '3 -'3"3 \
!i~E:
',;Elwer and W;ster
.;,~ntra.cto"" :1Iust
~ '," ulqist,ared
". \~.h the clty.
APPLI '::"NT: s,1l1.t..> Eifrtf)~~ ~ E\~~ '_~'H?iiE: .2'} . ;x) 1- 3 g dD
AD:)RESS:J!I . ~ ~ki:'~c:, \~f}el.DATr:.._~L:"\~ J D.:3
..1/ -J
SIGNATURE: . ~ Br~G. PERMIT #
SI'rE ADDRESS: ~~PID'
FILL IN THE BLANKS
1. Estimated length of water service ,~I)
teet.
2. Size of water service
/ .
inch(es).
3. Location of any cr>llp1inqs f'rnm "'t!"Jct.ur..
f'!~t ;;
4.
5.
Type of sewer pipe. ABS
Estimated length of sewer line
PVCV'
, -
.sO
Cast Iron
teet.
6. Clean out (if required), located at
structure.
feet
from
==========_~_m====================m===as~c=====_====~______=~=====
This application becomes your permit when approved.
BY
DATE:
======_a:====Z;====r_====..====",=,e==~~======:==____"":===-_c=_-=_=======__zr._S_;...ll.
FEE~'
!':
$
$
:!5.CC
.50
35.50
f:::w~;, ~nd wCit.r lines conne.ctiuiJ permit..
Surcharge
'l'O'I'AL
* Fee fo::' either sewer 01- wilt.",,," individuaily is $20.00 p~,Us
$ .50 su~cbarge.
Sewer and water permits issued for new construc~<on must be
recorded on t".he buildinor it card at the tim~ of issuarlce
~o insure tti~''rl0 ~\nldnL~ sewer and water. permits 2,re
1ssued. D ~ \!D ~ IS \!J 8 PAID WITH
DAT:~ PAUl ~~t~ ?r-'+- 2003 AMOUNT PAID UIL.OING PERMIT
RECI>IPT II REC'O BY _~
,By -7/
*
16200 EJg1e Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612.1447-4230 I FAX (612) 44?-424S
A... 'R'''nlllllW\"nrtnnltv RfftW\lnvlH'
JIII.30.2003 9:45AM
GENZ RVAN PLUMBING AND HEATING
No.4399 P. 2 9
Date Rec'd
CITY OF PRlOR LAKE PLUMBING PERMIT
'l'
-:c.......
~ ~~ ~ I PERMIT NO, 0'7 - /1?'3/ I
3. Yellow ....ppijt:Ml.( ...J V-.,.),
(P1eose M! or print and SlI!.1l at bottom)
I JillDRES)1a7 (blJp~ !!J Iflh ~
(Jfffet2i J:)(dtu
ZONlNG (odlce ~",)
LEGAL DESCRIPTION (olI!ce we only)
LOT /&BLOCK. :2. JillDITION
PlD
OWNER
(Nrone) Wensmann Homes
(phone) 651-905-3709
Eagan, MN 55122
(Address) 1895 Plaza Dx
APPLICANT
(Nrone) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robext Trl Rosemount. MN
(Address) (City)
(Contact POlSon) ~fl f2J.sti &t L( (phone)
ri~)'~/)
(Phone) 651-423-1144
55068
(Zip Code)
6.; 1-421-1144
APPLICANT SIGNATURE
DATE
1-~-o'6
I Quantity
I ;;J.
I
I J
I 4
f I
1:-
I I
~ ">
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I Type of Fixture
I Bath Tub with or without shower I Rough-ins
I Dishwasher I Water Heater
Floor Drain I I Water Soflner
1 Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I I Backflow Assembly
I Sinks I Bacldlow Assembly Test
I Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
FEE SCHEDULE
Indu""a1, Commercial &. Multi-family 1 % of job cost wIth a $39.50 minimum Residential, New One & Two-Family $99 SO
Residential, Additions & Altm.tiO:lS $3950
(Offi.. u.. Only)
EstImated Cost $
Building p"""it II
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
~LO'NG PERMIT
This AppliC>ltion Becomes Your Building Permit When Approved
...--..0-
Building .official
~'!1 r Receipt No
Da.. L.,~jUl 3 0 2003 ~ By
24 hour notlce for aUlnspcctions (95:1) 447. 1850, fax (952) 447-4245
By
~
f~~
+'^'NE.a<'"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFlREPLACE PERMIT
3'3/
~~. I PERMIT NO. 3- 33..J...;
"'pph'=Ull r
I. '1111{.
L Chon
J. 'tcllvw
tP1C3.SC cY2t::' or Pr1n[ and sili:D 3.t bottom)
ADDRESS
?H'dr"J ~~M
LEGAL DESCRIPTION (office lUe only)
LOT
BLOCK
ADDITION
OWNER
(Name) W.9~ ~ .T~_
, .
(Address) 1~95 p~: it.:vn... Wgom (Y"\f\
Date Re
ZO~ING eolfieeu,,) i
. I
I
J
PID
(Phone) ~J- Y'O(" - C/(,IOO
SS/dd-
APPLICANT . I
(Name:O.utrml.o-L:.. r-rl:VL.O.,O~ ['r-LJ"L) + s..,-,,-,:;c,O~ (Phone) '1(c3-.3i'5-750C i
(Address1C+:lIO l.J\JCml 71.n OI-f'_C, (lYLrd~_Ql.""-- R:..Jt rnnS.<::;t.iYS I
. .: ,Cl\ddrcss)' 0 (City) (Zip Code) I'
\ ,I' II 'J
(Contacr Person) ~ r,<-";'.!-I. (phone) '7LD3-3i5-75iL> I
._1/ - II '" J
. APPLICANT SIGNATURE '71 .I.LL' il.~ ,\.!;-""Q.J-o.....j DATE
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL F,UEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
'lYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Sr.am
DO...vi!}' 0 Hot Waw
o Mechanical 0 !ladiatlon
OAir Colldirioning 0 Special Devices
OV.nt. System 0 Other Devices
fIREPLACE ~KE AND MODEL ~_~C).~j..) .___
FEE SCHEDULE
w. orjob cost Residential, au Fireplac.
539,50 minimum
S99_50
S64.50
tnJustrial. Commercial &. Multi~Famil)'
R::sidential. Heating It. Ale (New Construction)
Residential. Heating Only (New Construction)
RC'Sidential. Additions'" Alt....tions
Residential. AC Only
Estimated Cost S
Building Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50 ~
/l If> I
I Paid ~T
I Date x-I;..--3
IOffice: Use Only)
This Application Becomes Your Building P.rmit When Approved
DlIllding Official
V_te
24 hoar notice for.1I in,pectio", (952) 447-9850, fax (952) 447-4245
PLEASE NOTE:
Air Condition.r Units
Cannot Encroaclr infO
R.quired Side Yard
Setbacks
S39.50
53950
539.50
Receipt No.
Byr
coollJ
X31aI~ 3~VijV~ ~ILVWOLnV
~OLOSIC~19 XVd 6t:Cl CO/gO/gO
Jul.30. 2003 9:46AM
GENZ RVAN PLUMBING AND HEATING
No.4399 P. 6 1
CITY OF PRIOR LAKE
HEA TING/~ CONDITIONINGIFlREPLACE PERMIT
Date Rec'd
~.<
4'."F
.t~r'"
''''''''
. "'-
J. YeUow
:~..... f PERMIT NO. Os -033/ J
LEGAL DESCRIPTION (ollice use OIl!y)
LOT.?6-BLOCK ~ ADDITION
r)'1east ""'~ or OIiI1t and """ .. bouoml
ADDKESS () L ;/1//
\~8'1. RIL~ I<Mtj& KiA .
JrfffJ2--!; J~)
I ZONlNG (affic....)
PID
OWNER
(N'ame) tJ""Tl~1'I\;:a"n 'R'l"'ft'\e.~
(Phonr:) < < 1 _O.G5.C.3.~"O
(Address) 1895 Plaza Dr Ste 200
Eaga~. MN 55122
APPLICANT
(Name) Genz-Rya" P1 ..m1U,n" ~ 1'l".':1n"
(Address) 14745 So Robert Trl
(ContaCt Person) _C.h!ZfSJ1~J' -t
. (l
Al'PLICANT SlGNATUR:E ~~.1 J~ ///J
(phone) 6,1-47,-111.,<
Rosemount, MN
(CIty)
55068
(Zip Code)
(phone)
DATE
h"_1.?\._11L~h
7--M-rJ3
~
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPL~CEM:E:NT 0 ALTERATIONS
FURNACEMAKEANDMODEL [If/J(}~'t 64f2JJd:!-'3l/fJ~~ FUEL nl1r~rTS
FLUE SIZE RETURN OPENINGS ~ INPUT 70'ornJ OU'll'UT . otJD
- . ,
TYPE OF SYSTEM HEATING OR POWER PLANT
~ann Air Plants 0 SteoIll
OGravity 0 Hot Wmr
o Mechanical 0 lWliarion
~ir Conditioning 0 Special Devices
OVem. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial. CommerCIal &. Multi-Family 1% .fJob cost Residentla.l, Gas Fireplace
$39 SO minimum
RCOldaltioJ. Heabng '" NC (I'Iew Construction) $99.50 Residential, Additions'" Alt=tions
RcidcntioJ, Heating Only (New Construction) $64.50 Residential, AC Only
$3950
$39.50
$39.50
Estimated Cost $
Building PeJ:IDil I/.
HEAWG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
PAID WITH
EltJILDING PERMIT
(r:~" v", Only)
I . ,..iJ AppliutioD Becomes Your Building PerlDit When Approved
lIuijdiD8 OtIi<ial
D...
'~kt'@ [ 0 \Yi ~ ]
UUoa!JUL 3 0 ZUUj I
Receipt No.
By _
14 hour notice for.1I iD~poctiO'" (932) 447. !l\19. tax ('_2) .u7-4?'"
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ~-'l ~ D;~rr ,<he l?d
NATURE OF WORK .
USE OF BUILDING
PERMIT NO. . pATE ISSUED
CONTRACTOR ~ PHONE 1,5/- L/O'- '7"f'~a
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT ~S BY SEPARATE DOCUMENT
_ I V~\",>s vv(l 'r 1L{-U7 INSPECTOR DATE
'FOOTING \Jlu'~ 4. u",",l,c;. I CV~ I Go -J?'
, FOUNDATION (Prior to Backfill) 4.....,1+ ~ fj) Go ..a:'J I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
tLI2Z- PJj ROUGH - INS
SEWER I WATER I SEPTIC r"/./ ~ yo
FRAMING VVy''/
INSULATION ~.,u
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST t'\{~. J...Ur..J( (tV
.
COVER NO WORK UNTIL ABOVE HAS BEEN .SIGNED
I I
FINALS
p[., 10. "l Z <f!J
~~
DEPARTMENT OF Main File
BUJLDlAG AND INSPECTION
,
'f>-Iq'~
~/;')O .Ie3
f//t .
vW"
rz,y/
8 -I'e
7r/1-d)
'ir-(C(rr(;;
1
GRADING (Prior to Sodding)
BUILDING"'.
ELECTRICAL
PLUMBING
HEATING
DO NOT
r/
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
Ql~rtifitaf~ uf Ql}tmpantl!
CITY OF PRIOR LAKE
@rparfmrnf nf ~uilbing J/nsprdinn
ifk'inal Permitted
D Conditional e.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: .
Use Classification
SINGLE FAMILY
Bldg. Permit No.
03-0331
Occupancy Type
R3
Type Construction
VN
. Fire Zone
N/A
_ Zoning District
rl
Legal Description L26, B2, JEFFERS SOUTH
Owner of Building Site Address 3927 RASPBERRY RIDGE ROAD NW
Cnntractor's Name & Address WENSMANN 1j0MES, 1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 551,22
ROBERT B~l~in:~~~i~INS ~'j . City Planner DON RYE
Date: \,. \\ . \j~ \ Date:
POST IN CONSPICUOUS PLACE
,
~' '" i :."'.~..." ~'::f,;;1~~,'~,-r,;,' ,>_' ...,.. ~;,n ;..j!:~l:;...~;, 1.i.';~,~~'~;l~;:"',~;d'~\:~~~:1,;1' ,';:,;,':;;:i~ :;i,;~",;;;.~;,' ,k,:(,~.":,i1 'i.!-;.d;"'; : ",~:'J. -~/;.;'~j,;;"i:,):i ~_:;.k>;,J~~;i:,., 'i>': ~~,' 'l'(C::,';,,,-i.Jl~y".\~a,,,'k:...~.r..b.Aj).,,;,,,,:;:,,. "', 'Iii
DATE TIllE
CITY OF PRIOR LAKE C'}/u;103
INSPECll0N NOTICE SCHEDULED
ADDRESS ~2.-7
~ ~
OWNER CONTR.
PHONE NO. PERMIT NO. ~,::;' 51
lJ FOOTING lJ PLUMBING RI lJ EXlGRADlFILUNG
lJ FOUNDATION lJ MECH RI lJ COMPLAINT
lJ FRAMING lJ WATER HOOKUP lJ FIREPLACE RI
lJ INSULATION lJ SEWER HOOKUP .i.! FIREPLACE FINAL
~ FINAL lJ PLUMBING FINAL lJ GASUNE AIR TST
lJ SITE INSPECTION ? MECH FINAL lJ
COMMENTS:
-(, ~~~"t.~
-l~, tloANr~JO ~ h'M~~,
_ ~"~~1t~~ CJ.tfJ.,
/
.~~~~
(' .0 C1..L P':~V~J ~ ,
~)/;v1A ~. -1A- r+AAM 1M ~
j2:K SATISFACTORY, PROCEED
~kRECTACTlONANDPROCEED:>
Cl WORK~' CALL I"'vft. REIU8P'1i:s:fIQ~1 all:cna~ r.:n~aING
Inspector. ~ Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL llEALTH & SAFETYI
I1IS1IOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -1f$J J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
~ M;~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
PLUMBING FINAL
MECH FINAL
COMMENTS: r--.
~ 4,.'x'hJNJ,a
l' L.;~~r ~r-J;~
DATE nilE
f=1.lL Jp: (;)7)
<,- 33(
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
OR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
......n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DA TIE TIllE
JdJJ.I23
ADDRESS 1::,c,"t'1 ~N-,Nfl.fJ..'< (\-s.J\(y ~i)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(;; ~ilt.. - 01/...
'h"1'2....;, -'/....u~ (LJI'{L., c:.."'fO"P
O1'Hf.~ ~ - <J'L
l'rz.6E.S \0.:)0 ':>O()
OS -'3~ I
o "Y~""WNG
o ~irT
[] FIREPLACE RI
[] FIREPLACE FINAL
o GASUNE AIR TST
o
~ WORK SATISFACTORY, PROCEED
~CORRECTAcnONANDPROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector.~ ._.Jh A I OWner/Contr:
CA~L-:t:::; ~ NEXT INSPECTION :u HOURS IN ADVANCE.
1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSMm