HomeMy WebLinkAboutBuilding Permit 03-0794
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Da
5:/(,
q'lease ~ or Print and sim at bottom)
ADDRESS
/5J,Jb F~hrw,4y l..Je/:)hts ~ll~ol
I, White File I PERMIT NO
'P;,k Chy . OI?_O~qJ
J. Yellow Applicant ~ " q--
I ZONING(officeuse)
I€-I
LEGAL DESCRIPTION (ollice use only)
LOT ~OaLOCK 0\ ADDITION W e. 71 S IYI n n 11 ls t.
PIDZ5-37(, - oz.4-~O
OWNER
(Name) W~l'l S M 'BY! r1
(Address) /815- P LII z.Fl
Ho J.tI e.5
fl" oJe EA,j AyI; fhn
(Phone)
(p51-4o~-lj400
BUILDER
(Name)
(Contact Name)
(Address)
"iAf'he..
fl1 j l!. k 1-1 e.. I L JfI fl yI
(Phone) ~)Z-3/;;l1-7"~q
(Phone)
TYPE OF WORK
~ New Construction
OLower Level Finish
oDeck oPorch ORe-Roofing
I ~ireplace oAddition oAlteration
PROJECfCOSTIVALUE (excluding land) $
ORe-Siding
oUtility Connection
o Misc.
I hereby certifY that I bave 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 loca11aws 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
;term:;L::11~Tf~ns /4S?? S-IS-03
U Signature Contractor's License No. Date
I Permit Valuation I /q 1) ()0D I I Park Support Fee # $ 'il50.-
I Permit Fee I $ 15D3.'3-.$f' I SAC # $ I~ ...,~e(.-
I Plan Check Fee I $ c;r] '7.1 'i( I Water Meter Size 5/8".V $ , 300.-
, ,
I State Surcharge 1$ Q. c:; ",llD I Pressure Reducer I II $ '70, -
I Penalty 1$ I I City SAC and WAC # - $ 70<J.-
I Plumbing Permit Fee I $ 100../00 I I Water Tower Fee # ~$ /. ::J..CJl)- -
I Mechanical Permit Fee I $ 1 [)(?],() l> I I Builder's Deposit 1$ "j J:f /)().- I
I Sewer & Water Permit Fee I $ 3. t)J..<:)1) I I Other I $ . I
I Gas Fireplace Permit Fee I $ '1/),00 I I TOTAL DUE I $ ~?i/~Jb ~
This Application Becomes Your Building Permit When Approved I Paid ~.[7 I Recei{No. 99(',1) f
~~ ~h~ I Date .1 O~ B'f(' .
, ~ 0
Building Ollicial Date
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 .
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~ t;/rltJ3 Ad/aLe ..~/.n~
Planning Director , 'bate Special Condi~ns, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
/'
~\
<- White - Buildi"lP
Canary - Engineering
Pink - Planning
Tht' ("'"In of Ih, I....... Counlry
BUILDING PERMIT APPLICATION OEPARTNlENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\AlbN5MAN rJ
5./((;. Q3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/521(0 FAIR..WAV HIs. f2.1)
f
Accepted
Denied
Accepted With Corrections
---
Reviewed By:
~ -:;~;LJ
If3d /2L/ Af'~-~
Date:
~h~:?
I
Comments:
"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."
"
.-
-~\
Th.. C"..nll'rnf Ih, ".kir{'ounlry
White . Building
Canary - ineering
(Pink - Plannlnq
BUILDING PERMIT APPLICATION DEPARTMENT C"'IiCKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
~ \/ t; (\)5t'1 ANN
5./&.63
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
152 I (0 F Ii II~ W 1-\ 1./ HIs. Qj).
f
Accepted
Denied
Accepted With Corrections ~
Reviewed By: ~ ;:Z~p
Comments: ~ -.14.- rl / 17
. -.1 tJ fJ
~ ~. .->f- ~
~~
Date: ~h/o: j>
,
/iz:;(~ ~ ~
~
wA-J-
...a. ~, . ( a-J
o
-:
"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."
TllIf ('",IfF of 1M 1..,1It COD..I..,.
White - Building.
<-:'~::". :-~la~i.I;'~ ~ "~'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHEC~L1ST
v\) (; {Vc,h A !\J rJ
5./&.03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed tl'1e building permit
application for construction activity which is proposed at:
/S 2 I (0 FA f/2.. VV A V H~s. I2D.
{
Accepted >(
Accepted With Corrections
Denied
Reviewed By: ~_ Date:
Comments: See Rev.erse Sij;je for Additional Information!
Driveway Must Have A Concrete Approach
See Attachment.<;. I) ('TTa~in~ {llan, 2) Erosion Control Measures
'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."
~ JV1>e ortltUlt and silPJl at~o""ml
ADDRESS
_j611~Jp, /2)JVa_:f 1f~it/f/l1fs !ld.
LEGAL DESCRlPTION (otIi<e... only) r~.
LOT 2fj BLOCK ~ ADDITION TlfA J01t)aJA
. J
Aug.26. 2003 1:53PM
GENZ RVAN PLUMBING AND HEATING
No.8735 P. 3/4
Date Rec'd
CITY OFPIDORLUffi PLUMBmGPEmfiT
1 BN. VIle
2.Ge.ld CIty
J. y""",,, Applium.
I PERMIT NO. 3 - (ql.j.(
I I ZONING (oJ5ceU")
H-eja hM
J .
PID
OWNER
(N~e) Wensmann Homes
(phone) 651-905-3709
(Addre~) 1895 Plaza Dr
Eagan, MN 55122
APPLICANT
(N,mo' Genz-Ryan Plumbing & Heati"g
(phone) 651-423-1144
(Ad~) 14745 So Robert Trl Rosemount. MN
(Address) r_ (City)
(Contact Person) --.Cn I2..-t:St/ r?'r {( S _ (phone) 651-423-1144
APPUCANTSIGNA~ (Jt ,(Af/Ii;) '* fl'/\ DATE _f--d-{/J-IJ,~
I
I
I
I
I
I
I
I
I
Quantity
;:,J.
i
J
4
J
i
I
...x
55068
(Zip Code)
APPLICANT PLEASE COM:PLETE BELOW
I Type of FiJ::ture I Quantity I Type ofFi::rture
Bath Tub with or without shower I ~ -:5 I Rough-ins
I Dishwasher I I Water Heater
i Floor Drain I 12. - r I Water Somer
1 Lavatory (llatbro011l Sink) I. I I Stand Pipe (Washing ,Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I I Backflow Assembly
I Sinks I I BackfJow Assembly Test
I Bar Sink I I Lawn Sprinkler
I Water Closet (Toilet) I Other
FEESCBEDULE
lndnstnal, Commercial &: MultJ.fanuly 1% of job cost with a $39.50 m~imum ResldennaJ, New One &: Two-Family $99.50
Residential, AdditiOlls &: Alterations $39.50
Estimated Cost $
Building Permit 1/
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERl\fiT FEE $
50
!JUII AI)"/l) u-.
lAIr., ~:..' I,.,
- oJ::1:l
Receipt No. ~
By ~
f/
(OtIlee Us. Only)
I Tilis Application Becomes YOur Building Permit WheuApproYed
BujldingOllicial
I Paid t
DolO ~~ ~ U Jrrto IJ] ~ ~\.
24 hour noti._ for _/I ilUpection. (9 B~Js;U@P,~~l!I~7 ~5
By
2003 1 :53PM GENZ RVAN PLUMBING AND HEATING N0.8735 P. 4/4
CITY OF PRIOR LAKE . Date Rec'a
HEATING/AIR CONDlTlONlNGIFIREPLACE PERMlT
~: =. J:.,." f PERMIT NO. 3 - 7 <fL/ I
q'1we !YJ!e Of milIl ""d 5iRn at bouDml
ADDRESS ,
151JI~Waf~ JUl.
LEGAL DESCRIPTION (office we onIYi _
LOT1J)BLOCK 1. ADDITION k<.1 R/Wttf1 tff) PI h!r
ZONJNG(olli.c....)
PID
OWNER
~a~) U~n~m~"" ~"~O~
(phone) 651 Qn~_~7n"
Eagan, MN 55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
(Name) Genz-Rv>>n Plllmh'~:: ". lie.aili:: (phone) h<;1_4?1_111.4
(Address) 14745 So Robert Trl Rosemount, MN 55068
(Contact Person) ~ 1G/;r:trrS) m./flr... d (phone) (Ci:)<;1_4'~_11"" (Zip~)
APPLlCANTSIGNA1'tJR:a]'/ J u4f?/ -j:!Ld'..LLJ DATE t/ ;2!/J":"/)?;
. APPLlCANT PLEASE COMPLETE BELOW
WEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAK:EAtIo-MODEL 11 nnoK bdltJ!J..l}/5 _ FUEL nl'ir...::6;J!7SJ
FLUE SIZE REnJRN OPENINGS P'/ INPUT 1r75;(j J) () OtITPUT LI5,.fll7f)
TYPE OF SYSTEM HEAlThTG OR Pv W J:.J:<..PLANT
~~A~~~U OS~
-" :JGravity 0 Hot Wakr
:Jj\'lechanicaJ 0 Radl8tJon
3Air Cooditioning 0 Special Devices
..JVenL System 0 Other DC"Ilees
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
IndusniaJ. Commcr<ial 8t. Multi-family
FEE SCHEDULE
I % of Job cost Residential, (las FiIoplace
$3950 minimum
$99.50 Residential, Additions 8t. Alterations
$64.50 Residential, AC Only
$39.50
Residel?,tial, Heating & AJC (New ConstrocUon)
ROSldeotial, f1eating Only (Nc:w Construotion)
$3950
$39.50
Estimated Cost $
Building Pennit #
$
$
$
r:;. ;.::.... B~.m. Y..,..._ P_ "'"" A'...... 1)~,!]i. ~ n m [1
,U ~ 2 7 ZQQ3
DAte 1
24 bour DOtice for aU" inspections (952) ~~!i 8!. 1 f.l>- fJ$} 111'wI,;;'~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
.. PAIO~
aUILDIN, .,.,.,.,
G PERMIT'
l'_ R.eceiptNo.
j By
,.,
flr
V
Building OfficjaJ
--...
......... . .a~ _av
... - llIn
CrrY OP PRIOR u.m S.W.
SEWER AlfD WATER .,..; ,,,T
.0_ ...,,: Sewer and Water
contractors must
be registered
with the city.
APPLICAN'l': S.&G:tt PHONE: ~~..a'Y-.y~
::::~: ~~~~: .,~=~:-01
FILL IN BLANJ(S
1. Est.u.ated length of water service 5"d feet.
/#1
2. Size of vater sexvice inch(es) .
3. Location of any couplings from structure feet.
4. Type of sewer pipe. ABS pvc-K Cast Iron
5. Estimated length of sewer line ~tJ feet.
6. Clean out (if required), located at feet from
structure.
~n1. app!1cat1on bec~.s your perait when approved.
BY
DATE:
====-
-- --==~=-=-----
-~-,- _ ------===--=-----
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
"'':"''';i"9 issued for new construction must be
~ fjh~ \ij/u~l!d~n'1 permit card at the time of ~ssuance
~ltt nCl ''1'~l1cate sewer and water perm 1 ts are
JUL J 5 Z003 Ii
L_I.
i
AMOUNT PAID
RECEIPT I By
--- - (
REC'O BY
J)~IO V"'TH
SOloiNG PelMJT
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
.in J:nn.1 r\nnnftnn;hI J:nlnlnv~
Aug.26. 2003 1 :52PM
GEN2 RVAN PLUMBING AND HEATING
No.8735 P. 2/4
.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
: ~w 2~ I PERMIT NO. 3 -..-y:. / I
J, (Jr,)J4 Anlk:w f7 ~
(!'1=e ~e or prlDt and .II';!! at botlllm)
ADDRESS
I fJ'U (p fzu ~IIV(JUA", Ife 1a r, is {2d.
() I
LEGAL DESCR1P'I10N (office we 0Jl1y)
WT 1J.JaLOCX ~ ADDITION ~ /}2{Nt1JA. 1f.e0t /ILk
tJ
ZONING (-'usc)
PID
OWNER
(Namel, WenS1Il8.nn Homes
(phone) 651-905-3709
(Address) 1895 Plaza Dr Ste 200
(Address)
Eagan, !iN
(City)
55122
(Zip Code)
APPLICANT
(Name) Genz-Rvan Pl.wnbin" & Heatine
(phone:) 651-423-1144
(Addre~) 14745 So Robett T~l
() 11\ (.'Mres.,) -
(Contact Person) -VV ~ ~(<5 t, '1J .It S
'T.ICANTSIGNATUREJ~il J~)~ P 1./"1
'R('HH~'ft'lOnf' r.. ~.,.,.
(City)
'i'iI"!~R.
(Zip Code)
(phone) 651-423-1.J.44
DATE f(....,::}( /J--00-
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
'Clean out (if required) located at feet frolll structure.
feet.
o Cast Iron
FEE SCHEDULE
Rcsldentlal sewer and water line connection $35..50 Industrial, Com'l & Multi-fanuly 1% of job cost with a $39.50 rolllimwn
Sewer connc<:tion OJlly $17.50 Water connection only $1750
Estimated Cost $
Budding Permit # _
SEWER AND WATER PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FE:E
$
$
$
IJUll. P"fID ~
.50 DING '1~
PI2~"",.,.
(Olliee Us. Only)
"'" ""'...... '~.oY =..- ,- WOm Appnw.' II K@ ~ IJ r-N. I
__ - lliJ."'_71~ fly'" fj I
24 hour notiee for .lIlns~Uons (952) 4479850, fax (JIS2) 447-424~ .1
~y--
"-
FIRESIDE CORNER
#1999 P.010
CITY OF P
HEATING/AIR CONDlTI
IOR LAKE
GIFIREPJJACE PERMIT
Date Rcc'd
q'Jeale J11I~ or mi.Dt ID' IriJEII..t l)Quom}
ADDRESS
FIRESIDg~
HEARTH6-HOMEN
15216 F ArRWA Y !ffiIGHTS ROAD
Ji... I PERMIT NO. 3 - '741.( I
I ZONING (om", UYo) I
U:GAJ. DESCRIPTION (ollice u.. only)
LOT BLOCK
ADDITION
PID
I OWNER
(Name
Wl'NSMANN HOMES
(Phone)
(Address)
APPUCANT
(Name) ALLIED FIRl?SIDl? O~A FIRF.~IDP.J:lF..AlW:;/AHOM1;
(phone)
651.633.'561
(Address)
2700 NORTH FAlRVIEW AVENUE
(Addm.)
ROSEVlLL)':
(City)
55113_
(Zip Code)
(O:>ntact Person)
BRENDA HUSTON
(phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSrON
DATE
8/19/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRIJCTlON 0 REPLACEMENT 0 AL TERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM BEATING OR POWER PLANT
Dw:um Air Plonts
DGrnvHy
o Mechonical
DAir Condil.ioning
OVen!. System
o Steam
o Hot W.ter
o Radiation
o Special Device.
o Olhcr Dcvice.
PLEASE NOTE:
Air Condition..r Unil~
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLD 6DOOTR.oAK
Indus"i..I, Commercill k Multi-Family
FEE SCHEDULE
1% orjob cost Rcsident;91. G$S Fireploee
$39.50 minimum
599.50 Residential, Additions & Alterations
$64.50 ResidenUllI, AC Only
$39.50
$39.50
$39.50
Residentisl, Hooting & NC (New Construelion)
ResidenU.I. Heoting Only (New ConslruCl.lon)
Building Permit H
.l~"I~ I~ Ii' II \~J~ ~\
(om..u..o.ly) II AUG 2 7 2003 j 1\
This Application S.comos Your Building PermIt. W.hcn.ADDroxe. d . . paltl d ~. Receipt No. I
. A ltt!flnll &. HtI",#! Jec1r1 '. 'OBes7l"ran.
~
~~~. Builder Di"i.,},L :.::..-. By bYi~.>1
~l "ulldlne O,!!~ F.irv;ew Avenu. Norm RoM..""l.. MN 55113 *hOI efi~ 1_r.'~_,~Ii.Lr... r.<L ;1,.RR~4~!
RUIL,;..i "..~. 3850 West r.qi~mI~ Jo1lc~'fotp.~PI,\'lp~.WaM~~;js1t.-~~q~lM!!h252-890-5408 I ~o.Jlt'M~.'-b.'.'i'i
WW'N,nrMfdt!lItUom MN t.:"JlIr_ll,,.r I.l~t!nlllt. %I)IKIMI ,
Estimated COSI $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
8li/1.. ,o-"/D Jrfh....
D/IVG :"~''''
,o~I1""17"
PRIOR LAKE
INSP,ECTION RECORD
SITE ADDRESS J52.iJ!, Fi4/A.llJAr M · iA
NATURE OF WORK ~
USE OF BUILDING .~.
PERMIT NO. (J.:3-() 7 DATE ISSUED
CONTRACTOR ~ PHONE
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
I FOOTING J
I FOUNDATION (Prior to Backfill) I ~ "Lr 1-:1, --::.) i
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~ g ~ '/, "
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ J) ~~ ~ y
HEATING (If required) ~. '
FIREPLACE 'I 1/ - /7
GAS LINE AIR TESTf)J" I /I-D
COVER NO WORK UNTIL ABOVE HAl! BEEN SIGNED
~ I I/lff I 10./ J.; /rt6
L-~o/f'? \/F~NALS
GRADING (Prior to Sodding) ~.- _ ~(tf' s_.t_ 0 r
BUILDING ~I d-z> .15- v-ov' / & ,rb 7:;
ELECTRICAL' .
PLUMBING 1/ ~ ~h3
HEATING Jf I
DO NOT 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 apprQved. On buildings and additions
where no service cabinet is available. card shall be piaced near main entrance.
"
FOR ALL INSPECTIONS (952) 447-9850
".
Qlrdinratr of @rrupanqz
CITY OF PRIOR LAKE
~tpadm~ttt of ~uil~ittg Jfttsp~diott
pinal 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:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
03-0794
Occupancy Type _ R3
Type Construction
VN
Fire Zone
N/A
Zoning District _ Rl
Legal Description _ L20, B2, WENSMANN FIRST
Owner of Building
Site Address 15216 FAIRWAY HEIGHTS ROAD
1895 PLAZA DRIVE, SUITE 200, EAGAN, MN
City Planne' DON RYE
Cootractor', Name & Address WEN~ HOMES,
ROBERT D. HUTCHIM
~ filding "Cia! r
.
Date:
(
'-...
Date:
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7/""1
ADDRESS -L...::"? I et) ~"L'''''' ~
. CONTR. r ,
OWNER
PHONE NO. PERMIT NO. <r - {if'!
.
o FOOTING o PLUMBING RI o EXlGRADlFILUNG
o FOUNDATION o MECH Rl o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE Rl
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING ANAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
1O.k -\" (. \'5~4~\;~
~ WORK SATISFACTORY, PROCEED
/0 CORRE CTrON AND PROCEED
o CORR CT , CALL FOR REINSPECTION BEFORE COVERING
OwnerlContr.
.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMEN1S ARE FOR YOUR PERSONAL HEllLTH & SAFETY!
UUNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~
OWNER
PHONE NO.
D FOOTING
D FOUNOATION
D FRAMING
D INSULATION
)II: FINAL
D SITE INSPECTION
COMMENTS:
1.~.J....'n
SCHEDULED
.(~
I
CONTR.
PERMIT NO.
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
DATE nME
~-'2l. -otf
i:k-.l ~
, ..
'3~'1'f'f
D EXlGRADlFILUNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
2~ ~nllUbQ... ,.{.bit'll
,~
JtJti:Jy.r- ~ <.j!JO '~~r (,. ./-1-
3..LJ7....J) C,V- 11 '" -~"'~
4 ~ 7J.8~t.
~
2~~~
(9--;;t b *
10-
x -j-I) y'
D WORK SATISFACTORY, PROCEED
....0 CO CT ACTION AND PROCEED
Xc R WORK, CALL FOR REINSPECTION BEFORE COVERING
InoP<' tOr. I OWnerlContr.
dt. ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETYI
"""'"'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS l52/u
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA liON
t& FINAL
o SITE INSPECTION
SCHEDULED
1=;......"'. - ~
a -
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
DATE nME
ll- f"l-o,- .:2 '.10
'3 - 711
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
Jlf.. GASLJNE AIR TST
o ~~
COII!IMENTS:
I. ~.."Q. "- ~,,;...\..,~ 7"~ (l.......~ \
'2.. Fiv.a.l G....J..... IIA.Sf"'~ ""'(..... ~..\-
jc ~- t-H..Q ~::.. ~~ ~~ ~1A- a... k~
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-K S-. ~'~M1~ ~P'"~ \~~ 4::h \~f'a~ltIA--
"'k~. ~"/-.L ~.... ~t-
.,
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.......
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~K' CALL FOR REINSPECTION BEFORE COVERING
Inspector. ONner/Contr.
CALL: -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~ REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SltFETYI
lNSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
j,('UiJJ
~
~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
A- 0 SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
~
I~
~~7().;t.j
o EX/GRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
iWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~R~, C~LL FOR REINSPECTION BEFORE COVERING
Inspector. ~ OwnerlContr.
CALL "7-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCI'~
IN3NOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 5"-t 'OS-
ADDRESS Ic~~ ~/~ lJ'e..t' J1..:&!, tJ.
OWNER CONTR. WYl'/'slO1kiln
c.\TE nIlE
PHONE NO.
PERMIT NO.
_h?"- ?L'I
~IWNG
"Ci .~tjMPiAiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,:;1ilfINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
{pl'c,p./., - (;) t<..
Culb &;<- (10 f--
V WORK SATISFACTORY, PROCEED
'~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ - Owner/Contr.
CALL 0&47-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""'"'