HomeMy WebLinkAboutBuilding Permit 00-0737
DATE RECEIVED
0,8'00
t~p(Jd
LOT
BLOCK
ADDITION
4. OWNER
(Name)
~
(Name)
(Address)
6. BUILDER
(Name)
o ~~r
7. PE O~~~)
New Cons on n
Chimney 0 $C.
8. PROPERTY AREA OR ACRES
Sq. Ft.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
12. NO. OF STORIES
~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
t.
1./,4/.
Z.
312LJ
PID Z5-.~~7-()t.jq-O
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
~G-(Bce
(Address) 'A/3'/- / (Tel. No) ,h..
pO. tJ",?, WI<? (,S1*~-3
"e.<J ~ u6 55044-
Septic
Addition 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Finish Attic 0
9. PROPERTY DIMENSIONS
17. COMPLETION DATE
10. CULVERT SIZE
Width
Depth
No
Yes
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uilding ~cial ca voke ~?;t for j cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pe~ ~ed i~O'
Signature License No. Da~
Z50. 00
Sewer & Water Connection Fee ...........$ /Zo(). DO
'100.00
Water Tap ................................... $
Builders Deposit ............................ $ /50(). 00
Other ......................................... $
Paid T8, o;;qi;>i(;...~~~~i~;~O$ ~lJ,t~
~tHJI} By ~J)bt
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
sig t lanner constitutes a temporary Certi cate of Zoning complian nd allows truction to commence. lor occupanc Certificate f Occ ancy must be issued.
-~
SETBACKS: Required
Actual
Front
BUJLDING DEPARTMENT VALUATION
USE OF BUILDING
s'FD
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
PJan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Bad< Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION J 7 tJ, 000. 00 PLOT PLAN 0
-
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
1350 DO
/I 06. 00
1.731.Z5
J~/Z'1. Zl
-
/36.00
/00.00
/00.00
.36.50
4-0.00
~b
~.I
Pressure Reducer .......................... $
Meter Hom ... .... .... ........................ $
7 n ()()
Water Meter ................................. $
Water Tower Fee ........................... $
u.nding ~:tr;i~~t!r~~
Issued
24 hour notice for all inspections (952) 447-9850
~~
DO-0757
The (.,,"Ie-ror lhe l..ke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
Me-N6ARN1
s.e.QO
1
ROBeR,
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: vJ
/5/(02.. WOoD DUCK TR N
Accepted
Accepted With Corrections x....
Deo;'" ~
Reviewed By: G _
Comments:
Ja,.,,.,Q 4-tt a;f~.a~
Date: S - (B -2PJe::>c:::>
IJJ) ~ 6
"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."
OD' 0137
Th~ Cfentn of Ih. L.lue Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
[\ I c- r~ E !-\ 1<" f'\ 'vj
,- (.' {,
c.t:.(,u
k'C [~Ek \
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicatiOj I~ 7~trzon alc:vi2 ~h~ is p{~;~~e~ ~ -or 1<- N vJ
Accepted
Accepted With Corrections
v-
Denied
Reviewed By: ~4~
Comments:
Date: g < Ie.{ . c90
-t~~~~,~~~'~~
"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,"
~%
~~,
aJ-137
The C...nlrrof Ih",I,.k... Country
White - Building
Canary - Enginet!ring
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tvl C- N 5 A f<N 1
O. s.oo
R06ER\
The Building" EnginE1ering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: vJ
15/02- VJOoD DUCK -/ K N
Accepted /
Accepted With Corrections
:x
Denied
Reviewed By: Cr-i ('''Jf'I~." Date:
Comments: M.k, SW( -fI...-I:: -11., dr''''~WY
erc~d I~% ..r,f;e.
See. -H.t' revu'Se side- .-k,,.
in.fo o'm 0.. f,'t) rt .
e /;,,/Ob
/ (
/Hf .Jttlt
o..Jd i.J.i l'lJ'l--fL.
Set". 0. Ha t!.hMe,,.b ~ t. Fi"ClI GrClk.J:I'\s.pec.+iCo\. ::I:"rI.~~<WI,';) c.,o.J.~ p~
'3. E rb~i_ C cl\.~1 MeGL>lAf~ &..t: E"'ClS.i~ Lo~+-n,1 f>1ca.-
"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."
V>/
OCT-19-00 10:38 PM
P.01
1'" t f/'l'~~ .., IfrIo I ~'" c."'Ul1lrJ
I. It\K "'llt
CITY OF PRIOR LAKE ~'=.. ~~1l''''
PLUMBING PERMIT # -.2._- ~ 3.1
AflllllnAI1I: a,,; Phon.: 9S"..;l' l/1b9:f:..?!fj
Addrl!ss:d.'I/'I9. ~,s.~vie...u ~~....t.ef_'f;!:li...U;e JWlf\ ~ i:::l'
Signature; (10 ___._ __ -'- ~~
L.egaIOescrlpllon: Lot ---Ll- .____~loclc_2--Subm 'I &S .i:~:~;"
Sile Mdl@ss;/~/t,pa t;Jood'd",-ck. -rc.. ./UtJ _______ y
Building Permlt. ___ ._'Ho.___n________ _PIO ..??-} 2.'7 0 C/.~ D
NOT!!: Tnl. permit will nDllle precessed wltnouI complete In!ormatlon.
FIXTURE UNITS
/{c~'~Cl4>
(D (~~
\ '
_vo_ -,....... . .~,'
'" ..."
\ D ~ ~ u:: ~----
[ ~-
I
IIJ i.' 9200) !'
il I
I L .-
_u.," , - -,.,......,.-.--..
Qu",,(i(y Tv,," vI FiKhm, QUl;\lIlity Type \/f FilI\~r.
pO' ......--.- ---.., -"..,,"'.'. ............--_... -... .-.. .. ..-..... ..., . ..--,...-
-_.;~-,- Batn Tub with Dr without shower Rough-Ins
....,........--... -..----
--..- ....,J.-- u,snwasner / Water Heater
- .._~
( Floor Drain I Wafer Sonner
---ji--' - -...-- ..~-
"......---- -- Lavatory (bathroom sink) Sland Pipe (weshlng ,",chine)
1-0 - -,-~------,_._-""" ..
_-1-___ IlIlInriry TrAY (1 or? r.omflllnmAnt /lInk) Sewalil' Ejector
......_..____......~__. .~.. H'_-
I Shower Stall Blckflow Assembly IRPZ. Double Check. PV8)
.....- .- ._....',,-...--. .....-....-.,............ ... 1---".
------)_.. Ci~IU, ioolc'low Aooombly TaDI
..._-~ Z"'--
Bir Sink Lawn Sprinkler
=~.~.~.Tl..-..- ----.----.-- -- _'UN_ --... ,-- l---..--.-...........-- --~--- ._,- --'-
WOler Ciao,,! <!OiIDt) 01""
~,,--_._~--- .~~~_.........------~._---,. .- ." ....._-_._~. i --...~....~..., '...
FEI! $CHI!DULE
Induslrial, Cammercla' & Multi-Family
(1% af lab cost, S39.50 minimum)
Rllaidenllal, New One & Two F'amily
RII.idenllar, Addition. & lIlllerlltlon,
Stille Surchllrge
$99.50
n9.!iO
$-..-----.
$ --.-..-
S ~._____.
S ____:.50_
c;F'lANO TOTAL
$ ----..-
PAID WITH
BUIWING PERMIT
Thlr p.rmiL ir IB"ted upon th. .llprecC CQnehian th~. nid
conlnlClDr. 111111 ""m~ly In III rtl~CCIS ....ilh lho ordinance.
of lh. 51.,. PI"mbin. CilIlc .nd the 07~.nlS ~eor,
_ __.___..~_ RliCEII''l' N(JI ~ 0 DATE
({; ____ ....TUST
Call for a jnspcclion,~ 24 hours in ad..S""C.
l.IW1:I3d 9NI011na
H.LIM OIVd
16200 Eallle Creek Av. S_E_. Prior Lake. MinnesQta. 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
. ""'. ....
'. p.o....I.....
File
City
Contractor
1. Pink
2. Green
3. Yellow
MC
PermkNo. 00.0731
CITY OF PRIOR LAKE
16200 Eagle CreekAv. S.E.
Prior Lake, MN 55372
TYPE OF STRUCTURE
X
Industrial
Multi-Family
Other
Two-Family
Single Family
Commercial
HEATING APPLICATION I PERMIT
Public
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Fee Schedule
Industrial. Commercial & Multi-Family
Residential, Heating & AC
Heating Only
Gas Fireplace
Additions & Alterations
AC Only
Residential
Residential
Residential
Residential
PID#
Addkion
Block
Address
(": B\J OWI\l61<...
\~eatA1g COntractor
Address G\ 3.
Date
Address
11-
Owner's Name
Ske
Lot
'-""'t:z~,~.'t-'\~
- ~ --+ Remember to add the State Surcharge on the bottom of this application.
-.;.4
-'
c:r
~""''''fi..
AIR CONDmONERUNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
final inspection.
heating permi rough-in and one
will be billed at $35.00 each.
includes one
The price of your
Additional
buildino oermit number before build-
inspections
House Heating Test Record must be submitted with
ing certificate of occupancy will be issued.
!:I.Ei\I LATIONS REQUIRED 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_
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Conditioning
Vent. System
Furnace Make & Model
".... C'\~,
_ Model Size
Conn. Load
Flue Size
Fuel
Supply Openings
City Hall 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)
447-9850 447-4245
business hours are 8 a.m.
HEATING OR POWER PLANT
Steam
HotWater _
Radiation _
Special Devices
Other Devices
Output
Return Openings
Input
CALL CITY HALL
Edr.
(952)
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
case of all work . requires review and approval of plans.
(952)
Fax:
- \ 3'-.0"""
Date
\\
3-00
Date
Phone:
00 r.3
PAID WITH
BJILDING PERMIT
.
New Construction
TYPE OF WORK
Comp. Date
Replacement
Est.
Clm.
Merations
Repair
Building Permk #
.50
Est. Cost $
HEATING PERMIT FEE $
Receipt #
$
$
STATE SURCHARGE
TOTAL PERMIT FEES
Filo
City
C,_
I. PI"
LGro
3. veil..
\
)
i. '
"
(511 - () lJ~>'7
M "iii-family
Other
Public
1% of lob cael ($39.50 minimum)
$99.50
$84.60
$39.60
$39.50
$39.50
Induslllal, Commercial & MulU-Famllv
Residential, Healing & AC
Residential, Healing Only
Resldenlial, Gas ArepJace
ResidenIial. Additions & Allerelions
Residential, AC Only
s-~t(
Remember 10 a<kl
applicanon.
IIIe bottom of this
Slale Surcharge on
he
inspection.
The,plice of vour healing per mil Includes one rough-iii and one final
Additional illSllecllans will be billed al $35.00 each.
hond-
I!uIkIiog IlmIDillll!lIll!M before
Hause Healing Test Record musl be submitted with
Ing certlficale of I>Ccupancv will be iasued_
)(. Two-Family
,
Induslrlal
Single Family
CommercIal,
CITY OF PRIOR LAKE
16200 Eag'e Cntflk Av. S.E. Plrmll No.
Prior Lake, MN 55372
HEAnNG APPLlCAnON I PERMIT
m
"-
If)
"-
Dale
2000
8
JUL
Fea Schedule
~~Q'-l4
PID'
Address --1.\ S I ~ ~
L.aI .1l- Block ..2:.- Acld~lon
"
OWnefs Name
Add/81S
Ul Sfte
en
If)
o
z
r:
Adcl1ess
I:iEAI: REOUIRED with number 01 SUJlIlly.."d relum Dpllnlngs 11s'.d JMlr
raom with CFM's pet opening. NfJIII s1ruclures or additions &end floor plan wilh supply
and return Il>Calions 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 houlll are 8 a,m.' 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGtHN AND FINAL). CALL CITY HALL
447-4230
TYPE OF SYSTEM
Warm Air Plants ..l/.
Gravily
MllChanlcal _
Alr Cond~ionlng 1L
Venl. Systam_
^ . I ~
HEAliNG OR POWER PLANT
SlUm
HoIWaler ~
Radialion _
Spec1a1 Devices
Othet Devices
I
Model Size
o'L~
ft1rO
lue Size
;2.'1
T7
q
Conn. load
t'-
~ fool
Ul
OJ
~ Supply Openings
<-<
If)
Ul Return Openings
z
~ InpUl f(JO, cr1lb OUlpUl
IX
Ii! Edr.
w
(!) elm.
I hereby apply rar e mechanical $yslems permit and I acknowledge Ihallhe
lnformallon above Is complele and sccurate; Ihal Iha work will be In conformance
wllh tha ordinances and codes ollh.. city end wllh the slale building/mechanical
codes; Ihallhls form doas not bee om a a permit unlil slgnsd by the BUILDING
OFFICIAL; Ihatthe work will be in accordance with 'he epproved plan In Ihe
case 01 sll wdrk which .equlres review and approval 01 plans.
x
New ConslrUC1lon
TYPE OF WORK
Replacement
EAt. Comp. Dale
Building Permit f
l:
a: .
g AfterallOns
en Repall
c5D ~ 0131
PAID WITH
BUlLDlNG PERNllT
Receipt f
~ Est. Cost $
IS}
"! HEATING PERMIT FEE S
m '
<-<
J STATE SURCHARGE $
::J -
>-, TOTALPERMITFEES
.'
PHONE No. : 612 8926396
..,~:~~,~t."'!Ilt1J1m'i~';~:~ '
Aug. 25 2000 3:20PM P01
From : JECHEEXC
.. . ': ~'~.. .
.......,~/"
~
_..-'''1
,llLOW . ."UCAlT
GOLD. on'.
Y OF PRIOR LAKE
AND WA~ER PERHTT
S.WNl>. nD --0737
A~282ml
NOTE: Sewor and water
contr~ctors must
be registered
with the City.
F\ 1'1'1,1 \.A'N'I': =-3'ft
1\rJDRESS : ~
Sl~N^~URE:~ .
Sl~~ AUURESS: )'~
l'HON1>: ~87'- t:f/'19
IJA'J'C;= ~-;.?S-"C>
BLDG. PF:RMT'l' H 00 -0737
1'10# Q,Y-337.-049-()
1.
.FILL IN.._,!,HE BLANKS
Ectimated length of water lO<arvice ~_feet_.
I .,
Size of wat@r Elervic......._ jnch(es).
2 .
3. Location of any couplings from Eltructure
fe>et.
4. 'l'ype of cewer pipe. ABS_ pvc..x. Cast Iron_
5. Estimated length of ElGWGlr line 5'"'0 fe",t.
b. Clean out (if required), located at
d::ructurc.
feet
from
.....:., ===""'=_=====~~!:!:'" ~~1:".,!''''1!:'''::-" ....~...._____.....'r.,...,,.,,.,===....====~~==::::::::::::====::r:;";:;:::';::::==~~=::=:::::=r:::
This ap lieati~n e omes your permit when ,,-pp:r:uved.
D'i____ . ~----....- ..:~. . DATE: ~ JA-~JdV
. I
...,. .~..'. ...._____ __........__""!'.,..:-"'t"'!'I'lP.'I!II\'~=t='=::~========:=====.;:...:..;..;...,.~,,' ....... --_:.:..;....::.:.;:.:.::::=::-,;;:;;
$
$
$
35_00
.50
35.50
Sewer and water line connection permit.
Sureharge
TOTAL
. 1'"",,,, fur eithliH sewer or water individually is !J.I.1I.... plus
$ .50 aurch"l"ge.
S..wel' and wat,,'l' p<i!l-mits issueCl for new construction must be
recorded on the building permit card i:lt the LIlli.. ur issuance
~o insure that no duplicate s~we~ and water permits ~rc
1 cauod. ~~'<'...<?-~
ll/\'n: PAID ~?-~e~~ AMOUNT PAID
In;C~;) )>'1' # ~~ REC' D DY
.
...-.'....~..~"fItr"".R..
~...r
,~..........)
--
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS lS.llo~ W~ 'Duc::..-\- \ r-.
NATURE OF WORK !Jet. }
USE OF BUILDING S F-D
PERMIT NO. ()o- 0737 DATE ISSUED 8-/8 -2.&,CJo
CONTRACTOR tk.tJ.eo..t'<.~ ~....J.1. Pf{()N~. :JS<"-7eOe,
NOTE: THIS IS NOT A PER FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
FOOTING
FOUNDATION (Prior to Backfill) ()t)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH- S
SEWER I WATER I SEPTIC
FRAMING /1 I ~
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) t>o
FIREPLACE
GAS LINE AIR TEST ~f '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I *~.1.:Pm I I
FINALS
GRADING (Prior to Sodding
BUILDING -ruJ -ro 3 I 0 I
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL AB VE
NOT.ICE
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.
-0-0 f
- --01
AS BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED ~
~
Jl~/~'1 W~ ,(){.lCL Q-2- ,
TIME
f'1
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ -("> 7,":l,7
~~FILLlNG
o CO~INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
LorI::, Bot-- - c) l-
e /(4" Did - () IC
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~~~-
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
10-(0
/.r{(.), wo():i Du</t.. 'T,..{
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
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
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)dJ I 'Tr~.: "s
COMMENTS:
DATE TIME
(f.J- 0717
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
@
/10k
r--; { <
JlWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ":,c:if' CALL FOR REINSPECTlON BEFORE COVERING
Inspector ~ IO-lO-Ol... Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
(-B-Of
3:00
ADDRESS
/5/~2- WOOD DU~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
;s'-MECH FINAL
COMMENTS:
() -737
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
..--
..--
/&AJ-ro ~~ I~O \
-
o WORK SATISFACTORY, PROCEED
rORRECT ACTION AND PROCEED
o CORRECT CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR TH NEXT INSPECTION 24 HOURS IN ADVANCE.
INSl'iOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
____._...___.____.___._..~_._._.___._....__._...___,._..M