HomeMy WebLinkAboutBuilding Permit 00-0751
f'2 ~~~~~:~ ,~ CITY OF PRIOR LAKE
l5 ... .... i I BUILDING PERMIT,
NJi - a ani ~PORARY CERTIFICATE OF
ZONING COMPLIANCE
'TILlTY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
00 -1.c;-1
Permit No.
-
DIRECTIONS I
SPACES NUMBERED MRm:r,/ MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
ILl 3 7& Dfi\i.f (Du.K-r I\I~
1. DATE
f-l- 0-0
Q1.
~5- 36K- ro3-('\
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12. NO. OF STORIES
3
LOT
BLOCK
i(fJO 6 rtll )
(Name)
PID
13. TYPE OF CONSTRUCTION
/'t/tr..; '.rQ
14. FLOOR AREA APPORTIONMENT USE
<;,'nf il'DO IT! O^)
ADDITION
4. OWNER
(Address)
(Tel. No.)
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER
(Name)
(Address)
~
[t.l31l EWI,vt, ~V~ S;
DeckL'l
Finish Attic 0
(Tel. No.)
gS,2 Sj''i:)' 'jQ4 'i
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
l;iIAJOWOb() ~S'
SEATS
7. TYPE OF WORK
New Construction ~
Chimney Ij Misc.
8. PROPERTY...(\REA OR ACRES 19. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft ,.; -3?-1 Width en I fJ ., Depth 5:;1 , Yes No
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 aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building offici~evoke this rmit for just cause. Furthermore, I hereby agree that the city official or a design.ee may enter upon the property to perform n~ed~ inS~tions.
X ( --I, . Q /9"7 5i7_? / ....,
/ J 'S. I e license No. Dale
Fireplace Ij
Alterations Ij
Septic Ij
Addition Ij
Re-roofing Ij Porch LJ
Re-siding Ij Finish Basement Ij
16. PROJECT COSTNALUE
15"0 / O[TO
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS Ij ENERGY DATA Ij
PILING LOGS 0 PERCOLATION TESTS Ij
PLANS & SPECS 0 SETS
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN ./ (.,~ , OC>~
PERMITVALUATION~ ~~
.
USE OF BUILDING ~vl)
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTlON: I II III IV CJi.l
Occupancy Group A B E F HIM @s U
Permit Fee ..........~~.~i~~..~...~.~.~... $ I ~11 , 'Z..S"
7'1 L 2-1
~~.Oo
Amount Brought Forward .................. It
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... ,
Sewer Tap ................................... <I:
~.. $
Pressure Reducer .......................... $'
City:
f!Js("J .r'Y?
I, J t'Y'J .rvJ
Plan Check Fee ............................. $
State Surcharge ............................. $
.
E.f f? tX:L
Penalty .................. ..................... $
( 00. CO
/ DO. OC)
Sewer & Water Permit ...................... $ 3s. S-U
Gas~~....... ............$ Q
This. mes Building Permit ~en ~.2roved.
By _ Date -.?S-IR..7~
Certnicate OfO~
Issued
Meter Horn ................................... It
Wale,Mele' ................................. $ I a". 00
Sewer & Water Connection Fee ........... $ J, ':} ("t)/} -CS'l')
.
Water Tower Fee ........................... $ 7c:-" - ,.t\f"')
Water Tap ................................... $
Builders oeposil ............................ $ {. 5~ ~
Other ......................................... $
Total Due ........r6................ $ .' ~"l..." k
Paid '7?5~ b_ Receipl NO.};__
oale;;1,-)'-:;' By /r~~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordina~nd may proceed as requested. This document when
Si9~~. lanner constitutes a temporary Certificate of Zoning comPlia0~IIOW construction to commence. Bef.ore occupa~Certif7te of Occupancy must be issued.
~_J-ebtA il:.L./::;.t'1J. - ~W I J~ <: ~
ity Planner Dale ..... Special Conditions any
Plumbing Permit Fee ....................... $
~\~
Mechanical Permit Fee ..................... $
24 hour notice for aU inspections (952) 447-9850
White - Building
Canary - Engineering
Pink - Planning
Th("fnl...l>llhrl......Coun.ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~lind\N()()d \-\()m~.~
o.A~ ~. dJu()U
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
\ 11'6 '7-~ 'J=)~ ('~) tJ E
Accepted
Accepted With Corrections
-<
Denied (2p /J f'
Reviewed By: (J..s.., '/-~
- /'
Comments:
f2r.w:>~~ ~~ ~~ ~
Date:
e -(€?J-?ooo
"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."
I'
White . Building
Canary - Engineering
Pink . - Planning
Th~ Ctnltr of Ih. L.k., Counl!'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT "^-findvv()od \-\orne-_~
('
APPLICATION RECEIVED i, lJ..J...~ tfI.., ~U ()l )
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ Ll '5 '1 ~ 'd)rJV-e... C nu-ct-J ~ t:,
Accepted ,/
Accepted With Corrections
Denied
Reviewed By:
Date: ~ - /i.f- 6t'J
Comments:
2.-i.p-r ~M'\ v'lrltH.J FT-~
~ (~ -t-~~-) ~-c9cW ~') ~.
I'
lA-/c- ..l.- ~ ~ ~~)<\~ ~
-1Jv-r- ~ V/<Y.t/j", ,~JIt'e/ttY ~fJL I ~~ '"
"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- 7S/
Th~ C..nt..r of thO' L.k.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~n(hN()()d ~OmE'".s.
APPLICATION RECEIVED U~Lbk o<'i. dv()l j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J \LlS'rJ I ~(C~.,tJS
l-V \", L
{~/<,i
Accepted Accepted With Corrections
Denied (~n'(/!~' /,OK /l t:1lr <
Reviewed By: (?rallt Urkol"t... Date: r~ t:l:' ~
Comments: --.J/Je ~jr I?Y/S~ ~Jel/qh;'/1 .# .fh'iJ..3 (~,orf,t'l71tJ
()oq/r/ )~ d IV'~A 'lit' ..JrQ~ /J./' -I/;s .fa-/-
/5 riP/J /" _
See ./i~ rellffif"5/~ ...fY t:t'#,t;,~/ //ft',;rN q ~dl/ e
~,t? a~.l'Jedx: 1- h/Jd/ Cnt~ 7A~iw .M-kd"')~..('. 6"m.I'~~
3. G-o~/dl1 cktr~/ )k~J ~ .F~5/#1 /Z;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."
5fer~ 4det>py)
Cell -# w!Z - ~-06(pl.
14 3?tp tf)t>Y~ Ct:._ ,l::;,d:, 11;/;
"'Permit#
'JobAddr...It/371P i)o" (. Ci /..Ie
.H..'ing Con"oc'm METRO AIR
.r.".no/Signalu,. .~
..
"'Gas Line
Pressurized
Inspected
"'Percent CO2
"'Percenl02
Final Inspection
..
Ollte
Time
PERFORMANCE TEST
h.4'%
7.10?1
"'Percent CO
"'Slack Tem~.
Dale
Pounds
Pressure
0"10
Llr
/
t
'~~ ~, , ..," eHtUR LAKE
3( J '?; '6200 Eagle Creek Av. S..E. ?e""r, Ntl.()~ . c::, I S (
, PriDr Lake, MN 55372
~-- HEATING APPLICATION I PERMIT
J~. ~-\~-O~ PID#.~'5-:3G,,~'oO~-6
~i.A.cIdr""". \,,~ 1\0 . D~v\. ~-\~ N W . .
~ -3.. ilb:k \ Addi1.i:>.'\ ~'" 0\0\\ I' \l S-fu f1 M-r-J
i ~wn.~. Name ~ : [\ .\ W t1 t\ (\ +\ () N ~
gCd'BSS \~~\\ ~ d;f\\ l\,,1.. -~-'l hJ;\\A
':\ \ i\ '
;.l_l!!in; Comra:l:lr \ \ ~ 'r\\,... -l.. \, \
A~ns \\...~~t\ "\J\..\lOr.v. ~y\ V.~; V'"'~4l<..t.
"j.le;T.l~.: '-\ '-'.\ - <<& \ ~'\
;:t1m2::11 Mako &. Mod.l (........~ \,.....,
I>bc!olS:'1 ~ \j f ~ \t)~
~r\.l;acI.lo\ ""'l\C\
Fuel N '" '" Aue Sin. py C
SlI?Ply O;>enin;s J l.o
'b
i'leIum O;>enin;s
Inpul \OO,~~
Ou\;J:I\ ~,o:::P
ae::dI.
~ CIm. ~ '-\;;! '-)
ae:
l-
w
:E
AIlanIIi::Ins
,
\
TYt'E OF SYST::M
Warm Ai: PIan!3 >C
Gmi1y
Mochallical 'v
M Cc~nin__ ,",.f)
"el1l. System
tF..A'TlNG 011 f>OWEII PLANT
~am
H:lIWze.
MacrIllliOlll
S~ DIIVi::es
I. IlK
~-
I. 'Y:Daw
i'lI&
""
c-....
TYPE OF STRUC:TUR~
Single ramlly ?t
. 7wt>-;:wly
_ Indl!Silial
C~rnm.er.:ial
Fee S:hedule
In:illSlrial, Ccrnfl\!!r;;;ar &. Multi-;:amlly
;v.,sitio..nlial, Oiealing &. AC
Rl!Si:i!!nti2l, Hoaiing Only
;\".i:l91\1ia!, G.. ;:-"";>Ia::e
'Mesi:ie1\1l2l, AddItiOllS &. AIle ~
Fll!SiOenlial, N; Only
Mulii-......i~ _.__.
?ubi:
et,-!!;
~~~ Gfjob ~s: ~:t:tSo rnmrmum)
S-..og.SO
S~.;O
m.SD
~.;o
m.so
i'le...~..;..~ III add the Std. Sur::ha:ge on liIe bo:t:>m O:tiUs z;lpli:::alion.
""
. .
The i'ri::e 01 ~ healing permit in:lltdll$ one lDui1l>-"lIlllld one IilaJ ins;>r.ior\.
Ad:itiorW lr.spedions waJ boo bled at $:!5.CO each.
Ho::se Heating jest Re::onl must be 5ubmlll<Od wilil ~ I!:!!Ilil.I!lIlZl:I:I beltn bu~
in; ::er1iii::at!> a! =Ujlon:y wig be issLs:d.
~ c.J r.Ull'i\nlll.~ '1;o,IR3) with n~ of ".m and 1I!lum. o;>eninS;S iiototi per
room wiIIJ CFM's'per 0J>tnilg. New sIru::lUra .. a:IdiIi:Ins lend ftoor plan willr Ar;lply
BIll! reblrn Ications sbOWll.. HEJiT LOSS CALCUI.J\I1oHS. PAvt.ENj AND
AP;>tJCJmOHs w..y 3:: MAl!.ED iO THE CITY ~ ?ilIOR LAKE. 162DO =.""" ;
Ci'IE:K A'I;. S.E. PiVOR J.AK::. MN S5:372.
Clly Hail ~ hotn lUB I LIII. _ 0(;30 p.m..
D:her OlIVe. AU WORK MUST B~ INSPECl'i:II (I'lOUGiK-IN AND FIIW.). CAll crrv IIAU
- - 4C7-G3D
\ .
\\ TYPE OFWORlt \.1 I hereby lIjlply m. m.:lmnic:al ~. W"_,.S ptImll! and I adcn~.dll' 1IJat Ihe
\ ~ . .inlonnallon above is comple1e IIld 8CI:UraIIl; Ihlllllle..work wIIr.tle in ""n1onnanca .
Rr,>la::8in\,llI N... CC._.......n wIIh Ibe onrau.ncv and "'deI DlIIle city lUld wJIh tilt sI!dt bunding.:~_. ';:._.;C11
:E i'l8;U . - . . Est. Comp. 'n;a. . CDda;1Il811h1s ~rm d..... IlD\ become B.1HII1)11! unllf ai;ne~ by lh. !IUIL.DING
g, r "6. . tA(\ .... S . OFFICIAL; that Iha _lie will_In 1lCCDrdan=e'Wlth1lle, ~,'''' .J plan in Ibe
"f-~' 'b ()t\ ';< ._...... "" _ 1\ . _.: . '\"" _\.:;: .. _. ....~.,_. :. . ,
J:IEA~Gi PERMIT FE: S PAID WITH V '\ 'i) I~' '_:. . _ ~ \ "3 . ~ _
m. .. ....c..._ 50 -,,- -- · fJ:i/I.~~. . .. _".;;--';
~-:r~~~~~ $ " - '--'" ~ {)-C2/~U
~~~.PERMI,T FEES S Rece\>l. V D DlraI't ""linUn 0Ide
--. - - ..
'..i:~ . ::- :,- ;. ~ ,.:: ..: ..... ~ -:.~'.. . .....~. ','.' -. .'. :~. ':.~ -'. ::.~._........ .>:.. .:::;'_;,;. .....
W ..._.{.....r..=~.... '.~ :-", ::~....~"";:~~~..;.. ,.;..;.."",,:..::;/~!:~...iet...;-~;.. -"':"..Jt"~'.:':"...;.._...a:: ~'':.='''': . . .~~ ~'~.~.~.~~:......a'--i"i,oIo'.."'~.~~~i:.~""':"~j.,_-:. '.ii~-T~N'_=-.";.~."'m'~~;t:;
~"" .". .... .."......""'. ?' -. ~.....~"_. -~"'." . -. . .-.~..~c_,. ._~ ............. ._._. .......,..~. _,_,
~~:>".-.:.' .'- -. :.....: ~. ,\'!.~.-... ".......""" "?....-":->--.._.....,.,~_o.(.~...- - ... . <.":"'.:'~~"..,.~ ....:..":::.,-,_, ..,.......::>e!'\!. '" .:'ri:-". ,..:.; '. ,_",. ..,~.~'-' .:,....
~ . -- '.. . L
....!':'\.-.. ...
~u/,~/~~ ltiU lJ:l~ tAA ol~~474~45
Cin O~' PR10R LAKE
I4J 001
'II, C'"I~'1lt IIilf '",1It ('O""If'
CITY OF PRIOR LAKE
PLUMBING PERMIT # DO. (575/
APPlicant:_1/2//f/l ;JZ'hJ? (JL(;{t! Phone:-9.so?/{/tJt/.~cJ/:; /
Address: 'iY./J(1/J/l/:Il/' Ift;II _71I"//j)f). !11/f/ ..s:::<:.(~..v
Signature: C" ~ _'
Le al Description: Lot _ ,,~Iock Sub
Site Address:) / q ??/j :::1dflV-P, CY-
Building Permit # /J1) ,()7~ I PJD #
NOTE: This permit will not be processed without complete information.
I. Blue-
1. Cold
J. Yellow
rile
City
^rrlitMl
FIXTURE UNITS
Quantity ,. Type of Fixture Quantity
..J Bath TUb with or without shower ..J
/ Dishwasher I
I Floor Drain
y Lavatory (bathroom sink) I
I Laundry Tray (1 or 2 compartment sink)
I Shower Stall
I Sinks
Bar Sink
3 Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
J
I
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
-
GRAND TOTAL
.J
PAID WITH
IUILOING PERIMf
Thi~ permit is granted upo
contractor. shaU comply'
or the State Plumbing C
RF.
,
he cxpres.l; condition thai said
r ts with the ordinances
mcndmcnLs. thereof.
.7 ./f - (/'l; DATE
A lTEST
Call for all insp tions 24 hours in advance.
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An EquoJ Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /Q3'7(o ~ cJ-.
NATURE OF WORK . Ne.;)
USE OF BUILDING SFD
PERMIT NO. DATE ISSUED 8 -t B ''eooc..
CO NTRACTO R tJ I v-J..o".,J, ~I(ot-t e ~ 8 "r,f;'. 8 </ l/B
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOC MENT
FOOTING
0, TE
l U)6'
v
, FOUNDATION (Prior to Backfill)~ I (7r.r, 1110 ' yv~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN~ I
SEWER I WATER I SEPTIC J::b 0/," / ~
FRAMING -I t6-:t, ID!3/t'1)
INSULATION ~;tl ~. /t(to/~
ELECTRICAL
PLUMBING I 1tR. /d/3IVn
HEATING (if required) .1 ." ~ >",,~ I
FIREPLACE 1 I
GAS LINE AIR TEST ~ ~I~. ~!J/~ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINALS
GRADING (Prior to Sodding) Me (S.!- oJ
BUILDING'i.c..o. WR. g/\/Il(r~. 'z}1 ,.j~ ~
ELECTRICAL . r .
PLUMBING 1 ']1-0 1()C20)OD
HEATING I 6r I l' /:).1 p! ~
\ lI-
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 approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
tJ ,5. {o/p/O\
II/~ /tJi
. ,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Iir~-:;- -,~ -,';' -.~ -~- s'-;: v ~ i1-~~r -- - - - - - - -, - -
. :oJ. ,.1 '~I~",,~I...""_"~~I~~II'~IMl..t~.~..I'XI'~.,,:*,~.:-.::I::Si..:'" ,.1, ~I.. .~..,
! -r' ~ 1. ..... d t:,:- -- .~...~. - .'U.t..-...... . ,..,. '
~, I~ ..~ iiOI______' ~~ ...........10. I ~ ~......... ~ ~ K
i - ~ c.;
~ :. i QLertffirau at ~rrupanry : l~ ,~
, ).
-: ell'r OF PRIOR LAKE . r
1Department of .utlbtng Inspection . 2=-
~ Final Permitted 0 Conditional C.O. Expires ;;~ .
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code :. b'
certifying that at the time of issuance this structure was in compliance with the various ordinances of the I'~
City of Prior Loke regulating building construction or use. For the following: , ..;-
1"''1.
UseClassificalio. SINGLE FAMILY Bldg. PennilNo. 00-0751 : <~
R3 VN N/A 1 .i~
Occupancy Type Type Construction Fire Zone Zoning District R SD :: ~ .
L3. B1, KNOB HILL FIFTH ADDITION ;~;r
Legal Description
Owner of Building _
Con_tor's Name & Address WINDWOOD
ROBERT D. HUTCHINS
r~dir,1~i,
HOMES,
/'ft.
Site Address 14376 DOVE COURT NORTHEAST
14311 EWING AVENUE SOUTH
DON RYE
City Planner _
Date:
Date:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/4-37&
Do II G
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION6)l
?3. FINAL V
o SITE INSPECTION
COMMENTS:
I' f /TU-
A~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
:5 e:'-
DATE TIME
IH-O I A.T.
-
e;/ .
(JO - 75/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
~ &t.._~.
./dl WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
; J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
SCHEDULED
OrE I
.f..1./2!2IP
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
q.r:JQ
ADDRESS
/437& 'Dr),jp C+
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t){) - 0751
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
J!f PLUMBING FINAL P>r
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: t L -
vlA(lAAt) vU..€ierO f-.,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~O~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1J' ~ Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
;L/371.. J):Ji/6 err
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
/2/;z/otJ I~.'(}O
CJ- 7~ (
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
'jil FINAL ~ 0 PLUMBING FINAL
o SITE INSPECTION ~ Jill MECH FINAL
COMMENTS:~.:J' m (I~ ~ ~
~_~ Tdr IA~ U- ~ #-k-6:.&.
~~~r~ .11th- ~ ~~
(3) .A.oii <i ~ <><> ~ ~ ~
. . / 1
'4 ~T~~~c&t-
()o ,.. ~ .z. fJ-<<>-p..
(f;\) p~~ .P~__~ J'7J ,:..- ~.
Inspector:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~".
r- . -'..C f)
,,/\ t \ r,
'- -
, .':'-'::::.:-~
8/1 /0 I - "
f )
----
-~."",-''''''
o WORK SATISF
~ CORRECT AC
o CORRECT WO
Y. PROCEED
AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1'/376 Dwp G!
CONTR. J1!lJVll9od Ht9t>10
PERMIT NO. (>0 - 7S-/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(~AAJ Ral' - 01:..-
DATE TIME
10 - Zl-o/
~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
N()~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: #~.(-,--1
_ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ