HomeMy WebLinkAboutBuilding Permit 03-0806
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5. /r. 03
(Please tvDe or vrint and sign at bottom)
ADDRESS
IS 0'7 l.o je He v 5
; ~;~:. ~::y I PERMIT NO. /", '7 -() 00' I
3_ Yellow Applicant U~ V ftJ
PitS 6
N.w.
I ZONING (office use)
:02.-1
LEGAL DESCRIPTION (office use only)
LOT Y BLOCK 3 ADDITION de F 'Fe. r-.5
WenS" fJ1fJ" Y1 HomeS
(Address) I fM 6"- P L fl z. ft t) n \J e.
50Ltt h
PII~~ Z)'- ~95"- OC; b -()
OWNER
(Name)
(Phone)
(.sJ-4o b-44/J V
55 J 2 <.
fC f}q 11 n
v
thY!
BUILDER
(Name)
(Contact Name)
(Address)
{,f/7K.e
ml~k
\-Ie I L.y.. (J. Yl
(Phone)
(Phone)
(p/z- 3 '" -7bZ,Cf
TYPE OF WORK
Y New Construction
~Lower Level Finish
ODeck
I p{ Fireplace
OPorch
ORe.Roofing
ORe-Siding
DAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
authorized 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter1i~~J~ll~o,pei~ections 'LiS? S--19-o3
V Signature Contractor's License No. Date
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
issued. (
~
Planning Director
~~
(./1//6$ ~ . J
Date -€leR ~al~
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
White - Building
( l;ana.ry - s;n'lmeenng.>
"'mk- - - r>lannlng
Th..('..nlll'. n!lh.-i..heOd"l!')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ .' ./ ",~.i: : )'')_ __',
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('....,...... ,.(:.><1', ''';;;'''',1/-,.-(./-//.-/1' ...! _....
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed,at:
/ ::,:;'(; :1 t; -;,'_,~t.., )L--~:.t.t:!._'o.i_
/ I /,
Accepted
.~
Accepted With Corrections
Denied
Reviewed By:
,fv;!L'~
Date:
t- /3-03
Comments: See Reverse ~ide for Addition::!1 I nfnrm",!i,," ,
Drivewav Must Have A Concrete Approach
Damaged Concrete Walk Panels
win be reolaced bv the Builder
prior to 1_,......- of FInal C. of O.
Dr;VeDtJCHJ n111.S.r hc.,l/( " .c'rcl /J:t-- ~l/'~'/
.
,,/ (u IIn &'))<...
See Attachments: 1) Grading Plan. 2) Erosion Control Mea.mrp,s
"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."
... -"......_---_..._'"-._-----_.~-_._--_.,----~.,.__._-_.,-_._--~-~.._--~.
t~~
White - Building
Cana'"'L.: Engineering
("'PinK - Plannln~
ThO' (-..nl.., or Ih..l..kf ("nunlFy
.!WILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"/
~-
,/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/. () / '::
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
'3~~ 'L
.,4, (l, ~
.raJ-f ~.kJ
-7~
Date: ~ / '-I /e) ~
.
t!/~ ~ ~
Comments:
w~
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."
----*-..-..'. "'"""_'___"'.__"_~",,,..", ,~,_"'__~,,.,"'__~'_M_'.,.__~__ ....___.._....._____._.__..
~~
CWhit" - ~uildinei:>
Canary - Engineering
Pink - Planning
TII~ ("f'nlf'f or lht' 1.8kf Country
m.ill-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
uJM~r11'0~
~ - /9-- OV3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activit which is proposed at:
jS-09/o jJ~
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Comments:
~
&.M d..f'
r-.
~ .1JtJ Date: d/t..f h,:?
~~
"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."
JUN-30-2003 04:08 PM STAR PLUMBING & EXC.
952 884 7468 P.01
I
I .....PLE
'1lUN. ~
fIOI.D - en.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
S.W. No. ~3 ~ ?o b
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: 3~~
SIGNATURE:
PHONE: ~2-/i:f<T- ~/W
1-^-_; r&2.~. :~TE:
~ BLDG. PERMIT #
._/s-~ ~PIM4/
FILL IN THE BLANKS
PID'
1-
2.
3.
size of water service
of water service
/N
inch(es).
.5d
feet.
Estimated length
Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC l>(
5. Estimated length of sewer line
co
Cast Iron_
feet.
6. Clean out (if required), located at
structure.
feet
from
======================~===========================================
This application becomes your permit 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.
RECEIPT #
Sewer and water permits issued for new constructi~ Awat be
rec<:,rded 0' th~ Lr':"':'~~~ permit card at the time euIl.A~~e
to 1nsure:- \!101~ H1J!:Il\!'cate sewer and water pe~':'~l1f
issued. ~~ ~ I \ 11111\ pt:~
DATE PAID I JUt 02, Z003 \, AMOUNT PAID rr-
/h
vrJ
REC'D BY
*
~y-----
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An J;(lIIAl n"nnl"tllnitv J:Omnln"pt"
Jun.=7. =OOJ J:J9PM
GEN= RVAN PLUMBING AND HEATING
No 9611
P = 15
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
q?1c.lse~ ornrJIltandsiefl atbotto:m.)
ADDRESS .
10DQtp J-e.tfw ~S
~ Ef- !"- I PER.l'iIT NO. ~-- :50 b j
ZONING (om".,,,,,)
LEGAL DESCRIPTION (~US< cmJy)
LOT4 BLOCK .3 ADDITION J e... *~
Lcuwt~q
PID
OWNER
(Name) Wensmann Homes
(phoru::) 65h90.5-3709
(Address) 1895 Plaza Dr See 200
(Addn3s)
Eagan, MN 55122
(Ciry) (rll' Code)
APPLICANT
(N~~ Genz-Rvan Plumbin~ & Heating
(phone) 651-423-1144
(Address) 14745 So Robert. T,l
(Address)
(ContactPe:rson) _CV'lfQ'iSti tzJJ \
(\,( A .I';~) ~ OA/O
Rosemount ~ "'N
(Cicy)
55068
(Zip Code)
(phone)
6'51-42.1-1144
DATE
I fJ-d-1- -(1'2.
",ICANT SIGNATITRE
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 pve
Estimated length of sewer line feet.
. Clean out (if required) locate9. at feet from structure.
feet.
o Cast Iron
ResIdential sewer and water hne connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com~l & Multi-family - f% ofJob cost with a $39.50 mbl.tmum
$17.50 WaterconnectioJl only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'ITT FEE
$
$
$
.50
(om(~ Use Only)
This Application Becomes Your Building Permit When Approved Lq t~~dlt u 'liJ l1 i iI i'
i Building Olllcial Daler L~re 0 ~
24 hour notice for.ll in.pectlo.... (9S2f~~9850'~.!S2)~:-424S
PAID WITH
BUILDING PERft4lX-
Receipt No.
By
rp
Jun.27. 2003 3:40PM
GENZ RVAN PLUMBING AND HEATING
N0.961] P 3 ]5
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMlT
1.ii11l8 ,Ile
2.. (>Old City
J. Yellow .\pplillMI
I PERlVITT NO. 3 -! D fo I
t1'lea~e tYPe or 'DIlII,E: and ~IJ';D at bottom)
ADDRESS
\t::)OC1 (0 Je-f-Fe(2,& 'PCtS'S
ZONING (O_Uk)
. LEGAL DESCRIPTION (office use only)
LOT 4- BLO~ 1 ADDmON J-.erret<J
lat~~~
PID
OWNER
(N"ame) Wansmann Homae
(phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, Mll 55J.22
APPUCANT
(Name) Genz-Ryan Plumbing & lleating
(Address) 14745 So Robert TrJ.
(Address) 0_
(CoutactPersou) -.CV1It(~ti mA is
(\) l~j~DJ-z)
(phone) 651-423-1144
Rosemount, MN
55068
(Zip Code)
(City)
(phone)
651.-423-J. 144
APPLICANT SIGNATURE
DATE .
U~cXf-()~
,..
I Quantity
I :t--
I I
I I
I )..j
I I
I I
I I
I
I 7,
APPLICANT PLEASE COJ.\iIPLETE BELOW
Type of Fixture I Quantity I Type of Fixture
Bath Tub with or without shower . ':{ I Rough-ins
Dishwasher i Water Heater
I Floor Drain Q.--r. Water Soflner
1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall I' BackfJow Assembly
I Sinks Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I Other _
I
I
I
I
I
I
I
I
I
I
FEE SCHEDULE
Indusmal, CommOIOlal '" Multi-family 1% of Job cOS! with a $39.50 minimum ReSldcnnal, Now One & Two-Family $99.50
Residential, Additions & Alterations $39 50
EstmJated Cost $
Building Pennit #
PLUJV:lBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50
PAID WI"" .
BUILDING ,"
P1=DAfI'F
Receipt No. . .
IOme. u.. o.ly)
/',.7.~~b.~ APPliCatio. D Becomes Your Building Permit WheD APpro..~ i'~ @P~d Ul'J lb !: '11'
~. " Building Offici.' Dm JU JJtote 2 7001 1.1_ By
Z4 hour noti... for .U in.pectio.. (9 ;2) 447-9850. fu.x (95)) 447-4~~
Ey___ :
r
2003 3:40PM GENZ RVAN PLUMBING AND HEATING No,9631
my OF PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
P 4 15
Date Rec'd
i "'ink
;t. On.1I
.l. Ydlcw
1;,,,,,, ,I. PERMIT NO. d- g Oh J
I ZONING (ollk.u.<)-
/Ple.a."le .!V'De or 'Drim and s:ixD at boanm',
ADDRESS
15Df/l (pJ.e ff ev2--<;
?<<s.s
LEGAL DESCRIPTION (office we only)
LOT+BLOCK~ ADDmON,- ]p+Foo I t{.n~
II
PlD
I OWNER
(}Tame) TJpnc:m~nn Rnmo e
(phoDe) ~5' 9"5-.7no
Eagan, MN
55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
(Name) Gen2~ "P'~,",1-,.fn~ fu Hp';:l"iT\~
(Address) 14745 So Robert TrJ.
(Contact Person) ~V1 ~A:~ fjetvuu
APPLICANT SlGNA~ (1J,{ / ~ e l /I
(phone) ~"'_I,. ,,_, , bl,.
Rosemount, MN
(City)
55068
(Zip Co,",)
(phone) ~<'-b"_l1bl,
DATE
(o....a,-(J0
, APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION ~ 'WttjCE{ 0 ALTERATIONS
FURNACE MAKE AND MODEL lmn.f1y b - I L 1:) FUEL nr.A-+--q a.. s
FLlJE SIZ.E RETURN OPENlNGS . JNJ>UT I Jc;';..D111.l..- OUTPUT ~
TYPE OF SYSTEM
~arm All" Plants
DGravily
::J Mechanical
aAir Conditioning
. ::JVeuT. SySttDl
HEATING OR POWER PLANT
D STeom
o Hot Wat<t
D lWli.tion
D Special Devices
D Oth<t Devices
PLEASE NOTE:
Air Conditioner TJDits
Cannot Encroach into
Required Sid. Y lIrd
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commcrc..1 Be Muiti-FamHy
FEE SamDUU
I % of Job cost Residentlal, Gas Fireplaee
$39.~0 mlllimum
$99 ~O Residential, Additions &: Alrer.uions
$64.50 Residential. AC Only
$39~0
R<sldentlal, He.llIIg &: MC (New Consm.Ctlon)
Residential. Heating Only (New COllSlnlction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
PAID IAn
SUILOIN rrlTH
G Pt:Fl/iA/T
'0"'-__,.. Use Only)
h'l,~.,C':'i'" .'
',"<oJ Application Beeomes Your Building Permit When Approved :~I "JU~ . .... , -:.,--~. '" '1 Receipt No.
n 'Ie li~ I" 'i',';: I, '.'
U ':"' U, ,'--' " L.J I
~ 1 Dare -- 'I' "1 By
D." Jlr"-'~ II 'L2.Un'l i!'1
24 hour notiee for.U in.pectloDS (952) 44 1-9850, fu (952) 447-4245
By ___
Building Official
cr
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
:~:., ~:~ I PERMIT NO. 3 - vY'b j
3. Yellow Apphcant (J...../l
(Please type or orint and sign at bottom)
ADDRESS ZONING (office u,e)
15096 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ATJJRnFTRR~Tt>R DRA UE,F.!'iTnF. Hj:ARTH & HOMR
(Phone)
ti5]-ti3~-25ti 1
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
PID
55113_
(Zip Code)
APPLICANT SIGNATURE
DATE
(Phone) _651.633-2561
8/]9/03
BRENDA HUSTON
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO 6IOOTR-OAK (2ND FlREPl.ACE)
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$ .50
$
(Office Use Only)
'----"__3""
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
~/. I:>.
Vf(.o. ':II/()
~Q t.~
~.<).
,,~',....
This Application Becomes Your Building Permit When Approved I P~i~ ,~,~ u i'J '[' f-Mript No.
I Q~~ '\Uu ~ 1 L0031 ~YI! / A---
Buildine Official Date I - LJ . VI/
24 hour notice for all inspeetions (952) 447-98~~,,*~") 447 1~S'::-.c:~:.,.j (j
PRIOR LAKE
INSPECTION RECORD
/~ 9' \..7 e f'EeJl-~ po. ss
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING ~
PERMIT NO. DATE ISSUED ~~':I
CONTRACTOR ~ PHo!ti/'J... ~,-q. "'~9
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I FOOTING
I &w2A
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL I
PLUMBING L-.I-. ~. I ~/tq.:z;~.c.. d;I
HEATING (if required) j t/IJ
FIREPLACE I !N.
GAS LINE AIR TEST I
'"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ /cp"rlllU/J17Il1tI I
, FINALS
Ng A
fu~
.,
GRADING (Prior to Sodding)
BUILDING~ .\,., ~-\-o'-\
ELECTRICAL
PLUMBING
HEATING
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.
I -I" ...-ct{
7 -'2.\-avf
/;2tJ
(111
/""'7
FOR ALL INSPECTIONS (952) 447-9850
l
DATE TIME
CITY OF PRIOR LAKE 10-8-0') ';1:36
INSPECTION NOTICE SCHEDULED
ADDRESS 15'() '1&
OWNER CONTR.
PHONE NO. PERMIT NO. 3- Sct.
[J FOOTING [J PLUMBING RI [J EXIGRADIFILLING
[J FOUNDATION [J MECH RI o COMPLAINT
[J FRAMING [J WATER HOOKUP o FIREPLACE RI
[J INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL l!<PLUMBING FINAL [J GASLlNE AIR TST
o SITE INSPECTION [J MECH FINAL 0
COMMENTS:
I. VJI.v,.A.I
1. l;lv~
1/-vI, (!p",/h
V I
i '^' l'~ 1"'.JJ7_ ~
-s fi-iIluJ... 11r~.JL-' +--- I. L..J~ ~
[J WORK SATISFACTORY, PROCEED
Jl. CORREC CTION AND PROCEED
[J CORR CT RK. CALL FOR REINSPECTION BEFORE COVERING
Inspec! r:
Owner/Contr.
C \ ... .9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.)
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
""""n
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
EINAL
o SITE INSPECTION
DATE TIllE
SCHEDULED I t7 - 'I -03
I :~tJ
/60<J(P
::t)f~~
CONTR.
PERMIT NO.
~ - ACe...
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ ~.LUMBING FINAL
~ECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~~ 7lh"'~!,~ (J-~~.v
:2 r........~ ~~.~4 . ~ s.......o.
"<:. s.u-J. ~ Tit.JlA.JI P"'" ;.Q~';.I! ., -t fr........
~
Q~f) -h-
J
A-G,2ooif-
-1
~_.. 1- ~~~{
o WORK SATISFACTORY, PROCEED
o CORRECT CTlON AND PROCEED
X CORR TO, CALL FOR REINSPECTION BEFORE COVERING
Inspeeto Owner/Conlr:
9850 loR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
''''''''''
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS (C)A"f/4
""
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
Lrdlt- () IL
DATE TIllE
SCHEDULED 1'2 .'1 ~
~\~~ \j)a.'?~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(.JIb /5Dj- 6) I(
...
Wt",,,,,,,,Y1 J-lo/f?O
5- ao (,.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
X G~~I'(I:~ ~
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:l'11~ ~ner/Contr:
. ,
CALL 447-985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
ADDRESS J :> t) ~( a
)
J()~ (j)~
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
? ~ ~fc;
..j
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ G~I:t:rST
COMMENTS:
I
:1//
(/1"-
L
IV"
r ~
(ltJ7--f
,{./
VIV
I WORK SATISFACTORY, PROCEED
;;:; CORREC TION AND PROCEED
o COR CT W ,~ALL FOR REINSPECTION BEFORE COVERING
} Owner/Contr:
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""'"'