HomeMy WebLinkAboutBuilding Permit 00-0862
~\
OA TF i=II::;r.J;"IV~Jl
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
9.a.()O
Permit No.
DO .oelPz-
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
/553-.5 /?r" olr ~;/ I' .L 0 #-1'
1. DATE
cf -,;J.i' -en
.eZSD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
LOT / 1 BLOCK
ADDIT10N G~//v 1.., c 7. r
/
14. OWNER (Name)
15. ARCHITECT (Name)
6. BUILDER (Name)
WfNJ"m~,v/V
fJO/n ,.J
7. TYPE OF WORK
New Constructio~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 abo;je ntioned property9;nd at all nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 . lal can revoke this p it for' t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X - 6'........ ~ / 1" ~r ,f' -.,,;)0' - c-u
/ / / Signature License No. Date
r FOR ADMINISTRATIVE USE
12. NO. OF STORIES
/
yrtY
PID..J-S -.3" 7- OJ] - 0
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tet. No.)
Fireplace 0
Alterations 0
(Addres,s}
/O'?5 I'IQ2.:.
Ctfi.qt/.f-/
S't!1c"
Addition 0
Dr
(Tel. No.)
4,5/- .y"~-
15. NUMBER OF OCCUPANTS OR SEATS
'1'1'0.)
OCCUPANTS
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
SETBACKS: Required
Actual
Front
Back
Side
MATERIAL FILED WITH APPLICATION
Side SOIL TESTS " ENERGY DATA "
PILING LOGS " PERCOLATION TESTS "
PLANS & SPECS " SETS
SURVEY " COPIES
PLOT PLAN "
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
s~,q..
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION _~.l!)C'\
TYPE OF CONSTRUCTION: I It III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City'
Amount Brought Forward .................. $
Park Support Fee ............................ eSn.OO
SAC ......................................... $--41-"0....e.
Collective Street Fee ....................... It
Sewer Tap ................................... It
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
~c;(o.CY)
c;-."';&;. t{ ()
f{~.~
100.00
I CD .00
':<'> .lio
I/o .ad
~. $
Pressure Reducer .......................... <t
Meter Horn ... ............. ................... <t
Q5".oo
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Gas Fire lace Permit ....................... $
Thi Becom~~llllQing PermitY:(hen~roved.
By . Date ~-tt7ar::>
J 2S: t:JO
Sewer & Water Connection Fee ........... $ 1.:>I'll!J .tJO
.
WaterTowerFee ........................... $_,,,n .~o...-
Water Tap ................................... CI::
,pMI' "Yr-
Builder's Deposit ............................ $ ",,,..... ~
Other ......................................... $
Total Due .............................. $P7e:;ot::;.40
Receipt No. ':?c9 C(5"8
Date Cf - ?c..-"2n!Jo By (.;f5.
Water Meter ................................. $
Sewer & Water Permit ...................... $
Issued
Paid
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
sign e City P er constitutes a temporary Certifj~ of %ng comPlian~d allows con ction to comme ceo Be re ~u n~. ,~~icate of occupanl~ssued.
~ ~ Z2? "-e..... F7pv- C~ -4
ity anner ate Special onditions if any
24 hour notice for all inspections (952) 447-9850
White - Building
Canary . Engineering
Pink - Planning
Thr Crnlrr of thr L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W6NSMANN
q. f3 .()o
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5555 BJeOOK...SID6 uJ.
X
Accepted
Accepted With Corrections
Denied
Date: 7'-/43::00
Reviewed By:
Comments:
~"'D
I 5(.,,"'1;1
"E,.,..,k.....J._ L. .[2~ .Pt(>-<Cl,
Su,,__ p;t,. .
u
"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."
.
ThO' C~..nll'r of rhO' 1..1<.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
.-- ., . "I 'I'
_I'//'/\.' \.,/
--I ,~ ,/
. I..... . / v' .
, , ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j/--rr- /'.l:'((f'-../I,I./?' /^f
__' ___./ _---' _../' ,__."' /-._ ./ l.- L-." ,.I
Accepted
Accepted With Corrections ~
Denied _
/'.;; ~-
Reviewed By: ~)A_
, ,
Date:
q/2- c.:> {' c:9W
Comments:
"" --'
\ f-7o../'
"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 val.id,"
-'.@~x PRIO/? <:
fj ~~
White - Building
Canary - Engineering
Pink - Planning
The C..nlu or rhOI' Lake Counl,.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
iJ/[N5 MlflVN
r, a,a?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1~?55 8;2.00/(5/DE LN
Accepted /
Accepted With Corrections
Denied
Reviewed By: Grad (],r!5d7"-.. Date:
Comments: fl/;p-l'. ~//I ~,a_ d/'t1Q/ld L!#/,L
iJrtll?el !JA/X tf/~/k/
I 1fui4!d;/1 :<;~_ k/iVt't"A j"rI/:y> .5<7 RS /Ide:-
!u c/d(>j-~lPr -h 4.e ~##ff'/L- /M/~ ~ $=-~
~Is' B a/ld /11" a~ at ~iftN'/I'! ~/e l/;;zh//;5;
#WZ tZ5 5jd~ M -& f/?/&r/h/1 _ . . . .
~ee. -/he re.;/er9?- side /;,- d/cllrMal /,1~bCJft~
1:/ /c!lJ
Y /4'/f/h- -&-
..5t'e alh:rt'iMI!ILl-<;l;_ .~aI r9/&'A J{5'H/)m.~t{Ii#( 2a~;%...rL
-;;;- b--i?S!1ffl ck~/~r-4/i"G i 5&~ ~/ d-A
"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."
SEP.14.2000 8:19AM
GENZ RYAN 6513226147
NO. 863
P.3/5
'.
1.
2.
3.
.'-" , 4 .
5.
6.
_......
'l"ELLDW.~.-y'
..... . Cl'tY
CITY OF PRIOR LAKE
SEWER AND WA'l'ER PERMIT
NO ,/}- tJ R' b J.
NOTE: Sewer and Water
contractors ~ust
be reqistered
with the City.
APPLICANT: r-"V\~- (;l/ nPt\6Jlr\nI~ ~..\f'~ PHONE::...kz!":>1-42:!.-II4LJ
ADDRESS: 11-j""'~T" ...,-.... :^<.I'...-..n... ~_ DATE:
SIGNATURE: j) BLDG. PERMIT *
SITE ADO,",,', ,~_ - "'-'''''<_' ~ PIO, rJ'; r A b 1- 0/3 -D
I -j - ____
FILL IN THE BLANKS
40'
Estimated lenqth
of water service
..
I
feet.
Size of water service
inch(es) .
Location of any couplinqs from s~ructure feet.
Type of sewer pipe. ABS pVC X Cast Iran
Estimated lenqth of sewer line~' .feet.
Clean aut (if required), located at feet from
structure.
==n= .._.__~---.GIii. _ " _." _ ______--.,______,,_... '
This application becomes your pe~it wnen approved.
B'l
D~TE:
=~,~~',,~-;;;r.;:;;r-
-==_____.EiI ,~._ ,~._~..__...._._.__....... ~_
_ __;-___ ;;r;-----
FEES:
,
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
$
$
$
* Fee for either sewer or Yater individually is $20.00 plus
$ .50 surcharqe.
* Sewer and water permits issued for new construction must be
recorded on the buildin~ permit card at the time of issuance
to insure that no. dup11cate seYer and water pe~its are
issued. PAID wrl'
DATE PAID AMOUNT PAID ~BUILDING PE'RMIT
RECEIPT #- REC'O 13'l t:1-rt0/!/1 0/1.-.. ~
U
. 4629 Dakora Sl S.E., Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
I AN EQUAL OPFOtrnJ1'/I'TY EMPIDYER
I i
If)
..-<
"-
OJ
..-<
CITY OF PRlOR LAKE . -O~ '1
111200 Ellllle CrBek Av. S.E. Permit No. () r!5'. C7'>
Prior lake, UN 55372
_ HEATING APPLICATION 1 PERMIT
n: oale-l.'"" IC\ \ 00 PIO'~Z)- -=3(/i-{)/3-O
~ Sfte AddrJ!$S l o~c:::. ~t:O'" Co. I he. L...J \
ci tal 6 &lock {Addlllon OflAlJJLJo+er :3 ('U"
Z IJ I'
OWne'" Nema W~~" lA Y"\ J:lomLS,
Address. I~~o "D\o..~ ~ ~ 2bc eAl.!.AI.,;)
Haallng ContleckJr ~ ~1-- f!..VJl1..Jr"'\
Address ,.u..., UtF-, .'0 &buL~ T"L~ ~au.Y)r
Telephone/l ~\- ~2.o - II t...l ~
TYPE OF SYSTEM
Warm Air Plent. .Jr
Gravity
Mechanical
A'rCondilbnlng'L 2.,1/"1. 1'0..:)
~TVenl.Srstam
HEATING OR POWER PUlHT
Steam
HoI Walel
Radiation
Special Davlces .
FlllllllC8 Make & Model l.Lv\t'\t:) "-
Model Size ~ "2..:~ Q 2.1-:a. -, ~
CoM. load
1'- .\
~ Fuel ~'f" En~,u. 81ze "4
OJ
lil Supplv Openings I \
..-<
12 Relurn Opoolngs L\
Z
~ InpuI :J~ tmD Outpllt.IDA t!llQ
!e!Edr.
w
U)Clm.
Other Devices
E
[L
&iAllelallons
(T)
Rapalr.
~Est. Cost S
IS)
~ HEATING PERMIT FEE $
..-< .
,..:STATE SURCHARGE .
u .
o
TOTALPERMrTFEES .
TYPE OF WOnK
x
Raplacemant New Conslruclion
Est. Comp. Dele
BuDding Perm""
.50
PAID WITH
BUILDING PERMIT
Rocelplll .
TVPE OF STRUCTURE
t. WI..
.....
3. Yell..
Fir.
Ck,
e__
8 rngle Fam11V
Commercial
\(
MullI-FamUy
. PubHc Oll18r.
Two. Family
Industrial
,
Fee Schedule
Induslrlal, Commatclal & Mulll.FemHy
Residential, Healing & AC
Resldanllal, Haallng OnlV_
Rasldentlal, Gal Fireplace
Rasldentlal, AdrlUlone & A1lerallons
Residential, AC Only
1% 01 lob cool ($39.50 mlnlmum)
.99.60
.64.60
$39.50
$39.50
.39.60
lJL,;1 19 2Wl
~ L.....
,
,:1,./'
Remember 10 add Iha Slala SuroharQe on Ihe bollom 01 ih!~ !llIlIlcallo/l
Tha. Jl(lce 01 ~ur healing parmillnckJdes one lough.1n and one ffnal Inspeclion.
Addillonallnopacllons will be bm"d al '35.00 each.
HOUle Heating Teal Record must be slbmllled wllh buldino lWJIIi1lllUdlel belore build-
Ing C8 rllficete el occupancy will be Issuad
I:IfA1 CAt ClILATIONS REQUIRED wllh number or sUPPIV and return opanlngs IIstad per
loom wIth CFM's per opening. New slructurel or addil10ns send Iloor plan wllh supply
end relum localions shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAilED 10 THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall buslnass houlS ara 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
441-4230
I heleby apply fOl a mBchanlcal syslems pBrmll end I acknowledge Ihat the
Inlormalfon above Is complele alld acculal.; Ihallhe wOlk will be In con'ormence
with the oldlnanc.s end codas ollhe cUv and wllh Ih. elal. bulldlng/machanlcel
codee; thatlhle 101m does nol become a peJmll unlfl signed by Ihe BUilDING
OFFICIAL; lhatlhe worl< will be In accordance wUh tha epproved ptan In Ihe
case of 11I1 work which requires levlew and epproval 01 plens.
.0-...
--.J {) I ,q l"(L
, Datr
p/~m
" (Dale
BeJ.llfing Ollleal'. Signature
OCT. 19.2000 3:03PM
GENZ RYRN 6513226147
NO.415
P.6/15
,
CITY OF PRIOR LAKE
PLUMBING PERMIT
1.1_ File
Z. (lol4 Coy
3. Y cIIow' ",PPIiC21I
D-f0~
"Jbco C4 ~k'r of lilt l.:Iu C........,
#
Applicant t:..-.r..?_- ~ " Phone:..ia.f::i - LJ.'1.b - , II../. 4..
Address: I ~'"\ U. ~ ~ - "'" "'" "\ "'T 4r-~ (l r-or:. '" .-- . "'T ~~a&
Signature: ~; . .. _ ~
Legal Description: Lot I :< ~Iock I S~, / J Li1...J2A...; 2 r
Site Address:----1f)'OE:=O "i2..~,. (~
Building Permit # PIO It ~ 5 - ~'X/l- /) 13~O
NOTE.: This permit v.:,i11 not be processed without cDmpletB information,
FIXTURE UNITS
. .
I Qu. nlily Type of Fixture Quantity
I ~.. \ Bath Tub with or without shower 3
I \ Dishwasher I
I , Floor Drain f.ll
I 2- Lavatory Ibathroom sink) I
_L \ Laundry Tray (1 or 2 compartment sink)
I \ Shower Stall
I \ Sinks
I Bar Sink
2- WatBr Closet (toilet)
Rough-ins
Water Healer
I
I
I
I
I
I
8ack11ow Assembly (RPZ, Double Checl<, PVB) I
8ackflow Assembly Test
Lawn Sprinkler
Other
Type of FlXlurB
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
FEE SCHEDULE .
Industrial, Commercial & Multi-Family
(1 "I. of job cost, $39.50 minimum)
Residential, NBW One & Two Family
Residential, Additions & Alterations
State Surcharge
$99,50
$39.50
$
$
$
$
.50
GRAND TOTAL
$
This pormil is peed upcn the exp=s condition that said
"""tractor. shall comply in III respects wil/llhe ordiJlon...
of the Stale Plumbing Coclc lllId the "")l'n.inlcnq9'1?'JfM
REQ!I'/'l:fO. (c:/ dCJ~'rt
f# ____ ATTEST
Call for all insp"ons 24 hours in advllJIce.
PAIDWi-,
BUILDING PEr-d,.
...
OCT I 9 2000
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-42~5
An Equal Op~onunity Employer
DEPARTMENT OF
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I S_r::;.5-a~>JL -f'."". .
NATURE OF WORK IJo6..'J .
USE OF BUILDING SF/!-
PERMIT NO. OO.{) eI.oZ- DATE ISSUED 'j'-/~
CONTRACTOR lA)e.MS.IMr..~.I. I-k 0,..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATE
I,NrE/CTOR
I FOOTING D~ tI/f1/M ELcJ !f!l 1/.:1(8-/00
I FOUNDATION (Prior to Backfillf-?f''''':' I fi;;.. / oil/Ida 1 (fn... Jd/I,,/m
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGij.,j INS
SEWER I WATER I SEPTIC . '/0 9-27
FRAMING f#i!/t.- _ hr,
INSULATION O~ e );;J.lAtr?1 / In.. .
ELECTRICAL ' ~ ,~~/.,;y
PLUMBING ~ ~'w.u,J /I )/5' .
HEATING (ifrequired) -'~.\ I 1/1d-9/tn
FIREPLACE I
GAS LINE AIR TEST ~\J/l.Jv'<I 1I'(~
\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~.1!lg I I
FINALS
lOtI a- ~ ~o ~~f}.W4
. t
t~IOL7 tJO "g.~f
1;")01.7; 00 'l:\Ja..4
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/ (I;,') 'l-6
W~
J
(b.)),61
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 Bdditions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A:M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
ADDRESS
/5555
DATE TIME
SCHEDULED Ilfs-/tP ,4. f;
6rZ.<<JKSiLJ~ L-N,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
)('PLUMBING RI 4
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
PLUMBING FINAL
MECH FINAL
/J-9bZ-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINA;i4L
J!l[ GASLlN~ AIR TST
o ~-,.
COMMENTS:
!1ac, (l"V{' +e~ OK
I
r LAAJA1~l /J 0-- +~+- (D~)~
)l'"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ---"-~~\)~ Owner/Contr:
CALL 447-9850 FOR THJ NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
1z(2l/(kJ
t5Jeco/<::S/Db"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IS5SS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,Ill FINAL fir
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.E: PLUMBING FINALaP
)il. MECH FINAL Pr
DATE TIME
II : ~()
CJ - 1((,. ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: 1<;,ldlo _
J
~ rl.~\'JP...c.04 -t'V\
~u 11 01 Jt) I I \ J
l- t(.).{--X~Wi G\iA.d.. ~()(i..acAd.. Iie_ec, f-eJ"
np ~ e,AC9fWo..lOA^. -\- .
..l-~SUe- TC-D,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ ~ Owner/Contr:
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
OATf .
INSPECTION NOTICE SCHEDULED q .~ 1/ :c:o
5b" I
ADDRESS _/f)~~ ~{b6ks\de LV\
CITY OF PRIOR LAKE
TIME
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OIJ -ff?fo~
D FOOTING
D FOUNDATION
D FRAMING
D JNSULA TION
2'FINAL A-
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
)!(PLUMBING FINAkfI-
% MECH FINAL ~
D EXIGRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GAS LINE AIR TST
D
COMMENTS:
J)-, 11& JJcur
t.JnJ1-.<:.
I I
'~'.J ~/orlol --t'~.
I I I /Q'
{'nf).J;~ .~ ~.~v"e~s
c1P.ueJ;~:;e~f:I /~
,
6\:::
01("
ftr-
T'~&vle-/7&1Ar CO.
~,
~ORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
D CORRECT WO,K. CALL FOR REINSPECTION BEFORE COVERING
'nspector:b, \laM Owner/Contr:
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~01 TIME
ADDRESS
15555 BROOKSIDE LANE
PERMIT #00-862
OWNER
PHONE NO.
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 EX/GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~<.slAe_ c.,C).
c.JJ9.$;P. Sr~Ie,...
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO.1K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: -:R _ ~tltAII Owner/Contr:
I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ