HomeMy WebLinkAboutBuilding Permit 00-0280
11. SIZE OF STRUCTURE
(Height) (Width) (De5lJi1lh)
36 80.33' ~
12. NO. OF STORIES
2 Stories + Walkout Level
13. TYPE OF CONSTRUCTION
Residential
(Tel. No.) 14. FLOOR AREA APPORTIONMENT USE
Beach Tr. NE (952)403-0~42
(Tel. No.)
~~
;1;;7;v
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
04/11/00
2SITE/#S4 SII.t10,/ B611C,H T,e11/L
3. LEGAL DESCRIPTION
/
SHAD'! BerI CH NO. 2.
Ie/SD
LOT
PID Z5~Ot+h-nDI-O
BLOCK
ADDITION
4. OWNER
Richard
5. ARCHITECT
(Name)
Vq"~n-l-i n<:
(Name)
(Address)
14454 Shady
(Address)
6. BUILDER (Name)
M/A/Peterson
Designbuild, Inc.
7. TYPE OF WORK Fireplace 0
New Construction 0 AlterationsXJX
Chimney D Misc.
(Address)
5100 Eden
Edina, MN
Septic 0 Deck D
AdditiorB Finish Attic D
Ave., 1/309
55436
(Tel. No.)
(952)925-9455
Re-roofing 0 Porch 0
Rs-siding 0 Finish Basement 0
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. --111) -0 z..eo
BUILDING INFORMATION
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
$'j? 'j, nnr1- nil
B. PROPERlY AREA OR ACRES 19. PROPERlY DIMENSIONS 1'0. CULVERT SIZE 17. COMPLETION DATE
So.Ft. 34,200 s.L Xlmliies (SO.rpthsurvey) Yes No 11/30/00
I hereby certify that I have furnished information on this application which is to the besl of my knowledge true and correct. 1 also certify that I am the owner or authorized agent for
the above mentioned property~n(t at all construction will conform 10 all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building official canj8vOke this pe' . for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /'J:1bAA-.. ,f/ /... MN 1/6704 04/11/00
, Signature License No. Date
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
I OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION b~.""..,.eo
USE OF BUILDING
RB6 A/Je.
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Pennit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
'2. (tl~.Sf\
I I "i'-LS. '7PJ
2.~. 57l
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
S U
City:
Penalty ....................................... $
Plumbing Pennit Fee ....................... $
^ ..no)J
~\1^(}O
4tz,.
Pressure Reducer .......................... $
Meter Hom ............................ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ It'
Other ......................................... $
Total Due .............................. $ S; 3Z I. ~
Paid S y.:e.l ")"0 Receipt No. i 7 ,2, '7 S-
Date ,">11 J (rn By I~
t in the above apptk:ation and accompanying documents is in accordance with the City Zoning Ordiiance and may proceed - re u d. This document w
ffiltas a tem rary Certificattf zonrroPliance and allows const'uction 10 commence. Beto'e occupancy. a Certificat~ cupancy must be issued.
l.fJ1 \'
Date' Special Conditions if any
"o.~(")
~/1.1'l~
Mechanical Permit Fee ..................... $
Sewer & Water Pennlt ...................... $
Gas FI'eplace Permit C..................... $ lfD .0(")
Thi,Quon B~S Your Building Permit 'tIen App",ved.
By'VAXr~1 Date -2'-1.-7""",",
Certjficate of Occupancy
Issued
24 hour notice for all inspections 447-9850
~1
o - "Z \{u
Th..C..nl..rof Ih"l..h ('mlnlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /'1/A/ pe78k!SON
APPLICATION RECEIVED 4-//3/l? 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 44~54- SH1Wf/ 1'5f371C!H -/ /L...
,
Accepted
Accepted With Corrections
"-
Denied
~'iLLA-
0!~
Date: q. "ts"-c.OCO"
Reviewed By:
Comments:
I. M...l"'-\............ 'f'--...".. O~ u,^kll +'nl='tC;..A'''k.\.ili'<:.t.-t
~ .
"2. S'oc:l cd l bu.e. ~;\ )1~
J. k?ec.& ct-ll ~~ ~~
"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."
6~~
o-zrro
The ('''nl..r or Ih..I.Mk", Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'/ /// /'
/
:7, ~ / c /
I l,.. " "-. .~, ,-,./ v
4//
, /
f, /'
./ // (ji
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ .:;....L ...;:...,;~ ~ ,. ~./_
./ r..' ,"-,_
./ l/','! /'..,
;:-' /i i,,-'/I-'/ .i',i/'".
'_,P' 1_- i ,,_...
Accepted
/"
Accepted With Corrections
Denied
Reviewed By: Qfl<. ~ Date: '-1-;)7-00
Comments: ~f./1/r-..eol.. [2.-1 So ~r/iJJS ~c;r; -ole.
~<ai"~ LovJ0-TftiJIJv Cfll./,3-(jL. A/D bI(/ff. ()tfW~c/c.. -ce-.
0r1L -ptd $.aib:uJr.o -Ole... . ~ \1C<-veI ~J- -de.
,;...
''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."
~~~
o - z.-n)
ThtCfnlti"oflh 1..krCoUnll)'
While - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /I//;j / /{. n: A/ C; O/\../
APPLICATION RECEIVED 4// ...:.V~) 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-454-
SIf1-/0V/ t':ft:-I/C;-I -/7~
f
Accepted
/
Accepted With Corrections
Denied
Reviewed By: tJ"'LTFJt 6..~,>...A,-.J-.J
Date: 'i /'2.&/ /s 0
,
Comments: s.... or r:"t: u<-E:
0"; T"...r_
/3,a.(X- C"lC "TUF L,oT C..,hvu\
BE l,,;sn<lu..Eh A~ .It:E:htSl\
"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."
~~f~~~(7 CITY OF PRIOR LAKE
u ~ f;; PLUMBING PERMIT PPNo.f)O-O~
Applicant: ? t {) P\ L)('{\6 ",,(1 PhonE(( ~ 1 / <;-~? -z UK"
Address: t./C; ~ :it '-II _5.... ..t::+~ e ~.;J
Tht'Ctnleroft!J.!:.-!-.!M.~-n-r~~. ;;7L ~/~
rr, ',! -,"' Signature: ~4 :A""A
\ , . ~
~~_'C'" 'e.g., D="" "" _ I ;"OC. Sob ,,-""A ~ ~ 01""
.'1. '\\\3iteAddress:~ ~rtt~ R"'Cl!,h Trr.l\<J
,~~Uildingpermit# Oo-QQl.KQ PID# QS"-04&-001-0
. _ '. ~OTE: This permit will not be processed without complete information.
FIXTURE UNITS
-
Quantity
Type of Fixture
Quantity
J
I
/
Bath Tub with or without shower
Dishwasher
Floor Drain
I
J
/
/
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
/
z
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
GRAND TOTAL
I. Blue
2. Gold
3. Yellow
File
City
Applicant
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PYB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$--
$ .50
" ,p~
DATE
T
16200 Eagle Creek Av.
. P or Lake. MN 55372/ Ph (612) 447-9850 / FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. (!:{) - 0.;>.8" 0
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date 7-2(" -00 PID# 8::5- 04"- 001- (J
Stte Address /'1'1_"14 ')1--!1/f)f,J RYACH -reA-! L
Lot ~ Block Addttion ~Ol oj 1 ^ ~ ~ l\Ju. ~
. <oJ
Ownefs Name VhkTl/T7/IJ€
Address
Heating Contractor A--13kl 15 f C. / A)('~
Address.?0t-. WMP72 ,IT- PxCB-<:;/t'j/!.,.MN 55'33/
Telephone # _ Cj ~)2 - 4- 7<1- -tf' ~ (;,
Furnace Make & Model LeA/NUX _
6-.:1303-75'
Model Size 7~{:()O Rr(J /AJ~
Conn. Load if s: () (,,3
. I/"_ . 'I:. "
Fuel N. <nul Flue Size .:>.
Supply Openings /,;)
Return Openings ??
Input 75000 Output G /. 000
Edr_
Cfm. !?5()-/0~(')
TYPE OF ..,..,,:M
Warm Air Plants
Gravity
Mechanical
Air Cond~ioning ,/
Vent. System.
v
HEATING OR POWER PLANT
Steam
Hbt Water
Radiation
Special Devices
Other Devices ;'I1J5t. At.fLRlH7cN
"10 elli1lAJ';. DU("7ZJr~
TYPE OF WORK
A~erations
/'
Replacement
Repair
Est. Comp. Date
Building Perm~ #
00- O)'''6\)
Est. Cost $ ~JO
HEATING PERMIT FEE $
~
AO'
/'
STATE SURCHARGE
, TOTAL PERMIT FEES
$
$
""
New Construction
Receipt #
TYPE OF STRUCTURE.
I. Pink
2. Green
3. Yellow
File
City
eon".,,,...
Single Family
Commercial
./
Multi-Family
Other
Two.Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential. Addttions & Alterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64.50 PLEASE NOTE:
$39.50Air Conditioner Units Cannot
$39.50Encroach Into Required Side-
$39.50Yard Setbacks.
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildina ~ ~ before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS f1FOIJlI1El2 wtth number of supply and return openings lislOO per
room with CFM's per opening. New structures or addttions send floor plan wtth supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE 5.E PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-9850
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; thatJhe work will be in accordance with the approved plan in the
case of all wotWwbiclJ.-1llllOires review and approval of plans.
~
'/-2-7-a:J
Date
- ---......
.A.'-'_J..R )
7 -:::)7-00
Date
./~~~ PRIO/?;:-
'~1!
. ,
.~ HEATING APPUCATION I PERMIT
Dale..Q~ ll~! 00 PID' d. '5 - {)LI(p- (] 0 {- ()
S~e Addres~ fJ;tLlSL4'5AAD~C f-\ ii2- .
Lot l Block _ Addition.~ h f1 ~ f4x tU..4v 7tJ o. d.
Owne(s Nam~C:;Q.'X}~
Address?l 00 ~t:N M~
Heating Contractor AUTOMATIC GARAGE DOOR & FIREPLACES
Address 9210 WYOMING AVE N, BROOKLYN PARK, MN 55445
Telephone # ~63-315-750D
furnace Make & Modell-kr1Lm"O~
. {,,::jC DC- '00
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
'"
o
o
~
><
5
'"
-
fi:
<>l
'-'
..,
~
'-'
u
-
Eo<
..,
"'
gl
~
Model Size
Conn. Lead
Fuel
Flue Size
Supply Openings
Return Openings
Input
Output
'"
o
t-
o
on
..,
'"
'"
..,
<CO
><l
..,
~
Edr.
Clm.
TYPE OF WORK
Alleraticns
Replacement
on
on
<CO
..,
Repair
Est. Compo Dale
Buiiding Permii .
r
Est. Cosl $
o
o
"-
.,
..,
"-
'"
o
HEATING PERMIT FEE $
STATE SURCHARGE $
TOT AL PERM'~ cEES $
.50
(?- (?l. '80
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Cenditioning .
Vent. System
HEATING OR POWER PLANT
Sleam
Hel Water
Radiation
Special Oevic:es _
Olher Devices GAS FIREPLACE
New Construction )(
PAID WITH
BUILDING PERMIT
Aeceipl #
I rink
~. Gteen
) Ye.llow.'
Fil=
CIly
Connc:lor
:TYPE OF STRUCTURE
Single Family .
Commercial
Two-Family
Industrial
Multi-Family
Olher
Public:
Fee Schedule
Induslrial. Commercial & Mulli-Family
Residenlial. Heating & AC
Residential. H-a'tinn (')nl"
. rResidenlial. Gas Fireplace
Residential. Additions & Allerations
Residential. AC Only
1 % 01 job cost ($39.50 minimum)
$99.50
564.50
S39.5D
$39.50
$39.50
Remember to add the State Surcharge on the botlom 01 this application.
The price 01 your heating permit includes one rough-in and ene linal inspection.
Additienal inspections will be billed at $35.00 each.
House Healing Test Record musl be submitled with buildina I!W!!i! number belore build-
ing certificate 01 occupancy will be issued.
HEAT CALCULATIONS REOUIRED with number at supply and reiurn openings lisled per
room wilh CFM's per opening. New slruetures or additions send 1I00r plan w~h supply
and relurn locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CRE"K AVE. S.E. PRIOR LAKE. MN 55372.
City Hali business hours are B a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINALI- CALL CITY HALL
447-4230
I hereby apply lor a mechanical systems permit and I acknowledge that the
informalion above is complele and accurale: Ihat the work will be in conformance
with the ordinances and codes ollhe city and with lhe slate building/mechanical
codes: Ihat Ihis lorm does not become a permit until signed by the BUILDING
OFF,I1Y\~; ~:t the work will be in accordance with the approved plan in the
casU;;:~~hi:+- and approval 01 pians
~APplica.9ff. Signalure
. nU!~
uilding Otfical's Signature
Date
Date
06/25/02 12:54 FAX 6123150702
AUTOMATIC GARAGE FRIDLEY
1lJ002
"
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
: ~ ~~ I PERMIT NO. 0-' '"'"01
" y.u- AppllCAltl cr--o
(Please ~ or Drint and aim at bottom)
ADDRESS
ItfLj- 5'1- S~ B~+\\ i2.
I
LEGAL DESCRIPTION (office use only)
ZV.I_......G(ofllreuJe)
LOT
BLOCK
Auu1110N
PID
~':c~~,~i2_~ ~I(""'~ l&J.ll.-
I' .
(AddresS)IJI~ T)e
. W . ~. (Phone) Q52. J12S..qLJ55
GTJ/N11- !v/,J 55l/V-I.
APPUC~
(Namel AUtf) l\ARi'1C'1 (Phone)-r~3-616 -750-0
(Address)Ufl) \Ah/DM INk> 1h1_~ N EeooItL"J\J ~ 5644-5
;. I (Ad......) (ct,y). (Zip Code)
,
(Contact Person) ~'i2\? (\ () I n (PhOne)-n1~~/~500
APPLICANT SIGNATURE JlJt.UllAl ~ DATE ~ / DZ-
/ . APPLICANT PLEASE COMPLETE BELOW 1
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~ 1--A-'f<Df2- bI'..J-y', 't- CJ ljuEL
FLUE SIZE RE11JRN OPENINGS INPUT I OUTPUT
TYPE OF SYSTEM HEATING OR POWER. PLANT
,. OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Watcr
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditione! Units
C8l1not Encroach into
Required Side Yard
Setback.
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.S0 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential. Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.S0
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
$
.50
,....
" PA'D
~lJlfDI; 'AI...,.,..
, .:.. j'l,',-," _',
"'I
(Offite Use Only)
This Application Becomes Your Bulldlnll Permit When Approved
Paid
, .
,
i
-
Receipt No.
Dutldln.Omd.1
,1;)8!le
nl" i I, '. i JUN? ~ Ii 11 i
24 hour notIce for all inspections (952)447~!lo..(8X(9521447-4245
By
PRIOR LAKE . DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 14L1SLJ ~U.. \<~ IhLoI
v
NATURE OF WORK ~. I tM-f;llr1Yl
USE OF BUILDING SFD ,.
PEAMIT NO. I)()-n zAO DATE ISSUED 4-2t::;-"2.000
CONTRACTOR MIA t)"f;...."'"
NOTE: THIS IS NOt A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY EP. RATE DOCUMENT ti. n~CJt2.r. .lIP
INSPECTOR OATEWt'O"'~'lnl I~~
, FOOTING ~ .. WaffiA-~~ttJ. 6i~ 1~'~15 z.z./~ ~
(7' FOUNDATION (Prior Back III) . '921, (!)D p,~'}tI--' . ~z.s/b'tI i
rr. (/9/00 PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
Y ROUGH - INS
.
FRAMING \tI(& ~J/. 9/zollJ1)
INSULATION ~~~ ~ ?r!.:J--'?/tIO ~JI.-'L.' II '~. to/diM
ELECTRICAL I
PLUMBING t/lq}O( "3 I((V r<-- Zq. (h I
HEATING (if required) "'MW.I ~ 7!::>>tfJ I
FIREPLACE _ .. 11- d.- b ~:\\ I
GAS LINE AIR TEST ~..(.v. ~~ I~. /4;;/tJD I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
__ 9rvU? I 4 3Iffb(O/ I
FINALS
BUILD .t..l). II
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
for all, /$/.? /
t
-
(Jl; 8 -2 c.{ --&
w Ie- ro. ~~
I~
. ,
J/14lm I
. :-9I.?81dl
HAS BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections tjaye been approved. On buildings and additions
. 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / 'f '{ 7-1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ~SULATION
~FINAL
o SITE INSPECTION
COMMENTS:
_, ~ I
/'JK ~
......
DATE TIME
S-2v -d.
~~L
SCHEDULED
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
6-0"l.~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
6-(o~ ~(J
~RKSATISFACTORY. PROCEED
o CORRECT AC AND PROCEED
o CORRECT ALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CAL '447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIaNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IL/LfSA/
J/~?/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jl FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
z(Zl/OI jj:oa
6CA-C'h' Tie. r
l) - 2-~
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: ~_ IN'O.
~ :J,:.~ ,.MLL/A".t? ~ ~ '
;:11 ~~ ?,~tYU ('~ ~
A!fl ~ Af~ ~ ~ ~L,Q ,
(J) ~. ~() 'J'~.d~ ~
~~~
~ .J V
C;{"~~(.I ~IJ./. ~ ::. :. ;7;,;;;
"., ~___ A(O/ t
-.- -- -'_ M-C."" .
I(
,.
y
"\
../
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
:S:~~:EC~~L FOR REINS::::::::FORE COVERING
- f
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
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