HomeMy WebLinkAboutBuilding Permit 00-1026
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT '
Date Rec'd
(Please!vpeorv~~arbottom) 'A \1~
I ADDRESS ~ " -i rc....
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I. White
:.': Pink
J. Yellow
File
City
Applicam
JPERMIT NO. 00- 10201
ZONING (office use)
PU5D
LEGAL DESCRIPTION (office use only)
LOT <.l/ BLOCK 1- ADDITION 1 Ht iN 1'- 0 ;,
PID .z.';-ZQ7-()/D-0
OWNER
(Name) ',OIJ(
1,
L1,J
'Irli~M
(Address) qUi! {/1/&t2.UI'/'- LtJ, ,',rlAMf'll,J
,
11____'
(Phone) '7(,0 s.- 427 -(:, (, (: J
<,- > 3. I L
BUILDER
(Name) (~th?- U A !1<-t.UIt -oj M';0C/I1,6.1. /,Jc-
(Phone)
{~;I - <;7i{ -<'",.J/9
(Address)3&>o'f /JAIUY 1-(1),,,::-- (If'~, ,_-0<,::,:-/1,3",':.--( I"-'~I ~-)I)--r
TYPE OF WORK ,BlNew Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace
DAddition
DAlteration
DUtility Connection
o Misc,
PROJECT COST IV ALUE (excluding land) $:;' 00 , DC'C '
2-
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certity that I am the owner Of
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. J 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
enter upon the property to perfo.~ ~;rded i~ections.
X t:~ ~ (.> ' 20 )/'7";,iI iI-/'f- DC
Signature Contractor's License No. Date
I Permit Fee $ I.Be'? . 2~ I Park Support Fee # $ 8se .~I
I Plan Check Fee $ I, Ol~. t"fl I SAC # $ I, I 00 .~~I
I State Surcharge $ lS,.C!lO I Water Meter Size 5/8"; Ill, $ '~66.(}o I
,
I Penalty 1$ I Pressure Reducer $ '10.00 1
I Plumbing Permit Fee $ 1 Co ,00 I Sewer/Water Connection Fee # $ I~OO.oe) I
I Mechanical Permit Fee $ 100.00 I Water Tower Fee # 1$ OO.~ I
I Sewer & Water Permit Fee $ 3s-.$O I Builder's Deposit 1$ /,s:;x').~ I
I Gas Fireplace Permit Fee $ 40.00 I Other $ I
ication ~comes Your _BUilding Permit When Approved I TOTAL DUE e.AUA:::LJ . $ 'l,zo9. 40ft:, I
/2-/- 00
j 1- 21-'2eoe;, I Paid I Receitiso, .~15
Date I Date (2 -/2 </=00 By 'fj
This is to certify that thc request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a~ 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
"sue~l
~ ~----'~
. ...... ~ Planning Director
-'-i/30/iG0
Date Special Conditions, if any
24 hour uvtice for all inspections (952) 447-9850. fax (952) 447-4245
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ST)t~PIJ~~t\LVE LOCATION
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12151 120m Street South
Hastings, Minnesota 55033
612-480-8457
Fax: 612-480-8348
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Th~ C..nl..r of th.. L.k.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f)-fl2.IS A I MtJA ~, ASSo~
Il- 14 - on
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ZQO(J ~O)( ~/~~RIAJJ
Accepted
Accepted With Corrections X
Denied ( )/11. )
Reviewed By: ~ r. , 1--
/
Date:
11.2/-2000
Comments:
~ all crH-o.c~~
"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,"
.'
60-\DIJo
Thr ernlt. of thr L.kr Counu)'
White - Building
Canary - Engineering
Pink - Planning
aUILDlNG PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i'HLIC", AI:'-iUA
I l- 14 - O()
<; Ar (" (.'1
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The Building, Engineering, and Planning Departments have reviewed the bui ding permit
application for construction activity which is proposed at: '
2 q 0 ff1 r:: (/ X-:f-it~-=.~JZb?It;J
~
Accepted
Accepted With Corrections
Denied
Reviewed By: ~ ~~!' - - _ Date: Ll/'3t9~
, '-l
Comments:
~Pb f/k.d~MI\ V::v:~~ LJ~~ ~
. g~' ~V/~~ CMI +-~ ~l t9 , ~-J
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"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~~
00 - /02(0
@~n? /:J;v
G-(,-C? '~'/r
White - Building
Canary - Engineering
Pink - Planning
Th. C.,nln of Ih., Laklf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tH r21 5 A I fVlLJ A <f, A sso~
Il- 14 - ()()
The BUildl~g,d:~ngineering, 'rt'd P{fJ.niling Departments have reviewed the building permit
application for construction activity which is proposed at:
2 q D 0 r:- ())( T~ ~ I-h- !? lM/l,
,. .
Accepted vi Accepted With Correcti~s
Denied
Reviewed By: L-U- Date: / / - 21-00
Comments: 5E6 f?e::I/~<€ ~oc FoR lIiJOI17/JA//lL Oi/J?/J?EIVT5.
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.5EE 1J7T1lCHtff}6/J73 ~ i) ~JN6 fUl/lJ ~) .Ei!o9/Jh! Gw;m_.f1lc7/soe1f3
3)E.e~;w Cv,JTRIX ~
"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,"
//.1.
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Block Add~ion
{r 6 fI '-'
Owne(s Name Hvt 1 ( I i j J1IlIA JI.1:
'1/1-. . V7 ,() $10,001 - $50,000
I: JlI)<r;j 4~ 1t2I!ZL~ - iftftntf/lj.'S5'J5"
Heating Contractor ~r:\V/ . _We:i...fltk.. IJ.fr: ft.,
U~J (YktlerJr~ .t/0.,\~
Telephone # &/:; - X:J ~- ;:; 'Rta 7
Furnace Make & Model .~ lEE- TYPE OF SYSTEM/
'-rl.N I;;; Warm Air Plants
Model Size ---f--1il-,.... , _ . I) Gravity./ House Heating Test Record must be submitted w~h buildinn oArmij numbAr before build-
Conn, Load Mechanical i/'/ ing certificate of occupancy will be issued, ,
~ 1-(1 I f.; / Air Condnioning V
Fuel /If :?11~ Flue Size ~ I VI C- Vent. System t1,i< '1,J a/~' p':~fj~AT GAl GIII.ATI~NR RFOJ.lJBfl2 wnh number of supply and return openings listed
Su I 0 enin s )1:, HEATING OR POWER PLANT r room With CFM s per opening, New structures or addrtlons send floor plan w~h sup-
ppy P g , Steam ply and return locations shown, HEAT LOSS CALCULATIONS, PAYMENT AND
Retum Openings 1 Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St.
In ut a JJ. J7J1J Out ut ) OK iJY Radi~tion, S,E. Prior Lake, MN. 55372,
P ( p /.).) SpeCial DeVices
CITY OF PRIOR LAKE
4629 DAKOTA STREET S,E. Permit No, 00 - , Oz.ro
PRIOR LAKE, MN 55372
HEATING APPLICATION I PERMIT
Date F~b,d/ PID#--zs-z.Q7-0/5-Q
SneAddress ~tjtJ/) ~ -;~"')~ ~\\~
Lot
Address
Address
Edr,
Other Devices
Cfm,
TYPE OF WORK
/
Anerations
Replacement New Construction
Repair Est. Comp, Date Jl1I4IV,lt '0 j
Est. Cost $ /fJ.o/0. -=- Building Permn# 00 -I 0210
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
;v
'f-/
Receipt #
Single Family
./
1. Pink File
2. Green City
3. Yellow Contractor
TYPE OF RTRIIGTLJRI;
Two-Family
Muni-Family
Other
Com mercial
Industrial
Public
JOB VALUATION
$0 - $1,000
FEE
2% of job value, min. $20,00
$1,001 -$10,000
$20,00 for the first $1,000 plus $1.25 for each additional
$100,00 or fraction thereof to and including $10,000.
$132,50 for the first $10,000 plus $1.00 for each addi-
tional $100,00 or fraction thereof, to and including
$50,000,
$50,001 and over
$532.50 for the first $50,000 plus $7,50 for each addi-
tional $1,000 or fraction thereof.
The price of your heating permit includes one rough-in and one final inspection,
Add~ional inspections will be billed at $25.00 each,
City Hall business hours are 8 a,m. - 4:30 p,m,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230,
I hereby apply for mechanical systems perm~ and I acknowledge that the information
above is complete and accurate; that the work will be in conformance wnh the ordi-
nances and codes of the cny and wnh the state building/mechanical codes; that this form
does not become a permn until signed by the BUILDING OFFICIAL; that the work will be
~~ved/4the case of all work which requires review and
. ~~.Ji~/ /'2S~~
t-z.C}-O /
BUildin;Official's Signature
Date
02/21/199b 01:13
b12-8947972
LAKESIDE PLBG
PAGE 01
"~..
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J
.., . . ..' PLUMBI"!(} PERMIT
Applicant: LiJIlJUAlI f7U,-..hA"'~
AddreS$;~~ '1 ?~ /f-v-G
slgnei~re:,tCV/I~--U. ~..
LeglllOe&~. tion: ,Lot q. . BI~k ?-
Slt8Addr.s8:d~OI) 4tlX ~ - k'tuv
6ulldll1gPermltll ()n;I()~fn PIDII 2.5-Zcn- OIS-t)
N,ClTE: . This permit will not be processed w~hout complete Information,
(1)./1&11 C/.,t #J'I~ ~d;, FIXTURE UNITS
f Type of .Flldure Quantity
I ~.?I Bath Tub witt! Dr without shower -3
I
#
Phone: q.__ J - Y '1<-/- /&. DC,
1. Blu~ rue:
1. Oold OlY
J. Yc:lltlW Appij~l
oo-/ozfo
CITY OF PRIOR LAKE
T... e.,u., ..r Ih, L.Ir.. C".II'".
~ub' 7HE. WI1-05
i~"'utI.",-<
Quantity
Type of Fixture
Rough-Ins
Dishwasher
Water Heeter
, LL,..... R ! /Cd I Lavatory (bat~iopm$lnk)
J I Laundry iray, .(1. or,zeornpartment sink)
I 1 I Shower Slall . ~ '"
I I I Sinks
I I Bar Sink
L 3 ,(/'1'lL.i'IICJ Waler Clo$et.(toUe.t)
r
Water Sottner
StandPipe (washing machine)
Sewage Elector
Backflow Assembly (RPZ, Doubls Check, PV
6acktlow Assambly Test
Lawn Sprinklar
Other .' I - ~L_,~ 1- It--=.. 6<.J.
Fioor Drain
.?;.~
FEE SCHEDULE
Industrial, COmmElrclaJ&Multi-FamUy
(1 % 01 jOb cost, $39,50+hlnlmum)
Residential, NeWOi'le &TwoFamlly
Residential, Addi.tfons &A1ie.rations
".",' .
State Surcharge
GRAND TOTAL
$
ct-l
S 11)0
$
fiiAI9'.~
BUI1.DING.PERMIT
~.
$
-\
$99,50
$39,50
""\',
\)~\, \ ~ ~
. .
, ;' Thls"permlt is IBnted upon the axpreJl condition that $aid.
. .' cOntractor, .hall oomply In all ""ta with the ordinan<c&
: "of.tho'Sta,e Plumbin . amendment. thereof,
,Jz.-/~,t)O DA.TE
A.TIllST
Call for all inftectlons :24 hours in advance,
16200 Eaglc Creek Av, S,E:;,'})rior Lake, Minnesota 55372/ Ph, (612) 447-4230 ! FAX (612) 447-4245
. . . All Equal Opportunity Employer .
.-.-'"
",':"'.
~~
CITY OF PRIOR LAKE
PLUMBING PERMIT
ApplicantL1l('.st)Al PLl.tml:tu-LH, 1kII1/l1I9
Address: 3oq" lbJ.,NO /"'N,NW' BrJqdUeK
Si9nature:,)1~ ~~
Legal Description: Lot 9 Bloc~ 2-
Site Address: ').qO{) F4J... 7fA _ 1 r UtJ
Building Permit # GD - 10 VI? PID #25 ~ 2.t1"1- O/S; - ()
NOTE: This permit will not be processed without complete information,
1. Blue
2. Gold
3. Yellow
File
Cily
Applicant
PP No, OD -102-0
Phone: 7h..l- YJ. 7 - 7 Mi' C)
f"IA/, S..I Jo y
Thl' Cenln or lhl' t.kl' COUnll')
Sub
771&' M/"OS
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
2-
I
J
I.J
I
L
I
Dishwasher
I
,
I
Rough-ins
Water Heater
Bath Tub with or without shower
3
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
SinkS
Bar Sink
Water Closet (toilet)
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
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
~\D W\~":r
BU\ ',NG \-,c.."J.1
This permit is granted upon the e
contractor, shall comp, n r
of the State Plumbin
ress condition that said
ets with the ordinances
amendments thereof.
L..-/{,.CJ/ DATE
A TrEST
Call for all i ections 24 hours in advance,
16200 Eagle Creek Av, S,E, Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
----12/20/00 WED 10:53 FAX 6124474245
CITY OF PRIOR LAKE
I4J 001
GIlII!I!. ~ ...."
nLLOW . .'PUC...r
GOLD . CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERM!T
S,W,No,
OO-IOZ~
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLI :;ANT: tine:iUl vat1~ ..!-P!lU(,zJ k)(,f lis .i;fr1e, PHONE: jJ,C; 1--4-&') - 8''-1.57
ADDR! 55: _BlSI.:::Jdbl::b .h.t-~PPJ-~I..I,.\k-" ~DATE: I;)" diJ'OQ ,
SIGN.! rURE: fh/1H... ~~ ~ BLDG. PERMIT # lOiIo
SITE i\DDRESS: ~qO{) bx 1i::ml-- 1Q IAtJ PID#
FILL IN THE BLANKS
1. i stimated length of water service' ,'70'
teet.
I'
2. : ize of water service
inch (es) .
3. i ocation of any couplings from structure
feet.
4.
I ype of sewer pipe. ABS pvct-- cast Iron_
stimated length of sewer line C7~ feet.
5.
6.
lean out (if required), located at
tructure.
feet
from
---- ;=~----~~~~~~===~~====~==========~===========~~-========~=====
f.{J->-
:fJ
This, appli,?~ion ~ecomes 1JJ1iJ.. ~/;I11i it when approved. II I fA /11
By_:Pctldi~~ J//~ DATE: /27raJ ~I
===~i '====~-~~~~~~~~~---=I=======~====================={===========
FEE": $ 35.00 Sewer and water line connection permit.
~ _,~.;~, Surcharge
~") TOTAL
* 'ee for either sewer or water individually is ~.~ plus
; .50 surcharge, - I
* ;ewer and water permits issued for new construction must be
~ecorded on the building permit oard at the time of issuance
:0 insure that no duplicate sewer and water perm~ts are
DATI' l::~:d. AMOUNT PAID 4~~,'13i }
REel; CPT # REC' D BY V:'/ht; p;;..v ~
./V'
16200 E. ~Ie CreekAv, S.E" Prior Lake, Minnesota 55372 f Ph, (612) 447-4230 I fAX (612) 447-4245
A n Equal Opportunity Employer
i
PRIOR LAKE
INSPE2~oT~9~~ RECORD
SITE ADDRESS 7'; u! ~ox.T'<"V-I\' ,4JdJ'q..~'!;, 0~1IJ.
NATURE OF WORK k\~,," 0
USE OF BUILDING s...~\)
PERMIT NO, nO-1020 DATE ISSUED )
.
CONTRACTOR ~'" r- A~.........,~, G<f;I-670-C.r.y? )
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
I FOOTING I -g VtJM4 I Jt>);zq,}oo
. , FOUNDATION (Prior to Backfill)f'~~~ I ~ II' /DI
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN/SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~
FRAMING vJf- ~VfuM; ~1;J191
'INSULATION "i:.<JJ. 31;w1~
ELECTRICAL \ r: J f
PLUMBING ~,\ll4A</ v~l.a. r" S-';;, /..,
HEATING (if required) -g -~~ \ lit odd<
FIREPLACE I~' C;.r7, c) \
~~:ll..' ~[,tte-~ . 't-~t'M.! ~Jo(
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I ./ I
" FINALS
/II {1
/JJR
(4 ~L, \\~
(9./tJ/
GRADING (Prior to Sodding)
BUILDING ~ .\.~ lIt-l-o'Z. 1M J-i8-0-Z
v
ELECTRICAL
PLUMBING
HEATING
DO NOT
la~ ;(e.-OJ-
I:l- 3-0d--
I~\ i1-1 )01
I
~- 'e~o~
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,
Call between 8:00 and 9:Q() ~.M" for all inspections
FOR ALL INSPECTIONS (612) 447-9850
...~~--~--- ~- -- - -- , r.!I!- _.~ ,-- ~~ -- - - -- -,--
tiJII. ',"iKIar- -,~<~",.,.iIlKatf.'.w."-~Il! ~'Y1.~ - I ~ -.. .-...... .. ..... ~ ..... IIJI ... ~ ..IlL M IaII
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,.ol. -.' " ';.:JIII'-' "-~:" - ,',' ",-.,..... ....... ,-i'. ,;:.....:.._...-.-.,~.:,;..~'.......':"'i/JAli..t:....~....-/~..<A~. '
,t: I ... ...-.. - ... .... -- ~-';~(
:t.! ~trtificat! nf (JDcmpanry ;?g,'
CITY OF PRIOR LAKE ~ ~
J)epartment of Jjuilbing 3Jn~pedion
~ Final Permitted D Conditional C,O, Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use, For the following:
Use CJassification
SINGLE FAMILY
Bldg, PcnnilNo 00-1026
Occupancy Type
R3
Zoning District
PUSD
N/A
VN
Legal Description
Type Construction
L9, B2, THE WILDS
. Fire Zone
Owner of Building
'lie Address :-. FOX ,r
Contraclor'sNarne&Address_ CHRIS AIMUA &
ROBERT D. HUTCHINS ."'. ",0..
r, City Planner
Building Official , I"-~
IIf ~-0:+--
POST IN A CONSPICUOUS PLACE
ASSOC., 3604 BAILEY RIDGE CIR., WOODBURY
55125
DON RYE
Dale: ,
Date: _
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/2-lt,~z-
ADDRESS '7.c;OO Fox R...,
OWNER CONTR.
PHONE NO,
PERMIT NO,
DO - IO.2t
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
#NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Co/b /5/91'- - (Jf,.
" .
;:rt-~
~RKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:~4:..~ ,,~ OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOT/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
1
'A,j
'If IL
..-,'{
v,'
v r.,\
\"
SCHEDULED
/;). _ i':o;/T'ME
;:)~(JV
HJY IPUAJ
CONTR.
PERMIT NO,
t'?~ / CJ ri-J....
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL ~ 0
:5 .;-:/ (N
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')
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: JJ1J Owner/Contr:
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CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JNSNOTl
CITY OF PRIOR LAKE
INSPECTION'NOTICE SCHEDULED
~qoo +C>J\,. ~I..t,^
~ - I..... 'I .::J=;
ADDRESS ,~l'1b>' ~T.L, (,",
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o )NSULA TION
IE FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
O,)'LUMBING FINAL
)lI MECH FINAL
DATE TIME
r-30-lJ[ MJ?x>
00 _ IO,;L(P
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
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(J'P- H-19I^~_ v1 UW1\,.o...,.s:
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WOR,. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ V~ Owner/Contr:
CALL 447-9850 FOJTHE NEXT INSPECTION 24 HOURS IN ADVANCE,
iNSHOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
0:'9 tJ IJ
~~VM
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
t1. ~ PLUMBING FINAL
o MECH FINAL
COMMENTS: \
II1!\r.}.M.O IAA e~"te j'
DATE TIME
/21Z-7~1 I/.'~d
.
t)O -/~ 2(.,
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
(()K
~KSATISFACTORY' PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK: ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ - \J {)J)lj Owner/Contr:
CALL 447-9850 FOR THJ NEXT INSPECTION 24 HOURS IN ADVANCE,
L
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
lHSNOT/