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HomeMy WebLinkAboutBuilding Permit 00-1060 ~~ DATI=RI=r.l=I"I=.Q 11.13'00 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) 2. SITE ADDRESS /7~~-3 ~~ >€''''f'/pC ~ 3. LEGAL DESCRIPTION LOT ADDITION 4. OWNER ~ BLOCK ... ~-~~~II1G::-z:..~ (Name) 5. ARCHITECT (Name) 6. BUILDER (Name) .cl.-4f. .M9~~~ ~ \ \ \ 1. White \ 2. Pink ',3. Yellow 1. DATE /~~/PO )2.1 BUILDING I ORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES PID 25-:;:),72- tJ.'5/-{j 13. TYPE OF CONSTRUCTION cR::!!!2. (Address) (Address) (Tel. No.) 14. FLOOR AREA APPORTIONMENT USE (Tel. No.) (Address) (Tel. No.) ...s.y'~ ~4'~ ~ ~~O'JC ~ ~ ~..;:(~ 4&'-..<':!;t6-74 > 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS 7. TYPE OF WORK New constructjO~ 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 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 ca~revOkt_th~ permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X ......-;;~ ~""'-;'"-"", __~6?;c.:r?" //"/Z/#d , Si"gnature License No. ' ~te Fireplace 0 Alterations 0 SETBACKS: Required Actual Front BUILDING DEPARTMENT VALUATION USE OF BUILDING C;P1/ TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM A Division 1 2 3 4 Permit Fee ................................... $ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Gas Fireplace Permit ....................... $ Septic 0 Addition D Deck 0 Finish Attic 0 Ae-roofing D Porch 0 Ae-siding D Finish Basement D 16. PROJECT COSTNALUE 6'5 L 9t?7" 17. COMPL~TION DATE SEATS FOR ADMINISTRATIVE USE Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS D PERCOLATION TESTS 0 OFF STAEET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~ .O~ S U City: '7 f3l'} .?. '" ,.L I'll 'f'l.ot) 100 .00 ( O/:) ..t::Jt3 55"..0:;0 C/o.= uilding Permit When Approved. Date I' - '20 . '2beo PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC uu.uuuuuuuuuuuu............ $ Collective Street Fee ....................... $ Sewer Tap ................................... $ ,. $ Pressure Reducer .....~................ $ Meter Horn ... ........ ........................ ot ~-n .0:> If I 0(') . t"h 'i5 0,," /'21Cl.oo Water Meter ................................. $ Sewer & Water Connection Fee ........... $-1.,.2 no .00 WaterTowerFee ........................... $~/')I"'J.. 00 Water Tap ................................... $__ Builder's Deposit ............................ 4: . . Other ......................................... ~ Total Due .......................umu $ ~ '3b. % Paid 4~3:;..41, ReceiPt,Nq.3<<1Q I~~ ;~ Date 1'7-~ 1 Ai' ....Qh By 111/0 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 rA requested. This document when s~ theC p.annerconstitutesatemporaryCe"I~7~mPlian~~t~~':-cy8~~pa:~m;stbeissued y Planner ate Special Conditions if any - 24 hour notice for aU inspections 447-9850 Th~ C~nl~r of lh~ I..ke Counlry White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D 1< )-f,0/~-T()IJ //- /3 - (j() I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /? 2 5.3 c)(::; c.: /<- F /6 LV L; k:.. . Accepted Denied / Accepted With Corrections Reviewed By: ~~ Date: /)?-/ ~ / &t ':J Comments: S.e ~ ~0'VIT H~ J4J.dve~ 172-:)) r0~~te1l V;:Y, Gv CbvlfJ1{i19vl-< -(~.~~~ - "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 White - Building Canary - Engineering Pink - Planning Th~ C~"ln or Ih~ L.k~ Counlr)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. 1<.. //- 13 - Hol2 / u/J dO The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1/253 DebK.FlbL-D DI2. V Accepted Accepted With Corrections Denied Reviewed By: LLL- Date: 11- 2 Z-CO '/ / Comments: 5~ /JJfJIJ;7//cc/ (1'7251 FMte(j a-Lffie fJm/P~. "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." ~~ White - Building Canary - Engineering Pink - Planning Thr ("rntrr of lhr Laxr Count".. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED D. f<-. //- /3 - )-fore I utJ 6() The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: //2 53 DeeteF/6/-D OR... Accepted >Z Accepted With Corrections Denied 2)/# - 0 Reviewed B{ 0_ Or~~ "- If Date: / I - 20 - '1a::rl Comments: 'PD 172~~ C-.... Pk ..~~ . tiG. "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." CITY OF PRIOR LAKE Me . 16200 Eagle Creek Av. 5.E. Permit No. 00 ~ IDft;O Prior Lake, MN 5.5372 HEATING APPLICATION! PERMIT Date 2..\ 'L1 I b I PlDlI 7r;- ~72. - 0.5..1- 0 . , 1\" SiIs Addrass /12..':5 31JtfX -h eJd0( s..E lot -k Block L Adcfdion Owne(s Name _J) jZ I-tDr +-t!V. Address _ -::i.,L\J31 W ClS,h/LI1D\-Hn1}) r~DLI foc.Oi{l1t ryj 12.2.- Heating Contractor 1:+ tlW...Ylt r\I\U'..rJ\)('u u:uJ ... Address 3ij'SD KiAli rll2btcl)jr-1tj EaPitU\ WV\j 5'5iZ-c 'C/ lie" ~llc:-. J Telephone # I L'.1 '-1"7 L/ i- :J Furnace Make & Model nr0Cvnf TYPE O.F SYSTEM . ..,C? ."1' I'\",~ I .. Wann Air Planls Model Size ::)).) r-..n \. L.- L'-( 6 7/..' Gravity Conn. Loadt1.. S~[l Mechan~l: r.. , I ' ,illClr, ,Q AIfCo.._..~..."g Z--rnn ~I- Fuel tvil.*" Flue Size '1"' . itS'') U Vent. System z... "'iD CF. ''ifh g HEATING OR POWER PLANT -fttn s j 1 Steam 7 HatWaler Radiation Speclal Devices Supply Openings Return Openings 71' O\!, f. Input :. U I.:L' Output 51 ( !T[i: , Edr. Ctm. Cy r:l :)UL: 0tI1eJ Del/ices TYPE OF WORK A~eralions ..-- Replacement Ne", Construction Repair Est. Com p. Date Est. Cost $ --J. ...,(.''1' ..../I..,.'L"L-' , ()() ~ If) fc () L-Z Building Permft it HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 PAID WITH BU\I.DING PERMIT Receipt it TYPE OF STRUCTURE I.PiI1k 2. Grcell J. YeUllw , , , . . . 1;" C;ty CC1ntmc1Dr Single Family Commercial ~ Two-Family Industrial Mu Iii. Family Other Public , < " ~ Schedule >- >- Industrial, Commell:ial & Multi-Family Residential, Heating & AC Residantla~ Healing Only Residential, Gas Fireplace Residential, Additions & Allerations Residential, AC Only . e l%'of job cost ($39,50 minimum) $99.50 PLEASE NOTE: ~ $64.50 Air Condi lioner UniTs Carml e $39.50 Encroach Into Required SidE ~ . $39.5C Yard Setbacks. ~ $39.5C ~ . . Rememberto add the State Surcharge on !he bottom of this application. The price of your healing perm~ includes one rough-in and one linal inspection. Additional i. ,.....~~llf1S wm be billed af $35.00 each. House Healing Test Record must be submitted with bui!mmlll!!I!IliI number before build- ing certificate 01 occupancy will be issued. ~ CAI CLJLATION.~ REOUIRED with number 01 supply end retum openings listed per room ",ilh CFM's per opening. New structures or addilions send floor plan with supply and return locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND APPLiCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372- City Hall business hours are S a.m. . 4:30 p.m. ALL WORK MUST BE INSPECTED (F10UGH-1N AND FINAL) - CALL CITY HALL 447_ I hereby apply lor a mechanical systems permit and I acknowledge that the inlormation above is complete and accurate; that the work will be In conformance wilh 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 lhe BUILDING OFFICIAL; thai the work will be in accordance with the approved plan in the case of all work which requires rel/iew and approl/al of pians. . . i..fJiJ!.r"'''^-' fJ\1J!t.~ tiN It; I ppli 'l!fL- 2,- ;;~e~ I Bulidi1 OHiCat's SignalUre Date c ~ ~ ~ c ~ ~ ~ ~ c ~ t" > ~ " JE; c c .... PL. FA;i 447- 4248" FI RES IDE CORNER CITY OF PRIOR LAKE HEATING/All. CONDITIONlNGfFJREPLACE PERMIT #5403 P.002/008 D~te 8ec'd : ~ ~:~ I I 1l....:..UT NO. 0 - /t?{P 0 I ], Y..I1rnt I'''''''h:lant (Pteaftl M:\II::_ or mint Md, sim lit bottDm) ADDRESS 17,).53 ~t' Otwe LEGAL DESClUPTION (olliee use Oll!yJ LOT & aLOCK d- ADDITION' DOJkicR /) cr;l ML OWNER. (Name) (Address) ~ L -IhfL4 (phone) v APPUCANT (Name) lILT.XED FIRESIDE !lEA FIRESIDE COMER I Zv%?u;O~~) Pro ~C;--;)7d:-()S/-P (Phone) 6.",1-6.'n-2~F;1 (Addxess) 27QO N. FAJ:l'lVIEW ~Yf.l'WR RO<:F.\1TLT.E MIJ ~~11"\ (Addres,) (City) (Zip Code) I3RENDA HTJS'l'OO 651-633-256]. (Con,tacl Person) /7, (Phone) APPLICANT SIGNATURE fi~fJ'" ~/.._~ - DATE APPLICANT PLEASE COMPLETE BELOW ~WCONSTRUCTlON 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEJ. FlJEL FLUE SJZE RETURN OPENINGS INPUT OUTPUT mE OF SYSTEM Ow."" Ai, PI."l. OO".vl1)' o Mech.nical Dl\ir COlldltioning OV en~ Sysl1:m FIREPLACE MAKE AND MODEL ~ HEATING OR POWER PLANT :J Sleom :J Hot. We.ler :J R4~iotlon :J Speel", pevices :J Other DevIces ,J t;G>, .,f:{_? ~ i1Z.. I"duminl. Comrn<rci1l1 &. M.ll.fti-Pomily FEE SCHEDULE 1% of job eoS! R..,idential. Oas Firepl.ce $39.50 minim\1lll $99.50 R.esiden.li.'. Addition. &: A'terations 564.50 ksidcntl.', AC Only Residen,i.l. Hr:ating '" NC (New Construction) ResidentisJ. Hear~ng Onl~ (New Canstn":lion) Estimaled CD~l $ Building Permit #, REA TINO PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .so fOffice u., Only) Thl. AppUclltl"n Becomes Your Building Permit When ApPrQvod I Paid I Dote t-7-CJ / lIulldlna omcl.1 D... 14 hall' notic. for n/l inspectinn. (95~) 447.9850, IllI (952) 4474245 PLEASE NOTE, Air CDndirJonorlJnits Cannot Encroach into Required Side YanI Setback. 539.50 539.50 $.9.50 Su PAID WI'" '-- ILDING Pi:' {'I,v.., I Rloceipt No. IBY~ ----~-_..__._,._--- JAN. 9.2001 12: 40PM GENZ RYAN 6513226147 NO. 225 P.21 CITY OF PRIOR LAKE i5ft 5-_ . PLUMBING PERMIT # '00 ~ /()fo 0 Applicant: ;C7 Jf17- - (/J p.f"'l ~hon~: l B c <.JZ~ ~f1t...ft.../ . Address: ~ I 41U n ~ Ijj) ~ --J.f'l,L- 1I~~~rrYJI...L.nr <::J:::lJ( ,,~ Signature: --1A 1 0. H A I. .' . ~al.DeSllrlptiO; Lot F-, Block:2- Sub :ti..~YHd~o Site Address: 1'17_~~ 'iY...../A-pJ~ lW~ ~ Building Permit 1# PIC II NOTE: Ttlli permit will not be proc...ed withoat complete information. : : . F1XTURI! UNITS' . . ~:...' nr CftIwt ~.' .'11. 1.1. c.....17 I Quantity I I I. \. ., \ 1 ' ?,;.. r . \ I. I '1:-. ,. . i' '2-- ,. ''','";, I ,......-I Type at Fixture Sath Tub with or w~hout 'shower Dishwasher Floor Crain Lavatory (bllthrool)"llink) Laundry Tray (1 o~ 2 oompartment sink) Shower Stall Sinkl Bar Sink Water Closet (toilet) Quantity I e.lr 1 Type of Fixture Flough-ins . Water!"leater Water,So""er . Stand'Pipe: (washine'machlne) 5ewag'e cJ~ctor . '. Backllow Assembly (RPZ, Double Check, PVB) Sackllow ~mblyTest L.awn ~prlnkler Other. $ $ $ $' .i .50 . FEE SCHEDULE _ Industrial, Comll1llrcial " Multi-Family (1"" of job eOlt, S39.50 minimum) Fleeidential, New One" Two FamIlY Relidentiel, Additions" Alterations . Slate Surcharge $99.50 $139.50 ~ r PAID WITH . lCW\~ING PERM~T' J GRANO TOTAl. , . Thi'!P"fnI!' is granted upan !lie exp..... .andili~n III.C .ald conttactOf~ .hall comply in all ts with the ~rdinlnees I. a~"'. SelIC Plumbin. 0 amondmcnlSilMroaf. - :, -4,01: OATS AT'l'IlST nons 24 hDUrs in advan~a. . 16200 Bagle Creek Av. S.E...Prior Lake. MiMesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4215 . An Equal Oppart\lni!)' Employer JAN. 29. 2001 12:31PM GENZ RYAN 6513226147 NO. 037 P.8/13 _.... ".uG..~T 110'" . an CITY OF PRIOR LAKE SEWER AND WATER PERMIT NO. ()o- (000 NOTE: Sewer and water contractors must be registered with the city. APPLICANT: o.,Y"I~- ~Ptt.Jvr>'nI..:c_ u.nT"/.uC'~ PHONE:..J25I-(,J.2:~-IILjJ.J ADDRESS:~.........:2." -rI2.L /C,....."W>r>t''O.T .s;"lO""Cl/Ji_DATE: '1 '2?rf('), SIGNATURE:ll f~ 0 ./""'--. . BLDG. PERMIT ~ ()()-/r:Js;O SITE ADDRESS: 1""7_,"", I .A "\ . PIO# FILL IN 1. 2. EstimatGd length of water servioe I" size of water service inch(es). THE BLANKS 40' feet. 3. Location of any couplings from s~ructure feet. 4. Type of sewer pipe. ABS PVC X Cast Iron 5. Estimated length of sewer line~' feet. 6. clean out (if required), located at feet from structure. ~======~======== I. ==:l==:::!!!:!!lI!~==-__==_ , ,.-=-----""'-----==-== This application b our permit when approved. BY . DATE: -Z---( 4-:-0 I ;;;:;~=_____......___=~...."'___ p~~~_ =-.~==== _____ -':"';;;;=--====-iE1 ~~===::::===;;;;;;:== FEES: $ $ $ 35.00 .50 35.50 Sewer and water line conneotion permit. Surcharge TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharge. · Sewer and water permits issued for new construction must be recorded en the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. DATE PAID Il.ECEIPT # \o\NII\-\- AMOUNT PAID:; --2~ _ ,--oU. ' .nU'l1.:l1 - REC' 0 BY eU~""" . 4629 Dakota 51. 5.E.. Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (6121 4474245 AN .QUAL OPPORTUNITY ~PlO'o'EIl PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS /I)";t C;"< T).",L>t-Cp\A\ l"\.... NATURE OF WORk t\.\p:', - USE OF BUILDING~~ PERMIT NO. ., DATE ISSUED ...lJ-?n-UxlQ. CONTRACTOR D.: . ~k 6$1- "2~L. - 71 ~t;. NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE - I FOOTING I ~ 1//3/ /01 , FOUNDATION (Prior to Backfill)I'~....: I 6?ibr. d)/;3/{)/ I ff)r. ~/Jt1o I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC FRAMING INSULATION r?r, fo!~ J ELECTRICAL PLUMBING LU;- au Slr/o' HEATING (if requiret't) (t t\-. f'P:\ jJb/" I FIREPLACE' . U .' GAS LINE AIR TEST (:",.P. ~. ~. ~, &f~\\oo (,P-~ / ~ fulil/o' I&Y (,/'1 In/ j::h , ~ /PI I 1/01 kJ/~) ( GRADING (Prior to Sodding) BUILDlNG~.c...o. ~ QI3C/;t ELECTRICAL PLUMBING HEATING DO NOT COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS , I N.{j I ~. 81p/ol &. !IJ/7/o1 /6bs MI I~ ( k<Yy _ fu f(j )J!/) j . .. 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, ca:d.sha!1 be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 . j',.-'i.."'. ...'~ i...,;... ,." "' ~, ..,....., I. ,.' '; .. ~"', ' .; . " :~. , 't' ., ,I'"", "Iio";" ,; .. , I I i I I I i , I i , 'lMlioo' ........ ADDRESS \1')..5:) Oe~...~:~\J! OCCUPANT. HEAT LOSS. SOLD BY E lee.rical Work By TYPE OF HEAT HOUSE H EA TlNG TEST RECORD Or;JL. APT. _FLOOR "WNER DATE HTG. INST. JOB#. CITY _ SUBURB INSTALLED BY A \ I.. ~ _.... 1"-"\. r\ Gas line By " GA _ FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER GAS DESIGN MAKE ~"''YQ..-"\' Model ,,-"\-f\.VC)<...C7b 50';01 1<..0 I A.L ~t..~<::> INPUT -----.k '" ....""J:) MAKE OF BURNEP Model. Max. BTU Rating MAKE OF FURNACE Model. CONTROLS THERMOSTAT ~b-"'._lr\\ Heat Plug Valve C//.,A Vent Size 4" KIND OF LINER. Draft Hood _ Filters Limit d-:)..O S;ze IL)(;)~ l(. I Limit Setting Fan Setting _ P;lot Type usE Pilot Make Pilot Model _ Pilot Timing L. W. Cut Off Pressure ~. '" Input CFH Stack Temp. --.3SS- Chimney Location Chimney Construction Inside _ CONVERSION \/ 1\ SIZF NONF RegulaTor f"C'.00.:ttL: ~ Number Outside Smoke Bomb D,oft - t"./ po.. Door Pressurl"' Pe,cent CO2 .. g.~_ Dote Tested >f -:1;1- 0' Percent 02~. Sv Company Testing Frederickson Heating & A/C, 3650 Kennebec Dr., Eagan, MN 55122 Percent CO ~ 0 Name of Tester _ \L.(I \~ ,-A\L~_' Form 235 Wiring _ Test Tog N / f\ Lighting Inst. I DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /? ~<"'~ SCHEDULED 1f{ zz./ (J I !J12LA ~./[) 1/ CONTR. /1l;6-0 OWNER PHONE NO. PERMIT NO. tJo - /11 tn 0 o FOOTING o FRAMING cf0 o INSULATION . I I5lI FINAL ~ tJ FOUNDATION o DEMOLITION o FIRE PREVo o PLUMBINGRI r=.~ !!- MECHANICAL .-,. o WATER HOOKUP o SEWER HOOKUP o SEPTIC INSTALL o PLUMBING FINAL o SITE INSPECTION o EXC/GRAD/FILLING o LKSHOREnNETLAND o COMPLAINT o SEPTIC FINAL o FIREPLACE o (r;)t~ ~r-~" 'u ._~ (, T.Q.., f). '''''''''''''''"-.. Cj If!, 0 In; " "~ _rS1f!i ~ ~~. o WORK SATISFACTORY, PROCEED 0 'odCORRECT ACTION AND PROCEED 10" CORRECT WORK, CALL FOR REINSPECT10N BEFORE COVERING ~I v ~ Inspector: Owner/Contr: CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ CITY OF PRIOR LAKE INSPECTION NOTICE DATE ~ -/-01' 17J-S3- (o~ TIME SCHEDULED ., I / C~"() ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. ()- lOG 0 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 ..-e-PlUMBING FINAL o MECH FINAL o EXlGRADlFllLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASllNE AIR TST o COMMENTS: ~ f ~+- C4v~ II V ~w RKSATISFACTORY, PROCEED RRECT T D PROCEED o CORRE WO . lL FOR REINSPECTION BEFORE COVERING Owner/Contr: C L 7- 0 ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE. coM REQU:REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNQTl