HomeMy WebLinkAboutBuilding Permit 00-1066
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvD~ or orint and sign at bottom)
ADDRESS
/7 dt./9
~.t~Jd
OV/Vi'
.51-'
Date Rec' d
1\-13 -DO
PERMITNOOOOL
f;:;ffiCO">C) I
I. White
2. Pink
J. Yellow
File
City
Applicant
LEGAL DESCRIPTION (office use only)
LOT '1'BLOCK .:< ADDITION bU....,./i~dJ 2..'/
OWNER
(Name)
(Address)
PID 25-372-6#-0
. ,
(Phone)
BUILDER
(Name) n.~. l.4y../w,.:z::::. t.. -IhJJ
(Address) 3'-/S'j W(JSk".t/h,~ DviVl. sJ..-
v .
~ New Construction
OLower Level Finish
TYPE OF WORK
o Misc.
ODeck
o Fireplace
(Phone) ~5 /- ;!.5Z - 7J. '? I_
::;;')~f':l'I. /74/ ~/.;2:J
OPorch ORe-Roofing ORe-Siding
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $ 9t? X'oS-
OUtility Connection
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 local1aws 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
enter u~ prol)O~ to ~rform needed i?,pec",. (
X ~/A /I/dh~ ,.:lo/){)St.S7 //-.2-00
Signature Contractor's License No. Date
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
"'t/,ooo
83\. 00 I I Park Support Fee #
S'tO. IJ& rs- I SAC #
~. 50 Water Meter SizeSI8"; I";
Pressure Reducer
I ~O 0r3
/00 00
~5.S0
</0. (X)
~n BeCrOUr BUddm;I~~;t.:;roved
Building ~al Date
,
Sewer/Water Connection Fee
#
#
$ ASD.OI) I
$ 'llOO.dol
$ 4s.t::t:)),
$ ~ I~.OO I
$ I. :100 .~I
$ -70(). ~~I
$ () I
$ - I
$5,7/Z. IS I
I Receiptj;(:l3.f" c:[ 7 7
By /AIV -
Ii'
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may'froceed 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
~ss"e.
~. ,-4U->
' anning Director
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid 671.2-, I r
I Date 1'2,_ 1 /V" ,lU
~
lUv(~ ~~~~~:.
24 hour notice for all inspections (952) 447-9850, fax (95-2) 447-4245
r
,
The C~"ntl'r ()f the I.."',. COllnlry
White . Building
Canary . Engineering
Pink . Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUS1:
f) t~~ ft0 (~ I U I\J
I f - '3 . (J()
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
tlZ4CI DF.:EAC. Flt:.-L f') Dl2...
I
Accepted
Accepted With Corrections ~
Denied
Reviewed By: Sr AA-. !~.L4"~
Comments:
~ lMA.~ V~~S{~ .~_~ L72c.{,~
~pAld~. ~ 0~~~~~t'Al,k.~,
Date:
L!)-/6/6O
"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
Tht Crnlrr of Ihr L.b eoune!')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D R- /fore i (jf\)
I 1- I 3 - () n
- I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
17~4C? DS6f2..F(t:"LO DR..
. /
./
Accepted
Accepted With Corrections
Denied
Reviewed By:
Lit-
Date:
12/0/a7
I
Comments:
~ /JJ/lIA/ ~Glf ()7243~f/BP) ~ G-Pl//lEA/73-
. -
"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
Th"C..n...roflh"r..bCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1) Ie- rtoe I Of\}
1/-/3-()()
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/77.44 D8EAcFfSLr) DR..
. /
Accepted '/- Accepted With Corrections
Denied (J Iu j)
Reviewed By: ~~7- A
Comments:
See.. 1'D43 CbrPrJJ Dr. ~ p{/V-Q,. : Sorv'b-
~~. rtc...
Date: 11-2/-2ooc
"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 MC
1620D Eagle CreekAv. S.E. Perm~ ND. 00 -I OftJ(P
Prior Lake, MN 5.5372
HEATING APPUCATlON I PERMIT
. Z-12-D 101 PIDII
Site Address '1l-L\ql)p1.I~-hf/iol1)y-
Lot -!l. Block 1- AddftiDn
Owner's Name l)Q rlL:.V+U Y\
Address 3Lt{1 \N n. s, hj V\i'\hn~v Uy -t Zb ~
Heating Contractor A IlICl11-r fr\F.tfJlrj au
Address 3i"SD j0r)VIL1;Jf'(~1)rl:J:: i UWlI))! MM 55/2-2.-
Telephone II LiSl 4-02 - 2-115 J
Furnace Make & Model f3 i"v\i1n+- TYPE OF SYSTEM
. '2. Q 2. i, (1\ i in ~, I L"7 c' , Warm Air Plants
Model Size . ) J ,.1 N1 Ii J L- '-t' '. Gravity
Conn. load 1_1, <:SLJCI Mochanical
.. . ill t' . - Air Concfftioning j)ViAr.L/1f '2- tT-J(1
Fuel l\JCid-' AueSize 'T' G!(LSc.,]jVonlSystem_2.-6uGFM.Raih
Supply Openings S HEATING OR POWER PLANT-fvJlS
)~ Steam
'j HOlWaler
Radiation
Spe::;al Devices
Date
0J.1Wf: NUv'
. - .f !:J"S121-
Return Openings
'1 f\ ",'(7'
Input 'c. ,;UI,
Output 5 Ll, F!:;[)
Edr.
CIm.
gut
Other Devices
TYPE OF WORK
Alteralions
v
Replacement
New Construction
Repair
Est. Cost $
Est. Comp. Date
.-, 01-' "
'-"". I I \, I ;J'
I.., _,,'.......'-'
Buiding Permn II
()O - / (}fd~
HEATING PEAMrTFEE$
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
. f'A\O '-NII~. .-
ReOe1p1 # .eUl\.D\NG 'rC'-"""
~
TYPE OF STRUCTURE
I. Pink
2. Orotll
3. \'eu.w
,
.
Rio
Cry
eo._
Single Family
Commercial
1..--/'
,
.
.
.
Two-Fam~y
Industrial
Multi-FamDy.
. Other
Public
,
<
"
.
.
F~ Schedule
Imlus1rial, Commerejal & Multi-Family
Residential, Heaf"'9 & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Adallions & Alterations
Residential, AC Only
.
c
1%'of job cost (S39.50 minimum)
"
$99.50 PLEASE NOTE: ~
$64.50 Air Conditioner Units Carull c
$39.50 Encroach Into Reqllired SidE ~
$39.5C Yard Setbacks_ ~
$39.5C ~
.
.
Remember to add the State Surcharge on !he bottom of this application.
Tbe po". of your heating permit'lncludes one rough-in and one final inspection.
Additionellnspections wDi be billed at $35.00 each.
House Healing Test Record must be submitted with IluiImmlIlmmi! number before build-
ing certificate of occupancy will be Issued.
J:lfAI CALCUI ATIOr.JS REQUIREO with number 01 suppiy and retwn openings listed per
room with CFM's per opening. New structures Dr additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 15200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City HaD business hours are 8 a_m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CAl.L CITY HALL
447~
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I hereby apply for a mechanical systems permit and I acknowledge Ihat the
information above is complete and accurate; that the work will be in conformance
wfth the ordinances and codes of the oity and with the state buHdingfmechanical
codes; that this form does not become a permit until signed by lhe BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of an work whic:l1 requires review and approval of plans.
{'uJ1.iU~r~n~ /~)
9t~Pr(lj/~
Building ,fical's Signature
I
'" J "7 )\ .Ii , }
1:- /.A/. L I
Date
?' U -0 I
Date
~
<::
<::
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PL _ FAy: 447- 4248"
JAN. 9.2001 12: 34PM
GENZ RYAN 6513226147
NO. 225----p.2-----
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NO, fJO ~ IOiPiP
CITY OF PRIOR LAKE
SEWER ANe WATER PERMIT
NOTE:
Sewer and water
. contractors must
1:Ie req1stered
with t~e City.
APP!.ICANT: 1".-.,,0. ~ rI PI.. .".,bl~:""- u.".,../A In. PHONE:..li?~1-1J.2:!.-Iil.jL.j
AeeR:eSS:'l~"LlE,~~Q.r -r..., t?.....'."",''''r rrCllJl.DATE: I~
SIGNATtJRE:-1A.. .Y.\. ~. . BLOG. PERMIT:' .
SITE ADDRESS: \~~~OY"~IDiI !
.. '.
" .
tILL IN THE BLANXS'
4o'
1.
Estimated ienith o~'water servlce
, I \~
Size of water service inch(e~).
feet..
2.
3. Location of any couplinqs from s~ructure
feet.
4.
: PVC)(
. /IT"\'
of sewer iin.~_ I
required), . located
at
Type of sewer pipe.
ABS
Cast Iron
feet.
5.
6.
Estimated len9th
, '.
Clean out. (~f
.tructure. ;
feet
frqm'
, ' . ~ i
::::B~====_~~~~_ --~-~-S==-~=-----==-~r---'-'I!!;=:====-
-===...--
--~~=====
your permit
when approved.
I.-t!/O"
This appUcatio
BY
e~TE:
. . i
===a==;;==~= _____ ~===-=:e==_1=--~s==--~"---====----- ----_~~====____.._ae.=====
FEES: $
, $
$
35.00
.50
35.50
-' Sewer and .loI'llter line connection perm,it.
. Surcharqe . t
. TOTAL .,
.,
Fee for either sewe~ or water individually is $20~od: plu.
$ .50 surcharqe.
Sewer and water permits issued for new ccnstruction 'must be
recorded on the bu~dinq permit card at the time of issuance
to insure that no duplicata ~ewer and water permits! ~re
iSIS~ed. -. . I
DATE PAiD '. AMOUNT PAID f'~\O \N~p.M\\
. eU\\.V~- :
.
.
RECEIPT lJ
REC'O BY
. 4629 Dakota 51. 5.E., Prior Lake, Mlmaotil 55372 I Ph. (612) 447-4230 I Fax (612) 447424.5
AN EQUJ\~ QppClI'n.JN1TY I!MPWI'EI\
JAN. 9.2001 12:35PM
1'1It ell"''' ~.ltw IMt CeqItl17
Quantity
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GENZ RYAN 65132261~7
NO. 225
P.3
,
CITY OF PRIOR LAKE ~ =- Ea;...
. PLUMBING PERMIT # 00- /o(P~
APPI~cant: p..~]-- ~.-ln ill , ~'Jon",e,_.: lo~~4~f"Lr:t
Add.....: .. '. W,j lJ.~.~~!P r .!...K. ~ _.:m:s~
Signall.lre: \A. jI(""1I ~...-.- I
Legalo..criptlon: Lr;t' L..\- Bleck z.. Sub tvp"Rt&. D 211"\ (.)
SiteAddreee;' 1"''2.L\.~ ~n 'il~ ~
Building Permit * PIO *
NOT.E: Thi. permit will not be processedwitnout complete information.
- I
, FIXTURE UNITS
-.'
Type ot Fixture
Bath Tub with or without shower
Dishwasher
l=Iaar Oraln '
~atory (ball1room si!llc)
uundry Tray (1 or 2 campiutment sink)
Shower Stall
Sinks
Bar Sink
Weier ClasEll (tallet)
. Quantity
Thi. pem,il is 1"8IlbKI upon th. ""pr... <anditlbn that .ald
<annetor, oball comply in all rapeou wilh thd oftlln.nccs
; o~lho Sta.. Plumbi"!.,'thi1 Of. . arrr lI/IlCIIclmenli th~f.
~ "'i~~q,o., pATS
" _ ATTIlST
.
ClIU for all in.pet ~onl 24 hours in advan~.
16200 Bllgle Creek Av_ S.E., Prior take, Minneso1ll55372/ ~h. (612) 447-4230/ FAX (612) 447-4245
. All Eqllll OPllollUnity Employer .
f
~_I,
I. .'
FEE SCHEDULE:
.
. .
, Ind~lItrlal, Commercial & MUlti-Family
(1~ of job cast, $311.50 minirnum)
Residential. New One & Two Family
Rllliidenlial. Additlon'l & Alterationl
i
~te Surcharge
$99.50
$39.50 .
,-
GRAND TOTAL
Type of Flldure
Rougn-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejectar . . , 1
. Backffow Asumbl)' (RPZ, Double ChICk, PVBf I
, Backflow A..embly Test . .J
Lawn Sprinkler
Other
$
$
$
$
.50
. PAID wrn-\ :T
$ Sl lIlDING PERM~
"
~
FIRESIDE CORNER #4549 P.OD5/005
CITY OF PRIOR LAKE Date Rec'd
HEATING/AJR CONDmONINGIFIREPLACE PERMIT
,
MAY I 5 2001
1,"ilW.
,......
" y.na.,
s.... I PERMIT NO; 0"::/00 G 1
(Plea.. ~ or orin' and,\... or b"""m)
ADDRESS
) 7 .p-/q
..s:?
I
ZONING (_""',
DI
dJ~,t:J~
()
LEGAL DESClUPTION (otIlco US< only)
LOT t/ BLOCK ;< ADDmON
/kAJd&:J-Nd
//
Plr;>:;(5- ~7;;2- UI'?J
. OWNER
(Name)
7J ;2. ~
(phone)
(.A<llhess)
APPUCANT
(Name) AIJ:.IED FIllESIPE PBA E'IllESIDE COIlNER
(Phone) 651-633-2561
(Addres.) 2700 N. FAIlWIEW AliENI''''
(Add=<l
BRmDA IlOSTaN.--l
(Contact Per.on) 7 /
APPLICANT SIGNATURE /,{A!td1 1/~
- ~
APPLICANT PLEASE COMPLl~TE BELOW
~W CONSTRUCTION 0 REPLACEMENt 0 AI.. TERA nONS
FURNACE MAKE AND MODEL FUEL
FWE SIZE . RETURN OPENINGS INPUT OUTPUT
TYPE OF " L" I. r.,,{ SEATING OR POWER PLANT
':]W3tlD Air PllUlts J Slc1m
JGravity J Hot War.or
J MechMicol J lladllllon
JAir Condllioning J Sp..laI Device.
OVent Sy'll:m J Olher Devices
deu tV fat..
~"F.lTTT,r.'" ""'"
(CIr;y)
651-633-2561
5~\"
(:zip CocIo)
(Phone)
DATE
,r;,/r-"
PLEASE NOTE:
Air Conditioner Units
CWIlIot EncroQ<;!l inlD
Required Side Y.rd
Setbocks
FIREPLACE MA.KE AND MODEL
~l- 7Jll 71r!r~
IndUllrial. Commcn:iol \9. Multl-f"",ily
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
539.'0 minim'nD
$99,'0 Re.ldcnllll!, Addillon. & AllenUions
$6'00 Rc:sfdentlal, AC Oniy
$3950
Residenti.l. Hearing & AlC (Ne,", CDnslTUClion)
Residential. HCllIing Only (N.,., ConmruClicn)
$3950
S39.50
E.timatcd Cost S Building Pcnnit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE S
13Ul'l.DPA,ID Ii!..
INO "
F-.
'-,
(Office UlIe Onln
Thi. Application Becomes Your Building Per", It When Approved
Jlo<lIdln~ Ollid.1
Ila..
I~
I Date::J15_01
~ec~
By J 114
I
-
~4 bour nolleo f.r '1IIn.poetl.n. (95Z) 447-9350, Ill. (952) <447-4%4S
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /'7'1 qtj j;},ar[-e1J Or,
NATURE OF WORK jili>L"\
USE OF BUILDING-SFj:\
PERMIT NO. 00 .I~ DATE ISSUED (1- 21-2a::Jo
CONTRACTOR------rrrz. HC'\~ c,JI- ~-c..... 7/3(.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING gi,SPECTOR 1//'1 ,0 ~ATE
I FOUNDATION (Prior to Backfill)r^);... I ~ 1I11o11'l1 11A-. 1/;.1/D(
J ~.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ /l.a.., t.(w-g/fJ! fb:r. 9aqftJl
HEATING (ifrequired)""f'J.A I/t.ithi gh ~ &.. L.( /~~ ;/'/)/ . iN blltA.
FIREPLACE ' I ~ \l~ {gl "iO\ '
GAS LINE AIR TEST o/^' ~(f, f?R \ /;:1/5-'kN
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~ 41~ I 13:J--. I ~/3blol
- ./ FINALS .
1.J"..
fIir, l
b}l~lol
bi(t{~ /
GRADING (Prior to Sodding)
BUILDINGT.C.f.l. ..0.J "Jkf/~1 fS1. 8/11/0/
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.
v1AJl;"
~
I
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Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
(~_",j~.~, -,''W,',~=,~,~,~, -'~l=,;",,,,_ .~I~.~ i~"~'''''''-'''Vjd",'''''' ~,~.- (.
~'.---: ~ ,',r '~:'l\ri~""....,~""''''' ~..('....~.jllt:...t.~....~ '~-"4~':"-
;, ~. ! ~trtifi(au of ~(mpanry ); :
CITY OF PRIOR LAKE
jDepartment of .uUlIing Jn~pettion
,I3l.Final PermittCd 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 Lqke regulating building construction or use. For the following:
SINGLE EMILY 00-1066
Occupancy Type
R3
Type Construction
VN
. Fire Zone
N/A
Zoning District
Rl
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Use Classification
Bldg. Permit No.
Legal Description
L4, B2. DEERFIELD SECOND
Owner of Building
C;;itc Address
11249 DEER FIELD DRIVE S.E.
C . N L .""-- 0 R HORTON. 3tl59 WASHINGTO",
-----"..... ame~~__-' . !l 'l
P.OBERT D. HUTCHINS 1 i/f" CityPlllllller
Building Official
1- J- (ji..1
DR. SUITE 204. EAGAN. 55122
!JON RYE
Dare:
Date:
POST IN A CONSPICUOUS PLACE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULEO
j -J,-<J 1#
ADDRESS
/7}..t.{Q
~~/+;T Ie'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OJ-fOCal.
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
o PLUMBING FINAL
o MECH FINAL
~)C~ / 1H~- J
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~~~.
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-
--~')
11
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./
---------
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K, ~ FOR REINSPECTION BEFORE COVERING
Inspector: I~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
''''''''''
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7,;).<19
SCHEDULED ~
N~ &,
/1, 00
, :~cJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJo-/O/pf"
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
I.i\Il! PLUMBING FINAL
I!\I~ MECH FINAL
cq. MMENTS: "R-:k,
C!J~
c?J $oQ tf/~
o FOOTING
o FOUNDA nON
o FRAMING
o lNSULATio~
~FINAL (f 1'lY)!
b SITE lNSh::v "uN
o EXiGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ -11J1 A">- ~
~~~.
. --~-----
...
,
( ( > C, o. -G.J.f 1/ S1a /
o WORK SATISFACTORY, PROCEED
?,CORRECT ACTION AND PROCEED
o CORRECT WORKj"'LL FOR REINSPECTlON BEFORE COVERING
Inspector: ;.,;r:; I OwnerfContr:
f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
IIJJL/9
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION .
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
~WATER HOOKUP
o SEWER HOOKUP
LUMBING FINAL
o MECH FINAL
~-~
~-~
~/v~ ~
DATE TIME
7P-'fol '1.--:'30
f}~ -di/IIJ I() (~(,.,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~/
Inspector:
OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOT.r