HomeMy WebLinkAboutBuilding Permit 01-0043
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/7/"Y7 4//...c~A/GC5S 7"1~~
Date Rec' d
3--/5-0/
I White
Pink
3 Yellow
File
City
Applicant
PERMIT NO.
01- OOL{~
ZONING (offic,u,,)
12.../
LEGAL DESCRIPTION (office use only)
/~ /
LOT BLOCK ADDITION ~~
PIDZ6~370 - 0/5-0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
<7.1" )c;I"~~ ~.
..:!'Y'6""9 4/~~
(Address)
TYPE OF WORK
New Construction
ODeck
OLower Level Finish
o Fireplace
o Misc.
x
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
roes Your Building Permit When Approved
3-lC(-~1
Date
(Phone)
h.?7-dl6~ -7/3j;,
0"$7'.;:? ;2.
~ ..a::7
A~ ..-?V'l/"
ORe-Siding
OAddition
OAlteration
OUtility Connection
,,7y'"o -0/
Date
$
$
$
$
$
$
$
$
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 can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the property to perform needed inspections.
~~~
Signature
OPorch
ORe-Roofing
~.oo
45."0
00 .llIe,
100.Ol:J
OOd)C>
$
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ma proceed as requested. This document
~~;;;::~th' City Plann" constitu"s a "mpm"" Certificate of Zoning complian" and allow, construction to comm'n". B,foce occupancy, a C,rtificace of Occupancy must b,
~"",,e"~ "2 1~;:V'A'Yl
lanllingDirector ~~
PROJECT COST/VALUE (excluding land) $
c:X'~~S7
Contractor's License No.
,
ue (JOO.
Park Support Fee
SAC
#
#
Water Meter
Siz 5/
I".
,
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
OI-OOk) .
Th~ C~nl"r of the Lake Country
White - BUil~
c~na~ngineer
Pmk - lannmg
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. f2. I-IOKTOtJ
3-/5-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/4-7
{V/LDEKNESS TJ::A/L-
Accepted
>(
Accepted With Corrections
Denied
Reviewed By:
NI/B
Date:
3 -/'"t-Ol
Comments:
See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Frosion Control Plan
"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."
t~1
01- 004-3
.
Th~ Ce-nl..r gf the L.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I' ie: tl/. ,---;--r A I
-1._,_-. r . { C ,1--- .f <-" f '-'
APPLICATION RECEIVED
.-~:->
--' - / ~:- - (. I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ /14 7 i , ! L ur K Ie E-= ..~ I !...:./i / L-
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ Date: 3 / L31 D I
Comments:
~~~~it~~,~
1~~t:c~~wu
"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."
~\
0' -ook')
The C..nl... of th.. L.k.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D.I2-. HOKfOM
3~/S,.O I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7/4-7 W/l-DEF!!-A/6SS 7J2A-/L-
Accepted
Accepted With Correction.S:.><:
---
Denied ~
Reviewed -.y!s..
Comments:
Date: 7-1"l-Z.~1
(J(a-:.,Q~cloC'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,"
12:26PM
GENZ RVAN PLUMBING AND HEATING
No.1526 p. 2/3
Date R
CITY OF PRIOR LAKE PLUMBING PERMIT
Tf 1 - :Sf::..-
~:~~ E.-I PERMIT NOOf-QO'l1!
I I ZRiG(~~~.) I
I ~;~~~t~::)Yn OM
LEGAL DESCRIPTION (olfi<e We only)
LOT ('baLOCK
ADDmON
PmdS- /;) -cJ/.)-()
OWNER:[1
(Name) P -
~cm~
(Address)
u
(phone) /..f)SI- 4f:::;..-/ - '-II 0/.0 ~
6 ,L
APPLICANT.
(Name) bUll. - ~l Vl
(Address) ILli L.l6 ~ (l f')'r::i Xl.:A Tf7 A --'
I I J(Addre~)
(Contact Person) ~ T
T PLEASE COMPLETE BELOW
APPLICANT SIGNATURE
Quantity Type of Fixture Quantity Type of Fixtllre
'2- Bath Tub with or without shower ~ Rough-1m
\ Dishwasher , Water Heater
\ Floor Dram Water Softner
,,:.., Lavatory (Bathroom Sink) T Stand Pipe (Washing Machine)
r Laundry Tray (1 or 2 compartment sink Sewage Ejector
, Shower Stal! Backflow Assembly
1 Sinks Backtlow Assembly Test
Bar Sink Lawn Sprinkler
~ Water Closet (Toilet) Other
~
FEE SCHEDULE
Industrial, COlMlerctaJ & Mulb-tiuIllly 1% of job cost wi!b. $39.50 minimum
Residr:ntial, New Doc & Two-Family $99,SO
Rcstd.ntial, AdditiolU &: AI_ons $3950
Estimated Cost $
Building Permit #
PAID WITH
.50 BUILDING PERMIT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(om.:c U"c OQly)
This AppIi~atiOIl Be~om.. Your Building Permit When Approved
Paid
Receipt No
lluUdinJ OOIdol
Dote
ate U~ / / ~O I
By
24 bOQr notice for an in.pection. (952) 447-9850. fa1 (952).447-4245
MAY-24-01 THU 03:21 PM FIREPLACE CENTER
FAX NO. 952 545 0807
P. 02
CITY OF PRIOR LAKE
HEATING/AIR CONDIT~~~~~\REPLACE PERMIT
\"1.::1l~}S~~~\~
\~.t?Y~. ....)\--.
Date Rec'd
~Pleasc type or.erinr!!'ld li&!>..~r bollOm~
ADDRESS
______L2/2.2 It J/~u 0"";'
; ~ ~~, I PERMIT NO.
] V,Uow ApfliAnl.
1-L!3
r1t,GCOMuUKl
LEGAL DESCRIPTION (olllee use: only)
!:OT l~~QS:IS_ 1 ADDITION ;Qp~
[g;z:_::~ ~
(Address) _'__
PID 'd5 /=370-0 I S~
(Phone)
APPLICANT
(NameL_~LI~D FIRESIDE DBA FIRESIDE CORNER
(Phon~ 651-633-2561
(Address) _?'"zQ.!L1L___PAIRVIEW AVENUE
(AdM")
BRENDA HUSTON
(ContlIct P~l~on) __.__
_ RDSEVTT.T.F. MN'
(City)
(Phone) 651-633 -2561
DATE
"~11l
(Zip Code)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
--.-._----..-.--~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE __.___.__ RETURN OPENINGS INPUT OUTPUT
'lYPE OF SYSTEM HEATING OR POWER PLANT
oWarm Air Plants
oGravity
o Mechanical
OAir Conditioning
OVen!. System
o Steam
o Hot Waler
o Radiation
o Special Devices
o Qther Devices
PLEASE NOTE:
Air Conditione', Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREI'LACE MAKE AND MODEL
Residential. fleuting & AlC (New Construction)
Residential. HCilting Onl)' (New Construction)
FEE SCHEDULE
1% of job cost Residenlial, Oas Fireplace
539.50 minimum
$99.50 Residential, Addillons '" Alleralions
564.50 Residential. AC Only
539.50
539.50
539.50
Industrial, Commercial &. Multi~Family
Estimated Cost 5
Building Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
.50
PAID WITH
BUILDING PEf1;V;IT
(Offie. list: Only)
This Application Become. Your Buildin& Permit When Approved
nllilding Ollicial
Pai ________
Date
Receipt No.
p.le
14 hour noliee for .11 Inspections (951) 447-9850, ros (951)447-4145
M___'_'_~_'_'_~"_'____'~_'__'___'''________'''__'___"___,,,--,--,,-'--"~"-'-~--
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGfFlREPLACE PERMIT
Date Rec'd
4 -13-01
; ~;~, ~::y I PERMIT NO. 0 1- 00431
3. Yellow Apphcant
ZONING (office use)
(<./
/'7/4
Wild rne.s
,..--;--
/r.
LEGAL DESCRIPTION (office use only)
LOT I'5BLOCK ( ADDITION
~~~R b.K. Horton
(Address) 45'1 \,.4a~hl'()'j+on 'Dr.
APPLICANT II 't I
(Name) I Qn e <!.Y) a.
(Address) 3& 50 1-<: eVlt1 ebe~ ])r.
'- (Address)
(Contact Person) --J e.- r t'
APPLICANT SIGNATUR
PID
Ste. #'~() J..j
(Phone)
.la
102:L
(Phone) u5/~.t../s a - &775
[o..C{QV1 65/ d ~
(~) (ZIp Code)
(Phone) X 620 I
IXINEW CONSTRUCTION o REPLACEMENT o AL TERA TIONS
FURNACE MAKE AND MODEL ']r~ 0.1"1- q#/r; FUEL t-J 0'+ . (;qs
FLUE SIZE ol Y2- DvL RETURN OPENINGS INPUT /tx),O() 0 OUTPUT 80,~
I
TYPE OF SYSTEM HEATING OR POWER PLANT
OWal"l\l Air Planls o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
&Air Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
APPLICANT PLEASE COMPLETE BELOW
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & Ale (New Construction)
Residential. Heating Only (New Construction)
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
01-004-3
ftJO't4~~
.~
Estimated Cost $ 1000.0-0 Building Permit #
(Office Use Only)
omes Your Building Permit When Approved
Paid
Receipt No.
4-13-01
Date
Date4_13-01
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Api.IO. 2001 12:27PM
GENZ RVAN PLUMBING AND HEATING
No.1526 P,3/3
Date Rec'd
CITY OF PRIOR ;LAKE
SEWER AND WATER PERMIT
(PJease t\'1)e or 'Print and. sian at boUJ:nn)
I ADDRESS .. .
II J y., w i \1~%Yl P JY::> 1",z,L- Se-
i s:- a.-I PERMIT NOW - 00(/3 I
ZONING (0_"")
RI
LEGAL DESCRIPTION (olli"" use onlY)
LOT/S BLOCK
ADDffiON
pm 15- ~ 7{)- 6/ -
OWNER
(Name) 'DoR..- ~ t---J
(Address) ~ \.A)~I~1Dt-J Da... Sr-~ 1.0'--1
(Adll1'=)
(phone)
F()(-2'\ n
(City)
c:-, b r '2- -z..-.
(Zi Code
APPUCANT
(Name) (....,g Ir\ 7~ - (L"tf f)
(Address) J!:::tllJ ~ ~ (2j) ~ --rj? 1 ~
(AddJ:.,,)
(phone) 1.P61- Lf20 -II L..( L/
iTlC{) VV'O~
(City)
FX:;l'it6
(Zip C."")
(CODto.ct PWlon)
(phone)
PLEASE COMPLETE BELOW
Size of water service _ inches.
Location of any couplings from structure _ feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean. Out (if required) located at feet :from strUcture.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l Hz. Multi-family I % of job cost with a $39.50 minimum
S<WOfconnectiononly $17.50 Waterconnec:tiononly $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
$
.so
PAID WITH
BUILDING PERMIT
(Office Use Only)
This Application Becom... Your Building Permit When Approved
Paid
Receipt No.
BuildiDI OmcUiJ
Date
DI"
24 hour ootic_ for aU in'pection, (9s.t) 447-~850. fax (~52) 447-4245
PRIOR LAKE'
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS !1J41""J \A);\ci,QI'V\,-e.Sj ~.
NATURE OF WORK JJ.Q0
USE OF BUILDING ~F D
PERMIT NO. Ol-~~ DATEISSUED3-('i.z.:.,,(
CONTRACTOR D (LH PHONE (,,~/~'?r-G.~ 1/~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I iJA. 1.,/ &/b /
FOUNDATION (Prior to Backfill) }oY-~ 9 () }
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER / WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~I
COVER NO WORK UNTIL AB
FINALS
GRADING (Prior to Sodding) )tJ ~ 1'- 0/
BUILDING1:c..O I tJ-t t () 5i 0 )
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
QLtrtiftrsu at ~rrnpanty
CITY OF PRIOR LAKE
Department of .uilbing Jn~pedion
o Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursU/J1lt to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issUJJnce this structure was in compliance with the various ordilUUlCes of the
City of Prior Lake regu/aJing building construction or use. For the following:
Use Classificatiop
SINGLE FAMILY
Bldg. Permit No.
N/A
01-0043
Rl
Occupancy Type
R3
Zoning District
VN
Type Construction
Fire Zone
Legal Description
LIS, Bl, DEERFIELD ADDITION
Owner of Building
SiteAddress 17147 WILDERNESS TRAIL
Contrac'or's Name&AddressD. R. HORTON, INC., 3459 WASHINGTON DR., SUITE 204, EAGAN
ROBERT D. HUTCHINS vW City Planner DON RYE
Buildiog Official
q-~~-Ol..
Date:
Date:
POST IN A CONSPICUOUS PLACE
--
HOUSE HEATING TEST RECORD
JOB #
.
~
APT. _FLOOR _CITY
OWNER
SUBURB
INSTALLED BY ~//"d':'-
GosLln.By ,.~r.::.~~...i.
HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
CONVERSION
ft.
IN ST.
I
t
,
MAKE OF BURNER
Model
MoJ!:. BTU Rating
MAKE OF FURNACE
Model
t.
.
.
-.,;
.
J
(
I
1
~
I
1
I
2//
Vent Size
KIND OF LINER
/) (/('
I
SIZE NONE
Regulator m~-"F'D.f
_Numb.r
Droft Hood
Filt.rs Size J~y'j{oir'
Chimney Location 1 n,.i de
Chimney Construction 1""000/,.A ;:-,.,..
Outside A
,
t
V
Smoke Bomb * Wiring ___~
Draft Test T~ .
Door Pres sur. Lighting Inst. ~
Date Test"" 7-) L - #f
Campany T..t;n~ickson Hea~ng &A/C, 3650 Kennebec ,E'lijOn, MN 55122
N of ester "':-'" .
DATE TIME
CITY OF PRIOR LAKE C{-;.r-
INSPECTION NOTICE SCHEDULED
{7/f..(7 -
ADDRESS IA/r Id r"'V1~ S.s ka..1
OWNER CONTR.
PHONE NO. PERMIT NO. (){-(x)4J
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~od/ 1,ra's
.
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
@
c(~ r;{,~
"WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: tIP q -lS' -oJ- Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /0 -9-o( 1M
ADDRESS /7/'17 w,'ld-erI1.,..{s ryL
OWNER CONTR. D.. ~_ f/6>/Io'?
PHONE NO. PERMIT NO. DI - Lf"5
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
:e' FINAL
. D'SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
;e"EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
brid-' ok..
c.lJ/b 13uf -C)K..
!l( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecter: # ~; Owner/Centr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDUl~D 8/ /3-() I
/7/~7 i-LJdd~~
TIME ~
9"': 0 V
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/- C-/3
o FOOTING
o FOUNDATION
,..a-FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
--B-fIIECH FINAL
o EX/GRAD/FilliNG
o COMPLAINT
--!TFIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
COMMENTS:
JLB-OVC&.. d<~;~ru--..J 9,-,'1""* t;.~ a"",,~ILC"J~
i lA. ~i(.u. C; ~
~ ftv-J
VV>~ f~~__
Inspecto :
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
g,/3-() I d;' aU
WJ1~~~
TIME
ADDRESS
/1/ij/]
OWNER
CONTR.
;- 43
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
~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~~!f~t:t~~:~~~
~.~~
o WORK SATISFACTDRY, PROCEED
)1\ 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
INSNOTl
ADDRESS
/7/L./i
DATE TIME
SCHEDULED ~ /()!~.
W~.u..J M'
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()/ - 'i3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ill7FINAL
ti SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
1'\lf MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
~ FIREPLACE FINAL
o GASLlNE AIR TST
o
T,c...e,
-dl...q
(0(1";(0 I
I
~~
~~ ~ .<J~., V'av'
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK L 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'" SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7/'/7
1/?t:J/ol 9: 3fJ
vJ~.~_.~ R.
SCHEDULED
OWNER
CONTR.
PHONE NO.
CJ(-'"f3
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
10 MECHRI
;Ii( WATER HOOKUP
jli( SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~ '~ ~ --b:0.,
(@eJ!dJ '. " ~ ~ 'r? ~
~~~=~
~
~.
o WORK SATISFACTORY, PROCEED
;fi!I CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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!
INSNOTl