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Home My WebLink AboutBuilding Permit 01-0071 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT e or rint and si at bottom ADDRESS / 7/,j<f" '""/"'~"'I"/V.G\.SS 77'<{~ Date Rec'd II-j5-0( I While Pink J Ydlo\\ File City Applicant LEGAL DESCRIPTION (office use only) 7 .y ~"""'~<J LOT BLOCK ADDITION PID 25- 370 - 04-3- 0 laWN'" (Name) (Address) BUILDER (Name) v.;I '{. ~AIl))t;l~ ~. (Address) I'V (Phone) (Phone) 65/-e>?Sb- 7/.5?: ~/..<::z. '&7 .....c:'"..."..bliL.~....... ..-.-,,.-v ODeck ORe-Siding TYPE OF WORK ~ New Construction OLower Level Finish o Fireplace o Misc. OPorch ORe-Roofing OAlteration OUtility Connection OAddition PROJECT COST IV ALUE (excluding land) $ /:7>";;/, ,;1/P I hereby certify that I have furnished information on this application which is to the best of my knowledge trUe and correct. J 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. x .:;;;; 1..o.k2 ~ Signature Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee I { -26-~ Date =<~.:5;;;S-7 Contractor's License No. // -/~ -c:>r;:? Date I~tl.coo. e>o Park Support Fee SAC 50.00 # # $ $ $ $ $ $ $ $ l Water Meter Size 5/8"; 1"; Pressure Reducer Sewer IW ater Connection Fee Water Tower Fee Builder's Deposit Other # # TOTAL DUE $80/i:?/. /5' Paid Date f3 O~ /.1 Z--S""-O 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 documeJ1t vhen signed by the City Planner constitutes a temporary Certificate of Zoning compliance and aIlows construction to commence. Before occupancy, a Certificate of Occupancy must be '~ ~ :;:t;;:. JIi!! c:.. ~ ~ lanning Director 1/'Lt::.9i ~ ~~o~~~~~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 " o I v 001 ( The- Centet ot lh. Lake Country White - Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT D K? HtJI2 ION . / 1- /5 - on APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1/ ~6 Vl/J[,D FJeN6SS TlZ-. Accepted Accepted With Corrections X Denied Reviewed BY:&)/1J.7. ~ Comments: Date: 11-'28- '2c:o~ 2PnJ a.1I 1J.f.ftvl.u,{ /-h-.rJ ocJr "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 I-Do1/ ThO' enl.., Ollh.. Lak.. COlIl'llry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /) e H()/277JN . /1- /5- 00 The Building, ~ineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1/56 / VVJLD ~.N6SS772-. Accepted Accepted With Corrections Denied ,"-. " Reviewed By: !-LL- Date: - z. - c:. -0/ Comments: See Reverse Side for Additional Information! " See Attachments: 1) Grading Plan, 2) Erosion Control Measures 3) Erosion 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." . . ~~--~~~- ----,-~._------_._-_._~_.._~---- '~~ 6\--007( Tht (~tnl..r of th.. L8kt Count..,. White . Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /" K fl '/ --7) ! './ C <:! / )/'0 / /- /5 - or) . , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1 / !5S IV J (I) f:J(:/VC,~ 77<:::-. ~ Accepted Accepted With Corrections "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 01" 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." DEC. 20. 2000 1:41PM GENZ RYAN 6513226147 NO.640----P.4/S ---- - -.... YlILIAW . -OOPUCl1IT OIOUI . CIT. " CITY OF PRIOR LAKE No..QJ.:QJ.27 I SEWER AND WATER PERMIT NOTE: Sewer and Water contractors must be , reqist.ered wit.h the city. APPLICANT: c.,...Y1~- etf.nPtUJinbl~- u..l1IrJ.U(,~ PHONE: /"51-42.3-,,41-1 ADDRESS, '"~"F' ~ ~ ; <<~ DATE'~ :::A::S:' ;~;'~~:lk . un u: ,,' ::;' ~~~ ~ ~l; <XJ7 f FILL IN THE BLANKS 1. Estimated lenqth of water service ~' " 2. Si2e of water service~inch(eS). feet. ut.C t () ~. 3. Location of any couplings frolll s~ructure feet. ~ Type of sewer pipe. ASS pvcX \.-.. 4 . Cast Iron ....- - ..-, ~ 5. Estimated lenqth of sewer line~ feet. 6. Clean out (if required) , located at feet from structure. =~-;;;;:i::::Ii!=~====== -=~==;;::== This dpplicatio BY es your permit when approved. Z - ro -0 J D~TE: =====:=~===...... =~====~~;;::=~~~====~-~- ---~=~=-- ,__-==:=01"=== FEES: $ $ $ 35.00 ,So 35.50 Sewer and water line connection permit. Surcharqe TOTAL * Fee for either sewer or water individually is $20.00 plus $ .50 surcharqe. Sewer and water permits issued for new construction ~ust be recorded on the building permit card at the time of ~ssuance to insure that no duplicate sewer and water permits are issued. ~~\O~~~~\~ DATE PAID AMOUNT PAID ... ,o.1G'" 6U('S\W' * RECEIPT # REC'D BY , 4629 Dakota 51. S.E. Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245 l\1li EQUAl. OppOR!1JMTY EMI'l..O\'!;R ---~ --~-""""",,--'-----'--'--------'---".._-' ,..."-~~^-------_.,_.--.._..__._~"_~---"'_' . DEC.20.2000 1:42PM , GEN2 RYAN 6513226147 NO. 640--P.5/5-. n. C~..,. a'.'" ..... eo.nu, AppDcant: Address: L Signature: Legal Description: L .., Slock ~ SUb....::J):>"" I2h'Q I D Site Address: 1/ln~ LL':> j I, ClP R ne. ~ ~ T IZ. I.-- SE- Building Permit It () 1- 007/ PID * 25 - 370- 04-3 - D NOTE: This permit ~" not be proceSsed without complete information. FIXTURE UNITS 1_ B,"" :t. GoI4 3.'1_ _ CITY OF PRIOR LAKE . PLUMBING PERMIT Quantity Type at Fixture Quantity Type of FlXlUre ? Bath Tub with or without shower .=-S Rough-ins \ Dishwasher I Water Heater I Roor Drain Water Softner A Lavatory (bathroom sink) 1 Stand Pipe (washing machine) I Laundry Tray (1 or 2 compartment sink) Sewa.ge Ejector . I Shower Stall , BacIctlaw Assembly (RPZ, Double Check, PVB) \ Sinks Backflow Assembly Test .... Bar Sin k Lawn Sprinkler i ~ Water Closet (toilet) 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 , PAID WITH BUILDING PER~IT GRAND TOTAL $ This permit is gnn.ecl upon the .'pro" condition that said OEC 'L 0 - eO~e'or, shall """'ply in all reo Is willl e!HLordinllll<;eS of th. Sell. Plumbing endm..... lboroof'. RE .2- -0 DATE ArrEST Call for all inspe . ons 24 hours in advance. 16200 Eagle Creek Av, S.E., Prior LaIce, Minnesota 55372/ Ph, (612) 447-4230/ FAX (612) 4474245 An EqWli Op~ortllnilY Employer FiliE ~ "''' '" Cohb<... o <P '" o o ~ I. PhI\ lr~ 1 YoIl... J MC Pv,milNo. 0 i~O()f CITY OF PRIOR LAKE 16200 Eagle CreekAv. S.E. Prior Lake, MN 55372 HEATING APPLICATION ~ <P W ~ '" <P ~ '" w w rn rn rn ~ Mulll-Fomly Olher. 1'% 01100 casl ($39.50 mlnlmum) 199.50 164.50 $39.50 $39.50 139.50 Public Two-Family Induslrlal Industrial, Commercial 80 Mum-Family Residenlla~ Healing & AC Residenfia~ Heating Only Residential, 6as FireplaCll Residenlia\ Additions 80 Meralions Residential, AC Only Single family Commercial. fee Schedule -0 PERMIT Address CORNER 55113 FIRE SIDE f dba FIRESIDE ALl. lED Dala '" H '" '" '" H t:I '" () o ~ '" '" MN ROSEVILLE Rememb.... 10 add {he Slate Surch"'l1' on the bouom 0/ this "PPllt:alion. The price 0/ )'our healing perm<1 includes one rough-in and one lInal inspec:llvn. Additional Inspecllons wHl be bm.d 81 $35,00 eaell. Ill!!llIirtg umnI1llIIIlIw babe build HDuse Haaling Tesl RecoRl must be submilled wilh Ing cerliflCale 01 occupancy will be isswd. I::!W REQUIRED WIlli number 0/ supply ID\d nllllm openlnp listed P room wffh CFM's per openinlJ. Ne~n1rucfure. or additions !Bend Roo. plan willi supply and relum locations shown. HEAT lOSS CAlCULAllONS, PAYMENT AND APPLICATIONS MAY BE MAILED 11) THE CIn' OF PRIOR LAKE, 18200 EAGLE CREEKAVES.E. PRIOR LAKE, MN ~72. Cily Hall buslnS4S hours aro 8 8.m.. 4:30 p.rn. HEAllNG OR POWER PLANT SI9am Hol Water _ Rad"l8lion _ Special Devices TYPE OF SYSTEM Warm Air Planls Gravily Mechanical _ AX CondilJoning Vanl Syslem 7.)7; Conn. Load G/IJ Flue Size Healing Conlractor AddresS 2700 N FAIRVIRW Telephone' 651-633-2561 FIREPLACE ~~ Make & Mudel Model SiZB d-L. dL)(~ -- QUIpUI Fuel SlIJlPly Oponlngs Relum Openings lnpul Ed.. CAll CITY HALL 447-4230 .. I hereby apply lor" mechanical syslems permit and' acknowledge Ihallhe '::i information above is complele and accurate; Ihallhe work wllllno In con/ormann::: wilh \hB o.dlnances and codes of lhe cily and wilh the stale bulldfnglmochanice", codes; lhallhls lorm does nol become a permit unlit signed by 'he BUILOING~ OFFICIAL; thatlha wo.k wHl be In accordance with lhe approved plan in \he ;.:; case 01 <Irk which requires revlew and approval lIf plant. -;; o N All WORK MUST BE INSPECTeD IROUGIHN AND RNAl) " x OUm, Demas Now ConslJUctlon YjJf>,. Building Permh , .u TYPE OFWOIIK Co mp. Dale Replacem 0111 E. Glm. AlIeralluns Repair Esl. COs! $ If -081e --0 I Datu u- PAID WITH BUILDING PERMIT Receiplll ,50 HEATING PERMIT FEE $ $ $ STATE SURCHARGE TOTAL PERMIT FEES F;Io O'Y C.Ullli11;.WC I. fiak 2. Greel:l J. Y=!.l.'llN ____ Mtllli-Family_ Public Other .CIURE TVPE OF ST llvo-Family Indusirial v Single Family Ccmrr.arciaZ I ~, 001 CITY OF PRIOR LAKE Me 16200 Eagle ereekAv_ S.E. Permit No_ Prior Lake, MN 5.5372 HEATING APPLICATION' PERMIT , > . ~. b cost 1$39.50 minimum) C " $99.50 PLEASE NOTE; ~ . Air Conditioner Units Cannt c ~ Encroach Into Required Side: ~ Yard Setbacks. ~ S39.5C ~ ~ ~ Feil Schedule Industrial, Commerelal & Mulll-Family Residential, Healing & AC , I Residential, Healing Only 4- an 5'5'122Residential, Gas Fll1lpIace iredYiC..kc fjlllkoh..Flesidential, Additions & A1terat' , J ~esklenlial, AC Only LN 5PJ! t~ ,ons rse Address Address T e1aphone , ~ ~ ~ ~ c ., ., " ~ c " ~ " " 01 this application. The price 01 YO" healing perm~ includes one rough-in and one rlflal inspection. Additional inspections wil be biled al $35.00 each. House Healing Tesl Record must be submitled with buildinrt Ilmmil ~ before build- ing cerlificale of oc:cupancy will be issued. Remember to add the State Surcharge on !he bottom / ~ TYPE OF SYSTEM Warm Air Plants Grawity __ Mechanical _ Air Conditioning vcYent. System !:IE&: REQUIRED with number of supply and reI..., openings fisted per room with CFM's per opening. New structures or add"ions send "oor plan with supply and relurn locations shown. HEAT lOSS CAlCUl.J\TIONS, PAYMENT AND APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR l.J\KE, 16200 EAGLE CREEK AVE. S.E. PRIOR lAKE, MN 55372. . Clly HaG business hours are 8 un 4:30 p.m. ALL WORK M\JST BE INSPECTED (ROUGH-IN AND FINAL) . HEATING OR POWEll PLANT Steam __ HOlWaler _ Radialion __ Special Devices Othet Devicas Output CALL CITY HALL 447_ I hereby apply for a mechani,""' systems permil and I acknowledge that lhe information above is complete and accurate; thai the work will be in conformance with the ordinances and coaes of the city and wilh the state buifdingfmechanlcal codes; thaI this form does not become a permit until signed by the BUILDING OFFICIAL; !I1at the work will be in accordance with the approved plan in the case of all work which requires review and approval 01 plans. \ Model Size Conn. load Fuel ;/d'- Flue Size Supply Openings Return Openings Input Edr. Cfm. ~ N_ Coostruction TYPE OF WORK Re!)laeemenl_ Est Com p. Date Meralions Repair _ Est.. Cost $ lEi c c ... 0-4 2-8-0 Date /,e .-.;1': 424g FA;{ 447- P.L ~o\l'l\"i~..'-<" ~\t~\~G I(~''';'\' Receipt # ~ .50 .1,?-,{O. $ $ STATE SURCHARGE TOTAL PERMIT FEES PRIOR LAKE INSPECTION RECORD DEPARTMENT OF . BUILDING AND INSPECTION SITE ADDRESS -.fll58 lJ;~~:s --rr:;..d NATURE OF WORK ..cl",.\ USE OF BUILDING ~fD PERMIT NO. ~ ()() -j / DATE ISSUED 1J-~-:;)~ CONTRACTOR ~ . G.51-:l~c.-'7''3~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING FOUNDATION (Prior to Backfill) c;. ~ 0 I ~ ;;)) PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNE ROUGH - INS SEWER I WATER I SEPTIC 3 5 tJ/ FRAMING INSULATION ELECTRICAL PLUMBING U~, A:r. HEATING (if re uired) FIREPLACE GAS LINE AIR TEST{l'~ "I 01 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED 1_lr...~ I i32r, ~jq/tJ/1 ,--V FINALS GRADING (Prior to Sodding) BUILDING-r:(.().,~ 1 S D( 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 b..en 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 ';.J, -:~. ;'~-.:~.'~, ~ ,~-. -~~~-. '::~... ,....R..~. .~~~j ~.l.,....~i" :;o::+. .-- . -. , QLtrtiftrau of ~rmpanry CITY OF PRIOR LAKE 1J9tpartmtnt of .uilbinll Jn~ptdion rtFinaI Permitted 0 Conditional C.O. Expires This Certificate isslU!d pursuant to the require"..mts of Section 307 of the Uniform Building Code certifying that at the time of iSSU/lnce this structure was in compliance with the various ordi1U:tllces of the City of Prior lAke regulating building construction or use. For the following: Use Classification SINGLE FAMILY VN R3 Occupancy Type Type Construction .Fire Zone Lego! Description L7, B4, DEERFIELD Owner of Building SiI._. ---- Contractor's Name It Address D. R 0'- , , City PI...., . :--f}()N RYE Date: Date: ROBERT D. HUTCHINS Building Official --1-l. S -0 1 POST IN A CONSPICUOUS PLACE -~'--"-------"-----_._----_.__._"-_._-----._~. Bldl. Permit No. N/A 01-0071 R1 Zoning District 17158 WILDERNESS TRAIL 22 ADDRESS IV {If OCCUPANT HEAT LOSS SOLD BY Electrical Work By TYPE OF HEAT 1./,/ J.F';?f'_"'~ HOUSE ,.-;-- ! /r",; .. HEATING TEST RECORD JOB # .ii>. /Gl~<'" APT. _FLOOR _CITy/r.b" SUBURB OWNER DA TE HTG. INST. (/1/: ,/ 4// . INSTALLED BY /, (I/o ,"l-r- Gas Line By GA_FAX-HW _STEAM_SPACE HTR. _UNIT HTR. _OTHER MAKE Model Serial INPUT ;'C> GAS DESIGN 5~'~ .,~ /0 Y,d?/Cif)~ f O//'9//I}';''1 j )Q; DOn CONVERSION MAKE OF BURNER Mod.1 Max. B TV Roti ng MAKE OF FURNACE Model x -- THERMOSTAT. Valve 41& limit /P><.-7'" :f'11~~1 , .., -, v c:: Limit Se<<ing Cr "" D .' Fan Setting //ah,/~ Pilot Type . ::::::~:I /IS / ~ Pilot Timing L.W. Cut Off 3.5" Pressure Input CFH Stack Temp. /070.<::" CONTROLS /(l<jVbW/ Heat Plug :>" Vent Size ..) KIND OF LINER .,.~t/c SIZE NONE ReguloTor ,,/~ j,//O"t'j/ /G)(,)SV( .Numbe' ) Inside /NI.I)/~ , Draft Hood Fi hers Size Ch imney Location Chimney Construction Outs i de Percent CO2 Percent O2 Percent CO 000' P'essu'e X'" 6.~ Date Tested (;)7/t)! 9~~ Company T esting Fred.erick~Heoting & A/C, 3650 Kennebec Dr., Eagan, MN 55122 d1J;~~ Name of Tester :;jMi/.t:- Smoke Bomb Draft Wiring T est Tag Lighting Inst. ~x Form 235 CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /1' S'i WlduY/65 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 o PLUMBING FINAL o MECH FINAL Sod (7rus COMMENTS: DATE TIME C( -LS" T~(/ (J {-OUf { o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST @J /' \(jS€.. [ ___l ~~ . WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ;t/ q-L.f -ol-- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSNOT/ CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALrH & SAFETY! UAl~ IlM~ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 0~/rt,()/ '5. (IV , ADDRESS /7/08 ?1/r "-O~]::AUESj OWNER CONTR. PERMIT NO. () ( - () (11/ PHONE NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION ~~EWER HOOKUP o FINAL ~,~ PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: -. ~.~~ ~ /14dbu ..Jf~ fMJwORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED , 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 DATE TIME CITY OF PRIOR LAKE J /1' ~ ^ INSPECTION NOTICE ~ SCHED~ 1- ;<Lj -(I st::::' ~-~~."d'~ ~ ' ADDRESS L 7 / S-Y !J _u...f.t!,&,~ OWNER CONTR. ~ /- 7' I I o EX/GRAD/FilLING o COMPLAINT CY. 0 FIREPLACE RI '1:5/ FIREPLACE FINAL ~ GAS liNE AIR TST o PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATI~ .KFINAl ~ o SITE INSPECTION ~ l}.e~ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED )OCORRECT 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 & SAFETY/ /fVSNOTl DATE TIME CITY OF PRIOR LAKE ?-;?S-o(_ IrI INSPECTION NOTICE SCHEDULED ADDRESS 17/~& W, '1J -t/Y1~S.s ~- OWNER CONTR. ])1( 1-/01'/0"., PHONE NO. PERMIT NO. ot- 7 ( o FOOTING o PLUMBING RI )("E~FILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL ::c( FINAL o PLUMBING FINAL o GASLINE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: )( WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InspeCIO'#~' ~ --OWner/Conlr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 5/5/0/ , IO~<J<> ADDRESS /7/58" tJlL 0 @Lt-J~S' IlL, OWNER CONTR. PHONE NO. PERMIT NO, (J/-(J7I o FOOTING o FOUNDATION i o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI .. WATER HOOKUP ;Q:lSEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o 9 ~ 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 & SAFETY! INSI'IOTl