HomeMy WebLinkAboutBuilding Permit 01-0167
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1- 30-0 J
While
Pink
Yellow
Fjl~
City
Applicant
I PERMIT NOOf_ OJ b7
(Please e or rint and si at bottom
ADDRESS
/?,/'7~ tV'/A :..-!/&'$.S
LEGAL DESCRIPTION (office use only)
/.2 /
LOT BLOCK ADDITION -~ /~
OWNER
(Name)
(Address)
BUILDER
(Name) .a. 1'" ,iVc:?.-r)'"z:VV'. ~ (Phone)
"
(Address) 13"Y,:,"9 ~ ...:J7e .xO"Y
;..oo;w~
ZONING (office use)
RI
PID Z5-3
(Phone)
;;67-~a-7/.%
~/~=<
ODeck
ORe. Roofing
TYPE OF WORK
New Construction
OPorch
OLower Level Finish
o Misc.
o Fireplace
OAddition
OAlteration
OUtility Connection
ORe-Siding
PROJECT COST /V ALUE (excluding land) $./?...;? 69'Y
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.
~~~
Slgnature
x
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
=R~6155'?"
Contractor's License No.
./-~9-CJ/
Date
I~
.OC>
$
$
$
$
$
$
$
$
Water Meter Size
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
Park Support Fee
SAC
#
#
Builder's Deposit
Other
Building Permit When Approved
TOTAL DUE
::2-7- O:al
Date
$
$
$
$
$
$
$ I
$
This is to certify that the request in the above application and accompanying documents i~ in accordance with the City Zoning Ordinance and y proceed as requested. This document
when signed by the City lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
',"",d PlanningD:,m --S(tol(~{ ~ ~~hK- ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
'/~'
\
'"
Dr ~ a /&.1.
,
Th~ C""l~' or th~ LlIb CounCry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D, R-. /=LQRTOfJ
\-30-0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
III (5 VI/lJ...J)~Rf\JE:SS TRAil -
X
Accepted
Accepted With Corrections
Denied
Reviewed By:
. N.fI-.a.
Date: 03 -/3 -01
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."
--- ---~----- ,-
-..---,..---.-----.-.-...-.-.----.....-.
01-- O/iJ1
ThO' Crnlerofll.rl..kr CoUnlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. g.. fjQR.TOrJ
1-30-0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t]J,5 WIJ..d2ER,N6S5 !RAil ~
Accepted Accepted With Corrections ::;;L'
Don;ed ZPtV-
Reviewed By: C
Comments:
_(?PtD~, cJ( tL+t-~ I/e.-J~
Date:
2-7-2cof
"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."
Of,M1.7
Th., C.,nl..r of Ih..I,.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
0. ~. t-lc K-n toj
I --<C' - /') I'
i -'..'-- '-'_
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
rOO], -is
, 'i';--' '\. /:- ---- /-- J 1 . f\ I 1
'I , l. ,./r ,'- I ,.1 '--- ~ '" ',- r.-- :' _
Accepted
Accepted With Corrections ~
Denied
(;;~~
Date:
-g/iYo (
Reviewed By:
Comments:
r-
~,
.~b ~x~~T~VJ~s ~
N--e-t'A, OD/GV~ I ~e.p ~ ,}Ark~
3DF~ ~~~Vv\M;1A ;;K'f'"J&Y'P ~~,
~ I~ W l_ q SJ--' C fM-\;'t9JV IR
"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."
MAY-24-01 THU 03:21 PM FIREPLACE CENTER
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
FAX NO. 952 545 0807
P. 01
Date Rec'd
(PlellSe [ypc o&:.2!:int and si.&!!..!lt bottom)
r ADDRESS
____r.?/'lS .
E:"<Ml I PERMIT NO. /- / fi 7 I
ZONING (ollie. ...)
rt<,
I LEGAL DmicRIPTION (office ",e only)
L~!(~~~OCK ADDITION
OWNER ~7).9 ~
(Name)_u____ _ it.- ~
.
PID
.. ~O -Of?,
(phone)
(Address)
APPLICANT
(NameL..~I,n;:P_~-IRESIDE DBA FIRESIDE CORNER
(phone) 651-633-2561
(Address) ..2-19_Q.J:~.LJ'AIRVIEW AVENUE
(Address)
BRENDA HUSTON
(Contact Person) _
ROSEVTT,T,F. MN
(City)
(Phone) 651-633-2561
DATE
r;t;'1-:t
(Zip Code)
APPLICANT SIGNATURE
APPL: ':ANT PLEASE COMPLETE BELOW
EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE A D MODEL FUEL
FLlJE SIZE ._______ RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
oWnrm Ai, PI.nls
oOravity
o Mechanical
D^ ir Conditioning
oVen<- System
o Steam
o Hot Wate'
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot'Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
(,. SL
Industrial, COlnmercial &. Multi..Family
FEE SCHEDULE
I % of job cosl Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Addition. &: Alteration.
$64.50 Residential, AC Only
$3950
Rcsidentinl. Hcating &. Ale (New Construction)
Rcsidential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Penn it #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
BU PAID WITH
ILDING PE -:-".~
I II VII'
(omee u.. OlOly)
This Application Beeome. Your Buildinll Permit When Approved
ai
ReceIpt o.
---
lJullding Official
Date
14 hour notlc. for aUln.peollon. (951) 447.9850, fax (951) 447-4145
FEB. 15.2001 12:34PM
GENZ RYAN 6513226147
NO. 773
P.3
.... .. .... .
w_.__
.... . an
CI'l'Y OF PRIOR LA1CE NO. 01- 0 1&7
SEWER AND WATER. PERMIT
NOTE: Sewer and Water
. contractors must
be reQ'illtered
with the city.
APPLICANT: r-"YHI' - ~tfn Pb....".,\n\~ u.t1l-n.l)t'~ PHONE: t..f)1-1.4-2:!o-I/4l-I
'ODRES."~" ~~.:~ _...". ..... DATE' z/I<;jlll
SIGNATtlRE: ~ BLDG. PERMIT # 61- 0/(.;7
SITE ADORESS:..t1L-'lS U'\I'\OI' I'lI1D 11\. TilL SE.... PIO, 25-370- ()f3-C)
FILL IN THE BLANKS
1- Estimated lenqth of water service 40' f..t.
It
2. Size of water service~inch(e.).
3 . Location ot any couplinqs from .~ructure taet.
.-.,. 4. Type of sewer pipe. ABS pvcL Cast I ron_
.. .., of sewer .lin~ ~'
.:.,.... 5. Estimated length teet.
6. Clean out (it required) , located. at feet from
structure.
======-~========me__-===~___~_ca====.=_Q_m-_-=====-ee~===--======a_
This
your perlllit
when approved.
3- 2-2-'-()/
DlI;'1'E:
BY
,
__e-- __==_~~- ===2=~====._=~~===a=__=~~======._________.__~==
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
surcharqe
'l'OTAL
· Fee for either sewer or water individually is $20.00 plus
$ .50 surcharqe.
,. Sewer and water permits issued for new construction must be
recorded on the building permit card at the time ot issuance
to insure that no duplicate sewer and water permits are
issued.
AMOUNT PAlO ,~l) \I'J\\t~.;r.\'\
. . Gt" -.
:R~C ' C BY 9\.1\\..P\~
DATE PAID
REC:EIPT #
, 4629 Caket. St. S.E.. Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447.11245
AN ~QUi\~ OPPORTUNITY EMl'lDI'ER
FEB. 15.2001 12:34PM
GENZ RYAN 6513226147
NO. 773
P.2
n.e CrIll'" ., I~ ..... c."'..",
CITY OF PRIO'R LAKE
,PLUMBING PERMIT
Applicant: (''ltV12-- t?~(" Y'l Phone: 1L:lI-U.'l..~-11 L/-L./
. :::~;~u.~'~brwr -n?l ~~L~ ~l~-
, , Legal Oesc:rlpllon: L.ot I ~ Black Sub \Y,...&.O f) I !'-.r-
Site AddI'eSll: 1'1 11 ~ [I ')( I f7....0f'U0/Y.) Trz.t..- ':::F--
BuildlngPermitlt 01- (')/(",7 PIO, 25-3/0 -Or3-Q
NOTE: This permit ~II net be precessed withaut complete information.
FIXTURE UNITS
I..
2. Galli
3.Y_
FI10
a"
"".-
OJ-Dlro7
##
- .
..
Quantity Type of Fixture Quantity Type of Fbrture
"2- Bath Tub with or withoU'llhower ?J Rough-ins
I Dishwasher I Water Heater
I Roar Drain Water Soflner
S Lavatory (bathroom sink) I Stand Pipe (washing machine)
I Laundry Tray (1 or 2 companment sink) Sewage Ejector,
I Shower Stall , Bacldlaw A.ambly (RPZ, Ca~ble Check, PVS)
t Sinks Blckflow Assembly Tut
-. aar Sink !.awn Sprinkler
. . ~ .
.:1 .'0 Water Closet (toilet) OIlier
i
FEE SCHEDULE
~ Industrial, Commercial &. Multi-Family
(1 % of job cast, $39.50 minimum)
Residentfal, New One &. Two Family
Residential. Additions &. Alterationa
State Surchlrge
$99.50
$39.50
GRAND TOTAL
"
This pennlll. ITInled upan lhe "plUl condition dial s.id
canlnll:lol. .haI1 comply in all rapoctl with lb. ordinanc..
o( lhe S....Plumblnl C . d lIIIIenclmcllllllJlclBOf.
IUi 3~ t-2-~(){ .n...T5
A'TTI!ST
Cull for all inspe lions 24 hours In advance.
~,
16200 EaKle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-42~S
An Equal OpPDltullity Employor
>
,
>
,
.
.
0';10
Cry
Ca."""",
I. PiDk
2. cn...
3. YeUow
CTURE
TVPI
0/- O/b7
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. P"rm~ No.
Prior Lake, MN 5.5372
~
Multi.Family
Other
Two-FamHy
Industrial
Single Family
Commercial
HEATING APPUCATlON / PERMIT
2-5- 370~()13-6
>
c
"
>
>
.
1%'01 job cost 1$39.50 minimum) C
$99.50 PLEASE NOTE: ~
$64.50 Air Conditioner Units Cannl c
$39.50 Encroach Into Required SidE ~
$39.5C Yard Setbacks. ~
$39.5C ~
.
.
Public
F&e Schedule
industrial, Commerclal & Multi.Famiiy
Residential, Heating & M:,
Resid"ntial, Healing Only
J\A.tJ5SI2.2.. Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
E
Date
Site Address
Healing
'J.Z,.
Address
R"member to
~
~
~
~
c
~
~
"
~
c
"
,.
:>
"
"
add the State Surcharge 0 n Ihe bcttom 01 this application.
. .
and one final inspection.
rough-in
each.
blIiJl1iDg IlIUl!iI ~ before build-
The price of your heating permil includes one
Additional inspections will be bOled at $35.00
House Healin9 Tesl Record must be submitted with
ing certificale of occupancy will be issued.
T el.phone #
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mochanical _
Air Conditioning
Vlnl. System
'1.2;/.
'BTIA
Model Size
!iE& irlONS REQUIREO with numbero! suppiy and ,"turn openings listed per
room w~h CFM's per opening. New structures or add"ions send floor plan wilh supply
and return locations shown. HEAT LOSS CALCULATIONS, PAVMENT AND
APPLICATiONS MAY BE MAILED TO THE CITY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372. .
......h. I '-.' L...,'_....~_ L ........ are S a.m. _ 4:30 p.m.
NSPECTED (ROUGH-IN AND FINAL)
447~
CALL CITY HALL
......1' IICllII ......_10._ ,_ IIU...t.
....
HEATING OR POWEll PLANT
St"am
Hot Water _
Radiation _
Special Devices
Other Devices
1-'/t.11 p"c..
Conn. Load
Fuel lJoJ- Flue Size
Supply Openings _
Return Openings _
Output
Input
Edr.
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate: that the work will be in conlormance
with the ordinances and codes of the city and with the state buDding/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case 01 all work which requires review and approval of plans.
.~
New Construction
Comp. Date
BuHding Permft fi
TYPE OF WORK
Replacement
Est
Ctm.
Afteralions
Repair
Est. Cost $
~
c
c
...
Date
)
4248'
FA$! 447-
PL
~f>..\o\N\~.''''
eU\\.O\~G 'r'C-p,J,1 I
Recaipl #
.50
HEATING PERMITFEE$
$
$
STATE SURCHARGE
TOTAL PERMIT FEES
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 111'75' W;IJ~IM?';:" ~L'I
NATURE OF WORK ^-levJ
USE OF BUILDING SED
PERMIT NO. ~~()/~Z DATE ISSUED ~-7-2tXJ/
CONTRACTOR " 1:1 1cY\ PHONE ;;2- 7-7/YJ/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING ":l
FOUNDATION (Prior to Backfill 3 03 0/ . .3 0
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN S GNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING IA.&-. ~ I 01
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ F.~.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I &~ 119. s/oeJaJ I
, FINALS
GRADING Prior to Sodding)
BUILDING .e.o. iJ.t to ~ 11/
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
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 :;haH be placed near main entrance.
/()~ f-dl
Call between 8:00 and 9:00 A.M: for all inspections
FOR ALL INSPECTIONS (952) 447-9850
HOUSE HEATING TEST RECORD
JOB #
~7E()
-
AOOR ESS
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By
TYPE OF HEAT
/-, I?J t....U) ,,~,.J-
APT. _FLOOR _CITY
OWNER
SUBURB
DATE HTG. INST. ""?- P-.#7
INSTALLED BY (IJ:::? /
Gas Line By ~ /'
GA _ FA ------x::'HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
MAKE
Model
Serial
INPUT
CONVERSION
::.~ "'"'''' ~
Mo.. BTU Rating
MAKE OF FURNACE
Model
It CONTROlS
THERMOSTAT ,-4J;'< H.~ Plug
Volv. t.) j); '. .
Limit W ()
limit Setting
Fan Set'ill9 J A.+1....,. J-
Pilot Type
Pi lot MOke
Pilot Mod.1
'? II "U-
Vent Size -\. V _ Lo-
f
KIND OF LINER SIZE NONE
Droft Hood I RegulaTor ""'a ,-,,7,-1"'7
Filt.r. Siu UJrJJY-t" _Number
ChimMY Location InJiie_ Outside
Chimney Construction (""""C{""'d 7.......1,
flft
Smoke Bomb
Droft
W;r1ng ~./
Test T
lighting Inst.
Form 23S
( "'Percent CO2
Percent O2
'Percent CO
\
,
S.t
7,f
/'J
/1"-
Door Pres sur. _
7-'7 -tr7
Company Testi!,9 frederi CJJ:P~ting & A/C, 3650 Kennebec Dr., Eagan, MN 55122
Nom, of Tester ;( /,
P ilo. Timing
loW. Cut Off
Pt."u,. ? r; '1 ,.
lnput'CFH -a::
Stock T.mp. /O.J.1f'
.
Dot. Tested
DATE TIft,.
CITY OF PRIOR LAKE , l
INSPECTION NOTICE SCHEDULED 1./(//01 fa! '5<...
ADDRESS ." -17 I '7 S- UJ0L. ~~.....J' nz /
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATIO P 0 SEWER HOOKUP
tIC FINAL ftD\O PLUMBING FINAL
o SITE INSPECTION \ ~ MECH FINAL
COMMENTS: ~.
~.11....-..l.~, (Iff" I ~,
(Jli&'7
o EX/GRAD/FILLING
o COMPLAINT
~ FIREPLACE RI
We FIREPLACE FINAL
b GASLINE AIR TST
o
~
~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)If CORRE=~L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE r / / S- / c; .A-7\
INSPECTION NOTICE SCHEDULED ~'/ \.1/'VU
F711J~ I/~~
ADDRESS
OWNER
CONTR.
(- 66 7
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
..AS"1>LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
&M~J~~~~
't.J.J"1
H,
~ 4-l~~,
~-~
o WORK SATISFACTORY, PROCEED
J!! CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: ~ OWner/Contr:
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
q-~
Ilac l.h;tdeo1~.ss 7/~iI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
SCHEDULED
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
<S'nc:! / rr-~., '5
(
DATE TIME
01, 61' 7
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
@
C~)J Ft'l~
_ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: IJIf q-).S' -01-. Owner/Contr:
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 TIME
/O-~-()I hY1
ADDRESS /7/7S- w,'IoI~/rla5 1"<r I
OWNER CONTR. [) ~ 1-1"" fniJ
PHONE NO. PERMIT NO. ('?I-/~ 1
SCHEDULED
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!( FINAL
. 0 'sITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
[Cub BlY x - 0 k
.;lIl( EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
r;rt1,(~ -aK:-
}It WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~>>":....,o;'- Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
ADDRESS
17/75
DATE
SCHEDULED ~(~/DI
W~T~,
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
A~,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0(- lip 7
,
o FOOTING
o FOUNOATION
o FRAMING
o INSULATION
CJIlFINAL
b SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS(i) ~ ~p -11 t'J'Vo-
~u ch T~ f""- ~'" ~,~
T .C,(}. iiPft 1O!IS!6/
o WORK SATISFACTORY, PROCEED
jdCORRECT ACTION AND PROCEED
o CORRECT WORK, LL 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!
INSNOTJ
ADDRESS
17/75
DAn TIME
SCHEDULED ~ q.: '30
uJIL[)e74.l6'5S TK-- .
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(j( -/Co7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
~ WATER HOOKUP
Jll. SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS~ ~.
~~~ ~ay-~
~ ~~ ~ '-4 r ~ ~ -
o WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
:s:::o~ECT WOR~~R REINS::::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl