HomeMy WebLinkAboutBuilding Permit 01-0127
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2-/'2.-0/
I. White
2. Pink
J_ Yellow
File
City
Applicant
I PERMIT NO.
(Please .!YDe or 'Orint and sign at bottom)
ADDRESS
J..y.;f.;;l ~A/ ", ~ C4"~r~
ONING (office use)
R'2...
LEGAL DESCRIPTION (office use only)
~ 7 IWV/?" ~
~ BLOCK ADDITION ~""""~ -.?-"rd
PID 2.6 - Z7S-6!if- 0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name)
/7. d. ~""7ZV1/ ~.
, . -
<!5 $7 -~SlS - ?'"r.:pc;
(Phone)
(Address) .,/1/6Y ~,~~ ~ ..::::;:n: e::>r~?C
-~
L1iY/.;:? :::<
~New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o Fireplace
OAddition
OAlteration
OUtility Connection
. 0 Misc.
PROJECT COST /V ALUE (excluding land) $ ~~PttJ1J
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 loca11aws 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 y."y....y to perform needed inspections.
........~~
Signature
eX~~57
Contractor's License No.
"";
,...('-,,1'--~/
Date
x
I Permit Fee 'lI.Cf .1S- $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee $
~I
SOO .7.4 I
JtI.eX:> I
I
I
I
I
I
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
$ RCV'I C!.O I
$ /. I ,-=0 ~ I
$ . 0 I
$ <::> I
$ 'I~OO.eel
$ '10C. Ellf
$ ()
$
#
#
#
#
(O().oo
I O() .00
_-0-
L/a.C>o
~y-----
~ ~.')..O ~?~(
ilding or;<al Date
$6#-'f.O'1
.
I Paid S-cfW. 0 .,
I Date .3 -/- 0 f
I Receipj}Jp. 3 f, 0<1-
By /J( I-"---
"
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This documem
=~~i~;:~:,utes a tempo'"", C,rtificate of Zoning compliance and allows co",Duolion 10 comm,nce. 8,fo" occupancy. a Certificate of Occupancy must be
. . lanningDirector 'l/t-;;a{Kn ~ ~Cia~~ ~.,.
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
"
TH Ct.ltr 0' lite .....t C....II')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. g ~Ic kTON
2-12-01
The.Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
647 ~ F=A\\!r./ fvIEf-\i.-/(l:\! C\U<lb
,/
Accepted
Accepted With Corrections
Denied
Reviewed By: q~ ~
Co ments:
Date: ~/u. / &1
~j-"'~"ff~ Cfl.v, ~..< 4- ~
~ ~/$ ~ ~~ f?vd Alkt
~k {~ WJ% rk ~t'~ ~?~~ ~e'~
1/~<~~ f{&w\ (O.c-C..~t'fe ~he fhl-1~~
~ (' ~<: <::t ~S'Vial< _ Ne~ 1M&ve ~
je)% r.J:.l- ~L (b'-~~~~~1 ~ _ 1)~iltJ<e ~
oQ.Q-~11e ~l1o M0~<]J('II1.~,t1
I. --- LLL-~
"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~ Ctnltr of thl' L.h Countr)'
BUILDING PERMIT APPLICATION DEfARTr.,ENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. R . I-IOeTON
2-ri~OI
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5422 FAW!'J ~EAOOW
Accepted
Accepted With Corrections
~uev5
>(
Denied
r2PfLL
/
~~
Date:
~-U;-~I
Reviewed By:
Comments:
~ scthJ
C..uru.....
"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."
~'i
White . Building
Canary . Engineering
Pink - Planning
Thr Crolrr of thf ukt Country
BUILDING PERMIT APPLICATION DEPARTMENT CI:lE.CKLlSI
NAME OF APPLICANT
D. r< . /-fOe/ON
. I
2-1'2--01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5422 FAWf\J fv1EAOOvJ tU~VE
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
It/fJPJ
Date:
"Z.~2.R-()(
"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."
FEB. 15.21211211 12: 37PM GENZ RYAN 6513226147
NO. 773 P.12
,.
CITY OF PRIOR LAKE
. PLUMBING PERM"
Appllclant ~.n?- - tJ..k'J 1/"'\
~d_1: .I U"1 U ~ ~ -UQ_IrlII m-'
Signature: Jb..) I'"\. II. ~. "'--
~gal DMCr1ptlon: Lot Slocle subD.~".l!:o \.J:\ \(1......
Site Add.....: ,F<,u. ,,\ (l j I 1I?1I'. ~
Buildi"g PlrmIt It 1'10 It
NOTE: ThI8 permit ~II not be pracHHd without camplata informetlon.
FIXTURE UNITS
1._ IIlo
2. Gold ao,
J. Y_ ...
#~
Phoned ~nJ ~ L./1h-/1 ~
-nJ t (/rcI ~,.., W"\"T" ~,,'
n. c....,.,.. tlk. ~
'.'
Quantity Type of FllClUI'I
2- Bath Tub with or without lhower
I ClIhwllher
I Floor Drain
U Lavatory (bathroom link)
I Launary Tray (1 or 2 compl .. . sink)
I I Showlr 8tall
I I Sinlca
\. ., Bar Sink
. ",'.
", ,~ ~ Water Clolet (toIlet)
I
FEE SCHEDULE
~ Induetrlal. Commerdal & Multi-Family
(1% of job cOlt, $SUO minimum)
Residentfal, New One & T_ Family
RHid."lIal. Additions & Altlratlons
State Surch_f111
Quantity
Type of F"1Xlu1'l
Rough-inl
Wallr HHter
Water Softner
Stand Pipe (washing mlld1inl)
s.wage Ejector.
BIdcIIow "Nimbly (RPZ, Dau!* Check, PVB)
Baclcllow Aslembly Till
Lawn Spr1nkler
Other
GRAND TOTAL
$
$
$
$ .50,~
~~\t> \N~€.~\l.\"t .
e...\\.t>\~G
$H.50
$39.50
Thil permit il .....tod upon III. el'pnIIIllOIIdlllon thallald
oonlrlU:lor. shall oomply in III reopocll with th. cmIlnl_
of !he Sta. Phllllblnl tho _cInllWa thaNof.
3-2..-0/ DATIl
': ~',
, "
'....--J
Call for all in.
AI '0.>&
16200 Baale Creek Av. S.B.. Prior Lake, Minnesota 553721 Ph. (612) 447-4230 1 FAX (612) 447-42~S
An Sqllol Oppomanity Employer
FEB. 15.2001 12:35PM
GENZ RYAN 6513226147
NO. 773
P.7
_. ....
~'_111'
__.lin"
CITY or PRIOR LAD NO. 01- 012.7
SEWER AND VATD. PDMI'1'
NO'1'II: Sewer and Water
contractors must
be reg-bt.red
with the city.
APPLICANT:.(.1,II"'I:;J- ~Iu_\ol~"'- u..nT'l.ut'~ PHONE: ~-L.j.'2:~-III.1-LI
ADDRESS: 1&.41~~~ ~~""''T'' "1"..... ~-#-."'r <<"DIoII..D.\'l'E:
SIGNA'1'ORE:~ BLDG. PIRMIT f () I - ()IZ7
SITE ADDRESS:8lr'Z.:2. ~IJ 1AJ...",.,u ('..,,,,,., SF PID'
rILL IN '1'HII BLANKS
Estimated lenqth of water service Lfic)1
I It
Si.e of water service inch(e.).
1.
f.et.
2.
-
3. Lecation of any coupling's from s~ructure feet.
4. Type of sewer pipe. ABS PVC X Cast Iron
5. Estimated leng-th of sewer lin.~' feet.
6. Clean out (if required), located at feet
structure.
frolll
.....: ,.,
,~
.,......._.,... ,.IIIl~ .,,,.
-",.."",.",,
-"...,,,,
. ...11;
'1'hi~ apPlication~~s your permit when
BY / ~ D~'1'E:
__,___~......, ,,,..,n._. .----....__ ..
J
approved.
3-2--0/
. __Ih=!!III'_"
__a
FEES:
$
$
$
35.00
.S!:!
:35.1)0
Sewer and water line connection permit.
Surcharge
TCl'l'AL
* Fee for either s.wer 2E water individually is $20.00 plus
$ .50 Burcharg-e.
.* Sewer and water permits issued for new construction must ~e
recorded on the buildini permit card at the time of issuance
to insure that no dupl cate eewer and water permite are
issued.
.,
DATE PAID
RECEIPI' .
AMOUNT PAID /.
REC'D BY ~~\O 'l-J~'e.~\1
~\~.
'.. '"
. 4629 Dakota SI. 5.E., Pncr Lake, Mlnnaota 55372' I Ph. (6121 447-4230 I Fax (612) 447-4245
AN IQUAL '...... ...... JNlTV EMPI..CVER
FIRESIDE CORNER #4360 P.003/006
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR c.""4~...[TJ...I.,...~GIFIREPLACE PERMIT
1,,,,,*
. ....
'J. v.n-
S-I PERMIT NO. 0 j- I;),? I
'rl....~or_aodol...aS'_l
ADDRESS
5~,:)~ ..}AIJ). ~ .P~
LEGAL DESCRIPTION (oftIeo _ aaIy)
LOT l./ BLOCK ~ Auu!uON
.
10. ()I/)~ ~rd-
- (1
~
OWNER
(Name)
'J::> f2. ~
(PhOIll:)
(A.dd=s)
APPLICANT
(Name) ALLIED FIIlZSml!: DBA FIlilESms: CORNP.
..,.........0 (....->
iR.-;;...
l'ID ""2~-:313-t?It/.Jo
(Phone) ~-~33-rnl.
(Address) 2700 N ~ PA.:tRV'rDr .&...~~
<-0)
BRl!:NDJ\ IIDS'l'aI
(Conract Penon) If",
APPUCANTSIGNA1"URE .t-.L d.__
~CRUTT.T.~ VV
(CIly)
(Phone) SSl-633-256l
DATE S7q,/o1
S"I' ·
(ZIp Code)
APPLICANT PLEASE COMPLETE BELOW
~W CONSTIlUCTlON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE. AND MODEL FUEL
FLUE SIZE ~ OPEN'lNOS INPUT OUTPUT
TYPE OF .:0."'.""" HEATING OR. POWEl'l PLANT
BWIUIIl Alr1'l_ 3 Sleam
Gravity Hot W_
MllllhInlcat . ltIdilllOll
OAI. CoadldOlliD& J Speclol Oevl_
OVonj. 5,.__ ::JOlherDcvI-
FItw'LACE MAKE AND MODBL JJi.~.JJ t; (;. ~(.. ~
'n4ostria1. CJmmer<:I.1 k Multl.PamIly
Resldenllal, Hcalln& &; AIC (Now CoD..,...:, )
R.coidenlllll. H...mll Only (Now Constnldion)
RES ." II" JLE
I % or Job _I Resldenllal, Oaa FlrepJ"""
$39,'0 ",lrll/llUlll
$99,'0 Raldemlol. AddtllDns .. AltcnliDll8
164.'0 Raldcatial, AC Only
Eati_d Colt S Buildillg Permit ~
HBATlNG PBRMITFEE $
STAttSURCHARGB S ,SQ
TOI'AL PERMIT FEE S
(0IIkr u.. 011I1)
TbIJ Appllclltlo. Beco.... YDIU' BuiMBI P_lt WlIM Ap"""'"
Il'alll _
I Datel;_//_Ol
...1<11.. 011I""
Do..
Z411D.,...tIco for .lIln....cIIoDl (9DloM'.!JI5O, roE (953) "'7~5
PLltASE NOTE:
Air CandltiOllCl' Units
CllnDot Encroacb iDlO
Required Siclc YII'6
Smtbub
S3',~
$39.'0
$3','0
r
BUt PAID WITH
c LOING PER,'.:!T
Receipt NO.
'\
Sy~
CITY OF PRIOR LAKE Me
16200 Eagle CreekAv_ S_E. Perm~ No. (){- 0 127.
Prior Lake. MN 5.5372 .
HEAnNG APPLICATION / PERMIT
DaIlJ 3l1.&.l Q I P\I) II
SIIeAcldrea 5~Z.2. fil.wn m.~ fILYVl_'S€
Lot .1JL Bkx:k ., Adction
OwI'lnName '"DR. l4-ar+on
Adclrea3 'br SI~l>tI
: :....;:'. ContrwdQl' A.lllD.. Mtc.ho...ni CtiJ
Adclr_ 31&S1> Il..eMtbPD br- ~ ~ I etlAtl.Yt M.t.r ~
...
Telepllona' USI J.j.~L- 2.,'5
F~ hA8ke & Model "i>rv4.f\+
.
~~~n~g3~~VO~D'O
COI1/L Load. 21. ~~
Fuel ~oJ- RleSize &.l-II~~ Jl
i
Return Openings 4-
InpUl1D. DOL Output..51l., bO 0
SuppIyC., :. ._
Edr.
CIm.
~oo
nee OF STRUCTURE
J.l'iak
'-. 0....
3. Y.u..
Fie
Cloy
....""..'.",.
"
.
"
.
.
.
Single F~
Multi-Famiy
0ltIer
L,../'
Two-Farrrily
IIlduslrial.
Pullic
"
C
D
Commercial
Fee Scheclule
..
"
.
c
~ohI, N; Only
1%'Gl jDb cost C$39.50minirraml)
$99.50 PLEASE NOTE: ~
Sll4.5O Air Condi tioner Units Carml c
$39.50 Encroach Into Required Side 5
$39.5C Yan! Setbacks. ~
S39.5C ~
.
c
Industrial. Commercial & MulIi-Fariy
Residentilll, He8Iing & N;
~,_' :,.....Jal, Heatilg Only
e~ /1M155t2.l.. F._,'-~". ,.'ai, Gu FnpIace
"" r.~~~..',;,.., ,::al, ADdIions &. Alb..Go:~.~
TYPE OF SYSTEM
Warm Air PIaIIls
Grawily
Mechanical
Air Conditioning j.SYlldht Z. t7l.-\
Vant. System 2..-5'Och....bA::i1\.:fAJ'\S
HEADIG OR POWEfI PLANT
Steam
Hot Water
Radiation
S~ Devices
Other Devices
Alleralions _
TYPE OF WORK
N.... Construction
&--'"""
Repair
Est. Cost $ _
Ra~lacemanl
Est Comp. Dat&
Building Pennft 1/
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAlPERUITFEES $
.50
o I, 0 I 2.7
.
PAID WITH
BUILDING PERMIT
Rece\:>l#
Remember to add the Stale Surchauge on !he bottom cllhis a""::~"::"'n.
The price of your heating permit includes one ~ and one final inspection.
Addilional inspections wil be billed aI $35.00 each.
House HealingTIlSl Record must besubmftled with bIIiIs:IiIIll.lIIIII!il!llll!!lllr befole buid-
ing 0_ .-7_.. of occupency will be issued.
tIEM CAI CUl.AT1ONS REOUIRED wfth number of supply and re\tln'l o~enings listed per
room wlh CFM's per openin9. New strucM'eS or addIions send floor plan wlIh supply
and teIum '. ~,;'. ,..' shown. HE.'Ir LOSS CALCULATlOHS, PAVMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372. .
OIly Hall business houlS are 8 a.m. - 4:30 pm.
AU WORK IftJST BE INSPECTED (ROUGH-lN AND FINAL) . CAll. CITY HALL
447-9850
I hereby apply for a mechanical sys1ems permit and I acknowledge that the
informalion above is complBte and accura1e; thaI the work will be in conformance
with the ordinances and codes of the city and wnh the slale buBdingfmechanical
codes; lhal this torm does nol become a permit until signed by the BUILDING
OFACIAL; tnal Ihe worle will be in accordance with !he approved plan in lhe
case cf an work which requires review and approval 01 plans.
("
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.!>)UIDI
Dale
MAR - ~ LUUI
Date
7..L.M.w.Y~ l.~)
~ fS~~
,,'m .r- .
)'Jf" If.}.. '- -- ~
U1(lll~fOlfifal' re-
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...
PL. FAjL 447- 42-4g
PRIOR LAKE DEPARTMENT OF
.' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 5fI:;O.. 1'iJ~tA ~r Cl--.
NATURE OF WORK ~ 1
USE OF BUILDING SFf)
PERMIT NO. 0''': 6/2/ DATE ISSUED 2. - 20 - '200 r
CONTRACTOR ....D. rt 1-bt-bA. PHON E-'eV - ~ - '"Ul'G
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~SPECTOR DATE
I FOOTING 113._v~ I ~lt"S1 Ol
, FOUNDATION (Prior to Backfill) I~.' ~b(;;'1 ~ ffA3Ie/()!
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING ~ "1/"S/tJ I
INSULATION ;%. . to r /(,;0/
ELECTRICAL . I.
PLUMBING~,pl.l.Gt. ffl.. 3J'"3()ftll f!1;., rei //IJI
HEATING (if required)1;>.Tik a.,.. '3r>~~J 14J..tsI.!f6V ~. 1::/S-(12.1
FIREPLACE /1;;,.-. 5?jr!I'J/ /.
GAS LINE AIR TEST -A-.' ~/ 5" /~/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lh~ (tl ~ tlls.~1 N-~ ~ blYr-lot
FINALS
~KPJ
GRADING (Prior to Sodding)
BUILDING""\,(1.i1 .~~
ELECTRICAL ;,fo(
PLUMBING
HEATING
DO NOT
~ /rL.'3If)/
fl)C3
/I' ~VO,
q ~ /;)... 'd--
f?r, 4
fY/,
OCCUpy UNTIL ABOVE vf1AS
NOTICE
-///;;'/tn
1iJ ?/tJ/
. . .
BEEN SIGNED
This card must be posted near an electriGal $.eryice 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
"
~
/'F/'"",
HOUSE H EA TlNG TEST RECORD
ADDRESS fVJ :&..J~ /W'-4drW
OCCUPANT _ ff
HEAT LOSS
SOLD BY
Electrical Work By .
TYPE OF HEAT
APT. _FLOOR
OWNER
DATE HTG. INST._
/1//. "'"
JOB #
J";r7
SUBURB? { .
CITY
INSTALLED BY ,i//,,;/!./'
l';a. Line By ..A'/;~r
GA _ FA _HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
17////1 .-GAS DESIGN
MAKE /J~ 'f/7A..J/
Mod.1 ..::t171-~v n.H/""~
Set;ol _J(?/?0~J '/:l~
INPUT ,- k' c:'zrv
CONVERSION
MAKE OF BURNER
Model ,I'
Max. BTU Rotin.'"
MAKE OF FURNACF /
Mod.1
CONTROLS
THERMOSTAT j-l-tJ( / ( Heot Plug.
Vol.. /.hl?
Limit
Limit Setting.
Fan Setting
Pilot Typ'"
Pilot Mak.
Pilot Model
Pilot Timing_
L. W. Cut Off
/1 _f
Pre..ure ) . ) (/l
Input CFH
Stock Temp.
Form 235
'-----....
Vent Size
7/"",j
KIND OF LINER
Draft Hood
Fi Ite,. Size_
Chimney Location
Chimney Construction
..,-'
ll(;f
LI
1/-..;-
Smoke Bomb
Draft
Door Pressure.
(So)'"'
(. P.r.ent CO2 +4
_ Percent 0 ,'(
_ Percent CO" ()
Date T ..t.d
Company Testing
Name of T..t.r
f"
SIZF _NONE.
RegulaTor .Mtix" //17
Numb.r
r),;..r.r ^
Outside
,/
11
_ Wiring I ~
Test Tag Y
Lighting Inst
'/- J-n
Fredet;dtson Heafing & Ale, 3650 Kennebec Dr.. Eagan, MN 55122
~j'>/r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
s-q~ 9- 5""'I~3
OWNER
llA TE T1IIE
4-p-;;2-
~~
CONTR.
PERMITNO.al-I.;1~ 'f- J;;z5?-'
PHONE 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
lJ PLUMBING FINAL
lJ MECH FINAL
3+-/
COMMENTS:
o~
/'1 ; /\ \e-
l Yt(,,-"
lJ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
lJ EXlGRADlFILUNG
lJ COMPLAINT
lJ FIREPLACE RI
lJ FIREPLACE FINAL
lJ GASLfNE AIR TST
lJ
"
"/'>>-
Inspector:
OwnerlContr:
lJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
f?..8
CAli 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
1/:>-:1/01 I () ,'30
~~
SCHEDULED
ADDRESS "5l1 dd--
OWNER
CONTR.
PHONE NO.
PERMIT NO. LJ I - /,f)., 7
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP l!- FIREPLACE FINAL
~ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION lifJ MECH FINAL 0
COMMENTs((] f1~ ~ -:11 ~ r
eiYJ ~ i.~ ~J\ ~At-o~
-- I .
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_.._---~'
,-~_...~ .
o WORK SATISFACTORY, PROCEED
9(JcORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector.
Owner/Contr:
CALL "'7.9850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
CITY OF PRIOR LAKE
INSPEcnON NonCE
DATE nilE
SCHEDULED 7-P--<1/ I) I~
~/9-J- ~ m~oJ
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-- J'd- 7
o FOOTING 0 PLUMBING RI
o FOUNDAnON @j MECHRI
o FRAMING 0 WATER HOOKUP
o INSULATION SEWER HOOKUP
o FINAL ~LUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTSVi\ rl..mrf
t.-"- ~
~s
o EXIGRAOIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~ -t'Yi-v
J' WORK SATISFACTORY, PROCEEO
o CORRECT ACTION ANO PROCEEO
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
Owner/Contr:
~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INBNOrI
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
)-.UTJ/ PM
5"'1:;0 h:.Wt1 lYJt>.ocbJl../ rm
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
ol-.H:S" /;;/'(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
:4 ~LUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
5'1).0 l.".,h,., IlrA/u,
~~d~-<9/(
':) 4 ~ / G r" t.I ' ('J K..
-t!Jt:....
5'1'~2 ("'t. (/, 0 t
5'1), 3 br.. r1 t -ok.
Sl()Lf &ru,uIv, -,.,/<
t;, 'iJ.tr (7 r~ - 0 k"
ll<. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InspectOr.4t,.~A~ ~ :,.ner!Contr.
CALL 447.9850 FOR THE NEXT INSPEcnON 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
IN!INOT'