HomeMy WebLinkAboutBuilding Permit 01-0130
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
R.2..
(Please'!ype or print and sign at bottom)
ADDRESS
.,ff1/.;?5 ~ ~ CK~yF ~
, LEGAL DESCRIPTION (ollice use only)
~ 7 p,'V/r $&
~ BLOCK ADDITION ~,q-#Z.o ~
PID 25.373-013-0
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) ./1 d. .J<.A!1~~~.
I
(Phone)
~--<'6ZG-7/3.6
~..;lA
(Address) .?-Y09 ~~~~ ~
~
TYPE OF WORK
,
~ New Construction
ODeck
OPorch
ORe-Roofmg
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECTCOST/VALUE (excluding land) $ 7;1, /t?O
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.....J to perform needed inspections.
X /.7;~'~gn~
e;i?Clt::?t:'6657
...:I' -.P--r?/
Contractor's License No.
Date
I Permit Fee $ 7'1t'J. 75t I Park Support Fee # $ Bsn-wl
I Plan Check Fee $ ~I ~ .5)f/ I SAC # $ 1,1t:;n .($l~ I
I State Surcharge $ :?(.,.OO I WarerMeter Size 5/8"; 1'" $ c:> I
,
I Penalty $ I Pressure Reducer $ C I
I Plumbing Permit Fee $ 1 (/(J . (DO [ Sewer/Water Connecrion Fee # $ I. ~OO .01) I
Mechanical Permit Fee $ {~() .<9D I Water Tower Fee # $ '1 QlJ .00
Sewer & Water Permit Fee $ 0 I Builder's Deposit $ 6
I Gas Fireplace Permit Fee $ 4{).a8 I Other $ 6 I
(~T-;:;:;:'~ I TOTAL DUE $51-92. ~ I
I Paid S(j1'Z.. z..,.~ I ReCei~()l ~ I
Uildin~a1 Date I Date '1'/-01 By / 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 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
~ 2.JU/PI ~.f\_r(~~~~~.
-Planning Director Date 'f~Jal Conditions, ifany I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
-
&~~
White - Building
Canary . Engineering
Pink - Planning
Thl!' Cpnlu of Ihl!' ukII' Counlry
BUILDING PERMIT APPLICATION DEPARTNlENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12. J-IOrGl ()N
/!. -/2- - 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5425 EA INtJ~EAD()VJ ClJe\JS
Accepted
7----
Accepted With Corrections
Date: Q, 40- 2!X:) (
Comments:
S-12a ~~ ~ {;tC~ ~.
"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.nler of lhe L.k, Co"nlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. {2 . Hor2..1 UN
~ -/2 - 0 /
.....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!54~5 r:::A vvtJ MEAD()W CDeVE
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Af,+R
Date:
'Z.- 2.3 -0 I
Comments:
"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."
~Io~'l;
TH Cnln' of 11M Lake COtI.'ry
White . BUilding ,
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D. 12 ~ Ie kTON
2-12-0/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
s'au f=A \, \! /'./ (vI FJ\L.)( VJ L I) 1<- \:b
,/
Accepted With Corrections
Accepted
Denied
Reviewed By: /j/L.. 11+r-~
ments:
_ ~eL.Y-"II~ ~ (~..<. 4- ~
,1/:\ 0/- ~~ ~ ~AA&. '5vd ~l
k- {~ ~% J2 ~J~ ~9~~ ~/~
1-A,'~1~ fl'RW\. ro.c.c..&;fi'e-' -h~ t~~9~..J.
~(' ~< <::t \, _ No'{ . J/t19ye ~
---V% r~ ~~L i2J/~~~~ _ 1)~lltJ~ ~
f) Q.Q.- s:.11e ~ l1o. M- LY~-~ -.U { , I A, ~ l ()
I -. L.LL~
Date:
2-/u. /81
"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. 15.2001 12:35PM
GENZ RYAN 6513226147
NO. 773
P.4
1-
3.
3.
-- 4.
..;
,- 5.
6.
,
" ~
_-fILa . " ,,'
....LOW. --"'11I'
.... . ..,.,
.
CITY OF PRIOR LAKE
SEWER AND WATIIR ..........1'
NO. Ol-O~
NOTE:
Sewer and water
'~ontr.ctor. must
1:1. re,iltered
with the City.
APPLlCAN'I'I.&n:;o- ~PIl..l...bl~"'- Uon",Llt'_ PHONE: ~.I.j.'2.'!o-II&.j.IJ
ADDRESS:J""L1e.~ I~"'O l1-uofYJU"r """4..DA'l'E:
SIGNA'l'URi:J t _ _ BI.DG. PEMIT . ()1-(){3()
SITE ADCRESS:5Ll-'l.S" ~ ~ nl."'~ PICf
FII.L IN THJ....JI..ANKS
Estimated length of water service ~'
,"
size of water .ervice inchce.).
teet.
Location of any co~plin91 from s~Z'Ucture te.t.
Type of ..wer pipe. AU pvc:L C:alt Iron
Eltimated length at sewer lin.~' teet.
Clean out (if required), located at fe.t from
st%'\lcture.
-----------..
------
" .."".....",-----
--
.
--
Thi~ applioation )(~ your pe~it when approved. ,
B~ 4fK~ D~'1'E:::$ - 2..-01
_ . ,.....-.B....l,. ,,,_,,_, , , . ". _.. ., '""., .', ." ,II;I.,,~ " . . ". .''''_._.._. .
FEES:
Sewer and water line connection permit.
Surcharge
TOTAL
$
$
$
35.00
.50
35.50
'*
F.. for either sewer 2I water individually i. $20.00 plus
$ .50 surcharge.
Sewer and water permits i.lued for new con.truction mu.t be
recorded an the building permit card at the time of illuance
to in.ure that no duplicate ..wer and water permits are
~~~. ~
.~I\"'iP .,'\
?D..\~~~ y'C.~'~'\
'9>\\J) ...
....-
..
DATE PAID
AMOUN'1' PAID
RECEIPT t
REC'D BY
. 4629 DakotII St. !.E., PrIor LaM, M1nnlllCllll 55372' I Ph. (612) 4474230 I Fu (612) 447424.5
AN IQUAL OPPOllTlJNml EI4I'lD'fIIl
FEB. 15.2001 12:37PM GENZ RYAN 6513226147
NO. 773 P.15
.
,.
CITY OF PRIOR LAKE
,PLUMBING PERM"
Applicant: ~ f)7-- ~...... phone:...L"C::il - U 7""'-11 U~
Md_:l.Y::J..!J-<\" ~ flsJ;d, rP..... '"T'lI) (/ry -- . ........... ~
Signlwl'II: ~ A. '
Lea'IDelcri~ alock Sub'J7e'~G'pn \Ji\'a.'S..
Site Add.....: .i:Lu~ Aani. \ ell tP IR _ c:.,:.
Building Plnnlt It 01.:1l.1.:J( !'ID .
NOTE: TN. permit w)11 not be pracuHd without complete information.
1"... I JRE UNITS
1._ JlIlo
2._ 0.,
'J.Y_~
* -D..l.::...Q.J?'()
1"Il. c....... Ill' dW LRt eMit
Qu.nllly
\
\
~
Z-
r
(:1 "2-
. " "\
.._J
",'
Type of Fooul'll
Bd! Tub with or wltllout .hower
DishWasher
Floor Dl'llln
Lavatory (bathroom link)
Laundry TI'IIY (1 or 2 compartment .ink)
Shower Stall
Sinks
Bar Sink
Water CIOIIt (toilet)
auanllly
Type of Filltul'll
Rough-in.
Wlter Heatlr
Wlter SotIner
Stand Plpa (WI.hlng m&l:hlnl)
Sewage Ejector,
BadcIIow Aellmbly (APZ, Cauble ChICk, PVB)
Sacldlow AIIembly Teat
Lawn Sprinkler
Other
FII SCHEDULE
~ IndUltrlal, CQrnmerciall. Multi-Family
(1 % of job coat. $39,50 minimum)
Residential, New Onl I. Two F~11y
Rl8icIentlll. Addition. I. A1terltlon.
Slate Surcharge
$&8.50
$31.50
$
$
$
$ .50
, PAlO W~~tv\\T
~\NG'- '
GRAND TOTAL
Thto pennil i. ......tod "p"" lbe .,.... 1lOl\dltlao thai .ald
cOnlrlclllr, .hall comply ill all ....peelS with dla ordlll._
a~lIIe s_ P1"mbl"'~acIe IIld Ih. ondmon", ~f.
'RS 3. Z. -(lI J)ATIl
. AT1'!ST
Call for Illlnsp"' DI 24 hClW'll in advance.
16200 EasIc Creek Av, S.E., Prior Lakc, Minncsota 553721 Ph. (612) 447-42301 PAX (612) 447-4245
An Equal OPJIOl'tunlty Employer
CITY OF PRIOR LAKE
HEA TlNG/AIR CONDITION]l~'G/FIREPLACE PERMIT
Date Ree'd
i ~ ~:~, I PERMIT NOn/_ j'::;JA- '
). Yellow ApphClJrt . L;/ . . F"'::;/ ~ l
(Please.we or omt and si"l1 at bottom)
ADDRESS- -
54?_f5 H1WYl ffifMDWeltXVf)
ZONING (office uie)
72--;;2.,
LEGAl DESCRlPTION (ollice Use only)
L01 J., BtoCI< ;Z ADDITION / (~()AA -/.d.d2 0~
I
PIlJc95 -3/3-0/3 <:: )
~=e~R JI R- \1D(1tr\
(Address) 3tfsq WltcAtL~/1'1Jtt AvL ,SJAi-k 1~L/
~~~~ANtllha# WkcJ1ulcaJ
(Address) ~D I(mneJ)ful)( ..~i,te, \
r. (Addre") .
(Contact Person) ~'\T-l0 . l ~~
APPLICANT SIGNATURE ...Il1nUuih f/,~
~~
, APPLICANT pLEASE COMPLEtE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATiONS
FURNACE MAKE AND MODEL g,'~J- ?:''6?;ILAV D2..t.Jbl D FUELtJ:ttu1'a.i
FLUE SIZE 1.-\1\ t.\n.S<;' e, RETURN OPENINGS l..j- INPUT 1D, ODD OUTPUT J51Q, bDb
TYPE OF SYSTEM lIEATING OR POWER PLANT
(phone)
~ Mf0 5511Z-
(phone) lf5' 452.. - 2.115'
(City) (ZipCodc)
(Phone) ----.U:5 / t./6z- 2..776
r.hY}J))OATE '-/-IZ3ID I
OWarm Air Plli.nts
OGravity
o Mechanical
@ir Conditioning
[jJif'Ont. System
o Steam
o Hoi Water
o Radiation
o Special DeviceS
o Other Devices
PLEASiNOTE:
Air Conditioner Uliits
Cannot Encroach into
Required Side Yard
SetbaCks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-FamilY
FEE SCHEDULE
1 % of job cost Residentiall Gas Fireplace
$39,50 minimum
$99,50 Residential, Addiiions &. Alterations
$64,50 Residential, AC Only
$39,50
$39.50
$39.50
Residential, Heating &. AIC (New Consttuction)
Residential. Heating Only (New Construction)
Estimated Cost $
Building Pet'ntit #
HEAtING PERMIT FEE
STATE SURCHARGE
totAL PERMI'I' FtE
$
$
$
.50
PAIDW:I
BUILDING PEh,~.. I
""'-
(Offiee U.. Ooly)
This Applieatloll Becomes Your Building Permit Whell Approved
PlIid
Receipt No.
Biiildl.ii.g OffichH
Date
DlIo/_ ;{S-CJ!
BY~
U
24 hour nntice for "II inspections (952) 447-9850, fOx (952) 447.4245
EIRESIDE CORNER
#4360 P.006/006
__'U
I,....
.,-
,,-
3-1 PERMITNOo/-/301
'!'lIu; l'Q1!. or orlnc ud.. lIt_l
ADDRESS
.a~~S ~~~
z....~...'..... (oIIaI...)
lZ:A.
LEGAL DESClWo . ."",l (aIIlCII.. 0llIy)
LOT3 BLOCK .;:(ADDInON
8roL
P~ ~::n3-<f)13"6
, OWNER
(Name) 'J) i!.. ~
(Phone)
(Address)
",
APPUCANT
(Naav' ALL:tBIl FIMSIDE DBA I!'IRESIDE ~""'''"''
(phoac) ~1-fi33-~1
(A4drcso) 2700 N. FAmVTF.W A'\11!Nm)
v.-)
(Contact Person) BRENDA HUSTOI!I
APPLICANT SIGNATURE ffn~_.tI.. d._
BQSS.VTT T"'" P
CCky)
(Pbon~ 651-633-2561
DAn s1~/,...
.5<:11 :.:0
(ZIp Code)
IncluSlriar. C ..'. .." JaI A Mulll-F....Uy
FURNACE MAKE AND MODEL
FLUB SIZE RETURN OPENINGS INPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
~Wlltlll Air PIII/Iis J Sl<8m
Gravity ~ Hot W.
Mochonical Rad/ItIIOIl
Ai, Conditioni"8 SpeoIol Devl_
JV_ 5y...... OtherDevI_
FlREPLACE MAKE AND MODEL t4.U_N q._~l. 7n71t.
PEE SCHEDULIt
I % of job.... Rcsldenllal. GIS Flropt....
$39.'0 minImum
$9'1.'0
$64.50
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUcnON 0 REPLACEMI!N1' 0 ALTMATIONS
FUEL
OUTPUT
PLEASE NOTE:
Air Condili_ UIlila
CJlllIlOl: !Ilal*h iPCo
Required Side Ya
Selbac:b
RelIidartial, H~ln." Ale (NIIW ConS\lllCliOll)
Resiclcnllal, Hwillll Only (NIIIII ConmvclIon)
Resldllnliol. Additions" Allerlltons
II.o8idonll.I, AC Only
DUO
53'.'0
$3'.'0
E&tlmllted Con S
Bulldin, Penult "
HEATING PERMIT FEE
STATESURCHAkQE
TOTAL PERMIT FEE
$
$
5
.50
PAID WITH
BUILDING PE"""T
I '11Id
(Ollh:o u.. On",
Tho Appn..b Becom... Your .IldIDI P_lt Wilen Approved
Paid
JUceiPt No.
Date
5-/1- tJl
B~~
BlIlIdl.. om...t
Dol<:
Z4 hour IIDIt.. for .a In.poclla,,. "53) ~7"50. III. 1'52) ....7-c4!l
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .!5_t;;;,~ v ~QI>J _ ,((~...
NATURE OF WORK ,u4L.3. ~
USE OF BUILDING ~r=.(.4
PERMIT NO. O/-O)3{) DATE ISSUED 2-'20-~
CONTRACTOR -D.I2- Jk~ PHONE ~/- :zs-t,~n6
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING I 15 -\)~ I 3Jr3.J DI
, FOUNDATION (Prior to Backfill) ~ I ~ 3/Z9/D! ~IU I~'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN 'SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ !A..c.. ~ 3!'30/D/ ~ :5i/./~!
HEATING (ifrequired) 1). 'f"\k />.t. 3,'36/r/ u,6-. 51ll-v ~. 6?9'/t>1
FIREPLACE . ~- S;/J1o J '
GAS LINE AIR TEST M., fip. I5-:r '5730/01
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lhu~ C't)....--~ 4/$;, LJ..L-Af..s ~ ~nS'A)I
... - .'
FINALS
1;,
5/3tf/t'/
';/3//0
OCCUpy UNTIL ABOVE HAS
NOTICE
1//1 IffJ
'7/t6/() I P P1
I I
J /n-/b/
rf 7/6'/
BEEN SIGNED
/j-;rtP -J;
q- pr;;)--
I GRADING (Prior to Sodding) ~
'BUILDING(,(U)1 ~ ill '5/01 ~
I ELECTRICAL
I PLUMBING
I HEATING
DO NOT
.-
d, f?1.
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...fQr all inspections
FOR ALL INSPECTIONS (952) 447-9850
QLertiftrate of (Jcrupanry
LII i OF PRIOR LAKE
Department of .uilbing Inspedion
if Final Permitted 0 Conditional C.O. Expires
'1his Certijicale issued p/lnuonl to tM require1tU!nts of Section 307 of rM Uniform Building Code
certifying that at tM time of isSllQllCe this structJue was in complionce with tM various ordinDnces of tM
City of Prior LaJce replaling building colISttuction or lISe. For tM following:
SINGLE FAMILY BId 'N 01-0130
Use Classificati~ I. Femut '",
c.
VN .ue Zone .!:!/ A ZoIIina DiaIrict
DEERFIELD THIRD ADDITION
SiteAddreu 5425 FAWN MEADOW CURVE SE
DR HORTON, 3459 WASHINGTON DR., SUITE 204, EAGAN 55122
... ,'s Name ok Addreu
rip
ROBER;,,n. =INSj /0 City__
oqs /,~ -{J;;r--- Date:
R2
Occuponcy Type R3 _ Type ConstrucliOll
LepI DescripliOll BUILDING 7. UNIT 30.
Owner ofBuildiq _
DON RYE
...
_.'
ADDRESS c:: f"LJ..:.. ., ......,~ L, /"., ~J.Jr
OCCUPANT " t7 '
HEAT LOSS nATE HTG. IN ST. I. - /. - h
SOLO BY
Electrical Work 8y _
TYPE OF HEAT
HOUSE HEATING TEST RECO~D
_APT. _FLO'Oll:
.OWNER
.lOll #
CITY
_SUBURB ~~ /,~;
,
~GASDESIGN
MAKE J r-
Mod.1 ,.. .t/d7A
SWlal "~># (,.,~ $ .., 1 T
INPUT /"/"hdo
.INSTALLED BY '~k -
_Ga. Line 8y ~,,~_:""-
GA _ FA ~HW _STEAM _SPACE HTR. _U~! HTR. _OTHER,
"j,C::VERSION
/,J
IAAKE OF BURNER,
"Mod.1
.
\ :_1-
r
Mox. BTU Rating
MAKE OF FURNACE
Mod.1
:!4,
\
,
::1--
~, ,""'
"
, .~I.
J./ CONTROLS
THERMOSTAT -P ~4s"1 (_ H..t Plug_
Valve / . t . I ,',
Limit
Limit Setting_
Fan Setting
Pilot Type
Pil.tMok. wi 7
PiI.t Mod.1 I.- J
PUot Timing
L.W. Cut Off
'~
Pressure ~ "..:. 1/1
Input CFH
"",..,-
Stack Temp. _ )>>J
),
,
Vent Size
1/ "
KIND:OF LINER
_SIZL
.NONe
/
Draft Hood RegulaTor ;14(- r .n"-:o
Filt.r. Size Jf'YJI"""":".... Numb.,
Chimney Location Insl.\ie
Chimney Construction /.I~r"r.lt
_Outside
,.
tJ .r, Percent CO I. I
- 20
_ Percent 0 0 IJ
.
_ Percent CO _1"1
Smoke 80mb \ / _ Wiring
Oraft Te.t Tag
Door Pressure -I:- Lighting Inst '
Dat. Tesfed 'I. (-. h
Company Testing FrPri~ Heating & Ale, 3650 Kennebec Dr., Eagon, MN 55122
Name of Tester /.( /~ r
(
I
Y
',,-
Form 235
;.,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
7/2-3(01
.5t/.;J.~ ~ n1~
SCHEDULED
//:Yd
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJl- /<;()
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
12 INSULATION 0 SEWER HOOKUP ;BJ FIREPLACE FINAL
~ FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION -,rr MECH FINAL 0
COMMENT@8.0';-eaV ~, ~r-,) ." ov..-- 7'o-fl.-.
(.>> ~ r.17;;...." "c:l<..oc dO.A /
, v
.~---'--'.,..-~:':::::~..
~"./ .. . . . --~_.----~
/" f,(?./J, -t::U 't/IS-/OI" ),
'--..,' .
...-.. -
-'
P/1 WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WOJ!' CALL FOR REINSPECTION BEFORE COVERING
Inspector. ,I:;)}. Owner/Contr:
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
HW'OT'
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIllE
tl- /;;>. -Od--'
ADDRESS _" 4~L/ L; ,~ c;-1:.atrJ71_~~
OWNER CB!lTI;h"
PHONE NO. PERMIT NO. rrJ/- /30 I
o FOOTING o PLUMBING RI o EXlGRADlFILUNG
o FOUNDATION o MECH Rl o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE Rl
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASUNE AIR TST
o SITE INSPECTION o MECH FINAL 0 -'
COMMENTS: cS V-+-"
vI J
1 . I () /'
-/ 1"-
(} IOC;e
II ( . . ~.
---
I
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~J1 C~FOR REINSPECTION BEFORE COVERING
Inspector: rr V OwnerlContr:
V
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALtH & SAFETYI
-..
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
/-J~-ol PM
.t; 'I;; 0 I=C.Wtl IYJ i'or-hl../ (' u/'
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01- (lS-- 13 0
~ ~ILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
CIl.. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
54;;'0 ~hh IlrA/'" -19f-
t, "'" rJ. "- - <9 /(
54~1 6> r'-' "c ('JK...
5 '0.2 (,rt. v, a~
'J '0, 3 (:U4 ,J .t -oIL
S '1 J'-( &o~q(, -.<JI<
F\ Lf2 ~ (~ r"d" -Dr
lla\ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In.pector:~~A~ _ :"ner/Contr.
CALL 0147.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lN8NOTl