HomeMy WebLinkAboutBuilding Permit 01-0193
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please ~ or 'Orint and si2ll at bottom)
ADDRESS
/ 7~6~ .o~.,c::-hEA:..a ~/ve ~
Date Rec' d
/-01
IL6
o. tJ/- Ol!l3
). While File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
9 /
LOT BLOCK ADDITION ~_../,_......LJ ..z.l!!fl
OWNER
(Namell
(Address)
BUILDER
(Name) v7. A. ~7&V. ~.
ZONING (office use)
1<./
PID 2.5-370-02.'1-0
(Phone)
(Phone)
~.~- -:-SE -7/..:fI:;"
(Address). ~.y5"9 /~/I/~ -a# ~ oacJ-Y
TYPE OF WORK ~New Construction ODeck
OLower Level Finish 0 Fireplace
o Misc.
x
~
v
Signature
1 Permit Fee
I Plan Check Fee
1 State Surcharge
1 Penalty
1 Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
1 Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
~~~ .7$"""1
t,C/S'. qc.f
Sf) .O~
I 00 . 190-
/OO.OlJ
3S.SD I
LiD .06 1
I ~A .~. nTmeSYOUrBuildingpennitWhenApproved
J-- .3::.(" -~!
Bud Official Date
~
OPorch
ORe-Roofmg
.:J"'/S7 ~ ~
#
ORe.Siding
OAddition OAlteration OUtility Connection
.-
PROJECT COST/VALUE (excluding land) $~;:t~
I Paid 757{) , (p CJ
. Date ~ilS-lo J
I
~--a..P--CJ/
Date
#
1$ AS"o.oo I
I $ I. L 5"0 .00 I
$ . I
,~.OO
$ L.lS.Dl"J
$ It .100.0(")
$ ~OO.oo 1
$ 115"00 .ncL
$ JS.SO
$ '1.570.14'1
,.
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 j-'....y....aJ 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 1""~I"'_nJ to perform needed inspections.
-.L:,><:2. ~
-<~5il5S?"
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Si@'; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other 9.l-LJ fl"l"'~
I TOTAL DUE
#
#
I Receipt No".::l"9'.s-- Jf<:!.
By ~ .
i.s to certify that the request in the above application and accompan.Ying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document I
~igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
'~ --W~N\ ~~an~~
24 hour nutice for all inspections (952) 447-9850, fax (952) 447-4245
/
./
D ( t()/q3
Thlt ClI'ftll!'f or lhlt Llkll' Counlr)'
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
n. f2... HORTo"-/
3-1-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!7?Jf)7DEEr<J:::H~LD OQ. 5E"
Accepted
Denied
Accepted With Corrections
Reviewed By:
Comments:
Date:
"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."
hl,0i1~
Tht Ctnlt, or lhe uk, COllnt!')'
White . Building
Canary . Engineering
". Pink - Planning
mm..OING PERMIT APPLlC.ATION OEeARTM~NT CH~CKLI!ll
NAME OF APPLICANT
APPLICATION RECEIVED
n. K. l-\or<..To~1
3-1- 01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/7 (r; 7_ D C E 1.zi="Il=.. LJ-) rJ(.L. <5 E.
Accepted
~
Accepted With Corrections
Denied
Reviewed By: " iii/? Date: 3 -6-6/
Com~ents: I See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
::n Frosion Control PI~n
"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."
· oti1
D I, O\~1
Th~ C.ntler of lh. L.lo.e Counlr)
White . Building
Canary - Engineering
Pink . Planning
BUILDING PERMlLAPPLlCMlON DEPARTMENT CI:lECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
n,12. HGI<.TC~I
7.-1-(1
..._..J ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I-I? (( 7 I ) E l'~ k 1= I l=~ I 1._ ) I j 1<.::.. . 5 t:...
Accepted
Accepted With Corrections
~
Denied
C' 7~{:; ~~
Date:
;sA 13;:8.(
Reviewed By:
Comments:
~ p~~ ~ ffi9L~U('p ~ fZvvv~
_At}W-~ ~T~ a,~~L~~)"
Q~~~ qo\{Jv ~<~-
I,~U,~ -~ p(,-S ~ ~~LkQ...tJ~~
"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,"
10:46 651 633 8884 FIRESIDE CORNER
CITY OF PKlUk LAI.\J!.;
HEATING/AIR CONDIUuLu.J.\GIFIREPLACE PERMIT
11("
(Plc..e "l!'!. or llrin. omI..... albolD>ltll
ADDRESS
11;)r;,,~
~'S:. Ei- I PERMIT NO. 1-/1?-. J
ZONING (otll.:c_l
U~.P l:lJ
U
LEGAL DESCRIPTION (om"" we olllyl
LO"l ~ BLOCIC ,-\ '. ADomON
..iF
PI
to. P11\11~Q
d /Vd ~~ 37 d, (XXi D
OWNER
(Name)
(Address)
~~
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CONNER
(Phone) 651-633-2561
(Address) 2700 N. FII!11lVIEW AIlENllE
(Addm.)
(C .._ P ,) BRDiDA !ItlS'rON
OJ:1,L..DoO.;L elSOl'1
APPLICANT SIGNATIJRE &o..fJ... 1-I,.t;;::::.
, '--~.,
'QnCl:lP.VT T T.W, ~M
(atyl
651-633-2561
(Phone)
S"l'~
(Zip CQde)
DATE.
tfJ~Qj
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN ...r,"''''~OS INPUT OUTPUT
TYPE OF SYSTEM HBATING OR pOWER PLANT
OWonn Air Plll1lCl
OOnrvil:y
::J Mechanionl
JAir CondItionIng
JVent. SY'~
FIREPLACE MAKE: AND MODEl. _1:k~_M Gc..:.
BSlll&m
Ho,Wattr
8 Radiation
SpocioJ Dcvllle8
Other Devices
PLEASE NOTE:
Air Conditioner Units
CBIIl10t Bnl;l'Oach inttJ
bquired Side Yord
Selbaclcs
.5.e- ?~1rn-_
Industrial, Comm,,",ial &< Multi-Family
FEE SCHEDULE
J % of job cost R.e,ld""llal, Gas F'in:pl...
539.50 minimum
599,50 Ro,ldontiol. AddiUOIl' It Almall""s
564.50 Resldentl.l, AC Only
539.50
R""idel1liol, Heating lit. NC (New Con'lrll<llon)
Residenllol, Hoatlng Only (New Constnl<llon)
$39,50
539.50
Estlma,.,d Cost S
Building Petmlt #
MEA TING PERMIT FEE
STATE SURCHARGE
TOTAl. PERMIT FEE
I;
$
$
.50
/"
"~~/t:J
~((' ~>.'
br;ej~J)I'lt~}'
,.
By
4L
V
(om,. IJI< 0.111')
This Application Bec:omes Your Duildlq Pemit WIlen Approved
Bonding omel.1
Dare
I Paid
I DIltCl?-dl_ I
:u bour "otlce ror RUln.pectlons (951) 447-98511. fllz (952) 447...245
MAR. 13.2001 5:11PM
GENZ RYAN 6513226147
1'10.995
P.20
. ,
"
_....
" ....'
"
.....- . .a.- ~--r
... . lIT.
CITY opplUOR LAD NO. Ol~n I ll3
SZWBR AND WATER PDHIT
NOTE: Sewer and. Watar
. contractors must
be ragistered
wi~ the city.
APPLlCAN'1': a"",9, - fltr.l""l Ph..l_IoI' "'- 1.Jrn1"lA.Jtl. PHONI:: ~f~ ., Ll-Ll
ADDRESS: I~;t~.... ~-'-,"'r ST~" DA'1'I:~.lQ-'
SIGNATURE: BLDG. PERMIT t
SITE ADDRESS: 1\Z.~~ ',I Yt1.r~cPO c::"'\~PIDi 25-:3'12- -00 '1-0
1.
Estimated len,th of water service
I I'
Si!e of water service inch(es).
FILL IN THE BLANKS
40'
feet..
2.
-~
r',d
"'~~Y
3. Location of any couplings trom .~ructure teet.
4 . Type ot .ewer pipe. A8S pvcb Cast Iron
5. Estimated length ot sewer lin.~ fe.t.
S. Clean out (if required), located. at teet
structure.
from
----======--- ,,,,,...,..,, ._..
This application becomes your permit when approved.
BY
,
D~'1']l:z
. '"'''' ,.,. ,.,."..",,=,--...
..........
FEES:
$
$
$
35.00
.50
35.50
Sawar and watar l1ne connection permit.
Surcharqa
TOTAL
* Faa for either sewar 2E water individually i. $20.00 plus
$ .50 surcharqe.
*
Sewer and water permits i..ued for new construction must be
recorded on the buildinq permit card. at tha time of issuance
to insura that no duplicate .awer and water permits ara
i..ued. '"
4/ &/0 I AMOUNT PAIQ; ;;$.o;.~~\1
REC'O BY ~ at:.-
DATE PAID
,.... ,
t
'", .,/
REcn PI' #
. 4629 o.kota Sl 5.E., PrIor 1Aka, MiMaota 55372' I Ph. (612) 447-4230 I Fax (612) 447-4245
AN !QUiIL OPPOI!I\JMT'/ &I4I'lC\'EIl
MAR. 13.2001 5:11PM GENZ RYAN 6513226147
NO.995 P.19
"., c...., ., lie LMI CMIIIr
I
CITY OF P.RIOR LAKE
, PLUMBING PER""
AppIlcant:~7.. - ~
,Acldniil: ~n"" ..II:r ''11?~_
Signatur.: _ _. _,' .
Legal DHCI1ptlon: Lot ~ 8Iock \ Sub 1)P/1 C"~/1.D r'> ? If\. ~
8lte~....; 1"'~2.. "'i'y,....RVl~ "j"y. ~
BUilding Permltt PID, Z~ .~12- ooCf.:.Q....
NOTE: Thle permit will not be pralle_1d WithoUt complete Information.
FIXTURE UNITS
I. I" "'"
:a.GoW QIJ
2. v_ AfpIilIoI
t~3
Phone:
'~~iV""'I"rl..lJn""" ~lt'3~
.~
-
Qulntlly Type ot Flxture Quantity
l Bath Tub With or without shower
, DII_,har I
l Floor Drain /2..\ I
~ Lavatory (bathroom link) I
, Laundry Tray (1 or 2 _. ....._/tIMnt link)
I Shower Stall
I 81nk1
~-, Bar Blnk
. .
, ':'1 2- Water Clolet (toUet)
,
,.,
Type of F1xtura
Flough.IM
Water Heater
Water Softner
Stand Pip. (Wphlng machine)
Sewage Ejector.
BacIdlow NiIJljlIy (RPZ. CoajH Checlc, PVB)
Bacldlow Allembly Tlat
Lawn Sprlnlcler
Other
JIE1!! SCHIDULE
~ Indllltr\l.l, Commercial & Multi-FamilY
(1% of job COlt. $3UO minimum)
Rulclenlial, New One & Two Famny
RUldenttal, AddilloM & Allerations
Stall SUn:Ml'lle
$8UO
$SUO
S
$.
S
. .50
GRAND TOTAL
PAID WITH
$ ~"-"'N~ PERMIT
.. ~., ,'.
'nIIs P'ftIIII Is IfIIIIed upon 1M IIpllU ooadtdon dial nI4
conlllCtlll'. sbI1I comply lull '. .." with 1M allll_
a~thc SlIlII Plllllllrinl Coda IIId lhe~ lI,IcRaf.
. RICBlPT~. /0/ DATB
. ATTS'I'
caU for all illIpcct1Ol11 houn III advance.
16200 Eagle CreekAv. S.E.. Prior Lake. Minnesota S5372/ Ph. (612) 447-4230 / PAX (612) 447-4~5
An Equal OppartYnlLY EIIIployer
" --"
~ v.. . ur erP"" '"""" ..
1:: ~ 16200 E8gIe Creek Av. $.E, Perm" No. 6 1- 0 I q 3
Prior Lake, MN s;;:m
HEAnNG APPLIcATION / PERIIT
Date :;~81()1 PD.!J5-S"1;)"/OOCJ~O
SteAclcl18sS /1~v:>d. ..De...e.l:.D.e..o. ~. " . Fee Schetlule
llIl -E- Block -L- AdtIition ~ 0. A"J.A ',,9J2cfZ., ~ 1ndustJial, Co.._..~...:.J & MulIi-Famiy
0w/HII's Name i)R. rtortDn U ~~ ~ & AC
..' . r,,~..., ...:.:..1, Heating Only
Address ~ WdShlMfon""Dv' SWte,1J)I.l. S:;aAn.n '(\.WSS'IU,ReeidentiIll. Gas FtrepIaca
t.. 'I ~,,4 Il.l h _1_ ^ _' _ _ I v . r._~:':-.liaI, Atldiians & AIleraIions
Healing Conhc\O! -.t::>> >U.o" VV\UJ llJ-I U uu .. ResIdential, AC Only
Address ffiO .tt..nntbU. "DY- SuHe.} /EAAan f.W 5Ju.
c.;
TelaphDll&fI. /,51 452. - 2,115
Fumaca Make & Model ..~~
Madel Size M..1JbIJ 'Bi1A q7.: J..
Conn. Load ..
Fuel lJaJ..
RJeSlze 1.'/,,'1 p"C
SuppIyC,.. ...C..._
AllIUm Openings
Input
Edr.
elm.
0utplIt
lYPE OF SVSTEIof
Warm Air PIanIs
Gnwity
Mechanical
AirCondtlaning ~.,.
Vert. System .
HEll TlNG OR POWEf! PLANT
S1eam
HclW....r
Radiation
Spec:jaI Devices
Other Davices
A....alions
TYPE OF WORK
New Construction
-L../'
Repair
R&placement
Est Camp. Dale
Est. Cost $ fDOD.OD
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Panni! t
.50
Receipl fI.
PAID WITH
BUILDING h"r.;v.,"r
~
,..
TYPE OF STRUCTURE
2..ca-
1. YdIow
CIty
""""""""
Single Family
VlWo-Farniy
Industrial
Public
M11I1i-Famiy
Other
Commercial
1 "Io'ClI job cost 1$39.50 minirrum)
S99.5D PLEASE NOTE: ~
$64.50 Air Conditioner Units Cannl c
$39.5D' ~ ......:.lnto Required Side;
$39.5C Y.m Setbacks, ~
$39.5C :
.
~
~30m
Remember to add the Stale Surcharge on the bollom of Ihls appIlcaIion.
. - The price of your .. ,.:;." .." permit inclUdes one rough-in _ one rnal insDection,
AddiIional inspet:lions will be biled sf $35.00 each.
~ Healing Test FIecord must be submilIed with huildina lIII!I!ll1llll!llllt before buid-
ing c:ertilic:aIe of oc:c:upancy will be issued.
HI:.![ ,.".., CUI ATIONS RFOUIRED with number of supply and relWr\ openings fisted per
room will CFM's per opening. NlIW strl/Cb'l!lS or addIIians send ftoor pIarI wiIl1 supply
and reIum Iocalioos shown.. HEAT lOSS CALCULATlOHS, PAVMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. , &200 EAGLE
CREEK AVE. S.E. P~R lAKE. !IAN 55372. .
CIty HaD business hoUlS are 8 a.m. - 4:30 p.m.
All WORK IftJST BE INSPECTED (ROUGH-\N AND FWAl) . CAll. em HALl
447-9850
I hereby apply for a mec:hanir:aJ systems permit and I acknowledge that !he
informalion above is complete an<! accurate: lllal the work wiD be in conlormance
with Ihe ordinances and codes 01 the city and w~h Ihe stale buiding/mechanica I
codes; thallhis form does not become a permit until signad by the BUILDING
OFFICIAL; !hat !he worle will be in accordance with the approved plan in lhe
case of all worle whic:h requires review and approval at plans.
A.lll.h.~(j\(M))
~canrs Sign8lUre
C("
~iI1g Offical's Signature
#*1
Date
L(-;;>'- I
Oa1e
PL, r::~ 447- 4245
.
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.....
PRIOR LAKE
INSPECTIQN RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS .f7~7- ~..~-& 7)....-;.
NATURE OF WORK r\l~
USE OF BUILDING SF'"
PERMIT NO. OJ-D/q--S DATE ISSUED 3~t..-~(
CONTRACTOR DR H. .1', PHONE ~'S1-'2<"(_-713fc
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
A INSPECtOR DATE
I FOOTING I J!!:I. I -S/yc::>~/
I FOUNDATION (Prior to Backflll)~ I f1:r. t-{ 1/01 I~, u /2/or
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING f.).(y (p}~)g-v 4. "8I~/())
HEATING (If required) ~. . .
FIREPLACE ~ .
GAS LINE: AIR TEST ~ ~ C;; ft~ ~J;)-7M I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
(v&7f-" 10 -17...0)
~~4l)f
/9
//tJ-'J /0/'/
~ I
EEN SIGNED
~,
ffit-
V/~7 /01
B);'1)OJ
~ a 7/ oj
~::> 710)
"
GRADING (Prior to Sodding)
BUILDING
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 shall be placed near main entrance.
'. .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~~'Yw~~'; ...
:i:J .~. i~' .~;.l .'10;. .,!",:.!'i_;i"':!...""'''i~;'.''~:.~:.i'i,-',i'!'''t
:t>
:~" ~trtifirat! of ODccupanty
:~; CJ.J. r OF PRIOR LAKE
~~ I J)epartment of .utlbinll Jn~pedion
(i.., I ~ Final Permitted 0 Conditional C.O. Expires
(. r'.1
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Thi. CertijiCtlle i.sued purslUUll to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of i..lUI1Ice this .tructure was in complia1u:e with the various ordi1llJ1lce. of the
City of Prior Lake regulating building construction or use, For the following:
Use C1usificatioo
SINGLE FAMILY
01-0193
R1
Bldg. Pennit N"
Occ:u_ Type
VN
TypeO_ ..,..... ,fjreZone
L9, Bl, DEERFIELD SECOND ADDN
N/A
Zoning District
R3
Legal Deacription
17262 DEERFIELD DRIVE SE
Owner ofBui1dins
~ite Address
CoOlractOr'sName&AddresPR HORTON, 3459 WASHINGTON DR.,
ROBERT D. HUTCHINS J!'l(-? ~ity Planner
SUITE 204, EAGAN 55122
DON RYE
Date:
Building OIIicial
J()- >D- OL
Date: .
.. '_"~ Co ~.. ,_,', '. .A..;,;.....~ '~i'.' :~,.,~~.:.. ~_ "...;'.':;;......;,,; .. ,....,:..-<~'.:;::.... AI;;.',' i .,:.~:_); <...., '~';;~'-::/II -i,',,',,;","'L .';..,.,'" .~"'... ';-.,/c' .. ." .
,',.","i,~ ~~;"""'~l~l"-'
-
ADDRESS \7:1.<..";).. 0.,.. r- ~;~\.l
OCCUPANT.
HEAT LOSS.
SOLD BY
Electrical Work 8y
TYPE OF HEA T
DA TE HTG. INST.
HOUSE
Or:
HEATING TEST RECORD
APT. _ FLOOR
OWNER
JOB#,
CITY _
SUBURB
~,,,--+-
fJ\<.&
INSTALL EO BY
Go. line 8y.
GA _ FA ..A...HW _STEAM _SPACE HTR. _UNIT HTR. _OTHEP
GAS OESIGN
MAKF (3...~~~
M.dol--"3Lb Il,.~Vt'l....~ 0,,", I
Sod. I ~O\ I-\S"S'-t \ r-
INPUT ~(<",,",r'
CONTROLS
THERMOSTAT \A...........\\ Ho.t Plug
Valvl"
Limit
Limit SeHing
Fan Setting _
Pilot Type
Pilot Make
Pilot Model _
Pilot Timing
L.W. Cut Off
Pressur- ~.r
Input CFH
..,,~o
Stack Temp. -'
Form 235
Percent CO2
Percent O.
Percent CO'"
,,",3
c..i'
-Q-
MAKE OF BURNER
Modol
Mox. BTU Rating
MAKE OF FURNACF
Model
I ..,
Vent Size ~
KIND OF LINER
Oruk Hood.
Filt.rs Sjz.~~')(\
Chimney Location
Chimney Construction
Insid. _
Smoke Bomb
Draft .
Door Pres sur..'
Dot. Tested
Compony resting
Nome of Tester _
CONVERSION
SIZE
RegulaTor
Numb., \
Outside
NONF
Wiring _
T..t Tag
Lighting Inst.
~Jliant Mechanical, 3650 Kennebec Dr" Eagan, MN 55122
k;...... -:S.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7.;L(P'L
SCHEDULED ~
~~
'I:()O
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ( - /93
o FOOTING
o FOUNDATION
o FRAMING
~ 0 INSULATION
n ,q FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
A ;llI. PLUMBING FINAL
'k~ MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
Pt- f!l FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: D~.
~ B/~t
i1'eBs t1fFJe1 bfBQ~Uh1'r~+,
~RK SATISFACTORY, PROCEED
o CORRECT ACTlqN AND PROCEED
o CORRE~~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: J:l1.~ Owner/Contr.
CALL ....7.9~ FOR ~E NEXT INSPECTION:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
fNfNOTl
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10-1/-01
ft'?
ADDRESS /7 :?'1-~ R f)-'.ufItJJ Dr.
OWNER CONTR. DR. HtJr-l" "1
PHONE NO. PERMIT NO. () 1-1'13
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
diC.f!NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
:1!l EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,..GaMMENT~ ~
~~2.. - -9t:... ,,)
17).&1{- Lu,b &;(-d;:'
nut - t?J(
//Z.& 't - ,,'l-
/VI? t;f-I
X. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'nspector:~f,~ ,-.
Owner/Contr.
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS@
DATE TIME
SCHEDULED 10 -9- /
;j)~
1'7~.~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
Jil"'pLUMBING FINAL'
o MECH FINAL
~ fZmr1
~
..A~__~~T;r-A. ~ 6~
I~M.~) -
~).tI()
}-/U'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
o WORK SATISFACTORY, PROCEED
l" CORRECT ACTION AND PROCEED
o CORRECT WO~ 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/
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