HomeMy WebLinkAboutBuilding Permit 01-0209
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'a
I,While File
2. Pink City
l Yellow Applicant
-oz,01J
q'lease !vpe or print and sUm at bottom)
ADDRESS
5296 f/fIl1p7l)tJ Sf. rJE
LEGAL DESCRIPTION (ollice use only)
LOT Z,BLOCK / ADDITION FAJeI<!.E;L.S /q- fJVDtJ.
J AS r: C!.-?::6K- / $/fA! D STJe1J J.-1
I
OWNER
(Name1,
(Address)
ZONING (office use)
,e ISO
i
\PID 25 ~3~(P - 002.'0
(Phone)
BUILDER
(N~me) E.Q1Jr;s77eJrJ..A/ /101'16 r B~RAI
(Address) .~~,.t) S77J/l/E.: R.n./ I1EN.tYJTA HJ:c...
~E OF WORK , New Construction
OLower Level Finish
o Misc.
ODeck
o Fireplace
(Phone) &5/- ~!? I - f{ 373
55120
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ 1(P0' 000.00
,
Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
ODed property and that all constrUCtion will conform to all existing state and local laws and will proceed in accordance with
e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
d iI1spections.
-
+1- /8Q-C//23
3-8'01
Contractor'S License No.
Date
/(.0,000.00
I Park Support Fee # 1$ 8so.lY"Il
I SAC # I $ L I SZL OQ
I Water Meter Siz~; I"; $ I ~S.60
I Pressure Reducer $ L/ 6 . a c I
I Sewer/Water Connection Fee # $ h ~ t? 0 .6'l
I-water Tower Fee # $ '1otJ . t){S
I Builder's Deposit $ {I C;-~ . C)al
I Other Cf7e.e.... ~ $ ,<""83~ I
r'J:TJir'Ty-......--- I TOTAL DUE ~J . 6.644."7 I
~ J lQ.,.,,-As- 3-/(.-2<<:>1 I Paid ~~#.~9 I Receig(~~
BUildmg Ofl1:ial Date I Date tr.:=i - 0 1 By /l
, I"
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and m/Y proceed as requested. This document
:~. the City Plann" ,"nstilutes a temporary Certificate o' Zoning compliance and allows ,"nsouction to commence. Be'o" occupancy. a Certificate o' Occupancy must be
~{' _."'" - __ ~~2--h1
r--p~ning Director Date Special Conditions, ifany
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
Permit Fee
Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
l. :?;:;}9 .'1S
-~(.t.I ."34
Bo.oo
100.00
{ol::i'.OO
:2.<; .~
01 ,,(j U>~,
Th~ Clnl" of lilt Lake Cc.untl')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
EO uS s;T12j i7N'
3-/7~ -0 /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5299J Hfll-iP70IV 5/ ;\IE
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
AlII-J3
Date:
3-2].01
Comments: See Reverse Side fnr Additional Information!
"
"ee /-\ttacnmems: 1) Grading Plan, 2) Erosion Control Measure:;
3) Erosion Contw.l 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."
\
~1
o ( -670 ~
Th~ C~nl"r of thO' Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION D.EeARTM.ENT CIiECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
eo us SleJ flAI
.3-!7~-O l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5299J HAI1P70N Of /VE-
l'
Accepted
Accepted With Corrections
Denied _
Reviewed By(;::j( ~~
Date: '3-If.s,-kl
Comments:
~. Q.\\ Q.t\tl.C~ .\.\e.....A. """h
t-J\ofv..b::dv.. Oos~ ('~
"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."
.
- "...
ot -owq
Th~ C~nlrr of lh~ .......c Counll')'
White . Building
Canary . Engineering
Pink - Planning
BUILDING peRMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
E6uS (',Fk!.lriN
,:]-/7 -() /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 29 h HI) /'/ I.J 7llVS I ;\/ E
Accepted
Accepted With Corrections _ V--
Denied
Reviewed BY:~"".
Jif/)J*~ ~ ~ ~ ~:~/?o/oL
V~\Q-~~l1~;:;
~ q-at:Q tA'~"'r~ ~~~~ Iqto if
- ~C}-~~V~ ~~ .S-2~
- 2st\f~~{1>t pJ '\D ~ _ ~ -- 'i q y
__ _,(~~T~V ~~X ,<(E1s
C2~St'JN.~"4';-.("1pS;; ~ {
--roV~~ ~D M. ~ Vee.-S
. t>-v- ~~ W'-~ I ~ ~~
"The issuance or granting of a permit or approval of plans, specifications and t
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."
~
.
Date:
3/:2--2/81
Tht Ctnltr of tht Lakt Counlry
Quantity
CITY OF PRIOR LAKE
~vt 6,/ V\<; ~~ PLUMBING PERMIT
Applicant: A Qvl?()\J (.,1'"' Pl..-I"I\({ - t:O- Phone:
Address: ~ J;rr1i'L- _, /", ~I ehM\"
Signature:~~~_'
Legal Description: Lot d-- Block l
Site Address:_ 5~ Cj~ HAw-.P17.lIV f, "j--
Building Permit # E1;tUf::rr-rl.I~ 'I:tfi""""'" PID #:;L;;---;;l,b..... /')OJ-o
NOTE: This perm~ will not be processed without complete information.
FIXTURE UNITS
Type of Fixture
Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
~ Water Closet (toilet)
"2-
\
\
'J
r
I
:L
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Add~ions & Alterations
State Surcharge
$99.50
$39.50
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PP No. CJI- 0 J... 0 q
loJl..-SZ\O-O"1,L
~-~
Sub
. .
FCLrr-e {{'S
I S..,
GRAND TOTAL
Type of Fixture
I
(
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$ ~4P=-
$
$ .50
$ I Of) -:-
_ ~AID INrrH
VNG F'CF{Mrr
This pennit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
~~_~m.".~...~._
- RECEIPTN9....:? /0/ DATE
/ .;, ATI'EST
Call for all inspections hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
i
II
CITY OF PRIOR LAKE
S~WER AND WATER ~ERMIT
-.."",."
"aLL." . .. ~ 1Il"_T
..... on... ill
I'...
&I-'Its.~:w <J
S.W,N... ~
NOTE: Sewer and wi~.r
contractors ~ct
be rogist rod
LL with the ci!tiy.
II:
. ~ Hi
Ii i.
APPLlcAWt'I ptlONE,! !
AOCRI!:SS: (boJ!~edl ~ A~tI. IGJlOATE: I!,
SIGNATURE: .~ BLDG. PERMIT *!!J fa.;> 0'7
SIn ADDRESS: 5".;l. 'R jls..~.('rN.E:; P!D#..::J5"30G-O~
~ - - :(.
Ii I,
;,,:
I) !"
j. !
ii.!"
" .
!
1.
f.,lI.1. IN THE BLAlikS
i 1 i _ ., ~.--
~5t mated ength of ~at.r serv ce _~-
,,..
I inch (I!!IS) .
feet.
2.
SiZe of water service
J. Location of any couplin~. rro~ structure~~D reet.
'I.
Type of sewer pipe.
ASS
PVC~
line. .?~
Cast Ir.on
I'
fhltl
11
:' i'
,I,
d=~_______==__**=~~___~~a_~~__a2Z~~___~~:_~~_~~=~C~.__===~--ptt.~=
Th is e.ppl ieation b'lcornes )'ol.lr permit ",her, appro'Jed. ~!
BY DATEl i i
-- 1,-
lI\IlI'/Z. :a::z===_ =:;:::::::____.._==:it=. ~___. "'.~_ _"=""'___~=E_=~.:b .O~_. .....=:a=::::EEo..1='=..~_~~::.:;Ki~r-.z:
FEES: $ J5.00 Sewer and water line co~nection permil!.
$ .50 Gurcharqe i
$ 35,50 TOT^L :
,
'* f'ee tor . i t:her sewer or water indi Vic!Ulllly is $20.00 ,i ilU5
$ .50 surchargQ. -- I
Sewer and water. pertr.its issued for r.ew conseruction 11"...J I be
recorded on the buildinq per~it card at the time of 1ss~l~ce
to insure that no duplicate sewer and water ~ftf~~.i are
i.sued. BU'~'NG IH:
DATE PAID q-q-o/ AMOUNT PAID P~lr
RECEIPT /I >lEe' 0 BY (/;1 ~ i '
il
5.
Estimat$d lenqth of
se.\o!er
feet.
6.
clean out:
structure.
(it
required) .
located
at
A'WJ
teet
.
--1:,
: I
16200 Eagle Creek Av. S$., Prior Lake. Minne,ota 55372/ Ph, (612) 447-4230 I FAX (612) ;,1;.4245
An Equal OWOrtunily Employee ; i:'
II'
i ,~
9NI1~^~~X3 NOSNHOC 09~~Lgp L0:E~ 000~/LE/L0
"';,.
L0 39~d
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S;E. P..m~ No. 01- Oz.o<J
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
~ Date "\- 'S_ , . PID. ZS-3f;fr;- 001..-0
SieAddress S:;l, '\ ~ \\"""'"' \-0'"' ~+_
~ Lei ).., Block \ I\dcillon y.~ 't"r ~: \ c. \_:t\
2 Own:;ame <; '^ u,..4'<" -\-r, "''''' \\c-""",.
Address 51 ~ SftMA. ~c\ h.t",~u\c\. i'1N SS\dO
Hellling Canlrac:tol . ~\-V'" it; ~ \ Ill.
Address \ l.o '\ 9. () \..l 'I..\r "Y'--' t+U
~ <;ri- \.\ \.\ 1- 'b\:\ '-\
I<I~
'Prl~~ \..t,l~
T "ephone "
\
Furnace Make &. Model c....,........, \-
Model Size r\~ P. -~ 0
Com. Load <::; S 1. ~ ~
Fuel .1.' ~ File Size ~ \( <..
SUJlIlly Openings _ \ ()
Return Openings 3,-
If"4IIJI "1l0. -l<U OuIput 'I S . 'I:lC)J
TYPE OF SYSTEM
W81m A"w Plants )I
Gravity .
Mechanical
Air Conditioning
Vent System \i
HEAliNG OR POWER PLANT
Sleam
Hal Water
Radialion
Spacial Devices
l:t:
H
C[
~ Edr.
~ Clm. \ le;S
Olher DaYic:es
E
0.. Alarations
If)
N
....
TYPE OF WORK
Replac&menl New Construction X
Repair Est. Compo Dale
.... Est. Cost $ -,C\ ~~ ~ Bulding Perm.'
IS>
IS>
N
If)
o/-Oz,oq
HEATING PERMIT FEE S
PAID WITH
BUl\.D1NG pERMIT
Recllipt#
l:t: STATE SURCl-IARGE S
0..
C[ TOTAL PERMIT FEES S
.50
TYPE OF STRUCTURt;
.. "Ilk
Lli<...
J. Ychw
FIl<
City
c...,""'"
Single Family. X
Commercial
. Two-Family
Industrial
. Multi-famly
Public
Other
Fee Schedule
Industrial, Commercial & M\JJli..family
Residential, Hea1in9 &. AC
Residential, Healing Only
Residential, Gas Fireplace
Residential, AdditiQflS &. Alterations
Residential, AC Only
1'4 of iob 00,11$39.50 minimum)
$99.50 PLEASE NOTE:
$64.50 Air Conditioner Units Canne
539.50 Encroach Into Required Side
S39.5C Yard Setbacks.
$39.5C
Remember IQ add the Slate Surcharge on the bollom of this application.
The price 0( your healing permit includes one rQugh-in and one final inspedion.
Additional inspections will be bIIed at $35.00 each.
HOIJS& Healing Test RecOld musI be Ie:.. .. "J with blIi.!lIinllRm!lil~ before build-
ing certillcate 01 occupancy wiD be issued.
!:lfAI CALCUUlI'lO/IIS REOUIRED with number 0/ supply and relurn openings listed per
room with CfM'. per opening. New aIruc\Ures CI eddiIions send lloor plan with supply
end retum localions shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. 5.e. PRIOR LAKE, MN 55372. .
City Hal business hours are B a.m. . 4;30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN ANIl ANAL) . CALL cm HALL
447-1850 FM "1-4, - 4ZJ+5"
I h8leby apply for a mechanical systems permit and 1 acknowledge that the
informatiQn abO\/e is complete and accurale; that the work will be in cQnfQrmance
with the ordinances and codes 0/ the city and with the slate buildinglnlltchanical
code,; lhalthl. 101m does not become a permit until signed by the BUILDING
OFFICIAL; that Ihe work will be in accordance with Ihe approved plan in the
case of all work which requlr8$ review and approval 01 plans.
'-\-5-\
Dale
4-5-0/
Date
.
- -~-----------------~
- --~
'Pennlt#
'Job~ 5:.29P /-k4(,tf1M s-f.H!
.~c. ,. , . METRO AIR
.,................. --r:~
,
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PRIOR LAKE' .-DEPARTMENTOF .
BUILDING AND INSPECTlqN
INSPECTION RECORD
SITEADDRESS 5~'1B ~-"-P~ St-. ~L'O ?~~rfaa" t3BZ.D
NATURE OF WORK ~eW
USE OF BUILDING ~F"r"I
PERMIT NO. 01- OZ.OCI DATE ISSUED 3 - I Lv - '2,,,,,,, I
CONTRACTOR F ~L1~~t-I'l'lUl. 1-4~.e +- ~"'"'" PHONE.fa.5:./- {;,8/.9"St')3'
NOTE: THIS IS NO A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
OATE
I FOOTING I (}.:r. 1/5/0 I I
I FOUNDATION (Prior to Backfill) I ~." I i/!J /~ I .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED.
ROUGH. INS
SEWER/WATER/SEPTIC. I /. {;;, 4/1'3/61
FRAMING \N C. VtS'Sfz-z . A. 't.d(r!~(
INSULATION / /?;,-, (p /1.0 II? I
ELECTRICAL ( ;
PLUMBING ~ ~\Jfj S-1'1/p (
HEATING (If required) ~ _ ~~ 51 ctl fJ (
FIREPLACE .
GAS LINE AIR TEST ~ . \\ ~ . fd a ()(
COVER NO WORK UNTIL ABOVE HA'S BEEN SIGNEDt
I I
" FINALS
GRADING ~rior to Sodding) /14? '"
BUILDING1:e-iO\~ q"~/bl IfA.. '7/.~/ftl fA-.
ELECTRICAL I .
PLUMBING
HEATING
DO NOT
?f/~I
14.
~,
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 !;lUll '"4lproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
7/;l I!IJ/
. '?/JI/OI
BEEN 'SI~NED
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
.'~:~~.~y :,',- .,.,-'''" .,"
r f(~~'("''''''/' '"".-1" ""'" "',
lJl <<ntifuau of (J.......,m:y
, ell i OF PRIOR LAKE
I)epartment of .uilbing Jn~pedion
~Fiftal Pe~ 0 Conditional C.O. Expires
" ','" "I' ;'111 ,;;', ',~:.,,.,"
This Certificate issrmi pursuant to the requiren"mrs of Section 307 of the Uniform Building Code
certifying that at the Ii1M of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulaling building COMlruction or use. For the following:
SINGLE FAMILY 01-0209
Use ClassificatioP
Bldg. Permit N"'
. Fire Zone N / A Zoning District
ADDITION
R1SD
Oceu_ Type
Legal DetcrlpIioII
R3 Type Construc:tion VB
L2. B1, FARRELS FIRST
5298 HAMPTON STREET NORTHEAST
Owner ofBuildiDg
~ite Address
Contractor', N.... &AddrcuEQUESTRIA;B} HOME & BARN.
ROBERT D. HUTCHINS r:l:::r / rityP\lJmer
1/~
535
STONE RD., MENDOTA HTS., 55120
DON RYE
Date:
Date: .
,-- "~;'",; ,,", ,,:,', ",",";'"" ,
',""',""'--";/,,., ,.c-
"-''''I''''''''''
..,'.~' .'L. ,'""'",,",i......~',,>~._.,_
._,
,'" 0' .i.~' hi
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
t?2.0-01 /-l.T.
ADDRESS
5298 HAHPTON 5T.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ([!) 0 SEWER HOOKUP
'5! FINAL 0 PLUMBING FINAL
o SITE INSPECTIO 0 MECH FI"..L
COMMENTS: ..:s 0.0 /7J
l .
~
f<u~~
f"- i-, ~",:i'-
~"<
".'",<.,' '''''. lit"
" ~ -'1"- .;<.
tAu...
1- Z09
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
-t--
,
"?':-
II A _ 'Jtr .
~~"
,
)J. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
,CALL 0147-9850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNOTI
CII T OF PRIOR LAKE
INSPECTION NOTICE
.
SCHEDULED
DATE TIME
I /.I V(
-1; c,Z;
ADDRESS
,52-90 /$1r/P7011J
OWNER
CONTR.
PERMIT NO.
PHONE NO.
o FOOTING
o FOUNDATIO~N
o FRAMING
'i! INSULATIO tJ
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
() (- VZC7,!
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTlITD tllLf p~ tko-JLJl~_ /'" ~
.. ~_ ~ ~~-c-(A4;"~ V r \~)
~@ &-71::-:; ~O --11 r"'" J ~~
_ I ') d-~Y '1::.vu--- ~. ~ ~ fJ-J /
~, ,.) V 1
.-.:__""""'~ ....>--;_"..:....:..:.....::-..:~_ oJ ",' __.~
~.. .-......... ~~
C=~~.O, ~~~~flC;~.~
,,_"'~~....."'="'_..,."""":;::O;:;';........-
o WORK SATISFACTORY. PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: A?)- r Owner/Contr:
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.....T1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALm .. SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
S':;1~ HolYI.f>-I-",., 5+.
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
(')/- ;(?Ci'
.
o FOOTING
o FRAMING
o INSULATION
""1IlFINAL
- []FOUNOATION
[] DEMOUTION
[] FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
~EX~LLlNG
-D'LKSHl!ll!l\iiETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
C.wb gtj)( -e I(
,)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAU FOR REINSPECTlON BEFORE COVERING
lnspecto~~~, _(Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nilE
~ J./~
ADDRESS ,"')2t1 t:J L4./~f>.1'&v\ ~\
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MI:CH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACI: FINAL
4- 9tW~~
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCI:ED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~-
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSIIOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH of SAFETY!
. CITY at: PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
5&9-98 ~
f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSU~
FINAl;tl"~
~ SITE ~I.A:..,;:~ 1 '.ON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ SEWER HOOKUP
. PLUMBING FINAL
=A. ' MECH FINAL
COMMENTS:
DATE TIME
'J!2fJIoL 9 :00
Of - a<:J '7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
1~~~
~ -o-IG b1A4 ~
,) WORK SATIJFACTORV, PROCEED
~ORRECT ACTION AND PROCEED
:.:::ECT WOR~L/FOR REINS::::/::::FORE COVERING
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
JNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH '* SAFETY/