HomeMy WebLinkAboutBuilding Permit 01-210
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tYPe or print and sign at bottom)
ADDRESS
3336 'woOd ~c.. K
Date Rec'd
3-/2:01
; -:;~~. ~::y 1 PERMIT NO. 01- 0'" 101
3. Yellow Applicant ~
D~/ J p
LEGAL DESCRIPTION (office use only)
LOT~LOCK , ADDITION ~ L..0 /\(\ \. s r c\
OWNER
(Name)
I
(Address)
BUILDnn.l( r'
(Name) ~
(Address) I 3> ro
o Misc.
ODeck
o Fireplace
~ .........--.r
,.7 - /
Signature
x
I Permit Fee
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
$
$
$
$
$
$
$
$
r d)~1. 35' I
't ~.3a I
'18 . c>(') I
101'1.01:>
1l:lll.OO
35.SO
Llo cOD
. fri/rf t: Be mes Your Building Permir When Approved
ll&. ~(
Building fficial
,
ZONING (officeu,,)
PUD
PID z.s,3"5!-022--D
(Phone)
(Phone) 703 - 7t.) - I \(';) V
D4..'! i-oY\. m f\J ~s ~:;) "7
OPorch
ORe-Roofing
#
#
#
#
ORe-Siding
OUtility Connection
OAddition
OAheration
PROJECT COST /V ALUE (excluding land) $
I Paid
I Date
93t'6 UJ, z... '5
~.M.nl
5/9- /),-1 C-
fu/ ld\./") Il"'\.c
r B~ b =VY\ LY"\
~
TYPE OF WORK ~ew Construction
OLower Level Finish
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 .
authori ent for the above-mentioned I"~ and that aU construction will confonn to all existing state and local laws and will proceed in accordance with
sub d p . I am aware thaY/t,e' 0 ial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
en r upon e property to p _J .. __' eons.
I ~O c)
Contractor's License No.
1"1 t.. JOOC>'OO
I Park Support Fee
I SAC
I Water Meter Size 5/8"; CD;
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
~
3.z,1-tH
3 / (~ / D
I Date
'--
$ 85'lJ.00 I
$ I: J~.M
$ ~SD .00
$ '10 . {)'lj I
$1.:200.00 I
$ -1)06,<901
$ Il~CO. 00 I
$
$ 8,(,ZO, 2.3
I ~;ce1ti,}q31f4
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 ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~[PlanningDirector :sj2~l&t ~.~i~~fbv~'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date
~1
OI,o-VIO
Tht C..nlu ot Ih.. uk.. Country
White . Building
Canary . Engineering
Pink . Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEfARTM:fNT CHECKLIST
II~ BUIWEJe.:S
,
,3-/2-0/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
333(0 W()OO DueK- DJelV6
Accepted
Accepted With Corrections .)(..
Denied
Reviewed By: (iLP~-J::--.,
;'
Comments:
~ c:lt\t Q~ ~~CllcA-s
Date: S - 1[,,- 2ao I
"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."
~.
bl -011 0
Th~ C~nl~r of Ih~ Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKIJSI
TIc" CUlUJEJ<.5
I ~
,3- /2 -OJ
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
333fc weco OU~k- Dk:lv6
/
Accepted
Accepted With Corrections
Denied
~~~
Date:
<: Iz.) Ie t
~.JI!,.,
Reviewed By:
~ ~ 0.A/tH>4~\f\y,..1 '</'20./0 ( ..
~~~ l'9VIR~ C~~ ~Jp i
~ U/\ !\.A~.~ ~~J~
;
.
Jt1 t~ ~\Jv.LM I IA ~ ~
~\~r-t~~\fW) ~,O.u],
"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."
o I ~bvlD
Tht C,nl,r of Iht uk, COllntl'}'
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
T / c." B U/LDEJe.5
,
3-/2 -01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3330 vV ODe) DUc,k- :DKIV6
".
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
Comments:
IIIA-B
Date:
"3-.(,3-01
See Reverse Side for Additional Information!
H..vc Ar""""'Q~ 5"""lr.d "''''' ~rct.pd-/.Y II'ne.J .f..". pro.pt.{ J.....'...fII'
;:,ee Auacnmems: 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."
CITY OF PRIOR LAICE PLUMBING PERMIT
DII.lbe'd
r~!"IHrllliat..._"" ,-\
\.f)DiisS
~~~(~ WD('A"7)/J,,-k
,
LEGAL OIsaJPT[ON (....... n1f)
LOT u..BLOCK I ADDmON I...J/.., {AJ. /1'1..,
OWNBA
(Nunc) -r- fI
(Ad.cIrusl . I ~ f
~/{"/~-'
fjliJ/6 ;u-rt
AA.) ~
(P"-) .!1V 1'1' ~tJ7':J,~t.il
Jl1JrJftj4-' .55"~ O~
(City) (Zip :iade)
'11" -:D......... (PlI-) ,.:Z- - ~7.,1':lg!
DATE _...-1":1 It'" I
_'.,.._ ",.1 . ";;;::1
. I
^PPU~ r---....
(Nome) J ./..1 0 11 "'4".k~li W fE,
(~) fZ(24) ~4JJ/ &lLG
(Ad4..,
(Co_..ftClI\) ~11~ ~OW~
APPllCANT SJoNATUU
-r: ,-II
!J /
U::::' jl'DlMJ'l' NO'lTl'l /) 10 I
"".... .... -1:/,.=-./'7'
ZONn.':iI__
(JUO
I
~ pm,;2S-- 3~7-0~~-o
(Pbofte)..2J,fs - ?a.:jc/~'t
.:JS~ '7
I o..fttllY
r ~
I ,
I S-
I J
::>-
)
APPLICANT PLEASJ; COMPt.EU BEl-OW
n.. of I'IsI....
Batll .Illl willllll' witflinit I~r
Ullllwiillet
"oM erafn
lavatOry (B'*,- Sil\k)
Llll1IdtY frlY (1 .f1 cOmilettmeal sirok
I ~lIoWer Scali
Sirlks
Sa; SIIIk
irltti; clout (Toil.)
'4
'\
Quatlly I TYN of .ldIl..,
Jt.o'!l":i... .
W.. '\t'Mter
W.."""'... . I
.'5iaruL #ije IWual1ll MIeII' II.)
.... ~ kJedor I
1foc%.:'Ali-bIY
li~ A_lilyT.t
Li"; ~_I" I
bur.. ~;,.:y;~"r
I
Rni4ooliol. _ 0.... T_FIIlIily :"'JO
"''''lill, Mdl\iOfll& A__ $IUO
r
,
,
JUSCDDIIU
1,,'_11l, C"",...III . MIIlll.r....l1y I~ofj~ ....wtd>. 13",011I",,-
SodfDWII c..t S
IIUIl<lm. P_II_
f.
A
,13u1i.tJ~/D t'\I,
~G ;!'Jt~1
: t::i); .
i lili;
,_-.. 1IIrL.;"
I
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6;---
. ,
PLUMBINQ PBlMIT FEE S
STATU'tJaCHAAGB S
TOTAL n.IlMlT rn s
1011.. ",. 001,)
nil ,. ppl_tio, ...... Y..r ...1W1aJ ......it WlI. ""'''''''
........-
-
:M......_~.. ... l"J)..,.-.,...)..,-
.~Il
I PI'lI
I DO" 5~fi-ol
I
I
I
I
IX"1lOrr.. ,fou15--------.- ---1-----
I.r.~t.zt. xYd aO:tT JII lO/tO/fo
TOOt)
1ilI00l
Date Rec'd
CPleue fWe or arint And. .IIPII. at boaam)
AnDRESS
33% PVt:N11tD~,/~1IC. Ae-
i: =. ;;_ , PERMIT NOO/- O~/O I
p;fJl c.m.....'
LEGAL DESCRlPTION (olllc:. ... oaly)
LOT~LOCK I ADDITION (J) (10&
_~ ;cJ.
g;=;)~c ~U,.~ .-C'
(Address)
(Phone)
APPLIC~ '"
(Name) rJ'u<4r_A'-3 .BIN'..."".....~ ""':'PA?fl:t:.S.5 (phone)
(Address) /:j'r~ /yO?",Y': ~"" ~ f'",,~r~
(AddIuI)
(contactpetson):2)tll..v~ c!-/~~3 " (phone)
APPLICANT SIGNATURE'.t. )~ ~~ /L." ... ~ DATE
PID ;(S=-~3'/-O;J-6
~6" /...9';/ ~~-;;:
o REPLACEMENT 0 ALTERATIONS
~1/3" e~#$' FUEL H;N"~G.
/ INPUT N8tJ1!1 OUTPUT
HEATING OR POWSB, PLANT
D Stoam
D Hot Water
D Iladlatlon
D Spacial Davie..
D Other Dcvic..
#-.
(City)
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION
FURNACE MAKE AND MODEL .-W""~.e,tH/I!..
FLUE SIZE t?"" RETURN OPENINGS
TYPE OF SYSTEM
gwann Air Plinlll
Qravily
DM"""*,,ical
gAir Conditioninl
v cnt. Sy,tern
FIREPLACE MAKE AND MODEL
Jndustri.l. Commcn:i.1 &. Multi-FllI11.ily
FEE SCHEDULE
1 % of job CO" Residential, 0.. Fireplace
539.'0 minimum
599.'0 Residential, Addilions 011: Alteratlan,
56.uO Residential, AC Only
Residential, Hcatilli '" AlC (New Con,rructlan)
R..idenlial. Heatin, Only (Nc... COnstnlction)
&timamd Cost 5
/~d
Building Permit N
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
IOme. lis. Onlt)
This Application Become. Your Bulldinll Permit When Approved
I PaId
I D~~...-f{-o I
Bufldinc Offldal
Plre
14 hour no.lce ror all inspectian, (951) 447-'150, r.. (lI!O) 447-4~45
~-'f'":v.v/
(Zip Code)
<k/~
,
PLEASE NOTE:
Air Conditioner Units
Cannol Eocroaoh into
Required Side YanI
Setbacks
539.'0
539.'0
S39.'0
r
b.. PAID
, -...JII.DING Wrn-/
PEFi,v.rr
Receipt No.
.>
Bk_
U-
04/26/2001 12:19 612-427-3806
0./08/00 ~ 11:44 FAX 8124474245
DAVE PERKINS CONT IN
~l.l U~ rK1UK ~Ae
PAGE 02
...."'v~
_.-
1'1U.aW . ~ "e'ln'
.... . DIn
CITY OF PRIOR LAKE
SEWER AND ~A~R paRKIT
NOTE:
O(~o;;< /0
S.W: No. _
Sewer and Wat.er
c:ontraotorll mu.~
be re'li.t.arad
with the City.
SIGN'I ~E:
SITE IDDRESS:
t "IV' p....I.. cDlIJ1!Ictlna lac.
14230 Basalt St. N.W.
".lIj~"" :AN stH: '
I SLOG. PERKIT t
, 38o(,p uJn.Q.,,(h.tc~PIDf0\5-33'7- O;J-().-D
PHONE:
7 [, (;""'42,7. ()) () ~
APPL:r.:ANT:
ADDRF,:S:
DATE,:.
1-
2.
FILL IN '1'HS lluNRS
, 50'
E: It.imated lan9i:h ot wat.er service
feet.
S ,.e of wat.er serv1c..
'.
I
inch(esl.
J. II .cation of any couplinqs from structurG fe.t.
4. T 'pe of sewer pip.'. ASS pv'c ,/' Cast Iron
S^'
5. Eltimated lenqth of sewer 11ne ~ feet.
6. C.ean out (if requir~d), looated at
S .r\lcture.
teet, from
_____=_____._K__~.~_~~___..c=.e_....__.m__a_____
----.........-....----
This ~p11cation becomes your permit when approved.
BY
DATE:
_____ =-_..a...............
-
. _"._ :c:IK~__.....____ " _ ====z.____
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
· F! e for either sewer ~ water individually is ~.~ plus
$: .50 surcharge.
So wer ano wa~.r permits i..ued for .new construction must be
r. corded on the building permit caro at the time of i.suance
~I insure that. no duplicate sewer and water ,permits are
1: sued. PAID WITH
DATE; AID L/-d '7-0/ AMOUNT PAl:D BUILDING PERiil.lT
~~)~,{:~F'R'ECE"~ '1''''~' .,/ ''''Re'D BY /\ ~
r.. I..:.. . _,). 4. 11' ~ y.r--
U
.
1620() J?agJ CteckA'\', S.E-, Prior Lake, MlnnclOla 5S372/ Ph. (612) 447-4230 / PAX (611) 447-424.5
t "t },,' , ' AI. EquaJ Oppolt\Jl\lly Bmploy.
....
IS>
IndUIIriIII
CITY OF PRIOR LAKE Me
112llO &gIe CrwII Av. LE. Pwmlt No. /J/ -~I {)
Prior UIre, IIN 55372
1.- . ...
1._ . QIy
3. _ eo...
TYPE OF STRUCTURE
~FMIIW
S8Igle FunIy
CcImmM:lIII
~
CL
Fee Sc:tlIcUe
InduItrilll, C.. .- I" Mull-fMIly
Rllidellli", HNIfng .. N:;
Rlli..... ....... 0nIv
Reeido.nlll, a.. ~
R....... AddIIIanI .. AllMlianI
RIIidIn1i8I, N; ~
MuIf.Fudy
P1AIlIc
0IhIIt
t % of Job c:ast p.50 lrilimIn)
....50
.....50
139.50
S38.50
$39.50
R.".; ".. lollddlleSlUtSudl...,.anlleballamoflNl" '.,,,1lL
The prtce of yaur '-lintI ,..... .... _ ftllIglHn ...cI _ hi . ,
AcIdiIiInII. '. . .., wiI be ...... $35.00 .n
Houle l-Ie8lng T_ Rec:onl muat be II . . ".. wIh IlIilIIIIIU.IIIIIIIIIDIl...... buId-
ing ....~ of~wilbe......
tE![ r.., r.UI.ATIONS RBllJIAFD will ruNIer at....... ......,. ., ,'., IIIId pII'
_ wlItI <:FV. pet ~ NIw ftuctlna or lIdIIIonI8Ind IIoor pIIIn wIh ~
tnd ilium ..... ~ HEAT L08S CALCUl.ATIONS. MYMENT AND
APPLICATIONS MAY BE WdlEDTOTHE CO'Y OF.. '. '.",1.AlCE, 11200 EAGlE
CREEK AVE. s.e. PRIOR lAKE. MN 55a72.
City HIlI buIir-. howa III . LnL . 4:30 pm.
ALL WORK MUST II! INSPECTED (1lOUGH'" AND FINAI.). CALI. cnv tW.L
~....
I her.by apply for . machanic&l'YIIHI' permil and I aclalailllMlge lh8t II.
infllllnation Ibow ill camplele and accurell; that the work wOI be In conlof_e
with Ihe onIna_ and codH at the cily and willi lhe .." buIIdln9mechanlcel
codll; tIlal IIIla form doea not becoma ~ permit untH IifIIIed by tile BUILDING
OFFICIAL;lhal Iha~Rl be in acciol'd_ with lIIe, .... ., .,1 plan in lhe
c_ 01 al l1IOfk wJllali ,.{ulrea rftIew and approval 01 pi."..
a:: UIldeI SIIe
...
<I:
CclM.load
Filii \J nJ- I'M SIll 2. !;" II
&wIr Opt illlll .;1.,1
RtIum Opllll. 10
..... II), dOlJ OuIJ1AA.-&!i {)Oo.
r l ~ I, ". l
Spetill DlNlcM
'" Edr.
'"
lD
.... elm.
...
'"
...
N
....
lD
AllII~
IS> RepU
...
IS> Ell. ClIII ,
....
0ItIer Devk:el
TYPE OF WORK
x
~lnI
Ell Comp. 011I
Iluildlng Pemlt t
N_ CoI1IbucIion
9...\ -\ 5\" I
. .
;;: HEAn.G PEIWIT FEE f
IS>
~ ST"~ SURCHARGE f
In
....
;(;_ TOTAL PERMIT FEES $
IS>
PAID WITH
BUILDING PERMIT
I
lJ,o*forrata SWJlIft
.50
.~.
=
DlIII
5-/5;-01
o.te
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS '335(" W~&. t>Jc~ D,...
NATURE OF WORK ~\-4'uJ
USE OF BUILDING S~D
PERMIT NO. ifr-oz/o DATE ISSUED 3-J"-Zoe,
CONTRACTOR c ~ll"tl.llK PHONE t'U.!>-lJI2-I<I:;tt.{
NOTE: THIS IS NO A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I ~.~;:CTOR I S13~tl
I FOUNDATION (Prior to Backfill) 115.\~ \. I"\- r" 01'
PLACE NO CONCRETE UNTIL rBbvE HAS BEE~ SIGNED
ROUGH. INS
i..\k.., 5"110101
"'RAnk ii/ldol
RY ~./7101
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING 't) -Ut4vf sif4 DI
HEATING (if required) '"B- U~ :;,.y" ~ 0\
FIREPLACE ('fS..Dr1MlJ' 6' 11",,(
GAS LINE AIR TEST l '"t, \ \r.. ~.M .fIr
COVER NO WORK UNTIL ABOVE HAS BE~N S{G liED
"
I
FINALS
rf (~ ) t-/(?,/O(/
~_\ fWII S; \ pet. I (tf
\ J
-1; \)f1lMA --?), 0 \)\
t--g.l \........ ~I'.~J~I
OCCUpy UNTIL ABOVE ;;:s"1EEN"'SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
This card must be posted near an electrical service cabinet prior to rough-In inspections
and maintained until all inspections have beep apllroved. 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
.
.,~ ",,,,-'~' -0-"
,,' ,;.- ~,;, ...~~.(j,.>. ,
,.,"';':" ";,,:.';. .,1' :.i.:;~;',' '&,
~
, \ I ,.......
dt
DATE nUE
SCHEDULED f3- r. 0 / II: 3..i)
WOOD DUCJC:-
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
M'NSULATION 0 SEWER HOOKUP
FINAL 0 PLUMBING FINAL
. 0 SITE INSPECTION 0 ' JECH!INAL
COMMENTS: .b'l q 1$'/01 _
_~A~-/ ~1 bl.j (..J~_
~~ ~~~, J
~.,yF-- rL,>le!op",.d
/
. +eAMf - {- .f).
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3.33&
OWNER
CONTR.
PHONE NO,
PERMIT NO,
~~
1- 2.-10
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~\CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ J ~ Owner/Contr:
CALL 447.9860 FOR -ritE NEXT INSPECTION 24 HOURS IN ADVANCE.
r -
lNSNOrI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH. SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
;1-1 ~-o2...
ADDRESS
333 "
LJO!)j) u\Jch DI--
OWNER
CONTR,
PHONE NO,
PERMIT NO,
0)- 6216
o FOOTING
o FRAMING
[] INSULATION
[] FINAL
[] FOUNDATION
[] DEMOUTION
D FIRE PREV.
o PlUMBING RJ
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
~ClGRADlFILLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC fiNAL
o FIREPLACE
o
COMMENTS:
GUf!:, ~- C)f:..
~-bK
SIT
x.. WORK SA T1SFACTORV, PROCEED
[] CORRECT ACTION AND PROCEEO
o CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING
Inspector4~~ ;;;iI1er/Contr:
CALL 0147..230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~ -(' -ok.;;r; ci()
333c" (iJJcx::lkJu
ADDRESS
OWNER
CONTR,
PHONE NO,
PERMIT NO,
/-d-!o
o FOOTING
o FOUNDATION
o FRAMING
~INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
"-'MBING FINAL
'lJ"'IiECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: L \
-- ~ e,("'VIIVlAA ~ T clV'\ ~~
+L~ II 10 , +ro~+ ~l'er
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~RRECT WOR~, ~ALL FOR REINSPECTION BEFORE COVERING
Inspeelor: ~ ,'1I)),V~ Owner/Contr.
CALL "7-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 7-/~~ol'~
333b /Vo:Jcls::ludC
ADDRESS
OWNER
CONTR.
PHONE NO,
j-d-/tJ
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
-e'"PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: \
1U.C.t'~~ "h::> Ma. ~^ +'..t~ +~
,
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IJtI\.l1AAO v1A.t>5&-
uK
~K SATISFACTORY, PROCEED
~~~~ECT ACTION AND PROCEED
o CORRECT WO~, CALL FOR REINSPECTION BEFORE COVERING
Inspector%.\ t~ Owner/Contr:
CALL "7.9850 FOR T" NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SA.FETY/
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