HomeMy WebLinkAboutBuilding Permit 01-0228
--
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec't
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE '2-/5"'0 I
AND UTILITY CONNECTION PERMIT -r
/'1,q/N AG6
; ~i~~' ~:;, I PERMIT NO, I''\}_ ()2J.~a
3. Yellow Applicant LI-:LlJ
~Iease type or print and sUm at bottom)
ADDRESS
15.303 W:I~ -R"""'c- W
"
ZONING (office use)
f2./z...
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 5 ADDITION ~Ot'\tl b-4 {kAJ
OWNER
(Name)~ J-\G1"'Q~1 .xi\.<:'.
(Address) 1 ~'\5 ~~+e.;200 ~~"
BUILDER
(Name)
~"'""
(Address)
TYPE OF WORK ~ New Construction ODeck
OLower Level Finish 0 Fireplace
o Misc.
PID ~S - 37G;. -(J40 - 0
(Phone) (C..<r;,) 4DC. 4'-100
~ -
(Y\tJ
S51;2~
(Phone)
DPorch
OAddition
DRe-Roofmg
ORe-Siding
DAlteration
OUtility Connection
PROJECT COST/VALUE (exc1udinglaod) $ qs ,000
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 IocaIlaws 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 .t'.~yvnJ' to perform needed inspections.
X ~1^/\L:\.oI\^
~.r.,.,.._
SignaturehJ J)..O Q ~
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
qS~.~
C. 2.301 q
4t'J.<;O
100.00
IO{).OO
~,C;- .-.Sf)
4().{)f1
r!l!rt.Beco"SYOmBuil~~~~~=;ved
Building OifciaJ
I4SR
Contractor's License No.
~I /l:JOl
bate
I Park Support Fee
I SAC
Water Meter Si~; 1";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
1$ Ac:;-n./y;
I $ 'I LSl> .O~
$ \ .~ ,On
$ - LlS .tlO
$ 'eon .0,,1
I $ ryOrJ .(!Jl)
$ .
'15"00 .eO
$
#
#
$ 14-14-.14--
I Receiytb6......3 ,;;; 5 7
I By /IP
"
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and my proceed as requested. This document
when signed by the City Planner constitutes a ._.__"__.....,, Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
/
Date
I Paid '747,/-, q4--
I Date 1/1--12-- () /
3/J-'ljB\
, Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
_.--
,
01-'0?,-1>1
Whlte4'~~r
Cana - n IneerliiQ
Pink - ann n9
The C,nltr of Iht Llk, COllntry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W 6/V S IV! 1--) IV AI
3-/5--0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5.'2b3 VVILDE12.N6SS I2ID66- ;:?D,
Accepted
~
Accepted With Corrections
Denied
AlAn 3-ICf-,,}
Reviewed By: IV D Date:
Comments: See Reverse Side for Additional Information!
See Attachments: 1) l:iradmg Plan, 2) t:roslon t;ontrol Measures
3) Erosion Control Plqn
. "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( -b ~1.-f
Tht Crnll!'f of 1M L.ke Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DJ:PARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I VENS/l--//-JNN
3-/5-GI
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ S,/:fJ3 H ILUEJ.::::./ve::s K./LJGE /::.V.
Accepted
Denied
./
Accepted With Corrections
Reviewed By:
Comments:
U~.D..~
Date:
<3/d-3f 61
8JyLLQ..}, 111 0
CrJw..{::f JJ A -....I Sl~ ~.ffiJCc'J
fuD PI fJ..&:- .
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."
~~
White - Building
Canary - Engineering
Pink - Planning
Th~ Cl'nll'r of lhl' L.kr Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
W6NSMANAI
3-/5-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/53D3 VVIl-D5JeN6SS ,e.JD66 ,€D.
Accepted
Accepted With Corrections Y-
Denied ( /) I J (J ;:;/:;;:::.
Reviewed B~U)r
,
Date: 3-('t..~
~:~e. nts:
QH~.
~
"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."
An.24.2001 8:24AM
GENZ RVAN PLUMBING AND HEATING
No.2290 P, 14/45
Date Rec'd
\...ui OF PRIOR LAKE PLUMBING PERMIT
q>IaIe l'VI!!.l11:1lDaruul_ ..bdtmml
I~~~~ .'.
-.J tiJ.; \ l'P...t N~
o inr.o
~J
~a. ~r I ~RM.b i.v'OI-D2.Ze J
ZONING C-UIeJ
12..- d-..
~
LEGAL DESCRIPTION (o1Ik:o". aaly)
LOT I BLOCK 5 .AL,.uLaON LUI rK<<1Q,.,Vv1 I 5>,
PID 2-.""5-37" -04.0-(')
OWNER.
(Name) W.....slllll!JUl Homes
(Addn:ss) 1895 l'laz:a Dr
_ (Phone) 651-905-3709
Eagan. KN 55122
APPLICANT
(Namel Genz-Ryan P1Ulllb1ni &. Heating
~) 14745 So Robe~t Trl
(Address)
(Plume) 651-423-1144
ROBemount. KN
(City)
5.5068
(Zip Code)
(ConlllctP=on) Marv Olson . (PhollC) 651-421-11""
APPLICANT SIGNATIJRE .1. k twl ~ DATE l4b-L\ \0 I
. ~ PLEASE COMPLETE BELOW
I Typeofr......,.... I Q"",,':..I I TypeolFixtare
Bath Tnb with or without shower I 3 Rou.gh-lns
I Dishwasber I , W.. H.-
j .Floor.Drain .. J 1 , Wiler --softQer .
Lavatory (B.ahroom SinIr1) " Sand Pipe (Washing Machine)
, Laundry tray (l or:h._.~:....1mt sink I I ~ewap :aJector
I .Shower Sta1l I I :bacIdIow AsIed1 bIy
I sinks I I badctIow Aslcmbly Test
I BuSmk I IUWQ~~er
~ Water Closet (Toilet) I I Other
Quantity
2
\
\
~
I
I
I
I
I
I
I
I
I
I
,.
FEE S.....cuLU...~
Industrtal, ColllJnA!Clil &. Mulb-tllulIly 1% of job oo:ll..-it1\ I $39.50 mllllm.um
Rlllideulial, Now Coo &. Two-F"",ily $99.'0
RosidellliaI,. Addili_ .to NtcnIiGDI $39.50
Estimallld Cost S
Building Ponuit 1#
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
..so
r PAID WITH
BUILDING PERM!",
lotIIco. u.. Only)
This Applicattoa Becomes Y GIlT BuiJdtDe Permit WIIeJl Approved
[
PaicI
I Receipt !,!o.
IBy~
L/
BlIiId...._
1Ia..
-~-;tS-01
24 bour aotlce for all iupeedo.. CJ!!2) 447-9t50. [as (952) 447-42A5
Apf.24.2001 8:24AM GENZ RVAN PLUMBING AND HEATING Na.2290 P. 15/45
CITY OF PRIOR LAKE Date :Rec'il
HEATING/AIR. COl'luluONINGIFIREPLACE PERMIT
~~<a'_IIU:l"'at_)
ADDRESS .-"
_'6?o~ 10i\~f\.Q.Ab,. (L)..\")c~e _ (LD
. LEGAL DESCRIPTION (........ <lOlly)
LOT I BLOCK.r:s Auuu!ur<
~=. =_IPERMlTNO'61-0ZZB j
ZONING (.llle....)
12.-~
~O-..Yur\ Is,
PrO 2FS-'57"- 04n-o
OWNER..
(N'a.J:O,e) w,.'I"Ic'm.......... tJ^-.._
~) ~51 9n~ ~7"O
(Addnoss) 1895 Plaza Or SIl8 200
Eagan, MN
55122
AFPUCANT
(Name) Gen2.-RY:R.n -P1,11'llhinrT 8. He~i"-fTlr::r
(Phone) F; ~ 1_"- , ~_ 11 (0"-
(Addless) 14745 So Robert Trl Rosamount:, MN 55068
(A_) (City) ~ Code)
(Contact Pcrso.u) ----Ha'"" m .~~ CE'hanen) ......,_.._~ l-"-.':i~ :/J J<-.. I
AFPUCANTSIGNATURE ~~~_ ....,,, -rJ '--rk..>
APPLICANT PLEASE COMPLETE BELOW
[!NEW CONSnUCTION 0 REPLACEMENT 0 ALlERAuv"l>)
FURNACE MAKE AND MODEL W.Jt\. J(\.""'l( ('__~G\)\40 - ;a..l~C\ - 1,-..., FUEL t...)~T" ~<:.....
FLUE SIZE RETURN OPENINGS Y INPUT o~ur
TYl'E OF SYSTEM: BEATING OR Pv w..... PLANT
ISaWIIIII1 Air Pima ~ S_
~~~__.J D~i:=
~ ColldltianiJIa 8 Special Pevicos
DVEDI. S}'3taIl OdIClt Devi_
PLEASE NOTE,
Nr COllditloa<< Unlts
Cem1ot~ iuto
Required Side Yard
Selbecb
FIREPLACE MAKE AND MODEL
PEE s.............u....E
lDdustriaJ, Cl>lIIJIl=iol &. Multl-l'amily I" of job coot Il.uidcn1W, Qu Firc:pJocc
$39.50 IIliIIIlDum
P.esld...Ual, HeaQnl &. AIC (New Con:llNc:ticm) S9~.50 Raiclad:lol. Addili""" &; AIlII:na;jons
R.esidenl:lol. !ioaling Only (N.... Co.n,; " ..~..) $64.~ a .:J.. .:01. AC 0n1y
$3~.so
$39.50
$3~.5Il
~ ems
B1IiIdilIe Permit 1#
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEll:
S
$
$
.50
PAID WIT~
BUILDING PEl.
1'-.. UHl;l-.Y)
_..dJ Applicatioo Becomes Yoar JlaiJdJn& Permit WUa 0811:1
.J
IPald
I ])ate ,/-;..)_, -() /
/.RoceiptNO.
I By /J,-'
JddboJ omall
lla...
2411.a~_.tI..forlllla ,', ."" (952)447-!115O,""'~)447-G4S
MAR,16.2001 8:07AM
2.
3.
-, 4 .
5.
6.
GENZ .RYAN 6513226147
NO, 106
P.5/5
_....
....... . --....,
.... tin'
CITY 01' PlUOK LAD HO.P 1- 0 z z.B
SEWER ANI) WATER ..~.
NOTE: Sewer and Water
contractors must
be reg-istered
with the City.
APPLICANT: (.J."YV~- 2~r"'\f'IL.I_Io''''- Urn-nAlI'_ PHONE:~-U.'i-'!.-II~
AD......~S ~. rruapATE' ~(g~J
SIGNATURE: . ~ - BLDG. PERMIT #
SITE ADDRESS: . 'I ..,.C;S [?11'N' RL/ PIOf...25- :nh-D40 ~O
FILL IN 'I'HE BLANU
40'
1.
Estimated l.ng'~h ot water service
,H
Size ot wa~er service inch(es).
teet.
Location ot any coupling's trom s~ructure teet.
Type of sewer pipe. ASS i'VC )( Cast It'on
Estimated length of sewer lin.~' teet.
Clean out (if required), located at teet trom
structure.
This application becomes your permit when approved.
BY
~TB:
FEES:
$
$
$
Sewer and water line connection permit.
Surcharge
'1'O'l'AL
35.00
.50
35.5Q
* Fee tor either sewer or water individually is $20.00 plus
$ .50 surcharge. --
Sewer and water permits issued for new construction mUst be
recorded on ~he buildini permit card at the time of issuance
to insure that no dup11cate sewer and water permits are
issued. 'l'I\~~t'(
DATE PAID ~/ AMOUNT PAIO~ ~ YEl.
RECEIPT .. REC'O BY '- f),?.".-
()
*
, 4629 Dakota Sl 5.E., PrIor Lab, MInn_ 55372' I Ph. (612) 4474230 I Fax (612) 4474245
AN IlQUAL 0PI'0Rl'UNI\'Y EMPIDI'IR
07/03/01 11:42 FAX 6123150702
AUTOMATIC GARAGE FRIDLEY
r,~
@002
CITY OF PRIOR LAKE ,il .....
HEATING/AIR CONDITIONINGIFIREPLACE PE II \, IT Jl.
!uu:
Date Rec'd
~: ~ ~:~ I PEaMI=t=-NGo
J. V.IeI_ AppliQrlI
3 2001
c/
, "/,
--~l./ I
- """"1
/..:.crcrb.
(Please tvEe or'l)riD.t and sil'J1 at boaom)
I ADDRESS
I S3o-3 \AI 1~6".;,F;. "R~~
ZONlNG (ollie, "',j
7<-d-....
LEGAL DESCRIPTION (offi<< use only) 'I \ .
. LOT I BLOCK S ADDITION 11J.fiA1VvYV1/1~
I~-r
P1D;J ~ - :i) 1 ~ - ()L{O-)
~=~I-{~N ~
(Address) 1l?'AC;"PI...AzA 1::::e. ~~
(Phone)1:I51-4 C/o-l./LJ. 00
~~ ~17-z.-
,
APPLICANT
(Name1 AUTOMATTr. r.ARAGF DOOR & FIREPLACES
(AddT~) 9210 WYORING AVE N
(Address)
(Contact Person) DIANA .:1
, APPLICANT SIGNATURE ~
; ,
~
(phone) 763-315-7500
BROOKLYN PARK, MN 55445
(Ci<y) (Zip Code)
(phone) 763. 315-75DO
DATE 7/~)OI
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF S 1 "..r..d HEATING OR POWER PLANT
OWarm Air Plants 0 Sloom
OOnlvity 0 Hal Wrm:.r
o Mechanical 0 Radialion
DAir Conditioning 0 Special Devices
OVent. System 0 .Other Devices
gc:j -. .J,f~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
S~tbacks
FlREPLACE MAKE AND MODEL Y A:re...1lc.
lndusttial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Rt.lIidcntial. Gas Firc:place
S39.50 minimum
S99.50 Residential. Additions & Alccrations
S64.50 Residential. AC Only
S39.50
Residential, Heating &. NC (New Construction)
Residential. Heating Only (New CONmu;tion)
539.50
S39.50
~' I t::r:J_
Estimated Cost S LL:..I- '-t
Building Penn it iI
HEATING PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
PAID~
BUILDING piTH
cRMIT
(Office Use Only)
Do'"
I Paid
I Date 1- 5 '01
Rcceior N~.
This Application Becomo. Your Building Permit Whon Approved
BuildinC Official
By Gte.---
1/
24 hour lIodee for llll,iJllil4J,C1ions (952) 0447-98!50~ fax (952) 44742.$5
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J..S:.3.n ~ \.Al.11&.ot-IMc:..'\ lP ~J't f~
NATURE OF WORK jJ""J
USE OF BUILDING 8~~ .
PERMIT NO, 01-072.9> DATE ISSUED .?-/"t--a.of
CONTRACTOR \A.J.pIA~WlC."""" ~..... PHONE (lI"l...L,Io~- ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I b_~~ECTOR I 4-) l~r;7
L FOUNDATION (Prior to Backfill) l.g . \ku.... 4\:l4 \" I 'E .V...., 5/1101
PLACE NO CONCRETE UNTIL AB&VE HAS BEEN SIGN'ED
ROUGH --INS
~~
i~Q,t
':6-\)~
't~IJ.o.1'
~\)~
GAS LINE AIR TEST M ~ '8 \)~ 1!/31,() I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS ^
NI7
1501
~.
PJ>.
SEWER I WATER I SEPTIC
FRAMING i-1.- A>)IO 1. ~
INSULATION L\ '
ELECTRICAL
PLUMBING 1\
HEATING (If required) '"
FIREPLACE
"
i
4k~191
7/1'7/'"
71t~ lot
., i..
; 1r~.Jo'
? Jr~} f!l
7/1~~ I
sh'\)v
5/ ~ 17)
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
8 '7A:-~1
e-2+--~
BEEN SIGNED
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
Itrtifirau nf OOrmpanry
CITY OF PRIOR LAKE
J)tpartmtnt of Jiuilbing Jn~ptdion
o Final Permitted 0 Conditional C.O. Expires
This Certificate issued PUT'SUQ1It to the requirements of Section 307 of the Unifonn Building Code
certifying thai at the time of iSSUll1lce this structure was in compliance with the various ordinD1lCes of t~
City of Prior Lake regulating building construction or use. For the following:
Use C1usificatior
SINGLE FAMILY
BIdS. Penni\ N'
N/A
. ZoninB District
01-0228
R2
Lepl[ _0,....
R3 Type ConslruCtion VN . Fire Zone
LI, B5, WENSMANN FIRST ADDITION
Occuponcy Type
Owner of Buildilll
Con_:.Name&Address~NSMANN HOMES,
ROBERT D HUTCHINS
. '11I Official ~
!5 (\ Z, Dote: -
I ST IN A CONSPICUOUS PLACE
~ite Address
15303 WILDERNESS RIDGE ROAD
1895 PLAZA DR., SUITE 200, EAGAN 55122
DON RYE
"'ity Planner
Dote:
0l0IiliIIi.il
,; '-~.. ,,":'-,:!",;'
'/, It:i.',:";>',,;...,
:........ .
,'-.,
,"'"lillf,' /,
.
DATE TillE
~/.;?3-oJ ,9;cC
/s-303 UJ~+
CONTR.
/ - ;}.;;)-[?'
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'"
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADlFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
..a-t'INAL 0 PLUMBING ~~ 0 GASLlNE AIR TST
o SITE INSPECTION pi.-MECH FINA~ 0
COMMENTS:! / J'VS"P7h--- ,J,L,. ~
-z.. f'LA~(,AJfc,;.[;.1--16 IJ9r. f<:;;;/GAJar:=-
"5 _ $io -tT~5
o WORK SATISFACTORY, PROCEED
.€..cORRECT ACTION A D PROCEED
o CORRECT WO L FOR REINSPECTION BEFORE COVERING
Inspector:
OWner/Contr:
\}
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .. S.4FETYI
IN8/'IOTl
~..~--_.._--
ADDRESS
/5.::S CJ 3
DATE TIME
SCHEDULED fi/2~OJ tl: SO
w(M.. 4_' <4A eJ2qrzJ
;
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
CJ ( ;... .J:J$"
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOUTION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
~ PLUMBING FINAL
o SIYE INSPECTION
o EXC/GRADIFILLlNG
o LKSHOREnMETLAND
o COMPLAINT
o SEPTIC FINAL
[J FIREPLACE
o
c(~t:~~. ~- ~.-;
'2.. C"-,,\ tc.. ~: ~ f
~.,..".-.._.".,:...,.,.._--~
OM AND PROCEED .>
o CORR~~OR REINSPECTlON BEFORE COVERING
InSpeclOV,.V /J Owner/Contr:
CALL~30 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
~
CA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 1'1At/ f,,~
.
fl/lvOeeA/~
ADDRESS /5.3a1 o~ o~. 0,1 /G/n~e R.//.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO. l)'-o~..u.."", 2..30 'Z.3/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
s~:;7~e
I
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-
1< c.,lA. ~./ ( ~ "fJ (,-
(lo~e./ ~tle.
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~,,~ Owner/Contt:
CALL "7-9850 FOR TH: NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
lliSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
TIllE
ADDRESS
b'')-ot., /}.""-
1~3 W,'lJt~nU5 ~'~L M.
CONTR. -We ,,~""'"
PERMIT NO. . ~(-22~))j 2JO,~(
SCHEDULED
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;li(..FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)Ii(~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
1S"30? - (,,..,/,, oK.
WIll &Jl-(!)~
IS30S - '~I' -CYl:
fAlrh ~-/'JK..
1~3() 1- &"..d~ -aIL
Curb !Jr:;}(- &1:....
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 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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