HomeMy WebLinkAboutBuilding Permit 01-0244
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2- 7-0/
t, White File I PERMIT NO u++
2. Pi,k C"y . Of-O
3. Yellow Applicant
(Please .!YD~ or Drint and sUm at bottom)
ADDRESS
/7,,;?5'? ~2!r~A-..ez:.c ~//;"~ ~
LEGAL DESCRIPTION (office use only)
8'" /
LOT BLOCK ADDITION
OWNER
(Name)
(Address)
BUILDER
(Narrp\
ZONING (offi" use)
I!?./
I
~~;--~ ".:?~
PID Z5~37Z- d 08-0
""--
r
.><A'J~n:J;v. ~.
. .
(Phone)
(Phone)
6$;Y..,.;('5l5- ?-~,b
(Address) . ~-V:~ ~~~ ~ ~- d2d~
TYPE OF WORK
~ New Construction
D Fireplace
DDeck
. DMisc.
DLower Level Finish
~
->"""...:1~
DPorch
DRe-Roofmg
DRe-Siding
DAddition
DAIteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $ /~.;? 7S--
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' -r-- -J to perform needed inspections.
x
~XV<l ~
, Signature
=-?~ :5l5S7
Contractor's License No.
1~1~IOO
~ -6"-.:1/
Date
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
1$
1$
1$
$
$
$
$
$
91 >. 7:;L
(~4":t::'rtt
t;o,'M
100.80
tOD .00
3S"so
40.00
~h-o, /<0-1
I Park Support Fee
I SAC
I Water Meter Siz~; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other ..\'..r-LJ
I TOTAL DUE
#
#
#
#
~i~
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~~
OI-07A'V
White . Building
Canary - Engineering
Pink - Planning
TM C~ntfr or .~ ute COllnlry
BUILDING PERMIT APPLICATION DEPARTMENTCHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
D. f2-. H oe:-r-o/\f
2-,-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
112.. 55 D8SI2.J:"IELJ) DI2.... S E:
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
}.fIy(5
.s (, <.. IVI~ I\..
Date: 3-P-o,
f:/(e
"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."
61. OZ-4--V
Th.. Cl!'ftle-r of lh.. L.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DE.eART~NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12-. ~OI2TOrJ
2-,-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
112.. 5 B DB5I2.FIELf)
D12-.
Accepted With Corrections )(
'5E:
Accepted
Denied
I-
Date:
...< - I s - 21::>01
Comments:
l?ea~ ~~ ~
~ 172.5'2 ~r- Qk-. .elc _'
"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."
.~~
~ uet
0\, 6l,trv
Th~ C"nlO!r of lhl! L.b Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMlI..APPLI~TION DEPARTMENT CI-lECKLlST
NAME OF APPLICANT
D. /2.. H O~ON
2-,-0/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
112..56 DEEk:..J:"IE-LI) De SE-
Accepted . .J/' Accepted With Corrections
"
Denied _
Reviewed By: L..4 V ~
,
Date:
36"7/ ~ (
'"..
Comments:
~~ ~~,1c.L~ ~ ~ ~~~~ ~
~ A,U'~hv- ~~M~QJ) ~,
--.,...
~.
"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 12:39PM GENZ RYAN 6513226147
,
CITY OF PRIOR LAKE
,PLUMBING PERM"
AppllQant: (he (1'1-, - ,p ~ /I
AddIUi: rt:Jf,Llf--.. ~~JH""
Sipture: !L1 ad. "__
Legal DHCllptJon: Lot ~ Blook~ub Th",..,..Q.p 0..... 7 '^-"'"
81te Acldreu: r....,~ "" ~o '"' 'Ole... ~
Bundlng Plrmit It l'JD It ,7_<=::; ~ - ~
NOTE: Th'- plrmlt ~I nOl be praGlllecI Wlthout complete lnform.t1on.
FIXTURE UNITS
n. CIIqw., "" WIt ~..;,
Quantity
(
,
\
'Z-
-., ,1
i 7-
" ....
.,
..:...-/
','
Typl of Fixture
Bath TlAb wlth or without lhower
DIIl\wuher
Floor Drain
Lavatory (bathroom link)
Laundry Tray (lor 2 llOmpartl1llnt link)
Shower Stall
Sinkl
ear Sink
Waler Clceet (tonet)
Quantity
I
,e./ ,
I
NO. 773 P.20
I. .... I'Ilo
a. CIaId a.,
1 Y_ ..,.--
* 0 jl-()zM-
P.hon.:~ -4- 't!> - I ft.{r../
"77LL {)1N~' .,..,-r ~
I
.,
FIE SCHEDUlJ! .
~ IndUltrlal, Commercial & Multi-FamlIy
(1'llo of job COI~ $38.50 minimum)
RNidential, New Onl & Two Family
RMidlntial, Addltione . Alteration.
State SURlhal'lle
S8UO
$39.50
Type of Fixture
Rough-inl
Wlter Huter
Water Softner
Stand Pipe (Wahing machine)
Sewalll EJector.
BadcIIow Aaembly (RPz, Double ChIck, PVB)
Bacllcllow Aaambly Tlat
Lawn Sprinkllr
Other
$
$
$
$ .50
~\-1;"'?-\'l'~~
~$ f>>~~G ~~
TIIi. permitt. IBntM upon rill OlIprIN oondlllOll IIlal .olel
co_tar. .....1 comply in IIlIUflIOU wlrlllho anli_..
or lb. sr.11I P1umbilll Oldo lUlel tho unead_ or:r.
. IUlCIilIPTNo. 4 -.(a- DATS
r..K /' ATTI!ST
Call for all k'spec:tionl 24 hoUrI ill advanCl.
16200 BaCle: Creek-Avo S.E.. Prior I.ake. Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-42~5
All Equ.J OpportUnity Emplaylll'
GRAND TOTAL
14:21 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONlNGlFlREPLACE PERMIT
#6543 P.001/005
Date Qee'd
(PJouo lVM Gr mint IIIl6 .h.. It bClllDm)
I ADDRESs
. 11.;2$"1' '7)/J~/)"
LEGAL DESClUPTION (om.. _ QrUy)
I.OT ~ BI.OCK I AuuluON
~~
.j:e,
}=- :i_I PEIWITNO. I-~ 4?/ I
ZONING (011I<:o...,
p,1
~cQ;;<~
PlD ? ~,..- 2> 7).- r;og)
OWNER
(Na.au:)
(Phone)
(Ad4es,)
APPLICANT
(Nar'p\ ALLIED FIRESIDE: DBA FIRESIDE ~~N..",R
(Pbone) 651-633-2561
(Adclress) 2700 N. FAIRVIEW AVENT""
(Addm.)
(e P ) BI\E:NDA llUS'XClN
ontact ell'On / J
APPLICANTSIGNA1'tJRB ~.
~
1
LI.-.
'i"':""1o:zu.." """
(Cily)
651-633-2561
5~";'l
(Zip Code'
(l?honc:)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RETIJRN OPENINGS
TYPE OP SYSTEM
:JW.,m Air 1>1..,13
:JGtll,,11y
J M.cII.....'..l
JAlr Con~ldonill&
JVcnt. 5ystem
FlREPLACEMAKEANDMODEL ~_r;(p
o REPLACEMENT
INPUT
HP.A'I1NG OR POWER PLANT
o AL TERA "tIONS
FUEL
OUTPUT
3 SI<8m
HorWllcr
aadilldon
o Spool"' Devl_
o Other o.."l.e.
PLEASE NOTE:
Air Conditioner Units
Cann01: Encroach into
Required Side Yard
SetbllCks
~_7~
Jndustrial. Comm.rclal & Multi-PlUlIily
FEE SCHEDVLIt
J% o(job cost Re.ldenti.l, GIS Pin:ploce
$39.'0 minimum
$99.'0 Residential, Addlu"". '" AluoMlllmls
164.50 R..ldontiaJ, AC Only
539.50
Re.idential, Healin, &: AlC (New Conmlclion)
Residential, Heating Only (N.... Ccnstruclion)
139.50
1)9.50
Esliml1ted COSI $
Building Permil II
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
-so
B PAID
lJlL.DIN 11/11/-f
G PE:t-' .
i'lIjff
(0'1":. u,. Only)
Tbl.t AppllcatlDn Bocallltll YOUT Building POTnllt Wben Approved
D."
I Pilla.
I D~_ 7-,}-o1
ReceIpt No.
1JuI1dialli omd_.
Bge-
U hQ.r natico Car .lIln,peella." (951) 447-91SO. C.. (!I52) 447-42~
FEB. 15.2001 12:38PM
GENZ RYAN 6513226147
NO. 773
P.19
1.
z.
3.
_. 4.
:
:-",' 5.
6.
_.. ....
........ ....-"
... . ...,
4
CITY OF nIOR LAlCI
SIlWER AND WATER PERHXT
NO'l'lll:
NO. 0 \-In. +4-
Sewer and Water
. contractors must
be reqisterel!
with the City.
APPLICANT:.,&.n:;J - ~Iu_\o\~"'- IJPI'Jn,utl. PHONE:~I-4-"-'!o-/IL.lJ.l
ADDRESS: 1~~&j:!E~:' .....,,,..., ,.),r; 10 I
SIGNATURE: _ BLDG. PERMIT #
UTI .DIll...., - ~_~ . - _ S/h...PIDI25-::!m.-008-o
FILL IN THE BLANKS
40'
Estimated leng'th of water service
I "
size of water ..rvice incb(es).
feet.
Location of any couplinqs from .~:ucture teet.
Type of sewar pipe. ASS PVC )c Cast Iron
Estimatad lenqth of sewer lin.~' teet.
Clean out (it requirad). locatad at taat tram
structure.
.at!I___-=!!!!l;iI!IS__~===_. ".
-------
This application become. your permit when approved.
BY
~TE:
____..".. ,.. ",."...., __._':11._., . ",." ._ _
...
-...., ,
FEES:
$
.1
Sewer and water line connection permit.
surcharqe
TOTAL
35.00
.50
35.50
* Fee for either .ewer 2r water individually is $20.00 plus
$ .50 surcharqe. .
~ Sewer and water permits issued tor new construction must be
recorded on the buildini permit card at the time of issuance
to in*ure that no dupl cat. .ewer and water permits 'are
issued. ""'
DATE PAIDlj -(;;,- (J I AMOUNT PAID f~~~
..~' RECEIPl' # REC'O BY ,\\...O\~G ~
. 4629 Dakata 51. 5.E., PrIor LAM, M"." 55372 I Ph. (612) 447-4230 I I'alc (612) 447-4246
^" ~QUM. OPPCIll'UNI1'l' EMPlDVIR
~~~. ._'::'(('~ CITY OF PRIOR LAKE Me
:t: ~ 16200 Eagle CreekAv. S.E. Permit No.12J -DzA4-
Prior Lake, MN 55372
. HEAnNG APPLICATION I PERIfi
Date. 31lL.t.l>, PI>/I 7~C:; -372.-()OPJ-O
Sits AddI'8SS 11U')& 1>ur-hi->.ld 1:>.-- ~f..
Lot -.1. Block \ AddItion InduslJial, C~". w,..i.A'" Mulli-FlIIrilI'
Own8I'sNarne DR H-~r'"tCt") Residentild,HaaII"1glAC
. Residentia~ Healing Only
Addr_.3 . 'br S~M1..n 11M15'5IZ;Z, ~. Gas Fnplace .
~........ ".--.. I\\lio.. MLc.htJ..n', e.AJ Residential, AddiIlons & A1lerations
H_... ""'..-.... ResidenIIaJ. AC Only
Adclfeu ~lt5tl Ile.Mtllec.."by- ~ i EtlMn M.W" ~z.
<oJ
TeI.p/lone, U51 J./.~l,. 2,'5
FUr!l8l:e Make & Model l; Y\I /l.n+
.
ModelSize ~g3J(AV0z.40'1'\
Conn. Lead 21. ~~
Fuel t\J"0;/- FlJe Size Lj.lldtu~ B
~
4-
Supply OL"" ,II~', L ~
Return Openings
InPUl1D. I>DI'I
Edr.
OIJl!lUl-5lt., bO (:)
Clm.
~Ob
TYPE OF WORK
Alleralions
Re~lacemanl
Est Comp. Dat&
8u4ding PeRlIK fI
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOT At PERMIT FEES $
.50
TYPE OF STRUcnJRE
..-
1..0.-
3.Y6..
....
Cloy
~
Single ~
/,.../'
TWD-Famiy
Ir1dustrial
Pubic
Multi-Famiy
Other
Commercial
Fee Sc:hedule
1 'lI,of job Cl>SI (139.50 mininllm)
S99.51l PLEASE NO TE: ~
p
$64.50 Air Conditioner Units Cannt ~
$39.50 Encroach Into Required Side:
$39.5C Yard Setbacks. ~
$39.5C :
.
.
Aeml!ll1ber to add the Stale Surcharge an !he bottom 01 tI1is a,.,.;:_';"n.
TYPE OF SYSTEM The . of heatin . .-....... _~h..in ~ final..
pnce your 9 perm~ ..".....""" one 'v_".'-.. _.... one ..,..... ___.)II.
Wann Air PIanls
Grlllllty Additional i......_...;ms wil be billed 81 $35.00 each.
MlICIlanical ~..... . tn How;e Heali'lg TesI flecOld must b& submitted with ilIIiIl:Iimz Qmll/I!!l!!!!lIl!! before buid-
Air Condltlaning gr Llo.n+ 2; VI, Ing c:ertilicale of CICCIJIllll1l:Y wil be Issued.
Vent. 8ystam l..-S'bfh....-bld1\..fAAS .
- - l:lf,![ CALCULJrnONS REOUIRED with number of supply and retwn Dpenings listed per
Hell TI<IG OR l'OWEIl PLANT room WiIh CFM's per opering. New SlruClunJS or addIions send floor plan wiIh supply
Steam and return Iaclllions shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Hal Weier APPUCATIONS MAY BE MAILED laTHE CITY OF PRIOR lAKE. 16200 EAGLE
Aaclialion CREEK AVE. S.E. PRIOR lAKE, MN 55372. .
Spe:;Ja1 Devices ClIy Hall business houR; an! 8 a.m. . 4:3D p.rn.
Othe. Devices All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
/\law Construction
L---""'"
447-9850
I hereby a~ly for a mechanical systems permit and I acknowle<lge that the
informalion above is complete and accurate; that the work. wiD be in conformance
with the ordillancas and codes of the city and with the slate building/mechanical
codes; thaI this form does not become a permit until signed by the BUILDING
o fACIAL; \hat the _tic wili be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
pA\O WiTH
eu\\J)\1'lG pERMiT
d..Llliw~ ~~ t~)
I PV AlOicanrs Sigll8lUre
Br";;;:;' Signature
PL. FA){ 447- 4248"
,$/UIQI
Dale
t/- t--O {
Date
Receiplll
.
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....
PRIOR LAKE O"EPARTMENTOF
, BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I T]CJ.68 .fkJ,r 0ebQ Dr-,
NATURE OF WORK J.J P-u..J
USE OF BUILDING &F p,..
PERMIT NO. (J 1- 6 7-44- DATE ISSUED ~ - 1"'<' _? -, (
CONTRACTOR .tl1.2- H...,.....t-","", _ PHONE (.Qt::;"/ - 2 <:::(,,-7/ S'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
'FOOTING R-4.1 .s....~./.~
, FOUNDATION (Prior to Backfill) P hv!WtJ I pfi 6;i;'/J 12. U ~ SI'I ~ ~)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL 'l.
PLUMBING 1/.,/.?IIi'" rY7-t:11' p:;. 7/ultJ/
I HEATING (if required) ,--
FIREPLACE ~ . 7/;;4!B,
GAS LINE AIR TEST M.;... 1. p, &... . 7/11 () ItJ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
7 II~//)/ I I
. ,
FINALS
~, (1,
1Jr-. '/'4 jtu
tAk
A
~6r
7 !;?10 1/1 I
7/~Ylo(
l~~
GRADING (Prior to Sodding)
BUILDING 1.~f). ~ loltShl
ELECTRICAL '
PLUMBING
HEATING
.
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
J(j/S/I)j
9/:s /o.l
9~-<I~ I
i .
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 plated near main entrance.
Call between 8:00 and 9:00 A.M, for all inspections
FOR ALL INSPECTIONS (952) 447-9850
Q];trtifuau of ODrmpancy
C.l.l -1 OF PRIOR LAKE
Iltpartmtnt of Jiluilbing .Jn~ptttion
!iii Final Pennitted 0 Conditional C,O. Expires_
This Certificate issued PUTSUQllt to the requirements of Section 307 of the Uniform Building Code
certifying that at the tiIM of issUQllce this structure was in compliance with the various ordi1ll11lces of the
City of Prior Lake regulaling building c/mstruction or use, For the following:
SINGLE FAMILY 01-0244
Use ClassificatiOl1'
Bldg. Permit N~'
Occupanc:y Type
R3 Typec.__.__..~on VN _Fin:Zone N/A
L8, B1, DEERFIELD SECOND ADDITION
17258 DEERFIELD DRIVE SE
ZoniDa District
R1
Legal Description
Owner of Building
"iite Address
Conttactor'sNomeltAddressD.R. HORTON. }-~C.. 3459 WASHINGTON DR..
ROBERT D. HUTCHINS ff r '"ily Planner DON RYE
iiiilIding Official
II - if- OL
SUITE 204. EAGAN
Date:
Date: .
.
,'"'. r ~',;'.;.",;..,;..'...,,' ,
" '\, " ,.....,., ~.',. ;.-, ,..>..c_ .....j..; i,:
iiiiilliliiilliii..i{" "'"'' -',"'" ~ ~ ~,,,:,.,;,;,~..:..:~: ",', '"''
",,,"
..
ADDR ESS
OCCUPANT
HEAT lOSS DATE HTG. INST
SOLD BY INSTAllED BY _
Electrical Wor~ By Ga. Line By
TYPE OF HEAT GA _FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER.
tI :\ GAS DESIGN CONVERSION
MAKE. ,.................- .MAKE OF BURNER
Modal _ ,Sr"\IL^_', (:)"t~~""\ Modal
50<101_ \<;.;.<:> \^ s<1s- 7 C. Max. BTU Rati."
INPUT 8"""v-. ""~'" MAKE OF FURNACE
Mad.1
) '7 :;).S-~
HOUSE
O~r~i:c..I.~
HEATING TEST RECORD
Or
JOB#.
APT._FlOOR_CITY .
OWNER
SUBURB
CONTROLS
THERMOSTAT \-\,,~.....U\ Ho.t Plug
Valve _
limit _ \CIiI!P>"
limit 50"1." \70-
Fan Setti,., _
Pilot Typo _ \.\ <; 1.-
Pilot Make _
Pilot Model _
Pilot Timing
l. W. Cut Oil
'1.~
Vent Size _
'-t >,
KIND OF liNER
Draft Hood
Fi Iten Size
Chimney Location
Chimney Construction
RegulclTor
\l..1l::L~)<'" .Numbor
Ins,ide _
r,-V.. --'
SIZE NONF
_<>-OL i .\re \
\
Outside
Smoke 8om~
Draft .
Door Pre..ur.
Wiring
T B.t Tag
Lighting 1nlt.
Input CFH
---:?:
,73
Porco.t CO g. r
Porco.t 0~.....:::1:..g-
Percent CO -0--
Dote T e.ted
Company Testing
Name of Test.r .
c;-E:.-~"\
Frederickson Hoo~ng & Ale, 3650 Kennebec Dr., Eagan, MN 55122
IW +.____
Pressure
DATE 11ME
SCHEDULED 9//&/;b1 )a:dO
f)~
u
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH Rl
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
I/YJ FINAL Iil'P PLUMBING FINAL
t1 SITE INSPECTION lUYl' MECH FINAL
S:l;>MMENTS: tf~,
([I) t<~~~ d.~Jo-. ~L~~..:t;'.1 F
#.-t'--t... 0, ~ ~, (~u.(i ~
~\ V I
"~~-1!'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
f ?:J-5?
OWNER
CONTR.
PHONE NO.
PERMIT NO.
""\, CJ. () r
1(\ Il~ I 01
(
IJ/ - ,,;'Iif
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. OWner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALffl & SAFETY/
0/<:;/01
!;J~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1'7C).SJr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING Rl
o FOUNDATION 0 MECH RI .
o FRAMING 0 WATERlIOOKUP
o INSULATION (Cf) 0 SEWER HOOKUP
o FINAL ~ PLUMBING FINAl.. .
o SITE INSPECTION 6' MECH FINAL '
COMMENTS:
DATE liME
9:~"
JCJ I - -' '-1</
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ ~ A~O"J{
~ l" vUi<::'. -~.
)l1WORK 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.
IN$NOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
\
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
11./.
(.t{/ S(,6?
/725 2.. - I"Z se t:>a;:e.rIG-t...D D.e...
NTR.
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXlGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
s~Mi~ @)D
COMMENTS:
- I
~
h~
/ f 1),)<
~
----
!'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~'J1ALL FOR REINSPECTlON BEFORE COVERING
Inspecter. J/Yf/ 11- {.07- Owner/Centr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI