HomeMy WebLinkAboutBuiding Permit 01-0267
~1
DATE RECEIVED CITY OF PRIOR LAKE
:3 - z. 7-0/ BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3. LEGAl DESCRIPTION
; LOT Z BLOCK / PID ?e:;-lh9-00Z-0
(ADDITION WAIf.lJE i 1#1e.lvers 1t:T /lDON_
14. lIS.." , (Nama) (Addrass) (Tel. No.)
.. k''''''!'J<? RO~l!'hj,l!!,.q d7r"~h.jrJ.","'I?.s"t!J~"fI.Ql";;~d?~?i)
15. ARCHITECT (Name) V (Addrass) (Tel. No.)
6.-.
/?/lclID
(Name) (Address) (Tel. No.)
.sCII""'T7(1t!Jn~/. #.?/ Thf'I'.> Pr. ~;;;S-~~-:' ?.:b-~
si-)ro"pl!'r"', /I1't. a-1#-S'ir$--./''1I.
7. TYPE OF WORK Fireplace LJ Septic LJ " Deck ("J Rs-rooflng LI Porch LI
New Construction LJ Alterations 0 Addition tv'" Finish Attic 0 Ae-siding 0 Finish Basement (]
Chimney 0 Mise
Is. PROPERlY AREA OR ACRES 19. PROPERlY DIMENSIONS 1'0. CULVERT SIZE
Sq. FI. Width Depth Yes No
I hereby certify that I have furnished information on this application which Is to the best 01 my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that all construction will conform to all existing state and locallsws and will proceed In 8CCQrdance with submitted plans. I am aware that the
~U"di'}l7'~? 1r~t.cau... Furthennore, I hereby egreethet the city Off~:; e;Sig~nter upon the property 10 pertonn;.
I ~. FOR ADMINISTRATIVE USE .
SETBACKS: Required
Actual
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PER~UTIS ISSUeD (Please Print or Type and sign at bottom)
1'lo;,w,......ESS03&.6> Pai".. /"wn Shpr-e$
Front
Be'"
S.e
BUILDING DEPARTMENT VALUATION
1. DATE
;3. Z7-01
7;/ sE
Side
USE OF BUILDING
.ec:.s ;</// R
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~.~. t'X:)
lYPE DF CONSlRUCTION: I " III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
PenTllt Fee ................................... $
S U
City:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ,uu...uuuU,uuu"uuuU"'U' $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
q~", ff
(.4(jl.[ /i
lJ5.. Q"')
40.00
40.~
Sewer & Water PermJt ...................... $
....u......... $
ennk YlhOjl,/ogproved.
Date Y-S'ilIDl
Issued
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No_JJ I...() 7..{, L-.
~
BUlL. INFORMA nON
". SIZE OFtTRUCTURE
(Hei!jlt) (WIdth) (Depth)
12. NO. OF STORIES
13. lYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPUCA TION
SOIL TESTS tJ ENERGY DATA
tJ
PILING LOGS tJ PERCOLATION TESTS tJ
PlANS & SPECS tJ
SURVEY tJ
PLOT PLAN tJ
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .uuu......u.u...uuu......u....., $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... !I:
Meter Horn ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid I. (" t, I. 24- Receipt
I
4-~/.. rll
,."
TheCconlt'ror'he~keCOIlIII..,.
White - Building
Canary - EngIneering
Pink' - Planning
NAME OF APPLICANT
.i;.l~\~oi.',J..{M:'b~.h.\.'l<".~.'" <;:
:'1I%'T4,,,,,",,'~I\:r,"~
BUILDING PERMIT APPLICATION DEP~RTMENT CHECKLIST
(F6K KIik:.e.N
I C-.oN577<!.-. K(;~c.NticJ<.L5;)
O/-JV / i.J :::tf-rl1'1/ I
:3-27-01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/j3{r& F!--J/k'LI-J/VN Sr/O/~&.S TK- Sf::
Accepted
~
Accepted With Corrections
Denied
"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."
~~
D ( ~o ~(, 1
White - Building
Canary - Engineering
Pink - Planning
The Ct_ltf ., tlte lAb COIII_'ry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
(t:dJe J::A/2eII!
I (!,,()NSliL. ~6iV'4e~J
DAV / LJ .5efi 11/ I
3-27-01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
53{P~ FrJ/JZLAWN SHOJZ6S 77Z- S6
'X
Accepted With Corrections
Accepted
Denied r'
Reviewed By:lV
Commemts:
Date:
d-~ -~f
1'J4L~J Q\M.('l\~ ~tprh-,)"S -\-\.vrn,czL ~~
If)~w ~ ~ X ".sJ ,''^-a... ~~tu c1-0)-..p
""2, M<ilV;.. 'tG.c'", ?~~ ~~
. '.
.'
"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."
d -1~ 7
White - Building
Canary . Engineering
Pink . Planning
TM C.nll'r of Ih., Lab Counlry
NAME OF APPLICANT
BUIU)ING PERMIT APPLICATION DEPARTMENT CHECKLIST
(rO,e 1QI/i?6N
I e-ONS7'12-. 1&.5"(5N86/<6;)
DA V / iJ :5t!-1-111 / I
3- 27- 0 I
APPLICATION RECEIVED
I:
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!53{Pf.t; ff)/I2Lr7VVN :5HO;z&S T72. S~
Accepted X
Accepted With Corrections
Denied
Reviewed By:
MfJ.{3
Date:
t.j -S- -0 I
Comments: See Reverse Side for Addjtionallnformationl
'./,,;-.
','c'~' , ':
,~
,
,.
.4r,~;:'/'., .
~,
.... ,
\~.;'
..
,..i
-
~ ""uacnmems: 1) l.:iraeJmg Plan, 2) ErosIOn Gon1rOl Measure::;
al Erosion Contml Pla,n
Ii)
"The issuance or granting of a permit or approval of plans, $pecif~tlons 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,"
h
11l..(.,fI'.......r...1_..C..-tO
CITY OF PRIOR LAKE
PLUMBING PERMIT
AfIf1I1r'Jlnt. ~I (\ ~\a - \) p- m~PhonB:
Addrll..: _.~~ftu~,
Signature: iPi17iJ17it}O
LBgal Descriptio : Lot P,;l 81oc:k h' Sub.1/..k11'f} 'I f{I/I/lLd: ~
Site Acldl'llSs; .~t,fn ~/l"JfYl1/n <.5 01~ . .1- _
Building Permll It PIO II d S- 110 q. aJ"d---O
NOTe: Th'- perrnil VIrtU not be proceMed without. C(lO'1pkne Information,
FIXTURE UNITS
J. Bhk. flit.
1....... 011
1 V,11ft A".....
#fl}O:lb1
469-6~
;(l~~6
~
QUlIlllilv"
Tv..... "I Fi.l..,..
QUIIIllilv
TVPB 9f FiIl\l.Irt
;:J.
Bath Tub with or without ahower
Rough-lnB
Wiler Heater
Waler Sallner
Stand Pipe (washing machine)
Sewage ~Dl'
s.cIdIaw AlIll\1bly (RPZ. 0a4All& ChetIc, PII8\
lilaoldlow ACIOarnbly Tool
La...n sprinKler
Olher
\:Ilsnwasnar
\
-'i.
Floor Ol'llln
LavalOlY (batl1room &Ink)
I ftunrtlY Tmv (1 or? .."" ..,-rtlt1fll'lllllnk)
Sho_r Stall
CiA".
Bar Sink
~
Wot"T Clooot <toilet)
fill SCHEDULE
IndUlltrlal, Commen:lal & Multi-Family
(''''' at Jab cost, $311_10 minimum)
ResldemJal. New One & Two Family
R",itwnllal. At\ditiCl"' & A1teraliOn,
Slat" Surcharge
GRANb TOTAL
$
$
l
$ ,50
....
$
$88.$0
''311.50
TblI p.""it i. ....... "pol' tho .._. ......i...... dw .,Id
oonlrl<:lOf. Ihlll comply in alllCJ1lGOl whb tbe IlI1llnanteli
ollbo Sl~to PllImbi.., Cadc""" lhe I. _ ..... .',>>-fl}elCoC.
- RECE;1l"t NO. C- ~ '/V; DATE
(-ft y-' ATTlIST
Call rOl' all InspcctiOll' Mours ill advance,
PAID WITH
BUILDING PERMIT
.
16200 Ea,le Ct1lCk Av, S.E,. Ptior Lake. MinnesOta 55372' Ph. (612) 447-4230 I FAX (612) 447-4245
. -...' - .', ..... "-.._I_..~...
f~~.~ CITY QF PRIOR lAKE
fj ~ 16200 Eagle Creek Av. S.E. Parm~ No. 'J \ _ n"). ~ '\
'\: Prior Lake, MN 55372 '
, HEATING APPL.ICATION J PERMIT
~ZIo \'T \ - \ . P\D#~t;-/~A- O()~-()
a:~eAddress 5 ~~\. ~<-.; -\<'-'\...\h ~\;l\-~
Lot .a BI:>:\< -L Adeili:>n ~ at 11vAAiJ;) I~:i
~lWIlar's Nama f{. ~ l'" \- \LlJ\~~.... ~ "'-l'UlT-
twess S3 ~\o ~,:\C" \ "-.\4..... ~ h~,..~ -
Haafmg Comra..-to; S'\ ~ ~ \\~,... ~ n I..
Adclioss \ \" 0-. ~ t\ '\,..\ \.. \ t Or~ ~ Y l V,~: IT' \ L, llt ,
T alepnona tI '"-\ \.A, 1 - </, \ ~ "\
- C. \
rumaaeMako&Mode! <..v~, l~
M:>cIII Sizl ~ 1<. A -10 u
Conn. u,acf ~ '-\ "l\ ~ \0
Full l\)",~ flue Size 'f V l.
SLIpplyOpgniTJS$
RBlIIm Openln;s
lnpul, ti.l ~ lP
II
S
OlJlJlU\
~taQ <:l)
~:d~
([
o Clm.
a:
f-
~
I c;- '-I S-
TYPE OF SVSTEM
Warm Air PIanls .J(
Gravity
t.lechani=aJ
Ail Cone.ion;ng .-J(
Vlnl SYSIom
HEAnNG OR POWEll PUNT
S1&am
Hill W2Ilf .
Rad'1R\i:>n
Special Oavices
OIhar Do1ricas
TYPE OF WORK
I. Piak
1.. G..co
l.YdClW
"'"
0"
Coo=
Single Family X
TYPE OF STRUCTURE,
Mwti-- Fa1't\;I~ __
?L:bGc
Ot,e!
~'H"'Lo...Jal
Two-Family
Indumal
1~ of j.ob cos: {S3S.5D "'i:1imumJ
S-2e..50
S54.5O
S3i.50
$33.50
S3e.50
Memembar to add Ill. SIaI& Sur:har;>. on the bollo"" of this application,
The price of \'Our heafing perrni\ in:ludes one rtlugi',.in and one fmal ins;>eetion.
AddltiDNll ins;>ections wl~ be b~led at $35.00 each.
Kouse Heali"ll TesI Record must be sLlbmtlled with lllIi!lliag *crn~ ~ bel.,. bu."
ing ~erfifJCal. of oc::upancy w11l be issued.
H=I\T ~n "'1100<: ";QtITR~ wllh numbe; olsupply and /BlUm, openings listeo'~r
rtlDIlI willi Ci'M's- per opening. New struClUres 01 a"icfllions ""nd nDor plan wilh'Slli'ply
and l1!llJm 1ocaliD/lS SlDWl\. HEAT lOSS CAlCU!J.TlDNS, PAVMENT AND
AP!>UCJmQNs MAY BEMAlI.EDTOTHECITYo.PRiOR lAI<E. 15200 EAGLE
Cl'IiOEK AVE. S.~ ?R10R lAKE, MN 55372.
ClIy HaD ~ hours are e 0.111. - 4:3Q p,m.
AU. WORK MUST BE INSPECTEll {ROUGH-lN ANtI F1NA1.) . CAll. CITY JiAU
447..Q3D
\. J I hereby apply lor a mechanical systems pennit and 1 aoknowledge Ihat th1l
' ~ . ,inlolma1ion above is complele !md acCllrate; Ibat Ille worl< ..111 be in conformance .
Allaralions Ro...~...lrd N.... Cot>.stnIClian wllh Ibe ordinances and COdes oI1h. city and wiIIllb. sl!l'e building/mechanical
E - . , cod_: 1hallllis form does "'" become a permit until ligned by the 'BUlLDIN G
g: Repair ~ Camp. Om . , . OFFlCIIU.; lIlalth" WOrk WIll be in .""Draan.. wllh lIle apprwe::l plan in Ill.
~t::~:7/ --. _."'\-~"J ~")~_M'~d'~ H>'
ISI.....- -. 50 AUDWIlH ~.? .' "".
~,.~ATESURCIW\GE $ . . BUILDING PERMIT ." """::,'. &-":'/-of
....: ltrrAlPERMITFEES $ Aoce:j:lt, BIlII 9 Ofti::eta.Signatuno - 0110
"2'~.'."'c'",zi.~~#>.;:.i:",,;;j;:?~'.";ik'\i~\i&~~,*t;~jf,;~1li,-~i~
---~.
Fee. S::tp....tiu(!
Industrial, Commer::ial & MLJIij'ramily
i'lesi:ienlial, Heating & AC
Residential, Healing Only
ResidWaI. Gas i'ireplace
Residential. Ad<frti:>llS & Ailerations
i'lesitlential, N:, On~'
PRIOR LAKE DEPARTMENT OF
.,. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS gftJu, -ktt'r'-~ ~ ~
NATURE OF WORK A&cl,{,'>-^""'-
USE OF BUILDING ~ F 1"\
PERMIT NO. (')1- nZ&7 DATE ISSUED "~~~'2.,1
CONTRACTOR J:Au,-J.~u~ c,:;].. PHONE Gi2A f!j')f:;. 'lfc;/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING I Ph . I ~ //~/~I
I FOUNDATION (Prior to Backfill) \lIel fi W/~/" (
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING ~ 9&rn (b;r (,f I~ I ~) /,
INSULATION ~ .
ELECTRICAL
PLUMBING V~ ~ ~llttlo/
HEATING (if required) ~ F'~ Dr M (1/0'
FIREPLACE
GAS LINE AIR TEST vJ:. ~, ~. ~I\.. ~ q., ~ r I ( 101
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A/If
Pb
/) -f,~
0/~
· V,{7),
OCCUpy UNTIL ABOVE HAS
NOTICE
-
~,~, / ~ Q, (r;/mIJl .
L. t~ A:..... (..jj~ (1"
T",,-\DeMr..- ~. ~J~Jo, ~
(..!I4\~J '
"
GRADING (Prior to Sodding)
BUILDINGf.t.fl'~ rh 10'1.- ~
ELECTRICAL
PLUMBING
HEATING
DO NOT
I.f /30 01.
~ ~~ ..()7.....
f' ).& -ocr
'Ilr~(pf
, t 1'U101-
BEEN SIGNED
This card must be posted near an electrical servlc~ ~a!,I'let 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
QLtrtiftrau of (Jernpancy
. CIl i OF PRIOR LAKE
// J)tpartmtnt of .utlbtng In'ptttton
p Final Permitted 0 Conditional C.O. Expires.
This Certificate isslU!d plU"SUDllt to the requirements of Section 307 of the Uniform Building Code
certifying that at the time cf issuance this stnu:ture was in compliance with the various ordinDnce. of the
City of Prior Lake regulati", building construction or use. For the following:
Use ClusiftcatiC""
SINGLE FAMILY
BIela. Pormil No
VN Fire Zone N / A 70nina District
HARRIET'S FIRST ADDITION
01-0267
R1SD
Oc:cuponcy Type
R3
Type _..___.~on
L2, B1, WAYNE AND
Legal I:~_.:<~.
Owner of Bui1ding
"iteAddre.. 5366 FAIRLAWN SHORES TRAIL SE
CONSTR., 431 THEIS DR., SHAKOPEE, MN 55379
_......... 's N.....I: AddreuDA VID SCRMI TT
ROBERT D. HUTCHINS
("''\ Buildilll 0IlICiaI
Dare: () - 7 to ' /?[
POST IN A CONSPICUOUS PLACE
I ":ity Planner
DON RYE
Dare:
~ .; ',..,' ~..' "'. ,',"',
: ~,..:." ~.t~~. "."'; ..~. ..t. ;"~,,. .;~. ,", <";;'i..~-',:. ,. .;;,. .j..i j:':;~' "...., ,~.< .':;~,' ,." ';..";. ..' . - ;;'. ....,..1.. .. ".~" . I ",,,',',, ',' ",;,;.; .......' ~ " ......L.,..,. ~,..\l... l,;'"~ .:, j.;....".'.~ ;, ~,l,,,.;..,... '~w.':';' ..'", """~"'. ..~, "
.
DATE TillE
SCHEDULED ~ /J: 3"0
~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
. ~'S 0/'7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:G) ..d.eJ
(I~~.A
~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
/Ail 0 SEWER HOOKUP
Wllt PLUMBING FINAL
Ii::l MECH FINAL
t1~
.J.. ~
~~ <l~dL..) <
~-~--
tJ( - d-&, 7
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
'-~~
o WORK SATISFACTORY. PROCEED
r CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: R--- I Owner/Conlr:
gALL 447.9880 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
1NSI<<JT1
DATE n"E
CITY OF PRIOR LAKE 9:00
INSPECTION NOTICE SCHEDULED 2 'Z.l -0 '2.
ADDRESS 5!JJ.. ~ITltl....,^-
OWNER CONTR,
PHONE NO. PERMIT NO. 1- 2/~ 7
D FOOTING D PLUMBING RI D EXIGRADIFILLING
D FOUNDATION D MECH RI D COMPLAINT
D FRAMING D WATER HOOKUP D FIREPLACE RI
D INSULATION D SEWER HOOKUP o FIREPLACE FINAL
'.I!t FINAL o PLUMBING FINAL o GASLINE AIR TST
D SITE INSPECTION (BJ' MECH FINAL 0
COMMENTS:
I.
2..
~.
~ 14 i.. .L. ~"t' Ctl6.oo.L.- '-<>-e<-t.
14I1.h..o "",;j ,... n"J l... ~"'~
AJ,Jr,,'7"--. ""^ __\~ of ~d""""
D WORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
-\:CORR RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr.
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNOfl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ({;-6-tJZ An?
ADDRESS 5S6~ rc.1/ IolILn S~&,.O Lt" ~L
OWNER CONTR, Pc.V/J 4t"~hn.J '14 c.()~sl.
PHONE NO, PERMIT NO, C,(-J{.7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
- 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~Slti:iiiELLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
b~.(..., eK
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector:~~ - v::di.';ontr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""NOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
TIME
SCHEDULE!? '1<30 -bl a ; 5b
56~6 ?~);~
DATE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO,
r.; / - a/-.. "1
o FOOTING
o FOUNDATION
o FRAMING
fl. INSULA T\~ J . I
~ FINAL fiCLMYO./
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:LQ pJ~ <fo ~ ~ ~
~.
(zfi' ~ ~ -11.- rn-- ~.
(~ ~~ d&-...o.
I) ,
-
811/(J~
I '
T. e. 0, 7zil
y
c, vfY'
,J",-JV'~ vy
o WORK SATISFACTORY, PROCEED y-.u.'~(,' vi \D
.,cCORRECT ACTION AND PROCEED ~~q ~<J
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
-'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNOTI
//
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"iIi-FINAL
/iJ'SITE INSPECTION
COMMENTS:
DATE nile
SCHEDULED ~ A. r-,
53c'o~ ~~
CONTR.
PERMIT NO.
tJ { - ,Gl..4, 7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASUNE AIR TST
o
<',;;[ es\-.lA~~
/'
~RK SATISFACTORY. PROCEED
o CORRECT T N AND PROCEED
o CO . CALL FOR REINSPECTION BEFORE COVERING
OwnerlConlr.
850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"-~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL71I "SAFETYI
""""n
"
.--
'Job_ 5~", "~t..-,,, sh...'V-
''-' _, METRO AIR
.,.......l/89- ~
-_Uno
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