HomeMy WebLinkAboutBuilding Permit 01-0357
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANqE!
AND UTILITY CONNECTION PERMIT . .
,/-1 fa -0 /
(Please tvp~ or orint and siEll at bottom)
ADDRESS
15 :2.3\ Wi \(\.<; -Pl<w~.
CCl~~';;:<:~.
~Dlu:e Ree' d
I,White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use ooly)
LOT \D BLOCK \ ADDITION W i \~ S 'Se.C OY\d.. Ad d I t1' b ('")
OWNER
(Name)
(Address)
BUILDER
(Name; \), <:.,~ nC' -h \)P
(Address)
ZDfJu lSceuse)
PID :;J.5"'~ g.;2..S- 0101)
(Phone)
e~
u
\-\nm" ~ ~ ~~p. \ \ h3' \ Y\~Phone) ( CD 1-2:\ "10 Ho 54 0
Da..u m 1'1 tv? tJ 553a 7
1L-\5S \ Th\c.K~~ loJ1?
I
ODeck
TYPE OF WORK
~New Construction
o Fireplace
o Misc.
OLower Level Finish
OPorch
OAddition
ORe.Roofing
OAlteration
ORe.Siding
OUtility Connection
PROJECT COST /V ALUE (excluding land) $:J4 (). tllll"l . (Y1
,
I Park Support Fee
I SAC
I Water Meter Size 5/8"; Q;);
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
#
#
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 local laws 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
;te~..::;::2neededinspectiOns ;;AOOd~/LI7 -, If/ /Sk;
.",., /" Sil;l1ature Contractor's License No. Date
',(, "\.{), 000 . CU
$
$
$
$
$
$
$
$
I. trtlt? ~ S-
I. J 5.&:) . 6'1
I~O.OO
IDe .00
100.00
35. SZJ
'I () .fYJ
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
#
#
$ A~(),(JtJ_
$ " 1St) ~
$ as') . at)
$ '1().~
$ I I ;( OtJ .~
$ t"](J() .00
$ I Jh"m. c!Jd I
$ I
$ 9. t>ffl.f9 I
~
4-1K4J/
, .
I Paid q~ 7q I Recei~ '152-!,'
I Date ~~1'(/ ! BY7
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and m~ proceed as requested. This document
:~:~m..~::a.tempm~cmifi'Ch~i;tcemdill;;;:ct~~nd:!i~f~
r Plann g Director ~. Date - . Special Conditions, if any It
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
?/K-:O=Rildin~~;;e:;;~
~ingOffi~ Date
09/27/2021 14:16
~..~
6124341699
AIR MEeHAN
AIR MECHANICAL INC.
HEATING & COOLING
"CIUtATlNG CUSTOM COMFORT"
PAGE 03
HOUSE IIRATIWl.TRST REC..QR]2
(ORSATTTltST)
ADDRESS IS:l:1 I '\J..J: \. J.... P \c."", y . CITY P,. \-~ L-k.c.
OCCU1'ANT O;~ ~i''''(..+-....,- ~OWNER.-Di~+-"'vJ.,II'~ ~_.."
IlEATLOSS" DAmOf'rNSTALLATION~ 11 10 I
INSTAU..ER a:-.,.. N.....\..-; (,......1 t,., I GASLlNE BY 0..;. Mc.~k...; ......., I Lot..
TYPE OF HEAT:
GA @ HW SPACE HTR UNIT HTR
GAS DESIGN
MAKEJ~,r..... ~ .\.~
MODELJ?l:Q~ 1 AlA. 0 ~Jl..o..u..
SERIAL II S" ~..QLO ~ ID'" ~ :l
INPUT -9-0 . '(j c.:J LJ
~
CONVERSION
MAKI! Of' DURNEll.
MODEL
MAX DTU RATING
MAKfi 01' FURN^7
MODEl. H
OTHER
,
.
I
CONTltOl.S
T.STA T_"'r - J11,)IEAT PLUG
VALVE 1+-.",... ~\ l
LIMIT -r(.~.....i' M.L+,'----~
LIMIT SETIlN(l I Cflll · F
FAN sert"ING 1"' r -..,J
Pll.OTTY{'E j..!..+ ~_~ ~""~
PILOT MAKEJ.........~ '-' c..U
PILOT TIMING 7 $ c."
L W CUT 01'1' ~ . S w\ c:. .
PRESSlJRE~ w.c.. '/0 C02 t.
INPUT CHIJ.lS % 02 ,
STACK 'rEMl' II u Co Po % CO _ 0
CQMI'ANYTfiSTlNG o.~, ML40L-.:...../ ..t..NAMfiOF"rESTJ:Il Q.,,'-0
J..
VENT SIZE
LINER SIZI! NONE.
DMFT 11000 T,.d.....Aa.EGUI.A TOlt1:t..... a......\ 11r
FILTER: SIZE..)" NUMllIlR..J L.l/~J"
CUlMNIlY LOCATION INSIDI!....~..'OUTSIDE_.__
CHlMNIlY'rYJ'1] P. \I.". P .. fie..
SMOKE 80MO - WIRING '--
DRAFT
t.- TI!ST 'rAG
-
DOOR PRlJSSURE~ '- L1GIITING TEST.~
Thl1' Cl1'nll1'r or lh. L.h ('ounlry
White . Building
Canary . Engineering
Pink . Planning
'~/_' +'
NAME OF APPLICANT)) I ~ 77 Nc;.. J lI~
APPLICATION RECEIVED ; 1/-1 to -O.J
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
iIo /rI~ U md /'4r-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5CJ.-3/ I;); IdS
Accepted
Accepted With Corrections
P)(.wv
7--./
Denied _
Reviewed BY~ ~ . j!...
r-
Comments:
Ren&. ntr aff-ac.kd
-
Date: cf-1r!1-Cao (
h~O ~'-L
"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
OJ. ()J')1
,
Th~ ('..nln of Ih.. L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING P.ERMIT APPLICATION DEPARTM.fNT CHECKLIST
NAME OF APPLlCANTD 1_)71 !tit. -/1' {//~ f/( /17 c-S -1
APPLICATION RECEIVED L./ - /0 (J J
>n ,j / f\/i ~-
,~
/,
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ L, :~) I ')' j- /
/dj"'_-' Ii v (!is
n) .
l/..wv
/
Accepted ~
Accepted With Corrections
Denied
~"....../~
Date:
tf/;J.-f~(
Reviewed By: _
Comments:
~JAM .2-t-/~ c()LfU.o ~. ~ ~J;{Jdr p(
P~fY~v; L~ ~~~ vQ..O-ltS~.
(~h-
"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,"
--.,~~
~
'- ~-
,., .~..
"
.',
-
we! -. ~~Z
Canary . Engineering
Pink . Planning
Th. (".nl.r of Ih~ t.h Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _ U I 'sf/ NC- + / \ 1I~ 110 J1l ~
APPLICATION RECEIVED 1/- /10 -() J
rt J? rn d / /VCi/
o
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5 CJ.-3/ Ii), Ids
P )(.wV
/
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
NIW,
Date: '1-17-0 I
Comments: . See Reverse Side for Additionaltnf.c,:.:...-lkm'
~e AU8Cnments: 1) Grading Plan, 2) EroSion Control Measures
3) Erosion Control Plan
"The issuance or granting of a perm'lt" 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 LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
Dale Rec'd
:~:':. ~:~ I PERMIT NO. /- 3 r,?)
) V.lklw Appll_ J /
(lJlclI$t' tVDe or DMt and si.,.. in boaonl)
ADDRESS '
J5;:;~1 l..U/ld.A) W.ll>\}
LEGAL DESCRIPTION (ome< uso only)
LOT ID BLOCK f ADDITION / j) d J.;; .?.-Mi
ZONING (011\<< .l<)
qJ/A..D
PID~S -3,).3- qG ()
OWNER.
(Name) ,""i~'''(\{l t' \U
- '
~\..,...~
(Pho".)
(Address)
APPLICANT'\ .
(N.me.l l . t I.^.
(Phone)
~Jr,,-- >Jr-. Y. )~l\. 55"~{")f{
'(Ci,y) (Zip Cod<)
~(p ~ -4,<,Q-7.1]<,/"7
7-().). -0/
(Phone)
~V~~ ~('''' Q
. 4'\.f
CAddless)
~'-A . ~j~
APPL!CANTSIGNATUR!! c~_. -'J ~~jJ", Q DATF
APPLICANT PLEASE COMPLETE BELOW
l2INEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATlON~ n
FURNACEMAKEANDMODEL~~OI....a.LD(r~AlJoql)bIlD FUEL \4/cd'
FLUE SIZE .J.I RETURN O~CJ _ INPUT ~ n. ,l...L.L C;>UTrUT ~ J. 70 U
TYPE OF SYSTEM HEATING OR POWER PLANT
(Address)
(ContaCt Person)
OW.rm Air Plonls
, . OOra.ily
o Me.hanical
6iAir Conditioning
OVenl. System
~ FI)('C."J. CA; '"
FIREPLACE MAKE AND MODEL
o S.enlO
o Hot Wa....
B Radildon
Special Device$
o Olher ~viees
PLEASE NOTIt,
Air Conditioner Unil&
. Cannot Encroach into
Required Side Yard
Setback.
/I
Il'1lJuslriaJ, Commerdal &. Mulli-Fanlily
FEE SCHEDULE
I % of job cosl ResicJc:ntial, Gas Fireplace.
$19,50 minimum
$99.50
$64,50
539.50
Residen'isl, H.ating & NC (/'Iew ConSllllelion)
Re,idential, Healing Only (/'low Constllledon)
Residential, Additions" Alleralions
Reside",;a), AC Qnly
$39,50
$39,50
Estimated CI)SI ,< 9' S- 0 O. (j ()
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penn it #
.
$
s
5
.50
.;I3uI~,qIO ~
"/va ;t"'/i
'I:/iI14rr-
Keceipt No,
(Office Uu Only)
This Application Become. Your Building Permit Whe" Appro..d pa.d
Buildlde Official
D.tt
Dille7_;l -OJ
BY~
24 lIour nolice ror .11 insp..tion, (952) .41.9850, r.. (952) .41..4245
Z0 39\1d
N\IH:J3W ~I\I
669ne:t>Z19
10:91 1Z0Z/Z0/L0
~f (fhlU tlt Ihe 1..I<t ((I\lnl')
.~
Quantity
C2
I
I
L(
3
~----~-
09:12 FAX G12..i.2.5
nTY OF PRIOR UKE
141 UO:)
1 Blur:
2. Gold
3. Yello....
I'll.
City
ApplicAtlt
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo_6.I~035
~9Vl.J?(U"'" ~fl'l'1z ~Phone:_ul..D-,R7''2.&.:--~-=-_,Zu_
fl' /I.""" <" PI" h!"id.,..J!'t1V1 ,~c;d"'''''
~ _ f+l - ~~-._- --
Applicanl: ~,,-l-f..-.
Address:
, Signature:
Legal Desc~ 1'1: Lot _______.BIOGk _._Sub _._ ___._.___ _.
Site Address:_1..:2~.~ I L JJ..,.l" qJ>f..;.~"-""'(f __ m' __.
Building Permit # ___ Of .<J357 ._______PID #..?~-~"l..3..::.,OIO - 0
NOTE: This permit will hot be processed without complele information,
FIXTURE UNITS
I
Type of Fixture Quantity Type of Fixture
Bath Tub with or without shower -3 Rough.lhS
Dishwasher , Waler Healer
Floor Drain Water Soflner I
Lavatory (bathroom sink) Stand Pipe (washing machine) I
Laundry Tray (1 or 2 compartment sink) Sewage Ejeclor \
Shower Stall Backflow Assembly (RPZ, Double Check, PVB) I
Sinks Backllow Assembly Test I
Bar Sink Lawn Sprinkler I
Water CloSel (toilet) 3 Other I'~ 09-~ r",1
FEE SCHEDULE
Industrial, CommerGial & Multi-Family
(1 % of job cost, $39,50 minimum)
Residential. New One & Two Family
Residential. Additions & Alterations
Stale Surcharge
$99,50
$39,50
$.-
$-.--
$..
$
,50 ~~2:~-
8\),"""'.....
GRAND TOTAL
$
This permit is granted upon the express condition that S<:lid
contractor, shall compl In ects with the ordinance$
of the State Plumbing 0 e amendments thereof.
. R (. 'ZS' 01 DATI::
ArrEST
Call for all in eClions 24 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 '
FIRESIDE CORNER #7298 P,005/006
L:Ul' O~' PKlOK LAKE Date ~'d
HEA TING/AIR CONDITIONlNGIFIREPLACE PERMIT
~...... 'U'!. orarillt ODd. 11Im aI:_1
ADDRESS
l-:,;:}~\ LDi I D~ ~
LEGAJ;. DESeR...: .......,J (ollk:<.... only)
LOT \J) BLOCK I ADDmON
OWNER
(Name)
D/~"cJ..~
(Address)
i: ~ s..." I PERMIT NO, 1- B5'1 I
Z"""'"",,,,~.a (gfJJcll,lle)
lPuD
\
~
d'v*
PIDd-~ - .1)-]-010-0
I ;)~LJ
~
(PboDC)
APPUCANT
(Name' ALLIED PIIlESIDE DBA FIRESIDE CORNER'
(Phone) J~.1-633-2~
(Aclclrcss) 2700 N. FAmvIEW AVl!:I\IUll' l>fJSZVIL"'i' '!'" S'" , ~
(Ad4IoSl) (elcy) (Zip Code)
(Conract Penon) BRENDA ~Ql. (Phone) 651-633-2561
APPLICANT SIGNATURE ~ h~ ll~...'} Wi DATE I~ q -01
~PPLICANT PLE~ COMP~ETE BELOW
~W CONSTRUCTION 0 REPLACEM!NT 0 AL TEkATIONS
FURNACE MAKE AND MODEL FUEL N.l<:>A-<:;"
FLUE SIZE RETURNOPEN/NGS INPUT OUTPUT ~iC."("f'
1'\'PE OF.. ~...""d
JWonn Air Phillis
JONYII)'
J Mochalllcal
JAlr Conditioning
JYent. SySllltll \ \
FIREP[.ACE~AND MODEL ~
Induwlal. Commorcial &. Multi.Porn/ly
IUsldential. Heating &; Ale (New ConSln1ction)
ResidenUaJ. Heat;ng Only (New Construction)
Estimared Cost $
HEATING OR POWER PLANT
:JSIeom
~ HotW~r
RRdllltlon
Special Devl"""
] Other DaYlccs
~~\ ~~~~-C
PLEASE NOTE:
Ait Condition.... Units
Cann01: Encn>acll into
Rcqult=! Side Y &I'd
Sctbaclcs
FEE SCHEDULE
I % of Job am R"'jclen~e1, Oao f'lrephx:c:
$39,50 minimum
$99,'0 Residential, Aclcliti..... &. Altetalions
564,50 Resldentiol. AC Only
539,SO
539.50
539,50
\\~,~
Building Permit It
HEATING PERMIT FEE
STATE SURCHARGE
TOfAL PERMIT FEE
s
s
s
.50
PAID WITH
BUILDING PERMIT
(ome_ VN Only)
Thll AppllClltion Becomes Your Bulldlne Permit Whcon Approved
lloHdl.. Ollk:lal
RClCIlIpt No,
1~ hour notice for 8/l IllapodM".!'5Z) 447-9lI5O,1Io. ~) 447..u4S
Do"
Il'allJ
I Datco
7-;)3-01
By
Ctr...----
U
PRIOR LAKE' DEPARTMENTOF
. ' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS IS? '5 , k} ,'\.& <:l., Q-k w\.!
NATURE OF WORK ~ ') ()
USE OF BUILDING S P i)
PERMIT NO. () 1-0357 DATE ISSUED cj ~ /PJ -~(
CONTRACTOR lli:I,' V'I""+"\'~_ ~. (P12-701-~5q()
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING. I ~.0 ;;CTOR I ~ J~~
I FOUNDATION (Prior to Backfill) I 16. \,1 ~ I 'sIt{ I"T
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN StGNED
ROUGH - I~S
SEWER I WATER I SEPTIC ~ U -r)hJw
FRAMING '1:> tJ, 7-- ;z.(.
INSULATION ~V~, ~/(>,7t>,
ELECTRICAL I. l ,
PLUMBING "i.-\l~ ( \(\ (!)(
HEATING (if required) 4.- \lb--\ "'l~
FIREPLACE ~ lJo..... , ~11(,1
GAS LINE AIR TEST "b ~~ ,1 ~Or
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,~ I I
FINALS
tJ \ 13. --= ~ t~ I Z:Z... t () f . I tf
r~ ct ;2.~ ,of ~;vlJ!f
1) '{l.ii DI . .
~\ ~.ol
EEN SIGNED
,.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
OCCUpy UNTIL ABOVE
NOTICE
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, car'tl shalrbe placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Itrtitlmu of ,....~ty
CITY OF PRIOR LAKE
J)tpartmtnt of Jluilbtl1<< Jn~ptdton
tllFinal Permitted 0 Conditional C.O. Expires
7his CeniJicale issued punUQ1ll to the requiremellts of SeCtiOll 307 of the Uniform BuiltDlIg Code
cenifyillg that at the time of issWJIICe this structure ...... ill compliDnce with the W1riOW ordi/lJ1/lces of the
City of Prior LoU regulatillg buildillg COlI$tructiOll or we, For the followillg:
SINGLE FAMILY
R3
VN
~ Fire Zone
PUll
BIdS, Permit N'.
N / A ZoninB DisIricI
PUll
Use Classificati..
c...,..., Type
Type Conslnlc:lion
lApIDoocriplion L10. B1. THE WILDS SECOND ADDITION
eo_'s N.... 01: Address
.SiteAddress 15231 WILDS PARKWAY
DISTINCTIVE HOMES & REMODELING. 14551 THICKET LANE.
Owner of Buildins
VAl TUN, l"lN :J:J~L./~
ROBERT D. H JTCHINS '~ity _ DON RYE
Date: ~ Utt.-w.1IU17~ 02. _ Date:
I POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
IS~:51
0J.il
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
n...E. SEWER HOOKUP
f\ ~ PLUMBING FINAL
o MECH FINAL
COMMENTS: r
-- W\ 11M c9 vtA...p)\-&r ()' K
r r 1
-- till P ~ ~-&t1tcGY
DATE TIME
~ //:;rD
jJ.L.ru .
(/
CJI - 35'/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION A ~D PROCEED
o CORRECT WORK, C, LL FOR REINSPECTION BEFORE COVERING
Inspector: 'f:, ~~ Owner/Contr:
CALL "7.9860 FOR THJNEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE
SCHEDULED , Cf-de-L
tu~PKu-v
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
IS ;(3/
OWNER
CONTR,
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
O)'LUMBING FINAL
Z MECH FINAL
COMMEbT:: It I 0 I
1 11
a mdtWj
1-
TIME """'-'\
C) ; UCJ
(
1-3'5'7
I
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
C; tv!
f
F dwef"8<+
*~al~ta\'" e.vo ClII\ C&LA.+ro I uu.),' I sodJeJ
''t
~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKi r-LL FOR REINSPECTION BEFORE COVERING
Inspector: ~ , UILvUI Owner/Contr:
CALL 447-9880 FOR THl NEXT INSPECTION 24 HOURS IN ADVANCE,
1N3NOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
15;;'~
SCHEDULED 7. y),o~ It- T
W.' IJ~ ""Pkwj
CONTR,
ADDRESS
OWNER
PHONE NO.
PERMIT NO,
/ - "$,57
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: S-4-1
rJo~p_ ~"'\e
I~S~\.te.. C,O.
Y'ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR ,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY/
J/iSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1()-22.-q P/ll1
ADDRESS IS-Z31 lA/,'ld-" PK.wV
OWNER CONTR, P,~I,"CI-"I/( HoPltJ
PHONE NO, PERMIT NO, D 1- 3.) 7
o FOOTING
o FOUNDATION
o FRAMING
~~NSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
;r.{ El<~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Lu,b Bo~- oK..
{,'4~- oK..
)(.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectOr:,#'~/" =--. '" Own~Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JNSNOTl