HomeMy WebLinkAboutBuilding Permit 01-0388
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
qtlease ~ or mint and sien at bottom)
ADDRESS
.1Jo l ~ 2 \.J IN t'YSa Q Lp... N E
1. White File
2. Pink City
3. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK"?, ADDITIONl.JiIA1'r~ R,nd~ ?!nt9..~
OWNER ~ /
(Name) J !(pl" ~ (
(Address)
BUILDER } .
(Name) , ,
(Contact Name)
t. ~Qmes ~r\(' .
.Jo": ,Jt"'hY\i~~
tb.\rmcm~ ~+h
, (Address) \ lD 0'5<0
TYPE OF WORK
~ Construction
OLower Level Finish
o Misc.
(phone)
AM 20m
ZONING (o_us.)
~Isn
PID::J~- 3/8- OS h?
(Phone) ClS2- 8ql-~Ob'8
(Phone)-'a..-f::J.- ~7" rl.f)sb
J .0 C<e UI lle. . )..f n 'S9JJ:r tl
,
I Paid
I Date
~
S-Z~()/
'7, /5.5/.~
5~iJ-d I
#
#
A,c:;{).(!)6 I
I. I c:y).OO I
~
, Ql,'5"'#f)('}
. Cf$:eo
$ I~.I?O
$ r1tJ(') .l)C)
$ ( . 5"ty)~&ieJ
$ . .
ODeck OPorch ORe-Roofing ORe.Siding
Ji<!'"'rreplace OAddilion OAlteralion OUtility Connection
PROJECfCOSTIVALUE (excluding land) S 2-0S\~
I hereby certify that I have furnished information on this application which is to the best of my knowledge tnle 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
;terFt;:rr,:rns:.u,.'gnam;;;0ections ao I 30 -a \ L J../ - / ~ate- ;;U)O I
""(f' ~- Contractor's License No.
I Permit Valuation 20.">. or:n.()C) I ParkSupportFee
I Permit Fee $ I, "'i~1 . Ie;- I SAC _
I PlanCheckFee $ 'j fll'Z$. I L I WaterMeter Size~.$"; I";
I State Surcharge $, r(l . 9"J I Pressure Reducer
I Penalty $ I Sewer/Water Connection Fee
I Plumbing Permit Fee $ 100. on Water Tower Fee
I Mechanical Permit Fee $ ,. lIJO. DI1..- Builder's Deposit
I Sewer & Water Permit Fee $ J'S". '5Q I Other
I Gas Fireplace Permit Fee $ l(o.OD I TOTAL DUE
r7/fjttYomBuil7i~;;ved
l~lg~cia1 Date i-
,
$
$
$
$
#
#
i;:;: ~'/
{, I
1~0. ~fd
I
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 City, Planner constitutes a -...r-....... Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
'-l/'SG tB-i
~ ~-<'~~~..
Date Special Conditions. if any -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Planning Director
~
'-..../
',' " ..,...'......
\'.
~
Th~ ("~nltr of 1M Llikt COllnlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ 0/- ~ o/J ~
APPLICATION RECEIVED L;- ;} 0-0 /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~ 7~;(- 0r..-MJd.4-i7V J-~
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/V11-13
Date:
L./ -Z,3-C)}
Comments: ~AA RAverse Side, for Additional Information!
~ee Attachments: 1) Grading Plan, 2) Erosion l;ontrol Measures.
3) Frosion 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."
~\
White - Building
Canary . Engineering
Pink - Planning
Tht('tnltrof tht Lab Country
BUILDING PEflMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT LJJ 0/-):" 'iJ ~
APPLICATION RECEIVED l.I- d 0-0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~73;(- ~~d4uv l-~
Accepted Accepted With Corrections ~
Denied /} rfl I
Reviewed BY:~.1./ ~/<-- Date: cf- 2c;- - '2a:J,(
Comments: - n,
]tPOJ'l.- dVJLa.ifa~ ~()Yc~
"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."
u~1
~
White - Building
Canary - Engineering
Pink - Planning
Th~ ("l'ntC'f of lh~ L.ke Counlry
BUILDING PERMIT APPLICATION D~PARTMENT CIifCKLlST
//)
NAME OF APPLICANT L;t 9lJ::'/j;rJi1.R//
APPLICATION RECEIVED J./- j ()-o /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1:-7 '/-3,)' all/j; o?; i-'U ,J.~-I(/
Accepted
v
Accepted With Corrections
Denied /....\/ I ^
Reviewed By: ~~~
Date:
t{4718/
Comments:
.'1Ivur} 1M1/'"1 :;2. L-{ F, ~{\\).o.A ~ / A }f~ -
A-1F~ W~ /~-AA.1 4- ~~ It< 'U'0
~ ('V/b,' 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."
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
vr 'Z--t ---() /
(Please ~ or orint and siJln at bottom)
ADDRES/67 g;). ~ tv~v'\l~
;~7. ~::y I PERMIT NO. 0/-03 "dl
3. Yellow Applicant fJ '(
kN~ IZ~1?=)1
LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK J ADDITION
OWNER
(Name)
(Address)
-:s -J- (
Mwt)i'!.lVGIf ,I'INO J 2-,.Jt.>
Ii,) rt1 ~ S ,rN c.,
(phone)
PID 2S -. ~"3f -b z.r-o
~~;~~ANT See -H _S'+eJp~/(~,~one) 6s-1- ~so--69b5("
(Address) 63:2.1 f$"",rC{v..Y A-lAL T-h II- 55a 77
~Addreslt /.. (City) (Zip Code)
(Contact Person) 'SCI2L!/~ _ L2 ~ ~ (Phone) bJ1-')?r-:--/5'S/
APPLICANT SIGNATURE ~ t/ ~ DATE 6bflfo/
Quantity
:2
I
I
I.{
f
(
(
3
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower (
Dishwasher I
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough-ins
Water Heater
. Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
1
1
j
FEE SCHEDULE
Industrial, Commercial & Multi.family I % of job cost with a $39.50 minimum Residential, New One & Two.Family $99.50
Residential. Additions & Iterations $39.50
Estimated Cost $ Building Permit # -?
PLUMBING PERMIT FEE $ ~
STATE SURCHARGE $ ",..--- P PAlO WI-\~\
TOTAL PERMIT FEE $ /'" 1_ \\\.O\t~G p~, .
(Offiee Use onlyA J rrJd~e! /' \ pi
ThisAttJ~iRsYoUrBUildingle':;Ah~noToved II:~O ( ::~ro'
B~meial Date (!) VV I-
I 24 hour notice for an inspeetions (952) 447.9850, fa. (952) 4474245
04/20/01 FRI 11:30 FAX 8128902753
STOCKER EXCAVATING
1aJ00l
_"~I"ILI
'I'Iu.o_ - .....1'UCa.-y-
GOt.D - aT1'
CIT~ OF PRIOR LAKE NO.
SEWER AND WATER PERMIT
NO~E: Sewer and Water
contractors must
b.. rl!!gisterad.
with the city.
APPLICANT: DIl Mechanical/Stocker Excavating
PHONE:
890-4241
ADDRESS:
82//).:/: 12}% St. CZ~
SICNATURE: LI ~ ~ ~
SITE ADDRESr 14361 Dove Court
~n711 DATE: 4-70-01
BLDG. PERM,IT jJ 01-0212
pID~
~T.LL IN THE BLANKS
1. Estimated length of water Sl!!rvice
feet"_
2. size of water service
inch (es) -
3. Location of any couplings from structure
feet.
4_ Type of sewer pipe. ASS
PVC-x-- cast Iron
S. Estimated. length of sewer line
feet"
6. Cll!!an out (if required), located. at
structure.
feet
from
.:z==______... ._______am.c:z=c=====:::;::;:_ _______.. ..._~__.s=:c==__________---s-.c
This application becomes your permit when approved..
B~
DA~E:
==llIiiliill';;;:;;;;;__....________====:::.B.z:::z====:c ._." , O' lIS==:::::; _.,.,." .'
M~_~______=========~
FEES:
$
$
$
35.00
.50
35_ 50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
S .So surcharqe_
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. .
DATE PAID
RECEIPT jJ
AMOUNT PAID
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesola 55312/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Oppol'tunil)' Employer
MAY I 6 2001
-........
...BLOW .. ...... OM7
-.- ~ ....
CITY OF PRIOR LAXB
SEWER AND WATER PERMIT
S.W.No.Q.J~O g(
APPLICANT:
ADDRESS:
SIGNATURE:
SITE: ADDRESS:
NOTE: Sewer and Wal.r
contractor. m~~t
be reqiste sd
with the Ci ,.
~ PHONE:J,.61' fl'57 k
, ~ 6#1~~tfrE: S.../1-a/ :
\ BLDG. PERMIT . (J 1-.:03 g-~
\ . I:
PIDlI 'Z5 - 33~ -Ol.$>.D
1:
Wb,k.,./,. ·
1-
2.
Estimated lenqth of water service
~/
/ inch(es) .
FILL IN THE BLANKS
~r
feet.
Size of water service
3 .
Location of any couplin;s
from structure e> feet.
PVC ~ast Iron
~S-;-' teet.
5.
Type of sewer pipe. ABS
Estimated lenqth of .ewer line
4.
required) ,
hrm
"
"
~_~z___.____m______KC=_D---=-=___..ta~-
!
Ii
when approved_
-5 --/7 -0/
DATE:
6. Clean out (if
structure.
lqrat-o.t
-. .-. ...
-~ ,.,.,~.
feet
This application
BY
I:
_.____a=~~___._. _==_________._______~_===~__..~c~_~=______~__..__
Sewer and water line connection permit;
Surcharge
TOTAL
~______~_~=~_____c=
FEES:
$
S
$
35_00
.50
35.50
.. Fee for eit:.her sewer or water individually is $20.00 I lus
$ .50 surcharqe_
Sewer end wat:.er permits issued for new construction must ;be
recorded on the buildinq permit card at the time of issu~~ce
to insure that no duplicate sewer and water permits ilre
issued. ; ;
DATE PAID AMOUNT PAJ:D ~p~~~ I
RECEIPT 1# REe' 0 BY f ~~ I:
I;
f
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota .5.5372/ Ph. (612) 447-4230/ FAX (612) A~7-424.5
. An Squal Opportunil1 Employer 1
II
10 ~d 9NI!~^~X3 NOSNHOC 09~~15p 1E:L0 000~/11/E0
.
JUN-2Iil-2Iil01 12:57 VIERECK FIREPLACE .... J.~lJ0456
.~~"0" -.,~ hi I\Idto.- ~&& & 'V.. ........nJ".L.-1'\..I\.L '"1'1 \ ,
~ ~ HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
..,,"...... ~ +0 ~ RD <..I:J........ ~ ~ o-n
P.01/01
Date Rcc'd
6 -,;). 7-0/
(Please fvTJ!:: or a~t md !licm. at bottom)
ADDRESS
\ ~\3~
;;:.~ ;!!~. I PERMIT NO,- 3C>~
1. Yellow ^pph~1\C I D
LEGAL ~ESCRu" ! lvN (ollicc UfO only)
LOT hLOCK 3 ADDITION
r
I ~~G(om,.vx) I
' /sn
fJ (/}t JA--~~.;25-33g- O:J-S- 0
(phone) b/:J. '1~7 ~
.1J4J
.<!:) SnW
l,_,~._...., ~or
Ij)-J&;A~
OWNER I
{Name)-----=:>- k t1ornE5
(Address) \-bO~b
.~~,,"'~
~...~
l A.1lD V, 1\0
APPLICANT
(Nam.) \.J ~ ~ _ ~ '\ . "" \,,-'>>
(Addre.<s) \ \" \ S I ~. ~
r--.... (Add..ss)
(Contact Person) -T- n .. .. t;l. \ J ~ ~ ...~
- \~-
APPLICANT SIGNATURE _ _~.. Q>_~ '\
~~ \ 0 .0..
(phone)
C\S;}. "-'l..{D ~bd..D
'\'"C"' .n r -..l.M.t
(City)
.~
~ C; '" ~ ",_
(ZipCo<l<)
(Phone) q <: ':).. I.f U L) "F, ~
V'I J2~DATE _~- ~o-ol
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENl'NOS INPUT OUTPUT
TYPE OF SYSTEM HEATINQ OR POWER PLANT
OWarm Air Plants
oGl1Ivity
o Machanic.1
DAir Condltionirlg
oVent. System
o Ste.m
o Hot Wolor
o Radiation
o Special Deviccli
o Other Devices.
C'N'3h("') R~",J
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setback.
FIREPLACE MAKE AND MODEL }"Y\~.e.o.+\c....
--...
"
FEE SCHEDULE
I % of job COSl Rc.sidc:ntial, Gas Firepl8ce
S39.~0 minimum
599.50 Residential. Additi"ns & Alteration.
56'1.50 Residenlial. AC Only
539.50
JmJ1Jstrio.l. Commercial &. Multi-Family
Residential. Heating & Ale (New Constnu::tion)
RC:iidcntial. Heating Only (N!!\\' ConstrucEion)
$39.50
S39.~0
Estirn~ted Cost $
Building pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER-WIT FEE
$
$
s
.50
(otTictll:'icOnb")
This Applic.tion Becomes Ynur Buildinll Permit When Approved Paid
Buildinl omcial
---
D... DatY76l/
24 hour noti.. far all inspeelloas (952) 447-9850, rax (952) 447...l245
QIl;t''''ipt No.
----
By ur _
U
8U PAID ~
. 1l.D/NG ;1"fM;AL P. 01
E~rv.rr
06/14/2001 10:34 9528911656
AIR MA""t:.I<'" INC
PAGE 01
,-/' t if ~ t. f I f ,~ 11 .
i I ~ I 11 II' I - 'f I ! I~ J l (~
.. t I! ~ w , I Of l . It?: . I' ~ ~j
'~l J ' I j.8' ~ . ~ !
! Is I f 1 i I~ \ ,I' II.~
., ".1' :'. I , ,_ t ;;. t il i
'I. , I < \8 ~ .,i
: ~" I~!.~ i ~.~ .. ~~ !
\ <; ; t. i: ~ ",',~ ~ "
~ -- ~'-.)" ~ I
~ \ W
. ~ CI ,~
.~ t. i'~ I - f' ij ~II P ~ : I I: 1111 Ii
~,l!' ,':''-''ll!tf! _, (~!II if;,11 Ii it!111
'i: G. ,...:s I. ! ~ II ",. ~ ,,1'!B1Il ... - Ii.. ' ... 0 ...
~ \ ~ L . = h i ~ J: ~ ~ :41 t! I
"j
jl~iil ~ if ~'" 1'.1 8
l,il"iH I ~k Il \ I -..n~ i.
, I ~!."I'i ! Iltl i I ; ;til!lsJ: '
!Llj.ili ~ li!
i-lia!.! ~ ~
~ 'l~i~l ~ i~i~ I I . ~
i~' 11181 ~ il,~.. I t.1 . \ iii
~ ~~lt,ll ~ 11 2: \ I '
. ,~ iil I 1 '
I. ;
~
5~
26
(i)~
"1l::j
m::t:
~
::j
:DY] llOIIlcI .0 l.L1 D
nztLnZtt 1:V" tt:tO aa.ll st/U'SO
lnnB'
Job Address
---- --~-
.'
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
.,
SITE ADDRESS J.IiJ n w 1w:9..~l- ~'....J/_
NATURE OF WORK f\.).e.....J
USE OF BUILDING _ ~p~
PERMIT NO. nl- 03P.l9., DATE ISSUED 4-Zf..t-'7t!'Y!.)/
qONTRACTOR - \ ....K~... :J;,r. M2-"1en -20Sb
N~TE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR J _ .J"TE/
I FOOTING !l-~Pm.J.- ~ 7/1110 IrQ 11- 1 0Jo/
, FOUNDATION (Prior to Backfill) I A.-. 151.;2/ I b f
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - ,INS
SEWER I WATER I SEPTIC "b \!1lMA $" ) ~Ol
FRAMING ./k- " 71 ~ /tJ)
INSULATION . ~ 1is'/t) I
ELECTRICAL /J'
PLUMBING tL.-. I t?:r io icH/O /
HEATING (if required) W r } I r3-!~ ,
FIREPLACE ~'I ry /2-/6/
GAS LINE AIR TEST ~P. Cf1~ I ~ rA (., 7~J I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'_((Y~pt.. I I
" FINALS
GRADING (Prior to Sodding) A a.rf5 _
BUILDING'l.c....o ~ !r/15~1 br. ~~I tzr
ELECTRICAL ,(l
PLUMBING Rx .
H~~ ~_
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
1tJ.5.0:l
/1.1~/ol
'61J.'1/01 .
q(~l/IIJ r
BEEN SIGNED
\,
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all .in15peetlons have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447.9850
~~.~~~~",
(~"" .".:" -:- -'-'
;":.J. ~".. '-.-:-:' t h;_..~"" ~. ",,'t "'_,.,..."Itj;i-.... '~;";$' ",_' "f;'''i. .
.,' -. ~ . K:- '<1'..... . ........ . ...",.!iM ,~ ..., I
~, . .~ ... ,. ,l_ltl__
i -
; _ :': Itrtifirau of .crupancy
:~.~' C.ll i OF PRIOR LAKE
:i~ J!bpartment of .uilbiulI Jn~pedion
Il..-..f ~ Final Permitted 0 Conditional C.O. Expires
r~
This CenijiCOle isswd purslUl1ll 10 1M requirements of SectiOll 307 of 1M Uniform Building Code
cenifyillg thDt al the tiIU of isSII4IICe lhis slructure wa.s ill compliance wilh 1M various ordi1lll1lCes of 1M
City of Prior LoU regulaling buildillg COIISlrtlctiOll or lISe. For 1M followillg:
SINGLE FAMILY
01-0388
Use C1usi_
Bldg, Permit No
N/A
R3
~Type
Owner of BuiIcli...
Dare:
Dole:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
/ ~ ?:3'Z.-
SCHEDULED I~;'al
~l..".,/~ ~.
laUd
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ / -Jp> SIT;
o FOOTING
o FDUNDATION
o FRAMING @
o INSULA TIO
"FINAL
l:J SITE INSPE
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: S~ \,
;d WORK 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/
INSNO"
DATE TIME
SCHEDULED ~J,lj-I d),;06
/~~)tN
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1(",73::;)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-3 f~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL _ P[UMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS~.x--- ~ f~
~~
~
~
/''' uJ. (' ,
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Irt<- ,
o WORK SATISFACTORY, PROCEED
(B\ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr.
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
'NSN(}T,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'1.z401
Z:3D
ADDRESS
/6?732.. W/NOSOf!- LfJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/ - 388
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
-e, PLUMBING FINAL
)A MECH FINAL
COM~ENTsfi) ~ .p~ ~ I~ 11
I.u~ ~ t.-a.~.t.-. - .A1.Q.e..: ~tr,
.~, -r
~~ -'11.~ ~
~~~.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ ~~J~
o WORK SATISFACTORY. PROCEED
!: CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING
1?fy,
Inspector:
Owner/Contr.
/
CALL ....7_0 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE..
CODE ItEQUIItEMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/
IN$NOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
!O-,-o( 1//1
ADDRESS
j(p 731.. W, 'vdJo f Lyo_
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O{ - ~R~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
L///h B{)~ - uK
&reuA.,~ - CJY
, ,
J)1(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpeclOr:~
-
~er/Contr.
CALL "-7-9850 FOR THE NEXT INSPECTION 2.& HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""