HomeMy WebLinkAboutBuilding Permit 01-0393
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please .!VD~ or Print and sie:n at bottom)
ADDRESS
3$1-6 & Iin,- ~L-
L Wh;~ FH, I PERMIT
2. Pink City
J. Yellow Applicant
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK 3 ADDITION TltC.- WJI.-os. Yn+
OWNER
(Name)
(Address)
Date Rec'd
4~zf-01
ZONING (oflk, u,,)
fl.)
PID~5' 3'7S- Ol?-O
WINDWOOD HOMES
14;:111 cwmg MVtl. 3., 3....;{.:; r3C
Burnsvi/le. MN 55306
(Phone)
'151-- DI~ B~
BUILDER
(Name)
(Address)
TYPE OF WORK ~ New Construction ODeck
OLower Level Finish 0 Fireplace
,DMisc.
(Phone)
DPorch
OAddition
ORe-Roofmg
DAlteration
PROJECT COST/VALUE (excluding land) $ 110D()O
OUtility Connection
ORe-Siding
1 hereby c 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 ag t for 1;..... . t..-W,I.,:J.j':'C,:"::C. 1'10 and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am w at e b. g official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teruponthe___r ., operfo dinsp:ns, ?'Ill 7 ~3~
I Permit Fee l. 3 BS. 7<;l $
I Plan Check Fee I $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $
I Mechanical Permit Fee $
I Sewer & Water Permit Fee $
I Gas Fireplace Permit Fee I $
,..''''''''~
,,,V.~
'iro. 7 <(
85.00
I()O, (!) 0
/oo.tJC>
35". s-o
qO. a::J
~m::me~Iuildin;;7:=p;roved
Building Offici;{ Date
V
$ B.S'b.O':S' [
$ /. I t:;O,CX;;
$ , 2"!V.C>t!)
$ '70 .00_-
$
I. '2M. OrJ
$ '7m.t9-{') I
$ /."'~,~ I
$ . I
$ 8;3h". ~
I ~~~;/1'1'u7
!
Contractor's License No.
170~oc::O .ro
I I Park Support Fee
I I SAC
I I Water Meter Size 5/S"(JY
I I Pressure Reducer
I I Sewer/Water Connection Fee
I I Water Tower Fee
I I Builder's Deposit
I Other
#
#
bate
#
#
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and n6y proceed as requested. This document
~r.:uc:m~ff=ate~~cmm,,~;:;:p;mcemdill<::~;~(B1:k;;~O~
~ 'Planning Director Date ~ - wi Special Conditions, if any - 1-
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
~
t.lMfiU
~~~-ol
I Paid ~. 3''', '11
I Date '.er4fA,{J J
TOTAL DUE
il
Tht{'tltltr or due LtkeColllttry
.white . Building
Can.ry . Englnwrlng
PInk . Planning
. . ...... .... . '';;''}>*;If,;(,,,,<t',jldi$'''1~~\1i
BUILQING PERMIT APP-.,ICAnON DI;PA1ITMEN1' CH~~KI;..IS't .
NAME OF APPLICANT // / / /1/d t.VCJ(')Ji:( A JJtes"
APPLICATION RECEIVED 1/-,;1//-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
3:3 ,). b Fr.2>( fa,' I -r y/:/'-'
,/'
Accepted.
Accepted With . Corrections
.........,
Denied ...........,
Reviewed By: ~~~~ Date: r(2/ei
C.t~~~ tU,.?v ~~ ~ t%r.;~
t~ ~~'X",S2IF'~~_
S.V--~ r,A)Y~ ~'M'~ _
~~ 3D~'L ~~
, . -.~ cJ.I~~.tAA V
-#~~~~A~ ~~~::JlO
~~ 6~ A
,;;.
~
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
~~
White - Building
Canary - Engineering
Pink - Planning
ThlL' ClL'nllL'r of lhlL' L.klL' Country
BUILDING PERMIT APPLICATION OEeARTMENT CHECKLI$I
NAME OF APPLICANT
APPLICATION RECEIVED
//J,/vd tLJt:jtJJ ~AJJtci
tj- dt/-O I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 :3 :;)., h FO'K 70j / -r Y-/JI ; I
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
Date:
"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."
:tl,
White- Building
Canary - Engineering
Pink - Planning
Tht' Ct'nlu or lh.. L.kt Country
BUILDING PERMIT APPLlC~TION DWRTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/// / /1/d wc:locL '*i ~ mc!;.
. , \
t/-dt./-O /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3:3 d-0 Fox 10,'/ fro; I
x
Accepted
Accepted With Corrections
Denied
Reviewed By: AIIJ8 Date: L/~.?()- 0/
Comments: See Reverse Side for Additional Information!
"
oee Anacnmems: ') uraolng t'lan, 2) erOSion Control Measures
3) Erosion 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,"
,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Ree'd
~. S-O}
; ~ ~;~ I PERMIT NO. A/_ 030:J
3. Gold Applicant V 70
(Please ~ or orint and sim at bottom)
ADDRESS
ZONING (olliceuse)
3 ~.:z.C
FOy"n1z. t:.. TIl.
LEGAL DESCRIPTION (office use only)
LOT.3 BLOCK3 ADDITION WIWS 5171
PID 2.5 ~3 7S - 01 i" -0
OWNER
(Name) WJ::.vJo W 00 0 }../CMIl~~
(Address)
(phone)
(Address)
(City)
(Zip Code)
APPLICANT
(Name)~. ~. r f:/.E~ ~)( ( .
(Address) 1 ~ 1/ ~ J Of'L z;.,J lAl "''7
(Address)
(Contact Person) ~LA "/to rJ
APPLICANT SIGNATURE 4 ~ o~
(Phone) (~J.~J... \ 1?"r.2.-'''t~b
Lfq((..bU~LU
(City)
.ff'so t{ L(
(Zip Code)
(Phone)
DATE ---1.f2.../S-/o I
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure -
Type of sewer pipe. D ABC 0 pvc
Estimated length of sewer line '-10 feet.
Clean out (if required) located at - feet from structure,
feet.
D Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minitnum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
~o
~B~ D6tL-
1) V (1/
(Office Use Only)
This Ap Zl!f:a . omes Your Building Permit When Approved
I {Jr)'O I
r)iu, dl g Official Date
pa~
"Date & '5.01
24 hour notice for an inspections (952) 447-9850. fax (952) 447-4245
1ilJ00l
Date Rec'd
tPlli..lYE!= or urlnt mcl slim. at boaam)
ADDRESS .
33~(, fO~"'l'\'l".. Te...lt... N\II/
LEGAL DESCRlPTlON (ollice use ooly)
LOT ~ BLOCK.?) ADDITION Ii) ~
~~
d
OWNER 1_ /.
(Name) _"'" I /J1>~"O
(Address)
APPUCANT ..
(N.-("~.t.""..e... ~"'.Q1I ..fiI.ro.Po"..
(Alldress) !,,=i't/-:,<"~<:" 'f'.l' ~ V ...v..
(AddnlS)
(Contact person";D 6'" "fL i/:) C A([A-tr'JC.S
APPUCANTSIGNATURE~ e'..f' c:r/:.~*, /
H:. =""'1 FERMlT NO. 1-'3 q:3 I
ZONING<_...,
P../
pnPlb~ 3/}s-[)/y-.O
(Phone) .
(phone) ~~ . t49V:- if~'
R. ~_...... rrN-
(City)
(Phone) . '~u.. ~
.'_,_ DATE
<"'. ~ c,I If ~
(Zip Codl!)
I!.~"" '-I" e. ..
V- Jf)I/6-f
APPLICANT PLEASE COMPLETE BELOW
ll!I!EW CONSTRUCTION 0 REPLACEMENT 0 AL TEM TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPB OF SYSTEM HEATING OR POWER PLANT
Ow..... Air PIlIftlS
OO...vity
o Mechllftleal
OAir Condhlonln&
OVonl Sy......
FIREPLACE MAKE AND MODEL c?V.,P~L,ld~
~Sloom
HotW.....
Rodlation
Special Doyieas
Other DcviQCI
'i> r (, t8" (;'''' A./
PLEASE NOTE:
AIr Conditioner Units
Cannot Encroach intO
Required Side Yard
Setbackll
Jl'EE SCHEDULE
I % or job ...t Rosid"'lial, CiU Firq>l_
$39.!0 minlllNm
Residential, Hcarinll A AIC (Now ConslNctlon) 599.!O
Residenlial, Hcolin& Only (NeW Conslructlon) $64.50
Estimated Cost $ ~ ~
IndUSlrial. Commercial .to Multi.Family
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(om.. U.e Only)
This AppUeatlon Becomes Vour DuUdinl Permit Whan Approvad
Buildiac Ornei..
Dire
l' hour nOli.. ror aUlnspeellon. (!/!i1) ..7.'1S0, rill ('53) 447..U45
Rosldonrial, Additions A AI_on.
ResidClldal. AC Only
$3'.!0
SJ'.50
53'.50
BuUdinl Pcnnit #
EJlJll.'6J~~ IIlll7',..,
PERMrr
$
$
S
.50
I Paid
I DateK_()..c,_O (
Receipl No.
ByQ.C-
U
423 3017 P.01
CITY OF PRIOR LAKE t 5.. E-
PLUMBING PERMIT PPNo. _/ - 3~
Applicam: l'!a+l-n,uJ ~"j,/.5. IntO. l"hone:~S/)
Address: I6UO (lL1""IJIL~,1 *~. R"'-U>~J"~ MN
Slg"ature; I') JI 'If' . '--rJ .Nd II , .., .;,,4......
Legal 0811cnptio". Lot _::?J Block (/ ...5 SUb~ .$\In ()"".
Site Addl'8ss: ~A:~~ '-:h.../~; 1 , '""'-. N. "IN'.
Building PelTllit It PIO #::)..5 -: 3 7S -(j /J"-C/
NOTE: This pemlit....11I not be ~. __~ without complete i"formatlo".
~l^ luRE UNITS
06-27-2001 10:40RM
MRTTHEW DRNIELS,INC.
'nteC'__"'" .....c....U'7
QUatlt!ty Type of FbrlUre QUal'ltity
~ Bath Tub with or without shower ~
, Dishwasher I
I Floor Drain
S- Lavatory (bathroom sink) I
, Lau"dry Tray (1 or 2 compartment sink)
I Shower S,all
I Sinks
Bar Sink
-..5 Waler Closet (toilet)
FEE SCHEDULE
I"dustrial, Commercial & Multi-Family
(1"" of job cost, $39.50 minimum)
Reside"tial, New One & Two Family
Residential, Additions & Alterations
St.te Surcharge
$99.50
$39.50
GRAND TOTAL
.....~ - ~'2.-'I"
s.,"'1!J1J
Type of Fixture
Rough-ins
Water Heater
Water Soflner
Stand Pipe (washing machi"e)
s_age EjeCtor
Badci10w Assembly (RPZ. Double Check. p\re
Baeldlow Assembly Test
Law" Sprinkler
Other
$
$ qq4iL
$
$ .50
$ /11'1. IUJ_ ~ -IJ.I.;1
This penn;' i. .....= upoathe ""p.... condition lit.. said 1"
conrrac:ror. shaI1 compl" in oil ....1*'1 willt the ardlnancco
of the sa.. P1um1ll"l CaclullCllhe .. ., ,.." "," ~f.
............. rlO- &lYfQ.J...DATE.
-(~/ ATTUT
Call for all iJlspeelioas ~ in IdV<lll&:e.
b.. PAID
WU1l.iJliV< 11-77';
G p€ H.
I)'.;/r
162' 10 Eaale CreekAv. S.E-. Prior Lake. Minncsora 553721 Ph. (612) 447-4230 I FAX (612) 447-1-245
. AA Equal On.r'R117 Emplo,,,,,
TOTRL P.01
CITY OF PRIOR LAKE MC
16200 Eagle CreeIc Av. S.E. PelR1il No. 0 \ - C))~ 3
Prior Lake, MN 55372
HEATING APPUCATlON I PERMIT
~ ~~ ~\o-,~\ PlD. QS- 31~-t)I<;'-O
~"Address ~ ~\. ~'())(.h.l.~ \ \rC\I't '
~d '"3 Block ...3.... Addition 4 : \ ~d S fu
Owner's Nlm. ~ ~ ,,~"'- 0.'" ~ \\ (\~
Address \ "'~ \ \ ~ ~"... ft v'\.. 6v...-" .s ~ ~ \ \ II
Healing Conlraclor <'\.., \-..." A; ~ \ () l..
Address \""~9.(") \..1Cl..\( ~~__ ~Jf Pf'I~_ \.Ltj~
Telepbond 4";;:).- '" "" 1- ~\ ~"\
FumlCll Mak8 & Mod.J(t,vr: 0""- TYPE OF SYSTEM
~ \J Jl \,...,..... WlflaNrPI8Ills. ~
MocIII SIze ,- , 1""' '-'\.. , GnvIr
Conn. Load 'il ~ -, ""\ 0.. Mechanical ,)a
FlNIl ~ "" '\' Flue SIz. ~ V (,. :~.~ hi )D
Supply Openings. I ~ HEAlING OR POWER PLANT
co. Steam
Retum ODenlnas , ~ \ Hot WIler
ll' \ &" .O>Q . Radiatian
a!"'u1~, Oulpul ~). \) ~ ~ Special Devices ,
od .
ll' t.
W OIher DeVices
:li;1m.
E
Il.
~ bndlonl .
.....1.paIr
TYPE OF WORK
A,....,lnI NIW~n X.
, ,
I. PIo1
'L. Goon>
3. Yellow
F~.
Cilr
c..o.a..
JYPE OF STRUCTURE
Public
Multi-Family
Other
Single FamIly
Coo ,.,.ia/
x
Two.Famlly .
Industrial
I%'of jab tOstlS39.50 mlnimlm)
599.50 PLEASE NOTE:
$64.50 Air Conditioner Units Canne
139.50 Encroach Into Required Side
$39.50 Yard Setbacks,
S39.5C
-, ,; ",. ':Ier to add the S1ale SUTCharge on !he bolIom allhi$ application.
Th. price III ~ healing permit includu one rough-in end _ linal inspection.
A,.' ,~'" I'",. . ..:M1S will be billed 01.1 $35-00 each.
HOUle HeMng Test RIlCOI'd mueI be aubmilted with IIIlifalg JlI!I!lil numbeJ before bulld-
ing cerlllcale or occupancy wll be ""Ued.
~ CAlCUlATIONS REQUIRED wllh number. suppJy and retLlrn openings iited per
fOlII1I wiIh CFM'I per opening. Nll\I' IInxltLII'II or addIlIons lend 11001 plan wiIIllUppIr
and reIum I,. '. .. shown, HEAT LOSS CALCUlATIONS, PAYMENT AND
A1'PUCATlONS MAY BE MAILED 10 THE cm OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. s.E. PRIOFIlAKE, MN 55372. '
City Hell bueinesl houno a", 8 Lm. . 4:30 p.m.
ALL WORK MUST BE INSP....., "'" lROUGK-IH AND FIllA!.). CALL CITY HALL
447...50 ~ ~"7- 4oz.Ll.5"
I hereby apply for a mechanical systems permlt and I aclcnllWledg. lhatlt.
inlormllllon aboft is 'comple!e and acc_e; '\hallhe work wil be in conform.nce
wilh 1he Jlrdlnenc_ and codeS. otthe city and with 1I\e mi. 'building/mechanical
Eo\. Comp. lhde c:odea;1hallhll form do.. nol become a permit unlH signed.by the BUILDING
OFfI~L: lhe11he _r11 WlIJ be in u... ~_:"ce with 1II. approved pl." In the
iSl&CoIl1 ) 0 : u~~~ . IIlIHdlngPe1mU cue oflllJ ~1kWhlch requl... revie~.and.apptDv.l of plan..
~teAnr.GPERMrTFEU ~~:~:. . :~._,.' :. .'. :".:.I:f_(." .....
m.' . . p. .." ~ .. 0" .....
;n:ArEi~Ciwm s .50:. 'BU/~~WI71t'- .0. .';.i.'.. ...' '. ~.:~'/<-. . ~ :"tp':!;;:f.J'~":'
~~t;,~,j.",,"",;.::1crA.~~"::::..>);;~';J~;~i~;'SC'2.i~; ,,';;ii.~~~
2'_'~':' .'.:M~., ~'-'_"'>.." '-~ ",,; ."~'-'.,_..',)?~_.,..<_,,~~..,~~,,-,~""= .~~~.~.l..~.~_,~1lM."'k'_"_'" ._~..."~~~~~~_...
Fee Scheclule
lnduslrial c:." ,,:J & Multi-Family
RllIlidenlial, Heating & AC
RllIlidential. Healing Only
R 'v',; :'el Gill r:...,.:..l!
Residenllal, AdciflOns & AI!eratlons
Residential AC Only
PRIOR LAKE IlEPARTMENTOF
. BUILDING AND INSPECTION
,..4
INSPECTION RECORD
SITE ADDRESS 33aG" fu)( ')";;,'/ ftaJ/
NATURE OF WORK ue..t...J
USE OF BUILDING ~ F{)
PERMIT NO. ()1-n.'2,q~ DATE ISSUED 5'-(- 2co(
,-
CONTRACTOR . \A/,.~ 1t..!tXl~ Ho'-fAO "- 8 ?5' - B'f 4B
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR . DATE
I FOOTING I $~V~ I 5/~q)l)'
I FOUNDATION (Prior to Backfill) It" /6-\"iS l I '5. V 1:>/4 oJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE _ J,
GAS LIN~ AIR TEST r-: (, fJ/U./t:J1
~
12., ,) \11M./
~ ~.~~\
'i,;. \\ \
Vl\().\ ^ 1ul 15"
~/f (,/l;:;
~
I
'7 )u jf'll
? kJu,f
~fi41f1') I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I .. Jg~., .1~ I I
" FINALS .
GRADING (Prior to Sodding) _ \ "I)
BUILDING /16\\~
ELECTRICAL . ~ I
PLUMBING "'f-. \)~
HEATING "'1 ,\)
DO NOT OCCUPY UNTIL ABOVE H S
NOTICE
I ,
1'1./.1 I 0 J
q, ~.It01
Gl I~ )t)/,
o
C{ ,11\Ol
BEEN SIGNED
This card must be posted near an electrical l/ervice 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 (612) 447-9850
Qt(,~l;fitatt of (Jempanry
CII r OF PRIOR LAKE
Department of .uilbing Inspection
~ina1 Pennitted 0 Conditional C.O. Expirec
'lhis CenijiCfJle issued p"nlUlll1 to the requirements of Section 307 of tM Uniform Building Code
cenifying that al tM time of isSWJllee this stfUClIlTe was in complio1lce with the various ordirlQ1lCes of tM
City of Prior Lake regulating building COnstTUCtion or use. For the following:
SINGLE FAMILY
Use CIusi_
BidS. Permit No
01-0393
Occuponcy Type R3
LepI Dacription ---.!:3 ,
Type c_ VN _Fire Zone W
B3, THE WILDS FIFTH ADDITION
Zoaina DiJtrict " 1
OwnerofBui1dins SileAddreu ~326 FOX TAIL TRAIL
WINDWOOD HOMES, 14311 EWING AVE. S. SUITE 200, BURNSVILLE
Con_'.N.....AAddreu
ROBERT D.HUTCHINS
Dale~ ~ ,\)nins 0fficW
City_ DON RYE
Dole:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED ~~~~/
I
33'~ ~ ~)(/CiJl
TIME
/ I r-^ CU
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO,
/-393
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
fJ PLUMBING RI
o MECHRI ~
Q-WATER HOOK
-ersE\NERHOOKU
o PLUMBING FINA 'fl<
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
\1-' Vi
/" l'.0-...- \ }I 71
(V'. j
7
I t. , I
/,
,//
r;-- r
f) ~/
N
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr:
CALL '"7-9880 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN<NOTl
~
~/.J-o/ liS"'
332.(0 FoX 7J9/0 n::....
CITY OF PRIOR LAKE
INSPECTlON NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
f'I.. 0 INSULATION 0 SEWER HOOKUP
t'"\ ~INAL A: ~LUMBING FINAL
roSITE INSPECTION "A-}'-.MECH FINAL
COMMENTS: ~
. 1(0, ~,
DATE TIME
/ - .3'13
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
"
~~AA,~
~ 1AJo~fcV-~+
/'
/ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~RK, F~LL FOR REINSPECTION BEFORE COVERING
Inspector: n. V{)A).l Owner/Contr:
CALL "7-9850 FOR THE HEXT INSPECTlON:U HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TillE
SCHEDULED If -8-6 J 1fT
3:> ;;2..0 rox T aJ- ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~M;;r
a:\-l-~
1- 393
o EltIGRADlFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f
~).-
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO!t. CALL FOR REINSPEcTION BEFORE COVERING
Inspector: ~JUI1AAf Owner/Contr:
CALL-::::::L THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
'N<NOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
J 2-CiJ-o! 14 i"t
, .-
PHONE NO.
'53Z(, Fo><-- 14,'( Tr.., '(
CONTR, W, ,..,/ ~d !I~
PERMIT NO. rr> 1- .3 <; J
ADDRESS
OWNER
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
~GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
b/'i(c? - "IL
(,,,,b T2.,...... - c? /!-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~_ v,yner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
1N8NO"