HomeMy WebLinkAboutBuilding Permit 01-0510
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 1./- ~ ~-o \
M.~ l'n '
L Wh;~ rHo I PE~''''T NO. a
2. Pink City IUY.l.1
3. Yellow Applicant
f!'lease !'!PC:. or orint and sian at bottom)
ADDRESS
.J3.5..F (:/,,/vl,.Jt:l7t,.... T/lt:lJ'/
I'
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK .y ADDITION r; IVN fA) 4t 7 tr
I'
OWNER
(Name)
(Address)
BUILDER
(Name) ZJ~NJ tn t;A;/Y
(Contact Name) t3 e:t "1
(Address)
TYPE OF WORK
o Misc.
/,J a no. I' ,
---
~ew Construction
OLower Level Finish
/1/ w
II/()I
dJ Cldt/
(phone)
PID :1S--.3~.$"- OJ'-O
(phone) 6.sj - 'YO' -.yY6 f:)
(phone) ~/..2 - .3'" 9- "/ to / .2..
ODed:
o Fireplace
OPorch
OAddition
ORe-Roofing
OAlteration
PROJECTCOSTIVALUE (excluding land) S
ORe-Siding
OUtility Connection,
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 r-r-u.J 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
;ter7J";;;:; tOPerfol~ J ~S .P' -<J -,;zt-" / )
/ CSignature Contractor's License No. Date
[ CO . CO
100.DD
35.5'0
1{.0.(')0
l)>IS ~Fo#s Your ~ding Permi; When APProved
fft:Yb~ 5=-3-?a?
Building ~cial
I Permit Valuation
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
I "\6. O(Y'). (")("\
$ I? I";, l~
$ ~2i1. 't'f I
$ 7'-; . O() I
$ I
$
$
$
$
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
I Paid ~ r ,,1
I Date {~-/-UJ
#
#
#
#
$ ~<::::;n. t')'"\
$ 1/ I~o .(~
Y"1~S. 00
$ l/ t:) . m,
$ ',' 2aJ .qa
$ 700.01J
$ I. scn.OO
$
$
6.DZ2./Q
.. ,
I ReoeiotNo. ~"!(')/
Bv a&/
U
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. 'Ibis document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
u.ued. ~/~fe't ~. ~~O~~f~~~~C~
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
~\
tHo 6$"1 ()
Th~ ('tonlrrof lhrl..k.. Counlry
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLIST
NAME OF APPLICANT j~ )~~~
APPLICATION RECEIVED ?f - d.. '" -C> /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
---
330S" G ILI/VlU2rer Z l-
t
Accepted With Corrections X
Accepted
"
Denied / ) () 1) ~
Reviewed B~IJ':k., ~
-. 7
R;:;:a o:H-cA~ ~Q ~
Date:
--!J-- 2 - ~co/
"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."
"
11
&1.oS-/u
Thll C'lInl..r of Ihll Lak.. Country
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIIJlPPLlCATION DEeARTMENT CHECKLIST
NAME OF APPLICANT it) t2/)1 A/YJ?ct''?(~ 'Ijt:r;rv.L~-
APPLICATION RECEIVED tf - .), C:::> --0 /
:~~.,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at.-
,~3o..s G IUA/lU2rer I f-
- . (
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
U Ai"?'
Date:
S-ZS'~ol
Comments: See:Reverse Side for Additional Information!
,
"~fj, f:,'/t
See Attachments: 1) Grading Plan, 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 vi,olate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
-
~1
61-0S'/O
#
Th.. ('..nt.,. of th..l-ak.. Countr)'
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /j) ,.J,/}? ./77'.",'
APPLICATION RECEIVED t:/ ) -() /
r">,
c~'
/
",,-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-73 c:- /"" /-. .,,-
_) J,) (0 l,/,lt.i/Ut Ii r I l-
f
,
Accepted l~
Accepted With Corrections
Denied _
ReviewedB~~//-141
Com nts:
Date:
~/~I
~~4'i; ~_ r~~l. ~
~~~. ~ fJ~T~(~ ~JMAt,
"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."
Aug,20, 2001 3:29PM
GENZ RVAN PLUMBING AND HEATING
No,0473 P, 3/4
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
\:
'..;;
, t' '
~ "",e or..-an4 slan at botliomJ
ADDRESS '
i~ ~ I PERMIT NO. /-'-;01'
J,YelJo... A~ '.::J
ZONING (a/JLz=J
?-,~F-E--, hi t 01.-'." ~ -To I'r1 L-
, LEGAL DESCRlPTION (o&eUle 0D1y)
LOT '1 BLOCK ~ Au1Jll10N a-v J..y)\.l J/D1L..~
fj/ ~ ~
~JVd,
PID)~' 3bS-- 039-1)
OWNER
(Name) IJensmann Homes
(Phone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
APPIJCANT
(Nam~ Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(phone) 651-423-1144
Rosemounc _ MN
, (City)
55068
(Zip Code)
(Contact Persbn)
.
APPLl~ SIGNATURE
^--
~fte) 651-4';-]144
DATE .8/-zn!n I
Quantity
I
1
\
4
\
:2-
i
AP PLEASE COMPLETE BELOW
I Type ofJiD;tal'e I Qtwltity
BaJ:h Tub with or withOUt shower Rough-ins
I Dishwasher I I Water Heater
j Floor Drain I I(.. J T I WatJor Softner
j Lavatory (Ba";"w~. Sink) I I Stand Pipe (washing Machine)
I Laundry Tray (1 or 2 compartment sink I Sewage Ejector
I ,Shower Stall I I Backflow Assembly
Sinks I I Bacldlow Assembly Test
B~Sink I luwnS~er
Water Closet (Toilet) I I Other
Type of Fhtllre
'0
FEE S'-D.JI.UULE
Industrial. CommorclaJ 8< Mu!tI-tOmlIy Joy, of job cost with a $39..50 minimum Roside.ntiol, New On. 8< Two-Family S~~.50
Rooide.ntial, Addltions 8< AJtcratIons S3~.50
Estimated Cost $
Building Permit #
.'
PLUMBING PERMIT FEE $
STAl'ESURCHARGE $
TOTAL PERMIT FEE $
.50
S/. t:>
vIt.O'j/()
'11/--
"
(Olllee Use Ooly)
!bis Apidicatioll Becollles Your Building Penllit Whell Approved
Paid
-
I &"ceiptNo.
IByCG
()
(. ,
t:.
Buildi", OID.I..
DIll:
Date R-;}J-/
-
~4 hour aolice for :all in.pectiollS (952) 447-9850, fax ('51) 4474245
Aug,20, 2001 3:29PM GENZ RVAN PLUMBING AND HEATING No,0473 P,2/4
CITY OF PRIOR LAKE Date Rec'i1
HEATING/Am CONDmONINGIFIREPLACE PERMIT
~ =. .$._ f PERMIT NO. / - SI 0
~lea<e!YJ1e otlldnt and sian at bolrioml
ADDRESS
'6~~r;,{ \j V1 L0fT~ Tt? ~{ L-
LEGAL DESCRIPTION (oJBce ....OIlly)__-- d
:: BLOCK U AW'U'~l~ ),~
~~) YQn~m~nn H~~~
ZONING (ollico:...)
PID~-~~-637-O
(Address) 1895 Plaza Dr Ste 200
QPhan~ ~~I_qn~_l7nQ
Eagan. MN
55122
APPLlCAm
(Name! GA~2-Rv.an Plnmhin,:" ~ 'RA__Qf"..i.:D.i
(Phone) ~ ~ 1_" , l_ 1 11.1,
(Address) 14745 So t\obert Trl
(Addreu)
Rosemount, MN
(Cily)
(Contact P~rson)
(Pl}one)
.f
DATE
!;~I-l<'l_t l.J.A
f)/!:1L1 !rJ/
M.RT'V 01i=:nn
1 n-...
APPLICAN,l'l'SIGNA'I'l.1RE
55068
(Zip Code)
,
APP P;LEASE COMPLETE BELOW
~W CONSlRU...uu'" 0 ~CEMENT 0 ALIERATIONS
FURNACEMAKEANDMODELI~'l. ~!U-IDD FUELb,'\A'1- Nj,c:_
FLUE SIZE RETURN OPENINGS ~ INPUT /00, coD OUTPUT CU. OdD
TYPE OF .:>x.:>>u,,{ HBATING OR POWER PLANT
Ii3W01'llI AIr Plant! 0 Stearn
OGravity 0 ~~~,'t'.~
o MO<:banil:lll 0 """'--~
IilAi, Conditioning 0 Special Dev.CIllS
OVonl. Sysuon 0 Olhe.r Devi=
FIREPLACE MAKE AND MODEL
Industrial. Comm.erc1al & Multi-P"",jJy
Resldential, Heol1ng &: A1C (New Conslluction)
~dential. Healing Only (New Construction)
FEE SCHEDULE
1 % of jab cost Re.idc:allal, Gas Fbeplacc
$3950 minimum
$9950 Residonllal, Addi1iQO.S &; Ai_oWl
$64_'0 R.,.;clmtial, AC Only
Estimatlod Cost $
Builcling Permit II
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
w-'. U..,gnly)
ii' _ ...IS Applioation Decou.." Your Building Pennit When ApprovlKI
Buildi,QI OfB:cial D.te
/PII1c1 _
I Date~-d./- I
24 bOllr noli.. for .all illSpectinlll (952) 447-'1ISlI, fa:.: (951) 447-4245
PI-EASE NOTE:
Air COllditiOAel Unib
Omnot En=och into
Requited Side Yard
Setbac.ks
S39.50
$39.50
$39.50
lJl.t/11:>4/D
"'D/~ 11'-lr,
0;;>,,11
1::::/),"
'v,1l'
I
I
~.ip~
By y- c:.----
U
Aug,20, 2001 3:29PM
GENZ RVAN PLUMBING AND HEATING
No,0473 P, 4/4
Date Rec:'d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
- ~~ ..
i =.. ~ I PERMIT NO. /-c-/r,
:1. Gald . AppicaIt . J LJ
: ~.
q'leas. ~ ornrint anclsiR!> 11'-)
ADDRESS ' ,.
-:::z.,?--.,F,~ "hll lNlll \Pf"'r~ 17, r1"Q ft"1 I -
( I
LEGAL;ESC1UP1l~N (ollk< - tmly) /l t1 : ...,-- J. rJ d
LOT'1 BLOCK '1 ADDITION(jfk'mA)1J~ /7'
(I ~
OWNER v
(Name) Wensmann Homes
ZONING,_""'l
PII:b?')- ?, (S' -0 3Cf -r)
(Ad~~ 1895 Plaza Dr See 200
(Addn:u)
(Phone) 651-905-3709
Ea"an, MN 55122
(Cily) (ZIP Cock)
(phone) 651-423-1144
'R.o,o;emDnnr~ "N ~~1)68
19m (Zip Cock)
APPIlCANT
(Name) Genz-Rvan Plumbinp: & Heat:inll:
(Addres~ 14745 So Rob,rr Trl
(AddtosJ)
(ContactPepdn) Marv Olson h (Phone) "~1-42~-1144
~LI~SIGNATUR.E 1A. JLU C DATE p"/wn/
- - ;--
, APPLIC~~.l J:.....EASE COMPLETE BELOW
Size of water sezvice inches.
Location of my couplings from structure
Type of sewer pipe. 0 AB~ 0 PVC
Estimate<ilength of sewer line feet.
,'Clean out, (if. "''':I ,,;. ...u) loca~a:t feet frO!ll structure.
" feet.
o Cast hon
FEE SCHEDULE
Residential ..wer md water line eOllllection $35.50 hldustrial, C_'1 &: Multi-family 1 % of job coot witb a $39.50 IOinimum
Sewer ~orm.ction only S17.50 Water connection only S17.50
Estimated Cost $
Buildwg Permit #
SEWER AND WATER PERMIT FEE
stATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
SI.J/,-~41l) /1"
~I\tG '1'1-;
f:>JO-"
"it ~
'vtll'
(Ollie< Us. Ouly)
I" Tbis Application Becom.. Y O"l:' B"jldiDg l'ennitWhe. Approved
~" Blilldbll Ollicisl ' lI."
Z4 hoUl:' notice I'or all iwpoclioDl (~) 447-9850, fax (952) 447~
I Paid _ I R"'alpt~.,
IDate - IBY
'Z-~I-l Cu:..:...
o
FI RES IDE CORNER
CITY OF PRIOR LAKE
HEATING/AIR Cu' 1..:.ITIONlNGIFIREPLACE PERMIT
#3344 P.002l004
Date Rec'd
r?l1!ID.tI!I ~ Of Dtilu: IIDd. lim at bDtlaml
ADD~SS
33~ q,.,r.>d'... --rA....1J
UlOAJ. DESCRIPTION (olllc:o uoe only)
LOT 7 BLOCK tf Auuu.ON ~rJ An ~ :J. y.Jd.
O~R /, I _} v -
(Na_) ttdur~ o...~
~: =- ~1-1 PERMIT NO. 0/- S /0
ZONJNGCallla:lIIll)
pmd5-~fo'5-039-0
(Phone)
,(~ss)
APPUCANT
(Namkl ALLIED FIlU:SIDE DBA 1i'IRESIDl!: Cy""",~
(Phone) 651-633-:1561
(A~) .2'00 ~. 1"AIRVIJl:W AVENUE
CA4lh,,)
(Contact Pel$On) BRENDA fiIJSTON ~
APPLICANT SIGNATURE ~
}
Rr.t~RU'Tr.r "'l lO.1'
(CllY)
_ (phDne) 651-633-2561
DATE ...1%>WOll-
r::.1::.11 ':l
(zip Cod~)
~-~
Al'PLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AJ.TERATIONS
FURNi\CE MAKE AND MODEL FUEL
FWE SIZE REJURN OPENINGS INPUT OUTPUT
TYPE OF S. o>.~.<l: HEATING OR POWER PLANT
JWII'IIl Air Plants ~ Steam
5~~tlcSI :::,::-
:JAlr Condltlonln. Specl.' Oevl....
:JVont. SY5leln Other Oevl...
FIREPLACE MAKE AND MODEl. tJ.n:l- JJ (;{., ~OOiJ-rr.:- -dItJ FIe--
PLEASE NOTE:
Air Cond.ltioner Unir.,
Cmlnot Encroach into
Raquinld Side YIOI'd
Sedlacks
Indusai~. Com~laI &: Multi-Fondly
Residential. HeatinS " Ale (New CanJll1lctlOll)
Residen~a1. H.eetinl Only (New Con-'",clion)
FEES.........JLE
1 % of job ,,"51 Residential, CiftIl Fireplace
539.50 minimum
$99,50 /l.esidentllll, Addili_ &: AllIcrations
$64.50 Residential, AC Only
539.50
539.'0
$39.50
E!alima%ed Cast S
Bulldlq Permit #
HEATING PERMIT FEE $
STATESURCHARGB $
TOTAL PItRMlT FEE $
.50,
PAID WITH
BUILDING PERMIT
, Rcc:elpt ND.
(011I..1./" Only)
nl. AppUc:.atlon Becomes Your Building Pcrmll When A.. .' . . ,. I ' Paid
IJJ!e
4- /-(j(A
8Y~
B.II..... 0_1
D.,.
24 haur notice rDr alllnspectjDnl (!ISZ)447-9ll5Oo ra. /9S2)441-4US
,.
r--
~
?
d
diJ
?
c!.
PRIOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
I;IUILDING AND INSPECTION
SITE ADDRESS ~,~<.:::; ~ ~ 1
NATURE OF WORK ....1'0,'
USE OF BUILDING ~ FA-
PERMIT NO. 0/- 0.5/0 DATE ISSUED ~ - ~ ~ '200 (
CONTRACTOR W..lLv....~'" ~ (,1"2..- '](.7 ~ 7,"<-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING 11..\J~ I ,,"'/ '=-101
I FOUNDATION (Prior to Backfill) I ~\l~ ~(,\lpl I r~ V~ ""slOI
PLACE NO CONCRETE UNTIL ABOVE HAs BEEN SI~NED
ROUGH - INS ",
o
~~~
.~~\\~
~'
1t~ I
B>i/~
I
I
I
hl.~ol
j J':IS--~ } '>
fl w 1{.j'....r.1'
SEWER I WATER I SEPTIC
FRAMING w,... JtVo
INSULATION VI
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ,\
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINAL~'f-
~ fh"p--
~
~)~i()!
) )i. fl- , \
))..- le-) ~
GRADING (Prior to Soddinjl)
BUILDING "("C.D.~ 1d~/n'"
ELECTRICAL
PLUMBING
HEATING
o
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
CJ/z,(/o-z-
~!I't/n-
'4j / iql(1l~
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 placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~-
Itrtiftrau of Irmpanry
'CITY OF PRIOR LAKE
Departmtnt of .uilbinll In''pettion
[jl'} Final Permitted 0 Conditional C.O. Expires
This CeniJicale issued purslUUll to 1M requiremefllS of Section 307 of the Uniform Building Code
cenifying that Ql the time of isSllD1lCe this structure was in compliDtu:e with 1M variOllS orditlllllCes of the
City of Prior Loke regulDling building const1'llction or IISe. For the following:
SINGLE FAMILY
Use CIusi_
Bldg. Permit Nr'
01-0510
( .." ',.. Type
R3
Type C...lIUClion
VN _Fi..Zonc N/ A
ZoaiD8 District R? ~n
LeplDacriplion L7, B4, GLYNWATER SECOND ADDITION
Owner of Buildi..
WENSMANN HOMES,
c.., .,. 's N.... ol Addreu
, I
'i.. Addreu
3355 GLYNWATER TRAIL NW
1895 PLAZA DR., SUITE 200, EAGAN 55122
Dare:
ROBERT D. HUTCHINS
Bulldi.. otilcilll
Ie OJ..
~ity~
Do..: ,
DON RYE
POST IN A CONSPICUOUS PLACE
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
1/1'1;61-
'33S-S- 4t-.~
o
SCHEDULED
/tJ: tTO
ADDRESS
OWNER
CONTR.
PHONE NO,
PERMIT NO,
~I - S"fd
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATlO 0 SEWER HOOKUP 4\)
)J FINAL Al'"l\~LUMBING FINALXlX)
o SITE INSPECTION (f5j? MEcH FINAL
COMMENTS:-.@ r1I~ Y' ~ ~A .
~~rCh- --~..
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
"..~,
,
r
, .
1 0/ g l/ 0 2.-
I f
--r ' ~~, +:.n
A ,
\)j~~-~
I~~~~
t'^-J. _ ~ - m.... ~ ~u:rg
o WORK SATISFACTORY, PROCEED
" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
'f
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTl\;E
rS~5'1
ADDRESS 33SS GlVh~ Trl
SCHEDULED
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
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
COMMENTS:
r,-"sr
...,- .::>
- 6I<.A/\{ . Oll<..
C>>I<.6 ~ - ()'\
~3.SI - GIJ.. 6.{) 6. - N.A
(, >R~--OV\
Sd) n~:t:'l 11-J ~
DATE T1ME
9--.i5-rJ"?
\AI' .('vJhJ1u,>1lI1
(')1 - .'::70
~IFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
.Jlf" 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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/I.T'
ADDRESS ;BS5.- 51 GL,l/NW~ ~.
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
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
SO lJ / 7lt.E;.r-;
,
COMMENTS:
(j1-510 , Sf/
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
w
di' "'_...:.."f,/~"I<
J!' :.'-:-~" - ~
" -'
.' -, .'
:; "".' ,- .":".,"
~,;,;,,~,~~7__);,_:;";:~;;'!,i). .;
r1 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: $ Of. ..:;J..{),,^, Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
lNSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY!
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