HomeMy WebLinkAboutBuilding Permit 01-0517
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF Zv,'u.G COMPLIANCE
AND UTILITY CONNECTION PERMIT
q'l.... ~ or orint and sim at bottom)
ADDRESS
33'0
GI",/Vw~/,/' Tra;/
,
LEGAL DESCRIPTION (office use only)
LOT3? BLOCK :z.
ADDITION
OWNER
(Name)
(Address)
Date Rec'd
4-",,0-0{
N\(H"'- ~~l.e.-
I PERMIT NO. -05/7
1. White File
2. Pink City
J. Yellow Applicant
N(,.)
r:/VH('}"J"r~7 /J/)j)
/
BUILDER U
(Name) l.)t'.;vfhqNN "hi'S
(Contact Name) (;; ~I" 7
/
(Address) 1~95 I'/ti"~~ )) r/ I/~
TYPE OF WORK
~
~ew Construction
o Misc.
OLower Level Finish
PROJECTCOST/VALUE (excluding land) $
I Pennit Valuation
I Pennit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
I. ~35. 7;<; $
~ G> '?...M $
&.'S1') $
$
$
$
$
$
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
ll..llfX9o I
~].;~ I
-fl~,-,-:' "- I
.J?C. I
I
/O{}.C!>'V I
loo.on I
S~S~
~I
(Phone)
ZONING (ofliceuse)
R-~
PIDil,f- .J5':l- OfJ9 - C)
(phone) 6,6/- .yo/' - ~.y() /)
(phone) ljp,.?t 9- ?~/;2
f"~/It<)/ /lIA/ 55/;2?-
oDeck
oPorch
ORe-Roofing
oAlteration
#
#
#
#
oRe-Siding
oUtility Connection
$
$
$
$
$
$
$ 'l~a;,.C)(}
$
$ B./21. 33
.~
'l,;v.oa
I 25'. eX:>
4~.rY')
I f:J.oO.t9 D
'7()() . t!2
[Jr; I Been
Building Offici
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
::~t:::~::t~a__......_, Cmfi~;:j;:liaoceaodillow~:~O~~: BCC~q~_;::;:::~.
Planning Director Date - Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and colTeCt. 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
;ter:cr:;:: tOPerfJ';~;;s /-Y5 r "/-.:8 -0 /
/ / /Signature Contractor's License No. Date
:/
V~Zi~~1
Date
o Fireplace
oAddition
I Park Support Fee
I SAC
WaterMeter Siz 9. \'"
~"
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
(,( {:J.....'1,~ 3
(,,- /-Cj)
I Receipt No.;) '1 r..~ d..
Bv rr---
MaY. 2. 2001 3:32PM
GENZ RVAN PLUMBING AND HEATING
Na.mO p. 5/5
Date Rce'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
. i ~. 2'.;.. I PERMIT NO.
J..... ............
1- fl!/J
IPIeaoc ""'" or1XlDJ:lDdsll!lritbalmml
ADDmS .~.>'
.---
~ :;2" 0, (1 .
I tL.~
ZONlNG (ot'&o...)
R-~
6/ \.yV'1 LLO.:r.eYe-
D
LEGAL DESClUPTION (~UIC"-'lIy)
LOT.~;SLOCK 2.wDmoN
()L/ll~
Tl" II
PIDd5~~S':<- C)()9-(,'
OWNER
[Name" Wensmann HOllIes
~OD~ 651-905-3709
Ealli.an. MN S51ZZ
(ClI:y) (ZIp Code)
(Address) 1895 Plaza Dr Sea 200
lA_)
APPLICANT
(N~) Genz-Rvan Plumbin~ & Heatin2
(l'houe) 651-423-1144
(Address) 14745 So ~<: T>;J
Wdr=)
Tln'.lUQ,l'......... ".fl(
(City)
~~n"ll
(Zip Code)
(Contac:r Pe:son) Man' OJ "'''l{
l,' "LICAm' SIGNATURE.t
. .
APPLI,--.lU~ ~ ....EASE COMPLETE BELOW
Size of~ service inches.
Location of any couplings from structure
TyPe of sewer pipe. 0 ABC 0 PVC
Estimaied,lcngth of sewer line feet.
..'Clean out (ifreq~) located ill: ': feet from structure:.
(phone) J'1_42);1 }~
DA'tE ~ I
feet
o Cast hon
FEE SCHEDULE
Residential.ewer lIIId watc;r line conncd:ion $35.50 Indu5trial, C='l &; Multi-f",,"ly 1 % of job cost with a $39.50 minimum.
Sewer '_~":DJ1 aoly $17.50 WatQ' c_c:don OQ.\y $17.50
Estimat=d Cost $
Building Po::rmit #
SEWER AND WATER PERMIT FBE
STATE SURCHARGE
TOTAL PEBMlT FEE
S
$
$
.50
, Bu,iZ;~GV~!..:_.
l::t)Jv,:iT
(om.. u.. 001.)
This AppUcatloa Becomes Y o"r BalldlDc Permit 'whea A.. " .' , . d
. Paid
-
I R~AtptN:","
I
IBYgu
I-
I
BaJldlalc om..1
Date
Dar.o (;,:... I ~() I
l4 hour ",.tle. for e1IID'PectiOU ()I!!Z)+I7.98!O.!u CJS2.) 447~
Jul.25. 2001 6:50AM
GENZ RVAN PLUMBING AND HEATING
__-UdEll P, 7/30
,..- -~
Vate Rec:'d
l,;.lJ X OF PRIOR LAKE PLUMBING PERMIT ,
(. JUl 2 4 2001
-, ..
~"lP.!!....*uut_at_)
ADDRESS _ '
~~O...' A/~ --outLL--
LEGAL DESCRIPTION (olIl~"'" o,uly)
LOT ~ BLOCX 1,- AiJJJuiON (cl [ II rill A \ trf e.v.? ~--r1--J.-;-
-.
Hi, E-- I PERMITNO-!_::>/7
ZONING c-...)
""R;;?---
PID B53S';)f-CfJ9-o
OWNER
(Name) Weusmann Home6
(Phone) 651-905-3709
~) 1895 Plaza Dr
Eagan. MN 55122
APPUCANT
(N~' Geuz-Ryau Plumbing & HeaciuK
(phone) 651-423-1144
I QUDtity
I I
I /
I J
I L.l
, 1
I :
I
!
(Address) 14745 So Robert Trl R061lmount. MN . , 55068
(Address) (City)' r. (Zip Code)
(ContactPdCl:ll.) Marv Olson \ "" . -'t.. . CJ ___ ~~) 651-423-1.16,6,
APPU~iSIGNATURE -1}._ N 1 ~~ "'DATI!
t. APPL~LE.ASE COMPLETE'~how
I Type of:B1nure I Q1wrtIty I
~ath Tub with or without shower Rough-ins
I Disbwashe.r I' I Water Heater
I Hoor Drain I 1Z,./1 I w.- Sottner
1 LavatOly (Bathroom Sink) I I Stand Pipe (wlllJbing Machine)
I LanndJy Tray (lor 2 e~_~_:"'ent sink I I Se~e ~lector
I ShowCl" Stall I I Baddlow Assembly
I Sinks I I Bac:kflow AssemblY Test
IB~Sink i luwnS~Cl"
,.., I Water Closet (Toilet) I I Other
Type ofFlnDre
FEE S,-.I1JLUVLE
lnd1lstr1al, COllllllOt<ial &; Multi-flllllly 1 % of job oost with. $39.'0 minimum ll-osidonaal, Now One &: Two-Faalily $99..'0
Rosidoalial. AdcIItlllllS &: Allalralians 539..50
Estimated Cost $
Buildq; POIIIlit *'
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
.50
BU/~~~ Wt'H .
G PERtV1Jr
COllltt U.. OnlyJ
This AppltcaUoJl JleculIl" Your BuiJdillll Perm..lt WII... Appt1lved
C
I
lIa11d.lq OfIIdoI
D~"
, Paid c.... - ~ )
I Date 7~;)i,.~O/ BYu--e---
U
:u buu nollen for oR ill. ., .:.. ., , (95Z) 447-/1l1!lO, fax (95Z) 447-424$
6:51AM GENZ RVAN PLUMBING AND HEATING No.8621 p. 10/30
UJ i OF PRIOR LAKE Date:R&c'd
HEATING/AIR CONDmONlNG/FIREPLACE PERMIT JUL 2'4 2001 .
IPIllue 19l1e or1llllDt oDiI Oi... OJ:_)
ADDRESs.. _ " .~
.~~n_:hl\)VllllPr'Tr:U?
LEGAL DESCRlPTION (oftie._ oaly)
LOT6€>BLOCK 1-- ADDmON
I.....
..-
>y-
s... ~PERJ.~U" 10'0. 1-511
"Ie..A1 L-
,L......',I,iIl.u,G (oJIiaIlR)-
p..,~
fJI tj()uJ~f/? P
S~l
.l..'1l-t-
PID
OWNllR
~wn~ Wpn~m~nn Hn___
(phone) ~~l_QnC_~~nD
(~) 1895 Plaza Dr Sea 200
Eagan, KN 55122
APPLICANT
(Name) Genz-R",R1n l'1urnhini & 'RBArin~
(Ad~~ 14745 So Robert Trl
GA<fdm>)
~hon~ ~~1-47__~
Rosemount:. KN
(Clly)
55068
\ r' (Zip CacIe)
(CODtad:Pe1'!lOJ1).........Hi>~ m aj1'" ~) _651_&7__\ 1,",--.
APPLl~GNATU1U! lA ,,' DATE -'117_U (n I
. " . APP 1 LEASE COMPLETE~hOW
- ~CV""'"'(\'U"UU!' OREPLACEMENT' OALTERATIONS
FURNACE MAKE AND MODEL Lti-l..lltn 'L ('..., 210 f-):z,/ L.(.-I 0'0 FUEL _U A<r ~ S.
FLUE SIZE RETURN OPENINGS Il n INPUT I t>O I !tor:> 00TPUr q (, tJtX:J
TYPE OF SYSTEM HEATING OR POWER PLANT
/IilWIlIIl All PIIIIIllI 0 SIBaln
Cj'G,avlty 0 Hotw.....
~ Mcchani...J 0 bdlaliOD
AIr CODdItlcmlni 0 Special Devices
V...t. SystEm o OtherDllYic:cs
PL.E.ASE ..... us.:
Air COQdlUcmer Units
CamlotEnc;roach into
:RequUed Sille Yard
SetbaI:b
FIREPLACE MAKE AND MODEL
lndumiaJ. C_._....:A18t MultI-flllllllY
Resldeoltlal, Heating .t AlC (N.... Conswolioq)
Reslde.o.llal, HIOlII!ng Only (New Coostruotlon)
FEE S.............u...x
I % of JOb COlt Resid...t1aI. GoI Pltcplace
$39'0 miI1lo>um
S".'O R..iclonUoJ, AdtIltlOllS &: I\.ltlllllJlolLO
$604.'D lU:sidonlial, AC Only
$39.'0
$39.50
$39.50
Estimated Coat $
BuUdiDa PenDit 1#
HEATING PERMIT FEE
STAlE SUR,CHARGE
TOTAL PERMIT DE
$
$
s
.50
BUll ':...11./0 117r.
'-IJING p H
'EA''v:rr
w-'. u.. galy)
"
'. ..<.IS ApplicaUoD BuoIllCS Yoar BalIcliaC Permit 'WlIeD Approved
-
--~- -
ll__y)1"-
-
hid
.B1Iil....~
lito..
Dm IJ
~- ;J-f.-Ot
By
tf----
)4 bOlar qoll... for .U la." .'....... (951) oU7-915O, fu <,53) ....7-4345
651 633 BBB4 FIRESIDE CORNER #0102 P.001/002
HEATING/AIR CO],',UII IONlNG/FIREPLACE PERMIT
~_!",,!!ar_IIIIlI_"_1
ADDRESS
3~D bl:J'~ ilL
(JO"'AA~' $-om
~71'
g.= (~rn(Ln() +b~
l: =. ~ I PEAl.Iu.. NO. Of- r-'17 I
J yetlow ",,11aM .:J I
Z01QNG_...,
R~
LEGAL DBSCRJPTJON (olllcc _ 0IdJl
LOT .3 '6 BLOCK. d-A",.....uav..
PJD,J.C;- 3s~-I1Y1-0
(Pholll:) fJI'd - :L€Of - "fW/;;l
(Addras)
APPLICANT
(Nante) ALLIED F%RESIDE DBA FD!:SIDE CORNER:
(Phone) 15S~-633-2S61
(Address) 2700 N - FAImnF.W ,..uu...: 1:1":"''''1111.1'' ....
(AMm&1 (City]
(Conract Penon) """""...A HU~CJJ . (Phone) 651-633-2561
APPLICANT SIGNA~ J_JDil",u" t l~... \O-U"' DATE lr. ~ -<) I
'-.)
APPLICANT PLEASE COMPLETE BELOW
gEW CONSTJmcnON' 0 REPLACEMENT 0 AL TERATJONS
FURNACE MAKB AND MODEL FUEL /...) b V>
FLUE SIZE RETUlN........,,~GS INPUT OUTl'UT..-J~J<'..n~
J
HEAnNG OR POWER PLANT
1;,1;,111.
(7lp Codo)
TYPEOF......J:4
3= AltPI_
~~~.I~~. .;.
DVcnL Syskm __ II .
FIREPLACE MAKE AND MODEJ.. ~
~S""""
Hal W_
ll.adlallon
Special Devfces
J Oll1cr Devices
r..J \.o~ \ lab.sJ -r.e.~
PLEASE I'IOTE:
Air CondhiGoer U.
Cannot E. . ., .\ ...
Required SlcIe YanI
SedlacIcs
FEE SCHEDULE
ladlllll'laI. Commo:rc/a1 A: MllIIl-P"",fl)' 1'110 of Jab *' Raldlllllia~ GIS Fireplace
539.$0 lMllmum
Rcoidcnlial, HealI".,. AIC(I'Iew Con..,....,.J. S99.$O Reold.tlllal, Addillons" "'1OrIti_
Raid""lial. HealIng On/)' (!II.... C.n~ $64.50 Raldeallal, AC Onl)'
Son.50
S39.SD
139.50
Estlmllled Colli S
Bufldlna PllJTllit 1/
HEATING PERMIT FEE
STATE SURCHAllGE
TOTAl. PERMIT FEE
s
s
s
.so
IJlJ/~-4ID 117'>-
~tvG P 1'1-(
'E:P.: "''''
Vtj I
(Orr..e IJ.. 0.1)1)
TIll. Application S-. 'Your BJrilIIJ.. Pwmlt Wllcn Approved
..IIdr. 0IIId0I
Dolo
I P.id..---
,J)Jte E'/(-O{
"~::r;:f.;.
Z4 ............ lOr .11 hoopftt!olll ('52) "7.nso, Iir. ('52) "7....345
~C-
8~\
01- OS-I '7
Th~ ('..nl..r of Ih.. L..... ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUilDING PeFlMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _1/ ) ~fl/l..;o.,)
APPLICATION RECEIVED Lj- ::)/')-C) /
~
. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3('3 9()- ~/u/l.Jwd-fe-r- T;-.J1tU
, 'I-
Accepted
Accepted With Corrections
v
Denied ~() t7
Reviewed B . _ l~ Date: t/-2-ty-24tJ(
- I
Comments: _
i!?eaJ2fJm affoctodi th-~
"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."
,~
~~\
~J ~ B~~n7
Canary - Engineering
Pink - Planning
;:,.
!,':S~
Th~ ('~nt~r of lh~ L.b Country
BUILDIN~ P~RMIT APPLICATION DEeARTMENT CI-fECKLlST
NAME OF APPLICANT _1/ ) t24J./J./YJ1,/7.A..-......J ,~
APPLICATION RECEIVED L/- ::?I')-() I
,
;
, " .I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed .at:
33 '1{)- ~kl/uJ.U1L fe.r T;-.#u./
I
Accepted
x~
Accepted With Corrections
Denied
Reviewed By:
1/./1. B.
Date: ':) - :3 -0 /
,;~;. ,..'-
Comments::. "'-1'" R_~;"" fnr ~nallnform~tionl
1/14"'" F,' I~.
"1;::' .',.'~
':,;i"'.\:E: ,~~3i~~r~;~~1"',i.;'~;.."
. ~. ,,-, ....
"_r
-
.~ ~....
. ,,~ AItaCnments: 1 J ul'8Olng t"18n, 2J t:roslOn ContrOl MeaSUrejij
3) Erosion Cont{oI 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,"
'-..
-.
Th., (-.,ntuof th., l.ak.,CountTY
0\.0)'11
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMI;NT CHECKLIST
NAME OF APPLICANT If )~}Jh)/}J'j/.xAA....J Il) ,'f/
APPLICATION RECEIVED l/.,)r')' () /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-, ;;;; .f ,,--r;lM J
:?) '/()- /) i 1/1./ J,U?" e. 0- / r. 'II'! f/l/
I
Accepted
I ./"'
Accepted With Corrections
Denied --'7. (
Reviewed By: ~ l4~"~'::./t?-;- Date: ,("/:;50 (
Comments:
L.~ Leu.-.<.~ 3D F\: \fn ~ /~ I ~
~~~~~,' -
'. - - I
&)h~e.c\~ ~ ~~ ~
~U f\- .J- P~~~V\LAJS~ !~~_
"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."
.-
~
c::P
~
~
~
.;:p
r
PRIOR LAKE
INSPECTiON RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
,-
SITE ADDRESS ~/") c.J~dv-.'-;:'.
NATURE OF WORK ~
USE OF BUILDING SF!}-
PERMIT NO. 01- 05/1 DATE ISSUED l.{-Z5'-2I!:o/
CONTRACTOR ""J~I"'''''W.~''ul ~ l,,/2-3(,?-")(,1'2....
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING ~ Jd f2;q-, I ~ It:( 10 I
, '
I FOUNDATION (Prior to Backfill) I (p I (4\ I?l I 1:> ~o......u
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPJ'C: . ~
FRAMING 1-1__ ~'
INSULATION 11 ~
ELECTRICAL
PLUMBING ~ ~ \hu,;'
HEATING (if required) "\ .-:t. UM ~
FIREPLACE f"
GAS LINE AIR TEST ~~~ ~ q ~
COVER NO WORK UNTIL ABOVE HAS 'bEEN SIGNED
~ [4/01
~.~'X
~(
e
~
l~"
I
FINALS ,
tl f r)~w'lz.-
I .~\\~ q J~"'~,
~ v
-6 U~ 4W~
1;. 1l(1~ If ;~ilftf
OCCUPY UNTIL ABOVE HAS - BEEN' sib NED
NOTICE
J
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
This card must be posted near an electrical ~ervice cabinet prior to rough-in inspections
and maintained until all Inspections iiave 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
, "',. ." '..' ~ " . ....; .".' ,.' .. -, '" "~, ,~,.It~'. ;",.i;" ,;,. ',:,,,,,,,, i .-' ',., ;'. ~'.....", ~. ,. ;.:- ~.-,,; ~'-., ~ .~ ~.-'.~\.: ,j"',
., :",,'l _>.....:.,X,' ".".iI..... ,1.;," j ~'<'';;'" ',.' .":,, '-' ~;...:EiL.'..,.. ;;.;t.:,;'";,,.. .'i.2t.:.,;','w..'"..ii ~L".,.,::,....I,.d';:';;'.; ,,,,-. .",~ ,.."
~".'r" ..
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
II. .,-
ADDRESS ~qO, 92., 14- &'1NWI"t7'CJC....~.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
()f-Sn <;fY c;J9
. "
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
S<1O/17<6~ GD
c-,{cs<-
h' i e--
r;. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1M tf -l-I, -0 J..- Owner/Contr:
~ALL 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
ADDRESS 33 96
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
^-.....O INSULATION
f1 p"'INAL
o SITE INSPECTION
DATE TIME
SCHEDULED q-J-1-j 3;00
I
(]fLhU~
UCON~.
PERMIT NO.
1- 5/'7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWE OKUP
Ff PLUM FINAL
]lfMEC L
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: \ ,
'V\j
---<filL
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~~~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: '~ ~ /JJJ.lJ, OWner/Contr:
CALL 447.9880 FORITHE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
9,.(vUL
33'0 - .~3'1~ blvn Wtt~r Tit
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
COMMENTS:
3 ~ ~o -0(,
3312..- OK
_ <'.3c;tj - oK-
DATE TIME
Wt lI/.f.MIvtl1
01-5'/7
.r ~
'J" .&oJ[ ~ I LING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
"SoD J.--rI'(f1::<, ~ I"{J.( f.
':( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
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!
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