HomeMy WebLinkAboutBuilding Permit 01-0520
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvDe or orint and si.2:n at bottom)
ADDRESS
elf
It!)' ~ 2
AI/ft/-lCA
LEGAL DESCRIPTION (office use only)
LOTZ BLOCK / ADDITION M/lrt50IlG
_/
OWNER
(Name)
(Address)
~;~;:R /I1Ci0/J1IH15 I'A-s-oc..
(Contact Name) ..J ~
(AGyess) /</f'?O t;n;/l1kiA 111/1 dJ327
TYPE OF WORK
.New Construction
DLower Level Finish
o Fireplace
PROJECTCOSTIVALUE (excluding land) S
oDeck
o Misc.
State Surcharge
180 ./k"lO. t'Y',
$ 2~~
$ .
I.JO/./'I
$ l<io.~
$
$
$
$
$
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/' I /1. /l
Your Building Permi' When Approved
100.00
loa. DO
~.S-O
(fD . ()()
5=2 'I-?Po/
Date Rec'd
5-//-0/
/
I PERMITN~{)~D
~~ ZONING (olliceuse)
pt/s.D
I. White File
2. Pink City
3. Yellow Applicant
;;tJ
Lj:tP 4J J
(Phone)
PID 2.&)..314/- 002--0
(phone) 7',)2- f?'}f- ~~L' $
(Phone)
1r ~ ,J4IJy mAl 55/ zt./
oPorch
ORe-Roofing
ORe-Siding
oUtility Connection
z~o. COO
,
#
#
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE tl'luelJ 0-30 - () J
Date ~
$ tr5'O. 00
$1.15l),On
$ . I:J.S": ()CJ
$ ~t1,OQ
$ ,
I. '200,,,0
$ . '")~,SO
$ I, t:>OO.t93
$
$ '1. Zt!J8. 39
..
,
I ReceiptNo. ,;f't.(,.:>-.~
Bv f(-" I
Bull' gO 'a1 Date I
tl
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
?;;~::::~ID:a.....r"-Jc~;~~e~d~;ro~'rM;;C;-Or~
- arming Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
oAddition
oAtteration
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and comet. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all construction will confonn 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
enterupon~._~~eroons. ~/ ~()/
X /~~"'., ,.- _ 9.s-7Z "y'/I-
/'" Signature
/'
1 Permit Valuation
I Pennit Fee
Plan Check Fee
/
Contractor's License No.
I Park Support Fee
I SAC _
WaterMeter SizJS/S" 1'"
~.,
Pressure Reducer
-
I Paid q i;J. Xg'. ;.::s...,
I Date o!j'-~i -l'"))
#
#
"
Thr ('rnlfr orfhr LIIkrCounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.~k,WILLI AlviS ~ A~SOc...
E)-II-Of
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
J5ZroZ. 'NAVllCA ~IICClE t-vl vJ
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
1i//t13
Date: ~-Ilf-(? /
Comments: See Reverse Side for Additional Information!
,
-
~ee Auacnmems: 1) l:;raolng Plan, 2) Erosion Control Measures
.3) Erosion Control PI~n
"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
Thr ('rnlrr of thr I..ar Counlry
BUILDING PI;RMIT APPLICATION DEPABTh'IENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
thWIU.AAtts ~ AS50G.
5-/1-01
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicattszzn!ctionNAvVTlCA pr~s~U6 N vJ
Accepted
Accepted With Corrections
Denied /)//)// /
Reviewed By: (df b ./
e?'
Date:
5"- 2 q - 2t!1!Jr
~~e:( f
trffa.C'~ h~ O>-t. ~
,
"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
Thl'Cl'nlfroflhl'L.krCounlry
BUILDING PERMIT APPLICATION DEPART~NT CHECKIJSI
NAME OF APPLICANT
APPLICATION RECEIVED
rvk v~ILLI f\tvlS ~ I\S:::O(...
5-11-(,,/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J5202. N A\./llCA t Ilc:c.LE- 1\1 vV
Accepted ~
Accepted With Corrections
Denied
Reviewed By: ~~~c..:"~
Date: \~"""A~/A1
Comments:
~iIV\Vv'v1~ t./ ~ I Ahck ~ALJh r
(f~--tJ~ +~J L4lQ, [,)
{B~ ~~~ ~ ~ ~~~
"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."
I
J
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
(, ./2...0 /
L ",,'" rn, I PERMIT NO
2. Y,II~ City. . 0 I- 05Z-0
3. Gold Applicant
~lease !v.p!: or 'Orint and sim at bottom)
ADDRESS
15~l.Da I~o..ut \CO-- C.~yc.le.. A;OY La te.
ZONING (office.",)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PIDZ5-3101 -6fJ2- q
OWNER
(Name)
(Address)
(Phone)
(Address)
(City)
(Zip Code)
APPLICANT d r
(Name) A1 \ Ie. t:. X co.. \J c. +; l'\q (Phone)
(Address) ~5?.>'\2"'\\i\l"\r.1 mecOolAS~ LClVlP l)ew A-c..q\.IeJtAtQ
(Address) '-" (City) ~ Code) $J#o1l
(Contact Person) ""T eft:' ~e. W~~,?Y1_ (Phone) 0> 101 -9, 2J -3.:xo I
APPLICANTSIGNATURE( ~ '- ~~~ATE J n-J::l ~()1
"---'" I
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Estimated Cost $
FEE SCHEDULE
$35,50 Industrial, Com'l & Multi-family 1% of job cost with a $39,50 minimum
$17,50 Water connection only $17,50
Building Permit # 0 15 dO
Residential sewer and water line connection
Sewer connection only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
r ....10 WI11-1
150 r"'NG pE.B;J~\i
15\)\\.0
es Your Building Permit When Approved
---.f.p . {~-o I
Date
I~
I Dat'(p .; z- . (J I
::ce~ ~
/
24 hour uotice for all inspections (952) 447.9850, fa. (952) 447-4245
FROM : ANGELL AlRE FAX NO. 9527465202
nT/~O/Ol 1I0~ 09:<)8 FAX SU4474ill- CITY OF P!tlaR LAllJ!
I
Jul. 30 2001 09:14AM P1
Ii; Olll
nate JlIc'd
"
i
\~;;~.;A~>~A
H:. S_I.......:.IJlTNO, 1-5~
I ZOpmr.~..l I
C>./"~/I'/ ~
IJIQoU. ............~ n10N ~......, I. I J
LOTd-awC.~ l ADDmON u..AJJVt(1~ ~ pIP)5~3"I-m.;2.-0
~~ ;n~t,lj, 11..,'.<}I'>o.,< <;f-/.1!5<:"-7/.o' (Ph....) 9!;".;H~5~- <1.4" ~
, '
I CAddladJ ISf1?7t? Go/Qn4{4J"/ ;<j ~ ~kv"'))-r/
AnJ,1C.ANT r .
eN-) JO<f' ~f"""/ I-;(}/ J€.e.; (l'boue) Sl;S.:::l-?<A<-.<:"::)(70
~) 1a.";;;':';S'/l/j~~",~CI ~/n.<;'I/~/~./ s-~3~7
. I~) tC&Yl . (ZlpCo4e)
(c:=w:tE'aal1I /'..Q.J(},l~ ~ ./ - ~ (PhAme) ~)O~
APPLlCANTS!)NATUU ..~~~ ~ DAn' Z-3~-C7/
ctC: ~...L\SE COMPLETE D.LQW
,atlEW C01'IS'I1tlCTION 0 lIEl'LACEYSNT tJ AL'IllKATIONS
FURNACEMAI ,!ANI),MOCEL "';?...~.:IJ ~-a:I_jl(Jl.n.(I'fi"O~1'2 'i'.;;oZsC'c;/~"n;~-r
FLUESW; .l.'~ v ..nm.Ol'EloIINClS 1."3 DlPUT ~o.?(? Otn'PUT 7r.~pV1
, TYPIl OF ~ ....~ HEATING 01 JlCWEIL pt.UlT
..1......Air.P\allII ~~....A/4"';JplO~
~~,:. I l\uIIIIiGIl
CIladItlanills Spedol DcvICOI
II\L Iy_ OIIL.IlwioM
J'l,L\R NOTE:
Air ........-., Ulli.
C:_T.. .' ,i laID,
.....inllSllllyul' ,
~"'.
FlUPLACB M,' iai AND MonEL
IIl4UII1al. COoIIlIl 0101" WuJd.r-ib'
1IaI~ _, I...NCOl....eoo,., ' .:, ..)
'IUoioI1IO\laI. RIII\' 1000000(NlWCO............J
, -
~.._,~. ._"
JUICJII.1)1l1J!
1 % of' job =- IaIIdontIaI. Ou PlrcpIoM
531.50 __ '
S99.!(1 blidmlill, AdiIilIlIIIl" AI\lIIIioM
S64.!O ....._.a..1 AC Oldy
. $39.50
$39.50
139.'"
lDJl.TING 1'!IMIT lIES
STA.T! st.mCHAAOB
TOTAL nllMD'J'D
BuiWln& hnDit II
S
S
S
.S11
PAID WITH .
BUILDING PERMIT
IlIdmmd Cast S
lO_ U.. CIoItI:
TIdIApplkJil :....1 a_ Ynr ..IId.. Pwnrit waa Aopp--'
11I11II1' ,_
Dalo
I "'?-:--1D-U)
I CUI
~l\IO.
u ~.., ..tl.. tar .U iu,..tl... (lI5Z) "'.-0. r"IHII ..,.Q4I
'r de/"
(J
651 633 BBB4 ~& &Fll~S!Il.E_~M"~___ #7BB9 P.001/OOl
HEATING/AIR C"".~.....mONlNG/F'IREPLACE PERMIT 1- p/~ 0 I
~ =. S-I &.!.......,u:. l~O. / - 9D J
_~"'I!"'?':_IIl4.....ot_,
ADDRESS
15~~ tJ(),,(;;~ ~ ~,
z....'..~....(oIIko-)
Pt<.SO
LEGAL DBSCau.- ..oJ' , (....u..~
LOT.:::+-BLOCK I ADDmON!i 'Jl/Ud~ fT7J T,J..D,;0kz- l/-W;;-d..r:;--.~{.,/- 61),-0
OWNER
(Namc):JF... [.J;Jli'".., ... ~~lU (Phone)
(AddJ'ep)
APPU~
(Name) ALL= FIRESmB DBA PIRESIDE CXIllIIEII:
(l'bollC) ~-f,33-~ ~,~
(AddrcslI)...1.700 N. I!'AIlNIEW A._.~~,
(MlbD)
(ColIDId Petson) SRSNDA I1IJS'1'OII _ 1
~ ~/MJIC
""""'-"'Tr.'" P
(Clly)
~) 651-633-2561
U'l'~
(Zip C.)
APPUCANT SIGNATURB
'OAT!
APPLICANT PLEASE COMPLETE BELOW
'EiJf'fE\V CONS'IltUC'JlON 0 RElV.CBME1lT 0 AI. TEKA nONS
FURNACE MAKE A:NO MODEL l'lJEL
FLUE SIZE I\ETtllUf '. i "'.... .!is JlllPUT OU1'PU1'
TYPE OF ..."''-'''', HBAnNGOJ. ru """",PLANT
~W_AIrP'- "'JSIam
Ora\'i17 J Hal W_
~ , JRldIall...
AIr CcaU\ioalIlI 3 Spocill IlM;os
JV."L s,--. OIhrDniceo
FlREPLACB MAl<E AND MODEL ._~_J.J ~f,.<, j,o:mr-
,.__,_h, __...___.-
PLUSE NOTE:
Air Call r .- . ." U1IiI3
c.-':!. .,...IiB1o
~ Side YIBll
~
nls...~.j,j. ~,..I
IndUSll'loJ. CommercloJ ole Mulli-PJmlly 1% ..(jab _ a..l4...... 011 FJreplll;e
S3!I,SO nollllmum
Ilcsld000tlaJ, HOlIIlalole Ale (lIl.... Can.tlnICIlarI) SlI9.SO RCiickllllll, AdcIIIioIlS.. A, --' "" ,
aesfdondaJ. HOlIlinll Only (lIl"'" 011,,, ,." ) S64.SO ~.. , " " I, AC 0hIy
S3!I.5C1
139.50
$39.50
E"'-..,,,.,..I CclRS
Bulldlllll'&mJt ,
REA T1NG PERMIT FEE $
STAT! SUllCHAItGE $
TOI'AL PERM1T FEE S
.50
el. A
vl(.a ':41()
~Gl1.-;ll
.o~.y
i9.t1
F__~.. -;ar.---"'.' r
(ome. V.., O.IJ)
n.. Appllatloll Becllm.. YOD~ BuI1IIInc hrnoiJ WlNII II i i.1 l'lIid
<""
1.114l01 Olllclll
.....
~-~/~I
8Y~
:w ._ lollco ...... IN IrupoctIo..(95:I) 6f7.-. 'U (m) 6f7..aA5
06-12-2001 09:27RM
MRTTHEW DRN I ELS , INC.
423 3017 P.01
CITY OF PRIOR LAKE
PLUMBING PERMIT
I..... I9Jo
Z. Gold Cor
3. 'r_ .....-
Of-()S2...O
PPNo
Applicant /'t/aHhl'uJ J)""i,I.s. Inn. Phone: (t,S/)
A~dress: J~:~ ~b~~ ~~' .P~OU>~J"f. NN
Slgnature~ A Jt""I J JI.I'~
Legal Oesc;n!=ltlon. Lot Block (/ Sub
Site Address: 1-~1...1L ~J ,-/ ;tlLI) ()~/" ")
Building Permit II () {-052. PID It 2S--:~G, f - 007 - 0
NOTE: This !=I8rmit will nol be processed without complete information.
FlXTURE UNITS
..,I.:2,!I-~~~...
SC!i!J.~
'he~af"'~C-I'"
Quantity
I
/
I
..;.
I
:L
....3
TY!=Ie of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (' or 2 compartmenl sink)
Shower S[all
Sinks
Bar Sink
Water Closet (toilet)
Ouantity
Ty!=l_ of Fixture
~
I
Rough-Ins
Water Heater
Water Sellner
Stand Pipe (washing machine)
Sewage EjeCtor
Backllow Assarnbly (RPZ. Ooubill Chec:l<, I'VE:
8ackflew Assembly Test
Lawn Sprinkler
Olher
I
FEE SCHEDULE
Industrial, Commercial &. Multi-Family
(1% of job cost. S39.S0 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Surc;harge
S99.50
539.50
s
$ 99.~
$
$ ~\f'J~~W\\"t
~\\J)~ G
s ~~. M~ ~"'-0
GRAND TOTAL
This pm1Ijt is ......te<l upan "'" ""pn:ss condldon that said
c:e..___.. sball comply f all pcc:ts with the orelnan=
oftllo St... Plumbln. ___.':'....-'S ""'rear.
t',"2--0 I DAn;:
ATTEST
cUeDS 24 hours in advmce_
16200 Eagle Cre~k AV. S.E.. Prier Lake, Minnesota 55372/ Ph, (612) 447-4230 / FAX (612) 447-4245
All Equal OppmtImity Employer
/
TOTRL P.01
//
1/1
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J Sdr n'") No 01, (- u 0..(\;
NATURE OF WORK .^).:El,o I
USE OF BUILDING SF/)
PERMIT NO. (){ - Q5~O DAJE ISSUED ).-2/1-'ZIllo1
CONTRACTOR JvlcWdl..o.......c; ~AS5'<r. PHONE q<2~ f3Zf-f/'~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN!fECTOA DATE
, FOOTING I 17-h I {, /5/ N
I FOUNDATION (Prior to Backfill)r~~ ~, /o/71M I /;P . ';;-z."
PLACE NO CONCRETE UNTIL ABOVE HAs BEEN SIGNED
tXf, PIU1I"'1"It-e.(?A 1.-/5"/ ROUGH. INS
SEWER I WATER I SEPTIC bl (ni rt1{)1
FRAMING ~I
INSULATION l'if/n/4/
ELECTRICAL
PLUMBING 0 \\().<.U/ ?S {~ (6 r
HEATING (if required) ~ 0~ ').t
FIREPLACE ~ V~ ,.,.
GAS LINE AIR TEST ~-\{:u~ 1-1
COVER NO WORK UNTIL ABOVE H~S BEEN SIGNED
I I
FINALS (./1
1I(~~-0r4
of
~ I -,loll//., I r
1(\}fJd8t ~O(
OCCUPY UNTIL ABOVE HAS Bl:EN SIG ~ED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in Inspections
and maintained until all Inspections have.bten !pproved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
., J
~/}ZI1(JlI
to (111m
\,jJ/c.--
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
QLtrtiftrau of 'OOCnqtallry
Cll. i OF l'RIOR LAKE
iDepartment of .uilbinlJ Jn~pettion
t;1Final Permitted 0 Conditional C.O. Expire-
This Certificale issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying thoJ at the til1Ul of issuance this stnu:ture was in comp'ian<:e with the various ordinances of ,he
City of Prior Lake regulaling building cons'",ction or use. For the following:
SINGLE FAMILY 01-0520
Use Classification
Bldl, Permit No,
Occu_ Type
R3
N/A
Zonina DiIlrict
PUSD
Lcpl Description
VN
Type C-..__ _.~on ,Fire Zone
L2, B1, WIND SONG FOURTH ADDITION
OwnerofBuildi"l ~iteAddre.. 15262 NAUTICA CIRCLE NW
C, '.. "Nune&Addreso~CWILLIAM'&"r ASSOC., 14870 GRANADA AVE., 1/327, APPLE VALLEY
ROBERT D. HUTCHINS (A> City PIonner DON RYE
Build1"1 Official iJ ',i.
I 7. .7, _("yr., Date:
/
Date:
POST IN A CONSPICUOUS PLACE
..
, ",>;.",', .,",,":i.;',';"'~:_~ ~..:, ~,,:>;,,": 4"" \. _..~(':,_. ',.~
....',' ", ,'Y;'1~-..;"" "':':";-~H'~ _." .'c ~,~..' ~~'..:';':",.i.;~..j~:,:- .~.', ,.,~;:",,-,:: ;..:.>.',.' '" I ..,..~.
APPLIANCE
PERFORMANCE TEST.
Locate near the furnace manual
Natural Gas 'i.
, - ,
Job Address. 15' ~ I> 2 AlI'tJtc4 C ij ~
Heating Contractor -.fJ /It;.e /I A . J!.. -'--
Name ofTester -:SOhVl )
Date JrJ - IO-~(
Percent O2 I- r
Percent co - 7'?
Percent cO2 Q)
Stack Temp. 9 r
3'~
LP Gas
Pressure
While - City Copy Tag - Sile Copy
-z1~~1'3
lSteaL ~ic.A-C~Q
" "
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
ADDRESS
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:
.,.
01--052.0
o ~~LLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
l..Jk~'- 1'OQ l+:cr",-I+ ~ (JoJ.M.f::.
n (') ~ f">l (_~I) L1vt' .
( c.AO~-(J./...
-(~.p..., CflLIP-('l.Z
J..)e> ~ (l/...~<.,
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
~ l:oRRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ / Owner/Contr.
CALL -::-~L F~: ~ NEXT INSPECTION :u HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
IMNOT1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
LtJfJ,jtJ, ItJ~31!J
, ,
ADDRESS
/5d).(,,-~ J;.~ 0~ CU
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)il1 PLUMBING FINAL
" MECH FINAL
COMMENTS(i)) .Au, ~ ft"y...-
f?) f2<rt1 ~ IJ ·
~ I 1..-L. )~ 0-1--
t:J( -52-0
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
,.~ 'irlPI~
,
/~ ~
'U ~.
~-<D ?./rl (IFf#- J.a-, IJ~.~, &],
~\.)~ '~~/t~!rv'-'
~~
~~~
~~-~
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT Q' 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/
INSNOTI
c:> , -...J '-'
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /0'17-01 ~
ADDRESS /~ Qfo9<- (f)~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
^ 0 INSULATION
I"'t.li!f FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOK1M'
o SEWER HOOKUP
O......LUMBING~L
P flECH 'HIIL
COMMENTS:
/-5 ao
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
P;, ,'rAf'P K
flWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR,' CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: :be \){t.v,I1 Owner/Contr:
CALL oU7.9811" "'::II> "~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH 01 SAFETY/
I~I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1~(;2
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
COMMENTS:
o k-+o
DATE TIlle
SCHEDULED
!.JmAtca.
~r
CONTR.
PERMIT NO.
01- 0620
[J PLUMBING Rl
[J MECH Rl
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING ANAL
[J MECH FINAL
[J EXlGRADlFILUNG
[J COMPLAINT
[J AREPLACE RI
[J FIREPLACE FINAL
~~~RTST
~_.
r I .
CIOt1..p
~RKSATISFACTORY. PROCEED
[J CORRECT ACTION AND PROCEED
[J CORIlREALL FOR REINSPECTION BEFORE COVERING
Inspector. Owner/Contr.
CAL 7. 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOn