HomeMy WebLinkAboutBuilding Permit 01-0535
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-/r.-o/
(Please ~ or mint and sil!Il at bottom)
ADDRESS
I. White FlIe I PERMIT NO
2. Pi.' City . 0 1-0 C::;n::::-
3. Yellow Applicant ~
/S35~
{3/tf HOJetJ PASS
ZONING (office use)
~/
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK 3 ADDITION
/;'J1L--05 577t
PID 25~375~()2Z-0
OWNER
(Name)
(Phone)
(;\ddress)
BUILDER
(Namp)
(Contact Name)
(Address)
/11 f.-1J~NP1 W
toNSTlZ-.
(Phone)
(phone)
/tPl't.6 !//tU,EJ./
/
q5Z~t./aZ- 7fpO/
7~O/
/'151H sr. I
, TYPE OF WORK
,)'tow Consttuction
DLower Level Finish
ODeck
OPorch
OAddition
ORe-RDofing
ORe-Siding
o Fireplace
OAlteration
OUtility Connection
o Misc.
PROJECfCOST/VALUE (excluding land) S
I t:1jo/{'')rY'''''
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 property and that all construction will conform to all existing state and Ioca11aws 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
:terupo the o 1.0 perform needed inspections f)?i 0 ..r--. I';?~l
./ - ~) C~ntractor'sLicenseNo. '"t:te )
11/ ~ ~ .'
I PermitValuarlon I ~Y.tlCO.(!)tl I Park Support Fee # $' .qso.(!)'C:)
I Permit Fee $ /.,c:; ZO.t " I SAC .~ # $ LI 5(') . &0
I Plan Check Fee $ ''JM.fD IWaterMeter Siz<&';I"; $ I?C;.~
I State Surcharge $ q1 . 41 I Pressure Reducer $ <;::;.~
I Penalty $ I Sewer/Water Connection Fee # $ L '2~.~
I Plumbing Permit Fee $ loo.t!> 0 I WaterTowerFee # $ .....,Ar")~
I Mechanical Permit Fee $ 1.t"JC> ~ " I Builder's Deposit $ I . ~J ~
I Sewer&WaterPermitFee $ ~.Si'? lather $
I Gas Fireplace Permit Fee $ (/0.0.0 I TOTAL DUE tI/U6.t) S.31-01 $ 8(l/.60~'7C)
I~'~
l'
Building ~cia1
,f,7-6 'ZtDf,
Date
I Paid
Date
El t./e.,7). ~J J
/,., -/ J,o/
mes Your Building Permit When Approved
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 l",....!'.......J Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~a....~ .."'__ .., b/-ae>ht ~lL..tf:tkk~C~~i
, Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~1
White - Building
Canary - Engineering
Pink . Planning
Th..C...nlll'rof'h.....bCountry
BUILDING PERMIT APPLICATION DEPARTM~NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!J7LO DAta.)) C-<:JAbt-r
s- /9'-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IS3St A/t:;' i!(}rIU Ptt-SS
C/ -
Accepted
Denied ~
Reviewed By: lk1
Comments:
Accepted With Corrections ~
------
Date: -r;: 2t?" ~ I
l~ aftJ t112ft~1 ~ )J ~
"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."
Tht ("tnltr of Iht L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
'"1,.".
BUILDING P~MIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT __Ilk- f) (JJtY1 /s.J
...-~-- /?-o/
(~ttDfr
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1.5- :3 S I:. A{f .1'-/0/ IU J--'(1 SS
Accepted ~
Accepted With Corrections
Denied ~
Reviewed By: .... ~ -"" ----
Comments:
~ \ \M1U1M J-t{ 4=,.- f'Yllk ' ,
~ ~~_ d-11\vu (.).,tgeLJ
~~~ CvYb,
Date:
,5!2-q./tOi
I4r
'ib
"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'lf (""ntf' of lhr 1..11. ("ollnll')'
White ~
Canary .~ rl~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Ilk. D DJt1.Q jJ
s- /9'-0)
CoMfr
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: /J
I ~- ~ !; b .It_c 'I-I/} r IU /-/ ~ 55
. (/ .
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
Comments:
MAD.
Date:
s- ::n. - 01
~AA RAV.er!':A ~ide for Additional Information!
;,ee f\uacnmems: 1) ljraomg I-'Ian, 'l.) l::roslon t;omrol 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."
\
-
.
~
From JECHEEXC
PHONE No. :~ 612 8926396
Jul.022001 6:40RM P01
"
DAte Ree'rI
CITY OF PRIOR LAKR
SEWER AND WATER PERMIT
(P,!~IIat' t.\:p1t I;Jr print IIId lIim .., ~4?l":',m)
ADDRESS
=_15~n _t:fl~.~_~,<;.s:
LEGAL DI1SCRlPTION (ullle. Ule only)
LOT 7 Dl.OCK 3 ADDITION
.../
t ~;. ~i".." I PERMIT NO. I ~s ~7
,
ZONING (olft" ...)
p,1
w,l k bT~
.-~
OWNER M f') _ I I n -4-
(NA",~) " I LA "V1.4l.d..~!>_1i1 1:1 ,
PID
;)5-3 75"-D~.;l16
(Phone) Y$2 "8J.,7fo6J I
(AdCltC$s) _
(Ad4fCfI$)
(elM
(2:~..r:n"')
APPLICANT--.- I E
(N~",,,) .j~..e..",~ l(~_ (l'hun<) /./;1 ')';;{)7~
(Addle,,,,) Z311L)~r'~ .fJ.a,M- R!Dmal,,+OI-l MAl . ,C;t7'Y3j
<Addrcu) . ( Ity) (Zip CodO)
('."~ .....00) -13J, ~ -iI ","',,) ~ 0 ?'f,fJ,
APPLICANT SIGNATURE -'1,1.:. 1M ...,/ . DATE --.kl.21 jlJ) . .
APPLICANT PLEASE COMPLETE BELOW
Size of water service -1- inches.
Locuiion of allY couplings from Structure _feet.
. Type of sewer pipe. 0 ABC E1 PVC 0 Cast Iron
Estimated length of sewer line L feet.
Clean oul (if required) located at feet from structure.
FEE SCHEDULE
Jl,esidcnti.lscwer and wale" line connection 535.50 Industrial, Cnrn'l /Ir. Multi.family J% of job cost with a 539,50 minimum
Sewer connection 01lly $17.50 Water connection only $17.50
llstil1Hdcd Cost $
_ ~O()
Building Permit 1/
SEWIl!t AND WATER PERMI')' FEE
STATE SURCHARGE
TOTAL rltRMIT F'1!:E
$
$
$
.50
BUll.'61~G ~~~MIT
(omGIIIJIlp.t.htly)
Thl. Ap"Uc.lIc,.1 B:~cumc~ Your lJuildhl&: Permit When APf'ro\lCld
Dulldfl"lt Ofncl.1
I Paid
n,'t I Da'rljl J-/ (J l
24 h."r .,,'I.e,ra''"'Uln.potlla.. (952) "7.9850, raJ(9S2{447-424S
Reeeipt N....
Sff/
CITY OF PRIOR LAKE
REA TlNG/AIR CONDITIONlNGlFlREPLACE PERMIT
nala Rtc'd
A ,FAXED
1.1'.....
. "'...
1.'l'''/o",
~:~ I PERt"llT NO. /-."'--3 ~I
"",h~.lI ~ -.:>
(.Plc:tL~ Jvpe or "rim: and rilUl at bQtttlm)
ADDRESS
/"1)35'C,
~.Ii;.s
1J0:J
ZONING (alfie, use;
12/
13th .4/'AJ
II
LEGAL DESCRiPTION (office \IS. ol1lyl
LOT 1 BLOCK a ADDITION
~.
/ j /_J!~ &-f:F..
PlOo15-:375- O>i~-<)
, OWNER
(Name) h7~ fJr:o, ,;Jq/'o
(Address) .A. t/...
G..,A')C'/'
(Phone) &<.0) ~?:P- 7t:.t'J I
APPUCANl;.. J.
(Name) (J3A:JT;1r1#.cO (l1~
(Addres.sy-VIt9A:"1 ~h,N Al)~,
(Addt9,)
rotA', n?AJ .
1J (City)
(Phone) .IC.S'I )_~~ -. c; 001C)..
~ ~
. .,.. <it?;;l -V
(Zip Code)
(Contact Person) ____
APPLICAN'T SIGNATURE ~-r;/, .~
(phone)
DATE 7- /c -0 I
.c APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL c......JI..'~.K..1' ("~/(,\(')AJI{;' FUEL. XJI9I-
FLUE SCZE _:::\ // ~ RETURN OPENINGS / (')._ INPUT OUTPUT
~E SYSTEM HEA11NGORPOMRPLANT
, arm Air Plants 0 Stellm PLEASE Nan::
DGravity 0 Hot Worer Air Conditioner UniU
o ~anical . 0 Radiation Cannot Eocroach inro
~~ondltionjni 0 Spacial Devie,,", Required Side YlIl'd
g.r.nt, System 0 .Other Daviees Setbaclc.s
FIREPLACE MAKE AND MODEL
~----_.._-
--_.--"...............~
rnc,l~triuJ. Comnu:::Ifcial de. Multi~Family
FEE SCHEDULE
1 % ot'job COSt Rcsidc:ntial, Oas firepl4U;c
$39.50 minimum
S9950 R<sidential. Additin"" It Alt.rations
$600 R..identiaJ, AC Only
S39.50
Re:side:nlilll, Hlil;uing &. A./e (New ConsuucuQn)
Residential. H.,uing Only (Naw COlLStrUclion)
S39.50
SJ9.50
Estimated COSt oS
Building Pormit H
HEATING PERJ.VIIT FEE
STATE SlJRCHARGE
TOTAL I'ER..'W'J FEE
s
s
s
r
_./:'0 WITH
~. #NG PERil/liT
.so
lOl'ttct U,c Only)
Thi. Application .B.~om... Your Building Permit Whon Approved
BuildinC' Ot'fici.1l1
DlIIE!:
I Pnid
I Dote1_/Ir-c:J/
'l..tWpl No.
'24 fHHU. Qud('lil (or all in;pectiolls (952) 447-9l'JSO. tu~ (9~) 4474245
aYt?
100 III
lI'1 liOllid .u.::> ......
lilY 03'I10lUNO::>
9LZ909tlS9 XVd IS:01 3nL 100ZI01/LO
CITY OF PRIOR LAKE ~: ~l Eli_
PLUMBINGj!ERI,f/T PPNo.~/-o.~5
Applicant: Pile sir' }JllJmb/~ IhCPhone:_brt-Y..'t(tJ-2Jr!?()
Address: ~A Vf-.-Sd.; 'G~J" ~""'&/~ ..s:-...rtUb.
Signature: ~~ .J/~ ,
Legal Description: Lot f) '7 _ Rlack () ~ . f>u,b~JdJ ,-\tb
Site Address: j..5;-.3.:s:v, ~..s ~ _ _
BuildingPennit# ()1-1JS'.3...~ 'PID# :S1WJ~ ~
NOTE: This pennit will not be processed w~hout complete infonnation.
FIXTURE UNITS
Th~ Cftlln of Ih~ Lake Country
Quantity
'd,
J
)
'LJ
)
J
}
~
Type of Fixture
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVS)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
.50
Bath Tub with or without shower
Dishwasher
Floor Drain
:.]
/
$
p-:
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
.---
This pennit is granted upon the express condition that $;Ki'\ 1'"
contractor, shall comply in all respects with the ordinances '
of the State Plumbing d amendments thereof. ., "
,7. /3.0 L-DATE'
AITEST
Call for all in ctions 24 hours in advance.
.Jl. \ 3 200\
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
FIRESIDE CORNER
#6930 P.002/003
Date JMe'd
153.51.-
&A~ P~.s
H:. F:.....' PERMlTNO. /-53S-- J
4Vl\.....G(oIII",_1
III
t)'Jease I'(I!O. or oriM md _II..........'
ADDRESS
""
LEGAL DESCRIPTION (otIk:c ute DIlly)
LOT 1 BLOCK '-...~ ADDITION II h1&' ,C;-r1L
p~ --5?S:= (}Jd=-fJ
OWNER
(Name)
(Ad.d:c:ss)
f"'r'ILr,~ ~.
(l'hone)
APPLICANT
(Name} ALLIED I"IMSIDll: DBA FIRESIDE CORNER'
(Pbone) ~1_';_11_~~F',1
(AcidrossL2700 N. FAIRVIEW A1II'!Nll""
(A_")
(Contact Penon) 8l\ENDA lIUST~
APPJ.ICANT SIGNATURE ~...", kI~
'O"'Cl,-e:vT'T T.~ M'N
(City)
651-633-2561
.5"-":'>
(Zip Cod<:)
(phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERA, JUl.:"
FURNACE MAI<E AND MODEL FUaL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF .) .. '" l.cl,{ HEATING OR POWER PLANT
]WIItlII Air Plllllts - S~
~oraYjly = HDl We=-
MechanioaJ . " R8dl.aon
Air Condltloninll : Special D..1ces
JVenl SyltOll1 I I J Olbor D..iCOll
fiREPLACE MAKE. AND MODEL ~&f AJ c.~ ~-
PLEASE NOTE:
Air Candltion.er Unirs
Cmmot EnoroBCh Into
!lcquired Sid. Yard
SetbllCQ
InduSll"laJ. Commercial &. Multi-Pamlly
FEE SCHEDULE
I % of job co.t Residential, 011I Flropl_
li39.~O min'mum
'''",0 Ro.ldonllaJ, Addition. &. AlIoralion.
$64,~O Ro.ldenlial. AC Only
$39_~
ResidcnlllJ. Holling &. Ale (Now Con$lnlcdnn)
Rdld01lllol. HOlIting Only (Now ConSl11JCllon)
$39.SO
$39,'D
EstIm.lltod COlt $
auflding Permit /I
~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT lI'EE
$
$
$
, A
1U1,l'D WITH
l..: ~NG PERMIT
.50
(om.. {J.. On17)
nie AppUClltlon BoeDmcs Your Bulldinl Permit Wk. A" ,"
.1
Paid
I Rec!:l!:'pt Nn
I
I By if:-/
1/
1Ioi141.. Ollldol
DIlIl
01R0--1---/0-___0 1
:u bour .nlleo ror In 'n.poclll.' ('51) 447-915&.1\11 (951) 447-41115
"
I"
~~
~
~
8~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS JS~ c:;6> 130 J+..rlA CU ':>5
NATURE OF WORK k laD
USE OF BUILDING SED
PERMIT NO. nl-r"l53S DATE ISSUED ~-"2'5."ZJ::t:J1
CONTRACTOR _Mr. Do",~\..).. QnJJ}J PHONE 9S;!. - ''In - ?dz12{
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I ,.~O~cv.- I 1e>)t4r~TE
, FOUNDATION (Prior to Backfill) I (i,~ (" It\ I (, ~ d-.;;1-,/ g,V
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN "SIGNED
ROUGH - INS
L _ 'C - 0a LVf <.0 . ;;to) t> I
~b~ ~ \\!W<.' '7 t,lll(
'i.. ~~ -7JdOL
\ I
?\f ~ J
\~~\ ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
11/1 I-.$-Oe-
. r~, 0~ q ;z,,~,
"6 ~0AAq _ \ q f'r JO(
I(~~tl~ tt/;;Lb e(
~
OCCUPY UNTIL ABOVE HAS BE:N SIGNED
NOTICE
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, c~rd sh8l1 be placed near main entrance.
, FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Soddin~)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
"
QLtrtiftcau of OOrmpanry
Cll'r OF PRIOR LAKE
J)tpartmtnt of .uilbing Jn~ptttion
P(Final Pennitted 0 Conditional C.O. Expires
This Certijicale issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that al the time of issuance this structure was in compliance with the various ordinant:es of the
City of Prior Lake reguklting building construction or use. For the following:
Use C1usificatk-
SINGLE FAMILY
. Bldg. Permit Nt',
01-0535
R3
Occuponcy Type _
Type Construction VN Fire Zone
L7, B3. THE WILDS FIFTH ADDITION
Legal Description _
N/A
Zoninl District R1
Owner ofBuiJdi"ll
~iteAddreS8 15356 BIG HORN PASS
ConlrllClOr'sName&Addres.MCDONALD CONSTR.. 7601 145TH ST., APPLE VALLEY. MN 55124
ROBERT D. HUTCHINS rity_ _ DON RYE
Date: ~.J4Buildinll74 } 02. Date:
,-.
POST IN A CONSPICUOUS PLACE
--'-' "'....0;.,.,..-,.,"'.........." ...,...... .' ,'" ~:._'."~_.. ~~~.,;:.,..-~i;....." . ,;;","'~""i"-\:.',,, ',;'!, '>"I""''';~'''' ," I:,;',;-";""Jti.!:-,'''''~'''; ~"~..~,./,, .>;t,-...,-.:~,,;..:,.j .,...... '~:'.,i",:,.,.~:'...:.;'I'.:''', '-~'i"
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1- '3-02- fn
ADDRESS 15"3S' B j H6YY\ P..,f..j
. OWNER cONTR. I!1c..lA:,~ c..-,st.
PHONE NO. PERMIT NO. (l) I ~ ~3~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
ClClBNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(VEX/GRAD/FILLING
- O'tOMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
br..!_ 0 (L.
{W,b (S(),c - 0 ~
kORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspector:#'~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
fNSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4-/l/-1 ,3:30
~~fJ~
. u
ADDRESS
/e;-35L.'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-'-5sr
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
[] FINAL
[] SITE INSPECTION
[] PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
k' ..e" PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
iAACUA.OIAAl'k Ok:
~ -erJ 'AAJ-d" cd- ~lA.o: I
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _\\GUI'lJ OWner/Contr:
CALL 44~-98&O FOR htE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
U<SNO"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1Jl A-T-
tk..."" ?~S
ADDRESS
/53S(P
1$\'0
l
CONTR.
OWNER
PHONE NO.
PERMIT NO.
( -' 5~
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
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
5$-l OK
I~u.t"~ C-l U,
c..16)~e lri ''''
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOX' CALL FOR REINSPECTION BEFORE COVERING
Inspectnr: ~, U/l.v.1 Owner/Contr:
CALL 0147-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nilE
9-~-{)/ /:.3iJ
ha /./m/Jf./ p~
t7
ADDRESS
IS3SC.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
}- ~~S-
o FOOTING
o FOUNDATION
o FRAMING
rr 0 jNSULATION
;tLJ J:,.;AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
I
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o cORRE"iK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: '-WI'IA JP) Owner!Cnntc
CALL "7-9850 FOR lHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1~1