HomeMy WebLinkAboutBldg Permit 03-0520
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec' d
..j-;) ~
(Please Jvoe or orin! and sien at bottom)
ADDRESS
1 White F,le
2_ Pink City
3. Yellow Applicant
I PERMIT NO. tJ3- '],J..(J I
~
]<Jyt
t't'#""
.J'
;(61)# NIAJ
~'I
ZONING (office u>oJ
RJ
/I ~Sl'),','r)"
LEGAL DESCRIPTION (office use only)
LOT ABLOCK / ADDITION
~T I' ;::;':-1' rJ' SA bI J-
PID:J.j'-:..3 75 - 00;). -tl
OWNER
(Name)
(Phone)
(Address)
BUILDER L I
(Name) tJt'Nf/?7t?/I/# /~OI7' f'f
(Contact Name) C;)~4r/ ..:r(jA/VJ~/Y
(Address) /tf ?5~ /~ 2~ Or/;JP
TYPE OF WORK
~e;;onstnlction
(Phone) J'S-/- "/V {,. .yYtltl
(Phone) /. a - 36 f- It / 2...
~a 9p/V .m..IV, ")5/;:J.. .2...
>J
DDeck
DPorch
DAddition
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
) Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
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 confonn 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 pennit for just cause. Furthennore, I hereby agree that the city official or a designee may
enter upon ~ property to perfonn neeped in~ons.
X h-.lo.-r- /....../ ~ .,. / Y Jr' ~---:l -0 ~
- /' I~ture'
V "/15"5. ddd, 00
$ IjD;' 75
$ . Rt:t tn. JL{
$ 77/e:;~
I $
I $
I $
I $
1$
Contractor's License No.
Date
-
)
I Park Support Fee # I $ I
I SAC # 1$ /275.00 I
I Water Meter ~e5/801"; 1$ Z50.00 I
I Pressure Reducer I $ 'I'S. Dol
I City SAC and WAC # I $ /2..0tJ.OO I
I Water Tower Fee # I $ 70(). 0 () I
I Builder's Deposit I $ 1e:)()tJ. 00 I
I Other 1$ I
I TOTAL DUE $; 4-70.<0'11
. I
I Paid 1/~'lv:d3 I ReceiptNoi iJt1Gf5 I
0)~;;;;:~ :t0~~,
IOt).OO
100.00
..3S. '50
~O.fJtJ
This Application Becomes Your Building Pennit When Approved
~' ~~ 49/02
Building Official Date
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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"~Iann;?~:t~~ ~~3 fJ ~;wijh~; a~
24 bour notice for all inspections (952) 447.9850. tax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~",,-,_._,,-_.- -. ._....__....._._..w_.... ,._~.,~,._ .__._____.____~_____..__.___.,.____._m___.____
~~
Main File
White . Buildinq
~rv . ~naine..ring.>
Pink . Planning
Tit.. (",,"In of lh" I,.kr ('01ln1rr
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/
.J../,~ _.)~.~..I'
"
..(J;;; z~.
r'~'- r2
'"-"
...~~
.'
,
The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~:"~',;) 'j l//,~ ir / t.:. _,' ) /-'t';' - ,t -it.','j
" I
",[\,' '-''','' ..,
1') ~,.r(,;.Q......-
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
JJ1t.f5
Date:
5""- /z-03
Comments: --5ee Reverse Side for Additional Information!
/J'lc,,'J/l (,'/r
See A tt;!c.hment~. 1) lTT";!c1ing PI;!n, 2) Erosion rontrol Measures
"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."
~\
1.h~ Crnlrr of thr l..h Counlf)'
Main File
~,\Ite .- aUllam!l>
-Canary - t:ngmeering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
;/) O/J?LVYJ!~ ~
- -
5- ;2-00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constr~39aqZ Whi;f ;;;;s~ f( I ~
- / 0- V
Accepted Accepted With Corrections /'
Denied
IA-'
~ -;7~
/f3:J. ~Lf' ,A ~ ~ .t2 - ~ .
~ ~L ~ ....:/ .4'1,,~J)6f} - ~
. ~
#A?r1 /1"'1[;&; '1y ~
/ .....J
.,10 ~......./") /-H:n.--.
Date:
s,//?/aJ
Reviewed By:
Comments:
~
/ - Hzn,.,.
7~' -.0
~d.:r.--
,
~~
~.
"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 PR/OIi' (
D ~~.
Main File
,White . Building
9mi'rv . ~naineering
('Pink - Planning:::,
-
The (rnln of lhf L.kf COUnl11'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,/
)
.'~"'"
,-
~'-
,
~
-(
'--
Tt!1e Building, EngineeriQg, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..'-
/ ' //
,0.1 V
/
.i,G
Accepted
Accepted With Corrections
/"
Denied
~~viewed By:
Comments:
~~
7J.1~. ' '.J ./~
J
Date: .s;}9'h,3
~
"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."
-----
0NI!r.. . nt,Z
't'l:.u.ow . "''''UC''..A.,.
GO\.? . Cf'TT
c-
:)
C!~Y OF PRIOR LAKE
SZ\-<ER MlD WATER ?E?.":IT
3' - L- d-.O
NO. J
NOT;:::
Se"'er and Water
contractors must
be re<;istered
....ith the City.
PHONE :~SJ-'l9.~Jst5
DATe;: 5'/ J;;lJO~
i'.P?LICAllT: W~~€..\ ~~~,
I\DOR~SS :Sj~ ~ )2:i~,:\~ \
s -: ~:~).,":"f_~?-:::
~
=~_:G. ?::?.:~!:' -
F!LL IN Tr.E:
BU.NXS
30
f29t.-.
1 .
Es~i~2t2d leng~h
of water se~Jice
/
~
"-.
Size 0: water se~vic~
~ .
Lcca~io~ of any co~plings
from
inc"-(es) . A
s-:.::-~C'':.ur~ 1A...9, V\
P'iC ~
3tl
feet..
4.
~ype of sewer pi~e.
A3S
C~st I:::on
5.
6 .
E3~i~2~ed leng~h
of
sew"e::-
line
Clean
out
( . ~
L_
rec;:'"..lired) ,
loca~.;ci
Fo,~""
at-~1Ji1=-f"'2t
f:-o~
s-::="":c':.u:::-e.
====:=======-=========================================-==========~
?~~s a~~lic?-ti~n cec~mes ~O~~ pe~~t ~hen 2p~~ovec.
B'C
DA~::::
=~======================================================;;=====~==
::::::s:
s
s
s
35.00
.50
~5.50
Se~er and w~~e= line connec~ion pe~it.
Surcharg'"
TOT.". I.
* Fee :~~ eithe~ sewe~ c= wate~ i~civid~a~ly is $20.00 plus
S .50 s'..l:::c~a::::;e.
* Se~e~ and w2te~ pe~its issuec fo~ ne~ cons~r~ction ~~s~ be
=,;c;o=~r\"'" ~~:.. t.......:.-:..-p.inS pe=mi.-=. c~:::-:i 2.t. the ti!ne of i:;~ua:"1ce
~:l it~:E,{lc'tIT"!~F\I}~I,I,qf.1:;Ju..cate se..e= ar:d ;rater- pe"..-::Iits are
1-55'" r .LS ll) ~' I tlAID WITH
D;.":'::: ?A: bt MAY 1 3 7003 ~ II A::~OuN'!" p-'..::o BUILDING PERMIT
?,:::c:::?'!'
By ____
R:::C'D S.!
.. " :. '.
'.~ ..:.. T '" ',,' '( ~ _ " .' " _. ~
.. . ,','- ., -:"- . ~ . ..,
,,- 1'-''-'''-
.', I
':::,'"' ~,...-.=
,,7~"1 .'"....
8 d SOOES0098l>ON.IOSI 'ISlOSI EO ,liS (NOW)
L9EO-lSl>-IS9 0NIIV~H ~ DNI8Wf11d 1~ZN~M WOB3
10/24/01 WED 11:22 FAX 812147t245
r.rTY OF PRIOR LAKE \O"'''InO-''(lU:Io<...\.......~u.''''''.> @OOl
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
ll!tlw: ,iI..
I. Colli Cill
, V.tkrw AppltC'll/'lI
, PERMIT NO. 3- S- OL q
erIcaX' _lY1JC or :Drint ILtld sUm at bottom)
ADDRESS 3'lWc, ~~~~€-\2J.,
ZONING (oftlcc...)
, LEGAL OF-SCRlPTION (olliee uleonIY):s-~ ~ ~ V'.
LOT 3 BLOCK I ADDITION. ~\.J :>
~~e~R t~\ett'\Sm~X\Y\ ~O~e.s fPhone)6S)-'-tO?:,-l/lIoo
,(Address) j2>~S-~lo,~~~. ~\'k~D t>('\~Y\ ,~t\\ ~'::>J;Zz.
- I
~;;:~ANT L,)~cl \'\b~ ~ \\\~~, (Phon,,) ~/-fsJ~/5CS-
(Ad<Um) 17/D 'I\~C\~J.~ \~J, ~R~, 551:21
(Add:r~,) ..-' (City) (Zip CodeJ--
(ComaaPer>on) \1-eel \-\~9.~_ .- (phone) ~5'I.-1s;2.-15bS
A}>PUCANTSIGNATURE #$/fI!t(l[ DATE li'/12)03>
.ufrUCANT PLEASE COMPLETE BELOW
Type of Fixtllre I Quantity
Bath rub with Or without $how~r I
Dishwasher I
Floor Drain I
Lavatory (Bathroom Sink) I
Laundry Tray {I or 2 compartment Sink I
I Shower Stall
, Sinks
Bar Sink
, Wal~r Clooc:t (ToilC\)
Quantity
I
I
I
q
I
a
I
'"'S
PID
Type of Fbnare
f
Rough-ins
Water He'lt.,.
W'ller Softner
I Stand Pipe (Washing Machine)
I SllWa~ Ejec:tor
Bacld10w Assembly
Baeld10w Assembly Test
Lawn SprinltJer
t Othl;:r
I
FEE SCHEDULE
lndumiul. Commerdl:ll &: Muhi.rilJT1i1y ''''.ofjob t:o,t Iollith a $39.50 minimum Resldentlll. New One &. Two--Famil)' 599.50
Residenti.1. Additions a:. Altenllons: SJ9.50
(omCt Vie Ont)')
ES1)mared Cost S
Building rcrmit #
PAID WITH
BUILDING PERMIT
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
m A>:::,:::.::.~mm Y.m "'.'" p'm",~'" A."..~ I}: 11' : ::,," i ~ II i ::.'. "'/{I
:a hoc,' 'ilotice !u'(.1I iOlptft[on. <"51,"1 ~1)5.j. r~lr. ~~S1) ~',......Z~5 f /
L, d SOOES0098vO:llOSllS.1JSl EO .GiS (NOW) "hv v~f-i~9 SUIF3: i :JNI8Wflld 1!ZN3NI lM.l
~
.lJ..,~..:.: S I.JL:...... anc:l wa1:.e.l.-
contractors must
be registered
with the city.
APPLICAlft': S: &Ak. ~ F~. ":,'.'''':,: tJ;) -;)JJ-3f;)0
Aw,...-ss:~d ~~~I"'~ TG-UMl.DAft: 7/lflD,~
SIGNlbu~: ~ ~,~ BLDG. A:..........._ ~
SI'l'B A..~:_ (13~hi.:eeE~p:rDt
!ILL IN THE BIANKS
L Estimated length of water service "-~() feet.
" 1/
2. Sille of water serviceS;" - / inch (es) .
3. Location of any couplings from structure feet.
4. Type of sewer pipe. ADS PVC V Cast Iron
, .
5. Estimated length of sewer line ~(J
feet.
6. Clean out (if required), located at
structure.
feet
from
---
-- _.__~__~__,~.;II=L_________==-=_
This application becomes your permit when a~~~u~ed.
BY
DATE:
---,-- - ".-...--.:==. _.~- ---,- --'--'---~--- .._,_. --.- ,--
^------.-- ---- -===========------ .=====
FEES:
~
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
... Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
... S "'''' <-.<<,,,O>d _t-.n'" <;... ,its i...........J for DBV _..._~__1:ion aust be
re-:~i\' 1t,it.i:~'X.iJ.ing, ..., it cud at the time of ~ssuance
to 1 f~I",j., 'tblIt! ftb'-~, ., ,licate 5,,-,,, ~._ and vater per1l1ts are
iSSUI~) ii
H JUL 1 5 2003 i,." PAl
DA1'E PAII~Ll lL): AM~u.'" PAID~ D IN/TN
RECEIPT ~y--- -=-______1 REe' 0 BY l/VG PEFiMtr
16200 Eagle Crcelt Av. S.B.. Prior Lake. Minnesota 553721 Ph. (612) 447-4230 / FAX (612) 441-4245
. A.. Pft1..1 t\t\nt\1'tl1ftih, 'Rftlnt.......-r
te-d
89~L 'P8S 2::~6
.~x~ ~ ~Nlawn'd ~~~s
Wd ~2:2e 200Z-~1-'n~
08/26/03 09:13 FAX 65189499?5
"~NZEL HEATING & AC
~001
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONlNGJFIREPL-ACE-PERMlT
Date Rec'd
~ ~ ~:~ I PERMIT NO. '3 - S~ \
J. Yellow AIl~IClIIIC
(Please tY'Oe or Drint and sim at bottom)
ADDRESS
3910 '~o<:;k,P~--'j
LEGAL DESCRlP'T10N (office we only)
~'Jr tl
I ZONING(offioew,) I
LOT
BLOCK
ADDITION
PlD
OWNER
(N ame)
/J bA r'5/'fb fff\
~
(phone) ,,51-4-r-h-4 4-~
(Addr~)
"
APPLICANT _ / ,/ /
(Name' 'u"b",,/ .7.o{ ~""'5
(Address' 47-?/ dd "<::;/&h ~/'/1
~J\J (Acl<In:s>) / '
(phone)
t-,~/-~~
~~H
~ty)
~f{2..
(Zip Co,",)
(Contact Person)
(phone)
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
)ii!!!f<EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
fURNACE MAKE AND MODELb!/IIr.,1 h 5"1 {;)"?,. 'i. cs- FUEL ",...bJ-
FLUE SIZE .;)-:<' / RETURN OPENINGS (~ INPUT 7S; r::nJ OUTPUT ~
TYPE OF SYSTEM REA UNO OR POWER PLANT
g:rWarm AirPI:llltJ 0 Steam
OGravity 0 Hot Water
2~~c:hanical 0 Radiation
~ir Conditioning 0 Special Dc:vices
j;3VenL System 0 Other Device.
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial..Commereial &. MultiaFamily
FEE SCHEDULE
1% of job eost Re.idcnri.l, Gas Firoplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Conruuction)
Residential. Hcoting Only O"ew Conruuction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
ST ATE SURCHARGE
TOT AL PER.mI' FEE
$
$
S
PAID WITH
BUILDING PERMIT
(om" Us. Only)
This Application Becallles Your Building Permit When AppraVedr\ '1'~ ,..:;--~-: ',. l.c; \ i,lll Receipt No.
I I, 0-~\;' i " L' Ii Il
I'l "il .
BuildingOffici.1 Oal< i';dD~~p 04 2003 i HJ By
24 hour notic. for all in,p~ction' (9~2) 44 ~r~';~: (95=)~!~24~_J - -- - -.- - - -..
. ----- .,~..~-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please true or urint and siJtIl at bottom)
ADDRESS
; ;;;,~ ~::y I PERMIT NO. ~ - ... ~
3. Yellow Applicant ..J-..J~
ZONING (office use)
3946 RASPBERRY RIDGE ROAD
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name.) ATJ.TED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-256J
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
, APPLICANT SIGNATURE
BRENDA HUSTON
DATE
6/21/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATNGL06000TR-OAK X2
Industrial, Commercial & Multi~Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64,50
$39,50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
$39,50
$39.50
~, P.Ng W!rH
,~''UJi;i/) 1Rl,,' '''l~B ·
~'~'ii1~ ~
' .,':. ~RMn-
(Office Use Only)
Buildine: Official
I Y ] rE ~ rE n wl:
ID] I
24 hour ootice for all inspections (952) 447-9850 fax (952) 447-4245
By
Date
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECO
SITE ADDRESS . ~911 b~ r
NATURE OF WORK
USE OF BUILDING
PERMIT NO..o - '0 DAI'i ISSUED .
CONTRACTOR ~~;V /!fII"'.sPHON~~.~" 7&. J;}-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF Main File
BUILDING AND INSPECTION
D
id~
~N.~/,~OR DATE
I FOOTING 7 CJ H-A ~ if') I G,~r v?
I F04NDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGt:I - INS
SEWER I WATER I SEPTIC \.0 )00/'-\'" (i) ((
FRAMING (~ ! C/ ~
INSliJLATION LI\J ) L-' ~~
ELECTRICAL (/~
PL~MBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, ,1 f'.. . I I
"-p~ ,h~~FINALS I,...
I GRItDING (Prior to Sodding) /~ t;;
BUIIf.DING -illS
ELECTRICAL
PLU!MBING
, HE~TING
DO NOT OCCUpy
'7-((
it 7tY 2o'l
~L IN ~
fA 7tL
4&
\I\'J '~~
II /~t? (I)"
,
)1- :!~
g-tp-.orJ
wCP,6 A-'<
(J//
UNTIL ABOVE HAS
NOTICE
~_"'D,
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.
FOR ALL INSPECTIONS (952) 447-9850
--,---~_._~--_.__.__..,--^.-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
"Cf-oS-
ADDRESS
:r? <-J ~ R.CLAP,
~.
u
OWNER
CONTR.
PHONE NO.
PERMIT NO.
j - 5 ~a
o FOOTING
o FOUNDATION
o FRAMING
o jllSULA TION
XC!'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(\k +0
" _~I\ n;. )
~~~~
~RK SATISFACTORY, PROCEED
~REC AND PROCEED
o CO . ECT WORK CALL FOR REINSPECTlON BEFORE COVERING
Owner/Contr:
447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
PUlWrI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 311./1 D
~.a~.
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
'xPLUMBING FINAL
o MECH FINAL
COMMENTS: )
I.~~~
2. ~G...~ - ~..v."'-4f. ' 1 J
1. G,lu,.t. f"~
L./. 0..~ \7..... M-n ,
:). t'.~ \:}J.:\l l~.s -
DATE TIME
8-2,.-0 "
'3 . S:<o
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
1./ In, 'tl!>"78
o .JIORK SATISFACTORY. PROCEED
I'f CORRECT ACTION AND PROCEED
o CORRE1ip\CALL FOR REINSPECTION BEFORE COVERING
Inspector: IJ----V--I Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED LJ-3()-O/
ADDRESS S') 'I' t,~r~v ~i't /ld,
OWNER CONTR. Wrl1bM4no'\ J-ItJ1W5
PHONE NO.
PERMIT NO.
(') S j-U
~~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~nNAl
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
6r..k, l!J ~
Lo/'/!::.
Br.~ __" It
kf WORK SATISFACTORY, PROCEED
/,{}cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:-?,ffdA - - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
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