HomeMy WebLinkAboutBldg Permit 01-0729
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. Wl1ite File
2. Pink City
3. Yellow Applicant
0)
- 07Cli I
(Please type or vrint at d sil!J1 at bottom)
[3AD~~OS9~ .
TC (;';vN tAJt:i1 ~r
/
[LEGAL DESCRl PTION (office use only)
LOT/ 0 BLOCr~ </ ADDITION
T"4'/ /
ONING (office use)
1\ ;LS 0
I
&OtJ17
C~Lh"vtu4Tfr J /1/)/)
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) LJ p,L.d'/7'7t'iA//V
(Contact Name) t;o;.... IJ
/
(Address)
/J LJ nl.'J
(Phone) tJI-~(J/- -Lf"f'oO
(Phone)~/2-,?6 9 -7,t,/ 2
TYPE OF WORl:
~ Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
DLower Level Finish
o Fireplace
OAddition
DAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
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 t.(le above-mentioned property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submitted plans. I an aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enteruponth~'''''Y_''1 toperf07eededi~ctions. 7- ""7 _ 0 I
X /..Ja...~~ .. ~~ /Y5'"y -
~ / fiignature Contractor's License No.
. 1/
Date
I Permit Valuation ./9').DZ>.m I Park Support Fee # $ 89').00 I
\ Permit Fee $ 1-77..:;(.7C) I SAC # $ I. ( 50.00 I
Si@;ln;
I Plan Check Fee $ . '8d.r1. ctct. I I Water Meter $ , 1;),5.00 I
I State Surcharge $ )t:;;.tXJ I I Pressure Reducer $ ~5'JOO
I Penalty $ I I Sewer/Water Connection Fee # $ I d-.OOpV
I Plumbing Permit Fl e $ (ao.OO I I Water Tower Fee # $ {OO~ I
\ Mechanical Permit Fee $ U'Yl.OO I I Builder's Deposit $ I
..
I Sewer & Water Per nit Fee $ ss:c;-a I lather $
I Gas Fireplace Pern it Fee $ ~1O .00 I I TOTAL DUE $ v,r5.Z'l.; I ~
I Paid f6J..-Z . I #f I ~~ce~1 e,~
I Date 7'l/~ -01
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
when signed by the City lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
~sueU ~ '7/v7 tc9(
,
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
TIl.. ("..nl.., of Ih.. L.k.. ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/1;' .,;/ : '" ;") I / ">_/rJ
/ I
/. L ';'J
APPLI CATION RECEIVED
i- .~ ,.' O!
The B Jilding, Engineering, and Planning Departments have reviewed the building permit
applicution for construction activity which is proposed at:
flOCr
~' /1 / / //7 ~7:/'A
./
",:;:,.-"'0
Accep :ed
/
Accepted With Corrections
Deniedi
Revielied By: ~
Comrr ents:
Date:
-::r//3/td
, '
"The ssuance or granting of a permit or approval of plans, specifications and
compL lations shall not be construed 10 be a permit for, or an approval of, any violation of
any of the provisions of lhis code or of any other ordinance of the jurisdiction, Permits
presur ling to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
,--- ,-~, -. - ", I
White - Building
Canary - Engineering
Pink - Planning
Th~ (.~nln nf l~ ~ L.kt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAM ~ OF APPLICANT / ) ) f/VIll/Vv1 (j /J.- ~
APPl.ICATION RECEIVED '1- "3 - 0 (
ff~
The Building, Engineering, and Planning Departments have reviewed the building permit
appli :ation for construction activity which is proposed at:
3l/69 ~IfM-1(lA_ ~
Acce pted X Accepted With Corrections
Deni 3d
Revi 3wed By:
IIIJ4A
Date:
/-/2-CJI
Corr ments:
~e;~,l1 FJc
"Th ~ 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
pre;umin~M @ve ~uthority to violate or ~ancel the-er?jisigJ,:> of this code or other
ord nanc~ 'of ffie JUrisdiction shall not be valid," / - (
YlC1//" r, I (
Jui,25, 201 12:14PM
GENZ RVAN PLUMBING AND HEATING
No.8676 P, 3/3
"--'-'--.,.-
,
Date Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
,I
( f .ll. 2 5 2001
i ~ ~ I PERMIT NO. J - 7--'0,
]. GDld Arl"!CUIt t.-+--t
~ Me ormlDt IIllI im atbo1lllml
ADDRESS- : .' "
_ '3l...-\..Oq GIl1 Vll 1 )~JIl
LEGAL D:I!SCRIP' 1:0N (olllce.... only)
LOT 10 BLOCK L(AuuwON LA.)p ..vI<:'"
frO A-11
I ZONlNG(.lfi<eIPO)
Rd--SD
(51
PID.a5"~S~-D2~--O
OWNER
(Name) WensmaI n Homes
~) 651-905-3709
Eajitan. MN 55122
(City) Go'" Code)
(Addres.) 1895 llaza Dr Ste 200
(Addn:s.)
-
APPLICANT
(Name) Genz-R"an plumb1nQ & HeaLinq
(phone) 65I-423-1l44, ,
,
(Address) 14745 !:n Rnh....-t T.,..l ll'~"mo\,lnr_ 'ON ~R
, (Add%oss) ,~Ijjtf) (Zip Code)
(Contact~~) Jjarv OlMn ~ ) ' (Ph~n~~, , 651-423rl144
. ~SG>A~ IA_lry'1 JL.. xiAm {("Gin I
APPLICAN.l rLLASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. D ABC 0 pVe
Estimater;! length of sewer line feet.
'Cle;m out (if requir!:;d) located al feet frOJD structure,
feet.
o Cast !ran
FEES'-.I1J!.uULE
Residential.ewer anc Wafer line c~on $35.50 Industrial. Com'l &; Multi-fiunily 1% of job cnS! with a $39.50 miDimllltl
SI'Wer connection onl y $17.50 Water connection nnly $17.50
Estimated Cost $
Building Pcrtnit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMl'I' FEE
$
$
$
.50
B PAID V
, UlLDING i:
(omu Uac Quly)
I This AppUcaUnn I ecoMes Y o"r Building Permit 'WhCD AppTOvcd
\
BuDding Olli, ;0/
D....
Pald ~cipt No.
- - . '" -------;
Date 7 _ ;}6 '0 I JJy c;jC______
I,
1
24 hour node< rn .1llll$pC<tln~$ (!152) 441-98SO, fax (952) 447-4245
----+-------,._...._--_._--~_.,....--._-~~-_.._,._.._-_.._.. -----..--.--..-.-.--..--------- --_.~----
Jul,30, 2001 3:05PM
GENZ RYAN PLUMBING AND HEATING
No,9027 P, 24/29
~ate Rec'd
LoU i OF PRIOR LAKE PLUMBING PERMIT ,/
'.
i:::' I PERMIT NO. I-Id- G1 I
], Y.II_ ....._~ I
[lease ~ ormiJn..,d. ""aJ:~oltDm)
U>DRESS '
ZONING (olllot=)
K ;LSD
~ P:J{JI/'"'\I A.)Pt"f~p '-t1-AI' ~
- ..
..EGAL DESCRIP'I [ON (,!fie< use only)
LOT to BLOCK I) ADDmON !.JlLo~ nAn
I ~, P~> -39 - [)J~;;:- 0
-
JWNER
Name) Wen$lllB.n 1 Homes
(Phone) 651-905-3709
~ess) 1895 P L"z,a Dr
Eagan, MN 55122
'-PmCAN!'
~mn~ Gsnz-Ry.n Plumbing & Heating
.'
,(phone) 651-423-1144
A~~ 14745 ;0 Robert Trl
(Address)
Rosemount,. MN
(City)
, 55068
., (Zip Code)
ContactPenlon) _ Marv 01,SOt ~"" \ I . ~i1e,) 6.51-423-1144
~PLICAlitISIGN\..1URE ~O--- :~,ATI: .-,J.."'l':t!r){
, , ,~PLEASE COMPLETE ~E~OW
- Quantity I Type of FixtlIre I Quantity Type of Fixture 1
, Bat! , Tub with or without sho~r Rough-ins
, I Disi :washer I W~ Heater 1
I I Flon Drain hi, Wa_ Soflner I
/.j 1 Lav ltOry {Bathroom Sink} r Stand Pipe (Washing Machine) I
~ 1~"<ll:Y aay (I or 2 compartment sink: Sewage Ejector 1
[SIlo /fer Stall Backflow Assembly I
I I Sin} s : Bacld10w Asse1J1bIy Test I
I Bar Sink : Lawn Sprinkler 1
?o, I Wa1 'r Closet (Toilet) I Other
FEE SLJ1J!,uu~
Induslnal, Commercia, '" Mula-family 1 % ofjo~ cnst with a $39.50 minimum Residenl1a1, N_ Olle & Twn-Fomily $99,50
Residential, Additions & A1terati_ $39.50
EstiIDated Cost $
Building Permit #
PLUMBING PERMIT FEE $
" STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
SI.JII.~"lJD 11.
'1tvG l'l'f.t
PI2.
1),;/'1..,..
.,/
JJlja Use Only)
This Applicaunn B. "om'" Y Ollr Building Permit When Approved
Bmldlq Ollio ol
llale
[ Paid _
I Date ~ ~31-01
I Rec~~o
IBY?f~
14 hOllr Dance for 011 in.pedlons (951) 447-9850, fax (9S) 447-4%llIS
p, WZ9
Date Rec'd
"
_ type orPIin~...d Si ....01: bOtIDm)
UJDRESS '. .'
_ .~rl:l-- (~1Lj,,",WPf'~
.BGAL DESdUPT [ON(olllce use only)
LOTfD :BLOCK ~ Avu>uON uJ~.K"'\
--r~aL'
H::.. S- ~ PERMIT NO. / -7d-1
ZONING (ollk....)
!?'?lfJ
I~T
PID;;)5---?>'7.)- 0)5-0
- 0- _ ,
-
lWNER
~wn~ Wpn~m~nn ~o
(phone) ~~1_qn~_~7nQ
Eagan, MN 55122
~ddress) 1895 PJaza Dr Ste 200
J'PIlCANT
;Name) Gen",-Ry' n Plllmbin~ · "e....1n"
'\.ddres.) 14745 ::0 Robert: Trl
(Addms) ,
(phone) ~~l_A'~_llkA
Rosemonn!:, MN 55068
(Ci\Y) '" f' (Zip Co,,",)
2onractPerson) M....v n'~" ,(Pho.ne)
, - :"r'
~I~t>tGN.~TURE 1 ~ - ",' DATE
AP r:.:.x.:.J'l.NT PLEASE COMPLETE Dhow
~W CONSTRUCTION -, 0 REPLACEMENT 0 ALTERATIONS
lJmACE MAKE AJID MODEL V-'" "'1)"- G2l...,..,R!.?.1 I \AI) FUEL ..tJM:..&.S
LUE SIZE . :RB1U&N OP~GS .-J.1;> INPUTJ(;tI~ mrb OUTPUT ~
11 'PE OF SYSTEM HEATING OR POWER pLANT
~armAJr Plant! 0 S~
vity Hot'lVator
MCdlaDic:ol R~lallnn
'r Conditioning 8 SpeclBl Devices
eat. Systcn1 0 Othct Devices
lj<<;l_l'?~_' ''''1.
'1~L-
PLEASE NOTE:
Air Conditionor Units
Cannot En=ach into
~quired Side yard
Setbac.ks
!REPLACE MAKE , .:NO MODEL
Idustrial, Commeroial & Multi-Family
e51donnal, fl..wDg &: A IC (New ConstrUction)
,..identW, Heating Onl: ' (Now CoDSl<UcDon)
FEE So..nJI<..VLE
1 % of Job cost Rcsid...lial, (io$ Fb:eplacc
$39,SO mluJJ:n1llD
$99,SO Residential, Addilions &: A)r.nuiorul
$6450 Residential, AC Only
$3950
S39,SO
$39 SO
E.tinlatcd Cost $
Bullding P.rmit #
HEAlING pERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$
.50
[J1.J'1.6~!D ","7':
,NO PEe';! ,
r ('~'/I
.-.. UI. Qaly)
...... Applicatinu B< comes Your BuUdl1lll Permit Wbim ApprtWod
Paid
Datil
.I Receipt No. .
BulIdilllOllldd
)).1<
'1-dFO/ 'I By ~
(/
%4 hnur nod.. (or all iUlpeclloM (952) 447-9850, fu (952) 447-4245
I
NOV,09'2001 16:35 651 633 8884
FI RES IDE CORNER
#4614 p.004/004
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
i =.. ~:~ Ll'ERMIT NO.
].Y"~ AppliAor!C
/-/-:)..9
iPt..", I:'(pe f1f ariDt.".s sien as bDlll>m)
ADDRESS
_ 3lf()~ &9f"r-Jd-.... ~~
LEGAL DESCRIF nON (ollie< U" oaly) ~~-
LOT IOBr.ocl< U ADDITION _I' lcvtOA) So ..
..
\-" \
oWNER I.) I /
<Name) (.I. 'Pv."""''''' ~
ZONING (olfi......)
1? :I-sn
pn;:{]j'- ~5;;rZl 0l-5"~
,
, (phone)
I-<Address) _
AP?UCANT
(Na1TIp) ALLIED FIRESIDE DBA FIRESIDE COllNER
(Phone) 61\1-F.11-')56]
(AddresS)_27DD &, FAIRVIEW JlJ1VlTm
(AdMeSl)
(C P ) BI\ENDA IlUS'rOO
ontact eJ;SQn ~
APPLICANT SIC .NA TTJR.:B r' /1,
ROSEV:LLLE ~
(Cky)
651-633-2561
~';1';
(Zll' Code)
i-/~
. (phoD,e)
DATE --.if. 1- O~'__
APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAK'; AND MODEL . FUEl.
FLUE SIZE RE'IlJRN OPENINGS INPUT , OUTI'UT
TYPE OF ",,,.,,,M
OWorm Air Plants
OGJ1lvity
o M~luni...l
OAlr CondilinnlnS
OVcnt. Sy""""
FIlU3PLACE M.A KE AND MODEL ~ IJ ~v
HEATING OR POWER pLANT
o Sleam
o Hot Wrw.r
] RBdIl'lion
] SpOQi~1 Devi""s
.:J Other nevices
0o:JJ1h.-
PLEASE NOTE:
Air Conditioner Unito
ClUUlot EllCf1lach inID
Required Side Yard
Setbacks
Residential, Heatin I" AlC (New Construction)
Rcsld<:nti.l, H..nn I Only (New ConstnJctlnn)
FEES..n..."ULE
I % of Job co.t RO$ldential. G.., Fjrcpleco
$39,50 minimum
599.50 Residential, Addltinns /II; Alterations
564,50 Resld..,tial, Jlt.C Only
$39,50
$39.50
539.50
Industrial. Cnmm.. :ial & MUltl.Family
Estim,lIted Cost $
Bulldina: Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAl. PERMIT FEE
$.
$. .50
$
()t /'-,
'<....c, ...../
-'....[..1 )"
".' ",,:,\ '
~ j::., '/,
<.,....
""-:/'P
(om., Us, Only)
This Applit:at~"D B"""'De$ Y"ur BulldlDIl Permit When Approved
Bulldl.: : omd.r
0.10:
I Paid
I Date /I~/J- /
. Keccipt No.
,B)'~
U
Z4 bour notice ror.II I..pectlnn. (95%) 447-9SSO. r.. (95%) 447-4245
-~----~--_...~"._-_.~._-"---_._-'~
) ~ +~ t-A,Q,I\A. 'h" l~
P R I 0 R LA KE DEPARTMENT Of 3'107 c.l..r.:::~
' BUILD!NG AND INSPECTIONdtot- 07"J?-
INSPECTION RECORD
SITE ADDRESS sc{ <'1 c:'\\.t^w~ ~f'
NATUREOFWORK ~
USE OF BUILDI~G SFt),
PERMrr NO. fJ 1-- 01:;.. Cj DATE ISSUED 7-1 (.,- 2a::>{
CONTFACTOR (J~ ~c:, PHONE (,(7- ?r;,' -7C/'C_
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
I FOUN t>ATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
~N":U~~~ON ~ "'" :'ibr:
ELEC';RICAL ~
PLUMBING 1;~,(bArI 11)1iJo
HEATI1NG (if required) '&l)rJu II i ,
FIREALACE <P~cr.J... II' ~l" I
GAS LINE AIR TEST "b \)~ It 171101
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRAqlNG (Prior to Sodding)
BUILQING
ELEC RICAL
PLU BING
HEAT NG
o NOT
-
N-P lI-/1-(;~
_ ~\\rl-Ml\ A I !'~ o~
l?:r I LII/~
1'- \\rLWl ( ) ~16 ~
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
.f)
IV') _ , )
jD~'~
Tllis card must be posted near an electrical Jle~vicl." cabin.et prior to rough-in inspections
al d maintained until all inspections have been approved. On buildings and additions
w...ere 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 (952) 447-9850
QLtrtiftrau at ODrrnpanry
CITY OF PRIOR LAKE
1Dtpartmtnt of .uilbing )n~ptdion
.Pi, al Permitted 0 Conditional C.O. Expires
This (mijicale issued pursuonl to tM requirements of Section 307 of tM Uniform Building Code
certify. .g that at tM time of isslllJtU:e this structure was in compliance with tM various ordinmu:es of the
City oJ Prior LtJU regulaling building construction or use. For the following:
Use Cl'!lificatioo Bldg, Penni. No 01- 0 72 9
10, BLOCK 4, GLYNWATER SOUTH 1ST
Site Address _ 3409 GL YNWATER TR
55122
Occupan :y Type R3
Legal C<lcription LOT
Type Construction VN
Fire Zone _
Zoning District
Owner 0 'Building
Contrac.,,',Namc"'Address WENSMANN H~S, 1895 PLAZA DR. EAGAN. MN
ROBERT D HUTCHINS JM t"ity Planner DON RYE
Building Official
IO/'o-()L
Date:
Date:
POST IN A CONSPICUOUS PLACE
-,
DATE TIME
CITY OF PRIOR LAKE {O'~
INSPECTION NOTICE SCHEDULED
ADDRESS 3'10~ 6-/"Y n Wa I-t,-
OWNER CONTR.
PHONE NO, PERMIT NO. O/-7JA
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Sa:! ( '1r<.,."5
6'J
~'/
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
r
/ ---f 05-c
r:;:;1.R
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT v.:O~ALL FOR REINSPECTlON BEFORE COVERING
Inspectn': M'" 10 -%" 'OLOwne'!Cnnt~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-,
DATE TIME
ADDRESS
3L.jO~
SCHEDULED I II ~!ol.. q: iJ1J
,dL~~
J
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO,
PERMIT NO.
0/- 7,;).<1
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
~ PLUMBING FINAL
b MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CQMMENTS(i\\) ~~"'" O--r! (l ~I.KJ ' "7
(f))~ I~ ~o:J- lp~..
~ - ok....
-'~I~~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.
( J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
I-I("'OZ-
Z:o 0
ADDRESS
.34-0 q 6LVII/WIt~ 77L-c..-.
OWNER
CONTR.
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
HINSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
11 .......MECH FINAL
COMMENTS:
hJ 0 CJ( U;.,L
l ~ ~ \
:S;r'}d.! -rrpe.s i ~racL'4
\
_ tS-.. -::; LA P.. T0.M. r
C-(0 .,
1- 7z.-Cj
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREc.::g:\\CALL FOR REINSPECTION BEFORE COVERING
Inspector: l ) {jj.,}...f} _ OWner/Contr:
CALL 447.9850 FOR TH~NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3'b7 f:,II/YI""",lu r;.
DA. TE TIME
1/-/9-62..
OWNER
CONTR.
Wt'..~II':b.'" Ho1f'l ~J
(}[- 7) ~
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-.c(E~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
_ 3 '/0 7" - (P/"lld~ - ~ f(
_ c..U(~ ~f- lit:-
3/-/0'1. -t7r'"AC. - (p f?-
CJIo 12-~ - z>t:.
I #
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpecto,d."L E: -:; -ew<1er/Cnntr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
-----~~