HomeMy WebLinkAboutBldg Permit 01-0734
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT b - d 0/
(Please .!VDe or DllDt and sim at bottom)
ADDRESS
tsJ {" "{ I :"...: t1 " /'{J
l.fr N~"
(/
LEGAL DES :RIPTION (ollice use only)
n'j
Al
\, While File I
2. Pink City
3. Yellow Applicant - 07'34--
(JY
LOT 17 Bl OCK L( ADDITION (J 1.",..", nq.a "- '"
-
OWNER 1\ I)
(Name) /J1el J.:.-~I.(/
0h~C::f,
(Address)
BUILDER )
(Name)~VJdlONV{t: CD~s7,
(Contact Narre) ,7-<P-P (lcJ] (So----
(Addtl'SS)?~ O( I l.ts J '" ~T uhzr;;1 .
/ <;T.
PID;(5-:3]t., -/}-n-()
(Phone)
(Phone) q D - 4.J";)..- '} to (
C-~(Phone)~I~' /01 .&-("L(C/
~(d& <f:Od4
TYPE OF We lRK O<l:/.ew Construction
jr/)< t:
')(../...1 JXtLower Level Finish
o Misc.
DDeck
~Fireplace
DPorch
DAddition
DRe-Rooling
DAlteration
ORe-Siding
PROJECTCOST/VALUE (exc1udingland) $
Dutility Connection
Iq? ?Of) ~..
/
I hereby certify Qat 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 Ifor the above-mentioned Y....Y....J 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
;terrfr~::r::neededinSpeCtions ~_<1 ~ (1-P~ ,Or
-d/# Signature Contractor's License No, Date
V
I Permit Valuati< n
I Permit Fee
I Plan Check Fe,
I State Surcharge:
I Penalty
I Plumbing Pemlt Fee
Mechanical Pel mit Fee
Sewer & Water Permit Fee
I Gas Fireplace Iermit Fee
$
$
$
$
$
$
$
$
I ers I C><X:>.cD I
L~,,,,.,~I
~R<f, 4~ I
qt,. 5D I
I
I
I
I
I
I tJt') .c> D
/00 .OD
i3S . s-o
QO. 6>0
-
TI$' a rl BeCOme~Y urBuilding Permit When Approved
"r 7-3-~J
~h
Building )ffijJl'a1 - Date
,
I Park Support Fee
I SAC
I Water Meter Siz~ I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~ 1:..L.~.()/
I Paid g "''''I.() ,
I Date "1 7JJ.r) I
f
#
#
#
#
I Recei~G~.
Bv 41i)'_
f
$
$
$
$
$
$
$
$ .,
p,c:,c,~
I. ISO .00
)
J~S.m_
i./s ,en
J,:;;J.DO.cd
'?nt') ,nj
I,fllt) . cD
I
I
$444f01
+tJ /50
to certify th, t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document
1ned by th City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
.-:;:-- ningDirec;:r" --- '7 l~ek1 5Ie~ ~C~!S'if~~teY\k. L-
24 hour notice for all inspections (952) 447.9M50, fax (952) 447-4245
___--I------..___.____~-
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I. Blue File I PERMIT NO 3l/ I
2. Gold Ci<, '0.'- -7
J, Yellow Applicant , I
(Please tyPe or print and sien at bottom)
ADDRESS
r f\-:!~W {:)\.~ l.14<'
Y T /'-1} P C7T
rJw
ZONING (ollie< use)
I c: \ -
I, }~b~
LEGAL Dr SCRIPTION (ollice use only)
LOT 7 r LOCK if ADDITION / L) f2.-rKvrn/Vy,ftl../ / ~
OWNER
(Name)
(Addtess)
~
PIDd)- 311:.- i)37-j
L1 ~J 76l) I
,_.....
'0\ (/ QJ::..f 1:\ u;
c ()oJ~--t1
(Phone)
~~;;~~Al' T 6 l ~ ~tri f 0-f 6 (Pho~e) i-J 3 ~ q ~ 71 \
(Addtess) _ b ~ ltb ll-l b4' N ffJ iJ CyJJ>Lf; \r~ I Jk~J S <:, !jlJ:
(Contact Pe ,on) (2 rfl--. _rbcN6 O~P~:) ~}dv i07 'tlS~
APPLICAl'TSIGNATURE -~ ~--' DAT~ ,O-'J};l...;O I
Quantity
.~
~
';J,
1,
I
eXl
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower ifJJIJ i:.\..-
Dishwasher ~ I'
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
i
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, (:ommercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two.Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
rf PB~
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
(Office Use On y)
This Appl cation Becomes Your Building Permit When Approved
Du Iding Official
Date
I Paid
I Date :8 - ;1<;-0 I
BF
, Receint "No,:
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
Tht ('tnlt. of tht L.kt <:ounl..,
White .. Building
Canary - Engineering
Pink .. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Nt ME OF APPLICANT
AF PLICATION RECEIVED
,
,
"
C
oj
~-:-
o
',r
)
Th e Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity whic~_i? proposed at:
,- )
I ::; ~3 / ,/J /1/ /
Ac :epted
~
Accepted With Corrections
Denied ~,/
RevieWedBY:~~ :.~:"~
Cc mments:
_.MMAM.u~~ ~1I'L1}"htz:Lu. ~~
'\0 pv-~ Llw; ~~ ~~O -
4-t-- t/~ P~~$A/,j)
~ PJ/lr->fQU~ ~V./~W ~&~
~~-~
Date:
?/J7Lt/ l
"Tile issuance or granting of a permit or approval of plans, specifications and
co nputations shall not be construed to be a permit for, or an approval of, any violation of
anf of the provisions of this code or of any other ordinance of the jurisdiction, Permits
pn lsuming to give authority to violate or cancel the provisions of this code or other
on linances of the jurisdiction shall not be valid,"
~~
White .. Building
Canary .. Engineering
Pink - Planning
Th~ Crnlfl of thr L.h ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ,ME OF APPLICANT cm(! /JJgy;at?t:;t a~
Io-;z~-O/
AFPLlCATION RECEIVED
Th e Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
/~ exb3 -::J;;/;'/I.IJh d/pr
, (/ .UVV
Ac espted Accepted With CorrectiOOS-<
..............
De nied )/ lfY A
Re,viewed By: V~ /~ Date: ;; -5' -&:z9/
.;'
<? "ments:
/) 06.~ ~f{ Affa~ce l-t~~-
"Tile issuance or granting of a permit or approval of plans, specifications and
co nputations shall not be construed to be a permit for, or an approval of, any violation of
an { of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pmsuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
-...':;":_~.
-'.~x PRIOR (
t:: ~
u en
01- 731/
White .. Building
Canary .. Engineering
Pink - Planning
Thr('rnlr. nflhr Lab ('ounlr)'
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NtME OF APPLICANT l-IJ'/) I 00 i7ufJd
0-,;25-0/
.,
.tJ,} )1(-0::.-
AF PLICATION RECEIVED
f f.:
The Building', Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
/5 (}b3 ::;h/;;/Ift; I-J7Z-
\.....
Ac :epted
-~
Accepted With Corrections
De nied
Re viewed By:
IlIn (5
Date:
'7-C,-OI
Cc mments: See Reverse Side for Additional Information!
y
","', ~
..Lor: c:.<~~~'
~
./
::>ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"Tl1e issuance or granting of a permit or approval of plans, specifications and
co llputations shall not be construed to be a permit for, or an approval of, any violation of
anv of the provisions of this code or of any other ordinance of the jurisdiction, Permits
pn lsuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONIN"GfFIREPLACE PERJ.'\IIT
Date Reed
B - 2-Z--0 /
;~~:.. ~:~ IPERLynTNO,()I-073d-J
;. Ydl<lw ApplLC:lnl -r I
IPlease.sroe.)( orine an~ s-il!n at bottom)
I ADDRES 5
I /~~::S
/tY..,
&-
N.lk"l,
I ZON~G/mc,",,'
~<
OIl' /. 1A~
. LEGAL r 'ESCRIPTtON (office u,e only)
LOT'1 BLOCK 4- ADDITION NENSlvJl7fVN 1ST
PlDZ5-37b-0Sl-O
OWNER (\ }.'I"'\
~ame) ,~r.~~ A)
(Addross) A, V,
f:M J_~.j
(PhOne~<;')) ~?;;) - 7(..0 I
APPLIC" NJ:. n
(Name) L.cNh>r//~Co.J
o;/'
(Phone) (c:.S:/) J{c.t:') - CI"I::l1;l
~
(Address), {)/!;l/C
~1f,.,^J A,)~.
(Ad.dreS!iJ
~^~
(City)
.~O)'SI
(Zip Code)
(Contact I erson)
APPLICANT SIGNATURE ~,;;.A
-
2;,;;;:-dJ
(phone)
DATE
8' -,-:)<9 .-d f
/ APPLICANT PLEASE COMPLETE BELOW
,E]NEW CONSTRUCTION 0 REPLACEMENT 0 AL TEM nONS
fURNACI. MAKE AND MODEL ("'f"n?f20rA7')o,f{..r c.d/tY'l.L Vt:-, FUEL J. V"';:
FLUE SIZ: r\ 'I P IlL RETURN OPENINGS c:. INPUT /00 I'lnO OUTPUT 9/,)!'V\('\
- ;
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
~t:hanical
/e1A~Cunlli(.i(]ning
~t. System
DSt<:.m
o Hal Water
o RadialiQn
o Special Ocvicl:$
o Uthtlr De:viC::t:s
PLEASE NOTE:
Air Conditione-r Units
Cannot .Encroach into
Requi,ed Side Y.,d
Setbacks
FlR.!:PLA<:E MAKE AND MODEL
InQl,I::it.iaJ. ( omm~rcial & Multi..Fl1mily
FEE SCHEDULE
1% ofjol:l cost R~3idt;nt\aj. GaB Fir~placc:
:539.50 minimum
$99.50 R.t:sidcntial. Additions. & Alte:-ations
~64.50 Residential, AC Only
$39.30
Rt:sidt:nrial, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
~3930
Estimat.d COSt S
Building Permit If
HEATING PERl'vUT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUILOlNG pERMIT..
(orne!: l,J':H: (lulYJ
I uilt:ling Dffil:illl
~
~IR~
: Date rSy ;IJJ/;/
0... i ~~ 2-2~O / I /]'JIUt-
l..:+ nOlu'" nIJW:~ fu..:lJl iUjpectiol13 (952) 447-I)M50. fillx (952) -147~4::l.4.5 "/
~.
ThiS Ap ,licauun Becomes Your Budding Permit When Approvl!d
100 lEi
lIlV a3'110ll.LNO:J
9LZ909tlS9 XVd 01:01 a3M lOOZ!ZZ!80
If
CITY OF I'RIOR LAkE
SEWER AND WATER PERMIT
Date Rec:'d
LBGAL . )ESCRIPTIO'"N'(.;'~ only)-
: ~:;;:'- ~;,~ I PERMIT NO. / -7;).. U '.-
J.CaI4 AplIllclllt , .~
I ~RIG(o='~
(Phrase orDMtand sim lltbottDml
AOORii ;5
I C--' I. ') -- \ ",. AI, IJ.... _ _ J. +
--L:l..Li [" ~ t-l.ll V'.J..I,LU.f-__LL2.~.1 5
Q l /JIJ)
LOT? BLOCK '-I ADDITlO1;J W C-IrI.<; IhII1 Mih\
OWNER \/\/\" \ j 'n---r=-----
(Name) --..lLJI ~r ,U )~UL.. ~J{')\,L1l
GL.
PI~.-::3J~31~
LIU!lfotJL
._ (Addcc..)
C/r-
_ (Phone) ~l
i'.' n L \ ),1 II -" . ..
~
... __(ZiD Cnde)
(Addre..)
. APPLICfl N'I'-r-' I . r-
(Name) .,J e..e.. l\.e..J c..y ('I .
(Address) J.a1. f) Jo.;.a ~ P.lo 1', f' __
CAdc.lfC'SliI)
(Contact Person) ~~ ~ ~
APPI.TCA'l'I':;ION~TUI~E ;: --\ ), , (_.,
,
APPUCANT PLEASE COMPLETE BELOW
Size of wilLer !ervicc I inches.
LOcation afany couplingM from Structure. ._ feet.
. TyPl' of ~eWCr pipe, 0 Aile ~ PVC 0 C/lljl Iron
H~limat"d length of ~cwer Iillc "'--. teel.
Clean out (ifl'cqui."d) t,)cntc:d "t __ feet ft'Olll Mtructurc.
(Phone)
/.//1 ?';;O 7'-100
M-AI 5/,43[_
(ZiD Codt)
~ 1.1 '};) ~ 'l'iSt-, .
I
-----=,-_1
. (Phone)
(.{f f)flWlI'1J., +On
. ( IIy)
DATI!
1l.e."d~nti~1 ; ewer dnd w.ter line eonnootion
Sewer connl eHon only
FEE S<<:lIEDULE
$35,50 IndUstrial. Com'l & Mulli.family 1% of job 00.1 wi.h n 539,50 Illinlmum
517,50 W.t... curlOeotlan onl)/ $17.50
Hstimmed Coot $
Building Permit # _
-
snWER ANn W A TEl{ I'Bll.MlT fell
STATE SURCHARGE
TOTAl. PERMIT FEE
$-
$ ____.__.. ,50
$
- p.
, CU/LD~N/D t1.17'/.
, Gp_'7
1::;'
, '..... ~,~
(omce u.. 0111 y)
Tltl. Appll \:laUon DecorneJl Your lJuildlnlt .lor'-mU Wben AI)pnJvec.l
'H~ll L11..t Orn...I....
O_le
Piiid ..--..::::::==:. I Kcr.:oipt NS- .-_. _H_
154'. C; - d0-() LI My CrfO
- 7
24 hvur l1IoUr.t.I tor .11 in,pea:tlunl (952) '"1..9'50, '1Il... (9S2) 447w4Z4S
c0d W~8C:S .00c 9c'daS
96S;:9c68 c.9 : 'oN 3NOHd
:lX33H:l3f : wO..!cl
€r,:/~.O.II~~.2g<\ ~~9~~4:22 651 633 BBB4
::;~7 HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
FIRESIDE CORNER
..........1. ... V...' $, ""''UA..'' JJ^.n.J~
#1367 P,004/0D4
vate lUC'D
(Please tvt:Ie Ql't ,iDt a:n4 sJllllllt bottDm,)
ADDRESS
~.:;.:.. ~:~ II'ERMITNOY1V- 734 I
J. .,"''- A.tl1l1unt LA
/5;)(,,3 ~6;. JJ$ W
"
ZONINGCofti<:'''''1
~\
LEGAl. DE: :CR.JP'TION (olli"" .... o"ly)
LOT' I BLOCK L{ ADDITION (jl,J/lf/1/YJ1t/A/l./Yl" &
OWNER
(Name) /VJ...7do,o'!,R ~.
Plr.h7,s--- 3 '7(", -0'::;/7-(.,1
(Phone)
(Add"",,)
APPLICANT
(Nam.p\ Al ,LIJ::D F:tRJ::SIDE DBA FlaESIDE CORNER
(Phonl!) 651-633 -, 5151
(Ad.dt<ss) 1 '00 N. FAT-'<VIEW AYWU~
<^ddr...)
BRENDA llUSTON
(ContBet Peril )n)
~
AA<4
d~
Rn~RV..I.L T,~ MN'
(City)
651-633-2561
(Phone)
5=;' , '!o.
(Zip Co&'l
APPUCAN'l{ SIGNATURE
_ DATE
l' /.}'.IN'
,
APPLICANT PLEASE COMPLETE BELOW
ONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE M A,KE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
JWarm Air I'I""T~ J Stell1Tl
JOravlll' J HOI W8ltr
] Mechanical ] Radiation
OAk Conditi,,"ing 0 Special Oevlces
OVen~ SyslOm 0 Olher Devices
PI.EASE NOTE;
Air Condi~ioner Units
Cannot EnCJi>a.h infO
Requ.lred. Side Yard
Setb""ks
FIREPLACE I ofAKE AND MODEL _1JR..d- ~ ~c-,
hoD:m...
x..:L
InduslrisJ. Conn ,.reial /I<. Multi.F,mily
FElt SCHEDUU!:
I % of job oo,r RcsidenUal. Os. Flrcph"",
$39.~0 minimum
S99.~o Residential. Additlon. I/< Alter,tlons
504,'0 RcsldentlaJ, AC Only
$39.50
Rc.idential. Hes ling I!t. AlC (New ConslnJction)
RcsldenU.J, H., ling Only (New ConBlTuc:r.ion)
$39.50
$39.50
E$timllled Con $
BlIilding Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAl.. PERMIT FEE
$
$
$
,so
i3ul, P4/D
'(D.,^" /1.7.,.~.
GP~'7
/),'v:/.,.
l~ceipt No.
IOlTle. u,. Only)
This AppUe, .tlon Beeollles Your Building Perlllit WIlen Approved
Dirt
I Paid
I Date9/:=:)(_O I
~-
BoM "Il Offlol.1
By cc----
14 Itol.r "otIe. for.1I iO'pecllon'19~) 447-!l8!/!, r.. (9!2) 447...145
P
I
lOR LAKE
SPECTION RECORD
DE"ARTMENT OF
aUILDING AND INSPECTION
SITE ADDRESS --A.c;a(Q,< ~_LrL.)u ifF (' j ~
NATURE OF WORK AJe....J
USE OF BUILDING f:ro .
PER VlIT NO. n I.Ol~?A- D-:r: ~StUED 7- ,:~ -~I .
CONTRACTOR M~\I'V~ r:: PHONE Co /2 - 7a' ~P;(/Jt(t:/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ) D~E
I FOOTING I r~ ~ I '7, ,;?~/D7
I FOUNDATION (Prior to Backfill) I"f., \J 111i, I 7 j ~ ( 1'0,
PLACE NO CONCRETE UNTIL AB"OVE HAS BEEN' SIGNED
ROUGH - INS \
SEWER I WATER I SEPTIC ~\) Il.Ib/
FR)\MING ~ 'tb 0Q-t'; \
INS lJLATION a-,\,}~
EL&:CTRICAL \
PLUMBING ~ \)~
HEJ ~TING (if required) 1l, O/1.ut
FIR :PLACE' f ~\.~J
GAS LINE AIR TEST "S -\)()J..U\
10') t f) l\
<:!l. 1;;1401
gAOl
,
~!rol 01
q l,iL 01
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
!tJ1f~
l~"\)/I~ l-d-. ~ ,-IO";}
~~W '~
<'6 ).~~ I
OCCUpy UNTIL ABOVE HAS B~EN' SIGNED
NOTICE
I 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 andadditlons
where no service cabinet is available, card 11.ltall jx.'placed near main entrance,
GR, 'DING (Prior to Sodding)
BUI LDING
ELE :CTRICAL
PLl IMBING
HE) ITING
DO NOT
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
0-/f~4b?
. . ,.. ".. {"~~ - ~
-""'.''''''-',;''' '.....,.,. ..,-, '''''',' ''''I'''' ...,... ,."_ ...,.... ".
~,,.~ ~,. "."" , ".,....~ ~,,.. ...~t!~:-u ~':- ;
llI:~
Ql;tmfirau at (Jrrupanry ~lf "
:)_ 1
CITY OF PRIOR LAKE ::;"~
I)epartment of Jluilbing )n~pection '1' ~.,
)&final Permitted 0 Conditional C,O, Expires ' ..~
-
This Certificate issued PUTS/lQflt to tM requirements of Section 307 of tM Uniform Building Code . ."".
certifying that at the time of iss/lQflCe this structure was in compliance with tM various ordiTllUU:es of the
City of Prior Lake regulDting building construction or use. For the following:
SINGLE FA "lILY
Use ClassificaliO""
Bldg. Permit No
01-0734
Occupancy Type R3
Type Construction
VN
Fin: Zone ---.lit A
Zo.... Di,lrict Rl
Lepllles<riplion L 7, B4, WENSMANN FIRST ADD I nON
Owner of Building
15263 FAIRWAY HEIGHTS CT.
Site Address
MCDONALD CONSTR., 7601 145TH ST. W., APPLE
Contractor's Name a: Address
VALLEY 55124
J
ROBERT D. HUTCHINS City Planner DON RYE
. \ Buildin~ ollJ<ia1
Dale: ~ Ik'iAN'/ (0 u 0 D:J _ Dale:
r POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED JZ/f7-c( 5136
P/fIIZWRV H7S
ADDRESS
/5203
I
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
A_j:O NSULATION
t"\ FINAL
SITE INSPECTION
COMMENTSbl1
,
-
-
CONTR.
PERMIT NO,
J - 7.34-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~t I
16 1011 ()J....
I V
./
~ORK SATISFACTORY, PROCEED /
o CORRECT AC~1 N AND PROCEED
o CORRECT W , CALL FOR RElNSPECTION BEFORE COVERING
Inspecto~ Owner/Contr:
CALL 447-9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENtS ARE FOR YOUR PERSONAL HEALTH.l SAFETY/
lNSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
a-j8-oZ
ADDRESS
f5:J.(;3 (c,/rwq J/ he/f/hfJ C. T
V
OWNER
CONTR.
PHONE NO,
PERMIT NO,
() 1- '7sL/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FlNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
Co if; &~~(91:::
Iv 6,..pr
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ -owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INS/fOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
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ADDRESS
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OWNER
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PHONE NO,
PERMIT NO.
~ PLUMBING RI
-I"1':Y~MECH RI
o WATER HOOKUP
o SEWER HOOKUP
tr lLPLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
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o EXfGRAD/FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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COMMENTS:
/"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~R~, \CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ..p. V 0livLt( Owner/Contr:
CALL 447-9850 FOR TH _ NEXT INSPECTION 24 HOURS IN ADVANCE._
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSHOTI
CATE
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CONTR. U
I -73L{
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
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
TIME
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: .:9 <::{-/
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'-T~ hSUe C. () t
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \ I o.v". OWner/Contr:
CALL 447-9~50 FOR~HE NEXT INSPECTION 24 HOURS IN ADVANCE.,
I/'IS/'IOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!