HomeMy WebLinkAboutBldg Permit 01-0757
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7- 3-0/
Date Rec'd
; ":;::' ~:~ I PERMIT NO. n I /0151
3. Yellow Applicant
q>lease t'pe or p: int and sign at bottom)
ADDRESS ZONING (office use)
11c.~ ~ Oa.K ltu1.e ,e /
LEGAL DES eRlPTION (office use only)
LOT I BLOCK 4 ADDITION ~&t;p-hpl1 PID 25 -370 -Q67,{)
OWNER
(Name)
(Address)
BUILDER 11
(Name) 1\ .Il. 1-bN't-vv.___
(Contact Nan e) MtAlf 9 l' I tJLe 4\Cl _
(AddreSS)aO,:fRolC.lHlbnA-j'_ rJ. -<.1-6.1 fJ 0
TYPE OF WI JRK ]iil.'New Construction DDeck
DLower Level Finish
(Phone)
(Phone) q XS"-7f;Of<
(Phone) ~ -:ldI,IJ -I.ll...J
o Fireplace
DPorch
DAddition
DAlteration
PROJECf COST IV ALUE (excluding land) $ / ", ~ & I
o Misc.
ORe-Roofing
ORe-Siding
DUtility Connection
I hereby certify tl.-at 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 aba . ntioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted s. I am the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo th r >perty 0 needed inspections.
x
v
I Permit Valuatic n
I Permit Fee $
I Plan Check Fe, $
I State Surcharge $
I Penalty $
I Plumbing Perm it Fee $ It90 . c96'
I Mechanical Pelmit Fee $ (c;CJ .dO
I Sewer & Water Permit Fee $ s5: . SO
I Gas Fireplace I ermit Fee $ <(6 .~
V~7t'--._--
7-/2-0,,/1('
)fficial - Date'
It~.t<YY"l.rvl I
'1 ~S"7.?("'" I
B~2 .t;;y I
fJ') .:>0 I
I
I
I
I
I
.
,gooo Qp .en
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Siz~; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
1 Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
I Paid ~. 1(, f!, 7.-.q
I Date -J - 7.4 . A I
#
#
#
#
1',}.'b I
Date
I $ ~ (")rIl
I$usn.~
1$ J t2S.(!)eJ
I $ 'If). c9 ()
I $/.2btl.CSO
1$( ~t>.~O
I $ I FilY'J-~
I $ .
I $~.I lP6. zq
I
I~~c~
(j
4t)/74--
,is is to certifY tha . the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
l~ :me, [:;::.=~ C~fic~o/;~~::li~ce ~d allows c~nu:: to commence..:7:i~~' r;:j;;:::mustre
~'I~ning Director Date - ~nditions. if~y
24 hour nutice for all inspections (952) 447-9850. fax (952) 447-4245
OCT.ll'200l 14:22 651 633 8884
FI RES IDE CORNER
CITY OF pRIOR LAKE
HEATING/AIR CV'lu,ITIONINGIFJREPLACE PERMIT
#3215 P.001/006
1,1.1.1::1.-"-
OCT I I 2001
~.:~ ~;, \ PERM! 1 ,''''''- 1_ 75 r1 \
" YIII\c;nw Avphc:mt -/ }
tPTr:asr: tvr'c Dr "Jrir.;: ar,d, ,j'!D at. bclmm'
.ADPRF;;.;J:L ~ (/)t{k k .r.€.
ZONINGlofl)r.cUIC)
AI
LEGAL DESC :RIP.TION (olllrt ,....e only)
, LOT / BL )CK L/ ADOmON
,
pr0025 - ~ zo-037-
I OWNER I / .. ,
(Name)_ ~ ~
(phone)
.. (Ad'hl'Ss)
, APPUCAN"
(Nam.e' A ,.LIED FIRESIDE DBA FIRESIDE CORNER
, (Phone) .-2.51-"3'-2<;6)
BQeWHTTr.'P. M1\1
(City)
651-633-2561
';~l':
I.Zlp Code)
APPLICANT PLEASE COMPLETE BELOW
W CONSTRUCTION 0 REPLACEMENT 0 AL TF..RA nONS
fURNACE YI.AKE AND MODEL FUEL
fLUE SIZE RETTJRN OPENINGS iNl'UT OUTPUT
TYPE OF SYSTBM HEA'I'lNG OR POWER PLANT
OW,tllI Air PlonlS 0 S\elIm
OGrnvity 0 Hot Ww.r
o Meebanical 0 Radiation
DAir Conditioning 0 Spool'l !)evl",'
OVenl. SySlenl 0 Other Oevle..
ilu. IJ f2r..,
(Acldress). 2 700 N. Fl.TRVLEW Am::rilTlE
(Addn:ss)
( ) J'lRENDA ll1lSTON
Contact Pel ,on /.1. J
APPLlCAl'TSI.GNATURE .r..~ "'- L/'I:_~
. (phOnE)
DATE
//1- !J~-,
FIREPLA( :E lYIAKE AND MODEL
~ t, "~1) 1l!.-
-- -.
lndustri:al. ( :ommercf.a1 & M,ulti-Family
FElt SCHEDULE
I % of job <0') Residential. O~ Fire:ploce
$39.50 minimum
$99.50 !l.e.id""tlal. M4ili"". II< AI..""lon.
$64.50 ResideDlial, AC Only
p.oSldential H....ting /!L AIC (New Constn>otion)
Re.idential Heating Oniy (New C'lOs,n'.tion)
B"iIding Permit #
E.limal~d Cost S
HEA TINO PERMIT FEE S
STATE SURCHAIl..GE $
TOTAl.. PERMIT FEE S
.50.
comeo v., OnlY)
This A ~plicatlon Becomes Your Building pennll Wilen Approved
Paid
Date
10-.1:) -Of
-
J
P."
lIolldl"" om".1
" hODr .011... for .n loopedl..B (95') 447-9850, r.. (9S'l 4<17":145
PLEASE NOTE:
Air Conditioner Unit.
Canool EnctollCh into
Required Side Yard
Setbacks
$;9.50
$39.5Q
$39.50
...
I!'ou J::1,,..,
l..gu// r,../....' .,.,
~~NG p~~'I
- i., "If.
Ii"
Receipt No.
-
I.
I
J
Blf(::../
./
Jul.17. 2001 10:50AM
GENZ RVAN PLUMBING AND HEATING
No.8062 p. 7/11
Date Rec'd
€ij})
~.,_.~
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
(Contact ~1~,oh) Marv Olson 0
.'L1~SII:rNA~ \}\_ (jtnA.
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.
~e ~ f1r'DriDt md s:ip;n"~bc:nmXD)
ADDRESS . . . .
\12-62. ~ 1 Yr'" r-JAL I (l JLL SE:
LEGAL DESCllPTION (otlice.... nnly)
LOT I BLOC X ~ ADDmON J'>> J) if ~'J n
OWNER
(Name) Pi ElQ r:'t....~ ("n"+-"lJl u....Jr~...
(Address) 3459 Wash1ngcon Dr see 204
(Aoldress)
APPLICANT
~wn~ Gen,-Ryan Plumbing & Heating
(Ad~s) 1474; So Robert Trail
, I (Address)
i~. ~ I PERMIT NO. 1- 7511
], GoIIli App~
I ZO~Gt.._) I
PID 0I5-370-() 37-{)
(phone) ~5' 4~4 499:'
Eagan, MN 55122
(City) (Zip Cod<)
(phon~ 651-423-1144
Rosemo.unc. MN 55068
(City) (Zip Cod<)
(phone) 651-423-1144
DATE ~loJ 0 I
. -.--- ,
feet.
o Cast Iron
Ro.sidcntiaJ sewer ~ nd water line connection
Sewer connection, Illy
FEE S~J1I!d.HJLE
$35.50 Industrial, Com'l &; Multi-family 1% afjob cast with a 539.50 miu.iI:nwn
$17.50 Waterco.DIlec;tionanly $17.50
Estimated Cost $
Building Pennit #
SEWER AND W ATERPERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Olti<e u.. Only)
I This Applicatio.n Become.s Your BuildiDg Permit Who Approv~
Buildlng (} &claI
1>...
14 bour notie. for .n in'podium (951) 447.9llSO, fu (951) 447-4Z4S
~
$
$
$
.50
PAID V\;
BUILD 'N ITH
· G pr-+-o "T
&:;:r-UViJ
I Paid I Rr:ccipt No..
I DIlte -'/;';;;(,,-0/ lay ~___
()
I-
I
,Jul.!7. iUUI IO:49AM
GENZ RYAN PLUMBING AND HEATING
No.8 0 6 2 p. 6/11
Date Rec:'d
CITY OF PRIOR LAKE PLUMBlNG PERMIT
.. -
i: ~ I PERMIT NO. 1- -r5 hi
3.Ye:I\oIJIApp)iQQl I J
1" , .
(P1case type_ O.'fpnnt !!id si=n.1p: bottom)
ADDRESS _ _ .
\-1 c-
IL,-,L-
ZONING (oilitouse)
~.l""
noJL, ln~_ ~
R\
LEGAL DESClrJr HuN (om""",,, Ollly)
LOT \ BLOC K Ll, ADDITION 'J)po v \i QD D
,
PLD;;z? -3"'0 - fJ 37-0
OWNER
(Name) DR _Ho eton Custoom Homes
(Addr~s) 3459 Washingtoon Dr 5te 204 Eagan, MN 55122
(phone) 651-454-4663
APPUCANT
(Name) ("........,._1;) ~....._ 'D,~._l...~_"ilit-.c u~,,"'-I....,:
(phone) __6..5.1=/.? ~- 1 1 'of.
Roselllount
MN
55068
(Zip Code)
(Addr~s) 14745 50 Robert: Trail
(Addr~s)
(City)
(phone)
651--423-1144
--rl/ilnl
(Contact PCl'Sbn) Mary Olson
APPLICAJfr ~lC mATURE \ l
Quantity
2
\
\
,."
I
I
I
.~
DATE
APPLI
I Type of Fixture
II ;ath Tub with or without shower
Ilishwasher
I Ioor Drain
I ,avatory (Bathroom Sillk)
launchy Tray (1 or 2 compar1momt sink
I .~ hower Stall
I ~inks
I ~ar Sink
I frater Closet (Toilet)
SE COMPLETE BELOW
Quantity
"2"
. \
I
\
I Type of Fixture
I Rough-ins
Wau,r Heater
I Watcr Softner
I Stand Pipe (Washing M.u;hine)
I Sewage Ejector
Backflow Assembly
I Backflow Assembly Tcst
Lawn Sprinkler
I Other
FEE SLJ:1Jl,uULE
Industrial. Commc .0101 &; Multi-family 1% of job oost with a $3950 mWmum Residential, New One &; Two-Fontily $99.50
Residential, Ad4ilions &: Altc:rations $39,50
Estimated Cost $
Bwlding Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID V;!Ti--j .
BUILDING PEc.f.~
II,(VIII
.50
(Ofti" u.,e: Only)
I 'rhi. ApptioatiaD Be~alDes Your BuildiDg permit When Apprav.a
~.
Receipt No.
BuUding 0 n.lol
D...
I Paid ,'----
I D81.e7_,;L6~OI
BQ-e---
V
24 hour aoli... far all iIl.pedlo., ()l5Z) 447-9850, fu (952) 447-4245
l > \ I( CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(!llease.!VlJe ! r orint and sien at bottom)
I ADDrt~52. Bu.n- Oo..k. Ln ~E
LEGAL ~SCRlPTION (office use only) ; n (
LOT '~LOCK 4 ADDITION L.y~ &
~=R t),K. H(')'('+r"Jll1
(Address).31../5ct IA/Qc;.h"n~+()n fr. Ste,lf.;loA/
~~;~?A 'IT A /I i Qn tM e dJ G\ V\ ; (I a l rn~ (Phone)U5/... .t../ $ 61 - dl71'5
(Address) :3(0 5 0 1~V1~~~.;;)~ >>r. - l,~~? V1 gp~~i ~.
(Contact p, "son) ~ f>~ -r~... . i mm e..r(Ylan., . (Phone) X 610 (
APPLICAj~TSIGNATU~~_(). ~~ATE 7!18/()}
APPLICANT PLEASE COMPLETE BELOW
lX!NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL "Kr';jQ.l'\-t 9~% FUEL t....\at. GaS
FLUE SIZE o? Y2-- nlN RETURN OPENINGS INPUT laJ,()o 0 OUTPUT 80, ~
I. Pink.
2. Gillen
J. Yellow
~::y f PERMIT NO. 7r'l
Appllcanl J - ~ I
ZONING (office use)
R\
1
PID;)5'- 3 )6 ... D:3i-<P
(phone)
/;aOO>'1
-J
/i5/otbL
TYPE OF SYSTEM
OWal1\! Air Plants
DGi"avity
o Mechanical
&Air Conditioning
OVen!. System
HEATING OR POWER PLANT
.>j,
o Steam
o HOI Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FlREPLAC, MAKEAND MODEL
Industrial, C( mmercial & Multi..,Family
FEE SCHEDULE
1% of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential.AC Only
$39.50
Residential, I [eating & Ale (New Construction)
Residential. I [eating Only (New Construction)
$39.50
$39.50
Estimated Cost $ '7 () 00 . 0-0
Buildiog Permit #
HEA UNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
. BU/~~G\~~~."vZlT
(omce Use ally)
This Appl ication Becomes Your Building Pe,'mitWhen Approved
Paid
Rel'pipt No '_
Bu Iding Official
Dllte
. Date
;- ~3-o \
Bk-
IJ
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
---_..,-,'~,-_....-+-_._.
...wwm - R..i~dina _\
~ry - Enqinl!erinSj
Pink - t"atmTY
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Tht CrnlUllf Ihr l.,ktCounlry
NAME OF APPLICANT
APPLICATION RECEIVED
D. /2.. Hnl2-m~J
(-~-nl
\
The B Jilding, Engineering, and Planning Departments have reviewed the building permit
applic: ltion for construction activity which is proposed at:
Accep :ed
112.52-
)<
RU 12(2.. OA kC- LJ.
Accepted With Corrections
Denied
Revie, ved By:
NA-p,
Date:
;- /:J -() I
Comrr ents: See Rp.verse Side for Additional Information!
~el~ Attachments: 1) Grading Plan, 2) Erosion Control Measures
~\ Frn!':ian r.nntrnl P1"In
"The ssuance or granting of a permit or approval of plans, specifications and
comp~ations 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
presu ing to give authority to violate or cancel the provisions of this code or other
ordinal Ices of the jurisdiction shall not be valid."
&~
u~~
White - Building
Canary - Engineering
Pink - Planning
Th~ ern If' of lhr l..kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlRT
NJ ME OF APPLICANT
AF PLICATION RECEIVED
D. R... HOY2-mvJ
{-3-DI
The Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
Ji z.~ 2-
RueR OA~ LJ.
Accepted With Corrections -x::
Denied /J'1Y J,
Reviewed B~{--/h / c
Cc mments: /" .
~r1f'GA7 r17iJO tL~ ,f~jJCh
Ac cepted
Date: ;-12,Z!!;c/
-------
"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
pr1suming to give authority to violate or cancel the provisions of this code or other
onrinances of the jurisdiction shall not be valid."
,
"
White - Building
Canary - Engineering
Pink - Planning
-
Th~ ('f.Ur of lhr L.h ('oun./')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N! .ME OF APPLICANT
AF 'PLICATION RECEIVED
D I~.
-7 -
1-1 ( Ie:.. .-It IV
~ - n I
T~ e Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
'-,252..
F~lj KI~ (l\~ LJ.
Ae espted ~
Accepted With Corrections
De nied ~ /,
Reviewed By: ~~~es:t:::'/.. ~;. .'
Ce mments:
2j.PC ~VI,v.u... fAj;.J:r:i. v{) v,fk,u =r-
IA Fn~ /J,r~ I A~ ~V tw-c.J
~,tJ.C-J \[Or(~.. I' - .
Date:
7/[8(0 (
kL?- ~ ~~;f) %~UN~ ~~
_ i ();sc-- _ ('. r t..~VL.~ ~ t,W/0fk
~ -d -. .' \ =' '- Il~~
rll In~.
- v ;
"Tt Ie issuance or granting of a permit or approval of plans, specifications and
COI 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
pre suming to give authority to violate or cancel the provisions of this code or other
ore inances of the jurisdiction shall not be valid."
P'RIOR LAKE
INSPECTION RECORD
DEPARTMENT OF,.
BUII"DING AND INSPECTION
SITE tDDRESS -1!l~,.c;-'2 ~r-r C)oJ::.. L~
NATUFlE OF WORK A)~
USE CF BUILDING SFf)
PERM T NO. () 1- r)7 57 DATE ISSUED tt- {e -24lt:J/ .
CONTI=lACTOR . f2JI.... ).t.,t-Lr-. 1 PHONE,~L~%2b'/~
NOTE THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELdw
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOliNG I I?f I 1/!~~1
, FOUfllDATION (Prior to Backfill) v~ I td.:r 7 J~ ft I I ~. ?/J~/DI
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH -: INS
:ha
I lj,
/J I
P7 I Rl ;;).'1/..0/
1 --:;p>
I ( :f:lL)
.1 pC:
SEWE:R I WATER I SEPTIC
FRANING
INSUI.ATION
ELEC rRICAL
PLU..,BING I). < &z. dtt..
HEATING (if required)
FIREFLACE
GAS I.lN!: AIR TEST
INSPECTOJj,
DATE
"lfa3/01
/(9- {8
/6pa-/ol
/7 ..
10. /~/q/{)J
I I rc)-t5
I la -c~
I 10 -/f,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I ?J#.
, 6r.
I I.
OCCUpy UNTIL ABOVE HAS
NOTICE
GRAqlNG (Prior to Sodding)
BUIL[IING -La..- ft, ~ -( -~ Vb,
ELEc'rRICAL 0
PLUM BING
HEATIING
[10 NOT
~-s--.r-tf c
(P1z:::jtJ 2-
. ~
J~f (?.) (JJ
Jz-~(o~oJ
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
an d maintained until all inspections have been approved. On buildings and additions
wI ere no service cabinet is available, card shall be ~Iaced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
"
QLtrtifirau at (@rrnpanry
CITY OF PRIOR LAKE
3lBepartment of Jluilbing Jn~pection
,~Final Permitted C Conditional C.O. Expires
'his Certificate issued PUTSUllIIl to the requireme1JlS of Section 307 of the Unifomr Building Code
, 'ertifying that at the time of isslllJ1lCe this structure was in compliance with the variOIlS ordi1ltUlces of the
,;ity of Prior Lalce regulating building construction or use. For the following:
SINGLE FAMILY 8ld ~ . N 01-0757
1 Jse CJassificalicm B. ....-.:;mut 0
, lc<uponcy Type
R3
. Type ConsbUction VN
Fire Zone .J:l / A
Zoning Distric:t
Rl
I ~p1 Description 11, B4, DEERFIELD
C ~r of Building
D.R. HORTON, 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
C :ontrac:tor's Name & AD/J'-" 1
ROBERT D. HUTCHINS!.?:Y. "'ity P1.....r
Building Official J
Wll/"'V'
<iite Address
17252 BURR OAK LANE
DON RYE
0..:
Dote:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
12/10/0/ !tJ.'tHJ
ADDRESS / 7 ~SP?
~~~.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:m
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
o MEcH FINAL
~
(I A<<l...1 ,
I
~ I'(t-J.G-~
I~ ~f>>J .Iv J,])
tJl- 7"\7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
:S:::O:ECT ~~L FOR REINS~:~::/::n::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
lNSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
s:-g "'OZ-
ADDRESS /7252. Burr C)_I( L"
OWNER CONTR. Dl!._ flnrl".,
PHONE NO. PERMIT NO. D 1-1S 1
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
X~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Lu,h &/- of-
j?/,c,~ - oIL
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'nspector:d$~ =-
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
INSl<<JT1
ADDRESS
/-7 d- 5d-,
DATE TIME
/ _c-?- L'J.-/__
SCHEDULED ~ J ,Tl. .
~tJ;fik UL/
CITY OF PRIOR LAKE
INSPECTION NOTICE
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/- 757
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
~ FINAL
o SITE INSPECTION
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 GASLINE AIR TST
o
COMMENTS:
6H
"
'AQJ( ~,
~
&. ....J.G (_ .;)
~
~~~.
, . v
~ 2- ~ t.u... ~,,~ ~
.3 ~",' - z.. - - l{l "-'1L> ~
'[I WORK SATISFACTORY, PROCEED 9-'..a.-L YiU"". ~ I
o CORRECT AcnON AND PROCEED A.. . 4'-. ~,
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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