HomeMy WebLinkAboutBldg Permit 01-0606
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCEM '
AND UTILITY CONNECTION PERMIT lllIA
(Please type or print and sign at bottom)
ADDRESS
3 "Yo 0
C /v/vW tflI7 e r
/,
1. White File
2. Pink City
3. Yellow Applicant
Tf't7~' J
,.. , /
/\/W
LEGAL DESCRIPTION (office use only)
LOVS BLOCK 2. ADDITION G' J v.lv A..J '" / II r-
,/
OWNER
(Name)
(Address)
BUILDER /
(Name)7~ ~ N'~'/J1 ": /V./V AJ 0 ;.,., t' J
(Contact Name) ~a r y J---a ),A/...r'~
r
(Address)
TYPE OF WORK
€l1few Construction
o Deck
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OAddition
OAlteration
o Misc.
Iv(~
I,?. 7
BZ7. ~~
?5: t!:r6
/fr /J.//
(Phone)
Date Rec' d
~
0-01
'O(PO~ I
ZONING (office use)
1?-~
PID .2S:$~-:2 -. ad 6 - 0
(Phone) ~5-1' ~fJ " .' Y'.y (j ~
(Phone) .6 / ;2- .1 6 9'- 7" / .2.
OPorch
ORe-Roofing
ORe-Siding
OUtiIity Connection
Date
#
#
$ ~.d:)
$ f ,J,~.~
$ I z:;: ex:>
$ . 4f:;, eX)
$ 1,2 C:>O, a:J.
$ I r;t90.~
$ I [ .cs or'). C)I)
$ - I
$ 8. 02.2.. 19' I
i
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 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
enter upo~ he property to perfo7eeded i~ections.
X /..- a:.-.- . ~-,--~ / j/ 5 r )'-,.;2 7- 0 J
- / / flignature -
1/
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $ /00 . ~--o
I Mechanical Permit Fee $ LOCJ ... ~
I Sewer & Water Permit Fee $ 3D' 5:D
I Gas Fireplace Permit Fee $ lip. <:2.0
/l.
~A . :.:tmes Your Building Permit When Approved
.--/ - 6-r~/
Buil' Official Date
. /
Contractor's License No.
I Park Support Fee
I SAC ..~
I WaterMeter S~; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
...,
Paid '!tn/v,1 j
Date C.... ?4-::fJJ
#
#
R,eceiWX" ,!'1 f J 1
By r "-'"'
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
~ ]~ _~ ""'"".."', remp""" C"'"". "r Zmtin, _llim~ "'" """" ""'_ '" '"~. """" ~""", , C"'""". of 0="",,, =. '"
n ha~J~~~ (.f)!(~/e{
n....ning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Jun,14,2001 8:35AM
GENZ RVAN PLUMBING AND HEATING
No,5972 P, 3/3
Date ReI:' d
L~'.1Y OF PRIOR LAKE
SEWER AND W A ~)!.,J( PERl\Illl
~. ;:z.~. I PERMIT NO. / - fa 0 6
1. Gold AppIi_<
Q'lasc: tvDf. C11 J!DD.f ~a. sign It boUXlm)
. ADDRESS ,,-,~'_': - .-
3lJCO G1~LA)~ TflL- "-.J G0
ZONlNG (Q.l&e II&C)
P/:i, _'
LEGAL DESCRIPI10N (Qflice 1Uc: o,;J1y)
" LO.a-~BLOCK J-ADDmo:NC~()/Pij'~.- P;ID00 35~~,-o
(/) /J" .
OWNER l/
(Name) Wensmann Homes (phon~) 6.51-905-3709
(Address) 1895 Plaza Dr St:e 200
{.Addrr:ss}
Eazant MN
(City)
55122
(Zip coW:)
APPLICANT
ONwn~ Genz-Rvan Plumbi~~ & Heating
(phone) 651-423-1144
(Address) 14745 So Robert Trl
~)
Rosemount _ ~'N
(City)
55068
(Zip Code)
"'LICANT SIGNA'TURE
(phone) 6'i1-42a:..l144
DATE lP.. ( I Lf I D /
(Contact Person) Marv Olson
~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 AB,C 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
\ Clean out. (.iflequired) l~cated at feet frO:JIl structure.
FEE SLJ::U!.,DULE
Residential sewer and water line l;QDDection $35.50 Industrial, Com'! &: Multi-family 1% of job cost with a $39-50 xoinimum
Sewer connection only $17.50 W~cOImection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
,,~'D \/lilTH
q8.LD;i\JG PEr--. lilT
rl/VII
Paid
50.
b P"
u/'Z'I.. "-,1
, V. "I'~__
v/No .
/-
.......
t 1,
1.". .
(OUke: Use: Only)
This Application Becomes Y o':lr Building Permit When Approved
1.r~~83d ~Nlalln8
Hll.'\f\ OIVd
Building Ome.i.J
Date
Date 1-- 3 - 0 I
I Receipt No.
-Sy-
GC_
-u--
24 hour "odce fot all inllpections (952) 447-9850, fax (952) 447-424:5
6:51AM
GENZ RVAN PLUMBING AND HEATING
No,8621 P, 9/30
l>,ate Rec'd
ell y OF PRIOR LAKE PLI.T.M:BING PERl\u1
I
I
JUL 2 4 [ml\
I, t~ ~
~. GoI4 Ci~ PERMIT NO. I_ / 0/ I
3, yttll"", Appliomt (?) k:>
(Please type or 'PbDt and. !Jign jlt.botIoDl)
ADDRESS . '- .. ' ZONING (affia: III~)
,~Wcio Gr0n\A.)~<-re.. TrZ--A f L- 12;;..
LEGAL OESCRJr uON (office' I15e only)
LOT ~OCK Z-ADDI110N (;{[( pLJ A'rP JL- A..en-f PIDdJ,~ '5Q-t{:? t, --0
OWNER
(Name) WenSJl1ann HOlILes (phone) 651-905-3709
~d~e~) 1895 Plaza Dr
Eagan. MN 55122
. APPLICANT
(Name) Genz-Ryan Plumbing & Heat:1ng
(phone) 651-423-1144
(Address) 14745 So Robert 'Irl Rosemoullt:. MN . " 55068
(Address) (City). ~ r. (Zip, Code)
(Contad:Per.lon) Mary Olson ~ . 1f~ne) 651-423-1144
APPu~tSIGNATtJl(E r 1 0- _ ,.... PATE I f 2-y (~ I
- - - - .~ ~; !
APPLI ). 1: LEASE COMPLJ!; 1 ~ BELOW
I Qu&ntity Type ofFixtu.-e Quantity Type of Fixture
I I Bath Tub with or without shower Rough-ins
I (I DishlVasber J I Water Heater
I (I Floor Drain Q I I I Wate.r Softiler
I 4 1 Lavatory (Batbtoom Sink) I I Stand Pipe (Washing Machine)
I (I Laundry Tray (1 or 2 compartment sink I Sewage Ejector
I Z . I Shower Stall I Back.t1ow Assembly
I , I Sinks I Backflow Assembly Test
I I Bar Sink I Lawn Sprinkler
1 ~ I Water Closet (Toilet) I Other ..
FEE St.;J:U!iDULE
IndustnaJ, Commercial & Multi-family 1 % of job cost with 11 $39.50 minimum ResldenaaJ. New One &; Two-Family S99.50
Residential. Additions & A~~.~ons $3950
Estimated Cost $
Building Penoit #
PLUMBING PERMIT FEE $
STATE SURCHARGE S
TOTALr~~~~~ $
:50
f3u PA,/D
I1..D/NGV!,I/LI
, p,,'7
t::t;/ V:/'r
(omce Use Only)
1.'his ApplicatioD BecoUlCl3 Y Qllr Buildwg pennit Whe;u Approved
Paid
Receipt No.
Bulldlllg OflictaJ
Dab!
Date .
7 d-&-{~/
Byff-
24 hour Doti!;:. for aJl iaspec:tions (952) 447-98S0, fa:!; ~) 4474245
2001
6:52AM
GENZ RVAN PLUMBING AND HEATING
C~l r OF PRIOR LAKE
.tt.EA1.1liG/AIR COND.1~.10NING/J:r~PLACE PERl\tUl.
I. PiDk
~ ewe-
3. Y..u-
No.8621
p. 11/30
Date Rec'd
JUt 24 2001
__ L.
. ~--- +~...---
~ type: QJw;Uu:'Imd-J.l.ga at 'bottom)
AJJIJEUaSS _. '. ,- -
,,5JD'O ' . .~.lt:4n LA) Pt'fU2-
S- ~PElUu-l NO. 7=7;o~ I
ZO~~e_)
- _.-
-rLCH L-
LEGAL DESCRu- J..LON (ctIkC ,U$e only)
LOT~BLOCK: 2- ADDmON 6/lfY1WIf1L-fe:- ~_'b u.J'7..I.,
I OWN".ER
~~~ Y~n~Rnn Hn~p~
PID.;<5'"'- 3:;;;L /",(}CJ b --d
. I
(Address) 1895 Plaza Dr Ste 200
Eagan, MN
(phan~ ~51-Qn~_~~
55122
APPLICANT
(Name) Genz-R.van Pl11m'h1ni F. 'R1'>~.,.i"."l
~n~ ~~1-~'~-11~~
(Addr~s) 14745 So Robert Trl Rosemount, MN
~~""'J (City)
(Contac:tPc;r~n) M",~ Ol~nn ~_ ~) ""1-L..,..-11lr.lr.
APPLlCANJ....StGNATURE JJ _ _~c-~ ~_- ,j'" DATE '1.2..'-\ l b (
i ' ..",~. _' APbC PLEASE CO:MPLETE"l~~OW '
. ~ CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS, \
FURNACE MAKE ~ MODEL ---.t..eA'U'\() 'i 621n Q 3/ Lf - J cD FUEl. J-...) A'1 (''''/1_ ~
FLUE SIZE RElURN OPENINGS t::5 INPUT I W J OlJl) OUTPUT q II DOO
rIPE OF SYSTEM lIEATING OR POWER PLANT
~Wano PUr Plants 0 Steam
OGravi~ 0 Hot Wa1J:r
o .Mechanical 0 Rad.tlllion
~ Cooditionmg 0 Special DeVICes
OVClllt. SystG 0 OthGZ' .Devices
:;-IREPLACE MAKE AND MODEL
ndustrial. CODJmc:rclal & Multi-Family
~.I!..I!; S,,-.I1Il.DULE
1 % of job <;ost Residential, Qas Fiteplac:e
$39.50 minimum
$99..50 Residential, AdditiCDS &: Altendions
$64.50 Residential, AC Only
lesidential., Heating at AlC (New Construction)
le3idC)1ial, Heating Only (New Cooszruction)
Estimated Cost $
Building Pcnnit #
HEATING PERMIT .l'bJ:!,
STATE SURCHARGE
TOTALLAAMIT.rJ!.J!.
S
$
$
.50
'--ll Us. .9111y)
_ .J,iS Application Becomes Your B1lildiDg pel1Dit When Approved
I Paid
Pate
7-;)/'-u/
llllildiJlg otIiclaJ
Date
24 hour DoU&:e for aU inspedioD:l (952) 447-'8~o, fu ('52) 441~~
~ ft..
55068
(Zip Code)
PLEASE NOTE:
Air Conditioner Ullits
Cazmot Encroach into
R.~d Side Yard
Setbacks
$39.50
$39,SO
$39.50
BUIz!6iWQ1JV'IiH
PER"V:Ji
I ReceiptNo.
I
I By -
ar_
U-
651 633 BBB4 FIRESIDE CORNER #0102 P.002/002
:IlEA. u(G/AIR COND1",10NlNG~ JJ(LPLACE PERMIT
\."'" PII.
J. GrWI CI",
',yon_ "ppli<ont
(Pfcasc ~ ermint IVJd.si1Ul u:boaIma)
ADDRESS
~ 6~Jn~ -IlL-
LEGAL DESCRu-' LlON (O~"OJl~,
Laf?JS BLOCK d- ADLlurO , m (~..I~
l' I
OWNER I IL.
(Name) \ UJ..v1":::::inCLnr"\ ~~
(Address)
(Phone)
APPUCANT
(N'ame) AT.J'.,IED FIRESIDE DBA FIRESIDE CORNER
_ PERMIT NO. l-foOo l
ZONING fafBl:r~
e~
PIDdS - ~.J-cct~-o
lela - 3lt/1-I"or~
~bon~ 6S1-633-256~
(Address) 2700 N. FAIR\rmW ...A.u..:.uE
(Addms)
f,C .a_ p ) BRENDA Bt1.:>>r'
\. on......L enon
APPLICANT SIGNATURE h::,~\:A.
ROSEVTT.r.~ MIll
(City)
651-633-2561
~1i:,'1':l
(Zip Code)
, (.Pbone)
W..1A.",,) D-<. t- VA TE
'-.)
. APPLICANT PLEASE COMPLETE BELOW
jQ.NEW CONSTRucnON 0 lWPLACEMENT 0 At reM nONS
FURNACE MAKE AND MODEL . FUEL ~0/J.J:)
F1..UE SIZE JlETUI(N IJrDlUNOS TNPUT OUTPUT Z~.:(:y...;t.,;)
TYPE OF S):;) L eJ.. HEA 1'1NG OR. z: v riER PLANT
:JWllrm Air PIlOts 0 S.........
:JGnlvity 0 Hot W.er
J MecheniCll! . 0 ~dilDi""
::lAir CoDdirknrin, J Spa:iId,D.,: .....
:JVcnt. $...1... JOIbtrDevico
FlREPLACEMAKEANDMODEl. ~ t-J lol,t) \ ~-'1~Je..J- ~
FEI SCHEDULE
Industrial. Commercial &. Multl-fnily t% of job I:d llt.I!Iidemal. 086 Fireplace
S39.SO mbrimum
Rcsi.dlCJl.tial. HC:ll.tinslJr. AlC (Nc::w Canstru~) $99.50 ~ Addhions IL AllZrlltions
Residential, Heating Only (New Construction) 164.'0 RaiclClDdRl. AC Only
E.."li.. ,,' ,: ,ltd CosI S
B"ilding Pamit #
HEATING PERMIT FEE $
STAtB SURCHARGE S
TOTAL PERMIT FEE S
.so
(OmlCl: UII: Only)
Tbi. Appliatfon Becomes 'rour Bllildllll J'wmit Men Approved Paid
Bulldln~ Omel.1
Patl:
DIIfr: c:;::; _ -; --0 (
u ...., notb for .n 5..~ (951) 441-9150. fil:l (951) ~'7-4245
J. ~-O r
PLEASE NOD'..:
Ai, Conditioller Units
Cannot Encroach into
Required Side Yard
Sel:backs
$39.50
$39.50
$39.50
8U11..':.:'lID 'A.
v/tvG YV1'J'"1j
PI2~
"/1.1/'1-
Receipt No.
, ~
B~
V
6 ( , O~ 6 (p
Th. ('.nf., of th. Llk. Coonlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ffi~a~ ~
APPLICATION RECEIVED ..5 - ~t)- () I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,~'-/w- ~~~
(J /
Accepted
Accepted With Corrections
---<
Denied -, 0
Reviewed BY~~A---'- --
Comments:
~allQ~ ~
Date:
~ -a '- 2.,~.t~
liThe 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."
.'!.;,
o l. 6 ~ OlP
Thr ('rnlr. of lhr "'kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT' /1 ~~CbJ~ ~
" APPLICATION RECEIVED 3- ...10- 0/
The Building} Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~Llw- ~!W~~
f/ I
Accepted
x.
Accepted With Corrections
Denied
Reviewed By:
NIfB;'
Date:
6-/]-0 I
Comments:
See Reverse Side for Additional Information!
m~ in (','J e. .
~
,~
-
8ee Attacnments: 1) Grading Plan. 2) ErQpjon Control Measures
3) Erosion Control Plan
~
"The issuance or granting ot ,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."
o (, OCo()Co
Th. ('.nt.r of lh. Llk. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/ ,
NAME OF APPLICANT // J 1./?1.._/))7 )( ':;1..~>J(r}?'La ,~,/
APPLICATION RECEIVED 3--- ;'J')- {) I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I /
f
.....
/ /'/(_-'<,/1.../
Accepted -V
Accepted With Corrections
Denied ;- /1/\
Reviewed By: ~{t4As f.I::'I;?~
Date: -0 /;S/~ (
Comments:
,_ _ _'P~~~O ~ ~T~ ~
"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."
,.
t
"
P R I 0 R LA KE D~PARTMENT OF
: BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS _.?400 Gl\(V'\ wo:h- (' \ \'
NATURE OF WORK . JJ.fkAj c.J
USE OF BUILDING SFA ~
PERMIT NO. ()l-Oft,~ DATE ISSUED ea-s-a:o/
CONTRACTOR tN~c;.~ ~ PHONE c,1'2-~-];,I?
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. \ INSPECTOR
I FOOTING I .~ \J~
I FOUNDATION (Prior to Backfill) I ~ \l 7( ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC . . . '?, . \\0M4 7 L i L> J
FRAMING L,...;!,-. r~ I~I~'~~~; p~~) if!i!t>f.
INSULATION .... ~ l&olf ~titlJ
ELECTRICAL r
PLUMBING ~ ~ClAA' ~ ;;..~ 0 I
HEATING (if required) ~ ~~. st~~.
FIREPLACE <f> ()~~ ~
GAS LINE AIR TEST ~'~ 'co 0\.
COVER NO WORK UNTIL ABOVE HAS ~E' N SI~NED
61tflR&1S M4Ve,ftv' I !ZIf- r. ~ 't.t / I
FINALS ~I f7
/~~~ l(. ~r
\ \
~ \)~q ~ i2J
i-\ q Cl1 o(
OCCUpy UNTIL ABOVE HAS BE N ~IGNED
NOTICE
7 );J~ (
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
tPivV/6V
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.
, ,
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
QLtrtifirau of QDrnqtanry
Cll'Y OF PRIOR LAKE
Jlepartment of lIuilbing Jn~pettion
o Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of isslUUlCe this structure was in compliance with the various ordinances of the
City of Prior LoJce regulating building construction or use. For the following:
SINGLE FAMILY
Occupancy Type
Type Construction
. Fire Zone
Bldg. Pennit No..
N/A
Zoning District
01-0606
Use ClassificatiOl'
R3
VN
R2
Legal Description
L35 B2. GLYNWATER FIRST ADDITION
c;iteAddress 3400 GLYNWATER TRAIL NW
Owner of Building
Contractor'sName&:Addr~ENSMANN. 1895 PLAZA DR.. SlJITE 200" F~N: mL5.51??
ROBERT D. HUTCHINS J,N)
, V I City Planner
DON RYE
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1().Z2.'()1 I1tvl
ADDRESS 3'1~ -3Lfo~ ~/vn W~/-t..'/ T;/.
.
OWNER CONTR. W&n.i~
PHONE NO. PERMIT NO. 01 -kJ'
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
)( E~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~OC) - t:RM~-,(j"
~lr((:E - 0/"~
/i. L1 ''"1'1
--:f'1 L) ',-
- GR,Ali If. - OJ,
- ~u:...\f~# oV"
\
5()J:) rr.i{lf'~J ~ f':t.A<.-E
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~~',. ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
ADDRESS
~ I/tJ6
DATE TIME
9-2Jb-01 q;at;
a~'-
~NTI/
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
PERMIT NO.
/ - ~ Ob
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
/0 ~WER HOOKUP
<< ~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
INl(1AN) ~J-W (j~
/
~RK SA TISFAC~ORY. PROCEED
o CORRECT ACTIOII AND PROCEED
o CORRECT WORK,.CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ ~ Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED q-n"'/ :27'30
OWNER
31101)
UC~R.
ADDRESS
PHONE NO.
PERMIT NO.
/- ~oto
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
f'v ~INAL
t1 0 SITE INSPECTION
"
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: k1
I
dlihAc
-
/5. c9l
l ~
<;0 1 i -ff peS
/
IWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~,,~ Owner/Contr:
CALL 447-9850 FOIt THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
1I:r
ADDRESS .3400. 34-02.. 6/.."VtJ Wit ICI!:- /7G-L.
r .
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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je WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~')'1 CALL FOR REINSPECTION BEFORE COVERING
Inspector: (W C(:;~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl