HomeMy WebLinkAboutBldg Permit 01-0609
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
(Please type or print and sign at bottom)
ADDRESS
I. White File
2. Pink City
3. Yellow Applicant
j
I t.f ;2/q /
, I
~ Iy AlE
0/., 0'01
I
ZONING (office use)
~I
LEGAL DESCRIPTION (office use only)
LOT 10 BLOCK ;2 ADDITION k n/1 ~ H / / /
'I7h
PID~'3t;z.:- O~5-J,
OWNER
(Name) 1< ; r 1:. .;.. /< 17,/1 r
(Address)
/J ~/ .~ j, 4.;-
(Phone) -.bL:J ....~, 1 "/ -87'qo
BUILDER-r
(Name) 7 d~ .~/~ ~ r"/J;,ff:
(Contact Name) Tt:fIA--7
(Address) '-/Lf7 TAe /( Dr ,~'~~e
(Phone) Cj'l;",J.. -1196'- ;109 '3
(Phone) <7 C::2 .....J..'7:J.....t..!t$Y
r<;,l,) 9
4Lf
TYPE OF WORK
lB'New Construction
ODeck
o Porch
OAddition
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAlteration
OUtility Connection
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 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 upon the property to perform needed inspections.
~~
, Signature
7~
Contractor's License No.
s- ~\-ol
Date
x
I Permit Valuation 1 13,0X) rOO I Park Support Fee # $ ~. 6}, I
I Permit Fee $ I . S'll(.s'\ I SAC # $ (I I~ /XJ
I Plan Check Fee $ Cfeit. c{(4 I Water Meter Size f1iJJ I'" $ 1?b,tJO
' ,
I State Surcharge $ '1 (Po c::;-O I Pressure Reducer $ 4C<2CJ
I Penalty $ I Sewer/Water Connection Fee # $ II r2(X) . txJ
I Plumbing Permit Fee $ 1a:!J. tge> I Water Tower Fee # $ .
~ .I9f!!1
I Mechanical Permit Fee $ IOC). c977 I Builder's Deposit $ 11'70a...~rJ
I Sewer & Water Permit Fee $ b~,~j;) I Other $'
I G~lace Permit Fe~ $ l.{O. (?I) I TOTAL DUE 0I/Jj..RilJ '-:..1.$' () ! $a~ 0/
j01 A ,
- I :5 qk'~)
( ;' p 'Mn-r;;~d I Paid st'44/"' U Receipt No.
I Date o --:)...j -0 ) By ~
U
. ng Offici)( Date
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 Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~.m~_,~ a ("'n.~ /".->L ~';;:l~~ 1... ~Ls
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~~
White - Building
Canary - Engineering
Pink - Planning
The Center of the takt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-.-;@! f/o-fAJU> ~
_ ~- :::;>C;-o /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constri~a~;ty w&;:m -4..-0
Accepted
Accepted With Corrections ~
"
Denied /J ~1
ReViewed~~~
(J:;J& t1~~
Date: ?-l/-32d1
"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."
-'---~--'-'-~~'~"-"""""~'~~~"-'-'~-'--"""'---'._- ----,.,--......,_._.".,.._,..~,,',-""---~~_._.._,,~...."....-.._~'._~..,.,~-'~.,,"~.-,.~.'._-,...,----_.~._---,.__..-"._-~~--~--,._..,-,..~_..~-".,.,-~-'"
Tht Ctnlt, of Iht Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.../"~
.--,
NAME OF APPLICANT
/ /j'7 I
)
"1'i ;-1-,1
::... /' f.. CL/
APPLICATION RECEIVED
/'-::-~
)
(-;--() /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ if} <; / ;: /~<i' (/',;0' /' d - /./c~
Accepted
~
Accepted With Corrections
Denied ti
/~ It
Reviewed By: ~ \~C)~
V' ~
Date:
~4 /& (
Comments:
~~ 2-t.f F\ ~~ ~ F'ii'eUt.-
\ )riflW'1 {;;v., ..J-- '\( VtvlJ rQ, D~ t:-..1 ~ 0 G-v-kl.
--AU .-1/k~ f2t ·
~,i_~<
_~IU-
_tyvJ ~I
"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."
Thf ("f'n'''' of 'h~ l~.kf Coun.ry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f:rnn .~ ~
,~- ::JS-O /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constr~ij;;~~ WB; Zd -4-v
Accepted X
Denied
Accepted With Corrections
Reviewed By:
1IftJ3
Date:
t-/8-o1
Comments: See Reverse Side for Additional Information!
IY/us f- h411(
~ % M ,on S I<:J(U 4l.t/"'-," ('vf!)m h(1v5~,-
~ee Attacnments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
"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."
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~ ~:;y I PERMIT NO../)/_ / 4'
1 Yellow Applicant U (t:JU f
(Please type or print and si~ at bottom)
ADDRESS ZONING (office use)
Wiler I 'BI ve $~,D +r- R I
LEGAL DESCRIPTION (office use only)
LOTI/) BLOCK ?- _ADDITION
OWNER
(Name)
APPLICAtll2 ---:A
(Name) O~\~ ..rlu..u.~~
(Address) !3{51/S t'cJ~~ -cr
(Address)
(Contact Person) &"6 if. ~.
APPLICANT SIGNATURE A_ AA... "'d
V- I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower -:3
Dishwasher I
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (1 or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Address)
Quantity
.d-.
)
A/ '"
1-/ ."
. ,
34i1
~ob
01
IJdi? tftA
v
PIW?S-J~;;t - ()d-S-<,,)
(Phone)
(Phone) 9s~-J:13"> -6l9"~(P
~((\~v('{le. SS33?
(City) (Zip Code)
......
(Phone) bl ~ ~ "3~~ 3/ 7 J
DATE Y/~I 0 I
Type of Fixture
J
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
,
FEE SCHEDULE
Industrial, Commercial & 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 $
Building Permit #
t"./IID I~"
t'JU 1"'\. ',: . Tq
D lLDING [. .1:,. ,_
.50 L.;I "'"111 r
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
I Receipt No.
Building Official
Dat~ -&-0 )
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
B~
U
Date
FROM : KLINGBERG COMPANY
-:f\"
tf PR~
.f: 1\\ \~\
""'l l:II::
~ tr1.
~NE~
PHONE NO, :
..I\. J!l. v'
R w.of-; a.,' 0 () ~\f!A./ uJdi:L
~ '01ftJ/ ~~
.);,~t~~~~~~~[;.~:;',c,;:'. ','
t' :.'
GIllE. . FILII;
'rIR.LOW . .....Lle..'
eoLD - C'TY
Jul, 11 2001 06:50AM P1
,'v':, ."" Q
<, ,i.....,_/ 0-'
'. NO.. ~
. '. '\"
::.>> ... . "'-, Jl{QTE: Se~er and Water
" ";;' :"~:;,,:' ct1:nt'ractors must
. '.<(._.,:(),.'..,.,;",';'. :,':.,.. .' b~..: .'r.9'ist~reQ
. < ". . . (:<\,}, '~::';;;;i' ,:,;.:::~,j., ~.,~~:y~><:>.:;:: ;.;':,L::'J.;/,,<:.t . . ~t~~ .,,:2:~e.. ~\7:~ .
" '" '..:~~~ ~..,. .:~~t."':-,"" .'. '::i:l'i:j,'l~.t17
APPLICANT: ..'~ .t~ -n'iy" rli1 f .J-Jtc:..:;paol:re:"1 :...;. . . I
ADDRESS: ftJ 'i1fP1" ,:;PJ1~ J A{M . OA~E: '7-- /tJ-a/
SIGNATURE: ~ __~J..~'~~1:,\ .: .._..':':::Btib~. P~RMIT #
JiM- ~D~:d.'iJ Ff!:-::?::"X::~fa~~'irrt'^;~:1157;.:,'i
.... IlCL Pr--p- ',(9
'~fe~.~. '. 73:6' '.:
2.
3.
..
4.
5.
6.
""
.,.J....
1.
Esti~ated length of water service
I" .
size of water service inch(es).
Location of any couplings from structure
feet.
Type of sewer pipe.
PVC X.
3:')
feetr
at ~. feet
ABS
Cast Iron
Estimated length of sewer line
Clean out (it required), located
structure.
from
================================~=~=~==;===========:===~==========
This application becomes your permit when approved.
BY
DATE:
__.__==*_*____e____~_~___~~a==~~~~~==~~===========~~=~~_~~~~~_~=:=
FEES:
$
$
$
35.00
r50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 pluS
$ .50 surcha:rge.
* Sewer and ~ater permits issued for new construction must be
recorded on the building permit card at the ~i~ of issuance
~o insure that no duplicate sewer and ~~ter p..~its. are
issued. SUILDI'D Win,
DATE PAID~! AMOUNT PAI~D . NG PE:F;'"v~JT
RECEIPT # REC'O BY',.
'. .:: . :'.;;:. : ( , :..: :'", ~ :-:',~~'.,..':..:" :":
. .
4629 Dakota $t, S.E., Prior 41<e"Min~~ota 5S372 IPn. (~~?). 447-42$Q I. f11x (6.1.~l 447,4245
. AN EQUAL Of>PORtl:!MTY EN!P~R
From-BURNSVILLE HEATING +8128940925 T-l00 P,Ol
'-.1..1. .I. V.l' r .l'U.UK LAl\.J!..
HEATING/AIR CONDITIONING,Ill\EPLACE PERMIJ
F-250
Date Rectd
i;=. SioAn. I PERMIT NO'/_(g 09
(P1C:ll.lIe ~e OUlrint and lien arbottom)
ADDRESS' ZONING (office use)
I~q 'tS Uf ,')j vrI (/ ~ ~.. ktt.
LEGAL DESCRIPTION (oMce we only)
LOT /~LOCK _~DDITIONJ::iJob ill yJ!j ~
&=~R\Otn \.-\ h\ M 9-' r () l"\b..4:( {_ rtlrw,
(Address) 41..11 ~ D~. W\ bY' l...c;...Y n U.I!..)
APPLICAm' . ~ If\
(Name)_bU~ ~\\ \2.. cl.n(r~
(Address) \:l U ~ \ tnDf'lo \ ~\ JL Au . ..s .
(Address)
P~- 3'J.~dS{-)
(Phone)
...""'\~ 379
q6:l- L{7'(g-,!X)9~
(Phone) !1.5;1.- x'i!1:s;:rrf5
~~Qo/ S537~
(City) (Zip Code)
(Contact Person)
W('tylj~
(Phone)
DATE
h-~'/..::Q (
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL Le..t\l\O)( (1 ~ ~4!1."S"-/S- , FUEL tJa..~. (;,1QS
FLUE SIZE - RETURN OPENINGS q INPUT 75. ODD OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWlICm Air Plants
DOrllvily
o Mechanical
13Air Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Dl:viccs
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbac:ks
FIREPLACE MAKE AND MODEL
IndusIrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job enSI Residc:ntial, Gas Fireplace
~minjmum
($99.50) Residential, Additions & Alterations
)b4.:JU R~sidcntial, AC Only
$39.50
Residc:mial, Heating & Ale (New ConstrucIion)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
q{}t1J .00
Building Pennit #
REA TTNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ Cfq. €;;D
$ .50
s J D().a-)
p,~\n ','
eU\\..D';NG PC-I ",., I
(Office: l,!se Only)
This Application Becomes Your Building Permit When Approved
Paid
I Receipt No,
Buildillg OJ'tiei.t1
D.te Date ~ /:J;t /0 J
24 h(lllr notice for all inspedionS (952) 4~7-9850, fu (152) 44~-4~45
BYe
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
"
SITE ADDRESS JL.Jacl.J ~ Ii....
NATURE OF WORK tJei)
USE OF BUILDING S~~
PERMIT NO. () {. OriJCR DATE ISSUED fo-l/"'~I
CONTRACTOR ~~ I-\t)\ke~. PHONEq6"2...~,? _/l..f9a
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
JtISPECTOR
~
I FOUNDATION (Prior to Backfill) V~ ~. ter d)-"l /6 J I tf;q.. "7// 0 I 0 I I
PLACE NO CONCRETE UNTIL ABOVE HVAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC _. \.l"~ ~f
FRAMING W.c.. . ~~a""'-"'" ~
INSULATION "f?h' ttaJI '~'(Lc ,~c.
ELECTRICAL " ~ /?
PLUMBING /P9-. -
HEATING (if required) " f, ~ .
~t-IiA0f5l, ,.;~
GAS LINE AIR TEST
FOOTING
~
/?f1
h
,
I DATE
I 6~/1) /
l..J+lP. (
~(j~1
ib'lID'
/ I
r; 111tJ I
, *&/;;./ /~I
I .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS [{)A&/Cfl-~ 4-
/,Ja.u.- h- (?--o\
~. r/~?4J ~t).. ~~Oll()?- h.(6/JZ/rJ)
~ I
tfPr A 11;#/), rJk
, .J1t- ' Ifr:n 'tb- ~ I" J I
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING ~c..O, ~ 161(~(lJ'
ELECTRICAL
PLUMBING
HEATING
DO NOT
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, ciY.'d sh,~1 be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
_.- .~ "' ~,_. '- ..,----_.,~",....".. -.-
~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
lo/lh{OZ-
!y')4.\ {lj~~\It,t V~
SCHEDULED
OWNER
CONTR.
PHONE NO,
rYL - &ft1
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
9- INSULATION
)Cl FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: ~QlO_ {- ,.\ 1'e..E.-<;.
\JWJ, J I)k..
. . -
bQ,( _ QtJ lMaJ ~~\A/lJ_ (~(~ ! ) _
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'"""",,"C -4J, Qwne,lCon1c
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/N8NOTl
ADDRESS
It/a 9/
DATE TIME
SCHEDULED /0- ICK -/ Il T
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
J -too '1
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
\ ~
~OMMENTS: Tc...o- L~L/I/'6~ /5..e....-r--'
OJfb~~
~ ~ 7 -1! 0>-. (/, IYjL"-~'
\.l~~.~~
," 1A~ ~ v~*e ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
T: Cr d I~ tJ z....
o WORK SATISFACTORY, PROCEED
.,.. CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
~~\
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~/ol
JJ: Do
ADDRESS
/ ~ ..=J.. 9 /
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() (- bt)'1
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULA TI~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
15il' FINAL ~ PLUMBING FINAL 0 GASLlNE AIR TST
/[] SITE INS..'.:... I ON ~ MECH FINAL ,. 0
COMMENTS:(V tJeJ 1;C-\ 0, t11J ~ ~
~r- tJ~~ l-l~ -~ ~~,
(i) ~(?~~ ~~~~
~-(~J~~~')
~~p~~~ -h'~ (pH. ~
(' ~-A4 /i")o..L r. ~.D ~ o--? A..d-4r, -
~--U~ ~ V
, e"...,~ 4- tr>-- ~ I~ ~,
~~~ ~
(E:)~ ~ c~ ~
TC,().
K N~n c rLSA-T
~
lo/~t/o I
,
B"'- /_ ~.......
~ ~qo~ {(~ "I)
o WORK SATISFACTOR ROCEED ~
l CORRECT ACTION 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!
INSNOTJ
DATE TIME
CITY OF .. ~KE
INSPECTION NOTICE
SCHEDULED
/1-/3-0{
PHONE NO.
14191 B/c.Jch/rI PI /tJ~-.
CONTR. --r0M HO/fIII ~ elMS-/.
PERMIT NO. -61-W 7
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
. XEXlGRAD/FILLING
" 0 'eOMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I'Jjfn &Jf- ..- of..
6rc,th" 19ft--
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~~~.~.
Inspector: ~~~ -....... . ~ntr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
ADDRESS
/ ti ;;-y J
DATE TIME
SCHEDULED I_II ~/ ~ /)
fij)~A_~h-;d r:1 ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I r-fp e,
o FOOTING ~ 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~TER HOOKUP
o INSULATION ...Id-S'EWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
kOMMENTS(/)) M ~ f1 u..--Jr-
@ ~~- ar~~
~
1~,J
-J b1.~' -j-- - )
1~<' -;
~ \/'f
Ity "l
l 0.0'f-f..?-'-
PJc :
o WORK SATISFACTORY, PROCEED
ya! CORRECT ACTION AND PROCEED
:S:::ECT WO~,L FOR REINS:~::,::EFORE COVEmNG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
14zCJj ~{,-U65/1eO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING (jJ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 'fiL PLUMBING FINAL
o SITE INSPECTION /[] MECH FINAL
DA TE TIME
?-zt.j.o/ tf-:OO
/-foOq
I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rW J
COMMENTS{j)j ..J) . , 'f- -01 ~ ~ qu-o ~
ti" rJ {/
-+0 501
if, ~~~
~ A-~s;J::"iAArc ~ ~ '
_,~/~~~~l'f
@~~~ trog~J-
ft ~ - f ~ ~ cr1 &s-r:/::-! ~ 1-'-d- J...c-..
'/2. J.-..-, 0 v
~~~
~ -tit-
\ '~IJ () A' - n aA-
o WORK SATISFACTORY, PROCEED \tV ~ ~
~ ~r. ~n.
;V CORRECT ACTION AND PROCEED -, ~
:::CTWO~LL FOR REINS:::,::::FORE COVE~NG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!