HomeMy WebLinkAboutBldg Permit 05-0830
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
727.05"
I. While File I PERMIT NO ? ~
i ~~~:w ~::lic.nt . 05. 08'^-A
(Please tvve or print and silUt at bottom)
ADDRESS ZONING (office use)
/447tJ> F,vt'&-JlvE tl.,-
LEGAL DESCRIPTION (office use only)
LOT /<;;{ BLOCK1$ ADDITION ;:1GF Fe::.€~ f>DR 0
sr-
I
PID c:; SCJ
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Company Name) ~FIV.$/l-fI'l,4/~ J.lo~6.5
(Contact Name) ~,." "5k6tf!.fP/MJ
(Address) 1"'67 5 I'L-~ zA- DIZ. ~cJ ~c)
(Phone) {,5/- ~~- 44IJO
(Phone) /'r;J' %'7-7(,3/
TYPE OF WORK ~ew Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: rnr:R.C. OLB.C.
Type of Construction:
Occupancy Gronp: A B
Division:
o Misc.
I
E
IT
F
1
IDlY
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
17"15b()
.0
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 authonzed agent for the
above-mentIoned propcrry and that all co trucr" 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 j ca F ermore, I hereby agree that the city official or a designee may enter upon the propcrry to perform needed Inspections.
/49K
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I
7 -~7-().!5
Signature Contractor's License No. Date
Permit Valuation ~~k:o ~O, f) 0 I Park Support Fee # $
Permit Fee $ I? '/3.5'0 I SAC # $ 1'1~O~ 00
I Plan Check Fee $ II 5Z. 78 I Water Meter Size 5/8"e $ 3otJ. 0 C!)
I State Surcharge $ Ito.DO I Pressure Reducer $ 7S.oo
I Penalty $ I Sewer/Water Connection Fee # $ I~f)o. tJ ()
I Plumbing Permit Fee $ /(JO,CJO I Water Tower Fee # $ /OO(), 80
I Mechanical Permit Fee $ I Builder's Deposit $ I 'S"'oO, 00 "
ta~, 00
I Sewer & Water Permit Fee $ 3 $". S'"O I Other $ -..
I Gas Fireplace Permit Fee $ J./d, ()4 I TOTAL DUE $ 't13~,7~
This Application Becomes Your Building Permit When Approved Paid r/J~.j/ ReceiptJJ"o. ~q17
~~ 7/d&s Date t. r? ~r By 4
(J-
'Id 1- I 'Date
8111 II1g Of ICIa
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 signe City Planner constitutes a temporary Certificate of Zoning compliance and allows constrUction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
<<... ? ("'.-0 r
~ate
~ ~ (11~n:AoI....) ~ 4~
sjbi:[ CK;;-diti~,if;;;'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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.the~U~i~!l.~~~i liffllf>\~~ing~'IJa~ ~ hb\llldi!l!lP&,mil
~UrJ\ti)n~~~~;;;~~;p~~' "', >. ,. ....., .., . '.. .....
periled. ,,' """
Rev.iewed,ay; ,.... ;/iNj
Date:
cor#.ments:~'i~.:""i'lfA,~_.t.tI_ll.." "
"ifn_. .?S$~r1qe(,Qr.:.~nt~gQf.a ...:,*rm~' .'.~f'.iPpro"i3!I' '.. ;of. . ..pI'tl$~"$p$Clf~9.. ';f1PQ: .
()pmputa~if$t,lA1( .f.lPl{~;cdnst~l(l:~ ;ll ',R'~I~~.itfot;,Qr 8QapproValQf( any:vk)~ioh,'Of
any'oft~. J'llvJi~ions .qf tfflls'OQde ()t ot'8ny'~er,otdinanqeof,.'th~lurisdic:tio.n.. permit$. .
presuming lQ'give..aUthQrityl0 violate.or. c~l'1~el the.~provlsion~ 1>1: thjs <:()de ,or other .
ordinanoes'ofth'e juri$dicti()nshall nQtb~ valid." ,. . .
CWhit~ - ~uiiqmg..;>
Canary - Engineering
Pink - Planning
Thr (Ornfrr of Ihr I.akr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
we/VSr1/t/v'N /101-165
7. Z 7. oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 4-+70 eN Uri-V6 (!/f.
Accepted
Accepted With Corrections
V'
Denied
~ . ~/~~ 5"-
Reviewed By: ?~ Date:
Comments: ~ _ a.,l,( A~ , ~ 6'
,
W t"' ~ ., -'..u\~ ~~~ ) ~ A51d~~ .
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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."
.
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Thf Cfnlf' of lhf tokf Country
White - Building
Canary - Engineering
<;e!.nk -=-~lann~
BUILDING ~ERMIT APPLICATION DEPARTMENT CHECKLIST
\
\
11ft Iv'SI t/rl IV /II /ftJ Pie, S
7.27.05*
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 4-..f 7 () t::jv Url 1/6" c.,l.
.,~,
Accepted
Accepted With Corrections
/
Denied
....
Date: 8/;2-s-/os
r
Comments: ~ aLl ~ ~ ~ (,.0
.
ai- ~. ~ 4J~..4J~ ~'.-..~IA'_';;"'~.)
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~~~Jk:~~;:~~
,~~ 1?~ ~ f?::t;~ ~
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Reviewed By:
~~
J{."
~ ~
t:I. ~ t!. /.-... .
'" /'
Air Conditioner and OJIer Meclul.nical
"Lntts (Jar not fru.'l.JL ".I'a~ into Required
.. Side Yard Setbacks
"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."
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CITY OF PRIOR LAKE
S Et'TER .AND WAT'ER ?==~::T
No~g30
APnmNT: ~\ \~41
ADDR:::SS: 11)I11D" ~\)~ ~. ~~
NOTE: Sewe~ and Wa~er
contract'ors must
be registered
with the City.
s::::r~,::::?:: :'
PROME :tJSf-'-l&:l~ J 565
DATE: ~)'~J~
_.. ___ _.~_.______._=-:.~r:-.
~~J.A'~~ .::a
- -- - --.. ~
4.
'l'ype ofser..rer pipe.
FILL IN THE 'SL>~~S
<"=....... i 0
Es~i~a~2d len~th of water servic~
Size of wate.r se:=vice / inc~(es). oR nA
Locat.ion of any cquplings from st.=-..1ct.u::-e "-71'Wt-
, I
PVC.~ Cast Iron
30
feet.,
1..
2.
J.
feet.
ASS
S.
6.
E5~i~atedleng~h of sewer line
C!.2an out
st=-,jc~ure .
( . .c
~.&..
required.) ,
l.ocatec
,~t
fee~~lvL
~feet
frcm
_____~____===============c::::;;:;;=======_____; :=---'-==-=:::===---========:c_
T!':.:..s a;::plication becomes ~our pern:.t 'M~e!l 2pproved.
a~ D~TE:
==~~==;===~===~~==========:===========----==---==~~==----~~===--~-=
';'':' ":' <: .
... ---.
$
S
$
:15.00
.50
35.50
SerN'er and water liie connection pe:-mit.
Surcharge
TOTAr.
* Fee fc= eithe= sewe= C~ water i~cividua~ly is $20.00 plus
$ : 50 s:..:=chiarge.
* Sawe::.- a~c wate= De~;t~' issuec fo= new =ons~r~ction must be
=ec?::-d~ ~~t~~1lMl.rn.,n "l~ p~!'ini ~ ca::-d. 2:'. the t im~ ~~t~sua!'lce
~o l~S: if~~~~~ ~'J~l~ca~e se~e= a::~ ~2!tI ^~,~s are
~:ssuec < SEP 23 2005 'LOING p 7tH
D;.':'~ ?J..:J l. ..../ t1~~OUN'!' P.:l.ID " ~FtMrr
..,.....,..--'-'\,... .;J
."'- ... I -' _
-"'-'""'-:-~- - ..
l0/2~/Ol WED 11:Z2 FAX 8124474245
CITY OF PRIOR LAKE
@oo:
\.;JTY OF PRIOR LAKE PLUMBING PE~111
Date Ree'd
(?Jtue C'/p4J or~tllDcJwiP ut ..:..,.)
ADDRESS .
/qq7D ~cl~~ t1, .t\\\J
I ".... Ilifr PERMIT N~ ~ .
::~~~ ~~. · 7.0 ~
- .
ZONlNCCOIbUlle) -
I LEGAL DES~ON (otfia: ute .,111,.,
LOT 1 B Bloa 5' ADDmON
Pm
g;~';:e~ ~ \~'(Y\0J1\" :4ome5?' _ [Pbone) &.s)..i!U -'/liDO
(Add....)' /gcrs-"PA.V>.. k. 3.,\~tUJa ~r"'\ I~f\, ~J~!Z-
. ~~r Wt>reel "''k~ ~ ~~ ~. (Pbone) (GSJ-/fs;2- /Sb'!>
(Address) 17/D ~~~ ,'~, , ~ .~W\, 5!57;;2./. ,
, (A~) (City) ".' (Zip c~
(ContactP...~...~) tt~.~Q , (Phone) 1~/~-156S.
~ DATB~ll~Jns-
/ ---. .
AA,-.U:CANT PLEASE COMYL~.l.r., BEL OW
Type ofJ'ixtcite ~ QUDtity :. ,
Bath Tub with or without sboWer, r Rou ~;ns
, Dis~~r . I t I Waitt~_
". fJ~l'.p;m1J . I! W~~ ~~J~. . ' .
I ~@amrOomSink). r Stan~.~I~t~bingMadrine)' .
, LatjfitlrY Tray (1: or 2 c::orrlpartmeJ1t sink I I S8W4. '1ijl!Jitti5r,
I Shower stall I I. Bact-flow ASsembly
i Sinks 1.1 BacUlow Assembly T~
I ~arSiDk '. I LaW:l Sprinkler
=-- :.!J I Will,"" Closet (Toilet) I (}the r
APPLICANT SIGNATURE
Quautity
~
,
\
'Col
I
"
,
, Type of. Flxtiiris
FEES\..J1t.vULE
Industrilll. Commercial a: Multi.!amily 1% of job eore with 1I $39.50 ~inh11um R.csidential. New One: &: Two-Famil, $99.$0
Estimated Cast S _ l' ~ng ~!tm1t~lKa Ul......... SJ9S0
PLUMBIN~'r~t ~EP , 3 2005 I }r1LPNO 'NrrH
;1~~~~~ By ~ __ _ 31 DING PERMI;
. I fl ~ ~.. .
LilY OF PRIOR LAKE
Date Rec'd
~=.. ~~~ IPERMITN5-~O
l. y.llow Aw6-t U .." I
ZONING (office
UIe)
LOT BLOCK
ADDmON
PlD
OWNER
(Name)~
(phone) &S/ -'IO~ - '1'100
(Address) l<i(C15 p~ \)..c....4*dOO - ~ .mf" SSI'd-d-
APPLICANT
(Namef). I .!-rt'n>.I'\ h:.:..., ~~ ~ rrr~ . J.. l=" P
(AddressL
)?9CO /09oUa (h~ JJ -JJJCX'l(J ~.I~~ ~11 5S3/~
(Address) , I ( . ) (Zip Cede)
(Contact Person) ~ C-\~ ~n~-tnO""" (Phone) !J..(.p~ - S'I(,p -/~
APPLICANT SIGNATURE +(./h-;:.) u,~ DATE ~\-d-'&Ios
APPLICANT PLEASE' COMPLETE BELOW
DEw CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MuueL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
(phone) '1~3. Sr'l 1-'dS"dS
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL ~~ cpq;;)3&'I2_
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplacc
$39.50 minimum
Residential, Heating &: AlC (New Construction) $99.50 Residential, Additions &: Altcratio~ b.. $39.50
Residential, Heating Only (New Construction) 164.50 Residential, AC Only .c::1l4~ : 4iIlf0 $39.50
Estimated Cost $ Building Pennit # Dh\lG ~
REA TINO PERMIT FEE $ ~~.. ~
STATE SURCHARGE $ .50 ''''I"r
TOTAL PERMIT FEE s
~ [ B [t] ~ptNO.
L~;: h 2005 IllY
Industrial, Commercial & Multi-Family
$39.50
/
(Office Uft Oaly)
This Application Becomes Your Building Pennit When Approved
Bui1dloe Official
Date
24 hour notice for III in'pedions (9S1) 44.0, lu ('~2) 447-4145
~OO flJ
Hooa 3~VHV~ ~ILVWOilinV
66~L 9LS t9L XVd Ot:60 SO/tO/OT
09/23/2005 FRI 8:06 FAX 952 767 1900 GENZ-RYAN
~ 002/002
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please tn'e or print and. aism al bottoml
ADDRESS
\4t.flO EndllVf I ct ~
~: ~:. ~~ I PERMIT NoC- _ ~;;;;l 1"'\
J. Yellow Appbl \.,J - O;;"J"""
I ZONING (office
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER I I : Pj.f)C \1 ,,/' ',,"\ '1'\
(Name) \i\ hA \..')\' \ \1. U d I
h()'n~
(Phone) [051-' Gl00.. 37(./1
(Address) \ gq5 PI D:Z.Cc-' Dv; Stc:Xf)
t-"M CLn fv1 f\{
.- ..-J" ,
r:=:c:/ J"-
-..,./.,J !". 'ft}
li~
9J!fi
~~;~~~ANT Gren-c.. I~Jj(Jj'l (Phone) QP)(A-ifJ7'./OOO
(Address)~;)[D W. HLUli] 13 BUYIt"fSvi lie tj53~'7
(Address) (City) (Zip Code)
(Contact Person) .-("Qh ~lt1U.y)tmaVl (Phone) CV11..1lul.. 1~51.
' -~~C DATE m ~I05
APPLICANT PLEASE COMPLETE BELOW
. ~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL If n{\O X b ~~ \.l r - i1-<t t. - 1\ D FUEL \\\oJ. EI (A S
FLUE SIZE RETURN OPENINGS -q _ _ INPUT \l 0 1000 OUTPlJI' 1.o.LJ.()()
TYPE OF SYSTEM HEATING OR POWER PLANT
~Wann Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
EjAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
APPLICANT SIGNATURE
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace 139.50
$39.50 minimum ~
Residential, Heating&. NC (New Construction) $99.50 Residential, Additions ~,'" r< 0 ~\ ~71 S:H,l/;;), ..., )
Residential, Heating Only (New Construction) 164.50 Residential, AC Only U) U:, l!!J U; _'..1 _SI3~.p
Estimated Cost $ Building Permit # 1 OCT 0 6 2005 (II
HEATING PERMIT FEE $ ~'I
STATE SURCHARGE $ ~_
TOTAL PERMIT FEE $ EY
Industrial, Commercial &. Multi-Family
~l;"'i'
,'~ "';..I-!'
::~:,":.:'.f.~~
:~i:;:~.;/:~
(Ornce Use Only)
This Application Becomes Your Building Permit When Approved
Paid
~41wrm
~&PERMIT
Date
BlllldllU! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~L/7~ (buG _
NATURE OF WORK I/EIAJ C!!!./~.c.. ,.".,,)t".l-
USE OF BUILDING $I'r ~. .
PERMIT NO. OS-. () j'J cJ DATE ISSUED ~
CONTRACTOR . P~~- VI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE opper ..
GAS LINE AIR TEST~~p
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I U3tt6:/ fW,'cwllAtP I ~ I
FINALS
~/8 1/'.'7. dr
(~h ',al'l ~
_\ /
./'v\//
vy JI-/~-'CX
I (~ 't'
OCCUpy UNTIL ABOVE II fi'AS BEEN SIGNED
NOTICE
INSPECTOR (1.. DATE
FOOTING (f,J; I 1) - ~l!>- oC
FOUNDATION (Prior to Backfill) I II)> f?
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
r/f
Qf7
I~
7' -:!;, J<;r
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GRADING (Prior to Sodding)
BUILDING
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, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
\\
~
I
QIerfifirafe of Q1)rrnpaur\!
CITY OF PRIOR LAKE
~tpatftUtuf of ~uilbiug JIuspttfiou
'J'f Final Permitted
o Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential! D International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification S / Nq"6 r..4l"llt, V Bldg. Permit No. 05. 0830
Occupancy 1ype.;e.c; Type Construction. Zoning District P (/ [)
L 18, If S"_ "JE-FFeJe S p O/JO I rr-
Site Address 14+"'()4f/~Vc. e:. (ji/rc.-r
Contractor's Name & Address .wCAJS/'7/1..v,...;~ /895 ~,",zA DR... $/2,00. ~(i,q1J $1 Z L
} ,
/C.i}tfE:kT a #t/mrIlAist fIl.ll City Planner :Trt lVe /CA N.r lac. .
\ Building Official y iJ
Date: 11... \ f) V"l Date:
/
.
Legal Description _
Owner of Building
" ,. ,: "
'J'~ ,J" ,,'" ~\,~:.;.;..i,~:;}'.,;~,~, ,;J~;:~<I~".J,;.. ,,[, '.c':1.~il:;j~.}..~~~ll~s.~ ::.ri~-'~iJti.~,~ DJ ':~~,:>'~i;i"'~:'L:J'~~-'~';);J.~jt:'~':- ,{'.
. ,
,: ;~ :X. "i.A'U,j!:"~i.~" '~':, '" "}-,;',';'f:.; . .>.!:;i~"~I'(~i~i.;:' ~~J.i'~ ;;,..~,.:;"";";i~~f';:'; ;':'~;~"-'" :~'::j"~I';.~' ""';;I'~ ,;...~, < ': ,;"-"i'-,,,~ ' ;'}J I' 'i": ";': '>::-'i ':",. ~:if!~",:Mt;, ,':' :';..", ',';-: ',:d' .;.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/L/41() p~ C!
OWNER
CONTR.
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@
If/r PLUMBING FlNA
o MECH FINAL
COMMENTS:
DATE TIlle
/ I-/("'~
.C;--~6
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Wt:-II'1.Qlrr /?)J?-(A?5
\[J GfAII avt~ Vlt.tU r M.ekr ~.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PR EED
o CORRECT WO C REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
SITE INSPECTION
COMMENTS:
ok. -
k
DATE TIllE
SCHEDULED ~ I. ~
~.-' ~
(
CONTR.
PERMIT NO.
5"-$3()
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
IJ SEWER HOOKUP
IJ PLUMBING FINAL
~ MECH FINAL
IJ EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
IJ FIREPLACE FINAL
IJ GASUNE AIR TST
IJ
(;(O~ ~~ ,r>
----
-
~RK SATISFACTORY, PROCEED
IJ CORRECT A ON AND PROCEED
o COR , CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C 447.u(c(FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IlGIIOTl
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IJ..WJS
ADDRESS
J!I!/ 71) ;; 11t.hvt... cT
CONTR. ~iIWI" J-h,.,tJ
~.g]l)
~~ILLlNG
o COll'[lINT
a FIREPLACE RI
a FIREPLACE FINAL
[J GASLlNE AIR TST
[J
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
a FOUNDATION
o FRAMING
o INSULATION
'ci =~NSPECTION
o PLUMBING RI
o MECH RI
a WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
a MECH FINAL
COMMENTS:
~_tJlK-
~/b.&l~- t:JL
x:. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
a 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 cl SAFETY/
IItSNOTl
........