HomeMy WebLinkAboutBldg Permit 05-0832
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
/4466 F;Jt'MvE C'c"IZT
LEGAL DESCRIPTION (office use only)
LOT J 1 BLOCK ? ADDITION ~1=FEfrS
OWNER
(Name)
(Address)
BUILDER , /
(Company Name) tvGf'JSJI1AAlN )/~,"~C;
(Contact Name) -rD1f1. ~J.(I5t2lbAN
(Address) 1"fi'c;5 r~J'f'2~ De 5c.J.
Date Rec' d
/1. ~7. 05'
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05. 0632-1
J:i,~ b
/S-,-
PID 9&,7;
(Phone)
ZONING (office use)
(Phone) {p!i f- ~~{, - 44;!J 2>
(Phone) "~-3(p,- 7,*~ I
~ ~rl. QtJS.3"'/a
rJl () ~
TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection
CODE: ~R.C. DI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
I
E
III IV
H I
2 3
V
M
4
II
F
1
Signature
x
"'T/;;'
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~~()a~, DO
$ 18''tr3, r;;O
$ /I? 2,.2..-8
$ Ilz, ~o
$
$
$
$
$
/ () () , tJ-o
/()tJ,()(}
3s, so
~(J. Ot)
This Application Becomes Your Building Permit When Approved
~ 1~ ~/2/IJS
Buildmg Ot1ieial
Date
A
R
5
o Mi<r
B
S U
PROJECT COST IV ALUE
(excluding land)
....0
$ 3/1 cr5D
Date
$
$
$
$ 75.()o
$ I 5() (J, 0 (J
$ /00 I) r 1/ (J
$ /50(), 00
$
J~5t!)*otJ
SOl) ,oa
$1/ rt. 71"
/l
Receirft/No. ,fC)t; 17
By A .,
If
ThiS IS to certify that the request m the above application and accompanying documents is m accordance with the City Zoning Ordinance and may proceed as requested. TIllS document
when signed by the City Planner conStitutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
i~~
Planning Director
~/2.S(,S
Contractor's License No.
Park Support Fee #
SAC #
Water Meter Size 5/8'(t'\)
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
Paid
Date
- /
4 ItJ' . ?o
. K .?J1.~1
l
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
tJa ~1!e~~~~'
~ - Blli'djna
"f - Enclineering:,
Pink - Planning
Tho ("onlor 01 tho I.ako Counlry
. .
BUILDING PERNJlT.APPLI.QATIQN DERAfltMENT CI1ECKUST
NAME OF APPLICANT
APPLICATION RECEIVED
J1IEAlJMr7NN /ftJn&5
7. t 7. oS-
The Building, Engineering, and Planning.Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-4-:66 cNu,,qv6 (l,,1.
Accepted . X
Accepted With Corrections
Denied
Reviewed By: IIiJf5
Comments: 5c<.. ({(.I/l"~ Sld!.(;,r fib. 'It'~" I
Date: ~~;U-or-
.r~{ 11'I1+/0,'\
S~e f1-I.-ltr(,~m',.~ ~ I) 6rtvl.." PIe.,,: :2) Er()!Jt'IJ'" ~l\ftc)1 jJ1(i<aI{5
"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 approva~ 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."
<White. - Buiid'iiiQ)
Canary - Engineering
Pink - Planning
The Ctnlt>r of the Lab Count!")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f1IEIVJM/lNN /-!tJnE5
7 Z?oS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J4<I~6 6NeL-/7,/6 ~/.
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~ .: I.~ Date: e I '2..../ () S-
Comments: I!.pA,jJ~ o.-Lf ~, ~ *-;,
~ ~~,
j
"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."
White - Building
Canary - Encdneering
(fink - ~ni~
Tho Con to, 01 tho t.ko Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t- /1/__ "i i/ r / Iv /\/
/-/t// v>t.~,-. ~-
," ~ ,.,-.---
-;' 2"'" C-
/. I. C -~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construption activity which is proposed at:
~
/4 4 ~61 t1v C'.L /./ V E I 'I:
. 1
'" Accepted
Accepted With Corrections
/'
Denied
Reviewed By: ~ ~~~ Date: 7/~s-;'s
Comments: ~ ~ ~ ....trtJo4A- \rj .~ , 'i . <<.J ~. -it.
t-Jo ~ ~ a-r ..oO-t~ J p~. ~
I I ,.
-~-3 ~t!l~ I~j, ~ ~. ~ oJU ~
tJo ?~ ~_ d2-,~..._~~~.. ~. Kt" ~~ I~
cUr'/~ ~ '
"'_. -'." ~..J '% "L" '4..' :: t.~ V .~~ ~_-;.' ~f,: .':':~ "V', b.c::."" ~t~:~::= t!:::u~t~~_.
-'6;utsV c~~". .. Enc;~;ach ll1tO Requh"ed
f"'" .~ ~.o: '"
L:~ ~- i ;:\~ X t~:~!.~ ~L:.
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."
lO/Z~/Ol I~D 11:22 FAX 6124474245
"fTY OF PRIOR LAKE
!?lJOOl
Date Rec'cI
LIT)' OF PRIOR LAKE PLUMBIN(; PERl\111
I Blue ~!r I PERMIT~
1. GIld .''1 . _
I. '1.1..... 'ftI'ft_1
I~
(1'lea,e tYve or print md Ji2D ;It bcrtom)
ADDRESS,qq.bb ~~-€.. ~. ~\.J
I ZONING roflee -> I
LEGAL DESCR;!PTION (OffilZ use on.ly}
LOT fl Bt'oex 6 ADDITION
~= kletY\Sm~y\ ro~e.sS- . :Phone)tf:,S).-L{O(,-1!I{)O
(Address) .12><tS'"'PIA.Zo-.. b<-. ~\'k~'D ~'"\ J~f\., ~J~Z-
'APFLICANTW - -~\~~\b ~,{~ '" - #rJ LJr-\ I.rc-/r-
(Name) ~~ '\, ~ ~ t\-,~ l ~. (phone) l~/-7.PL"'" vc!;w
(Address) /7JD ~~~. \~. ~'NW\t 5c>/t2/
(A~\) . .. ~ (City) ~. (Zip Codcy
(ContaetPmon) \\~~~~_~. (Phone) L?S'J.J.fs;2-)5"6S
APPL!CANTSIGNA~ .;2~ DAm 8)lCJ)~
~LlCANT PLEASE COMPtETE BELOW
TYJRl of FixtQre QUJlDtity
Bath Tub with or wIthout shower I
I Dish~qsher I
t. .PloOt~~."
I La"'li!t~, (B1IthIoom Sink) .
, Launtby Tray (f or 'i. com'J:'lU1lmnt sink
I Shower StiJl
I Sinks
, Bar.5 lDk
I w al~ Closet (Toilet)
Quantity
~
,
\
.Jf
f
-I
I
:3
PID
Type of FIxtUre
Rou ;h-ins
I Wat~:ijeater
.Wal~r.$~!~,. .
Stan tSPipo ~hing Macbipe)
I sew ige 'EjectCr
I Backtlow Assembly
I BackfIcw Assembly TOst
j Lawn Sprinkler
I Other,
FEE SCl;llDULE
!nt.lu,trial. Commercial &: M~lti.(arnilr 1% ot'job cort with a $39.50 minimum Rc:.sidenlilll. New One: & Two-family $99.50
Re:sidential. "'dditions &. Altenltiol'ls S39.50
Estimated Cost S
Building Pennit #. --P.AlD...WIDi
BUILDING PERMIT
PLU1vlBlNG t'~KMlt FEE :s
STATE SURCHARGE $
TOTU~r~~.~ $
.50
d vS6ES0098v 'ONIGO: II 'lS,/lO: l1-"SO. '-OE '8
,...-/
"
'"
t\'.
It
f
i
'j
CMtr... . I'lU:
Y~u.ow . A""Uc...1IT
GoO'-!) . err.,
....Uill..i...:.w-.: ..":;,,;,..t~:r';~ '1'0
~"P'i" lL~_-."'."!.''''~ 3III'.lrr<",r~~ 1 pp".'. ~.;, ,....IU..I.I,'I_, 111~.ll 111~li.1o I
C!,!,y OF PRIOR LAKE
SZHER J..ND WATER ?::::~1 T
N&- P3~
HOTE :
Sewe'!:" and Water
contractors ntust
be registered
with the City.
~
mLICANT: ~\ \~~
J'14bb. ~~~ C\, l\)~
PHONE:~Sf-LIs)'''J~
DATE: ~11<} tos-
ADDRESS:
5 ::;;;~.:-r::?:::
'5:'::G,
-:::-=--::>-A7="'" .=r.
... -~ - --... "':"
1.
:=:sti'l':\2.te-:. l.ength
F~LL IN TF.E BL~~~S
G.O
of \oiatcr sc:::-vice ......
feet'.
2.
size of water se:::vice
I
ine:;, (es) 41 tyJ
froln S"=:~..lc't.u::-e 'Vr~
PVC~ Cest Iron
3CJ
feet.
3 .
Lo~ation of any couplin~s
4.
5.
Ty~e of sewe~ pipe.
A3S
=:5-:.i:;tatec leng~h
of
sew'er line
6.
C~ean
out
( . J:
1..L
re<;uired) ,
~ocatec.
. ...
,,'-
fe1i)4-
feet
from
st="~c-::.u=e .
===== ~_=;:;=::===::======::;=====-;:;=:;::;;==__'-:';_;;;==== ~_=-==============::;;:..:-::z===:::;;==
'1"'\---
_.._5
application becomes ~our permit ......hen 2pprOVec..
B':
DA.TE:
=~======~==-=~===~====:===~~==~=========~===~====~~=~=======~-;==~
F~~S:
s
S
S
35.00
.50
35.50
SeT..rer and wa"t.e::- lire connection pe:::-'mi t:.
Surcharge
TOT .:.x.L
..,
Fee fc:: e:.~he= seT,Je:- S wate:::- i::1c.ivic.'..:a~ly is
S .50 s"..1~charge.
S20.00 p::'us
*
S~f"e:::- anc. 'vola t.~::- pe::::":li ts. issuec. :0::- nev constr..).c~ion ml.:s~ be
~eco=~ec on the buil~in~ p~rmi~ ca::-d a~ th~ ti~~ of issa2~c~
to i~s~=e t~a~ no c.uplicate se~e= a~d ~l,eOrW~~its are
issue-::. I""Jo, II,.,
~.1~OUN,:.B~l~g'NG PERMfT
O?-.':'-::: ?::".:J
Q~--:-7'j"" ~
- ,,- \.... ~ -... '"" ..
~J ,.. ,'~~.. ...... ' "" ':":.... ,.j' ~\ .,~ , ". ':',. :,\,:')'.
~~~~~~~?1~~7. "';'~~~ li~.~<-.;~~(~":~ ~'!?r~~~~'~~~l~;.d+e:~)~\~~;~~:i: ~'\.~r ~~t~'(: ~..;,'''{.
~~~~;'jAr{~~~.~:.j~; ~\:," -. '1..'; *~1~:". ,,' ...':':::::rfI':{'i):.".,t>':'~ _....~i::~::-.'-;.:~~~;l '. ';" ',. \ ,~ri\::~
~~~~~f.~..L;t\;'"i'" ~ ~. .,:~t.,rl'~~':'< ".;.;.~,.i.f)~; "".. ,.1< .~~.;.~~,.-?<._.l,:,'~'l<;";,~"~~!J:~.
~~.~l..i:l~.,"~; ;"". :",,;\: -\~f~~~, .:., :r). ~~~t.i~. J"::;~~~~'~,)'= ~..: ~~~~': :-r-!.
;~:,.'~i:.;,.,.:~),..:,. '.:- .,,1 ;:~~..":~ _.,,:~>!,~.:r....,~''', ;"~';:t,.,;,~':t.~,':'- ~ .~~."~:
..'. ..t d t7S6ESO.On~ 'oN/tb: II 'is/tO: I! SO ,OE '8 (3flll
.-: ~- ""--...,--
"1
10/10/2005 MON 13:58 FAX 952 767 1900 GENZ-RYAN
~ 0021002
CITY OF PRIOR LAKE
HEATING/Am CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sbtn at bottom)
ADDRESS .
I LFL/.l1 & bVl 0~lA V L ~'r
i: ~~~ ~~; I PERMIT NO. .. II .,
3. Yellow Appliconl "". ~
ZONING (wfiee
use)
LEGAL DESCRIPTION (office use only) ,/
LOT I C1 BLOCK 0 ADDITION ~V\~ I 6\ V t ~ --to ~ {ffe V S V\/11 k VP~ lit .r,
~~:R \_ \ J ertJl~ n ..\jll'"'\ \-~l){YfS
(phone) u51- QCf5.. 37DS
(Address) \ gq5 l:Jla1.cL- Dv~: Stc ~OC
EZtt1 CLn Iv\ t\{
"./
0r( .]f""\
t..,iJ !~.,. .,.d.'
APPLICANT (;..,.,cv",-J ,''I, Ill)'" qf;.~/ .~7! f.''','-./U/10U'
(Name) C::, U 1[....-- <"l1 u. . I (Phone) I - I
(Address) J,;;I[jj UJ Hwq i '3 B LlYnsvil Ie %?:)7 \
(Conla" Per<on) hA~l r,~-M'r~~DD y}j' " ~G l ~ ~1. " . (Phon.~r a ~t \ 7UT, roUt
APPLICANT SIGNATURE i ./J;JIJlLl^-u L /l./ DATE (0. J d. d /;
., /\.~PLICA.NT PLEME-COMPLETE B~ ----
, OONEW cC>NSTRUCTION [) REPrCEMENT D ALTERATIONS i
FURNACE MAKE AND MODEL ~ b 411l ... Llj t ....uo . , FUEL 110\ l r 111~~ .
FLUE SIZE RETURN OPENINGS ~1 INPUT Jl.W.(i 0 . OUTPUT J11! t-~ U
TYPE OF SYSTEM HEATING OR POWER PLANf
~arm Air Plants 0 Steam
o Gravity 0 Hot Water
[J>fechanical 0 Radiation
[klAir Conditioning 0 Special Devices
OVen!. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & 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, Heating &. NC (New Construction)
Residential, Heating Only (New ConstrUction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID W\TH
.~\LD'NG PERMIT
(Office Use Only)
.~,. ____r~"~'''.,.....,_~.,~~---"'-..,..,.--'--,.." -.
Date
',','1', pj,",','i(
: 'i ) : :-, .. \~.
J: D1)tT 2 0 2005
~eceipt No.
This Application Becomes Your Building Permit Wben Approved
Buildinl! Official
By
24 hour notice for all inspections (952) 44':9850, fax (952) 447-4245
10/17/05 10:25 FAX 763 576 7299
AUTOMATIC GARAGE DOOR
~001
CITY OF PRIOR LAKE
tlEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(please type or tlrint and sign at bottom)
ADDRESS
\, Pink file PERMIT NO.S: 832-
2, Green City
], Yellow Applieant
ZONING (office use)
IW'b fif~ C[
LEGAL DESCR1.t'uON (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
APPLICANT
(Name)
1'84<;
f);...A- ~ oA. I -B 2.c:5l:/
(phone) b~1 - 'i ~ c; - trLf Or-,
8t{,N/ J fY) N
I.N~~M~ ~.6:;
(Address)
~A-\~
)?qo-o
(6cr-HA
(Address)
~--_-;: I - .Il~"- 'tr./"'- tyll\...:u.-lY'.tW
, ..._ rl"'",-"V Ii 'I -. I
~~
~~
Pr1r?
f) ~ ~ r:I (phone) -? h q - 511 - ~$"'2S
c ~p. u:JII rrnIJ 55 tllb
(City) (Zip Code)
(Contact Person)
(Phone)
"/ '~->7/- '2SZS
/O{17/OS-
APPLICANT SIGNATURE
DATE
j APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEf J[J,.~~
HEATINGORPO~RPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
CD Lf2.3l..R
Industrial. Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.S0 Residential. Additions & Alterations
$64.50 Residential, AC Only
$39,SO
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ "Zb?~. 0lJ
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAlO W\TH
IWILO\NG PERM'T
(Office Use Only)
This Application Becomes Your Building Permit When Approved \ !fai~ '
D.k Ii ;1~T 2 0 200;
24 hour noti. . ce for all inspections (951.) 4~' ~9. 85. 0, f. ax.... (9.5.. Z. ).4. .41-424.. 5 '
16200 E~le Creek Avenue, Pdo [lJ!lk!!~ SS~11.
.~u _,.~." _..", .."">_,,. ,.__.
Receipt No.
Building Official
By
PRIOR LAKE
INSPECTION RECORD
EIJCLAV€ UII~I_
( fA,) 11..", F/NI;H
,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. (~OfJJ2-
CONTRACTOR _ ~ PHONE /
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR f~. DATE
FOOTING (11/~ I 9-J-/~
FOUNDATION (Prior to Backfill) I f 6) I 't-/~-o>-
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS() ()
SEWER/WATER/SEPTIC 0-11 CI-;<;-~
{?
FRAMING I/W/ (O-lAvUS
INSULATION ~ /Jl, l'ta
ELECTRICAL ;
PLUMBING ltt. (j>0 /~~,hs
HEATING (if required) ~ f;
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~t'fI. wr? I tf(l!fu s I
FINALS
;.J LJ / /, ? t1""'
fit>
(
ro
I{#:
OCCUPY UNTIL AB'6VE HAS
NOTICE
GRADING (Prior to Sodding)
BUILD~G
ELECTRICAL
PLUMBING
HEATING
DO NOT
IfJ...2<1
/1 J.
01JC};/~
~ v
. I'
12/., /~
ri/;' Jm
BEEN I SIG);{ED
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
J J"'J....
.,~._.~._-"..~,,:._...',
'..~..'" ., \. ~_.!!~'~.1'<:.._ ".._~..."":_...___,:",..ri!:f,,..
~'k';Jl
'-" .~ ..
CITY OF PRIOR LAKE
INSPECTION NOTICE
/1/ DiAl. T' A~ TIME
SCHEDULED "r 1(,/
ADDRESS B ~ ( * (\A. ,-lM II~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o .!JIISULA TION
..Jiir1=INAL
o SITE INSPECTION
COMMENTS:
I
O~~
CONTR.
PERMIT NO.
~ ... tJ?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
a COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/II ,,0)1
Ll~~\"t\Q.
)i WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREt2K. LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 447' 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
../"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOT!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.1-2./1'1 lor:;-
.
ADDRESS I LIl..l (P l,fl
1"'\.('(~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
<;;' - ~3 2-
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
j!i- PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
" C;( l}.ll Q \ QtMA1t1. i-
~,~~ W ~
.3..-T)~ ~S L.:i
o WORK SATISFACTORY, PROCEED
)( CORRECT ACTION AND PROCEED
o CORREY::':, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ,\"/) Owner/Contr:
CALc.~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
1NSN0rl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ll-'~f).r
ADDRESS ~ E~J,.,tL c. r
OWNER CONTR. Wt"~"'"
PHONE NO. PERMIT NO. ()~. tJt...
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
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
&hut.,.,tYK....
C.J.A/~ Bill' - /) Ie..
- - ,
~K 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!
INSNOTI