HomeMy WebLinkAboutBldg Permit 01-0984
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT i --- {}..1--o I
t. Wh.ite File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 0/- oQf14- I
(Please rvee or print and si2Il at bottom)
ADDRESS
~').5 C,\:\~"'" P~") I\tfA )
ZONING (office use)
RI
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK c.., ADDITION ( ~ ,~~
\ ~t- A~:~~<r'- PID2S1.."h('J"'~C)
OWNER
(Name)j..jfl'"'o.~ (2p~\S :\I'""\L.
. (Address)t ~O\~ P\~ r\....-.'.~ ~rY)
(Phone) fd=) \ -\,{C'L__44'?.Q:
?. ~ f"Y"'r-.. I=;~ 1~2
BUILDER( U~ _~ _~ \~_
(Name)_ ......\p"':'-,..".....~~_ .-~
(Contact Name) _Y'("\ ,',..\(. \..\. 4' : \ ~----...
(Address) ~e-
(Phone) (en \ -UC'?(n -~
(Phone).ki2-''':>h''l-1102'''
TYPE OF WORK
-
.i<<{ New Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
DRe.Siding
o Misc.
o Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (exclUding land) $ \ 0'\""1 I L-,(')()
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 ya",y__." 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 pon the property to perform J'lJ'eded (n\pection'n /1 \ \
X ;...,.-. ~c.cvl~ Ie.. ~'...&i r-C-. \Yl=)~ \;jt-~Y-01
~ Signature ~ Contractor's License No. Date
Permit Valuation , ~'M{z).cx;1 I Park Support Fee # $ a=:;t) . fri,
Permit Fee $ I. ,rl.::3.)1 I SAC # $ J.lfSO.oOJ
1 Plan Check Fee $ 7'1S. .3A 1 I Water Meter size@iJ,; ~ $ 'IU-.~
I State Surcharge $ '1~ .110 I I Pressure Reducer $ 45' y6Jt; I
I Penalty $ ~ I I Sewer/Water Connection Fee # $ I. .?O(') .l9D1
I Plumbing Permit Fee $ too. C/O I I Water Tower Fee # $ /00. c.9O
I Mechanical Permit Fee $ roo. 00 I 1 Builder's Deposit $(. 600~CJO
I Sewer & Water Permit Fee $ .3s. SC) I lather $ I
I Gas Fireplace Permit Fee I $ ctO.6>O I I TOTAL DUE $84-76. z3J
. . .
mAmeSYOUrBuilding-;~-:;;7ed I Paid f/4 '10, ~3 I Receipt No. 'It) " 1>5 I
I Date q-JC;-ol Bv ~/ I
!
Buildi6g Official Date
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
~~:;:q;:eCi~ mncr'onstirutesatemPorIDYcertifi:o~:m;:~"andillOC::O~O'&:J:;lC~
~anning Director Date - Sp hil Eonditions, if"'"any -
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
-Aug,i8, iUUl 7:57AM "'GENZ RVAN PLUMBING AND HEATING
No.0961
P, 4/4"''''
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Ree'~
1. Pink
- * :2- Grmn
J. y.ikJoIt
$- fPERMlTNO. t-.-Cf~'I
(Pla>e tv:r< or]>riD'and slgn a."",",,,,)
I ADDRESS
I ~:'1/ t:=...., I 1 "); \ f"'\'- \j)y 11 \ Y
ZONING (0_"""-
r:?/
LEGAL DESCRIPTION (cfl.l"" use oaIy)
LOT 2.. BLOCK (oADDITIoN I 1 ~ ~ Vl Y\
OWNER
(Nam.c;:) .....ltle.n.s.l'n~nn l.:r...,....p, Q
f.~/'
PlD_")c;-3?!o~Ow-J
(Address) 1895 Plaza Dr Ste 200
(phone) '5"1 9"" ..,na
Eagan, MN
5.5122
. APPUCANT
(Name,) Genz~RVRn 'Pl1'W1.h1D.a & H"'-;;lti,nliZ
(l'hone) ",1_" ?,_11 ""
(Address) 14745 So Robert Trl
Rosemount ~ MN
55068
(Zip Co<h<)
~) (City)
:~:::~b~~GNA~otr ~_)--Y (J--,. ~b~~A~'l_~Tze;iDf
, ..' ";PtG:(,A~LEASE COMPLETE BELOW
. ~W CONSTRUCTION 0 REPLACEMENT' 0 AL1ERATIONS
FURNACE MAKE AND MODEL Le.n.no'l. C,zfolSlol U-_ I :; .<=--. FUEL .tJA1. (-n _'"
FLUE SIZE REruRN OPENINGS ~ INPUT /25, ('j(JO OUTPUT 17&./JOO
TYPE OF sYSn:M HEATING OR POWER:PLANT
]!jWarm AJr Plants 0 Stoarn
DGmvity 0 Hat Water
o Mechanical 0 Radiation
~r Conditioning 0 Special Devices
DVcnt System 0 Olhor Devices
PLEASE NOTE:
Air Conditioner Units
ClIIIJ:\Cl! Encroach iJrn>
Required Side Yard
SetbaCks
FIREPLACE MAKE AND MODEL
Indu::;tria.l. Commercial & Multi-Family
FEE SCHEDULE
1 % of Job cost Residential, Gas FiPlplocc
$39.50 minimum
$99.50 R.esidentlal, Addition. & Alterations
$64.50 R.=sidcntial, AC Only
$3~50
Residential. Heating & AlC (New Construction)
Residential. Hcatin2 Only (New Consttuction)
$3~.50
$3~.50
E.timated Cost $
Building Pemlit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
_so
El'. PAID r ..
, 0.111.0'" [/\,1)-'.,
"YO "_'.'
r-'t:::," ..,
l11lJ11
(r--~ Use ,Only)
r. ._.lS Application Becomes Vou.. Building Permit When Approved
Building 01li<ial nolo
Pajd
:?~:::":';r~.
. Date
9-/t-f-/
By c;;;.c/
(j
24 hour notice for aU "'.poction. (952) 447."50, ro (952) 447~
Aug.Z8. ZOOI 7:56AM
No. 0 9 61
P ') /4
. "'
GENZ RVAN PLUMBING AND HEATING
Date Rec'd
L.ll i: OF PRIOR LAKE PLUMBING PERMIT
C?I~asr; tY.E.c: or tJJint IIDd siJm, at bottom)
ADDRESS '
~z6 W, fr,s l)r Jill..(
i ~~ ~~ I PERMIT NO_I_ C;oLJ
3. Y.l1o,or Ap~llic.nt I if -,
I ZONlNG (-._)
R! .
LEGAL DESCRIPTION (offi<< use ooly)
LOT 2-BLOCI( ~ ADDmON f.,cM.v1><VYY.LI1Yl
OWNER
U'~e) Wensmann Homes
(Ad~~ 1895 Plaza Dr
APPUCANT
(Name) Genz-Ryan Plumbing & Hear:ing
(Addreos) 14745 So Robert Trl
(Address)
Is!
pn:b1.r- 37t",-07i-c.
(Phone) 651-905-3709
Eagan. MN 55122
(phone) 651-423-1144
ROBemount~ MN
(City)
55068
(Zip Code)
(Contact perSon) Marv Olson 1 (phone) 651-423-1144
APPLICANT'SIGNATIJRE -111. CLlbil ~ DATE eJ}.Pl/() f
APPLICUPLEASE COMPLETE BELOW
Quantity
I
I
.""'
,
I
\
~
I Type of Firtu.re
I Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
Launchy Tray (I or 2 compaxlment sink
I Shower Stall
I Sinks
I BlIl' Sink
I Water Closet (Toilet)
I
I
I
I
I
I
I
I
I
QlUUltity
~
,
A./'
,
I type of Fixture
I Rough-ins
I Warer Heater
Waier Softner
Stand Pi!"e (Washing Machine)
Sewage :E;jector
Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
I
I
I
I
I
I
I
I
I
I
FEE SCHEDULE
lndusbial, COlT\lllorcial & Multi-family 1% of job oostwitha $39,50 minimum Ilzsid<ndaJ, New One & Two-Family $99.50
Resid<ntiol, Additions & Aluoratiens $39.50
Estimated Cost S
BUIlding Permit #
PLUJ\ifBlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
/2/ J,,'l') .
-,' - - "'I
'1.-"//C/!/111j
Pr.::,.,.
4;1"", '''.,..
"'i,
(Offic.e USt;. Only)
Ir This Application Become. Yeur Building Permit When Approved
r. ~ui.ld,jq Offici.1 .Dan:
I Paid
I Dale /.1 (
~I - 4-/
I Receipt No.
I
~
IBy~
(j
24 ho.r nDtice for aJll~.pectiDn. (9SZ) 447-9850, fax (952) 447-4Z4S
Aug.1H. 1001 7:57AM
GENZ RVAN PLUMBING AND HEATING
No. 0 9 61
p. 3/4
Date Ree'd
CfIY OF PRIOR LAKE
SEWER AND WATER PERMIT
~ E'w ~_I PERMIT NO. I-q S (/ -I
(l']ease lVlle ormmtlll1llsll!n atbotlDml
ADDRESS .
I SQ2.~
l 1)1 h-'\S-. 'P (.(lA ') Y
ZONING (otlia...)
01
LEGAL DESCRIPTION (olllc:e use only)
LOT 2 BLOCK G, ADDITTON II JeJf\c:..1IYY\ JA Y""'\
\s,\
PID,~3 /b--07Jr-)
OWNER
(Nun"'" Wensmann Homes
(phone) 651-905-3709
Eaft.an. MN 55122
(Ciry) (Zip Code)
(Address) 1895 Plaza Dr St.. 200
(A.dd=s)
APPUCANT
~~p\ Genz-Rvan Plumb1n~ & Rear1n~
(phone) 651-423-1144
(Contact Per~on) MBrv Olson
l -'LI~ SIGNATtllU!: \ k
ba--
APPLICANT PLEASE COMPLETE BELOW
"'n~e.mnl1"t-. ''N
19'1Y)
(phone)
55068
(ZlP Cocl<)
(Address) 14745 So ~Tr '1','
(Add=I)
~
DATE
651-423-1144
p;12P~ (Ql
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimateci length of sewer line feet_
'Clean out (if required) located at feet frO!ll st:ructure.
. feet.
o Cast Iron
Residential sewer lIIld water linc connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-fumily 1% of job cost with a $3950 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
"" p.,
,""V/I ,,~ I
....D.!~. /-
Jil/-' i/",.
''''p'
,
"i., ._
'/
(Ofljce U!le On(y)
,
i:~.
Date
9-1t-/-/
I Receipt No. _
I By .
r/
I.
I
This Application Becomes Your Buildlug permit Wheu Approved ' Paid
Building Official
Da..
14 bour notice for all inspection. ~) 441-9850, fax (952) 447-4l4S
651 633 8884
FIRESIDE CORNER
#6031 P.013j013
Date he'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
(Pie"", ~ orprillt ."d'i!ll1arl>1tlJlm)
ADDRESS ZONING ~cffi<<...)
i 5:.. E~,,,,, I PERMIT NO.O 1- 0 Cf 84-1
Is 3..2S-
&);/dJ p~
o
LEGAT_ DESCRJPTION (alike us. onlY)
LOT
BLOCK
ADDITION
1'10
OWNER
(Name)
W;"" rlJ."_N. ~~.
_ (Phone)
(Addn:ss)
APPtlCANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(phone) 651.-633-2561
(Address) 2700
N _ FAIRVIEW AVENUF
(M<ltessJ
ERENDA IltlS'rON
,
I-L.~
~c:!,'CI"VTT.T.F. MN
(City)
(phone) 651-633-2561
~"1 ,,,
(Zip Code)
(Contact Person)
AP.PLICANT SIGNATURE ( ~
DATE
I.J- //-01
APPLICANT PLEASE COMPLETE BELOW
W/Ew CONSTRUCTION 0 REPLACEMENT 0 AL 'fERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETIJRlII OPENINGS INPUT OlJ'IPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OW.nn Ai' Plants 0 SIOl\/tl
DOravlty 0 Hot Wor.e.
D Meeh.n.iesl 0 aodhwon
OAir Conditioning 0 SpeojPl Oevice,
OVCTlt. System. 0 Other Devic..
FIREPLACE MAKE AND MODEL ~ JJ ro(,. I.~.m-.
PLEASE NOTE:
Air Conditigner IJnit.
CIl1IlI.ct Ener"""" into
Reql,li....d Side Yard
Setbacl"
Indu,trial. Commercia] &; Mulli-Family
FEE SCHEDULE
1 % of job east Residential. Oll$ Fireplace
$39,50 minimum
$99,'0 Re~ldendBl. Additions &; AI",rotians
$64,'0 Reold""tial, AC Ol1ly
539,50
$)9.50
$)9.50
Re,idenliol, HeMin! &; Ale (New Conslruetlon)
R.e.idenU.t Heating On.ly (New Construction)
HEATING PERMIT FEE S
STATE SURCHARGE $
TOTAl. PERMIT FEE S
()/- 0984-
[ ~"lO\N\i\-\"r
...1"\ "'G pEh;J.\
,5 eu\\J)~''''
\:
Estimated Co.t $ Building Permit #
(Olll.. IJ.. Only)
This AppU~fJ!J!:r1~ Yonr BuildIng Permit When Approl'ed
pritt::( /2.-/1-0 I
Bdlj~iog om".; D.lo:
I Pai.l.l
I Date
Receipt No,
By
Z& ho.. notice ror .f1ln.pOOl'o., (951) 447-9850,"'" (952) 447-4245
-_.._--.._._._._,-,---,_._---,.._._.__.~-_..
5~~
White - Building
Canary - Engineering
Pink - Planning
ThO' C..nln of thr L.k.. ('ount.,.,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /()-brUVJ7lVv~ ~
APPLICATION RECEIVED ~-a tj--() /
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whic~.is propose~
1-~3.-:),:;- WJ.lct./1._ . . ~WVL-
. U '
Accepted
Accepted With Corrections
~
Denied f) /fiQ ^
Reviewed By: \~l~--':::'
~:. ~~ J1~oO ou-L~
Date: B-3P2.€1ryl
"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."
While - Building
Canary - Engineering
Pink - Planning
Thr (-rnl... or lht I..kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT U:!...~''J' '
APPLICATION RECEIVED&'- I !--() /
J I ~/') ,.J/'
, , _n"' ,_- -. J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5- 3d S- //) ji /
lu'('.
Y'-
" ,
Accepted
v
Accepted With Corrections
Denied ~
Reviewed By: ~( 4---?...4"'~ Date: q ;;~ID (
Comments:
rl\(LY~ lIVtA~ ?-t-I l=r v:)~~"" ~ I~ ~{D.-Jt
~ ~I lr-(~~J
. \/J....... (). (..J' () eu;/d:
\
"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,"
~\
Of - ?e/f
White - Building
Canary - Engineering
Pink - Planning
TIl~ ernler fOr the l..ke ('ounu"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT tIlt/J!~ i-l-cn~
APPLICATION RECEIVED g-a t!-() I
,
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whic~ is proposed ~ .
iS3;),S- / /) Jid/) f- K Lu
. - C
Accepted
x
Accepted With Corrections
'.
Denied
Reviewed By:
NAB
Date:
Comments:
See Reverse Side for Additional Information!
Dn'vo"",y lntJ~+ "..".... U,11l.. Ap,,,,,, .[;0",," rorl. ~ .r:,"J~t./...11(
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
::l) ~rn,?ion 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."
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IS3';t~ IAJ,'/~~ 9kL0--\
NATURE OF WORK W-1 J U
USE OF BUILDING ~ ~D
PERMIT NO. ()f- iJC)i?4- DATE ISSUED ~-""(..1 - 0/
CONTRACTOR _LU~...- _ ~" N..&::- PHONE' "t.I'2..Jf..,,!~7{..~r
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'FOOTING \ I :;~:... I q \:;1.71~1
, FOUNDATION (Prior to Backfill) I ~~ 1.b'~ \ I ii l'h'lll>
PLACE NO CONCRETE UNTIL ABOV~ HAS BEEN SIGflJED
ROUGH - INS
~\\~. 'Ol,~()~
'$\\~ -:t 91
"h\) (J-u<., ,J ,';I~I
7 I I
, I
I::JI o:dal
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ ~rr
HEATING (if required) "'-II.4:+.
FIREPLACE -;R\~
GAS LINE AIR TEST vWlA.1JMl~~ i~a.J,J
COVER NO WORK UNTIL ABOVE HAS BEE
I I
FINALS ( I
I ;iII5, , II/Zrtf 6~:r
. ~ Va.w, , If).!)./ Oa, f\1\ \' /}-(
~ " r \.~
~-~~ I ;'Ot~rO~
<b ,Utl,oft -L E1.0a
HAS BEEN I SIGNED
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
OCCUpy UNTIL ABOVE
NOTICE
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/532.5
tJ~
OWNER
CONTR.
PHONE NO.
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
A. 0 SEWER HOOKUP
t1 ~ PLUMBING FINAL
o MEcH FINAL
COMMENTS: J
~Al)l.tAP~eu- 0\<-
M J-e.r ~ e oj eA
DATE TIME
I/zzlc~ //:YO
/:0
~( - 1,['7/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO'~ CALL FOR REINSPEcTION BEFORE COVERING
Inspector: <l< 1) {}.)J.h Owner/Contr:
CALL 447-9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE,
lNSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
I-ZZ-()2.- 2:30
ADDRESS
/5325 Wf0DS pJC1N1/
/
OWNER
CONTR
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
A.. 0 INSULATION
~. FINAL
~ SITE INSPECTION
o PLUMBING RI
o MEcH RI
o WATER HOOKUP
o SEWER HOOKUP
l1.. 0 PLUMBING FINAL
fl}<.MEcH FINAL
COMMENTS:
()K trJ tOr/---u.rU
- \
lo1 ~IOll O~
1-"CL~"~~.J
~
O/-Cff34-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,~'t L.'~
~oA. I1AAA
l'vees ,fOeA'
I
deJeJl9f~E?AA t-
~ORKSATISFAcTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR (, CALL FOR REINSPEcTION BEFORE COVERING
Inspector: ~_ \. tlA.JJI Owner/Contr:
CALL~ THE NEXT INSPECTION 24 HOURS IN ADVANCE,
I
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IlVSNOTJ
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
//-;t)oz
ADDRESS
/S52f; WddJ p/(I.J'I'
OWNER
CONTR.I A I "'A.t ,.,4"''-'
PHONE NO.
PERMIT NO.
6/-CJfr
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
~LLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Cvtb ~~-r9Y
)( WORK SATISFACTORY, PROCEED
/ 0 "cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEcTION BEFORE COVERING
Inspecto~<:>i~ ~ner/Contr:
CAL}_ 447.9R~O FOR THE NJ:XT IN~PECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
rill/DS
ADDRESS
/5325
CONTR.
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
-
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
SO[) f
/
DATE TIME
/1- -'> .
pKAi\LV
I
01- q84-
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
(/ f05~ ~
~'
!fWORKSATISFACTORV, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (t1? 1)..- J-()l-. ownerlCOnlC:
CALL 447.9850 FOR THE NEXi INSPECilON 24 HOURS IN ADVANCI2
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
..--""' .-.,.---.. .~.__._...,,_...~.._._<'_._--