HomeMy WebLinkAboutBldg Permit 01-0322
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date R
I. White File
2. Pink City
3. Yellow Applicant
APR - 3lUUI
I PERMIT NO, DI-D3ZZ.
I ~~~s~:nt ~d 'w" botto:
\ - ~ 0 f=' \.- ~
ZONING (office use)
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R'D~
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LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID.J5- 93~ - 001-
OWNER
(Name)~'\D( LAkJ S~\J~ -~~\~ ~b\\9 (Phone) C\.s~- 4-41"'~\&S
(Address) -
BUILDER
(Name):=E O.~ ~~ rell-
(Address)
C.r'\(~b( f\-\- \ b ~
'-\.!
(Phone) -Sb~- 8~\- 5"-\0&
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
~Alteration
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $
nform on on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
roperty and that all construction will conform to all existing state and local laws and will proceed in accordance with
at the ilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city 0 IciaI or a designee may
de . s.
Contractor's License No.
/Oc;C:). C9cJ
Park Support Fee
SAC
#
x
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
Your Building Permit When Approved
rf-- "{ - '2Ao (_
Date
TOTAL DUE
This is 10 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
iSS/JT-~ /"l/~'LIet ~~~~\~ ~~
p\M... Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
.'
NAME OF APPLICANT I~ () ~-~: /) I (It:
:f;n ./ J
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~..~ (0 0 ~/~) Ll lJL) I\_-f- 1"'\ cL
~~~ /'
Accepted With GorreetioA6 t,.../"
Accepted
Denied
~~
Date:
~//t2-1cP l
Reviewed By:
"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."
,
o \ ~6 5 & V
The Crnter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I{; tXJ.<Ja4c1:t: e.tnfJ
APPLICATION RECEIVED Lj -- "3 -0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/sPioO F/Sh POIN+ Rd
Accepted
cp
Accepted With Corrections
;etiJ~
Reviewed By:
Date:
f ~ !of
f I
Denied
Comments:
"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."
__"""-.......-,.._~_'"-'_~~.~_".___~_.;"'.~__'"'~'__'_.,,.,_"<""____._.,._~~,._~_._~._.,_.,.._~~,_.,__w_..~....,." _~""m,~.~"..__,_,,~"___~_n___'_,'.,."~,_,__~_
PRIOR LAKE DEPARTMENT OF
. . - BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 15B G~ q;'~~~~~ ~
NATURE OF WORK Sc_f Up~_
USE OF BUILDING ~
PERMIT NO. ~:!i' DATE ISSUED 4 -? -2nd
CONTRACTOR'~ t- Gi.fp. 9s/-e51-r9'~eJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE iAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HA B BEEN SIGNED
WALLBOARD
" FINALS
GRADING (Prior to Sodding)
BUILDING e-t\, ,~ 9/~ fa)
ELECTRICAL I
PLUMBING
HEATING .
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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 an'd '~:bo A,M, for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Department of Administration
PROJECT JURISDICTION AGREEMENT
ARCIDTECT/ENGINEER:
Wold Architects & Engineers
305 St. Peter Street
St.Paul MN 55102
Date:
11/17/2000
PROJECT: Prior Lake Senior High /ISD 0719/Upgrade
LOCATION: City of Prior Lake
COUNTY: Scott
DESCRIPTION: School upgrades
ADDRESS: Box 539 Prior Lake
*****************************************
* ASSIGNED PROJECT NUMBER:
20000450
Date Received: 11/9/2000
*****************************************
An agreement has been reached between the Minnesota Building Codes and Standards
Division and City of Prior Lake , whereby the
PLAN REVIEW AND BUILDING INSPECTION
will be done by City of Prior Lake
Please submit all plans, specifications, and appropriate fees to
City of Prior Lake
You must follow their submittal process and fee schedule,
Please refer to our assigned project number for their tracking purposes,
The City will also be responsible for issuance of the certificate of occupancy,
jJltt
Scott D, McLellan
Supervisor, Plan Review
SDM:w
c: Building Official
PaFormRI
Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place East, St. Paul, MN 55101-2181
Voice: 651.296.4639; Fax: 651.297.1973; TIY: 1.800.627.3529 and ask for 296.9929
_____,_..........-__.......--w<._,_._.."~.__>><..~,__._.~,...--.-....__.__....;'__._~_--'I-'--,-,-,,~-,~~,"-,-----,,~-~,",'''"-'
NOV 2 I 2000
Department of Administration
PROJECT JURISDICTION AGREEMENT
COPY TO BUILDING OFFICIAL:
Hutchins, Robert Dana
City of Prior Lake
16200 Eagle Creek Ave.
Prior Lake MN 55372
Date:
11/17/2000
Project Title: Prior Lake Senior High IISD 0719/Upgrade
Location: City of Prior Lake
Description: School upgrades
Date Received: 11/912000
Assigned Project Number: 20000450
Dear Building Official:
Attached is a copy of the notice to the Architect / Designer of the project described above
as to the agreement reached between the Minnesota Building Codes and Standards
Division and City of Prior Lake delegating building code
administration to your office as per our agreement on this project,
Yours truly,
BUlLD~JCODES _STANDARDS
PJJtcl1t-
Scott D, McLellan
Supervisor, Plan Review
SDM:w
Attachment
PaFormRI
Building Codes and Standards Division, 408 Metro Square Building, 121 7th Place East, St. Paul, MN 55101-2181
Voice: 651.296.4639; Fax: 651.297.1973; TIY: 1.800.627.3529 and ask for 296.9929
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Department of'A' '
INiTIAL APPLICATION FOR PLAN REVIEW
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Plek~e fill but'this application and return it to the BUildi:O.g Codes and Standards Division.approximately four (4)
web~s prior to your expected plan review submittal. Failure to subm.it this form m~y r.esult in up to a three (3)
we~k delay in 'the processing of the plan review application. This initial. application w:ill help us expedite your
reVjie:w.
;~ifj:li' ' .: . Project Title U
1~ :: :. Site Address
::I~lh,,',.: it " :, City',Stiltc, Zip
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:?' &r' l : Owner Addrc9S .
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~Ar :City, S~, Zip ~ V;' I
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"j~l~; : Frml Address ~.r 5. ~
~~!:l~t~: : City, St.'Ue, Zip. L ~(~/ /J./ .;t./ ~
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;':,~;~I' ~. ! Q Public (state) building pai~ for by the state or other st~te agency as a: QState C?llege Q Zoo; 0 D,Q.T. Q D.N.R.
:~: :-'};;: ~ . Q Sta~ University 0 NatIonal G~ard Q State HospItal' Q State Home. 0 CapItal Complex
:;' loif. i/: ; Q Other; specify
.~." "" '
.,gt~:; : ~blic school d istri~t building of $1 00,009 or more in constrUctiotl cost.
':~i:~~~: ~ 0 State Licensed Facility licensed as a: 0 Hospital Q Nursing Hom.e 0 Correctional Facility
:~~:€~;~!' : q Sup~rvis~d !-iving Facility 0 Free-standing Outpatient Surgi.cal Center
.. ';:"', I:l Other' SpeCify
:...l~~ . ' . ,
~;~~t : 0 New ~ujJding Construction 0 Addition )Zi:RemodeUng I:) Other; ~pecify.
. ~~~h ; UBC Occupancy Classification(s): e UBC Type of Construction:
:~~~ : proje~ DeS!=ription: '. .'
~;f~:f.~ i L . 'I "'/ _ A
':'l:<":~;. ./,~ ~<4'/
'f~~." . .
).~+. : Total Projected Construction Valuation: /7 ~b ~
I........., .
upb~ recei~ing the compieted initial application we will confirm th~t ~e are the prop~r jUrisdiction for. the
pr~je~t, asslgn it a project'number for tracki,ng and determine if the citY/municipality "rill.do the plan review.
thelilispection$. both or neither. We will notify you of the project number. where to sub~it your documents for
re~eW and. hoW the inspeCtions will be handled, If delegated to the city/mUIticipality, you will only need to
fol~ow the4' procedures and fee schedule, If your su~mittal is t~ the'BeSD. our standard ~pplication process
wiU need to be followed. . ....
I' . ",
. J it rebj. aclc:nowledge that this application ;3 not a Building Permit, nor does it authorize the start of construction.
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D;k .
~/ CoI1~truction Vnluntion9,/ ;:; d2I <J
TOMlship
County
Phone
Fax
BuiJd~g Codes aod-Standards Division. 408 Metro Square Building, 121 rdl Place East, St. P;lul,MN 55101~2181
Voice: 651.296,4639; Fax: 651.297.1973; TTY: 1.800.627,3529 and ask for 296.9929
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ISO #719 - Prior Lake Schools
District-wide Upgrades
SUMMER 2001
HIGH SCHOOL
· Replace Gym Floor
· Replace Pool Gutters
· Replace Pool Lighting
· Repair Damaged Contacts in Gym
Subtotal Project Cost High School
Wold Architects and Engineers
July 18, 2000
March 7, 2000
Pre-Referendum
Proiect Cost
$
250,000
Construction
Cost
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217,000
Zoning Ordinance
1107,2202 Standards, The provIsions in subsection 1107.2202 apply to commercial,
industrial, multi-family residential (projects of 3 or more dwelling units per
building), public and institutional uses.
(1) The visual impact of rooftop equipment shall be minimized using one of the
following methods:
~ A parapet wall.
~ A fence or screen, the- height of which extends at least 1 foot above the
top of the rooftop equipment and incorporates the architectural features
of the building,
~ The rooftop equipment shall be painted to match the roof facing material
of building.
(2) The development must locate the noise-producing portions of the development,
such as loading docks, outside storage and outside activity away from adjacent
residential areas.
(3) All outside storage areas shall be screened to minimize off-site views using a
bufferyard type "C" or greater, as defined by Section 1107.2005.
(4) Utility service structures such as utility meters, utility lines, transformers, above
ground tanks, refuse handling, loading docks, maintenance structures, and other
ancillary equipment must be inside a building or be entirely screened from off-
site views.
()
;/
(5) All utility services shall be under ground except as provided elsewhere in this
Ordinance.
(6) Exterior surface materials of buildings shall be subject to the following
regulations:
a. Classes of Materials: For the purpose of this subsection, materials shall
be divided into Class I, Class II and Class III categories as follows:
Class I: Brick, marble, granite or other natural stone, textured cement stucco,
copper, porcelain, and glass are Class I exterior building materials on buildings
other than those used as dwellings which contain 4 or fewer dwelling units.
Wood or vinyl siding and prefinished metal are Class 1 materials on residential
buildings containing four or fewer dwelling units in addition to the other Class I
materials listed in this subsection.
Class II: Exposed aggregate concrete panels, burnished concrete block, integral
colored split face (rock face) and exposed aggregate concrete block, cast-in-
place concrete, artificial stucco (such as EIPS), artificial stone, prefinished metal.
Class III: Unpainted or surface painted concrete block (scored or unscored),
unpainted or surface painted plain or ribbed concrete panels, and unfinished or
surface painted metal.
City of Prior Lake
May 22, 1999
l107/p45
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Department of Adirii~l.J:traijo.n . I;;
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Project #: 20000450;.
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Prior Lake Senior High /ISD 0719/Upgrade
School upgrades
Location: City of Prior Lake
1, Duties of Municipality, Please check the duties you are willing to contract (a, b or c), a or b must be initialed
by State Building Official.
~ X a. Attend to all aspnets of State Bnilding Code administration, lnclnding'
_ 1, Preliminary plan review with Building Codes and Standards Division Plan Review Staff when
required as checked by the Division.
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2, Plan Review of building and grounds with written municipal plan review comments and designers
responses,
3, Interpretation, application, and enforcement of all code provisions,
4. Issuance of all permits and maintenance of all records,
5, Documentation on file of all equivalences and modifications to code as
required by UBC 104,2,7 and 104,2,8,
6, Adherence to all applicable written Division Plan Review Policies, See
www.state.mn.us/ebranch/adminlbuildingcodes or contact the Division for list and copy of policies.
7, Issuance of certificate of occupancy with a copy informing the State Building Official when
services are completed,
Attend only to all required inspections including:
1. Issuance of all permits and maintenance of all records,
2, Perform all required inspections.
3, Issuance of certificate of occupancy with a copy informing the State Building Official when
services are completed,
c, Municipality will not be administering the building code for this project,
2. All costs of building code administration shall be as prescribed by Minnesota Statute 16B,61 Subd,la,
IN WITNESS WHEREOF, the parties have caused this agreement to be duly executed intending to be bound
::tt/~
BUILDING OFFICIAL
II /"!aJ
DATE
1I/17/Oj
DATE
'\ {, ~o-, PaFormAG Page: 2
AGERlADMlmS,TRATOR ~
des nd Standards DIVISIOn, 408 Metro Square Bulldmg, 121 7th Place East, St. Paul, MN 55101-2181
Voice: 651.296.4639; Fax: 651.297.1973; ITY: 1.800.627.3529 and ask for 296.9929
1IIIn
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BOSSARDT CORPORATION
Professional Construction MWUlgers
MEMORANDUM
DATE:
July 3, 2001
TO:
James Lloyd, Lloyd Excavating, Inc.
Todd Iverson, Project Engineer -,(
PRIOR LAKE SENIOR mGH SCHOOL
PROPOSAL REQUEST NUMBER HS-l
FROM:
RE:
Please find enclosed Proposal Request (PR) Number HS-l, dated June 27, 2001, as issued by
Wold Architects and Engineers for work on the above referenced project.
Please review this PR for revisions to your contracted work and provide us a written response
to this request by July 11. 2001. If there is a cost impact you must respond to each item
separately with a detailed labor and materials breakdown, If there is no cost impact, indicate
this in your response.
We will assume there is no cost impact to your contract for the revisions contained in this PR
if pricing is not received by the stipulated date.
This is not an authorization to proceed with this work. Bossardt Corporation will contact your
firm with an authorization to proceed after your response has been reviewed and approved by
the Project Team.
Please contact our office with any questions you may have regarding this PR
TI:jsb
Enclosure
cc: Dan MeWeis, ISD #719
John Girgen, BC
Steve Kilmer, BC
Ted Schweich, BC
File 0004-05.636
\F:\2000\0004-0 I \6CONT ADM\3CHG&REQ\PR-FH\PR-PLHS I.doc
85/\5 Wi'.\1 781h SIreI'! . Suile /(}O . Minneapolis. MN 55438-/094 ' 952-83/-5408 . 800-290-0//9 . Fax 952-83/-/268 . wWIV.bossllrdt.com
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DISTRIDUTION:
)f Dan Mehl eis.
ISO #719
"f4 Steve Norberg,
Dunham
)f Dan Johnson II
)tl Greg Neva. II
~ Dan Saxton, II
~ Nick Igle, II
~ Greg Greenl ey,
BKBM
)( Dan Johnson, AJA
)( Scott . McQueen ,
WOLD
)(Michael Smutny,
WOLD
,,,,a
PROJECT
I.S_D...#Il.9_.P.RlOR1AKE/ SAY.8GE __":.0 ISJBICJ . WIPE
TO
BOSSARDT
ATTN: TODD IVERSON
8585 WEST 78TH STREET
------------------
MINNEAPOLIS, MN 55438
Submit an itemized (labor and material) quotation for the proposed modifications to the
contract documents as described herein within 21 da ys of receipt. If a cost isnOt submitted
within 21 days, this Proposal Request can be accepted at no additional cost. Written
approval is required prior to proceeding with this change.
Cost Expectations: 0 Deduct 0 No Cost 0 Add $
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.\~11 EV;I"I'.H~S
385 ST. l'UTR STRFF:r
ST.PAlII,MN 55102
651.227.777 3
F.\X 651.223.5646
2550l"IGRO\'ESTREET
SLTIT 500
ElGIN,IL 60110
847.608.2600
FAX 847.608-2654
# ~-1
WMM. # 00087
CaNST. PACKAGE
PR
ITEM:
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DESCRll'TION:
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ISSUED BY:
DATE:
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ARCHITECTS AND ENGINEERS
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WOID ARCHITl!CI'S AND ENGINEF.lIS
305 ST. PETIlIl S'11lI!EI'
ST. PAUL, MN 55102
PAX: 651.223.5646 TEL: 6S1.2T1.7T73
25 SOU'lH GROVB A Vl!NUl!, SUlTJl500
. ELGIN, JL 60120
PAX: 847.608.2654 TIlL: 847.608.2600
welD
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EXISTING
FOUNDATION WALL
2" IN5lJL. #4 OVER MEMBRANE
\IlIA TERPROOFING - EXTEND MEMB.
MIN. OF 4" ONTO FAC,E OF FTG.
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FIL TER FABRIC, OVER GRAVEL
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SUBJECT: ~L DETAIL
DATE: 6mlot
REVISIONS 6.
S.\ISD7\WlS_~7GAIF5I::2HS.PI't6
1U'I:l 0 6/2712001 0 M.33.18 0 M5t1
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COMMISSION NO: 00087
REV. DATE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED /z:~>nA-..;r .
/ 5~0C? FI.5I+ f&.;e-f(f2LJ
ADDRESS
OWNER
CONTR,
PHONE NO.
PERMIT NO.
1:)/-032-7-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECT
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
GASLINE AIR TST
j.;;II\~~
COMME
pORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 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!
INSNon
DATE
TIME
CITY OF PRIOR LAKE Q/
INSPECTION NOTICE SCHEDULED qA(O(
ADDRESS ~ ~ ~
A.T;
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
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
,~S'
(J~,
-
lJWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR ALL 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 &: SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTI~E / SCHEDULED
ADDRESS ~G 61- ~tfD~ ~
.
fATj
1I~c
TIME
3:~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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 INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
~INAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 1 D.
COMMENTS:l ~c;A4- 1A...5~ L-U~r
~S~ Dt<..:! ftt~ Iu ~
~ rCA-C- prA.J/tc-
d (L. 1P ac,~J
o WORK SATISFACTORY, PROCEED
tlCORRECT ACTION D PROCEED
o CORRECT~. LL FOR REINSPECTION BEFORE COVERING
Inspector: K Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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