HomeMy WebLinkAboutBldg Permit 01-0946
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
8/ /b/ 6/
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
?:>4C\ 1- Fnx \ g, L \Q...8\ \.-
1. DATE
9>/q If) I
1<\
3. LEGAL DESsarTION
LOT ~ BLOCK
ADDITION W f; \...J c:;:;; i\..A e l'-J t--.J
;). PID ;).t)- 3/b~ 0 /3- D
\s-t- ~~-\--\'VY\
4. OWNER
(Name)
(Address)
(Tel. No.)
12. NO. OF STORIES
~
13. TYPE OF CONSTRUCT9N
12es . SIf\t1\... ~ --fhYl'tlL(
14. FLOOR AREA APPORT ONMENT USE\
"
)
5. ARCHITECT (Nameh.. (Address) (Tel. No.)
IQn'"\vny \U\I-"II....V7 qC;?Yloq loQoO
6.~~R (Nalne) (Address) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
\~~e..0J":\-u -+-\D~<;' 1-C\20 la~.fV1'I'-<. Bh)c\. Lo~eV1"\,:- OCCUPANTS
7. TYPE OF WORK . FirAplace 0 Septic 0 Deck 0 Re-roofing 0 . Porch 0 SEATS
New construction)( Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECbe<7\TN~ _
Chimney 0 Misc. ?y ~ UUU.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION' ~TE
Sq. Ft. \ \J.. \j.~ 0 Width Depth Yes No X
I hereby certify that I have fumished 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 abo mentio property ~at all construc. tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awa.re that the
:u' Ing officI :M th~S c:.~t for just ca;:~rmore. I hereby agree that the cify OffiCi,1 ~ ~i9g may enter upon the property to perf~ m i1()is.
S~ License No. I Dallo
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... S
Collective Street Fee .... ......... .. .. .. .... S
Sewer Tap ................................... $
License Check Fee .............(........... S
Pressure Reducer ......1h-~............. $
Meter Hom ................................... $
Water Meter ................................. S
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... S
WaterTap ................................... S
Builder's Deposit ............................ sJ r5CJr9 a.ct:i
Other ......................................... $
Total Due .............................. S~/lJ ..1.!1.-
Paid ~. ~7 () /...;1 Receipt ~~I);'fljS4-'f
Date f'-S'-~ J By /fffL-
.ty th I e request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may pr~equested. This document when
City I ner constRutes a temporary Certiir~.zrr:Pliance and"ows constru~om nce. fore upancy. CertifICate of Occupancy must be issued.
~~~~ c~~<
City Planner ate 0 pecial C
24 hour notice for all inspections 447-4230
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ . t!:J /
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H IRS U
Division 1 2 3 4
City:
Permit Fee ................................... S -::2 I' 1'lj ~?;f
Plan Checking Fee ......................... s~5". LJ..
/75",00
q() ,00
.<>..l'lI\;<>ySlem":"...^~.................. S Ic>o .00
Other ..............~................. S "t)O. ~ 0
f)J1 ....s,..b.M.)............ $ 3s:.S0
This ppli ~A~e~~g Permit Whp,n Approved.
By _ ~ Date 8-l7"'~J
Certificate of Occup~~
Issued
State Surcharge............................. S
'f...\ .............f:.;...1?\................ $
c#!ol
f>'~
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
~c;o a 00
1.1 SO .~6
,
46.M
126". ,~i"'J
'l~gg ~~
FIRESIDE CORNER
#3574 P.001/004
Date Rec'd
~: ~ ~:~ I .J!.,J.~wnT NO. 1- q '--'fA / I
J. Yol!nw AppliGml )0
q'lel\SC 1:\:21: or t)J'jn,t Md. $; Il1J /It bOllom.'
ADDRESS
3197 {;k 1-w 1/t .
ZONING (offiCI!: UIC'
'HJ
LEGAJ~ DBSCRJ.r L J.ON (oftlce \ISe only) I J
LOT q BLOCK ~ ADDITION tJ /;1Jf/JA1t~ ).s..--r
ru;:;5-:j~-O/3-.()
OWNER
(Name) _
(plkvL at;
(Phone)
(Address)
APPUCANT
ON Bme) ATJLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651-633~6.S61
(Address) 2700 N. FAIR\Tl:EW AVEN~
(Address)
(C D ) BRENDA HrJS'I'ON
ontact , erson ,{In
~P.PLJCANT SIGNATURE 'd4ILL..;j~
~SEV:rr...LE MN
(eil:y)
651-633-2561
(Phone)
~'i"1
(ZIp Code)
DATE
ID IJ'iIn,
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTBRA TrONS
FURNACE MAKE ANO MODEL FUEL
FLUE SrZE REroRN O:PENINGS INPUT OUTPUT
TYPE OF. SYSTEM HEATING OR POWER PLANT
DWf.Il'm Air Pli1l1~ 0 Steam
DGravl!:y 0 Hot Witcr
o M~anicnl 0 Radil\tlon
OAir Condltjcming 0 Special Devices
OVent. SYlirerTl 0 Other Devices
FIREPLACE MAKE AND MODEL ~~lo ,~ K2-
PLEASE NOTE:
Air CDnditioner Units .
Cannot Encroa.c:h into
Required Side Yard
Setbacks
IndustrfaJ. CornmerdBl & MUlti-Family
FEE SCHEDULE
I % of job tQ5~ Residential, Gas Fireplace
$39.50 minimum
$99.50 Residentilll. Additions &. Altel'lltlons
$64.50 Residential. AC Only
$39.50
Residential. He~jng & AlC (New ConSTJUCljon)
Residential, HCllr.ing Only (New ConslnJc:cion)
$39.50
$39.50
Estimat.ed CO:;t $
Building Pennit #
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$-
$
S.
(omee v." (111)')
This Application Becomes '(our Buildhtg Permit When Approved
Paid
.50
,....--
r! '" ~~?_W';H
-'- I'K~ij:I'rtNQ;"~;T
(0 -/7-/ IBY Cj..C,-
U
Date
BuildlllB omdn./
Dire
24 hour not.ice for nllln.pectlo". (9~Z) 447~9850, fnil (9!l2) 447-4245
09/18/2001 02:17 5077445565
IU/lZ!" 11:8 11:21 PAl '1,..7.,..
BADGER EXC
City 0,. .... LAU
PAGE 02
.....
--. ...
...... "ll""'" 11-
... . ...
ex" or ntoa LAIC. .,.j-qL{h
SCWI~ A"D VA'eR P.~IT
NO'I'I c .ewe...... ..te,.
Gont~.o~fe .~.~
Ita 1'" 1.~t'"
vi"h ~hi eltl'.
APPWCAN1': J3qdaPA- & G~ u.c...:h:-;.:.., "HOII.~ &.:r7~ 7't'G/- 5$(, S-
u '
AOD.ESS~J ~7~ vJ 70~ Stt-~ DATe; rO-I-OI
, reNATURE: ~ c-.~ ~ ", ~ 8LOG. '&"17 .
SETa ~DOIt.S': 3YGf"7 ro'jfct.U T~i LtUC(jIO.;A~:.~'7b- (J(3-0
P'U..UIC TK5 81/aNItA
1. !.ti~.t.4 1.n9th of water .ervlce~ f.et.
2. 51.. of ..ter .arvic.~t lnCft(ee).
J. LQeatio" of any c~~pl1n9. fro. .~~yct~r. f..t.
4. rype or .ewer pi51.. _a" PV~ Cast Jronl
5. E.t~w..t.d lenqth or .ev.r 11~~tJ re.t.
6. c~..n O~~ (if r.q~~~.dJ, loc.t.d at
.t.r\lct.~I'..
-
reet
fro.
...__...._._._-____....~.z=...............-........~..............
Thi. application beec~.. your ,arMlt vben approved.
ay
DATt:
........a;:s.........E....=_.....................W................
FEltS:
I
s
3$.00
'10
15. c
sewer _"4 v.ter lin. connect!.n ,.~1~.
'\lI"Clharge
TOT At.
.
r.. for either ..w.r 2r w.~er indlvl~ual1y 1. tlJ..O plU.
$ .50 au.rch.rq..
5.~ar and ~.t.r per-it. i..u" for new con.tr~~~ .u.~ b.
racorded on ~h. bu1l4l~9 p.~lt oare .~ ~ft. !1~~.... i.au.noe
to inaure ~~.t no d~plic.te ..w.r .nd _at.~ ~h ~~~.
1..",ecl. ~II,,4JINGr!!.TH
DATI PA I D fr!.:::. () I UOUNT PAlO. --- PERMIT
R&e' 0 It' /r:., /
-j
.
RI:C:IJPT .
~ DU.,. St S.I., PrtDt 1.,a.... M1n....aot. M372 I Ph, (6121 ",'.4230 F... ('1.21 &67..45
~lEo.lI\I.~'l'~
9:40AM GENZ RVAN PLUMBING AND HEATING No.3772
ell i OF PRIOR LAKE
HEATING/AIR CONDITIONlNG/JfIKEPLACE PERMI.l
p. 2/3
Date Rec'd
(O - q- 0 I
I PlIlk 1'1Ie PERMIT NO
2. G:eon CiV , .01 ~ N'1 A I~
3. Yellow Appli..... - V-/~(!)
(please ~e or print and silJll .t bottom)
ADDRESS ZONlNG (ollil:c:usc:)
-.3 ~CL:7 .GxrJdlL - "'VZ,i-- 1\.) Ll ")
LEGAL DESCRLr uON (office 1.l5C only)
LOT C1 BLOCl( 2- ADDITION c::- tfr Je-LAj A-Y
0; JA-1-t1 ~
PID
OWNER Ii J 1... ~ _ _
(Name) C (') II~ (01/ l 4.IY ~--f~ c.....
(Address) ,A. 2C) l.Q.Ju \Jl\ \.e.... ~\lf.\ l (\ U\J~\e--,
(Phone) q62--4\/::A ~ vAo-o
lA.lt0 'J~ \WLJ
APPLICANT r_ ,I (/\ ,/1 .
(Name) ~ ,7. - _ le...~
(Address) f Ui LI f) ~ ~;r t1U-
. (Address)
(Contact Person) \ A 10 j( ~ (t) 1~).0 (phone)
APPLICANT SIGNATU~ \ _ ~ - ~ 0..-. _ DATE
AP~PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALlERA nONS
FURNACEMAKEANDMODEL~bh~-\DO FUEL l \e::r('~'S
FLUE SIZE RETIJ:R.N OPENINo's B , INPUT -IJJD 1 () u t) OUTPlrr ~ qJ ( !)D 0
TYPE OF SySTEM HEATING OR PO~ PLANT
(phone) 1.pb'- LJ7.:s> - II lfLj.
v1 F)'f ..rn~{ 1 rt) ,'5"Sh(Q.~
(City) (Zip Co4e)
lolg ID I
~Warm AU' Plants
o Gravity
o M<<:hBt1ica.l
~r Conditioning
aVent. System
o Steam
o Hot Watc:r
o Radiation
o Special Devices
o .Other DmcC$
PLEASE NOTE:
Air Conditioner Units
C8nJ1ot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
lndustrlal, Commercial & Multi-Family
FEE SCHEDULE
I 'Yo of Job cost Residential, qllS Fi1'eplace
$39 50 minimum
$9950 Residential. Additions & Alterations
$64.50 Residential, AC Only
$39.50
RQSldc::ntlal, Heating I!L AlC (N~ ConstructIon)
Residential, Heating Only (New Construction)
$3950
$3950
Estimated Cost $
Building Permit #
HEATING rt.KMIT FEE
STATE SURCHARGE
TOTALr~FEE
$
$
S
r . PA\O WITH
BllW1NG PERMiT
~
/Office USI: pnly)
ais Application Beeomes Your Building PeJ:'mit Wben Approved
Building Offici/II
Date
p~
-Date 10 -q~o (
Re~
ay -r~ --
:14 hour notice for all iOllpectioDlI (95%) 447-'SSO, fall: (952) 447-4Z4S
Oct, g, 2001 9:40AM
GENZ RVAN PLUMBING AND HEATING
No.3772 p. 3/3
Date Rectd
CITY OF PRIOR LAKE PLUMBING PERMll
/0 - 9,.-0 I
~. ~d ~~ I PERMIT NO.O/...- 0/-1 A/~
1. V_lIo.. A""li_ 7~
(.Plc:asc: ~e or tltint 1Ul.4: slin at b.............l
AODRESS ZONlNG (Q~1,J$")
3-\0\/ ~7AI L-- It'LL-- ~~
LEGAL PESClUPTION (office use only)
LOT qBLOCK Z- ADDmON ~k1/fUAJfl-Y LfpJr~
~=~R rir1le6r, C) IV UfWli ~~
(Address) '1C17 r....., Lo...L.e-U\\ 1((.- 12::,\\I~
PID
(phone) qC;2-~LA-l.oqbO
{nj O\[\t\~ IAJ.U SS-Oyu
APPLICANT .
(Name) (roP --t:1Z - ~ (phone) ..LoSI - Lt2 ~""'I ( 4U
(Address) I U\ U n ~ (1_ Q\OLK..:;r" ttLJ --- {m.YVlOL..LVII :\g)~n ~
(Address) (City) (Zip Code)
(Contact Person) ~..v-L( O\f{'lQ (phone) ~S:-I- LlL.~~- 1./ u- LJ
APPLICANT SIGNATURE tA ~O-^ DATE II, !q (() .I'
APP~LEASE COMPLETE BELOW
I Type of Fixtu.re I Quantity I
I Bath Tub with Or without shower I I Rough~ins
I Dishwasher I I , Water Heater
I FlooT Drain I e~' I I WatJ:r Soflner
1 Lavatory (Bathroom Sink) I \ I Stand ~ipe (Washing Mac.hine)
I Laundry Tray (lor Z compartment sink I I Sewage Ejector
, Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I I Lawn Sprinkler
4 I Water Closet (Toilet) I I Other
Quantity
!J
I
I
6
-f
I
I
Type of FUtul"e
1l'.I!..I!; S\...J:tJI.,DULE
Industnal, CommercIal & Multi.famlly 1% of job cost WIth a $39.50 minimum Residential, New One: & Two-Fam.dy $99.50
Residential, AdditicIlll & Alterations $39_:50
Estwated Cost S
Building Permit #
~":rn'"
. PAlO ".. ERM\1
t8\\.D\NG P
PLUMBING PERMIT Fl;E $
STATr SURCHARGE $
TOTAL PERMIT FEE $
..---
(Office: USE Only)
I This Application Becomes Your Building Permit When Approved
Buildinl omdlll
n.u.
~
"Dare/O. q~()1
24 hQ"" notice for alllnspedions (952) 447-9850, fax (951) 447-424S
White - Building
Canary - Engineering
Pink - Planning
Th. C.nler of Ih. take Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ar
~-/.t;;O I /.
.... '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 tfQ.1 ~ dt1tX:Jt. <
, .. I ~
Accepted Accepted With Corrections <
Denied /7 l/1 1.
Reviewed BY~~ r-" .
Comments:
~ aJ'- afkclnJ_
Date: 6'!-/?-'CtkJ-t
~~-
"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 - Engineering
Pink - Planning
The eenl., of the \.ok. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,; . /~".. /
,// 10/ f / i /) i (".IJ! 1) 1//; i J. /'
"-.-'-(/"' \ \.."A_/,Vl-_~_, . 1 i \ ~....J. ~
X'- /~_'{) / /
v .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'11~ .1-{Yy l~l/!'>{ Jt .
Accepted
~
Accepted With Corrections
Denied
~
~ ~--~ Date:
16,/Ju,/e (
Reviewed By:
Comments:
· 7:- t-{~, o/~ ~ ~ u/JJ1i;;- ~
)\y ~ ~[ [MAil +-'\ V1,vu
J~\.DlW \(0 <~~v~ (p>vb,
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to bea 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."
Thr ('rnlN or Chr L.kr ('ounlry
Of - 7'16
White - BUilding
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fhfJiu. ~~
~-/~-'o / /.
" .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:B '-/ q r; ~/rV/ d0 'J! ~ '
r - /
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
AlfJ.R
Date:
8-/7-0 I
,
Comments: ~e Reverse Side for Additional Information!
Dr,' Ir~ \ifc. '( mC/ /.L+ ~ Co IJ.{,.. Aprt9r.
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Ero~innCnntrnl 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 DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS '31 C, 7 ~:x -r.;.{ h-(;4.v"f
NATURE OF WORK ~~
USE OF BUILDING ~t:"D
PERMIT NO. _ (J/,~ DATE ISSUED R..,l!J - 2ao (
CONTRACTOR ~ ~. ~JJn\' PHONE'1s-~ . c{~1
NOTE: THIS IS N~ERMI OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\
FOOTING .vJt. \ \ \~O\ I "SPE~,~(",,\ I q\; 1ll
FOUNDATION (Prior to Backfill) I 'Yut OAAM I ~r,1 O( J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SHiNED
ROUGH - INS ~
SEWER I WATER I SEPTIC /b ~~ J+,;iJ- f>'
FRAMING ~'~~ H f.;z,( 0/
INSULATION g V .~ /I-}--o )
ELECTRICAL .
PLUMBING I~.P. foLIo t)\ 1>~i'V'! 10 ~lo\
HEATING (if required ' /~ t~ 1\ ~IO(
FIREPLACE Al~j ,
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
FINALS
t1rffj. <f. ;f:x,/{/2--
/"~ ftFj.l:flPJO-~~-(i;J
~ ~\~ If L!>.\Dl,-
~ \} ,~,' ~A 0"-
OCCUPY UNTIL ABOVE HAS EEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have .!J6en- 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
,
1iiI'-=---='~ -~ -- ----~~ ~ -----~- _~-~:o..c: --
>:~.'r~._~~w-.~#l~.~~~~~.~.~
~ .. l~_"""""""""J-"_ WIll _ ~ ,,_-~ ~
l - ' ~~ ~
I) QLertiftcatt of tCnqtallry · 11 ;
:~I ell i OF PRIOR LAIili :h
:~...~ I . ~tPartmtnt .~f JIIuilbin~ In'ptttion ,. ~~...~..'. ~
f~. [I Fmal Penmtted 0 CondItIonal C.O. ExpIres - ~~.. .
t ....L. Ji
I This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code 1]('
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: :
single family 01-0946
Use Classificatiol' . Bldg. Permit Nr'
Occupancy Type _ R3 Type Construction _ VN Fire Zone ---1i/ A
Legal Description _ L9, B2, WENSMANN FIRST ADDITION
Zoning District R 1
COLLEGE
.SiteAddress 3497 FOX TAIL TRAIL
CITY HOMES, 7920 LAKEVILLE BLVD., LAKEVILLE 55044
.....
JIIf/
. City P1armer _
DON RYE
Owner of Building
Contractor's Name &: Address
ROBERT D. HUTCHINS
Building Official
ID-1-).- 01-
Date:
Date:
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
]Lf17 Fox Tal ( T rCfI
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
5'dd /1/'Vc'j
COMMENTS:
.
C-I O\~
{-f Lt.
DATE TIME
/0 -L,},..
Ol-qq,
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
rFWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: rJt1 {O-jA,-07.. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3 ~'1 r-z
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
1"-;2.1-0'2.. ~:'3o
Fox
--:--..
J ad \ 1'-.
CONTR.
PERMIT NO.
[- CJ1(P
o PLUMBING RI
o MECH RI
~ WATER HOOKUP
SEWER HOOKUP
. .a.PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
IMete!"' .~
./
~ORK SATISFACTORY. PROCEED
o CORRECT ACTII AND PROCEED
o CORRECT WOR CALL FOR REINSPECTION BEFORE COVERING
Inspector: .:g \ ~ Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSi'lOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
34-'17 RJX /h/0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
55 FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
J( MECH FINAL
COMMENTS:
Ou ~. Of. Od-
\ ~, \
I) ~~, ~eO.- {JU
~ '~DC, (JO\A. -i,-'P~ F-
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DATE TIME
,. t 1.u z.. :J'.)...O
1- 94-~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r
/'
LA'l,A ~
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c..e.v e.tfWeJA 1 #
-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK ~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ V 0J.d Owner/Contr:
CALL 447.9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSfIIOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q ,. J.f,-o '-
PHONE NO.
3'1'17 F~ f;,;/ ~al I
CONTR. Col ~ C, 'j '! Ht:'lJ'tt5
PERMIT NO. b ('1L/v
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
~ :ULATION
AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~X1~L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
b rrdt, -C!) {e
~V/~ &~'-DK...
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /1?~--r _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
1l'ISNOTI