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HomeMy WebLinkAboutBldg Permit 01-0981 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT g - d- 3-0 / (Please type or print and sign at bottom) ADDRESS {~J,a-o ~ 't);//5 I. White File I PERMIT NO.O/'-OqB I 2, Pink City _ 3, Ye\low Applicant .~v~ '7L to ;,/ ~( LEGAL DESCRIPTION (office use only) LOT _ Z.OCK 3 ADDITION ,fJA Il/lf~Jt~'s . ~ ( (Address) f.Ltt- H ill (; it u/ A/R r D" I 7t 175 BUlL ~ L IJA"' _-.-tJ... ..I (Nan 0) JJ~ (~1+( ~ ' (Conta~Na:e) ~t ~/'€,I f}t\~..c' .(/) I~.J"/~'~ (Address~ '5 ~ .tJ ~ A... 6'1J1IA., OWNER (Name) .r 11-(..U1 u ~ TYPE OF WORK o Misc. rt New Consttuction -,J'Lower Level Finish ZONING (office use) I PU5D fA J I" ~ PID ft~ .:Js:J771J:21" (Phone) ?S:l- tj J,5= ~ 9/1 L, Alo( ~ ,t'",4 f It.-YI. S'5'- It{ .I ( . (Phone) (Phone) 9>-). -fl5"- ff// ~Deck o Porch ORe-Roofing ORe-Siding J. t; Fireplace OAddition OAlteration OUtility Connection PROJECTCOST/VALUE (exc1udingland) $ 4)-5"/ t9-t?-t? - I hereby certify that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certify that I am the owner or authorized agent for the above-mentioned property and that all consttuction will conform to all existing state and local laws and will proceed in accordance with submitted plan am aware that the buil' offic?I n revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon pr perty to perform nee e~~ X 77).J- 6/1:;p ( C':'b.-A Contractor's License No. Date I Permit Valuation I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas ;:e~PI~ce P~rm)1- ~ee , $ lftJ _ (90 (lli Btt ~ =7;:ApproV~ Bu (/fJ Date ~ , $ $ $ $ $ $ $ I L/';2S;~.<b :2~~c)_ /~ 2/'2, .51J I Park Support Fee SAC Water Meter SiZ~ I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit lather I TOTALDUE IJIIUeO 1;-/0-0/ $ /0,1 B56. ~7 . - I Paid IV I 'if!)DI ~ <t Receipt N,Q:,:/IJ S{.-,6 I Date 9-- 1;)-ul' ,Bv ~ # $ 8S(j>~ $ ~/~. 0(5 $ ~W. ~ $ 70 . O/) $ I/~OO. O(l $ -'700.m $I.:S(){J .01' $ , loo..OD II?" . Of) '3S-. ~-O # J 1-1 # # 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 7;[;:tl<~p--:-==.~~c_~:;:-,.m.n~~'oro~-.~="~ v ~,m "",' ~i. CoodiU"",. if my 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Th. ('tnl.. or Ih. "ok. Counlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ! NAME OF APPLICANT ~ tJ!i M~ APPLICATION RECEIVED' f-~3-fj! () 0 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /II ~ (J-..O UJ.i1da- f ~ _____ Accepted Accepted With Corrections ~ Denied Date:$' -~ - ~/ , Reviewed y: JZ:i at \ a~~oc).\-s '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." The Center of the tlke Country o I - 9~ I White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST , NAME OF APPLICANT (j){]y;UJ /Jy !t);~~,~ APPLICATION RECEIVED f f - ~ .3 - cd I ) J ; The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is propo~ed at: , /1/10 ~O CU.-LjJ{k f)AjWft~1--- .---_~ C/ Accepted rX ....... Accepted With Corrections Denied Reviewed By: flll)B Date: $>~~~-o, Comments: ""See' Reverse Sidefor,Additionall-RfGrmation! CD t1S -frUG-I-itJ" Cn..IJ(, n1 cJ !,. + J--n J (r ItJ f .().() ~ Gd ,J-<. - .<. C.L Sf -~"'.J. WG I K.. VI-. t/ WI II 6<. f;dh I'rt~ . /' tlL11y 4- f1 V rA tf1tt'frA by C.h v'I t-r&tc..-Io r_ .~ See Attachments: 1) Grading Plan, 2) ErOSion t;ontrol Measures 3) Erosion Control Plan ..,...'.... . ~. ~~ ' )" 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." White - Building Canary - Engineering Pink - Planning ,~ Th. ('.nter of Ih. Llk. Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /i ! APPLICATION RECEIVED -- /~.........,." I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: , / ..,. /)' ./ /- / 'L~) \,~, -- Accepted ~ Accepted With Corrections Denied "t- ~~ / - Reviewed By: I~ V ~ Date: C}'/7/91 Comments: ~JM.WH.1 ~"n- ~~ !/I)i-&;A/JC" J.,rr.Mt- ~'-1 t~ ~~ ~l c9,lj r6 _~y~ ~~h~ 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. II 9-28-01; 6:37AM;ELANDER MECHANICAL ;612 445 7487 # 2/ 3 CITY OF PRIOR LAKE PLUMBING PERMIT Date Rec'd (Pleue ~e or priDt and sign at bottom) ADDRESS ///t d..-O 1/(///5 ~P?K'U/Ay' LEGAL DESC~r ,1 ,I,ON (office use only) LOT '1 BLOCK \3, ADDITION I tJ LQ (it; ~':':~R /k;;wk"~ h:-/ /~<)/)//7 (Ad-dress) APPLICANT,.- / / .u1; / (Name) ~ r a tYt .?/f!' / /6/( I! t: l-t &:2,,1r t:!~ 7' f'~ t:: ~ fro '7 O////.e (Address) (Contact Person) ~.J h/~LJ//V' APPLICANT SIGNATURE q~.d~ (Address) Quantity 2- I / 7 I '3 ~ 6 APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Sta1l Sinks Bar Sink Water Closet (Toilet) I. slll.:t file ~. Oold Cil~ J. YoIla- ,,",,1;""'1 I PERMIT NO. t -Cf'l f ZONING (~tJj", U$e) Pksfj (Phone) :PID~5--,;27 'l-O;A9--9 9.:!9-fsf=-f?r/f (Phone) 7's~- f/f'.5'- f/t?7~ 7~H~-z:1~~L SS-S/ 'j (City) (Zip Code) (Phone) 7 rd - ~~5=-Y/ttG 7' ..l- 9br~/ - . DATE Type of Fixture / Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other / / FEE SCHEDULE Industrial, Commercial &. Multi-family 1% of job cost with a $39.S0 minimum Residential, New One &: Two-Family 599.50 Residential, Additions & Alterations $39.50 (Officc Usc Only) Estimated Cost ~ Building Pennit # PLUMBING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Thls Applic:ation Bel;omes Your Building Permit Wben Appro,"cd Building Official Dille l' hour notic~ for all inspections (952) 447-9850, rax (9S:2) 447-4:245 $ 'fr.SV s .501'" $ /00.0-0 PA'D l. SUlLO,' _VI"'>'~ Paid R~nf9l", '" r Date 9cJ.i-( B~ ~001 09/12/01 WED 12:13 FAX 7638621223 OJ,' Hr'39 1fEJ)"9: 24 F~"i 61%"" U~4S em OF palol L\JIE ~OOl ~'R.~ 0/1_ ~4,\ ~... / \ \~\ .,. I 7' VI \:- \~ -e7 ~lVt:V ..... . 1'1I.1 WI!I.UIW. ~r ~ -.... I" .:ll' CITY 01' nlo~ In~ SEWER AND WA'TEft. PUOU1.' NO'1'E: s. W_ NG.()f q g I SeWer and Water contractors aust ce reqisterQd with the ci.ty. x APPLICAN'r:.ID EXCPlVR,tNC.,. INC- YPKOIfE: ~f,"'-4-3~2. R "PI b~DATE: '" Al>DREs5, 11-42- t.:13 "2. ND f\ Yf.. . coo " SIGNATUP.E~_ ~ 1"__ 6 ~'. :x: SITE ADORESS: \ ,-\~;)J) l.4.)\\, k, BLDa. PERMIT I. PIDf~S'" 0- Q1/0JC)-() FILL tN THULANJ(S 1. Estimated len~t~ of yater ss~rice teet:.. 2. Size o~ water se~ice , incb(e.) _ J. Loc.ation or any c:cup.ling$ ';':.wm st:ruc:t:ure fe-et. 4. ~Ype ot sever pipe. ASS PVc X Cast:. :Iron 5. Esti_a~ed lenqth of ~GW8r line teet. 6. Clean out {if required}. located a~ structure. feet troln =-=-~;;;;;;::::=!:';:;;:;-====--===;::===~!e-====-",_____ ,._-==..,____=_..., -=--nr::~--..---....___~ This application DecOmeB your permit whe~ approved. BY OAl"E: ---=-===S==~~':;;-==_""__-J':!.-....,,-,.,:,......:~ '------....--=----=------.-____-:a__.___=__~ FEES.: s S $ 35.00 .50 35.50 S~wer and water line connection permit. Surchar9E! TO'tAL ~ Fee for either sewer or water individually is $20.00 plus ~ .50 surchaJ:g'~. · Sewer and wa~er per~i~s issued tor new cons~ructiDn must b~ recorded on 1:h~ build in., permi t ~i:lJ:'d. .~ 't;b-. tip!e o~ i"!!(I:~ance to insure tbat no dupl1f:ate seVer and wilt.. pet'1Dits,,^oiU'~..ITH issued - ""I"\IU \IV 11- I" h ( ___ BUILDING PEF.' n'T DATE PArD Lf-- IT' -U AMOUNT PAlO lI\lI' RECEIPT 4/ R,EC'D BY ~./ U 16200 Eagle Crerk Av. S.E.. Prior Lake. MinDESo[;t 55372 I Ph. (612) 447-4230 I FAX (612) 447-4245 An EqWlJ ot'JrnrtuJlif,Y e.pJnJ'~r 9-28-01; 6:37AM;ELANDER MECHANICAL ;612 445 7487 # 3/ 3 CITY OF PRIOR LAKE HEATING/AIR CONDl1 lONINGIFIREPLACE PERMII (PIeasI: l'VPe or DriDt and si)!;ll ill hortgm) ADDRESS IL/6)-O !Ah'//S ~~K.WA-V I LEGAL DESCRIPTION (office use only) LOT 1 BLOCK6 ADDITION ~L. ( uJJc~ OWNER i / (Name) ~t7 ;.Y/;tff" tt; O,Y /~5/fVY , (Address) APPLICANT.......- /' /- ,4/ / (Name) /?:/1 4 ,rT dt' ./ /H ~ L' h ~ H/ CHc.... (Address) 5 91 6~.....~o~ ~//y-<- (Address) (Contact Person) ~ 2:> vt/~))/",) APPL.lCANTSIGNATURE ~/ ~ Date Rec'd ;: ~~w EUcaq, l PERMIT NO. // liSt - ZONING (Dffi.c:~use) PU5D PID ;)S" dq7~ OJ.-9-D (phone) 9S-eJ- Y.sF??/1 (Phone) 715-:;- ~y~ f'65J- '5hpfk,~~L .5J '577 (CilY) (Zip Calk) (Phone) 9~";- f/~J=Y"b~el- DATE 9/~A;/ APPLICANT PLEASE COMPLETE BELOW . ~EW CONSTRUCTION 0 REPLACEMENT. 0 AL TERA TlONS FURNACE MAKE AND MODEL tsrvAAJI- '5'SVYVlA.t/O/69/d-O FUEL /lI.a-r 6,4--S FLUE SIZE 3" Pv C- RETIrRN ~PENINGS INPUT /~Oi 0-00 OUTPUT //ttoo TYPE OF SYSTEM OWlImI Air PllllIu ~~:~~ni\;lIl ir Conditioning VCOl. SysEcm HEATING OR POWER PLANT o Steam o HOI WarN o Radiation o Special Devices o Olher Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yud Setbacks FIREPLACE MAKE AND MODEL FEE SCHEDULE 1 % of job cost Residential. Gas Fircplat:c $39.50 minimum $99.50 Residential. Additions &. Alterations $64.50 Residential, AC Only IndLlstrial. Commercial &. Multi.Family Residential, Heating & AlC (New ConstNction) Residential, Heating Only (New Construction) S39.50 $39.50 $39.50 Estimated Cost S Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office lJ5~ Only) This Application Becomes Your Building Permit When Approved Building OfficiRI Dale 14 hour notil:e for .11 in~pceeliollS (952) 447-9850. fu (952) 447-4245 $ $ S 97, ~-o .50 / ",0, 00 Paid P"'..r.... IJI1lifr-*~~i~'. '1lvfrr 7''' ~~ ( I By Ctc-- U Date OCT.31'2001 08:48 651 633 8884 FIRESIDE CORNER #4106 P.o071008 Date Rec'd CITY OF PRIOR LAKE REA TING/AIR CONDITIONINGIFIREPLACE PERl\'u J. I. PI"" z. ar- 3. Y411"., I-q~ ~::y I PERMJTNO..~ ^pplic:ant ~ -' iPlCll!\C= ~ or Drint IIJ1t1 m~ at bottoM) ADDRESS IY~ I JJ~,J.. jJ~ ZONING (otJkoe UAe:) LEGAL DESCRIPTION (office use only) LOT BJ.OCK ADDITION PID OWNER (Nam.e) ~ ~ Re(i~ ,() d (Phone) (Address) APPLICANT (Name) ALr_IED FIRESIDE DBA FIRESIDE CORNER (Phone) 651-~~~-~561 (Address). 2700 N. FAIRVIEW AV.EN~ (^"d~s) (Contact Person) BRENDA HUSTON/? APPLICANT SIGNATURE ~ APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE REllJR.N OPENINGS INPUT OU11?UT TYPE OF SYSTEM HEATING OR POWER PLANT I ~ ~L'F.: MN (City) (phone) 651-633-2561 ",r::;,u (zip Code) DATE :JWann Air Plants :JOravity :J Meehanil;lll JAir Condltionin,g :JVent. S)'stc:l'l'l FIREPLACE MAKE AND MODELhbu AJ tjtp o Steezn o Hot Willer o RP.d.hltion o Special Devices o Other Devices bcro7P- ct tfl)~. PLEASE NOTE: Air Conditioner Units Cannot E.ncroach into Required Side Yard Setbacks Industrial. Commercial &. MUltl.Pi!lTlily FEE SCHEDULE 1 % of job cost RcsldentiD./. OlU Fireplace $39.50 minimum $99,50 Residential. Additions &. Alterations $64,50 Residentllll. AC Only 539.50 Residential. Heating &. Ale (New Construction) Resid.entlll.l. H.eating Only (New Construction) $39.50 $39.50 Es~imated Cost $ Building Pennit #. [-lEA TING PERMIT FEE STATE SURCHARGE TOTAL PERMlT FEE $ $ $ .50 f' ~, PA!f'"').. I. 10)' '/1 .. '- l U ;-D ;'t,\}./~; . '-; (om.:!: Use Only, Thi. AppHcatioD Becomes Your Dulldlne Permit WIlen Approvtd Paid I Receipt No. Building Oml!lnl nIle Date /0<3'1--0 I By qc' :/ :%4 /tour nodce (or .11 In.spection, (9S1) 441-91150. fax (95Z) 447.....14,S PRIOR LAKE INSPECTION RECORD DEFARTMENT OF BUILDING AND INSPECTION SITE ADDRESS IYlQ20 f.,{ J..ltis ~w~.... NATURE OF WORK -.1J~w USE OF BUILDING SF'Ct PERMIT NO. ()J- Or.~J DATE ISSUED (:q"'?rJ-,?ad CONTRACTOR (~~ \0,-' ~~t~ PHONE952-9~-aefl . NOTE: THIS IS NOT A PERM T FOR AN""OF THE INSPECTIONS-BELOW THE PERMIT IS BY SEPARATE DOCUMENT FOOTING ' I 15 {~CTOA. I qElo., FOUNDATION (Prior to Backfill) I 1> ~~J C(~O( I ~ Dllt; ,,' PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG"lEb ROUGH - INS, . l (16.\\ ()I.a, " r 1 ,0\ ~\\hlt ,. (4 cJ I R./J. 11116 ~J SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL ~ ( PLUMBING ~Ay. ~~( ~ tO~ at HEATING (if required) ~\. li1f4}o( FIREPLACE f~, ~ .'" GAS LINE AIR TEST M viF' ~ tl.uf tc/7 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ! /1~ Jj.Z2 ~d2- () ~A , ~ \ ~ ~-t "'XL~ qlrv "1> ,\a,v.u 'J. -1,4, ~1 ~ t. k ,-.. t -t>-:L OCCUpy UNTIL ABOVE HAS' ~EEN SIGNED NOTICE 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 st:'all be F?laced near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 Iir~ ~~-.- --...~,r --,.,-;' ~~ -~~-==-. ~ - - ~ "':.J. '~'. :~'{iP';. . .' .'~" ,;~'. .'~. '!", ".... ~. '~i. "~~~~~r." ~.' '..~'" ;.....<~ ~l..<. r...t;o". ~.-... JI".....'''' ""'.,.,. . &', '. (, -~' ......... "'_'~~ ,~.. ," r- '~'ii)~_."~~'~l~';~.'~n.~"'t.,,~.. "f''i . ~ t ~1 QLtrtifiratt nf Icmpattty Iii : .~ )1 (t~; CIIY OF PRIOR LAKE 'r.><~ ~- \ ~ (t~ J)epartment of _uilbing Jn~pection , ~~'I Iii;. fill Final Permitted 0 Conditional C.O. Expires - ,.~.. (~ ~ fI ~., This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code l"'~,:- certifying that at the time of issuance this structure was in compliance with the various ordinances. of the N, City of Prior Lake regulating building construction or use. For the following: , ~~ , ~ ,'- SI:L:,:,:Y VN ntt_. ~~-:.:098:118n I i Legal Description _ L 7, B3. THE WILDS ~ N:. . ..~ : ~. MINNETONKA . X, - 5534 ~; jt't. jtr l=l' ,. Use ClassificatiOlL Occupancy Type . R3 Owner of Building HOMES BY REGISTRY, Contractor's Name &: Address rJP . City PlanDer . .SiteAddress 14620 WILDS PARKWAY 12400 WHITE WATER DR., #175, ROBERT D. HUTCHINS Building Official IL~-OL DON RYE Date: Date: POST IN A CONSPICUOUS PLACE DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED E=I-o';l. C:;.:ro ADDRESS 14"20 w;Jr.5, thutl , OWNER CONTR. PHONE NO. PERMIT NO. /- OC/B! o FOOTING o FOUNDATION o FRAMING O)NSULA TION )/I FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP Z PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: /750 ~ . 1~S.tA€- 40 .......1\.,; /' f)~ <aOl f)-;J., / '~v~ . - , - _A. _JA4.0 ~-\-~~r ~-"';..-e.J.- ~~ +0 br.'<.k t - wee ~ v\-t ~8f> F4 Ctff<OtI~ b~ G.~1 ~vtCf ~eM - ~ arJ- ~ees. F' rk,J.,flA\-+ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT ~L FOR REINSPECTION BEFORE COVERING Inspector: "1) - Owner/Contr: CALL 447-9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~ -1'1 -()i). C{:. ()() ADDRESS E~Jo w,'lb l'k\))~ OWNER CONTR. PHONE NO. PERMIT NO. OI-4Bf o FOOTING o FOUNDATION o FRAMING o INSULATION pFINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP q jiEWER HOOKUP .#"PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~! - ~i - I' lbl9l<.9~ ~ ~;f~~r C6&M ~ t ~ ~ t1~~~ .g't (-I- ~ V . )Qv4 l G~ ~ORK SATISFACTORY, PROCEED 7' CORRECT ACTION AND PROCEED o CORRECT WORK, ;tLL FOR REINSPECTION BEFORE COVERING Inspector: ~ ..V fiJLV Owner/Contr: CALL 447-9850 FOR nf NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED II-lJ-o 2.. ADDRESS liif,;o IAlI'~ f "wY - r CONTR. ftcUVI(J h y R r.C,/'c./1 , V PERMIT NO. (J l-'i~ ( OWNER PHONE NO, 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 ~x@D1FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~b Ba;<~ rJr. b~ (?L ~WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING 'nspector:4~ ~ . vwner/\.,;O!ltr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED 12:- '} /!VIL,OS PICANY' CONTR. ADDRESS / "'(,20 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: PERMIT NO. 0/- tJ?81 , o PLUMBING RI 0 EX/GRAD/FILLING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLlNE AIR TST o MECH FINAL 0 soo/~ /iJ) . t 11/ /l J /lee V t.." v ~l/' 0J / r;- t I Vv ~ WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORREC~)1~' CALL FOR REINSPECTION BEFORE COVERING Inspector: r VI,/ II- 1~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl