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