HomeMy WebLinkAboutBldg Permit 01-0837 & 01-1246
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
3. Yellow Applicant
1J
(Please type or print and sign. at bottom)
ADDRESS
l ~ ;l en L.{ ~~\'r( ^ ')0,) \.\ of, ;-- d' \>; (Z ~ Nt 1\ J
LEGAL DESCRIPTION (office use only)
LOT \ L-\ BLOCK Q ADDITION (N .ff"'\'-,NVAC'."I \ S \- f\-ri ri ; \..~I ~ PID Z5 ..::57 (p - 0' f3 - 0
~=e~~Jt\P, L'~"o.> 1- T ~ ~f'J~t\-f'J-- {S<.){~~ (Phone)
(Address) (W ~'("""r\ cx--.-() ~~) 1\1"\(, I')
BUILDER ( \ \ ,
(Name) A) P.f".-s,.f"'r-.~ H-c0N'''- ~(' _"
(Contact Nan:e) f"'r\ \'\".,K 4- ~ ; \ lY'-...c,,;";
(Address) l ~0\5 P\U\'2...o\ 0,.'vc... c~:)t..J\. \ ~ ~OO
TYPE OF WORK
-
XNew Construction
OLower Level Finish
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (exdudingland) $ ~ Yi 500
o Misc.
(Phone) {;,.,~ \ - Y ()b - Y qO()
(Phone)
~~CA~ I (Y)01 f 55 \ ~~
ODeck
ORe-Roofing
ORe-Siding
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 property 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
;~~~~'\~(;. \~t:=)CX /-:J.{j-Ol
. -- J gnature Contractor's License No. Date
Permit Valuation .2 "8.. t'YY1. eJD
Permit Fee $ ,
I J eJ.?. . sS
I Plan Check Fee $ 'r/8Y.(,~
State Surcharge $ 1,'2. '" . 00
Penalty $
Plumbing Permit Fee $ lo() .1')0
I Mechanical Permit Fee $ (Of) . t>O
I Sewer & Water Permit Fee $ 35. StJ
I Gas Fireplace Permit Fee $ 40.oD
j&r5~t::Y=~:;;~7d
Building s)dicial Date
o Porch
Park Support Fee
SAC
Water Meter Siz~; 1";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid X~ ~ 1" ( 7 I
I Date <6'-/0 -0 i
- ,
#
#
#
#
$ 8se.a.)
$ 1!ls.o.o~
$ /2.5'.00
$ <.(S.()C:>
$ I, '200 .00
$ -'?oo.ro
$ '1'C;-~ .(90
$
$ f3, 91". ? I
-- ,..
Receipt N q.') W 0 3l.fLf
By ~ !
U
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
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
~fA--~ ~ ~(3fe1 ~o A-M~ ~~_
. Planning Director Date ,-,' - Special Conditions, if any -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
(Please type or print and sign at bottom)
ADDRESS
/SZh4-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~/~G IN .. ..~.
~11~;.:t~
F/JIIeWAy If,S.
1. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
/ /- / - 0/
I PERl\'IIT NO.O/_ /ztfb I
~.
LOT
BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION
OWNER
(Name)
WbNS H/JN /1/
/1395 Pt-/12A ot€./
H!JH65
6/1 619 Ai i
(Phone) (oS/- 4Ofo - tft.f() 0
/"1N 55/2-/
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
S,4H6
TYPE OF WORK
(Phone)
(Phone)
o New Construction
DDeck
OPorch
ORe-Roofing
PID
ZONING (office use)
13-/
ORe-Siding
OUtility Connection
IMiSC. H6713K.. tJ/./6If?/lDG PROJECTCOST/VALUE (excluding land) $
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 property 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 upon the property to perform needed inspections.
x
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 Fireplace Permit Fee
OLower Level Finish
o Fireplace
OAlteration
OAddition
Signature
Contractor's License No.
I
$
$
$
$
$
$
$
$
I Park Support Fee
I SAC
I Water Meter Size 5/8.(;2
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I ~ "..'. ,~. .
_' . _ "'t
. A I/')cn~-r-
I Other (A~"""') "'
I TOTAL DUE
This Application Becomes Your Building Permit When Approved
I Paid
I Date
/50.00
//- /-0/
Building Official
Date
#
#
#
#
5'/" '-'
~cJ
Date
$
$
$ 10.00
$ 2-50.00
$
$
$ /2-5,00
$ 4$. 0 ()
$ /.e;{). ()t)
Recei~ 1fJ-4-~ ,?11.4-
By r\ ,--
TJu.s 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
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
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447.4245
Iii?!)!) J:;~O'I.. rr....1c Av..nll" Prinr r ~Ic.. MN <;<;,7,,)
GENZ RVAN PLUMBING AND HEATING
CITY OF PRIOR LAKE
~A.1li ..G/ AIR CONDl.110NING/.I41KEPLACE PE~llJ
Date Rec'~
6:49AM
No.8621
p. 2/30
, I
JUL 24200\
i~ ~ IPEnJ..l.~NO. 1-037
3, Yellow AppllGoQl r .' ~
(Pl- ~e OJ:peDt iblI1-sigIl lit b. ,...,,,..)
. ADDRESS " ,-
162C ; u " .-f' PI f2-tA.) AY
J.k;G#-r5
tho
ZONING (allke~
R\
LEGAL DESCRu- uON (office.use cm1y)
LOT \ Y BLOCK 2- ADDmON
WUf',SLf"YX'\ V\ n
{~}
PID {)5'-3'}&'- 0 jg-O
OWNER
~~~ Wp~qm~~~ R~
. (phone) ~51 gM_ ~ 7..Q.!:l
(Addtess) 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPLICANT
~~~ Genz-Rvan Plumbin2 ~ Hp~~;n~
. (phon~ ~,1_a?~_11ah
(A&U~) 14745.50 Rober~ Trl
(Addtess)
Rosemount, MN
(cny)
55068
,
~: f \ (Zip Code)
(ContactP~r~:n) MRTY 01S0Tl /) ~qp.e) ,:..r:;l-uB_l Jut. I
. A.PPU~~IGNATURE V'-' u~_ ()/'.. _ ~~";n,ATE" 2..-,-..[. I () I
, . APP LEASE COMPLETE BELOW
I I.. .
'-. ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FU:RNACEMAKEANDMODEL ~()'{ ~2..to &!:>(r../- 1 (_Co FUEL rJ +1' r'1B...C-.
FLUE SIZE RETURN OPENINGS q. INPUT f?~ fJtJO OUTPUT I ((p, 000
TYPE OF SYSTEM HEATING OR POWER. PlANT
DWann AIr Plants D Steam
o Gravity 0 Hot WatGr
o Mechanical 0 Radilltion
OAit Conditioning 0 Special Devices
OVent. System 0 Other Dcvicc::s
PLEASE NOTE:
Air Conditioner Units
Cannot Encroa~ into
:Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
!ndustnal, Commercial &. Multi.Family
FEE S,-DJlJ>ULE
1 % of job (;ost ResidentiaJ. Gas Firqllacc
S39.S0 DliDimum
$99.50 Resideotial. Additions &: A1tc:ration:l
$64,50 Resid~tial, AC Only
$3~.SO
ResldentiaJ. H~ting Ii Ale (New Construction)
RcmdQD.tiaJ, Heating Only (New Const:rw:tion)
$39.50
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ :50
TOTAL PERMIT FEE $
,~ PA,/
tJV/1..DI D t11"'"
i~G /J~ 7j
7i4t/1'
<r-'C V'It,OnIY)
\. ~ ....is Application Bec:ome$ Your Building Permit When Approved I Paid / Rec:,eipt No.
Buildlq OdidaJ Da.te Date 51 _ / () _ I . I By gr:; .'
24 hour notice for .11 iDspection. ('S2) 447-9850, fa: (952) 447....u45
. .
Jul.25.2oo1
6:49AM
GENZ RVAN PLUMBING AND HEATING
~.
No.8821 p. 3/30
~ate Rec'd
L:J.Jr OF PRIOR LAKE PLUMBING PERl\JUl
" .. I
(Please type QJ: pont and ngD, at: bottom)
ADDRESS _ '
/,t5:2-(P4;.-~-ra'12-lDftc(
I-h~ ro
LEGAL DESCRlr nON (oftia:'u8e oDlT)
LOTILfBLOCX 2- ADDmON ~ Is-,---
OWNER
(Nalllf:) Wensmann Homes
(Address) 1895 Plaza Dr
APPLICANT
~~~ Genz-Ryan Plumbing & Hea~ing
(Ad~s~ 14745 So Robert Trl
(Address)
, I
JUL 2' 4 2001
I B..... ~i'"'
i. CID/cI Cil;y
1. y.o- AppIiClll\t
PERMITNO. t - ~ 31
ZONING (o(ll~\ISC)
{2,/
I ,
PID;;>~") - 3rb()/g--r<:.)
(phone) 651-905-3709
Eagan, MN 55122
(phone) 651-423-1144
Rosemoum:. MN
(City)
(Contact Penson) Mary Olson IE'\. _. ~~e) 651-423-1144
APPLICIh~'SlGNATURE~_~~.O .," ..DATE 1.24 Of
[.". . APPLI~ASECOMPLETE~~~OW
Quantity Type of Fixture Qua',"",I:)
2.. Bath Tub with or without shower 2,
I I Dishwasher I , r
I I Floor Drain I e/ (
A Lavatory (Bathroom Sink) I I
c:.- .
I Laundry Tray (lor 2 comp_ ;....ent sink I
l~ow~SWl I
I Sinks I
, Bar Sink I
?., I Water Closet (Toilet) I
f
I
....
_ . 55068
't . (Zip Code)
Type of Fixture
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
,. Sewage Bjector
I Bac:kf1ow Assembo/
I Baekflow Assembly Test
I Lawn Sprinkler
I Other
FEES\';.I:IJ!.IDULE
Industl'laJ, Contmfll'Cial &: Multi~family 1 % of job cost wIth a S39.50 minimum Reside:nllal. New One &: Two--Family $~.50
Residential, Additions &: AltcratiOD3 $39.50
Estimated Cost S
Builcbng Penuit-#
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Quly)
This Application Becomes Your Bllilding Permit WheD Approved
- Paid
i
.'
"
:Buildinc otliti.a
Date
24 bour Dotice for -II iD3pectiODS (9S2) 447-9850, tu (9S%) 4474245
..-50
B PAID I}I.
U/LDIN vvlTH
G PEF::/IT
11"1/
. Receipt No.
Date
Byc-c
.V'
'1-10-(
Jul,25.2001 6:50AM
GENZ RVAN PLUMBING AND HEATING
No.8621 p. 4/30
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND W Arl1lK PE~ll!
, I
JUL 242001
- ,.
I 0.- l'ile
1. ".."'" Cilt.
J, Gal4 AfllI'-
PERMIT NO. 1-~31
. l C
ZONING (affia: UJI!:)
'K\
(flcasc: ~c OIl'riU.U;ud.si:Ji;!1 itt _ to.!,")
ADDR2$S . . . ',' ,
6210LJ ~.t'A1Ie.LUrtrj
.tJ ) (;,-~
RO
LEGAL DESCRl.r .LlON (office: use o~)
LOT f Lf BLOCK 2- ADDmON I
/sr PID ;;25-B7L, -0/8-0
OWNER
~mn~ Wensmann Homes
(phone) 651-905-3709
Eagan, MN 55122
(City) (Zip Code)
(A~es~ 1895 Plaza Dr See 200
(.Address)
APPUCANT
~~~ Genz-Rvan,Plumbip2 & Heatin2
(Address) 14745 So Robert Trl
CAddrcss)
(phone) 651-423-1144 '
, t .
(Contact fcq'~dn) Ma.rv Olson ~ ._
i ~LIC~ SIGNATIJRE -1J. 1a.LLl ( ~
-\ \ - - U' --- ~,
APPLICANT PLEASE COMPLETE BELOW
Rosemaunt: _ ~~
~'Hfl
.., .~ oJ'
(I'hone) 651-423-1144
I;A\rn --dz Ld () I
55068
(Zip Code)
Size of water service inches.
Location of any couplings JiVUl. structure feet.
TyPe of sewer pip.e. ' D AB,C D PVC 0 Cast Iron
E$timated length of sewer line feet.
'Clean out (.if requirc;d) l.~c~e~ at' ~t frOpl structure.
jfEE SLttJillULE
Residential sewer and water line connection $35.50 Industrial. Com'l & Multi-family 1% of job cOst with a $39.50 minimum
Sewer connection only $17.50 Water conuec;tion only $17.50
Estimated Cost $
Building PeJ1Ilit #
SEWER AND W Al~.t'~ FEE
STA'IE SURCHARGE
TOTAL 1'.I!..4MIT FEE
$
S
$
.5Q
Cc
""'
l'~-.~ /1",
I '" ".,> l~ '/)-
,U/tVG' [' ,~/-I
Pi:::. r---,
J',. / '.,...
'~"Ii I
(omet Use Only)
This Applicatioll Becomes Y o~r Building Permit When Approv~
Paid
"6-
.v
Receipt No.
-
t- '
\'
'.,
Date
<?~/(}-r BY~
U-
auUdlDg OftidaJ
)).te
14 hour Dotice for all inspections (952) 447~'850. tax (952) 447-4145
14:14 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
J11.A TmGI AIR CONDITIONINGIFIREPLACE PERMIT
#2954 P.DD3/0D4
./ate Kee. u
OCT - 8 2001
I, Pi.. I'll- P RMIT 0 I
Z.01_ CiJJ EN.. ^I_ 0 Q3-J"
3. 'Yol11W API";.."nt U D 1,/
(PleaK ~ or t:I!int 11M silll' lit. bcrttom)
. ADORESS
Is~.r,'I ~ iks IU
t/
LEGAL DESCRIPTION (office use Dnly)
ZONING (Qffl~ UK)
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
tJ~~ ~'-~
(phone)
APPUCANT
(Nam.e) ALLIED FIRESIDE: DBA FIRESIDE CORNER
(Phone) 651-633-2561
(Address) 2700 N. F.A:rR"JIEW ,1>.Vr.:ti.tm
(Addres~)
(Conraa Person) BRmOA HUST~
APPJ.JCANT SlGNATURB 6o.,A...
.,
I
d-~
~7TT.r,F Mfll
(City)
651-633-2561
1:;1;11~
(Zip Cod!:)
(Phone)
DATE -I1?-/:r"')/
APPLICANT PloIEASE COMPJ..~' J. J1. DEl.-OW
~W CONSTRUCTION 0 REPLACEMEN1' 0 AL TERA TIONS
fURN ACE MAKE AND MODEL FUEl..
FLUE SIZE R.E11JRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air PfpJlt$ 0 Str;om
OGravf.ty 0 Hot Water
o Mechanical :J Radhrlion
DAir Conditi,on,ing J Special Devices
DVent. System J Otber Dc"f~
FIREPLACE MAKE AND MODEL ~- AJ (;{p Sr.7J!r.-
PLEASE NOTE:
Air Conditioner Units
Cannot En.croach into
Required Side Yard
Setbacks
Industrial. Commercial it Multi-Family
FEE SCHEDULE
1% of job oost Residential. G~ Firl:placc
539.50 minimum
$99.50
$64.50
$3950
Estimated Cost $
R~fdentilll, Additions &. Alt.eration~
Residentis.I. AC o"'y
Building Pennlt # 0 ( - 0 ~ 37
$39.'0
539.50
Residential. Hentin,g &. Ale (New ConStruction)
Residel1[jal,. Heating Onl)' (New ConstructiDn)
HEA UNO PERMIT FEE
5T ATE SURCHARGE
TOTAlJ PERMIT FEE
:5
$
s
\DWITH
rill 'u\'hlG PEF.;-llT
.511"-'- .
(om~e Use O"ly)
This Application BecQmes Your Bulldlnl Permit When Approved
"1lildlng omcl.1
D.tr
~
Da~tJ _ ~ .01
Rec~
By ilL-
24 hour notice for 1111 im~pll(;tioJJ' (952) 447-9850, fnx CIS'} 447-4245
The Cenler of Ihe Like ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \; \J F/ j\j /~ ~. I /-\ N r~
APPLICATION RECEIVED -7 - 2- (j - () /
I -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15?_(u'4- ~J-'II~~\fF\V HT~C; k?.U
I
~
Accepted
Accepted With Corrections
Denied
...
Date: --.i3 /3/&(
Reviewed By.
Comments:
-(l~_}Aa.cJYM11c& 8z;u I~ ~~~
AC-r~~&'1br~~YJ. ~
I'~ {O~~
.~~\~ ~ A- W~ ~lk~ l-J 4- .
~~ ~~~~ /~ ~ J/t?-0 V..2LU,trj
<To ~~~~ C!lvho
"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."
Tht ('tnlt, of lht "ok< Country
White . BUilding
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WEN6MAN~
j-2-0-n/
I
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5?~(o4-; ~,L\ I t2. V\1 AV H- I ~ 'RD
,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
#' /} fJ
Oate:
)-z~-o/
Comments: See Reverse Side for Additional Information!
....
jSee Attachments: 1) Grading Plan, 2) Erosion Control Mea"sures
3~ Erosion 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."
White - Building
Canary - Engineering
Pink - Planning
Tht ('enfer or the tab ('Ou"lry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
V\' F/ f\f (_~ ~l f\ N rJ
/.- 2~(; --(; f
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15?~)4- ~/~ 1t2 ~f\j A\vj rt I ,-C; 'QD
I
Accepted
Accepted With Corrections
Denied
C2JeA
- /
Date:
7-50 ~~(
Reviewed By:
Comments:
l. ~ea.& ~\\ it1k.cW~~
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."
RIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I 5;J. (p<..{ ra ,-n.u'0 ~~o~ ~
NATURE OF WORK fUe...)
USE OF BUILDING -SP.b
PERMIT NO. tJ/-()037 DATE ISSUED 7-~() -~~ (
. I
CONTRACTOR LJe\A.SUAtU.AA ~~ PHONE ('SI,..qt!J~ -J./C/OO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.
t FOOTING
I FOUNDATION (Prior to Backfill)~ a r.U-~1 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSP~O~~
\ D ~TE
'I> 17jOJ
SEWER I WATER I SEPTIC _ f:.~ /4 8/~3 /~ (
FRAMING ~ tt1~U-OI
INSULATION ~ ~ (J,W' r
ELECTRICAL ~\ f,?\tto. j
PLUMBING "R ~ b 145 JBI
HEATING (if required) ~ \ 'r'
FIREPLACE 1) \r~ t(\Vq
GAS LINE AIR TEST M -t'V ~\\rf.(,,\ tn\)~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/V1
~\)r4
ELECTRICAL II
PLUMBING ~ ~R It ~bt)(
HEATING ~ rif~() pf
DO NOT 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 been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
GRADING (Prior to Sodding)
BUILDING Q.6. h @3o/, 1.-
,
g h~ It /1.-/
" 30 ~
Call between 8:00 and 9:00 A:M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.______.-~'._.___.__'~~.li:.,__'_.
~
'-~.l!iIi!iil'~~.~~~.l~ _~..__,',~ti.,..ti!i'~'.d- '- """"., ~Q.o-.tl' -~~
~, .
. -~ ,i.._ , _ l , -- , .
'- ~U'i~A.:r__:y'1'
-~
DATE
~OZ-
/52fp4- ~/~1iV /-tl~.
r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING &
o INSULA TlO
>>1=INAL
( ct"SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
sao/~
I
COMMENTS:
TIME
LI: 3 f)
6/-0fIJ37
I
o EXIGRAD/FILlING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~/? (l~-~ JJ/J ii
I ~~
, ()
;K1WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~( Owner/Contr:
./
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSIVOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 15 -:;~'t Fc,,'I'~ H~(f{s
OWNER CONTR. lAt -/TJ5fYt;tfl(l fIa.r,,{J
PHONE NO. PERMIT NO. 01- 'R37
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
-0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~XI6IWiZFILLlNG
o CO~NT
o FIREPLACE RI
o FIREPLACE FINAL.
o GAS LINE AIR TST
o
COMMENTS:
(~ \vcr {K-- ~ /C-
~K SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ;o/~~ '\Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
PHONE NO.
DATE TIME
SCHEDULED 1/.V:u....Oj;3..: citJ
5.,,{ {, tj .7&;;~ /t:k;;
CONTR.
PERMIT NO. / - f 3 YJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o yEWER HOOKUP
It ~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: J .
~~r(J~
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO,K, 'CALL FOR REINSPECTION BEFORE COVERING
InSpector:~- ~ ~ Owner/Contr:
CALL 447-9850 FOR~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
DATE TIME
CITY OF PRIOR LAKE q:W
INSPECTION NOTICE SCHEDULED f}-3()"() 1
ADDRESS I~Ot(Q4 Fa N'wa.'1 H-+s.
OWNER CONTR.
PHONE NO. PERMIT NO. /-837
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
k 0 INSULATION o SEWER HOOKUP o FIREPLACE FINAL
l( FINAL &PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS:
~~r b., O~ ~
(~.
~~ ~,1-r~<; f~r ck,.ue1Wf'.lA-f-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, \}~ Owner/Contr:
CALL 447-9850 FOJTHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI