HomeMy WebLinkAboutBldg Permit 01-1114
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~ireplace OAddition OAlteration
PROJECTCOST/VALUE (excluding land) $ J J LJ
./
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 p.Ut'"..j 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 u nero rty to perform needed inspections.
J
Contractor's License No. Date
Permit Valuation ":21 t{ . ax>. C'O Park Support Fee # $ R~.O")
Permit Fee $ ~ ll-,\~. l~ SAC # _ $ 1 J f fS"O. m
..-
I Plan Check Fee $ 'I (') t~ . "0 Water Meter Size 5/8~ 2~n,bl'}~.
I State Surcharge $ I o.:J. <'CL I Pressure Reducer $ ~().
I Penalty $ I Sewer/Water Connection Fee # $ II~O.
I Plumbing Permit Fee $ 100.0') I Water Tower Fee # $ n('J-()
I Mechanical Permit Fee $ 10Q.OCL I Builder's Deposit $ .
r 1'C:;()() -l9C:
I Sewer & Water Permit Fee $ 35.~~ I Other $
I Gas Fireplace Permit Fee $ iff) .~ I TOTAL DUE Q/1L160 ID-6-01 $ 8;1!lS" 551
( -.. -. rt" ,./ . -- ~ '/
~ur Building Permit When Approved I Paid K '/1.j ~ 55 Receipt No.1.-{ U (j) I
q - LfJ -of I Date io -10-0 J By tJY I
Date
:Please type or print and sign at bottom)
ADDRESS
j 1 Lj. (1) ,v IJ~ L-...~
I\J ~W ,
LEGAL DESCRIPTION (office use only)
LO~ BLOCK I ADDITION 5 14!.JJ / r' d-
~~e~R Ih tah~~) CO,sJ.
(Address) t)0 ( /4S- r~ ..,,{- t../ <'-~) .
BUILDER,4/7 /) II ) /":J -7
(Name) 1"' I t Lb,.,~ r/ l . 0, f:' (
(CO'ltact Name) 0 -e. ~ ~ C u.IJ l ~") ___
(Address) r-; bot I LfS-J)..... III LA./-<. ~I I
TYPE OF WORK
~ New Construction
~ower Level Finish
D1Peck
o Misc.
x
Date Rec' d
q~Z+--OI
1. White File
2. Pink City
3 . Yellow Applicant
PERMIT NO. 0 {- II J 4'
ZONING (office use)
PUD
Su~L.
PID 25,.,3(J7- OZ3-()
(Phone) $.:) ,Lt..5:;J. /f.xlf
1ti1P..vIJCNlf-r;- 10: n~
, ~
(Phone) .9~'d~ 4J'ti, 7~ 6 f
(Phone) c:. S" ~ - L''X2- - 71-.0 (
A pjJ.." I (/~/ ~ /h /'.
~orch
ORe-Roofing
ORe-Siding
D(Utility Connection
I 4~- Ov
r9=s7&,
Ct... J.'-I- 0 f
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 PI ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
----w-.t'1/lAK
~_- .A ~IOA~
Date S eci Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Thf ('fnl., nf Ihf L.kf ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
v c.12DNALD CJOt\l51/cL.
Cf - 2-4- -0 I
I -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z7J7 WLD5 LAN5 NW
Denied
Accepted With Corrections A.
Accepted
Reviewed By:
Date:
CJ;28-6!
Comments:
\. ~aila~ ~~~,
"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 ('f'Rltr of Ihr l..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"(('J)( Nf-\L[)
("'I --) / C\
. - Lt~ - I
I
/ i I [\J ~I 2-
{"( ,--,II
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
27 J 7 \ II -US LAt\J F/ l\j vV
Accepted ~.
Accepted With Corrections
Denied
/:' ..,
Reviewed By:
Date: -Lf) /4/e {
Comments:
.n& ~",."~Th ~ ~L'<~S
~_ .p,tJI.\ +- ~~~SJ~ 'tl~1
~orJY 0 4~ ~_ ~_?t/~Q<c rA
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."
~i(e - - JU~ti~
Canary - Engineering
Pink - Planning
The- Crnfer of thr take Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
vlc~D()NALD C/ON SilL.
Cf-2-4--01
,
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlic~t7J C7&ructio~~clit:DS is P'L-Ad N' S N AI
y
Accepted
Accepted With Corrections
Denied
Reviewed By:
/If{}6
Date:
/O-I-C}{
Comments: See Reverse Side for Additional Information!
~ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
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."
From JECHEEXC
PHONE No.
612 8926396
Oct. 18 2001 5:21RM P02
( ~I'I'\, Oil' 1"IU()I~ LA KIC
SII~Wll~l~ AND WATER PERMIT
DIre Ree'd
(PI~asl! lY.E!:.2!.l~!,_;n~ ~!!.!P> al1>ottom)
ADDRESS
1 01 :2 W.J:l1,( LA./tL .N, IJJ
/1
1. C1~ I'1t. I PERMIT NO -~
2. "olll,w ""r . 0 ~ IJIU
), (Jj)Jd ADPIl_ '7
ZONING (OIllHUlI)
Puo
LEGAL DDSClUPTION (n"'.::e.II~f, nnl.y)
l.OT ~~ BLOCK I ^.I?DJTIC>N S te~ I, '1.1;;.
OWNr~R , /JA n. J } (l ,1-.
(Nume) l11...i..dLJ..J1./Lll. w..tJ.JLSl
o
() {1
PII:bI~ ~/!1-az.3-0 I
I
(Ph(me) rS~ 1./;'2 ?tL(JI..___ i
(Address) __..
(Adclrcs~>
(CilYL.
(7.11' C':t'llffl)
APPLTr.AN'I'-, I C
(N ~mc}v e..e... t\,e,.. t::-y C' .
(^oJoJIC~S) d.3.l.D., ~ ~o ~ E1.Q.c.,.~.
<Alllln'x,)
(COllLl1cL Pr:rson) ~ j
AY-PLICANT SIGNAI~E. / 1-~
. I .
APPLICANT PLEASE COMI>>LETE BELOW
Size of water service I inches.
Location of Wl)' couplings fi-om structure feet.
Type uf sewer pipe, 0 ABC j31Svc 0 Cast Iron
Estimated length of sewer line ;lc ---teet.
Cleun (lut (if required) l(J~atc:d at feet from structure.
. _ (Phone) 4..1;; ')tVtJ 7~
RI D()Wj ;l1f+OY{ M..IY - 55":'i.=$ !
(City) (I".lp Cnl1~)
(Phone) ~ /,1 1~ 0 ?'l-S-1,
DATE _ Jf) -119-/))
T:istimnted (;lll;jl $
$~~.~O
$17.50
..53'6"'0
FEE SCHEDlJLE
Industrial. l.::om 'J & Multi-family J % of job COlt with D $)9,50 minimum
Water t;onncction only $ I 7.50
Residential sewer and WAter lil1Q cOJlJlc:cliun
SeWer t;Ollllcclion only
Building JSermir # () I - () J Ii 4
SEWEl~ AND WATER J>URMJT FEE :Ii
STATESURCHAROE $
'1'OT AL PERMIT FEE $
.so
(om,. II... t.I.,I1)
This Application Becomell Your Building Permit When Approved Paid
. PAlD \N\.T;
eU1L.U\N!? ~ Receipt No.
Bllllctlnl: ornel.'
Date
1JL1~~1
B)'~
U
lJarc
24 hnuI" nutlu fm' NlllnM,..'c.'loIl8 (9SZ) 4"7-91l~O, '811 (95;1, .47....Z4!'i
Tllt C..N' Qt .w ..... c_".
CITY OF PRIOR LAKE ~: a a..
. PL~UI G PERMIT PPNo. OI-lLlA-
APPllcant:.J;VP ~ 1..th1b;~~ jIn(. Phon8:.bS]- W=-~(J
Addr...: ~l J~<:fll, J r 4fO{JP (yr{)~el )'1" ,\"S'/?71)
slgnature:'~/ (;i . ~ .
Legal Description: Lot .~ 3 Block () / Sub ~ 7~fl /, j, p ~ l.l+ h
Site Address: ~ 1/~. VlliM ~ t rJ}1 P N. W v
Building Permit # ('> r:::::7 J ) ~ . PIO ##
NOTE: This permit will not be processed without complefe Information.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
.~ Bath Tub with or without shower Rough-ins
J Olshwasher I Water Heater
I Floor Drain Water Softner
- Lavatory (bathroom sink) I Stand Pipe (washing machine) \
,\
J Laundry Tray (1 or 2 compartment sink) sewage Ejector
~~ Shower Stall BaCkflow Assembly (RPZ, Double Check, PVB)
... .
J Sinks Backflow Assembly Test
J Bar Sink Lawn Sprinkler
,~ Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
599.50
539.50
$
5
5
$.
.50
GRAND TOTAL
$~
This pennit is sranted upon the express condition that said
contractor. shall comply. in all respects with the ordinances
of the State Plum bin mendments tl]ereof.
c~ ~_ RE 2--(0-0 L DATE
A TrEST
Call for all in
16200 Eagle CreekAv. S.E.. Prior Lake, MinnesotaSS372I Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONJNGIFIREPLACE PERl'vIIT
Date Reej d
(Please we Of print anti sign a[ bottom)
ADDRESS
~: 2:.. ~~~ , PERi."UT NO. 0 J-' I f 4-1'
l. 'follow Appli..nt
,y lir9
l. 9t./O i./;N e
ZONING (offla USe)
AJ,W.
LEGAL DESCRlPTION (offic~ use only)
LOT
BLOCK
ADDITION
PID
O\V'NER r\ f\
(Name) ,~~""6.)o./A)
(Address) A I L/ r
~~)-
(phone) ~~ - 7(,0 {
APPLICA1'IT . A n
(Name) C~~~
(Addrc::ss) ~ I r'l ~
(Ad~.$s)
~
rJ ;'I,..p <
(Phone) f,b (J - ED;;J~
,F~i" P?/~, ~~~!
. (Phon.:)
_ DATE //-97.-0 I
(Contact Per:;oo)
APPLICANT SIGNATURE ~ '.,Lf'~~
/' APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FUR.><ACE MAKE AND MODEL .4 ,. i:::t:;;:....~ FUEL . Vir/-
FLUE SIZE 3-~,'_PllC RETURN 0 ENINGS 5' INPUT 7S" 0(")0 OUTPUT ~q 000
r .
TYPE OF SYSTEM HEATING OR POWER PLANT
~ Air Plants D Steam
OGravity 0 Het Wat~r
~Chi1I1it;lll 0 Radiatiun
r~r Conl;titioning 0 Special Devices _
"erVenr. System 0 .Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Sctback3
F1R.EPLACE MAKE AND MODEL
IndustriaL Comm.;rcial &: MUlti-f!l,mily
FEE SCHEDULE
1 % of jl)b Cost Resictential. Gas fireplace
$39.:50 minimum
599.:50 Residential. Additions & Alterations
.S64..50 Rdidential. AC Only
539.50
R.esidcntial. HCr-Lting &. NC (New Construction)
Residential. Heating Only (New ClJnstruction)
$39.50
:539.:50
HEATING PER...'vIIT FEE $
STATESURCR~RGE $
TOTAL PER.'VII1' :FEE $
0/-/ //4-
'-' PA'OW\T~.. r'-
.~o BUILDING PEI,"l1i r
\. -'
Estimated Cost $ Building PeOllit #
(Ot'lic:e lJ.e Only)
I
This Appl~tpy)recome.s Your Building Permit When Approved
t2Iffi~ ('2.--3"'0 f
BlJildill~ Oflicf:11 DSle
~
Dace . --.
24 hOur nod~~ for illl inspections (9::12) 4~i.985U, 1:1): (9S~) 44'7-4245
lOO~
Xl HOIHd X~~ ~~~
HIV a3'l10H.LNO~
9L~909tlS9 XVd SC:Sl 3n~ lOO~/L~/ll
DEC.15'2001 15:35 651 633 8884
FIRESIDE CORNER
#6366 P.001/D01
Date Rec'd
CITY OF PRIOR LAKE
REA TJ.NGI AIR CONDITIONINGI J:4 UlEPLACE PERMIT
~: ~ ~~ . pm;l~llT NO. "'1-1114- I
J. VelllJUl AJlllIIt"'" _ U 1
(Please tVlX or !'riDt and st.1tI1 at botIDm.)
ADDRESS zoNING (QIIia: 11$"')
.;;2-" ~ W~~ UtJ.A-. rI (~
LEGAL DESCRJ.r J. J.ON (offi~ use tmly)
ADDITION
Pro
LOT
BLOCK
OWNER
(Na,me) ror ~CT\tJlJ r ~ .
(phone)
(Address)
APPL!CANT
(NII.m.e) ALLIED F1RESIDE DBA FIRESIDE ~OM'ER
,(phone) 651-633-2561
(Ad.dress) 2700 N. FAIWEW AVENUE
(Address)
(C +~ct P ) BRENDA HUSTON
on...... erson . )
APPLICANT SI~NATTJL~r;.lA.o-l' M ~
~OSEVTT~U: ~
(CitY)
, (Phone) 651-633-2561
~i:;1 , ~
(Zl.p CQde)
DATE
/J.l11/01
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEME"r-i'l' 0 AL TERA 110NS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT
TYPE OF. SY.., u~J..,{ HEATING OR POWER PLANT
DWerm. Air Plllflts 0 Steam
OGravlty 0 Hot We:r.er
o Mcc:h8nlc:a1 , 0 Radlotion
OAir ConditionlnR 0 Speelal Devjc:es
DYchE, System 0 Other Devicc:>
FIREPLACE MAKE AND MODEL _~ )L 3-
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach in.to
Required Side Yard
SetbacltS
Residcntilll, Hcat.lng & NC (New CcnstnJction)
Rcsidrmtlnl, Hclltlng Only (New Can:>trur;tjon)
FEE SCHEDULE
1% ofjcb cost Re:sidentjaJ, OIlS Fif'l:t)I,I!Ia:
$39.:10 minimum.
$99.50
$64.50
$39,~O
Industrial. Commercial &. Multi-Family
Reslc!entiaJ. Addi.Dons &. Alterations
Resldentiil, AC Only
$39.50
$39.50
Estimated. Cost $
BuUding penni1: ##
HEA TINO PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$.
i PAlO W\1~.. .. ,.,.
,'eU\\..D\NG pE',.,'J.' ~
.50 ~--
(ontt\l UIIC Opfy)
This Application Becomes YDllr DuUdl.ng Permit When A.pproved
Paid
F.eceipt No.
Date
By
nulldln~ om cia'
Dnle
l41Jour notlce fDr II111011pectioP5 (~S2) oM7-'SSO, fu (952) 447~:Z4!l
P R I 0 R LA KE nePARTMENT OF
.., BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~7\~ W i lJ~ ~Wl...
NATURE OF WORK NeD
USE OF BUILDING ~B>
PERMIT NO. 0)- LL.&- DATE ISSUED 9.;)8- L) ( .
CONTRACTOR .Kc. \)o~ 0rM~. LI-;;t) PHONE ~S;).- l..l~ -7100/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
r I INSPECTOR I J J DA1,t
FOOTING~~/)?o2v.#- - I I~H I lOin /oj
I FOUNDATION (Prior to Backfill) I ~. \.0' \wo I 1>\r IO\l4
PLACE NO CONCRETE UNTIL ABOVE .~AS BEEN SIGNED
ROUGH - INS
I 'b~ It) J B..t>{
2\A- Ili0:z--
~11tn1 ~ 1/1/loL-
t I I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
SEWER I WATE~ I SEPTIC
FRAMING w I v
INSULATION L-l- t \"\\l.l
ELECTRICAL
PLU MBING l{-S ~ ""1 . I il- \ C"if 0 I
HEATING (if required) t\ll' ,)~ ttYH (:7/"7--
FIREPLACE ---3 12\+-1 1/1-'O~
GAS LINE AIR TEST ~~~ Il!lfp, ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/P /2- \ //~ 7-fL_ \ 0~r' 7)
~\)~) ~)~C>~ IJ/l~/O
~ ~D4 :l."'d-f,_ol
1-> ~twJJ ~ \ I do f)~
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, carfi.. shall ~e placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
,_. ~.._._.__._----_..._~_."._.-._----~. _.._--.__,~_...-.-"- -...-~~ _.. .~.." ._"...._____._._=__..__._____~._.. ~ ._._____ _. _.. "'._. __.___-_..=:L.".___._._.___...
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
JH,-()2..
PHONE NO.
w,'/rh L~" L
/Ill, DOnq!cl ~-rlf61.
PERMIT NO. C> J ... 111'1
CONTR.
ADDRESS ;] 7 I ~
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
., 0 COM'Pi::AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
uP.. ~_. ov-..
/;:2/ J ~ 11... fl...r~ - otA
~- - . ,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'''pecto'' r€'J- ~ Owoe,/Co"",
CALL 44~-9850 FOR~H~ NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
z"z.~.oz--
/1:J,tj
ADDRESS
27/2 W/L-OS L..N.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-/1/4-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
Ai WATER HOOKUP
SEWER HOOKUP
J5 PLUMBING FINAL
, 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~CUAOVVt~ 'D<f'~'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~K, cl LL FOR REINSPECTION BEFORE COVERING
Inspector: (P J J ~ Owner/Contr:
CALL 447-9850 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
c:l 7/..2-
SCHEDULED 3ft z!lJ'L- t-t ~ tTtJ
uJ~ ~,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJI-II'..J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Jll FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
PI' MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENT~:
- V":'~-'\ ~
: ffi!i 11
i'"~. \ ~
~~~\o.)T9r-
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORj;;LL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ J J..4J Owner/Contr:
CALL 447-9;50 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
__~_~_,._.W' .~.~._..__.-----'--------
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
27/Z
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CJ /C- '/7)
&IV 6/Z- .
DATE TIME
SCHEDULED
t"l/ I t..-O S (/1 Ai&:
CONTR.
PERMIT NO.
0/ - / / I 4-
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 jTU/C (!\~
~)
('--L OJ e:- ",V /
I
-S/6tJ - of/~
/' I~C
( _I
~
r--,
1/ I le,
I
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT'ifJ CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1J!/ I 11- { <t -o2..0wner/contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
COnE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
,~_.,.,_~,_.____^_____~,.",,_"____,".~._.___M."._ ~..
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3-J;l.-O~
ADDRESS
~71a. uJ~ L-~ L.~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o )NSULA TlON
jK FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o "pLUMBING FINAL
jK MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
6vf f) Ol O~
t I ·
~4 ~Ul'~ b~ G~ E""1r-.
i"b,
~
~~ aJ- i{-~ F ~~e"J"-
pORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ lli#.e Owner/Contr:
CALL 447.9850 FOR fHE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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