HomeMy WebLinkAboutBldg Permit 01-1121
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Re
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO.
/
(Please type or print and sign at bottom)
ADDRESS
I '-l ~ l(f! S~, "... 1'l.' r (Y /./1 p-I..-
J.lul
ONING (office use)
PUD
LEGAL DESCRIPTION (office use only)
LO{j')BLOCK I ADDITION ~I.elll ~1 51~~,;t A .
""" rr-
~~e~R .J/J7 P () 0 ,",d J CcJ, ~ J,
PID 25-307 - o"tp-O
(Phone)
(Address)
BUILDER /I IJ -)
(Name) )rl "-I btA~1 (t ~ ~
(Contact N~me) :r- t'<,f.b Ou,IJ( S:t")___
(Address) ') 60 ( I L( .~ /L.... s -r G(.I e.-r 1;
(Phone) q~-,.-43A-) f:,o I
(Phone) q~-43'~-?k> I
.J,11A.t.) (.I"JG /h~. ~'s./ ~ L.{
TYPE OF WORK
~w Construction
~r Level Finish
&eck
~lace
~rch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
~ty Connection
J~4. tj ()O._ 0
'"
,
o Misc.
PROJECT COST/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
;ter 0 pr erty to rform needed inspections. _9:5 7 be;, Jl 0- D {
~:tractor's License No. Date
vv ( g..{ ~ I'Y'Y'"\ .~
I Permit Valuation I Park Support Fee # $ 8SOrQ:)
I Permit Fee $ '~c.Jlt,t.1 . l~ I SAC # $ , t l60 ..0 0
I Plan Check Fee $ 'lS\.10 I Water Meter Siz@" I'" $ t~S.OO
. .
I State Surcharge $ Cf:l. DO I Pressure Reducer $ 45" . aD
I Penalty $ I Sewer/Water Connection Fee # $ '!~oo ..dD
I Plumbing Permit Fee $ I 00 . {) -0 I Water Tower Fee # $ '700 ... CJlJ
I Mechanical Permit Fee $ l~o .cJ)O I Builder's Deposit $ I J SO) ~C)()
I Sewer & Water Permit Fee $ "3S . ~ I Other $
I Gas !ireplace Permit Fee $ 40 · 06 I TOTAL DUE CAU..f.D 10/,t! 0 , $ a.3S3. 35
/ ) /l pS55. ~ _J
I This ecomes Your Building Permit When Approved I Paid Receipt No.LlO(b /'tf
, 9-2er~a{ I Date 1/J-/tJ--D I By ~
Date
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
~igned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~(A _ ~ / ~ IA9fc.{te\ ~ C~~
-~tor Date ., pecial Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink - Planning
Th. C.n'.r nf Ih. lob Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CH~CKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
J ~DO~A~O ~))N,<)--rT2-.
(;1- Z,I - 0
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction _activity which is proposed at:
}t:":UfJ 5lll1t1.W CI t2~JE
Accepted X- Accepted With Corrections
Denied
Reviewed By:
;VAi3
Date:
/0 - 1-01
Comments:
-
~ .
See Reverse Side fnr Adtiitinnal Infnrmation!
\See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Contrnl PI~n
"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 prpvisions of this code or other
ordinances of the jurisdiction shall not be valid."
~\
White - Building
Canary - Engineering
Pink - Planning
The Cf'nler of the tlkt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ ~f20~AuD ~J)N~4
q- ~ - 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ 5Ul1l1LT CJrz~w
Accepted
Accepted With Corrections
Denied /J /YJ)
Reviewed By: f:J[.j:1/(~
Comments:
I. fkoJ. all ~ ~
Date: 9'"28-21:;0,1
"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."
-------....,---~~.__,._~._..~__"..,.'....M .'^_.~_._'
The Cenler or Ihe L.ke ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ c, 1)0 tv f\ LA.) ~ );(\1\112-.
(1- ~ - 0
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,L:M-f) ~5()tlt1iS (~I r~(;Jf6
V
Accepted
Accepted With Corrections
Denied It
Reviewed By: Lp~ i- . Date: WI' 3/0 I
Comments:
~~-G 6-& ~O~<;
~~ ()L9{i {-~~ ~~ _
Q" ~ ~L [A"J~~tS .
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."
From JECHEEXC
PHONE No.
612 8926396
Oct. 18 2001 5:20AM P01
Date Rec-d
CITY OF PRIOR LAKE, .
SEWER AND WATER PERMIT
(Please {yoe or nrint and sl~n at bonoml
ADDRESS
J ~.} q 4<6 S; ~ ~nrn /f r ~t . .!s:..., .
I. ar... I'll. I PEtRM. IT NO
2. V.llow ('lIy . / -J / '"'\ ....../
" OoJd A....II.....1 ,-r
.
i',.ONING (nMCIlUMl)
PUO
LF.lJAL DESCRlPTION (om"" us... only)
LOT jp b BLOCK I ADDll'ION S ~ y-J, } J t:.4
"t I
~~c~R V}fl!-.~yJtJ JJ. C~~.
S(, tift,
_--F~P~S-_30,'7=.Q/P.(g.~
(Phone) tj5.:A tj '3 ;l7cb ()j
(Address) ________
(Addrc:6~)
(Cily)
(7.lr C'.otfr)
APPLIC^Nl'-,- I C
(Name) V e..e. ",e..,. "C-~~
(AJul'Cbb) d;llf) :r ~".,.P.J Q l'.., €-.. _
(AtIl1I'/"H)
(Conta.ct Person) --13J, '.l~~ '71
I APPLICANT,~J_GNATURE - rr{~ . "J/Al
. ~ '
APPLICANT PLEAS}; COMPLETE BELOW
Size ~f water service ~. inches. ' "
Loclltion of IlIlY couplings froll'1 struetul'e ~__ feet.
,Type of sewer pipe. 0 ABC . Bpvc 0 Cast Iron
Estimated length of sewer line Z H:el.
Clean out (if requ.ireu) lucalt:u ilt feet from structure.
,(PhOlle) t~o ?L/~
~ 5,~':!lL
f&. ']!). b 7t.j.s6
OATS . 'It) rJR11/
(Phone)
RcsidenllallOewer llnd Wult:r Iille I,lunm:cliun
Sewer ~('lllne~tiClll only
Jl'EESCHEDULE
$J~.50 lndusu-lal. Com'J &. Mul~i.filmiJy 1% ufjob cost wIth 1\ S3~.'O minimum
i; 17.$0 Wllter c"llnce~joll ulIly $I"_~U
C/ f....-A
Estimated Cost $ n ~ U
Building Permit # 0 I ... J 1;( I
SEWER AND WATER }>ERMIT FEE
STATESURCHAI<.OE
1"OTAL PERMIT F'E!!.:
$
$
$
.50
Bulldlnlt Ol'fio::l.1
r" PAtDW1TH
~, ,,~,..!~ C
Il'l\id IV.....' - I Receipt No,
O.te " B~
' ,.. J)~'.~ .. (0-- /~_':f) { ... U -
Z4 hour nqtlu for "lIln"J>eclluIIY (!)~2) 447-9850, 'Dlt. (9S}) 44'....24'
(om". Un 0..1,)')
I
Thi* AI'pllcaUoll BeculII"Il Vuur Building I"erlllh When Approved
.
FROM
FAX NO.
Nov. 07 2001 01:04PM Pi
ro.,K # b-SI-
16~- 91/d.
CITY OF PRIOR LAKE ~ ~:w ~-
PLUMBING PERM!...T PPNo.6/- !t ~l
Applicant: riVe sto.r flurhh;1\3 :Jn~, phon~~- Ys9--.g1k
Address: ~ew/I/}I. AuP. ~~IG~p ~~~v()lh
Signature: -i:i.IMU) I~ ~
Legal Description: L)lJ c..~. B ~k . 0 } Sub .5*2"/:),(J -~
Site Address: / Y ':L Y? . I (Ji.nJe ~" ~
Building Permit # (')/-II'd.PID #
NOTE: This permit will net be proc8S$ed withoU1 complete information.
FIXTURE UNITS
TI. c...... ..I '''' ~ c:.-...,
Ouantity Type of Fixture Quantity Type of Fbnure
/ Bath Tub with or without shower Rcugh-jns
I Dishwasher / Water Heater
I Floor Drain Water SoftnBr
l/' Lavatory (bathroom sink) I Stand Pipe (washing machine)
I Laundry Tray (1 or 2 comparrment sink) Sewage Ejector
~ Shower Stall BadcfIow Assembly (RPZ, Oouble Check. PVB)
/ Sinks Backflow Assembly Test
" I ear Sink Lawn Sprinkler
."1 Water Closet (toilet) Other
FeE SCI-IEDULE
Industrial. commercial & Multi-Family
(1 % of job cost, $39-50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$ -
$ _ .50
$~~
$99.50
$39.50
. EJlJrP{)~!D ti"
.... /^'G ,TN
P/:2"'.
j'I',.;'Fr
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
This pennit is granrai u~n t!\. eXpress condition that said
contractDr. shall comply'iit all respectS with the ordll\llncQ&
of the Stale Plumbing Code Md the arnet\ll~nIS thereof.
tt:ECElytNOr;!;/- X-/ DATE
(~ A1TEST
Call for all inspections 24 ~urs in advance.
FROM : BINDER HEATING
PHONE NO. :
Nov. 13 2001 11:42AM P2
CITY OF PRIOR LAKE
ltEA TINGI AIR CONDITIONlNGIFIREPLACE PERM11
Date Rec'd
CPlc:il$C ~ or orint and sim at botlDml
ADDRESS
\ l..\q '4 ~ c... u. m IY\.\ -t- U rc \ (l' _ k) \.\.'
i ~ ~~ PERMIT NO. 1- II--:l..-)
J. Yell_ _UClIIll 0
ZONING (afti.ct:UR,) .
PuD
LEGAL DESCRlP'nON (Dllia= IWl only) 0
Lor lp{.p BLOCK \ADDITION,~~~G... ~~
l (1
OWNER
(Name) rn. r ,T"':::l () n. n...\ Ii (" ~ '" <'- t- r U r-~1' '"' V""\
PID :/>7 -- Y, r (}fdi b
(Phone) c;S:2 - I....i :S.:l- -1l,...,() I
. (Address) "\lo D \ 1'-1 c:::.. +-h ~-.l- \ .'. ~ , A-'('~.D ~ J n I \.~ :,c:::::.- I ::L q
APPLICANT
(Name\BJ '^ ri p r 1-.4 Po 4-,.' '" '1 c:::l,.. '&..( C
(Address) ..:ll::l.\-\a..~- c1..VV\ a.v ~v~. ~ 'S. S,~ ...
(Addre$.$)
(Phone) ~ I - '-l ~ I - 'i? '1 R l
{)a.I& \ 1iYll\ l SS;;C\~,
(City) (ZiP Code)
TE JI-/~-D\
APPLICANT PLEASE COMPLETE BELOW
mNEW CONSTRUCTION 0 REPLACEMENT 0 AL lERATIONS
FURNACE MAKE AND MODEL ~("\-YY'ln k.e r CC\. ffi fl1':"\ \,....,r---. FUEL 6 QS
FLUE SIZE "3 " RETURN OPENINGS INPUT ..lO."... f"'or"', OUTPUT
TYPE OF SYSTEM HEATING OR POWER. PLANT
DWarm Air Plants
.. OGravity
Q!1 McchlUlic:al
j2gAir Conditioning
~Vcnt. System
..
o Steam
o Hot Water
o Radiation
o Special De....ices
o Other Devices
. PLEASE-NOTE:
Air Conditioner Units .
CanDot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial &. Multi-Family
FEE SCHEDULE
t % of job cost ". . RCiidcntial, Gas Fireplace
$39.50 minimum ' ._-,--_.~.,~
$99.50 Residential, Additions &: Altetations
$64.50 Residential, AC Only
539.$0
Residential, Heating &. Ale (New Construction)
Residential, Heating Only (New Construction)
S39.SO
$39.50
Estimated Cost S
Building Permit #
IlEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
, I!YI" 1\.
'<.'/,> /'...., /A
""',;},o",' (..~.-" !..,.
',./........ ".
4^
(Office Use Only)
This Application Bec:ornes Your Building Permit When Approved
I Paid
Date
. ..<';--
. Receipt No.
Building Offici.1
Dllte
tI ) 3
By ~
24 hO\lr notite Cor all in'pedionll (951) 447.9850, fax (952) 447-4245
FIRESIDE CORNER
#4765 P.DD2/DD2
Date Rec'd
CITY OF PRIOR LAI<E
HEAJ.1!~GfAIR CONDITIONINGIFIREPLACE PERMIT
(Pl.r:r.llC t.\T)e or prlnt lIlId si.11J) at botlDm)
ADDRESS
'Y"y~ ~~ ~
i =.. ~I; I PERMIT NO. I - (/~ (
J, Yo/low /Lppll_t . 0-
ZONlNG (cftkt.u""
r..EGAr~ DESCRJPTJ.ON (office use only) X,
LOT ~LOCK (ADDITION f,)
. !
l~~rTSo -
PID ~ ,c;-- 30'1- ()(Q0-0
OWNER
(Name)
mc...D.sr..~,() ~:I-.
(Phone)
(Address)
APPLICANT
(Name) AT...r..U:O FIRESIDE DEA FIRESIDE CORNER
(Phon.e) 651-633-2561
(Address) 2700 ~*RVIEW AVENUE
(Address)
BRENDA hLJSTON
(Con.tacr; PersoT.l,)
APPLICANT SIGNATURE (j~Jo- J~
_ _ROSEVIT,T.R 1::11'T
(City)
653.-633-2561
(Phon.e)
DATE J/,13..{),
"1:;11'::1
(Zip Code)
APPI.,ICANT Pl.-EASE COMPLETE BELOW
~W CONSTRUCTION 0 REPJ~ACEMENT 0 AL TEM nONS
FURNACE MAKE AND MODEL FUEL
F1-IJE SJZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm AirPll!nls
OO/'Uviry
o Mechllnical
DAir CondItioning
OVtJrlt. Syst,cm
FIREPLACE MAKE AND MODEL JJ~JU:...jJ_C;(p
o Su:am
o Hot Wll!cr
o Radilitiol1
o Special Devices
o Other Devices
I....DC:nr2.. 00.I~. V)
PLEASE NOTE:
Air Conditioner Units
CanIlot En.c;rQadt into
Required. Side Yard
Sefbacks
[nrJl,l~tThd. Commercial &: Multi-Fllmily
FEE SCHEDULE
1 % of job ~st Resldend..l. GlLS Pireplace
$39.50 minimum
$99.50 Residential. Additions & Alters,tions
$64..50 Rl':$idential, AC Only
$39.:50
Resic:lcntia.l, Heati.ng &. Ale (New Construction,)
Resicl.entia.l, Heating Only (New Con.strur.tion)
$39.'0
$39.'0
Est.imated Cost $
allUd.ing Permit #
HEATINGPE.RMITFEE ~
STATE SURCHARGE $
TOTALPE~FEE 5
.50
{
;"', ,
.:- Vy!~
,...... Il-f
".:? r-. c'-
"""I:..... ''1
> "J'"
(omr:r: r;.e Only)
This AppHcatfoll Becomes Your Building Permit When ApprDved Paid
Receipt No.
JJ..i1dl~ omrnnl
Dlut,
Date //-/'-1-/
B~
ii
Z4 frQur notice for "U Inspections (952) 447~9f.150, filii (952) 447-42.4,5
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J.!:l.:i.:l.8 $uW\ IIV\,'~ ~'f .
NATURE OF WORK JJ~w
USE OF BUILDING S~D
PERMIT NO. 01-/12 f D,<<\TE ISSUED q-Vil-(,crJ{ .
CONTRACTOR ~\I\~ ~ PHONE <7S2... :... ~'")~ 1.1JrX:J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
SEWER I WATER I SEPTIC
FRAMING L1- r""- 1."'(
INSULATION ~ \ tb\ ().
ELECTRICAL ~, f
PLUMBING l.J- l ~'1 ,DC 1? Ii
HEATING (if required) 1(\ ~
FIREPLACE 1AVA~t\. ~
GAS LINE AIR TEST f11( -g, ~ l;t) ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS r
///0 "lzrlO'l- J
' 1<, V,! 1'1)~:lt j 0'1--
~~~ f :tJ.o~
. ~-~~ ~ n~ 1.~ .
OCCUpy UNTIL ABOVE HAS 'sEEN 'SIGNED
NOTICE
r '
FOOTING ~ DGGt- ~. poru--+
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
I ~~
~
INSPECTOR
(G\(~\b(
{t).. I 01
J"8- ,~or
/ 1
llll;w~l
.JOt-l-J O(
~"O(
#I \~,\1-
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 s..hell !Ja.placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~~~'~"'~"'~~.~V~~~"~~~41~~.~~~~.~
" ...;.J.... '~,' ....; ,'.V:..".. "~,. ~.'~.'s:-;"'. ",";.. "'~'"",."",,,,,'.,o; ,"'.'0; r,..,...",", ....t".. JoIit..~..~,..,.._.,.a."...
~" ~("-,,,.........A:!'I..A~~:" ~"'~,~~,,~""" ., "~."iI:~'~"~;f.~"~1I:,~'j;~7)
l .' ' " 1" ..... ~
L . '- J'\
;~, ~trtifuau of (lDcnqtanry ~. t;
~ :.~ ell f OF PKlOR LA~ ~~.~~
'\. ')
. ~tPartmtnt .~f _uilbin~ Jn~ptttion '~~..~'I
II! Fmat Penmtted 0 Conditional C. O. Expires 'rJ~ '
lli
~1A"
:N.
.
.
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time o/issuance this structure was in compliance with the various ordinances of the
City of Prior LoJce regulating building construction or use. For the following:
SINGLE FAMILY
Use Classificatioll
,Bldg. Permit No.
01-1121
Occupancy Type . R 1 Type Construction VN
Legal Description _ L66, B1, STERLING SOUTH
Fire Zone N / A
Zoning District PUD
Owner of Building
C;iteAddress 14948 SUMMIT CIRCLE N.W.
MCDONALD CONSTR., 7601 145TH ST. W., APPLE VALLEY 55124
C~",~,,;,...:.Dr'sNamc&Address -
tIt '/ _ City Planner
ROBERT D. HUTCHINS
Building Official
Jl U ()J~
DON RYE
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
OA TE TIME
I J,-lt -
141tfS r')i1J1MIT (',LK..-CL6
SCHEDULED
CONTR.
PERMIT NO.
01- HZ I
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Son / J1(.E6
/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(j)
d {):;~
C- ,-; D
I I -
ji"'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: W 1).".-( L - cf1, ,Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
14q 4-e
bt.twt~ ,"t- C\'r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
Pr 0 INSULATION
YFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
~-~-()~ q ~O()
OI-tJal
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: - \ f
CJK ~r- MOd-e-\
It>~ C.O. ~
1-6>r-- -nIA-Q ( Lo,
~~uew Cu/ J I va c.s . ~aA...-. +r ~c.,
( , I t
no
elf'J,-fp
PORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ - U~ Owner/Contr:
CALL ~7.9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
11- )s-07-
ADDRESS / t./i'-l8 5VY'1M,'1- L,'r
OWNER CONTR. IYILDQYI.,W Lr;'161.
PHONE NO. PERMIT NO. r, I-II ~ (
o FOOTING
o FOUNDATION
D I=lU.MING
o INSULATION
~FINAL
v 0 mE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
C>f:i E~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: .
t.ulb 13&;c- "'K..
brqc(<. - C91<
Sf-,
XWORK 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.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
(or u,.. ~ 02-.
z.:oo
ADDRESS
/H~ S'UMrlll
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-/12.-/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
(\/0 SEWER HOOKUP
Y\~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: 1
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~~. CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~~ Owner/Contr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE..,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ