HomeMy WebLinkAboutBldg Permit 01-1123
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
&lSt4
&.1/ //-1
IJMcL-WA#
,
LEGAL DESCRIPTION (office use only)
LOT 8" BLOCK "3 ADDITION
-rt, t,.1/I/f
,
OWNER / 9
(Name) ----fA-u "'" ~ rj)f.-~rN-/~5 I ~r
(Address) ~ l(; /..:-t, IAJ~r /lA. ~*-17S-
BUILDER r1
(Name) ~ 4;r &uJh.".,. f'i-."
# I 'f"
(Contact Name) ~,L:.-( 11_ P h- ./)//;IN,,,,
(Address)
Date Rec' d
1. White File I PERMIT NO
2. Pink City . 0 . II" "'2..
3. Yellow Applicant ~
(Phone)
~~-k,k. hu"
i>t ~4~r ~ (
(Phone)
(Phone)
f~
~ln-t-
1H
TYPE OF WORK
~w Consttuction
~er Level Finish
~k
A.. ~lace
OPorch
OAddition
ORe-Roofing
OAlteration
. NING (office use)
PU5D
PID T<-:lSj.97~:J~
9.n~ ~s-t?311
3~&3
qrJ~ ffS-ff~l/
/(
1'(
'I
ORe-Siding
o Misc.
PROJECT COST IV ALUE (excluding land) $ 4 t::', ~
OUtility Connection
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 age 0 the above-mentioned pro erty and that all consttuction will conform to all existing state and local laws and will proceed in accordance with
submitted pi . am aware that the buH. offici~ revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo e operty to perform nee . ecti~/
X C~O contra~o~~No. rh-&,
c.j~~lYX).ab
;<.~, <.. 1S-
I !-a.2J! . q q
2('2...50
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $ ///t:). (;) tJ
I Mechanical Permit Fee $ 100 . 00
I Sewer & Water Permit Fee $ 3S' . S6
I Gas Fireplace Permit Fee $ l/o . OD
~. . tioo'j:.=' Yom Building Permit When_..'"
10-5'-01
ill fficial Date
loJ-gj61
Receipt No.LlO~ 2(Lf
By ~ .
I Park Support Fee
I SAC
I Water Meter Size 5/8'~
I Pressure Reducer
I Sewer/Water Connection Fee
1 Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE CAUED
I Paid
I Date
[() I f(5{). ~q
/a"'o-I
#
#
#
#
$ 850.00
$ /. I &)(') . cO
$ . 2.c:;r;. c90
$ 70,,00
$ I, 2f1o . t9CJJ
$ . ItHJ.(!)~ I
$ I, '500.&t? I
$ I
$ f4-tJ5D. (g r I
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
~rn'~d~ili'~ ~;=Cati&m~':;;;;~d~:ooro~ ~-a::xz=;~
Plannin" Director Date pe ial Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - Building
Canary - Engineering
Pink . Planning
I
)
Th. C.nl.. of Ih. uk. Coan.ry
BUILDING PERMIT APPUCATION DEPARTMeNT CHeCKLIST
t
NAME OF APPLICANT ~.~ ~(f' 4~
APPLICATION RECEIVED 9- ~ h -() / 0'
,
The Building, 'Engineering, and Planning Departments have reviewed the building permit
application for construction ~ctivity which is proposed at:
/L/5b(/ lude/2:! P~lvt/
I
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
NAP>
Date:
/0 - R -0 I
'00
Comments: See Reverse . Side for Addition81 'Informationl. "
H~",e f/(J~c.! C9( f.'OIlll Pc.t..Il rtlf;'~4j .fro"", P,o"v;e-/
+0 (./~~1l..U Gr:u.A/M./J (.,.,~ +0 4(~'/)1"1A1 "o&J, & f"J, \.~
(J 'wi ; .../
9 r"0 ,0 v,j h~Q..J) L
! ,
Ii l'tf1i '/le.'''"/''''
--
.(,,,
,
See Attachments: 1) Gradin~J.-plan, , 2) Erosion Control Measures
. 3) Erosion'Corttrbl 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." -
Tht' ('t'nler of Ihe Like ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,.
NAME OF APPLICANT ~. ~ f2..~
APPLICATION RECEIVED' 9- ~h-{}I 0' - ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'i5bC/ ILJ~ P~0t/
/
Accepted Accepted With Corrections X
::::::ed By:Q (Ja,~
Comments:
Date: (C) -S" - 0 I
~ acJl. af:fru..W _l~ ~
"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 Ctnltr of Ihe take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
, .
NAME OF APPLICANT
APPLICATION RECEIVED
\.~
A/ ,
,""'.' .\,,/
/../jj
!,~i - (./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'I /-/ / /
/ /~) ..... y
/'
"
1/
I
Accepted
v
Accepted With Corrections
Denied ? /"
Reviewed By: /' .tJA-1.,l~ ~~ Date: t () /tf / t9 I
Comments:
V~ ~~,~~ ~
~ Ov8,\~~L"\~~- 1IL.O~ ~'1:-
S~vP~~ L-~b J
"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."
'. ,-
FIRESIDE CORNER
#6706 P.001/002
Date lUc'd
CITY OF PRIOR LAKE
HEA TJNGI AIR CONDIII0NINGIFIREPLACE PERM! J.
IZ~U-~/
I. 1"'" f'~.
z. 0..." r;i1y
,. Vollo,.. ^P1'IICIftl
PERMIT NO. Ol-j IZ3!
(Plea:l(: ~ or print lUl.l;lIli~ lU botr.om)
ADDRESS
/YSf.p y
ZONING Coffiar PlIe)
!.AJ/lds Pa,J~
r
LEGAL DESClUr J. J.ON (Qm~ use amy)
LOT Y BJ..OCK 3 ADDITION 111E fA) I LD 5
Pro
OWNER
(Name)
ib.u ~, ~~?-
(phone)
(Address)
APPLlCANT
(Na.me) ALLIED FIRESIDE DBA FIRESIDE COMER
(Phone) 651-63~-?5~1
(Address) 2700 N. F AIRVTiW AVENUE
(Addtl:a~)
(C P ) BRENDA HUSTON
ontact erson -. J
APPLICANT SIONATUR~ r<,,,,~~ ,~--
""_.-
ROSEVI LUi-1:1!'"
(City)
, (Phone) 651-633-2561
~<;"1
(ZiJ' Code)
DATE
/ :;"pdQl
APPLICANT PLEASE COMPLETE BEJ...OW
l)dNEW CONSTRUCTION 0 REPLACEMENT 0 AT.. TERA TIONS
FURNACE MAKE AND MODEl.. FUEl...
FJ..rJE SIZE RElTJRN OPENINGS INPUT OUTPUT
TYPE OF SY::>J..cl'd: HBATINGORPOWERPLANT
OWanD. Air PIBJtts "::J Stellltl
DOrav/1:)' :J Hot Wilier
o Meehanlcat ] Radilltion
DAir COl'lditJcning J Sp~ie.l Devices
OVenr. Sysrern J Other. Devices
FIREPLACE MAKE AND MODEL /J(1).J AJ 6 t.> 'Qj)'~ / K7J0; .~
PLEASE NOTE:
Air ConditiOllcr Unit."
Cannot Encroach into
Required. Side Yard
Setbaek$
IndlJsfrfel. Ccmmr.rcia,1 &. Multi-Family
FEE SCHEDULE
1 % of Job tOst Residential, Of.lS Fil"l:placc
$39.50 minimum
$99.50 R~ldc:ntjIlJ, Additions &. Alterations
$64.50 ResidentIal, AC Only
$39.50
Residenthll, Hcati[1g &. AlC (New Construct;"n)
Residential., HeatIng Only (New Constn.lction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.,..;:.-- ,,~
_ ea.~O\N ':'. ...
r-' r"'\N,G p&;.~ ->>.,.
.Seu\~./..
~
(omce (hI; OnM
This APP-""l1.~ ll'~.ur BulJdhlg perm". When Approved
_ ' Wltr ~{g"'0 I
Bundlng Offidal Dllr/:
~
Date
11.- . z,(p . 0 I
R1:~
BY~
I
l4lroJlr notice for nlllnlptdlo". (951) 447-98~, ralt (95%) 4474145
10/13/01 SAT 08:38 FAX 7638621223
~001
'6" Ift"I. u9~ 24 F_oL'\': 0124";.&245
OJ/:)!,- fl'~ ,,~
CITY Of PlIOl UIE
IilOOl
-- -.....
wa~.~r
9l!Il.IP . ~
.:,1
CITY OF PRIO~ L1UtE
SElfn. AND WATEIt. PEiJQUT
S_'J'-ND_D {- ((J:3
SeVer and Water
c:ontra~tors aust
b~ re91.~rad
with the c::.ty.
"~3
)( APPLICANT: .J D CXCF) V Rr IN C.., . IN C - :II" ~HOtlE:T-t, ,.. - 43 ~ 2..
;'11. ADDREss: 1'l42..-;~ 2.ND AVE. . COON RftP/lfSDATE: \Q~-r~ \
~ SIGNATURE;_ "'-~r .:~_ ~~ SLDG. "~NUT ,
X SITE ADDRESS, \ I...\":}("LI t l)" \~lJ)cSb...:n.rID~5-} 11- 0 30-0
FILL IN THE: Bt..ANltS
Nw.l.lI:.:
1- Estimated length o~ water sarJice.
_teet_
2. Size of water service
1
incb(es) ~
J. Location ot' any c:oupl.ings t'rolll s~ruct:u'r.
fe.et.
4. Type ot sever pipe. ASS
pvc X
Cast Iron
5_ Esti~a~.d 1en9th ot ~~.r line
teet.
6. Clean out (i~ re~~ired). located at
structure.
feet
from
Z::Z':;;;=:;==_=-=______=__-==-,_==-__,._ ~"_;III .'11 ,_____ ." ...____.......___----
This app~ication beco",e~ your permit when approVed.
BY
DATE:
----:===---~, .~~. :;;;;.=--.,....___.:a_....:
--- n,----_________G:
F.E:~S.:
$
S
$
35'.00
.50
35.50
Sewer ~nd water lins connection permit.
Surehar'ge
TOTAL
2 Fee for either sewer or water individually is $20.00 plus
$ .50 sureharg..
* Sewer and wa1:er perai1:s 1Ssued tar new C:Onstruc:tiCIID must ba
recorded on 1:h~ bIlilcHnq permit eilri .~ 'th~ t!1'1e ~l~~nce
~o insur~ that no clupl icate S.Ver and "lI.t.eUI2~~i"~ar.
1ssl.Ied - ... c.. . 'lvlll
DATE PArp !6-15"-{)! AMOUNT PAID . BUI~r~, .
llECJ!UT *eu1&iIBQWfl~:"IT REC'D BY tp. -'''..
16200 Eagle Crr::rrlc Av. S.E.. Prior Lake. MinDE.SOra 55372/ Ph. (612) 441~230 I FAX (611) 447-4245
An EqaJ Oftrq"....il,)' EDa","J'e'I'
11- 5-01; 3:32PM;ELANDER MECHANICAL
;612 445 7487
# 1/ 2
Date Rt~'d
CITY OF PRIOR LAKE PLUMBING PERMIT
(p1~ase lU'e In pnut lUId SWl at bottam)
ADDRESS
/r~c. V &-/t/; 4.N:~h/~
/
LOT
LEGAL DESCRIP110N (cffic~ U$~ only)
ADDITION
OWNER
(Name)
(Address)
BLOCK
d""-..s
6," ~rfr~~
//-7-01
~::~ ~:~ , PERMIT NO. 01- J I -? "2..
1. Y.llo* Appli<:anl U-..J
ZONING (o/fiCCll.'l~)
PID
_ "..r~~.s:-4"'/1
(Phone) ~
APPLJCANJ:.- / / A/ /
(N arne) /f:;:; F q VI. d J./ L:Pr P I'!A'l4-" ,. ~ ~ t:
S-V (;~~~" ))r/J/e
(Address)
(Contact.Pc:rson) ~)) h4-~/"-/
APPLICANT SIGNATURE ~~~
(Address)
Quantity
z.-
I
/
7
/
;;
/
-
J1T
-
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 Stall
Sinks
Bar Sink
Water Closet (Toilet)
(Phone) f' S- d - 9"'Y~ ,p'~ 9 ~
)h".~(diI~ S-r3?,?
(City) (Zip Code)
(Phone) Y S- .)-V~.f--~~ F J-
/r-/;-~/
DATE
Type of Fixture
/
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
/
/
FEE SCHEDULE
Industrial, Commercial & Multi-fllmily 1% of job cost with II $39.50 minimum Rl:sidcntilll, New Ont & Two-Family $99.50
Residential, Additions & Alterations $39.50
(Offic" Use Only)
Estimated Cost $ Building Pennit # ..",""". fI10 '14\1\1. ~1'
PLUMBING PERMIT FEE $ " ~ JOf" fs,\NG PE~ ~
STATE SURCHARGE $ .50 ~~/
TOT AL PERMIT FEE $ /" ('NP.. crQ
This Application Becomes Your Building Permit When Appro'Ved
Building Offici.1
Oate
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
Paid
Receipt No.
Date
By
11- 5-01; 3:32PM;ELANDER MECHANICAL
;612 445 7487
# 21 2
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PE~111
Date Rec'd
/ 1-1~OI
(Ple~ ~ Dr Dnut and sim at bottom)
ADDRESS
/~ S-, cr bt/-/~
~. =.. J;'ioont I PERMIT NO. O/-117.~ I
ZONING (office us~)
~4/eh/~r
. LEGAL DESCR.1r 1 LON (Dffi~ ~ only)
LOT
BLOCK
ADDITION
PID
OWNER ,,/,
(N arne) H-tf!',.,.,~. ~
6y &,~r$~/7
(Phone) 9 ~,;) - 91..r -F F /'/
(Add.ress)
APPLICANT ~ / /' A/ /
(Name) &:;;//,a II'? dttl!!./ ~p'fe. C/c.....4~1 e~c... (Phone) ~d -yrf=-f'~)' J-
(Address) S-9/ Ck-'?;t:)-' ~//V~ S-U~I//~ rS-ff'7 ~
(Address) (Ciry) (Zip Code)
(Contact Person) 7e>---:J, ~~~~/,./ (Phone) 'pS, -.~f'~}/~9 J..
APPLICANT SIGNATURE c.. /~~ DATE #/~A/
APPLICANT PLEASE COMPLETE BELOW
j&1NEW CONSTRUCTION
FURNACE MAKE AND MODEL &, VA-" 7'
FLUE SIZE .3 Il~V C-- RETU~ OPENINGS
TYPE OF SYSTEM
OWat'tTl Air Plants
OGravity
. s,M~hanic:al
.. ~Air Conditioning
::JVet'lt. System
o REPLACEMENT 0 AL TERA TIONS
~A1~V~/bo FUEL A/~6'A-.5
INPUT /&J~ p".o OUTPUT 'I $:. t)-tf:J c::>
HEATING OR POWER PLANT
o Steam
o Hot Water
o Rfldiation
o Special Devices
o Other Devices
PLEASE NOTE;
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIR.EPLACE MAKE AND MODEL
Residential, Heating & Ale (New Constfuction)
Residential, Ht:ating Only (New ConstfUction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplacc
$39.50 minimum
$99.50 Rc:sidential. Additions ok Alterations
564.50 Rc:sidaltial, AC Only
539.50
Industrial. Commcrcial & Multi-Family
$39.50
$39.50
Estimated Cost S
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ 9~ro
$ .50
S /60,o(L
wrn"\
[. PA\2IG pe.R~,f,\1
~~"
(omcc: 1I_c: Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Buihlinl( Orndt'
.hlC:
Z4 hour nl'tk" for all inspections (9S2) 4.7..9850, fax (95:2) 4-'7-4245
PRIOR LAKE
INSPECTION RECORD
~~
-,
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~ lAJ,.lJ..~
NATURE OF WORK N~
USE OF BUILDING .9~D
PERMIT NO. 0/-- //23 DATE ISSUED Jo - h -0/ .
CONTRACTOR ~-- .~ ~~...... PHONEif"'?- "'~')'IJI!I(
NOTE: THIS IS NOT A PERMI FOR NY OPTHE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I FOOTING
I I]
r FOUNDATION (Prior to Backfill) '$ 'LO ~ ~ ~ II S"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS \
~1'H
"'~.~
~~~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ([6. VV~ 11-4-01 ~
HEATING (if required1
FIREPLACE 12. .
GAS LINE AIR TEST ~ ~t'PA4
\
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
, /I tJ' I;!..IZ <tz.-
;//fJ
u)" (9{
11o,Jod-..-
\1 \,
\ l 0 ()~
, .
-'~ '~1 Dl,
l'~ {
Ifh t1
t ISL) 1.1.\0 \
/~. 'to ..1-
WI e.. ff3.r, 3/a-d-J (J)..
JJj( It" 7.-{) . dl,--
~ ."
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, card sh~ii be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
Itrfificau of ODcmpanry
CITY OF PKlOR LAKE
1Dtpartmtnt of _uilbing Jn~ptction
~inal Permitted 0 Conditional C.O. Expires.
This Certificate iss~d pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time ofissUMICe this structure was in compliance with the various ordinances. of the
City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY
Bldg. Permit No.
01-1123
Use ClassiticatiOll
Occupancy Type
R3
. Type Construction VN
Fire Zone -11/ A
Zoning District PUSD
Legal Description
L8, B3, THE WILDS
Owner of Building _
HOMES BY REGISTRY,
Contractor's Name It Address --.
ROBERT D. ;mTCHIN'S )(jil'/ City Planner
~, Building Official \J I
I ) __7.) 7 --;- Dale:
Dale: j... < C" -. I
POST IN A CONSPICUOUS PLACE
SileAddress 14564 WILDS PARKWAY
12400 WHITEWATER DR., #175,
DON RYE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ftJ~" 'O"'t..- 10 t 'Jo
PHONE NO.
~ WWLf
. (j
CONTR.
PERMIT NO. J - /..I-7_~
ADDRESS ~(,'I
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
J!i.. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~9MMENTS: .
tJ t. t='",-...l.. CO~-P_ Tj~ ~y~' . "
6'4 . ~} l....., ~ Spt.,'''''''-or ~~<<l ~ 1..,L#IJl
3. ~..... ~ lli.!. Mc~
J/. .~~ ~l~ -e.~
&~. }I p.,V '., Iwdv- <;i7,Pd(
~!-k \hnnc
Q..~
o WORK 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!
I/'lS!lOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED 1'2... -10 -() '2- , I
ADDRESS 1"5fo~ ~/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01- It 2.~
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(~ ~C 0 --/~~fJ~~
- ~
r~ I
\ U- +0 rv\..
A
IS~ De.r~~
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
EI 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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
J/-~J-()z-
ADDRESS
1'-I~~Lf
l/tJ,'ld,5 P Kt,vy
fi, ,v1lj by ~ fA /Fh-v
r, I.-IIi) ..., I
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
t>l!:C.FINAL
o SlTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
pi!( EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
\~(h Bc9J<. - (9 t:
bre,d-r - r9 t-
~ WORK SATISFACTORY, PROCEED
'd CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /jf PI~ .~ _ Owner/Contr:
CALL 447-9850 FOR 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
a""dd.. -0)- d-~ 30
CP;L
UC)7
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
() / - 1/ ;;...3
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION la J 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL tIWf ~ PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
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o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
:,:::ECT ~ FOR RElNS::::::EFORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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