HomeMy WebLinkAboutBldg Permit 01-1129
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ",
(Please type or print and silm at bottom)
ADDRESS 0 ~ _ -cO~
~ ,~~\\~'L,
30~l
LEGAL DESCRIPTION (office use only)
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO.
~ J ~
'~(('oR. rA~
~-n+
Date Rec'd
-11Z,q
1<./
LO~ \ BLOCK ~ ADDITION W \ L. ~ S
OWNERM tl\~LSJAF.....o, \S.(VtJ ~1.. ~ t- ~ ~ J
(Name) G9-r..}~~~TJ~" J, T-,..)c... (Phone)_ _,"SL-Ir')~ J
(Address) ~'1~ ~ cr ~ ~ S\i\EE-l E A S I) LlJs.c- ~ovG. ~J~H7>,' 111
BUILDER ~^ _ r:::.
(Name) .;;> ~
(Contact Name) > ~
(Address)
TYPE OF WORK
o Misc.
;w'-rr-? '-S "M6O /
,
/
~ew Construction
OLower Level Finish
ODeck
o Fireplace
PROJECT COST/VALUE (excluding land) $ ? g. ~ )-A-f\:O
PID .25-3!1Z.- 075- 0
(Phone)
(Phone)~.X
(pS' 1- S~2 -~.o rrl-..-
o Porch
OAddition
ORe-Roofing
ORe-Siding
OUtility Connection
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
a o' ed agent for the a e-menti ned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
bmitt pI a th r building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
nter up e ,) - 0 ~J :...t'~,-':~..s. 2 L/ ~ 1 <1 - ~ -0 \
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
a~.~c
$ ~ J 0;)" ~ .~s-
$ I!~
$ 14~.g)
$
$
$
$
I $
too. 00
100. c90
,36". SO
t.tO,oo
I Water Meter Size 5/8'0
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
IOili~ .
I TOTAL DUE elllNGr) IOj!1/Ju $ C/.. 4B7. 01
I Paid cj ~g 7. OCj R.e1ei .. ~ IftXR.IO
I Date J{) ~ In ;,() J By .
, ., ,
OAlteration
Contractor's License No.
Park Support Fee
SAC
#
#
Date
$ 8so~
$ /J L 50.r'r1
$ ~6C ..L(l
$ 76. 00
$ I~O.ClS
$ 7()O.oo I
$ ( SCJO.dO I
. f
$ r I
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
when si ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
""' . /of;!,&!' 'S--" ~~tt ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
#
#
Jan 11 02 08:25a Emil~ O~arek
U9/1U/U1 w~u L~:~D rAA D~~~~,~~~a
651-457-1381
~LL% vc r~LUft ~n~
p. 1
'C;;Ivv"
D.te Ree'd
-"'.1.1 i OF PRIOR LAKE PLUMBING PERMIT
I. - Pile I PERMIT NO
~:~.:... =-.. . 0/- II,) '1
CPlase tWe ar IIf\aC .... lip at bollDm)
AD~RESS 3(J?7 .
~~ (do bCb, t TriA,"
-
ZONING (afthz use)
-
LOT
LEGAL DESCRIPTION (allice lIS!: aJlly)
BLOCK
AD.u.ll.lON
PID
OWNER IL I '
(Name) M; 11 ",\ <" \~_.. J t
\
(Address) . J l./ J5" - Cf 6 d
A~IQUIT fl I
(N.me\ !?rJro of" ,.{~n ~c~-
".
(Address) 3lfO ~ 73 d .5/ 2:
(Address)
(Contact Person) 'K-b'\.
&'C c;. (0,,1\ ~,J.
.c/. It'.... J I
at L. .J. - C' . f'T .
(Phone) '~/- 55";)..- /1,1
~~7) 7"
/YlJ/J.
(phone)
~ 51- t;5' 7-/? g'f
J;... (.. 1/. 5"$1.17 (.
(City) (Zip Code)
(phone) 1.&6/- d- '-/ <jj - 7" 7 ~
DA~~//olp~
APPLICANT PLEASE COMPLETE BELOW
t~
Qef n~
-:::
APPLICANT SlGNATURE
QUDlity
I
I
/
5
I
I
i
~
,;
Type or Fixture
Bath Tub with or without shower
Dlshwasher
Floor l>rain
LavatQt)' (Bathroom Sink)
Laundry Tray (lor 2 oompartment sink
Shower Stan
Sinks
Bar Sink
Water Closet ~Toilet)
Quantity
L/
I
Type of Fixture
I
ROURb-inll
Wa~r Heater
Water Soflner
Stand Pipe (Washing Machine)
Sewage Ejector
BackfIow Assembly
Backflow Assembly.Test
Lawn Sprinkler
Other
I .
1J.&!.1!. s...u~DULE
IndusuiDl CD. .,. .:.111 &: Multi.rllftily 1% of job c:051lllilh. 539.50 minimum RC5idcntill1. Ne:w One: '" Two-Fllftily S99.SO
Raidalti.l. Additions Ie. AIa:ranORS $39_S0
Escimued Cost $ Building Permit # tJ 1- I;';;'" ." \-\
".- PAlO wn~.
PLUMBING PERMIT FEE $ , 19. ~c ~ ~U\\..D\NG PEHI'Jn i
STATE SURCHARGE S .50 ~_--
TOTAL':lool.AA.nTI'EE S IPo,.QO .
(oma! the On"',
TlliI Application Becomes Your Bulldinl' PenDit When Approved
~
I>.~ I ~. 2002
~
I
BuDdlnl aK,eial
Da.
2. lIoMr ItDti.. lar alllnlPlIdionl (tsZ) 4t7-9., r.. (951) 4t7-4145
From-BTRNSVILLE HEATING & Ale +95Z-994-09Z5 T-ZS9 P.Ol
CITY OF PRIOR LAKE
I1.IjA TINGI AIR CONDll10NINGIFIREPLACE PER.Mll
F-355
Date Rec'd
~. ~.:. ~:~J I PERMIT NO. /-11' If
3 Yellow Appli..nl r\
(Please (We or print and sien at bottom'
ADDRESS
~ ~'13 Bob c..~
J r-CL-C l
ZONING (oftice \IIl!)
RI
LEGAL DESCRLr uON (ofli~ use: only)
r
LOT/'~' BLOCK ~ ADDITION w;J!.d.J ~/dL
~~~R l'Y\ ~\\~~\"'~+
(Address) ~ ~ { 3 Bo..~ c~T
APPLICANT '"b... . "l \ .....u L l\ .A.- (
(Name) Q....I.N'Vl.<:\)( ~ t l'\1 r '\ L. (Phone) .
(Address) [~~l ~~"f.. -l!s~ ~ 56 5FrV~
(Address) (City) \\ - (Zip Code)
(ComacrPerson) ,,^~cM..e.-U-<- . (Phone) 95 ~ ~q if-~ S
APPLICANT SIGNATURE ,~~ {~~ DATE II -~ -u cJ
APPLICANT~LEASE ~OMPLETE BELO;-- --.,
*EW CONSTRUCTJON Q ~~LACEMENT 0 ALTERATIONS
FURNACEMAKEANDMOOEL ~~ - (;.~_3-1S ,FUEL t\JA-'t"
FLUE SIZE RETURN OPENINGS 9 INPUT -:]Cj (000 OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
o Gravity 0 Hot Water
g! Mechanical . 0 Radiation
fiAir Conditioning 0 Spe<:ial Devices
)lIVent. System 0 Other Devices
Pn:h(,5' - .:<i;z- () 7q -G I
t V'"'~ l
, (Phone)
i'r~ or
L -GV t.-e.....
PLEASE Nu ll!;;
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Rl:sidcntial. Heating &. AIC (New Constru~tion)
Residential. Heating Only (New Construction)
FEE.SCHEDULE
1 % of job cost Residential. Gas Fireplate
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.S0 Residential, AC Only
$39.50
Industrial. Commercial & Multi-Family
$39.50
$39.50
Estimated Cost S
Building PeJDJit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
~A---
SUI' ~'D ~
...OlNa. ~ ' If
PEr~' ",.,.
;.j v~, I
(Offict U~e Only)
Thls ^pplltatlon Betomes Your Building rermit When ^pproY~<l
Paid
, ,Kec:r.:ipt JlJn
Building Orncl.1
Date
Dat~,/ --K _/
BYr F. /
~.
24 hour notice for all inspections (952) 447.9850, fax (951) 4474145
OCT.31'2DD1 DB:4B 651 633 BBB4
FIRESIDE CORNER
#4106 P.OOB/OOB
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
l. 1'1.... Fila
~. Gnlon CII)I
" YoIJ6w Appl;"1Il1
I ~NtfiT NO. 01-11 o-tl
CPI~ type or orint and siRn, at bottom)
ADDRESS ~,
~,3 ~fr4' '7Ao~
ZONING (Clt'lir:e l.I_e)
QI
LEGAL DESCRlr. llON (office use only)
r..OT,8 \ aLaCK 23 ADDITION
. r
I , I . IJrf/
lA./ I ).kJ.X/) ~ D .
PID":l5" ~ 3t~- b1S-(.)
OWNER
(Nll.me)
(Address)
!JiJi;1!-~4LU ~.
(phone)
APPUCANT
(Name) AI..LIED FIRESIDE DBA FIRESIDE CORNER
(phone) 651-633-2561
(Addrf:5s)....lliO N. E'AIRVI.UJl.VENI.1~
(Acl~)
(C P ) BRENDA HUSTON /J
ontact erson ./ ./
~h"f1e.
~Q.S.IDlTT.T f'1 MN'
(CiJ:Y)
(phone) 651-633-2561
'iJ::l'~
(Zip Code)
APPJ..ICANT SIGNATURE
i:/,~
DATE
J[JldJ /01
;
"
APPLICANT PJ."EASE COMPLETE BELOW
'"\
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL 'rEM TlONS
FURNACE MAKE AND MODEL FUEL
RUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HP..ATING OR POWER PLANT
DWatm Air Plants
OGrav;r:y
o Mcehlltllclll
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL ~ fJ G Co
B Stearn
HotWatl:ir
o Ra4illl1on
o Special Devlccs
o Other DevicCll
t,crn ~
PLEASE NOTE:
Air Condition,er Units
Cannot EncroilCh into
Required Side Yard
Setbacks
lndusuial. Commercial It. Multl.Fltmily
FEE SCHEDULE
J% "fjob cost Residential, Gus Fj~llIcc
539.50 minimum
$99.50 Residential, Additions &. Alb::radons
S64.S0 Residential, AC Only
$39.50
$39.50
539.50
Rtsic!en}ial, Heating &. Ale (New Construct.ion)
R.esidential, Heu.ting Only (New Constnll::ti"n)
Estimated Cost $
Building Permit #.
HEA TINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
r-
4 elJll..~1'D 11-1"1-
I.A.r':\ /! l.l
ll!~ P .
l....
(OfJit.c IJse Only)
This AppliclItjon Becomes Your Bulldln2 Pernalt When Approved
Paid
Receipt No.
Dlllldlng Omdl\1
Dille
Date "J C' I
/O~JJ- j
BY~
l./
14 hour notice ror Qlllnspectionll (95%) 447.9850, rill: (9!2) 447..4U5
10/11/01 THU 08:50 FAX 6128902753
STOCKER EXCAVATING
I4J 001
Date Rec'd
ell", OF PRIOR LAKE
SEWER AND WATER PERMIT
lOr.... file PERMIT NO
1 Yellow Ci.y . 0 1-112 9
). Cold Applic:an.
(J:'lease type: or print and siJll1 a.[ boL1.Om)
ADDRESS ZONING (oltir;e use)
2913 Bocat Trail ;Q \
{{ )
LEGAL DESCRIPTION (office use only)
LOT 21 BLOCK 3 ADDITION
The Wilds South
PI~~ ZJ-?f?~-(J 75 -().
OWNER
(Name)
Mittelstaedt BroLhers
__... u""-,_.,..,.._...~,,,.._
,~_ (phone)
651/552-1771
(Address) __..?~?? 96th Street East.
(Address)
Inver Grove Hel~h~~~ MN 55077
(City)
(Zip Code)
APPLICANT
(Name) Stoc.k~r E'X:C'av...H~- - T-w:;-
(Phone)
Q...,~1
(Addn:ss) 8247 W. 125Lh SL.. Savage.. MN 55378
(Address)
Curt ~/J
(Contact Person) _..._w-- n~ ~. , ,.' .--
APPLICANT SIGNATURE ~ ~ ".
..... fVv
APPLICANT PLEASE COMPLETE BELOW
(City)
(Zip Code)
(PhClnc)
same
,_..... DATE
Size of water service 1 inches.
Location of any couplings from structure '!!-'!?JI..!L feet.
Type of sewer pipe. 0 ABC :@ pVe 0 Cast Iron
Estimated length of sewer line 60 feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l &:. Multi-family
Water connection only
I % of job cost witb a $39_50 minimum
$17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMiT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
-
Building Official
~~~(\
~O ~~
Paid (- ~~G Receipt No.
Date ~/ B.fUJ
10-\1-01 r
2.4 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date
(Office Use Only)
This Application Becomes Your Buildiog Permit When Approved
Thf {'fnl.. of Ihf tab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'/IIIIEI_S-rf\ED-I.
q - 21 - (~, I
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z-q 13 F))c'I,~u\l I r:) i1 I L-
. _ f-i\
Accepted
v
Accepted With Corrections
Denied -,.
Reviewed By: ~~~C"~
Date:
? /:;2. 71"'" &;J (
Comments: -
Mt- k ~ L t-/J:r- ~A_~ 0)fc!~vtt-.-
lli ~ . ~ ~ c{-~v "L,j
~ ~{~ /~!
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
The Crn'f'r of Ihf tlkr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
M', 15LSrA5D f
Q-2/-01
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2-1/3 BOBCAI '~l L--
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
"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."
~h~e - - t~alg
Canary - Engineering
Pink - Planning
The Cf'Dler of the Like ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fvIITfF-J STAED (
Q-2/-0/
,
r /
<....'.. ('(~" J' K
The Building, Engineering, and Planning Departments have reviewed the building permit
appHcation for construction actjyity which is proposed at:
, 2-113 p)O~CJ-\ I . I f2A I ~
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
4/J4/3
Date:
/O-S-ol
Comments: See Reverse Side for Additional Information!
f'<4r fr-pul-y Jr'r\-(", /~ toF d~'.,. G,,"'/( o~ Pn;pv1-y
l,'~{
x
~,,--
~/>~:::;.. '~~: .
--"">~
See 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."
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS ~ ~l,..tr'''.
NATURE OF WORK ,tV-E.u.)
USE OF BUILDING SFf'\
PERMIT NO. (1/~-Z.q DATE ISSUED '1-.'J8 -01
CONTRACTOR Ik\-\.~\ ~ r ~> . PHONE (jS/-bS~:- 177/
. ~ .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR . r 'lATE
I FOOTING I <""l'$ \J I.Ahf I 10/ ,,/ 0,
I FOUNDATION (Prior to Backfill) I 1S\) '((;\8-4' I i~~ JD~<<
PLACE NO CONCRETE UNTIL ABOylE HAS BEEN SIGNEb .
ROUGH - INS
't.~M 101 {,( ~I
~ \ )/.t.u.. t ,_ ! :J-~! o~
~ 'J~ ( ~, );J..~'
'R ~' tl' "J..l~Of
is \~ .t ~ Of
~ , ~ III . ~ ()r
SEWER I WATER I SEPTIC
FRAMING LL-- t~ \C~
INSULATION I.l
ELECTRICAL
PLUMBING 1<\
HEATING (if required) II'
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COYER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINAL~
~.
\ - \8 ~2...
:&v t L\ o'd-
ft>1). l - \!> ~"l..-
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, c~rd sh1i'U be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
-'
SCHEDULED 1/1 ~Io 2- 11/:3 0
~Tic,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
30d- 7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
01 - / /.,;) '1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
o SITE INSPECTION )( MECH FINAL
COMMENTS: /?/12t:-L,
I. F.'Vlcl 0-.\-~ -..pA~"-'-" ~.l-l'.:::ll/\ b'f P \- bMj, ,"'('.411. "'j
~J. OcJ \ ~)c..:h 9!;)-;A - L/l./'Z-qf) SO
~. ~~ ...l--'I'~J:'- p.or~~ Pb
S. ~0.Q.r\()r- a~C.~ b;. cJ--.- ~'XJt~n_ -D1(u..Q
MA-'tC," 2'" tolJ ~ {2J;f'~~ L'IA..O
..:}.. ~ill1 t-et...vt ~(t~ ~
,
~r ~~{Q
o WORK SATISFACTORY, PROCEED
ARRECT ACTION AND PROCEED
X!OR~, RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL~ 44 · 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
BUHN~".LLE
Heating & Air Conditioning, L.L.C.
12481 Rhode Island Ave S, Savage, MN 55378. 952-894-0005
Ors1at Test Report for JoW '2 &' ( ')
Address ?-c; I S sot.7U~A. T ((. City ?r I' / &)q
Occupant b::ocl k !Iv.) -
Date of Install ) I.- - Zv -0 (
Type of HT. F/A \// HW Space HT Unit HT
Other
Le.. VI'" c 'I
Make
Model
Serial
Input
(;2003-7 ~-, ~
5 ~e:. I L 2 C, ~ "1 V
., S', toe:. 57\)1-1
Pilot Type HOT SURFACE IGNITOR
Pressure 5 .') CO2 &1-
Input CFH /')- 02 8~
Stack Temp g, CO (;)
Date Tested
Company
Technician
I - lie. . () "'1-
BURNSVILLE HEATING & AIR CONDITIONING
1/1(
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
L -:SO 2 7
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
COMMENTS: ("
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
::::>
(cJ""Ib{~ ( u-b
()
tYlAvV.)'~~ f/~<CX
D"TE TIME
~ IO/()-O
(J/ -//;)-5)
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
[] WORK SATISFACTORY, PROCEED
bORRECT ACT~ +0 PROCEED
o CORRECT 11 ~~~INSPECTION BEFORE COVERING
Inspector: t:-- P Owner/Contr:
CALL 447-9850 :OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
Ii~
ADDRESS
-;
30~ IJO/3CRT ~/L-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
i
( '\~z
l/
~
'Il::: '~
tJ/ - /Iz,q
,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
s~~
#WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ":DJK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: J!(jl q - 30'([L. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~7.0;)7 Bobc",+ id
OWNER CONTR. Iv" '+J If.. s1at <<1 ~
PHONE NO. PERMIT NO. rd - } I). $
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
@-ElUAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-XE)t1CRAD{SLLlNG
o ct...,.JJNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Gr~! - (tJ ~
-
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XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REIN
Inspector~
TION BEFORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl