HomeMy WebLinkAboutBldg Permit 05-0508
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
- O~
b, 10. :::>
I. White File I PERMIT NO
2. Pink City . 05.050 p,
3 Yellow Applicant U
(Please type or print and si~ at bottom)
ADDRESS
;lq hiP - ~ ye.5e r ve..
ZONING (office use)
8 L vd ~
Nt W(
PUD
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK I
ADDITION
Prese rue
fit the.
WILds
PID 25. 3/1. 007. 0
OWNER
(N ame)
We..ns ()111-n J1 Hb/)1eS
18'16'- p L,4 z 11 /J r "Vl:-
(Phone)
(PS/- Lfo & - 44D()
6' G' J.;lJ,
(Address)
E. /19 fin
/hn
BUliDER H
(Company Name) WenS/nlln n OlJ1es
(Contact Name) fh I d K He lLfrlY-rn
(Address) I 'DC( b- P Lfi z.. A tJ r 11ft:-
(Phone)
(Phone)
105/-4D ~ -'life€)
(olJ.- 3f4?- 7ba~
(flqlln
v
TYPE OF WORK MNew Construction ~eck OPorch ORe-Roofing
t]Addition o Alteration OUtility Connection 0 Misc.
ORe-Siding ~Lower Level Finish
Itl Fireplace...2
CODE: MI.R.C. DI.B.c.
Type of onstroction: I II III IV V A B
Occupancy Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $
(excluding land)
3 ~OJ (JOt)
I hereby cenity that I have filrnished information on this application which is to the best of my knowledge true and correct. I also cenity that I am the owner or authonzed 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
:ficial ~A:r Ju~e, I hereby agree that the city official ola lj.~BY enter upon the property to perform ne;;; ioJ~7;-
V SignatUre Contractor's License No. Date
Permit Valuation 3~oo.t)~ I Park Support Fee # $~8~'- I
Permit Fee $ 2. 31.5'0 I SAC # $ I, 'i Sf). c.lCL
Plan Check Fee $ /. 77Ct,.1 tJ I I Water Meter Size 5/8"0; $ 30~ .00
State Surcharge $ I '-D.OC> I I Pressure Reducer $ 7~.oO I
Penalty $ - I I Sewer/Water Connection Fee # $
I! '5 DO ,~
Plumbing Permit Fee $ lao.OO I I Water Tower Fee # $ f. OOC>. D t)
Mechanical Permit Fee $ lo~O I I Builder's Deposit $ I~S~ I
Sewer & Water Permit Fee $ 36sQ I Other $ I
Gas Fireplace Permit Fee $ ~Oh) I TOTAL DUE $ II, b51J. 7~
J ~,,)O-?'
es Your Building Permit When Approved Paid Receipt No. II 5..::'1 "l t, I
sj.1~17 Date I /4-'7-. By c: I
cr
ThIS IS to certity that the request 10 the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when Signed by the City Planner consl1tutes a temporary Cerl1ficate of Zon1Og compliance and allows constructlOn to commence Before occupancy, a Cel t.fieale of Occupancy must be
(:::J;;;)rl'1, "" ~.;","'n:;;;' . d]Dore '"2.S / O~ 5",i,1 """di"oo., if my
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Tht ("f'nlrr of Ihf' I..kt Country
~,!ite - Buildiiib
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WFNSMI7NAI )-/01'165
5. /0,05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Zq(p~ f?IU?S67BVb BLVD. N'tV
Accepted
Accepted With Corrections )<
Denied) () Ie .i
Reviewed BY:~
Comments:
~~ IL~ ~c)~
Date: 5i7!o~
/ I
"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."
4
"
White - Building
Canary - I;naineering
(Pink _ - P~annin9":::>
The C'rnler of the Like Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t IF h/ :"j' /rl/\/J'-/ Il()/~6::
r /./' (c-
.-I . l/ . ../,J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
21((' (r teSt I~-.L/E- DfLI/U. NiV
:'t
Accepted
/'
Accepted With Corrections
"O!!':
Denied
Reviewed By:
~~
Date:
ra/, /(J~
f '
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."
Tht' ('rntt'r of tht' t.kt' ('ountry
White - Building
(' t;ana"-Y - FQgII)Urmd")
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
li ,/ ..- ,i i c-- I'J,," ; /,'1, ,/" /'
t, ,..,. 1--' Ii! -, . "I rJl i v I ,J
V ~,.' ~,. '..I .'_.... I
/-ltl7'6-S
.- , C., .,.--.
~:.) / ) I J. t. ';
.....,.".. I .. c.--....~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~..., /'~ It' ,
./ Ct. ,-' l.^
L-,., _,or' ."t'"'
, , ,-' "-" ~.....---
/./p;;r /:.:::. t';..::' "/' !.~>.f /(,.;..-
~ t C.-'-t......',.,.,; L" ---- v ~--""
,::' I i .//.).,
,-",..' ,,- V' L .
. I
/V(lV
Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
IJ1?6
Date:
G-I-OS-
Comments: See Reverse Side for Additional Information!
See Attachments= 1) Grading Plan, 2) Erosion Control Measures ,
"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."
"".,.".-....,tI'
FROM WENZEL PLUMBING & HEAT[NG 651-452-0367
(WED) 7, 27' 05 8: 27/SI 8: 26/NO, 4860053547 P 2
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,~,'_".:".L.II~.....;.r.<Ii..I~.:.,.I;,..I'\.~,.." .'l''';.,,~ ",:.,,, .IJ,..~.~,j...~ ~:~j.II.."._''''I.II,,~,,''.I_.. ~........ ~~, ""
C!':!:'y OF ?9.IOR LAKE . NS-S-O'
S Z\'(""EP. .a...HD W.1'-TEP ?S:::<..P.:IT
NOT E :
Sewe::- and Ha'ti2:!:"
contractcrs must..
be regis't.ered
with the City.
AP?LICAN'!' , W€li\>+'\ ~~
~~~~~~~~_,d. ~t~~." /~
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/?~VL>
PEONE :tJs)-'-I9~ 1 ~
DATE: 7h7/cO~
=:':G.
?=::?.:~:::':' ~
Y:LL IN
Tii~
:; r......:.....'TKS
30
feet.'.
l.
2.
~St.i~2~:C len~7-h
of '''''a''\:er se:!:""'l'ice
Siz~ of wa~er se~~ice
/ inc~(es). ~I ~
' from s",=-~":..lc"=-u::-e v..J1'A
PVC b( C2.st: I Iron
,3t>
feet.
3 .
Lccatio~ of any co~?lin~s
4.
~ype of sewe::- pipe.
A3S
3.
:=:5-='.!..:ila~ed leng~h
sew"e!:'"
of
line
fee~ ~ IV'.L
at ~feet
frem
6.
C!.!2an
( if
re~irec.) ,
out
loca':.ec
S~=:.1C~'..l:=~ .
======-::::::'.a..... :.3'-'=4::' ~:'-"'l.::e: '=, a ~"======~:.-.;;...:..:. :.::.=====-====-==== ___======::::::::::::.====-=====-======
T!:.:..s a;::::; 1 ica tic n becomes :.:O~= perm:' t: ';Jl':.en a?~~oved.
5':
OAT=::
========~===~~~======~==~~~;:=~=~=~====~==~~~=~=~===~=~====;==~=;=~
=-:::=:s:
s
s
s
35.00
.50
35.50
Sewer and wa~e~ line connection ge~mit.
Su::-charge
T.OT_~L
."
:se :0= e~the= $a~e~ c= w~te=
~s
$20.00
:?l'..lS
i::civic.'...l2.2.ly
s .:: 0 S'..l :-.:::.a :!:";e .
S .: ''; e :- a r1 C ''': a "C. =:- p e :-::1 i t. s 1., S S '1 e C :: c =-- n p '..I (': '"' n s t 't'".l c: t: i 0 " m u s t: h ~
:- '= c ::;) :- =- e -i c nth e b u ..:. 1 d. i "s p e :-en i '\: ca :- =. a t 't h e t i;n e 0 f i s S \.l a :: c e
I~S:~~~=8 t,,~ t nc c'-,~l '~a te se".e= ac.d.~;;/~() ~e =-:oi. ':5 . ="
C:~.':'::: ?~.:J :\~~Q(;N'=' ?~ID ~G ^ ~
'~~
~~
*
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RZC'D
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.:1_
FROM WENZEL PLUMBING & HEATING 651-452-0367
(WED)..7. 27'.~5_,.8 :)Q,LST. 8: 26/NO. 4860053547 P 1
"C,I..........J
OTY OF PRlOR LAKE PLUMBING PERJ\...tll
Date Rec'd
~.(plt'1Ue ~ or :crixlr Itld Jign U bottoml
ADDRESS "7a J J
a ,01:7 ?/i'U'tL'I/E
1 11101. rilr
I. c;,,1~ C'lT
>. T.lboot "PI'III:""
5-5~
PERMIT NO.
8t.l/O
ZONING 1mb \Uel
LEGA.L DESCRIPTION ComO! UU! only)
LOT BLOCK
~~ },.\eJI\Sm~~ t.9lY\~ . (Phone) tsJ...1fDb-1L!DO
(Add=). J$t5"'f> o.~ k. ~\~~D ~'" ,1Jq", ~J~Q..
'~~~fANTW~€.\ ~\~~ ~ \\\~~. (phone) tf&-f9-/srdS
(Adtlress) /7JD '1\\'tiCt~ \~. ~ 'MM. 5:::,/;;2./
~ (A~) ~ (Ciry) (Zip Coo;l.-
(Contact Person) \Teel ~~~_ ~. (]'bone) c;S/-1s;l.. -1565
AYPLlCANTSIGNATURE #~ DATB 7a7/t'5
- ~LICANT ;~EASE COMP~.l L ~ELOW
I Type of Fixture I Quntity
Bath Tub with or without shower I .
Dishw~f1er I I
I PlooF. Pnu~ I
I Lavatory (Bathroom Sink) I
I Laundry Tray (I or 2 compartm~nt sink I
I Shower StaJl" I
I Sinks ,j
I Bar Sink I
I Water Closet (Toilet) I
Quantity
I
~
I
J{
I
~
I
,~
ADDITION
P1D
Type of Fixtltn!l
,
Rough-ins
I Water H~a.ter
J WaterSo~er
I Stattd Pipe (Washing Machine)
I Se-wage Ej~.Au',
I Backflow Assem~ly
I Badd10w Assembly Test
j Lawn S-pTinkler
I Other
FEE S.....,ru.u ULE
(nduSlrilll. Commerc'ul &: Multi-family I % of job co~t with a $39,50 minimum Residential. New One & Two-Family $99.50
Re"idential. Additions &. Altenuon~ $J9.50
Estimflted Cost S
PLUMBING PERlvnr FEE
ST A TE SURCHARGE
TOTAL P~T FEE
Building Permit 11
S
$
$
(Orne. U,e Dilly)
CiTb!iJ .~,~F.!~f~!i~~~gf.iJ;~:~~~r,~~n9.i~~,f,~r:m'tt _ ~~c;<~~kp.p~!~,,;'
:,;:~[;,~"'~.. "<,.?,ii~:!~~:0,~:::t!~;!:fjrt~~~:?{;~f~C:;~.:'i: ';-7 :';'~",:':.,~:r-' .... :. .'.:!~~:i~::;~~~~~2~!"iY~1~:>
'.,. ~u,iii~'bt'rt~:~f';' 'thl~' ':;'"
...- " . ".'
',' .' .'
~~ h.....'\-,~ t:..".,.~.,.... f,.". 1.Jl\ ~\.,\....._,..~,.;~.. (l.'l~..,\. I,,-:"~ :."::c::':-. i....~. ..,"'Ie..,.... ,J"':"- ,j'1..!,."':
---
08/11/2005 THU 14:47 FAX 952 767 1900 GENZ-RYAN
III 002/004
Date Rec'd
~' ~ A~pp1:~I'-' I PERMIT NO. Os.. 05V81
3, Yellow _~
(Pleaae type or Print and sl.l!3\ at bottom)
ADDRESS
/)Cj ( dt P rese ( Vt
;/")! i
F'"1 I 1.1 f'f
'-...- I'V\..-'
ZONING (oJfice
use)
LEGAL DESCRIPTION (office Wle only)
Lar BLOCK
ADDITION
PID
~~~R \ \ Jev"\s\f\{\ (i, {II'! \~unf)::;
(phone) lt51- (.)015- 370S
(Address) \ gq5 PiO:lGL- Dv, S~\c'?DO
12-:"/; Ii, n ,,') l\,:~\ 1\1
.--lA1.J1 (;\) I 1\.
"/
55/ J:;'
APPLICANT r 1'\
(Name) l::rCVYL - i '~J) (1 Yl
)
(Phone) qF)~ -7 if7 - /000
(Address)fA:JOJ 00. ~h0l)113 Bw'n~v) lie
) (Address)q...........,.- (City) (Zip Code)
(Contact Person) ~~ ll~'\ p~PJ'\V II f./ '. (phone) CI'5.:)'-7~O 7-1 cqJ _
APPLICANrSIGNATUR~'17<i.'l:v1../ R P/'7.Lfii} DATE:1 II I /C~
f APPLICANT PLEASE COMPLETE BELOW
j9NEw CONSTRUCTION 0 REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL I PJ',\nDx.. (~{=su F- LI R (1 .- 1\ C FUEL r',{(;l . ~ {tS
FLUE SIZE RETURN OPENINGS 10 INPUT I (0 eLL; OUTPUT ((:;(i::{)\)
TYPE OF SYSTEM HEATING OR POWER PLANT
A:Jwarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
OVent System 0 Other Devices
Cj53 '7;;'7
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penn it #
$
$
$
.50 PAID WITH
" B~JrDING PERMIT
\\ 1"1.
. ; 1\ Receipt No.
rAt~r, 2 4 ZUUJ U IBY
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin~ OClicial
Date
,
I
24 hDur notice for all inspectiDns (952) 44"985~'.flI~ (95J!~~7-42.1~_, ., \
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~!;y I PERMITNOC-~C--
Apphcant ~ .:::ii' '-"q
(Please type or print and si~ at bottom)
ADDRESS
2966 PRESERVE BLVD
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
8/25/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
REA TN GLO 6000TR-OAK & HEA TILA TOR GDST
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAlO WITH
RYttOlNG PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
ReCe)ro,
By V \J
Date
BuUdine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTME-NT OF
BUILDk"G AND INSPECTION
SITE ADDRESS -& ~Q.prvp 61uci.~
NATURE OF WORK ---1J~~ _
USE OF BUILDING S F"D .
PERMIT NO. os. os-or DAT ISNED ~/17ke:;-
CONTRACTOR w'~~.,~,,- Mit:- PHONE-1,/2 - ?kJ -7..tzb1
NOTE: THIS IS NOT A PERMIT FOR AN F HE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN;;;;; ~ATE /
FOOTING /" rv'l' b./Ys/cJ-s-
FOUNDATION (Prior to Backfill) I 1/1 ,1/ I 1:. t ~~
PLACE NO CONCRETE UNTIL ABbvE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC @ ~"
FRAMING 1/ ~
INSULATION /#.>
ELECTRICAL
PLUMBING lJir, f/VyJ 1~J-~ m
HEATING (if required) VJtCI
FIREPLACE /\
GAS LINE AIR TEST /1 fJ 111ft) I a<'
... " r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS ~ ~~
/V fl' 10_ z.r. o.r-
~ lh ~ } 'b~ if).b
\l / t v
~~bSvtJ:1
tS-2.?....~
~'I/
~.t--~-a)
GRADING (Prior to Sodding)
BUIL~ING' ~ -k.. ~.'-c:><
ELECTRICAL
PLUMBING
HEATING
DO NOT
fli /1 itS
. a /
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
.___.""".iil.~_,,_.__..!..-..-d', "ilil,' , ~~ ,: .';':Ll:_~__"_':___
'_~.~~,~' ~lI.~ _~~!l' _ ,'"_b-.
DATE TIME
CITY OF PRIOR LAKE ~'Z~~"
INSPECTION NOTICE SCHEDULED
ADDRESS 21 ~ f.t. p,.~
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - t;O G
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
ok
-1-0
ct~ ~ rip
~ WORK SATISFACTORY, PROCEED
o CORREC7PTAND PROCEED .
o CORREC WOR. LL FOR REINSPECTlON BEFORE COVERING
Inspector:. Owner/Contr:
CALL ~-9~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 2tj~ re ~~ 0&
OWNER CONTR.
PHONE NO. PERMIT NO. 5" - 5()Q
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~INAL o PLUMBING FINAL o GASLlNE AIR TST
13 SITE INSPECTION o MECH FINAL 0
COMMENTS:
(j'{-tt \0 !l~~cL~~\~ ~.. \~ ~.
p..3 ()~
2." QVJ Jl ~..\- )U -~ 1_) 4C.17-1~<t~
",. ~
, ,
.
Ie
3~{ -(J~
D~ SATISFACTORY, PROCEED
;.cl .CORREC CTION AND PROCEED .
;-,:'hOR CT. RK, CALL FOR REINSPECTION BEFORE COVERING
Inspe
Owner/Contr:
L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lItSNOTl
DATE TIME
CITY OF PRIOR LAKE II~
INSPECTION NOTICE SCHEDULED
ADDRESS ~~(PCt- ~~.~
OWNER CONTR.
PHONE NO. PERMIT NO. t;' - ""'~R
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~PLUMBING FINAL $"GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
l. ea>>. ~M T(J
v
"2. ~- 4 {l~
l../ "I 1 - Cf t. 'f B
o WORK SATISFACTORY, PROCEED
)(CORRECT ACTION AND PROCEED
o CORRECT nRK, CALL FOR REINSPECTION BEFORE COVERING
Inspector; 'if? Qwne</Comc .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
prOtNt!.. g/tl~
CONTR. W(~" 1-1~
()~-~O~
)(EXI~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
2f"
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(j/\A., - ~ t..
( -.JIb &{\,t r 0 K-
DATE TIME
lo.~
..,
~RK 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 & SAFETYI
INSNOT!