HomeMy WebLinkAboutBldg Permit 05-0498
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S. 4-. oS-
I White File I PERMIT N
2. P;nk City O. 0 r_ 0 A.OIl
3 Yellow Applicant .::J - If'I V
(Please type or print and si~ at bottom)
ADDRESS aCfcr LJ - PreS e. r IJ ~
ZONING (office use)
(b L vd t
PLIO
LEGAL DESCRIPTION (office use only)
LOT 8 BLOCK
ADDITION P re.se.. r ve ai i heW I L ds
PID zs: 31/. 008. ()
OWNER
(N ame)
(Address)
We n S mil n h /-IO}11 e 6
tff1'6"- (lLttz t4 tJnve.
(Phone)
bS/-4ot -'1400
.J - .5- J;;' a..
E. fIq It YJ
v
,m;,
,
B~DER II
(Company Name) fNe.h61"1~n n nb/11eS
. '
(Contact Name) fh I (!. k He. IL 1'1 J4 J1
1~1'6- P LI'rZ Il fJ tJ II f:.; 0_ <t:. ~ Pr Y\
\I
TYPE OF WORK rJ( New Construction JXfDeck OPorch ORe-Roofing ORe-Siding
DAddition o Alteration OUtility Connection 0 Misc.
CODE: 'dLR.C. OLB.C.
Type of ~nstnlction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
(Phone)
(Phone)
"s /-- 'it'f., - 4lf bO
bl.2 -.3 (pq -7 {,~q
~fo'... "1 ~1.1-
(Address)
Ji4Lower Level Finish
,il Fireplace ;2
PROJECT COST IV ALUE $
(exduding land)
30'0, Oda
,
I hereby certify that I have lllrnished mformation on this application which is to the best of my knowledge true and correct. I also certify 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
;cial can rev e thi rm~or ~~' I hereby agree that the CIty official 0, a 45fjY enter upon the property to perform 3J~t(!!f) () 6
(/ Signature Contractor's License No. Date
3r~~ -=r ,.
I Permit Valuation I Park Support Fee # $ .JIf-O:::J.~
I Permit Fee $ ;t "7 13, SO 1 I SAC # $ /t'~ -
I Plan Check Fee $ ; 77'_ ?, I I Water Meter Size 5/8"; I"; $ .:fOa. ......
I State Surcharge $ , I I Pressure Reducer $ 7S-: -
/90.-
I Penalty $ I Sewer/Water Connection Fee # $ /~ c.A-'. -
I Plumbing Permit Fee $ / t:JcP . ~ I Water Tower Fee # $ / oa:? CoOl
I Mechanical Permit Fee $ ...,.,v I Builder's Deposit $ ,/ ..s-zt'. .....
/00.
I Sewer & Water Permit Fee $ .....,s-v Other $
3..5.
I Gas Fireplace Permit Fee $ ~a eI'" TOTAL DUE $ / I, ~SO. 7fj
,
This Application Becomes Your Building Permit When Approved Paid /I?~ ,~O' -/ >f .......1 Receipt No. ir il t:, /' I
/#'~ SftJ~"s- Date z:; - ~/- 0-<\ I By 8- I
Buildilljl Ollicial Date
ThiS IS to certify that the request in the above applicatIon and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. This documer
when signed by the City Planner conSlllUles a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy mus'
L~ ~ pthlannl.'ng~DI.rector ~ f 'taSte {OS
~ ~ Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~ite - B~
Canary - Engineering
Pink - Planning
Tht' Crnfrr of rhf' t.kr Counlr}"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W~f'/Sr1/J;VN ~n6S
.5", 4-~. ()~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 9'14- ;:J /lb.Jf37UV 6 f1 t.,(/j:} .
Accepted
Accepted With Corrections %
Denied
Reviewed By:
Comments:
/#$~
Date:
s- ~ ..?~~ -
&~~,-
c~ C::;/;'901" y (
v ,/
g..q.;ke~r; ~ -At'" A~~,., '- 9-
iI' J ~
/0 ' A~,..k I..
v
C--c;: r~
e5Z e:;; Y'
~e>".-a
"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
~II~ _.: H.:iililililg:;::.
,'.;:p.r ern It, 01 thr t.k. ("oonlry
:-~-,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J j. l-.'
i v L~
I\' ,/ /1/// /V/ V
.5. 4-, C~
,//ty.-;t:. .::;~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 914-
,
Accepted J
/(C
./.: (/ E:
\._' ~
It.. ~ O.
Accepted With Corrections
Denied
Reviewed BC~ r'l\. ~
Comments:
Date: q';;)ott()~
'"
Air Conditioner and Other Mechanical
Units CAnnot ~neroach into hqYriPei!
Side Yard Setbacks
'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
-::e-d,"!~ - i::n~lneer,"o
Pink - Planmng
Tht' Ct'nlt'r or Iht' L.k" Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/.1 Ir'-J' \"' (-/. '1// /!...:) //\ "-;/1 ,t. /,,,>.tti/V""l' ,~;-~ e::
~/ y ._......-. ''',..,.' / /- I '..... 't... ,'" _ !_.......~
c 4- (~<f.-
.,_/. , ' /..:...-;,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~./ C-1-"t..'~J/'i..~ jj '7 .,t..~. ;-'-'-.7.' (/'.;::::" /..>? I 'L.".)
:_- / -,.- /' /:./!""-'-' t: ,t> '-" l ." c. t, ./.
Accepted ~
Accepted With Corrections
Denied
Reviewed By:
/JI)f}!S
Date: S- -;;l.{, -oS-
Comments: See Reverse Side for Additional Information!
See Attachments~ 1) Grading Plan, 2) Rrosion 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."
04/28/2005 THU 8:51 FAX 6513226147 GENZ-RYAN
I4l 003/005
CITY OF PRIOR LAKE
HEAJll~G/AIR CONDITIONlNGIFIREPLACE PERMIT
Date Rec'd
1. I'iok
2. Groen
). VeUo,"
...
~i~ I. PERMIT NO..- ~.
AppliCllll ~
ZONING (officeus~)
(Please me or print and si2n at bottom)
ADDRESS
~qq U r)r~rv~.
\"J \ \ / .j
,') V:(.'\,
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
Pill
OWNER t \ fei~~ilVV"\ y\ JJ. ,,^rC.
(Name) UV 1"j \ 'i I df\l \ T\D' y 'L-~,) (phone)
(Address) ] QC1'5 r~al[\- O.V. s-tc:(~a) f~lUA(lJ! 1v11\! 5t)f:-)~~-.
'j' .
APPLICANT {j,;M.-? JI} 1 4 ":13 '..L11-
(Name) [/lJJ/:'-- KJ)tlI1J (Phone) uPf/- 0" // r
(Address) /4716 cf fb1m;e} TJeI. ,RiJlI//)jlJZ/IfJ }/Y)//) ~~F
() , (Adqress) & ,- (City) (Zip Code)
(Contact Person) L'h JetJ f7 lq/(<S. (phone) f/57-4;;<'6.- 11~1-
APPLICANT SIGNATURE (~'A' 1;:jJJ ~ b'<J
r-
DATE
APPLICANT PLEASE COMPLJHJ!; BELOW.
~W CONSTRUCTION 0 REPLACEMENT 0 ).LTERA TIONS- '
FURNACE MAKE AND MODEL \ ex,\(\O'f... G-Ll:\t )~- Ll ~ C -. 110 FUEL (-'[V . O{/ S
FLUE SIZE RETIJRN OPENINGsl. \ INPUT I \ () , (J)) OUTPUT Uf?fli)
TYPE OF SYSTEM HEATING OR POWER pLANf
..B\vann Air Plants 0 Steam
DGravity 0 Hot Water
1:1 Mechanical 0 Radiation
~Air Conditioning 0 Special Devices
DVent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDlJLE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & NC (New Construction) $99.50 Residential, Additions &. Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39,50
$39,50
Estimated Cost $ Building Penn it #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
.sJ3UILDING PERMIT
COffict Use Only)
..lis Application Becomes Your Building Permit When Approved
~ --~ ~_.-- - "I~~-~~~ ~\
r.. ~aid ; . \ ii' \'~eceiPt No.
\ '. ;'
patMJN U~ ZOO5 1;1~).i3y
Building Official
Date
~.
24 hour notice for all inspections (952) 447-M50,f.xC'5.:U~~=_..::::j
FROM WENZEL PLUMBING & HEATING 651-452-0367
,-..-- ,/
(THU) 4, 28' 05 14: 45/81 14: 36/NO, 4860053483 P 2
,
4- .",a ~
0-"",,,,1' . f'C..ll
ytl.J..J:lw . A.""\JCAltT
COO'-D . CT.,
:"':.'1.--
- -. ~v
JI"~
C!,!,Y OF PRIOR LAKE
s c: ~-G R .!-..N D W 1>_ T ER ?!: :=?M! 1:
NO .5:4l1S
HOTE:
Sewe:::- and Water
contractors nust
be registered
with the city_
PHONE:~~-'i:9-r'J~
AP?LICANT: ~\ \~~
:~~~::~:,. ~~ 7p!1!;;~...;';~--
OAT::::
-:-:--r:
- ---- .
'? ":"''':> .,4 ";''''' ';
.. __"w .._ _ ":'
1-
2.
:::s~i!:\a-::e~ leng"th
=~LL IN THE 3L~~~S
3"0
f::et-.
Size of water service
of wa~er se~ice
I
i nc;" ( es). ., cv\
from s~~uc~ure VlJ/~
pVC b( Cas~ t Iron
feet.
:3 .
Locatio:1 0 f any c"\~:91 ings
4.
Type o~ 5ewe~ pi?e.
}..;:! S
5.
:::sti~ated length of sewer line ~CJ
6.
Clean out
s~=:..lc~'...l::-e.
( . .c
1...
requirec) ,
locat~c.
fee':. JJIL
at .brfest
f:::-cm
==~=~====:=.=~==~========~~~==~===~===~~~====~==~~~=~=~~~~=e~~~===
'I'r.:.s a::;pl iC2t:.ion becomes :(O~= pe:-mit: ',.;hen d?prOVec..
B'!
OAT=::
~~~~=~====~===~=~==~~=======~:====~==~~==~===~~===~===~~~=~=~~===~
:F::~S:
s
s
s
35.00
.50
35.50
Sewer and wate~ line connection pe=mit.
surcharge
TOT .;,r..
* ?~e fc~ ei~hc~ s~wc~ c= wate~ i~eivieua~ly ~s $20.00 p~us
S .50 su=Charqe.
..
S~~e~ enc ~ate~ pe~its issuec :0:: new constrJc~ion must be
=e(:o::::.eG on,_theb.u,~.g}"iiig pe!i'i'lit ca=::: at t.~e time of ~SSU2:1C=
~:J i=-:~lF7\'n~ ~;;,~t i.!"\p?l \~L;";M 1 ~ca ~e 5e'.;e:: a~d ',,;a t~!:" pe:.-:n ~s a:::-",
l.ss"J.e-=:~:,!!:--~~~' I ,--' -- \'J
,'" i, '\
I '
D.~_:-=: :;.~.::> .IIi JUN 0'.2 2005 ~,,:,j.i
, '. i,: :'~ :" ; ". .,'
.,",: ,....,
!
_I.
,"_.~'-:"~J
r1'::~O(j;;':' BUI~~~UW~MII
R:::C: / 0 a'!
I"
R=::::I?': ...
--
'- -.. .. .
'~:"""~;~-;',"<..:~~~: \:::
F~QM~~NZ~L P1YM~lNO & HEATING 651-452-0367
(THU) 4, 28' 05 14: 45/ST. 14: 36/NO, 4860053483 P 1
Ll.l "i OF PRIOR LAKE PLUMBING PERMIT
Date Rec'cI
_ 4-.U_o6
;.~~ ~:~ 1.r~KMlll'ljO~.~..
J, y.,.... ""li."" g . ---r-,"
Q'leatt' me or ,tint IIDd 1~ ar boftOm~
ADDRESS
ZONING (oIb Ide)
d299i ?1P-€~E)fV.E .8LvO
LEGA.L DESCRIPTION (oMa lllle only)
AD DmON
PID
LOT BLOCK
~~R ~ letf'0ffiOJ1\ \\ ~ ome.9::, (Phone) &Sj-LfDb -'/li~O
(Ad_.) .lg~S~Q:z.P-- k. ~\~oQ.DO ~Y\ JlA", ~JZZ
~;~~~ANTfJ~€.\ ~\~~ ~ \\\~~~. (Phone) gj-Ifs)-/sbS
(Addr~s) 17JD '1\~~~ \~. . ~~, ~/:21
~. (A~) ..::> (City) (Zip Codc~
==GN~~~-.._ __.__ (Phg~)D;:i-~-J5bS
~LICANT I'L~~;~~~~j ~~ELO~
Type or jixnare Q1aIlUtity
Bath Tub with or without shower .. .
Dishw1t5her I
. FlooW'. prailJ
Lavai~ (Bathroom Sink)
LalMdry Tray (1 or 2 compartment sink-
Shower Stall
Sinks
Bar Sink
WatJ!:r Closet (Toilet)
QUadrity
,
/
I
-.4
I :A.
-,
L. .""3
Type of Fixtli...
J
Rough-ins
Wam H~
W.uer solnq
Stand Pip,:-(Washing Machine)
S~Ej~
l Backflow Assembly
I Bac.ld1ow Assembly Test
Lawn Sprinkler
Other
FEE SCHtDULE
Industrilll. Commerchd Ii Multi.family 10/. of job COj! ....ith I $39..50 minimum
R.esidential. New One: & Two-Family $99.50
RdidenliaJ. Additions It. AI!!11tions SJ9.S0
Estimllted Cost S
Building Permit It
PLUMBING PERMlTFEE .$
51 ATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
-'LDING PERMIT
(Office UtI: O"~J . . ~,'n, ,-,' r-' 1 . .
, ',. .' ..,' .'. ~i} ho\~.. \ll)~i~i flJ"I ~11 i\l)P:~~tiD"llJ {~1y~..'7.w,??:,~;~(~~~L~~~I~~.==j
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; :ir::n ~~~y I PERMIT NO.O&- AIIIDfI!J.
3. Yellow Applicant ..,. ~71{;i1
(Please type or 1Jrlnt and si~ at bottom)
ADDRESS ZONING (office use)
2994 PRESERVE BLVD
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
BRfNI)A HUSTON
DATE
7/20/ 05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
D Hot Water
D Radiation
o Special Devices
D Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
HEAT N GLO 6000TR-OAK X 2
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (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 WrrHERM\,.
'iju\LO\NG P
(Office Use Only)
Buildine Official
Date
)J~
: lilfa~Ul 2 1 2005
This Application Becomes Your Building Permit When Approved
ir: '1
I i~ ! I
,_c I,
I \ Receipt No.
i i
ii By
u
1...-.-/
UL\
24 hour notice for all inspections (952) 447- )850, fax (952) 447-4245
By ___ _ _-:...:-_____
PRIOR LAKE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~ 'P??. -LJl'te .s1:,VC Ill",'; ..
NATURE OF WORK ~' C~..~.., ~ ~.c.. A;..w..,\
USE OF BUILDING ..s ~,I{J
PERMIT NO. 05 04-Llg . pATE ISSUED
CONTRACTOR IC-I.,~~..., ,....." PHONE ~~. ~"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL J
,1 i fj .1.Nr~,/c..
PLUMBING v. ~ v'C"'L1~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
, DATE
l;k
,.,
FOUNDATION (Prior to Backfill) I {J/ ~ ~ I'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
tY;
flfj
~b
tv (., I
rJ ;SPECTOR
FOOTING
o
1;-<-
8'~~~5
tltf ),?
fl
~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
... , J '"
'~rt -f ~S~ (Pr~pl lL4fl:YfIIf1p'jOs-"1
FINALS
A/, /II./~~.r
f1/~
GRADING (Prior to S9d~ing)
BUILD,ING 1'1 eMf/ O-:'{-&1<;
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
z- 2"'I-u ~
t7f /c-c" ~
l/V'f:;
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 hear main entrance.
.
FOR ALL INSPECTIONS (952) 447-9850
QIrrtifiratr nf (IDrrupanrll
CITY OF PRIOR LAKE
~rparfmruf of IMuil~iug JIusprrfiou
,~Final Permitted
o Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
Building Code certifying that at the time of issuance 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 05-0498
Use Classification
Bldg. Permit No.
R3
VN
Zoning District
~UB
Occupancy Type
Type Construction
L8, Bl, PRESERVE AT THE WILDS
Legal Description
Owner of Building
WENSMANN HOMESftI 1895 PLAZA DRIVE, EAGAN, MN 55122
Contractor's Name & Address /' / / I
ROBERT D. HUTCHINS if I) ,
! I Building Official \ v
Date: "7 -?( j (/J Date:
- f - I I C - POST IN CONSPICUOUS PLACE
Site Address
2994 PRESERVE BOULEVARD
City Planner
JANE KANSIER
~'~!lI!L'!llf'L
J.l.. ~ 'f. '~J:'.d '~Ms:_:,_,__.____ ~~~. ,
'j.:':~~:_!!l!r:.L ,._~ItlI_____"
,J,L:~, ...dI'
.4.....
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Zr9Q
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
C I ,,~_ ~
SCHEDULED
~~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
f\.
J. I (J
_ r~1 TIME
~"
'T'f [0
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~G~I~E AIR T~T
.>>ORK SATISFACTORY, PROCEED
o CO~ACTION AND PROCEED '
o COrJ....Ey i7RK. CALL FOR REINSPECTION BEFORE COVERING
InspeCCr I J Owner/Contr:
CXLL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOT/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
A~ql/ ~/VC
OWNER
CONTR.
PHONE NO.
PERMIT NO.
j1 PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
p- PLUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
J! FINAL
o SITE INSPECTION
COMMENTS:
fj <; c C{ / I/A..,. Lv.
(j;) Y~VlA~ P71?~/?5
rn -h ~ / "U...2U: ~[1I'" /~
~ r::;- ..-1 f.( / I-r-,/Ci ,1,..
(5) S:-O.J -i- 1>-(--r ~
T --e~ (/r/7 f,'/
DATE TIME
lo-(c)~oS"
[)~
,.-
5 -4q~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
..
1"1,,,,
-") /. -u fI-....
/2--I-d\
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT Wo;;K~ ~ FOR REINSPECTION BEFORE COVERING
Inspector: /lI/T Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
j() ""/'-1-01
ADDRESS
;A971 Ircserllt 81111
CONTR. W'('/1~ ~f
PERMIT NO. K "4--'ia
OWNER
PHONE NO.
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
~'~I",.JldLLING
o C~NT-
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMME~TS:
Grc,th - ol(
CtJ<1, B~-I)K
~WORK SATISFACTORY, PROCEED
, 0 \ORRECT 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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
2' 'j '-I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
p~NN)_
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
...O.)>EWER HOOKUP
~LUMBING FINAL
o MECH FINAL
J I ~ lfIt\Q/~ eel) ~ () ~
...
J. t (\',~lJ ~~~ MT{ l
3. (~\0P. C-\Pa.cA- ~,~
DATE TIME
/~
>-'{7~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
LILll]-18i~
i
j
,
I
I
i
J
o WORK SATISFACTORY, PROCEED
~ORRE~CTION AND PROCEED
o CORR T ~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector:\ , ) Owner/Contr:
v ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI