HomeMy WebLinkAboutBldg Permit 05-0499
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5. 4-. 05
(Please type or print and sign at bottom)
ADDRESS
~'1b6- Prese.r Ve....
White
Pink
Yellow
File
City
Applicant
PERMIT NO. 05, 04-91
{JLvd.
ZONING (office use)
AJo
LEGAL DESCRIPTION (office use only)
LOT I BLOCK I ADDITION Pre.. s e rife. 1ft- the tv IL 0..5 PID 2-';-. 311.0 () I. 0
OWNER
(Name)
WenSf)1t}nn Homes
I ~'16"' - P L H z ft (J n u e- .
(Phone)
','il-LJ{) L,- 4400
(Address)
E,4~ftn
Ihn
55/.J,,"^
BUILDER
(Company Name) tv enS Ih A Y) ,.., /-1- 0 In e. S
(Contact Name) {Y) t ~ I<\' He.' L m 1J- n
(Address) J f? '15'- fJ L fl- Z fJ {J r i IJ e
(Phone) (P5f-4Db-l.f400
(Phone) ~/;' -3"9- 7(P~q
t./lGJpn
.
TYPE OF WORK M New Construction I11Deck OPorch ORe-Roofing
'OAddition o Alteration DUtility Connection 0 Misc.
CODE: ~R.C. DI.B.c.
Type of Construction: I
Occupancy Group: A B E
Division:
ORe-Siding OLower Level Finish g'Fireplace I
II
F
1
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$ 305', dbo
I hereby certify that I have li.1mished 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-menl1oned 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 thatlhe buildmg
:ficial can rev e this p;q::: for Tf~ hereby agree that the CIty official or 1 d;:;gf/1?y enter upon the property to perform need'ti7~0; / 06-
V Signature Contractor's License No. Date
/.
I Permit Valuation 3t:J~ooo.. CIIJ1 I Park Support Fee # $ ~O~lJ-o
I Permit Fee $ ~/3, ..)~O I SAC # $ /~5~. -
Plan Check Fee $ /YtI''j( ~d' I I Water Meter Size 5/8"; 1"; $ -3 (!)O . -
State Surcharge $ , I I Pressure Reducer $ 7.s: -.J
/ S~. .fT)
I Penalty $ I I Sewer/Water Connection Fee # $ /..s-t:'o. &.I
I Plumbing Permit Fee $ /~.. ~ I I Water Tower Fee # $ ,/ t::Ja;lO. --
Mechanical Permit Fee $ /~. c.- I I Builder's Deposit $ / S"O". -I
Sewer & Water Permit Fee $ - ..{'o I I Other I $ I
55.
Gas Fireplace Permit Fee $ 1" t!) . - I I TOTAL DUE I $/~ 870.7111
I Paid II), fj//o. /y -~
This Application Becomes Your Building Permit When Approved Receipt No. L.(>J/t:, '1
~~ ffiJ/a.s- I Date " ';:::;--::J.J_~ By C)
G/ V'
~ "'
Building Ollicinl . DaTe
ThIS IS to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document I
ed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows constructio Before occupancy, a Celt.ficate of Occupancy must be
"M'~ -5 /a<; IDS I ,,~
24 hour notice for all inspections (9:(2) 447-9850, fax (952) 44 - 245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts',
Reviewed by:
Building Permit #
Address: 2-9 '5 ~
Legal: L \ ,B t
Existing Structure? YES I NO
CONFORMS TO ZONING
ORDINANCE
L: \TENIPLA TE\BLDGLIST .DOC
Date: .S-,h. '5" ~ 5
PID: Zoning: ~ (A D
p~~,
Subdivision: p~ G ~ U'~
Existing Nonconforming Structure? YES I NO
YES
NO
L:\TEJ\tIPLA TE\BLDGLIST.DOC
~
<;'1vnlte - Buildlnl[:::)
. Canary - Engineering
Pink - Planning
The C'f'nlrr of Ihe takt Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tI1/ENSf11/7NN HoI'1CS-
5.4-. os-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 955 ~IZeJcKi/t5 BLVO,
Accepted
Accepted With Corrections /
Denied
Reviewed By:
/ff~
Date:
~~
Comments:
~~y~V cL
-//
- C:::;hC7'" V I
./ /'
I
~
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."
The eenle' nf Ihe \.oke ("ounlry
White - Building
Canary - ~n~ineering
C..J;'InK~: - t'lanm~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J ' ' ,""^
{ {. C
_' /1/ rJ /\//\/ //C 1;/ E. :;
r
_./ ,
'I-. (,~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-, C:i;<-~
Accepted L 17 J
,./'-"'/("
I -
f'e /, c/ c-:.
!/'C~. U .
Accepted With Corrections
Denied
Reviewed ~~ ~.~
Comments:
Date:
9-1 ~sr
.oj>
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 - Ebilld.i.oa....
. _~......". I;noineeriilla>
Pink . Planning
Th. C.nt.r of lh. Lib Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WENSfrJ/1/VAI H0f1165
5.4-. 0.5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2955 rlZCJeKvE 8LVO.
Accepted .X
Accepted With Corrections
Denied
Reviewed By:
IJ1:1-6
Date:
S-),'-os-
Comments: &ee Reverse Side for Additional Informationl
See Attaektnents: 1) Gradiq,gPlan, 2) Erosion Co.Btrol Measures
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."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~e:n ~::y I PERMIT NO. ~ ~ ~
3. Yellow Apphcant ~ · "7-7J
(Please type or print and sip at b, ."..)
ADDRESS
2955 PRESERVE BLVD
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name R.A. KOT HOMES
(Phone)
(Address)
APPLICANT
(Name)HRARTH 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
10/17/ 05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D 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
FEE SCHEDULE
I % 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
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit # ?AI9-Wt:rH
~ au,wING PERMIT
$
(Office Use Only)
This Application Becomes Your Building Permit When Approved
'-c' (r.'
iPaili"
Receipt No.
BuildiDl~ Official
Date
~ I 2 G ZUUJ By
24 hour notice for all inspections (952) 44 ~~()~.f3X~~~~~44?:~5.
FROM WENZEL PLUMBING & HEATING 651-452-0367
(THU) 5. 26' 05 7: 49/ST. 7: 49/NO. 4860053850 P 2
<.
..'"
.""'-
Q.Ml! I!.K . f 'U:
'(~I.L.O~ " A.rr-Ul';.A...7
C01..0 . err.,
.. ..".. ';JIID'-"
- --,-..tli~_.--~Ao..ol.~ ".~~Id"-- _~-w
"III'I..Il4..tV'1l J7r -~
CI':''L OF P~IOR LAKE
saTEP. .h..ND WJ..'!'f? ?:s::t~IT
NO .1J~H1f
~.PPLICAN'!' :
~f'\\~~
NOTE: s~wer and Water
contractors 1llust
be registered
with the City.
PHONE :(JSJ-'-! 5).-- , S"6.S
OAT:::: 6/oltj 05
=:.=s~
~""::'A'T- .::
.._._~_... ':'
:=2 :'::;~.':'~...?:;:
2.
size of water se~vice
Es~i~a~=c leng~~ of water serJic~
I
~:LL IN TE~ BL~XS
30
feet.'.
1.
3.
Location of any couplings
frol::1
inc:" (es). II ey\
S":.::-".J.cture ltJ/'A
P~lC K Cast I r:=-on
3CJ
fF.'et.
~ .
~y?e of se~e~ pi?e.
ASS
6.
C!.ean out
st"_="-lc-:::\1':e.
(if
re~irec.) ,
locatac
feel~JvL
at ~Eeet
f=Cln
5-
=:.s~i::la~ed len.gth
of
sew'ar
line
~~=~~~~_e~=====~===========~~~~~~~~~~~======~======~==========~~-
T~is 2?91ication. becomes ~our pe~~t ~~e~ ap9roved.
BY
DATE:
=====~~~~===~~~=~~=~~~=================~~~~======~~~~==~====~==~=~
':;"'="-=-==.
~ ---.
$
s
s
35.00
.50
35.50
Sewer and w~~e~ line connection pe=~it.
surcharge
TOT_~ r.
* :;e fc~ e~~hc~ s~wc~ C~ w~te~ i~cividua~ly is $20.00 p~us
S .50 s:...::::-charge.
*
S~we:::- a~c wat.e~ pe~its issued ~o~ ne~ constrJc~ion must be
=ec~=ded on the builci~c pe~it ca:::-~ at t~e time of issua~c~
::: i~s....:::-e t~j.at r"lC ,..11' lcate se"~e::- ar,o:t '.J~t.€:- pc~i:.s a:-~
-----~~_._-
iss"..!ec.
~
. .
~ -"
",
D;. ':::: ? .~.: J
~.:~or.;N':' ?~::PAID WITH
BUILDING PERMlf-'
R'::C'D S'!
R::=:':::::?':" ~
.~ I
..-.----'. .." ,-.
. . . ' .
..... ...:>
.... -",
- ",...
':;': ~ -0,. . .... ~ -..... ~
:,'';''':.
FRON W~~ZE~ PL!JMB1~G_~ H~AJI}J.G...6..5.1..-_43J-0367
(THV~ l5.J6'r~5lu"? :L4}LST. 7: 49/NO, 4860053850 P 3
~OOl
(;Jl "i OF PRIOR LAKE PLUlWJING PERMIT
Date Rec7d
rpJ~I'e tvoe or J)r\nt aDd sip at bortom)
ADDRESS
ZCf S-5 ?~U6~(/~ gLVL)
I afu. ,...
l. Gold Cil)'
J. y.J.... AppllCMt
PERMITNO.~
ZONING (ofb 1Ue)
LEGA.L DESCRIPTION (office U~ cnly)
LOT BLOCK
ADDITION
PID
I
I
I
L"3
~= .kletf\S'MOJt\Y\ ~D~. . (Phone)G5}-LfDC,-f/1/{)Q
(Address) ./Z'tS "f> C\2A. k. 0->\~ ~D ~'n .~",~.... ] 2'Z
,
~;.;;~~ANf IJ~d ~\\-',=" ~ ~1~ ~~. . (Phone) 6S/-Lfs):/5bS
(Address). I~JD ~o.~ ,~. t. ~ ~~ ~1;J./
(~t>. - . -. ~ (City) (zip Code)..-
(ContaaP<mlll) ,\;Oel~. . . (Phone) ts/.JfS;2-/5"6$
APPLICANT SIGNATURE ~ DATB o/26/t:!5'
,--- ~LICANT PLEASE COMPLETE BELOW
Type of Fixture I - QUDtity
Bath Tub with or without shower I
j Dishw~r J
,. Floot prain - !
I Lav~ (Bathroom Sink) I
, Laul'ldryTray(lor2 com~entsink I
I Shower Stall 'I
Sinks
Bar Slok =i
I Wate!' Closet (Toilet)
Quantity
I
"1
I
J{
I
:t
I
I
Type of Fixtun
Rou~ins
I Water Heater
/WaterS.oib1er
I Stand Pipe (W'Mhing Machine)
I sewaRe~j8d\1r
I Bacldlow.Assembly
l Backflow ,Assembly 1011
Lawn Spnnkler
Other ,...
r
FEE SChLU ULE
Industrial. Commerchll &:. Multi-f3JT1i1y 1% of jOb C03t ",ith a $39.50 minimum R.c.sidenli.J. New One & Two-FvniJy $99,50
Re3idenlia.J. Additions &:. Altenl.ions $39,50
Estimated Cost S
Building Permit:lt
COfTin lire O"M______________
-Tb,' 4 . Ii'." ~<:--); !fj,Wn P. . jt.Wht...~ y~_~,' !i'!!a r.tir.. i,' 1:: i
..~:.:~,.;",,: ....~Pll E~~~r!},"'jB"t.\'i.i~~.ti~:r,~i:~,~;; (..".;fY:.~;:.",i7!!: i,'., j/!;'i:~~~A~;h.r.."'~"'~,::iiJ- JtJ..:~!',;,,;~ .: _...;, .'. ....
.... :,ft~;/'=~~;~~~rr~'S\tf5;.:Z'.:J~~~~"~~~'~~~ I!;,.&j~&.
. .... .. :4 hi1u'" \lGiitV fo', allil1j.?l~tIO:n.2 {jYiJ..4i-~;j. i..J. (~51L~~_~~~~? Ji/7.... '/2.<<.. ';. .,
PLUMBING PERMIT FEE .$
STATE SURCHARGE $
TOTAL PEDUT FEE S
PAID WITH
BtlllD'NG PERMIT
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File
2. Green City
3 . Yellow Applicant
PERMIT NO. 05. 04"If
(Please type or print and sign at b" ~~ "_)
ADDRESS
ZONING (office use)
2955 PRESERVE BOULEVARD
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) _ 651-633-
2561
(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
7/16/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
REA TN GLO 6000TR-OAK
FEE SCHEDULE
I % 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 & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
50 P,,\OWrrH
. aU\LO\NG PERMIT
(Office Use Only)
BuildiDl~ Official
Date
i r \~~~ L. \
\ l ) L::
i r iDaJUL 21 2005
.~ti
, .',."1
n \:,....} Receipt No.
II ",
Ii
J~ By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447 ,9850, fax (952) 447-4245
I~'Y .. --'-.'.--
u ____._._~__ ---
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .2,s-r ~ ~;.-..ri!!.'V~ ~/tJ~ -
NATURE OF WORK. ~~"",,,.~~ (wJF;Jll(fIf.ftJ..,-~
USE OF BUILDING :s ~d .
PERMIT NO. OS.o4QQ DATE ISSUED
CONTRACTORU/*"S"~~ J,I:....,.1 PHONE~.~'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
-
, FOOTING 1M I [,. ~4)
FOUNDATION (Prior to Backfill) I Hi I (')J yu-J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
y~f'
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING rv I .
INSULATION tlful/1 +~I ;ftPj 1/)1,/06'
ELECTRICAL
I .
PLUMBING \ {Jk 11. _7/1 3/ tI ~
HEATING (if required) . uti po 7-/7
FIREPLACE ~~ /7?< I I
GAS LINE AIR TEST (lfb 5jz Ct! M
y t
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~/A' / /~J~ ~r--.LJ! It.~~ /I./?
/ '
~~ u~rl'1A,'~ FINALS
GRADING (Prior.,.to Sodding) I Al8 /f)~~'I. l.r
BUILmNG ,., i)~() rb ~-! -Db ~ i)
ELECTRICAL} \
PLUMBING Iff; ~ ;/'-Il~r:;-
HEATING . (1 !~ {<I' I 7-2.2- (f/
DO NOT OCCUpy UNTIL AB6vE HAS BEEN SIGNED
lib
eo
11_ 0'""'2--~ J
7- /1-e:h
Z.j'l/$jl) ~
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 shall be placed near main entrance.
'-.
FOR ALL INSPECTIONS (952)' 447-9850
.1.;;:. ';;.1.: L "-4i!!. ,,, Ul,_,_,,".A..,-!j, ":.tI_~j,N~
'_..:_;".!~.:~";...
........
oIOOL
~--
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
2i~t?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
c,k Jr(!l
, DATE TIME
SCHEDULED '2 eJ/.ac..,
?~tLL ~\v& I
CONTR.
PERMIT NO.
l)- C/9?
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 GAS LINE AIR TST
o
~ \O~ ~_ S' \.st.
WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED .
Inspector. ~ Owner/Contr:
CALL ~~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
V .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSllOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 2'1 )-:)
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A" FINAL
o SITE INSPECTION
o PLUMBING RI
. 0 MECH RI
. 0 WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,...Id-'"MECH FINAL
COMMENTS:
/.;;'~ (~t&4;'k- ikSp..
z,. ~_ ~y rey;~
~. ~ cd- I f'LU-L)
~,~
(l ^ t ()
DATE
9j2z/a5-
TIME
~ -({71
.'
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
..Q"' GASLlNE AIR TST
o
~ 8-!-o~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X CORRE?J2RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
./
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10 '/L{-~r
OWNER
;{9 .{;~ PrLStIVL 8/ vtI
CONTR. lA/(.-tJJt"WM ~
ADDRESS
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULt. TION
~"INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Jii...QIo~LLING
o Cc3f.ll)LAINT
o FIREPLt.CE RI
o FIREPLt.CE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 21 ~y
~vJL
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
-;:!(PLUMBING FINAL
o MECH FINAL
COMj\/IENTS:
.!l ~ 4~
DATE TIME
~
w~~
"
s - i.J' Cf
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
_ O;ORK SATISFACTORY, PROCEED
~ORRECT CTION AND PROCEED
o CORRE , CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!