HomeMy WebLinkAboutBldg Permit 01-1333
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bottom)
ADDRESS
/7-3D'-/ Lt lit ~ 1U1~ 5F
LEGAL DESCRIPTION (office use only)
(,rJJ W, B/J~.:tI 0..
~ I In ~ }t-r J) ADDITION
OWNER
(Name)
(Address)
Date Rec' d
1. White File
2. Pink City
3. Yellow Applicant
be.erf' el1i."" ~ VI lIaJ
BUlLDERD ~
(Name) . ~. J.fwf7JYl . .M,..I ,
(Contact Name) ~ (h!)/.Mj 1:"'L..
(AddreSS)~~{,O~~b,'7.~ I .,;-:TOo
_ /4-K'~ 'o::X}~
TYPE OF WORK
)!J New Construction
o Fireplace
PROJECT COST/VALUE (excluding land) S
OAddition
OAlteration
ODeck
o Misc.
OLower Level Finish
(Phone)
PID;zS- 38.1 - 00/-0-
(Phone) tl5-zrl!/P;" 71;08
(Phone) ~~'b'" tf7~2-
o Porch
ORe-Roofing
ORe-Siding
OUtility Connection
0"2-2-
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
authorized 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 ES.' I am aware that the. ?fig o~cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon e roperty to p..,fv.~ l pecnons.
X J~~A~I /';'-"' c2l)lJ()~~7 /l}O/,/AJ
lF~'~;~; Contractor's License No. I Date.
tJ ~
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
$
$
$
$
$
$
$
$
~_cQ? c:C>
~. 1 c;-
$Sf. 'i tf
40 .ex;>
/ 00. ~o
(tX) .cYO
35". ~ 0-
40 .00
es Your Building Permit When Approved
11-15 -6/
Date
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
I Paid
I Date
- "'-'" ...
65il,~ 'f
)/ --1-9---01
~ I
#
#
#
#
$ &50.00
$ 1./50 . C>C5
$ I 0
$ 0)
$ J ~OO.~
$ 1 760 . dOl
$ 0 I
$
$ 6;5BB. b r
Recei~S (p
By T
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 signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
....~.J~ 1,l/L4/e1 <1M &RIlP~ (!..~~
v M'anning Director Date 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
Nay,27. 2001 8:10AM
GENZ RVAN PLUMBING AND HEATING
Na.6838 P, 4/19
Date Rec:' d
Cl'l Y.OF PRIOR LAKE
SEWER AN>> WATER PERl\'llT
/'~3
~
1 Or..... l'ile I PERMIT NO {~ I
2. ytlln Citr. .
3. Gold Appli_
(P1case ~c: ."Print and silp:l.';u:b_~_)
ADDRESS
1'~Ottf> l1J\ \~
\lLA"l L - S P-.--
. ZONlNG (offilzuse)
f? d.
LE7AL DES~UON (offi~~ oDbr) I .
LOT~L~L.f..~ ~TION~P rBo ~
OWNER
(Name)4'l) tJ?;rtQ.... ('..~+-~..... uow':"~
(Address) 3459 Washington Dr Ste 204
(Address)
c:;--Y'h
Pmds- 3J(-dJ5-{)
Eagan, ~
(City)
(phone) 651 45'1-46~1
55122
(Zip Code)
APPLICANT
~~~ Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Adm~~ 14745 So Robert Trail Rosemount. MN
(Addre5s) (Qty)
(Contact P..,on) Mary Olson. 'I. -. \ ~Il _ (Phone)
"UCANT SIGNATURE \ ~ .iLJ ~ CJ-,. DATE
. ~PLI~ ~SE COMPLETE BELOW
Size of water service: inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at ~ feet from structure.
55068
(Zip Code)
651-423-1144
\\\21 \at
.ll'.EJjj S~J:Ul.,DULE
Residential sewer and water line connection $35.50 Industrial, Com'1 & Mu1ti~family 1 % of job cost with a $39.50 miDimum
Sewer connection only $17.50 Water eOlWectlon only $17.50
Estimated Cost $
Building Pe:r:mit #
SEWER AND WATER PERMIT ./:'~~
STATE SURCHARGE
TOT~ PERMIT FEE
$
$ '-
$
.50
l>:~,
";/~) t, )
i.:G, .,.
j'
(omc~ Use: Only)
This Application Becomes Your Building PErmit When Approve~ Paid
Date
-
//-;)/)-1
I Receipt No.
IBy 1/
L
BuildlDg Omelfll
:Date
24 bour notice for all in'pections (952) 441-9850, fax (952) 447-4245
., t~
;1
rz': -IB~IJ)
Canary - Engineering
Pink - Planning
The Cenler of Ihe Like ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
4. /~. ~7J
//-7-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whjch is proposed at:
/7304- ~_~ ~
X
"
Accepted
Accepted With Corrections
Denied
Reviewed By:
AlAS
5 ~ ~ /J1~ ( II h '/ (
Date:
/1-:;;'/-01
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."
White - Building
Canary - Engineering
Pink - Planning
Tho Crn'., of tho Lab Countr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D-~~ I-!o~
I {- f ,-0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J'730t{ Lt'luc ~
Accepted ~
Accepted With Corrections
Denied J ~
Reviewed By: G2-0G~
(j
Comments:
~QO. +~ mO\\I\ Q Lo
Date: /1-1.7-of
"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:"
The Cenlrr of Ihe Llk, Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
It. /<!. /--Icvt{t7 J
/1- 7-()/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7.3 {" 4-__7i-t:a.,U -J(L/hJ. ~
Accepted
I ~ Accepted With Corrections
Denied
~.0~~~
Date:
~L/N/c)1
Reviewed By:
~~ 10~~7{~
"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."
Nov.27,2001 8:11AM
GENZ RVAN PLUMBING AND HEATING
No.6838 P, 7/19
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
. Jl..... fll.
3. cr..w Cia'
3, Yella.. AppIicanl
/~3~
I PERMIT NOt:) /- I.J~- It I
(Please ~c: ~ pr.lnt and sign at bottom)
ADDRESS
1.,'7-j)~ L;' h r-, Co. J'(\. 0 ~
~
ZONlNG (affic.:use)
Kd---
LEGAL DESCIUPTIOr (oBice use only)
LOT~BLOC~ ADDmON ~t1f~(J.QD
~
S-
PIDD)-_~f?I- OttT-<?
oWNER
~wne) DR Hor~on Custom Homes
(phone) 651-454-4663
(Address) 3459 Washington Dr Ste 204 Eagan. MN 55122
APPUCANT
(Name)...G"'''''~-B.3'::-::' ~~.;.,.,:: ^- 1l"''''U::..g
(Address) 14745 So Robert T;r::ail
(Address)
(phone) "" 1 _I. ? ~_1.lt-"
Rosemount MN
(City)
55068
(Zip Code)
(Contact Person) Mary Olson
(phone)
651~423-1144
l \ ''21 \D ,
APPLICANT SIGNATIJRE
_ DATE
APPL:(ANT P~E COMPLETE BELOW
I Quantity Type ofFixtu~ I Quantity I Type of Fixture
I ,. Bath Tub with or without shower , I Rough-ins
, I I Dishwasher I '1 I Water Heater
I J I Floor Drain I rLl \ I Water Softner
I 1.- 1 Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink I i Sewage Ejector
I Shower Stall I I Backflow Assembly
I Sinks I I Backflow Assembly Test
Bar Sink I I Lawn Sprinkler
~ Water Closet (Toilet) I I Other
FEE S\;.I:IJ!,DULE
Industnal, CommercIal & Multt~faml1y 1 % ofJob cost with Ii $39.50 minimum Residenttal, Nc:w One & Two-Parody $9950
Residential, Additions &. Alterations $3950
Estunated Co.st :5
Buuding Permit #
PLUMBlNG PERMIT FEE S
STATE SURCHARGE $
TOTAL PERMIT FEE $
..50
!
f
'1 "
" '0'
"L'~.';'!G 1117'ft
j:)I:::-,-,
'j.'. · It -
r ReceiptN:...'1r
I By (j(1/
(/
(Offite Use Only)
This Application Becomes Y Ol.lr Building Permit When Approved Paid
Date
/1' ?-'7-/
llloliJdilll Oflit:,(a!
natl:
24 hour notice for all inspections (952) 447-9850. fax (952) 4474245
CITY OF PRIOR LAKE Date Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PE~IfIlV 282001 '
I
_ L, .0._...
(Please tvoe or print and sign at bottom)
ADDRESS
~: ~;e:n ~~t~. p ERMIT No-...().._",o'-::'-I'':2~oo2
3, Y .1I0w Applicant .::J.,..)-J
113D4 U taL Ln. SE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOTtoleBLOCKl3 ADDITION
PIO
OWNER 'n()\L .k
(N ame) y K... ~ DY'-, [)(\
(Addres,) 3Lk:R W~,9M~hm, frw/ SW+C 1JJL/
~~;;~~AN~l ',aM mtt-h llltJ CaJ
(Address) 3t1JD f(tnnebe6 'Vr ..~'I+e/ \'
r. (Address) .
(Contact Person) ~ft1're~ . C 7Amrnf.,~YYltLI'V
APPLICANT SIGNATURE --1 If n L_lI.1L1~ f/ 1) InmfYrnarl
~IiU
__ APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION D REPLACEMENT 0 AL TERA TION;S
FURNACE MA~EAN~cMODEL g,'~tnJ- ~g;)kA-V D2J.JD1 D . FUEL . f\J1,~raJ'
FLUE SIZE '-I \ G\n.;>:;:7 & RETURN OPENINGS if INPUT 1D.DDD OUl1'UT-5lo. bDD
(Phone)
~1 Ntf\J 55i~2-
(Phone) ltf5/ 46 2-.- ll'75' ,
(City) (Zip Code)
(Phone) uS I 45Z-z.-r76
{/YIht))DATE IIIZ1.1 0"
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
!HAir Conditioning
[J:JXent. System
HEATmGORPOWERPLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Sf~tbacks
FIREPLACE MAKEAND 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 & A/C (New Construction)
Residential, Heating Only (New ConstIuction)
(Office Use Only)
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTALPERNUTFEE $
~/-/_~2. '?
rei1-~
..' ~\O ~ PERMil
Yii\~~~
...:.--
Estirnated Cost $ Building Pemiit #
J9is Appl~cation ~,tlcomes ;Yo,~r,Building Permit When Approved
/" (4/
, ~ , ',,! I,
f (/ ' ~, "
Building Official
Dale
I Paid
Datell..-6 .-'.01
I Receipt 0
IBY /
--,.~
24 hqur lIotice for all inspections (952) 447-9850, fax (952) 447-4245
14:38 651 633 8884 fIRESIDE CORNER
l...111 U~ rIU.V~ .l.Jt'\AL
REA TINGI AIR CONDITIONINGIFIREPLACE PERMIl
#0717 P.005/007
.........~"'" """""- ,....
~ =- f~I_1 I PERMIT NO. 6/- I 333
(Pleaac ~ or mint on.d stlVllll: b~''''J''')
, ADDRESS
\ 4- ~'-\ LJ \..u~ LN ~ Cc.-
LEGAL DESCR.u:- 1 J.ON (office u.sc only)
LOT
BLOCK
ADDITION
OWNER
(Name)
D~~
(Phone)
(Address)
APPUCANT
(Name) ALT"rED FIRESIDE DBA FIRESIDE CORNER
ZONING (Dll1.ce ~;e)
PID
(Phone) 651-633 -2561
~EVTT,r...F.. MN
(City)
651-633-2561
C;i:;11 "
(Zip Code}
(Acf.dre:;s) 2700 N. FAiRVIEW AVBliILF.
(Ad.dre~5)
BRENDA EID~TON
(Contact Person) ~ \ I . (Phone)
APPLlCANTSIGNATTJRE ( ~(Y)\-u- \. i )). 4 y" ,,*- DATE ;:>-U -ad-
AP~LICANT P~E COMfJ...ETE BE~..O';-" ,,, .
~w CONSTRUCTl9N 0 MPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUESJZE RETURN OPENINGS JNPUT OUTPUT ,
TYPE OF SYSTEM REA TING OR POWER PLANT
DWIUIt1 AIr Plents
DGrnvity
o M.echanlcs./ ,
OAir Conditioning
DVent. System
~~
N
o Stcom
o Hot Water
o RndilltJon
o Special Devices
o Other Devices
~ I ~~ ,56 ,f2-
FIREPLACE MAKE AND MODEL
Indl.lStrl8ll, Commercial &. Multi-Fflmily
FEE SCHEDULE
1% of job co~t RcsidCltial. Gas Fireplace
$39.50 minimum
S99.50
$64.50
Residential. Heating &. Ale (New Construction)
ResidcnollJ, Heating Only (New Construction)
)tcs;dllJltjlll. AddItions &: Alterations
Rcs;delltil1l, AC Only
Estima.r.ed Cost oS Building Pcnnit #;
{j1,1333
PLEASE NOTE:
Air COlJdftfoner fJnirs
Cannot Encroach into
Required Side: Yard
Sel:bac:lcs
$39.50
$39.50
$39.S0
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
~._.
PAID V.. .
.50 BUll.D\~G PL.,."..
(omce fJsr On ,!')
This Application Becomes Your Building Pltlrmii When ApprDved
~
Date
. FEB I I 2002
Bill/din.: Offidlll
D8tll
~4 hour notice fDr all inSpl:dlllM (95%) 447.985Q, fax (952) 447-4245
R~
By //fftIt--
(f
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS lli()c.[ LL)ac. I~
NATURE OF WORK A)..e..u.J
USE OF BUILDING .5)FA-
PERMIT NO. (] / - /;j;5~ DATE ISSUED 11-13-cJ(
CONTRACTOR D.R. ~~~ PHONE95a-aa~~"2..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
.....
PLUMBING ~ Lt.~. 't;,. _ /7J'L1 /0, ~ 4 t 1!/jtl ~/fJ,. .:JjJty)P2> ,
HEATING (if required)t~, T ~ ~ F2.-f'zA/6 J T~. g.. III J/tJ z. . ~ I .;;--/3 ~I ()>/
FIREPLACE _ ~. die? 51od-
GAS LINE AIR TEST ~~,~.e, frr ;)/d-5"ID~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~./ 7 E:fr. ell? )02-- I I
J . "FINALS
~~ mf
i7
I~#
fI/J
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
FOOTING I #Pr III/~Ic/ l
. .
FOUNDATION (Prior to Backfill) I ~, rd~/()J jut J).j, ~ rzJ'{;/ ~I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED .
ROUGH - INS
~. ~
~
./
d/J-:;~~
:Jlcrt- ~ -: ~
GRADING (Pri9r to Sodding)
BUILDING~
'I'
, ,
ELECTRICAL
PLUMBING
HEATING
DO NOT
)
lO-?b&
q,-( ( / J- 4-0')-'
3J:>v/o'V
l1 11
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections hav~ been. approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
":h-' ,,c' '.
. 1'.. ~:;,," '..,' . "i;
. ~'" ( .
,~(jjf$: ~,~~~~~~,.~~.r~'".~,,-"V'~-~-W~.~ ~- -- - - ~
..,.:.J.:..~v:r. .,..-.... ',~. "i ;". lo;,.:..'..~-,...,.:.';... "'.,~....;...'.,....."'.....".;""."" '''''f,'oo;: ..~.'"". ~h,. 'J> ,f." ,....'..'-.'.. '.'.
/.. _~, ..........~~~.A~.~[~~,,').~... . .~.,r~~'~'..~'.~!fMit~'S.'"f!~",,':....l
~, ;' t · ~ !a, . ...~ ~
~, . -.J'\
;~; i (trtificau ,.o(~ (J3cmpanry J;' (
:!:~l ell i OF PKlOR LAIu;
(t~ J)epartment of _uUlIing In'pettion
( .' .,
{l;: 0'Final Permitted 0 Conditional C.O. Expires
l~
.il- :
(~.'..."
~..
lIIi.;.~ I
This Certificate issued pursuant to' the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordi1UJ1lces. of the
City of Prior Lake reguklting building cpnstruction or use. For the following:
""- - ~"
SINGLE FAMILY . 01-1333
Bldg. Permit No,
Use Classificatioll
Occ:1"", .,:Type R3
, Type Construction VN
Fire Zone -11/ A
Zoning District R2
Legal Description
L1, B1, DEERFIELD FIFTH VILLAS
Owner of Building
Site Address
17304 LILAC LANE SE
D.R. HORTON,)20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
Contractor's Name '" Address . 'i /
j
ROBERT D. HUTCHINS.
Buildin~Official J
~llf~' t: \~'
j
City Planner
Date: _
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
Cj...{ {-Oa.. ., !;O
ADDRESS
173Dd.fnt: ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
~NAL
o SITE INSPECTION
COMMENTS:
~
, ,~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
D~NG FINAL
.,......cr MECH FINAL
n "0.
\..:.""
-l-~
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
'2- '< /
l /(
.-
~K SATISFACTORY, PROCEED
o CORRE A:r N AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C L 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3-U'oz... 3: ~
ADDRESS /7:301, 03 WI0()~K-N5SS 7)eA1 L
OWNER CONTR. i~~~
{-
PHONE NO. PERMIT NO. J - j.~:~S
o FOOTING o PLUMBING RI o EXlGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION ~EWER HOOKUP o FIREPLACE FINAL
o FINAL PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:@ ~ rw (}A~
p
Jl)~~l ~..~ -r'
\"l3o~- ~ '-rl
)& WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK'~L FOR REINSPECTION BEFORE COVERING
Inspector:l Owner/Contr:
CALL 447-9850 F; THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
---------
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED / ) - J..( - tJ 1-
ADDRESS /'7~II~ cJ~
OWNER/7~J./~)cclN~~1 Im'36 2> -:
PHONE NO. PERMIT NO. t'0/ -! .3 =311=.
--"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o:z;r 6") .
~
COMMENTS:
I
/ { ()S~
" --
1-il-<-
r1 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: rt11/ /-4 -O'owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSIVOT!
.
~......,...
,--~.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OA TE TIME
~-;rc, "t9Z.....
ADDRESS L'/3t9 LJA/ / 1~1(/1"U.s5 7>
OWNER CONTR. l'. R, ~rlaw"\
PHONE NO. PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
.~ 0;.: IN;SULATION
~~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
17~O z - G,~ - df<...
(0 30 ~r..b- -t9#.
I '7 3 0 { - C:>r... Lt.. - ., ,(.
/1 bC>3 - 6,...,(<. -0 K-
--
~ILLING
o CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
Li I fAl Ln.
- / _ I I u ( ~Y\-
I A./; I ~-+ J1 ( 505 r;...
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S .j., I
~ORK 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..
l/'ISNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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