HomeMy WebLinkAboutBldg Permit 01-1348
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERuI41CATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
(Please type or print and si2ll at bu.",~)
ADDRESS
~3J(, D~.
'S.o.
LOT 2.q BLOCK
LEGAL DESCRu:,uON (office use only)
OWNER
(Name)
(Address)
ADDITION ~~ltL. ~~
(Phone)
BUILDER f'.. () LL.... _L _ f\
(Name) 1 t r". n~.
(ContactNam~) St-~P_~LX:SOh
(Addr ) 209'-0 ~r\.~ U. *c..IOD
I ess ~II.,~ ~ ~'-f4
.
TYPE OF WORK
o Misc.
(Phone)
(Phone)
JilNew Construction
OLower Level Finish
o Deck
OPorch
ORe-Roofing
OAlteration
Il-I~-Ol
(<,1
PIDZS-372- O~q...n
"
----p ~
9s;l~q ~ e08
q5a-:l~ ~- J~'3'"
ORe-Siding
PROJECTCOST/VALUE (exdudingland) $ lOG: M"
..
OUtility Connection
o Fireplace
OAddition
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 plans. I am aware th the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter up n e proplOfty to e 0 needed inspections.
I
V
Permit Valuation
OlbQfl51 r:.l
Contractor's License No.
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/' 1 A
r: . .onAY"''''~i:"2~
Bu . g O'cial Date
x
Permit Fee
Plan Check Fee
State Surcharge
$
$
$
$
$
$
$
$
I ()( (J. O(?Q.lri
11}27. ~~ I
,,.1. If> I
~J.OD
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
#
#
#
#
-
Other S d- <..tJ (t€ CCSlt\ tI\t..C.. t-
TOTAL DUE
11111...161
~te
$
$
$
$
$
$
$
$ 35: S'O
$ (g./z.tl. /3
8SO .ct7
/, (&)C) .00
I ~s:C!)o
?IS'. oc:L
',200.00
'100.00
o
1/J:: ~
. Reeei .
By
, Ii
~fZl
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
~i=~:::'-C~::;7.m--'z.:A';;/~Y~~
Planni Director ~~ · speCiafc\tiitlOns, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Park Support Fee
SAC
Si~'.l'"
~, ,
Water Meter
I(:)() . 00
100 <>6
3r.50
t{() ~oO
I Paid ~/.:J-9. /J
I Date /2 ~~
,.- '., ':i~, . .,'., ,.(r'..'.p'y\- .....i"'-",.....~.l,' ..~. ,".,
White - Building
Canary - Engineering
Pink - Planning
Th. C.nt.. of Ih. Lob Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D .' I2-. ~ 0 i2-\'O rJ
. 1
-ttl-()l
. I .
_D JL S t/-
Accepted
Accepted With Corrections
Denied
Reviewed By:
11#15
SC~ /J1:" 1 ~.:t (_.
. Date:
II-](,-d)
/
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."
.
Th. C.nl.. of lh. Lib ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 12-. J-' G k---m I'J
- /(] - {) J
.
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-72) I {t;, f)F, E~ ,left E i D
,-
\ / Ie S c..
Accepted
~
Accepted With Corrections
Denied -fA..
Reviewed By: ~. '. ,-,,!-<,_ ._ _
Date:
/)/2/-/& I
COMments: _
t~O ~}6r''r ~ ~ ('~X~ L
~t7ilt ft'. +- fJrd- ~ ~~
v
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 eenl.. or the take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. f2-\ J-'[)g]OrJ
.
I - lq - () I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-=t ~ lft, 126 5 /2..-~1 51 _D
Accepted
Accepted With Corrections
~D rL S b
~
Date: j (- '),-ql'
"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."
8:12AM
GENZ RVAN PLUMBING AND HEATING
No.6838 P.11/19
Date Rec'd
Ll1 oj OF PRIOR LAKE PLUMBING PEAAul
~: E. ;iGIDI I PE~T NO. 01-/34-6 I
(Please 1'Ype 01' tlrilxt md $im at batmDl)
ADDRESS -
11'0 \ lo~_ij0e.Lo
I ZONING (oflicruse)
Do. SE-
LEGAL DESCRIPTION (office lISe only)
LOT1- ~ BLOCK t ADDITION <"\Y (If ReD. .0
2-t'\-O
PID
OWNER
~rom~DR Horton ~ustom Homes
(Address) 3459 Washington Dr S'te 204 Eagan. MN 55122
(phone) 651-454-4663
APPLICANT
(Na.met,.~~--tl"3'-~ 'P1....v.1nS &.. U'itilt:l:.~.:;
(AWh~s)~4745 So Rohert Trail
(Address)
(Contact Pe:rson) Mary Olson
I
I
2--
_ DATE
APe~E COMPLETE BELOW
Type of Qllantity I Type of Fixture
Bath Tub with or without shower ~ I RoUgh~in5
I Dishwasher I I . I Water Heater
I Floor Drain I ~j I I Water Softner
1 Lavatory (Bathroom Sink) I I I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I I Sewage Ejector
I Shower Stall .1 I Backtlow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) I I Other
\A
(phone) hE; 1 _h? ':l_ 1 1 1./.
Rosemoun't MN 55068
(City) (Zip Code)
(Phone)
651-423-1144
(il2 -, 10 I
I APPLICANT SIGNATURE
Quantity
I
,
I
"J-
FEE S'-.:J;1J!;DULE
Industrial, CommercIal & MultHamdy 1% of job cost WIth a $39.50 minimum Residential, Nc::w One & Two--Famlly $99..50
Residential, Additions &. Altmltions $39.50
Estunated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
r PAID W\TH .
.50 BUlLD1NG PERM\11_
\.":... ---
(Offte" Use: Oniy)
I This APpln~~ B'f7Tme:: our Building Permit When Approved
.. ~~ }Z-3-0'
j. .. Buildiag OlJlclal Date
24 hour notice for all in,pel:tion$ (952) 447~985o. fax (952) 447-4245
.-
I~
Date
~
/3y r v'
Nay,27. 2001 8:12AM
GENZ RVAN PLUMBING AND HEATING
Na.6838 p. 10/19
Date Ree'd
C.l:.1 'X .OF PRIOR LAKE
. ~~WER AN,D W A l,t;l< PEAAuT
.'
(Plc:ase type or 1itlDt and sip '&t bom:lm)
ADDRESS
ll~i ltJ ~~(J D"o
i =.. ~;. PERMIT NO. ^J- I ~ A A I
3. Gold Applicoat U I V ....,.-v
ZONlNG (<;Jt/L::e"$e)
[\1, ~e.
R,
LEGAL DESCRIPTION (office ~ an(y)
LOTl1 BLOCK
ADDmON ~,L.r~ (JQ .D
?~
PID075-$7,J- e>~9-0
OWNER
(Name) Pi lol'....~~....,.., r',,~~u.,".~:::,
(phone) _e;.~'_q511 (,fi~~
(Ad.d:ress) 3459 Washingr:on Dr Su 204
(Address)
Eagan, MN
~City)
55122
(Zip Code)
APPUCANT
(Nam~ Genz-Rvan Plumb~n~ & Heatin~
(Ad~es~ 14745 So Robert Trail
(Address)
(phone)
651-423-1144
Rosemount. MN
(City)
55068
(Zip Code)
'\
(Contact Person) Mary Olson \ (Phone) 651-423-1144
\ ~ f ~ DATE ub---, ID (
AP~LIWEASE COMPLETE BELOW
~UCANT SIGNATURE
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.
.14-~ SL.I:U!J)ULE
Residentlal sewer and water line connection S35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 m.inlm.um
Sewer connection only $17.50 Wa~eoJ1nection only $17.50
Estimated Cost $
Building Pe.rmit #
SEWER AND WATER PERMIT rJ:;~
STA1E SURCHARGE
TOTAL PERMIT FEE
$
$'
$
.50 r""! PAID WITH
. SUU.D1NG PEf-~liaT
..: --- J
.'
(OffiCI: Vac O..ly)
I This A.PpliQ"~~Alfm.:..-Y our Building Permit When Appro~c~
(A/~ 12-3-0 I
Li BuildlDg omciaJ ):).~
~
~
IDare -
J4 bo..r notice for all in'pEetioq, (95)) 441-98.50, fax (9S2) 447-4245
CITY OF PRIOR LAKE
I1.EA TING/ AIR CONDITIO~NGI IimEPLACE PERMIT
Date Rec'd
(Please type or print and si2ll at bottom)
ADDRESS
~:~n ~~~, I PERMIT NO.O.I_13.A 0-
3. Yellow Applicant ~
11311..Q
I) eer +1 ~Jd
ZONING (office use)
Dr- . S~
LEGAL DESCRIPTION (office use only)
LOT 2't BLOCK I ADDITION
PID
~~e~RD.~. Horfon custom Home~
(Address)~ ~ridC)p.- QJ., Lo.keviLle. M~
APPLICANT J\ II. M ---
(Name) l:1l1J afi' . e~_1. . L.~.
(Address)3J,Q() J<~be('_L:r. S:I:e.#j Aa3Q11 55j~
. [ (Address) (City) (Zip Code)
(Contact Person) ~f'.rre7f Z;mml-?,-rn.Q.n (Phone) ~-I../'~- ~77~
APPLICANT SIGNA~)~~L!J fl. &_fJ~ DATE.. 1Lu.kt.-
. ~pf{c~~ PLEASE COMPLETE BELOW /
~NEW CONSTRUCTION o REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL 1Jr~4n+ 3Z3KA-vb'VlO'o FUEL J\JQJU.m.]
FLUE SIZE "P'clClS4D EL RETURN OPENINGS 4 INPUT "'1b.CDO OUTPUT 6iD..tJOO
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) C(6a.... q ~ - .7017.2..
55o~J...1
(Phone) /&../- .<!ff:L- cfI775'
DWarm Air Plants
o Gravity
o Mechanical .
~)r Conditioning
~ ent, System
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
FIREPLACE MAKEAND MODEL
Industrial, Commercial & Multi.;Family
FEE S\...n.l!.DULE
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 $
Building Penn it #
REA TINa PERMIT FEE
STATESUR.CHARGE
tOTAL PERMr:t FEE
$
$
$
ruu~~:~t~~M\T
.50. \' ___-
(Office Use Only)
This Application Becomes Your Building Permit When Approved
.--
./
Building Official
Date
Pai~
(--rratjANI 5 2002
24 hour notice fora" inspections (952) 447-9850, fax (952) 447....245
15:56 651 633 8884 FIRESIDE CORNER
CITY O,14' !"KlUK LAJ.\.J!j
lUA111~G/AlRCONDll10NING/IHKEPLACE PERMll
#1874 P.001/008
Jj.#....- ..-.-- -
i ~ ~~ \ r'JL11MIT NO.O/- /3 '-I ~\
], y.u- AlIIlIMDnt
CP1cue ~ or urmt m1 sUm at boVJml)
ADDMSS
/1311.. 7)~j).
LEGAL DESCRu.- uON (oft'J.CI \Ue only) Q _
tOTd~LOCK L ADDmoN-L_\JJ.1fJ&
OWNER ~ ' I
(Na.mc) L rL ~t)~
,
ZONING (DtflcI PSe)
~ JV'd p!DdS-3-7;)-()d-.C]-(J
, (pbone)
(Address)
APPLICANT
(Name) ALLIED l!'Im:SlOE DBA F!RESIDE CORNER'
(Ac:l.drc:ss) ..1..700 N. Fr.;t:!tV'!EW AVENUE
(Acldm,)
(Contact Person) aNENDA HtJ~
., APPLICANTSIGNA~ -1:S1t-#UIJI
. (Phone) 65J.-633-2561
I
I-L~
EQSEVTT.p:~ wa
(City)
. (phone) 651-633 -2561
1:;1:,1i1
(Zip Code)
DATE
,.)j;; /Ja.L
APPLICANT PLEASE COMPLETE BELOW
~EW CO'NSTJtUCTIC?N 0 REPLACEMENT 0 ALTERA TrONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE REroRN OPENINGS INPUT OUTPUT
TYPE Of' SYSTEM HEATING OR POWER. PLANT
OWII1'Itt AIr PllUlts 0 Steam
OOr:uvity D HDt WllUir
o Mechnnical B Radiation
OAit Condidoninl Special Devices
OVertL S)'stem. 0 othc:r Oevlces
FIREPLACE MAKE AND MODEL ~~ JJ tiiip ~7~-.f1t-
PL~ASE NOTE:
Air Conditionllr Units
ClIDDot En.craBh into
Required Side Yard
Setbacks
R~idelltia1, HcaUnl I: AlC (New Conlltnlction)
Residential. H.eattnS Only (New Construction)
FJtIt SCHEDULE
J ~ of job Ilallt ba'don~iaI. Gas FIreplace
S39.S0 minlml.Jm
S99.50 Residential. Additions & Alterations
$64.30 bsidcntial, AC Only
$39.50
1n.clusrrial. Commercial k M.ultl.Famlly
5J9.~O
139.50
Estfmlted Cost $
Buflding Permit #
H.EA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.5.Q
r
"-BUIl:6;~G ~;)_'
, tf ~ , ~
,omc. UP Ollly)
This Appllrltton. B~mlS Your luiJdflll Permtt When Approved
Paid
Receipt No.
BuildlalOftld.I
O-PI
Date3-b-~
By
J
%4ltour "otlce for IIJllnlp.ctlonll (952) "7-'1150, en (952) 44'7~'5
PRIOR LAKe DEPARTMENT OF
c (. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I fl~l \a ~~ Q---
NATURE OF WORK A.J~
USE OF BUILDING 9Ft).
PERMIT NO. _ 0/- /~ DATE ISSUED /( -27-01
CONTRACTOR -1Jj? ~ , PHONE 952~~-"33,/~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.,.SPECTOR
~.
J FOUNDATION (Prior to Backfill) ~ p:;.;; I ~I r2{ \ 11 () I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING {A.C-'1. ~, J-f-;}!J/tf^
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.~# ~ ~. ~/d-cr/o~ I
-"r~ ~--O FINALS
GRADING (Prior to Sodding) 1<. t<
BUILDING-y:c..o1:Jj 8/l/oL fir.r. ~II '/D 1;
ELECTRICAL
PLUMBING
HEATING
,
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
FOOTING
- ;!S /?
.~
(I
@?r .
. ~
~~~,P,I 6->" dh1;~
4~,
DATE
I 1~/3/ol
12J ?. ?/n I
l :5/1 '-J /O'L-
,~j j 'ii")o <-
i .
I.~J7 /o~
13/,' ,-//07..
I jJ ,'I;....
-?-~~-o~
-
Yp-1' /tJ~
5/1()/o~
BEEN 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 sha~1 t?e placed near main entrance.
. .
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
..r,,'i" :,>(~' c' ~
,
....,...
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
ADDRESS
I 73/f.o
61o-~
.
~~
CONTR. U
!-/~'ft
SCHEDULED
OWNER
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP ~ FIREPLACE RI
o I!JISULA TION 0 SEWER HOOKUP ( ~ FIREPLACE FINAL
~NAL ~ PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION ~'MECH FINAL 0 .
COMMENTS(ll ~ p~ ~gw~
(~P~~ ' ....~I
(B~.~.N S\~~ ~ I
r4~ U~ ch. ~':'
~~~~-
T:~i), ~ll (02-
~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ .1 Owner/Contr:
CALL 447-9850 FiR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
TIME
I/:~
DATE TIME
CITY OF PRIOR LAKE } )
INSPECTION NOTICE SCHEDULED f ... 013 -cl.;) ;00
ADDRESS /13/" f) eeY-F\~e , ~
OWNER
CONTR.
PHONE NO.
101- /3tt9
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION . 0 SEWER HOOKUP
o FINAL ~PLUMBING FINAL
o SITE INSPECTlO . 0 MECH FINAL
COMMENTS:@ ~ ~.
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~
~-~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
:s:::ECT~~~ FOR REINS::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Iz/Z7~, /1""0
ADDRESS
W?
~~
. - .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJl -13~r
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~D MECH RI
.. WATER HOOKUP
( SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~,~.~~
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS~
~ ~r._~
~ WORK SATISFACTORY, PROCEED
'l.. CORRECT ACTION AND PROCEED
D CORRE~ CA.LL FOR REINSPECTION BEFORE COVERING
Inspector: I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE nMe
CITY OF PRIOR LAKE 7- .<t-oz..
INSPECTION NOTICE SCHEDULED
ADDRESS /73/0 Pi: c:rr,~/J Dfl
OWNER CONTR. lJt I-Io;fvr;
PHONE NO. PERMIT NO. 61-'~4of5 ~~~
o FOOTING o PLUMBING RI :I(~ILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)(FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
/., '?iO l-oc.....JE-1C (' IIA A
c::.12..~~ Q I.(
,
~o'X
"
miL - C-u~~ ~ - CJb(
~ A itS> f. 611..
/73i'1 - louJE4 C-uA6 ~o'X.
~A..o(-. () \,(
J
/7?jk /-wj{~E~ (/~lJ...~OY
;/ ('~ACf. Cy(
--- "
tJ d-S
P WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.. J;.h' ~ Owner/Contr:
CALL 44;-Q~R~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlVOTJ
.
/.
-'
---..
........../
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
II.-r.
ADDRESS /7:$/0
/7:3/(, .&6~e-'-O LJAZ-.
OWNER
CONTR.
PHONE NO.
PERMIT NO. OrlJt/.r --- OI-J$4~
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
SoD /17lE~ '?f:)
/ cry
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
/' I
/ lo~
~-
r.
hLc.-
'WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: J!lt.J1-I-02- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!
IliSliOTI
-
\