HomeMy WebLinkAboutBldg Permit 01-1269
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS .3 0' / I
'-f L-~
\\~.
I. White File I PERMIT NO.
2. Pink City
3. Yellow Applicant
~~_S~~ .
NvV
LEGAL DESCRIPTION (office use only)
LOT CPBLOCK / ADDITION ~~vV\L -...I.. . .\
OWNER
(Name)
(Address)
<
Z>~
BUILDER~~
(Name) V
(Address)
'\ ~o.t\
TYPE OF WORK
o Misc.
OLower Level Finish
~irePlaCe
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
~..CJo
( tPt? . C>CJ
~.SD
qo.()()
?r(!;is A Iic10n Becomes Your Building Permit When Approved
(-' ~1r~
. Bul(llng Official Date
D-:.-"'-~ L. tfP
PID25-37/- ()()ILJ-Q
(Phone)
Date Rec' d
u,q I
I
ING (office use)
r,e 1.5..0
(Phone) '\ C; 2 - ~2:.& - Cc:. 5~ '-
1S~~~
1\
ORe-Roofing ORe-Siding
OPorch
OAddition
OAlteration
OUtility Connection
1'7,000
Date
$ BSo.cx:> I
$ I, I 50 · OC) I
$ .., ~,6C> I
$ qs,oo I
$ [,Qoo.(2) I
$ ~ '1ro.(!h I
$11'~~,"d
$ -
TOTAL DUE tJliu,GJ) 11ft/OJ
Paid Blft ~ · q1
Date ll'-'], t) ,
. .
$ e,.~7q. '17
Receipt No. 4~QJ
. By rz-\> ~
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
=~~ed~ by the~City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
-.f~~ ~I'~ ~ JAr<;
v ann g Director Date........... Special Con i Ions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PROJECT COST /V ALUE (excluding land) $
Contractor's License No.
Park Support Fee
#
~<; -c: '"-
~---l_'-<- ~~ '- "
~ew Construction ~k
I hereby certi at 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 ent fi the above-men . pe and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitte plans. am are official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter ~ roP. top .j:;".~ /b'f7 1-(, -D/
./ Sigoatury ~
to' f Itf7,coo. ~ eJ
$ I I.fi'JtP . ezs-
$ '119.02
$ ~ . c:J")
$ - ~I
$
$
$
$
SAC
#
Water Meter SiZ~ I";
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
White - Building
Canary - Engineering
Pink - Planning
Tht Crnltr of the Lakf ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DAH~6 13/2,05.
q- /4-- 0 /
The Building, Engineering, and Planning Departments have reviewed the building permit
app'iCati3~C7s;ctionZ;;r~t m~6A; 6 I IV W
Accepted
Accepted With Corrections ~
::::::00 By(jJ~
Comments:
Date: 9-11-?b:J./
)
- - -
O~~(Q~L,} ~~
"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. ('.nt.. of lh. ...k. Country
c:J{- 1~~9
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
DAHC,,6 f5iZOS.
q- 14- - 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicati:3';C.;s;ction;:;;:e,;t HA~6 Ai c, I /Ii W
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
UIff3
Date:
9-~e--01
Comments:
See Reverse Side for Additio!:,allnformation!
~D 11 () + (;raA ; '" S \.VeIl ~ /1\. ~ crI- 10 y."
See Anacnments: 1) Grading Plan, 2) ErosiOn Control Measures
3) Erosion Control Plan
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."
Th. C.nt.. of Ih. I..k. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
DAH~6 t5J20S,
q- I 4- - 0 I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: J
,3077 L-I-J~& HA Vb/Vel N~
/
Accepted
Accepted With Corrections
Denied --}
Reviewed By: (~~~~
Date:
tt /()IO(
Comments:
{~MM.' .N F\ ~~ {AAdJj:.
tAX - ~~ -1 /AMIJ -1- '6 ~J
V;Z\()~W ~O ~k1,: ~ -,
"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."
JAN-28-2002 10:31 PM STAR PLUMBING & EXC.
952 884 7468
P.01
_. ....
nu.ow - APPLICAII'r
.... . can
CITY OF PRIOR LAJ(E
SEWER AND WATER ~~AMIT
NO. 0 J-I 2lPQ
BLDG.
77 ~~tJlPID#
NOTE: Sewer and Water
contractors must
be registered
with the city.
71.>"""
PHONE: ~N-~/Y7
DATE: ~ -~6>-t:J!L
PERMIT' OI-IZfp1
APPLICANT:
ADDRESS: /()/r!'
SIGNATURE: ~
SITE ADDRESS:~~
~~
1.
FILL IN THE BLANKS
Estimated length of water service cr-~
/ II
size of water service inch(es).
Location of any couplings trom structure
feet.
2.,
3.
feet.
4. Type of sewer pipe. ASS PVC ~ Cast Iron
5. Estimated length ot sewer line ~~ feet.
6. Clean out (if required), located at
structure.
feet
from
BY DATE:
============~~===~ ===__~___~=====____~~_____~=__~D_=============
FEES:
$
$
$
35.0
.50
35.50
Sewer and water line connection permit.
Surcharqe
TOTAL
· Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
.
Sewer and water permits issued for new construction must be
recorded on the buildin~ permit card at the time of issuance
to insure that no dup11cate sewer and water permits a~
issued. ~
~\O ~e.RtAt!
6\J\1...~-~
'* 3 OlUUL
AMOUNT PAID
DATE PAID
RECEIPT #
REC'O BY
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An EGual OoDortunitv Emolovcr
FIRESIDE CORNER
'-'J. J. ..' "'I,' .a: ~"'&, ......n.",.",.,..
# 0 71 7 P. 00 21..Q 2.7_ ____ _
REA l J..L iG/AIR CONDITIONlNGIFIREPLACE PERl\tu.).
::~=- S-. I r'~Nt1ITNO'O/_/~q
(E'1a.sc l:VDC or urmc IQU1llcn at!, . . J.. . , )
ADDRESS
3Dlt Wn, ~ eLk--
ZONING (olfieE IDe)
LEGAL DESCRIPTION (offtee u.se only)
LOT Br..OCK
APomON
PID
OWNER
(Name)
(Ad.r:lr.ess )
\)-Lh~
~o~.
. (Phone)
APPLICANT
~ame) ALLIED FIRESIDE DBA FIRESIDE CORNER
(phone) 651-633-2561
(Ad4n:ss) :2700 N. FAIRVIF;;W AVENUE ROSEVTT.t.'1: M1I7
(Addless) (City)
(Contact Person) BRENDA ~'rON, (phone) 651-633 -2 561
,APPLICANTSIGNATURE~ ~ 11;- D~tE _~-~ ....O~
" APPLICANT ~ASE COMPLETE BELOW
;glNEW CONSTRl1CTIC?N 0 REPLACEMENT 0 ALTERA TtONS
FURNACE MAKE AND MODEL FUEL
FJ...UE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER. PLANT
OWlUTft A.lr Plmts 0 StoDm
OOt'llyjty 0 Hot Waler
D Mechanical 0 RDdiat!on
OAir CDndltioning 0 Specill Dev;c:es
d h (' ..t.pla. eaVenr:. Systml 0 Other Devices .
FIREPLACE MAKE AND MODEL j - L1.ea.A ~ lo~ ~.1P._Vi f~:1rt.. t.
':;"'1":l
(Zip CCKk)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach mtc;l
Required SIde Vard
Setbacks
1 .~.-.)Iclo
-. ~ -,SO-r.<..
IndumBJ, Commercial &; Multi-Family
FEE SCHEDULE
1 % of job QOst Resident/al. Gu FlnplKe
539.50 minimum
599. SO
$64. SO
$39.50
MEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Residential. Add.ldons & Alterations
Rcsldmtilll, AC Only
BufJding Penna # 0/- I ztt;1
s "..- PA'Et~~M\T
$ .50 BUU..Db" .
$ ~
$39.50
$39.50
Rc:sldentlo.l. Heating &. AIC. (New Con5lTl.l.Ctfon}
Rclid,c:ntJaJ. Iieatlng Onl)' (New Con9trUotion)
Estimated Cost $
(OtIice Use Only)
Tbls AppficAtJl)n. Beeoma Your Building Permit Wben ApprDved
./
811I1d'''1 omd.'
D.'1Il
I~
DaTfEe - 1 ZUUZ
R.ecejptNo.~
~ /./1
BY?
24 hour notlc. r.,. aJl'...poctJOIII <'!!II) 447-9150. fu (9!%) 447-4245
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CITY OF PRIOR LAKE MC
16200 &gJe Creek Av. S.E. PINmiI No. 0 t - 12fd1
Prior Lake, MN 55372
HEAllNG APPLlCATlON I PERMIT
Dale -D '). - 0 4 - u.:z... PID. 25 - 37 t - 00(p - 0
Site Address 307 7 L 4LU,- l+a.~ ('....
10I . BIadl Addition
Own.... Hame _D....l.-.l-t, ~ (" os L ,-..
Adcbeu t; 10 A L'J AJ..l 'It.. A" ~
Healing Conlradof _ ( )... \ I ~ ';'l'~,",- ~ L
Address !JJ l ~ ~ I 2~ ~'"' '5 or
Ci'i 0 - 4Jo ~
Telephon..
Furnace MaJut & Mode) L elllo..~lt (y- 7r,.
ModelSiz. JUO,IY~'"J
Com.Load 70 I ~":3
-,\.
Fuel IU #r-r Flu. Size...::J ru c.
Ie:.
~
Su," Openings
R.turn OplningS
..... ~f1O'1 Oulput~ &f.lp D.
Edr.
Clm.
I, 2..D n
lYPE OFWQRK
Aherallofts
ReplaclllMtrl
Repair
EsI. CoslS
KEATING PERMIT FEE I
EsL Camp. Da..
TtPE OF SYSTEM
Warm Ail Planes
Grnily
Mechanical )C ,
Ail Condiwning \to-
VenL Sys1em V
HEAlING OR POWER PLANT
Steam
Hol Wat.,
AacIraIiDn
Spada! Devices
0Ih., Dlvices
New Construction -Y
Buildi,. Pltllli , 0 1- I 2toq
""'MID WITH-
. BUILDING PERMIT
STATE SURCHARGE I
TOTAl PERMIT FEES S
.50
n.c... ,
TYPE OF STR\l.CJURE
1. t......
J. Y.....
lo"lI'
c__
Single FarriIy
CCJmmen:ial
k-
Mufti-FarIIiy .
Olher
Two-Family
Indusllial
PUbf'1C
Fee Sc:becUe
lnduslrial. Commercial & MulIi-Famity
Residanlial. Heaing & AI;
Residenlial. Healing Ontj
Residenlia~ Gas Firepface
Residenlia~ AdciIions & Ale.ralions
R,...: L.. ,lial. AC Ontj
1% of job cost (139.50 rnDrrMn)
$99.50
$64.50
$39.50 .
$39.50
$39.50
Remember 10 add lhe Slale SuR:harge on !he boUom 01 lIis . ~,' . ..6on.
The price 01 your healing pemit Includes ane rough-., and one IinaI ~specIiDn.
Addilional inspedons wII be biDed at S35.00 each.
House Hea~ Test Record must be sWmit1ed wilh buiIog IIUDi JDIdlI[ ..rar. buid.
ing certificale 01 oc:apICJ, wi. b. Issued.
tiE6I CALCUlATIONS REaUIRED wiIh number of suppIv and rean openings isteet.,.,
100m wiUt CFM's per openin~ Hewltrul:lures or adcilio.. send floo, plan wiIh supply
and relum JocaIons shlMn. HEAT lOSS CAlcuumoNS" PAYMENT AND
APPUCATIONS MAY BE MAILED 10 THE CrN OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. s.E. PRIOR lAKE. MN 553n.
City Hall business hours are 0 am. - 4:30 p.m.
AU WORK MUST BE IHSPE" I cu lROUGH-JN AND FlHAl). em CffY HAll
447-4230
I hereby apply lor a mechanieal systems permit and I acknowledge that !hit
Information above is complele and accural.: lha' lhe work wiD bit In cenlormance
with Ihe ordinances and codes 01 Ih. cily and with the slat. bblldinglmltchanical
codes; thai this form doe, not become a permit unlil signed by lh4t BUILDING
OFFI L: t \ the work will b. In acco,dance with the approved plan In the
rk hlch .equlr , r~.nd app.oval 01 plen,.
({II . ~:2.-V"-Ol-
08"
2-4- -02-
Dale
Bui
Date Rec'd
ell i OF PRIOR LAKE PLUMBING PERMIT
2-/3-02-
~. ~~ ~:~ I PERMIT NO.o/_/? / jA
3. Yellow Applicant vfP -,
(Please type or print and siltJl at bottom)
ADDRESS
30ll LA.ke.- J..lA\J~N cJ.,
ZONING (office use)
LOT
LEGAL DESCR1.l'uON (office use only)
BLOCK
ADDITION
PID75-37/- OO&-()
OWNER
(Name)
(Address)
(Phone)
APPLICANT \. V1 '
(Name) ~d.CVV\ve.....\\~~ v LW'V\\o 1 ~'7
~ tj IlJ L P -u-J"'~<1 ! lit-tV ~A- L
(Address)
,
(Contact Person) f ve I <:
APPLICANT SIGNATURE ~ P"/ #__
(Address)
Quantity
"2.
t
l
,tt::;
\
l
I
-)
Gdi\ l -~y~ --~ q"
~~2rJ S-S/2:J
(City) (Zip Code)
(Phone) &;/2., - <(OJ....Sq~(,
2J/~J02
(phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
(
I
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
o L::1U q
J
r!"" PAtD W\TH
.50 llUl\.D\NG PERM1T
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
~
Datez_/3 -0 Z-
~
BY~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
P R I 0 R LA KE .DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 30-0 l~ \~ c:J-
NATURE OF WORK ~
USE OF BUILDING c;a'F 0 .
PERMIT NO. OL:::..L2-fpq DATE ISSUED 9-(q- ~ (
CONTRACTOR ~ ~\lZ- . ~~ PHONE 'i5'2....:B68-'*~ ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FOOTING I 13 V I 11- ~ . 0 ]
FOUNDATION (Prior to Backfill) I. 1>~ 0Mli I r 1 ' ;2.~ I 0 \
PLACE NO CONCRETE UNTIL ABOVE\HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~
FRAMING ~0~
INSULATION ~ ~ ~
ELECTRICAL
PLUMBING · ~ ~..{W~ 1 A..r..l>~
HEATING (if required) ~ :z - B.. 0;2
FIREPLACE ~-f{.,o~
GAS LINE AIR TEST ~ M ~ ~ l-~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
fv~ . ,,-=,*1 ~.O;
~!)~(lMIJ 5 0;.... \9(',\~'
\ ~ ~ '
~JdMt . ~(.l"Zfoa '.
~U~~ \ l .s;91Oc('~
OCCUpy UNTIL ABOVE HAS :JEEN SIGNED
NOTICE
I
1
\ 1 \0\ oJ.,
~1"'c:P-
31 (~)o;2
j
,
,
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 sh,1I b~ placed near main entrance.
,
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
Qttrtifn:ate of Icmpanty
CITY OF PKlOR LAM
)Bepartment of lIuilbfng In'pettion
f
~l"inal Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 0/ the Uniform Building Code
certifying thllt at the tinu! ofisslUUlCe this structure was in compliance with the variOIlS ordinonces. of the
City of Prior lAke regulating building construction or lISe. For the following:
UseC1assi~ ~,:. SINGLE FAMILY Bldg. PamiINo. 01-1269
0..".,,,.. Type _ R3 TypeConstruction _ VN F'ueZone N/A ZoningDislrict RlSD
L6, Bl, NORTHWOOD OAKS SECOND ADDITION
Lep) t ~"...:,. :..,.
OwnerofBuildinl ,SifeAddress 3077 LAKE HAVEN COURT NW
DAHLE BROTHERS, INC., 9304 LYNDALE AVE. S., BLOOMINGTON
C. .."..tor'sNamecl:Address
ROB~T D. HUTCH INSCityPllnner
Buildill8 0fIic~
A \ fJJ.N. ~-, 4 - 02 Dafe:
DON RYE
Dafe:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
30 'J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o !}ISULA TION
;rr:INAL
o SITE INSPECTION
COMMENTS: G 1-\
DATE TIME
SCHEDULED ~./~~
LJ~-e- I- {J.J~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
- 0 \:::
C- lc::>~~ - ~,' e
c... (),
-1 s s u.P_
./
~RK SATISFACTORY, PROCEED
o CORRECT ACTION rND PROCEED
o CORRECT~RK,. ;ALL FOR REINSPECTION BEFORE COVERING
Inspector: (h \ {j..).A.lJ Owner/Contr:
~
CALL 447-9850 FOR THE \EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTl
DATE TIME
SCHEDULED 3 -d-7-~ ;);'3'6
3o/j~ /AkR 4~C4
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'-/;).-(,9
o FOOTING
o FOUNDATION
o FRAMING
I\" ..~SULATlON
n ~~~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ LUMBING FINAL
MECH FINAL
\
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS,
tli
q'-~4
PJ Ol .O~
~rvel bl
sed- t'l~~ ~
/"l . ,
~ \.Tu
l
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO'\1 CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \h..<M Owner/Contr:
CALL 447-9850 FOR iHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
TIME
S ~3-J-. / t; ~
La I~ I{ ().. u e-t-J
DATE
ADDRESS
30 71-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I - { "d--fo CZ
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
k' PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: \ f
V\I\~ QlAAfI ~ 0 I c::::
( "
JII.\.('" ~ seoJ~
ftORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~', CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1", \)~ Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
,.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-3I-ol.
ADDRESS
?tJ77 L&rlt( ~~V(I'\ C T
CONTR. "T::AHL€ Bros.
PERMIT NO. 01- IJC,9
OWNER
PHONE 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
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Grt:(rk - 0 J(
C. C/lb ,'f3.0)( - Ok..
No SJ?r
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'InSpector:'#~ ~.Ao4o"~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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