HomeMy WebLinkAboutBldg Permit 01-1365
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at bv ..u_l
ADDRESS
~/7Ll (,u ;IJ~ L.a-."
Al, L4)
LEGAL DESCRu:'uON (office use only)
LOT , ~BLOCK I ADDITION 51' r:..((.,1:.;;
~~e~R .frt,/J~".JI) &-~.
1. White File
2. Pink City
3. Yenow Applicant
Date Rec' d
~u7~ . d tIu /JJJ1rk PID:25-~{)~-o/K-C
(Address)
TYPE OF WORK
~ew Construction
IlJ"Lower Level Finish
o Misc.
(Phone) ~)...,.- L/3 ~ - ? boJ----
(/
:)
(Phone) ~s:J -4~.. 76 (
(Phone) .9_J.:~:J-- 4..5fJ..? Co I
//tt .. ~ "',;')
.~- S I~ 4
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 that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
exntJJJr u 0 e nope, to perform needed inspections. II 3 ""1 I
~ t1-- I~ I'-~ta-() I
. Si~ature Contractor's License No. Date
BUILDER n.-. _ " , ) IP
(Name) Ir n:...th "wr/ V -<; J (
(Contact Name) .. .;.-c p.~. ~ ~ () -
(Address) ? ~O ( J4~--'- Sf €v~ s7, )}11...) VJ!;
I)'veck ~orch ORe-Roofing ORe-Siding
Wireplace OAddition OAlteration . ~Utility Connection
PROJECTCOST/VALUE (exc1udingland) S ~~-: Is-D. ~
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
205!noo.oo
$ '\SP\\' '7~
$ l~~. I\{
$ I OL.-,,'\O-
$
$
$
$
$
ItJO .00
-, 00 100
35.50
4f.] ,00
mTYourd~;;I-
BuUdij{ Official Date'
Park Support Fee
SAC
Water Meter SiZ~; I";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE Mij,W
Paid r: rt' i jJ 7
Date ',.,.., c) "iJ .
#
#
$ R~.C6
$ ! 1 L4)f) .. OC
$ , 2S-. 00
$ 'IS-. (J 0
$ 'l2.00.0(>
$ '(1)0.60
$( ~,cl:V
$ ...r
$
#
#
557.. WJ-
~4-
. 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
'""~~~ ~ L2-/3,k( ~6cls:~.c-~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
r::..... G,
, ~.",;;, '~i 1'.~'-' ',.' ....~
"-, ~.' .~
, .,
~ ~ . ," .
\ ,', e. ,'j ~ ,'- ,.,. to. \. ~
Th. (".n'.. nllh. t..k. Country
White .. Building
Canary . Engineering
Pink .. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT C-/J1(1f PIH!a~/'"l (~~AJ_~
APPLICATION RECEIVED / j:- ;;( & -0 /
, .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)) /}?<< (I/J&:1/J LIJ)ju)
Accepted /'-.
Accepted With Corrections
Denied
Reviewed By: ! /l/A l3
. Date: Il-())-c!) I
Comments: See Reverse Side for Additional Information!
~ee Attacnments: 1) Gr~ding Plan, 2) Erosion Control Measures
3) Erosion Control Plan
'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
Th. C.nl.. of Ih. L.k. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (-1)1~ f 21H1aPd ~
APPLICATION RECEIVED jY-;;< ~ -0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
d~?'I I/.J~ lAJ))t.i)
....
Accepted
Accepted With Corrections
/'-..
Denied _
Reviewed BY~ .~
/
Date: 11..2 '1- 0 (
Comments:
~ a.U ~t\-QcLuz.JL ~ ~
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. e.nt.. of th. toke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!. / y,/J
/d / .::1 .11,
/ / - ,~;{ &, -0 /
'. -;-'
/(1' if.( i/.7,,-/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.;J?~I //}",'/J }~A.J ,l// ()
Accepted
~
Accepted With Corrections
Denied
Reviewed By: fl--tuW--vc-"..c-. Date: WJ.otfI1
Com ents:
~ 1~. <J2 /") I' -'-. 1\ ~ -9111<
j'\. c.. .'" Vl~ ~ _'I
~ \d(A-~~~ ~,
~ LJ~~1/4 r
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.1I
From JECHEEXC
PHONE No.
612 8926396
Dec. 19 2001 6:49AM P01
.
t',"',l' ..,
I..
.
Date Rec'd
err\' OF PRIOR LAkE
SEWER AND WATER PERMIT
.....!lIIpe IVllllllr nrtnr IUld SIfI) .t wllum)
ADDRnSS
)'1'7'1-. ..U JI'lls..L/Jk.L t:J W .
~: ~ ~~ I PERMIT NO'/J,/_} ?/_'L""
5. CloId ^JllIl1.... , ~
ZONING (0IIIn IIR)
-.
LEGAL DUSCRIPTION (0"," UIe only)
LOT t9'BLOCK I ^DPITION~{~
OWNBR ,/I.n f.L .Q. .f".-
(Name) --L...fll r"" b YJt1 c.:. &l1 fi)
(}J_ ") I ~ ~ r,,{ <: ,>-.-.
(Addf('1l1ll) ~ -.. L..L..L.:... .21
. . . _ ' (!*,ddM~$)
~ t)__... .
PID
.. . (Phone) CfS';{ 4 3'~ /(p0l
,1"'.... ] ~ IJiJ}!:;;Jl ,..,.... ~
~.~:I:-",!:~l' ':.,1,.," .,:.~;.. (Zlp~)
APPLICAN']'---r r ~
(Name)' .J e..e. t\.~.. ~y~ (phone) &.1 a ?tPO 7'-1 G.
(Address) mD Tn~~ eJQfJ€- RllJQWJ;~+DI1 M..AI 6S-4Fl!
(A4dn:ss) (c!ry) (Zip Code)
(COntaCLPcnun) ~p~ J. (Phone) 4M ?;;~..~
APPLlCANTSIGNATtJRB I -fd.,.Jr-- DATB I:)./Jq(~(.,.,
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches. .
LocAtion of any cOUplings from structlU'e V feet.
T}ll~ of sewer pJpe.::. . 0 ABC ~ PVc 0 Cast Iron
Estimated length of sewer line .;~ feet.
Clean out (ifrequircd) located at feet from struc:ture.
Res.idential 5ewer and water line cormection
Sewer connection only
FEE SCHEDULE
$3S.S0 hldustrial, Com'llr. Multi-family 1% of job cost wilh. $39.50 minimum
$17.50 Waterconnec:tiononly $17.50
bstimated Cost S ~ Z; /)
BuUding Permit #
SEWER AND WATER PERMIT FEH
STATE SUR,CIiAROE
TOTAL rERMIT FEE
s
$
$
(.SO AlD W\TH . ","
. ~ \NG PEh;J."
BU\UJ .
~.
(omee \lse Onb)
Thl. Appll~otlon Becollln Your BUilding Permit WI.en Approved
Paid
Raccipt No.
.6y
Bulldl.. ornel.1
Dido
P.Ce
24 hour ..otic. fOI' allln.pBCtlons <'S:l) 447-9'5U, fax (95:1) '47~:l45
\..
FIRESIDE CORNER #7715 P.001/002
Cl I. i OF PRIOR LAKE n.te Rectd
tlJ!JA TINGI AIR CONDITIONINGIFIREPLACE PE~.u.l
t =., ~~ .: '4.~lilIT NO~ , - 13lo:- I
,. Tr.ll"", i\PP1ioont u:::LJ
(PJpse ~ or 17dnt 1IDd. :vp It boaDm)
ADDRESS ZONING (r;\~ UII:)
,;)/JV II.J/ltLJ IIJM__N~)
LEGAL DESCRJ.l' J. J.ON (oAke UIIe amy)
LOT
BLOCK
ADDmON
Pro
OWNER ~._
(Name) /h"..f..-I4hIJ~ ~,
. (phone)
(Ad.dms)
APPLICANT
~ame~ ALLIED FIQ2SIDE DBA FIRESIDE CORNER
. (phone) ~1-633 -a.s.61
(Address) 2700 N.. FATRVIEW A.VENUE
(Addless)
(C ... P ) BRENDA HUSTON
on_d: man -
APJ?LICANTSIGNATURE _&~
or
J/4~b:-
i'1C::1IMr'l'T T~ MI\1
(City)
. (Pbone) 651-633-2561
I;rq 1":l
(Zip Code)
_~_ DATE
/-/$"D ~
FURNACE MAKE AND MODEL
FJ...UE SlZE RETURN OPENINGS INPUT
TYPE OF SYSTBM HEATING OR PO~R. PLANT
:JWum AIr P\pnts J Steam
JOr.vit)' J Hot Wafl;f
J Me~rmjcl11 3 Ra4iPl/on
JAlr Candidonins Special Devices
:JV~t. System Other Devices
FIREPLACE MAKE AND MODEL ~Y.2. ik~ JJ t;'(J<' ~1t't...-
Q FEE SCHEDULE
rndtlBTl'ial. CDmmcrcial &. Multi-Family 1% afjob cost R.esidcndaJ, GIS Fireplace
139.50 minimum
$99.'0
$64.50
APPLICANT PLEASE COMPLETE BELOW
~ CONSTRUCTION 0 REPLACEMENT 0 ALTBRATJONS
FUEL
OUTPUT
PLEASE NOTE:
Air Conditioner U n.its
CMnot Encroac:b into
Required Side Yard
Setbacks
$39.50
Re:sidentiaJ. Heating &. Ale (New Con5l/'llctlon)
Residential, Heating Only (New Construction)
Residential, Addhi.;ms &. Alteralion.s
Raidllndal. AC Or:i.ly
539.51)
$39.50
Estirnared Cost $
BUilding Permit #
MEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
r PAID WITH
.50 BUll.D1NG PERMiT.
.
(Orner UII: Only)
Tbls Application Bc:cames V Dur DJdJdfDI Permit When Approved
RJllldfJlI Ot'Jicl.r
PI!):
IP8~.
, Date
J-( 5-02-
. Rece~
. By ./iJ!!:-.
/
2.14 hD"r nodce rot .11 h..pcetton, (952) 447-9150, fax (9~) 447...:145
...../......1 U.J, 1'..kJ,
~1:31 FAX 8124474245
CI.!I. OF PRIOR LAKE
----
"-II i OF PRIOR LAKE
JU.A .l.ll~GI AIR CONDJ.l.lONINGI ~.l.AEPLACE PERMI.I.
iI 001
Date Rec'd
jl.1eac ('ltDe Qrmim lIul sia at bottDl:!J
ADDRESS
~a S-.I PERMlTNO'OI-13~61
~ r:;ook.')p
~77Jj
~/JAJ5:.
))0.
LEGAL DBSC1L.r uON (olllae QSO OIIly)
LOT BLOCK
ADDmON
~=~J--r?rO~1QJ,() r~~1.~1
(A~dnss) _ ~p/e J/a Jk ~"
APPLlCAN*r h _ /./ r\
(Name' ' ;';..... ,~/e^ ) 0 ir
(Address) ~~LO M.z&., .At., e
(Addru$)
(Contaet Person) ."
APPLICANT SIGNATURE ..dd ~f~
ZONlNG (olfialr~'
PlD
(.Phone) -I~.;. 7ho I
(pho!l~) ~ - ~ ~
..t=q .J-v. 5'~~
! (City) (till Coda)
. (Phone) _
_,/", ~~~I-;:ANT PLEASE COMPLETE BELOW
. ..JG:Il"(~WcoN~'UC.ULllUlol OkEPlACEMENT 0 ALTBMTIONS
FUJ.NACE MAkE AND MODEL ~ ~~./1..(1 <-9pt,P~ OJ"/4 FUBL -tl..kl-
FLU~ SIZE ;1 If E:ur.:-- _ BETURN OPJnn'NGS ~ INPUT /~t".; OUTPUT
1'YPB OF SY8TSM aBATING OR. POWEll PLANT
OWIU1Il Air Plants 0 StoUn
o ity 0 HOl W-.r
ical .' 0 1WI1at1on
AOO Condid01liol 0 Spec:ial Devices
eat. Systcrrl 0 .Other Devices
DATE
flREPLAO MAKE AND MODE1.
ftKSClIEDtTLB
Tndus~a.I. comrnerc:ial " Mulli-Family 1 % of job ~o~t llald_tial. Gas P'iTepl.ce
$39.50 minimwn
kesidcntial. HCIIti"a IlL Ale (New ConsauctiOfl) . $99. SO IUlsidCldal. Additions II: Altcrarlo/ls
kai...t.i.J. Heatilll Only (N~ CanstNcdon) $64.50 R.-.ridCl'lti.l. AC Only
Estim.teci Cest $
Suildinl Pennft #
/-/~-() I
.--.
9.q.(j(Y)
PLEASE N01"E:
Air Conditioner Units
CaJmot Bncraub into
Raqulrad. Side Yard
Setbacks
S39.50
139.50
$3',50
HEATING PERMIT mB
STATE SUltCHARGE
TOTAL J:~.MIT FEE
$
$
S
"---PA'D WITH
.50 'BU\LD'NG PERM\T
~ .--
(om... u... Ollly)
Tbi. ApplicatiaD Becom.. Your a_illlml pCl'1lllt Wbell ApprDyed
~
~ IhtJN I 5 2002
BlIildl., Ollitllal
DIlIII
j
1.4 fle..r Dotice far .U ia.p..aions (951) 447..91SC1, to (~) ~'7...)45
--
too III
8IV a3'110&LNO;)
9LZ909ttS9 YVd Z&:&t NOR ZOOZ/tt/to
Tlw c.... .. .... Will C_lry
Quantity
/
'j
'J
',7
/
(rJ
j
,-~
I Blue
2. 1014
.1 Y ~llow
File
Cry
>'\ppli""'l
CITY OF PRIOR LAKE
PLUMB~G PERMIT PPNo. ~5
Appllce.nt:F,' P .s.fqr umhi C. Phone:~~ Y-.f9-~/ ~O
Add....., ~t~ ~IiIP / ve. ~~. ! l' (';1'0 vt-',I"I1, ~'dJLt
Slgnature~~ ~ --->?...;i \
Legal Descrlption: Lot / R . Block 1// Sub S-mr~1J SO.cIth
Site Address: ~/}1.Y. lJJi/d~ ~t1.L.lilf/, .
Building Permit # (l /- L~- PIC j
NOTE: This permit will not be processed without complete information
FIXTURE UNITS
Type (,)1 Fixture
Rough-ins
Water Heater
Water Softne.'
Stand PIpe (washing machine)
Sewage Ejector
I3ackflow Assembly (RPZ, Ool.be Chack, PVE
Backflow Assembly Test
Lawn Sprinkler
Other
,
':
$
$
$
$
,50
Type of Fixture
Quanti~
~0Vl-}4
This permit is granted upon the 8Jl.[>re5$ cmdition that said
contractor, shall compi:. in all respects w,dt lhe ordil1ances
of the State Pl~ C amendm.:~f.,..- PA\O \j\Jr\\--\ loA\\
..------ R.I! .:.- ----- DA ~ ft\ \'~ N.' NG pER .
-- . AT1"EST~---
'ons 24 hours In advance,
16200 Eagl~Creek.Av. .S.E..Prior Lak.e. Minnesota '537zrp.n. (6\1~) 4474230 I FAX (612) 447-4245
An Equal Oppbrt!,U1i~ty ,~mp~oye: .~. j : ..~
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laund\'"l Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water.Closet (toilet).. "
/
/
1 ~.
. ",
',," \:r J"'. ' ',,\
fEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
,
SITE ADDRESS ::<7'74 (~; )&~ LVI.
NATURE OF WORK N~
USE OF BUILDING -.:5'f=. \) ,
PERMIT NO. (JL ~ /-;:5 _ DATE f.SSUED 11- ;;{ i-ell
CONTRACTOR .M~U ~ -~~. PHONE~;t- LI5~-7~1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I. ~\~ ~H."(
, FOUNDATION (Prior to Backfill) I ~ 1a: J; I L~ _~J.V
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS ~
SEWER/WATER/SEPTIC b ~_L O~
FRAMING ~~"""'\ \ ~\O~
INSULATION I ll3J \ lo;J.
ELECTRICAL
PLUMBING t, \' o.cc I. 1(1 'ljOi-
HEATING (if required) <t ~\1J.<6 \ I l.;tlb pit.
FIREPLACE 1,. \\a..u,~ I L ~A 0),
GAS LINE AIR TEST ~ GO-.ta. I' tJ~1{ p-;'
\ ,.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I J
Luih~Z;Uh , 81/ ~3'-~INALS
GRADING (Prior to SOdd:Jrg)
BUILDING 166f tpV PI) G,-l"Z.
ELECTRICAL
PLUMBING '- /?J b 3~"l> .4<..
HEATING ' ·
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections ha'le been approved. On buildings and additions
where no service cabinet is available, card shail be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
.0,.,:;.; ',_~ ':'t.,~ y,. '~1"'{.~ ~~~;~,..;..'$J"'''; ",0
'~->/ij:f!,;(-' .,,: ~~;. -~"ij ~"~;'i"".~~~~ i'~~ ~.
"It'- ..hr
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
~.If), Q.3
2774- WIt-.oS u:1AJC
CONTR.
PERMIT NO.
O/-13CD5'
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
5D;i~
I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
i. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~~CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
"
ij-;;2. -o;;-~ ;Crb
d-1J~"i !.A/$-.40 /.ir-/
. ICONTR.-' /Y/-- /73 ~5
~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
^ 0 INSULATION
.,., FINAL
"iSITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: \ \ \
yI:-- ~, MQ,~ V\D-t ~e lASeQ, I.A.IA'tt
CDv\c.,~Jte- -+llo~v fk ~ou. red..
bt.- 8 JOl o~
I ,
~ it lf~veJ- b1 FA~1 ~'1
~
~~ t;tJ ~e6 fer AeNe\of~ +-- .
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, fAll FOR REINSPECTION BEFORE COVERING
Inspector: ~ - \)~ Owner/Contr:
CALL 447.9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
3 - 'Ul .' 0 z. :.3: 3t'J
ADDRESS
2774- 0//I-OS L-N.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/- /3~C
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
"'g{ PLUMBING FINAL IX
/0 MECH FINAL f-J
Plt~~
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
'----.-
I' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~I :~' ~ALL 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!
INSNOT/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(p- ;J.b-o )
ADDRESS :277'1 W,IJ5 J J')-
OWNER CONTR. Jrk Dot/J&I ,I
PHONE NO. PERMIT NO. (0 1-13~ S-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
CJTI'tNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
&r~/9K-
Cv1b 1.66V-- 19K-
'.c...- - '
~RK 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!
If'/SNOTI