HomeMy WebLinkAboutBldg Permit 01-1384
Date Rec' d
1/-z9~/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION P~JT
5eem~)1V f-lje- 0/- 13f6
I. White File PERMIT NO .1\
2. Pink CitY . v,/.-/' '2 a A.-..
3. Yellow Applicant ..:;J ()#'r
(Please type or print and si2ll at bu ..u~)
ADDRESS
/7~32 ~r. ~f:
LEGAL DESCRL.t' lION (office use only)
LOT ~bBLOCK I ADDITION ~~,...WL,JY\ ~
OWNER
(Name)
(Address)
BUILDER C\ D. I L A ~ _
(Name) I) IS.. tT1JV1"VYl
(Contact Name) Q'W!. ~(rn
(Addr ) J08k 0 ,..fN1 bYldAe- cA-. Sn. / dO
ess LA.P IU/l IlL . rYfJ//} fhlJ 1./ cj
,
TYPE OF WORK
jltNew Construction
OLower Level Finish
ZONING (office use)
tel
PID ?S - ~ .. /J3S -0
(Phone)
(Phone) 1I~~,q8fi-7'Ool!>
(Phone) !l5;;J. -;;l2c-- ~3 y.
o Deck
ORe-Roofing
o Porch
o Misc.
o Fireplace DAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ ~ j / g J
. i
ORe-Siding
OUtility Connection
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-me 'oned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted p. s. I am aw at building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upo e roperty to rfo t > d inspections.
x
Permit Valuation q~I'l)OO.~
Permit Fee $ <1'11 z'"7S"
Plan Check Fee $ (tJ olJJ. ~~
State Surcharge $ 4'1,00
Penalty $
I Plumbing Permit Fee $ I (90 . c.98
I Mechanical Permit Fee $ LOC) .60
I Sewer & Water Permit Fee $ 3~.50
I Gas Fireplace Permit Fee $ 4.- 0 . Q:.)
-- .
Ii Becomes yur Building Permit When Approved
~ I 'L",C:;CS--O/
. liing O~ Date
~ooo 5l,t;;7
Contractor's License No.
I Park Support Fee #
I SAC #
I Water Meter SiZ@; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
lather St-uJ ~
I TOTAL DUE
1l/t2 ~!!/
8SJ .CXS
111~.t)6
t as,c5l)
~6.06
(~.C)o
'1~.t5)15
$
$
$
$
$
$
$
$ 35".50
$ ", 04(,. S9
I Paid "2..~, ~1 - k~
I Date ',..,/( -z., l' tJ (
. Receipt No. . A1!~
By ~
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
-::::';r- '" "" CUy """'" ~"'. """""" """""" of """'" - md """" """"""'" '" OO~. IIdi>e =_. . """""" of """""" ~. st be
is;Z-1 /1 - -f~ '~/~ttS)( ~~.t~O(,./VV'{)~
~~ Date Special Conditions, if any ~~
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
f
White - Building
Canary - Engineering
Pink . Planning
Thr ern... of Ihr t.b Counlry
BUILDING PERMIT APP~TION De.eARTMI;NT CHECKLIst
NAME OF APPLICANT
APPLICATION RECEIVED
.If' /(/. /~
/I-e>-tf - 0 /
/ , , .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. /75.-)L- J{bki~ Ja..
Accepted "''''X' '.'. AcceptecfWith Corrections'
Denied
Reviewed By:
IJ/f}jJ
Date: /2-1t)~ 0 (
Comments:
St e rV/C11 ~ F;/-t.
. . , ~ . " I' '"', ~
"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. (".nl., of Ih. "ok. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.J{. /~ /~/)J
/1 ,.:ft) - (J /
/ , , "
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/73~ /{Lr~./ffi.
Accepted ~ Accepted With Corrections
Denied
aAA-/~/~~
t/'"
Date:
L J.-/~ / {3 (
Reviewed By:
Comments:
./
,c
b=-~ ~ tt-M-esS / 7570 )/~4dJJ
~av- ~ D'[)~~. -
'JI!,;,./N
"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, (.'nl.. of Ih, I.ob Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.It R. ~
//-24 - () /
/ , . .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/7352- a _-
/
Accepted "'>Z-
Accepted With Corrections
Denied n .
Reviewed B~ O(h.,-f,
Comments:
90~ ~ .,,~'V b~
Date: -12- 0 S- - (3/
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."
FIRESIDE CORNER
#5514 P.003/005
CJ. J. i OF PRIOR LAKE
t:lJ!JATlNG/AIR CONDITIONINGIFIREPLACE PE~Ul
Date ReI:'d
i:':" ~I~ l'~AI."llT NO. 1_ (::1 9/ f
,. TIllIqw ""'1_ d U -,
(Please tyJJe or mint 1U:l4.1iJ!l1 at bottom)
ADDRESS
173.s~ ru~IJ,d 0,. f:e.
LEGAL DESCIUP'I10N (oilier.: use only)
LOT . BLOCK
ADDmON
OWNER.
(Name)
(Ad.drCSll)
fj)~. ~
(phone)
APPI..ICANT
(Name) ALLIED .F!BESIDE DBA FIRESIDE CORNER
ZONING (DI!i.c:I:..~)
PID
(phon~ 6~1-633-~
"en 11
(Zip Code)
(Addres$) 2700 N _ FAIW!2W A.'JENUE
(Addnlsl)
(Contact Person) BRENnA HUS'I'~ . 1
APPLICANT SIGNA TUR.E ~.... iJ/Io"iPC'
~
~SRVTr.T.E MN
(City)
(Phon~ 651-633-2561
DATE .5la/.';)?
L' ."
.. APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRucrrON 0 REPLACEMENT 0 ALlERA nONS
FURNACE MAKE AND MODEL FUEl.
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
7.'YPE OF SYSTEM HEATING OR. POWBRPLANT
:JWIIml Air PhUlr.s J S~am.
::JOray;l)' :J Hot WIbr
:J MecbMfeal . :J Radilltion
JAir Conditioning :J Spmeial DcviGlls
JVant. System # J J Other Dev[ces
FIREPLACE MAKE AND MODEL I:::ket. }J (itP ~ 7./'0
Industrial. CommcreisJ &: Multj-FllJl1ily
R~ic1entipj, Hating &. Ale (New Construction)
Rcsic1endll, Hating Only (New Ccmtrp.ction)
FEE SCHEDULE
l ~ of job c:ollt Rcsldendllll. Oas FIreplace
$39.50 minimum
$9'.50 ResIdential. Addi.1ir:ms It Ahersdo"s
564.50 Residential. AC Only
Emmated Cost S .
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT ~ &JI. S
~ce Url! Ortlf)
"'5 ApprJClrion BlI!COma Your BuDd1D1I Permit Wben Approved I Paid
.50
Blllldllllomd'"
D.~
Dale
MAY 2 / 20Q2
%4 hoar notflCll! far nlllnlpectiol't. (951) .u'M8!O. f.Jt (9$)) 447-4245
I PLEASE NOTE~
Air Conditioner Units
ClUlDot Br:u:roach in.fD
acquired Side YlU'd
SetbecJcs
$39.50
S39.SO
$39.50
r-
BUI' P.D~!D !.. .,.
" ~ /'\'(~~' .,
Receipt No. .
BY~
Dec.l0. 2001 2:01PM
GENZ RVAN PLUMBING AND HEATING
No.7996 P, 8/21
Date Rec'd
CJ.T i OF PRIOR LAKE PLUMBING PERl\'.i.1T
. .
DECl3m
i:"~ ~~ I PERMIT NO'()/-1384-.
3. YeIIa., Applioolnt
(Please tyt)e QJ: pr.i:I;LI: and siR:n .r bottom)
ADDRESS . . . .
11B?:/2- \)/0" ti V _Y () (~R- ~~
ZONING (~lIIc)
LEGAL DESCR1.r u.ON (gtlic:e U$e cmly)
LOTOS';LOCK I ADDmQN ~~_O
1
PID
OWNER
~wn~ DR Hor~on Custom Homes
, (phone) 6.51-454-4663
~~es~ 3459 Washington Dr Ste 204 Eagan. MN 55122
,
. APPUCANT
(N ame) (A.t/ ~ -J4':::: ? ~_ .,~ '\., -I US h 'R 9 'i t:;i lilg
(Addxess) 14745 So Rober't Trail
(phone) h" 1 ~t.. 7 ~- 1 1 ~
(Address)
Rosellloun't MN
(City)
55068
(Zip Code)
1\
i
f
AP ICANT
I Type of :Fi:rt1lre
. Bath Tub witb or without shower
Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lot 2 coxnp....;..,.,.ent sink
I Shower Staij
I Sinks
I Bar Sink: .
I Wmr Closet (Toilet)
(phone)
651-423-1144
(Contact Person) Mary Olson r
APPLICANT SIGNATtJ.RE () \..
,,:. DATE , ~/ JD ~I
ASE COMPLETE BELOW
,
! Type of Fixture
I Rough-ins
I Water Heater
I Water Soflner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Bacldlow Asscwbly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
Quantity
I .
I
I
~.
QUBDtity
"~
t
2-
..1fJ!..J!, St;.:J::UI;DULE
Industrlal, CommetC1a.l &. Multl.famIly 1 % of job cost with.. $39,50 minimum R.esidcntllll, New One &. Two-Famuy $99.50
Residential, Additions &. Aln:rations $39.50
Estimated Cost S
Building penntt #
!;U~~:~~ ·
..5. -
}
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
)mlle Use Only)
Thu A~"~auJl""'<<~7;~;r-
BUi!d(DI OScial .. Dan: .
Paid
Receipt No.
Date
By
24 hour podee for all inspections (952) 447...9850, (U (952) 441-4245
DBc.10.2001 2:01PM
GENZ RVAN PLUMBING AND HEATING
No.7996 p. 9/21
Date Rec'd
CJ'l i ,OF PRIOR LAKE
SEWER AND W ATE!< PERNul
DEe 13.
I. ar- l'il-
:0. 'fellOw Cl~
3. (laId Appll_
PERMIT NOo()I-/384-
(1'1ca$C type or'!lriDt ud. sign 'II boUDm'
. ADDRESS
li?f')'Z.- Deer-ffd D
ZONING (9flkcUIC)
.n!:)
VL
52
lLEGAL DESCRlPTION (office \uc: QJ:Ily)
LOT Ji;BLOCK J ADDmON
- .
D(/RF?ej~n
-
Pro
r
! OWNER
, (Name) ~TY9_ ~::":'~g&-~..":"t:g1l1 llQJII,J"-
. -
(phone)
651-451..-46~~
(Address) 3459 Washi.ngton Dr Ste 204
(A~s)
Eagan, MN 55122
(City) (Zip Code)
APPLICANT
~ron~ Genz-Rv~ Plumbin~ & Heating
(phone) 651-423-1144
(Addr~s) 14745 So Robert T-ra.il Rosemount. MN 55068
(Addn:ss) 1 (City) (Zip Code)
(Contact p=) Marv 0180"_,_ 'Ir _ ' It" (Phon<) 651-423-1144
'UCAN'T SIGNATURE J A. ~J.......Y ..IlATE, /2.../ J 1) /~, I
(- , .
\
APPLIC SE COl\i.Li LETE BELOW
SiZe of water service inches.
Location of any couplings from structure feet
Type of sewer pipe. 0 ABC D PVC 0 Cast Iron
Estimated length of sewer line feet-
Clean out (if required) located at feet from structure.
FEE S~.l:1.I!;DULE
tesldentlal sewer and water hnc cOJ;u;l.cction $35.50 Jndu.rtrial, Com'l Be Multi-family 1% of job cost WIth a $3950 minimum
;ewer connection only $17.50 Water connection only $17.50
Eo51:imatcd Cost $
Building Permit #
SEWER AND WATER.I:'.tll<.MIT FEE
STATE SURCHARGE .
TOTAL PERMIT FEE
$
$'
$
r PAlO W\TH
.S~U~U)'NG PERWUT~
L--
}
,
)ml:l: Uac Oaly)
This AppJica~~~o" ~uJ1db1g penon When Approved
/46 . i DEe 1 4 2001
:BuildlDg OSJidaJ . DII;ho .
Paid
I Receipt No.
I By
Date -
2" hour notice (or all inspectiOlU (952) 447.9850, fa;s: (95'1) 441-4245
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGlFlREPLACE PERMIT
Date Rec'd
(Please type or print and sism at bv."'~)
ADDRESS
11'3~2.. I) e.er t1 (A. lei 'Dr SE.
I. Pink F" I. .
~: ~:w j~icant PERMIT NO. D/-/3 64-.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT 35 BLOCK , ADDITION
PID
~=~RU~. Horfon Gusbm Home~
,(Address)~O K.exJbridC)~. ~o.kevJ1l.e Mf\}
APPLICANTAII' 1 M h ~ .
(Name) . r Qr1T e~. .~tIK!. (Phone) ~/-4ff:L-rfl77o'
(Address)3lP50 J<~he(1.~. Sfe. #/ ~-:aaQy") .55/.22-
' L: (Address) J (City) (Zip Code)
(Contact Person) ~f'.pre.1/ Z;mme.rrn Qn (Phone) &.5J-~~- tl77~
APPLlCANT$IGNAwk.J'd1"UJ_(?1?~ DATE 1/1110"2-
. APPf{CANT PLEASE COMPLETE BELOW
0NEW CONSTRUCTION o REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL 1Jr~4n+ 383KA-vlmLD'o FUEL I\JClhu'lA]
FLUE SIZE ~'cI(1,S~ "'.eL RETURN OPENINGS J..t INPUT "'11).1>00 OUTPUT 6lD..tJOO
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) q6~.... q ~ - .7017.2.-
,'550 A.{ J..t
OWarm Air Plants
OGravity
o Mechanical .
~ Conditioning
[]I'Vent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air ConditiorterDnits
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
t % of job cost . Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT FEE
ST A TESURCHARGE
TOTALPERMrr FEE
$
$
$
rpAID WITH
.\l)ILDINGPERMIT
(Office Use Only)
This Application Becomes YOUr Building Permit When Approved
Building Official
Date
~
Dat~. I 52002
Recp~.Pt~...;'..I>..../ ....
By .
.~-'
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE DEPARTMENT OF
. ~. -BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS Jr'C~~7<.. Ua;,rh~ rDr
NATURE OF WORK -U.~)
USE OF BUILDING Rf;::A-
PERMIT NO. 0/- /3134- DATE ISSUED 1'2. "Oc--o/
CONTRACTOR ~~ PHONE c;Q- 2'2f4-l'S?Y
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
Ih
. "
, FOUNDATION (Prior to Backfill>'?f~ 1~~Il\!bL I &r. "3 f ~ 7 /C:L.I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~, ~
FRAMING ~
INSULATION i2I ~~
ELECTRICAL
PLUMBING u.~. ~. 5/(0ID7- 6:r '"'
HEATING (if required) A ,~ (
FIREPLACE ~ _ ·
GAS LINE AIR TEST fnriML is 01+ '1 fWd.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
€.-t1 -Or
,
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
FOOTING
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I
FINALS
f!~_
fIIJ.
t'f
"'1- ~. 7/>-~v
DATE
I ~/'51() z"
3 f ;:,./P / 0 2-
(,11 , / t\~
6/3/t;z,..
/pI ,"l/'t- 1/
t,l,l/~
. ~
/1- ~-OJ-
8,.( r -D'")-/
I
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been -Ipproved. 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
'1' .
.....,"..'1/>.
'l.':~:" r, .' .i
-,,""
Qttrtifuau of ODcmpanry
CII i OF PKlOR LAKE
/' 1Bepartment of _uilbing In'pettion
~ Final Pennitted 0 Conditional C.O. Expires _
;,
This Certificate issued pursrumt to the requirements of Section 307 of the Uniform Building r Coth
certifying that at the time of issuance this structure was in compliance with the various ordinances. tJf the
City of Prior LoIce regulating building construction or use. For the following:
SINGLE FAMILY . 01-1384
Use Classific:atioJl Bldg, r . ,., No.
R3 VN N/A Rl
Occ:upancy Type _ Type Construction Fire Zone . Zoning District
LeplDescriptiOll L35, Bl, DEERFIELD SECOND ADDITION
S.'teAddress 17332 DEERFIELD DRIVE SE
Owner of Building _
D.R. HORTON, 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
Contractor's Name" Address
ROBERT D. HUTCHINS
Building Official
r;> -'1 - rr1.-
City PIInner _
DON RYE
Date:
Date: .
POST IN A CONSPICUOUS PLACE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
B -t"'f 6L C;: 3't!J
ADDRESS 0332 Oetu-C~
OWNER CONTR.
PHONE NO.
PERMIT NO.
0(- I~
o FOOTING
o FOUNDATION
D FRAMING
o JNS\JLA TION
...c(" FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
D WATER HOOKUP
o SEWER HOOKUP
~ .Jl:UMBING FINAL
}T MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
F.'~ Q. ~ C>
.-..
..LSt.a..d
~ oC-
f2~,.~ .~ ~\~qp
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC);9>~' CALL FOR REINSPECTION BEFORE COVERING
Inspector: fl-J./ _ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
ADDRESS
17E37-
.
DATE TIME
SCHEDULED ~ 1'6 lon
~~.
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
...oJ -/3 rl ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~ 0 WATER HOOKUP
o SEWER HOOKUP
C/ j, PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~.~,
.;
-
~ A /1\.4,., ____ a u.. i , ~
~m:~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspectoc ~ Own_rlConle
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE rw SCHEDULED /J.T:
ADDRESS J733b};;J/73.3~ .t:>68eq~,rL..LJL.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO. OI-f.3~~ - ()/-/31J(,
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 GASLINE AIR TST
o
.s::;p / 71<66
@
G(C)3~
t4
. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: JV1 /I-C-Ol.... Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
"
./
----.-..., -
t
1
f
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
17~ ~t1 Dee,.,..(/~JcI D/'.
CONTR. l12 I-I/J/'kn
PERMIT NO. f? l -/38 3
ADDRESS
OWNER
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
o PLUMBING FINAL
o MECH FINAL
~\:InAU/.fJLLlNG
o cOMVL.(lRT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
--.-
COMMENTS:
173<^ -(QL
~ """- ---
JII~~2.-tJr )
'-- ~
J7S3'( - OK-
I '7~ - 6:4'_
,1)/ WORK SATISFACTORY, PROCEED
- ~RRECT 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!
/JISlVOTl
.