HomeMy WebLinkAboutBldg Permits 01-1396 & 02-0227
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERn~lCATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
. ~~a;:~~PrintandSi2llatbu..u~) /52- -;;;.-. rvx-'7?/ /' V
~.,.~;c.
1-
C/1
LEGAL DESCRIPTION (office use only)
LOT I BLOCK :l ADDITION /,() e h S Ih II 11 n
OWNER
(Name) ~ "l'I.~ m R n 11
(Address) J ~ '1 S (JJ.1i 1: A-
BUILDER
(Name)
(Contact Name)
(Address)
J-I c ~ e4i
() yo ~ .\} e.
Is-r
Date Rec' d
8"'0/
83Cjb)
ZONING (office use)
Ie./
PID ZS-dlJo- (2OS-tJ
(Phone) .. 51-liD b - '-/I.J 00
Y'I1 n SSJ2'Z
1 t. A'J IH1 ,
mJ C k'
u) e.. t"'\.ti J11 ~ h n He.....e '5
He I L m ~ Y1
(Phone) 'SI-1f1J "-Y'lOO
(Phone) i4l;{ - 3~q -7~ z CJ
TYPE OF WORK
o Misc.
~ New Construction
DLower Level Finish
~orch
DAddition
DDeck
/ ~ Fireplace
ORe-Roofing
DAlteration
PRomCf COST IV ALUE (excluding land) S
ORe-Siding
Dutility 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-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
enter~ to perform needed inspections.
X "J'Si!~~ I ~o:~or'sLicenseNo. J J-;'~~O I
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
183.~..~
$ \ 1,","Sfi . SE\"
$ t:j I./S. 0(,
$ q I .. ~-o
$
$
$
$
$
1C1t:) . (!) t:>
( ttJ t:) . t:::J6
37 . l-J (.J
l/() e 0 t!;}
I Park Support Fee
I SAC
I Water Meter SiG; I";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
I TOTAL DUE
#
#
$ aYJ.Olf'
$ I,L~<:JC)
$ , I 2S"'.c;> 6
$ ~. aD
$ 1.~.06
$ "JtXJ ,D~
$ L,~ .OCJ
$ . ,
#
#
$8, 34--3. ~ I
(?l~1:--Y=BWfl;;:t~d
~ding Official Date
I
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 si ed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constroction to commence. Before occupancy, a Certificate of Occupancy must be
issued.... i:::fA~ -----'aJb".?et . . -.. r ~'l~
Planning Director Date Special Conditions, if any' -
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~ .
I Paid ~::>~ ..'==' ,
I Date '2/14!(){
ReceiPt No. 4-" 02-
By fU) ~
CITY OF PRIOR LAKE BUILDING P
TEMPORARY CERTIFICATE OF ZONING C
AND UTILITY CONNECTION PE
(Please type or print and si2ll at bottom)
ADDRESS '7 7
15" 2
FtJX
LEGAL DESCRIPTION (office use only)
LOT I BLOCK 2- ADDITION
OWNER
(Name)
(Address)
I. White File
2. Pink City
3. YeUow Applicant
T)tt/'- (!A.
WeNfHfrNtV /J/
(Phone)
~~~~R W F;fJSM/J7J/J
(Contact Name)
(Address)
TYPE OF WORK
(Phone)
(Phone)
\It;
IrI.peck
o Fireplace
o New Construction
o Porch
OAddition
ORe-Roofing
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
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
enter upon.l th:Jfperty to perform nee<J? insp~ns.
X /Cl ~ J ~I .- (J' - /YYo 3~~-d2.
/ Sii)lfjtGre
f/
..
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
'on ~ecomes Your Building Permit When Approved
,--
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
I)
ffiClal
OAlteration
Date Rec' d
3-/2-02..-
I PERMIT NO. Oz,- 0 z, z, 7
ZONING (office use)
I!!--l
PID 25- 37fe, "'00 5 - 0
ORe-Siding
OUtility Connection
Date
#
$
$
$
$
$
$
$
$
$ /"Z.. #
Contractor's License No.
$
$
$
$
$
$
$
$
4,trY? .Ob
Cf7 .1..-'E)
(D"? .<..(
Z.oO
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
#
Receip~.
By;~
II
"'1l.-96
) "\L-(')~
I Paid
I Date
I~Z,. ~
~ - I z.. ' /) z...,.-
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
issued.
Date
Planning 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
White - Building
Canary - Engineering
Pink - Planning
Tht' ('flnltr of fhr t.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\tlBNSMANrJ
L"-?B-OI
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3L-~ I FOX TA I L-- leAl L-
Accepted ~
Accepted With Corrections
Denied /J
Reviewed BUQ
Date:
I'
/1 I. '0-0(
.
Comments: _
-t~ a1Q . ~-tk(W- ~
"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. Llk. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\iVS N C tvi A f\)tJ
/1-28--01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
34-~ I FOX TAIL I Ie. A 'L-
Accepted
~
Accepted With Corrections
Denied ,- C
Reviewed By: q4W-~
Date: Lz /r/ tt'/
Comments:
~(. , L;,
cl-~~ tA.lt'CLJ
--:
'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. ('.nl., of I"" takt Counl"
BUILDING PERMIT APPUCATION DI;fARTI\dENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ws N S tvl A f\}f\J
11- ZB - () I
. .
.-~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
34-& I FOx; TA I L- I eA' L-
\
Accepted
Denied
Accepted With Corrections
x:
Reviewed By:
/J1IJi3
. Date:
/2 - / IJ -0 I ;
Comments: See Rever~A ~ide for Additional Information!
A)Ctd ~o;/.5 Ehc"ltt(/' 1-0 hlOh of2P 0'" lof ?r,~)/ .k>
~ v I
L./I" //t~n!c.f./()Y1:(, Be(4U<" MVH ,'5 ()f+ bU,'k,t"'1j fcod.
q ,., l/
,
~.
i.
'"
i ~
/ :3t::t:: Auacnments: 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." .
.~
Mar. 21. 2002 7 : 54AM
GENZ RVAN PLUMBING AND HEATING
No. 77 72 p. 2/4
Date RlCe'd
LI1 i OF pRlOR LAKE
~EWER AN;D W A.ll!d('PERlVu..l
(l'!cuc ~ onrilll' and sip atb. ",...)
ADDRESS 15212-'
~ ~q-Alf. /L..."\ ')
~ t....:.! '. \J......
i =. ~ I PERMIT NO /Y1.... f"?-..o' p.;...7'
,. 00W ~ . t/ 1'""./ '..tT~ ::
"
ZO~G (otIkz use)
T\\
/
LEGAL DESCRIPTION (offia! use aaly)
LOT \ BLOCK I- ADDmON lA.lL.Jn ~ Is-
PID ~~, 3 "~(JO~-Cl
OWNER
(Name) Wensmann Homes
~on~ 651-905-3709
Eagan. MN 55122
~~ (~C_)
(Address) 1895 Plaza Dr Ste 200
(Address)
APPUCANT
(Name) Genz-Rvan. P~~bi~ll & Hea1:in2
(phone) 651-423-1144
(Ad~~) 14745 So Robert Trl
(A!.(.._~)
RosliImounr. '4N
(City)
55Q.68
(ZiJ? Code)
(Contact Person) ..Jii.rv 01. 6,9n ~
. "1LICANT SIGNATURE ~ -f
-\
(Phone) ~';1-~144
DATE I'? 'n [),
ASE COMPLETE BELOW
Size of Water sezvice mches.
Location of any couplings :from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimate41ength of sewer line fect.
. .' Clean out (.if requir~d) lo~e4 at f~ fro~ st;ructure.
FEE St....t1JW.IULE
Residential sewer and water bne connection $35.S0 Industrial, Com'! Be Multi-family !% of job cost with a 539.50 miDio:lum.
Sewer connection only $17.50 Watc{CQDD.~tiOD only $17.S0
Estimat~d Cost $
Building Permit '#
SEWER AND WATER PERMIT ~~
STATE' SURCHARGE
TOTAL 1: ~ ,1l'J!.J!.
$
$
$
.50
r
PAID WITH
.!IUILDING PERMIT
(Olic:e Use Only)
This Application Becomes Y o~r Blillding Pexmit When APpfO'll'ed
Paid
I ~eipt No.
l:ay~
(/
I
I"
BuildbJs OtJIciaJ
Date
Date3:' ;)?-- 0-
:14 bOllt notl~e tor aU IllJpecUoDl (951) A47-!l1SG, fax (95%) 447-4245
GENZ RVAN PLUMBING AND HEATING No.7772 p. 4/4
CITY OF P~OR LAKE, Date Rec'd
.HEA.1.1l~G/.AIR CONDI110NINGI.t4'.I..KEPLACE PEnUJ
. .
',~:. ,,'
I. J'IDk
~ ac-
l. y......
.5.... ~ ~ :l!J~ NO. @j.-:( ~1;f ,
I ZONING (c6:uR)
(Plcue tyPe. ox~ ~ SiftIl at L .;';'.-1
ADDaESS IE> 2...., "2-
ff':.v~ ~A(~__
('
.-,
~. \\ \)
LEGAL DBSCR.a..c uON (afftce use ollly)
LOT , BLOCK '2.. ADDmON u..AuI1~~. \~
PID~6- ~ 71.:.- on5'--b
OWNER
~~~ YAnqm~nn Hnmpo
(Phone) _~r;;.l.._Q"n,_':l1.D9
"
(Address) 1895 Plaza Dr Ste 200
Eagan. MN
55122
APPUCANT
~~~ Genz-Rvan Plumbini & ~p.H~inff
(Address) 14745 So Robert: Trl
(Address)
(Phone) ~~1-~?~_114A
Rosemount, MN
(CflY)
55068
(Zip Codl:)
,=c.:~GNA~n\1 ~~A~"-~??\\~DI
v ;;fLICANT P ASE COMPLETE BELOW I - .
.-' ~WCONSTR.tJ~ DREPLACBMENT o ALTERATIONS
FURNACE MAKE AND MODEL ~~ ~U \s-- \'7..1\ FUEL ~~ A:1 ~
FLUE SIZE RETURN OPENINGS 10 INPUT J..Z.t~ rrr50 aU !rUT J J '=', hr5n
TYPE OF SYSTEM HEATING OR POWER. PLANT
. Z{Watm AJI: Plants 0 Stain
. :JGra.vity 0 Hat Watc=r
fecball'c:a1 0 Radiation
Air ConditioniDl 0 SpcGilll Devices
eot. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
ClllD10t Encroac:h into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Co.mmcrcllll &: Mllltt-Fsmtly
FEE~ULE
1 % of Job cost Rcsidc:o.tilll, Qu Fireplau
$39.50 minimum
$99.50 Residential, Additions &: Alterations
$64.50 Residential. AC Only
$39.50
$3950
$39.50
Restdentlal, Heating &: AlC (Ncrw ConstNction)
Resid&!l1til.l, Heating Only (New Construction)
Estimated Cost $ Building Permit #
HEATING PERMIT r.r.c. $
STATE SURCHARGE $ .50
TOTAL ~.I!.AMlT FEE ~ $
r
SUItt,'O WITH
~.. NG PERMIT
(f'- -" Use .911Iy)
. _ _..... ApplicatiOD Becomes Your BaUdiu.l permit When Appnwed
Paid
R......ll"tNo.
Buildm, odldaJ
Datil ~ - ~ ~ -00- .. By &~
24 bour notice for *.. inq1edio"s (952) 447-"!o, (ax (9!J) ....,-4~
Mar,21.2002 7:54AM
GENZ RVAN PLUMBING AND HEATING
No.7772 p. 3/4
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PEAAli.l
~ ~e ot1ldDt IIl4 un at bottom)
ADDRESS 1?'2~'
~ ~ ~\F-)iL
0..
~\~
LEGAL DESCRlr uON (oflice use o.o.Iy)
LOT I BLOCK Z- ADDmON l_l )J ~ .tLV\
OWNER
(Name) Wensmann Homes
(Addr~~ 1895 Plaza Dr
APPLICANT
~~) Genz-Ryan Plumbing & Heacing
(~s~ 14745 So Rober~ Trl
(Address)
(Contact Person) Mary Olson fl
APPLICANT SIGNATURE \ A1P
.. APPGCANT P
Qllantity. I Type of~...-/'
~ I Bath Tub with or without shower
! I Dishwasher
I I Floor Drain
e:::... 1 Lavatory (Bathroom Sink)
, I Laundry Tray (1 or 2 comp... bent sink
\ I ,ShowC%' Stall .
r / Sinks
I Bar SiDk
~ I Water Closet (Toilet)
~ a. E.-. PERMIT NO. at)f-- p~
. ZONINGCo6a_)
(",
PID
(phone) 651-905-3709
Eagan. MN 55122
(phone) 651-423-1144
RO$emount. MN
(City)
(Phone)
55068
(Zip Code)
651-423-1144
n\Ztolnl
DATE
E COMPLJ!,.l'~ BELOW
I
I
I
I
I
I
I
I
QlIaDtity
~
,
t? j l
\
I Type of Fixt1Ir-e
LRough-ins
I Water Heater
I Water Soflner
I Stand Pipe (Washing Machine)
I Sf!wage Ejector
r Ba!=kf1ow Assembly
I Backflow AS3Cl11lbly TCl5t- -
I Lawn Sprinkler
I Other
~J!.J!, SiW:1J!oUULE
Industrial, Commercial ct Muln-fiunily 1% of job co,st WJth a $39..50 minimum RC$idenUal, New One &: Two-Family S99-50
RClSidcntial. Additions '" AItmltions $39.'0
Estimated Cost $
Building Permit #
P~UMBlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL I'l!..NWT FEE $
(OftItc UK Only)
This ApplicatioD Becom.es Your Building Permit WheD Approved
. Paid
(
:50
r- PAID
l,BUILoIN Wrr!-J
.......... GPC
Receipt No.
Building omellll
D.~
Date g~ ()-';r- d- By 9-c:-
u
:z.4 h~lIr Dotice tor all inspectioDs (9S1) 4A7-9850, f/IX ~) 447-4245
JAN.29'2002 15:30 651 633 BBB4
FIRESIDE CORNER
#0411 P.001/001
DAte Rec'CJ.
LIJ. t OF PRIOR LAKE
REA J. 1J. ~GI AIR CONDITIONlNGIFIREPLACE PERMIT
t~ S..nt \ tJi.~TNO'OI-13qft:; "
fPt.eur:: tvDl: or wtzLt..,4 stcn _ botIDJJI'
. ADDRESS ZONl" G ,........ '
/5";),7;)", ~U &-
-
LEGAL DESCRJ.r J. .10N (oma: lIlIC Duly)
PIP
LOT
BLOCK
ADDITION
1
().)(JAt.fhl/UJ1. ~
. (Phone)
· OWNER
eN ame)
, (Adcl.ress)
APPUCANT
(Namt:) ALLIED FIlUlSIDE DBA FIRESIDE COPNER
. (phOnE) 651-633-2561
(Ad.cln:$S) .2700 N. E'~IRVr.EW AvENT~
(Add.I:ESs)
r,c .__ P ) BRENDA HUS'l'~
" on~' eJ:'Son .;
APPLICANT SIGNA TURf: . "..~A
~
APPLICANT PLEASE COMPLETE BELOW
~W' CONSTRUCTlON 0 RePLACEMENT LJALTERATJ.ONS
FURNACE MAKE AND MODEL FUEL
FLUB SIZE R.ETURN OPENINGS . INPUT . OUTPUT
TYPB OF S'"J:;:) l.J:.M HEATING OR POWER PLANT.
owarm AirPlanu J S~
DQra....;ty :J Hot Water
J Mec:hMical :J Radillion
JAh' Conditioning :J SpeCial Oevi~es
OVcnt Syllte1'l'l. J aher pevices
~ ,<J ~ '-'OJ) '7L-
/ J'.-
'"
R,PSEVTT.I.E M'II7
(City)
_ (phone) 651-633-2561
'1r;;.i , ~
<Zi):I Code)
DATE
~.,
--
- .
PLEASE NOTE:
Air Conditioner Unit$
Cannot Encroach into
Requited Side Yerd
Setbackl>
FlREPLACE MAKE AND MODE.L
--
--
FltE SCHEDULE
1 "lit of job C:OST. It&:sidential, GIS Firqtlace
539.Sl} m.inimum
$9<<1.50 Rc:sidCDtiaI. Additions &. Alteratiops
S64.50 Rcsidcndal. AC Only
$39.50
In.dlJstrial. CommerctJl &. Multl.Ff/In'Iily
Residenlial, Healing &. AlC (New ConSll'Uction)
ResidentjPl. Heatl.ng Only (l'lc:w Con8trUc:tion)
S39.SO
$39.50
HEA TINO PERMIT FBE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
of.-/ /39 (p
~ 1',,\0 wrn~
f 118\\..D\NG PEFJJV,T
\..
Estimltec Coat $ Building Pennit '#
(Orne!: Use Only)
I
ThJ. Appli~tlon Becomes Your BulldlJlC Permit WIle.. Approved
.~
DatfEB - , tW'
R~
By ./fft
{/-
JluIJdlDI Omdll
Dille
l' hDlIr notice for all ill.pectl.,ns (95:1) "'.IJ8SO. f.ll (95%) ~7..4145
PRIOR LAKE
INSPECT-
DEPARTMENT OF
BUILDING AND INSPECTION
"~RD
RJ x~"f!:; I L c",-::'
SITE ADDRESS ~ I $2..7 ~
NATURE OF WORK lJow
USE OF BUILDING S~~ . _
PERMIT NO. ()/-~5tjf/ DAT~S UED JI-~-CJ( .
CONTRACTOR W.fbJ\~MCJMv... ~ . PHONE "t 2- 5tA.:::J./o 21 .
NOTE: THIS IS NOT A PERMIT FOR AN 0 HE INSPECTIONS BELOW
S, I ~ THE gERMIT IS BY SEPARATE DOCUMENT
i s ~l'~ ~ .1oeC.... ft,. :n....p, IIS.E.'"i \ DATE
I FOOTIN~ I /~~0A.c.d lJ~ ~~(
FOUNDATION (Prior to Backfill) l"l ~ \~ _ ,..1 \ I \ \
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ 12.-~'
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/1$ Ql
vr/
~~~
I
j
. ,
-3\ '+ o&.
tL- (pl..O ~
1
. \
I d-%.. \ O;}.
I
~-f.-C>~
a.-'4-O;l.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
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 have Il>een approved. On buildings and additions
where no service cabinet is available, card sll..1 OOoplaced near main entrance.
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
.sf28/0 ."'t..
f,?...-2--1
,
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','-\~Jl'-: ';"r;.-'.' ~.; ~.
l;~ ~'
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(2.... ,,~
ADDRESS /5:2 7? -
~
~x
~0~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01- FJ'i"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
OICfINAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I,. t t ,,... ('"
O~ ~c.~ ~_-t~ e
/
~RK SATISFACTORY, PROCEED
o CORR A TION AND PROCEED
o COR CT LL FOR RElNSPECTION BEFORE COVERING
\
Inspect. ,r: Owner/Contr:
CAi.U Jd;S50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,..-/ v .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
L. ..~ '., j.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3- UJ.()7- 3~()V
ADDRESS
/5272. ~OX -mIL- cr.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/ - /39"
,
COMM T: lll€eP "'>fw tfr-b
2 . etJe,;. r-'~Ac,...
~ 4"'D,T~s, (J~\I~~
4. -p~ $TOC2.MP~> r=~ S,c...,
s-. ,~W') p . ${~,-~,"
(n. ~Ptf(b' AId- /7/t:~
,
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
GASLI E AIR TST..._
,~L--
il ~(IS ~
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECT
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
---
o WORK SATISFACTORY, PROCEED
JtL CORRECT ACTION AND PROCEED
o CORRECT Wffr . CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: f.. t... Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIVSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5'-z'S-oz-
ADDRESS
) S:272.. ~O;( *r1'1 LcPwf
t
PHONE NO.
CONTR. W.6?Sn?C/n "7
PERMIT NO. ~~
o PLUMBING RI Of -/3~L1NG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
(Ulb ~()1... oK-
t9~-C9K-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~y~
Inspector#' ~1 _ - .-"- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
4/l~~
/S,;J.7d.- ~ Ta-:1 lj,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
vvt~MA.P~ {} ~
DATE TIME
II: do
~/-/39~
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)2f'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
l
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
~.
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Stack Temp.
CorntuIiOn IIirI8 adequatety suppliedpel'
UMC Sec. 606
Input
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