Loading...
HomeMy WebLinkAboutBdlg Permit 06-0134 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Cl- /& --Ob ~i~i~e ~:~y I PERMIT NO. 0"-.0 13A-. Yellow Applicant \C7 ~ (Please type or print and siJtll at b , ~ >, . .) ADDRESS 143tf3 FAlt!L,4 tiE. ZONING (office use) PU5D Or LEGAL DESCRIPTION (office use only) LOT 6 BLOCK 5 ADDITION ,'57 .-.- ~6rFetZ-$ PtJAl-C PID 9'5 - 4~7 - 0 83'r- D OWNER (N ame) (Phone) (Address) BUILDER I J (Company Name)~G/IJ:S,(IIAN" NIJPlG S (Contact Name) -hN1 ~#JE;2IbA~ tAddress) jgq5 PLAZA DI2- ~&J. d1~ (Phone) tt,5/- ~ -~4~o (Phone) 6/~ - 1Q1- 71A ~ I EA~ ",AI G5~4 TYPE OF WORK ~New Construction ~eck o Porch ORe-Roofing ORe-Siding OLower Level Finish !5t.Fireplace DAddition o Alteration OUtility Connection CODE: \Xl.R.C. DI.B.C. Type of Construction: Occupancy Group: A B Division: o Misc. I E II F 1 III IV V HIM 234 A R 5 B S U /7'3.9'5t!J. cO PROJECT COST IV ALUE $ (excluding land) I hereby certify that I have 111rnished mfmmation 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 ~t,'}Ve.mentlOned property and that a construction will conform to all existing state and local laws and will proceed in accordance with submitted p I am aware that the buildmg official can revoke this permit ~ JU ause. lI"lhermore, I hereby agree that the City official or a designee may enter upon the property to perform neede<i.!nspec X ro. ~ 146i' l1'l6..tJ~ Signature Contractor's License No. Date Permit Valuation "19~11)() 0, {)(J Park Support Fee Permit Fee $ , SAC 1~/7,so - Plan Check Fee $ 105'/.38' Water Meter Size 5/8~ State Surcharge $ C) 7 . DO Pressure Reducer Penalty $ Sewer/Water Connection Fee Plumbing Permit Fee $ lDO. DO Water Tower Fee Mechanical Permit Fee $ too,oo Builder's Deposit Sewer & Water Permit Fee $ 3'5: 58 Other Gas Fireplace Permit Fee $ 40. "0 TOTAL DUE $ $ I~~o $ 32,.~. 0 0 $ $ $ $ $ $ # # /00, D 0 I StJo. 00 # # IOOD. 00 I !>O(), 00 9. 0 1(,. 3~ .sJj ~ I Paid 0/ /)/~ .:?J' I Date ?~/~ Mo ~ '1 ~~~ .~ ThiS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance- and may p~ceed as requested. This document when signed by the City Planner consl1tutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be iSSl~....~ ~ ~ 3/~/o~ Planning Director , · Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 I I ~ This Application Becomes Your Building Permit When Approved ~~ 3/~tJ ~ , Building Otlicial Date ~ o..U vI,,~.;J Spe Conditions. if any 4!Uiite - Bulidiiis:::> Canary --'~ngln&erlng Pink - Planning BUILDING PERMIT APPI.ICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED VV~NSf1A NN HOMES 2.r7.ob The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4383 EAlCL/11/6 coc.JK.../ Accepted Accepted With Corrections ~ Denied - Reviewed By: ~ ~_~., Date: 3/2,/0 ~ . Comments: ~ tJ-L( ~ ~'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." White - Building CanarY - EI1alneering c:;g;nk - Plannlni:::> BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED i' I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / .' i /~ ,r~ / L i l "Accepted Accepted With Corrections /' Denied rJ? r 0/ '"l I-{} / Reviewed By: ~ ?J'J2!u Date: .JIg-I" CI , Comments: ~ a-Lt ~ ~ No. ~ r/J ~~ ~ ,~ ~ ~ ~ d .' 1/ " I -r ~ _ ~,.tJL.;' /4 ~,~ 4.p~ ~ ~ ~ ~ ' ~ () , 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. II . White - Bulld!!!9. ,canllr'y--- E"jlh.~ Pink - Plan", BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED WENS/VIA NtJ f-IOMES Z. rl.O~ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4383 ENCL-rI (IE: COUIC I Accepted x Accepted With Corrections Denied ., Reviewed By: ~ Date: ::J. - JB,:06 Comments: See Reverse Side for Additlonallnformationl . See Attacbnts: 1) G:{'a{j~g Plan, 2) Erosion C:ontrol Measl1rpC! "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." (WED) 1,18'06 9:29,;jl 9:17./1\0,4860053389 P 3 Date Rec'd . FROM WENZEL PLUMBING & HEATING 651-452-0367 l:IrY OF PRIOR LAKE SEWER AND W ATEJ{ PERMIT (pIwe type or pr:lnt and sifI'J1 alt.............) 'ADDRESS . , (\~ J Ll") ~3 C2.nt:.\,l>...\Jt:- '--to { ~~ ~ IPERMlTN~~_ /3la ZONING (affia.~)/' LEGAL DESCRi..t' llON (offic.e use only) LOT BLOCK ADDmON Pill OWNER (Name) ~m~l'(\ '<\. . \ ~~:rm'e.-~ \~9~\?\v..~ '\x, g'J\~*.QtJl) (Address) ..~-,...! ..~'Y"\.. (City) (phone) &b)-qQb- 4ttt>D ~.( (Zip Code). (Address) . 'W~~ ~~~ '\'bc=~, ~ \\\~ ~':~~rle) (AddiCss) -fi)() ~~~~~. ~. .tv\YL$}~1 (-'Vr) (CSt)') 1 (Zip Code) (Cn"'"tl"PeOOn) ~. _ \\'b,y\:~ ~) e:51-ltS:J-} --1SbS:- AP.m:,~<;AlmSIGN4~J~I~ . ~DA~ I } 12> bt:, . / APPLICANT PLEASE COMPLETE BELOW Size of water se :vice I if inches. . Location of any couplings from$Uctme tvllt- feet. Type of sewer p ipe_ 0 ABC . (YJ PVC 0 Cast Iron Estimated lengtl l of sewer line 3'tl. fuct.. . Clean out (if req uired) located at ~ feet from structure.. FEE SCHEDULE Residential sew~r and water line conoectioI $35.50' Industrial, Com'} & Multi-family 1% of job cost with a $39.50 mini........ SewercODBectiOn only $17S0 Water connection only $17.50- Estimatod Cost 3 Building Permit # SEWERAND WATER PERMIT FEE STATE S{lRCHARGE TOTAL P IillMlT FEE $ $ $ .50 .PAID WITH BUILDING PERMIT (Ot:D;t U~e Only) This Application Become.1I Your BuiJdin : Permit When Approved. Paid Receipt No. BQildmg Official DAte I Da:te :~ MAR 0 R 2006 " , i 24 hour ndice for aU inspccdoDs (952) 447~9~O~ Tax (952) 447-4245 i: i "j \' -. ~","'-~'~-'-'-' -',-- ..........-- -,~ FROM WENZEL PLUMBING & HEATING 651-,452-0367 lU/~~/U~ n~u ll:tL rAA O!~'4/~Li~ (WED) 1.18' 06 9:29BT. 9: 17,/KO. 4860053389 P 4 crn Ut' YX1Ul< L.-\JU:: @OOl Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (plca:c t)'J1e or print and ~~ it bottom) . ADDRESS 46~S ~\~~ ct , :. ~ ~t~ PERMIT. NcV ~_ l::i 11 J. y.IJc.... AppliCSJI! ~ -' ~, ZONlN G (o1!ce~) LEGAL DESCR!PTION (offi~ U~ oal;) LOT BLOCK ADDITI01\ pm ~=R l~\eJAS'('(\~'(\ ~ome9:> u [phone) bSJ-LfDb-f./1!()(j (Adcmss)' JgcrS-?l~zc,-~. ~\~rQbD ~V\ I~t\\ ~72Z. - I . . ~:;~~ANTIJ~e\~\\'~~ ~~~, (phone) 651-fs2-ISbS (Address)_/7JD '1\\~~~~ \<.J.. ~ ~~ ~/t2/. ~_ (~) . ~ .(City) (~C~ (Conraa;Perso~) \T~ ~~~. . 9 ... . (Phone) ts-I.-LfS;l-/5"6S APPLICANTSIGNATUR:E ~.~., ~' , DATE J Ilt/Dh ... . ~~ICANT PLEASE COMP~JL BELOW Typerof}'i"ixture .1 Quntity ,. . Bath Tub with or l\IMC ,ut shower I '3 - I Rough-ins I Disl~l!51~r I I I WaterH~:iter. ,. floqr.p~i" . I . - I W~r.~OitRi';r. . i Lav3tQry (&Ihrtiom Si 1k) I J ISfuI{t;JPiptl (W'aslring Machine)" I Ul\intiryT 0Iy ( L ClT 2 c(/mp<Utment sink I I sewageEjeetOr I Shower Stall I I BacldlowAssembly I Sink'J . T .- I Ba.eJdloW Assembly TOst I Sar SiD~ r-I Lawn SprinkJer I Wat.~ CloS<<t (Toilet) J I Otht=r. Quantity ,;l.. - J I if I 'j I Type of ....$xtlinl' I / I J I ~:.3 .FEE SLJ1t.DULE Indwtri!ll. C:)nul1<::r1:lu! &. Multi-family J% or. ob cort with a SJ9.50 minimum ~ WITH R~idcnlial. New o~~~':~J~~ ~~WA'T Re!identil!l. Ado'itii')n~ &. AltalIliol'ls ~J9.S0 Orne!/: lJ'f: 0"9') Estime.~ Cost S Building Permit ~ !~:~ I.: II P J ,UMBING PERMIT FEE $ S~'A TE SURCHARGE $ T' )T;u' PERftP]' FEE $ .50 04/06/2006 THU 14:29 FAX 952 767 1900 GENZ-RYAN [4J 002/002 CITY OF PRIOR LAKE IlEA TING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd (Please type or prinl and sign at botlnm) ADDRESS ij I' ":'2, ):??\ r-'- I I r / ,. '-'.. '. '() ..., / .l....~ (Ie' .,'!! \ ;? ./ /' ,/'!./ \/\.' \../ ; ~;.:., ~il~. PERMIT NO~ - I ~ Ll 3, Yellow Al'pl><OII' ~ J;;) 7 rJ. \.~/I ZONING (ollk. use) LEGA L DESCRIPTION (office llse only) LOT BLOCK ADDITION PID mi\'NER ! I j f)V\ ~/\r /' r) i -- (Name) lJV (Ai i cH r I (/'L.-/ LY) i I .,.1.., J (\,""'" /"p /-... ....f-~:.,J I J Y I~__C~ (Phone) / (it:; I ,,- O(!{:)~-_::::?)"7)Vi! \j...../ '-../ j ~ v --..... ~- I{/ I (Address) i (---/1 t::-- i /e/!ir, 1/) 1..1 ('i/ itf J....7/", ..j 11"/'/ I. ,VI.L-VV- ';\ ., ........././. J)V fF <:><0 ---;: .. r i---, '1'/ (J" Lf). r ,.., , 'L_.1>\!~. i ~ J" I ;:H c" :/ :J /\j A! ,/../ /., c/ APPLICANT f':..c,/,'--' In If) /1 Iff" 'I '-/' ,,'-} I '" '" '\ (Name) L:.IL..:\C- <'\jl.IJ l (phone) l,/'-'VII" VI ,~ UUU (Address) cAXt) LAJ . t-~H)L.'1 1"~) B l1rnsvi , Ie: ~fj3'~)'7 ! / . (Address) (City) (Zip Code) (Contact Person) 1"\ ) rYi (Phone) q~-)~-,"'7(;i7~. ((11) APPLICANT SIGNATURE /c/~ A~.fl/(...I/JJ DATE Lf/~;J/Cb ftPPLICANT PLEASE COMPLETE BELOW :;ONEW CONSTRUCTION D REPLACEMENT 0 ALTERATIONS t/ '... \ P' ...... ( ,I I ......- {.~. ! I {"-- ; "'/" . 1- ;/, /1: -!- /~' 1/1 <:: FURNACE MAKE AND MODEL L--(/Yii'.\ J j. (:17-.i -') l ; 1- -. L-I f,-.. I! ( \ FUEL Y i 'r,-..~ C.lj V\ .;J FLUE SIZE RETURN OPENINGS CJ INPUT f I () (jJ) OUTPUT /-f-iir' IlJ(2J.) TYPE OF SYSTEM ,l3'Warm Air Plants DGravity ..tsr Mechanical ~Ail' Conditioning BVtnt. System I.IEATING OR POWER PLANT D Steam o Hot Water o Radiation o Special Devices o Other Devi ces PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64,50 Residential, AC Only $39.50 Residential, Healing & AtC (New Construction) Residential, Heating Only (New Conslmclion) $39.50 $39.50 Estimaterl Cost $ HEATING PERlYtIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50 PAID tAl aUILOIN VVlrH G P~AA ~;1te~ll1t No, rlf/7 (Orfice Use Only) This Application Becomes Your Building Permit When Approved nuildinl! Oflici~1 Byi i ,. , . AP-R-2 f) 20(0 I . 24 h01l1' notice fOI' all inspections (952) 447 ')85q,'illx (952) 447-4245 I P~id~' : i tiatt.! . Dale CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/~lKEPLACE PERMIT Date Rec'd i'~~~n ~:~ LPERMITNfir\-' _ I::IIJ J. Yellow Applicanl ~ (please tyue or l'rint and si~ at bottom) ADDRESS ZONING (office use) \Y3l?3 ~ c:j-, LEGAL DESCRlYfION (office use only) PID LOT BLOCK ADDITION OWNER ' (Name) C. ) e.. ./J/I./'I~A-"I ~ /~r f/~~ P-- #~o-o , I ~/rnn (Phone) &;5:'1 - L!OC;.,-Ll-t(RJO '5 SI a-a. (Address) APPLICANT (N,"",fI ..\-~'" h:c., l:k."""-I:r rrc.;I- r= P. (phone) 'llD3- 5'lI-dS"dS (AddressL~ ~ /09./-1, O.A~ ,V, -#JOO(J cA-t:LmvJ.L~ ,ml1 553/~ (Address) I (~ity) (Zip Code) (ContactPe>son) t:: ("";0, 1Jox,,,,, xnr> ,.... . (Phone) ~ .." - S '""Il.. - I d Il.t> . APPUCANTSIGNATURE kf\"'~ ~ DATE - - APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT - 0 AL TERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT . OUTPUT TYPE OF SYSTEM OWarm Air Plants OGravity ~Mechanical OAir Conditioning OVent. System HEATING OR POWER PLANT 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 I FIREPLACE MAKE AND MODEL ~-;h.J"-P!-~ CQ'i"j,J~/?"" . FEE SCHEDULE Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace $39.50 minimum Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 Residential, AC Only $39,50 $39.50 $39.50 Estimated Cost $ - HEATING PERMIT FEE ST A TE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ .50. PAID WITH BUILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Pailil. i . i :,R:q~,pt No. _n" ,. ',j i ,; Date APR 2 0 200~ B('i' . J ..J BuildiRI! OHitial Date 24 hour notice fDr all inspections (952) 447-985~~!a~ (952) 447-4245 COO~ Hooa 3~VHV~ 5I~VWO~rrv 66ZL 9LS C9L XVd ~O:~T 90/LT/~O PRIOR LAKE DEPART",ENTOF . BUILDtNG AND INSPECTION INSPECTION RECORD SITE ADDRESS /~ J E1JC/..AII& C'U~ r NATURE OF WORK NaJ ~~trIU4-rio~ (wI,-,; t.L. ~"'I.d USE OF BUILDING S. t:: t>. ~... A~H l J)~ PERMIT NO. O~. 013+- DATE ISSUED 3/'2./01. . CONTRACTOR _ H-ltAtS PHONE~'t.,.'-~~:r1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE FOOTING u~ ~ 1JlJ. I f l1. S /f J 6" I FOUNDATION (Prior to Backfill) I /"I?> s /~ I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER/WATER/SEPTIC We- flb::Jf ~7~ FRAMING /\J ~ ' / ~ INSULATION . r7 ~ o/'A <UJ ) . ELECTRICAL " / PLUMBING -?15 ,~'/fiJ". I HEATING (if required) I &. 41'0 I /fhJi'j~ FIREPLACE /l. f ~ I f7~t GAS LINE AIR TEST /-/h t/J/Jal' I II" /' COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED llA 1'114'7 ~ilSe- ~,v' I I , FINALS GRADING (Prior to Sodding) _ . AI {j BUILDING (' ~ # t~J-/)& f)7 ELECTRICAL . PLUMBING HEATING DO NOT OCCUpy I I 4/Z,'7/4b / / ... JI//W . I . (1/7 ~~?/~ UNTIL ABOVE tfA~ BEEN SIGNED NOTICE ._f,. r oJ; j (f JR 7 I 12. ~V , , 5/~6IfJ6 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 shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 Q!erfifitafe of @ttupatttl! CITY OF PRIOR LAKE ~tparfmtnf nf ~uil~ing c1fnSpttfinn ~Final Permitted 0 Conditional C.O. Expires_ This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International Building Code certifying that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification .5/ IVC-; LE FI-//'1 1'- V Bldg. Permit No. ('(f. (; I:? 4- Occupancy Type _ K 3 Type Construction V N Zoning District P U.::5 LJ Legal Description _ I- &. e s / .:rE ;:;:1:3"1-::5 ? C; IV (..) I $ T Owner of Building Site Address 14- 3 63 c:.. IV C '- J-I V 6 CJ T. Contractor's Name & Address WC;v'SI"/rJ/V/'/ ,,r'r?Jrl/!::s /t'Jr: PLrlZrI LJ/2 ./.:!tz(j{J, [/761;u.p-V 5~ J2/}tlf./CJf), fl//TCH/Ald l/j')Ci:YPlanner IJ-j/l;~ /0-1#5161<.. -I. Building Official V ' / Date: l ( \ / (' lP Date: I POST IN CONSPICUOUS PLACE ~ TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS J4 "8-S ~ OWNER CONTR. PHONE NO. PERMIT NO. c,-(~ o FOOTING o PLUMBING RI o EXIGRADIFILLlNG o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI ~SULATION o SEWER HOOKUP o FIREPLACE FINAL NAL o PLUMBING FINAL o GASLINE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: ^ f'I 1 !\ \ 'd ~~o ~ J.. (51 ~RK SATISFACTORY, PROCEED /~ ~-~RRECT TION AND PROCEED o CORRE W ALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. E~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~-5~ PHONE NO. Jl/J8J &,~/~~ c.+- CONTR. W,4,r,1fJ1l') PERMIT NO. -1:>" -13'1 r 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 ~ILLlNG "0 C~NT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: G~-~K [,.,llb 8~ '<' L ~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! /NS/iOn sM4'"" 7 / /.~.?RJ ~r40'('~ c::~ 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 A31iLUMBING FINAL o MECH FINAL h /J>r o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMEN_!~ / ~.-?, " ~HU~;-- 7-es/ C5 /~ f (!) (;J.("/~Nbo ~. qq?"-.7'~..JY fr>Y ~-:rV /j."f.;4~ ~.b~ - 77': /J I h/ / 6) ~V'de- /7c(::;~S~ ~ 7~"t -L~.~ C/Y.:1~4~/-, . // / ./7/ / f/? -,1; -v;' / / /~-e/c (~,/)u;/dlk,?//~( - - - /' / L:--<---/c . o W~ATISFACTORY. PROCEED ,.At'CORRECT ACTION AND PROCEED o CORRECT W~~,Jl? ~EINSPECTION BEFORE COVERING Inspector: ~ ~ Owner/Contr. -! CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 1<<-138 3 ~lI\cla.\H'_ PHONE NO. OWNER CONTR. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ,.;s(FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: L. F;~~ ~# ~. ~J d-f~ rr~1 o " .A. ., 1- () I ~ DATE TIME ~~ v- () 13<1 o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o R-/V(,:J o WORK SATISFACTORY. PROCEED o CORRECT AC AND PROCEED X CORREC 0., CALL FOR REINSPECTION BEFORE COVERING Inspector: {I/} Owner/Contr: 7~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl