HomeMy WebLinkAboutBldg Permit 05-0936
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si~ at b . .." , .)
ADDRESS
14~I5'J.
c,
EN C (.. t4 V 15
OWNER
(N ame)
(Address)
BUILDER
(Company Name) /lVGAi~'M ANN
---
(Contact Name) / I:> #1;'(
~,"Fi:5
(Address) I <t~.5 P~1f Z A
De 5v
Date Rec' d
~-Id-C;
PERMIT NO. 05-0Cf3tP
1_ White
2 Pink
3 Yel\ow
File
City
Applicant
ZONING (office use)
P lASD
PID ;J? - 437-1J~-O
Park Support Fee
SAC
Water Meter Size 5/8@
Pressure Reducer
#
#
O. h~-
LEGAL DESCRIPTION (office use only) ~ \V
LOT;;' BLOCK 4 ADDITION;::{F,:- F ~ es . IS'
(Phone)
(Phone) (,~/- 4()t. - -14() '0
(Phone) ~/d - .3&.9- 7t,,3 /
~N ~ ~ I..~ 4.
..;lOD
......
CF'f ~....... AI
o Fireplace
/73.4'5l)
I hereby certifY that I have furnished mt()rm tion 0 is application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authonzed agent for the
above-menuoned property a2nd that all co ructio ill conform to all existing state and local laws and will proceed in accordance with submitted plans I am aware that the build 109
official can revo > . rmll for J t ca ~r ermore, I hereby agree that the CIty official or a designee may enter upon the property to perform needed mspectIOns.
X ~ r .-/
- r Signature Contractor's License No. Date
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing
OAddition OAlteration OUtility Connection
CODE~' .R.C. DI.B.C.
Type of onstnIction: I II III IV V A B
Occup cy Group: A B E F HIM R S U
Division: I 2 3 4 5
Permit Valuation I/}3 I tx:JO.-'
Permit Fee $ ,
}"I q 1,50
Plan Check Fee $ q~~
State Surcharge $ Q6 "C)'
Penalty $
Plumbing Permit Fee $ It) 0 .. -
Mechanical Permit Fee $ IIJ{).-
Sewer & Water Permit Fee $ 3~.~O
Gas Fireplace Permit Fee $ (j()'-
ORe-Siding OLower Level Finish
o Misc.
PROJECT COST IV ALUE $
(excluding land)
Sewer/Water Connection Fee
Water Tower Fee
#
#
$
$ jLJ5IJ.--
$ 9CJO.-
$ 1J1j-
$ I.~ 00.--
$ /000.---
$ /5tJO."'"
$
I
I
I
I
$~h47.qf!J I
6Vt?~ I
I
- -
~ A~Plication ~eco:/ y O::B~ding Permit When Approved II PDaid r c.. ~ 7 ~ ~ (jRB ecei.6t No.
~ ~ ~/n..~ ate /2..J'd.,,~ .
R",Id""Oo;,,,, ,~&~ , ~ ~. ~ """;It ~,
ThIS IS to certIfY that the request 10 the above applIcatIOn and accompanymg documents IS 10 accordance wllh the CIty Zomng Ordmance and may proceed as .equested ThIS(;CU~p~ L.
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Cerllficate Df Occupancy must be .
i~ ~ 9h~~s- ~~~
Planning Director , Date Special ConditfOns, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Builder's Deposit
Other
I TOTAL DUE ~O 9.Z2.~5
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts',
Reviewed by: ~ ~ Date:? jt0S-
Building Permit # PID: Zoning:
Address: /~ d-~;;t 2;" ~..e" ....-_ C:I-- ,
Legal: L ~ I 8 L( Subdivision: ~ ~~ /tt~
Existing Structure? YES@
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA 1 FAILS/((QMPLl~
· Front Yard (can be 20' if avg. w/in 150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in lenqth
I. Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
J Floor Area Ratio: NA 1 FAILS 1(c~PLlES~
'. Yard Encroachments: NA 1 FAIL~C01lPLI~
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
-
Tree Preservation: (NA) FAILS 1 COMPLIES
. Total caliper inches
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L: \TE?vIPLA TE\BLDGLIST.DOC
Existing Nonconforming Structure? YE~
YES
NO
Standard Proposed
25' 2..'5"
10'1 7,5 '
25' if abutting a street
10' setback + , ,
2"/1' over 50' 7,'5"'-
25' . z... 'Z.. ' Ptkd
10' sidel t.J~
25' rear
30' t
3 \ , 5-
75' or setback average of
adjacent structures, but no ~A
less than 50'
.30 Maximum ~EP- ft\ 0
Standard Proposed
,..Jl:l.J €:
r---lOtu6
Standard
Proposed
Y2:1
L:\TENIPLA TE\BLDGLIST.DOC
,~". 'ii~ 'M~: ,
,," ''"el{
j'j'l~$~~ ,t .~"'"
White. - Building
~arv - Enaineering
c....Pink _ - Planning)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)f
(~/IA(,{I/r)J/t/2.l YL)
/f/J - I '\ _ c:;-"
, ,/ , -''- ..~,.
/ /1'1 .-' 1/ )./1 _'
. ':"-<}"i,o./' <"I' ~~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ill )j; J 1/ I : 1..--
, ~ t~.:. 1/:/ l/> / /(/. L':I
Accepted
Accepted With Corrections
/
.,.
Denied
t
~ Date: 9 / ~,;l-/a ~
~ ~:~. ~..)
,.,...,~ -4A. ~, / .3'c:7/o ~,ptO
,/ d - /
~ '. 1/ o-u2.- ~ ~ 'f-I..--
~ ,. ~,,~
/~ ~ d~i.~~.P
Reviewed By:
~
~
Comments:
~
.
~
~.
~~
~ -,'. v~~ ;)
~.
,'"
AL.- C "1otioner and O'::.l1@r lie("ll~nical
UUUJ. #. d
Units CarIlot Encroach mto Reqmre
-.:t .... ~ 'LT. ,'r! ~.p~",
~ _". r.!. t': .l. aJ.. U lh:.. "lJUZL....J.....J
"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 - Bulldln9
c..Cal)'UY - Enqlneerlng)
Pink - Planning
BUII...D..ltiG PERMIT APPLICATION DEPARTMENT CIiE..CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
tV~~
q- Id-.-~
~4l--~/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1-1d-5~ f[A/(//(/A/0~
Accepted
)(
, .......
Accepted With Corrections
Denied
Reviewed By:
I)IlJ{j
Date:
CZ:2,<::> - a {
Comments:' , See Reverse Side for-Additinn::ll Il1fC')rr:n~tinnl
.1 ( .. (
<
Sfit! Attachments: 1) Grading Plan, 2) Ero~lon C;ontrol Men!:iiit.pl;!
"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."
~i!.e ..:.'Buildinv
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tt/ LAuJ/yy~
tJ- /a-5' -
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Jlfd-b~ P' Jf/r//CIA/C/~
Accepted
Denied
Accepted With Corrections ~
~
Comments: ~ a-.Lt
. ~" ~
~ I
Reviewed By:
~
~-~, ~
~ -il:D -.,) .
Date:
~,b-~ )
/~
"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."
03/09/2006 THU 12:36 FAX 952 767 1900 GENZ-RYAN
I4l 002/037
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERl\lIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
I L~~5 (;A f1l(JC~\JL C__:+-
~'~;~~ ~~~ I PERMIT NO,A - ~/
), Ycliow Appliean' -...:....,.I 7 ~ b
ZONING (oUiee
use)
LEGAL DESCRIPTION (office useol\ly)
LOT BLOCK
ADDITION
PID
~~~~R UJfnSYl1() [)() t--n\rfrS (Phone) (~51-.. 4C6' '3709 i
(Address) ) 9q6 P J QZCt- Dv. -it- 2W cfJ{]O,n 1\v1 N Ef5l~~
J -
~~~;;e~ANT Grcn-L - (2.\ Jr (J 1'1
.J
('r'" ~f---7 1'l1"\
(Phone) '-f leA - (IJJ - Ut'l)
(Address) I) 'iI";) I 1 \ t-(., Ul " I ~ p,.____ \ I f('1"l~V'I'! I',p rf)/}.. '.). -7
?/'v:,;><.L.U VV ' , L ./1 - ,...,Jl/U I ~) \..- . _ _ _)) r
/. (Address) (C~t___ (Zip Code)
(Contact Person) ~ "\ J I'D '. -j /' . . (Phone) If') (b -7//J1--: f f1t)
APPLICANT SIGNATURE I~J ,'~~ . DATE 3/Q /I1fl
_ / APPLICANT PLEASE COMPLETE BELOW
\.~W CONSTRUCTION D REPLACEMENT D ALTERAT10NS
FURNACE MAKE AND MODEL LLY\l'io X C'1'J-l'=3 ur:5vC-- (:HO FUEL f1/Ji . Qt'W,
FLUE SIZE RETURN OPENINGS U INPUT ($S'C.W OUTPUT 'tD q't.otJ
TYPE OF SYSTEM
(~arm Air Plants
~Gravity
~echanical
~~r Conditioning
~enl. 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
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
)% of job cost Residential, Gas Fireplace
$39.50 minimulll
$99.50 Residential, Additions & Allerations
$64.50 Re.<;idenlial, AC Only
5>39.50
Residential, Healing & A/C (New ConslnJcliol1)
Residential, Heating Only (New Conslmction)
$39.50
$39_50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Office Vse Only}
This Application Becomes Your Building Permit When Approved
lluiJdin~ Ortieial
Dille.
Paid I ReCeipt No.
Dme I By
MAR 1 5 200G
24 houl' notice fOI" all inspections (952) 447-9850, fax (952) 447-4245
FROM WENZEL PLUMB!NG & HEATiNG 651-452-0367
(MaN) 3. 13' 06 9: 12,8T. 9: 1 L 1\0. 4860053932 P 3
ClTY OF PRIOR lAKE PLUMBING PERMIT
Date kff'd
(Plc:iUC type or JIIi>lt lIDd sif.D a l._....L-
ADDRESS
Jqd..~ ~~~\le-", Qj
~=~: IPERMlTNOr:..,~
J. YoIbr A~ftI ';J' 7.:Jp
ZONING Colb ur.q
udAL DESCIq:P110N (OffiCE ~ &l y)
LOT BLOOC
ADOrnOl ~
Pm
~~ ~ \eH\SmOJt\;~]O~. (Phone) &sJ-'lU-'/f!{)()
(Add=} . I ~'1S- 'P A-v,,- h-. ~::>-Nk tfinO ~ f~'" :--...., J;Z~
'=~Mn"W~e.\.~\\"~ ~ ~h~. . (Phone) 6S/-fs2-ISbS
(J\ddn.ss) .J7JD ~~~if. ,'~~ ~ tv\n, 5=>/:2/ '
~ ~ , , ~(Clty) ~r~
(C-ontactP~ \ ,eel.\-Ic~.. . .?;{).~.. .. ... ./ .. (Phone} U-1..-LfS;l-'56~
APPuCANTSl~NA~ ~~. ~ DATB 3J}3JDb
Ai ~lJCANT PLEASE COMPL1!..J.l!, BELOW
1)pit of ~re I Qwmtityl. Type ofFIxtiii-8
B21h Tub with or 'With )trt shower' , j I 'RDugh-ins
J Disb~r . , , t I I :Water~,
".yloot.QNUo . . ~S~~,'
1~~SDk)1 S....4pjp.;~g~)..
I Latifw:Iry'Tnty(tor2 coril'partnmrt sink I , S~'E;.'::',L:"
I' j Shower,S;t3Il' I I BackIJowA...__.bly
I I Sinb I~-'''- I Bllt:JdIow A~bly Teigt
i Bar Sink I I ~ Sprinkler
;;""-f W atl$r ClOset (ToiJei) t', t Otber .
Quantity
"
1
I
:.s
FEES~lU.utJLE
Indlauilll. Cornmerclrsl it. MuJti-f.vnily 1% of job cort with a $39.50 ntl~j.mum ~ID II~". New OIlC 8; Two-Family 599.50
11'\ RlJUeUifl. Additian.c; &; AlterBticns .$39,$0
BU'L,DfNG .Pr=RMIT, i ;:
Estimated Cost :; BUilding P~t r
P LUMBlNG f"~HM1T FEE S
S rATE SURCHARGE S
T OTAl. ~ #~ FEt s
.50
,/
(MON) 3. 13' 06 9: 12,/81 9: 1 LiKO. 4860053932 P 4
Date~d -
FROM WENZEL PLUMBING & HEATING 651-452-0367
L1TX' OF PRIOR LAKE
SEWER AND WATER PERMIT
~ t;ype or pciur :md sir,n I1t boUDm)
ADDRESS \ tt.?Si t::. \ ~ lOj.}"t.. (:\- ,.
I. GIa:a FIk
2. y_ CilIy
1. CklId ~
1~l\MITN~5 -9 ~
ZONlNG (offia: use)
LEGAL DBSOUPIION coma: us: ou1} I
LOT BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
~~,,-' ~r\.~~
\ ~9S- ~~~ tx-. &~~:ftaC()
(A.ddrers)
'-~
(City)
~ne) &Dr--qob-44t>D
~f
(Zip Code) .
, 1:~ ~~~ ~\'bt~ ~ ~ \\\~~, ~.~~'(PJwDe)
,{Ad~} -filD ~~~~ ~~ ~r. ~n,SS-}~1
~) (City) I (q,~
<_Perion) ~ "-b,y\ 7,:~ (Phon<) ~$I-4s::l--1S"b
AJ;W,~W.f.Jj~~ ."_~bA<ffi 3}J3}Ob
APPLJ:CANT PLEASE L.v.rtfPU.l~ BELOW
C1:_ f . I JI :__1.._
~ 0 water St n'Ice ~.
Location of anJ couplings .s."'i...... structure tJlPr feet.
Type of sewer J lipe. 0 ABC ~ PVC 0 Cast Iron
E.<ttim~ed 1eng1 h of sewer line,3'O :fuei '
Clean out (are lulled) located at ~ feet fiom strUCtUre.
.l(.I!.Jl.. S~.nJ:!..uULE
Resick:nti.eJ sewer and water line CODnedio 1 $35.50' Industrial, Com'} &. Multi-family 1% of job cost with a $39.50 mm:........
S.;:........ connection only $17.50 Wake _.....ection only $17.50"
Estimated Cost & Building Permit #
SEWER J JID WATER PERWT .rhl:. S
STATE S JRCHARGE S
TOTAL] 'ERMIT FEE S
50 .PAID WITH
DUILDfNG PERMIT
(OfD.ce UJ;C Only)
This Appliation Becomes Your BnDdb g Permit When Approved Paid
R--..:t'~ No.
BaildiJJg OOidal
Dde
, ~R 1 5 2006
.~
,
24 .oar II I)tice for JlU mspectioras CJ5Z) 441-9850, fax C>S2) 447-4245
04/26/06 11:06 FAX 763 576 7299
AUTOMATIC GA~AGE DOOR
[4]003
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGlFlREPLACE PERMIT
Da te Ree'd
1. Pink fil.
2_ Green City
3. Yellow AppliclDl
PERMIT N<O!S".~"
(Please type or print and sign al bottom)
ADDRESS
\4':J5"d. ~ ~.
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
PID
I LOT
BLOCK
ADDmON
OWNER -
(Name)_LJ~
\"?<'~ 5 ~~~
(Address)
ItJ. . . .. n /'\
~.*~
, (Phone)CoSr- 4~-YL(OO
I ~ I f'rII"'\. S::"I d- J-
APPLICANt
(Namer~ l.1.. ,,,.If"\.hA- ,~fX-1"-A..' ~ ~. R , (phone) 'llo3- SCl \ -dSdS
(AddressL.....___
~ /09,J,1, OA. It' ~ )..J H 1000 chnnnr'.f~:"". rnr1 553/ (p
(Address) I (~ity) (Zip Code)
(Contact Person) -\( (--\:::s ~np~", ' (Phone) .Qlp~ - :::;rtlo-/d I~.p
I APPLICANT SIGNATURE K^J.~ b1~ DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL 'fERA TIONS
FURNACE MAKE AND MODEL ,FUEL
FLUE SIZE , RETURN OPENINGS INPUT ' OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANt
DWann Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent- System
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
FlREPLACEMAKEANDMODEL ~~Ol'\~ c...04~1.p~
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) 599.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39,50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
BuI(PA/O WI'h _
. D/~G- :.' I,..,
.50, Pe~
- 'Mrr
(Ornet Un Only)
This Application Becomes Your Building Permit When Approved
Paid
APR 2--6 2Q~t
Date
Receipt No.
By
Buildinl! Oflieial
Datt
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /~~S2. EN~Ve CtJULr )
NATURE OF WORK JJEJ,.J _,~ ~ I../..
USE OF BUILDING $.~ (). .
PERMIT NO. .()6,0930 , DATE ISSUED '/zlltJS
CONTRACTOR ~ I1lJJ1ES PHONE~" .,/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPAR:rMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I I
I FOUNDATION (Prior to Backfill) If~ 'l'//~ I
PLACE NO CONCRETE UNTIL ABOVE I4AS BEEN SIGNED
ROUGH - INS
~..# /h?~j?
-. ~/ ~ J
7%1' ' 5/~d (
~ f
SEWER I WATER I SEP"FIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
(f)
-
We
#'~
1/ /
I If/ze/ ~
l ~J&1bo
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l/.ArliE J fI()lfr~"'JeAI' I / I )J~~ ~
, FINALS j V
GRADING (Prior to Sodding) , rJ ,?
BUILDING ,/ ..ervf ()V\b \ \0-'1 ,O\) /
ELE€TRICAL
PLUMBING
HEATING
DO NOT
.(f;
//11// /) . - & (Z, /07,
till / err }-.J;-'V L
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
1Jt1J~\P
7/tzbt.,
". , --
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
@~rfifitaf~ nf @trnpautl!
CITY OF PRIOR LAKE
~tparfmtnf of ~uil~ing Jf nspttfion
)4'Final Permitted
D Conditional C.O. Expires_
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 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 , .s / /V6LC; ;:: #;VI / t...- t/ Bldg. Permit No. 0 5. 0 C} 3 Cr,
J;./L ' VN' p' U5D
Occupancy Type _ ~ Type Construction Zoning District
e ~ : JEF F.Le.5 dJ/JO / sr
. SiteAddress I-1ZS2- E/l/Ct...-A VB" (!;T;
Contractor'SName&Ad~S W6NSl'''lnN1J \895 pLAZA [)IC--~, il2~~: E:/1q~tJ 5?/Z4-
KortE-lei O. lfu/Ct1/N5 f{f/citYPlanner Jrtf'.,lt:.- K./"INSIE..K...... .
Buildin,g Official ~
'1 . 'Llt. 6 V:
I
Legal Description _
L2
Owner of Building
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
7-/""<<
ADDRESS
/'-I25L~~~G T
CONTR. Wt'n-S:MtI1",
PERMIT NO. ..os- 53-'
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
~~LLlNG
-0 CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
6~__ C9t:
Co 110 (]O~ ,-() Ie
f:J WORK SATISFACTORY, PROCEED
b\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!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS l!:J? c;? -Z~C: l"..,... L
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~~ULATION
~~~~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
1~ ~~ ~l~
DATE TIME
7Ja16 V
S--13f"
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
XCORRECT ACTION AND PROCEED
o CORRE~OW CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~.A Owner/Contr:
CAL .1I47-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOT.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1L1 '-s~
~dC&t-
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
"g(PLUMBING FINAL
?D MECH FINAL
COMMENTS:
, I
(iJ <yo f,f ( II1c I-v-
@) - f'( Wtd'vC - /"OU+::ltfJ,s
1/\0
/(11 ,- j
~\~
DATE TIME
Co-tU
. ~ ("<c.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND e CEED
o CORRECT WORK, C OR 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!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1'-1 }.,s-) {2 J1 d C( vc- e-1'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
19 FINAL
. 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~ ~MBING FINAL
rECH FINAL
COMMENTS:
(f) ~/vt {,f I (\Y14o:b
(tj . Sod ~ Tv.,.~'5
1(wf/ (ft1),!
I f
DATE TIME
(:;~:J-Hn
s-- q 3(,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/ ()-/-o&
o WORK SATISFACTORY, PROCEED
.#'CORRECT ACTION AND P OCEED
o CORRECT WORK, C FOR REINSPECTION BEFORE COVERING
Inspector: j
Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl