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HomeMy WebLinkAboutBuilding Permit #00-0104 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ~ DATE RI;CEIVED FEB 2 8 2000 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS 1. DATE Ll2?;>/Q'J (J r AI e ,eJSD 4753 PR2",.e-J 066 3. LEGAL DESCRIPTION S I<N06 BLOCK H/{,{" I 4-7H PID 25-3"2- 005-0 LOT ADDITION 4,O~(L.'" c;el\..bV\r\e,LL- (51l~W1)D~1 L~ ~~'~"bl,..'\l"i 5. ARCHITECT (Name) (Address) (Tel. No.) P16. P€tlf!.. c,Ll-O -7SQ5 6. B~ILDER (Name) \ ,(AddreSS) (Tel. No.) 0.L .W~~~'fV\~h ~m~ ~ 7-5 L-"3)~c Y.b \~~2S,- ~-a\<-R.\) \j- )~~.t..'(V\4~ Ld,k..4..V~\\.... ~~LI~ 7. TYPE OF WORK ' Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0 New Constructio~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 Chimney 0 Misc. 8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE I, White 2. Pink 3. Yellow File City Applicant Permit No. J'J 0 - OJ 04= BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 13. TYPE OF CONSTRUCTION 14, FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. PROJECT COSTNALUE 17. COMPLETION DATE ~q. Ft. Width Depth Yes No r I reby certify that I have fum' hed 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 ove mentioned pr perty a 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 uildin official can revo thit> pe or just cause. Furthermore, I hereby agree that the ?it~ official or a designee may enter upon the property to ~o~ needed inspections. ~~ - --ro\\CO')C)' ~2.roioo \ Signature " License No, Date FOR ADMINISTRATIVE USE OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION ~: CJ.t:::t:;J. t<) 0 Water Tower Fee ........................... $ Water Tap ................................... $ Builder's Deposit ............................ $-4 S-W .(jt:> Other......................................... $ Total Due .............................. $ '7~ ro!5(). '7.1 Paid '7 (P 50 .'7 I Receipt ,,~,:~t, Ii (p .-7 Issued 'fy th ' h bo I' ti d 'd t ' , d 'th th c~atze Mo" di/ oiJd BYed d Th' doc . t wh This IS to certi that e request In tea ve app Ica on an accompanYing ocumen s IS In accor ance WI e Ity o",ng r Inance an may proce s requeste. IS umen en sig by the C' lanner constitutes a temporary certi~te ,~Zo~g comPliance~allows construction to commence. Before occupancy, a Certifi e of Occupancy mus~be. issued. f-..lRrt (fir:J _"^ A Ar fl j /) L! Vl L4S:- 1./' ity Planner te ~ V ~ditions y Front Back Side BUILDING DEPARTMENT VALUATION USE OF BUILDING .s,ctJ TYPE OF CONSTRUCTION: I II III IV V ~pancy Group A B E F HIM R S U Division 1 I 2 3 4 City: Permit Fee...................... ..... .... .... $ '(L)62_.2~ 1Lrl.~. ~ Co CJ . SLJ Plan Check Fee ............................. $ State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ Mechanical Permit Fee ..................... $ t C> 0 . C::JC) '(T)(, - 00 1,'5" . S'tJ 4tJ. (f)O ~ ~~~\bO Sewer & Water Permit ...................... $ This By Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC .. .. . .. .. .. .. .. .. .. .. . .. .. .. .. .. .. . .. .... $ Collective Street Fee ....................... $ Sewer Tap ................................... $ $ Pressure Reducer .:It>..................... $ Meter Hom ... ............. ........ .... ....... $ Water Meter........ ?ie................... $ Sewer & Water Connection Fee ........... $ Side 24 hour notice for all inspections 447-9850 MATERIAL FILED WITH APPLICATION SOIL TESTS 0 ENERGY DATA 0 PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES PJ~ C9(i (. / DO -C2LI qS .OlL I ~~. cxj I ~ 200 · e>r1 ~.OO The Cenler of Ihe Lake Counlry 60" 6D 10Y White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT J L WAe,6MflN HOH6S 2-/:2-eiov I APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for const~1tion activity which is proposed at: 1.f15'S ~L,~~ C2A-, Accepted Accepted With Corrections ~ Denied ~ Reviewed By: ~/-J:z::;: Comments: Date: '3-Co-~o ,. ~ ~ OC~~ 4-c. ~ L. So~ ~ ~ ~~~ Vf~ :5. ~"k~ ec..tlA.. ~l~ ~ l 14~e>;;, '- CJ 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 (5lJv~ Thr ('rntrr of thr Lakr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED '''r I \.../ t..- , v.. f) G, e: /t 11-/ lv' ,1--/ { /ll E:S 2- / :z. e- It. () . I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: Accepted v Accepted With Corrections Denied Reviewed By: ~~ Date: 5 - ft; - C9D Comments: ~t-i rr ~)(J UJ)AA V&~. ~a'5t ~j ~~1 [JAe- J-~ vQ.C).W (\0 Luvb, Arw~ ~ l~~- ~. Svv~ cWed 2. 2-'1 lQ0. 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 .. I ()O- 10'1 Thl' ('l'nll'r of lhl' Lakl' Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT J L {IV' 1--1 e, ~ IVI r) tJH 01"/65 z/zeio () . f APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: t.;.?5~ fAfl..J/?/l)(;E:.. COvl( r Accepted ./ Accepted With Corrections Denied Reviewed By: J.JAc..~ &/l.E:.>If4.ANN Date: 3t~/oa l!1iLy GJNt...,... &e;ss litJ<; Lt:1T Comments: CO~"'ll.ur~rl(:)AJ J~!> rntY'1 ?~ It T1l1 Oc. e: CovR-r. .<)~E' /AJFoIl"-tt4-rISN OAJ TR~ RE.VtA.5. E ...~ LDE - ~~~ 14. J~r\\E~: I. h~it(.. bAAoe; 1A.J~Cl1oAJ IAJFo/tytUtril'JlU 3. EaoSlD^ \ Co~-rnf)'- v11Cds~s if ~ou ~AJrn.o(- z. 6R"'IJ,I.J~ RAtJ flllN 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." _._:.. *.)::..:;... ':'u':-":' ::.' :.:.:.<. :....:.; .;..;~::.. _<. ';...- _<..:...:.,. :...: ;.:':_:.:.....:.:..>:. ::.-.:...:-,:. ....:.:.~-.:.-.:...:.'.:.. :.'._.:.:......:..~_ ~_.___<.~~:.:--:;:;.,>:...~~.~:..-:..:...>_~:..:..:;...;...::..;;.;__~.-;-::::: . -::..~. ._~_...._:... ~.:..~ ~ -:.__" _':"~ >.:._ .:.':....:....~.. _.':"_':':_'_"_R_":--':"'_~' ;::.:; .Permft# -JobAddr... 47~5 PA7tmllJ6rcr~ -HeatingConCrllctof ~ JJIfL.~C, -Testers/Signature 'Y-- Date Time Pounds Pressure -Gas Une Pressurized Inspected - Percent 02 PERFORMANCE TEST 70k S-% .Percent CO OdJ6 .Stack Temp. .;s' a- s-' .Percent C02 Final Inspection Date ...... GREEN - FILE YELLOW . APPLICANT GOLD - elT., CITY OF PRIOR LAKE SEWER AND WATER PERMIT S.W.No. a?~ lof NOTE: Sewer and Water contractors must be registered with the city. APPLI CANT: D/L~.r /oIC/z" 6)L L . ADDRESS: 1(.118 rOfL~ W;,4 1 lIt JL. SIGNATURE:~ ~~ SITE ADDRESS: If 7S 3 {JI}.a,/lX,tJ G~ c.'l. PHONE: J>~.2"" ~ () I: DATE: ~ /:2. qJ~(J . ,. BLDG. PERMIT # 00-101- PI D # '7. 5'" ~(O -c..-eoC) -0 FILL IN THE BLANKS 1. Estimated length of water service l( 40 feet. 2. Size of water service J inch(es). 3. Location of any couplings from structure feet. 4. Type of sewer pipe. ABS PVC Y Cast Iron I 5. Estimated length of sewer line 40 feet. 6. Clean out (if required), located at structure. feet from ::::=:::~~21~:~~~::=:::~~::::=::::=::::::::~===~========== BY AM I fn DATE: 3/'Z!? /co ~ ,~ I ({ ====================~==========================~============= FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $~'~ plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. r ;\'. D '..' ", C~.;;L ',.. -' · ; I AMOUNT PAID DATE PAID RECEIPT # REC'D BY 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-.!V An Equal Opportunity Employer CITY OF PRIOR LAKE PLUMBING PERMIT # 00 -0104 Applicant: .~ ~5 (r\..l () I- ~ b _Pho~e:-.Jf_~ "<11rffil Address: -P 4(1)) 131 ,sI'dIG! A W'L..t VA L-f-i ~ !It-) S~f Signature: .!\ t . -===- l ~ Legal Descript~n: ~~ . S- Block l Sub~1o \-h I \ qfVl~:.V.} Site Address: ifLn3 U ~'"t ~~~f)h tf, c.,"T~ /\/ f- _ Building Permit # - QO... 0 1 oy -J- PID # Q IV s-: 3f:a - Q'lS' -Q NOTE: This permit will not be processed without complete information. The Center of the Lab Country FIXTURE UNITS Quantity Type of Fixture Quantity g: J Bath Tub with or without shower Dishwasher Floor Drain Lavatory (bathroom sink) Laundry Tray (1 or 2 compartment sink) Shower Stall Sinks Bar Sink Water Closet (toilet) I~ I I J l i..+ J L J . 'J 3 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 1. Blue 2. Gold 3, Yellow File City Applicant Type of Fixture Rough-ins Water Heater Water Softner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembly Test Lawn Sprinkler Other $ $ $ $ ,50 J / ro>dv ~J \ ~u~ $ This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Code and the ame m~n th reof. - _ K~cEIPT N . TE ( / C{AD/1o.L fn cfJ all inspections~ hours in advance, 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer ,.-;'" CITY OF PRIOR LAKE t' rJ~ '~ 16200 Eagle Creek Av. S,E. P:'~l No. 00- 0 JO Lt .~ Prior Lake. MN 55372 ~ HEATING APPLICATION I PERMIT Dale f./- Ll- OJ PID II ~~.- ~b~ -- - (JOS - () Sle Address 4153 Ilv..h,,',o. tV I.;F ~, Lcl 5" _ Block \ Addiion \(~()b\-t; 1\ ~l-rh tU\l~ ..n L J '. ,I OWn9J'S Name :.}. uuc.-~.J.-A."" ^ ~I'IA.JAj () (J Address . Heating ContracloI ~LLIED FIRESIDE dba PIRESIDE CORNEtt Address, 2700 N. FAIRVIBW. ROSEVILLE. MN 55113 T erephane'. 6 5 1... 6 3 3 - 2 5 6 1 FI REPLACE I1UntD Make & Model IJu;.t ,J ~(;:, Model Size. Id:'YT1I'r? Co nil. load Fuel (rY-A.-J TYPE OF SYSTEM Warm Air Plants Gr aYi1y . Mecbanical _ Alr Ccnditioning Vent. System. Flue Size Supply Openings Rerum Openings Input ~ _ Output ,.:):7 f\'h Edr. . elm.. HEAllNG OR POWER PLANT Sleam Hot Waler RadiaC10 n , Special Devices, Otber Devices TYPE OF WORK AI~era'ions Replacement New Const ruction MY Rilpair Esl. Comp.. Dale, 4-7 -(1") Est. Cost S. J ! (Y) ( ~, , Butlding Permit #I , ()(l - (m iN-l HEATlNG PERMIT FEE $ STATE SU RCHAAGE $ TOTAL PERMIT FEES $ .50 Receipll --- I. f'j"k. 1. (iltt1l l. Yellolr en m ::J r+ TYPE OF STRUCTURE Rle Cl11 Call1rllClUI III '< Single Family _ Commercial. Two-Family . Industrial. Multi-Family . " 1-" "'1 m en 1-'- 0- m n o "'1 ::J (I) "'1 ~' - PubJic Other Fee Schedule r . " lJU .. ;O~~.. ~~?~l $64.50 . ,4,1--: -'''. $39.50 $39.50 $39.50 Indus\rlat1 Commercial & Multi-Family nesrdentia', Heating & AC Aesidenlial, Heating Only Residential, Gas Fireplace AesldenUal, AddUioos & Altera.lions AesldeoOaI, AC Only Remember to add the Slate Surcharge on lhe bottom 01 this application. CD U1 ...a. The price 01 your healing permil includes orre rough-;n and one lina'inspeclion. CD U) U) Additional ;nspeclions will be biled at $35.00 each. ClD ClD HotJse Healhg Tesl Record must be submiUed with .,,,ildina rp'~m;, n.,rohA~ berore bulk ~ ing certificale 01 occupancy will be issued. . HEAT r..Al CULAT10NS REOUFREO wilh number of supptv and relufn open;ngs lisled f: room wilh CFM's per opening. New structures or addjticns send 1100r plan with suppty and relurn locations shown. HEAT lOSS CAlCULAT~ONS. PAYMENT AND APPLICATIONS MAY BE MAIlED 10 THE CITY OF PRIOR LAK~ 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE. MN 55372. City Half business hours are 8 a.m. - 4:30 p.m. J:-r "tJ "'1 I ~ I o o r ALL WORK MUST BE INSPECTED (ROUGH-JN AND FINAl) . CALL CITY HALL 441-4230 N . . U) CD . h ~ [ hereby appfy for 8 mechanical systems permIt and I acknowtedge t at the 3: information above is comphJte and accurale; lhat the work will be in conlormanct wllh lhe ordinances and codes 01 the city and with the stale buildinglmechanicl codes; that this form does not become a permit unHl signed by the BUILDIN( OFF1C1AL~ lhallhe work wil1 be in accordance with the approved plan in the case 01 all work which requires review and approval of plans. 4/.J.- ~~ YM"~ ~. , ^ppIi~ f,aM" 'I 0" ( <e ~ onkar)-:~{:A ~ Lf / ~Zqp (; . I ~ Q) to (I) - ...a. PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~'75,~ ~~tlJ.cr fu- NATURE OF WORK ~~~) ~. USE OF BUILDING St= n PERMIT NO. (J 0 - 0/04- DATE ISSUED s . ~. "LaCJ6 CONTRACTOR -LJOUJR..\,M-~.. ~<: NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE D~NU U~MToERNT ~ \ \ DATE FOOTING f \j( :3 \~\~ FOUNDATION (Prior to Backfill) Q) \r,6I/r PLACE NO CONCRETE UNTtl AB.o<tE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC \\ ~'1.J io FRAMING fk.... LJ ~k '4 Irq 7 d'D INSULATION ~ ~~ lJ/~ ((/-1 L/-Z'{-brJ / ( , ELECTRICAL PLUMBING c%: L/ //<j'/~!J ~ HEATING (if required) ti!, ~ M-/ J/j11/IJ~/ ' FIREPLACE dJ Lj /to/a) GAS LINE AIR TEST ~/F.Pf fin, () ,?!1.?/t; 0 , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED W&1W". rID Jkr4ii<, We.. ~. L{-f7-tJ'(J FINALS Ivb ~ A {:(J-. ~, OCCUpy UNTIL ABOVE HAS NOTICE GRADING (Prior to Sodding) BUILDINGrtW 7lJ Y~/cV ELECTRICAL PLUMBING HEATING DO NOT ~.z{, . 0 z.. q 1~\{ttffL :5/Z vi ! po ~/~/~ .5/~/tn> I I BEEN SIGNED 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 shel be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 ~trtiftcat! at ([)rmpanry CITY OF PRIOR LAKE -J 1Department of .uilbtng Jn~pettton }I\ Final Permitted 0 Conditional C. O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying that at the time o/issuance this structure was in compliance with the various ordinances a/the City 0/ Prior Lake regulating building construction or use. For the following: .. Use Classificatiol' SINGLE FAMILY . Bldg. Permit No. Occupancy Type R3 Type Construction VN . Fire Zone N/A Zoning District 00-0104 RISD Legal Description 15, BI, KNOB HILL FOURTH ADDITION Owner of Building Site Address ~] 5 3 P ARTRllliZE COURT NE Contractor'sName&AddressJ.L. WAGEMAN HOMES, 8625 237TH ST., LAKEVILLE, 55044 ROBERT D. HUTCHINS d- City Planner JENNI TOVAR Building Official C7 ( Cf-d 4~-Od- Date: Date: POST IN A CONSPICUOUS PLACE ........';.;../,~" ~ ".i' ;';\";:;4.';1;,~:~.;,~/,,,,,,,,,,1., ;,; ~,"'. .';b...:,:.,..;,:.~::.,i,,,,~).i: "n., ..... '''',0 ..J..i",~..a;~~'" ",:.:1''':., ",ii'",""". ~~" .$.."",{~> ".,~~i.... ",.>;2.tt..;..,.i,!j~l~L~;:,,,\i'~:.bi.2.';;'h:i, ~;,;;,;c.l.\:t:':"(-l:\\',<' ...,,;;. ";".iU"i . .".L;., '.~,~"".""J,..'~' ,~ . ,. IoI..ti ~ 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 Lj'76"5 .. SCHEDULED ~~~ PttY'v1r~ C'\, CONTR. PERMIT NO. I9c{) - D J ocj o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~ +- \.J V"ce-z; o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ~L \~ ~ WORK 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! INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 9--){.o"Z- ADDRESS 4 753 PQrfr,4 Uurl- (/- OWNER CONTR. J L ~t.> PHONE NO. PERMIT NO. ()1j " 0 I 0 ~ o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~~'LLlNG DC. INT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~- C9t:- Lull:; ~~ t9L ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL 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! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS +153 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING ~SULATION ~~~NAL o SITE INSPECTION SCHEDULED ?"y.,,'rtse. CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL 51i:l~ G- TIME II ~~ ~ tJ-/04 o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~OM~ENTS: __ ~) ~A +-e-~ik dhH ~~ ~ t~ ~~ t:'><~ rR' /' t! JV1 #' c; U / f-o \> cf ~ o \/V {J o WORK SA S CrORY, PROCEED J.:c REC A N A D PROCEED ORREC O-=- . C L FOR REINSPECTION BEFORE COVERING Inspector: _ Owner/Contr: CALL Jv -985~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE RE~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED dZt4/rm 3~go_ , I ADDRESS 47o~ P~I ;e/o6f/ ~ ~ OWNER CONTR. PHONE NO. PERMIT NO. 00 -OIG 4 o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT o FRAMING @ 0 WATER HOOKUP 0 FIREPLACE RI ~ INSULATION ... \ ~ 0 SEWER HOOKUP 0 FIREPLACE FINAL ~ FINAL \'J ~D PLUMBING FINAL.Af3\ 0 GASLlNE AIR TST o SITE INSPECTION MECH FINAL (.esJ 0 CQMMENT~ ~ QJ~ ~~ (Jj)~ ;!!-u "'-a. ~ ~ ~ ~~. v U ../1 (1]J~~-~ (Xl ~ ~ ~ K~ ~ ~ c:,'.11 ~~.~ ~~~...:. ~, ~ ttL~ ~~~,eil -- ?o /~. ~ fc )6ve.-r. SOo r ~ ~5~'r ~~ 7:~J~ tIJ/lt~ ~/ . I o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED 'f CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~, Owner/Contr: I -51;;- s-/rn ; 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 ADDRESS Lj/53 SCHEDULED S/Ztc/OO I~I 0-0 ,oA-12--1 elf) ~e if OWNER CONTR. PHONE NO. PERMIT NO. ~-I(J~ D FOOTING D PLUMBING RJ D EX/GRAD/FILLING o FOUNDATION 0 MECH RI 0 COMPLAINT D FRAMING D WATER HOOKUP D FIREPLACE RI o INSULATION .lei 0 SEWER HOOKUP 0 FIREPLACE FINAL o FINAL (t},'oJi. ~PLUMBING FINAL ~GASLINE AIR TSTp D SITE INSPECTION \/,,("-.: D MECH FINAL ~'D- ftI"fJ- ,r. < r=-: I COMMENTs:(l; ~ !Znrt ('~ ,tf!{;) /~) p}JL-> ~ ~-~, .- ?1J) ~_/~'~ ~~ ~ Iff ~ ~~ (~~~) vrJ I / ~-~ ~p,t v.Ak~ ~~ Zc;2:- A.T. -~ ( o WORK SATISFACTORY, PROCEED X CORRECT ACTION AND PROCEED o CORRECT ~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 & SAFETYI /NSNOTJ