The URL can be used to link to this page

Home My WebLink AboutBuilding Permit #00-0186 ;7;~~~ CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 1. White 2. Pink 3. Yellow File City Applicant Permit NO.~ 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 3:J ?d 3. LEGAL DESCRIPTION LOT '1 ADDITION NDrth~ Ui~e,r~i ClrcJ~ 1. DATE 3 r;( / --co K/SD BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 4. OWNER (Name) (Address) (Tel. No.) 12. NO." STORIES ~'. TYPE,OF C~TRU?TION 01 f\ qk.. ra..,vu I y Ue:rxe 14. FLddR AREA APPOR~NMENT USE pt~C~ I ~ ... PID z5-3lt?O- OJ 0-0 LV-KS ,St Adtil+rbn 'J I I, J (Address) ~ (Tel. No.) q4f..~5 IlJdShillll1/;n hr. ct;14atJ &<)/..'-l5;)~.ovl (Addri);) 0./ (Tel. No.) 15. NUMBER OF OCCl::;NTS OR SEATS lfI/JJJ1l-€4 6ros. &nsl J6?1/j /lJ)SDn ~):r.G,1--J ~S (,-'15'-1 -4433 OCCUPANTS ~ SEATS 7. TYPE OF WORt\. Fireplace c:J Septic c:J Deck c:J Re-roofing c:J Porch c:J New constructio~ Alterations c:J Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. e,RO~~C^ COSTNALUE Chimney c:J Misc. 'iI CJriU , aD?) 8. PROPERTY AREA O~ ACRES . 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. CO~~TION DATE (' _. f Sq. Ft. ~ l ,0 kb Width Depth Yes No /0 u d.aL1 S t'1611ldl CJ.. I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owneHS'r authorized agent f61 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 offi~ 9~n revoke th~ermit for just cause. Furthermore, I hereby agree that the city offic~allr a designee may enter upon the property to perform needed inspections. X ~ ~ n_) /J!Pvtd.4" o7dJ5 "l3~ -, ~ -e:} 1-lY{) Signature Y License No. Date 5. ARCHITECT. (Name) eJfLnf)n 6. BUILDER (Name) FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side Side MATERIAL FILED WITH APPLICATION SOIL TESTS a ENERGY DATA c:J PILING LOGS c:J PERCOLATION TESTS c:J BUILDING DEPARTMENT VALUATION USE OF BUILDING .sFD OFF STREET PARKING SPACES REa. SPACES ON PLAN PERMIT VALUATION 220..ot:X:J. Cl::J PLANS & SPECS c:J SURVEY a SETS COPIES PLOT PLAN c:J TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $ City: Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. . . . . .. . .. . .. .. . .. .. . .. . .. . . .. . . . . .. ... $ ~.o-o 1,IO~..~ Plan Check Fee ............................. $ l~~~c.;- Cj (Pl..t I I L^ .00 Plumbing Permit Fee . .. .. .. .. .. ... . .. .. . ... $ ~ Collective Street Fee ....................... $ Sewer Tap ............................... .... $ $ Pressure Reducer . %.................... $ Meter Horn ... ............. ................... $ Water Meter ................................. $ 4b",cn State Surcharge ............................. $ Penalty ....................................... $ 24 hour notice for all inspections 447-4230 White - Building Canary - Engineering Pink - Planning Tht' Ct'nlt'r of Iht' Lakt' Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /11/J/V (, e V 13R- OS . . . I 3,/2/ /00 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3032- V/bw~e6S'1 tie. Accepted Accepted With Corrections ~ Denied / -:-)/J iZ .J. Reviewed By~ V=7 '\::) Comments: Date: 3" C).t/- ~ I. e~ alLJdlidM h~~_ 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." :f.: White - Building Canary - Engineering Pink - Planning Tht' Ct'ntt'r of tht' L.kr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / '/ l'-//l/ C t: V L:J;</ () S . '__ / j. I 2' / ._..~ I (.'. ". ,_;) / c::.. . .-' (/ / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ":? /./ ....) j [. i{ , ".- /. ......._.j L" '.........-' L- i C... f /...... /I/k \.... .. Accepted ~ Accepted With Corrections Denied "....., Reviewed By: r-' v Comments: Date: ,3~ 3l~&O VL~ S- ~ ~W ~ /'~~ M':~J~ ~ ~~ ~.a.~~~ t()~ Mvvd~ 1;) ( !)-O-/tJ- CJ<-iI ~r.0 VfVcJ. l' ?-~l ~ J!W?V\).)JM {;y~~ I/\~:&,\" tJ-~ ~Jv~'1~' ..~ ~ M-v ~,-C).tJ W ~ 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 Tht ('tnttr of tht l..kt COllntr). White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED It~11i /v/ (- e V bIZ os . 3/2/ /00 / I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 303 2- Vi / E VV (~12 6S I (; / ~ . Accepted ../ Accepted With Corrections Denied Reviewed By: WAL.-rEtl.. tt-\It..ESMr1\ Al/'J Date: --31 Z8 J 00 , , Comments:..5f.(:" I AlFoQr\I\A1"lON 0,.1 Re:.vE.lUe: SlOe: . -r..,e.. t\1A)CI..-(IIM ALuW,qBLE: SLAPE , S :3: J . SEE Af'TRCHME"n-S: I. hlJa4t..- (;AAOE. JNsPEcnoN J AJr~1"ION Z. GaA()'N~ Pc. ~ 3. ER.OSION Cot.JTfl.OL- MF~ f/. CA<l5'0.u ~tJlJra.()c... RIfAJ "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." '" . Job Address 303.2 V,.~VJcr~:rr . Heating Contractor Lo'jr~/l Name of Tester ~QAJ" I Date 6 .3C>-oo Percent 0 8ro Percent cO2 0% Percent co 7% Stack Temp. 3110 "'", 04/04/00 Tlm 09:47 FAX 6128902753 STOCKER EXCAVATING 141 001 t:f;PR~~ U~G ~NESO ,,"'tTF' ,. ~~ \0 'J" .... r....-.' ( rl"\ . p r= I."'"l:'\" . UU\L D\NG r-.. c, . . \ ..J. ~.~ nu.o. - ~ GOLD - CIT., CITY OF PRIOR LAKE SEWE~ AND WATER PERMIT' NOTE: NO.OO- 0) go Sewer and Water contractors must be reqisterad with the city. APPLICANT: DC Mechanical/Stocker Excavating PHONE: 890-4241 ADDRESS: SITE 55378 DATE: BLDG. PERMIT #-.OO-Ol~ PIO# ~S - 3(j)-())O-O FILL IN THE BLANKS 1. Estimated length of water service_ teet. 2. Size of water service inch(es) . 3. Location of any couplinqs tram structure teet. 4. Type of sewer pipe. ABS PVCJ Cast Iron 5. EstimatQd length of sewer line feet. 6. Clean out (if required), located at structure. feet from ~~~~~=d~~~:~==========~~_______=--~~=~--=----~~-~========:_=~~--=~ This aprlication be:~s. your permit when approved. BY LAr~::1udl4~ DATE: L-f-7-(J?) ======~=========~--_:--_-==------ ~===============----~-- FEES: $ 35.00 Sewer and water line connection permit. $ .50 Surcharge $ 35.50 TOTAL * Fee for either se~er or water ,individually is 520.00 plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the buildin9 permit card at the time of issuance to insure that no dup11cate sewer and water permits are issued. ~ DATE PAID AMOUNT PAID RECEIPT # .--. ---.. REC'D BY 16200 Eagle Cree~ Av. S.E.. Prior Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245 An Equal OpponunilY Employer CITY OF PRIOR LAKE MC 16200 Eagle Creek Av. S.E. Permit No. cJ)-l) i "I b Prior Lake, MN 55372 TYPE OF STRUCTURE I, Pink File 2. Green City 3. Yellow Contractor Date PID#~- ~C) - DJ{)- 0 Single Family Commercial 'X. Two-Family Industrial Multi-Family Public Other ~ ~ mt-;.,f) Telephone # Fee Schedule ~~ Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 MAY 5 Remember to add the State Surcharge on the bottom of this application. Input / J n: 000 Output Edr. ~(). {)OC> / TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Conditioning )( Vent. System HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted with buildin9 oermit number before build- ing certificate of occupancy will be issued. HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. Conn.~ad Fuel! ktliJ/II" P Flue Size < II ( - Supply Openings J 9 9 Return Openings Other Devices City Hall business hours are 8 a.m. - 4:30 p.m. All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CAll CITY HALL 447-9850 Cfm. TYPE OF WORK Est. Cost $ Est. Comp. Date Building Permit # {'y)-(,\YL ~ - - - " I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the case ~II work which re,q~res rev. iew an. d approval of plans. " ~/./YJA'A.//)/u~/_ ~LJ 6 -3-cJO "It . Ap~nt's S1112 ire! -C .A Date/ . I'U~ // b~/lA k~ ~ ~ /rrt/dtJ 0' ~ ~ . uilding Offi~'s ~nature r DJie 4Jof~~~ Alterations Replacement New Construction x Repair HEATING PERMIT FEE $, STATE SURCHARGE $, TOTAL PERMIT FEES $, .50 Receipt # ~ ,~ .. c- fl. .. CMIIII9 CITY OF PRIOR LAKE t =- E- I'I.UII8ING ,.",," "1' No. 0 l) -0 \){ b . ~ Q\~~ ,~,.:"~9-..4~~-bf13l{ --i_ - ' c ) .. f = L.\~oo Q\tQt"\ CJr S ~- ~r\or \.....()..~ T~ 1 -: \l... ........ . Cl f ("I.kD b nJ.-- Cl N r1V"< \.Ar.. . & ,,"<"t""t-PA. c-t" - ...... C' rI~ ~ IIocIr [7\ IuD, V I <1' ft \/"V v --1 ~ ... JJ IJ ~c a2. \1 ~h\l' Yo "'>t (\ ~ ,c.\Q_ l)o..)<..h u~ ~ ~"'r~~. TIn-()[ ~ ..,g. ~~-~'S'O-OlO-O NOTa: 1NI........ fill" ~ a lilT. ...,. compMt,e i~. IIIXT\IR8 UI_,. ~\o~, \\\~\\ \c>\ ~ ..., ~..~ ~=.-J I f~ \ Pl~ L~ \ ,.., DfIM ~ lAt"fl .....1InII) , \ I. ..., T.., l' .1.-,::, L7WII..) ~ at ~.... \ .... .... ~ ... 0.. ... - .... ~ If. 1>lfIIL Ci .._._ , '"I ~'","y (t.. fl. ... .... ,.,........ "lrW 111 ,.. an. . ,... ... 1 Ii r . .. r'- ..... - Type of '\n.ar. Rough-;". w., ...., Wate, So...., .......... (....,ino fNd\ine) -...0- Ejector ~ ~-I r 1IX( ("I. CNIII 0..... PV8 IeckrIow A....ly T.lt '--" lip....., ow.r .IIIAND TOTAL . / . ,j . . /- . !.IO .1 P"\OG'l'J~~lA\1 6\l\\.O\N -...... .. .... ~ .. .... ....... .. ... L.J .. ... ...., . III ...... .. ... ri . .,.....~~~~ -.t. / 1 . . ~ . .. ) /q/J 0..1- I / /'V~ ~.. '.... ..~TrDT ~;. ... J ~ .. a& ..... .. ...~.. 16100 Eapl C... A... I.... ~ U1.--I_ 5.5372'.... (612) "7~230 I ,..uc: (612) 4o&7~.4j Ala ..... ~ ." ........ .. >>J 2 I 2000 --"...-._-_..~--,-._~,..~~"'-_.,...,._.......~.... ~~ i~~, IU~' ~/ CITY OF PRIOR LAKE Me 16200 Eagre Creek Av. S.E. Permit No. Prior Lake, MN 55372 OO"O/~~ HEATING APPLICATION I PERMIT Date fu!.JJ/()fJ PJD. ze;....~'Il'-OIO-O Site Address, SOJ-J U,.iuJ(I.AJ ~~ /fl-LL) Lol 7. Block Z Addition AlddJl1Y~Ol? (JA~r €J'1JIf7&S' rn I?~b~ &.1 C!+.J. . - 1/ Owner"s Name Addr&ss Healing Ccntraclor ~Ll lED F IRES IDE d ba FIRBS IDE CORNRR Address, 2700 N. FAIRVIEW, llOSEVrLLE. MN 55J 13 T8lephone', 651- 633 - 256 l FiREPLACE fJuntl!.9 Make & Mode' -lj~;J JJ ~~ Model Sizft Conn. load Fuel (i/.4.J Supply Openings Relum Openings Input Edr. crm. Alterations Repair Est. Cost $ , !AQ}j 1'1; Flue Size aUlpol.}'" (.)D TYPE OF SYSTEM Warm AI, Planls Gtavity Mechanical Air CoooJlionlng Venl. System HEATING OR POWER pL.Ar~T Sleam , Hot Waler Rildiaaion Spedal Dsvices . 01 her Devices TYPE OF WORK Htplac emenl t ,Est. Comp. Dale II ()t'. tJ) , . New Construction y WWiP r . 00, olf;fD IL/I' Ire Buikllng Permit' . HEATING PERMIT FEE $, STATE SURCHARGE $, TOTAL PERMIT FEES $ .50 Recerp\ ., TYPE OF STRUCTURE en L I'J"I: - Fik CD 1 Gra'II . aty ~ 1. yc.Jtollt . Co-.chll OJ '< Single Fam~y Commercial ." 1-" "'] CD en 1-" a. CD o o "'] ~ CD "'] Two-Famfly Industrial MuW. Family Publjc Olher Fee Schedtde fndus'rial. Commercial & Multi-Famly Aesidenliat. Healing & AC Residenlial. Healing Onry Residenliar. Gas FIreplace Res;dentral. Addit.ons & Atleraoons Residential. AC Only 1 % of Job cost ($39.50 minimum) $99.50 $64.50 $39.50 JUN 2 I am 139.50 $ag,50 Ramember to add Itle Slale Surcharge onlhe bottom 01 thfs appiication. The price of )'our l1eating permit meWes one rough-in and one r..at Inspectkm. Addmonal inspections mI' be blled at $35.00 ttech. m U1 ....Ao m U) U) CJ) House Healing Test Record must be submiUed with ~Ij"~ I)A",,~ Im~~~ be'O(I buld. : ing cerlifk:ale 01 occupancy wil be Issued. ~ tlEAT r..AI CllLATfOHS REOUIRED wilh number of supply and return operings "Sled p. room with CFM's per opening. New structures or additions send troor plan w~h supply and return lacalions shown. HEAT lOSS CALCULATIONS, PAYMENT AND APPUCATIONS MAY BE MAILED TO THE CITY OF PRlOR LAKE. 16200 EAGLE CREEK AVE. S. E. PRJOA LAKE. MN 55372. City HaD business hours are 8 R.m. - 4:30 p.m. L c: ~ I i ALL WORK MUST BE INSPECTED iAOUGH.'N AND FINAL) . CALL CITY HALL N ....Ao I a a 441-4230 m ~ I hereby apply for a mechanfca' systems permil and r acknowledge that the ): informaUon above is complale and accurate; that the work witt be in conformance ...~ ,,/ith tho ordJnances and codes 01 the cily and with lhe slate buikting/mechanlcal codes; that 'his rorm does not become a permit unlil signed by lhe BUilDING OFFlCIAL; that ,he work wUI be in accordance with the approved plan in Ihe case or a.1 work which requires review and approval of plans. "1J Q) <C CD t,U , , 0 6/?,7;'; Dare N - N PRIOR LAKE INSPECTION RECORD SITE ADDRESS 30~~ Vif'W ~\- Qr. NATUREOFWORK ~ ~hJdlOV\... USE OF BUILDING ~f) PERMIT NO. ()()-078~ DATE ISSUED 3-~~-2600 CONTRACTOR Mo.,^,l.p~ .~ NOTE: THIS IS NOT A ~ERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DO~~NT 1 jATE FOOTING "'!"v uj !~jJm FOU NDA TI ON (Prior to Backfill) {><<.6~lIl/ ~:fA-11-oC1 uf] r. ht. .4 J "".. AD PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED U t: t' ",n I IVII;;,.... '" . BUILDING AND INSPECTION SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING il 51/6/(;[; HEATING (if required) '/ A/9A-.' / tLl1i1fJ FIREPLACE f&:t,' ~ GAS LINE AIR TEST '~~I. _ 1J;r- ~;; / I)tJ COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED ~ ROUG~1- INS (p 1~/(n ~ 1~1 /hI ~/2<f~ ~,~ GRADING (Prior to Sodding) BUILDINGtGD, -W 9/1Sko ~I f/1.//c>b , , \ ELECTRICAL PLUMBING HEATING DO NOT FINALS Gt.( , '1 j., l't) . .. iJ~ /2c;n //4/rJ() of-. JYiI/1lJ ~ .' OCCUpy UNTIL ABOVE HAS BEEN NOTICE ........ ( OJ g4/J SIGNED This card must be posted near an electrical servtce c-abinet 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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 ,.", ,.1l€ :<".'-"':'~p: ~'~J ,;,.... "-. --;;,~....~ "''- .~ ~_.i -.~..'~;~ DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED B4 a5 . , q~oo ADDRESS.3032 \J ~ ~ OWNER CONTR. PHONE NO. PERMIT NO. 6- IE(, o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP AI-l D~EWER HOOKUP ~LUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: .w ~stwLO- \Ll+~ Sl~ + ~sw~ (~~<;;~ L~~ \ 1\ r I r) r"L-- ltUl:1lfA \_j(~/lhM- u y Inspe~or: Owner/Contr: C~LL 447-9880 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CO~EMENTS AilE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI SCHEDULED 8/:7 C1f TIME CITY OF PRIOR LAKE INSPECTION NOTICE ll~~ ADDRESS to31... \J ~ ~ OWNER CONTR. PHONE NO. PERMIT NO. O-L~G, o PLUMBING RI 0 EX/GRAD/FILLING o MECH RI 0 COMPLAINT o WATER HOOKUP @ 0 FIREPLACE RI o SEWER HOOKUP ~ FIREPLACE FINAL ~LUMBING FINAL 0 GASLlNE AIR TST \CJ,....-ECH FINAL 0 COMMENTS: ([) k-cL i ~ ~ .tyl.A ~ ~~~~~~. (JJ ~ ~ ~ ~~ ~ 'f-o .-acJ v1~, -: 1!r"jKR~._~ ,fb_~~ ~l_ ~4 ~~, (!f~ -r~ 1M ~A.- ~ ~ ~,~ J'.. ~~ ~-.~j ~.- ~~~oibJ :M- ~ thr-i2 ~ ~ u )) f~ hp~ W 1~.-J-(i9 o FOOTING o FOUNDATION o FRAMING o INSULATION~f1 FINAL r ~ SITE INSPEC ON . TC,IJA ~ 62J 9-/s-~oo tJ-tut ~ I o WORK SATISFACTORY, PROCEED !! CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ( Owner/Contr: . ..t71 CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI rATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 3>O"3Ol SCHEDULED t;;l. .Ie~f , V lewcv~ 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 o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: rs.s ~e" ("'IJ 0 ~ c...t~ S ~ -R-) e ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~~ CALL FOR REINSPECTION BEFORE COVERING Inspector: <g.... ~ Owner/Contr: CALL 447-9850 FOR' 'HE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl INSNOTl ADDRESS 90_=lOL SCHEDULED ~ 1/i:eulf?~Sf (!/r: t%/J/~Y' grtJ$. PERMIT NO. m - /1ft, o PLUMBING RI --~~D/FILLING 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 TIME CITY OF PRIOR LAKE -INSPECTION NOTICE OWNER CONTR. PHONE NO. o FOOTING o FOUNDATION DFRA DILATION INAL o SITE INSPECTION COMMENTS: (("r'~ 1< Gmt! <.!!J is OK.. ~I<- fl' 4~ ~\~ ' - /' / ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED R INSPECTION BEFORE COVERING CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl