HomeMy WebLinkAboutBuilding Permit #00-0165
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;i;B;;~
1. White
2. Pink
3. Yellow
File
City
Appliclllt
Permit No. fJb-- () I Ie ~
1. DATE
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADD~~S /:'
47~l- rAJ(r~t~da e- C,_ ~Jtt= ~
3. LEGAL DESCRIPTION .,/
LOT & BLOCK /
,K~l/).b ~"/I - t./ T~
4. OWN,E} ,(Name) J (Address)
l...o~~.Lr )??(';f, ~H~IJ"'C Y
15. ARCHITECT (Name) (Addresf.)
<) R /n 'C:-
(Name)
.3/?()/tJ tJ
~I
BUILDING INFORMATION
11. SIZE OF StRUCTURE;
(Height)~idth)~ (Depth) S ~
12. NO. OF ~IES
13. TYPE OF CONSTRUCTION
5rl?
14. FlOO;i.?- ..r-4TqENT USE
,
PID Z5 - 3&2.- Obf.t::;- 0
ADDITION
( &. /),) 3(~02 7~6 X
,/ (Tel. No.)
'-.
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address)
6. BUILDER
~. A IYl '"<-
SEATS
7. TYPE OF WORK. Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New construction)r( Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. / ~O /0 0 6
8. PROPER,TY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZ~/ 17. COMPLET-fON DATE
Sq. Ft. / Cj '77 0 Widthl :; ~ Depth J Lf ~ Yes No "- /! _<> /9 /'
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
~Uilding ~e~;~ ~use. Furthermore, I hereby agree that the city OffiCf~d~7 enter upon the property to pe3 ~~ i7a;rs.
, Signature '7 Lic6nse No. ~ Da(8
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
Side
Side
Back
Front
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 180/~ ..l!)CJ
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
SEJ)
USE OF BUILDING
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. . . .. . .. . .. . . .. . . . . . . . . . . . . . . . . . . .... $
City:
esn~
II Ion !eo.
Division 1 2 3 4
If '2e7 .e.S"'"
S:s~. 7.
c:ro .. OC>
Permit Fee.................. ................. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
t!:l" $
Pressure Reducer ....i8................. $
Meter Horn................................... $
Water Meter ................................. $ I 2~ f'.
Sewer & Water Connection Fee ........... $~OO . ge
Water Tower Fee ........................... $ 7fJCJ. .ce
Water Tap ................................... $
Builder's Deposit ............................ $-'Pt:J() · ~
Other..... .................................... $
Total Due .............................. $ ~ . cxt1'. t.I/e;
Paid tf? .16 Rece~it J . 37LZ ~
DO By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordin nce and may proceed a requested. This document when
~ ~I~n~er constitutes a temporary Ce~ificate of Zoning compl~ and allows l1\'stru.C~ commence. fore occupa~_Ce~icate f Occupancy must be issued.
~_, '3-V1~ ~~L-(l _ ~ r~~~~)\t?Y\{~
City Planner Date Specia Conditions if any
Plan Check Fee ............................. $
State Surcharge ............................. $
4G p....
Penalty ....................................... $
/OO.(!)O
J 00 .<:>0
Sewer & Water Permit ...................... $ '] S . ~
Gas Fireplace permit~ ..... . ........... .... $ ~
ThiS~Ii~7'Pecom our . ing Permit When A.Bxoved.
By ~ Date 3.~~"'?~
Certificate of Occup:/cy
Plumbing Permit Fee . .. .. .. .. .. .. .. . .. . .. ., $
\ ., It-
~.af
Mechanical Permit Fee ..................... $
Issued
24 hour notice for all inspections 447-9850
0,- lro~
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/~( 'I' J,
I.,,", JI
it'
f
/1 C/:~! ij/'j" /' \/'
v t.-" I......., \ l-... \,
I
APPLICATION RECEIVED
/7'~
/l':'- {,.
F I
l
/"'\
\ "'~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4
7,
; I' l Z. /L'., (-:-:j' z:-
I J'__, . 1'-- l..--'
/
/ _.
/'l L
I " e.-,
Accepted
v
Accepted With Corrections
Denied
Reviewed By: q .AM ~
t? -
Date: 3 --2- ?-lGfD
Comments:
2-t1I--~ ~~ (y!v., L.>4' 14)td~ Ar- \~v~
r-r-~'1 ~ J- "'l1Ku \Q.l9 -0 't D w.rla.
"
t
,.
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
6
Ifa5
The ('enter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
60/3 ;v!e-N6/1,€,N6V
3/W/OO I
I /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
47Ct?7. ?11l::-1,eID~G (5/. ;V6
Accepted Accepted With Corrections :><-
Denied 0
Reviewed By: .G2Q1L k>
I
Date: "3..~a-~~
Comments:
I. ~ aJJ2 Ct~ ~~
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
o
Jl9S
Th~ ('fnlfr of thf L.kf Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~30!3 /t-le Ive;-jKlv"6~V
I /
3/ZfJ/OO
I I
The Building, Engineering, and Planning Departments have' reviewed the building permit
application for construction activity which is proposed at:
47&7
~/-7 E--T72 I LJ GJ b
."'/---
c- I
/";6
Accepted
./
Accepted With Corrections
Denied
Reviewed By: W.4LiE:tt t&.{t\f.SMA NAJ
Date: ':?/z.r/oo
I -
Comments: SEE JNrofb'iAnDN ON RE\lf'a~ Sloer.
sa. A "..(GMM~NTS ~ I. FINAL b~AOE. ,NSPEc....ON 1t.J~Ot\f1lJnON l.. ~~I~' Pc..4N
3. &'os,o,..} COI'J,.,(\.OL M~A.E:$
'-/. EAo~lol.) Co~m.Ol- ftil,.J
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."
- . ~ -
. ----- -..-.~~.~--~---
Job Address 17 b? R:,~ / ~ "-
Heating Contractor ~v ~ fl ;;:;'p;r
Name of Tester!?" ;: - ....
7" {J -eJ?>
./
Date
Percent O2
Percent CO
o
~
3~
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
GREEN - FILE
YEllOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
MAY ~ 8 2000
0-/60-
S.W.No.
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: ~.
ADDRESS: {.t1-L~ ~
SIGNATURE~/
C-/ -
SITE ADDRESS: 1'~
1.
Estimated length of water service
/ II
Size of water service inch(es).
Location of any couplings from structure
PHONE: ?ft{ - Cf / '{ c;
DATE: .s--f'-cJcJ
BLDG. PERMIT #
PID#
feet.
2 .
3 .
feet.
4. Type of sewer pipe. ABS PVC~' Cast Iron
5. Estimated length of sewer line \~. t? feet.
6. Clean out (if required), located at
structure.
feet
from
"-
==============-- lfJ- -================================,============
This applica i HeS yOUr permit when approved. ~ I
BY DATE: t)'/? /00
=================================================~==L============
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 th~t ,0 duplicate sewer and water permits are
issued.
DATE PAID />D ~ rV AMOUNT PAID
/
*
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
MAY-09-00 11:47 PM
P.01
CITY OF PRIOR LAKE i a :.-
PLUMBING PERMIT PPNo. ()(') -Q) ~~
Applicant: ..D P (Y\~~~ Phone: 4 Cttl- ~
Addre..: .;;. ~ 4- S ., ~ -Pt UP.
Signature: a 11,~ r::t/~. J
Legal Deecrlptlon: Lot - CJ :lk,ck \ sw--Kn 0 b h 'i \ \ /. ~ 8:1.
She Address: lf7..Io.:LJ a r+ ,....~c n ..,. r~.
Building Perm" . ()() - (\ I zs- J - PIC' d S- - 3~ ~ -00 p- a..
NOTE: Thla permit will not be proceseed without complet8lnformatlon.
FIXTURE UNITS
Quanttty
.~
l
4-
'f
I
,
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
. _.
Laundry Tray (1 or 2 compartment link)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Quantity
Type of Flxtur.
Rough-Ins
Water Heater
Water Sonner
Stand Pipe (washing machine)
Sewage Ejector
B8ckfIow AaMmbIy (RPl, ~ Check. PW)
Sacldlow Assembly Teat
La""n Sprinkler
other ~~,..,.,,~
$
$
S
S
.50
-';
I
FEI! SCHEDULI!
Induatrial, Commercial & Multl.Famlly
(1% of job cOlt, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
Slate Surcharge
$99.50
$39.50
GRAND TOTAL S
~~
, Thll ponnlll. aranted upoIIlhe "prell tondilion lIlal laid
contractor, shall comply in all rc.p:cts with ,he ordinances
or the S!"'" P1umbllll Code IIId _~ ~... the_f.
I ~ Ric.wi NO. ' '? DATE
- U ' . ,..::{ -h: i~ ' ~~IIt:.ST
all r all ins":ct~n8 24 hours in advance.
16200 Eagle Creek Av. S.B. .or Lake, MN 55372/ Ph (612) 447-98S0 / FAX (612) 441-42.45
A _ C.....-I ".............:... a_..t,...,,...
~ ... CITY OF PRIOR LAKE. .....
u r... ,~: 16200 Eagle Creek Av. S.E. P8IlIIII No. f'II ')-(J\h5
\ ~ J Prior Lake, UN 55372 -
~,:/ HEAnNG APPLICATION I PERMIT
tale .h!JD/cD . PID'.~~ ?:J6{).-cro6-{)
!ll";i1aAddrHS 41f.c'2- ?A'tLTYUOC~. Cr
ci.ol l D Block,' Addilk>>n , ~ J..l, I_l- 4~
z w .
Owne'" Name Qf:1P-'R-r ~(\~\tn.JZ...k. "tQ.H
Address Po F!Y> y... P>\ nlo l (;\ ~ . .\J~ \ \.e ,
HealInG Cor\tnIdOJ. ~z.. - ~
Addresa, lLf.'1\Jr;., ~ ~n::r ,ILPrlIJ
Telephone., l.tF) t - U. '2.. ~ - " 4 U
Furnace Make & Model .t OV'\ t('C'l TYPE OF SYSTEM
n ^ I - -' Warm Nt Planls
Model SIz8 '"N.JYV\~(b~. u- ,,..0 Glavlly. .
M9Chan1ca1 .
Air Conditio nlng ,
Vent. Syltem .
HEA~GORPOWERPLANT
Steam .
Hot Water , '
Radlalon ,
Special Olvtces .
'''':In. Load
to-
~Fuel~~~ Flue Size 5'. fb,,~T
N
~ Suppl'f Openings t""1
~ - ,
12 Relurn Opentnos ' ~
z
~ Input~~ OUtput Clo.dSt'
~ Edr.,
w
U)
Cfm.,
Other Devas ,
TYPE OF WORK
'"
E:
<r
CD
l'SI Alel atlons
l'SI
~ Repatr.
l'SI
~ Est. Cost $ ,
N
~ HEAT'NG PERMIT FEE I.
~
~ sr~TE SURCHARGE $.
E:
TOTAL PERMIT FEES $,
Replacement
New Construction ,
Esl Comp. Oa18 ,
Bultdlng Perml' ('\7~ - m {; S
-v
p~O 'i'J~fl,tJllI
eu~\NG
Receipt',
.50
-".
1_ (Ii"
1 G_
1. Yell.
fI"
a.,
c.aKIaf
TYPE OF STRUCTURE
Single Family
Cammerdal
~
- .
Two-Family
_ Industrial
Public
Multi-FariIV .
_ Other
Fee Schedule
Induslllal, Commercial & MuRi-FamHy
ResldenllaJ. Heating & AC
Rea1den\1al HeaOng Only
Resldential Bas Fireplace
ResldenlaJ, Adfillons" & Attera\1ons
ResldenUal. AC OnIV
1% o'r~\~..5fJm1ntmum)
$99.60! ! l.t'-2" ,
$64.50 '
$39.50 MAY I 0 2000
$39.50
139,50
Remember to add the Slale Surcharge on lie boKom of this appUcallon.
The,prlce of your healilg permllncfudes one rough-In and OI1e Ifnallne;pectlon.
Additional rnspecftons wiH be bled at $35.00 each.
Hoose Heallng Test Record must be subm1tted with 1vaJriN1. I'A"mij "'~. before buiId-
U1g oellllicate 01 occupancy wil be issued.
HFAT ~4.r.~ IJ ATIn.~I~ RF.,C\t "~Fn with number of supply and relUrn openfngalsled per
room with CFM'. per opening. New tt,ucIUf88 Of additions sand floo, plan with supply
and relurn locations snown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPUCATtONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EA~II=
CREEK AVE. S.E. PRIOR LAKE. UN 55372-
City Hall busfness hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (RDUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I hereby apply for a mechanical s)'stema permit and I acknowledge Ihat the
Informallon above Is complele and accurate; that the wOlk wUI be in confo,...ence
with the oldinanC8S and codes of Ihe cl1y and wl1h the 81a'8 bulldfng/mechanlcal
codes; that this form does nol become a permit until algned by Ihe BUILDING
OFFICIAL; that the work wilt be In accordance with the approved p'an In ahe
caee of flU work which req\Jlras rev)ew and approval of Plans,/ t
· I. ~ _ 5 JD 0-0
. ~ Dal&
0/ l?/rm
I' [late
, I
G<(' I '"
G
PRIOR LAKE
INSPECTION RECORD
SEWER I WATER I SEPTIC
FRAMING 0 .lL. 'to fp.JC? .
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE lAIR TEST
DEPARTMENT OF
BUILDING AND INSPECTION
~'-IB-h
~{~\ ,~
I (P/~!~
~.'I)J\~ dt. 7jtJL~
... . I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
SITE ADDRESS L./t"i(g '- &-~ c...t-
NATURE OF WORK /Jew ~~c.-\.\~
USE OF BUILDING ~FtJ
PERMIT NO. /1() -()( &5" DATE ISSUED s - -:2"2.-2oc!)o
CONTRACTOR ~ McfJe~ ~
NOTE: THIS IS NOT A PERMIT FOR PiNY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING INS~~OR JrIJ;E
FOUNDATION (Prior to Backfill) IJ/t /Jr, '1/~Yl"d
PLACE NO CONCRETE UNTIL 'ABOV~ HAS BEEN SIGNED
ROUGH - INS
(~ (fu, A
. L-. I '~rv.. I
tJ Ie Dll
. j)...~1t.1~
--, ~ (~Ii1O(J
'/7 I I
. .., ~\~ \
FINALS
GRADING (Prior to Sodding)
BUILDING If .t./). ~ '1{flIo. ~ 1/~
ELECTRICAL
PLUMBING
f:.
~
I f!:" '" ?/i~~4
HEATING ' \A ) 1 i.J {b
DO NOT OCCUpy UNTIL ABOVE HAtBEEN \siGNED
NOTICE
This card must be posted near an electrical service cabinet pri 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
1'.~~,~ ,,'*'<~(""'~,l."';~\ <"",fl' ,<'J{'~A .I;ip -~, :';::'(Ij'"
/.iiiiji;;=-"'='=---=-~~ _____ _,_ - =-.~......o:- " _ _ _ _ __ __ __ ___ ____
(l!iIr"':"'~ '. '.:\ ,,'. ,iiI,,-' , . ;.:'~9'" '~!iWl'~~,'T. ,.', .~< "~" _ :.~~ ,~_......-..r-r~_~""~>>',.~
i.... ~6-, ;d..:::. ; ~I~ .~Is. ,:tJIs..~;~ ... ~'...:..'~i~f~f~'!;'~' ~ .~1Y~""'.""''''~~ ~'j./.;:: ; ;,~: I
t. ~'" ' ,- " ,..... - . ' ., -- .f' ..',-1.. - - L . J .. - u... ",. ~ i~ ~K
~.: ~ . ~trtifiratt nt (!)rmyanry I f';
.- ,-. J:.;;. ~
~~, l CITY OF PRIOR LAKE ~:~~
( ~ \: Ilepartment of 1Suilbing Inspection ~Z.~
~ )( 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 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.
SINGLE FAMILY
Bldg. Permit No. 00-0165 "
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
. Zoning District
Rl
Legal Description.
L6, Bl, Knob Hill Fourth Addn.
Robert D. Hutchins
9 /f~OffiCiaJ
I "/
_Site Address 4762 :e.a:rtricJ.ge Court NE
McN~rney, P.O. Box 366, Lakeville, MN 55044
K.., Jenni Tovar
p ~ , City Planner
,
Owner of Building
Contractor's Name & Address Robert
Date:
Date:
POST IN A CONSPICUOUS PLACE
SCHEDULED ~
~1''? .~~yt'_ ~d
CONTR. ~d /JfAJ,4~
PERMIT NO. /If -/Is:::-.
o PLUMBING RI ~GRAD/FILLlNG
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
. t OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDA T
DFRA
o LA TION
FINAL
o SITE INSPECTION
TIME
COMMENTS:
{.:: u~ lX at(...
\ "
" /.A
/_ 't,- \
- J \
/
~
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
SPECTION BEFORE COV RING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
OATf
t/i(~ A.y.
410 'Z F)~ T(2-If)~CT
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
TIME
00. (65
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~ 0 SEWER HOOKUP
bt1FINAL \!!.J 0 PLUMBING FINAL
/0" SITE INSPECTION 0 MECH FINAL
COMMENTS: ~ ~ (~
o ~~ ~-a1O ~ LA- LJ".;fpJ~
~ - :;>,.-~ f' ~-_.~ v. {)'~
-~ 1.() ~ ~ U-,
~- rttJ __ __ .. ~._~.A...__'..'___I~~~~,',,'
~ ~~ ..~ -~--...,
( ~~.All~ ~A .'
~
-
--AI
)t WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT ~LL FOR REINSPECTION BEFORE COVERING
Inspector: - ~t 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
_I DATE TIME
2t 14-}C' q:SQ
~
ADDRESS 41G2. POr+v-.~, r;t-
O
OWNER CONTR.
PHONE NO.
PERMIT NO.
6- J &5
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
JJ.. PLUMBING FINAL
~ECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~cJ P.eA ~lVltV 'YJ ~
~ &1'\ ~ tr~ \':leA de~.2J I" Vl1~
~ i I . ~ RM Ce.... CJY-... (""'-.v-. OJ;:".) 50 ~1R .
A,) X'~~ r~ L\c.J:i- ~
~eJ. S4-ruJ- ~ - V~
~ ~UL'
C)(~~ l~c~- ~J~
t- ~V ~ .
lks-ct
CJVt..;
OVv
Inspector: Owner/Contr:
CALL ~7-985C'FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
7kJOD
qry 6 a PQ..f+fi~ G T
CONTR.
TIME
SCHEDULED
'-11 rfb
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
u 0 .- 0 I ~~-
o FOOTING . ~LUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION /I:f\~EWER HOOKUP ~ 0 FIREPLACE FINAL
o FINAL (~PLUMBING FINAL ~"SJ ~ GASLlNE AIR TST
o SITE INSPECTION 0 ECH FINAL 0
COMMENTS:@ ~ H f2L.,;J
~) 1Jl.1"~ ~ - ~ ~ ~~J
~~~~~,
74dJ ~ ~ th- '~~
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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Inspector. t71--1 Owner/Contr: IL' ~ V
CALL 447-9850 FOR ~HE NEXT INSPECTION'~ HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
. SCHElSuLED
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o MECH RI
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o PLUMBING FINAL
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o COMPLAINT
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,nspector.F - Owner/Contr:
CALl.1447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~TS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI