HomeMy WebLinkAboutBuilding Permit #00-0240
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
1'1-93& /-I16/!t-/JA/O e, /
3. LEGAL DESCRIPTION
4 BLOCK 3 PID 25-34-2'- 02/- 0
R/l.5P86K/!A./ RI 066 ~
,
DATE R~EIVED
.233m
LOT
ADDITION
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;i~3/ 00
N6
/C/50
4. OWNER. (N.arl}e)
/lUA N J
5. ARCHITECT (Name)
, (Address)
;Z.le~ f O&'vLJ/C
(Address)
-
SETBACKS: Required
Actual
/
Front
BUILDING DEPARTMENT VALUATION
;/
USE OF BUILDING sE.O
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit NO.~-Oz4-0
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depthl--
4- 9.5 ? I. .;;>
12. NO. OF STORIES
2-
13. TYPE OF CONSTRUCTION
..sPO <P
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
?52" 9(/7. 2-Z70 1FR~cUPANTS
B(v/~f-.6 '/5Z- 953..3ZICI ,';/Ix
. I SEATS
Re-rooflng 0 Porch 0
Re-siding 0 Finish Basement 0
16. PROJECT COSTNALUE
I BO t:::..
17. COMPlETION JATE
7//4/00
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
t ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
se. Furthermore, I hereby agree th:3iJCj :;!I~oe,gnee may enter upon the property to perf5!:!2- i1l~t:s.
......... License No. ('Tfa-:-j
(Address)
Deck 0
Finish Attic 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
6. BUILDER (Name)
DW 1-10/"/65
22/.3 Gearr dl9~ Ole.,
7. TYPE OF WORK Fireplace 0 Septic 0
New constructionV' Alterations 0 Addition 0
Chimney 0 Mi~"
8. PROPERTY AREA OR ACRES
Sq. Ft
Yes
No
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I (.,tJ,.~ .Or')
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 ................................... $
Plan Check Fee.... ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . .. .. . .. . .. .. .. .. .. .. . . .. . .. .. .. .. .. . .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
'7L" $
Pressure Reducer ... .~Il"-................. $
Meter Horn....... .... ..... .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
City:
I. ?()7.~,
1BiC2J
ez. 00
J () 0 . elS
160&(.96
?~t $""u
tfo.OD
-
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
PLOT PLAN
o
~e;o . n'\
4-Lo 1"'\ . 00
l./~.oo
J 2~ .00
II '- t) () . 00
, I (')0 . c:> 0
Water Tap ................................... $
Builder's Deposit ............................ $ I. t:;OO .. 0 0
Other ......7.1u26...peE$..,.... $ , 5nfJ,O~
P." ~m: ~~ <i:' Li~" .... ~~~I~;~o$-fi,T {'{,
Issued Date Lf 117 / (fl) By /4. ]
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ~rdinarfe and may proceed . s r uested. This document when
s~1' P~~e~ con~~utes a temporary CE!rtipcate of Zoning comPlianc~ allows c~~ruc~~ com"lnce. BRfore occupancy, a Certificat ccupancy must be issued.
~ i-\;l,C)::J -" ,~-r~_V(J~ ~ C~,,~~.
City Planner Date Special Conditions if any
Gas Fireplace Permit ....................... $
T$i P eco~ Your Building Permit When Approved.
B ~ - Date ~- ~/-'21D 00
7 - -
Certificate of OCcupancy
24 hour notice for all inspections 447-9850
~
(lJ - (J "t4-o
The Center of the L8kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L:' L-,~-.Ji
//]
"""'--
I
f / .-^ /""
. /'!\./^ 1-. ....-..
'v' V '-"
//" /',
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I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~f (7..;,3ft;, 1-/ I (51 / L,H;'\" U C I
Accepted
~S-"--
Accepted With Corrections
/v~.
V
Denied
Reviewed By: ~.~_
Date: L( - l (-~
Comments:
J ~~ '1 V ~ ().,I'e-savv~{t'f37/\ ~~ ~t)jiYe),
/'vo (f{~<:, ~~. ~~'71M-'J M fY~~~..
M~V\MAAA "" ,) pr OVt\W~
~(l9(lM1 ~,
~1~ fA-
~<.l[k, to
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."
[D-6V.o
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D f.,:J Holt 65
APPLICATION RECEIVED 3 / 2.-3 / 0 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/493(P HIQHL.l1'tJ 0 c"1
Accepted
Accepted With Corrections
;'16
K.
-----
Denied ..---.. /'
Reviewed By: (- )/IfI-~
\fiJAL'7 ~
Date:
L./- ~ .. 2a:o
Comments:
I. Mo.~\A.~e-..t~ ~~,"e>-- Q~,,~ l
2. Re~~ ~\t Qtt-ac~J. Hr-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."
{f7) . 0 MiJ
Thr emlrr of Ihr L.kr Counlry
. White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
!~) 1- :J flO I~/ E 5
~ /Z-3/0 0
I I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4930 j-I/qf/LR/'/ 0 c~ / jV/(3
Accepted
'/
Accepted With Corrections
Denied
Reviewed By: kJAL~~ EH~MAN~
Date: "'/''4/00
, ,
Comments: ~ tA,\ FolV-\Ano.u o,.j REuPtsr S1Q.f'_
SE:.E- ~~.. I. -hAJAL. ~4.Aof.:. 1/'J~PE.f.T'ON Wo/?,Mf!ttLQj\J z. ~OIi'T(o RAN
3~ fA~slo~ C....,T~Ol.- MfA~3
1/. EA.O$IcJf\J ~O~T1to,- A-IIN
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 ; 4L1 ~b J-J I bl-JlANf}
Heating Contractor ::r~ blLIAP; or; t
-.t Name of Tester /7., 0 W\
Date 7} ) v Jtt:::>
. ,
Percent 02 1'.1
Percent co - 6-
Stack Temp. 3~1
Percent CO2 '(0,7-
,.
/
~
1. Blue
2. Gold
3. Y cllow
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo.OO-()~YO
Applicant: tvla#h~Ll) ~njd.5. Infl,. Phone:~S/) "t'.2.a - ~'1,,-3~
Address: J5ZdO {JoJ?r()usel >V~ .R.~~. MN S.s-o~
Signature: 11J1 r J '-nI.~
Legal Oe~CriPtlon. Lot 4-~r- BlOC; 0 .3 sub3rc::C /(.g~ 2i.~.1 ,
Site Address: I..;qat., ~ ~~ d) {!.A J 1 b,-i3 --cr--
Building Permit # 07, - ~ y, Cl PIC #a.5 - ~;;j -~\.-- 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
File
Cry
Applic::ml
n. Cnter ot 1M Lak. Counl"
Quantity
c2-
I
/
~
I
2.,
/
d
Type of Fixture
Quantity
Type of Fixture
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)
.3
/
/
J
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Bacl<tlow Assembly (APZ, Double Check, P'IE
Bacl<flow Assembly Test
Lawn Sprinkler
Other '-S U1Y>P .Pu.n:1J
/
FEE SCHEDULE
.3f2Cm
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
$
$ qq..Q)
$
$ .50
GRAND TOTAL
$ /tJa.&L ~ ~.
This pennit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the" .n m~~ <: thereof.
/ - RE 1 O. .. _ PATE
--L I \ 1 1 eST
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I F.~ (612) 447-4245
An Equal Opponunicy Employer
HEAnNG APPLlCATlONI PERMIT
If.,. 2.J) -tV ~ID " c;( S"' - 3LI J - 6d.I-O
sae Addle.., J t.fq. ~ to J-h on I a nri C':b €,..
lal 4 IIIadl ~ .\Ildllian _ .....\2,~ :\,? \) Nr~ f2-\ '*' n.....ftl.l'I()N lnd...Io'al, Commercial. & Mulli-FamiIr 1 % aI jab cost (139.50 minImImI
. ~ J ~ .J~J r - ReSldanl.at. Healing' A.C $99,50
OWners tlaml, .1) W fiUf I IL.,.., ~ n :... .'_1 H " 0...106 1r.450
/_, ~ neS,,;~f\,l.._ eaV\9 ,.., ~ .
AdelleU ,),7/8 tJurxi:" Oo..K.tJ. \"VA.. . 1'}~ Res<:enlial. Gas Fireplace \39.50
.' ./J..1 lr, ... ^. " i ~ /16 J _ . R.siden\ia~ Ad(jUon$ & AUlr."oM SJ9.SO ,
Heelw1g CanIJac:::t1~ U,I ~ 1:'<It'A -/I { BA..I Resille""'. AC 0nIr '39,50 - - ~- ~- v
Addr- J5/8..FJ ('/lAJJrW:JJ.1." ~ ~<;J Af\lY\)(It- $O()b't -- -----.
T e1ephoc1e' _ IDs 1_ 'I A3 _ S7!3-'. Rememblt load..... Sta18 Sun:h... on Iwllallalft olllliufpltallall.
Fumace Ma/cII a Mad.. _~z:!ii~00 nPE OF SYS1EM The plice 01 JOur healing penrillncblu ... rOU!llH't and _1iIIII1nlpK1an.
Warm AA. PIanII
Model Sill J bO . f) () D GllVlJ Add4tionllIMPecUons w. .. billed at I35JIO tKh.
. Md.... FbfTdJa "'. r HwM HeaUng TII' RetOld must be ........ wilh IBikIDI QIIIJI mdII be..........
All CondllDl11ng. ~.f -I;dYt ing cerlle". of CKCUPInCJ ..be I..u....
V.. ""..
, HFAT CALCUlAT10NS BfOUlRED wilt ,..... ot s1IIJPIr and...... ....... ...... pII
HEA11NO OR POWER PlAIII room with Cr=vl p.' 0,..... Nw"rudtne<< addillana ....... pIIn" ..wrr
~.... Ind r.1um lacallDnl $hoWII. HEAT lOSS CALCUlATIONS. PA*eNJ AMI
HIt Wai. APPliCATIONS MAY IEMAllEDlOTHEaTYOFPRIORlME.1t200 EAGlE
A..... , CAEEK AVE. S.E. PAIOR lAKE. MN 55371..
Spedal D.w:. _
Cly Hal busln.. hOOfS are . I.m. · 4:311 p.-
0lilM 0"'. C-rrt c;. l1u ~ All \yOR. MUS' BE INSPECTED IROUGH-IM AND FlNAlt · CAll em HAU.
, +- f+ R." 44J-tI~O
... __.... _.. _ ,..... _ ~ J.
Y " ur r...."" IJ"\I,'" MC
"200 E..... CrHt AYe 1.1. P....N&(JJJ --() 5(t-1 ()
Prlar Lab, PM 55312
Dai.,
Conn. laad ,
FUll W- en t Au. SiZI
2"0
~
Sit
Supply OpIni". ,
RtIIum CpR'" ,
Input J CD; ()C() Oulpul '1'fJ trJ ()
Edr. .
Clm.
"PI Of WORI
AIIIt .liDnI
Repl8c:tm.~ ,
New ConstNctlalt v"
Rtpllr, Est. C'Rmp. 0... .
Ell. rA>>1I , , Buildlng'lmll. . 01") - 0 ~ Lj ()
HEATlNDPEIlMII'FEEI 1M. 5-0 -- I-Nf\e- + 6cU F~
STATE SURCHARGE .. .50
TC:.-'L FerJAIl' FEES I, / tfD. ffO ~ICJ"".
TVI't:. UI- !t I HULl UHI:.
Single Flmi"
Commercial
~
_ T..ram",
Muti-F..1f .
Ot1\ll
o
.
"-
N
o
"-
o
o
In"slrtal
_Public
Fa. &hedul.
N
c.a
l-
eD
~
~
RZQ.
, here'" .ppl, for I mlchanl-=-l .'.1.... p.'''''' aM I IdlnowledVI thai ..
Inlo. mat'on above I. COIIIpt.t. _d accurat.; thll 'h. .." .. 1M In con..........
with 'h. oldlnance. and codH 01 th. ., and wllb 'h. ..... bullcln~
cod..; th.. thll farm ... not Ncoma. ,I.mll unll.........., ",.BUIlDING
OFFICIAL: 'hallhe wad, wII be In accardanc. wi" lit. I.",oted plan In ..
~Il W~k w1ddl requlr.. rwvt- emI .pprMeI at p1enL ,
( Jt ~ ~7 - !~,-tiD
I If .
. . I Appllainl' 0...
(/ (~;tYh~ _ ~ ~'r>J I~ I -:; <-; b ;; vi)
(J ~ c1'e~""'- / c.-
"'-.../
e;J
o
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f/~
~NE~
GREEN - FILE
VELLOW - APPLICANT
GOLD - CIT~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W. No. 00 ,0240
NOTE:
Sewer and Water
contractors must
be registered
with the City_
APPLICANT: ~F e..){~..
ADDRESS: 54/2- ;2>S5:"nI, F1}1;/1' "! e:, TV"J
SIGNATURE:){ ~ ~
SITE ADDR~;: /4r3h H/~IJ.O (!;/
FILL IN THE BLANKS
PHONE:
~/Z-910-~WJ
SAAO
PERM~T # 00 - 0 24-'0
25-3'-1-2-- oz..I-O
DATE:
BLDG.
PID#
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
---------------------------------------------
---------------------------------------------
BY
es your permit when approved./ /
DATE: 5 / I / 0 0
I
-------------------------------------------------------------------
-------------~-----------------------------------------------------
FEES:
$
$
$
~5.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
*
Fee for either sewer or water individually is $)1.~ 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 ~
issued.
DATE PAID
RECEIPT # REC'O BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J!tl31.o f:f~c~ ~ (1 t,
(j -
NATURE OF WORK ~, ~t-l--udr'~
USE OF BUILDING ~FD
PERMIT NO. (J]J-02-4?) DATE ISSUED ~- 3/-""2000
CONTRACTOR 1) L ~ ~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING 1I1/~ I'M '///'/64
FOUNDATION (Prior to Backfill) f ~ (' ti,b-iV177 Y Lj / t'~/o/)
PLACE NO CONCRETE utttr~ BOVE liAS BEEN SIGNED
ROUGH - INS
tfJ:J- . SIt /4 /J
W Ie fl 6/4/tn
, t/1)m
t
~1~o
SEWER I WATER I SEPTIC
FRAMING r{~ ~, 1,11/ on
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
(,/~oe:;
r:.P, ,~~N/o,~~ ~ {,/; /~D
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lJ.... JI- ...LIt-
FINALS
GRADING (Prior to Sodding) A ' C. f'
BUILDING 1-\"r>, t.u~III(jv ~
ELECTRICAL "i
PLUMBING \ ^
HEATING (f)
DO NOT OCCUPY UNTIL ABOVE \.4ii(s
NOTICE V
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections t:lave been approved. On buildings and additions
where no service cabinet is available, card- shall be placed near main entrance.
,
q/~ lltft
/!J;i10' rttJ
1 (1 m
I I,l~ ~
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~- -.~~~ ~-- ---=--
/!Jl"" .~\bci~~'~lf,:'9~ ::j:, ",
'," :.J, ':.'~' :~~ .':~:; . '~~ .-;:~' tk;,. - ,..,: .~'i;, :..,' t I., r>li . \.
" , " ~l',;*'''' ..',' , "":,' .' ".' " " . ". r... ' .
~.:i~ w -. QLtrtiftrau ~ Q)rmnanry
[~- . CITY.Of4' PRIOR LAIili
J!:- "'"
( ., oJ 1Dtpartmtnt of 1SuilbinlJ Jn~ptttion
~ 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. 00-0240
Fire Zone N / A Zoning District _ R 1 SD
Occupancy Type
R3
Type Construction VN
Legal Description
L4, B3, RASPBERRY RIDGE THIRD ADDN
Owner of Building
Site Address 14936 HIGHLAND COURT NE
Contractor'sName&Address DLJ HOMES" 2213 GREAT OAKS DR., BURNSVILLE, MN 55337
P I City Planner
ROBERT D. HUTCHINS
Bf9di~ Ot;cial
I L,/3~/ ()z)
JENNI TOVAR
Date:
Date:
POST IN A CONSPICUOUS PLACE
-
ADDRESS
/~93&
DATE TIME
SCHEDULED sit /0 () / l,: 30
, , '3 ~Do3: 30 U'\. ro
f.l1 (3, if '- Pd-JlJ C!-J,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()o - CJc9.l.f 0
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
WATER HOOKUP
SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:(!J) ~11r- ~ ~
OA A pC1~<\1"~ ~ ~,
@~ M~~~~
~., 0
~ (."AJU ,
J1}.~~~,
~~ J
'~~
o~ A. T, -a1v
tG ~ ~~, J A II n .
. ~ P;~ ~ 10 L.(U
~~ ~~ )
III r~ t~~' ~ ~ ~ ~r~ -R-~
~~ ~~ - 35' t!JV- ~
o WORK SATISFACTORY, PROCEED
)(' CORRECT ACTION AND PROCEED
10- 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 I I
INSPECTION NOTICE SCHEDULED ~ 1.3/(X) ~
ADDRESS 14<\ ~ - igh!a.rd ~~ N'-i-
OWNER CONTR.
PHONE NO.
PERMIT NO. 00- O~
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACE RI
o NSU~<?".,\ 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL ~..Jr.J OOLUMBING FINALA 0 GASLINE AIR TST
o SITE INSPECTI~ WECH FINAL ~ 0
COMMENTS: ~d~ O"'VL. ~ ~ O~
I (W r~ p-€J\ bn;..,MeO . ~ <+-
(2) ~ OV'd -\v-e,~ ~J Yn.etAJ
0Jf\ ~tre<<
Jw .~ h<: ~ <i^-- ~
~ c9 3t~(~>
~ u ~.euv-eL OVI.- g v.~
\ .Art ~{A :}A~, Air ~
1,~ U.~ W~I~ ~
~ t I) .
-K\/ Pr( u/,A-- ~ ~ 6~
o WORK SATISFACTORY, PROCEED ~ UOK-
\A. ~ J~ORRECT ACTION AND PROC .~.~.. n~~
~::o:CT fpCAL ~ REINS:? COVERING
CALL ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
~T~&;
llgIJk"e( C-I. AlE
CONTR. /JjT ~A11'5
TIME
SCHEDULED
ADDRESS ~}f~~
OWNER
PHONE NO.
PERMIT NO.
...@-~7f7
~RAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
~G
o ULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
iLJI"pbM' LS
~
--
----"
/'
./
:7
I
/'
~
,
/
L SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
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
SCHEDULED
16ho/ov A- :r;:
I
ADDRESS
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CONTR.
OWNER
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
Ji!P 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: ~ f;l ~
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~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 & SAFETYI
INSNOTl