HomeMy WebLinkAboutBuilding Pemrit #00-0268
DATE 'RECETVED'~'
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. D~' I
~--/~O
:))12.. PtJO
PID ~ S -351- cYtS-D
I
File
City
Applicant
I. White
2. Pink
3. Yellow
APR I 2 21m
Of)-Q7Jo0-
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.SITEADDRESS~3/ c; wood dude:..
3. LEGAL DESCRIPTION /}
LOT /} BLOCK ~
- / HE" h/~..lJS
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) / q (Width) &,5 (Depth)3 (P
12. NO. OF STORIES "2-
13. o/E OF CONSTRUCy(~
dlr.JfilL ,.L;'/7l~ /--/
14. FLOOR AREA APPORTIONMENT USE
2tc:> 00
3~
ADDITION
4. OW~ (Name) " (Address)
6JcCl45L ~J.lA/)(/A/
5. ARCJ'l;TECT (Name) (~~ss) I
{flEO mA//Z-E- /-72/017-- ;Y/=C
6. BUILDER (Name) (Address)
IJJ6?Jl2O Ck;s-/C- dm~.
(Tel. No.)
J(TJI.yU , /
/'/'/ · '/'tJ3-0
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
2.
4~&/~O
OCCUPANTS
SEATS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
16. PROJECT COSTNALUE
/931 IS"O
9. PROPER. TY DIMENSION~/ 10. CULVER~ 17. COMPLETION DATE
Width 9.? Depth 1.Lf' 0 Yes ~ (77.4--'-1 ~'J 2000
'on on this application which is to the best of my knowledge true and correct. I also certify that I am the own~r or authorized agent for
pons . n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
cause. 6 rthermore, I hereby agree that the city official or a designee may enter upon the property to perfo.,",ne~~ inspections.
, 7 :!-oo 7-~~OO
license No. Date
x
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION J Cf S,Ol!r\ .. CJ t!J
USE OF BUILDING
Sf:[)
SURVEY
PLOT PLAN
o COPIES
o
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 ................................... $
Amount Brought Forward . .. . .. .. . .. .. . .... $
Park Support Fee ........................... $ 850.~
SAC ......................................... $-41 00 .0 0
Collective Street Fee ....................... $
Sewer Tap ................................... $
~" " $
Pressure Reducer ..:!fir. J............... $
City:
'l35~.2.S-
A'lB.'tC,
u,. 50
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty ....................................... $
'10.00
~
~\ 1,\00
IX'/,?
Meter Hom ................................... $
Water Meter ............1. :~................. $
Plumbing Permit Fee . .. .. . .. .. .. .. .. . .. .... $
).S6.00
It~.otJ
'lM).OO
Mechanical Permit Fee ..................... $
Sewer & Water Connection Fee ........... $
Sewer & Water Permit ...................... $
24 hour notice for all inspections 447-9850
QD-{)Usf
White - Building
Canary - Engineering
Pink - Planning
The Cenler of the Lake Country
BUILDING PERMIT APPLICATIONDI:PARTMENT CHECKLIST,
NAME OF APPLICANT
APPLICATION RECEIVED
...,
\
\ <"
\, '-.;"
,r
\'~--'
\
I,
'''V'\ n S(
I '., ~
\ \
\ .. ....,
\ ~-~ '
1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
f-Co
:'.:. 'i - t
~,.._.,," ~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
,---~ {A~
t?/ -
Date:
L/ - to ~tDD
Comments:
2 L--~ f'Ti ~lI\1.uAM {y~ ldlV\f'L ~ ~. f{-~ -
Pr~ uvte. ~ y hwv ~ -({)-t-J. </2> ~y~--
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."
~~
()o.o~(o%
White - Building
Canary - Engineering
Pink - Planning
The Center of the Like Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ff\~+nl C lQ~~1 c.... \ \UYY\.o. ~
APPLICATION RECEIVED Afri \ \~ ') &aOO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
C",-=>~'~q Wo-ne. t:>u C/~ DI.
Accepted
Accepted With Corrections ~
Denied /)
ReViewe~ By: e2fOJ~
Date: L/../ '1~ 2!:Joc
Comments:
t, ~eJ2Q a,1k~ .~~
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,lI
GO ..Oebt
Th~ C~nt~r of lh~ L."~ Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
\F'.t\ \ /.......
NAME OF APPLICANT 1 1 \ed 'l,'-r'J 1\,
APPLICATION RECEIVED !~, (j (', \
t
\ \ \
\(tS~'2:) (~ \. ;,(j'YY\Q ~
\!'. ~ ;,':' C~~(l()
t____J\ ) \~ '- ,- '-.j ,"---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--..
( ,-;z:)'~ 'I 0 "0"" \ ''')J~
" . f "----.; -- ~ L..\,J () () C':,. .1._ ) (J C_./ C ~ .
Accepted
./
Accepted With Corrections
Denied
, Reviewed By: ~ C...Ulf,SM.q,.JN
'Comments:' G(?f4bf.S ON 'HE. SIAE
Date: '"IlL'll 00
P((DPEaTY LINES
flJrt.L. oE CLO,j~'- y
sc rt\JT' ,.." 1. e. t) "T"o
.KE
"fHA, ,..,e: .3: l MAl.IMc,,~ 'SLt) (.If IS ""'A'A.JT:"A,.JEb
fWb 'T"'HE. F,A./AL altM)E: (
WIt..(.. A(;c.t),..,b4,€" Fvroll.c. HD"'1E~ cON "l0ti4Cej'JI
i- ~.s
.5ft: INFDIlf'1.r11lDN Ot.) RfvDJ.sE SLDE.
. SEE. 1'171IfCHt41EJJT$: J. fft.)1fiI, ;;IlAl)~ INSI!E(;ltON IAJFolt.,.,/1-f1t),v l. G1"10(~~ A.;lN
3 -' [aDSICtV (.11 NTflo,-, M(AscJt1LS
'1.CA.oS (ON Lo ~TlI..o(.. f'-.d~
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."
lIP
~
"Permit#
*JobAddress 33/q uJo~r C
*Heating Contractor METRO AIR
-
.T esten;/Signature I J
;e
Time
Pounds
Pressure
*Gas Une
Pressurized
Inspected
· Percent CO2
PERFORMANCE TEST , I
kf yc{ () .Percent CO 0 ~I ()
7. I 'Y() .Stack Temp. ~,J 7 ()
.Percent O2
Final Inspection
Date
/
'\
,TYPE OF !:t I HUCnIRE
CITY OF PRIOR LAKE ~
16200 Eagle Creek Av. S.E. Permk No. ~~~ \,;
Prior lake. MN 55372
1"
~
... HEATING APPLICATION J PERMIT
~Iale , S. 3 \-..::t:) PIO #, ~ S - 3:5 7 - 0'-1 S- -c
~. Address ~ ~ \ C\ 'l \:ill ~ ~,^",,<- 'Or
@.d '7 Bil)O< a Add'ion tA J ~ \ rA~ ~ rc\ A{J DN
t'- \ .
2>wner"s Nam., '''\x.,,--o (., \~j ~ J ( .
NJdress , ~ ~ ~ ~ W ~, ~ \ ~ s\. S <:\\i ~ ~ i(
1:\ \ !\ \ .
rteaUn; Comrador ,\ ,,\ ~ ~\,.... -i.. \"'\ \
Addr8ss, '\ \n ~ ~~ \\ ~ L \ t Or",,^ \ Y l VI~~ V"" \ 4.lt,
Te!lphon.' . ~\\,- ~ \:1'\
Furrmce Make & ~d.1 \.q Y\ t'\ Q'"
Model S~ "0'-\"("" 1/u. - ,~~
CQm.LDad_ Ss SO ~
'Fuel f\) ~ r~ue Size c; I)
\~
J
Outpul,~~,~
Single Family X
CDmmen:ial
7w~Family
I Acl\!Strial
Fee S:hedu~1!
IndustriaJ. Commercial & MulU~jty
ResidentiaJ, Heating & AC
R~jdenh1. Heating Only
Residential, G2$ M~place
Residential. Additions A Alerations
R~sidentiaJ. ~ Only
1. PiIak
~ Gnia .
3. YcDaw .
f'k
Qy
,......~
~ubrlC
MLJtti. FamEl~ _,.._~
O1her,
I,:,~.
t % ~ job CO$IlS3elff~"t!'~,:: ;_~~__
C::Qg 50 . ! ,) " '~ , /7 .-- __,
.... . ./ V ,I ::..:,! ~ / ,~} ..
. ( - - '. . r,;:)
564.50 .', ;' ! , '<2
~.50 Ii -.t,_ .
S39.SO W .__~
S39.50
t../
-...~ L__'"
Remember to Idd the State Su~tuuge on the bott:m as ~rs application.
The price of your heating permjt in:ludes one rough-in Bnd one final inspection.
AddEtionaJ inspections will be bmed at S35.00 /II.""
House Hating Test Reccmi ftNSl be subnitted with h"ltfl''' ".nnPl n. rmhPof belore buDIJ.
ing certiate CII DC:Upanqt will be issued.
H=ATt'.Al ~ll' mnNC; RCN Uf:l=n with number oJ supJ>>y and return. openings &steci par
lOOm wfth CFM's- per opening. New str.....1J8S or additions send ftOOf plan with'supp1y
and mum 1ocaIions Ilbwn. HEAT LOSS CALCUlATIONS, PAYMENT AND
APPUCATIONS MAY BE MAP =r"\ TO THE CITY Of PRIOR LAKE, '6200 EAr.. ~
CREEK AVE S.E. PRIOR LAKE. MN 553n.
CIty HaJl t?us1ness houfI are e a.m. · 4:30 p.Ja
AU \YORK MUn BE INSPE~ I c:.U (ROUGH-IN AND FINAL) · CALL C1TY HALL.
447-4Z3D
Supply O;>>eni"SS
TYPE OF SY~ I eM
Warm Air Plan2s
GraYly,
MBChani:aJ
Air Cond1l"lOning ~ -\'()n
Vert. Syst.m ;:) co (, ~ ^
HEAnNG OR POWEll PLANT
Steam
Hot Wide'
Radiation
Special Devices
Return OpJ.ni~s ,
Input ,~~ ~
~ _.
H
<I Edr.
o
~ Cfm.
w .
E
Olha. Oevi::8s .
..;
TYPE OF WORK \.J I heteby apply tor &. rntchanicaJ systems PflYnh and I adcn~.dge th8lth.
~ . ,intormation above is cDft'lple\e and accunde: that the work wlll-be In conformance .
E A1IoIIi11iDns , R~ New ConstndDn" . . wltn ihe onlirlances 1IIld .~ of lht clty II/lII _ thl ~It luldlngl""cIIl1Dia11
!II .... ., codes; lhat 1his 10m doN nOl beocimt .. permit until aIgned by the BUIlDING
!'. R.p.Ir,. . S:" Camp. DIIIII . ..' · OFFICIAL; lhat the work will 1M III aceOntancit witlIlh. ~ plan In the
~ ~ ....... $ . ~u1ding "-II .f\~ - 0 ~ " "6' cas. of all ~~ wni."'!. ~ review and epp~ of plans. . . '.: ;
~'~~PBMT~$ . /. ~IA({ .~~. . ... :S~\,.:.~
~:.:~~~SlJRCHAp"" $ /~ ~. ...e~, '. (./' ~ ~!~.' J \ .4 :I.~; 'c, nlrffi. .
. ...../ . I I)A'Qk /..i; ()IJ All A/.W<..; ,
~.~~jt!':-~r--' S, -:' . 1Wca""', ~~~. / ~. .' '.
':_~~~;',;, --: ../ :" : - '. ';'.::...: :..,. ~ ':.' . " .... .':' ~:..: '.. ;. ',.. :;.. ::. .... ."'::.. . ;.. ~ ....... ... ~~ .:::,~~: ~;,. . "'...;
,~~~":. .:'..~ .,' ,." ". - :'.r"'~..:. -:. ~,;. .....~..~.~.. _. -.... ..... . ..- :...... ."....". . . "-"'f .-. . .~.,& ".~~.;:j;h.....,., ....~'\, '~'LI~._ _.' W' ~~J::,;,,'tJ~"~'::-~~~~~
~, "".. "0' '." .......... .,'" '" ~.;,,:<.~ ...... . .~'M -,..;'" _ . ~ _. "'",-c.. ",r . ......... _ ,_ '~~..~ .... ""'" _ ~_ ...._
.. "i*f~~ :.:'...... . : .: :...: .~:.:. \"::';.~~.i;'>"~~1a'~'."';:::-;:.:i"'~ ",." -;-~:.... (: .:: ~S'~'f. r...;-..,._;.;' ,~~.... ~ -.r:::!1i-'< ~.~ tn~ 114 ~k... """".. .:..0:" '!II'L .' . "
.. .'::" .. . . h..' . -. ..... '.. .',... ". . . r~.'. . . ," '., .' .. _ _, ' .... ,
t.1l..-n, ..=-., ~ .
CITY OF PRIOR LAKE ~ ~ :&_
PLUMBING PERMIT PPNo. ct9-()=:/~ V
Applicant lYIa#h~uJ ~nj~J.5. Inti.. Phone:~S;') ";~I7,.~O
Address: .lffUjO (Jo"r()LL~el ~ .R.~,~. MN S.s-(JtJ
Signature: 11.A tf' ' '-tJI.~.J ~
Legal De~cription. Lot. '1 - r-- Block () V Sub~ J-J.J.4) -~
Site Address: ~/9 >YMILL i:J.JI t! ~ J ~u ') .
Building Permit it 00 - Odf.,8;- . PID #~.. 337-QL1S'-()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
n. Cdl... lit I'" Lake Counl"
Quantity
~
I
/
~
/
/
I
o
;.
.'
Type of Fixture
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Eje'ctor
8ackflow Assembly (RPI. Double Check, P'l~
8ackflow Assembly Test
Lawn Sprinkler
Other ~[)
r pump
$
$ qq. o'"1,L
$
$ .50
$ Jt1().tJ{J ~ ~.
APR 11m
16200 Eagle Creek Av. S.E., P r Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal OpportUnity Employer
Bath Tub with or without shower
Dishwasher
FIco r 0 rain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
3
J
/
I
Sinks .1
Bar Sink
Water Closet (toilet)
I
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
$39.50
GRAND TOTAL
PRIOR LAKE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS -3:\\9 WorxQ Dur~ ~".
NATURE OF WORK Nett..'} ~~\.lL.L~ l\'=JV - -
USE OF BUILDING S F~
PER'MIT NO, -'JO -07 toe DATE ISSUED t./-I'f- 2000
CONTRACTOR J:1p ~to ()lc.~~ ~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
~/t t~, 6/$/1'f)
. .
FOUNDATION (Prior to Backfill) \J!e ~.~.#t1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
JJ d~o
M ' /
j), '~/q;..? fIn
~
HEATING (if required) < P 44rt tt/
FIREPLACE~ !/' '"' ;;-; -?- t() -cJ <.J .
GAS LINE AIR TEST Ynttl'-- 0 ~0' ::p. ti-, 7/z.sjtHJ
COVER NO WORK UNTIL( BOVE HAS BEEN SIGNED
FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
~/z z/tro
,
"/ t&/rflJ
WAtf., --... IF
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
L'-rL-
f'J-!r,/oo C~D,
, l
I?-. 4' tJo
~. 'tc..~~7~1
-
W p.z-.(/ v
C/ c:;i)?
Ii
UNTIL ABOVE HAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been appro~d. On buildings and additions
, where no service cabinet is available, card shall be placed near main entrance.
Sf J./ / t?U
, -,
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
iOiI " , i
.- - ....'.c ~ _.. -i..
...............11111."'1 I',.,illll 1;""
",~',
"~,iU"I""';"'111 ~-'(.,
'c. 1.6......
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ~
~tr
TIME
It <7/0
ADDRESS 331'1
WOOl?
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o--'U;?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
AD WATER HOOKUP
t D~WER HOOKUP
~MBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~
(>>.;
}(JJ
JL(1)
11
/
rO
o CORRECT
INSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL t,7-9850 FOR,rHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~QUIREMEITS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
V INSNOTl
-
~
~/}r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 331 q
WocxJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
TIME
1a:3b
O-Z"G~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~SULATION . Vl 0 SEWER HOOKUP
INAL f' ,.,. ...9 PLUMBING FINALri
o SITE INSPECTION fl!l- MECH FINAL ,.,
COMMENTS: PAT\Q ~ ~ ~
c5 ~~ ref ~~~~~0~
~ ~ ~c9 _ '\v;<L~ /' - u- ~
(?) ~J'~ ~ -r;: h - ~ <;'-1-LCCO )
(A) ~~ gy.'VJ 1YmJ- '- ~ /
~' o-'~
~~ - ~
\~_ C_~6. +0 q~15iOO ~
.tW~- o;.z ~
,~(.et~,.fJ
Olr<;.O.. f-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
~RK S .TI ACTORY, PROCEED
CORREC" AC ION AND PROCEED
. CORREC~ , LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAt;7J. 447-98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO REQU EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/lJ!J9/tJO At r;
ADDRESS
33 I C}
tU(J dO Du C/~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
J) - ;)~ ?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ 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
GOMMENTS: Strr1. ~r t-~ '"
(fJ ~ ~ ..~~ ~~ ~J
- ) J rJ ". - if:' .. - ..... J":,' 0
~~ ~-
,;t - ~~ ,," -(i:: ~ D-tJL _~
o WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WO~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: fJ-f, Owner/Contr:
/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
12.~.O 0
A.J.
ADDRESS
33(q
\,NOOD DU~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00 - 02CoB
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o S7T INSPECTION
S;OD ~
t
o EXC/GRAD/FILLlNG
o LKSHORE~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
::J.. - -lee ~
--1 '
(~e
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK: \ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ \)~ Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE
~r/tp
ILW' 41(,~ f)/;
CONTR. ,)/e;fb e~~~~r'S
$-c?q
~~RAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS _~;?/7'
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o jNSULA TION
g'" FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
TIME
COMMENTS:
-af <?/ttk db./h ""sf </,./" /FdtKrj- /'A'?,
-'UbIf JtyI ~e /~~I7Wd: jJrd'~ &.M&t:
L/LL1 4..r4rop i?~'~ 4h.
$" sk,n'# -t',e,Ptpc8- .3.'/ .Jf'?h;.,d ~~ L1&:/rP~
.- / J ,/
(k/hho,y IS a~
j Ii)
, v ~
J _^
~ {-7
';J ( /
o WORK~ACTORY. PROCEED
.r-
o C.9ftRECT ACTION AND PROCEED
w/cORRECT WORK, ,CALL FOJ7INSPECTION BEFORE COVERING
Inspector. . ~.d{;;1.. h.,;-:>.- ieomr:"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!