HomeMy WebLinkAboutBuilding Permit #00-0354
pATE RECEIVEQ CITY OF PRIOR LAKE
BUILDING PERMIT,
APR 2 1 2000 TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
6. BUILDER (Name) (Address) (Tel. No.)
M,1t~t~ 73w1-. ~ ;L'I:JS ft~ SiE. [''>1/'>;-;;;'-(77/
~ -:C~ -::I;vt/ (~- /kjllt ~(;"v77
7. TYPE OF W~K.., Fireplace 0 Septic 0 Deck 0 Rei-roofing 0 Porch 0
New Constructio~ Alterations 0 Addition 0 Finish Attic 0 Re-sidil1g 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimneyd Misc. 3 '15t. (JOO-
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10 CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. r;; /1 (j~ Width /70 Depth '2-1'1 Yes No }1-3/- 00
I hereby certify that I have fumished information on this application which is tb the best of my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned prope 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
buildin 0 icial can revok pe t fo just cause. Furthermore, I hereby agree that the Gity official or a designee may enter upon the property to perform needed inspections.
~>'t y3 lJ.?7'?J7J
License No. ,-. 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 ADDRESS .3 Wi
w~ D~ Dr/~
3. LEGAL DESCRIPTION
LOT 3 I BLOCK
~ J.'IJs.
/
Art4~\~
ADDITION
3~
4. OWNER
(Name)
(Address)
5. ARCHITECT
(Name)
(Address)
x
1. DATE
1'1-7-0-0
puo
PID@5-337-()3>) -()
(Tel. No.)
(Tel. No.)
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
BUILDING DEPARTMENT VALUATION
Side
Side
USE OF BUILDING ~ ",
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN 1, ~
. PERMITVALUATION~ ~,.-
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 ................................... $2, 3(;2. 2~
Plan Check Fee ............................. $-1. 53~. C/(,
State Surcharge ............................. $ , a!J. S- 0
/~() . (9 0
L/1O · o-i)
I
"'J.~.SifL 5'0
l{(J . 0t:Li!
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. {)O ~35L...
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (7~
12. NO. OF S~R~ES
(Depth)
i./a
'/
13. TYPE OF CONSTRUCTIOf-J n r:::.. _
~~ n,_1~~~1
14. fLOOR ARE; APPORTIONMENT USE
B /78S
I ~'/7tY'
;1- 1~/7
15. NUMBER dF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS a
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. .. . .. .. .. .. . .. . .. .. . .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Ci~,:
Et:L>.06
I, /IJO # 00
Pressure Reducer .......................... $
7t1 . 00
~~
24 hour notice for all inspections 447-9850
Meter Horn... .... .... ..... .... ............... $
Water Meter ................................. $-3 "SO & O(l
Sewer & Water Connection Fee ........... $ (, '2 rJO .ex)
Water Tower Fee ........................... $ ~ a.o .t!) e>
Water Tap ................................... $ ~
Builder's Deposit............................ $-1.,900 ..
Other ......................................... $
· Paid 10 Due Li(r1i.....~:i~;~O$f?f~~~. 71
Issued Dale <O/?~ On By I
This is to certify that the request in the above application and accompanying documents is in accordance with the City zon~~ and may proceed r quested. This document when
sig~. ., L~ .!}Pl.n nnneerr c coonnststitituutteess a a. temporary Certificate of Zoning compliance an. d allo, ~xonst~~ to commenc Before occupancy. a ~rtifiC. at of
~~ ...y~.e:() ~-,,!~C ?"'C. .
... City Planner '- Date
00 - 0354--
White - Building
Canary - Engineering
Pink - Planning
The Centef of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT M'rt--.~.. \stQe..f.+ ~ro-\-~e X'~
APPLICATION RECEIVED Afxi', d1 rll ) 0JtJ u
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~" L-j 4 LJ W 0-0 ct fJu U.-Pri "Ie~
Accepte~
Accepted With Corrections
Denied uZ ~
Reviewed By: ~ ~
Comments:
-~
Date: ~ -re;, '2=>00
~-
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
M~() 354/
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICAtiON DEPARTMENT CHECKLIST
NAME OF APPLICANT "hHe. b to e..L + ~(tA-\e,~
APPLICATION RECEIVED Ap, \ dr-I f\ ) ~ c?' 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-'1 L.J L_) \tj 00 etf),) c/!.- \:)1" \~\/e.;
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~~ I~~
Date: ~ - ~ ~6'0
Comments:
Mt.xJ~ 2-1-{ F~4~ Wtd:,4" ~ "f}~
.JJ,r~v' Uv..e ~ q Vtvu v2.c9~1O CvvLj,
/./C ~.~~:cA!.~~'~
~ ~MI~er5~<t'~ ~ks.,
.~
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."
t:
Th~ CUln of 'h~ L.h Counl..,"
00 ~036lV .
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _.'J\\ltf'", \ ~ta e. C\+.~(tJ.i- he\~
APPLICATION RECEIVED Apn ~'1IY) )6..6:'10
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~". L-J 4 LJ ""J 0 0 c, _ fju (j!- p(-, '-./ t' ~
Accepted
\I'
Accepted With Corrections
Denied
Reviewed By: ~~ ~MANtJ
Date: 3/'" /00
I ,
Comments: SEE IIJFoa.tll\AT1oN orJ ,HE R.Etlf!fS~ SiaL.
sre: ATmt"'ME..hD3: I. h~A---an.AoE.. 11J~p(C!T,otJ MFo~t'11trJt)N 2. Gntlo".J(. 11AN
3~ EaDs 10,.,) C.oAf'rnOL, r\1EAs~
tf. Ea.o.s I D1.J C6tJmoL Pc-11M
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."
~PR~
ftfl'~~
u~~/
~NE~V
~E. - ....E
YEllOW - APtt\.1CA1fT
GOl.D - en.,
CITY OF PRIOR LAKE NO. 60-03E)Lj
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: DC Mechanical/Stocker Excavating
FILL IN THE BLANKS
PHONE: 890-4241
DATE:~JUU
I J
BLDG. PERMIT # 00 0093
PID# 25-342-012-0
Lot 3, i B\f:..- i
ADDRESS:
8247 West 125th St.. Sava2e. MN 55378
SIGNATURE:
SITE ADDRESS: 3444 Wood Duck Drive
1. Estimated length of water service
f eet-.
2. Size of water service
inch ( es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC x
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required) f located at
structure.
feet
from
-------------------------------------------------------------------
-------------------------------------------------------------------
This a., PP,l_ication n. omes you,r permit when approved.
BY ( J fJ.~ . '7 .~"cl,.dv 1>., -1 '. DATE:
for either sewer or water individually is $20.00 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. -.~,.".,,_
DATE PAID ~~~~ AMOUNT PAID
RECEIP'I' # '- 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
~
Dale "7/ ~/Qi)
Site Address .Jlfllv l hl1'Jh.LA- 'O/Ui;e, tJW
Block I Ad~jtlon w; \ti.A ()~ A-t\J\ I\l
TYPE OF STRUCTURE
1. "Ill! . fi Ie. (l)
1. lin.n . C~IJ ~
J. Yellow . COli".'''''
CITY.OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Psrmlt N.o. ()()-oSS'i
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
PIO II ,.:<5 - 337 -()3/- ()
Lot6 ,
OWns(s Name
Address ,
Hsaling Conlraclor ~LLIED FIRESIDE dba FIRESIDE CORNE!
Addre9s, 2 7 0 0 N. F A I R V I RW. It 0 S E " ILL E. M N 5 5 1 1 3
TeJ~phor.e f 651.. 633 - 2561
FIREPLACE - UJf;r ~
fMntfP Make & ModeJ ./J.,..u- AJG l:i
Model Size. . {r:Cll' 1i2-
Conn. Load .
Fuel ()W
FkJe Size
Supply Openings
Relurn Openings r
lnput
Edr.
Output .) 7.PD.J
elm.
TYPE OF SYSTEM
Warm Air Plants
Graviry .
M9Ch anical
Air CondiUoning .
Vent. System
HEA TING OR POWER PLANT
Steam .
Hot Water
Radiation .
SpecialOevices .
Olher De"/ices
AtteraUons
Replacement
TYPE OF WORK
New Consl ruction
y
Repair,
Est. Cosl S
1
. Est Comp. Dale
-<-?{)v. u .,
'7-/J.-QJ
ffD -()3S4
.
PAlO WfP)
6U\\..O"-lG pE
HEATING PERMIT FEE $
STATESURCIiARGE $
TOTAL PERMIT FEES $
BU7 Permk /I
/.50
/
Receipt ,. ,-
OJ
'<
Single Family
/
"
.....
"']
(l)
(I)
.....
a.
(l)
Commercial
Two-Famiy
Industrial
Multi-family
Public Olher
Fee &hedole
o
o
"']
::::J
(l)
"']
Industrial. Commercial 6 Multi.Family
A esidenlial. Heating & AC
R esidenlial, H ea ling 0 nly
ResidenUal, Gas Fireplace
Restdenlial, AddU ons & Alterations
Residenlia1, AC Only
1% o( job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
-32Wl
Remember ro add Ihe State Surcharge on the bottom 01 this apptication.
m
U1
-'"
Th& price of your heating permit includes one rough-in and one (Ina' Inspection.
Additional inspeCliQrlS will 00 billed at $35.00 each.
m
U)
U)
C>>
House Heating Tesl Record musl be $wmitled \'lith buildil1Q rp.~~-l1WDlttr before buMd. :
Ing cer\iJtcale 01 occupancy wil be issued. ~
HEAT CALCULATIONS ~,fn'HRFn wilh number 01 suPP'Y and return openings Isted pi
room with C FM'. per opening. New slruclures or additions send 'Ioor plan wilh supply
and relurn locations shown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILEO TO THE CITY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Cily Hall buskle$s hours are 8 a.m. -.4:30 p.m.
L
c:
......
I
U)
J
o
o
r
ALL WORK MUST BE ~NSPECTED (ROUGH.IN AND FINAL) · CALL CITY HALL
447-4230
N
U)
I hereby apply for a mechanical systems permit and I acknowledge that the PJ
in'mmation above Is comple1e and accurate; that the work will be In conJormance"~
wilh the ordinances and codes of the clly and with the s'ale building/mechanice
codes~ lhat lhis form does not become a permit until sIgned by the BUILOIN(;
OFFICIAL~ that the work will be in accordance wi1h the approved ptan in the
case or an Ya'ork which requires rev.lew and approval of plans.
A;~.A ~~
, I J ~ ptica~ur8 r ~
Vr'l ~..h11 7 If) ~d,,~.lu.~ ",., /
CJ OIIi ding Ojssignature -
7h~"
I ~ Dale
7 ~31()?:J
I Oal8
"1J
lD
to
(l)
-
N
10/21/99 THU 13:14 FAX 6124474245
Jr1j 3) aD
CITY OF PRIOR LAKE ~. ~t
CITY OF PRIOR LAKE
I4J 001
file
City
^rr1ic:an1
lilt ("',,'cor '"~ ,~ J ....f Counlr~
PLUItlJlJING PERMIT
Applicant: 1r!1 Ru c. -..Ptwnbi.IJ::>.? [1() . Phone: 49:J.. - :J..J flJ
Address; JlJy) (Ul1C'1rtJ~1 ~ c,bLdelf) oYl(L ,~35J ~
Signature: "
Legal Description: Lot . Block
Site Address:.a44~ ~~ On.
Building Permit # PID #
NOTE: This permit will not be processed without complete information.
#
Sub
FIXTURE UNITS
....
Quantity Type of Fixture Quantity
d- Bath Tub with or without shower :3
t Dishwasher I
I Floor Oraln
f~ Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
, Shower Stall
, Sinks
Bar Sink
3 Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (APZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industriar. Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39,50
$
$
$
$
.50
~..
GRAND TOTAL $
*-,_..
This permit is granted upon lhc express condition that said
contractor. shall comply in all respects Wilh the ordin:tnccs
of the St:tte Plumbing Code and the amendments thereof.
RECEIPT NO. DATE
^ I 1 cST
JU\" ?. 5 LauD
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
j II ~ f r i ,J t f f ,~ i J J , fl. I f i f. ~ ~
III ~ 155'. ,~. -!~~f IN.'.' ',I ~
'i ~ . ~ ()f~J T~:s:II)JO .
~.. ! ~ . ~5~r '~90~rJ~~f~1
( \S:> ~ as f ,-D , :1 :.., ~ ~(L ~'.c r ~ I g
3 ...s;::; D'f -, , () I. f \J)::J -0 \ V
C> ~ r --""'-J~:J - I
· &J ! J '~ -?j (tJ jJ ~~ ~~ .- ",0
81 J'f r I ~ v - .>-i~ ~.~~;5 j i
I . I, I. f Ilift f~I'ft8:~~~ (~! , IIJi
.. "'I r ',' I" ..t '-J r\J;:;)!Jl7~ I :i
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m:t ....c: ,... ~ ,.." 0 ') w 0
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~~ 11111 I lil ,I. I, f f IIIIlii
b 'LIllI! J I t If; iilii.i i i
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-....J...'-J.~ .r [r · ... I I I I '-- "I
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P.~.'~.'T..UijUJ r~"T nUT DAJOhiftT
-..... .",.,.,.,." ,..^ · T.,.... --I
---.. ~.~-::..~-::;J
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Sl/l/q lJo~ DOJCk D~,
NATURE OF WORK tJ~
USE OF BUILDING S\='\'\
PERMIT NO. 00- o~54--
CONTRACTOR '1,- ~~s.-k~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING QjSPECT6/t 3/~
.. II ' ..
FOUNDATION (Prior to BaCkfill)~ ~. t),/z.;hof!J;r. 0/7/t'J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
/1
~
,
DATE ISSUED 5./e:;,. (,or')o
DATE
~I/?/t'o
-j-Ic,,~
7)&.61 Cf1;
1'" (1It1
SEWER I WATER I SEPTIC
FRAMING
-
INSULATION ~./.. {C)J ~ .,if.DO
ELECTRICAL V
PLUMBING
HEATING (if required) /)
FIREPLACE ~ ~ Qh ,
GAS LINE AIR TEST :)f".f, ~ tfit'
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
GRADING (Prior to Sodding)
BUILDING "f.C'~ lv/IUD #J;;. (a/-s-/btJ
, .
ELECTRICAL
PLUMBING
HEATING
DO NOT
~
~
\.
1 / ;}-r/~
FINALS
7~1), \
.{ / /,L \
\8 \ flA..ijJ
_ I?/Ii /~
I " ~.5' 6 J
Jo ~l{ cJ(
.;{, ItJ/4/~
~ I~/$v"
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
QLtrtifirate nf (!)rrnpanry
CITY OF PRIOR LAKE
J.\epartment of .uilbing 3Jn~ection
"Final Permitted 0 Conditional C. o. Expires I 01"
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:
Occupancy Type
~
Type Construction
VN
_ Fire Zone
Bldg. Permit No 00-0354
NI A . Zoning District . PDD
Use Classification.
SINGLE FAMILY
Legal Description
L31, Bl, 'tnt.. WILDS THIID ADDITION
Owner of Building Site Address 3444 WOOD DUCK DRIVE
Contractor's Name &. AddreslU Ut.LSTAED~ \. ~:25 96TH ST.. 11,. t.R GROVE BTS.. 55077
ROBERT D. nu s CHINS ~. ~ity P1l11111Cf J ""sf! TOVAR
Date:
, '," ,,'~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/tJb.fInL A.T;
, /
ADDRESS
0'1 L/ LftJtnnfl ~.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() - Scsi
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
& V1FINAL
n /0'" SITE INSPECTION
COMMENTS: ~ r:
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
~ ~~~ t..S(-S~2-1??1
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: h ~ ~.{;.J.J.JIf Owner/Contr.
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
IO-~-o'
ffYJ
ADDRESS 3L1'if W()fx/ D~t:. D"..
OWNER CONTR. /1ll-li-I-{l',h~,Jf
PHONE NO. PERMIT NO. f9() - 3Sl./
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)(' E~RAD1J=ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Cu/~ SO/<.-- Qr
)li{WORK SATISFACTORY, PROCEED
." 0 ~RECT 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
~/;:;~
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 3'-/ t.J4
Wooc1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ fi?ECH RI
TER HOOKUP
SEWER HOOKUP
~ 0 PLUMBING FINAL
o MECH FINAL
TIME
[(:-00
0.. 354
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:(lJ '"~~ ~,~ ~
- I
~ -/J(.c!1f ~ 'ttJ Ctv\~
r:5)~~~
- /
,
...,~
0-
, I --- ft~!e 1
_L," I / ~
0/ , ::. 0_
~l ~i' fI" -Pic ~ 4d s~
J ~"s- AI j { - ..J::J~~~r
/ \
If' 7- ~\)t.'f ~ ~
~d!~r'
d- ~
k-d-~
o WORK SATISFACTORY, PROCEED
,)(CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
I -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE /~/~4
INSPECTION NOTICE SCHEDULED It)! ()O
{
ADDRESS 3 ,-/'-/ '-I L.Jl) 0 0 Du. d<.._ 1)/2..
OWNER CONTR.
PHONE NO. PERMIT NO. D - 0'35'{
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FIN~
/if MECH FINAL f..l:YJ
COMMENTs:13I~. ~ f~/4~14
~ ~ ~ p~ ( r Vtl
cg)~.r)~ ~
~ Jo~~
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATIO~41
~FINAL ,~
o SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK S ACTORY, PROCEED
~ 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
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ADDRESS .:3Y ~ ~
tUtJdtJ DUG!:::- J)/t,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{J- 35Y
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 INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL ~ PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION /[] MECH FINAL ':,.. 0
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o WORK SATISFACTORY, PROCEED
" CORRECT ACTION AND PROCEED
o CORRECT ~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . ~ Owner/Contr:
I
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
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