HomeMy WebLinkAboutBuilding Permit 00-0844
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Ii~~
QA TF RFr.FIVFn
q. ;. 00
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12;3;.fE~D butfJ!, /)/uVE- N. M
3. LEGAL DESCRIPTION
LOT
~
WIL.D~
BLOCK
3~
I
PID 25-337- (JZ(,-O
ADDITION
14. OWNER
15. ARCHITECT
6. BUILDER
(Name)
(Address)
(Name)
(Address)
~':#;
e:l/-J~
13. TYPE OF CONSTRUCTION
vJ~D ~&
14. FLOOR AREA APPORTIONMENT USE
Permit No.
1. DATE
9/dlJf1
PJf)
(Tel. No.)
(Tel. No.)
1. White
2. Pink
3. Yellow
(Address)
~\u.e
Rl>c"f~ \ \ -~(..~. '~c. ~'l~o ""Lvok:~
~ SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Dec~ Rs-roofing 0 Porch 0
New construction)( Alterations 0 Addition 0 Finish Anic 0 Re.siding 0 Finish Basement 0 16!J>>.CT COSTNALUE
Chimney 0 Misc. -t- 0 ~ _ . ~J PrJf)
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft /'2;,~~pl Width1'1 Depth I~~ Yes No ~ 1115101
I hereby certify that I hBve 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
~uildin~ cause. Furthermore. I hereby agree that the ~;;i,i;:;{; ~1 may enter upon the property to ~/~i;; inspections.
VJ l \ Signature Lkense No. Dale
(Name)
r
SETBACKS: Required
Actual
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS 3
q!J5- Sl1~'
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
USE OF BUILDiNG
5I=D
Side
SOIL TESTS
MATERIAL FILED WITH APPLICATION
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PERMIT VALUATION
'7c(3, ~ ~ PLOT PLAN
.
o
Water Tap ................................... $
Builders Deposit ............................ $1. C::;OD. DO
I
Other ......................................... -'I'.
Paid T9r:jj;i~.1T'...~~~;~;~2$=?PJR 1/~ l!-
Date Ie;:" ,;I-ob By a It!//~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zo"ning Ordinance and may proc~skuested. This document when
sign~y the CityJ'j anner constitutes a temporary Certifica, of Zoning compliance~d a:1I~s const.ru;~ to commence. Bef~re. occupanlf'j ce~~ ckcupancy must be issued.
'-I.'L.. .......--___ OJ1r-2~ ~.... V !~~/'~1Z.,;.C~~
U Planner ... Date ., Special Conditions if any - ~
,
24 hour notice for all inspections 447-9850
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 ('"(J ~
Permit Fee ................................... $--l,l,,_ . 'p..
Pian Check Fee ............................. $ II /")c.j I . 4.~
I "2..\ . S'O
City:
State Surcharge ............................. $
Penalty ....................................... $
Plumbing PennltFee ....................... $-
I () rJ L')Q
Im.<S>l!>
~,t;"O
C/o .00
~
tf'V
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Thi
By
uilding Permit \)lften ~ov~
Date ..,-(..,~ ~
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
CoUectiveStreet Fee ....................... $
Sewer Tap ................................... <t:
Pressure Reducer .~~.....J..~.~...... :
MeterHorn.........................~.. $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
SETS
COPIES
8 ,,(") ~a:: :
!,' ~~ .~c.
70~ .ff
~.~
I~- -")
~. ~I
/: ~~~
~1
00.m1tf
Th..Oml..ror,h..I,.k..Counlry
White . Building
Canary . Engineering
Pink . Planning
j3UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;fA/ L.-L.l1FF HOM65
7' ~. O()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3364- WOOD Du(!,.t::- DR- NvJ
Accepted
Accepted With Corrections ..:><("
Denied / ~/Jn 0
ReviewedBY:~, / --
Comments: Y
Date:
7- (5-~
XQIl/J_ t:J 00 {jtkW~~
"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."
.~~
D 0 .Og4'~
Th~ C~n.er of lh~ L.k~ Counlry
White . Building
Canary. Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
K 1-172 t."f-l F F il C(V/65
C). ~. ()O
/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3324- IV (00 UUC-f::.- DI<- IV vJ
Accepted
/
Accepted With Corrections
Denied
Reviewed By: t.jrM-" ~ ~.e' ---,
Comments:
Date:
q/2-g/,60
~ t.f fit ~r~ ~~~ iJ wJsJ... 7{;,-tlL
~ i),,, tJ A t:..) ~ C>>v~..
0\ J._ ~/'''lL3o/R
~~MN1M 3Qi='v~ V; !fY)~
{Awe I'A'M~Ck..V ee q2.2'~
"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."
Tb, C,nlu of Ih, ub Counlry
oo'o~w
White . - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
If ;:;- / L- t.-I-/ F F 1-1 OM 65
q. r!. (JO
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33 64- /IV Ci 0 0 D u c..r::... DR-
Accepted /
Accepted With Corrections
Denied
Reviewed By: Grtud; CAr/SOlo.
Comments: -1J() lief ..!,,/e- /JJ B"u
/I/;lf ('>t2SemPHf. ~r/Y{'w~v Ctll1lJ~1
5~e -lIt rlvU9" sik ../d/'
,
se,
~.
d/lpd1l11e,,~: I.
r- // I I
~..... r h70 '?'771 r
{i;tAl'/ Grak Z/]f~{,b~ht ~6__ ...? G--4~
MA~HrA'" 41_. .Go .:'/~ ~k/ 11~ ./
. .
NvV
Date: P:~
rell/" c/r;b/J:::r' /MtL
~" d;ll/ v/d,.., 4_ e?-f'#-,
/
a/ct:h/JHR / //1hd"ftrih~.
"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."
GREE. . 'K..E
YELLOW . A.PPLtCA.IiIT
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
s.w. No. Of;1f~
NOTE:
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: Dller IUIz.. ~ Xc.
ADDRESS: I" 1/; :J on LJ vv A of Lf{ VL. .r .je<!"1
SIGNATURE: ~'1--k...O~
SITE ADDRESS: ..JJ181.f W 000 OlAe It {Jfl.
PHONE: ~?.J.-('9bb
DATE: ~lJ..c/(J 0
BLDG. PERMIT #
PID# :)5- 331 Od..~-()
FILL IN THE BLANKS
I
1. Estimated length of water service 40
feet.
l .
2. Size of water service
inch(es) .
3 .
Location of any couplings from structure
-
feet.
4 .
Type of sewer pipe. ABS
Estimated length of sewer line
PVC1-
I
licl
Cast Iron
5.
feet.
6. Clean out (if required), located at
structure.
~
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $19.~ 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 P~b~ITRre
issued. I"I\l
....I\\NG PERMi,
I.-
10/ ;;2tJ / 06
I I
AMOUNT PAID
REC'D BY u./l ~
()' -
DATE PAID
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
....
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CITY OF PRIOR LAKE MC L./
18200 Eall. Cr.ek Av. S.E. Pllmll No. . fJ -K Lf I
Prior Lak., MN &&372
HEATING APPLICATION' PERMIT
01'1/(") -1-9 -C'O ';It', :25 ~ 30'7-0~-o
S,. Ad',ell ~~ f?...l( ~ ~ UcJ< b>f' ,
lll1 Q:1DIadI ( Addillon ~ILLI1JJld!.<J ~ rd /frIdN
Owlllrl N.m,g.ah-!LiJ}..f2 ~.... ('
Ad".. ~I -
H..llngConb.cla, G4Ik/tJ'J (1 ~/l
Mdll.IOJ/Q)Ic\ en~N A.e). /j/A1. fr/N I ~(),;;}.l{
T.lePhan.(' c...<0 "'i'~l"\ - c:..('\.a~
Fu,nlCl Mlkl .. Modll "ffi1 A.Jt" "Ttix/Oo TYPE OF SYSTEM ./
WIIm Air PI.nll V
Gr.vII,
II' _ ,.... bI - h/ot! f':1'~U.P S'
I ( Air ConoflUolllng V - 1
Flu. Sill 3 PVC Venl. S,otlm . 1/
UJ
"
N
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['-
"
"
N
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Madll Sill ./f"\rI. nt"ll">
Conn. lo"
FUll AlJ
HEAnNO OR POWER PLAN'
S'eam
Hal Wela,
Radllllon
Spld.' D.vlee.
Suppl, Openlnlll / 8'
Rltum Oplnlllll 7
Input OUtpul
Edr.
OIhll D.vlcel
Clm.
TYPE OF WORK
1/
,....
.f')
Allllallan!
Replacement New Con.lrvcllon
Esl. Comp. Dlt.
BIl~dlnll Perm. .
....
....
n.plIlr
10.1. eoll .
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....
HEATING PERMIT FEE'
STATE SURCHARGE ,.
TOTAl PERMIT FEES t.
.50
PAID WITH
Il'llDlNG PERMn
~
-
Rec:ept ,
-I
1._.._
J. WIow .
/YPE OF STRUCTURE
Single FlmliI' . 1ivlI.FlmR, Mvll~Famll,
Commen:111 Indlltlrl.1 PiAlIIc 0...
FIISchldvll @ -:- GJ9-~ ~/>eplI1-G~k'
Indu.I,III, Coml1Mlrcl.16 Mulll-F.ml, 1% 01 Job tlOI\ IsaUO.......
R.lldlnUa~ H..llng . AC SlUO
RlllldanU.~ H..llng Ollly 184.60
RuldanUal, Ou Flrepllce 138.50
ReBldanhl, AlIdlllonl .. Allar.lIonl 13'.50
RHldan"~ AC 0nI, PUD
Remambar 10 allll !ha BIIIII Burdi.,.. an thtI bollol1l 011111. appllclllon.
Thl pilei of fOUl hllUn, parmll IndudH onl ,0uDh-ln and one Ilnllln ."
Addlllonalln,plcllona wlM ba bllltl ., $35.00 .Ich.
Hou.. Haellng Tal Alcold IIIV'II ba lubm'''ld wlllt IDrlliIitg 1IIIIDII1IIIIlB""'" buIIf.
Ing ClllIlleele 01 oewpancy will bl fatuld.
tieAI ~.ILLATIONS Bl'OUIAED wllh lIumber 01 luppip IncI'llIIm ". .,' liIIetIper
'oom willI CFM'I par oplllllllll. New ".ueluNa 0'1 addlllonl IIRd IIaIll P"__ ~
and rllum loce1lon. .hllW\'1. HEAT LOSS CALCULATIONS, PAYMENT NIl
APPUCATIONS M^Y DE MAILED 10 THE CITY OF PAIOR lAKE, 1ll21lD fMSLE
CREEK AYE. S.E. PAIDA LAKE, MN &5372.
CIl, Hall bu.ln... hOUl1l .N 8 .m. . 4:30 p.m.
ALL WORK MUST BE INSPECTEO tROUGH.IN AND FINAL). CAll curlfMoL
447-4>>0
I h.rlb, IPPIy lor. muhanlc.' 1,II.m. p.rmll and I .cknowl.....lIlal...
Inla,m.Uan Ibon II compt.,. and laou,al.; Ihllth. work wiD b.In'-'_.IIIlI
willi 1he o.dlnancll and cod.. allhl cll, and wllh Ihl el.l. bull.........1
code.; !hal Ihll lorm doee nol become a p.rmll untn.lgned b, laIlUAD..G
OFFIC:IAl; Ih.1 Iha walk will bIIln .ccordance wllh Ih. .pp'av....... . U.
".... 01 .11 wa,k whIch r.qulr.. review .nd .pproval 01 plan I.
M4~.~
. IIppltanl'l SIgnahml
//")-;:),3-00
8ut1d1ng 0fI,1ca/'1 Sl9nalllf8
~~/9-o0
I'Llt _ ...
r;'-'- ...
I
11-09-00 10:04 AM FROM FGTN PLG HTG
TO 6124474245
POI
~
CITY OF PRIOR LAKE i = ~.I,~
PLUMBING PERMIT # 'f3"""-x7!il
Applicant: h:..,."'^:....~ ~t~. 81 \-lig _Phone:~1-4(""'-{~:J.J
Address: ~l O~4 t"':~pl?"''pf~ ALl!...
Slgnature::t) 0..". VJ_~ ' ;~;; rei
Legal Descriplion: Lot ~ (~ Block I sUb-L! / lieF d ::5'_
Site Address: .1~Z~ W~o..(. K-. "'t",.. \
Building Permit # ....a::.fLLL4. . . ~~__ _ PID 1/ J< - ~ ~ r;- () X - (j
NOTE: This permit will nol be processed without complete information.
FIXTURE UNITS
'ell. c:.."I..r of ,... Lah ('Oilllll"
I Quantity Type of Fixture
I ~ Balh Tub w~h or without shower
I I Dishwasher
I I Floor Drain
I y Lavatory (bathroom sink)
I I Laundry Tray (1 or 2 compartmenl sink)
I I Shower Slall
I I Sinks
I I Bar Sin k
I -3 Water Closet (toilet)
Ouantity
Type of Fixture
3
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
SBwage Ejector
BacIdIow ps..mbIy (RPZ, Double Check, PVB)
Baekflow Assembly Tesl
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
ResidenliBI. New One & Two Family
Residential, Additions & Alterations
$99.50
$39.50
..)'-"
,$ C~c/_I1
, ~ ~l.(
t:)S 8'J
J'Y?", .50"" /qI,.
,." -' f.-.- ~
State Surcharge
GRAND TOTAL $
~
This petmit 11 l:rl'll'llc:d upon the c..press condilion that sait,l
contractor, !'l.hall cnmply in ~II respct.IS with the ordinances
of .he Slale Plumbin.g Code and the ..mcnlolment!\ thcl"l;('If.
KECEI"~. O. _ ((- C; -n DAm
I C - __ A1TI!ST
Call for all Jnspectio 5 4 hours in advlVIce,
PAID V\.;':'
BUILDING PEkiV"f
16200 Eaglc Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employor
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3:5e.t.{ Wo~ 1Jc '(' \c br-.
NATURE OF WORK ~e..w
USE OF BUILDING S~t"
PERMIT NO. ()O..0644- DATE ISSUED 9- 17:,- 2~
CONTRACTOR j(c..-bLIl~.\- ~ CfE:6--S~S"T
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR _ / DATE
I FOOTING. . /~!rl I 1~/"/CJ6
I FOUNDATION (Prior to Backfill) 1 Gtr. I /4 1/,1/ tTlJ
, . .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - IN~ _
SEWER I WATER I SEPTIC ~~l.~. J, A>( II!~O()
FRAMING 9- \ !VI I^, /t-, .)/JrJ
INSULATION ~ .~ 1-$J/13/tJO
ELECTRICAL I l ' . '
PLUMBING I.~. Illr/~
HEATING (ifrequired)']S)'"IM+- "/~lgv ~. 111'1/1/7) 1112 '1jo-1
FIREPLACE Vlft, 1:>l\I II r ill 00 I I ( I
GAS LINE AIR TEST ((J. ~. ~ ~ /Ih(n 1/,.(., r;~~, ;/1~9}o
I Ii' ' j
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ 1 1
FINALS
//Iff
.-g ~~
'E -u~
I 'K ~a-w-t
OCCUpy UNTIL ABOVE HAS
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
, ,
gjz /,02......
tI-u> I!>l
f }~B;O/
7?3o ~101
I
BEEN SIGNED
This card must be posted near Bn electrical service cabinet prior to rough-in inspections
and maintBined until all inspections hBve been approved. On buildings and Bdditions
where no service cBbinet is available. card shall be placed near main entrance.
Call between 8:00 ail.. ..:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
-c~.",-"..~ -
,"' ."'JIf-;.t....:,'~.::l.:'1'J"~,,~...!:..~.:l>
'. ~.. '-'~- -~~ -
This Certificate issued pursUQ1lt 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 ordi1UUlces of the
City of Prior lAke regulating building construction or use. For the following:
Use dassificatio,",
SINGLE FAMILY Bldg. PermilNo 00-0844
T C . VN F. Zo N/ A z . D. .~ct PUD
ype onstructlon _ Ire lie orung IS....
81, THE WILDS THIRD ADDITION
R3
Occupancy Type
L26,
Legal DescriptiO'"
Owner of Building
Contractor', Name &; Addres' RATZLAFF
ROBERT D. HUTCHINS
Building OffiCial
11- neJL
_Site Address 3384 WOOD DUCK DRIVE
HOME_S,
V1il/
20730 HOLYOKE, LAKEVILLE, MN
DON RYE
'~ity Planner
Dafe:
Date:
55044
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
If-R>
ADDRESS
J 3 8"<-t
f/JilJdOvdt {)r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() - () fi'L{<-1.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o 5;;:ti r ~ 1: '50 (/JJJ
V//
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: tIVf' Jt-l./-{fL Owner/Conlr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
JN$NOTt
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I ~ 3/-01
1 : 3..eJ
ADDRESS
33B4- W()()O OU&C- OIZ-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() - () 844-
o FOOTING
o FOUNDATION
o FRAMING
o INSULAT~ON
'i;t'" FINAL tr
/D'SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FITL
o MECH fiNAL
COMMENTS: by ce. O( 0 I
- fef''^^,~-t- d(lv'~)aIJ c5:-/.u0-)~<::'
- ", i/lIIQ.!Vl.1a1l1\. '<il+-~ u,^-h <",A
Lt:: I vus.-tc.ll e d. ~ \ b "
- etllatn ee..v- 0.. rpltJ Jc.t ) o-r ()lUGe e-b(e
sod I I
- so d tJ lA.d- trees;. fer' deJelcJrf'M r
. ~
,-6su..E.. +, c.,..u Co
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
}l"'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKI CALL FOR REINSPECTION BEFORE COVERING
Inspector: <5 - \ , ~./ Owner/Contr:
i
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
DATE TIME
!J~2-o Z
ADDRESS
35rJ'{ W/9oJ D/~J:.- Dr".
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I"'X"rg~'1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
f.uih /?)Y /01::.
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: 4~ "'"
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSl<<)T1
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
..3 3 ?~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED {/"'S/O/ It! 00
I .
0t:J 0 D baCK
CONTR.
PERMIT NO.
(!J - g'<j 1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
$PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: \_
VV\lNV\O W\eA'e.r-- 0'(...
1Me,+~ :>.,eo\e~
PWORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORr' CALL FOR REINSPECTION BEFORE COVERING
Inspector: _<1;.Jl rtJ..J..t/ Owner/Contr:
CALL 447.9850 FOR~THE NEXT INSPECTION 24 HOURS IN ADVANC~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlVOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/1->>-0 jrOQ
ADDRESS
038<j
U)z;IJ /J wf
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{')-FC;~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECHRI ~
ZWATER HOOKUP .
I;Y SEWER HOOKUP
tJ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/)\C
....., l,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT OK,.. ". ALL FOR REINSPECTION BEFORE COVERING
/. "
, ,
Inspector: _ \i~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI