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Home My WebLink AboutBuilding Permit 00-1045 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORAr~Y CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT 21 ~e Rec'd -.. ~,.V I. White :2 Pink ] Yellow hie City Applicant PERMIT NO...... " ___ v- I. ..,e; (Please tvQe or orint and sh~.n at bottom) ADDRESS J. \ "'\. '" ~~u..l...~,-- ~".~ ZONING (office use) PUD LEGAL DESCRIPTION (office use only) LOT \ ~ BLOCK \ ADDITION \,.,;,'. \.0,., ::,,~. PIDZS-337-0/2-0 OWNJ,R (Name) \.\...:>c..~~~~~~ ,-.........,,____C>-~ (Phone) \..;~'- "-~,"- ,",,,",-cu (Address) \ ...."'... \P '- L",,- ~"i',........ ~.....-.........,- d'-.l."'::' ~ .... -- &---- ~ ""'- ,.., S':S.....'" '- BUILDER (Name) ~IP\~ (Phone) (Address) TYPE OF WORK ~ New Construction I2lDeck OPorch ORe-Roofing ORe-Siding OLower Level Finish d rn Fireplace OAddition OAlteration OUtility Connection o Misc, PROJECT COST/VALUE (excluding land) $ ~s,'0 <)~ 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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. x\. ),><~ ~,-, ~ \ '-\S. X '\ \/.., fu<.::> Signature Contractor's License No. Date 2-x>,0CX':>.00 I Permit Fee $ J'/~ .'d.51 I Park Support Fee # $ 8SD.a1 I Plan Check Fee $ I:D~1.~/1 I SAC # $ W-/Y).tJC I State Surcharge $ I ~S. OQ I Water Meter Size 5/8"~J $ t"J1J.t:JQ I Penalty $ I Pressure Reducer $ ;:;)9'1. t:1D I Plumbing Permit Fee $ 1(",. DO I Sewer/Water Connection Fee # $ I. "d. on .tjQ I Mechanical Permit Fee $ I Water Tower Fee # $ . I ~rJ.(X) ')OtJ . tJO I Sewer & Water Permit Fee $ ~. sz:> 1 Builder's Deposit $ I . ""Ylfl .op I I Gas Fireplace Permit Fee $ I Other $ ; I lit) . on ~'----^..- I TOTAL DUE $ 811Lq~ I 12. -l-2ClOc:> Paid fi!J) TI /.q "- Receipt No. I uil lOgO al Date Date 12-/7-DD Bv I This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence_ Before occupancy, a Certificate of Occupancy must be ~~ f2/~/A?0 ~~ _~ ('~~6MA~l- , Planning Director Date - S~ecial Conditions, if any .. 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Thr ("rnt..r of th.. Lab Country While - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED W EA'~ Iv! I-I IV rJ 1/-22-00 1_!I'/v1 C e- " ,/ I" . , ' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ':)JCj(u , VV (, 00 U () C-k:::_ D /<- Accepted V' Accepted With Corrections Denied ~Lti-- Reviewed By: Li..L Date: /2-5'-0") Comments: f}Otf?/J5ed.. hot.(.'5e. Oad i3 Z ff- a We. rje.. Je5;q/J Clarde. f I ,; v tJn -de. ~r,4~ pfddJ. I/rN5e- 5h1Jd/ he- /4werd r-?Prt1X- 24:. In melt:)) -m maJ:cA &OtTihaJ JltSc,17 ClOl/le~ t9/J /ie u -' v t<7/)~ t: fif'fl-r in e- IZn.J 177 ad/~ve 3:1 ~~s cY k 55 --f}om ~e. d,_ -f)pMk-hiM. /2/ '6/00 ~"l> V2e-1/B~.J 51...vV'7 -o//l/~/Jt--M. ~ wi?:)C!J 8~~<; tr.-tk Daft: ~r /;;,.,., "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." 5~~ White - Building Canary - Engineering Pink - Planning Th..r..nl..roflh..l..ktCOllnlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKlJSI NAME OF APPLICANT APPLICATION RECEIVED W6NSt1ANrJ Hot1F,C; / /- 2- 2, - 00 . - I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~/qh . WO()D DU6J:::: DR- Accepted Accepted With Corrections ;( Denied ~ ') Reviewed By: (dI1!Ja...~ , Date: I?-'-/.- '2000 Comments: \. ~~ a.1I ~'Ld..ad ~~ z.~~ ~~ r~e.IA.e..tr'~..... ~~ ctil t;~..~ ~, o r hpl'lAN\c:.. 1Mn.~ ~ \a.-s , "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." &~\ White - Building Canary - Engineering Pink - Planning Th~ ("..ot..r of thO' Lab Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED :. \ ~.. / ..__.,- / - ;' /r J / \1 / /( ;' / E.' JI- /). f /_, '- l. , The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / 1/ / , ( . '/' _ K._ i r:.~ Accepted Denied Accepted With Corrections v Reviewed By: ~A fl....~ , Date: tJ--/S/&D Comments: PH Fr ,J..Iv~~~ 1i?...f~ 1A1ei\~ I JTV\D_ J '"fr"J ~td- "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." CITY OF PRIOR LAKE PLUMBING PERMIT # no - t () 4-5- .APplicant (' rp Jt'\ 'l. - ~ VI Phone:V' - Wz. ~ -I J ~ t.f Address: IUIU.~ . (2D~ 1'n_L.- iL)S,~J Y1I 5"<bO~ Signature: JUA l\>> Legal Description: Let a \'2- Sieck Sub ~ wi l D~ 3/U) . "' r ~'" SitBAddress: ~\q ti> \,.. ,>jul1('" I Jr ~ BLllIcl1ng Penni! if PID #....z,,"'i - .~ -; - 0'2.. - (') NOTE: This pelTT,1it w_OI net be precessed without c;omplete information. FIXTURE UNITS JAN. 3.2001 10: 22AM GENZ RYAN 6513226147 . " n. Caliri' ., .. L..M c...,.,. . .' I Ouantity Type of Fixture I Z- . Bath Tub witb or without shower I \ - Dishwasher I \ Roor Drain 1 c:, LavatOlY (b~throom sink) I \ : Laundry Tray (1 or 2 compartment sink) I \ Shower Stall' \ . Sinks - -"I : Bar Sink 'j}} :? Water Closet (toilet) Quantity ~ , r2-r, I . . , FEE SCHEDULE . , .' Industrial, Commercial & Multi-Family (1% of job cast, $39_50 minimum) Residential. New One & Two Family Residential. Additions & Alterations S.tatlll>urcharge 599.50 539.50 GRAND TOTAL NO. 996 P.3/3 1._ FIle 1. Gal4 Cloy 3. Yo\l... A\IPIi- Type of Fixture Rough-ins Water Heater Water Scftner I Stand Pipe (wa:shing machine) I Sewage Ejector. I BacIcflow Assembly (RPZ. Double Checlc, PVB) Backflow Assembly Test Lawn Sprinkler Other $ $ $ This permit is pled upon tlte ~p..ss condition that said c:ontmclOt. shall comply In ..u. ..__~ with tIlo ordinances of tho S_ P1umbioB 0 IlIn is thon:of. o DAT!! '}; ATTEST Call for all insptctions 24 hours in adv!\lIce. 16200 EagIe CrcekAv. S,E., Prior Lake. Minnesota 55372/ Ph. (6l2) 447-4230 I FAX (6I2) 447-4245 , All Equal Opponunity Employor ' ..-j ----.__._----._~----_..._-- JRN. 3.2001 10:22RM 2. 3. ,- 4. " j 5. 6. ..\ , ".-' GENZ RYRN p513226147 NO. 996 P.2/3 _. .... 'rIUDW- _ 8DUI - Qt... CITY OF paIOR LAKE SEWER- ANtl WATER PERMIT NOTE: NO. ..ili2.::..1Qt-5 Sewer and Water contractors must be reqistered with the City. APPLICANT: p."Y"I~ - ~'i11'" P"~n'~ U.~1""/oll('"'> PHONE:~I~I.I:2.:S-IIL.IJ-l ADDRZSS " ",~e, ~ 1~'~~r (1')' !:':'-' ", ="'''''TE, ,I." I () , SIGNATURE: '^'-X L, _ - BLDG. PERMIT jI ()()-/04-5 SITE ADORBSS. .:", '0' \!fl"" ,r ~ ,ne...'o.. 2" -.,'51- 0 rl- - ~ FILL IN THE BLANXS 40' L Estimated length of water 'service I " Size of water service inch(es). feet. Location of any couplings from s~ructure " Type of sewer pipe. ABS pvc X Cast Iron , I Estimated length_of sewer lin~~ feet. Clean out (if, .required), located at feet froln structure. feet. . " ----~~~-~---=------~---=----~----~----~~===--=--~==-~~~-----~: This apPlicatio~nf! . es your pe~it wnen approvej' / ' BY ~ DATE: l 4- () I . .. I ---________...=.-______-====:;:::==::i;;li~___________________==____~ FEES: $ $ $ 35.00 .50 35.50 'Sewer and water line connection permit. Surcharge TOTAL, " * Fee 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 bui1din~_permit card at the time of issuance ~o insure that no dupl~cate sewer and water, permits ~r ~s5ued. ; ;). DATE PAID AMOUNT PAItl -10,-,1./2 J RECEIPT # REC~D BY ~i~ , 4629 Ditkclll Sl SE., Prior Uke, Minnesota 55372 I Ph. (612) 4474230 Fax (612) 4474245 I>l' EQUAL OPPORnJNl1'Y EMPlOYER ~PR'~:; , ' ~~~>' ~ ~I I tiEAT1NO APPLICATION J PERMIT Da" I a C I PID' t:r SMa Addl.u 3\Q.lo t .l...k1:fir~ ..... .. , I _ .. . . old \2- Block I Add~lon --r1A. n_ 11 )j/"f)5 o,eD z - OWn....N.m.~o,.,vyn l/\",JA.- ~~ Addlus 19.~C::;: 'I)\n 7~ ~ Sn'_ 2!JO Ea-ep,.D Heellllg Cl!nlraclll'.r~1' .J/1 ~ AdilllMS \ ~1US- ,~p~l --r(l.L.. ~ S1;D~ Telep/lonell -Ln:::;-I - -U?~?1- 1 I ~ l!- FUIll8C8 Make . Mad.1 ell lnr i .. ~ lYPE OF SYSTEM W.,m Air Planl' )( Gralllly Mechanical Air Condltlanlng 'f.- A.",/'oJ V.nt. Sy&t&lll HEATING OR POWER PLANT S1eam Hal Waler Radlallon Special D8IIlces ., .~.~ " - ...:- r CITY OF PRIOR LAKE . . 16200 Eaile CrHk Av. S.E. Perm~ No. Prior LIke, UN 55372 ..J 00 -I04C' . . Model SIze !'i;:1.rn'tl'l I ~ C) -11_0 l'- Conn. load " \D Fuell\..\l>..-r r..tLSFlueSlz. N ~ Supply Openings _ 2.10 ~ \j) RelUm Openings I ?- z ~ InpullU01nnD OuIpm III: 1...cQ.. ~ Ed;. w l!l elm. OIher Devlces €flDL...t...lt.~ "'-""To"D~rq>hra.~ E ([ \j) All . ~ er_na CD lVPEOFWORK . Replacem8lll _ NIIW Conslrucllon 'I. Repall . Eal. Comp. Dele BuBdklg PermB' .... ~ Eat. Cod . N . ai HEATING PERMIT FEE' , i STATE SURCHARGE -" ([ . .t-:I ..,_ I . TOTAlPERMlTFEES , .50 Recslpl r tyPE OF STRUCTURE; ].PI"'~ 'l.lJn: i 3. vlU.. ) I'IIe "'" ~ SIJlQle Family Commercial ~( MuBI-FamBy . Olher Two.Famlly Indus mal PubNc F.. Schedule Industrial, Commercial & MUlI-FemUy R8Illdenllal, Healing & AC RealdenHal, Healing Only, ResldenHal, Gas FIreplace Residential, Ad<tltlona & Altorallona Residential, AC Onl:- 1% 01 Job cost ($S9.50 mlnlnVJm) $99.50 $64_50 $311.50 $39.50 "'.....n Aem.mb.rlo add lhe SI.1e Surcharge on Ihe boIlom of Ihle .ppIlcallon. Tho.prlce 01 your healing perml1lncludes one rough-In end one Ilnallnspactlon. AddlllonallnspecUons will be billed at $35.00 each_ Hous. Hltallng Test Record must be eW>milled with IIulI!lIng I!IIlIIilIlWlllll IMtlore build- Ing carlllfealo 01 OClCUplll1Qy will be Issued. I:IEAI CALCULAiIONS REOUlRED wlIh number 01 olfllply Ind relum op8l1lnga listed per room with CFM's pel op.ning. New IllIIctul8S or Iddllloll8 send Hoor plen with .upply and r.lum locations shllWn. HE,q LOSS CALCULATIONS, MVMENT AND APPUCATIONS MAV BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. CIIy H.II business hours 118 8 I.m, . 4:30 p.m. All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL elrY HALL 447...230 I hereby apply lor I mlchanlcal svslems permit and I acknowledge lhallhe In'ormatlon Iboye I. cemplel. and accurale; Ihlllh. work will be In conlormance with the oldlnence..."d codes 01 the clly .nd1Nllh lhe slate bulldlnllfmltchanlcal cod...; thai thIs Iorm does not bacome a permit unlllslgned by Ihl BUILDING OFFlCIAL;~.t the wOlk will be In eccordanc. wllh the approv.d pl.n In lhe 0.0. r'.1I ork which require. revllwand approval 01 plena. '\\:.9f..~\l~' 1/'00(- \. '-/ 7!J"~IUle , Dalo }!.../. I-q-ol- Bundin, 8.Slgnature , Dalo 00 -104-5 Add.ess Huling Conlraclor ALLIED FIRESIDE dba FIRESIDE CORNEll. ~e$S. 2700 N. FAIRVIEV, ROSEVILLE. KN 55113 Telephone' 651-633-2561 FIREPLACE X'J- rI . I r ~.M.&M~ NW~~~ Model Sll~ Ino::Pa. /.sr ~ , Replacement New Conslruclion EsL Comp. Dale ~I ,.).)OOill Building PermU no - r 04-5 P"\B,GW~Rt-A\t . 8U\\J)t,.. CoM. load F""'~ Supply OponinllS Relum Openir1gs Flue Size inpul Edr. OUlpLll ;;) 70/1} /'10. IlIl3 , Clm. TYPE OF WORK AKeralions Repair Est. Cos/$ HEATING PERMIT FEE $ STATE SURCHARGE $ $ .50 TOTAL PERMIT FEES TYPE OF SYSTEM Warm Air Planls Gravity Mechanical Air Conditioning Vent. System HEATING OR POWER PlANT Sleam Hot Waler Rad,,'lon Spacial 08lllc8ll OlI1er OlIVas \( Raceip' ,. TYPE..QF STRUCTURE 1- 1,""'"' 3. yd.... 0, " :J rl' R~ 0, Co-. OJ '< Single Famiy CommttlClal -n H ;D m CJl H Cl m o o ;D z m ;D Two-Family Induslrlal MulU-FImiy Public 0Ihef Fee Schedule Industner, Commerdal&. MulU-Famlly Residenfial, HlIllling & AG Residanlial Healing Only Resldanlia~ Gas Fireplace Residenlla~ Additlotw & Alteratiollll Residanlia~ AC Only 1" 01 job cosl(S39.50 I1lInImum) $99.50 t64_50 139.50 $39.50 $39_50 Remember 10 add the Slale Surcharge on !he bollom ol'his lppIicallan. 0> U1 ~ The ",ice 01 rour healing permit Includes one ,0ugtHn ..., one llnallnapeclion. 0> '" '" AddillonallnspecUons wiH be blled al $35.00 each. III III House Healing Tesl Record I1JJS1 be s~led wilIlllliklilllllllllllllllllB belonJ bul f ing cel1illcele 01 occupancy wi. be issued. _. tlEAI CALCUlATIONS REQUIRE!} mill number 01 IIJIlPIy 801d retum . ., .,.. Iieled room with CFM'& per openInlJ. New elr",,1UNs or eddIions II8nd 1Ioor plen .... aupplJ and ,"Ium IoceUONl oMwn. HEAT lOSS CALCULATIONS, PAYMENT AND APPUC"TIONS MAY BE MAllED 10 TIlE CITY OF PRIOR LAKE, 182110 ~ CREEK AVE. S.E. PRIOR LAKE, MH 55372. L 0> :J CUy Hall business hours BIB 8 a.m. - 4:30 p.m. '" w o ~ , ALL WORK MUST BE INSPECTED (ROUGtHN AND FiNAl) . CALL CITY HALL 447-4230 o ... U1 I herlby apply lor a mechanical systems permil and I acknuwledge Ihalthe ~ Informalion above is complete and aecurale: Ihe' the work will bl In conlormlnc-. wilh Ihe Dfdi"e"ces and codes 01 the cily and with the slale bulldlngfrmtchanlc coder; !hal Ihis 10''" oDes nol become a permll unlll signed by \he 8UILDIN OFFICIAL; thallhe work will. be In accordance with Ihe ap",oved plan I" 111. j{::' .~ '""MM' .",... .'"'; Appljf 'il'J"'lure ~Dala /-z,q-ol 0.. -. 0> '" " '" - '" Bulki'jO ORlcal's Signature PRIOR LAKE .. ..- INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS..3J.j{.. IJooJ] D.1.''',~ Dt-- NATURE OF WORK ~FD 11).a..../ USE OF BUILDING PERMIT NO. DATE ISSUED J? - I - '2u... CONTRACTOR . W.4'~,~....... "f-..- D ~ PHONE Ut!;/- vtJI.. C(~(Jo NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT I FOOTING I '8 V ~ECTOR I/~/ ~q.1; I , FOUNDATION (Prior to Backfill) I 'B \JflA..'.1 -g~ I 1 loa 101 t 104-)0/1 PLACE NO CONCRETE UNTIL ABOVE HAS/BEEN stGNED - ROUGH - INS 'EV~ ~t")! 01 rg V , w~ ~, '^ i ...,/~ /9 ~/" ';)" f'"' - JI,;"u / l \ \ { SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING ~fI- Z/.q./Ol HEATING (if required) '/7-.J (~DI ~V . FIREPLACE 2- K.ll '11+./cY GAS LINE AIR TEST MA-(lt.f~ Z~p. /?/-/ d~1 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS ~\~ ~.v~ 1;.~cw b -\f~ OCCUpy UNTIL ABOVE I HAS NOTICE t jot/o. ~ . &>/,. ~ ~. 0;);. 1)/0/ " GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT '7-1i~~ bJ kllolC91 . , . :3 twjo< 4~or BEEN SIGNED 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 (952) 447-9850 "uR LAKE -v nON NOTICE SCHEDULED DATE TIME 7-1~-o( /1/11 ADDRESS 3/7(, -v1I&M Pur)( f)/, PHONE NO. CONTR. W("1S~'7"" t1ome.J PERMIT NO. CJr.) -10'15 OWNER o FOOTING o FOUNDATION o FRAMING o INSULATION e8-.EINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~X1GRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ('" ( h 13l!> 7C b I:: X WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector#' ~ .JlfI' . - .:;;:-...."Contr: CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 4-"-01 z.: 1>0 ADDRESS 31 q Co WOOD DUeJ:::- L>~ OWNER CONTR. PHONE NO. PERMIT NO. 00 ~lo4-5"' o FOOTING o FOUNDATION o FRAMING j)" 0 INSULATION rt 'I5if' FINAL /0 SITE INSPECTiON COMMENTS: 1;'1 'V.p...r l ot j I U AA + \ (t~i lie., t:4 ~ .uJa I k:.~ 1arle OflP-JbJU '~~ (J~I E'IAF- +heM S,:)~_ (lJ,A1. -t-,rp,o..$ ~er cbJt<>1fAAe..tA..t- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP .IL~ PLUM ING FINAL I'T"'l ME INAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o tJ1o,,~A~Iv1 ,ei'D~tov\ f"_m-t+rol lAMki Tu.+- t ~ ,'^ ~ \avA.- ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~K, CALL FOR REINSPECTiON BEFORE COVERING Inspector: ~.\ \~ Owner/Contr: CALL 447.9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ~ ~M: ~D ADDRESS 31 q (p WooLd..u.J::: OWNER CONTR. PHONE NO. PERMIT NO. 00 - / D4S- o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o ';;EWER HOOKUP PlJlf PLUMBING FINAL o MECH FINAL o EX/GRAD/FilLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, <' All FOR REINSPECTION BEFORE COVERING Inspector: ~ \ ~ Owner/Contr: CALL 447.9850 FOR THb NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTJ