HomeMy WebLinkAboutBuilding Permit 01-0330
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
4-/3-01
; ~;;;:. ~:~ I PERMIT NO. 01- 03"20
J, Yellow Applicant .:/
(Please tyPe or Drint and sign at bottom)
ADDRESS
~~ ~TJ I~ 6-0.0 D&\CK. ~llJE.}
'"'-
(( /Z I 1) (L W\1.1..e.
k:) 0'0 OD!A C
ZONING (office use)
PUD
LEGAL DESCRIPTION (ollice use only)
LOT f{ BLOCK ;} ADDITION W 11..D S
'J,4L
PID2.5 -337 - 04:l-s-0
~~e~RM\ 'i\l5L.';")l"'t'tf-O"\ hJllo"71'JQZ.~ Q,.J~~C:M "J (Phone) (l.ofS)) f::S",---~ I
(Address) :;1"1::t ~ C11~ ~ S'~,- G,.. 5 I .L c6 If. /U rJ ~~ rJ"7
BUILDER ,,"^^'C
(Name) .u-p '(
(Contact Name) ~ !JlI} ~ ~C> /
(Address) ~
(Phone)
(Phone)~ (&'Sl)~7--9o,^
TYPE OF WORK
~w Construction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAI~on DUtility Connection
PROJECT COST IV ALUE (excluding land) $ d. Be, ()-O 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
au rized agent for the above-mentioned YHly"'~~j and that all construction will conform to all existing state and local laws and will proceed in accordance with
s ml d plan I e t:qa~ the ~u~l~ng o~cia1 can revoke this permit for just cause. Furthermore, I hereby agree that the city ifficiaJ !r a designee may
nterup ther f~ns ~~l{~ ol1lr1/~1
Signature Contractor's License No. I Date
I Permit Valuation I :2.D4/.,..'S51 I Park Support Fee # J$ s:1S0 .601
I Permit Fee I $ I: 3~O:~~ I I SAC # 1$ '1 t.~ .0(')_
I Plan Check Fee 1$ . fL..{I..f. ()(J 1 I Water Meter Size 5/8t.!.:) $ 2 ~() .06
I State Surcharge I $ I I Pressure Reducer $ '70 .. (lCJ
I Penalty $ 1 I Sewer/Water Connection Fee # $ 1 ~.(9eJ
I Plumbing Permit Fee $ loo,~D I Water Tower Fee # $ I)IlA .. (tJ1!J
1 Mechanical Permit Fee $ loo.",e I Builder's Deposit $ I ..~ ,no)
I Sewer & Water Permit Fee 1 $ 3s.~ I Other $ . I
I Gas Fireplace Permit Fee I $ Li(?.. 00 I TOTAL DUE J$9,S/f,.3/
mes Your Building Permit When Approved I Paid ~'61 I Receipt No. .::5'150\U
q. n-'?JJ:r'l1 I Date U- 7-(j) Bv ?r ~
Date
v
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~i Planner constitutes a temporary Certific.ate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~su'~l ~
~ ;.f /L,.. ( --?L-t'..... .. Lf ItCi 1<9\ .,,~ I' ~ h..r ~ ('" ~ . ..
o Plan ing Director" .. Date ~ S cia! Conditions, if any ~
24 hour notice fnr all inspections (952) 447..9850, fax (952j 447-4245
~~
~e~
OI.D330
Tht ('tnttt nf Ihr I.M"" Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-J-../-
:'1
I I
it.
f -: (J!
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:~:)):7 ! /1
,,/f- (t ,-
Accepted
,/
Accepted With Corrections
Denied 1
Reviewed By: ~a1./~
Comments:
~~ lMA)N.. r;)..., t F'\
'<f/~~~
~ G.wk\ I.
Date:
Lilt/t /8 (
w~ ~Jt-d1Z-t Id-
~ +-~) ~,-eW
-b,/ ~ ~~rAQ ~M,\ ~J} b!Jf-
~--<<.Y~ ~'M-f7V ~~ L?e-vd ~..
"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,"
~~
0(,65>0
Thr ('..nt..r or lh..l..k.. ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
In J ~-H-el ~--/-n d+
L!13-0/
B~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for c33~'ictiVi(;3~;doPD~:L 0 ~
Accepted
Accepted With Corrections
y
Denied (~()1J !
Reviewed ~---f'{/~7 ""-'->. Date:
Comments:
.l<~~~~tbc~ ~
)1110- Zoo("
"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,"
~1
6/- 330
White - Building
Canary - Engineering
Pink - Planning
Th~ Crnl~r of thr L.kr ('oUnll'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fn / -If-e fS'-/7~ cJ+
L//3-0/
1\.,
UJ-oS
Th~ B]Jild!ngl Ergineering, and Planning Departments have reviewed the building permit
applfcationfOr'construdion activity whicfl i~ proposed at:
I ' / I , ;G3.?'i{ (J)Ofh! /DL~ct /)'r
V'r -\..../ p '/
i ,I,
-' \-.
x
Accepted With Corrections
Accepted
Denied
Reviewed By:
NAB
Date:
Lf-/t-o/
Comments: ~l'll'l Rl'lvl'lr!':F! Side for Additional Information!
x
,
;:;ee Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control PI,::m
"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 $hall not be valid."
UCP-1"fl..I;
'rilLLOW' - ....P'\Jc:..t..-r
GDl.A - en.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NOO/- u330
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: DIl Mechanical/St:ocker Excavating
::::::~: 8247lJ:;~?'Y;;~
SITE ADDRESS: 3327 Wood Duck Driva
PHONE:
890-1.241
4-26-01
55378 DATE:
BLDG. PERMIT # 01-0330
PID#d5/g 37 - OLlro -0
FILL IN THE BLANKS
1. EstimatQd length of water service
feet',
2. Size of water service
inch(es).
J. Location of any couplings from structure
fe..t.
4. Type of sewer pipe, ABS
PVC-x-- cast Iron
5. Estimated length of sewer line
feet.
6.. Clean out (i f required), located at
structure.
feet
from
::;;;:=~____:li__===___===_~====.=_==_____...__~=___=====:;:=:::I:_g===---------
This application becomes your permit when approved.
BY
DATE:
~===------------------
______~=====a_~=_~-__~====___===___=~~
FEES:
$
S
$
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 building permit card at the time of issuance
to insure that no duplicate sewer and water ~~its are
issued. - SU/LO/WG~TH
DATE PAID L/_ '(7,7-0 I AMOUNT PAID EFlMIT
RECEIPT # REC'D BY Gc--
()
16200 Eagle Creek Av_ S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 / FAX (612) 447-4245
An Equlll Opportuniry Employa:
ZOO III
~NI~YAYJX3 H~jo~s
C9LZ068Z19 XYd 99:80 lad 10lLZ/tO
FIRESIDE GORNER #6148 P.005/006
CITY OF PRIOR LAKE Date Ret'd
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
!.P;n11
" "-
3."1111101'"
~.... ,- ..~."".nT NO. /___ 3-3D
Iff..... ~ or Drinl and, ,hm '" bollDm)
I~~~~
:>~o-.I ~ac1 \::)...l..~ ~.
I Z?UJ)(._~) I
. f.EGAL DESCRlPTION (om""... only)
LOT ~ BLOCK d- ADDmON \l)c.J..~D
"/ rd
~
PID;;(f' JY7 --V Llb-O
OWNER "'" _ . I. (J
(Name) \ \ \1 ~tl"*~~Iue.......
(pbone)
(Address)
APPLICANT
(Name) ALLrED FIRJ;:S:tDE DBA FIRESIDE CORNER
(Poone) _ 651-633-2561
oWIUTll Air Plont.
oO",'il)'
o Mochonical
OAk Conditio"in,g
oVent System
, FIREPLACE MAKE AND MODEL J1 tI.,k
(Add,ress) 2700 N. FAlRVIEW AVENUE
(Add....)
BllENDA Ijl.I\STON
(COntact Pen;on) ; \ (Phone)
APPLlCANTSIGNATTJRE. \. ~"'-"o1:.....\ qh.........~. ,Jr- DATE
r APPLICANT PLEQ COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 AL TEM TIONS
FlJRNACE MAKE AND MODEJ. FUEL rJ. bA:':::>
FJ)JE SIZE RETURN OPENINGS INPUT OUTPUT ~
TYPE OPSYSTBM HEATING OR POWER PLANT ~ I~
PLEASE NOTE,
Air Conditioner Units
Con Dot EnCl'llBch. into
Required Side Yard
Setbacks
~SEVIT T_~ MN'
(City)
651-633-2561
5'\1' ,
(ZIp Code)
(D-~~-(\\
oSlelll'l1
o Hot WmOf
o Radiation
o Speciol De.ices
o Othor Devices
~~lo
la.<.1.D""~A K--...
Indoslriol. Commcrcial & MUlr,j.FllI'I1l1y
FEE SCHEDULE
1% .fjob cost Re,ldentiol. G.. Flreplo=
$39.50 minimum
$99.50 ResldentioJ. Addiuon, &. ...ll<rllllons
$64.50 Re,ld...tioJ. AC Only
$39,50
Resldenfial. H...ting I!t. AlC (New ConSTruction)
Residential, H..tlng Only (New ConstNction)
539,50
539.50
Estimated Cast $
l toe.co
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$--
s
.50
E1 P.'1'1
UILD; '-' l, r
NGp,..
I::;
'j'If",
(Orneo u.. Only)
This Application Becomes Your Building Pennl! When Approved
B.lldl.. Official
D.p,
I Paid '-----
I Dllte 6Itt}j{))
I Receipt No.
I I
24 hopr notJce fnr .Uln.pectinnl (952) 447-9850. ,.. (952) 447.....45
IBY~
V
Fram-KNOX IZIT HOPKINS MN
H81
P.CCI
F-13T
Date ltee'd
+i5Z 933 8969
\,..U i OF PRIOR LAKE
HEATING/AIR c..... l...mONINGIFIREPLACE PERMIT
C!'I.... ~ or ~rint and sim .. bottom)
ADDRESS
33:J1. (lJr.rv1,..( . "-.r Ofr,
~~':. ~:~ ,PERMlTNO. 1- 33D I
3. 'fellow ^pplklnJ
ZONING (ol!il:e oso)
PUt)
LEGAL DESCRIPTION (office use 01#)
LOT 15 BLOCK d-' ADDITION {;J ~ ~~ rd--
pm)S 337-{Ylb'-o
, OWNER
(Name)
\.1\;\#, A.~o..td.4- 'P.>f"b~S;
(Phone) ""3- !JiS--o<t...~
(Address)
APPLICANT .
(Name' ~'(~<;V\Ils1.. Nl.rJJ-,:,~lQ-lc
(Address) \'lU~ \ 1/ hl:r"lQ_ \ s.~~ PI..) _~~.
(Addle")
(Phone) 9S"J.-i"i f/-ooc~
(City)
(Zip Code)
_ I IA'}~
. APPLICANT SIGNATURE yo...y( d _ _.,
(Contact Person)
(phone)
DATE
. '7/-S-/o/
.
__ APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 R.EPLACEMENT . . 0 ALTERATIONS
FURNACE MAKE AND MODEL ~~'~-IS .- Vf\f\.o-,c FUEL~.f
FLUE SIZE RETlJIlN OPENINGS INPUT '75" 000 OUTPUT
1
TYP.E OF SYSTEM HEATING OR POWER PLANT
QIWarm Air Plants 0 Sle"'"
DGravil;Y 0 Hot W...r
[}Mechanical . 0 Radiation
0Air Conditioning 0 Sp<<ial D.vic.s
DVent. System 0 Olher Devi...
,
('1,c \
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial'" Multi.Family
FEE SCHEDULE
I % of job co.1 Residential, Gas fireplace
$39.50 minimum
~.50")
.50
Residential. Addition. & Alt.rations
Residential, AC Only
$39.50
$39.50
$39.50
Residential. Heating & Ale (Now Construction)
Residential. Heating Only (New Construction)
EstimatedCost$ ""1l:;'oo.OO
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
qq. <;l)
.50
i~l'd')~
/3U/1.6A.'o WI
tNG Pt:,"""
tlll4rr
(om.. Us. Only)
Tbis Appll.ation Be.omes Your Building Permit Wben Approved Paid
BUilding Offici..
Date
Date7_ 0-0/
I Receipt No.
IBY~
(/
14' hour nntice rDr all in.pee!lnn. (951) 447-9150, rax (951) 447-4145
Sep 21 01 OS:41a
Emil::! Oc:orek
651-457-1381
p.2
Dace Ret'd
CITY OF PRIOR LAKE PLUMBING PERMIT
t!leuet9:E!! or IJftat bd sbm... bOllDml
l ADDRESS
33d7 yJi>c)rJ)u<-k DR..
:::'~ ~ IPERMlTNO'Ol_07. --,""' I
J. Y.... ""li__ :') ~ J
~?~
/4/U . /11...
I ZONING (.m.....) I
I LEGAL DBSCRIPTION tom.. w. ....y)
LOT BLOCK ADDITION
. OWNER
(Name1. Cl,.""s
PJD
]
(<.",
(Phone) c",~I-l'I1[-S'LD
(Address)
APPLICANT
(Name1 ~"" of ~...k...( Wl",-~. [O~. :C~L.
(Address) "5708' 7:3 d S.(. l. ::r..v<r G".",
(Addres.)
(Conraa Person) 2 vv<.. (v b9D'- /,.
APPUCANTSIGNATURE ~~~
(phone) l.S"'. </,;/-1351
IJ,'..,L./,. /'A",. S-W7'-
(City)
(Zip Code)
(Phone) b~/-'i'-7-1;51
___ DATE
9/w/ol
APPLICANT PLEASE COMPLETE BELOW
Quaatity
2
I
Z
y
l'ype of Fi_.....
Bath Tub with or wilhout shower
Dishwasher
Floor Oraio
I LavalQI'Y (Bathroom Sink)
I Laundry fray (I or 2 compaltment sink
Shower Slall
Sinks
Bar Sink
iN ater Clo.et (Toilet)
Quantity
.;
I
I
I
Type of Fixt"re
:3
Rough-in.
Wahl. Heale.
I Wahl. Softner
Stand Pipe (Washing Machine)
Sewage Ejoctor
Bacldlow Assembly
Baciinow Assembly.Test
Lawn Sprinkler
Olher
I
FEE SCHEDULE
IndUSUiDI. Commercial It. MuUi.family 1% of jab COSI widl . $39.'0 minimum
RClIiiclcntialr NI;W One: A Two-Family S951.S0
Raidcnlial. Addilions" AI'le'I'adons $39.S0
Es.ima.... Coo, S
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE S
TOTALPERMlTFEE $
.50
'OOiCIII! Ulr 0111)')
This Application Becomes Your SuUdine l-'ennlt When A.., . _J
BuUdltlJ: DIJi..l
Paid -----:
~~_ l
D... Dale q /'2-/ / 6 I
14 !lour IIOtiN for 1..Ia.ctiDDI (952.) "1-9.~7-42."5
Rec:cipt.N
By ;j
PRIOR LAK~ DEPARTMENT OF
C' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 33;:1'1 LJ~ lJuc(, Dr-
NATURE OF WORKAJe.-w
USE OF BUILDING S F 0
PERMIT NO. 01- 0330 "-pATE ISSUED 4-J'1-ax:,(
CONTRACTOR M../f~\",,!n.,J~(~. ('~r Co6/-S52-11)7t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
) \ DATE
I FOOTING I~-~",,\ I b /2. el
, FOUNDATION (Prior to Backfill) 11; 0 d l\i ~l I"&.~ g.j/s1ot
PLACE NO CONCRETE UNTlhJtBOV~ HAS BEENJ SrGNED
T(oJa&O ()JAC-u ROUGHV'. INS ~/(9 0\
I?//. S?(~.,Ic:)
1{[( qr
7Jll){)1
INSPECTOR
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
;-~:1
\
~.,J/J.wt
q,~~
l~:.(
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
1111lifJ_ )1- ~ 'q I (
~ \. "1 q ;UJ{f)/ /1/, B-N 0 '1.-
. - · - 13 VI fl.- 0
'bUt.Uj, J q/l4JOf
l'b \J~ ti. wtOl
OCCUPY UNTIL ABOVE HASI BEEN SIGNED
NOTICE
" .
t7 }q.} 0/
'f~l ("ref
· t'tL
It
"
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
QLt,l~tcau of ~cmpanty
CITY OF PRIOR LAKE
1Jgepartmtnt of lBuilbing )nspedion
Ji(Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuanJ to the requiremenls of Section 307 of the Uniform Building Code
certifying thai at the time of issuance this structure was in compliance with the various ordiflQ1l(:es of the
City of Prior Lake reguloling building construction or use. For the following:
SINGLE FAMILY
Occupancy Type
Legal Description
Type ....+......,,~ujon
. Fire Zone
Bldg. Pennit N"
N/A
01-0330
Use Clusificatior
R3
VN
Zoning District
PUD
LB, B2, THE WILDS THIRD ADDITION
Owner of Building
C;;ite Address
3327 WOOD DUCK DRIVE
Contractor's Name & Address
MITTELSTAEDT BROS., 2425 96TH ST. E., INVER GROVE HTG.,
ROBERT D. HUTCHINS rity P\anDer DON RYE
Da~: --:g \)(1 &Jil~nF~~1 _ Dato: .
POST IN A CONSPICUOUS PLACE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED jaIl 10 I
, r
ADDRESS ~53 2. '7 /.~ It. tI L
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
It 0 INSULATION
INAL
~ITE INSPECTION
!r'(.
CONTR.
PERMIT NO.
tJ/ -3:50
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 GAS LINE AIR TST
o
COMMENTS: ~ J (~
s,.l J ~~~( (J(...
~
/~ot- o-ftnIJ~
"Ii
ui'-
,
/1.) )!J-'
./\
tl !J 0';yfl () \
\.Y l.X
\
\\/
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~,\CALL FOR REINSPECTION BEFORE COVERING
Inspector: -g J,.n LIIJ Owner/Contr:
CALL 447-9860 ;OR Ttk NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE TIME
SCHEDULED ~ -11.0) ex ;:30
l)Jo()dcl uc...K.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
33:J-r;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
....erWA TER HOOKU
~EWER HOOK
o PLUMBING F
o MECH FINAL
COMftlENTS:
(
I
~5
~ I
I
-'1-
d
1\
I I
/j
/,/
L/"
/0
/- 3'30
EX/GRAD/FILLING
COMPLAINT
FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
--..,.
J
J
I
(
(Cfl<-
I
I
I
~I
~
)'wORK SATISFACTORY, PROCEED
o CORRECT ACTION ""'0 PROCEED
o CORRECT W9fKJ C, ..~ FOR REINSPECTION BEFORE COVERING
Inspector: fIL.......... "~ Owner/Contr:
CALL 447-~B60 ~Fl. THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
q-/L/-J d:36
/) Jger1du~A" Y
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULED
ADDRESS
:-=5 :=3 ,-;;..1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNOATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
M SEWER HOOKUP
(l ~LUMBING FINAL
o MECH FINAL
COMMENTS: \ _ _ J
l"'^O v{) Mo/ -0.J (_~
DATE TIME
/ -330
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AHD PROCEED
o CORRECT~. \AlL FOR REINSPECTION BEFORE COVERING
Inspector: t:-) . J ~ Owner/Contr:
CALL 447-9850 FOR THE N~XT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
1\/ 0 INSULATION
r FINAL
~ SITE INSPECTION
SCHEDULED
:~"~27 WOOD .oU~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
^_ 0 PLUMBING FINAL
f"T )t... MECH FINAL
DATE TIME
q- ;J/}-O / ~;tfV
I~ 330
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
5 J.," ct ~ +rfl/e:S 1J+l--er
1('ad'~frcJVJ. k~~t
-rew.f
c/[).. Lu.J~1
10 15")01
I
y'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK,\ ;ALL FOR REINSPECTION BEFORE COVERING
Inspector: -E _ \ r1AJ.If-- Owner/Contr:
CALL 447.9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
II-t-cl
PM
ADDRESS 33;? 7 vv/)tJtI Dvt.-K. Df',
OWNER CONTR. 111, 'Hdsf<udl-
PHONE NO. PERMIT NO. ~I - .~30
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
Ji(E)'~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
brr,ch - i) /(
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
A-'" - ,-
Inspector:W~P"~
~
l1wner/Contr:
-----
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INS/'iOTl