HomeMy WebLinkAboutBldg Permit 01-0905
(Please type or print and sign at bottom)
ADDRESS
3300
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3 . Yellow Applicant
-OJ
PERMIT NO.
VVOOO
o U (!I::- OK-
LEGAL DESCR1J:'uON (office use only)
LOTI? BLOCK I ADDITION
OWNER
(Name)
(Address)
ll1G"w I w J '3/Z-P
PID 7i:::i-.,?s7-0 Ie:;'-O
. (Phone)
BUILDER
(Name) T / LiS" ,-I d'CY 5
(Contact Name) ~"'.o.V\.. II.: I ,
(Address) 13S-~\ 'B"I1ISo............ A.L. rt 7.,,-""?4t-t"1t>n.
.
TYPE OF WORK
o Misc.
ODeck
o New Construction
o Fireplace
PROJECT COST IV ALUE (excluding land) $
OUtility Connection
OLower Level Finish
(Phone) 76 5'~ 7/.J -1'/7 Y
(Phone) 7/3- 7 i:< ~ /(/21./
,41 h. s-s- ? \( 7
o Porch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
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 p'",{v.... needed inspections.
X /--7!:
Signature ~ ____ /~ Contractor's License No. Date %.- q .... () \
t'
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
19\ FY)r>.~
- ,
1.~.~~S-
",'1'7. 113 I
95"". 5'0
/ tJo. c:JQ
Ie>o . c;JCJ
35'" .5"0
t(O .00
fiih ~::<ro:rOWBuililin~:::;:;;oo
~ldingO~ - Date
,
I Park Support Fee # $ 81,5" I'J .0 0
I SAC :I- # $ L,.1S0.OO
I Water Meter Size 5/8"Q,j $ ~ SO .OCJ
I Pressure Reducer $ ~ ?o _ Oc.)
I Sewer/Water Connection Fee # $ ~ @ ~ .. O~
I Water Tower Fee # $ '100. (!)~
I Builder's Deposit $ /.!:;;tX). od
lather $' I
ITOTALDUEf~ $~S7/.5.3J
I Paid 8. 57/- ("' ..5 Rec~e'p , ~.39v
I Date ',; - 2- 7- 0 I By /.
, .
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
~~~e:d~igned by the City Planner constitutes a temporary Certifica:of Z~ing compliance and allOw::;1struction to~commence. Before occupancy, a Certificate of Occupancy must be
. . r-:"_ -. ./~--c'--- _I!l-f/~'1 un ~L C'LiZk ,,~~~
. ,. lanrl\tg f),irector Date L ~ pedal conditions:k(
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Tht ("tnlt. of lht "okt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J /~ BUll ,()f3R..~
,-.
6-9-01
..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3300 WOOD DU~ DK.
Accepted \X
, Accepted With Corrections
Denied
Reviewed By,:
AlIt.b i
Date:
&-/t../-C)I
.
.,
Comments:' See Reverse Side for Additional Information!
6ee Attacnments> 1) Grading Plan, 2) Erosion Control Measures
, 3) Erosion Control Plan
"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."
Tht ('tnl<< or tht t.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
./ /~ CCd/j)t;/<::
I --
C (-
'1/ - f - () J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
?::) C., (~: L'vl (._ /;, I' ur., (I v' { .'" I"~-;' .
'--' -- -' " -- \,--,' L/ __.....1'--...\.-...-1 -
Accepted
~
Accepted With Corrections
Denied I'
ReVieWedBy~j~
v ~..
Date:
~tL~{8 (
Comments:
--A!~ tlltU~ ~J'1QJ&wM1 . ~
~~-'VILV~f:~ ~ c;~ ~~
~_c 1) //0 P-~ I
;J-L{ !7\ rVL~, _ t
uX '~..(1y~~;
fN 12-~ 0 (~ <r;; ~
~ ~
tv tcfJlA,
~ { 4WlJ
(~ID
"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
The C"f'ntt'r or the L.ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J /~ BUll ))6R.S
I -
B- 9 -0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3300 WOOD DU~ D~.
Accepted
Accepted With Corrections -y.
Denied ~ A
Reviewed BY{ . --;/ ''''::::,
JZ:):.g; ~~ .L. -~~
Date: {;J - {':>- ~
"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."
09/25/2001 12:19 612-427-3806
09/06/00 WB~ 11:44 PAX 8124474245
DAVE PERKINS CONT IN
l..:l'l'X Ui" l"'l<1Uk( j.,/t.Ar.
PAGE 01
..., .""...
-.u. . .....
~ltu.o. . A",,-ICAIIT
gOLD. Ctn
CIT'i OF PRIOR LAKE s..w. No. o/-f2!lQ5
SEWER AND WAT"ER Pt!:RMI'I'
NOTEt Sewer and Water
dontraotors must
be registered
with the Ci1:.y.
SIGNl; ~URE:
SITE .DDRESS:
.. 9... hlJd" co1l\nlSlIIl!lIIlC.
14230 Basalt St. N.W.
q;MN s:asg
3300 WOOD l>Y.CK..!Y NvJ
PHONE: 7 ~ 0 .''1-/2-7.01 (),
OAT~':' q {1..51 D J
BLDG. PERMIT ff, 01- o9CJS-
PID# Z5 - 337- 019 - 0
APPLJ: :ANT:
ADDR~ :5:
L
E ttimated length 0' wate~ servic8
FILL IN THE BLANKS
50'
feet.
2. 5".ze of ~atGr service
inch (e!i$) .
4 .
I. Ication of any couplings from structure
PVC ~ Cast Iren
50'
Eltimated length of seWQr line
teet.
J.
T'pe of sewer pipe.
ABS
5.
feet.
6. C ,ean out (if requir~a), located at
s, .ructure_
feet
fro'm
_-__~ 1~____~m~~~~R_~==~___~=~~~_M=_~_===~~:a=~m_.__~~~~gC~=~~===
This ,pplioaUon J/~ou.r p.,=i t whan approve,,\. "
B'i ///I(~ DATE: q-Z-G-a/
s__._ ;==_=c~~~~~;==~~~~~a==-.c=_~_~~==~~~_~_~________=========~
FEES:
~
$
$
.
35.00
.50
35.50
SQWe~ and water line connection permit.
Surcharge
'l"O'rAt.
. F! e for either sewer or w~ter indiviQually is ~.~ plus
$i .50 surchaJ:'ge.
Si wer and water permits issued for 'new construction mtlst be
r. corded on the buil~in9 permit card at the time of issuance
t. insure that no duplicate sewer and ~ater permits are
i: sued. ~ ~
DATE: AXO AMO'ON'r PAt //
~~yf\~, ,'i,i ;'. "';eC' EX" T ./I, .. , ',R....C '0 BY ..-- ~........
f.~!::"~:,,:\ . "';';~f ,.n.z:. " 11 g ~
*
~
1~' I;", '.
: ~ :' '
16200 Bagl CrcckAV. S.E.. Prior Lake. Minnc50ta 553721 Ph. (612) 447-4230 I FAX E6U) 447-424S
)i.t :: " An Equal OppOrtuJ\llyEmploycr '152-
CITY OF PRIOR LAKE, OCT - :l . Rec'd
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
.J u.
(Please ~c or Drint and 'i~ at bon:o,'!'2
ADDRESS .
3300 u ~ ~c. 1;r, \J'(..-
I. Pi..
2. Gin.
3. "'''law
fil.
Cily
A""li....
.... -------.---;V I
,..---""--....__.....--_.,'~ !
----_...)
PERMIT N?'O/~Oq os 1
ZONING (offiCI: UI<!)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER . l\ ....J _ .
(Name) T~r ~
(Phone)
(Address)
(Address)
. (Phone) 7/6 ~ - LI ~4 ~ '7 '? 4 '7
~ ~ /\..tLlI1, 5S:~o<./
(elcy) (Zip Code)
(Address)
(Contact Person) ~.J.. ~ ~ ~ (Phone:)
APPLICANT SlGNATURE ~ ~ ~dJ~")
- .. - r.
APPLICANT PLEASE COMPLETE BELOW
IifNEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL I (). FUEL --1JJ+ T
FLUE SIZE RETURNOPENrN S -10 INPUT 'I~l 000 OUTPUT ~
TYPE OF SYSTEM HEATING OR POWER PLANT
DATE
1.0 -05-0 I
OWarm Air Plants
I . OOtavity
iii Mechanical
OAir Conditioning
OVen!. System
o Steam
o Hat Waler
o Radiation
o Special Devices
o Other Dn ict;,
PLEASE NOTE:
Air Conditioner Units
Cannot En~toBch into
Required Side Yard
Setbacks
FIR.EPLACE MAKE AND MODEL
I,'
FEE SCHEDULE
I % of jab COst Residential, Gas Fireplace
S39,50 minimum
S99.50 Residential. Additions &. Alrerations
S64.5Q Residential, AC Only
S39.50
Industrial. COlTlmcrcial & Multi-Family
Residential. Heating &. AIC (New Construction)
Resit.lentil1l. Heating Only (New Construction)
539.'0
S39.50
Estimated Cost $
Building Permit II
(omel! USI1 Only)
This Application Becomes Your BuildIng Permit When Approved
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$,
$
s
r PAID WtTH
.BUiWING PERMIT
...
Buildlnc Offlclal
Oa'l:
~
. Date
I()-S- 0/
..-
24 hour notice Cor :Ill in$pedlon. (952) 447.9150, fu (952) 447-4245
'Re~'
gy ~
I
-""--
60 3!:)\;jd
N\;jH:J3W ~I\;j
6691PEP619 00:L0 1606/90/01
'-""~---"~--_."--"'--"-~--"'''-"t-~~''''''~--_..~'_~~_M~'-."....--".~...~_._.~~".~..-
10..11"01 THt' l1:H FAX "U7UU
CITY OF PRIOR ~~KE
11<<:I"''110.
Dal. Rec'd
Lll i OF pmOR LAKE PLUMJ~G PERMIT
\0-\2--0J
I?lcuc 'I',P'! or ~ .. fila .' ~)
ADDJlJSS
33l)O WODd Du.~~ ~
t a ~ I PEIL'IIT NO. 0 1-(JQ05.
ZONING (.....)
PUD
LEGAL Descllu 110N (otl\clluc aNy)
LOTd BLOCK' ADDITION TI1E LudJ... ~.d ~ i'Y\ PID.Z5"3:31-0/~-0-.
OWNBll
(Name) Ll!. 1?ld~; ~ ' (Phone) ?JJ"?lJ!! ../t/J!.9
~Add.n:,.) ,,~( ']/!}AJ~A-Wl 1..,J J.J. '"2:;)At~A. hLu _.tr;S"'!f'Z'1
.. ,
. APPU~1
(Narne).JJi:I1-/61U
(A4dress) ;Z I Z. ~
-I- ~€', . :x.PL
,.2~ 6:t:r A..b..
(Ad4reIs)
(Conw;'t pener.) ~ m
(phone)
A";4tf~
'Jf.lg- ~a1. Z$Z'
~~().v
(City) (Zip Cock)
(Phol\e) 2(, ~.. J..//l7- 2 Ui
_,DATB ./~J~()I ~
b~~~
APPLICANT SlG~ATUaE ~ ';..,<
Qa..UI)'
2
f
(
'-I
I
APPLICANT PLEASE COMPLETE BELOW
I Type oi i,-wrc . Q1Iaaaty
BaUl T\lb "'ith or without Iho,"" 4 "
DIshwasher 1
Floor Drain .
Lavat9r,f (Balhroom Sink) ,
Laundry Tra)'t!Jr 2 companm1nt .ink
Shower swr
~ink'
1:1..- Sink
Water Closc:t ~'l'oUet)
Type of J'lKt.rc
j
!l""Ih-inl
Wiler Heater
W.... Softner
S1In~ Pipe (,WNhlnl Machin.)
Sew.~ ~ec;tClr _ .
B.~krlDW AlJOIftbl}'
8Gldl,", A....b[y .Teat
Lawn Spriftkler- a=i4~u.6E J.,,,,,~
Other
RESCHEDULE
lnl!u.trlal, CDmml:rc:ia1 it Multi.fwnll)' l~ ofjGb cDSl whh I 51lUO m111UwlUITl AaidCItl.., Wew em.:. Two.Fwnily '99.50
...ld,,"la~ Addl1loa. A AU_lam S3UO
~
~dhll.d Co.t s.L3:t. $"1
8uildin& P.mlll f#
PLUMBINO PERMIT FEE S
STATESUllCHAllOE S
TOTA.L PERMIT ..... $
,50
~
DI.
P.ld~
.--r;;;IO-IZ-O'
11'11II1., P.,.'t Wh... Approved
2' b..., ..tlee f., ,II icupedioR' (952) "7.9150. .. (951) "'o4M'
r .,~-~~--_.~.~.._..,.---........----'~--t._-~~-----~"._.~--------~,................,~-_...."--
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or Print and sign at bottom)
ADDRESS
'3"s 0 Co' W 0" bL>u. ("ICl::> R I\lt:
~. ~;.:. ~~~ I PERMIT NO.
J. Yellow Applicant
. ZONING (office use)
"Pe 101'_ l-A i!-C
LEGAL DESCRIPTION (office use only)
(~'iO!) BLOCK ADDITION
OWNER r-;-)
(Name) -.0 R e:1\..-h- b 0 t-.A '1
(Address) ~;:) 00 ~()OD 'D(.,\c.~ 'VeIV,~
PID
(Phone) g~ - +4(1 "so~
. "Vr. 101( J AK-G
APPLICANT
(Name)
-- ~USll~ tsfl~b\:::"~
(Phone) q~ ...-44D'" \~lPO
11\ lOP- LA~G l.AJ ~~~-1Z-
(Address) (City) (Zip Code)
(Contact Person) "j"\.A.~\3(LA 1) FlheJ) (Phone) g ~ -4 40 -l'3t:., IJ
APPLICANTSIGNATURE "'--~ /~ _ DATE 1l-'7-:sJt"1
\ _ J,(ICANT PLEASE C~MPL~E BELOW
~EW CON~UCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Address)
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
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 cost Residential, Gas Fireplace
$39.50 minimum
$99,50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39,50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~,~". .-._-_.._-~-'^-<t-~..._...,.>~,_.~^t'M""""""''"'."'''-~-"-~~---~-,-"_~~.,_"_.-"--"-.,-~,,--~.~^.,---_,__,,._....,-.,_, __-k....~,_,~,~_._.._.,_,~,_"_.._...,_..
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUIl.DING AND INSPECTION
SITE ADDRESS S~D'J u'Jcx.yj) ~k:, (lJ- .
NATUREOFWORK ~)
USE OF BUILDING <SF/l
PERMIT NO. 0(,.. (fqo~ DATE ISSUED e .-/s-: 2IJeJ/
CONTRACTOR ~. ~<:;oL'1 cLJ... <' PHONE f)G.3' 7f2 -1$/.:< V
NOTE: THIS IS NOt A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
J D~TE
I FOOTING I ~ \ \(t.Vc4 I q S-/Ol
I FOUNDATION (Prior to Backfill) I ~- \ ~ I q i (4 '0\
PLACE NO CONCRETE UNTIL ABOVE "'AS BEEN 'SIGNED
ROUGH - INS J J \\
'1\J~ tqe\o{
1, 11':)'1)(
~\ I.t if '/Ilol.
q ,v ~
HEATING (if required) . ~\~...j ~II L/g,.~(
FIREPLACE . V'J~. ~\l I Jff;i~,
GAS LINE AIR TEST I kg, (t , ~
COVER NO WORK UNTIL ABOVE HAS B"E~ SIGNED
I I
FINALS
~01'5'-d;; l
. '$~ I a4/n
~.~.
~
OCCUpy UNTIL ABOVE HAS B
NOTICE
INSPECTOR
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
I'l..\ ;n\o\
t 1M .Qd
EN I 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
-_'~-'_-_"~-~_.~'-'_""'_~"~'--_."'. '" ._~..._..>..,~--- .~.._--...- - -..- ......-..-. ~,~-_..._~,--~-,~ '-.---....-.'''''---.....-...-. t'---,.-.,.. -~.__.-_.."..__."".
J
J
DATE TIME
CITY OF PRIOR LAKE L!ZJ I. . /
INSPECTION NOTICE SCHEDULED f!Y ;?ou:>3
ADDRESS -.3500 \.\100D DU~De...
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
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
50D/ .f I$b
,
COMMENTS:
(J(- oqos-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
--~
C::;'lI\k J V.l~~~> /Avt 1.6~
!,\:),l~ rr~~~\A'\~1 ~!<.
t:9-t~ ~~
/4~-'-C{,QQ. W-CJ~
~A.,z;~olYf~~" ~
. .........CElT AfTI6r~ AN: :-:-:9G&en
~RECT WORK, CALL FOR REINSPECTION BEFORE CO~
Inspector:
Owner/Contr:
V
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
3/fiia5
ADDRESS 12::txJ ~.!illUG~ n{2--ult:
OWNER
PHONE NO.
o FOOTING
a FOUNDATION
a FRAMING
o INSULATION
~FINAL
t' 0 SITE INSPECTION
COMMENTS:
-
/')\ L
L/" "
"
CONTR.
PERMIT NO.
o PLUMBING RI
a MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
6 / -q 0 S
o EX/Gl6J)7FILLlNG
a CO~T
o FIREPLACE RI
o FIREPLACE FINAL
a GASLINE AIR TST
a
--1~ s V 5.6r\
rORK SATISFACTORY, PROC~ED
o CORRECT ACTION AND PROCEED
o CORREC~WO c, CiJL FOR REINSPECTION BEFORE COVERING
Inspector: l~ ~ ,... Owner/Contr:
CALL 447-9 ;0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
, .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
_n
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I-Ztf-02- Z:3 0
ADDRESS
~D() WOOD DU(!K-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-1D5
o FOOTING
o FOUNDATION
o FRAMING
11- 0 INSULATION
iI-V FINAL
/D'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
COMMENTS: J?p~- ~~..<'~
O~ -h, OC<:-~
~ fj OL;O~
o/l1O~ff~Jd t1~ C;t1 ~~.
-t11.eN\
~
~- Cb\~ +fPS=- feA' dwekfWA~~
/wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORKtfALL FOR REINSPECTION BEFORE COVERING
Inspector: <:g _ \)~ Owner/Contr:
CALL 447-9850 FOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
t/zz.lc,z. I!.WJ
i ~
ADDRESS
33 () d)
tJJ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECH FINAL
~.
./
b\o~~ fd"'o CK9GY-
- t,\ ~kt~ .S/'. fi"~k {~q es..
~f _ _1st- -01\ r +J~1e;('
_ +~;rn:~ ~Je"wfM.(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1M FINAL
b' SITE INSPECTION
COMMENTS:
-
0/ - 9tJ5
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
p"CORRECT WORt"', CALL FOR REINSPECTION BEFORE COVERING
,,7 \
Inspector: ~ J'" t1AJJl Owner/Contr:
CALL 447-9850 FOR' "HE NEXT INSPECTION 24 HOURS IN ADVANCE.
\ .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
1j!J." 7;; I II: tJ{)
,
ADDRESS
...f3 tJ tJ
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJl-9tJS""
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
1'0 SEWER HOOKUP
'if PLUMBING FINAL
tJ MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
- ..
vMt1AIt~(A~ 0::-.
Sf"Ct-~ IM.I"+U at -C'voJ
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~K. 'cALL FOR REINSPECTION BEFORE COVERING
Inspector:. tJ....\ ()J.J.(I Owner/Contr:
CALL 447-9850 FOR TtiE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI