HomeMy WebLinkAboutBldg Permit 01-1360
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT t l- q -I
~: ~i~~ ~:~ I PERMIT NO. Ol-/~/_O I
3. Yellow Applicant /~
ZONING (ofliceuse)
f:{l
LEGAL DESCR1.1:'uON (office use only) n
LOT 6 BLOCK 1../ ADDITION W 11.../)$ ~ n!
OWNER 1'1 \\
(Name) ~ ,,!. ~~
(Address)
PID ;)5- 3H'~'- III-Q
(phone)
-
BUILDER 1M r,7 - { \ , ~ ( ~ _ ? I
(Name) 1I\\~L1~T ~~r \..O~~ (phone) (,<;;))5">2..-/ '7
(Contact Name) /UJ J IE::-~ ~ ( (Phone) ~~
(Address) ::) ~ ~ ~ '1-~B' ~,-I 6f.<;; 1) :L61-l- i M N ~ 1J?
/
~ew Construction
( OL~wer Level Finish
TYPE OF WORK
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
OAlteration
PROJECfCOST/VALUE (excluding land) S ~) \9"'6 c)
o Fireplace
OAddition
OUtility Connection
mished information on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or
-mentjoned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
......, bWI.... ofIid;oJ = revok< ... pmni' .... i"" a~. Fm1b"""",,. I horeby ..... ...,... ~O~l '" · ""'- ...y
\.~ <S'1V1~ 10 ~I
ture Contractor's License No. D te
I Permit Valuation do'?foJ. ~.ch I Park Support Fee # $ ~~O.(Y)
I Permit Fee $ I, Q'1Q .3S-_ I SAC # $ ',' ,C;O . ex:
Plan Check Fee $ I, '2Ac'.S~ _ I Water Meter Size 5/8'~ $ ~.CJd
State Surcharge $ I 38 .c.>n _ I Pressure Reducer $ () ."C
I Penalty $ I Sewer/Water Connection Fee # $ '!~~'. sa
I Plumbing Permit Fee $ 100.o(:J I Water Tower Fee # $ 1ro.~D
I Mechanical Permit Fee $ 1r>0 . C)O I Builder's Deposit $ ( ! ,CitX) .QO
I Sewer & Water Permit Fee $ 3it::; . sr:::> lather $
I Gas Fireplace Permit Fee $ LLc .~O I TOTAL DUE tllUED tt.lJ.d I $ 'l.3C19. 43
fIzr- ur Building Permit When Approved I Paid (/,;:50/1. 4- ~ 7/ -fd'1'7d
I Date I
_'I-IS-- of /2--~
Building Offic~ Date
This is to certi1Y 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
~~ _~_O~\ ~.~~!~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Fram-BTRNSVILLE HEATING & Ale +g52-Sg4-D925 T-SI7 P.DI
CITY OF PRiUR LA~
ttJ!.,A TINGI AIR CONDITIONINGIFJREPLACE PERl\ttJ.l
F-S3D
Vllle K.IlC' U
t~ 5~ PERMITNOQj_/3CoO I
(Pla$c l'\?' or 1Klnt uacl pm at boaom)
ADDRESS ZONING (Ol'ftQl!lUC)
/535d:L
/pi lei /bl'"/<.Cr' 'I:.;;JI/~';'_
LEGAl. DESCRu ... .LON (olBa use olUy)
LOT
BLOCK
ADDITION
PIP
~=R fYJ,:He.lSltted+ f1t-1J~5
.
(AddreSS) dlf(9.IF C1la~ sJ:rW- ea.sJ-. t ""tf fyfaJe Ii rf:5
APPUCANT /"'1Z _ _. ./ ;.. I / t_~..j..J. - - / If}
(Namel r t::J(./T" S'y, (L. nt~ y.- ,L
(Address) /&;l't2L.-JZ.h~ Q 1<:"I6.nd t4.H:- S.
(A4dresS)
(Phone)
~S-/-~5a.--t11J
~.::J 01'1
(phone) 95,;2-97' y-tJt!JO S-
So~ ."j~ I p'
(~ (Zip Code)
APPLICANT SIGNATURE
Y/C~
. (phone)
DATE
/-1 S..O a....
(Contact Person)
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION U lt~i.A0j;MBNT 0 ALTERATIONS
FURNACE MAKE AND MODBL L""f\o,,:: r~Y/-r-"S- FUEL )I~. '(g '-
FLUE SIZE RETURN OPENINGS Q INPUT 7S; O~)n ou1'PUT
TYPE OF SYSTEM HEA'I1NG OR POWERPLAN'T
0Wann Air Plants
DOravity
o MeChanical
C21Air Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Cond.itioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FlREPLACE MAKE AND MODEL
Industrial. Commercial &. Multi-family
FEE SCHEDULE
1% of job cost Residential, aas Fireplace
539.50 minimum
$99.50 Residential, Additions llt. Alterations
$64.S0 Ilesidential. AC Only
$39,50
$39.50
$39.50
Residential, Heating &: p./C (New Construction)
Rtlli4ential, Heating Only (New Con$trUction)
Estimated Cost $ 9'~... 00
Building Permit N
f FAlO vr'-0~'_.::
$ 99.50 eun..O\NG Pt:-i,.~dT
$ .50~.
$./ bO. (/CJ
HEATING PERMIT FEE
STA TB SURCHARGE
",OTAL PERMIT FEE
(OMct u. Only)
Thill Application Becomes Your Building Permit Wben Approved
Paid ~
~5
Buildl.. omc;al
nate
14 hour l'Io.lC!e for all inllpcC!lionl (952) "7.'850, fall ('51) 447-42.5
12/17/01 MaN 12:32 FAX 6128902753
STOCKER EXCAVATING
1aI001
Date Rec:'d
CITY OF PRIOR LAKE
SEWER AND WATER PERMI I
~. ~..:'w ~ PERMIT NO. 01-1360
). Gold Appli_t
(Please me or print md $i1l'l at bQaom)
ADDRESS ZONING (olficlIusc)
15352 Wild Turkey Court
LEGAL DESCRIPTION (office: use only)
LOT 6 BLOCK 4 ADDmON
The 'Wilds Sou~h
PID
OWNER
(Name)
Mittelstaedt Brothers Construc~ion
(phone) 651/552-1771
(Address)
2425 96th Street East
(Addr1=s$)
Inve.r Grove He.i@:hts. MN ';';01.2-
(City) (Zip Code)
APPLICANT
(Name)_ !=:'t"n~1cA" F.Y"A"gT""'~
T."...
_...~. (Phone) Q5'/RQn_J.?/.1
(Address)
8247 W. 12$th St.. Savage, MN 55378
(Addms) . (City)
(Contact Person) Cur~ S~oc~ .... 0 /'-'l2;:_~hone)
APPI,ICANT SIGN'ATUR.E: . ~.~~ DATE
/\jt-. l
APPLICANT PLEASE COMPLETE BELOW
(%ip Code)
952/890-4241
lu..J.7JOl
Size of watcr service inches.
Location of any couplings fronl structure feet.
Type of sewer pipe. 0 ABC g PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) lo~ated at _ feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industl'ial, Com'l & Multi-family 1% of Job cost with a $39.50 minimum
$' 7.50 Water connection only $17.50
Estimated Cost $
Building Permit # .
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$
[~P~~~:~~M\T
~~~~/ --
..
(Office Use: Only)
This Application B~omes Your Building Permit When Approved
Paid
Receipt No.
Date
By
BuildinJl; ORicia)
lbtc
14 hour notice for all inspections (9SZ) 447-9850. fal <,52) 447-41145
1B:49 651 633 BBB4 FIRESIDE CORNER #0076 P.006/006
CJ. J. i OF PRIOR LAKE Date Rec'd
.tt.J1;A TINGI AIR CONDITIONING'r JAEPLACE PERMIT
~: ~ ~:~ I PERMIT NO. 0/- /3& 0
J, VIIII- AppII....1
(l'l.e.ue ~ or PM~ lJ1J.d mCl IU: bottom)
ADDRESS
IS.3S::l-
ZONING (oIIiee uce)
tW~ '/~
LEGAL DESCRJr. J. LON (C1ffia: U8~ only) ~
(?.r-
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
mrtlk.:u~ ~.
,
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 651...633-2561
(Address) 27QO N. FAl:RVl:EW AV~n~
(Addre$s)
(C P ) BRENDA HUSTON
on tact e~on
APPl..ICANTSIGNA~ ~A.A rJJ~
~TT T.~ Ml\7 I;Il; 11 ':I
(City) (Zip Code)
(phone) 651-633-2561
DATE. /- ~:l-:J-
_ APPLICANT PLEASE COMPLETE BELOW
QiSEw CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEJ.. FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER. PLANT
DWann Air Plflnt.s J S~cam
OGrav;ty ::J Ho~ WaIl!r
o Mechpnical , :J lUdiation
OAiT Condhioning J Special DevIces
OVc:nt System .~ Other Dnlcf:1l ~
FIREPLACE MAKE AND MODEL tl.t~ ~ ~~
PLEASE NOTE:
Air CDnditioner Units
Cannot Bn~h inlo
Required Side Yard
Setback,
_~CCD'f1L
Estimated C.,st $
FEE SCHEDULE
I % of jDb coet Residential, OIlS Fireplscc
$39.'0 minimum
599.'0 Rellidentilll, Additions.l: Alterations
$64.'1) Resldenual, AC Only
Building Penn. it # 01- / ~
$39.50
$39.50
$39.50
Indt,strieJ, Commercial & MJllti.ParnUy
Rc:sidentiaJ. HlZting & AIC (New Constntc;tlon.)
RClIidentiaJ. HllIJ.~lnl Only (New Constructl,,")
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
$
.50
(orne!: UK O"'y)
This ApplJcatJon BecomelJ Your BuiJdfns Permit When Approved Plid
Bun"nloman'
Dille
Date. 2 4 2002
Receipt NQ.
I By /fH
rJ - -
14 hour notice fqr nlllollpectfon. (9S2) 441-98SO, fu (9:5Z) 447....%45
Mar 04 02 04:28p Emil~ Ogorek
09/11/01 WED 15:48 FAX 8124474245
651-457-1381
CITY OF PRIOR LA~~
..1'--. !
L.lJ. i OF PRIOR LAKE PLUMBING PERMIT
Date Rcct.
,Pl_ g,pl! or .lIDr..... lip at balms)
ADDRESS
\5352 ~r\\A
I. II.. Jk I PERMIT N~
I. ~ 0, 1_1-::2/ /'\
t. y_... "",I~ ~
ZONlNG (oIIIaIUIC)
\ LL( ";t>~1 r .n\ , v+
\.".\ \ A .<;n\l-+\" p~S -'~t?-.-/IJ-()
~~.11dt~r:~~r:~ r~. (Phone) (i.n,')552'-l II i
~Address) .24-"'2:5 - ('lln-th ~-b:-l"e+ b1 ~ +- c
~~~~ ~~:~~-+ ft.l ~ ~~~fut; \) 't\-Sl -- \~~ I
(Address) ~q D~ - -, 3 d .'Stre.:e"+ 51 c;,+ -:Il"wer (~M~ ~.~ F;Firnln
(Address) (City) ~ (Zip Code)
(Co...d......) E:: lY\ i \ '1 Ou. 0 r ,::J< (PIu>ne) J lDS \'\% 1=.J.3KJ
APPLICANT SIGNATURE ~ ~ ~ --- _!'!~Tf!- _~"2l-:~1i2-t:-
LEGAL DBSCRIPTION (oJlice use 011I7)
LOT L> BLOCK l\- ADDITION
Qaaatity
\
\
\
U.
\
\
n
-~
APPLICANT PLEASE COMPLa. I.J!, DI!.LOW
\
Type of Finan
Ba,th Tub with or without shower
Dishwasher .
Floor Drain
Lavatqry (Bathl1'om Sink)
Laundry Tray (lOT 2 comparbnent sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Q.uatity
4-
\
n
. ,
I ~OrflxmR
.. kough-ins
Wider Healer
Wah:r Softner
Stand Pipc (Washing Machine)
Sewar Ejoctor
Bac1cflow Assembly
BackDow Assembly.Test
Lawn Sprinkler
Other
..I!.ES~D&DULE
IndUSlriDI. Commercial A Multi-family I % of job COIL with. 539.50 minimum Rcsidcntill, Nl:w One A Two-FmnUy 599.50
Itcsidmtial. AcIclirtons" AI..nons $39.S0
D
f)
o
o.
-D
Eftimaled Coat S
BuilcliDg Permit 11-
.50
PAID WITH
~UJL.DING PERMiT
l1leccipt No.
By__
'. .
PLUMBING PEaMlT FEE S
STATE SUR.CHARGE S
TOTAL PDMIT nE S
(omCI! lJIC O.lJ)
This Application Beeomel 'Your Bulldln& Pel"llllt Wile. Approved - Paid
..04111I 011'"_1
D...
J. ...., Itoti., 'or ....."-UOD. (952) 44'7-9150, rail (952) "7~28
Dale 3 ~ ~ . ;;2.
,......:.., . ...~.,,'
'......'\,
"~,~~,,,,l..
Thr Crnt.. of thr tokr Country
01- 13&0
White - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
r
NAME OF APPLICANT ~m!.tf<JJa.(d-r ~_ (r~
APPLICATION RECEIVED / I-q -I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/535 ) 1A)Ji!LQ ~__(J!+
u
Accepted
^
Accepted With Corrections
Denied
Reviewed By:
/IIf}J3
Date:
//-27-01
Comments: See Reverse Side for Additional Information!
F. o. r: /ilctlcf-l'(;11 LCt" bt... no h(~"l/ ~;"I
'/(,'f,S-
,1.~
:;;..
.~
~
~ee Attachments: 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."
The Cenler or Ihe Like Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
NAME OF APPLICANT .~~i-R~d-j- ~
APPLICATION RECEIVED / I-q - ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
153s'J. IAJJM ~@.f-
Accepted Accepted With Corrections;><-
Denied
Date: / / - /5 -of
Reviewed By:
Comments:
~J2~~ ~~aili
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."
"'i<'
The (Ornler of Ihr t.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\11--..
! ,.Jj, ,"';
/j. ,
,/./Il
/
-...J.- / ..." "f. .1t . -, .~
I 1 .,1,.; ......,..........
/ (-- - I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
- ). /"CI
_-7 J i/./,/
;::-, V "
/j ;> /L_r;-~,-" C
A)- ,
'''l/,' .'r.;....~ t
-f
Accepted ~
Accepted With Corrections
Denied - "1
Reviewed BY( ~..Jf~~~
Comments:
~KivI.uA_J. ;lL{ lt1.V~ Al~~ <:[hv
A~Bt-W .\2, ~1l ~~,
Date:
t 2/3 /(.91
,~M1 ~" ~ ~k '{O
~ ~7 ~~
"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."
.
P R I 0 R LA KE DEPARTMENT OF
," BUILDING AND INSPECTION
INSPECTION RECORD
Q~.
SITE ADDRESS J S35 a LJ i l&. ~)r~.p J I
NATURE OF WORK .JJ..p( ,) J
USE OF BUILDING ,~FD
PERMIT NO. (Jj- /3~O DATE ISSUED ,\ -\S - (!;)I
CONTRACTOR ",Ve\~]. 1?"~. PHONE~('2.-s, l.,...(77J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR \ DATE
FOOTING I l \J lW1! I ~I ~ 01 "
FOUNDATION (Prior to Backfill) I ~ ~ I~ I~ I 1S. Un ~. I~ 1",1'1 1&1 I
PLACE NO CONCRETE UNTIL ABOVEl HAS BEEN ~~
ROUGH - INS
SEWER I WATER I SEPTIC /J ~ W).(.oq
FRAMING ~..~ ~~\ .
INSULATION It-'\
ELECTRICAL
PLUMBING 1>o~
HEATING (if required) ~ \)~
&0' \.
FIREPLACE ~ ~ .\
A ~ \. I \
GAS U"NE AIR TEST , tulfIll " I bl~.
\ >
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
tVr~
I l
r\6~~ 1J\~ ,oa....
b 3llS 0"
OCCUPY UNTIL ABOVE HAS B EN SIGNEr
NOTICE
I'~\ 8-.<2>\ O{
I~~ ,L);)
f ~
.
} -J+..CA;l
\.\
GRADING (Prior to Sodding) ....
BUILDING (_0 on I(-~ {)J--. tv.)
ELECTRICAL
PLUMBING
HEATING
DO NOT
. I
!Jq-.J/ tJ 2-
'6 ~E) O~
This card must be posted near an electrical service cabinet prior to rough-in inspectic
and maintained until all inspections have been approved. On buildings and. additic
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
------- -=-
. ..... '~.'. "~"""-~~.__r);",'.',;\..,." _~..._..'-
~~.-. -:- - - - - ....:-. ~~-
t..... .'4P~I1Il!Ilit~~"'W ~.~. ...
',' .& '. ,....~..-,..~ .'~... ,......~. ,.... '::..:..'.'".~~.;";.,
'.' J)'."~~4~~~!'oI.'~[~ ..,. .'",,'"
~, _ 1 J I.'
t~. t .
( ~~ <<trtifuate
("- -,
r':~.
.
.',
of Iccupanry
ell f OF PRIOR LAKE
Jlepartment of _utlbing In'pettton
Iil Final Permitted 0 Conditional C. O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying thilt at the time of issuance this structure was in compliance with the various ordiMllces. of the
City of Prior 1AIce regulating building construction or use. For the following:
SINGLE FAMILY
Use Classification
01-1360
9ldg. Permit No.
N/A ..--'
Zoning District _
R1
R3
VN
Fire Zone
Occupency Type
Type Construction
Legal Description L6, B4, THE WILDS SOUTH
...-.....-,..."
SiteAddress 15352 WILD TURKEY COURT NE
96TH ST. E., INVER GROVE HTS., 55077
Owner of Building
MITTELSTAEDT, 2425
Contractor's Name A Address ,
rtp City Planner
DON RYE
ROBERT D. HUTCHINS
Building Ofticial
/ I - '6 - OL
Date:
POST IN A CONSPICUOUS PLACE
.J
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3/11/o v IJ :. 60
.
OWNER
1'5 :3 S-~ W,],p TwJ; U-,
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
EJ L -/3 " ()
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
~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
tM1lkW I-ttetec O~.
/wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'R _ VQJJI/ Owner/Contr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/iOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
J 5..3 '5 l-
vJdiJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Pr-'" FINAL
'0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
A.E PLUMBING FINAL
n ~ MECH FINAL
DATE TIME
3flsfo z,.
T lMk-
..J
It :0-0
~1"'(3foO
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
" 0 GASLlNE AIR TST
\' 0
COMMENTS: ~ (~ .
:r:~~\l ~d+ -bee. hLt FA..,QS St!>l)~ a.~
fDl)s.s~\.le. ~ toa& '1.a_id ()~ ~ DD&.td,
J, I
10'1 8101.0;;2.
~. ~ 'CtFfanle1 ~~
4~
~
0-. S;otlll..A. -rrl'~ re.r ~elOfVke.i-
,S:.sue.- irJMr- GO"
C:f.
~
E .-fO I'''' e er
-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: C. \)~ Owner/Contr:
CALL 447-9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
g ...23-oz-
I~)Z lIt!i' t4 T(/IK~t. r:r
CONTR. fJ1/I/.Jsfe1rdf", 8,.,)[.
PERMIT NO. ~ {- /..3C 0
SCHEDULED
ADDRESS
OWNER
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
~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
G,.,d 1" -" (!) t:....
GJlb !3Dr,- 0 l_
~RK SATISFACTORY, PROCEED
o 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!
/NSNOTl
'y;,~~:::.~:-; --;""':-1.~~;-,;:-:,,,;ti;~~~~;;~:,,;,~~~7~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
."_.,,~,:,,:...:Z.- :-~.;"., _..rit'.\>.:;f!j../W.1--..,. }'''-~i~.'~<;1:c;'''~~;,...-
DATE TIME
11- 5
ADDRESS
/ [; ~ 5) ~Ullc{ 1lJ/I(~,/ cl
OWNER
CONTR.
I '
PERMIT NO. (jl- I .) (. 0
PHONE 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 71N L
Sect 7 /n- ~
COMMENTS:
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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I;l WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ 11- t" 0 L Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!