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Home My WebLink AboutBuilding Permit #00-0117 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT DATE RECEIVED FEB I 8 DIRECTIONS SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 2. SITE ADDRESS ~ / 670 () (u//(k!Sa y '('Jt<J tf:- <) e--- 3. LEGAL DESCRIPTION LOT <; BLOCK ~ PID Z S ADDITION (,AJ I I dJLJvc.~~ PO iI-d.. 4. OWNER (Name) L /=-- 2.0 , /-/-..,11 JtI/(/.J' It I 5. ARCHITECT' (Name) 1. DATE 2. ~ I b- 2a;o Jf-/5Q ?3~6Ifp-() (Address) (Tel. No.) 4470077 (Address) 6. BUILDER (Name) (Address) L ~ I-l ~W J() .P J() c.. () IIf) 5 T 1= h/fL (Tel. No.) (Tel. No.) Fireplace 0 Alterations 0 Septic 0 Addition 0 Deck 0 Finish Attic 0 44-7 t:JCJ77 Re-roofing 0 Porch 0 Re-siding 0 Finish Basement 0 7. TYPE OF WORK New Construction Y Chimney 0 Misc. 8. PROPERTY AREA OR ACRES Sq.Ft. 9. PROPERTY DIMENSIONS Width Depth 1 O. CULVERT SIZE Yes No 1. White 2. Pink 3. Yellow File City Applicant Permit No. /)f) .- OJ 17 BUILDING INFORMATION 11. SIZE OF STRUCTURE (Height) (Width) (Depth) 12. NO. OF STORIES 7- 13. TYPE OF CONSTRUCTION n;..PLU 14. FLOOR AREA APPORTIONMENT USE 15. NUMBER OF OCCUPANTS OR SEATS OCCUPANTS SEATS 16. ~JECT COSTNALUE 7(/?O~" ,~ 17. COMPLETION DATE G,- 2t:'00 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 ~ffi I c revokB f1 ~:,~use.:.!urthennore, I hereby agree that the city official or a designee may enler upon the property 10 perlann needed inspections. X , . '3C? 7f 2-1".-~~L . Signature License No. Date 1 FOR ADMINISTRATIVE USE SETBACKS: Required Actual Front Back Side BUILDING DEPARTMENT VALUATION Side USE OF BUILDING ~~o OFF STREET PARKING SPACES REO. SPACES ON PLAN PERMIT VALUATION J..So: 000 . OQ.J TYPE OF CONSTRUCTION: I II III IV V Occupancy Group A B E F HIM R S U Division 1 2 3 4 Permit Fee ................................... $-11 '"3~ ..~. cs- Plan Check Fee ............................. $ 7 3' .. 2.1 7'5 · a> City: State Surcharge ............................. $ Penalty ....................................... $ Plumbing Permit Fee ....................... $ 100.00 /00.06 35 · ~l} t.J() If D6 ~ ,;\ifl. Mechanical Permit Fee ..................... $ Sewer & Water Permit ...................... $ Thi By ur Building Permit \Ag1!nf.E~~""""'\ Date J . ~(...,..' Certificate of Occupancy Issued MATERIAL FILED WITH APPLICATION SOIL TESTS o ENERGY DATA o PILING LOGS 0 PERCOLATION TESTS 0 PLANS & SPECS 0 SURVEY 0 PLOT PLAN 0 SETS COPIES Amount Brought Forward .................. $ Park Support Fee ........................... $ SAC . .. . . . .. . . .. . .. . . . . . . . . . .. .. .. .. .. .. .. . .. $ 24 hour notice for all inspections 447-9850 Collective Street Fee ....................... $ Sewer Tap ................................... $ Pressure Reducer ...i................... ~ Meter Hom ................................... $ Water Meter................................. $ Sewer & Water Connection Fee ........... $ Water Tower Fee ........................... $ Water Tap ........................ ........... $ Builder's Deposit ............................ $ I ~ P'5t:l) .C!J!fiiJ Other Ji:esa .I>>~b............. $ , ~ .. ~ Total Due .............................. $~ ~. ~ Paid ~ 2 q~. ~(J? Receipt t>)OI 'If /I- Date j/,'-v/rv 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 s requested. This document when ~~ the C~ 'Ianner constitutes a temporary Certificate of Zoning comPliance" and al,'ow~ ~stru~~o cO~Tence. Blf~~e..~~n~ Certifica~~:,U=~~ ~~. ~. 3..8'~ <;....~ _V-lP-!.)\.." r~~ ~ iiY Planner Date - - . Special Conditions if any BF:n.oe U 00 ..C!f8 qr;; 00. / 2S'.~ -' 2 DO .. (!)C ?/!)O .CJ6 tI" Thr ('rntrr of thr L.kr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED L Y l / E. /' t, /~/ .. ij;"l/' '/i 1/(.......; \./ F / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~ /./ -,i (", / i \ / ,....... " ..'.._) c/ I~ " I r- ,..-. /..j '--' t::..- Accepted / Accepted With Corrections Denied Reviewed By: ~ ~~ Date::< -:E. ,a:::;> Comments: Z'-l1?l' Mtuc;t4tAM. I'dr~~ W;.J.U. IvI. tv~ JJ"M'~ 4- \{ ~ ~,-6).t-J '1D 6Yrla, Afis-&:J0e.P D(~~ ~~6ilJ- . ~ ~v\~t~~~~~:~ . ()O' ~ - prC-Se.rV~~.. /A<.\d)J iYee ~cr 1<S J/ !ICo-'f.~ev ~ ~ &- V~W ~~ pv&Ut-J1J JtAV~ - We(e.v'v~ ~ . 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. II White - Building Canary - Engineering Pink - Planning Thr Crntrr of thr Lib Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED L-,elCoV I-IBNlt/5N I z//~ /00 , I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1&700 WIND50~ LN S 6" Accepted'X ,/ -... Denied I Reviewed By: _ 2t~ Date: &-a-~ Comments: 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.1I ~. 00- 111 ... Thr Crntrr of thr t.kr Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~e/~{)V I-lt,/V/V8;J I . 2//9 Iou , / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /&700 vVINDSOK- LN .s 6: Accepted"; Accepted With Corrections / ",,_.. Denied r I / J (- { r Reviewed By: tJAlJr tk/t"H~r(M~rJN Date: 3J1!:JC \ / l__, I Comments: RC1AL..hNi.., lNA~S CA1oJNOI fiLL [.Ct) -+ Ff.-f.l i AJ H f j(.-;;..rr: .sE.~ \NfQa~A:rIQ'\J c.J -rwc', R~G~.J2S~ -SEE:. ATlAf;-(MCN"~: I.. ,C;AJAL €i1.AJ\E }!\J:iP~(~:r"'HJ INf.-:l(l.Ml4noAl '2" bO-Ab'tJG P~l\N 3. 5z0~\ON Co...ril1..~~ f\'\C;AsvaES '1-. &OSIO!\J {DiU'H<.ot.... RAN 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.1I ...t *Permit# 0 C) - h I / 7 *Job Address I ~ 1 (H) W = ~$W t h ~ *Heating Contractor METRO AIFJ *TesterslSignature BvU ~ Date Time Pounds Pressure . '\ *Gas Une Pressurized Inspected PERFORMANCE TEST *Percent CO2 b.39l> *Percent co o~ *Percent O2 '-.t. 1?6 *Stack Temp. ( I ~ 0 Final Inspection Date / r .'\ "- ~ ~I. · ~I r n,vn LAI\.t: '51 &~ ''F.; 16200 Eagle Creek A.v. S.E. Permr. N:l.(J7J - 0 ( )7 . ~ PriDr Lake, MN 5m2 \..~ HEATING APPLICATION I PERMIT J~I 5 - \ ~ - l$:) PIC # ~ (- ,1"2, ~ _ r'l h - () -;lte Address , \ \a l () t:> \.J: " ~ ( 6 ~ \. ~~ ~ Fe. Schedule D-~ ct 9lo::k. J.. Addkion . W I \ fA _, ~ 11.iY"\OM ,2rfJ. AOt1\l'n:i\!sIrial, Commeraal r. MlJIlj.Famiy (T) - \ \ \ M~sid-e.ntia1, Heating & At O'I>wne:'s Name. - - -\" '" (\ .>> ~c ~ ....r_.......1 u_ ~ 0"1 '\t ,..-' , ,. n!SJ,-,=, I~ ~a:ung nl" 2 cidress 5' \ \ S ,,~ \,\, ...... ~ ", 0... f,. \~ ~ ~lll., i'lesiclenial Gas Fireplace . \ ~ ~ \ ~- ~,~ \ \\ \ Resitiential. Adtirtlcns & AJte~tions . !1salms CcmIra211 . \, "" ,,.. -.... i'lesidentilll, M; 0nIv A:idreS$. \ \n '\ ~ t\ ~ L \ t Or.v.. ~ Y ~ v,~; LT"' \ 4.l{ I "ie~e:)hone t '-\ ,-", -r~ \::>."\ F~ Make & ).basl lMv r ~ tV"' M:ld., ~.~. _ ('VX 'i ... \ no CoM. Lead, ~O,., ~ FUIJ ~) <A+ Nue Sae SUiJPSy O?enin;s, \ '\ Return O?anin;s , ~ Input .\~ \\, ~ Output.<1 \. nlf\ \ ,S-S- ~ '-. H=ATr~, ~ " AilON~ .~=nl flR=n with number of 11I;J~!y and ~. openin;S &stea pel lOorn with erl<<'s-pe, opening. New stro.-'res or ~ send floor plan wiltsuppty and ratum k>>cdons shewn. H=.t3" LOSS CALCULAilONS. PAYMENT AND APPUCRlONS MAY BE MAu :r') 10 THE CrrY OF PRJOR LAKE. 16200 ;A.~I : CFI'='{ AVE. S.c. P;:UOR lAKE. MN ssm.. City HaD ~ hOUri 8ft e am... ~:30 p..m. other Devi::as ~ ALL WORK MUST BE INSPE~ I cD (ROUGH-IN AND FINAL). CAll CITY HALL . ~ ......a 0\ (JI (Q s,l ...l' \ 4(7oQ3D \ ''''---.../ \ -. TYPE OF WORK \./ 1 hereb, apply "'r II mechanical systems peTmlt and I acllnDwledge !bat Iba '. ~ . .intormation lIbcM Is CClrnpllle and BCI:IIIide;!hat lite_ill Will be In CDIIIannance . i'Ie~"'-"~anI_ New CansInleIion.. . . WIIh \he IIl'Ilirlam:u and llDdM of lb. clly .u wi\h Iht ~Ie bIIl1c1inghnec1w.lcod "-'- . . Est....- "no... . .' codes; IhaIlhis ~ does not became a penph until si~ "'-Ibe BUIlJ)IHG 11: - .......' .. -...... ^ " OFFlCw.;- "111111. work wII tIa in --"rdan.. """ the appl'Dnlf pbm in Iht ~~~~$~C\~~, -~permJfI."U(\- \\'") -_D1"'~"h.~ch~rwiewend~ofplana. . .'. . 00....-. . '..<<-_"'~ \:. N\.^ ~___\:"_\\'~~. . . ": <;_\~--:.tp HEA11NGPERMrrt=S. ~~~ ':-' \,~._ . . .' ~;:~~~~ $ ~~ . .' .' -~.. 1,r.~!5i,L0' ~~"j'~f~'~"','. u:i~~~~~ERMI1fF1=~ S. ~y R_pt.,. (8liI1iing~~', I u.... _ . ....~;.... ~- '. . - "" .... . ..... .;t' ,;. .~~ ;". -: : . ..' _ i,. ; '. -:, . :,: _..' . . _. _ ,,' :. ~ ' '" . :_' . _ ,.. ...... _ ~_ . :: . .::':. ,:.;_. :...... . _ .. _ _ . ~:::.. .... .:. ..:., . <;:~J,.lE.t,:~'",~ '''~''. ..... .'. ".'. ,_ ..,....'1:.......". '..- ...' ._"- _""- ....... _._.' '_ _'-';.: ,..""~...~.-.t;.;..~ _.~~I__...... 'o,"#. ~..~~., ~_ ~ ~ ",.. -..' ".-.; ..~.. -. ... "--'" - ~7"'C "'... : - .;.,..... ...... - ,- ',' - . .... , ""..., .. .'>' 'tr ",",0"_;;;"'" "-.;~~. .__ "_'_ _ .... . .. '. . ~'f'~".';f .: ":.: .~" :.\<~ ~-;;it~.....~..r,Q:b "'-,,::..\,...::;:..,,!. :;":' .- ; ..,.,. <.:.'S~ i~~ "=- ~~p:.."'''''':::;:~~'\,'::s.. tff~'i::;~\:.,."..U 0=,. .;.:: ~ " ~ . , -- . - .. - - ...... . . . ~,." . .. - .. :dr. , ll:: H c:r ctm.. o ll:: I- W E Altandbns .-."" ..:..,. rvPE OF STRUCTURE \. PiK . r& l. Gn= . en, 1. y~.. . r..,..- - Single Family X 1WO-ramUy . Mulfi.r:arrliiy _ _ . _ _ CDmmerc'al_ Industrial. ?u:ile . 0"J1~1 1~~ o~ job co~ (SS3.50 mrnrmum) Sgg..50 S54.50 S39.50 S39.50 ~9.so nemernbs to Idd the Stat! Surdlmge on the bDCbm of 1his ap;Jljcation. TYPE. OF SYST:N\A Warm /lJ'{ PlanIs. "" Gravity . Mlcr.ani.:at Air Conditioning . )( Vent.. SYSlam , tF..Ai1N~ OR POWER PlANT St&am. Hot Wat8J Rad"ration , Special Dev:- . The pri:e of ywr heating permit irduOes one rouptHn and OM final inspection. Ad:itiDnIJ inspections will be b1lled III ~: ,DO ea:h. <: HD:.:se HBating Test Re:::oTd must be S\t)rnittBd wtn .,,,ilrfmn nfl!rm~ m.ml'N-!! before bun~ in; :en;r~ Df o:::upan:y WIll be issued. GREEN - FILE YELLOW - APPLICANT GOLD - CITY CITY OF PRIOR LAKE SEWER AND WATER PERMIT s.w. No. ()().- / / 7 NOTE: Sewer and Water contractors must be registered with the city. """""'- \ I .- APPLI CANT: J t..C..~~LJ::~;~ L.. ADDRESS : ~ 0 ~Jt', . ~ 1:\ SIGNATURE: y {d"~ ~ SITE ADDRESS: ls>7D.o U)Il^_~8.Dv PHONE: 0JD 7 ~S~ DATE: L -L\- ~O BLDG. PERMIT # 00 - / / 7 ..-d L1~PID# 75-338 - o/h - 0 I. FILL IN THE BLANKS 1. Estimated length of water service 6-- () feet. 2. Size of water service inch(es) . 4 . Type of sewer pipe. Location of any couplings from structure ~ pvc ~ Cast Iron 6-D Estimated length of sewer line feet. 3 . ABS 5. feet. 6. Clean out (if required), located at structure. feet from ------------- ------------- --------------------------------------------------- --------------------------------------------------- This BY omes your permit when approved,./ I ../ DATE: 414f() 0 I I ----------- ------------------------------------------------------ ----------- ------------------------------------------------------ FEES: $ $ $ 35.00 .50 35.50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $t?~ plus $ .50 surcharge. * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance ~o insure that no duplicate sewer and water permits ~~~ ~ssued. ~ ::::1::1: ::~:T B:AID ifiP-. 16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245 An Equal Opportunity Employer f:)1x' 1,,1\, \ ' City of Prior Lake 16200 Eagle Creek Avenue P.L. Attn: Planning Dep8.llulent Re: 16700 Windsor Lane This letter will serve as verification that I have complied with the Tree Preservation Plan as outlined on our building permit #00-0117. ~~iflJ~~ LeRoy Hennen LJ Hennen Construction, Inc. 952.447.0077 PRI,OR LAKE . INSPECTION RECORD SITE ADDRESS JJ1JrJrJ W,'~t)T {~. NATURE OF WORK ~w ~ USE OF BUILDING ~F\J PERMIT NO. ()t) ~- () //7 CONTRACTOR Ke~~~~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT / 71. ~T ~OR FOOTING fdG {~ ~ ~ L8-~6t<> FOUNDATION (Prior to Backfill) \.\cJ i/q ftf) PLACE NO CONCRETE UNTIL AB~E HAS BEEN SIGNED ROUGH - INS \,N u ~ SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST DEPARTMENT OF BUILDING AND INSPECTION ! DATE ISSUED ~-2B-2oc>C) DATE ~ t;!4f1J I; \~ ~ 6/~,,/~ I :rJ;~!tf1J 17/2f/t:r6 ; ~~~J~J ~~~'v'oo BOVE ~~S~ BEEtf SIGNED COVER NO WORK UNTIL .riJI~' FINALS GRADING (Prior to Sodding) cf(} q. J 3 .. en, BUILDING'f,c..c>.~ \\"I,d Cflrr/Jol~ 1?J:h /6/#1?tJe ELECTRICAL Q'\) \~ PLUMBING \ -V" ~ 1() rP::J HEATING \kl Y cKJ DO NOT OCCUpy UNTIL ABOVE HA BEEN SIG~D NOTICE 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-obe plciced near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447-9850 ';u'i:,~''fr'; .,';')e~ ;.,"";'~\'<:'-;.\'< ~trtiftcau at (Ormpanry CITY OF PRIOR LAKE mepartment of .uilbing 3JnSptctton 'f:l.,.FinaJ. Permitted ~ConditionaJ. C.O. Expires. This Certificate issued pursuant 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 ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY _ Bldg. Permit No. 00-0111 Occupancy Type R3 Type Construction . VN Fire Zone N/A Zoning District .Rl SD Legal Description L8 , B2, WILDERNESS POND Owner of Building . Site Address 16100 WINDSOR LANE SE Contractor's Name & Address L J nr..l~ CONSTRUCTION ~ INC. ROBERT D. nO.LCHINS tr), City Planner JENNI TOVAR iOb10i; ! I ! Date: _ Date: _ POST IN A CONSPICUOUS PLACE DATE TIME SCHEDULED I{Y ,;/Lf- () 11-.; r UI/ A"JdSo y lj-/ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 1&700 OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION ~ 0 SEWER HOOKUP ~FINAL ~ 0 PLUMBING FINAL o SITE INSPECTION 0 MECH FINAL --- COMMENTS: Sv- I ~ f j /..-..Jl- ~ 0- II'! o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~ ~ ~ ~ Lr1^- ~ ~, Q)...J..... !'~ rr~ fJ-~,' II WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~s.. Inspector: I/f' Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTI CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: DATE TIME SCHEDULED Ll- to /~ 700 " WIVl~SO~ L,V\ CONTR. PERMIT NO. 00-(/7 o PLUMBING RI 0 EXIGRAD/FILLING o MECH RI 0 COMPLAINT o WATER HOOKUP 0 FIREPLACE RI o SEWER HOOKUP 0 FIREPLACE FINAL o PLUMBING FINAL 0 GASLlNE AIR TST o MECH FINAL 0 _Sod (r~('~ '-" j(WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: J.Il;(? I (- U" ((L, Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/ INSNOTl DATE TIME CITY OF PRIOR LAKE I I. INSPECTION NOTICE SCHEDULED U 'Z 110-{ ADDRESS J~7~ W~ ~ OWNER CONTR. PHONE NO. PERMIT NO. OO.Otll o FOOTING o FOUNDATION o FRAMING ,~D ~ I ULA TION p1=INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: (' ~~~~ ~ ,V ( .~ .. ~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! INSNOTl o FOOTING o FOU A TION o F ING o SULA TION FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL DATE -',h*, MI1/<br- LI1... Lffo/ II ~Jt~/J PERMIT NO. {l}--/l7 ~GRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS !/!l1fJ OWNER CONTR. PHONE NO. COMMENTS: ~YRdj 15 fJr (J <<.dt.bfJ.Y J(' IJK- 110 OJ ! .......- i'?7 ;7 I ' PECTION BEFORE COVERING ) CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTI