HomeMy WebLinkAboutBuilding Permit 03-1280
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
9. ~. OJ
L White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. a3 - /Z,~
(Please ~ or orint and si2ll at bottom)
ADDRESS
3()~ 7 ~7MfL J /VtM ~2-
ZONING (office use)
IZ/
LEGAL DESCRIPTION (office use only)
LOTUBLOCK 3 ADDITION lY-z.. WIUJSStt/1lf
PID ~Z:l3!' doS'rh
I
OWNER
(Name)
~J"L'i/I~N ~/S~. ~
(phone)
(Address)
kV\l.fl./l;e UA/51:: J:;JC-r (Phone) _rJ.)2-?fZ-Z7d~
(Contact Name) ((f)o/) JSIl..b\/AM (Phone)---u/Z- 7~7'7J39~
~(}../JOX / J/tf., LAK2i'1ti2( Mv. <:::>::> utt'! -
BUILDER
(Name)
(Address)
TYPE OF WORK
~ew Consb1Jction
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Misc.
;::s:Fireptace OAddition OAlteration OUtility Connection
PROJECTCOSTIVALUE (excluding land) S z:t~ tJdO
"
I hereby certify that I have furnished information on this application which is to the best of my knowledge blIe and correct. I also certify that I am the owner or
authorized agent for the above-mentioned r--r--.J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted 1 that th i1. ffiOO can revoke this permit for just cause. Furthermore, I hereby agree that the city Ojci1r a designee may
;ter the erty to pe 0 d ctions A't-ZS, 2()O t/t 'It' 3 - W() 3
Contractor's License No. ~l5Mc......- /
I Permit VaIuation I 2 70~(){)() "1-1 1 Park Support Fee # $ 8S"O f.A
I Permit Fee $ i ,t{4.r, 7~ 1 I SAC # $ 1).7~UY
~
I Plan Check Fee $ J' J-'4 174 I I Water Meter Size 5/8"QJ $ 5(10 ~
-
1 State Surcharge $ . /1.s, 00 1 I Pressure Reducer $ 7tJ <7.!' I
I Penalty $ I 1 City SAC and WAC # $ 1.2..00 ~ I
1 Plumbing Permit Fee $ I (X) u]) 1 I Water Tower Fee # $ 700 cp I
Mechanical Permit Fee $ tOO OJ! 1 Builder's Deposit $ I JS'OO OV 1
Sewer & Water Permit Fee $ JI.f:.O lather $ 1
Gas Fireplace Permit Fee $ '-to Q!! I TOTALDUE~ 1\.~1-.o3 . ~~5/5qqj
/1' _/
mes Your Building Permit When Approved I Paid qI/J _0/7 174ft7r I
q-I'I-O""1 Date ii 7A.O I I
Date
request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and. may proceed as requested. This document
er constitutes a t~....t"~'''''J Certificate of Zoning compliance and allows constmction to commence. Before occupancy, a Certificate of Occupancy must be
4-tJ."-(/) !L.d.. (fIr ;tJ/...'t -I- C,fIfl1ff4...J-~
. Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fox (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~\
c:Wb1'" - ""li~~
Canary - Engineering
Pink - Planning
Tht' ('pntt'f of Iht' I,... C.'ollnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~/ZG#;V8e U;N.J77t__
9. 2-.03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.:30& 7 !Jot! er1T 77Z;:1/ L--
Accepted
Accepted With Corrections
~
Denied
(Mjk
Ilr.j a It
Date: q -~1-ZY7
tldh:'s. .t- 1fMd.tJr) 1-5.
Reviewed By:
Comments:
"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 - en.aineering
(!'Ink - Plannil;~
Th~ ("rnIProf Ihl!' I.a"'" Countr)'
mHl-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/5/U/t//v6K:... {! u/v.rIlL-.
9. 2. (;3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:](;& 7 CCd e-r/T 77t;:/-l / '--
Accepted
Denied
Accepted With Corrections
~
Reviewed By:
Il1i tfl=-
f f
().. I r' II
,_.1___
Date: 4 -LL /1'7
Comments:
Y),,-J,.).. "
./- /-f"'A. J d_ 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."
.......
TIw (onllft' fIf lM .... C......,.
Whillt . Building
~ ......rv - "n!llnftn~
. tlIill' ' -.. UltIlIlIlY
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t~j'jZ6A//./6e e. C/NIi7L.
9.2,u3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:3(;& 7 ;.Jce C'-rlT 77/,H / L-
Accepted
Denied
x:
Accepted With Corrections
Reviewed By:
1YYt/\
Date:
9 -/.L:t1.~
Comments: See Reverse Side for Additianallriformationl
See Attal;hment'l' 1) Crrailing Plan, 2) Erosion C;ontrol Measures
"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 thd jurisdiction shall not be valid."
-
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
q'lease ~ or mint and sism at bottom)
ADDRESS
30tiJ '7 RlJl1cll-r -rj{JI9JL.. AltJ
i =w ~\~ I PERMIT NO'Og- n o-d
3. Gold Applicanl 1:;7-1) I _
ZONING (ollice use)
LEGAL DESCRIPTION (offioe use only)
LOTtRt, BLOCK 3' ADDITION -r}lE /LJJ LLJ,"S SnlfTf-I
OWNER r_
(Name) :B If .c JI) AJ.E.p, l4/IJSr;;e'>> C 7/0",) ..::r:-AJ c..
(Address) f?// BoX /.:?J.Lj MKeVU.LE
(Address) (City)
PID
(Phone) 951-;?1~-9';7~<J
6?)0'/~
(Zip Code)
APPLICANT __ /'
(Name) TI AJ J4 L "':.Rf/OF: :II1/c
(Address) J.-:? J!3I /JJJ9# A<; 5'#?~1
(Phone) 9:.~f}-2.-?~-/~/X)
:5/f/lKO.;?E.c'
(Address) (City) (Zip Code)
(Contact Person) JMM If fllr.j,J ILLl J1,IJJ 'f; (Phone) 96'J(- ,g-?~ - ~ao
APPLICANTSIGNATURE~;;-"'7/oL7;?;;-I/.L~DATE q/ / /) <______
/' ,. ...
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure - feet.
Type of sewer pipe. D ABC ~ PVC D Cast Iron
Estimated length of sewer line 06 feet.
Clean out (if required) located at - feet from structure_
FEE SCHEDULE
Residential sewer and water line connection $35_50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
.50 \~
~'viJ~
I Paid ~
I Dat?-,~'3; 3
$
$
$
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Receipt No.
Building Official
Date
~
24 hour notice for ail inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i ~ E,,,,,,I PERMIT NO. 3 -(.)-,9-6
q'!easc: !Y2" or Printllllll sian at bottoml
ADDRESS ZONING (office use)
3067 BOBCAT TRAIL
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
VWHJ:a\.
(Name BRRNNRR CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) A I I TFD FIRESIDE DBA FIRESIDE HEARTH & HOMR
(Phone)
651-633-2561
(Address)
11 OSEVILLE
(City)
(phone) _651-633-2561
(Contact Person)
2700 NORTHFAIRVIEW AVENUE
(Address)
BRENDA HUSTON
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
PID
55II3_
(Zip Code)
10/29/m
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWann Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEAT N OLD PIER-HVB
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
r---~'-;\-~[:'~--;'
1M., \1 ~ u", L
\\1I~t ate Z003
Dale \00 NOV 0'3
24 bnur noti.e for all inspections (952) 447-~50, fax (952) 447-4245
'-;y -----~==---
This Application Becomes Your Building Permit When Approved
Buildillti! Official
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
,;" PAID w.-.
"'l1!1""AiA"~' , ,.,
-d '9\1 Pa:iMIt
(: Receipt No.
IBY f'
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Ree'd
(flease ~ or Print and sim at bottom)
ADDRESS
~~7 ~..6~~ //.,?~/
/,,7~~
l ~ E- I PERMIT NO. .3- / d-?6 I
ZONING (ofIi<< use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
~:R 6~ A/UP/ ~A..,;' ~.
(Address)
(Phone)
APPLICANYl . / /.rh ./ /'
(Name). ri'///.::u-r / // d/ A ~./r-/ (phone) / d57-</..:1b?-C;;:??~
(Address)c-2~ ~4LLv--e- a. ~L?q~.L. .~d-:?
/::? (Address) ~) (Zip Code)
(ContaclPerson) /")/// //7(/; /' (phone) p~ /
APPLICANT SIGNATURE Ao//27/ //dr --a.- - DATE /~2<7~
---z.-. , ~
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMODEL ~~&>r3.f"')--~Rb&J/~tJ FUEL ~// r".....
FLUE SIZE /,J/t!-- RETURN OPENINGS 9' INPUT I~ f!J-N OUTPUT ~ Ii . a
TYPE OF SYSTEM HEATING OR POWER PLANT
~ Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical . 0 Radiation
~r Conditioning 0 Special Devices
nt. System 0 Other Devices
FIREPLACE KE AND MODEL
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach inti)
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % .of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & AfC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ Building Pennit #
HEATING PERMIT FEE $/-;;/ ~~ PAIDWITH
STATE SURCHARGE S$ ~/ .50 BUILDING PERMIT
TOTAL PERMIT FEE (,
(Office Use Only)
This Application Becomes Your Bllllding Permit When Approved l-CP8ldi~~\~ i
BuildlngOffieial nate'!!i.\.) ~~~V~O~ ~003 ~\~ By
W,L .
24 hour notice for all inspections (952) 44 ~~~~~447-4~~ J
Receipt No.
t!
le/2e/2ee3 eS:42
9528947972
LAKE SIDE PLUMBING
PAGE e 1
'.".
.," r ,',.,: ' ,,'
CITY OF PRI(lR'I...AKE PLUMBING PERMIT"
Date Rec:'d
.',
.1"
:: ~ ~~ ..' .\ PE~. T,N.. 0.". .J,tNI
,.y_....J""".,.~
l1'1e... "lP< or orint IIld .;a II boaoml
ADDRESS
606'7 &lJc,,-r ii..
.: ZONING (olfict...)
. LEGAL DESCRIPTION (o/Ii(e UJe 0JIIy)
LOT BLOCK
OWNER
(Name)
. (Address)
A........1UON
PID
IJ/?EMAJ~ C!oA.JifAe.
,,00 -rJ..k /,JP,,' (;;'I.t4w//e-'
~ ." " ',' .
(Phone) 95.1- H.:/- 77e. <('
~~_,.S'S'"1I~ ": .
. APPLICANT
(NllII'O' ~,,~'" .pt)~ ~~I?' ffHr.t:
(Add:eS!) /c2~~" 2/A./RAN ;'/i/t€
(Addms)
(Contact Person) c:! /.t,t!L
APPLICANTSIONATURE ~ ~
Quantity
. t!l -
/
/
-5
;-
/
,;z.
(5
(phOlle) 9$.1 - ,p~.y~ 7&00
c5AvH.c MJ.J S'S"J7P
(City) (Zip Code)
(Phone) _ 9 $,l- P'?cr'" ,;)':'&0
DATB' ./oh?/GL3
. .
APPLICANT PLEASE COMPLETE BELOW
I Type ofFlxtare
I Bath Tub with of without shower
I Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
LaundlY Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of FiJture
I
I
I
~l~
I
I
I
I
Quantity I
'? I Rou~b.ins
.. /' I water Heater
I I Water Softner
. / Stand Pipe (Washing Machine)
Sewage Bjector
Backt'low A3sembly
B8l:ltfIow Assembly Test
( Lawn Sprinkler ,
,I:;.::d;'~ <,:,{~:~"':,~::~~~~.r" .r,I:f~~'j\;Qthett.~."".\tr,~:~~~~~",~P"~7::!,,',~..r:
FEE s.....u.vULE .
Industrial. COITImcrcial & Multl-flltllly I". of job 00!t witl1 a $]9.50 minimum Residenti.l. New One &. Two.flUllily S99.S0
Residential, Additions &. illtcration, S39.s0
Estimated Cost S
Building Pennit #
PLUMBING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE $
PAID WITH
;:dLoING PERMIT
tom.. \J" 001,)
nls Application Becomea Your Balldlng Permit Wbe" Approved ~ fp~ [0 8 [C ~\ I Rec r No.
. IlMM 2 1 Z003 II I By ~
'.lIdIOC OMeIIl P,'e . '.-J_
2~ hOllr notice tor IIlln.peedo., (952) , ~}P850, In 1952\ "7~~ , (J' -
16200 E.CI. Cr..tA.... 8.E., Prlo t..u.., ...." ""../~.n14 .
PRIOR LAKE
,
INSP1ECTION RECORD
SITE ADDRESS ~h"-f 1",,'/
NATURE OF WORK fl.w ('....S ,,.tM,k....
USE OF BUILDING ~.
PERMIT NO. 03 ~ /Z~() DA~:UED
CONTRACTOR .&- tafW, ~st. . PHONE-".!. ~7'03'Y.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I rfl I 10'/
, FOUNDATION (Prior to Backfill) .f~-s ftJ/'5 <;4. /Z/ 1'- 3>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
rb ICJ -$
6JI'
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING /$ // -/ C
HEATING (if required) m
FIREPLACE ~
GAS LINE AIR TEST ,f;t?
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS .
It/D /pJ)
'---
,,~ /c-~~~__
---"'7 J
-,
GRADING (Prior to Sodding)
BUILDING 1'1 ~ ~ 1. -"'1
ELECTRICAL
PLUMBING"'~ Tr-f.,
HEATING
DO NOT OCCUPY
/
&f.r7
(",- t-'?
v .
f;J 4:d-:: ~ c../
,
,
UNTIL ABOVE HAS BEEN SIGNED
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 be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
Q1ntifitat~ of ~ttupant\!
CITY OF PRIOR LAKE
/ ~tpartmtltt of ~uilMug Jlusptdiou
~inal Pennitted 0 Conditional 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 comp'iance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the fallowing:
Use Classification
SINGLE FAMILY
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A
03-1280
Zoning District
R1
Legal Descriptio. _ L26, B3, THE WILDS SOUTH
Owner of Building
Site Address
3067 BOBCAT TRAIL
C__"____'sNarne&Addres!lRENNER CONST","! INC., POST OFFICE BOX I314,
_ ROBERT D. HUTCHINS WV \lL, City Planner DON RYE
Building ~Cial i'
Date: \ i' /i( '1 '^' \ Date:
1]:/ - ,/./ \j - POST IN CONSPICUOUS PLACE
LAKEVILLE 55044
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED
h-~~
PHONE NO.
3~7 U..r Tn.,"
CONTR. f3re,nn-tr ~.
PERMIT NO_ ~ ~ -11.<,{)
ADORESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.;s(..~ING
o COM1l[XiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
L.uh ~h~-/)f..
(..,rqd-, ~ flY
)lWORK SATISFACTORY, PROCEED
"D\cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. 4'1~.::;;;;. Owner/Contr.
--
CALL 447-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HElUTH & SAFETYI
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~f.r, J
rgA~ 12
v
OWNER
CONTR.
DATI! TIllE
IdS ~llJ 2:0'
PHONE NO.
PERMIT NO. D~ .-1..2.~
o FOOTING
o FOUNDATION
k"FRAMING
b'INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING ANAL
~ECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
XAREPLACE RI
;...a1'IREPLACE ANAL
)II. GASLIN"AIR TSTlI'I ~.
o .....:.. l't...-t' '--V
,,;(2
COMMENTS:
~ ~ , ~: ~ r~ ltt '
~ "r- 7&n<T, . ~.J...:...ka. oiF'u
;,Q., .J:e..(1 I~~J- In t{NJ l~JL~
i:o WORK SATISFACTORY, PROCEED
CORRE cTION AND PROCEED
o R CT RK, CALL FOR REINSPECTION BEFORE COVERING
'or:( Owner/Contr.
1L V -9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
rN$NOTl
-----
DATI! TIllE
CIlY OF PRIOR LAKE _, /
INSPECTION NOTICE SCHEDULED J. - f"l-r.zt
ADDRESS .~6(~n_i-- T\-".
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()~- I~
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
[J FINAL
[J SITE INSPECTION
[] PLUMBING RI
[] MECH RI
lJ WATER HOOKUP
fl JEWER HOOKUP
JlCPLUMBING FINAL
lJ MECH FINAL
lJ EltIGRADlFILUNG
[] COMPLAINT
lJ FIREPLACE RI
lJ FIREPLACE FINAL
lJ GASUNE AIR TST
lJ
COMMENTS:.
LW' (~hl ~J.oC:- ~
2, ~~0",- Q\"",,~ 6u.J--
'3.~{t. -~{/)~~\ ~iMA~~
lJ WORK SATISFACTORY, PROCEED
if CORRECT ACTION AND PROCEED
r d-CORRE{LT . LL FOR REINSPECTlON BEFORE COVERING
/
Inspector. OwnerlContr:
CA L 7 a~ THE NEXT INSPECTION :u HOURS IN ADVANCE,
C~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"""""'
\
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nME
SCHEDULED ;2. -?O-ot-( 10:'10
ADDRESS 3::l. c:;1. '1?..I..C'J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'3 - na'i
IJ FOOTING
IJ FOUNDATION
IJ FRAMING
IJ INSULATION
)("FIIU.L
IJ SITE INSPECTION
IJ PLUMBING RI
IJ MECH RI
IJ WATER HOOKUP
IJ SEWER HOOKUP
IJ PLUMBING FINAL
IJ MECH FINAL
IJ EltIGRADlFILUNG
IJ COMPLAINT
IJ FIREPLACE RI
IJ FIREPLACE FINAL
IJ GASLINE AIR TST
IJ
COMMENTS:
L-ll-~~. Mu. 2.c{ 'J ~ /''''1
'2, . ttt.....A..J.-:.... l' '-'--C'~' ~ C'...-ul.t ,-,{
''1. j:"{~ c;t~..L "lAJ;;,p' ~l?"p ~
q, 9l..aL~r... .".dJa.r ~~ o...J-.
5', SoJ d-- ~
~\,.f-f1.f:...,-
^
-1)l1.~~ llll.b.~ 1>
"-
~K SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
IJ CORR?!lR , ALL FOR REINSPECTION BEFORE COVERING
Inspecto OWner/Conlr:
CA '" ,--850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
CODE REQUIREMENTS ARE FOR YOUR PEIISONAL HEALTH & SAFETY/
IlUNOrl
DATE TlIIE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(p'')..?:oy
AI
ADDRESS..3.O..LlI "R~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?-/1.e()
[J FOOTING
o FOUNDATION
o FRAMING
o INSULATION
/! RNAL
o SITE INSPECTION
[J PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
[J EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE RNAL
o GASUNE AIR TST
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COMMENTS:
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)l5' WORK SATISFACTORY, PROCEED
/ [J CO~~~ ~ ACTION AND PROCEED
o CO'7c rT' RK, CALL FOR REINSPECTION BEFORE COVERING
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CALL {50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD UlREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETY!
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