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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 )I!!I:. ...."':r COMMENTS: rf;wJ ~::<"~L~ )l5' WORK SATISFACTORY, PROCEED / [J CO~~~ ~ ACTION AND PROCEED o CO'7c rT' RK, CALL FOR REINSPECTION BEFORE COVERING Inspedl r:& Owner/Contr. CALL {50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD UlREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETY! O<SNO"