HomeMy WebLinkAboutBuilding Permit 03-1289
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
9.2-. OJ
L White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 03 -JZ~q I
~lease'!vp~ or print and sian at bottom)
ADDRES3oS! $Ot$~LJ /d/d,e.t!/:::L
ZONING (office use)
It/
LEGAL DESCRIPTION (office use only)
LOT~OCK 3 ADDITION iW? WIUJ5 stJVTJI-
PID~ZsIJtf ~ 7r/:;
I ' /
OWNER L? . /"' _ r. ;-:- /:
(Name). LYL.~L.WV~1"1 ~C.~
(Address)
(phone)
~~~R &~ ~-r:::WCr
(Contact Name) "'1'7JyyJ Mtj.l'l..i.l"fJ<..
(Address) !rJ, /JcJx 131'1/ UKiv'tu.2-/ r11.A./.
TYPE OF WORK
o Misc.
~ew Construction
OLower Level Finish
ODeck
(Phone) _'?52~dZ.-Z7tJ~
(Phone) ~(2-7~7-lJ.:J 7C:.
7.50'1'1
OPorch
ORe-Siding
ORe-Roofing
~ireplace OAddition OAlteration OUtiliry Connection
PROJECfCOST/VALUE (exc1udingland) $ U~ !J()O
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 1 ulC aoo:;~'-nlentioned Pl".9Pfrty and that all construction will conform to all existing state and local laws and will proceed in accordance with
sub. plans. am aware th 11Eb'. g o~cia1 can revoke this permit for just cause. Furthermore, I hereby agree that tbe:]Jity flic" or a designee may
ent upon th perty to P ee spect1ons.
X . .~/5S. ZOO'lB''IrfJ ~ 'tJ3
-51 ture Contractor's License No. . ~ Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Pennit Fee
I Mechanical Permit Fee
1 Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Ii c:A2'1. AOO. dO I
$ 2.IJ .1:)"2. IS" I
$ /3;33',9dl.
$ IJ{LI, 5"0 j
$
$
$
$
$
lOt). tJ4
/00.1)0
35". so
~.tJO
This Application Becomes Y our B~ding Permit When Approved
~ ~.tP~ ~4'1;;:I
Building Official . , Dare
I
I
I
"70."0 I
1200. Do I
20{J. 6 (J I
151M. eJ C) I
I Other ,41 $ I
I TOTALDUE r~;Sl/J $ 9. 7/)/. as I
- ~ ,/~_I
I Paid ~'lO(~ V::) I ReceiptNo. t.-f~::; 1ft:>
I Date' cJ - J /..1-1"1 9 Bv (; ~
. -. (f
I Park Support Fee
I SAC
I Water Meter Size5/8ff.)
1 Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
$ ~c1r 00
$ /2-7S'.tJo
$ .~~o tJf!J
$
$
$
$
#
#
#
#
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
when signed by the City Planner constitutes a '--_.-r~-<-~ Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ingDi~ 9//0:10:1 ~ ~!!con~
24 hour notice for a111r., ,.~'. . ,(952) 447-9850, fax (9S2) 447-4245 .
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
White - Building
Canary - Engineering
~I.~~ ;"......'II:i..'IIII~
Th~ ('''nl... of lhpl.ab ('ounll')
B.UJLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L;: 1t!6 ;1/ IV' t:J< (! u ;.J..{ 172:... .
9. 2. (j3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:3 (j 5 c; t3 &0 {!./-7 T 712,)"'1 I L-
Accepted
Accepted With Corrections ...............
Denied
,
~ r~ Date: 'J//9h3
,
A-.~. ~ &_,_-!-~~_L
~ ..A.c..r~.. " (,....,. '"'k
J
~;p...
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."
Tb, ("""rof tb, 1..kfCounlry
CWhite - Buildin9::=>
Canary ;;engineering
Pink - Planning
6.UJLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/3/Ui;.l IV ee (!A)/J.[T72-.
9. 2. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3059 t3 O/J tV7I TJV7 / L-
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~~:tJr-J
L~ ~ ~...,.=......
. .'
~ .kAv -'(/ h ~ df h,.:I-
-b'!L t<J/~ ~ ~ ~.
g~ /1/-/ ~. Q~
Date:
'1 //9/<J ';l
Comments:
f
--'~
~ dAt>-::...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."
White . Bulltllna
-.{ RBF\' - Englneerln~
p(;jl( . . PIBnnlng
rfltC'tnltrnflhtl,IIltCoanlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;3/26 /tiN 61<. C,.OA/J TTZ-
o 2 O-;?
7. .-. .....J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,.3 () ,::;; 9 13 otJ (!-/17- TlZf't / '--
Accepted
Denied
')(
Accepted With Corrections
Reviewed By:
A*13
Date:
fj-ZJ '.0.3
Comments:.$ee Reverse Side fdr Additinnl'lllnfnrml'ltinnl
See Attacl1ments' 1 y GrlllliTlg Plan, 2) Erosion Control 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 the jurisdiction shall not be valid."
Date Rec'Q
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(?lease ~ or orint and sim at bottom)
ADDRESS
305"9 -:HtJAclh -r~/UL )J uJ
; ~;:, ~\~ I PERMIT NO. (J3-j :) 9'i
). Gold Applicant (7-u ~
ZONING (olliceuse)
LEGAL DESCRIPTION (office use only)
LOTM BLOCK 3 ADDITION/lifE WJL.05 5aJTH
PID
OWNER
(Name)
(Address)
B~ &/J/lJEJ2. C/2/fJc; 7P LlC, TI/)AJ ..nv G
jJl) Box /3/1 J../lKF:V/'-L&
(Address) . (City)
(Phone) .7.~ - ~ - '/ 7b~
:';S/YFI
(Zip Code)
A~UC~T _
(Name) P J lI}ft L (911 ~tJ1::. -r /lJe.
.
(Address) -L3J5" 41/'J.el9-s S74J~J SM)(f)/J.KFE 5537'7
(Address) . (City) (Zip Code)
(Contact Person) _VrJNAJ) 15 /!J.c k! ILLI /l/J15. ,(PhOne) 9'.~-,f1d3-/,tl/)D
,APPUCANTSIGNATURE ;7~~2L;t'/lJ~,Q4??/J DATE 9/ IIJ:<
/ '
(Phone)
95J1-,;?33-/51co
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cast Iron
Estimated length of sewer line 50 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 #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
Building Omcial
Dale
.J;J
IJ"AI
Paid 01 ,...
-Date to/frO .3
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 honr notice Cor all inspections (952) 447-9850, Cax (952) 447-4245
BY--
18/28/2883 88:42
9528947972
LAkE SIDE PLUMBING
PAGE 82
'1,1
'.~ ':"i~~:':':',;: /,<;,~~~~<,....",,;
Date Rec'd
'.. ...:';i~<.,~,i\,):JF'\' ....:,... ....
CITY OF PR10Rltfu PLUMBING l>>ERMIT.
\'<'J~~::~;~1'~::
.:.\' .,l.
.."" FlI"IPERMIT. 'NO.~
1. GoW CIIJ ' "=. _ .
3. V'""" AIPllM. .. , .: 'i>..). .
;. ZONING (afllct uat)
~~or1lrint1ll4""'1l,,-...1
ADDRBSS
&;59
&lJe If~ -Q.
.; .~
:"- .
LBGAL DBSCRu- UV1~ (omcellleOllly)
LOT BLOCK
OWNER
(Name1,
(Adchess)
ADDmON
PID
8Rc;W.J.€Ie ~"".:fA€.
~O 6')( /.py . c.",K€v~."(f!' J~i.J.
(pbone) .95.2 -~-7"?o <f
s.rQ~
APPLICANT
{Name' i:::;r~-e u()./" P(;{U
(Addre,,) /e:2r/~9 Z/A.I~A,u
(Address)
(Contad Pel1on) t::' 4,1!? L
APPLlCANTSIONA'I'UR.E ~ ~
Qllantity
01
/
/
,?
/
/
~
<~
'If Hr~
;fl/ ,c
(phone) 'TS"; - .?P.er- 7&00
~ r.9!Vi#6€ MiAJ S'~.J7P
(City) (Zip Code)
(phone) 9.1'"../.- P9e,?;- '?~&O
DATIl... /a/'/:f'/c::t3
"
APPUCANT l>LEASE COMPLETE BELOW..
I Type of FIxture Quaatlty I
Bath Tub with or without shower _ ~ Rougll-ins
I Dishwasher / I Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) /' I ~t8Dd Pipe (Washing Machine)
Laundry Tray (lor '2 compartment sink I Sewllf!e Ejector
Shower Stall I I Backtlow Assembly
E::~09et (Toilet) .' ,,'. ~.".\;'~"!i'ii,,;;.~f'~~; ..~t~;::::~E::::~~'I;"'''''~''
. Type o[ Fllltllre
I
I
I
I
\
FEES...u.uu...E.
lndul!rial. Commc",lal .. Multi-flmlly 1 % of job COol with & $39.~0 minimum Residential. New 0.. &: Two-PlIIlily $99.50
Resid""llal, Additions &: Allerotions $39.50
E$timated Cost S Building Permit II
:;,-L PAID WITH
PLUMBING PERMIT FEE $ <;< 9 __ nlNG PERM. IT
STATE SURCHARGE $ __-
TOTAL PERMIT FEE $ It? O~
(om..u.. 001)0) . . 1-:- rs (r'1lrs 0 m' iG I~I
This Application Bteomtl Your BulldlngPerllllt Wilen Approved' ~ L~ ffiII ~ . ~ -;U- . 1 .'~eCPI No.
. L'. ~'li" LUU - By
,.Ildl", OlBclal n... c .
:l4 hoar IlOtIce for IIIl1l1peetlo.. (lIS%) lia.,.a'~9. IN: {!l51)"''7~'.4~ a.
I'too Ea,le Creek Ave., S,E., Prior LIke, MN 55372-17\4
;
:!
i
!i
(l
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONINGIFIREPLACE PERMIT
Date Rec'd
Q?1ease ~ or mint and sUm. at bottom)
ADDRESS /f?
3~9 /?;)~//d_~ //a//
~7.y?~
l ~ E,,",,, I PERMIT NO. 3 - /;).f1 I
ZONING (oflic< use)
LEGAL DESCRlPTION (oflice use only)
LOT
BLOCK
AuUIUON
PID
-
OWNER L2'
(Name) ~/Y..-J.;(..,<!1/
(Add1'ess)
Cb/7S /.
(phone)
~;;~~A/~~ 4l~/'~/_",,~ (phone) ~-e'/~d-d77~
(AddresS*=-~~ .L/~~ k t'!.. /2,. 6AA~ . "'5'5 z..~ ?
~ (Address) ~) (Zip Code)
(Contact Person) /5/ /./ ~'i~ (phone) /' -5" ~ f
APPLICANT SIGNATURE~/ /0/.//,/../ ~t' DA;; /L2 ~7 ~ ~
. APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMA~;~ODEL t1S,.~]~A-t/~tAo /d-O FUELNa..I"'?'~
FLUE SIZE ;JJ/c...- RETr.JRNOPENINGS . /,/ INPUT /~ ~ OUTPUT // ~ tof-I-(j
TYPE OF SYSTEM
~imn Air Plants
OGravity
o Mechanical .
~ CoIlditioning
~l. System
FIREPLACE MAKE AND MODEL
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Cbnditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
FEE SCHEDULE
l%.ofjob 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 # .
V # / . =-, "AID WITH
HEATING PERMIT FEE $/~ ;, ~/ ~UjLDjNGPERMIT
STATE SURCHARGE $ ./ .50
TOTAL PERMIT FEE $ t'/
~ 'I "" le't--'
. ,.:,_" 'I -, '
I ~i!IIl '." '3 l.s u L~ L. l~. '.pt No.
IIJ)'-" I_
I ~i~\ NOV 0,3 2003 ~ tf
tJ
Date
(Omce Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850 [!~ (95:~ 447~245.___!
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date }.
i ~ ~ I PERMIT NO. "3 - {;;:J.-f0f
3. YeI10w AppUcant If
~easet!!,CormiDtandsimat'. ,'..,...
ADDRESS
3059 BOBCAT TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name BRENNER CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) ALl T"O ""'''.IDE DBA FIRESIDE HE" RTH,. \iOM"
(phone)
ti~1-ln3-2~til
(Address)
2700 NORTHFAIRVIEW AVENTTF
(Address)
ROSEVILLE
(City)
(phone) _651-633-256]
(Contact Person) .
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (0_ use)
PID
55113_
(Zip Code)
10/29/03
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 HEATING OR POWER PLANT
DWarm Air Plants D Steam
DGravity D Hot Water
D Mechanical D Radiation
DAir Conditioning D Special Devices
DVent. System D Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO PIER-HVB
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
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(omce u.. Only)
This Application Becomes Your Building Permit When Approved '~c;J, ~ IJ .llJ L!:
Bnildim<OOiclal Dat. JfJateNOV /I.UOQ:
24 hour notice for III inspections (952) 447J 850, fax (952) 447-4245
Sy ___"_'_...~_..
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
S" .A4/o~.
(.JII.OING";::' ,.,
r-r:"RMn-
J ReceiPt~o.
IBy ( I---
tl
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
.
INSP,ECTION RECORD
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING ~ ".. ~. .
PERMIT NO.. (J5-~~q __ [~&LE ISSgED
CONTRACTOR ~ ~. PHO · · lCltt
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW'-
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
(f/~
, FOUNDATION (Prior to Backfill) I I' b "t1t g
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
YI.'J
II;
~LJ ,,/- 1:1
OATE
, FOOTING
I 10-1
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING II!) I 1 - t?
HEATING (if required) ~!) 1
FIREPLACE it! /
GAS LINE AIR TEST :!.-. 1./;7 M //-/? ":::)
C.lO:~:~~ORK UNTIL ABOVE HAS BEEN SIGNED
I~ ~~rl/UIJ SAJ6 p(ZJ I
FINALS
IVlJ
Ad- #"
we.
/1 -1'<
GRADING (Prior to Sodding)
BUILDING ~ Ie, A~I &
ELECTRICAL "
PLUMBING
HEATING
DO NOT OCCUpy
ff~; ~
&. ~'L..
he?~ 7~
f/P
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
whera no service cabinet is avallabla, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
QIttfifitaf~ of ~ttUpantl!
CITY OF PRIOR LAKE
~tparfmtnf of ~uilMng JInsptdion
"ffioinal Permitted 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 compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
R3 VN
03-1289
Occupancy Type . Type Construction Fire Zone
Legal Description L25. B3. THE WILDS SOUTH
Bldg. Permit No.
N/A R1
_ Zoning District \' .
Owner of Building SiteAddress 3059 BOBCAT TRAIL
Conlractor'sName&AddressBRENNER CO~1'R.) INC.. POST OFFICE BOX 1314. LAKEVILLE 55044
ROBERT D. -HUTCHINS rT! / . City PIllnner DON RYE
Date: (0 -7.'7 !tj"ermCial V ,
Date:
CITY OF PRIOR LAKE
INSPECllON NOTICE
SCHEDULED
ADDRESS . 365"9 Bek:.c. .,
OWNER
CONlR.
PHONE NO.
PERMIT NO.
o FoollNG
o FOUNDA 110N
o FRAMING
o INSULATION
J34'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIllE
(,-g~'1
IYVIf'Ie.. H",.,D
~~ILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
K"/.,,,. LIP b 8tHI 11"t"- vJIA'L (,l'ffJ,,_
br.,tt- ,,11..--- - ib/J(j~
I'"
I
CUl'u,A C~
Jl(WORK SATISFACTORY, PROCEED
. 0 'cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector.~~'<i..: Owner/Contr.
~
CALL 447.9850 FOR THE NEXT INSPECll0N 2. HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HL4LTH & SAFETYI
DATE nile
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'-/(rtJ Y
AOORESS 3c6f ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
>- /?g?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
C SITE INSPECTION
o PLUMBING RI
C MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
C MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS: "-
.I. ~ ~'f:: C~~ .
2-. (\...g~ ,for M TT) CN1-Cff> 9~
~, ~ Cler~ ~J.- c:~ ./.......
if, >u (l,.~L W~~ c;l''$''~L-
~, ru.~I..lI -I-~, -.... ~.L.J.r--^
o WORK SATISFACTORY, PROCEED
PRRECT ACTION AND PROCEED
o CORREC~ \, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 1\.. slFOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMENTS Al/E FOR YOUR PERSONAL HE..cLTH & SAFETYI
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
2.-za.ot/
ADDRESS "30(,,'1 '5:, IocJ
PHONE NO,
OWNER CONTR.
PERMIT NO,
"";?- 1?87
tJ FOOTING
tJ FOUNDATION
tJ FRAMING
tJ INSULATION
p1:JNAL
tJ SITE INSPECTION
tJ PLUMBING RI
tJ MECH RI
tJ WATER HOOKUP
tJ SEWER HOOKUP
tJ PLUMBING FINAL
.)'I"1oIECH FINAL
tJ EXIGRADlFILUNG
tJ COMPLAINT
tJ FIREPLACE RI
tJ FIRI!PLACE FINAL
tJ GASUNE AIR TST
tJ
COMMENTS:
I. 1I.-..rJ~tlJ~~. _ UJ-i1J-f Il'1.ct-.Z<{
2. I<<ui~ l..-./-O.... ~
.:Lftv-wl ~ < \\o,.~
~. ~~ .L-"i.... ,~..( IZ.V'
r I .f.o
6f
l),S~...,c.lu.J.- ~
4f blOt). 1.'4
..
1/-(-0'1
,
P...-w,. n...,. "BI....'-'^.
tJ WORK SATISFACTORY. PROCEED
tJ CORRECT ACTION AND PROCEED
Ji CORRE7JALL FOR REINSPECTION BEFORl! COVERING
Inspecto : Owner/Contr.
CA _ .~ FOR THE NEXT INSPECTION :u HOURS IN ADVANCE.
" /'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" &otFETYI
""""'"
DATE nIlE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
{,.-,22-oV
ADDRESS 30 !;:""C{ "R..~'" "T,..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"! - I~'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
kl"FINAL
/0 SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFIWNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o G.\SUNE AIR TST
^ "J,.\,
COMMENTS:
^ ~ ()
/ }~ }~ t..A-fA t> ~ fT ~......,U
/. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector.
ONner/Contr.
CALL "7-9850 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
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