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HomeMy WebLinkAboutBuilding Permit 03-1348 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d 9JO.03 I. White File 2. Pink City 3. Yellow Applicant I PERMIT NO. 03 -134-~ I (Please ~ or orint and siRo. at bottom) ADDRESS 2"'''0 Bo~ ~7 lA-it. I ZO~~(Officeuse) I LEGAL DESCRIPTION (office use only) LOT 12. BLOCK ( ADDITION " (.v,I.-I?> 'Xl"rN PID zS.3tJZ.. 0/2.,.. 0 OWNER (Name) }jLt-kloC{CL c"....."t~.... 1::...~ (Phone) Q:n-J'24"I"J' / 91- (1. 1111 (Address) 11\)~l/o U\~I,& BillLDER t'. (Name) ~ (Contact Name) (Address) ~.'L s...;t.... -\;},...,("'" (Phone) (Phone) TYPE OF WORK ./ A'" New Construction DLower Level Finish ODed OPorch ORe.Roofing ORe-Siding o Fireplace OAddition DAlteration Dutility Connection o Misc. PROJECT COST IV ALUE (excluding land) $ ?-1.1 JOao .- 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the r...r"'J to perform needed inspections. X /UIJI.t - -. Cf,ujFP- ~-r-03 '/l'Kl/ ' Signature Contractor's License No. Date I Permit Valuation ~.;z"1.()0t),t)(J I I Park Support Fee # $ !!J5a,oo I Permit Fee $ 1~'~.3S I SAC # $ rz... 75.00 I Plan Check Fee $ 12. 3/.Qg. I Water Meter Size 5/8't8 $ 300, Dra I State Surcharge $ / 30. 5"0 1 I Pressure Reducer $ 7a.0-G I Penalty $ ~ I I City SAC and WAC # $ .1"200.DQ I Plumbing Permit Fee $ /00,00 I I Water Tower Fee # $ JOll , 01() I Mechanical Permit Fee $ I 0 I'l. () tJ I I Builder's Deposit $ ("560. Do I I Sewer & Water Permit Fee $ ~'5.S0 I I Other J:7 42f1.~~ I Gas Fireplace Permit Fee $ O,ao I I TOTAL DUE ~~ 10,(,.0]' This Application Becomes Your Building Permit When Approved I Paid cr. "U J.J I Receillt~o. ~(''Y.I I ~ r /41/!r0 '] I Date //J/YiJj Bv, r~ I gedJ f.. tI Building Official , Date /' This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee~ requested. This document ~hen signed by the City Planner constil1jles a temporary Certificate of Zoning compliance and aJl~~ction to commence. Before occupancy, a ~,~f Occupancy must he ~~ 9.a.d2~ /66-;10 3 a.J.,/ -,A / ~ 11-~' Planning Director I - Date Special Conditiortlif any 24 bour notice (or all inspections (952) 447.9liso, (ax (952) 447-4245 16200 Eagle Creek Aveoue Prior Lake, MN 55372 .-- White - Building Canar:y - Engineering ~k - I'lannlntr;:::. ThO' ('..nlt'r of Ih.. L.k.. ("ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / JcD<:.LJk.-oot:::..6 {!.,O lv577C . C;.!O. 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2 gq iJ g ()tJ (!fi I Jk,rI! L Accepted Denied Accepted With Corrections ,....-/ Reviewed By: ~ ;(~~A , ~N Date: /.o,h~..:r a..d ~~.) 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." ~~ ~hlte . Buildfiib {.;anary . I:.IIYIlIt=d11 ,l:. Pink . Planning Tht' ('..of.., of Ih..I..kt' <.'OUnll")' BUILDING PERMIT APPLlCATION DI;fARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED f)bt:K-f)etJOu" ('JON..s I K..... C;.IO.03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2~q[) g()l3M'/ lUlL Accepted Denied Accepted With Corrections ~ Reviewed By: Comments: ~~ /~aP , Date: /0/"\/.1 '3 A/~~. "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," Tht Ctnl~r of lht 1.lllt ('O'aIUI')' ~_ _ D:ullrllnll ' J'"' - .Envlneerl"b Pink - Plllnnlng BUILDING PERMIT APPLICATION OEfARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ ' C---J(' l)ev<ol:::,-l)O~ CDN-..J / ~. C/.I (). 03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 2 gq iJ JJ {JI3 (f/t'j 7J::!-A I L Accepted )( Accepted With Corrections Denied Reviewed By: IYJJ-f) Date: J()-J -0 3 Comments: Rp.p. Rp.v",riOt'" Rirfe for Additionallnformationl See Attachment'l' I) nrllcling PIlIn, 2) Erosion r.ontrol M..lISllrpC! "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'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT 10.14--.03 q'lease ~ or orint and sil!Il at bottom) ADDRESS ; =w ~\~ I PERMIT NO'03- I~ I 3. Gold Applicant '-"""'l U 2B90 pO/!.'MT 77U11 L-- ZONING (o_use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) (Address) (City) (Zip Code) . APPLICANT (Name) (2..,'11 r 0(>:,:(\ (Address).s:.~ ~9 ~I,,/,: r ..'~~ uQf (Address) (Contact Person) Lr'^l.p (^f.J.n;^ -, 1\" APPLICANT SIGNATURE (3., Ul, (.1'\/1......... (Phone) -=I S- d, - 47;) . ~ ~ ~ IV1 1'\, 1Q.. "'" ,<:;~ ::? t. 0_ (City) . - (Zip Code) (Phone) t.. l:t- ?'--I (), 1-.;1'Af'\ DATE ib - i4 -O~ APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any couplings from structure Type of sewer pipe. 0 ABC 0 PVC Estimated length of sewer line feet. Clean out (if required) located at feet from structure. feet. o Cast Iron FEE SCHEDULE Residential sewer and waler line connection $35.50 Industrial, Com'l & Multi-family 1% of job cosl with a $39.50 minimum Sewer connection only $17.50 Water connection only ^:1~5/03 - ~ .tZ.J Estimated Cost $ Building Permit # u.J ff V 1 SEWER AND WATER PERMIT FEE $ _ ptr10 ",. STATE SURCHARGE $ ------ .50 6' r;n-- TOTAL PERMIT FEE $ ..~ V ... (Office Use Only) This Application Becomes Your Building Permit When Approved Building Official Date I~ I D,a5 ,14- ,03 . Re'rIli) By .{4.J# !~ 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 . I r \ ~' -. ~ ' \... i; , f . \~::: . ,_L-..:.; '.1; '.,~' '~ (~I'-~' ro.- ('''fO- l "- ['~ ..! (I): ~..........:-, ..:..,='....L PlL:-.fai:::'-"C pc:?_" 1 1. G.., ""~ ~t:::w, ~~ r? / j / 1/'IJ,tL- AJi-.-'tJS Afr;!.f~tV/ t. I j I " IJ I )., 11 iV<t~ !./fA,N 1,/ '1// ~/l(1 ~ ',' /J; /..f 1/' / ;.~~ 6'~:/ ti ,/ ..Vt:I/LOfI ll;/~ n . . q, iitH:::;j ("du;F~ ,-:;t~;( J~~t' ... "'1' i( ,/ 'AfTUCAPf ~lS!tJ^1CJtl.J:.- I' .,14 f .(" Ii.. Wi .I./'/~___ A??UCANT PLEASE COMPLETE BEU)I,"{ -- I P~11 ~ I R.:c::pc ~o. _ b ~--'- . 10: I Bv ' .'. Oor< III"~ NOV 2 6.~~03 ,I . __'~ :... h"l,lr' lIuci~ CUr" :1(1 itUp~';I.qn.s l':':) +L~"''':I.!~~(i:~~:)-:) .u~ ~~.~ :J' ~.~~... "'~::"r ":'.-:-:: ''';:.~ ::::: l~ "~'r:'.-;~: fWD f{f!s::,'., ,ag'lO )~':~i(Jlxl ...- 07/' . Ul'5Ar...ocsc@'.1rrzat<;l,,,~::,,, ,":/) , ! c..or .ac-c7a.. ~t:;mdtJ l.~ lJ:'::: c: r,. \.,.t,l / / 1.VP< flf F"i.-:t'u.rc I aJ.:~ 'l"!.IiJ I.\o'lc:1lJr WIC:IO:,H .i:1I..:'\.lit::' J OISh.W:Sl't~::- I ~i~fU Or:'tu I L':'/=l,ccr...r;:::lC'!:"Cl,r:-: :)1r:XI i L.:1un..:::... Tn:. t ! or : 1,:::rr:C:..:r::::::~lt ;/l'~;~ I $i'cwe~ Sr;:LI I SirtlW I 8ar Smk I W:1C"~ Clo:l"~ l T ".Iet) .3 I ' , , i--' ,--" i___.~' " HE. :i CI:iE.D r.; L.E: [r.cu:....~;t~ C"r::t::-:c::-;:...:.I Jc ~""Culci..f:r.tj{:, I~" ofjQO Q$\ 'Mia .1 3'~9.JO l!tinim~ E.:;ci~at=:.! C\1:1t S PWMBl'NG PER......lIT FEE S STATESURCH.~GE .s TtJT..u. p~~rrr iD: S (('mCl:l~:lC'OI'tI1" ( To" App(j""dalt B.,oollllOl Y.u~ Builclia: l'ol1lli. WIlell Approved ! 1..i'4'n( Qrnd:ll .- ':~:;.;'. . .,.<.''';.' JNIOJ8Nlawn1d^311~~ ".:"" ..~. .. ;., .. . .: ii:t;~~~~;~ e0:0> ~00e->e-~ON 90/i::0'd all.... ,.,~ :. :~...., ,-," j '/'..,.,... ,'>1I'.....- , PeRMIT J1?~ lJ'i: 'ZaJ)@?-: -- - ?!~ - -- tJltJVJ~ t1h4fJ~ ?'.:>;t-r/If.J . ,)'/r) / "M~. ~jt ... L~C~ 9~;?~ y~'; . ).)[ 9 ,e 11//1. ) / /:..:? '-'f/ /IU / ,,. i ,....- ~. / '} he' ,} ")' ,,, . ,,~_.../,<:o',. /.P!Millej fJA-rtF QfI::ItClC'"f '1'" .. I TV17~ r'.Ir" Fj:::~r:: i R..lu:;~.,"S i w'::.t~:' ~=:.ce:" I \V:1"" :iur'::le~ I :5.:.:r.c P:r.~ (\.V:.:;::'lr:~ ~1;~C:lli'l=1 i :i<".V~~~ Ej~~:Jr . . I 80lcJc;rlcw ~..::;oly I e:1c!ctlcw "'.uemcl., T a: I L;rwn S~"itkle~ . I Ol:l1~~ - -- I ----- .- - R~tbI. NC"N One: ..l T""o..F:ntiJ~ 579.':0 R..::ri~=t::Il. A~~:=c"$ ..k .~~..::ar.s S:j9.jC S~ii~i::; ?::=It;J .50 PAID WITH. BUILDING PERMIT Jj~ ""''''~r:SO''\''' CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGlFlREPLACE PERMIT Date Rec'd i.~ F:'i~' I PERMIT NO. 3-{3l/g (Please 'tYP:. or Print and sign 3.t boaDm) I ADDRESS ~O Go'ocoJ- T~ I ZONrnG (ol!lce"'.) LEGAL DESCRIPTION (office we ooly) LOT BLOCK ADDmON PID OWNER . a... q (Name) l\O(>TI._IJ.:r.ND-1o? (Phone) Sd -~-TI II (Address) I a?i--lC"'l \)-.:~ 0...... :!! I os- _ F'~ RA~ mn :::>;:;~:'5L/t./ -('),. , APPLIC,e.NI: \ _ r: .' . -, (Name:O.u.:l:tml,\"F_'-'" ""{'\ru)...?? ~ + F......\.U::'o,C~ (Phone) 'llc3-3IS'1500 (Address)CAIO l...JucYr\' nn CL --1', D. 0-./Ln.1t~\.."", r:b.1..k rhn S"::,l./YS , ': Cf'ddrcss) - 0 . (City) - (Zip Code) (Contact Person) k' .:io::....IJ (Phone) r"Jlc3-315-75/lP APPLICANT SIGNATURE _1/ ~ J/ ~ 7l./{...L.l!-.1 ~(.J?11 '~..?".,a,~ DATE APPLICANT PLEASE COMPLETE BELOW ~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL P;UEt FLUE SIZE RETURN OPENINGS INPUT OUiPUT TYPE OF SYSTEM HEATING OR POWER PLAm OWarm Air Plants 0 Stearn OGravity 0 HOl Water o Mechanical 0 \ladilllon OAlr Conditioning 0 Special Devic.. OVcnt System OOthcrOcviccs PLEASE NOTE: Air Conditionct Units Cannot Encroa.1? into Required Side Yard Setbac\cs FIREPLACE MAKE AND MODEt rrvc ~ .e.o:t:::..;c....QV.:<l "O}?:- ~____-,_ FEE SCHEDULE 10/. of job cost Residential, Gu Pir=p1ace S39.50 minimum S99.50 Residential. Additions &. Altmtions 564.50 Residential. AC Only Industrial. Commercial &0 Multi-Family S39.50 Residendal. Hooting &. AlC (New ConSINcdon) Residenlial, Heo.ting Only (New Construction) S39.50 539.50 Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE s s s .50 nuHdintt omdal ____- f'A't)_W~....,r PJill, ',\..mN~ ,c I 'RecClpt No. L'~"'LJ~jL'::l~ . Date III By (i Dare DEe: Il 2003 ~ I (() 24 hour no.iee ror III i.,,,eclion.(9S1.) 4~.98S0. fit (952) 4474245 , , (omCe Use Only) This Application Becomes YOllr BulldiDg Permit When Approved ~oolil X::rI<IIlL:I ~~ ~UVftO.tnV ~OLostC~t9 XVd cs:tt CO/tO/~t CITY OF PRIOR LAKE HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd C?lease,!Vpe or Drint and sUm at bottom) ADDRESS ')'iSCfO '&tv,.-f 'vn:,dJ~rrov I aJu i ~ ~:~ I PERMIT NO. /) 3- I~ I iii 3. Yellow Applicant v....JL1 q ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNE~. . (Name)JL/"f',rbVj)o\(e Ccro:"1t-nU.1:ULD (Phone)q:,:>-~..)q-llll (Address) IDc:S4o VI 'tm?J.flLi ve_n.Suj-lt / fE eJp f) fJt7J.Jrir ~ APPLIC~ I I J 1_' , I (Name) Jl..DYf HtlJ-:17"9 pA/(l,J.:I/Jr. (Phone)]Jo2,-47/)-j'dlf7 (Address) 30/1)). QarcJ,Ui(;lt) LfLnp P/#YY)(J(Lt11 S'S@ (Address) (CIty) (ZIp Code) I-hL(!tJVc')Li (Phoner11P~-t/73- dA1.r1 ~~AP~/~~ D~E /~4~~ ~ptkANT PLEASE COMPLETE BELOW ~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS . FURNACE MAKE AND MODEL (ILLYI' if' X, ,,^-VPlOO FUEL ~ FLUE SIZE }.II RETURN OPENINGS INPUT ~rt)() OUTPUT 9~pDO TYPE OF SYSTEM HEATING OR POWER PLANT .QdWarm Air Plants 0 Steam DGravity 0 Hot Water o Mechanical 0 Radiation DAir Conditioning 0 Special Devices DVent. System 0 Other Devices (Contact Person) <.. fit V ~ APPLICANT SIGNATURE PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL 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 )$39.50 Estimated Cost $ '8lo00'!!2- Building Permit # Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construclion) HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ qq5D $,50 s--.Jm. i:)"') Building Omeial Date I Paid I Date \,~ -C,V1-, bt (V'~ ~ v . Receipt No. (omc. u.. Only) This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 By c:c- \ PRIOR LAKE INSPECTION RECORD SITE ADDRESS 2.2>'0 ~~,- NATURE OF WORK ~f:t-.) J.) USE OF BUILDING ~~~". PERMIT NO. O? - 1348 DATE ISSUED ~'J CONTRACTOR ~r, PHON~-e2' ....,." ( NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ~_._~ DEPARTMENT OF BUILDING AND INSPECTION DATE . SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST .::r=-6" f#. n ......~ ~ , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED . ""I 'l.J.THe /C<<'17J~~ I/Z' -~,(/ I , FINALS GRADING (Prior to Sodding} N R1r!/1b-./'i. 01 BUILDING"'l.P4 ~. '8- J" Oil J ELECTRICAL tI I v PLUMBING HEATING DO NOT t-7.8 t?~ ff'1 OCCUpy UNTIL ABdvt NOTICE 2-2-oY HAS BEEN SIGNED This card must be posted near an electrical service cabinet priDr to rough-in inspections and maintained until all inspectiDns have been apprDved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 QJ;trtifltat~ of (ti}ttupanq! CITY OF PRIOR LAKE ~tpartllttut Df 'lOuilbiug JfusptdiDU ~inal Permitted D Conditional C.O. Expires _ This Certificate issued pursuant to ,he 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._ 03-1348 Occupancy 'JYpe R3 Type Construction VN Fire Zone N/A _ Zoning District R1 Legal Description L12, B1, THE WILDS SOUTH Owner of Building /: SiteAddress 2890 BOBCAT TRAIL C~""__"SName&AddressDEERBROOKE~STRUCTION. INC. 10340 VIKING DR. SUITE 1Q5 - ,. // '-, ROBERT D. HUTCHINS 1/// / _ City Planner_ DON RYE EDEN PRAIRIE 55344 7 Buildin~ Official V r Date: f (" _11 - L) i I Date: , DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 6-1'I-CY ADDRESS 2Jl'D 8o~ I- T> I OWNER CONTR. __}),..4//yotJtf,. PHONE NO. PERMIT NO. (")~.; o FOOTING o FOUNDATION o FRAMING o INSULATION peCEwAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~ING .0 C01lll[AlNT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: ~L. - e>At' C. v/ b &:,X -~r XWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector:~.' I Owner/Contr. -- CALL 447-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE. CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HlULTH <I SAFETYI INSNOn CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ???'fT> 1?:I /lr ~ 0 ~.~ . OWNER CONTR. PHONE NO. PERMIT NO. [] FOOTING [] FOUNDATION [] FRAMING [] INSULATION ~FINAL [] SITE INSPECTION [] PLUMBING RI [] MECH RI [] WATER HOOKUP [] SEWER HOOKUP [] PLUMBING FINAL [] MECH FINAL COMMENTS: DATE . nilE f.. . 2:i .0'/ ?- ,13(/[} [] EXlGRADIFILUNG [] COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASUNE AIR TST [] YWORK SATISFACTORY, PROCEED [] CORREC C NO PROCEED [] COR CT RK, ALL FOR REINSPECTION BEFORE COVERING Inspe r. 1; /! Owner/Contr: A i~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. './' CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! JNSJKfTl DATE TIllE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED :;)- '-oct 1/: !d ADDRESS ~O ~~ -h..... OWNER CONTR. PHONE NO. PERMIT NO. ?-/<:<ls IJ FOOTING IJ FOUNDATION IJ FRAMING IJ INSULATION ~ FINAL IJ SITE INSPECTION IJ PLUMBING RI IJ MECH RI IJ WATER HOOKUP IJ SEWER HOOKUP ~ PLUMBING FINAL 1'\ MECH FINAL IJ EXlGRADIFIWNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL IJ GASLlNE AIR TST IJ COMMENTS: . ,. W,-~rf1....4. '[}.:'LO M4,)r ';ll./ J- ~lk..I ~l ~ \o~..... c.....t .~. 9..A ~ ~..~ ~~~ 61~ !L, ~~ ~~. Cf4lfr,.., ).. r....,., U oF' Q ./.,. B -1- ~I ( J<-.,.....L~"Lu~- ~ (kr 1!I-.{---P a WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED XCORRfr WORK. CALL FOR REINSPECTION BEFORE COVERING Inspector. ~ ~ OwnerlContr. CALL 447-9850 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH '" SAFETY! ",.,.", DATI: tIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED :2 - ? -0 t./ ADDRESS ~Elorn '&~ Jt- :'i: OWNER PHONE NO. CONTR. PERMIT NO. ? - I~O{~ o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION o PLUMBING RI o MECH RI [J WATER HOOKUP [J SEWER HOOKUP )!!:.pLUMBING FINAL [] MECH FINAL [] EXlGRADIFILUNG [] COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASUNE AIR TST [] a~'( -1,'11 COMMENTS: J . fp,~", fJ' PaJ.4.... J~ 2. Glve.. 0,lpll.M- ~ (1~, 1'" [] WORK SATISFACTORY, PROCEED "'CORRE A ON AND PROCEED y[]'tORR T . CALL FOR REINSPECTION BEFORE COVERING OWner/Contr. .-'0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~UlREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETYI UGN<m 1