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