HomeMy WebLinkAboutBuilding Permit 03-0924
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT t- $-03
I.White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. tJ3 - 0'12-4-1
I ZptlD~me) I
(Please ~ or orint and sim at bottom)
ADDRESS
J&w L J .' IJ..s J_____
;flw
LEGAL DESCRIPTION (office use only)
LOT I LfBLOCK I ADDITION S '7-~121 r:".
......
So~---;;h fjJfJ& ~5' 301-0/1/-()
ft1 Pa....J~ C~...,. .
?GcJl , ~~ Q -r- c.v..t..S .....) .
~~~,ER jJ?d7...-s-JJ ()o~ --J ,
(Contact Name) T~.f fi t?\.",.4Ls-~
. (Address) ') C. <:::> I ((..t<;.- '1-<.. :'t -f c....--.r .,...
OWNER
(Name)
(phone)
(Address)
(Phone) 0>~ -&f.J.% r? , Of
(Phone) b/;;'-? 0 { -I" {; crv
A;uo,..... I)~~~ P?... ,~~7C2-'-I'
TYPE OF WORK
~ew Construction
~wer Level Finish
~ck OPorch ORe-Roofing ORe-Siding
~lace OAddition OAltoration ~tility Connection
PROJECT COST IV ALUE (excluding land) $ , ff!> b f) $. J f:7<..:J
o Misc.
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
authonzed agent for the above-mentioned t'~...t'.....) and that all constructton will conform to all eXIsong state and local laws and ~ro~d _ in accordancewTth
SUbrmttetnrs I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree th~ designee may
:ter1JJ'P.:.~o~erform~ d ~_ 9g7' fo-t8-c>~
~J ~tgnature Contractor's License No. Date
I PennitValuation 300,a:xJ I Park Support Fee # $ ~50.1
I PennitFee $ -::L Ii?, .75 I SAC .,..... # $ 1:+-;5.- I
I Plan Check Fee $ 1'3'}3~ 91../ I Water Meter Size5/8"(I')1 $ 300.- I
I State Surcharge $ . J 51), - I I Pressure Reducer $ 7/0. - I
I Penalty $ I I City SAC and WAC # $ I d.-tXJ ..- I
I PlumbingPennitFee $ t()()~ - I I WaterTowerFee # $ -;OD - I
Mechanical Permit Fee $ /IJ() . -- I I Builder's Deposit $ /5 CXJ. - I
Sewer & WaterPennit Fee $ ;~~,5"O I I Other $ I
$ t-iIJ,t>nJ I TOTALDUE ~ 1."," . $Cf<;tO'tf~ 1'1 I
.
I Gas Fireplace Permit Fee
r
~ ..:;2.4' -f4r I
Building Official
--<;/0/03
Date
I Paid
I Date
qpld' J'1
"'7.2-1. /J 7
J
I Receip~o.
Bv /[,..
~
q.s (/ /'"
This Application Becomes Your Building Permit When Approved
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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.,. ~
~anni~::f!I-~"~J ~ ~a1C~~~.Y~y_L-~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
..
White - Building
Cana-:y ... Enaineering
...--al...." ... PlanninD
Tht' ('..nln of Ih.. L.k.. ('OUOII'}'
BUILDING PERMIT APPLICATION DEPARTMl;J\IT CHECKLlSI
f! /!
NAME OF APPLICANT )1h/1')- <1(~~ c::y/ (e(J}((,; t~
APPLICATION RECEIVED G - I? - c.J3
,""
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:) g!~D / L/Lft~ 1>2-'iCf:.-./
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
r
7.0 ~ JJ ~ Date: ~ ll;4 ::?
J,4AA ~,--f~ It) I IJtdk. ~~
- ,
/JJY-~ ~~. ~~~
- I'
~ r ~L._. ~~; la' ~~"'.~.
~
.
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."
~1
./VVhite . Building )
UanafV'"""!" .. .'"'. 19
Pink - Planning
Th~ ("~nl... of IhO' 1..1<.. ('ounlry
BUILDING PERMIT APPLlCATIO"I...DEPARTMENT CHecJ<L1ST
NAME OF APPLICANT
Y7J1/1~rU?e:f ~
c:'-I?-tB
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Qf?M liJ~ ~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
g~~~
,e~ ail
Date: . 7~oh 7
I
.t....~_-&~-'
t'
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 - ~ing
'- I :An~ru .. Enc:dneenn~
Pink . Planning .
Tht ('rnlp, of lilt I.Ikt Co_nu'y
NAME OF APPLICANT
BUILDING PERIVIJT APPLlCATIOt<l.QEfARTMENT CHECKLIST
1 ., /1 . .. ,,l-
Y 'J,. i . .) ~ .fA Ii />L' a:I_:JJ..r/_.7r{./-;....,
/ 1(1 ,f '~",':Y (/r(."-./".&~. I'C. "...
APPLICATION RECEIVED
. I .j-='
,. .- . r/-L/ .',
....0 I.) -,-,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.5::> ,'f'I:J{) / jJL.ll.1:~/) (a1<--L/
Accepted )(
Accepted With Corrections
Denied
Reviewed By: ~_~~ _ 'D~te: CQ(tc!6~
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Gradino Plan. 2), Erosion Control Measures
3) Erosion Control Plan
"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."
CORNER
#1999 P.009
FIRESIDE
CITY OF P
REA TING/AJR CONDITJ
C?!.e-ase ~ Qr print .nd lIiltft at bC)r;t'om)
ADDRESS
FIRESIDH~
HEARTH6-HOME'"
OR lAKE
GIFJREPLACE PERMIT
Date Rec'd
s;.... I PERMIT NO; 3 - 9;}. Lf I
ZONING (office"""
2800 WILDS LANE NW
LEGAL DT:.sClUJ'TION (ollio. u" Ollly)
LOT BLOCK
ADDITION
pID
OWNER
(Namp.
MCDONALD CONST
(Phone)
(Add=~)
APPLICANT
(Name) AI-UP.D ~J~IDE DBA 1'lRESID.J;J;lEARTH & HOMI'
(Phone)
651.633.2561
(Address)
"00 NORTH FAIRVIEW AVENUE
(AddrelS)
'lOSEVIU.E
(C;ry)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA J.fUSTON
PATE
8/25/03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 AI.TERATIONS
FIJRNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF. SYSTEM 11.EATING Oll. J.>OWEJl. PLANT
OWarm Air l'I""ts 0 Sl.cnm
OGrDvity 0 Hot WDI~'
o Meehanical B Radillllon
OAil Conditioning ~p..i.' Devices
OVenl. System 0 Other Devices
l'J.EASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
. Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLQ 6000TR.OAT<
IndlJ5trfsl, Commercial ,& MUltj..Pumily
FEE SCHEDULE
1% Qrjob co~t RC5idenrlfl). Gl'tS Fircpl:J:ce
$39.50 minimum
$~,50
564,50
$39.'0
Residential, HeAJrins & AlC (New Construction)
Residential, He.1tine Only (New Conm,,:!ion)
Residcnti.J, Addilion& & Alt."'lions
Residenti.I, AC Only
539.50
539,50
/!JUtI ~-i/D IA.
"'(J/1\'Q 'Yf'/)y
,o~J). _
f - '4!f1J-
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE-SURCHARGE $_'G:J...Rj;i) r~"~ [,7 f~
TOTAl.. PERMIT FEE S rrrrrr;f.r1J l!o U liJ I.!;
(om.. TJ.. Only) -~.
. This Appllcs!lon Becomes Your Bllllding Permit WhCnAnDrl>>'ed l t 'd!l i' ~UUj
A 11U"t11 411i1lfU! JeC7,nl 0 e.-: 'tin
'~l Bu;fd,'r Djvi.,i~, ~~-
~(~ B.lldln.O'!!~b Fa;",;ew Aveon. Norrh RotIWHlo_ MN 55113 I hoL5)-~~ -
n.".,;..! c~" 3 850 West f~",~~ J.?tjc~fo'j1..~J'lffIP"t11il.Wd~lr~.pf!ljjjt,-~~q;~;1~4~:a\?~2-890.5408
WWW.nr.:s:il.C.IIJIu......MI..CO.lITllrf.tlrl.lt.....fI 2flO9tl911
___'___.____--~~..,l' CZ'J.V.t( LAKE
I4i 001
CITY OF PRIOR LAKE
HEATINGIAlR CONDITIONINGfFlREPLACE PERMIT
Date Rec'd
:::~ ~~, I PERMIT NO. "-<- qolUj
}, 'f-lIO'.lf' Ap,lIu,,", J-'
I'Pkr.;e tVp~ or or..n[ ad. si2:n aC DQttom\
ADDRESS
ZONING (ollic",.)
c;)fSCJCj
t. ~jD.~
b" JP AI ~ 1 (
LEGAL DESCRIPTION (om" U,e only)
LOT
BLOCK
ArmmON
PID
OWNER (\ ,n
(N...-ne) . )-7;0_Q...' 001/6. )
(Addtess) ,/I. 1./,
. APPLICANT 1/ n
(Name) r;.,Jl)/~",,'\") ()l.""
(Addms)Q!/;::J)(\ ;t;r)A'I~ A>e .
(.&.ddt..,)
C"""iS; I
(phone) ~;,'( ;::) :..... 7C,D/
(phone)
/=Q/^] .
, U- (Cit"J)
~. C;0.5>;;I.
.<::'4> d 4
(Zip Code)
(Contact Person)
bh
(phone)
2~,. .-D
DATE
R ,,Q~(\~
APPLICANT SIONATURE
./ APPLICANT PLEASE COMPLETE BELOW
,.0NEW CONSTRUCTlON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAl<E AND MODa r ~~Cl1"};7/~/' (.9#/PQ /fY") FUEL ),/;:;1-
PWE SIZE ;{I'~U L.. REruRN OPENINGS < INPUT /IY) (1~ . OUTPUT 9.9. CC'JO
TYPE OF SYSTEM HEATING OR POWER PLANT
OW.'m Air PIIll1l.s
~jty
~~a.nlcal "
~.J.t.Conctitioning
j;d'Vent. System
o Steam
o Hot Water
o Rodiation
o Special Dc.ices
o Other Devices
PLEASE NOTE:
Air Cond.itionl:lr Units
C=ot Encroacn into
Raquirod Sido Yard
Sotbacks
F1R..EPLACE MAKE AND MODEL
Jhdl..lStrial. Commercial &. MultiaFamily
FE)!: SCHEDULE
J% of job ~o~t Re!idi;ntie.l. Cu Fireplace
$39.50 minimum
0$99.50 Residenti:a.\, Addidons & Alt~r;uiQn$.
$6<.50 Re,identi.(AC Only
S39.50
Restdcnti:d. ncatin~ &. Ale (New ConStruction)
Resiclcnti~l, Heating Only (lJew Ct:lnstJ"lJc~ion)
l>39.50
$39.50
Estimated Cost $
Building Fel1l1lt II
~(q~~/D ~
~Q ,;.:'It
- ..o~
~4t/J"
REA TING PERMIT FEE $
STATE SURCHARGE $ .50
(Orne,U..Only) TOTALPERMlTFEE ~)1~ ~ ~ II \f~"-~~
Tbis Application Becomo, Your Building Pormit When Approv [Pata 7 2003 \
Atlfi. 2 I
D.t' ~r Dtto -
B\lildl"'IOmc.il,'
14 hour notice for aU inspection:! {952 l)'t!Ut (.'S:'C t'J52.)~~
Receipt No.
8y
t
ZOO~
lilY <I31101l.LNO::J
9LZ909tTS9 XVd StOtT NOH tOOZ/SZ/80
FR~M YI~NZ~L P1IJMMNq HEATING 651-452-0367
(TUE) 8, 26' 03 12: 55/ST, 12: 54/liO 4860053490 P 2
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
81./>1. PEIll'frr I: 3-'121
lPlcuc tvve or OMt aud .iPII at bonom.1
I ADDRESS 2ftlC> W".L)'S ~ N.h).
LEGAL D.ESCRImON (allice UIe only)
LOT H BLOCK I ADDITION S7lE:R.U ~ ~J1
~~R ~AJP C~T:
(Address) 7~1 l~'" ~ W, lIePLE
~~;~~ANT ~),:-.lVZE:L fYlE.UJAlJ/~
(Addrm) -1?It') Ii, ~L:E:IL Itt>
(Address) ,
(C__".~") ~Ii{i; """"")
APPLICANT SIGNATURE ~r ~. ~ DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixt1u'e- Quatlty
Bath Tub With or withoU1 shower ..
Dishwasher
floor Drain
Lav~ry (Bathroom Sink)
Laundry Tray (lor 2 cumpartment sink
Shower Stall
Sinks
Bar Sink
Watolr cioSllt (Toilet)
Quantity
I
I
I
~
I
I
J
"'Z-
r- .
I
~
:, ~ ~:~ I PERMIT NO. ~ /G:;).. u I
), v..... "~ICWI( d /. -,
ZONING (....""')
PID
(Phone) 96Z- ~2. 7t6/
~", PJAJ 55/21
(Phone) .1;,g- 45'2- ISI.S:-
~ 5SjZ/
(City) (Zip Code)
.g'/~.k>~
Type ofJ'btllre
.~
Rough- ins
W oler Heater
Walti' Softner
I Stand Pille (WlSllln~ Machine)
I Sl7Wap Ejector .
I Backitow' Assembly
I Bacldlow AS5m1bly .Test
I Lawn SprinJo.ler
Other ~"'. 'A J
I
4J
FEE SCHEDULE
Indu.triol. Cumm",.i.1 ac Mulli.ramily 1% or)ab cost wllll a S3~.'0 minimum
Estim.l~d Cost S
PLUMBING PERMIT fEE
STATE SURCHARGE
TOT AI.. PERMIT FEE
lorn.. \JI. O.ly)
Thit Application Becomes tour Buildinc Permit When Approvod
,.UdlnE om,,,.
Dele
:'4 hoc..,/ ;..ot;t~ 7..;:t QJI \lllpeatiaa. (951i..':i.;;'c...:i4i.l:':. ,:,)51) t".4, -4l<t.)
Residenlill. )IItW One & Two-Family $99.~0
ReJidenli.l. Addi,;an. rt. Aller.lions $39.50
f'\c,~
.5.--.......... ..... ~pIP, ...
~( .~; I 7Z~~ m .. D/~~ ~~t,.
I'lVlld '-" Receipt No. /l'T
~.l.1: -";;=-1 9y ~ I
f/
Sui"!in. Perm;1 jj
El4/El8/2ElEl4
BOB JECHE
CITY OF PRIOR LAKE
SEWER AND W A TF:R PERMIT
.~.. ~~ tJf)
ubollom1
; t ~ s lC\JY"
I ('"IfMft 'Il_
l Vdlo.. tit,
l 0014. """ClIIl
(01llc:O IISC only)
Au~&UON ~~f1 ~,
PIDAQ
,',.;
,
.~:'J;-~,'t'".'.'
(Phone)
. .f4i."i..
.f '~."< ,. .
...,.,:~>~~l':"
(Addret.)
. .... _.....N__. ___.
._._.._~C~l~~____~,.
""'-
(Phone)
, DATE
~-~..:;, .... . '4t~~ ~;'~ '~'..,
r ....~ "t"':~i;l"<:' -: .
\ ';f~il'Jf<ii... ,~:'
I
APPLICANT PLEASE COMPLETE BELOW
q ~.
Size of water service' inches,
Location of any couplings from structure ~ feet.
/.Type of sewer pipe, 0 ABC \ lEI PVC 0 Cast Iron
. Estimated length of sewer lineJ]l._ feeL
Clean oul (ifrequired) located at feet from str1.lcture.
,
':' '
." "
"'. ",
t' :.', ' , " ~ . ...' , ::;:"/~::. :~~ '. :',. . . . '::"~ ,":-,0'
!~:: llosldeilillf iowei' ~ water Iino. cOMcction $35.50
"~. Sewer ,COnnection 9111)' $17,SO
. ' ;,:''''';,':'", . ~..:
~,{;,~,'L',. ' ., .. Estimated Cost S. ::l.!Lt'\, Building Pem';l /I
(;L:,::;jYil');'; , . .t';9J,I' SEWER AND WATER PERMIT FEE $
~~.r.:.:.--.t,~.:;,:~'<i:",'::"'" . ':l ~:~
~tf~1i~::t~(;: i~.,.};:,.. ~~~LS~:~~~iE .~
1;"0\ ~~t~,~;'",
~(i~":''p~J1~~.' ~'~lDtlI Your Building Permit When APprovedll-1 !al\i
,'" 'S'iil. lj'~ !:. I .1
t;' ~ ...., .1..,.. 1'1... - I l rlAlDR
~ . ',' ...... "'"d1n. om..., 11.'e, 'Ar 0 9 2004
, I'r.' '\D:t;; 11l!, '~~
[;:' :::f\~~'W~~l,lf( ..'. 24 hour noli.. (or 11/ In.peulo.. (?~2) '4h~~o. rn> (952),44'-4145
::,\,..~;i." ',,,': ',:"": ;,,'~'~; ,j'~'. ~<.~ _, l..-.-.__
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,,,,~<':";;'~:.:/:'}?{~~~.~:,:. ,1, ':'~{
. , .i~.
,'f-
FEE SCHEnULE
Industrial, Com'l &: Multi-family
Water conneclion only
1 % of job co~ with ..$39.$0 m1nimuni.
$17,SO .:'
0.1. ()1~"
AV9~ . ....1.("..:.
'I"'JlITII~~~.:J,\. : "l;.
--~'-(_JlIIU:'t~~ '"~.'J~""^,,
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PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS ;;100 ~ ~
NATURE OF WORK ~
USE OF BUILDlfiG .s F 0
PERMIT NO. D~.- f}_f~4: ,.....~ DATE ISSUED _
CONTRACTOR Pl'-f.JI.t1?Icut.t-V_ PHOI'5'-' .?tJ /.. rf. W
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPEcrOR
DATE
I FOOTING~/'tC;::.': ~~ "'-
I FOUNDATION (Prior to Backfill) I ~ qe ~ I _
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ 7'1'>
flJ ,-tz ~~
;jIJ ?- /s-
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE _
GAS LINE AIR TEST .., ,cp ~ S(>GI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
IJ11I~UdA'f'1(e ~ -b-O I
r
FINALS I ~
GRADING (Prior to Sodding) //J //~
BUILDING -(..."f \.. \,,>-\'0,\ 'h~'
,
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy 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.
pv~ St,p
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FOR ALL INSPECTIONS (952) 447-9850
@:tdifiraft of ~rrnpanq!
CITY OF PRIOR LAKE
/ ~tparfmtut of ~uil~iug Jlusptdiou
,KJ Final Permitted ! D 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
Bldg. Permit No. 03-0924
Occupancy Type . R3
Type Construction VN
. Fire Zone N/A
_ Zoning District PUD
Legal Description L14. B1. STERLING SOUTH AT THE WILDS
Owner of Building
Site Address 2800 WILDS LANE NW
7601 145TH ST. W.. APPLE VALLEY 5512_4
\,
.
.
Contractu,', Name & Address _MCDONALD\CONSTR. .
ROBERT D. HUTCHINS \
Building Official \
Date: ~: \ _C f. j I ~
. )\ POST IN CONSPICUOUS PLACE
City Planner
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
::<~(IA")
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
D FRAMING
D INSULATION
~'NI'L
D SITE INSPECTION
COMMENTS:
6,.,h- t?1<.
SCHEDULED
DATE TIllE
b>9-q
W,',J5 Lt?
CONTR. ~kI
PERMIT NO. h ],- 92 y'
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
I . J/6 B"x ,...t9l'-.
~ING
-OCOMPLX!NT
D FIREPLACE RI
D FIREPLACE FINAL
D GAS LINE AIR TST
D
~WORK SATISFACTORY, PROCEED
~ bORRECT ACTION AND PROCEED
D CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
I.....cto~~
',,'
Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COAl;REQUlREME/VTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
(p- ?J:rd1
W\~ L~.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
lJ FOOTING
lJ FOUNDATION
lJ FRAMING
.P .JNSULA TION
J3'!'IHAL
lJ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
'<. - n'1Z~
lJ EXlGRADIFILUNG
lJ COMPLAINT
lJ FIREPLACE RI
lJ FIREPLACE FINAL
lJ GASLlNE AIR TST
lJ
S-Jl rl-~' v\ 0\
fw~....l- I'.)D~ f~~"~~1
)( WORK SATISFACTORY, PROCEED
lJ CORRECT ACTI D PROCEED
lJ CORR T FOR REINSPECTION BEFORE COVERING
Inspeclo .
Owner/Contr.
E NEXT INSPECTION 24 HOURS IN ADVANCE.
CAl
UUNOT>
ENTS ARE FOR YOUR PERSONAL HEALTH & SIIFETYI
DATE TillE
CITY OF PRIOR LAKE &l.:aj
INSPECTION NOTICE SCHEDULED
ADDRESS ;2ryy) LOi\~c;. LVI. -
OWNER CONTR.
PHONE NO. PERMIT NO. D3 - (")q ':l.c/
o FOOTING o PLUMBING R1 o EXlGRADlFILUNG
o FOUNOATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE R1
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)l(FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION pMECH FINAL 0
COMMENTS:
\. F,'\M.\, Q;~ ~C". s"...J
2. ~~\~ J& &~Ln~~
3, ~+c.u ~~, tl.~lOl;<::~ov-
Y.~~~
-:6a~.! 1.J-'/L~~~r
o WORK SATISFACTORY, PROCEED
o CORRECT ACTIO NO PROCEED
K. CORRECT ALL FOR REINSPECTION BEFORE COVERING
Inspector.
Owner/Contr:
CALL .9 0 FOR ntE NEXT INSPECTION 24 HOURS IN ADVANCE.
C~IREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY/
-,
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 1 O:3.I-<J2.
~
ADDRESS 2~oo U\i\~~ \..JA.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ - cae.{
[] FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
[] PLUMBING RI
[] MECH RI
o WATER HOOKUP
[] SEWER HOOKUP
~PLUMBING FINAL
[] MECH FINAL
[] EXlGRAD/FILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
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l.'l(~~~{V~~)
c.(. ~. SO ~ (\.4......J-
rz:;. ~t'~./f' ~i.dAL",.nL>- 111....0
~ ~
o WORK SATISFACTORY, PROCEED
)(CORRECT ACTION AND PROCEEO
o;t CO RK, CALL FOR REINSPECTION BEFORE COVERING
Ins r. Owner/Contr.
CA 850 FOR THE NEXT INSPECTION 201 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
-,