HomeMy WebLinkAboutBuilding Permit 04-0115
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
7-111 "',fIN.- FMH IJ.W.
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
Z. '[,0. 04-
I PERMIT NO. 04. 0115' I
. LEGAL DESCRIPTION (office use only)
LOT It BLOCK f ADDITION 11ft. W~ ~Ttt
OWNER
(Name)
(Address)
(Phone)
ZONING (office use)
Ie. 1 5 D
PID Zo.4-04-. 059.. 0
~z -4~J-'fI()7
'1~2- -4d3 -qlO?
(Phone) "~2- - 4f)J -q/(JO
hi". f?n'1 K~ - C,J1- (PlL- - 3C#3 - 012-0
( 1
ODeck
TYPE OF WORK
~New ConsbUction
DLower Level Finish
~AtJ'iW ~7fld&J~,J c;.. 1,lC-.
.
'iO/O EMr 4fA Itfle- 4"tM~ I 101-.., t;tJl79
BUILDER / /. /'
(Name) ?Mhll ~~6'V (J? If.ic-.
(Contact Name) ~e.. -'5~m~ .
(Address) ~ (d tfr'lf of ~ 1rtJf, "'tVtUfEe-
o Fireplace DAddition DAlteration
OC
PROJECfCOSTIVALUE (excluding land) $ ?'V txrJ .
,
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 r--r--<.1 and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted pi am ",ware t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon th r petty to p rm needed inspections.
OM!sc. 1.12.('. ('~ 0_. .
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
..
". ,;'74.000,80
$
$
$
$
$
$
$
$
.41J 7,3.5"tJ
1:3 -O//. 78"
/35.00
-
/00,00
(OlJ.()(J
3s-, >~
'I(J,()~
This Application B...........~_~ Your Building Permit When Approved
~.~I-
Building Official
d-j.;}-I, /0 if
Date '
(Phone)
OPorch
ORe-Roofing
ORe-Siding
DUtility Connection
~4~
I Park Support Fee
I SAC
I Water Meter Size 5/8'(QJJ
I Pressure Reducer
I City SAC and WAC
\ Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE Mt1Am 3.1.04--
I Paid B/ Y~-/. 7/
I Date .:T.""" ~
$
$
$
$
$
$
$
$
$ ?J.95/. 76
IRece~"7/
BYj__.. .
I~S-O.O~
;300,00
70.Df!)
12..00,00
"700.00
1500.00
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
~:::~pt:J;a t=por~ C:;::;;:MceMd ill~::;/;;;c:~eiore;;:~~a ~re o;o=pan~ muSlbc
Planning" Director . Date Special Con~ons, if any
24 bour nntice for all inspectinns (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
7J1?I
Contractor's License No.
#
#
#
#
~~
White . Building
Canary - EnQineering
c..eJnk. - Planii1i'i'9:>
Th~ ('~nt..r of th.. I..".. <."ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
--
~./ f \ /.J L.J 1\ l/ C (! ~~TI"-.
Z. Z L. ()4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
277( '/ iCjr\K I-ATH N .lV.
Accepted
Accepted With Corrections
/'
Denied
Reviewed By: .~
Comments:
A,e...,~
~~d.
~f.J
~
~
Date: c:2J~!t, </
I
~ ,4<''; n
aLR'~._~
/
~
"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 - Buildi"b
l;anary . Engineering
Pink - Planning
The (-rnlrr of thr t..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
SANDAU toNSTt<-.
2-. 2,0, 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
c..,o U Gp" g. PATH
Accepted
Accepted With Corrections
N,W,
/
2770
Denied
Reviewed By:
7]u.-r-_' : ,
~~
~,;CtJ Date: ,-;2/d.b~.-./
rl-LI ~en: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 . Building
Canary . Engineering
Pink - Planning
Th. (',ntnorlh.l..lur COU"lry
BUILDING PERMIT .APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
C- L' f', ,-. '\ L1
~j I \ I '/ ./ /'\ "
"'1
to . ,.--)
\_Lt.J~ I 1<- .
APPLICATION RECEIVED
Z .Z. G. ()4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 I7 (, C.( -(,iL) 1"\ R:.. P A T'7-i
t / l \ I
.J.V.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YI4 f3
Date:
]-3-07'
Comments: ~.... R..v..r"'.. ~idF! for Additionallnformrotinnl
SP.P. Attachments' 1) nr"rline Phm, 2) Erosion ronfTol MellSllr",~
"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."
03/15/2004 10:58 9528959394
ALLIED EXCAVAT~NG
PAGE 01
CITY OF PRIOR LAKE 1
SEWER AND WATER PERMJr
Date IUc'd
fJ'\!o!!o~or_-'.i>-Pl
I ADDRESS ,
I dllO Q.iDjCY ~+h
LEGAL DESCRIPTIONI (0 UN OIIIy)
LOT BLOCK ~D mON
OWNER I .
(N&1llC) ~c\Yv\4~ ~,.
(Addrm) '2:D\ () B 4 t}- 'A VL
'~l
I. 0- '110 I PERM! ..,
~ =- ~ T NO,J.j", 1/5 I
Pt \(jy~ ~
Z"'''ll'.\J (......) I
PID
(Phone) qS~ - YO~-qloo
~h~ v:ee_ mlA.) 5S~H
1Clt:v.' 1 - - (Zio CodIrl
~~~ ~ \ \ '\ W 9 JUvc... \- "1 Y\f'. ~.(phone) a S.;l -e.fN - ao40
(Address) ,40\ ~~~::)~ .'.r 'dC-lA~. vY\ ~5 31 b
I ~ "*'r"')--.. \.1 (CIty) (Zip Code)
(ContadPClSOn) ~~ ~ e..~\~uY\.. (Phone) ,~ -qJ~-~ 1
APPLlCANTSIG~A~ ~ ~ -:'AT 3~ 15-o\.f
'{)) !
i "-PPLlCANT PLEASE COMPLETE BELOW
I
Si%4 of water service \ inches. ~ I
L~ti( n of my couplings from StNCture feet.!
T~ 0 ' sewer pipe. 0 ABC PVC 0 C~t Iron
~aed lensth of sewer line4D f~et. . I
C~ I.ut (ifrcq~ located ~ feet from strUCtUre.
:
aesidential sewer and WalJlt ~o co_lion
Sewer connection only .
S3S.S0
S17.50
FEE SCHEDULE
Industrial. Com'l &: Multi-ramil~
Wlter COllIIoetion only I
I
Building Permit /# i
i
I % of job COIl with I $39.50 minimum
$17.50
~~
(0lII., U.. O.lyl ' I ',---;C;' ~."
Tkil Application "00..+ y. .ur Bulldbtl p_lt Wben Appr""ed I Paid I .1:,' , keel.pt No. ~ ~
i DI" I. ~IlIf.1AR ~ 6 2004 : "y
a.i141i.. Otllcial
34 hour ..Ii.. fer IlIln&pldloal (~) ~7'~1 fn<'!2) t7~2~==~'1
,
l
*. ed COlt $
,
! . iEWER AND WATER PER..'vfIT FEE
j ITA tt SUllCHARGE
, rO'TAL PERMIT :rEI:
s
S
$
.50
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
(phone) _ 6/)-~9. -q;Ut-.
Ska~~::r) 55"5 ~Zp Code)
(Phone) h/,)-5d1, -qJJt:.
DATE _tJJJ..Jjpt./
APP~Ici';i PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
DVent. System 0 Other Devices
(Please t:v'DCt or print and sim at bottom)
ADDRESS
e.- 0 () 61T I<- fCJ It- TH
2770
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
BLOCK
OWNER
(Name)
(Address)
APPLICANT " _ .
(Name) HtJ(IZ/1,,,\ ('f\J\~'~(~ ~<.-
<tl't '7 J.b(l-2.F1" hn-u~
. (Address).
(Contact Person) fl1,cL.i1 S;\o..",~ A~
APPLICANT SIGNATURE
(Address)
FIREPLACE MAKE AND MODEL
Date Rec'd
4- .rZ.. 0 4-
i ~ ~:~ I PERMIT NO, 04-.0 f/ ~ I
3_ Yellow Applicant .
ZONING (office use)
PID U-: 4-04-, 05'1.0
(Phone)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi.Family
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Omcial
nate
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
$39.50
$39.50
$39.50
Building Permit #
04-. liS- r?~
pMO tl---.
wvO
$
$
$ ./
/'
IPai~
I Da~. 1'2.--- 04---
--'"
..........-:sO
Rec~
By IAJJJ'.J--
l
CITY OF PRIOR LAKE ;: ~::~w ~~~ll=l
,---, PLUMBING PERMIT G ~ tLL( - / /5
Applicant: ~~;:\ 'N c....... ?!uuvib.\v<L. Phone' ;t,:;;) -<13.:2. 'co ~ ("
Address: :llrt't YEon ,,!LH J:;:> J .t....,if:=vt CA-V\. So'S SS'"'2>' ,
Signature: ;1} j LA 'vt-----
Legal Description: Lot Block Sub
Site Address: :;> 7) 0 (003 q r 7 Cd1-, .1/1/ tJ 'K '\0'" La r €...
Building Permit # 04,0 {1"5 PID #
NOTE: This perm~ will not be processed w~hout complete information,
FIXTURE UNITS
\~~
~-_/
Tilt (~(>Iltn IIf tht l.akt COu"ll"f
Quantity
i
l-
4-
I
I
i
J
'3
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
{Mev
4/r?/CY-l
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test !
Lawn Sprinkler 1
cnher j
I
/
j
$99.50
$39.50
GRAND TOTAL $
This permit is granted upon the express condition that said
contractor, shall comply in all respects with (he ordinances
or the State Plumbing Code and the amendments thereof.
RECEIPT NO. DATE
.ATfEST
Call for all inspections 24 hours in advance.
$
$
$
$
.50
(;';n~~_WIrH .
-~~"
]~A;'; ~ ~o~]
By
16200 Eagle CreekAv. S.E., Prior Lake. Minnesota 55372 / Ph. (612) 447-4230 (FAX (612) 447-4245
An Equal Opportunity Employer
l . cl
SSSS-ilS1>-ilSS
uew2"';'E! 5 ~ .J4:J
eso:so 1>0 ill .Jcl~
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONINGIFIREPLACE PERMIT
q'1asc.trJ1e or _ and sil(ll .. boItoJDl
IAD~~~o ~ ~
:LEGAL DESCR1PTION (.!Iice ",",ollly)
LOT BLOCK
ADDmON
Date R.ec'd
~~_ ?~_I PERMITNO'Ot.{-II~
ZONING (oIIioe..,)
PlD
(phone) 9:'>;) - <:1'03- 9/00
OWNER A
(Name) ..t'lf)~ rJ"'rY"U)~~-t,~
. (Address) -::n ID C C/#' Cl.ue-
. APPUCANT .
(NameO._..:h',v""",,'i:~~~." Lh-:",+ FP (phone) 1L,3-3I ':s-7S"O0
(Acikss)~:::}\ll U'\~':"-'/C' 0,.tI'E:.. 1\3. ~~.wn~A.l, mA sS-ltlf!)
(~) (J (City)' (Zip Code)
(Contact Person) \<'r,~ ~I'\~,.:) . (Phone) Iln3'~ 'S-7SH...
APPLICANT SIGNATURE ~ ~~.. -...., DATE
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUcnON
FURNACEMAKE~MODEL
FLUE SIZE RETIJRN OPENINGS
TYPE OF sYSTEM
OWlII1D Air Plan1s
OGnlvity
o Mechanioal
OAir Conditioning
ovent. System
o REPLAt-"EMENT
tJ ALTERATIONS
F1.lEL
OUTPUT
INPUT
HEATING OR POWER PLANT
o Sttam.
o Hot Wot..-
o Radiotion
o Spocial Device<
o OfhorDevi"'"
PLEASE NOTE:
Air Conditioner Unils
Cannot Encroach into
Required Side Yard
Setbacks
~ U\.Cn..ACE MAKE AND MODEL -I'ha.- 'i! /1-1-,:::-. 0 V3 (.,O...e;;-AJ
c' .
FEE SCHEDULE
Industrial, Commercial &< Multi-Family 1% of job cost RosidelllioL Gar Fireplace
$39.50 minimum
Residential. Heating &< NC (NOYI Cor....-~....) $99.50 Rosidential, Additions &< Alterations
Rosidentiol, Heating Only (New Construclion) $64.50 R=idential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $ Building Pennit II
HEATING PERMIT FEE S
STATE SURCHARGE S .50
TOTAL PERMIT FEE S
{])A
[JCl[fJ)~C~ Ifm. 't'1J
In!~ ""~'H;
~-5~' I.--=-) ~ ...
. ~ l..o/(n"
(om.. v.. 0.1)')
This Application Becomes your Bl1ilding Pennit When Approved
Z4 .j,oor D.oli... for all iJUpOClionS ('51.) 447 . fox (951.) 447-4Z45 '--'
16200 E. Cnok Aveo.ue, Prior. ~lf' MN 5S3~ _
B.;Idiag Official
\',
~eceiptNo.
I
, ty
Date
.00 ijl]
lIooa a~YlIV~ ::>Il.VJlluJJlf
66.L 9LS C9L XVd 1.:60 tO/L./tO
1
,
,
, -
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ---Z If r, d ~Ai2. R\tH N,CAJ.
NATURE OF WORK ~.IU CA_N"f:1' ~e:nlJ~
USE OF BUILDING CS'.;:::;-O. .
PERMIT NO. f24.0//S" DATE ISSUED .d-/:;}.~
CONTRACTOR ~~DAj( r~JXr I ~. IJlt. PHON~ -W ..'M1~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING UlsiiW ;;;-{) <-\
I FOUNDATION (Prior to Backfill) I I" /l I? - I /
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - I~
SEWER 1 WATER 1 SEPTIC . P ?' -I)
FRAMING rJrj) .e-l- 2. 'c..
INSULATION t7" ~ Y- X
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ ~ ~ f,
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lY71I~~/eu&lllLI!lJ~ I
FINALS /l
GRADING (Prior to Sodding) VP (/27 I
BUILDING ~~ fh-( I^ PI5 ~~
ELECTRICAL . /
PLUMBING
HEATING
DO NOT OCCUPY
t/rr,
J/J'3/~'1
.
-
fI1!5:.. C(. 2 ?
/~
.
111'3/01
w,- r'tJ Co '2f
&17 I"~
UNTIL ABOVE HAS
NOTICE
BEEN SIGNED
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
@:edifitaf:e of ~t'rnpant'1!
CITY OF PRIOR LAKE
~epar1uu;uf of ~uilMul1 Jlusptdiou
JQ,Final Permitted
D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential I D International
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:
SINGLE FAMILY 04-0115
Bldg. Permit Nn
VN
Use Classification
Occupancy Type
R3
Zoning District
R1SD
Legal Description
Type Construction
L14, B4. THE WILDS NORTH
Owner of BuildiOl1
SANDAU CONiTR,. 3010 EAST 4TH AVE., SHAKOPEE. MN 55379
Contractor's Name & Address ~~7
ROBERT D. HUTC I J C' PI
Ity anOl"r
Date: 1; , 2'1> Building Official fj /! Date:
VOST IN CONSPICUOUS PLACE
Site Address
2770 COUGAR PATH N.W,
DON RYE
.c.
, ,',..:,,;;,.,.,;,:.,,.,',....'
Mii':
I':;;.
'w"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ZT/.t') (\."if,.... r ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(FlNAL
o SITE INSPECTION
COMMENTS:
l.
f-.;J/YI -t
~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~,.eUJL
~Q(LJ
DATE TillE
~~ .d/
<I-O(J~
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GASLlNE AIR TST
/"I'
'4.--vj I~.
OJ '---
~ WORK SATISFACTORY, PROCEED
/0 CORREC TION AND PROCEED
o CORR T O~ CALL FOR REINSPECTION BEFORE COVERING
Inspecto. 1 / /, Owner/Conlr.
CA j ul:aso FOR TliE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'2110
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIllE
SCHEDULED (p -2 (
~~
CONTR.
PERMIT NO.
4- lie;-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
..:>=tLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COft.\MENTS: - 7
..L...~ ti-J (~
~l'i2D K~"" n- ~~~ 4..t'"~5l. (p~
a...J'Lu ,....... \ . .
~. ~ ~~ lMll) 1.I4-'2-"''8''l~
1-./' 'secUJ."Q l.'- ~ ~ ~
f,. Yk.I.e-t',vt-r~ ~
~KSATI ACTORY, PROCEED
CORREC AC ION AND PROCEED
o ORR T R ALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Conlr.
CA "7 50 Fa! THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~MENTSARE FOR YOUR PERSONAL HEALTH.I SAFETY/
INSNOJ1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ? 7 {I"l
OWNER
(J~')I1J- ~
CONTR.
PHONE NO.
PERMIT NO.
DATI! TillE
(p - Z"2... -.:l" \
t.( .... 01 (.If
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
gFINAL ~ PLUMBING FINAL
o SITE INSPECTION I MECH FINAL
,..-COMMENTS:
O~ (. 1-4-c ~~. t)tilNl Il\............~X. ~., '.J .u.....
9"" pa..t""". l:...Jl,
$ '""-'1::. ~ J,.. M,.,....14::.... 'f,..." __ ~
.3. Fi........D.. Go.......... ""''''p,4iX\A. ~ ~.J
~- 9.-' .I- T,."." p.u-~ f2L-.--.
b t;. nc..."tO;t. -&f ";'~.g,)- hY"
O~ ~\ .QY~.' ''''Pa- d A...
C5tq:- f2--.-.~. ~~ 4/-..~r tv.-;:j ~
~. ~ ~-= 1iJ-+~~~
/'"
(' !-~ "~
.L&._.. ~F"" ~ ..Ie:.
h~
8-t -()~
Q
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)(.CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor:
Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOUR~ IN ADVANCE.
_,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE Tille
CITY OF PRIOR LAKE
INSPECTlQN NOTICE
SCHEDULED
?,ZJ~
ADDRESS Z. 7.2r'J ~~r f{.;-e,
OWNER CONTR. .5-t.I., J C~.(.J.
PHONE NO. PERMIT NO. ~ "1- ,IS
D FOOTING
D FOUNDATION
o FRAMING
o INSULATION
~FINAL
r D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
o SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
.'-<,EXlGRADlFILLING
D COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
D GASLINE AIR TST
D
COMMENTS:
(.,,~, .~-',
"
DL
Lm b i?sr -dK...
()( WORK SATISFACTORY, PROCEED
Y D'\.ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InspedO~/!~
Owner/Contt:
CALL 447.9850 FOR THE NEXT INSPECTION 2.& HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETY/
..."""