HomeMy WebLinkAboutBuilding Permit 03-0852
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
l1'lease ~ or 'Orint and siJtn at bottom)
ADDRESS
/5//8 jer:f-Gl"s
PIJ-.s.s
nw
0',t:I 03
I. White File I PERMIT NO I
2 Pi., Ci~ '0.' ~ , 0, (J 52-
3. Yellow Applicant '.-J' 0
. LEGAL DESCRIPTION (office use only)
LOT , BLOCK.] ADDITION j e F f e r~c; P n-!>S 11 fA}
OWNER
(Name)
Welts (l1ffn II
/815- PLllzlI
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
s fhr1.e.
m 1(1,"
Ho,nes
DrIlJā¬.
H.e../'-Jn I} 1\
TYPE OF WORK
Pf New Construction
DLower Level Finish
ODed
I '1 Fireplace
o Misc.
(phone)
f: Ife; Ft n fr1 fl
i" ,
SS/1.':).
ZONING (officeu")
tel
PIDz5-.3~-()S8-0
l:,5J-40&-41{DO
(phone)
(Phone). k>/1.-3b1-71o:z.. q
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
DUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. 1 also certify that I am the owner or
authorized agent for the above-mentioned yowr""..J' 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
:ter"!;.,.~;\l\.~pr~ctions Jtf5~ '-$- 03
,.. ~ fJ Signature Contractor's License No. Date
1 Permit Valuation
I Permit Fee
I Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
l Sewer & Water Permit Fee
I Gas Fireplace Pennit Fee
PROJECfCOST/VALUE (exc1udingland) $
$
$
$
$
$
$
$
$
nf,tJ{J(J ~.$
1.41? 7F
1/f(' ".!t'1
~5f! I
I
InO 00 I
/00 OJ I
] 5 .s::n
i.t 0 fI! ]
Th~f1jPjcatJJI};on mes Your Building Pennit When Approved
Jrwu C-).(,-<J1
Buildin Official Date
I Park Support Fee
I SAC ~
I WaterMeler Sizety; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
'7. /. (,f:. b~
'? u:l. /17
# $ I
# $ I), 7rfl!' I
$ ~!l> <!l I
$ 4s-'::! I
# $ I)'o() C!Y I
# $ 7()() t?J1 1
$ I roo tIJ! I
$ I
$ 7. ~u5. fAct 1
I ~~!lo. ~iHt!F/
u
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 I
Y'hen7ft1ign by the/ff' lanner constitutes a ,~.,,!,~.....) Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
ISsued.
C-U-OJ ~J. a.fUtJ.Jy3 .L _~A'.s
'Planning Director Date Special Conditions, ifany
24 hour notice for all i..o, __;'.. (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White . Building
~ al'ltlo(_" cnquHlerlna:>
Pink . - Planning .
11M' ("nil... of 1M Lake c_",.
BUILDING PERMIT APPLICATION D.EEARTMENTCHECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
VV E r\iS IVI A tv f\j
I. (/' /\~
lC . " . I) U
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I c: I' Ii (.(_/./' ' L I~ r:- c P S rJ AS s;-.
, . j --.J c. L----.
Accepted X
Accepted With Corrections
Denied
_owad~~
Comments:
Date: ~(\1 (0"3
Driveway Must Have A Concrete Approach
See Reverse Side for Additional Information!
.
See Attachments: 1) Gradina 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 tM jurisdiction shall not be valid."
The Cenle. of lhe L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DE~TMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
\N 8 NS fv1 AN rJ
(0 . Cc . ()"3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
151/0 ~b/+Er<S
Accepted
Accepted With Corrections
PAS'S
~
Denied
(ftL ~L
(2_2 411 t1/~5
Date: G i-f, -03
01-- J.-/-w..cl t1tA-
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."
~,
White - Building
Canary - Engineering
Pink - Planning
"
Tht' ('..nt..rof thO' I.."''' Country
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMSNT CHECKLIST
\1 V E. l'v~- IL I !~\ /'0 tv
(o.Ct, (j3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I rc:) I i I(J J-r::F ~ t:- kS
Accepted
Accepted With Corrections
P f\S~S
~
Denied
/Ifd. iL
~-('acJ ~II 1114:,
Date: G .j..G 0]
4 I~J tJ<.r!-
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."
~l
" ,
Jul.1 I. ~003 1 :40PM
GENZ RVAN PLUMBING AND HEATING
NQ15~8 P 614
CITY OF PRIOR LAKE
HEATING/Am CONDITIONINGIFlREPLACE PERMIT
Date Ree'd
t~ E.... f PERMIT NO. 3-15S~
CPIwe ~ or orlnt and sillJI ar boanml
ADDRESS
151 (~Je.ff(..K.-S Pa&S
ZONING (ollie..",)
LEGAL DESCRIPTION (o1Iice use only)
LOT 0 BLOCK2 ADDITION -J-etf e,v;; LAYLd.C~
PID
J
OWNER
(phon~ _~.'_0~._~7nQ
Eagan, MN
55122
~mn~ ~~~c_o~n R~Q~
(Addr~~ 1895 Plaza Dr Ste 200
APPLICANT
~~~ Genz-Rvan Plu~ing & H~~"~~
(Address) J.4745 So Roben Trl
(Addre'P--
(Contact Person) ~ ~~ ti iZ"f j tf.
APPLICANT SIGNATU~ (I) ,{ J ~ '-1?J y I~
(phone) 1:.'_"'1_' ,,,,,
Rosemounc, MN
(City)
55068
(Zip Code)
(phone) _ ~.1_1.?~_1 1M,
7--11-r)"o
_. DATE
_ APPLlCANT PLEASE CO:MPLETE BELOW
- . ~WCONSTRU...uv" OREPLA~~ DALIERATIONS
FURNACE MAKE AND MODEL \ QY) n eX, - 6 2..fj) t;) 4/6- JL <; FUEL }O ffl- bftS
FLUESIZE RETURN OPENINGS <;? 'lINPUT 1;::ts:;'.6r5D OUTPUT I IS. ODD
, .
TYPE OF SYSTEM
@farm Air Plants
DGrav;\)'
D Mechanical
~;, Conditioruog
DV col SyStenl
aEATING OR POWER PLANT
D Steam
D Hot W810f
D RadIation
o Special DevICes
o Other Devices
PLEASE NOTE:
Air Conditioner Unit!
Cannot Encroach into
Required Side Yard
Setbat:ks
FIREPLACE MAKE AND MODEL
Industrtal, Commercial &. Mulli-FlUIlIly
FE]; S"',l:1.I!.uULE
1 % of Job COS! Residential, Gas Fireplace
$3950 minimum
$9950 R<S1denlial, Additions &: AltcBtions
$64.50 Re:lideatial, AC Only
$3950
R...dentiaJ, Heat!ng &: AlC (New ConstrUction)
Re.<identiaJ, Hc:alini Only (New COnSlIUction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
8lJ,~AlD ~
1NG PIE~AAn-
!(V~ . U,e pnly)
, _." Application Becomes Your Building Permit When Approved 11!ai1. [1"ceipt No.
Bwl~~Offid~ DO.~. I ~J~ ~ ~~G; fit . cr
24 hour notice for 0.11 i.speclions (952) 447-98 .ffi2; (952) 447-4245 ~
!
By_
Jul.1 i. 2003 1:40PM
GENZ RVAN PLUMBING AND HEATING
No 1528 P.414
"~ffi~ palo~<,
,.. .,
_ :0
t) '"
,~ .":"><'.
,i\Y;{:~:~f.!\
~4.~~"""ESO'\"
Date Rec'd
CITY OF PRIOR LAKE ..
SEWER AND WATER PERMIT
} Ef ~_I PERMIT NO. 3-8'S;;;2-J
q'lea.se!\Ef or'DJint aod!riJUl acboaoml
ADDRESS .
j':;'({8 0 effe~ p~-:,
ZONlNG(cm;c"use)
LEGAL DESCRIPTION (o1lice use only)
LOTU? BLOCKS ADDmON ~ff~
Lttvtdin~
.J
PID
OWNER
(Name) Wenslllann Homes
(Address) 1895 Plaza DT Ste 200
(Address)
(phone) 651-905-3709
Eal?;an, MN 55122
(CilY) (Zip Code)
(phone) 651-423-1144
Ros;,e}1lount ~ "N 55068
(City) (Zip Cod.e)
(phone) /\';1-421-1144
DATE 1- JI ....D3
APPLICANT
(NUD~ Genz-Rvan Plumbin~ & Heating
(Address) 1474<; ~n Rnb"rt Trl
(Address)
(Contacrperson) 01 ~:sti ~tt./::.. .
I ..ICANT SIGNA TORE ----.D1 J J~. ) ~ 1(;..0
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 pvc
Estimate4 length of sewer line feet.
Cle;m out (if required) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residential sewer and water line connection $35 50 Industrial, Com'l & Multi-family 1% of Job cost WIth a $39.50 mmimum
Sewer connection 01l!y $1750 Water connection only $1750
Estimated Cost $
Budding Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
8UIL61~~ WITH
PERMIT
Il1IlIdlng omcllll
Dae.
.I~ n \V1~i
. ~e Jt;L i ~ 2~8J ~feeiPtNo, if
I
(om<< v,. Ooly)
Tho Applicatioll Becomes Your Buildillg Permit When Approved
24 hour notice for.1I inspoc<lon. (952) 447.98 iX~~. :-.~-
Jul. I I. :003 1 :40PM
GENZ RVAN PLUMBING AND HEATING
Nolm P5i4
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i.:::~:;' I PERMIT NO. 3-05-" I
1 y.Uow Applil:w: 6' ~
lPle.1.!e tVDe or'Dtint and sum at bottom)
I ADDRESS
lt51IR J-eff~ PCiM
I ZONJNG(oftic.",e) I
LEGAL DESCRlr UV1' (oJliceusc only)
LOT 0BLOCK3 ADOmON 0.eff<<..S 1 f1JIfi.ina
I
PID
OWNER
(Name) Wensmann Homes
. ~hone) 651-905-3709
Eagan, MN 55122
(Address) 1895 Plaza Dr
APPLICANT
(Nalu' Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(Contact Penon) J}b ti~1i -fbUJ
APPLICANT SIGNATURE _ OJ Js-aJ '-fa }l./)
FEE SCHEDULE
Indu'l11a1, CommerClal& Multi.famlly 1 % of Job cost wId,.. $3950 minimum Residential, New One lit. Two-FllDllly $9950
RestdentiaJ, Additions lit. ^,~.~950
EstImated Cost $ Budding PermIt # OJUItOt",O ~
riMrr
PLUMBJNG PERMIT FEE $
STATE SURCHARGE $
TOTAL P:ERMlT FEE $
\,ill~ ~ ~ G I'D i~ I-~)
I~\~ I eceipt No.
. fuatdUL 1 .t 2993 ~ y
. "~.-:,...
QU&l!.tity
6<
l
I
J.f
I
1
I
/J,
(Offi.eU" Only)
~hone) 651-423-11.44
Rosemount, MN
(City)
55068
(Zip Code)
~hone) 651-423-1144
DATE
7- 11-08
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity I Type of Fixture
i Bath Tub with or without shower -2 I Rough-ins
I Dishwasher I I Water Heater
I FloorDrain ~~.J... I WaterSofiner
1 Lavatory (Bathroom Sink) . I I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
.50
Buildi.og Pflicilll
Date
,-, I
~l
{/
This Application Becomes Your Building Permit When Approved
24 hou' notice for .11 inspections (952) 447-9
FIRESIDE CORNER
#2530 P.001/003
CPl.... ~ or print ODd sllUl It bot:t."')
I ADDRESS
15118 JEFFERS PASS
CITY OF PD~R LAKE
HEA TING/Affi CONDITI~ '! GIFIREPLACE PERMIT
FIJ.{ESID~ ~5,....1 PERMIT NO. 5-o'5=t--
Date Ree'd
HEART 111:rH U M.b"
ZONlNG (offict use)
J.EGAL DESClUP.'l10N (Office use only)
T..oT BLOCK
ADDITION
PTD
. OWNER
(Namp'
\WT::NSMA"'N
(Phone) _612-369.7616
(Address)
APPT..JCANT
(Name) ALLTTm PIREsmJ;: DBA IT~:l..&.HQM"
(Phone)
6~1-6~~.251i1
(Address)
(Contact Person)
2700 NORTH FAIRVIEW AVENUE
(Add,....)
RRENDA HUSTON
ROSEVIT,LE
(eil:)')
(phone) _651.633.25/1]
55113_
(Zip Code)
APPLICANT STGNATURE
BRFNDA HUSTON
DATE
9_R_03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTrON 0 REPLACEMENT 0 AI. TERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
lYPE OF SYSTEM HEATING OR. POWER. PLANT
DWlnn Air Film'S
DO",.vity
D Mechanical
DAir Conditioning
OVenL System
~~~.lt:r
o Rodillllon
o Special Oevice~
o Other Dcviecs
HEATN GLO 6000TR.DAK
PLEASE NOTE:
Air Conditioner Unilll
Cannol Encrooch into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
InduslJisJ, O>mmcrcil' & Mulli-Fomily
FEE SCHEDULE
1% orjob cost Rosident)al, ass Fireploce
$39.50 minimum
$99.50 Residential, Addhions & Alterations
$64.50 Residential, AC Only
$39.50
$39.'0
$39.50
Residenti..., Hooting & NC (New ConOll\Jction)
Residential, j'leotin@ Only (New Con'troction)
Esrimated Cost $
REA TING PERMIT FEE
STATESTJRCHARGE
TOT AL PERMIT FEE
Building Pmnit #
$
$
$
.50
(Orne. U.. Qnly)
liblS ApplicatIon Becomes Your Building ~1JI1IM,wJlI"lNM\!"'fttIAn, In~~lliII-""d Receipt No.
. . 9uild.:r Divi.';r ~ Dale By
u . 'Dulldllll! omi'llllJ falrv,ew Avenue North K.OI1lIIBJC, MN )) I. J j i 'hoJ. 651-633-2561 Fax 651. i33-88K4
."i,.Dn.. CI..... 3850 west J~.I~llway I j tll1mllVlllc, MN ))jj I l'hone 952.890-0758 Fax 952.89 ).54()8
24 bOllr nntiee for on inooeetlon.I~I4411,-9850,r.. /951) 447-4245
~.nrtlJrrle-...~"", MN"CbnrtilttOr ...fOnt. 1I "qrfiJll9{,
rift.
I !
&I" . 11."-;: .
.. ..,~m..v.r:
./
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS JS1lr jc~ P.,SJ Iti.MI.
NATURE OFWOR~~ ~,._
USE OF BUILDING ~.
PERMIT NO, fB-Of352. DATE ISSUED G..~~.O~
CONTRACTOR w..-flS "'."" PHONE~. 71..14t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECJOI\ , DATE
, FOOTING WI: I tr.JD I ';--/ t/
, FOUNDATION (Prior to Backfill) I~.....)..) . I
PLACE NO CONCRETE UNTIL ABOVEiiAS BEEN SIGNED
ROUGH - INS
~ ~\
(j1J
tPdS Y-r'j
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL I
PLUMBING I ~
HEATING (if required) _ r1h
FIREPLACE \. rl~ ?>'V'.
GAS LINE AIR TEST (117' I 1~.2.-)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1-- I
FINALS
/CK
'1-7
>~t'~
r--"
.
,
.
,
GRADING (Prior to Sodding)
BUILDING ~.J;, 8-t-03 ('7
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
1(/.-1.1,~
7-/-67
I WV.7
UNTIL I ABO~~HAS
NOTICE
( 0./ ~lr<l)
1'0 -~~
/
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
.
QI~difitat~ of OJ)trnpanq!
CITY OF PRIOR LAKE
~tparfm~nt of ~uilMng Jfnsp~dion
e(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:
Occupancy Type
R3
Type Construction VN
Fire Zone
Bldg. Pennit No.
N/A
_ Zoning District
03-0852
R1
Use Classification
SINGLE FAMILY
Legal Description
L6, B3, JEFFERS SOUTH
Owner of Building
Contractor's Name & Addres~NSMANN
ROBERT D. HUTCHINS
iUilding Official
7-1 N
Site Address 15118 JEFFERS PASS NW
1895 PLAZA DRIVE, SUITE 200, EAGAN, MN 55122,
HO~
:/'(/
V .
_ City Planner
DON RYE
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/..\1/[(
I ~
. rl..
..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~
arI--r.A~:5
- - Ii
7 .1,,1-..... ,,,,ok
",~,i.,. ,
DATE TIllE
/I),).,(.~
.1i&~
~-~2-
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
.8"CORRECT ACTION AND PROCEED
o CORREVt;2?7 FOR REINSPECTION BEFORE COVERING
Inspector. (),j)~; Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
UiSNOTl
DATE TlIIE
CITY OF PRIOR LAKE 7-/ --01
INSPECTION NOTICE SCHEDULED
ADDRESS 1511 ~ . l~.... O~
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - ~C;7 _
o FOOTING o PLUMBING RI o EXIGRADlFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP a FIREPLACE RI
~SULATION a SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
I J t
[;> L( +-&" t'J_ D~_
f\
~ \~ tQ
r6..c;..-k I~
~RKSATISFACTORy.PROCEED
o CORRECT ACTION AND PROCEED
a CORIlMK. CALL FOR REINSPECTION BEFORE COVERING
Inspeeto I Owner/Contr:
CALL: 7.~J FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMEN'IS ARE FOR YOUR PERSONAL HEALTH & SA.FE~/
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOnCE
SCHEDULED
DATE TIME
lolz~dQ3>
ADDRESS i 6 \ \ ~ j'f-f' f~iZS (J ASS
OWNER CONTR. (AX:~ W\A M
PHONE NO. PERMIT NO. (, '2, - 9--) S 1...
o FoonNG
o FOUNDATION
o FRAMING
--E)_NSULATION
~INAL
o SITE INSPEcnON
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING ANAL
o MECH FINAL
o ~WNG
o CO~NT
o FIREPLACE RI
o FIREPLACE ANAL
o GASUNE AIR TST
o
COMMENTS:
LA )R.6 S'tCJP - (rJ-..
6fl...A.O~ - OK
~K6E. <, J.....)O Son
~RKSATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE,~T RK, LL FOR REINSPECTION BEFORE COVERING
Inspector. I OwnerlContr.
CALL"7 850 FOR rtfE NEXT INSPEC1KlN U HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR,I/fSONAL HEALTH & SAFETY!
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~ \ \~ Q".5',c,
OWNER CONTR.
PHONE NO.
PERMIT NO.
a FOOTING
a FOUNDATION
a FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE Tl1IE
lo-2~.o"~ ~~!O
-~_ A~}
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~S~
COMMENTS:
~{~.J
~. CJI ~ ~." 0. ~. jlAc,t8"J.~DV1
3.S...l&-~~ 1lPT~ ~
~~ LJlllklA.~
o WORK SATISFACTORY, PROCEED
,)!l'""CORRECT ACTION AND PROCEEO
~CORRE~T K, CALL FOR. AFINAPI=r.TlnN RF'l=nRF CllVJ:RI~G
Inspector. Owner/Conlr.
CALL 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/