HomeMy WebLinkAboutBuilding Permit 03-0694
.."
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
S -C).J-03
I PERMIT NO. (J'? - ()(pc{4- I
I. While File
2. Pink City
3. Yellow AppliclUIl
qt1ease.!VDe or orint and sien at bottom)
ADDRESS
fJOO<l1>Mtl~U1' 4'I\L~.
. LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK J..., ADDITION tAw~ e.1 d ~
OWNER
(Name)
(Address)
BUILDER '"'i' 1\ I I .
(Name) V.I<.. "ttb'/+tn :Irtu
(Contact Name) ~. ~'~CIJ>-,.
(Address) 2,.oefDO-~"'C"",e*..sk. I\)O
/.-A.IUMI \., . o'Y1 N 5<;1)#
TYPE OF WORK
o Misc.
~New ConsbUction
OLower Level Finish
(Phone)
I ZON~yftkeu~) I
PID2.5-3QQ- 01.:3'-0
(Phone) -9.5Z- ~ QS..-z Q{lK
(Phone) ~2 - '221_ 1~!J4
ODeck
OPorch
ORe.Roofing
ORe-Siding
o Fireplace OAddition OAlteration
PROJECTCOSTIVALUE (excluding land) $ WI. '6"32-
OUtility Connection
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. en' ed property and that all construction will conform to all existing state and local laws and will proceed in accordance with
sub plans. I am aware uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
en upo et'....t'....~/toperfo inspections.
Jh
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
.2.0Z-, 000 .00
$ //5114--.15'
$ II 017. Z-2-
$ I () /. 00
$
$
$
$
$
10C.OO
I() O. 00
.3S_~
4-6. Of)
omes Your Building Permit When Approved
.5-JO:6~
Dale
,,;b~.r..,
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder', Deposit
I Other
I TOTAL DUE
I Paid Y77rf. f#/
I Date lj./Z.07
$ ~-5D.O()
$ 112. 75. 00
$ ?-57J. 00
$ ~() 0
$ I. U'Jo.06
$ 700.00
$ 1.500_ 00
$
II $fl,t7fJJo7
I Receij~/No. "r4-&l.7('?
By It-- .
o
#
#
#
#
C;-IfL, -~ ~
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 procaed as requested. This document
when s' ed the lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
w..e
RroJ af! 1'Id1r~ -+ II-tJ~.Jf.s
Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (9S2) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
,y. SO-Q3
.
.~~
ThOI' ("lml'" of IIH I..... ('o....ry
White - Building
C~.........u .. c~.~!~~"':"'..!!!ID
t'lnK - I5lannfng
BUILDING PERMIT APPLICATION DEfART~NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. J2 ~ f-IOt2.1 UN
b.Z-/. Q3
The Building, Engineering, and Planning Departments have reviewed the, building permit
application for construction activity which is proposed at:
50GB PotJDS F.5DGJ3 l-ANf5 $.E.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
JYJ4B
Date:
6- 2 -C?. 5
Comments: See Reverse Side for Additional I nfnrmatif\n I
See A ttllc.hment!!. 1) C'TT'ading Plan, 2) Erosion rnntrol Measure!!
"The issuance or granting of a permit or approval of plans, spe~ifications 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."
Th~ ('~nl~r of Ih~ L.kr ("ounlry
~,
Pink
-BUi~
':lltsI"I~'V1 Jng
- Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. f2, HOfGI uN
5.2--1- Q3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
500P; PONDS E/D6.E L-fttJf;' S'.e.
Accepted With Corrections /
Accepted
Denied
/tUL
ft'. J. nd ~:s
Date:
6 -:]-03
Reviewed By:
Comments:
+- ~d~
"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."
j;~
-"..:;. ~.
/If' .:'f"
Tht ("tnltrof Iht 1..ktCounlry
White . Building
~ . Fnair-ri1g
Ink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CI-tECKLlST
NAME OF APPLICANT
D. 12 - 1-10 fUV t.J
!::::>.Z-J.Q3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
500~ PONDS 5DG.6 l_fH,E ~.E..
Accepted
Accepted With Corrections
L---
Denied
Reviewed By:
IItA L
,
fL..J !h....ddZl r
Date:
C~y() :J
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."
.
...
Name atTester
Date
,
Percent 02
Percent CO
Percent C02
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606 "'e~
L
input /~.,nO ~Td
.t
..~
CITY OF PRIOR LAKE
HEATINGfAIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
#7/9-?
: ~ ~:~ I PERMIT NO. 3 - Ioq III
3. Yellow Apphew I
(Please tvoe or'Drint and sim atbottom)
, ADDRESS
/~f ~/7~~~
<;/
/~
, '5'e-
I ZONING(ofticeus.) I
LEGAL DESCRIPTION (ollice use only)
LOT~LOC~ ADDIrtON
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Acidress) LAKEVILLE, MN 55044
(phone)
~;;~~~A/..&A.I~/H,"'.AAcA"'~"'.-e (phone) ?-5"/~ qS"~--?77.-;-
(Address) . ~~ A(/~A..I~"~...L//. ~~44:J ~t"'-?-z...
(contactpe:n) A~~;;~~~, / (phone) (aat~~/_ s/s;)::;;~~
APPLICANT SIGNATUP."-_ ~ .'-.. .1___._ _ DATE
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRJ1S?1ION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL J"1I""t':A ~ 9~~ FUE~,L,k~ ~~
FLUE SIZE ,_:? .P'u 6 RETURN OP INGS INPUT ~ O{JTP{JT ~ ~)
TYPE OF SYSTEM HEATING OR POWER PLANT
:JWann Air Plants 0 Steam
~e:~tical , g~i~:
5P;it Conditioning 0 Specilll Devices
zu,nt. System 0 Other Devices
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 Residentilll, Gas Fireplace
$39.50 minimum
$99.50 Residentilll, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ 7~ ~Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ /ly,6'-J''/~
$ .....50
S ~
PAID WITH
BUILDING PERMIT
(om" Use Only)
This Application Becomes Your Building Permit When Approved I ~~ lID L~ U~ Ii
BuildingOmtlal Dat. _ \lliteJUN 1 8 Z003
14 hour notice for all inspection. (951) 447-9!50, fax (951) 4474145
IBy
~eceiPt No.
t (f-
Jun.16.2003 1:07PM
GENZ RYAN PLUMBING AND HEATING
No.7910 P. 4/8
Date Rec'd
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
-..
i. ~ ~ I PERMIT NO.:;.l_ 1 _{I} J
3, 0014 -'l'9Ikut - ) <.u i "'I
~ """!. armin. aDd >!en at bollDml
ADDRESS
5D0? P0'hd6 e~ Lv1 Sf,.
ZONmG (olEa: =1
LEGAL DESCRIPTION (oJllce use 0Jl!y)
LOT 1- BLOcr. 2- ADDITION ~'eld.. ~
PID
OWNER.
(Address)
.2.0~ ~e.i<.\t6e Cr 5r-P_lm
(Addms)
(phone) _
La~\li lie..
(CilY)
qp2.q~-18M
~Q1-1U
(Zi!:>Code).
(Name) 1'1) llnxt-^~ ""l1ato~m H"m.~-
APPUCANT
~'~A\ Genz-Rvan Plumbin~ & aeatin~
(phone) 651-423-1144
(Contact Person) .
(Address) 14745 So Robere Trail
(A4:lrcs.) (' _ I J.......
rYllli ~ h tu{;Ql
~ ~lU\
",ICANT SIGNATURE
Resemount. MN 55068
(City) (Zip Code)
(Phone) 651-423-1144
DATE (~ -f lp{)~
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
Resjdential sewer and WaIeT hne connection $35.50 Industtial, Com'l &: Mulli-fam1ly 1% of job costWlth. a $39.50 mmlmum
Sewer connection only $17.50 Water COlIDection only $17.50
Estimated Cost $
Building Permit #
SEWER ANP W A'ffiR PERMIT FEE
STATE SURCHARGE
TOTAL PElUVITl' FEE
$
$
$
.50
aUlinAID WI7J.t
ING PlfFlMIt
!
(Ollie. Us< Oaly)
I This Application Becomes Your Building Permit When Approved
?1;i~f~~;" Building 9f1icial D~te
24 bOUT Doliee for all iDspections (952) 447-9850,
D.o.:'s'~pt No.
o ~(
JUtt-t-b Luu~_~-Il ,~-'
52) 447-4245 J '1J
By
J 16 ',003
un. .
1 : 0 J PM
GENZ RVAN PLUMBING AND HEATING
No. J 910
P. 5/8
Date Rec'd
CITY OF PRIOR LAKE PLUMBJNG PERMIT
,
'...
'-~'.
-,
;. ~ ~ I PERMIT NO. 3- /nq "
l V"low AppIiQnt (t f...{
(pl""", t'iJlS or 0_ and !!en &J: boaom)
ADDRESS
6W& ~~
Ln (\~.
I ZONlNG (office...)
LEGAL DESCRll'TION (otlice",. only)
LOT -tBLOCK J- ADDmON f'J...eu<j,e(d. gqn.
PID
.OWNllR
~~e) DR Ho.con Custom Homes
(Address)
(:phone) 9t?2-Q;;.Ji -1'&>0
\ \
w1u.vi JIG lMN' .56Dl.j lJ
2.o'iSu:>D kb1B~II>Se.. Cr
Sie. I DO
APPUCANT
(NametG;:,'rI'7"B?~-:-- 'I)~"'-.hj.n.1 ~. ~"''''''':-8
(:phone) ....6.5..L_/"?~_11l./,,
Rose)llount
MN
55068
(Zip Code)
(^dme~) 14745 So Robe.t Trail
(COlltact Person)
(City)
(Addless) r.... ,
ur MYLU -f/' 1lU,).\
f) J J i:3iJ '-::frAil,()
(:phonc)
651-423-1144
_ DATE
(P..-fLo-fY3
APPUCANT SIGNATURE
Quanti ty
;<
I
I
r::;
{
I.
I
~
APPLlCANT PLEASE COMPLETE BELOW
I Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Batbroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
I Bar Sink
I W;rtJ:r Clost:! (Toilet)
Quantity
.q
('.
IL -"I-
I
I Type of Fixture
I Rough-ins
I Water Heater
I Water Sotlner
Stand Pipe (Washing Machine)
I Sewage Ejector
I Bacldlow Assembly
I Backflow Assembly Test
I Lawn Sprinkler .
I Other
I
I
I
I
J
FE:ESCJJEDULE
Industrtal. Commercial '" Multi-CUndy 1 % of job cost with a $39.50 minimum Residential, New One &: Two-family $99.50
Residential, Additions &: Alterations $39.50
Estimated Cost $
Building Permit #
8uildi", Off"1Cia1
tJUJt7fo ~.
~NG PCFlM/t
~I ~J;' ~~ ~'<N' Ck _
~4 hour notice for aJlln.pe<tloJU (9S:l) 447-9850, fu (952) 447-4245 '-'()
By
PLillvfBfi'lG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office UI< Only)
I This Applics!ioD Becomes Your Building Permit When Approved
(
1"--'.
Da.re
CITY OF PRIOR LAKE
HEATINGfAIR CONDITIONINGfFIREPLACE PERMIT
Date Rec'd
l ~ ~;"" I PERMIT NO. 3- &,Cfl( I
q>1~... ~ or Drint lIDlI sip It bottom)
ADDRESS
ZONING (o!lice use)
5008 PONDSEDGE LANE S.E.
LEGAL DESCRIPTION (office use only)
, LOT
BLOCK
ADDmON
PID
OWNER
(NatnP nil HOllTON
(phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOMl'
(phone)
1\~1-2~~-?~/\1
(Contact Person)
IIRENDA HUSTON
ROSEVILLE
(City)
(phone) _651-633-256.
~5113_
(Zip Code)
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRFNIlA J./USTON
DATE
R/19/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATINGORPvwr....PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
REA TN GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
elJ/~""D "'"
I'1\'G 'l}.,
p~~
~17-
.50
(Offiee Use Ooly)
This Application Becomes Your Building Permit When Approved
BuUdinl omcia.
Date
. ..
W~
-(i~eceiPt No.
l.)3y l'
24 hour .otice for .11 iospeetio.s (952) 447-\ 850, fax (952) 4474245
By
, .
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS lA#IC
NATURE OF WORK . ~",~
USE OF BUILDING h-I:.. D..
PERMIT NO. f'J)~ DATE ISSUED ~- :50-"3
CONTRACTOR 1JJl-8~ PHONE!la .AJ,J.. nJ"I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPEcroR
-
J1If/
DATE
I FOOTING
I
, FOUNDATION (Prior to Backfill) I JM1 I G. ~ //7 -d)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/lW
rvr
/~
~/(q-rf)
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL , _
PLUMBING 'J.~, tI/A. ~, 7P/f3
HEATING (If reqUired)
FIREPLACE
GAS LINE AIR TEST l1/Y./ &-- )()~ tI)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
NI<
'"' ~
j-{ 0-0>
~lU/~
>r-~ CO
VV1f'
tivy/
$5- q/(h
.&-lAJ-V')
.
GRADING (Prior to Sodding)
BUILDING 1<...t? VA h (
ELECTRICAL
PLUMBING
HEATING
DO NOT
'-I-oq
1(J,~7.()7
7.%r
tW./
frY
/0"'" /t1M/>
fl- 7-crt
SIGNED
,!!
OCCUpy UNTIL ABOVE HAS BEEN
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.
FOR ALL INSPECTIONS (952) 447-9850
Qtnfifitnft of <IDrnxpantll
CITY OF PRIOR LAKE
~epadttttuf of ~uilMug Jfusptdiou
~inal Permitted D Conditional CoO. 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 03-0694
Fire Zone N / A Zoning District _ Rl
Occupancy Type R3
Type Construction VN
L2, B2, DEERFIELD 8TH
Legal Description
Owner of Building
Site Address
5008 PONDS EDGE LANE S.E.
Contracto,', Name & AdctU..R. HORTON, INC., 20860 KENBRlDGE CT., SUITE 100, LAKEVILLE 55(
ROBERT p. HUTCHINS CIty Planner DON RYE
41 uildin~ Official ,/
Date: I V.. /1 1 ,(; L Date'
POST IN CONSPICUOUS PLACE
....,
'....,..,..:..".
",:,.,(. '
.
"/11'
,'-"""':"" "" '-'
, , '''''-''
'....,. ~.',.;...~';'.:li
....F~,,,
DATE
~/./
-..SVO? /Z cis e~e ~
PERMIT NO. CJ3 - ~ 9-;/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] jlSULA TION
~AL
[] SITE INSPECTION
[] PLUMBING Rl
[] MECH Rl
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
COMMENTS:
.-J ~ /
(Q~~/~r-~
"
.--, /'
I'" ~/ose
,
~/
/'/ I~
TIllE
[] EXIGRADlFILLlNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
.40RK SATISFACTORY, PROCEED
/~ ~ORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~
Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE nIlE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
JJ-?~'3
ADDRESS --:SOOg'
Pc,Yld.s 1""./<...;"
'"
DWNER
CONTR.
PHONE NO.
PERMIT NO.
'3 -(44
[J FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.r'FINAL
o SITE INSPECTION
[J PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
;rMECH FINAL
[J EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
<;; o..L u.
r;-,...,.~.c;.
Q...
.
r-I.:.,..- / tf? INI_ 1-
L
(~~~ ..
('f'. ,., '''A 1 -' (
("'t,.......-',- ~ rr
~ -f-dLf
d~ll1"" n:Lt~J
[J WORK SATISFACTORY, PROCEED
o CORRECT ACTIDN AND PROCEED
. CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector. ~
Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
uaNfm
DATE nile
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/o--fe(4J
ADDRESS
~C()~ f?ond.<<:!~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s-,qq
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
;r"PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Y <t PUb/rC..
rt:;yf-c",.t?"5
o ~SATISFACTORY. PROCEED
/CORRECT ACTION AND PROCEED
o CORRECT iJT~LL FOR REINSPECTION BEFORE COVERING
Inspector: -/---fI/ Owner/Contr:
gALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HE.4LTH & SAFETY/
IN$NOTl
llA TE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10 'J, 7-Qj 3 '.1)-
PHONE NO.
5"<90~ fJrJ~~CJf tn,
,
CONTR. -.noR. HorfoY1
PERMIT NO. A ~- c,c,'I
ADDRESS
OWNER
[J FOOTING
[J FOUNDATION
[] FRAMING
[] INSULATION
[] FINAL
[J SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[J SEWER HOOKUP
[] PLUMBING FINAL
[J MECH FINAL
~ILUNG
[] COMmlNT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASUNE AIR TST
[]
COMMENTS:
G/,.-, r.fr; (.,//
Cu do ,'3t9I---- /) r
~RK SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In.pector.~ - Owner/Contr:
CALL '.&7-9850 FOR THE NEXT INSPECTlON:hI HOURS IN ADVANCE.
CODE REQUlREMENI'S AIlE FOR YOUR PERSONAL REALm & SAFETYI
Ui8NUTl