HomeMy WebLinkAboutBuilding Permit 03-0543
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Lj-/?-o3
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO. Q.:?-0543.I
I ZORrOftk'U~) I
(please I\Ij>e or orint and si... at bottom)
ADDRESS
5b I.R I T?fl'r'lh ~~~
LEGAL DESCR1PTION (office use only)
LOT?J BLOCK J ADDITION 1)..~'€l J ~.
PID ~S- 3qq- CXJ3'O
OWNER
(Name)
(Phone)
(Address)
BUILDER....... \ \
(Name) I J.IZ _ 1"1UY-h)'1 LL .
(Contact Na;;-'e) S+eve_~,.JL("':"
(Address) 2..b e~ 0 ~",'JIl(. cf- Sfc..Io 0
1~1't. .Mtvt ~-IL/
(Phone) '152--'1 Q~-1QD~
(Phone) ...:'I;-2-2-u.. -I ~~4
ftNew Construction
DLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
TYPE OF WORK
o Fireplace OAddition OAIteration OUtility Connection
PROJECT COST IV AWE (excluding land) $ I Vt./. 2() ~
o Misc.
I hereby certify that I have fumishedinfonnation 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~hJ and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submi d plans. I am awar that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter p the property neede~ inspections.
X r!..,.j~ ~OOb51.,~-7 f-n~
Signature Contractor's License No. Date
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
'/r.,~ 000.00
$' 1352.15.'
$ fj7~.~o -
$ ~2.oo .-
$
$
$
$
$
I Park Support Fee
I SAC
I WaterMeter( 51;e sJn";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Otber
I TOTAL DUE
~"~.........,...-
Pai 't'(/g, 00
I Date . -y.....O"?,
$ <6'so.oo
$127.5.00
$ .;l5"0. O~
$ IfS.oo
$ I '2..00. cOO
$ 700. Dc:!)
$ /SOO.OO
$
#
#
#
#
-
lao. "0
l(Jo, fie
3S.~o
~,1ttJ
I
sfJ.40fJ.55 I
',////".". '=?
I ReceiotNo. 't <1:::> ~ I
Bv ~ I
This Application Becomes Your Building Permit When Approved
~ 9L,~L)
4~),~
Date
Building Official
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 tw...y~....,1 Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~,. r
.~ .:p;17'~
~~~!
,4A~ ~ndto:.-/;:)
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN SS372
Planning Director
~1
White - Building
Canary - Engineering
,... ~.t... .. :-:~;;~:.I~
Tht Ctnlnof lh, l..ke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D p fjolroA)
APPLICATION RECEIVED l..f /'/-:3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/') /) & / /=)t>lv c/s e ,J'I ~ L..JJ
.J
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~
/?L~
--:f~
LU.-f '-..-/ /01--~-
,t?
.'f- ~~
Date:
s13~)>..?
Comments:
J~
A.. e..
~ .A!.J.
-aJ~.
~ .,,:.0'1..-
r
"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
~White - QuildiiUj:)
Canary - Engineering
Pink - Planning
ThtCtnltraflhtl..bCountry
BUILDING PERMIT APPLICATION OEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D 7? !WJr-fotJ
L/ /'1-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,&) rJ~ / PI)Nd~ e.dqe.. L..,u
'..J
Accepted
---
Accepted With Corrections
Denied
Reviewed By:
2L '0 ~,~~
d~~
~~~J"
,~ ~.,.;::f;;;-.
Date:
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 - ~ulldlnll
,. ..d..'~ft.ru - ..nplneenn~
Pink - pranning -
Th.. ('"nl,rrnflhl'l..kt'('ovnlry
BUILDING PERMIT APPLICATION OEPARTMj;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'1"-' I) / ""//' I, ,j
!-J Ie: /> () .n:J 1'-
L/- /')-.--5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
."') /,J I~'" / r:.:,:, IV d5 c:" ,jj e. L.. J../
Accepted
)(
"'
Accepted With Corrections
Denied
Reviewed By:
hffJ3>
Date: L!-..Ul-f),1..
Comments: ,See RAverse SidA for Aciciition::!1 Infnrm::!tinnl
See.Attachments: I) Gradim! Plan. 2) Erosion Control Measures
"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."
,
..
, r:O~1 t?...6E.fu>
Job Address
-Healing Contractor .4/"t. 'J4I../?~E;'.v
Name of Tester ~nn.'iS:
. Date I ol2/.;~
Percent 0, /a l' 7d
Percent CO a:.;..v
Percent CO, S.h?u
Stack Temp n "'F
Combustion air is adequately supplied per
UMC Sec. 606 t/6
7~
input fj t! CIV i! ru
t
"':
\;11'i OF PRIOR LAKE
HEA TING/AJ::RCONDtTtONtNGt'l:<1:REPLACE PERMIT
Date Rec'd
(Please ~ or nnnt Iilid ,ilO1lil bOliDIliI
ADDRESS
l~/ AA~~o!~ ~J?
<7
#7/e:/?
It::::. ~~~...... il PERMIT;NO;3 ~ru'). I
,. 3. -V,lkIW; AJjpllcut .. ., :::::?~
ZONING (ollice ose)
~<;'"&-
LEGAL DESCRlPTION(offid! we only)
L00BLOCK / ADDITION
PID
OWNER '-t-...-r'l .\_
(Namel U.... 1\Oy+on (phone)
(Address) mUlO ~br\d~Ltu.-~lIitle. M),J .55tJ44
~;;~~ANT~\\\OJYI- Muha.nl.coJ(pItOti~)~2..,<;Z:1-Z5'
(Address)3~D Ktnne.becJ::>r-. Sw-lel .~nlllaJ1..MN 5512.1.
(~ddress) . ~ (City) (Zip Code)
(Contact Person) J.e.U lMm.fYW\A.Y\... . . ..(JlhClile)ffiJ&..II5z-t'1t5'
APPLICANt SIGNATURE . ~.~DA::rtl
.. .".
, . .
APPLI :ANtPL:EAsECOMPL:i!:fEBELOW
..<. - ;", ' "0" ..' .'_...., ,_, .' ,. .... ,', ,_. ._"_..._',' " ".__"_'._ _..>'.., "
.IXINEWCONSTRUCTION, . .[J,REP~A.CE~,>/.;';'Q~T,B~TIO!'lS.. ...;>>..........
~:~1~~ M1-~I~N~7~E~~e~~.qt'I... ...:.:.:......~;;;~.~;.~~~.~4~b.
TYPE OF SYs1'EMHEAtIN'O o:ltpoWllttPLANT '
OWanri Air Plaiii.; ..0 S. ielUll.PLF:ASEN6tlk
OGravity . COHotWatetAirCotididonerDililS .
8 Mechanical;URadiitl6rl. .. . ..dllllilOtEncroachirit6'
~~rt;,~~~~:irill ....:B=a~:es-~:t~~~Si4e:Yllfd..
;....-;........
FIREPLACEMA." KEANI>MOPEL
. , . '. .
. .
.Estifljllt~d6osf$..SJbb6..oo... . Bbli<jjfig}i..rlhit"#..
FE~SCHfbiitE ...... ...
1% rifjob'cosl . 'Rl!$idetiliiil,<iuFii'epllice
'119;50 mirtiiilulh ..' .
$99.M . ';Rts...ideti.tlal.iAd6iliofis&.Altefliti6tiS.
. _$64:$0 . '.R:esidettiia1;ACOrtly
$39.50
Industrial. Commercilil &. MIllti4<'lUlliiy
Re$idential,Helilirtg&.A/C (NeW COrlsti'UtiiOrl) .
Residenti!ll; HOlIfifigortly (New COfiSlhlction)'
. $39.50
$39.50
(Om'eUl~ Only).
.........Q:(~ ~
'. . ' ,- " .
. ,- ,,'. ....' , , .
'$/J.J . ../. ......... .f.ttO'" ..'
'. $.. ......, ..."...,.50..,..........".., . , ~. ..If1i.;.;......... :
.q, ... ""'/.>.....:...:,... ~,(P~:;!'f#f. .'
.il. ....:..... 'L'....'". ..~'.. .. ...;..... .......... .... .. \ol' .... ~.. .
'-7.., . ~}6
......".:.<. i..,';',.: .>.... .... ...;;;.,._:,i,:;_.,:~.'1I1:,.
This AppIitlltiQnBeciilill!$Ylltlr.]~ilUiiliilll'ermifiWhl!ftAjiprllved;:.. ~iO:lrct Tk\\\1i .~ei)Jt .
~: .~li'" 11:..\1.. .V ...
. '" -,
. ,,:fiEAtif.j-OPERMITFEE.
'.:.STAfJrsuRCHAltGE:
"'f'OtXlfl'm4Mtl'<F-EE:. .'
.BUil~ifill Offiol.1
Date
14 holl. .tiotiel!t6r.alilii.pl!ttlil...(9~2)447'98
By--=
t~~
.,..,..'+/.' <(to
;&_;~~~~).~ rrkosO
~~
May.27. 2003 1 1:50AM
GENZ RVAN PLUMBING AND HEATING
No.4797 P. 2/6
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
lPIc.... tYpe ororlllt wllieJI at bomm)
I AnDRESS
5Dto1 ~(JMoJ Lv1
I
LEGAL DESCRlPnON (o1lic:e we only)
LOT6BLOCK I ADDmON ~e{tL ~tv1
I Blue Pile
2.. Oold Ci(V
), YoIlow. AppIiQnl
I PERMIT NO'3 - !;Lf3 J
I ZONING (ofDc'_l
PID
OWNER
(Name) DR Horton Custom Homes (phone)
(Address)' 2o'Sf.oO K:b1B~J~ Cr Sie /DO
APPLICANT.
(Name) t;'9QZ-l1r"- '''_\1,-'''-: "-E:u~'-g
(Addr~s)14745 So Robar. Trail
(Address)
(Contact Person)
962-Q'i.t:, -,ISM
ufuvilk. bUN &Ct,!.jLJ
(Phone) ....6.5.6/.? ~_1 1 ~/,
Rosemount: MN
(City)
55068
(Zip Code)
APPUCANT SIGNATURE
A ~ ,AJ
QuaD,.tity
(7..
I
I
Y
I
I
I
1-.
(Phone) 651-423-1144 '
DATE d?j-- ;;Z -::r-f)~
APPLICANT PLEASE COMPLEtE BELOW
I Type of FIXture
I Bath Tub with or without shower
I Dishwasher
I Floor Drain
j Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
SiDles
I Bar Sink
[ Water Closet (Toilet)
Quaatity
.~
1-
II..-J-
I
((.-'J-
I Type of Fixture
[ Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
, Backflow Assembly
I Backflow Asserobly Test
I Lawn Sprinkler
[Other
I
I
I
I
i
I
[
I
,
I
FEE SW1I!ivULE
Indumol, Commercial & Mulu-family 1% of job cost wIth. $39.S0 minimum Residential. New One & Two-Famiiy $99.50
Estimated Cost $ Buildin~;::ential'AdditiODS&Al'-'l.a: @-fi.D_ IT] a: ~i
PLUMBINGPEllMlTFEE~~~' ill ....Y! 7 (on1 _
STATE SURCHARGE $ 50 .
TOTAL PERMIT FEE $ By
(om" Use Oaly)
I Thi, Application Becomes Your Building Permit When Approved
I
Bu~dl.gOllicial .
I Paid
I Date
Da..
I Receipt No.
I "By .rr
14 hour .,otice fnr aU i.spectio..{9S2) 447-9850, ru (952) 4474145 '
May.27. 2003 11:50AM
GENZ RVAN PLUMBING AND HEATING
No.4797 P. 3/6
,
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND WATER PERMIT
f!'lease ~ orlmllf and sim.,b"""m)
AODR1!SS
F)TMI
i. ~~?;.. I PERMlTNO,"1_ rn2
3. Gold AfpIiClOt ..? <0 ~"7 -J
LEGAL DESCRI1'TION (o1lice use only)
LOTJ BLOCK I ADDITION
PPIVIdMdrj;__ if}.
~dd 8fn
ZON.lN'G (QIfie, =l
Pro
OWNER
(Name) DP li~rt~Ha ('''ttQIQ 1;;T^r""':"
(Address)
2D~O ~ef<..\t:6e C:r Sr-.../I\"
(Addre..)
(Phone) _ 0/.:.:>2 -q85- ~
La~llllle.. &J6'Y-j U
(City) (Zip Code)
APPUCANT
(N~) Genz-Rvan Plumbin~ & Heating
(phone)
651-423-1144
(Address) 14745 So Robert 1',:,,11
r (Addtw)
'~JCANT SIGNATURE
~<?Ae~ount:~ MN'
(City)
(Phone)
DATE
55068
(Zip Code)
(COntact Person) ,
651-423-1144
6- a-:r '/if?)
APPLICANT PLEASE COMPLETE BELOW
Size of Wllter 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
}t'EE SCBEDULE
Resldential sewer and water line ronnection $35.50 Industrial, Com'! & Multi.famjly 1% o{job cOSlwith a $39.50 minimum
Sewer connection only $17.50 WatI:/: connection only $17.50
Estimated CostS
SEWER AND WATERPERMlTFEE
STATE SURCHARGE
l'OTAL PERMIT FEE
Building Permit #
~""D
. 'ffVG~.50
$....~~
rv ~ @ ~ 0 IV ~ ~I
W MAY "2 -,1 ?On~ J
l
(Ollice u.. Only)
I ~is Application Becomes YourBllildiDg Permit Wben Approved
By
i .
I,"".
""'""" ~,
BuildiDl 9flicia.
Oat<
I Paid
I Date
I Receipt No. ___ I.
IBy Ufi I
()
Z4 hour nooee tor all inspcctioo,s (952) 447-9850, f.ox (952.) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
l~... 3;~, I PERMIT NO. 03-054--3 I
(Please tJ.!M: or print and sip at bottom)
ADDRESS ZONING (ollice us,)
5061 PONDSEDGE LANE S.E.
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name D_R_ HORTON
(Phone)
(Address)
APPLICANT
(Name) AT T TED FIRESIDE DBA FIRESIDE HEARTH & HOME
(phone)
651-633-2561
(Contact Person)
13RENDA HUSTON
ROSEVILLE
(City)
(phone) _651-633-2561
55113_
(Zip Code)
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRFN/)A HUSTON
DATE
7/29/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D 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
HEATING OR POWER 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
HEAT N GLO SL-750TR
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
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
I
Building Permit #
$
$
':.:;:___'00' .-,....,"'00 A,,_ S ~~ ::;;G~ 1\:~N.
Bulldln. Omeial Date ~\faqj ~'
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
9~O WITH
BUILDING PERMIT
,50
24 hour notice for an inspeetions (952) 447-. ~. fay (90) H7 WS
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 5()~/. P~~e ~
NATURE OF WORK ~
USE OF BUILDING ~ F" 0
PERMIT NO. Q"i- ()54-3 DATE ISSUED
CONTRACTOR-n D #.D",t () J1.J PHONE~ '3 ~<f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMI:I'JT OF
BUILDING AND INSPECTION
)/I/'f
I FOUNDATION (Prior to Backfill) I f /I Y/ I S - Z;,--crs.
PLACE NO CONCRETE UNTIL ABbvE HAS BEEN SIGNED
ROUGH - INS
J/ld _
VW/ ~
Vl/V/
Ivy! 7-> ~ 4/"J
jtvf _ ~ -(,-tfj
WY' ~ K -&-If'>
1M?" $( -I.- rI?
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
;V/)
#a
INSPECTOR
I FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U. &,
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
J11? t> "70
GRADING (Prior to Sodding)
BUILDING ~{...(7 041-01
ELECTRICAL
PLUMBING
HEATING
DO NOT
JI,'IJ>'(/ ,
YW
VVV'.....
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
DATE
'). / '-I -.P"7
(,.- 1. . (/L,
~/V03
~t-0
/0. 1.0.:1 ."
..7~y
e
IO-'.)-()l;,
IfI. 2.2--~
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
QIntinrate of ODrrnpanru
CITY OF PRIOR LAKE
~tpadmtut llf '!iluilMug JlusptdillU
~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 USf'. For the following: I
Use Classification
SINGLE FAMILY
Bldg. Permit No.
0,-0~4,
Occupancy Type _ R3 Type Construction VN
Legal Description. L3, B1, DEERFIELD 8TH
FireZon, N/A
Zoning District _ R 1
Owner of Building
Contractor.s Name & AddreJ;l. R. HORTON,
ROBER't D. HUTCHINS
Date: _11 I/.Yding ~ffi~al (, Jr
J t '
Site Address 5061 PONDSEDGE LAN"
INC., 20860 KENB'lIDGE CT.. SlIT!'" 100.
LAKEVILLE 5
City Planner
DON RYE
Date:
'\
.,j"",;..:.iJI".:......, ,.i .~
--
, L~ e. ,."
,.".",',
,.....,..". _'.Ji .;.jO;,',
\..J. " :;;,.~i:-
","..",':",
>....~' ..~ '!
<~
ADDRESS
006 t'
DATE T1IIE
SCHEDULED .?M/"
/."
/J~L-ej;p
V
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O.j'-.s~?
o FOOTING
o FOUNDATION
D FRAMING
o INSULATION
"jj{ FINAL
/0 SITE INSPECTION
o PLUMBING Rl
o MECH Rl
D WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r~x?~h.
/ .
r.sk~
.,,<' /
X- / e:::
~RKSATISFACTORY, PROCEED
/0' CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F R REINSPECTION BEFORE COVERING
Inspeclor:
Owner/Conlr.
CALL ....7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SA.FETYI
-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
,t;(Y;/
rYl-MJrl,! -...
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
8FlNAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
o WATER HOOKUP
o SEWER HOOKUP
C! .~UMBING FINAL
4il"MECH FINAL
COMMENTS:
C) ~l1d
r "'....S
.J-
l7~y
.
.;-
I/t'iI<,/7 (.I ",-hI
,.
DATE nile
lo-tl-~
'1-rq "3
[J EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
[J GASLlNE AIR TST
[J
~..elfJp ht.,...-!-
/1-:Jd~oc.
~
o WORK SATISFACTORY, PROCEED
YCORRECT ACTION AND PROCEED
[J CORRECT ~R~.i?'LL FOR REINSPECTION BEFORE COVERING
Inspector: -1J!!" Owner/Contr.
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
1N$NOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HE.<<TH & SAFETY!
DATE TWE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10-'7-03
ADDRESS 5"oGI Pa,J.s ~11'
OWNER CONTR. ---1). R. I-InrchY'1
PHONE NO. PERMIT NO. b ~ -Si./.:J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
dB fiNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CIil"~LUNG
- 0 't:oiiii'LAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
r;rc,~ - {9 f'
C,/ ,b (1.,,,,,/ ~(')C
~WORKSATlSFACTORY.PROCEED
. 0 ~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect~~ Owner/Contr.
CALL "7-118&0 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL REAL71f & SAFETYI
"""'"'
DATE Tl1IE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(()-)<J5
ADDRESS
,<<x,/
(f?o.,,{,ctdH
OWNER
CONTR.
PHONE NO.
PERMIT NO.
>- ~t.! 3
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.II PLUMBING FINAL
o MECH RNAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(!) ((move.- rotJt'Gqps
o WORK SATISFACTORY, PROCEED
I CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. M I 0- 2r[3. OwnerlContr:
CALL 4<17.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""