HomeMy WebLinkAboutBuilding Permit 03-0632
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT .5 ___Y--{).3
1. White File I PERMIT NO (, I
2. P;,k C;" '/J::>_() 3.' 7
3. Yellow Applicant (/..::J ~
q'lease !VI>< or Jlrint and SilUl at bottom)
I ADDRESS
SQm 'V~~~~jI_
LEGAL DESCRIPTION (office use On1Y)~
LOT,~ BLOCK '1 ADDITION D~.
ZONING (office use)
~l
~
PIDZ5-399- 02Z-0
OWNER
(Name)
(Phone)
(Address)
. BUILDER -,..... I I
(Name) _\.J. Q , ~tT1),Al,,^ "TI'I, .
(Contact Name) ~~. ~~""^
(Address) ~'v~A~V-~Z.y"\ c:t~~rto
(Phone) ~s-il qQS-""1eog
(Phone) (9.5.7 ~ 271 ~~ ! :A,~4
typE OF WORK
fJ'ew Construction
OLower Level Finish
ODed
OPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace OAddition OAlteration
PROJEcrCOSTIVALUE (exc1udingland) S l'tS: 11(.,
DUtility Connection
ished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or
_ entioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
eede~ctions.
l 1 w'~ ~()tJch70'S:'7 S-t:; -fl3
J SignatUre . Contractor's License No. Date
v
I Permit Valualion f Cfc;.@ I Park Support Fee # $ ~- I
I Permit Fee $ I' . I SAC # $ I Z 1C;;---- I
I &::Z'" 7"
I Plan Check Fee $ , - I Water Meter Size 5/8"; I"; $ , I
4ft:f/.14- "Z- 5'0 . -
I State Surcharge $ 'lf7.~O I Pressure Reducer $ 4-5". - I
I Penalty $ I City SAC and WAC # $ I z,..t?O. - I
I Plumbing Permit Fee $ / a:J.- I Water Tower Fee # $ 7(}O. - I
I Mechanical Permit Fee $ roo.--- I Builder's Deposit $ ( t::;f90. '" I
I Sewer & Water Permit Fee $ '2.,~. C:;-O I Other $ I
I Gas Fireplace Permit Fee $ - I TOTAL DUE ~~. , 10 . 4ft I
.4-0. --
~-1;1: . I I ,
I Paid ({,7/V,.,....., I Recei12dN6, ~'1"
I Date 'r; ,JI "r Bv 1"....
(J
are
~ /
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 ,.
when signed by the City Planner constitutes a --..y~....J Certificate of Zoning compliance and allows constlllction to commence. Before occupancy, a Certificate of Occupar
issue~ H, 5/;t(/43 ~ (~~,,~:J
Planning Director Date Special Conditions, if any
24 bour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
8~~
White - Building
Canary . Engineering
Pink - PlannIng
Thr ("..nlprof th..l.ak..Counll')'
NAME OF APPLICANT
BUILDING PEFlMIT APPUCATION OEfARTMENT CHECKLIST
D, 12. _ 1-It1?_1 uJ
5. ~ ~ 03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ___
5000 potJOS ~F IANb
Accepted
Accepted With Corrections
./
Reviewed By:
;2j) /-J
~~' ?--~S
Date:
"~3
Denied
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."
/---
W lite - Building
CI nary - Engineering
Pi lk - Planning
T,", ('~"I.r 0' lh. 1..kIP COllnl..,.
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHe+
HU/TV tJ
9J: 03
D, J2_
5.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5060 POtvOS m6..b
./
-
LA I\J c
.,~
Accepted
Accepted With Corrections
Qenied
Reviewed By:
Comments:
pI) f)
I ''oJ I j
.c:::: _ _...... _
Jc.C/ r ~r-yv >
Date:
/ I
<)/11/03
---.-...,..
/
"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."
jI{Ii
-.
Th,Crnlrrnllllr l.akrCo.'ury
Whit.. - Buildinq
r CanarY - I'n9,lneerlna,
Pink - Planning
.mm..D1NG PERMlLAPPLlCATlON DI;fARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
P ".
~_ le_"-
5.
flcl?-rC) rJ
,
8..03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
---
5060 pOrJos RJ6b LI-\f\Jt,
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/m.B
Date:
,5-22-03
Comments: See Reverse Side for Additional Information!
~ee A tt:!chrrll~nts' 1) C'rT:!clino PI"" 2) Erosion ControJ...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,"
."
Jun,16,20031:07PM
GENZ RVAN PLUMBING AND HEATING
No,7910 P. 3/8
Date Rec'd
CITY OF PRIOR LAKE PLUMBlNG PERMIT
",
.",
-,
i ~::; ~ rpERMIT NO. 3~ / -":>. -:::LJ.
J" Yellow Aflplil:l!llt I -- - t.o ~ ......---~
-t
~ tvt>e orUrlllt Sl1d sil!ll arbol1Oll11
ADDRBSS
6DW .~ lv1.
I ZONING (olli"...) 1
LEGAL. DESCRIPTION (ollie<:".., 0,*)
LOT 8 BLOCK 8 ADDmON ~f1d ~
PID
OWNER
~ame) DR Ho~ton Custom Homes
(Address)' ZO'SI.oD KeV1Ml~ Cr Sre. !DO
(Phone) qn2 - q ';?ti - ~()
\ \
Ut /uvi lie.- j.\A N . .5~Lf LJ.
APPUCANT
(N'ame) ~~R7-P;""'- '1:1,.._1..,,_: t. u.......~..-S"
(phone) ~<'_A?~_11 L.L.
(Address) 14745 So Robert Trail
Rosemount
MN
55068
(Zip Code)
rljA~~~' ~,II r '
(Conmct Person) JlfJJLlXLl--.JfJ;V- ,
APPLICANTSIGNA~RE 0AJ..A~A~') ~1/J
Quantity
0<
I
l
~
r
t
I
'J..
(City)
(Phone)
651-423-1144
0'(w,,{X~
DATE
APPLlCANl' PLEASE COMPLETE BELOW
I Type ofFJ:rture
I Bath Tub with or without shower
Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (1 or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
~
1'-
0_ Jf,
I
I Type of FUture
I Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow Assembly
Backflow Assembly Test
I Lawn Sprin.k.ler
1 Other
FEl:SCBEDULE
lndUSIl1.I, Comll1UCial 8< MuJn-fam~y 1% of job cost WIth. $39.50 minimum Residentlal. New One & TWo-Family S9950
Residenlial, Additions &. Alte:alioJU $39.50
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID w.- .
BUILD;.' ..,,"
'yG PERMIT
50
(OIlIcc UJlC Only)
'( :.hio Application Becomes Your Building Permit When Approved ,I ~11 \G; i~ 1[10';' i(ll.i~ceiptNO'
I ,~- Buijdi.ns OIlIclo1 Dau [JU J UN" 8 ;' n 0:1 LJ
24 hour notlco ror a1lln'pedloRS (.952) 447-985 ., fax (952) 447-4245
By
7~
Jun.16.2003 1:07PM
GENZ RVAN PLUMBING AND HEATING
No,7910 P, 2/8
"
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND WATER PERMIT
-:#.+
:. ~ ~r.;. I PERMIT NO. '2 / 3'1
,. GoI'''''_ ' ...;-- (p c:r-
q:'l~.!Vl1e otllrllltandS'U'JluboltOlllJ
ADDRESS5l)W PrmM~ lY1,
ZONDlG (0&<'''')
LEGAL DESCRIPnON (otll<e use 0DIy)
LOT 3 BLOCK~ ADDITION 00 ~ e( of ~
PID
OWNER
(Name) 1'\'0 u............... ('''stQiB. }iQ1t....:
(.Addr....)
20&1)0 KelnlOiC..\DCe. C:r- $wI"'"
(Addn:ss)
(phone) _ q6:;, -q85- -, 8; M
La~\Ill1e..."5~U
(City) (Z;. Code)
APPLICANT
O'Mn~ Genz-Ryan PlumbinR & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount. MN 55068
(,Address) (City) (Zip Code)
(Contact Person) , rM~ d11..U.s - (phone) 651-423-1144
1~), ':,ICANT SIGNATURE ~h ;).~ ~ DATE _l1;j 11 ~__ep
....."..;"
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure
Type of sewer pipe. D ABC D PVC
Estimated length of sewer line feet
Clean out (if required) located at _ feet from structure,
feet
D Cast Iron
FEE SCHEDULE
Residenttal sewer and water bne conneroon $35.50 ,lndusnial, Com'1 &. Multi-family 1% of job cost with a $3950 minimum
Sewer connection only $17_50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\'llT FEE
$
$ , .50
$
I
PAlO wrrH
],~S:~~ING PJ:DMIT
_u~y (1
j tV
(om.. u.. Only)
, This ApplicatioD Becomes Your Buildiog Permit When Approved
~)l1~~~t
:ii.-~ii BundinC OOicjal
D.~
, r.x(9S2)447-4z.45
By
%4 hoar noli,ce for .11 insp.ctions (952) 447-!
CITY OF PRIOR LAKE
HEATING~mCONDITIOmNGfflDffiPLACEPERNOT
Date Rec'd
#-7/7?
(Please tvDe or'Drintand silmatbottom)
ADDRESS . /7
I~c?'{) ~/Z"/<;~4'
- <./
l E:.. 5."", I PERMIT NO. 3 -~ "34
/d' A:L.
<~
I ZONING(oftic:euse) ,
LEGAL DESCRIPTION (office use only)
LO~LOCK~ADDrTION
prD
. OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
~;~~AN'/9/hA'" '" ~"'AA4/~"'/ (phone) ~.er/- ~-'5"~7S-
(Address) ,~.,~.b4A16,,~ ./?/. ~4~ 5S"/....?..?
- (Address) (<lilIff (Zip Code)
:;::::~GN~~Ji~~~ (Phon:A:5'/- e/5eR--n7~
~WCONZ:;;~T PLE~S~~~:'~E BE~:TERATIONS
:~:~~:~~~:;E~~~~t::: ~ 9~~UT /~ ~~~UT~~~)
TYPE OF SYSTEM HEATING OR POWER PLANT
JWarmAitPlants 0 S~
J.Gravity 0 Hot Water
pechimiCaJ . 0 Radiation
iIlir Conditioning 0 Special Devices
~nl. System 0 Other Devices
PLEASE NOTE:
Air Collditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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 $ 7~ ~Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$-",,/ A.::uL~
$' .....50
$ 1""-'"
,
PAID w..... .
aUILDING.p .',~ ' ,.,
<;;RAA,.,..
(Ornce Use Only)
Bulldlnc ornclal
ri~: ~ ~ ,~"~c r"~
24 hour notice for all inspections (952) 447-91 50, fax (952) 447-4245
By
Date
This Application Bet:omes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Pl.... tJ.!H! or 1IriDt lIIIli sian at bottom)
ADDRESS
i ~ S;"", I PERMIT NO. 3- C::, 3 ~
ZONING (office ose)
5080 PONDSEDGE LANE S.E,
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name DR HORTON
(phone)
(Address)
APPLICANT
(Name)----l'T.T .TF.n Fra14',C',TnF O'R4. FIRESIDE HEARTH "'- Hn'MR
(phone)
651-633-2561
(Contact Person)
~RENDA HUSTON
ll.OSEVILLE
(City)
(phone) _651-633-2561
55113_
(Zip Code)
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRFNf)A HUSTON
DATE
&/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 HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
Residential, Additions & Alterations $39.50
Residential, AC Only 8u. ,o-1~ $39.50
1'4,)/"'~ WJ1'J.f
P~t:1~".
.50
Residential, Heating & A1C (New Construction)
Residential, Heating Only (New Construction)
(Om.e U.e Only)
This Application Becomes Your Building Permit When APprovetl[l) ~ ~d[E 0 WIE rr~ I
Bulldlu.omctal Da.e,1 flJ ~YGte2'U ^~_I C i fI,
24 huur noti.. for all iu.pectiou. (95fw.7-9850, fn (~~I
Receipt No,
By rF
f
FIRESIDE CORNER
#1999 P.Oll
CITY OF P
HEA TING/AIR CONDITI
JOR LAKE
GIFIREPLACE PERMIT
Date RelC'd
f!'I....~.....r1nt."d.lm.tbottoml FIRESID~-;'
I ADDRESS HEA R TH6-H 0 ME'"
5080 PONDSEDGE LANE S.E.
~~. I PERMIT NO. :3 -.03 ...... I
AppIICIInf --'"r
ZONING (office ..<e)
LEGAJ, DESCR.u- ..V" (olliee ",e onl.y)
LOT BLOCK
ADDITION
PJD
OWNER.
(Name 0 JUiQRTON
(Address)
(Pilone)
APPLICANT
(Namel "'-';].ED l'IRESlDE DBA FrRF_~I.l2J;l!EARTH &- Ht'lME
(phone)
6S ).633-2561
(Address)
2700 NORTI-i FAJR.VIEW AVENUF
(Ad<l1<..)
(Contact Person)
BRENDA HUSTON
ROSEVI't "
(City)
(Phone) _651-633-256'
55113_
(Zip Code)
. APPLJCANTSIGNATURE
BRFNDA HUSTON
DATE
8/19/03
APPLlCANT PLEASE COMPLETE BELOW
XONEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
~URNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
JWenn Air PI.n"
JGmv;ty
] Mechllllieal
JAir Conditioning
.JVcnl. S)"l!.m
o Steam
o Hot WOIe,
ORad l:Jtion
o Spe<ioJ aeviees
o Othe, aevices
J>I..EASE NOTE:
Air Conditioner Unit<:
Cannot Encroach imo
Required Side Yard
Setbades
FIREPLACE MAKE AND MODEL
HRA TN OLD Sl~ 750TR.C
InduSlrial, Commerci.1 & Multi-Family
FEE SCHEDULE
1% of job oost Rc.idcnti.J, G.. Fi,.place
$39.50 minimum
$99.50
$6~.50
$39,50
ResidentloJ, Hear.ing '" NC (Now Conswellon)
Residential, Heoting Only (New ConsrNCljon)
Residential, Addition. & Aller.tion$
Res'donllal, AC Only
$39.50
P. S39.50
/JUtl ~to 1,,_
..OfAtG rV/'rtt
P~~lI4rr
Estimated Cost $ Buildi~r "......i, ij I
HEATING PERMIT FEE $-~..ttu-m'll
STATE SURCHARGE $I~\ ~ ~ ~ -::0-
TOTAL PERMIT FEE S 'U'11U\ ~\Ja 2 '1 2003\\-
(om.o v.. 0./1) lJ
This Application ne.omes Your DIIUdhtg I'Jrmil WhcnADDToyed . ~l~~=
Hearth 4t RihIJ~ Jeclrn. '16 "
~l 1J~rDW'it1" Oate- By
~~ 1l.lIdIIll!O~h F.i,viow Avo,lIlc North RoR.\lAle 55 3 ~ho .J,.2.S<1 ".. ~eL
..".u... .."11, 3850 Wc.ll-lifiw J"\I.!i!'1b\I'n'ijlIRj.M!l!~mM!wP-,~~~q!lS'21M~.h~~2.R90-5408
W""',nTl'!f.ldl!/I~'.r.Il'" Ml'I Contnet.' lJetlMD " 2(l1)9l}')11
I ~eceipl No.
L...
IV,tllDf;Jt..~~J0t4
V. .~. ..... ....,..
PRIOR LAKI;;;;- DEPARTMENTOF
1;;.. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS :So ~ ~
NATURE OF WORK 5'AI~ ~ArH"" ,,~~,.
USE OF BUILDING ~' ~ I
PERMIT NO. _ P ;{) ~3 2- DATE ISSUED ~/ ,4 10 ~
CONTRACTOR ~W!JJJ PHONE~f
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECT9R
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U.l,- iMJ I.../,"I 1Il/Y/ );/.('-/-13
HEATING (If required) IVY' ~~}I~
FIREPLACE f11'/ ~-p( ~
GAS LINE AIR TEST /l;t7 <j-j,J-f/)
COVER NO WORK UNTIL ABOVE HASJ:lEEN SIGNED
I ~ I r I/vr I V( - ')..]rrJ) I
FINALS
1l11~ .
,./ ~fi
'FOOTING I///r C-4-~
, FOUNDATION (Prior to Backfill) I //W/ I b..... )7(/10
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
M
I/i)f/
(IllV'
(./ ).Lf41
Y- u-{/)
~ I J-C-o;,
GRADING (Prior to Sodding)
BUILDING i-<~ 1I^~1 ,-'-0'7
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 ail inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
IW_
\!vi"
10 . ") 7 .61
;: a/DI'
1fJ-/7-U}
FOR ALL INSPECTIONS (952) 447-9850
Ql~difirat~ of Q!)rrupanrl1
CITY OF PRIOR LAKE
~tpadmtut of ~uilMug Jfusptdiou
'1iJ Final Permitted D Conditional C.O. Expires
l~s 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. 03-06,7
Occupancy Type R3
_ Type Construction VN
Fire Zone N/A
Zoning District _ R 1
Legal Description L3. B3. DEERFIELD 8TH
Owner of Building _ Site Address ~080 PONDSEDGE LANF.
...
Contractor.s Name & AddresD. R. HORTON. INC.. 20860 KENBRIDGE CT.. SUITE 100. LAKEVILLE 5
ROBERT D. HUTCHINS
,0'" Building Official
1\ '.. /] t
City Planne:"
nON RYF:
Date:
. "4" Date:
POST IN CONSPICUOUS PLACE
....... ...
r'''''' """""",;'-..( ..'i'......~ ,t~-, ,"-', t.:.
.:..~, _",",,-,",;>it._. .~,;, ,..;
',' ~.... ,~'-l''''''';o.,,,}j
DATE nilE
? ftls/
SOtfO #~ds~c(,: ' ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
g.JNSULA TION
~ ~INAL
o SITE INSPECTION
COMMENTS:
--/' /'
=-:;;; ~
/
------
((~re
--
SCHEDULED
CONTR,
PERMIT NO,
0,$>-(,;;32
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING ANAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE ANAL
o GASLINE AIR TST
o
.....-" / /
LCi'~/#/e 7e
--
------..----------..
A~:: ~)
~
~I
WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FO EINSPECTION BEFORE COVERING
Inspector.
~
CALL "7-9850 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
OwnerlContr.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY!
"""""
DATE mlE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S"()~
SCHEDULED J) - '], -6 5
67(1-125...dew'"
..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-> -G:3L.
[] FOOTING
[] FOUNDATION
[J FRAMING
[] INSULATION
Ji!l"'FINAL
[J SITE INSPECTION
[] PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[] SEWER HOOKUP
[J PLUMBING FINAL
Jil"'MECH FINAL
[] EXlGRADlFILUNG
[J COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[J GASLlNE AIR TST
[]
COMMENTS:
<::;~J
"""- '/ ~~. <;
tJLoJ,- c:::1..,..df/ Af7~,f-
r I .;. <NIt? v.... +-.\
I
C.,:,), rJL{
I
I?aa.r Yn.~.,.,J
[J WORK SATISFACTORY, PROCEED
"CORRECT ACTION AND PROCEED
[] CORRECT wr;,~:7'LL FOR REINSPECTION BEFORE COVERING
Inspector. Y W Owner/Contr.
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
DATE nIlE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
If f/'J-V'j
ADDRESS
..('(m) a~,,--1 p ~
, -
OWNER
CONTR,
PHONE NO.
PERMIT NO.
~-(,3L
D FOOTING
D FOUNDATION
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH RI
D WATER HOOKUP
D SEWER HOOKUP
. PLUMBING FINAL
D MECH FINAL
D EXlGRADlFILUNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
COMMENTS:
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D WORK SATISFACTORY, PROCEED
'CORRECT ACTION AND PROCEED
D CORRECT Wff~&L FOR REINSPECTION BEFORE COVERING
Inspector: I /Jf/ Owner/Contr:
CALL 4<17-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
IlA TE
TIllE
OWNER
SCHEDULED " - -'~Al~ '
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,
CONTR. ]1 f!., J:tu.17'-; oI'"'L-
PERMIT NO. J" ~~. ~ ).. ,
ADDRESS
PHONE NO.
IJ FOOTING
IJ FOUNDATION
IJ FRAMING
IJ INSULATION
(jIHtHAL
IJ SITE INSPECTION
IJ PLUMBING RI
IJ MECH RI
IJ WATER HOOKUP
IJ SEWER HOOKUP
IJ PLUMBING FINAL
IJ MECH FINAL
r:i/~-~'IING
IJ COMPLAINT
IJ FIREPLACE RI
IJ FIREPLACE FINAL
IJ GASUNE AIR TST
IJ
COMMENTS:
r;~~_ ~1/~
C.tlh
'E>/9 /- ~ II
\
~SATISFACTORY, PROCEED
IJ CORRECT ACTION AND PROCEED
IJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In..__.,,;~i.!..j!' _ ........ Ow!!er/Conlr.
CALL "7-11850 FOR THE NEXT INSPECTION 2A HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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