HomeMy WebLinkAboutBuilding Permit 03-0935
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2 Pink
), Yellow
File
City
Applicant
I PERMIT NO'{)3 -OQ5SI
(Please ~ or print and sign at bottom)
ADDRESS
S,[}/(CJ '1\~Y\{t(t"(t3;L kLhi! s'c
LEGAL DESCRIPTION (ollice use only)
LOT t./ BLOCK I ADDITION \}I'r.t:;etl ~
OWNER
(Name)
(Address)
BUILDER'~ -;} I \ .-
(Name) JJ 1"""\.:-r-r-17.f+';y\ ....l-;.I\ (
(Contact Name) s::2'-'\-p.n.f. Lnck:~' tV\
(Address) 2t'~~(j 1<~:Jio')')/JL(t. ~'"il"/CU
_~ ' ",,11,- A/I At} CjCJ~Ljy
TYPE OF WORK
~New Construction
DLower Level Finish
o Fireplace
PROJECTCOST/VALUE (exdumngland) $ U'1,6'::.-t
o Misc.
DDeck
Date Rec' d
7.1.03
ZONING (office use)
ej
PID 26 - 3qq - 004 - -0
(Phone)
(Phone) it ..::; 7 - ci fK. (' ['()i)
(Phone) <] S212L -, ';fyy
DPorch
DRe.Roofing
DRe.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. I also certify that I am the owner or
authorized agent for the above-mentioned property and that all construction will confonn 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
enr[1r the)'.~t'_nJ t,or, erfor~,: .s s]pectio~s:,
X , { rJe u: I/') , I )u".k )..Joe; () C,-v.,7 '7;< -(!'>
~ I Signa6.tre ~ Contractor's License No. Date
Ii
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
114.oon 01J I
I. r.~ IF.I
I, M7 J'p f
1/)" .06 f
I
I
I
I
1
100'O!,
/00.0f?
1.1. sD
40.IJD
Date
I
I
I
I
I
I
I
I
/ ~J 112-. 'iJ 1
I ~o m~,f
DAddition
DAlteration
$
$
$
$
$
$
$
$
X"S'o.oo
1)7S',fI/J
''').~O,()O
4[00
)).00.00
7()() .IN
l,roo.dO
Park Support Fee
#
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
~::;/iJilfb'"= ,on,titu'" a tempurMY C,rtifi"te of ;m~;o;::~ and allOW'71;~:oti:; 'o::'~J B'fD'~~ru::.~:;fi:at' of O"upanry mu", b,
. Planning Director Date Special Conditions, ifany
24 hour notice for all inspections (952) 447.9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
SAC
#
~
I Water Meter Siz~; I";
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
1 TOTAL DUE
Paid V 'lf2 . "fJ
Date - II. ,I]
#
#
,.
..
Job Address
Heating Contractor
Name of Tester
Date
, Percent 0,
Percent CO
Percent CO,'
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606
input
i ()O t<
/
...
~~
Th~('E'nl..r orlhr t..b('ountr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
() /2. IfoteroiJ
7. 7. fJ3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
SVfoC) POA!O.f'6VG,6 v/
Accepted
Accepted With Corrections
~
Denied
AiJL
- I
12T:~ cl If I ( rid +i s
Date: 7-Lr-c./'}.
-J. I~dou 1-'\
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."
5~\
White - Building
Canary - Enclineering
( Pink - - Pla~
--."
Thr (-tnttr of thtl..k.. <,'ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J~ )C:'
~7.
. I' , ," i
I /. i.e 7' /' 1\ ,-
-, (j Ie L" ,..'"
--;,
?
/'
{ /---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'7~ I (; / ',,- i " /"
.....Jv'(r / (/vU" CUC7C
L/J.
Accepted
Accepted With Corrections
~
Denied
IfU~
Q('4J a II r1ot-.,)
Date: 7-}..r-o~
..t /h....d tJiJ f "
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."
,/ 0' PRIO",
~~
Thf("Ulffoflhtl.lkrCounlry
~IA -Ruil~
_ . arv - Ensineerrng::>
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTI'y'IENT CHl;,CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
f) )e'
'7
. . . j
/1 () It:: 7 Z; /\./'
'7 /1<'
~ . ( J_--,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,~:;'[) (,:; '1 /-"[) lVLJf' cL) Gr E~ ,t-_/J.
Accepted X
Accepted With Corrections
Denied
Reviewed By:
.;yZ..-~\... O,t, 7h I!n ')
See ~everse Side for Additional Information!
Comments:
See Attachments: 1) Gradinq Plan. 2) Erosion Control MeaslJrp.s
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 the jurisdiction shall not be valid."
"
A II g i 3, 2003 12: 03PM
GENZ RVAN PLUMBING AND HEATING
No 6747 P, 1 1
CITY OF PRIOR LAKE PLUMBING PERl\fiT
Date Rec'd
IFI....e.!VJ1e orwmt and ';Jlfi Qt bottom)
ADDRESS
f){) c?q fJnnd1 fJd dJU (f) S b
~
LEGAL DESCRlPTION (offic. us. only)
LOT 4 ~LOCK j ADDITION !lee/2/j{' j d RIh
OWNER
(Nallle) DR Horton Custom Homes
, (Address)
2O'SI.l:>D )(en2)~1 DGe... C, S,e J{)[,
, APPLICANT
(Name) ('o~'_";'"_ '01.umb..<-Z <. 'i4.a.l;'.~3
(Address) 14745 So Robert Trail
(Address)
(Contact Person) -&u0(~t ~3 5
APPLICANT SIGNATURE 0 ..f -< . _: _ ~~
",.,
QuaD tity
I
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I
,:<
,.;{
I
~-i
I 811)11: File I PETH":UT NO CJI
' Go(d Co.,. -"". . ',7 _ 0-::<
], V~ Appllo::1llt ,) -, J
ZONING (olli",,,,,,)
PlD
(Phone)
962.Q;;F,-76M
!.e, {" vilie:.. MAN 56b1..J LJ
(phone) ...6.5.l.=I",_, 1/<1,
Rosemount
Quantity
I .
/!-J:
I
II - T:.
MN
55068
(Zip Code)
(City)
(Phone)
651-423-1144
DATE
rf-/8.03
APPUCANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
I Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (J or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
I Type of Fixture
I ROUgh',inS
Water Heater
Water Softner
Stand Pipe (Washin~ Machine)
Sewage Ejector -
I Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Indusm.l, Commercial 8< Multl.falnlly 1% of Job COst wIth. $3950 minimum ReeidennaJ, New 0"" 8< Two-Famliy $99.50
ReSJdential, Additions & AllcBtions $3950
EstImated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PE.RMlT FEE
(orne. u.. Onl)~
This Application Becomes Your Building Permit When Approved
Building Olllciol
DlLh:
14 hour Dotice for an inspections (951) 447.9850, fax (952) 4474145
BUlldmg Permit #
$
$
$
I Paid
I Date
50
~ I {t\yJ
~V\ V'/1 I ReceiPtN~
'C;.,- (~// I By (~
~1
I
I
I
I
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,
Aug.13, 2003 12:03PM
GENZ RVAN PLUMBING AND HEATING
No,6747 p, 2 3
~ffi'E PRlo~
... (
;.. "
_ X
;"~'q"':'~~\~~ It>
~\\, ~w:.W1fESO,,\r-
:;.'1'",\
CITY .OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
Q:'lease.!VD':. ortlrint ilod <IUmllt bottom)
ADDRESS
1)1)rpq ff/Ylds~ &1 93
i t;;r" ~~, I PERMIT NO. 5 - 9':::1 L-T
)~J4 AOp.llllll,nt ~
I ZONlNG (offic,..<<)
LEGAL DESCRIPTION (office use only)
LOT+BLOCK I ADDmON &/2held tfh
PlD
OWNER
(Name) DR RllrrQR C~.~.~- ~~
(Phone) _ qs;2.Q85-il';{'J{\
(Address)
.2o&co Kev1ei<..\l::6e.. Cr s,.,.IN\
(Add=,)
Lo.~lJllIe...
(City)
.<')U',;LI U
(Zio Code)
APPLlCANT
(Name) Genz-Ryan Plumbing & Heating
(phono)
651-423-1144
(Addr~s) 14745 So Robert Trail
(Addr..,)
I (Contact person), - ~f1 Jtl~~ <\ ,
T.JCANT SIGNATl.J:RE -) ~ jJ.kCl
Rosemount. MN
(CIty)
55068
(Zip Code)
(phone)
651-423-1144
DATE
f(" - (':3 "-0 '3
','....~....\
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
ResIdentIal seweT and warer line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-famlly 1% of Job cost with a $39.50 m.m.unum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PE:RMIT FEE
$
$
$
.50
.
;
Buildiog OAicisJ
Dlltt:
I Paid
I Dlilo
Il (l bW
t'~V
L6/\~/':)
Receipt No.
(011;'. U.. Only)
I This Application Becomes Your Building Permit When Approved
24 hour notice for allln'peetlo..., (952) 447.9850, r"" (95;1.) 447-4245
By 9f
~
--
------.-----.-------.------.---...-----.------.---------.--...---.".--------
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Rec'd
#73/7
(Please tvl'e ororint and shoo at bottom)
ADDRESS
-?Or::' 9 A/,I rk,e? r/a-",
./
LEGAL DESCRIPTION (ollice use only)
LOT/BLOCK / ADDITION
; :i:.. ~:~ [' PERMIT NO. '2 -tj'3: C I
3. Yellow Applicant I J.....::J
/~
ZONING (olliceuse)
~~
/W~ tt^
-- (J
PID';?5'-
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT ./J . / ./
(Name) /7///<2A.-~ //2"AA4/C_ ~
(Address) . i;;~ .6 ~ .6" ~ /:Jr.
- (Address)
(Contact Person) A a:;-L:)~~ ~~ _~ /
APPLICANT SIGNATUWl- -~.. L~_
(phone) ~"'7/- V..-r...?-....:?77':;-
~Q-." 55/-"-<
(~ (Zip Code)
(phone) ~CS-/- s/.:S::;?-.-?77~
DATR
, APPLICANT PLEASE COMPLETE BELOW .
~W CONS~ON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL "Y"AA-~ 9.:=?% FUEL A..}-.A ~_<"
FLUE SIZE. :;' pJd ~_ RETURN OPENINGS INPUT ~ OUTPUT ~ ~)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
~raVity
echanical .
ir Conditioning
nt. System
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
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 7~ a;>Building Permit #
PAID WITH
HEATINGPERMITFEE $~/ A,....J,;/~DING PERMIT
STATE SURCHARGE $ ....50
TOTAL PERMIT FEE $____.._~ .
(Office Use Only) _. .
ThisApplicationBecomesYourBuildingPermitWhenApproved ~1~aliI; ~ ~GJ l11~ 'ReceiptNo.
R I JM1JG 1 IS 2003 L0I, By
I
Building Official
Date
24 hour notice for all inspections (952) 4 8;9850, fax (952) 447-4245
FIRES IDE CORNER
#3255 P.003/003
()"l.!ax T!J!!' annnr Ind s/m ar bonuml
ADDRESS
CITY OF P~R LAKE
HEATING/AIR CONDlTI~ "CIFIREPIJACE PERMIT
FIRESID~ ~~... I PERMIT NO. 3- ({' 851
Dote Ree'd
- l~. J~ A K cJ Ji. b- H 0 M. (;::"
5069 PONDSEDGE LANE S.B
I ZONlNG (01f"""..1 I
LEGM, DESCRJPTION (omce u!c only)
LOT
BLOCK
ADDITION
PIP
OWNER
(Name DR HORTON
(phone)
(Address)
APPUCANr
(Namp.)-----61JJ.l'.DJ:lWJP-.fJJ~JDE HEARTH U:lQME
(Phone)
651.633.2561
(Address)
2700 NORTH FAIR VJEW AVENUE
(AddJo..)
ROSEVJLLE
(Cily)
~5I13_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phonc) _651~33.2561
APPLICANT SIGNATURE
BRFNDA Hl/<;TON
DATE
9 /22/03
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 BEATING OR POWER PLANT
DW..nn Air Plant>
OOrnvity
o Mechanical
OAJr CondltlQning
OVen'. System
o Steom
o Hot Water
B Radialion
SpccJal Devices
o Other Devices
PI,EASE NOTE:
Air Condilioner Units
Cannol Encr~ach inlo
Required Si~e Yord
Setbacks
FIREPLACE MAKE AND MODEL
HEATN 01.0 SI~150TR
Industrial. Commercial & Mlllti.Pamily
FEE SCHEDULE
J % of job cost ResidentiaJ. G.a..~ fireplace
$39.50 minimum
$99.50 Rcsidential, Mditions & Alterations
$64.50 R..identJ.I, AC Only
$39.50
539.50
$39.50
Rosidellli3l. He:llinS & AlC (New Construction)
Residential, Healing Only (New CcnstnJclinn)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$~
$
50
~~~1)
~Q~~
,()~ ;.y
'9~)'
(Ollice u,. Only)
This Application Become, Your Building PJlrP1~>>'A>tf IiRIIfll'IE&/n "oi;&W~~8 II 3 Z003 .1 Receipt No.
~, Bllilder D/lIISI, ,It !~,pat.e :iIit y .0:
U~ 8..lIdlneOmraoo Fnirview Avenue North Rc1tla..lle, MN 55J 13 )h~.633-2561 Fax 651~, 33-8884 II
A.."nu' ,;o."A. 3S50 WeST. Highw~y 13 Burnsvil/e. MN 55337 Phone 952-890-0758-ux.n' .5408 (I
200ur notice for alll..peetion. (9~2) 447.9850, r.. (952) 447-4245 U
",.'W.(]~d~lSIl.CI)m MN tflntl.~t'tlr J./l:I!nlJto It 2"~1"'" I
I
_i
flIJlL.llt1cSA,.'lSlll;LIJ1Qr'II
..........,...,,,...
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS SO'4 R:",tl~~ L.",<.
NATURE OF WORK New (.elM c. ~.J.I""
USE OF BUILDING ~ .
PERMIT NO. (lJ -()9JJ DATE ISSUED '7- .z.r.O'1
CONTRACTOR ~I.I_ PHONE~"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
INSPECTOR
DATE
, FOOTING VY'( ~" 7 -if':,
I FOUNDATION (Prior to Backfill) I //I,It/ I ~-}.-() /0)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
I/t/r/.
i/W"'"
10'(;,'03
((J-qrrn
/I1/Y j W
J/l1' _
t/Vf/ /'
~
<.
Cf:' ' ). c: 'fD J tU-fl7S
10- e:,u::!
IO-G-c8
(o-(,-~
COVER NO WORK UNTIL ABOVE HAS pEEN SIGNED
~U, /L."" I II/II!' I In. t7~o~
, FINALS 1/
I GRADING (Prior to Sodding) A/L1 '7',~o;:r d
I BUILDING 1 efM,( (ftI~I\ lS-/-IlL-1 /'Y~
ELECTRICAL
PLUMBING
I HEATING
,
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
~0~
/V//1"
v1/i'
J). -/ (-o ~
) 1- -J.c~'r(Jl
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
QIertifieate of @etupanell
CITY OF PRIOR LAKE
~rparfmtuf of IlluilMug Jfusptdiou
;;KFinal Permitted 0 Conditio~al 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:
Use Classification
SINGLE FANILY
Bldg. Permit No 03-0935
Occupancy Type R3
Type Construction VN
Fire Zone N/ A
Zoning District
Rl
Legal Description
1.4, Bl. DEERFIELD 8TH
Owner of Building
Site Address 5069 PONDSEDGE LANE S. E.
Contractor's Name & AddressD. R. HORTON. INC. l
ROBERT D. HUTCHIN~~j
Date: /-<_.>B~}fficial ,
J ~/ 0/
20860 KENBRIDGE COURT. SUITE 100. LAKEVILL
City Plann('r
DON RYE
Date:
'-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TlME
SCHEDULED
ADDRESS
SO~9
p()/l/OS6D~ ~N.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03,0935
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
sjT
r=i'/
UCC
---
~
-----..........., ')
"-
....-- ./ '
~ /t-='
~
--
~/
\E:/~5{?
~ORK SATlSF~ PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
////
--
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
msNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
..s;069'
OWNER
PHONE NO.
o FOOTING
o FOUNOATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED .~~
/6;. c:6 ~-e ~~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~-7:o
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
@ ~ed/ h~/ ~ +/dU~ /
~~A,
/
/.JH /- /'
,
R-/ -0/
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT we;) ~Lj j9R REINSPECTION BEFORE COVERING
Inspector: F~ Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY/
INSNOTJ
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED jl....)J..d~
ADDRESS ~r ~l1cl..ged"" r ~
OWNER CONTR.
PHONE NO. PERMIT NO. 7-'?$r-
o FOOTING o PLUMBING RI o EXlGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
..-FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
(l)
~
QJ ~/J..J
67..................<++ Jh,/e-stJrF,<.... d_,V'C ........1,-
F,-. ( t?J.....J,. ...~'PtI>I1 /
..[., rrt-,.,Z"5 t:Le- c:I..--tfl.?uu-rt-
~.."jIJ "",fil
~-/~d'-1
C:>/'X<k ~.n.rl,J
o WORK SATISFACTORY. PROCEED
"CORRECT ACTION AND PROCEED
:'::O:ECT;1?L FOR REINS:::::n:EFORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,"""'"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
D(~-
SCHEDULED
~f/
fh /frls ~.j~
CONTR.
DATE TIME
/,).-/1;&::>
r
2,-qkr
....
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY. PROCEED
/cORRECT ACTION AND PROCEED
o CORRECT ~c;>'f:1'~R REINSPECTION BEFORE COVERING
Inspector: -f---./!'-I' Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
PERMIT NO.
;>.r _ -...~ R1
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
A PLUMBING FINAL
o MECH FINAL
V~"::>1J?~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lN9N0n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
,<::;-a., ~'M,t1 ~~,
>~
OWNER
PHONE NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
6rJ~ - m k..-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Lu/Ia ISrq ~ - (;) K-.
DATE Tille
/-20~M
fl t .JJbrfor>
{)~-<1~r
~~ILLING
, 0 COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"'''"'"