HomeMy WebLinkAboutBuilding Permit 03-0988
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvn~ or orint and sign at bottom)
ADDRESs....
r;0 g~ HMAse&tj{. L. 'ML-
\J
1. White
2. Pink
3. Yellow
File
City
Applicant
LEGAL DESCRIPTION (office use only)
LOT t.f BLOCK ~ ADDITION Th{if+;t>J A ,,~
OWNER
(Name)
(Address)
BUILDER~'\)~
(Name) J.I'~" _ "J:7If_
(Contact Name) ~ .Vf' . '~SOVl
(Address) ?o BIRD 1~v-i}fJe- tof- i:,-t~ .lDD
I.JA.-I?M.\ II~ .; V I>'t VI c;9)4t..f
TYPE OF WORK
jRfNew Construction
DLower Level Finish
(Phone)
Date Rec' d
fj-I- J
I PERMIT NO. 03~(Jtf&9
ZONING (office u"j
1<.1
PID~_'~ ;3qq-o.J 3-()
(Phone) $2:-4 fK -79a?
(Phone) _ c;SZ-LU.,- i':>,~Y
DDeck
DPorch
DAddition
ORe-Roofing
ORe-Siding
o Misc.
PROJECT COST IV ALUE (excluding land) $ 7_ \ 1 W 11
,
Dutility Connection
o Fireplace
DAlteration
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 conform to all existing state and loca11aws 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
d insp.ections.
~
:::2./'7. O()O_- I
I/;''-!f{. Qt{
ID7/' l<'J.
I D f( I SO I
$
$
$
$
$
$
$
$
100.-
IIJO. -
,'1,<).l)O
LID, --
ThiS!'lp!catn rcomes Your Building Perntit When Approved
/~ U~ 7- f7-0.3
Builctfng Official Date
cRdoo'7,<:7
Contractor's License No.
I Park Support Fee
I SAC _
I Water Meter S~ I";
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
y&JZ4.7,
? 1,CO]
h-21-n'2..,
Date
# $ "}, " ~.,... -. ~.5Z1l;-
...<:1
# $ I;;) 7.:). ~ I
$ ;;J.SO ,- I
$ '10'.-1
# $ 1,).00,- I
# $ /lm,- I
$ IS():}..--I
$ I
$ S<:CI::;./f/ 1'1 I
/i ",,)
I ~~cro- 4..<;o,rf
(J
This is to certifY that th request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
anner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
when Si'61Jt b'lhe
issued'IM
fpfannlng Director
7~n(}::, /27:;,..1 cdt ~j...., ../.. /-fr,~ddlJ+S
Date Special Conditions, ifany
24 hour nolice for all inspeclious (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.
..
,
Job Address $l){Je Po...(", ~
Heating Contractor MiN#- ~
~'S!.
/2/%3
97/0
z'~
'/IJ.:; ?Il
//1 OF
Name of Tester
Date
Percent 02
Percent co.
Percent CO,
Slack Temp
Combustion air is adequately supplied per
UMC Sec. 606 V~5
inpul / tJ::I' (j,)[h3 T ()
-
"
&~~
While - Building
~~ka'Y~~~~~~'}-j
Th~ Cfnlu of thf L.kf ('ountl')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
( "
t-'-'U' ">
I
I )"'---""
r;. /_
/ ' '...j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
; .
C,~.,; ,)
((
,
! '. ./' " ....
"'-.,.,; "
./l.J
Accepted
Accepted With Corrections
~
Denied
(UIIL
t2~J ~ II
rld!-r ~
..{
Date:
lIa.~cfOc.l-f ;;
7-/7-0 J'
Reviewed By:
Ci\l~'~
"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."
'-hr("rnlrrnflhr L.kr("ountn
~~~e<y - ~Uil~i~9-:")
_..=:1'...0;.......1.'9
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IQ I( tbat~
']- /- G
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constructio;;:~V; ~hiCh ~r;;;e~ LIU
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
(f<< ~
f2-.'t1J a (/ rid/.. ,\
Date: 7 -/7--0 )>
~ Ha..,do V+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."
..' '-'.@~"x PR10/j'("
!::: ~
u rn
Tht C"Pftlt'r of lht tall., ('ounlr,'
White - Building
~l'1arv ... -=......iROO..iA,-
pTnk - Planning
,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
)
,
,/)
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,r;'......
. I h.,y\./
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".-'j I '..~
/' .' -. \,-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J/ '...' /
'"' ()" <:;> '.....1 /,_.;! ,J,." A '
fY ,! , _W . ;.ft. t,,! .... .__~/\J
j
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Comments:
;yJ" /l /hI Date:
'0"" ,-
Drivewav Must Have A Concrete Approach
See Reverse Side for Additional Information!
7/-Uf (03
,
See Attachments: 1) Grading 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 the jurisdiction shall not be valid."
J II ! . ! i. ~ 0 Q j !. 40 PM
GEN= RVAN PLUI~8[N3 AND HEATiNG
N1i5~1 P ~ 14
~~ PIUO",
SLJ~~
~~::":-'
,.'\l\."':;':'VI.'",r.;
""-"l~\':"'~:W~\\' Jt-
, \~~f~~',::NN'~O-'
Date Rec'd
CITy.oF PRIOR LAKE .
SEWER AND WATER PERMIT
i ~::'., ~i'';'' I PERMIT NO. ;,.(- '-( ~>rl
J. G.l.us o\ppUcal'l1 { ..1"
(p11:A.~.!Y'Pe or P1iDt and $:ItJ1 J.t bOIIOID)
ADDRESS
CJO~ & DU'ntLse da ~ Ln '
ZONJNG (olllm",,)
,
LEGAL DESCRlPTION (olliee U$e only)
LOT 4 BLOCK -.3 ADDlTION IJeeJ2.f7cld gm
PID
OWNER.
(Name) I'll ijQrt-- ~";"~ U~mc
C1'hone) _ 9S2-Q85- -78<,(\
(Address)
20&00 Ke1nB~\bL-.e. Cr SoP. I flr\
(Address)
La~\JI\Ie...,
(City)
0Ci'.;LlU
(Zip Code)
APPLICANT
~~e) Genz-Ryan Plumbing & Heatin~
, (Phone)
651-423-1144
(Address) 14745 So Rohert '!:rail
(A<\\lrm)
'I (Contact Pe:rson) , Qrl ~i1' &U~
TJCANT SIGNATURE r l J I~ -j2, tu:J
Rosemount. IvIN
(City)
55068
(Zip Code)
(phone)
DATE
651-423-1144
_,~.,_j;;Ll;;oq
APPLICANT PLEASE COlVIPLETE BELOW
Size of water service inches.
Location afmy 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
Re,idenlta! sewer and water line connectIOn
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'! & Multi-fomiJy 1% of job costWlth a $39.50 =um
$17.50 Water connection only $17,50
Estimated Cost $
Bulldmg Pennit #
SE\VER AND WATER PERMIT FEE
STA IE SURCHARGE
TOTAL PERMIT FEE
S
$
$
.50
lJU11. ~-4ID ,,,.
DIIVG rVl'iJ.!
1:J~4f".
(Office U,c Only)
I This Application Become.. Your Building Permit When Approved
Building Official
,m~~ [~ n \~)'ITC ~-,"ejpt No.
_ ~~l l) WOO: ~ I fA--
l-t hour notice for.1I inspection. (95"2) .147-9&0, fu (952) 4474245 I..{J
Bv
Dol<:
j 'II . i j. : 11 I] 1 i: 411PM
GEN~ PVkN PLUvSINS AND HEATiNG
No. I 5: 8 Pl i 4
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please ~ or pnnt and SlP.!l at bottom.)
ADDRESS
5hKR f1rndAMtJj/ 111.
LEGAL DESCRIPTION (offie, use O1l!y)
LOT 4BLOCK\.~ ADDITION flnEheLd
~1l1
I OWNER
I (Name) DR Horton Custom Homes
(Address) 2O'SwO KeV)Bl~l~ C,S,CllJO
APPLICANT
(Name) ~J:>.,..,.,.._"D::r......... "11lmbj .-og ~> u......""'.,......:]:
(Address) 14745 So Robert Tra.il
(Address)
(Contact Person) JjIJl(,[~h &Jll. I
APPLICANT SIGNATITRE __, Cc.( /~ ~l0;:J.
"
Quantity
oz..
I
I
~c:;-
I
,
I
J'(
Rosemount
J BI').: Fl1~
1_ G41d Ciry
l Y~ln'" lli.llplieant
I PERMIT NO. 3 -923 yl
ZONING (ofliceu.!:e)
PID
(phone) _9';'2-1:125 --7'6D()
Lcduvd/G JA.-IN !?ecLJ L/
(phone) ~ C L/, ,~_, 1 t.b
!ill
55068
(Zip Code)
(City)
(phone)
651-423-1144
DATE
1-11-(Jo
APPLICANT PLEASE COMl'LETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Qua.!ltity
...:5
1 '
!2....-4:
\
I Type of Fixture
Rough-ins
Water Heater
Water Soflner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backilow Assembly Test
I Lawn Sprinkler
I Other
I
I
1
I
1
1
I
I
FEE SCHEDULE
rndustrlal, Commercial &. Muln~fanu]y 1 % of job cost with a $3950 minimum Res1denoa1, New One & Two-Fam)]y $,9950
Residential, Additions & Alterations $39 50
(OfJiceUseOl1ly)
Estlmated Cost $
Bmldtng Permlt #
PLUMBING PERJvllT FEE $
STATE SURCHARGE $
TOTAL PERl\flT FEE $
.50
PAID \tV".. . I
BUILDING . , ,., ;
PEFlM/i
This ApplicatioD Becomes Your Building Permit When Approved
I ~)~~ ~ U ~!J c.c: rI1'I-Receipt No
WjD3fuL 2 8 2003 ,~I
Building OfDclal
Date
BY~
~.~
24 hour notice for aJllnspectlans (952) 44 78850, f.~ (952) 447-4245
y-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2. Green
3. Yellow
~:~ I PERMIT NO. A~-{i9.ao.
Apphcanl (/ J C/{/
#-p63
I
cr1ease type or orint and sign at bottom)
ADDRESS
c5C77 ~/Jc/c;.er/eqL
J
LEGAL DESCRIPTION (office use only)
LOT o/BLOCK ~:::1 ADDITION
/~../ "'
ZONING (office use)
<,/~
PID
OWNER D R HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE. MN 55044
(Phone)
APPLICANT L:J ' / c..A:.
(Name) /7'/ //A.tt.-,I! ~ A ~ /~_ --e (phone) -? "7/- ~~ -1'- .--:?7 7.:~-
(Address) . ~47J /C/nA..l"6",, <:::Jr.
- (Address)
(Contact Person) A~c:/~~/
APPLICANTSIGNATU~ .----_ - ~_
c:- d '9~ 5.:;-/.-('-<
(~ (Zip Code)
(phone) &5"/~ ~~--?7?<'""
DATE
, APPLICANT PLEASE COMPLETE BELOW
~W CONSlR.9'7ION 0 REPLACEMENT 0 ALTERATIONS .
FURNACE MAKE AND MODEL J"1/r,;'2A...~ 9.::R~ FUE~ ~~ ~
FLUE SIZE '_? ~U~ RETURN OPENINGS INPUT ~ OUTPUT ~ ~)
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office Use Only)
Estimated Cost $ ..2/Y':Y? ~Building Permit #
. / h JP~D WITH
$~/ ~ z....../I!H:tfI:fJlNG PERMIT
$ ....50
$ ~
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Official
Date
. ~~ ~ ~ : ;~o; , .
:1.; \.1' Receipt No.
:il
By
This Application Becomes Your Building Permit When Approved
24 hour notice for all jnspeetions (952) 44~ EJl~~O' f.x_(95:~ 442~2.~5
FIRESIDE CORNER
#3255 P.001/003
CITY OF P
HEATING/AIR CONDITIO
OR LAKE
GIFIREPLACE PERMIT
Date Rcc'd
l!'1....~ormiltt.ndol....tl'ntt.ml FIJ~._ESIl)E: ~~;- I PERMIT NO. 5- q((;~
I ADDRESS HEARTH&-)-f,OME~
5088 PONDSEDGE LANE S.E
I ZONING (office ,...,
LEGAL DESCRD'TION (office us< only)
LOT
BLOCK
ADDmON
PlD
OWNER
(Name DR 80RTON
(Phone)
(Address)
APPUCANT
(N ame)---AI.IJJ',)J..J:J.W~.J;j)Jl.AJ'JJ.lJ'..w.JUiM!llH & HO",","
(Phone)
651-633.2561
(Address)
2700 NORTH PAIRVTEW AVENUE
(Addrm)
ROSEVTLLP
(City)
'i5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561.
APPLICANT SIGNATURE
BRFNDA J./USTON
DATE
9/22/03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
JWonn Air Plant'
::J Gravity
::J Med,,,,,;coJ
::JAir Condirjon;ng
.JVont. System
o Sreom
o Hot Worer
o Radlntion
o SpedoJ Devices
o Orber Device,
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Se~)acks
FIREPLACE MAKE AND MODEL
HEATN 01.0 SI~750TR
Indu,trial, OJmmercim & MU/II-FAmlly
FEE SCHRDUT,E
J% orJob CoSl Residential, Ga. Firepl.ce
$39.S0 minimum
$99.50
$64.50
Residenlial, Additions & AJre,..iions
Rcsidential, AC Only
Estimat.ed Cost $
!-lEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Bllilding Permit #
$
$
$
,50
$3950
$39.50
s..Q $39.50
~O '11()
:t1t;- ~h
,<>~ It
'<,(';>4,I?-
Residential. Heoting &t AlC (New Consr",cr;on)
ResidentiAl. Hc,uJng Only (New Consl11Jction)
(om.. v.. Only) 0 (' -
L I tl 'l ")n".....
This AppllcRUon BeCOMes Your Building P,Ilrlf.!l.mPllI'/flJllll"m!lrn IloJifP''tlrand - LoJ) I Receipt No.
~~ 1 I "
f, Builda Divi.'j, n ~. . . 13)1 f6
' p^-~ B.lldi..~1O Fairviow Avenllc North RoI)n<iJle, MN 55! 13 'hol,e 651-633-2,561 '1'1IX"651~~8
...nDll.. c...." 3RSQ West lii2hway 13 Rllrnsville. MN 55337 Phone 952-890-0758 FAX 952-890-5408
24'ho..r nollee fo'[, nil n'pecl/on. /932) 447-9830, r../952) 447-4243
"'...... l,..Jld':m.Il.l!tlm M/'Ii' tuntrltr.lflr r.M~"!lC. ~1)I)9n~1 r
~;.J
PRIOR LAKE
INSP,ECTION RECORD
SITE ADDRESS ~o,t- PDIVJS~J1~~
NATURE OF WORK ~
USE OF BUILDING .-;~
PERMIT NO. V.3-09..@e; DATE ISSUED 'J
CONTRACTOR PHONE ~~~- 133t,
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
I FOOTING vi#'
I FOUNDATION (Prior to Backfill) I YII'P I 'li'-1-r/}
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING l.J Ie-
INSULATION
ELECTRICAL ~
PLUMBING UtU, 1M ~/[I.v;
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
'"5 LA- fp ( f5
f7~/./
/(lI4-V'7
-
f1r/
~
~-
;/l1//
/tJ-I-O]
Wt~tvD
l"o/fkw"3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
IV? 7. :I'.~y
/I~
GRADING (Prior to Sodding)
BUILDING "/(&11I1' tJA~I{ ff+()i-\
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
,
JY~.01
-
j/I/l'~-
f/l/Y/
l.l~ YO?'
/t-J-1-o 3
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
QItrfifiraft of @rtupanry
CITY OF PRIOR LAKE
:!Elcparfmcnf of ~uilMng Jlnspcdhm
~ "'-.
r Final Pennitted [J Conditional C.O. Expires _ -~j
"
This Certificate issued pursuant to the requirements of Section 307 of the Unifo.rwBuilding Code certifying
that at the time of issuance this structure was in compliance with the various or.tfi:tr.imc.es of the City of Prior
Lake regulating building construction or use. For the following: ,~-
Use Classification
SINGLE FAMILY
Bldg. Permit No. 03-0988
Occupancy Type R3
Type Construction
VN
Fire Zone
N/A
_ Zoning District
Rl
Legal Dmriptioo L4, B3, DEERFIELD 8TH
Owner of Building
Site Address 5088 PONDS EDGE LANE
Contracto"s Name & Add,esP: R. HORTON. /}.::f:/ 20860 KENBRIDGE
ROBERT D. HUTCHINS ~ _ CityPlanne,_ DON
Date: _(?~~rCial Date:
CT., SUITE 100, LAKEVILLE
RYE
I
J
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
ADDRESS
50f3R P()NO.rf:;Oc.e;- uJ,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
sIT
I
A/
L-/(L
03,0 res
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
/ ---/
~ _7o-se
-----------
/c/~\)
/~ /e ./
~
...---
---
- --
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
#'4
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,l SAFETY/
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
SOJ"f"
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATlON
FINAL
SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 7b.~~
~Le~~ ~.
t./
CONTR.
PERMIT NO.
...t2?- 9f?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(::) ~/J Id~/ -7 ~4'./;
J
17r<?,-<- /
~:7' C7().
c/,#[ -/ /
" /
Y?'//-of
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
/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!
""""Tl
OATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
12- LJ..-tJ3,
ADDRESS
~ {/t?VJdkc!V-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
?,--q g8
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
KFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~ ~'*-
(3J h:v",/
rj~.s
"" -e..1....
~
0-- cI."~,,....,,-J-
e:;/7t7--tJV7t I
(r:..c"",(7 a:~ v-Hr ~-I-rJ4
r'lYSa,f- I'"'eOA'......J
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT Woyf;. ~ FOR REINSPECTION BEFORE COVERING
Inspector: .r-I/!' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"'$NOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/.2' ]-6 '1
ADDRESS
SDW rJol1txk
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-f8:ff'
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
I PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
()...r Cvt11JJ.t:t
~(.1<
o WORK SATISFACTORY, PROCEED
....rCORRECT ACTION AND PROCEED
o CORRECT WO~K: C~ FOR REINSPECTION BEFORE COVERING
Inspector. II Vy OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
JNS/IOTJ
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-;0.,,'1
OWNER
.S-o~~ ~o1c/;//y L",_
CONTR. T.J. R. Ht'Jri.?....
ADDRESS
PHONE NO.
PERMIT NO.
03-'Ur
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,~ILLING
'0 CO~T
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
hr...h--ntL
Cu'/?' i2v, 7' - ,.0 L
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
-
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
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