HomeMy WebLinkAboutBuilding Permit 03-1572
(Please'!vpe or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
JE}{)77?-
Jeffers Pfl-55
Date Rec' d
/1- /4- ()3
I. White File I PERMIT NO ~
2 p;", C;'y '03-/57
3. Yellow Applicant
hw
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I:. ;. ~ ~ f) . II ~r
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. LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK3 ADDITION ..t e F fe.. rs
OWNER
(Name)
/)Je.Y15 ynA-nYl
1~5- j)LfJr../l
Home-s
tJnUe
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
"5 fh41 e
y'h j~ k
H elL.. If1 t1 1'\
TYPE OF WORK
~ New Construction
DLower Level Finish
I lJ' Fireplace
PROJECT COST IV ALUE (excluding laod) $
DAddition
DAlteration
o Misc.
DDeck
ZONING (officeu,,)
,.(2/
PIDa5~3Cj5"~ 05"5'-,')
(Phone) t s /- I.j lJ (, - 'It! 0 0
h"SJ l 'Z..
EfJ-c:; fin. rnf\
v
(Phone)
(Phone)
DPorch
DRe.Roofing
" rz -3 f,q- 76 z. Cj
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 conform to all existing state and local laws .11-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 c cialpr a designee may
enter upon the pro}ljrty fJ~er[ neer1inspnons. ~
X tru.tJ<<.V . J~ '4Sff 11~}7-{)3 --------______...
. . ature Contractor's License No. Date
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
-<
~ c::z.o lr. 000. 0 0 I
$
$
$
$
$
$
$
$
/ 'S'J2. !i>S I
10"39. OGo I
lot.{.oo I
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/00.0'0
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This Application Becomes Your Building Permit When Approved
~~p
Building Official
_g,q{03
I Park Support Fee
I SAC _
I Water Mete<...:'ize'5/8')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
'7 9f1i7 - I I
1Z-.n.oJ
#
#
#
#
$
$
$
$
$
$
$
$
, $ 7, 98'7. / /
{Z 7'5.00
Z50.oo
4S.oo
12...010 .()o
70CJ.oo
ts-ao,oo
,
,.
I Receiptflo.
By ..!L.
()
-rflO 7&
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
~~;2::; C~~~bnn1:J~'mpo,UYceni~a~;;~';Plianc' and all~;;:;on ;;;~~. a ~eni{Z)rupan~ mustb,
Planning Director ' 'Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
'--
~1
White - euilro!19.
~nal'\( - I:n'l"",.,rll~
Pink - Planning
Tht' (.t'nlt'r of lht' l.akt' Counlf)-'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,.
NAME OF APP~ICANT
APPLICATION RECEIVED
/,:; ,/ f' '1- ~ 1'7 "/ /. . ) /~"')/u"
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/ /- /9 "-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ L;-t.,')' /",f' /' ~ ~
I' / ,/ ;' '/,"11f, ,/""""'" ,,/"-(,.1'. ' ".,:. /;-
- \~ /.,.:".-:;:...,""; ... .IT -, .., "-~'. _....---_
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Accepted
)(
Accepted With Corrections
Denied
Reviewed By: JJ14 J) Date: / .2 - .l. - 0 '3
Comments: ~PA Reverse Side for Additional Information!
I1rivAW"Y Must H"ve A Concrete Approach
See Attachments: I) Grading 'Pl~'l.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."
~~
C White - Build~
- c;anary - Engineering
Pink - Planning
The ('enler of the l..kt Counl!')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~4;--y~ ~
//-/9-0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~tJ '? t' ~~ PO-4A---
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~ ~~ Date: ~;/~:?
/!a~ ab -_I _~ ~
rP./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,"
~~
White - Building
Canarv - Enaineering
~k - Plannin9-)
Th"(-..nl... nrlh..I..k..Count~.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'./ "
1.
;
APPLICATION RECEIVED
1/. /'/-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~.' 0/ ,/ / \ / 1 i
~
Accepted
Accepted With Corrections -----
Denied
Reviewed By:
Comments:
f"A.,. -.:f ~
~
. ,
~.
<1. ; .iJ. <-'~
/
"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."
lan,19 ~004 10 56AM
GEN2 RVAN PLUMBING AND HEATING
No8182 P U
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~t.;\".~{~~:.\.,.\'.'}f'N II s 0-<
Date Rec'd
CITY OF PRIOR LAKE
SE'WER AND WATER PERMIT
; ~;:., ~\~, I PERMIT NO. 3~ /6--f7d.-
). Geld AppliQf\'
fP1e-3S(!.rro~ O1''tlr:b:1[.and.n~ atbonom)
ADDRESS
) o'b7 R \ If-l+ f:~~
R1\~s
ZONlNG(offi",,,,<)
LEGAL DESCRIPTION (offi<< use only)
LOT 3' BLOCK.3 ADDmON 1J1)~?/1tl\vJ1tUl Vl Id.
PID
O'vVNER
(Name) I<enslllann Homes
(phone)
651-905-3709
(Address) 1895 Plaza Dr. See 200
(AddttlS)
Eagan, MN
(City)
55122
(Zip Code)
APPLICANT
(Na1l1~ Genz-Rvan Plumbing & Heating
(phone) 651-423-1144
(Address) 14745 Sa Roh~,..t 1',..1
(Adclrm) ,
(ContactPersoo) _ C ~1 fQj~~ h1.1 ( <;'
Y,ICANT SIGNATlJRE ~),,~'-::fa P A.->9
Ro~emnnnt. HN
(City)
5'iOfiB
(Zip Ccd<)
(phooe) fi'i1-42,-1144
DATE ___ Hti-oL-/
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
Re::ildennal sewer and water hnc connection
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'! & MultHamily 1% of job cost WIth a $39.50 minunum
$17.50 Water connection only $!1.50
Estimated C OS! $
Building Pennir #
SEWER ANP WATER PERMIT FEE
STATE: SURCHARGE
TOTAL PE:RMIT FEE
$
$
$
R, " ,PAID lA,
.50 \-Ir..DI/I.j, "vI"''''
G PI2P
ryft;f,.,.
(Offic.c U,e Ot1l1)
This Application Become> Your Building Permit When Approved
Date
I Paid
I Date
I
Receipt No,
I
I
,
BUilding Officio I
By
JAN 2 1 ?OO~
24 hoon nctice for aU inspections (952) 447-9850, fax. (9~2) 447-4.245
Jan,I9,
Mo~
.~~~
t\k{i.',~{;!~Neso"tt-
=004 10 56AM
P, 7/8
Date Rec'd
GENZ RVAN PLUMBING AND HEATING
No,818=
CITY OF PRlOR LAKE PLUMBING PERMIT
1 Bl.l)e file
Z. Gold C,ry
~. YelJ.,w AJPU<<Itt
fPERMITNO'3 -/S-7cbl
)
r.flf~e rIPe or pmt and s~ at bottoxn)
I ADDRESS
\c:;7)1g Jeff~r2S
PttsS
I ZONlNG (offioe",.)
, LEGAL DESCRll'TION (o.ffic. us. only)
LOT j BLOCK 3 ADDITION I/!JLIi1.iVYICLVl V1 Is {-.
PID
I OWNER
(Name) Wensmann Homes
(1'hone) 651-905-3709
(Address) 1895 Plaza Dr
Eagan, MN 55122
AJ?PLICANT
(Name) Genz-Ryan Plumbing & Heating
(Address) 14745 So Robert Trl
(Address)
(Conw:tPerson) 1kJ ~(Sh G rrS - -
CutC2t ) --j;,j p va
(1'hone) 651-423-1144
Rosemount. MIl
(City)
,55068
(Zip Code)
(Phone) 651-423-1144
APPLICANT SIGNATURE
DATE
I-fq Oe!
I
I
I
I
I
I
I
I
I
I
Quantity
0(
I
I
r;::;
I
\
I
,3
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I Type of Fixture
Bath Tub with or without shower I ~ I Rough-ins
I Dishwasher ~ I Water Heater
) Floor Drain ti I Water Softner
1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (I or 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Back:f)ow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
FEE SCHEDUU~
Industmi, Comm"",,,l & Mul~-famtly 1% of .lob cost WIth" $3950 minimum R."d.l1t!Bl, N.w One & lWo.f.rrllly $9950
R.sidontiaJ, AddjtioM &:. Alterations $39 50
ESlll1lared Cost .$
BuHdmg Peroll! #
PLUMBING PEIUvlIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID W,
BUILDING 17J.t
PERM,.,.
50
/Om" u.. Only)
This Application Becomes Your BuildiDg Permit When Approved
Receipt No
Euildin€ QffiC.i21
D:ttt
I Paid
I Dare
,IAN 2 1 2003
By
,
24 hOl.1r ""uce for llllln,spr.c.tions ('52) 447~9850! f'ax (95.1) 447..424:3
J ani 9 '
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.., tf,lt",es01:t'-
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2004 i056AM GEN~ RVAN PLUMBING AND HEATING No8i82
CITY OF PRIOR LAKE
HEATING/AIR CONDmONING/FIREPLACE PERMIT
P, 8/8
Date Rec'd
;;;:. ~~~., I PERMIT NO. ,:) - /5173---'"
,. Ye\.IQW ApphQ&llt r
~lc.ase [VDe or mmt and si.eJ1 at bottom.)
I ADDRESS
jt.:) 0 'n\.je-tt-CIz'S
ZONlNG(ofllc,,\IS<) I
PC~'~ s
LEGAL DESCRIPTION (office =: oojy)
LOT ~ BLOCK3 ADDITION h).LV\~!1/\U\. III Vl I ~ t .
PID
OWNER
O{ame)~m~~n Hnm~e
(Phone) h,1_Q()~_'17n"
Eagan, MN 55122
(Address) 1895 Plaza Dr Ste 200
APPLICANT
(Name) Gen7.-Rvan Pltlmhin<:," & Hp::lti..Il~
(phone) h'i1 _&?'1_11 U,
Rosemount, HN
(CilY)
55068
(Zip Code)
(Address) 14745 So Robert Trl
(Address)
(Contact Person) _0 VI ~i sh Fer I ( ~'
APPLICANT SIGNA~ 0) ,d;~1:) -:f:.J.l ),-0,
, (Phone)
DATE
h~'_L.."':l._l lId..
I-fq -tJ L/
_ APPLICANT PLEASE COMPLETE BELOW
~..jEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
Fl'RNACE MAKE AND MODEL l.0111 nt biB /111 p~ hOC/-II i) FUEL Vi J4J -(-4 fr!L
FLUE SIZE RETURN OPEN1NGS 10 INPUT 11 0 I 0 fJ f) OUTPUT Iii I, 21JO
TYPE OF SYSTEM HEATING OR Pu W J:.J;<. PLANT
o Steam
o Hot Water
o Radiation
o Special DeviC<:S
o Other DeYle""
0wanu Air PI311lS
TIGravir;
o MechanIcal
~jr ConditiolUl\g
OVenl System
PL;EA.Sl: NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AN.D MODEr.
rndu~lna1, Commercial & MultI-Family
FEE SC1{EJ>ULE
1% of.lob cost RC$idcJ:1tJs.I, Gas Fn"c-place
$39 50 mInimum
$99 50 Residential, AddItions & Alter.>tIOn'
$54.50 Residential. AC Only
$39 50
Re!ldcrt"i, Heatmg & AlC (New Construction)
ResidentIal, Heating Only (New Construction)
$3950
S39.50
flEA 'IlliG PERMIT FEE $
STAn;: SURCHARGE $ ,50
TOTAL PERMIT FE.E $
r:iU'L~-4ID ~,...
'NG A''''
'C~AArr
Estimated Cost $ Building Pelllllt #
fro"'. 'Vet-OOI)!)
Bililding Official
D."
I Paid
I
I Date
,
I Receipt No
JAN 2 1 Z003 t By
I
.,,> Application Becorce. Your Building Permit When Approved
.24 !lour notic~ for:l}J :Jt~PtC1!{}(I$ (952) J..r7~9B!1). !;\X (~52) -$4'1-4245
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~::y I PERMIT NO.I\'Z. ,~
Applicant ~
(Please type or print and sil[O. at bottom)
ADDRESS
15078 JEFFERS PASS
ZONING (office use)
LEGAL DESCRIPTION (office use ooly)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) AJ.l.JED FIRESIDE DRA FIRESIDE HFARTH R" HOME
(Phone)
651.633.2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633.2561
'>5113
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/22/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plaots
DGravity
D Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
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
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ ~ITH
$ ~U1l.OJ~ PERMIT
$
(Office Use Only)
Buildine Official
Date
I Paid
I DateJAN 2 9 ?on~
Receipt No,
This Application Becomes Your Building Permit When Approved
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS _, 5 07E.. ~4;rH:.~~ P...s~ ~.W.
NATURE OF WORK NEW ~~S"r tLut'Tfo~
USE OF BUILDING :s.1:':' 0 . .
PERMIT NO. {).3-/572. DATE ISSUED \?./Q/()'J
'CONTRACTOR ~~& ~ Hltte5 PHONE 't2.~3"~'''~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, ~PECTOR DATE
I FOOTING I V (,# I /2.- L.o I ::7
I FOUNDATION (Prior to Backfill) I I~ ~ .e.re I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
PLY -/2~
. 1/1//
~~
SEWER I WATER I SEPTIC
FRAMING lOGJ J- FlaorS
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
0117
DEPARTMENT OF
BUILDING AND INSPECTION
;2 -/0 -oc J
'2-( t '2-?e€(
I
I
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I
/-P - ':;z- (. I
)/14"'/ I
./~..,./ I
:? ~wl
2-//y(}&J
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.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
1Y/ftJ
II))
I ~ f- 2~'-'
~u Ce.c.bN
GRADING (Prior to Sodding)
BUILDING 'f---y J..,." !3 -, - 01(
ELECTRICAL I
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 all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
j
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FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS /5" () 1'1 t7~/
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JlC-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
'f;-2l&.
3 - Ic;l1.-
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I. f,..... 1. c:;....'..."LL :....Id"': ('
(7. s.....t <d-- T "-L>...A
~ ~_ ~k Ler~ Th
-
1-0
r
?5~1.-0'1
..
rl...-,.....t
y 150 l~
~1A.....1)
'-
o WORK SATISFACTORY, PROCEED
)s::CORREC TION AND PROCEED
o CORR T W RK, CALL FOR REINSPECTION BEFORE COVERING
OWner/Contr:
44 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1H -cJI
ADDRESS
/~o7g
J"ta'q:) p~
OWNER
CONTR.
/"NILW1"'n HO"'I'J
PHONE NO.
PERMIT NO.
/<')~ - g}'l.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLING
o C01iiiEiJNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~rqt6~o/~
G-u r b j3o;t - (I) K-
r>t WORK SATISFACTORY, PROCEED
, D\:ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectO.#~?
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSllOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1'::)0 ~"\
OWNER
PHONE NO.
o FOOTING
o FOUNOATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED 3-';)I;,-dY
~~
CONTR.
PERMIT NO.
J. - 157:J
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
III PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
\. ~,,~ I~~ II oA>
"2.. G l,.)~ QlD' "- - k, I
.
/
~ORK SATISFACTORY, PROCEED
~RRECT ACTION ANO PROCEEO
o CORRECT R CALL FOR REINSPECTION BEFORE COVERING
Inspector: _
CALL
OWner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1'5(J 7~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 7::.zf -() If
)(~t..fC. te~
CONTR.
PERMIT NO.
<-/J'n
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
; GA5'J-&JRTST
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o r::-. '117
rol---
L..-- \ V -:> -.0-
( : I _
r, y
./
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO ECT CALL FOR REINSPECTION BEFORE COVERING
OWner/Contr:
I,,/r-~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"""""