HomeMy WebLinkAboutBuilding Permit 03-0920
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!vpe or orint and sign at bottom)
ADDRESS
/4 ~ ') ( '" ,,,,.__ ~ J- () :a..",,(;
)./ ~./
LEGAL DESCRIPTION (office use only)
LOT~LOCK I
I
OWNER
(Name)
Jk ~ G-..JJ
,
rn d___ r
(Address)
Date Rec' d
~ 18'--00
I PERMIT NO. {l3 - 09z() I
White File
Pink City
Yellow Applicant
t
"'-,
ZONING (office use)
?LLD
ADDITION
s J'..,1J1'c..
(./
S~J 7, dth jJAJct,lDdS- 3D 1-080-D
(Jo.. 'I. ') ,
(.j",,-
<--
BUILDER 0 J r
(Name) f'11 a .-. 6.,.1 (1... _:'\ ,
(Contact Na~e) ,T <: ~ (.'.,..e ( ~ .7
(Address) 7(,..c)1 ll...t ~ 1.<-. .t-r- IN..c..\;. J"
TYPE OF WORK
o Misc.
~ew Construction
~ower Level Finish
~Ck
[j(('ireplace
(Phone)
(Phone) Q....~- 4 ~.?, <:I {
(Phone) (;1:2 -? 0 f- tr {" C( Y
d.--~",,-- ~~ -,-:c-,~c..(
-
A-IJdJl~
DPorch
ORe-Roofing
ORe-Siding
~tility Connection
~~E<.:J
PROJECT COST IV ALUE (excluding land) $ :3 0 "3
"
OAddition
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 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
enter up n ro to perform needed inspections.
x
-1/-
Permit' Valuation
J 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
Signature
:~()3.060 I
$ - ,:Jf :A,('L 5~
$ 1;2, RL/, g'~
$ jc;i/!)-(j
$ , I
$ /00,-1
$ !{)o-- I
$ as 's~
$ i/o, - I
.:f~
This Application Becomes Your Building Permit When Approved
k~
7!()!d3
. 'Date
Building Official
$
$
$
$
$
$
$
$
~ '7./0.03 ;,
I ReceiPt~. -f't}CJ~
Bv /l~' /
o ,--------
13 t-fJTIb
Contractor's License No.
I Park Support Fee
I SAC
I
I
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
Water Meter Size 5/8"B
Pressure Reducer
Paid ijfj.77.4{"{
Date .., '1/ (.l~
fo- (f'- (:) '<
Date
#
<jj,~l>.- I
/;:).75:-- I
8aJ,- I
~/).- I
Jd-OO.- I
7a?- I
/500 - I
I
(j~~/f.(J/ I
#
#
#
/1
1
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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"~ning2~1-- 7/1~t.tJ~ ~-~iWC~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
White - Building
(' ~~r::::-:; - "1I'u1;,~el;,j'1...-,.)
Pink . Planning
Th, ("..nl"r<lf Ih..l..k.. Counl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
f:,~,;'//
';./~)
if j../
" -._~_. ,
.. ./':'.4~ A .f- >
_I.". FL/V- ~.,
/ It.....'."):;.)
f,/./ _. I t~'"-;:'/ <....-"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
it // /) ;
/ -1 (...f ( .-
I ' .I I l
" I
(,;<l~"~t::.",,:,"~'V'<".l;(A. ro,
/""'1
'. /', /
'- ;.-""',--,,---"" \..---
Accepted X
Accepted With Corrections
Denied
Reviewed By: I\€o:f~,\l- Date: 7 ~
Comments: P-'IX-US -{J0& I<E0V:.E,f:.c.. \ lit./. /I ~'1'Pl( 1\ CJ>fffQ lv<i-rER~~IJ:L\.f
See Reverse Side for Additional Information!
See Attachments: 1) Gradina 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,"
~1
.,--- White - Buildina ~
Canary - Engineering
Pink - Planning
Till' ("('nl..r of llit' 1.lkf COun11')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.mLJ~LI{Jd? CffJui1;/ r
h - fi-cJ6
The Building, Engineering, and Planning Departments have reviewed the building permit
application for consl~91;ivit~~ at~
Accepted
Accepted With Corrections
~
Denied
,..
Reviewed By:
Date:
7/10103
,
~7~
f~ t2h
-a (( ;:yr"'- j(
t1-~~ '-h,
,
,
Comments:
/
/,/h.:;L~
. / f
~
I~~~
~A~
f1
"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."
~~
While - Building
Canary - En!lineering
C ~inK - Pla!;:~.:..~
Th~ Crnlu of lhr L.kr <.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,,",
NAME OF APPLICANT
APPLICATION RECEIVED
i' (-
,/"
,..1 ('1
,( (I
--_.j '"
}'.J( .,'
(/ ~._AJr !' ' J_/
/::
k- -)
/ /5'-'(.,;/_
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1/,/ /, / . " ., ;I /,
Accepted
Accepted With Corrections
/'
Denied
Date:
,/'--,<",
. -
/-...-"
/',
,
. ,) .
-"'--1: .r-'
, ,J
"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."
From : JECHEEXC
PHONE rJo.
612 8926.396
H'-'9.01200.3 6: 24fOf1 pa,~
-,"",""...."
CITY OF PRIOR LAKE
SEWER ANn WATt':\{ }'ERMIT
" ,I'; ,,'j)'i. . ":.'~i
," ,~(1;*~,.\<;I\i#\:,~'.
\,p'...~'.,.
/' '" .).'~\,l';". '; "YJ:':'I'
I"~ \
,',' I",
~'\J'l >"1 .',1."
,. (.- ,". I PERMU: NU.3 n -L., /)
I. v.~IQ.'" l:11.1 . '.. """-'r('/V
J_ (....1.1 Att>>1l1LUl '
'1H G'rL~lW
ZONING (011oo...)
'.1.;.'.........
JlOAJ;; DBSc:;RJ:PTrON (011I<< us. only)
t~?~B~b~K ( ADDITION
~~~~Q-~-.~~~:=-~:..-
)WNER. ., ;" I \ (\ T' 0 ro '".
Namt:)'~iI N \...:.l).YI " .... .. ..._..n._.. _ (Phone);.w..2 1./ ~ Win () .
~~;.;~r)~\TqnTi\~, iL"\111"IJ/pn~ ..It) .....". ....,\>,~,,,.;. ,
~'l'!21't",w.~'~~!lii<"'; (AddrcSl) ___~~. (Ci~~' " .. .c* ",'h"~i.
"~I/'J.~~~~~l.":,,,~>, ~.
~~e1\.,;~ eve'. (Phone) ..Jd;1 '):J{) 7~ .,.
~~~~3?~3tO';"J:"~~ __..Blf}rm11~+0I1 M.A} !;f74P!{
~Rf~~I,*.~~J ~:"ii.:;'.." '. (A4dr<Sl) . ( IIY) (ZIp Code)
~~p~~V_ (Phone) fA It; 'lfl, 0 7'1S;t. .
~{:p\""L.~CA,'~i'NT';~i'~s'.r'O;'..N"'A:' ....,"' "., ITO / ~ .
~ "',v.-r., PJtJi ~. ......~~,.-.-,_.____ DATE "? - . -V? . .,
\:~:~~ih~'J;t..;
1,~.;f;'~1J.;,.;
:.l.'(.":
oJ':)'
PID
;'1'.'1""
" .
"
APPLICANT PLEASE COMJ>LETI<; UI<;LOW
'. Size of water service -...l&inche~,
Loeulion of any eouplingSffolll SllUdun, _a__ lee.!.
Type of sewer pipe. 0 ABC [(1 PVC C.) (~'il Iron
Estimated length of sewer line ~O [('d.
Clean out (ifrequil'cu) lucaled at _ f(~Cllrom >tructure.
toildcnllal ,ewer oud Willer line COnl\eClioll ~J5.::iO
lewer connection only $17.50
"'El~ Relll-:O U LE
1,,0",lnn1. C"IO'I & Mulli. falllily 1% of job COSI willi a $39.~O minimum
Walcr conncelion Dilly $17.50
Estimated Co"l 3; q 1] ()
lluildillg l'crlllll II.
SEWER AND WATER I'J:,KMIT FI'E
STATE SURCHARGE
TOTAL l"rmMlT l'EE
$
$
$
.50
" .. .8UI!;-'4ID ~
. liNG p~l't.t
. . 1i4f/l"
Receipt No.
ay Q
V"."
,.
'. 't' ~:, . ; .
:Ol'ftu u.. Onl)')
TbllAppllcaUoD Buo.e. Your Building Permit Wilen APPfC,V(:cl. !-Pfti:r"-'4~~. !.,<:\
.., ,. D I'. . _. .....___ ._. fimlD E I~,>;~ \l'~ ~'i.\\\
II Idlll.. omclal (hlr . 1
-.------ W l:.UG--l.2[}{H. -
14 hour nutl,< 10' .111"'1""'''''' ('I~ ~~::~O'~PX ("~)I 447.. .~
FIRESIDE CORNER
#1999 P.008
CITY OF P _ lOR LAKE
HEATING/AIR CONDITIO G/FIREPLACE PERMIT
Date Rec'd
(f'I.!~ nvc or ,ninl ~tJ41!:1m :'IT bottom)
ADDRESS
FIRESIDB~
HEARTH&HOME'"
14971 SUMMIT CIRLE NW
~~.... I PERMIT NO. 3 - 9~ I
I ZONlNG(officcu",) ,
LEGAL DESClUPTJON (office JJ<e only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name
MCDONALD CONST
(Phone)
(Address)
APPLICANT
(Na.me) AT T T",PJ:1MSIDR DME.&r:..SmJ:";J:.lr;A!lJ1~ & HOMR
(PhOM)
651-633-2561
(Address)
2700 NORHi FAJRVIEW AVENUE
(AdMe..)
ROSEVILLE
(CiIY)
<;5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPUCANT SIGNATURE
BRFNDA H(J.5TiJN
DATE
8/25/03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 AI. TERA TraNS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETIJRN OPENJNGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OW,rm Air I'lanl<
OOrnvity
] Mechnoicol
]Air Conditioning
]Venl Sysrcm
o Steom
o HOI Woter
o Radiation
o Spe.:ia.l DevictS
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Reguired Side Yard
Setbacks
F/REP/.ACE MAKE AND MODEL
HI?:A TN GLO 60.00lR-OAK X 2
Indus!"al. Cnmmcrcial & Multi-Family
FEE SCHEDUU:;
I % of job cost Re,idcntiaJ, Ga., Fireplace
S39.50 minimllm
$99.50 Residential. Additions & Alremio",
$64.50 Residenl.i.l. AC Only
$39.50
Residential. Heating & Ale (New Const.nJction)
Rcsjdcnti13l~ Heati.ng Only (New Constmction)
$39.50
$39.50
Estimared COSI $ BUilsding Penn it # fl/j'l ~~/D WI'"
HEATING PERMiT FEE '-IJ/NG 'l-t
STATE SURCHARGE $Fil-;-;---- --f?O~' f' P~J:1.
TOTAL PERMIT FEE $:, L1 ',_ l~ , 'J L" ci i 'lvtf.,.
(omtP. VI' Only) 1 .~ III
This ApplicDtion Bccomes YOllr Bllilding Permit Whcn~rlDr(J~e" I I U- ~il:J ~ 2 7 2Q93 t Receipt No,
" A Hl!arr" '" rtf/tile ledlJ11 l~~ ran
~~~l BOil/de' Dil';.,i" El,oat,,_..._.____~ By
~I ( BIIUdl"20f!rMfJ F~irviC!w A'venue North Rolt.1JRlc_ MN 55113 J ho-~~J..J;..w~1 I.-"v ~"''-(~''.=..88.o~
'"II.'''''' <o'vo. 3850 Weet r1jil/,'Il',~~ Jr,)I~'fb~s.~jll.\'!p~<Jjj,,1,~H~2r.m:ijW~2~~HM!\j2252-890-S408
~'"w.fjMflJt'ua.ll1111'1 Mf'I CII,.frn~rl)r L1censo 'I20l)C)!)'J1 r
~
~.
/.' "
,;
IJI'..Jr.iJI'IJA'~Jt..i^'l\Jr.1
.............. "-"'.'
__ _ .__---------.----~.~y~- rl\.LU.K LAKE
I4J 001
CITY OF PRIOR LAKE
flEA TING/ AlR CONDITlONING/FlREPLACE PERMIT
Date Rec'd
1.!'lnk:
~. Ot.en
). YoU""'"
~:~ I PERMITNO'3~9:Lr\ I
)..ppllullt OU
(Pl~%5t: rvp~ or Print and ~ie:n at bottom)
I' ADDRESS
/-'/971 s"JVYlrn/J
ZONING (otfu",,)
C//'o )../. k.l,
. LEGAL DESCRIPTION (office.", only)
LOT
BLOCK
ADDmON
PID
OWNER .
(N....".) . J-r:7/" '\
::-Jr,/-" ')~f'JJ
. (phone) J(Q,;J ;.. &':<00(',
(Address)
APPLICANT L d 1\
(Name) O"A)T/'(V~.,..?<t ) 0 It"
(Addrcss),,~/,:;;/() ,t::Cifr,h) 4!~
(A<Idr",,)
(Phone)
~
/-; l-~
<'] (City)
-?"<SCJ .- ~()'::J ~
S~,,:.J -'I
(Zi-p Code)
(ContaC( Person)
APPLlCA.NT SIGNATURE -b ~-;:-h
. (Phone)
d..--;u.;;g!,./ DATE
,\?:-6)s-'-(';~
./ APPLICANT PLEASE COMPLETE BELOW
~ CONSTRUCTION . 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~ fJr.,/O /-n.J(') /? /' C~TVOC'> FUEL ",W
FL.UE SIZE;$'II l'. UC- RETURN OPENINGS ..~ INPUT /(')('\ ma . OUTPUT 9:;) ('d'.
~- ,-
TYPE OF SYSTEM HEATING OR POWER PLANT
OW."nAirPlnnts
OOravity
~chanie:ll ..
~ir Conditioning
~ent. System
o Steam
o Hot Wa.ter
o Rlld"iatlon
o SpecIal ne....ice;s
o -Other D!:yic~s
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
R.qu ired Side Y urd
Setbacks
FIP..EPLACE MAKE AND MODEL
ind1..J.Sldal. Commere;ie1 &. MuJtj.?amily
FEE SCHEDULE
1% of job co~t ~3idcntil!.1. G~ Firep]ac~
$39.50 minimum
S99.:50 Residenti'tll,}.dditions & Altc~i.tiQns
$64..:50 Re.sid,:.rda.l, AC Only
S39.S0
R~side('ltla.l, H-:a1.i.ng & lje (N~w ConSI.n.lctioll)
Resid:nl.bl. Heating Only (New Construc~jon)
S39.50
139SQ
Building 01'IidPr.f
Dlte
Buildlng Pcnnit #
; r---'-,~O.._ 811Il;'X~ ~~Jy
s I I. i .~;rl ----f:1I14,]"
i P~1UJ .~~ ;' : 2"~:cr~~NC'
I DarSy _ I ByLJ/ 0-
----I V
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTALPERMITFKE
coma Us(" Only)
"fhi, App!ication Become, Your Suilding Permit When Approved
24 hoor notic-e for e.1l iMspedibnj (952) 447.g-SS0, f,9,:'I: (952) '-47-4~45
100~
lIlY mrnOlLLNO:J
9LZ909~lS9 XVd ~C:~l NOW COOZISZISO
'~~
+1,..,...0,\t-
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERMIT
,. alue Pi;", I PERMIT NO I
J ~::~. ~~:J;a" . . :3 - 12-0
(Please ~ or orint and sim at bottom)
ADDRESS () +
/971/ ;:;UrnflJ; CiJ'lv/e
/yjl
ZONING (offi", use)
LEGAL DESCRIPTION (office USe only) ~ / '
LO;gO BLOCK 0 I ADDITION 0 J e r I ~ 3
~~th
PID
&:R }'xJcJ1'nf}. fd Con-ttN.C HcVj , :=cnC.PhOne) C).r-()~ y :jQ-7 hO I
(Address) 1001 /Ysfh -S.f.0r;s,'-f---Jlfp/r l!aijpy /~ S;'I/d Y
1iJ:;~~NTF;J/p star P/IJ.I>7'~inj , l~,- (Phone) hS-/'--xs-9-~f<PD
(Address) 1N43 CJeIJ.Jf>/ Ave,& . Col/oap Grove, }111 ~'-.\ 0/6
. n~~ / - ~/ ~~
(Contact Person) J )0.1/ P. ^ '-- )Y'n/'f h (Phone) in, \ / - Yri -JJ /f'O
APPLICANTSIGNATUR~ ~ y~ -,,-, DATE R~C)9~O.J
Quantity
I
I
/
-~
N,-
)
/
~~
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Q\lantit)
I Type of Fixture
I Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewagt: Ejector
Ba~;dlow Assembly
Backflow Assembly Test
I Lawn Sprinkler
I Other
/
/
FEE SCHEDtiLE
Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimum Residential, ~ew One & Two-Family $99.S0
Resident. .d. Aeditions & Alterations $39.50
Estimated Cost $ Building Permit # _ :s "' q Z~D WITH
PLUMBCi\!G PERMIT FEE $ ~+- )/,,-j.l~~G PERMIT
STATS SURCHARGE X _ ~
TOTAL PERMIT FEE 1
(Omee U.e Only) ~', '" ~;- I~-ri-- \:.'1 ": \.. \
,.~. I" ." t' 1 \.1 Ie ~ I
This Application Becomes Your Building Permit When Approved . II u~. .Pil.~: :.' ,c'~ :0 \\, \ Receipt No.
. I \ \ Dllt~f 11--4 c8Dl ~I B)
RulldlngOmela. Date' U . .'_ ~ ___~__ .__._
24 hour notice for an inspection. (952) 44', 1llr-'J1j'u..(951i l'.7"'U~
---L-----
PRIOR LAKE
INSPECTION RECORD
1l/'1'11' ~MWJi';" Girc./e-
IM/.P
USE OF BUILDING SF 0
PERMIT NO. ():1- {2QZO DATE ISSUED .
CONTRACTOR rnc..LJOltla lei.. PHo~/.l- 701- HfI "'I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
~epOR DATE
I FOOTING fh,TlAJ~( .~ - .~/ I f//g/ I :?--::?<C--
I FOUNDATION (Prior to Backfill) 'I ~ 6'.y I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH -:-J~S
./25
?fl.
~...........~
I
J
I GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST~. ,!Pm ~~.f{ lllt3k ~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/lfZ) ,(0, u", tI .J
fl>
Pti
CfI'7
OCCUpy UNTIL AB'bVE HAS BEEN SIGNED
NOTICE
..c>~
~
~I!S
'7'\~
I
J
8-cq<
I~-C
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
dttrfifitaft of <IDttupanq!
CITY OF PRIOR LAKE
~~partm~nt of ~uilMng Jln5p~dion
Winal 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 use. For the following:
Use Classification
SINGLE FAMILY
Occupancy Type
R3
TYpe Construction
VN
Fire Zone
Bldg. Permit No.
N/A
_ Zoning District
03-0920
PUD
Legal Description
L80, BI, STERLING SOUTH AT THE WILDS
14971 SUMMIT CIRCLE N.W.
Owner of Building Site Address
/ '
Contractm's Name & Address MCDONALD ,(;ON.~TR., 76tH 145TH
- / '
ROBERT D. HUTCHINS I J n
Building Official V'
Date: n . Ii, oLl-
_ City Planner_
ST., APPLE VALLEY, MN 55124
DON RYE
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /2 -:l,-03 11:4Xl
ADDRESS /'11'7/ SUVVI WI " ~ c'ir.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3'- '7~
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
)( PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.L i<a.wY\ouQ., ~~~."
o ~ SATISFACTORY. PROCEED
Y-CORRECT ACTION AND PROCEED
o CORREC~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'l--, Owner/Contr:
CALL .::,:~06. THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE7MENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
lNSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~I
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 8.:i"'t "t',V
S~.. J; ~\'r
CONTR.
PERMIT NO.
"f-e>"i 7D
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
..k-k, (l~1>"-L -te.t.G(
J!f' WORK SATISFACTORY, PROCEED
I' 0 CORRECT ACTION AND PROCEED
o CORRErl' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INVIOTJ
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/()j')Jlb3
ADDRESS /4q 7/t)"MM/ 'f Clr
OWNER CONTR. Mr>Dr;,,'! tI
PHONE NO.
PERMIT NO.
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ eIN&L
COMMENTS:
hrodL-o K
Culhg6~- nt'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector.~~ Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"""""
~----~~".._-~_..~_._---~'_.....-