HomeMy WebLinkAboutBuilding Permit 03-0488
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
; ~;~:' ~::y I PERMIT NO~ ;::L uo 8
3. Yellow Applicant v'- T 0
(Please tvD~ or orint and sign at bottom)
ADDRESS
.]i(P I) I< (';;Q I /:, rr
,J
LEGAL DESCRIPTION (ollice use only)
Nt,J
LOT 'I BLOCK I ADDITION
/I e., tX./
'';
Cr,Y7
OWNER
(Name)
(Phone)
(Address)
BUILDER J /
(Name) tJ~Nrh1<:'.A/N /V/f/n,-J>
(Contact Name) ("'41{ I'l y
(Address) ;pc r' 4/ ^ J:'
/DLJ /'/4"Z"- &/(';(,1(' "1'trN
-J
Date Rec'd
L/-J 9-63
ZONING (office use)
PI
PID .1.5- $J-'t~ eM 9- 0
(Phone) /~7- -Y4 (,. .yYo 0
(Phone) /. /2- J{,?- 7(,/2
-"-. .
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 upon ~property to perfo;r- nee.21 inspections.
X /1 t7' A,AJ $ ~...."......,1J?-- I y-.;-j" ~ - ,z ? - tJ.3
- - / {/ Signature - Contractor's License No. Date
I Permit Valuation /59. tJ (') d, 1)0 I I Park Support Fee
I Permit Fee $ l ~ z t.(. (s I I SAC --=--
I Plan Check Fee $8(00.70 I I WaterMetercSi;re~";
I State Surcharge $ 7 clt. 5"0 I I Pressure Reducer
I Penalty $ - I I City SAC and WAC
I Plumbing Permit Fee $ /00. tJa I I Water Tower Fee
I Mechanical Permit Fee $ loa, lJ CJ I I Builder's Deposit
I Sewer & Water Permit Fee $ 3~ 50 I I Other
I Gas Fireplace Permit Fee $ q(j ,d 0 I I TOTAL DUE
mN
, TYPE OF WORK
~ Construction
ODeck
OPnrch
ORe. Roofing
DLower Level Finish
o Fireplace
DAddition
DAlteration
o Misc.
PROJECT COST IV ALUE (excluding land) $
This Application Becomes Your Building Permit When Approved
~ ~ .,..."...---
I Paid/'I _'70'1.. 00
I Date . ""5 -~-O "'5
~
~
S;/-;lft3
Date
Building Official
S"'J- / .) 2...
ORe-Siding
DUtility Connection
#
I
I
I
I
I
I
I
$ I
$1.SOCj/o5" I
/l
#
$
$ ) Z. 7~,tJ6
$ 6150,&0
$ '1..<),00
$ IZOo,(JO
$ 70tJ. () l)
$ /z:(l}tl, tJO
#
#
.
"
I ~~Cq;:~'~ ~
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
"'"~' 9~ S//$I'~3 /I'~ ~ ~
Planning Director
Date Special ConditillfTs. ifany
24 hour notice for all inspections (952) 447.9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~1
Main File
<]vJ!ite - BuildinB)
Canary - engineering
Pink - Planning
Thf ('rntrr of thr I..kr ('oun.ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
/LJh411t~ ~
J-j ~ CJ-C1-03
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for c3tf~OctivitR;~josf?~
I
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
;a.a.. - e.,
~
?~;-. Date: 5/1'-1/()3
~~-~,
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."
.
&~~
Main File
White - Building
Canary - En ineering
( "mk - Plannm
Thr Crnlrr of thr L.llt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/)/~"'- I
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it
;
....~/
,-'
APPLICATION RECEIVED
,
,
1-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I
(>, ~-'
(
(, .J "-1-'~/
, Accepted
Accepted With Corrections
V'
Denied
Reviewed By:
~
r
9-~ ;.J
i
, \
Date: 5//q/a3
Comments:
;x
: ;
- .-,,! _. {' /
"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:'
----
~~
uet
Main File
White - Building
Canary - Engineering
Pink - Planning
Tht'('t'nlnofth" l..beoUnll')"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ /,)".' .' "
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed.~t:
,/ ,"',
:j ,~,t? C,'
',.-\
/'";4-1-//
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
m7f3
Date: 5' -ILJ-ciJ
Comments: -,~pp Rpver::;f~_Side for Additional Information!
111a./, F,'!,
See Attachments: 1) Grading Plan. 2) Erosion Control Mp"~nTP~
"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,"
MAY-29-2003 07:10 PM STAR PLUMBING & EXC.
952 884 7468
P.I2I1
....,.ru
YlR.LOW ~ ""P\ICAIIT
GDLD . err.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No.
'3 ,{/<t~
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: ~~
SITE ADORES
_ PHONE: ~2-.p.f'y-~/9'7'
. 't-h.,)~TE:
A.,2.-, BLDG. PERMIT 1/
6r/ ~Q f'~ 'PID.
FI~N THE BLANKS
SIGNATURE:
1-
2.
Estimated length of water service ~t1
,/ '"
Size of water service inch(es).
Location of any couplings from structure
feet.
3 .
feet.
4. Type of sewer pipe. ABS
PVC IX
cast Iron
5. Estimated length of sewer line
s:-o
feet.
6. Clean out (if required), located at
structure.
feet
from
====~======~==============~===================================~===
This application becomes your permit when approved.
BY
DATE:
=============~====================================================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water permits issued for new construction must be
recorded on the buildin~ permit card at the time of issuance
to insure that no dupl1cate sewer and water permits are
issued. . PAID WITH
DATE PAID AMOUNT PAID _ Bun.~ G.PERM/;
REC' 0 '~r[P ~ i€ U '~ ~ ~\1
.\IU JUN 0 2 2003 ~
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (6 2) 447-4230/ FAX (61
An J:"II!:11 f'\nnnrln"ir" 'Hrnnlnvp" By_
*
RECEIPT #
{j:5
---
Q.I"U.M.~
'I''I!1...L.J:lw - .....U!""_IIT
GO\.D . cn''I'
.-....,.
.". ..,..
CI~Y OF PRIOR L^KE
S~WER ~~O WA~ER ?~RMIT
NO.
3 -t/ t g
NOTE:
5e~er and Wa~er
contractors m~9t
be resi~tered
vith the city.
PHONE :tJSJ-i.f9-~l ~
OAT=:: ~ }~/D-:L-
'APPLICANT: ~e..\ ~~
:~:~::.:~~38~;~ ___
'S:'.!:'G. :?~,?~Jr~-r "#
FC:LL IN TH:t:
E!.-::..Ni<S
30
feet".
:< .
Size Q~ v~~er se~vic~
of yater sQrvice
I
inc:l.( es). 41 N\
from s~~uc~ure ~l~
P'lC ~ Cast Iron
feet.
1 _
Esti!:\c.'t.ad length
:3 .
Location of any CQ~?li~g~
4 .
~ype of seva~ pipe_
ASS
S.
6.
~sti~a~ed len9th
of se~e~ line ~C)
clean out (if
st="..1C'cu=e -
::-equirec.) ,
lOC=2.~ec.
fe"~JlI1..
at ~feet
from
=~===----==~~==~~=~----===~===~==~-~~~=&~&======~========--~=====-
T~~s ~~plicaticn becomc~ ~O~= pe~~i~ .hen approved.
E':
DA~E:
~:~~~~=~==~=~=c==~-~=======--~==~~==~=:~-------~==~===~~~~~===~==~
F'""'""<:'
___ I
5
5
5
:3l00
.50
3~_50
Se~Qr and
Surcharg..
TOTJl.L
~a~er line connection pe~it.
* F~~ fo= e:~h~~ sewe= ~ ~ater
S .50 su::-c~argE!.
PAID WITH
bciivi<!ual:!.y 9!.ULDlttG RJiRMfjUus
...
Se~e= e~d *~te= pe~its issued for ne~ cons~ru~tion must be
::-eco=~ec o~ t~e buildins pe::-mit c~=c et the time of issuance
-::'0 i:1$lJ.re th~t. no clu'Olicate se".Ie= and w.,+-......- 'rJe~it.s a!"e
DX:~ i::::.:. .. A.~OUNT mI~ @ [E 0 m [E n
R=:C=:!?;:' ; R:E:C'D 1:00 MAY - 52003 1-)
',L _ BY,-,._ .,::~~y . < ,J. !x. ,.: c"
,
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GIG d 18E I S81 9SE 'oN/SnO 'lS/EnO GO ,9G '60 InH11
l'!OH~
10/Z4/D1 WED 11;22 FAX e124414Z45
CITY OF PRIOR LAKE
Gb001
Date Ree'd
~.l j i OF PRIOR LAKE PLUMBING PERMIT
Ilrue iii. ~.,.,o l>
'''~ e,~ ... . " _ / .I cVI
J. 1..... """'10111 ~ -, 0
Q'1c-8. !)'2= or 'P...v,r: md s. 1.1 bonDm~
. ADDRES3gbD ~ ~o.cs. So NVJ
I.EGAL O:ESCRlPTION ColliOl! ..Only) ~ _. ~ t\ _ ~
LO'! c:::r BLOCK \ ALJuJ"ON ~~ u:e5 ,
~~ t~€J(6~~" \.\ome.9:::. (l'hgne) ~J-'iDb-f/1IOO
(AddtcssJ . } 2>OCS- 'f>k\~ k. ~\'k ~t) ~:n I~n.\ ~~ I '2~ .
~~~ANT !Jemzd ~~~ (phone) (;sJ-fs)-ISbS
(Address) 195~ 5~D-\I.)'r\"f,~ ,~. ~ lV\n. 5Sl;J')
(A~ ..- (CiIYJ (Zip C<>W:)
(0_',_> 'n-e.el ~~_ ""_> ts/-'fS;l-15bS
APPUCANT SlGNAT'llRE ~. DATE
~L1CANT PLEASE COMPLETE BELOW
Type or Fistllre I Q...lIity
5ath Tub with Dr withoUt shower RDu&h-ins
Dishwuher { Wafer Heater
Floor Drain Watar Softncr
i,.,avat 'ry (E1l11bromi1 Sink) {Stand Pipe (wll5hin'l M..,hllle)
Laundry Tray (I ur!2 c;ompu1mllIlt sink S_ap! EjKlDr
~hl1'O'CTi Stall BlLCkflow Asscrn bly
Sislliis flacJdI.,.... Assembly T....
8Br Sink I La"'" sprinkler
WiIbOf ClolCf (Toilet) Other .
QvaDrity
.;z..
I
,
~
,
I
I
J
~
ZONING CGJka...J
PIn
Type of Fl:&t.....
fEE SCBDJVLE
InduSlrill, Cg"'Il...u~tchd It M~lri-Mlly 1% of jab C:\m with a 139.'0 rniJ'1imlo1m J{asjdc:nli"~ 'New O"C a. Two-FaJ'fta,. 599,'0
i. Plflrj~ . ;.....aAI'....uon. 539.50
: Estimated C.,., S BUie~ rJI ~ ag [E 0 ill 12 I; i
PLUMSJ]IlO PERMIT FEE S I) II MAY - I) 2003 ~ I
ST!\ T.E S1J1ICH),llUE S '! ll' .")
TOTAL PUMll' nt: s ~By-
(Orr.n lJu O..I~)
aulld1wc. onh:i.1
D...
I Paid
I Date
Iteceil" No.
Tllw "',pJic'li"n Be."lII"" Your B~i1dinll Pennlt Whell Appro".d
1
:4 tiDY'. ~G'Eial fay all iJla_d~D.j (951", -47~o:M;. ~~ i9511 ~; """:145
SY ()--,
'1J
G/I d 1821981992 .ON/92:LO 1S/GHO GO ,9G .60 InHl)
l'IOHd
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i:~w Jl~jcant I PERMIT NO. -:)-fjgg
(Please type or lJrint and sip at bottom)
ADDRESS
3860 REGAL PASS
ZONING (office use)
LEGAL DESCRIPTION (ollice use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name WRNSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DHA FTRE~IDE HEARTH & HOME
(Phone)
651.633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
'5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNf>A HUSTON
DATE
7/23/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
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
HEATNGLO SL-750TR
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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 Pennit #
$
$
$
BttttF>AID ~
DING P~AMrr
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
"
\ ' ~~i41,'l \' ~
j;'}i"--' -'
Receipt No.
HuUdine Official
Date
UjDajuL 2 8 2003
W By
((r
24 hour notice for all inspections (952) 4479850, fax (952) 447-4245
~'\' ------ -------..:~----==:::::::.-::::::_,--
FAX 6518949955
~~NZEL HEATING & AC
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE-PERMIT
~003
Date Ree'd
1:5:. ~~ I PERM1TN03~g<:J
rPlease tvDe or Driat 3J1d rim at bOmJal)
ADDRESS
::3~W~'/ A..;<:;
/
LEGAL DESCRIPTION (ollice USe oaly)
LOT
BLOCK
A/W
ADDITION
OWNER
(Name) IA .b~/Sh?~A.JK1 #nAl~,",
(Address)
.'
(phone)
APPLICANT
(Name) /A_.J>~ I
(Address) 4/~J ~d
f:.o ^'
(Conract Person)
,A/.eI;?,.t/~ ~
r
",yb),/j ~/H
(A<ld='V
MrI b~
~,.,..I
PID
ZONJNG (o~ ""')
(phone)
.6i--~ / ~/22.
/ (City) (ZIp Code)
(phone) fr,<:::j -~ .L1~~
DATE " 7J~4
APPLICANT PLEASE COMPLETE BELOW
APPLICANT SIGNATURE
~EW CONSTRUCTION 0 REPLACEMENT
FURNACE MAKE AND MODEL 4?jiJ-/()t ~ <::: I ~ '< 71')
FLUE SIZE ,;;)- 3' I,!>tle RETURN OPENlNGS '=
Pi2 ttfCI TYPE OF SYSTEM
b?NtYDY. OWarm Air PI""",
'b(l,(jJ)~() OGravity
~echanical
~ir Conditioning
DVenL System
o AL TEM TIONS
FUEL /'h I-
OUTPUT j.,~
INPUT ~
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radi31inn
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
1% o(job COlt Residential, Gas Fireplace
$39.$0 minimum
$99.50
$6450
Industrial, Commercial & Mul[i-Family
RcsidenriOlJ, Heating & NC (New Construction)
Residential. He!.ting Only (New Construction)
Rcsidential. Additions & Alterations'
Residential, AC Only
Estimared Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(omcc tl.llc Only)
Thi:! Application Becomes Your Building Permit When Approv
'Building Offici!1
DatI:
. . ~I&i~ D \~ U;.. (\\
~ . .1)~~ 2 .~. ~OO? .~ I
-9850, fn (952) 447-4245
BY~-
24 hour notice fot mlllnspet:tions (9S1
PLEASE NOTE:
Air Conditioner Uni",
Cannot Encroach into
Required Side Yard
Setbacks
$3950
$39.50
$3950
eUIl.~-i/D MA
I'41G "''I'I.t
,()~
~411'"
Receipt No.
By
I
1)1' I
'-fl'''---''
lJ ....-
Me pel
DEPARTMENT OF
BUILDING AND INSP ~J}l 1 e
PRIOR LAKE
INSPECTION RECORD
~I PASS
SITE ADDRESS ~~I..t:J
NATURE OF WORK ~
USE OF BUILDING .AJ&W ~.,....
PERMIT NO. ~"'I.(W" DATE ISSUED
CONTRACTOR ~ ~ PHON~ If,,-q 7Ca/d..
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT {, _<=j
INSPECTOR t~ ""'W
I FOOTING Vtt.;,'t"\'&... ~&.t-~...1~'960. (~9(JUJ'K ftJA
, FOUNDATION (Prior to Backfill) I ~ I tb Ill? /03
PLACE~A' CONCRETE UNTIL ABOVE HAS BEEN SIGNED
L'L 12.[' r7/ ~-IY ROUGH - INS
SEWER/WATER/SEPTIC 3u..;\.c... ~ PJ ~ (o~r
FRAMING irA fi' -v
INSULATION p~ . ~_ ("
ELECTRICAL
PLUMBING $/ h 7- J"O I
HEATING (if requir~d) r: " Ir/I/
FIREPLACE 1/7 v'f B-L/ '{Jv\' [!(I ~>~p ,;:
GAS LINE AIR TEST' . ~V q-23
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
IV I)jJ ~--,J 2>
-=-..- ~-/.s ,-; .::z:...J a - /
8.L/
GRADING (Prior to Sodding)
BUILDING'1~ -b H-\
ELECTRICAL (
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
~$ 9-/(5
((fj
f{-7:J
FOR ALL INSPECTIONS (952) 447-9850
'.'..-
"
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3P-l~ ~_~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o )I'ISULA TION
~ ~~NAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
~-ro "~,,
<- cf~~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
A~~~IRTST
(;~':\.- .\VAS)ff
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ALL FOR REINSPECTION BEFORE COVERING
Inspector: --' ~ Owner/Contr:
CAL~ <<,)is! FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE VQUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"""''''
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3 >S00
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIllE
SCHEDULED
i{J -:2-oJ
6<~Jc, I VJ4.0
CONTR. V\/t{/!:>~II1(j
PERMIT NO. ()J.. 41f
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
b f'c,q{-r.. - (1) JC
["It, f2,~x - I") V
,!l(WORK SATISFACTORY, PROCEED
"0 \ORRECT 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!
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~rJ
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIMe
SCHEDULED 'T-I~-o3 "l':cd
~Q)c.M
CONTR.
PERMIT NO.
~ - 48~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
Jll' PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I. ~ ~ t!1A.JJ)C,
'7. ~u n..L .g..,u-. t . 0en........tJ
/foRK SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRE<f1.oRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: f 11\ Owner/Contr:
CAL ~/JbJ850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~UIREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY!
INSNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 311(" ()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
9.~<ld3
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CONTR.
PERMIT NO.
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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
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COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORREC ;T10N AND PROCEED
X CORRE K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CAJ -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
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