HomeMy WebLinkAboutBuilding Permit 03-0685
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Re
5. /2. t?.J
;;i~i:e ~:;, I PERMITNO'O?_O'85 'I
3. Yellow Applicanl ....:> tP
(Please tvpe or print and sign at bottom)
ADDRESS If/' ......--- ZONING (offi" u,,)
?Ii'! cD?bc.a-+ /Y'dil ,e /
LEGAL DESCRIPTION (office use only)
LOT 1ft, BLOCK / ADDITION jt!,/ds Sdufh
OWNER
(Name)
( b...~\~~.,. 1
1flea1rn# bf()t?k- ~ld~') .;:;::;~V:.
0'Arl' S; rrlsh'f
(Address) IA "'^I "'-:;',.,..lJ ., f"\_
,,, (v t"""t......;rlA.e.Ar.S Ttl W\.L.- A.Jr '
(Address)
BUILDER
(Name)
(Contact Name)
(Phone)
,
(Phone)
(Phone)
PID z~-3J32~ ()/(,' 0
~f.;1-P15b-88{;'9
..
~;
/i1 AI "~3 7C3
\1
I Park Support Fee
I SAC
I Water Meter Size 5/8r.'1'::j
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
q:rz /" to .,
'~.s'.o}
TYPE OF WORK ~ew ConsOUction DDeck DPorch ORe-Roofing ORe-Siding
DAlteration ~
DLower Level Finish D Fireplace DAddition OUtility Connection
o Misc, PROJECT COST IV ALUE (excluding land) $ ';/7? "tJO PI>
"
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 1
authorIzed agent for the above-mentioned erty and that all constructton WIll conform to all eXIstmg state and local laws and will proceed m accordance WIth
submItted pI I aware tha' th ~~n revoke thIS permIt for JUst cause Furthermore, [ hereby agree that the CIty :ffiJal J a deSIgnee may
;rerupo pr ~: e ~d~ i~!t~~?!':;o 57Z~3
I ~25:'"' dOO,t7~
'7
1$ /97'?,75 I
I $ 1~:P2.9o/ I
1$/57.5"" I
I $ ,
I $
I $
I $
[$
I Permit Valuation
I 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
loa.oo
/""dJO
3'S: S"cJ
.y'a, "0
~
This Application Becomes Your Building Permit When Approved
r
-=1..e J ,I LJ
-57.;1 '7 ~:?
Building Official
Date
#
1$ Z5a.OCl
$ /2-7"5;.00
$ 300,00
$ 7a, O?J
$ /zao.t!JO
$ 70tJ ' 00
$ iSCJo,Oo
$
I
I
I
I
1
I
I
#
#
#
$~5~4. 07
II
I Receiv/flo. ~~ / /
By /L_
o
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 1
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
issued. ,. ,.
~ J!J-ulP
Planning Director
s-6'7~~
f~ a.d..- ~
Date Special Conditi5ns, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
White - Building
Canary - Engineering
~K - ....Isnmnv
Thr Crnlfr of the L.h Coun..,.-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
I ir7 \ 1)( lil tICC{)/C (ill L1)[1(5
APPLICATION RECEIVED
(', r2-0'-'"
-/. -'""
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z q ;:; 4- e61j (II T'n~I\ I L...-
.
Accepted
Accepted With Corrections
~
Denied
;rJ
~
~ 7~ Date: 5/;;J.'J/aJ
A.e, ~ ~~ ~ "--
---------- - -
- ---
,ad-~, K~ tLU ~:. :~
,/
~n
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,"
~1
<::.whit" - Buildina:>
Canary - Engineering
Pink - Planning
lhfCfntnofthf L.h<.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ OOW BfCOOIL
5-rz. -03
~I n61e5
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ZQ34-
.
go r3 tAT --rM1 L/
Accepted
Accepted With Corrections
,../
Denied
Reviewed By:
~
~d-dJ
9~ Date: S/~~3
aLl ~ f" p~,
, .
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 . Bulldin!l
~AIY - I:nalneerlna )
ink . Planning
<
T.... Cfftl.rnllll.l..k..COlIIU.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~'1n\ I JC vJ e [c..00 Ie
e::: - /.., - 0' ';::'
...-' J '- ~
RUIi Dt;,16
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ZQ34- SOetA,j I tlAlv
Accepted
.x
Accepted With Corrections
Denied
Reviewed By:
/Y14/z'
Date:
s- :);)-03
Comments: ,See Reverse Side for Additional Information!
See Attachments: 1) Grading Pbn ?) Erosion rnntrol 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."
Jun 23 03 01:31p
yg/~~/VV ~nu ~~;UQ
Jim Llo~d
rl'\..4, t)1~-1:474l4.~
852-440-3036
CITY OF PRIOR LAKE
p.1
I;!JOOl
-... ....
ylt..Lo. . ",,",leA..,
DaLD - en.,
CITY OF PRIOR LAKE
SEWER AND WATER PERHIT
S.W.No, 3 -~fJj
NOTE:
Sewer and Water
contractors~ust
be '~istered
with th.. City.
APP1~: CANT:. L-.I\)dr.! (?(Jr";c,-h,,., ,TVI'_
ADam ~S: ~\~ ,~::.. ~ C)', ~ . ~.J~ tiu0
SIGm rURE: ;h--&,--,,-=, ~~d
SITE \DDRESe::.:" ,,>.1 r,::-L"'", - 'T{{J:,
FILL IN THE BLAN~
PHONE: qS2-'-1~~', 30.1,C
DATE:
. 1~.', "-
i;i W_'. r....,.< )
.BLDG. PERMIT #
,prOf
1. 1 ~tirnated length of water service
2. !1~Ze of water service
I
~,r; _feet.
J. I. )cation of any COUplings f"om structure-tf'/ A- Jeet.
4. l' 'pe of Sewer pipe. ABS_ PVC--=:' Cast Iron_
inch(es) .
5. F;;t i rnab.d length ef <;~~"'L l1ne
<,- ('.) feet.
6. C: ean out (if required), located at
S ,ructure.
~/ d- feet
from
T~i~ " pplication becomes your permit when approved.
.!.._===: '....c;==;.;;==e;:;==--===__====;Ill......=:::::~""'===:;;:=====_...=o====-==~=====_=_co=::::_=-
BY__..
DATE:
=====. ~=====~=~-~==~~~=~==---==~~==========~--=====~======__B====~
FEES:
$
$
$
35.00
.50.
35.50
Sewer and water line connection pp.rmit.
Surcharge
TOTAL
*
1'" e for either sew..r or \<later
$ ~50 surcharge~
s" ~er and 'rii'b~JI t\1l Ii..
r.. ~orded o. e~J'ii'liin.. p
~:;: .. insure L t no dUPllC\a
J... .ued. JUN 2 5 ZUUj
DATE I: HO
individually is ~..6lll plus
*
d t:or new construction must be
it card at the ~i~e of issuance
sewer and water permits are
RECEII' r 1/
~y
AMOUNT PAID
R~C'D fly
t'{.,
16200 EagI" Creek Av, S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAx (612) 447-4245
An Equal Opportunity Employer
aul. PA.ID VVI7'H
'LDING PERMI7'
FRor1 : SOUTH t1ECHAr, I CAl
FAX NO. :952 492 2446
Aug. 14 2003 01:19PM Pi
CITy OF PRIOR LAKE
HEA TlNG/AIR CONDITIONINGIFIREPLACE PERMIT
Da.te Rec'd
(Plea.sc We or ~riDt 1n,<15im at bottom)
ADDRESS -
:J-93c,/ ~c.&.-/
1.'lllk
::t,On.ll
J. V.llow
:!:.~ I PERMIT NO. ()? 0 I. 0. C'
A"Uc,u1 _.J - I.CY-^..) I
I ZONING (om" ",j i
/,,-""; /
LEGAL DESCRIPTION (olllee us< only)
LOT
BLOCK
.~DDITION
PLD
OWNER
(Name)
/J'I.€,,,,<:101-O .8Y'<:0K. 8<:.<.;/ d _~
,
? 70! "c:;;", -he" --.5'?b>--A-- .:t>.- ~~.
APPLICANT <"
(Name\ {)..t:'.u-/-;C...
-d -
::>~'3"7 ?'
I
'/
(Phone)
(Address)
~...,..-A-.....~~...L
(Address)
7-1005 ~.h,C_/
(Addle"j
do VI.....
A..-c.
(Phone) 95";)--~9'd7- ;;</~O
...y-~~- J~ SSs5"..:z..
(City) (Zip Cocle)
Nz-~ ZZ/ -';:::;"9.7"...s-
6-/~-d3
DATE
(Contact Person)
APPLICANT SIGNATURE
,
, APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 AL 'rEM TlONS
FURNACB MAKE AND MODEL ~ JU... "70'0 c~ /ov, (Too.6"77L- FUEL
'-' .
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants
OGravi'y
o Mechanical
OAir Cnnditioning
OVent $y"em
o S,eam
o Hot Water
o RadlAlion
o Special Devices
o Other Device$
PLEASE NOTE:
Air Conditioner Units
Cnnnot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL _,
Industrial, Commercial & Multi.Family
FEE SCHEDULE
J-% of job co.,... ~ Residen'ial, Gas Fireplace
Sj9.jO minimum
S99.S0 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Residential, Heating &. A/C (New Construction)
Residential, Heating Only (New Cansrruction)
Estimated Cost S q , or:!:;.. C1D
Building Penn I! #
BlIlldlnlomr.lal
$
$
S ......_
!
i
'j Pa.id ~. !~ ceipt No.
Wte AWlS 1 H 288J I
Dl1le I
-.-' , ',.) ,
14 hour notice for IUln,peellon, (951) 447.91 ~y ~~_ '
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
PA.\O ~~~~\i
_O,,"G
(om" U,e Oftly)
This Application Become. Your Building Permit When Approved
FAX ~n : 952 492 2446 A'Jg. 14 2003 01: 19pr1 P2
CITY OF PRIOR LAKE PLUMBIN(; l'EKMH
;~: ~:~ I' PERMIT NO.O'? -0/ a..-I
I. Y~llow A,~Ue.lIl J {O{").:LJ
(Please tvp! or onnt Md sian at bottom)
ADDRESS
,;L '737" . gobu-r / r.....l /
ZONING (011I<<"1<) I
. LOT
LEGAL DESCRlPTION loffiee use only)
BLOCK
ADDITION
PID
OWNER
(Name)
, (Address)
APPLICANT
(Name) (
(Address)
(Contact Person)
/7/led~rrA,/ g-roC?-'::::.. gL.c.'-/~ ....(Phone) 97..;z-';;;'5&-~r::.P"b7
q'7cl '1/.:~"-~--J~~ ()"................, /U---- 55~ 79
'Y;/r/~ /J'1L~~IO&,-,'~.,J ~"..,?...".~" (Phone) 9'5/-~9'.?~~?0
Z-/ot).~ k-"?5~..J.#k ;Y;~-.A--<~ 55;?5~-
(Address) (City) (Zip Code)
~/L- (Phone) ~/2-Z2..1-7~2?
/;2..ne.-y .:iK.-.c ~~"e: DATE? -1'I-tJ 3 _ _
~ . -
APPLICANT SIGNATURE
Quantity
,;l-
f
(
U
/
-'--
(
I
4-
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Showcr Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
/
Rough-ins
Water Healer
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Back flow Assembly Test
I Lawn Sprinkler
Other
/
FEE SCHEDULE
lndustrill, Commercial & Multi-(amily 1% Qf job cost with D $39,50 minimum Residential, New One & TwoaFamily $99.50
Residential. Additions & AlterAtions $39.50
Estimated Cost $ 'l, OW. 07:) Building Pennit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
\lJ\1'\-\
.50f''''\\~G ~e.f\~\'T
p,U\\,O "...
rl'-.: ,...J --\1
U I~ IlI11eceiptNo.
I.
$
$
$
r~{~ ~ ~
~~.teAUIJ 1 0
IOrriC!C! U3C! Only)
This Application aecome. Your Building Permit When Approved
LU03
0Y
I
Bundln. ameli I
Dill'
24 hour notice for IlIln.pectlon. (952) 44'.9 159. r.. (952)447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or orlnt and sUm at bottom)
ADDRESS
i ~~w ~l~icaRt I PERMIT NO. 3~ t., ~.~ I
2934 BOBCAT TRAIL
ZONING (officeu,,)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name MEADOWBROOK BUILDERS
(Phone)
(Address)
APPLICANT
(Name) ALTJRn FTRRSrDfi'. DRA FTRRSTnF HRARTH & HOMF
(Phone)
651.633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Addiess)
ROSEVILLE
(City)
;5113_
(Zip Code)
(Contact Person)
13RENDA HUSTON
BRENDA HUSTON
(Phone) _651.633-2561
APPLICANT SIGNATURE
DATE
R/IR/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
OAir 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
HEAT N GLO 6IOOTRI-IPIX 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
I3U/1. /)-4/D ~
DllvO 7"1'/t
'i ;i-;':'~:'I P12ITA.1I.,.
c.' l.J L.;:' I :~eceipt No.
(Office Us, Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
~. I? ,-::>, ,':':
iWJm G I;;
, i~at"U;] Z
, 2CJJ
i:. iBy
L__.';I
, !
I
?fl
/I
24 hour notie, for all inspections (952) 447-' Ii!lo, fn.i?521 447_-"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 2. tt3 ~ ~~ eA." TYl.A....L
NATURE OF WORK ~!AJ ~1USTJe..LlC:.TIQ~
USE OF BUILDING S:~t>. ~
PERMIT NO. fi3-0I:..Hs- DATE ISSUED .!rJI.~
CONTRACTOR ff1.fbtJlJJ~ ~lIf. 11lC. POHNE!tt. UtJ.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~dT _ d> ~J>o
HEATING (if required) If/~
FIREPLACE ~ iVc::::: ,... ..L3 G'f<:' ~ (""
GAS LINE AIR TEST N.",,' l/~/- ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
UTJl&41/'.v~ JTdNEI I
FINALS
f?
fZJ >-:2.)
I FOOTING
Uc..
DEPARTMENT OF
BUILDING AND INSPECTION
iTP
DATE
/q --t'
~ I J-'t te[J
e~/v
",p. .?c
e - tV
8- Y - 0 y
8l.D.o~
GRADING (Prior to Sodding) J
BUILDING (:...e..IJ +0 tf-f. 0'1 r,f.
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
/2 - '7
I
BEEN 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 lIf Q\}rtupanr1!
CITY OF PRIOR LAKE
.. ~~fmrtut~nf lIf ~uilMng Jlnsp~dilIn
....6' Final Permitted D Conditional e.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
Bldg. Permit Nr'
03-0685
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R1
Legal Description
L16, B1, WILDS SOUTH
Owner of Buildin,e:
Site Address
2934 BOBCAT TRAIL
Contractor's Name & AddressMEADOWBROK )>lJ.ILDERS. 6701 FEATHERSTONE DR., SAVAGE, MN 55378
ROBERT D. HUTCHINS \(fl City Planner DON RYE
I _ 0 II Building Official
Date: ~ ld Date:
-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
8~ -of..--
ADDRESS
~ 34. ~t
OWNER
CONTR.
PHONE NO.
PERMIT NO.
.,3- U?7
o FOOTING
o FOUNDATION
o FRAMING
(J )JIlSULA TION
Y~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
g G~IRTST
COMMENTS:
r"-{
1\ Q . I>..JJI.....L -\ ; \ t1
L,YV""- ,
~ORK SATISFACTORY, PROCEED
o CORRECT ON AND PROCEED
o CORRE LL FOR REINSPECTION BEFORE COVERING
Inspecto . OWner/Contr:
CA L C4/.:aio FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH '" SAFETY!
lNSNOTI
<6 -i/ -0<{
:2131 130&.4 t T;CI" (
CONTR. /f1erdr,cllv~i Jllr-t/)
/')~- (, ~S-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
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
COMMENTS:
G/-rdv Of?-
(' J(,1 .B('j7'-/6)ft....--
DATE TIME
)(EXI~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
'IJj WORK SATISFACTORY, PROCEED
VO\.cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector,d~-==--- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
:19.?c/ ~ bc~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
;a PLllMBING FINAL
~ECH FINAL
COMMENT~:
'.- ~ '/-;"r ~1'117 )
7. Jl.D~TVJ c;;p;>>
V
DATE nUE
12-1- 01
.J-~S
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
3 ':I~EPLACE FINAL
~SLlNE AIR TST
o };f~()J~(
ijr(l- fl!J1-'
o WORK SATISFACTORY, PROCEED
)('CORRECT ACTION AND PROCEED
/ 0 ~ORR WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeeta : 11 Owner/Cantr:
C L '~ 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO EQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
''''''''''
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-25"'..0;5 3.'01'
ADDRESS
J 53 I c..l T.JX:us R.s.<:.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
2-~
'\
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
~LUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I, .(2.... ........
V~\? W';
.
+;,~ 1"\ IUd-
4t./7-7717
v~
2.~
....D~RKSATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECf!.r,l :ALL FOR REINSPECTlON BEFORE COVERING
Inspector: n Owner/Contr:
CALl! 9850 lOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFEr:!
U<SNOn