HomeMy WebLinkAboutBuilding Permit 03-1329
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please '!ype or print and sign at bottom)
ADD3\~ \ ~ tDLA3 c0L P~4\1
(Address)
6\
<2-l k 0
TYPE OF WORK
,
~ew Construction
DLower Level Finish
o Misc.
Date Rec'd
r5.03
; '::i~i~ ~:~y I PERMIT NO. ()? _( 7'7 C/ I
3. Yellow Applicant .:> ) V I
ZONING (office use)
,€/SO
PID25. ;f04-. tJ4/. tJ
(Phone) ~ Sa ~ Iol-3 ~gy-
:ssoao
4101-3 ~~~
'-I101-39~h
~ktJ
VY\ {\
PROJECT COSTlY ALUE (excluding land) $
(Phone) _ q ~ 0.
(Phone) ~ <S 3
5S ba.D
YY\VI
ODeck
OPorch
o Fireplace
OAddition
ORe-Roofing
DAlteration
ORe-Siding
OUtility Connection
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and COITect. 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 aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city ~c1i1ora"des.igQee may
;ter~ pro top orm needed inspections I b 1 \0 q _ _ CJ _ () 3--------':
~ ' Signature Contractor's License No. Date
LEGAL DESCRIPTION (office use only) ,
LOJ3 BLOCK f3ADDITION 'Ifu- lD LQcL1 nAA
~':~R T -0 _, l' ~+-
(Address) r. Q. &'1.
~~~;~\ER Tt- ,~~t
(Contact Name) 11\\1 (~\~"
p.U" BWSl
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/ f? J". 0 (J f) ,tJlJ
$ 't~?'&'. 55
Cj to (, .2-,
q 1/.00
I $
$
$
$
$
$
$
loo.DO
/OO,OD
B<;, S-o
L/O.oo
This Application Becomes Your Building Permit When Approved
~:4,iJ~
Building Official
/o/; 103
I riate
I Park Support Fee
I SAC
Water Meter Size 5/8"; 1 ";
Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE ~
I Paid
I Date
'1 /,', J I
/()./ I./. 07
,
#
#
#
#
- .
I$~
I $ I? _7~.o ()
1$ "3(")0.00
$ 7D."6
$ /2.00.00
$ 700.00 I
$ /SO().()O I
$ I
I
103. bJ $ '1 f!;& 7. 3/
/
I Receipt 'U~. 4-~I 1
By 'T_
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
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
"'~ ~ /(};/A~ ~ a-L!~. -~
Plannihg Director ' nate Special Conditions! 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
~a'" - !;!!1',"een~
Pmk - Planning
Thll' Ctnltr nflhll' t.bCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=iT
NAME OF APPLICANT
APPLICATION RECEIVED
-r-c
-;1
c; .
(I) .,/ .'
CJ) !'J '::; I {2.--.
-
t--. (\ -/,)
"-J... iJ.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~7? J Z- C Or ) 6 A 12.. Pl\nt
- I
,
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/J?fj7..,
Date:
q~J./;~C)3
Comments: See Reverse Side for Additional Information!
See Attachments' 1) Griltting Plan. 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."
~~
White - Building
Canary - Engineering
rPlnk - Pla~~~
Thr Crnln"fthr I..h Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-TC-
q.
I
tUI\J S I
r:. 0: -;I..
..,./ " )
f:::-.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z 9/ J Z- C (;( ) 6A Ie.. fjf\-n-t
- I
Accepted
Accepted With Corrections /
Denied
~
Reviewed By: ~ :f'-. n J2..J Date: ~// ~ y
Comments: A::.-ef2 ~ -.../7/-=._ ~
~_. ~ ~~~~y~
~;
"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."
~~
~hile -. Build~
-cana~l:nglneerm\,J
Pink . Planning
Th~ (-..nl... or Ih..l.ak.. ("ounlr}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
TC- toNS I fL-~
q. 5, o_~
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z0JZ- WlJ1ArC.- PA-nt
Accepted _ Accepted With Corrections ~
Denied
~~ -::f~ Date: q ~S/d3
~ad ~-~,
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."
APR-23-2004 10:17
"-A,o~~~o(~ /
~
VIERECK FIREPLACE
861 0456 P.02/02
','
(Pl:.l.s:.: t\'O: 0, o:-:.r.~ .l.llcJ ~j~ at borroi:'!1
i AD-DRESS 28/2 COUGAR PATH
I
! $;;:;:, ~:~;"" I PER:\1lT N?9 - 82f
'-I .. ZO;-.1TNGr,"'" '''I I
.. I
----'
II.EGAL DESCRlPTIO;-.1 (om"",, onl,)
i
! LOT BLOCK ADDfTION
pm
OW;'IER
(Name)
TAMMI SCHAMMfL
28)2 COUGAR PATH PRJORIAKE. MN
! (Ad~:'e$$)
'~~~;,~fANT VIERECK FIREPLACE SALES INC.
1f",151 MAIN AVE. SE
(Phone) ~52. 440-5t,20
PRIOR. LflKE 5537Z
(City) (ZIp Cede)
(Phone) 952. 440-5b2fJ fl.T 20lJ
DATE /8 APR 2(){JLf
I (Acioress)
(r.C,jl=~;)
i (ConrACt Peem) 5 T[VE RIVERA _, ~
I APPLiCA}.'Y SIGNA TURE ~ . ....~~~ f' ~
'--
APPLICANT PLEASE COMPLETE BELOW
oN'C'N CONSTR,UClION 0 REPLACEMeNT 0 AL TEP"" TIONS
FURNACE MAKE AND MODEL rUEL
I FLUE SIZE lUTURN OPENINGS fNPUT OUTPUT
i TYPE or.: SYSTEM !-lEA TINGOR POWER PLANT
I
DW,rm Air PI"""
uGrHity
o iVl'tcr,<!.n!cal
DAir Conditioi"":lng
DV:m Symm
o Stt::.~1i1
o Ho~ \1,.';\t-:r
o Rndi:!tioil
o Sp~cial De\ic:=~
o OthC:i Dcvic~.1
PU':ASE NOTE:
Air Conditioner Units
Canna:: Ensro2.ch into
R.quircd 5 ide Yard
Secb<'ll:k5
I FIREPLACE MAKE Al'D MODEL MAl fSTJC VERMfJNT CfJ5T1AY:::J5-.}bOOVRRN.
!ndllStri~J, ('1,mr;;:;~ci~1 &. MuJli.F:;\.-nil:-',
fEE SCHEDULE ,
1~"'1) ot'job ellSl R=,)i,~;:;'1l1al. G:t.$ Flrc~I:H:~
SJ9.50 mi~imul'Tl
$09.51)
56:1,51)
SJ9,50
R::sid~n:i,,], H..:.i:;r.J;.P,,: :.;.:C (:--:~',~' COl'1s;r.;C{iOil)
R::'.iiJo!::"lli~1. r-:::J;~J".; 0,]" r\':;\I.' Consl:--';ClI'Cr.}
RCSlje."i;.2!.Ad,l,i[iO~S & AI(=~:::~o;'s
R:s~.:::':'I[::!!. ..o...C 0111:.
S3950
S3950
E5rirr.<l~~d Cos: S
Buiidi:-,g Permit #
s
,50
../I.',
"it. ,.
,~AI ~v \ ',J,":
(1).",:;; ...
\4 r...:rl"::-
\;',
p~<,::~\" '
;:.,~:.-
"
(()flic~ Cst Or-~rJ
HEA TI0:0 PER\llT fEE
STAn', SURCHARGE,
TOTAL PERMlT FEU
<
.
s
s
This Apf.llk:1tion Bccome.$ Your Building f'ermir '.Vhen Approved
! P:;jd
,! R.ec~iD~ 0.'0,
" '
Ii
Buildin~ Orrid.11
D;de
,
~R 2 '1 2OG~
!
:1 By
I
~
r
I
14 hour norjc:e for :1[1 inspections (952) 4J1t_9S.5.0,J.a.'( (!152) 44'i~":~45
L--:--~._....__u .__. ...___....... +_.____ ___-'l
TOTAL P.02
.1-25-03 05:21 PM FROM FG:N ?LG HTG
TO 9524414245
PJ]
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
; ~ ~~, I PERMIT NO'3_ I j 2-4>
J v... .......c.I V
(1'1<... ~ orpnnt &116Ii~ arbono.,)
ADDRESS
.=l. ?S J J.
Pa. f "'-_
I ZONrNO c...... "'" I
r~.
LOT
LEGAL DESCRlP'TlON (01'1Io< use only)
AUUU10N
OWNER
(Name)
BLOCK
PID
~
I C'c
r.1"J '" str'AC~i 0......
(Phone)
(Address) Ell-<o
APPLlCAlfr I C\ -k.
(Name) "HL: mi"'d-M"- '\~!J \.\- J
(Addtess) JiO,/-l c.:h:o.(''''~t' iALoe
(Alldzcss)
(Con18ct Person) J; Vv\ 1 ~ """ .
APPLICANT SIGNATURE ..J_ ~ l...Sl1t~_
Quantity
)..,
f
I
.3
\
I
I
":,
(phone) -".6H4b"-7~aLl
FOrrY\lh~-h,..... 5SQ;j.4,
(Cif::/) (Zip Code)
(Phone) _
DATE
11-::l.5 -0:'1
APPLICANT PLEASE COMPLETE BELOW
Type of FIxture Quantity
Bath Tub with or without shower . ~
Dishwasher I
Floor Drain I
Lavalory (Bathroom Sink) I
Laundly Tray (I or 2 compaltmenl sink
Shower Stall
Slnb
Bar Sink
Waler Closet (foilet)
Type of Fixture
Rough-ins
WlIler Heal<<
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejcc:tor
Bacldlow Assembly
BIQkflow Assembly Test
Lawn Sprinkler
. Other
RESCHEDULE
IndUSlriII. Commercial a Multi.famlly'" of Job.... whlla S39.30 minimum Rald<ntial, New One .to two-Family S99.30
Raidallial. Additions.to A1lenUOlIS Sl9.30
l!sIim~
Pl."U,lliWU<I
STA CHAROE
AI. PUMlT FEE
lUg Permil N
$ _______ .SO
$
. . PAID WITh
dU1lDING:>I:;,QMI1"
f.:'''' ."' - ~-::;~
r. '! ~.
(ome. u.. 0aIy)
n.. Applkallo.lleco.... VOWt BaUe1l1l1 rmall WIaeJI Approved Paid
.
ReoeIpC No. .
~1':';":.-:.,':"..... ,,~.
By
I.
alHIt 0ftId.01
Dale
NnV 9. B ;inn':!
cr
DI"
24 '..r .Ilke r.r olll"poclle.. (952) 447.'~. fa< (952) 441~Z45
Z-19-04;1Z:03PM;carlson Tractor
; 3
# U
Date Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
!l
I
(Please tvoc or Dnnt IUld rim at bottom)
ADDRESS
d-- ~ \~
r ~l\\.) ~ I1Ir
LEGAL DESCRIPTION (office us< only)
LOT<? BLOCK..' ADDITION n to tAJlll \
~~t~
: ~=. ~i~; 1 PERMITNO^~ J~n.;
l.GolclA.pplicanl ~,
ZONING (oIIIl:e....)
1\1 ~,,1'^
PID
OWNER ~\ ('.. ~ t-
(Name). \ ~ , '-. f\ lI\ IS
"
(phone)
(Address)
(Address)
(City)
(Zip Codtl
APPUCAN1'-- I -
(Namel J~l\e.-l t.VC'..
(Addr<ss) J..3ln ~y.a~ Elar...f'-
(Addreu)
(Phone) J.i.i1 '):J{) 7~
f3I /)()I'f/;~ +fJn M..AL ,r;t;"4.~ (
( ity) (Zip Co~)
(Phone) ~ /J. '7~ b 7'f.rf.,
DATE J,ll.\~{)l\.
J
I
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure ""0 feet.
Type of sewerpipe. 0 ABc.,...... 0" PVC 0 Cast Iron
Estimated length of sewer line i~ feet. .
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
Estimated Cost $ :b-;'\
FEE SCHEDULE
Industrial, Com'l & Multi-family
. Waler connection only
1% of job costwitb a $39.50 minimum
$17.50
[il
! I
I: '
Building Permit #
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTALPERMITFRE $
PAiD lM1"H
~ING PEr8MlT
(omu Un Ollly)
I This Application Becumes Your Building PermH When Approved
[)ile
, i Pfts 1 8 2004
l Date
Receipt No.
I
i
Building Omcll'
By
24 hour notice for all i",pertions (952) 447.98'10, III (9!i2).'147-4245
02/13/2004 03:44
5073344811
CANNON 'vALLE'! MOTORS
CITY CF PRl~ LR<!:
PAGE 01
9524474245 p.e1~1
CITY OF PRIOR LAKE
BEATING/AlR CONDITIONJNGIFlREPLACE P~RMIT
ll'lc.... M:lIe oraf'iJlt lad. n.n .llboftom\
!I ADDRESS .1 F,I... <7
fd V//j'd:r
LEGAL DESCRIl'TIO'N (011I.. .11 ooll')
Jftll
LOT BLOCK
ADDITION
OWNllR
(Name)
--r: c-,
~
(Acldms)
D... i
:. =':,0, I rJj;RMU Nurrr.... I~~
l,T.u- "'........ ~
I ZONIl'IG <--
PID
(Phone) 46/51?'!
AppLlCANl' /J, t' ~ ..,...'
(Na11\e' rvY'7~b . " ~ l> .
(Address) 'I L/77r1 E. cJ-v Wi. a
b~/ (^~.?1_ /
(Conract Peuon) ~. ~ _~.~-~ 7 rr J<hz::1tb .
APPLICANTSIONATURE ~.v'l' 4/L.J---
./
. ~ APPUCANT PLEASE COMPLETE BELOW.: .
NEW CON~ 0 RBPl.ACP.MP:N~~ AL~RA. tIONS"I
FURNACEMAKEA MODEL -'-"--n~ ~ FUBL IY'm---
FLUSSIZB srI IlL RETIJRNO'PENINOS INl'UT ~Jl;~ OUTPUT~btJ;>
TYPE OF SYSTBM RBAfINO OR POWER l'LANT
QW"",, A~ PI..II.
OOravily
. ij.Meehllllal
SAlr Condltlonl., ,
JVant. Sy.lom
(Phone) ID-7f? L??7'
I/tu/ I'~,- 1'11. 4J.71
( ) ~~C~)
(Pllone) ,9..rLP,r~~?'7
,_ . DATE 2~/~~tf)'1
O&llAm
o Hot Wiler
o ~i.1lon
o Spcolll DIYlc..
o Ollar O...io:o
PLEASE NOTE:
....Ir ConditionOf' UIII
CIfIDot BnuollCb in'
lI.equlrocl Sido Yard
Selbodu
F1ABPLACE MAKE AND MODEL
InduJffl.J, COl'IWMra.111 & MIiItI-f'lmily
Rc.s~dcnt~al. HClt~ni ~ Ale (Ne.... CClnStNetton)
A.'Sld",,,.I, HUlin. Only (New Conll",.,;on)
FElt SCHEDtJJ..E
I % of~b CO'I A...ldonll.l. 0.. PIf<Jllau
S39.'0 ",iIIl"",",
$99'0
$64.30
S39,~
$39,'0
$39.50
I P..~ I ~Ipt No.
. ~te ""-IBy
D.... F .
~ bo.r noU.. r.... 01\ INpocrl'''l'5:lJ ~'t.,., 1M (9") "' .
Estimlled Colt S
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
. (oplc< U.. 0.".)
Thlr Applle.all.n lleeo..... Yoa, BlIDdln, P.rllllt w.... App_cd
Jondl.. QIfIlI"
f/1t 1M L
R"idonll.l. AddhloUl <I< AlttnliDn;
RlSldlnlial, AC Only
Bulldlnl Penn It ~~
S
$
$
:i'!!:l- ),~"n,.
'-WU'iJ J'!J".....
~_i:'~-:'r?r~ r.':J-,?S""r,jt
TOTR.. P
J
1
-..J
DATE
, FOOTING
I /6----
/u(
/CJ -2f'
~ L-/~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING p--'e!:J /~ -.; ~
HEATING (if required) ~(j'f)
FIREPLACE () 11 riff ,/"'LS/^:RJ
GAS LINE AIR TEST ( V~C p () "{ (}Jf)
CqVER~O WORK UNTIL iBOVE HAS BEEN SIGNED
f:ll ~TH6 /CULrlt~ S"'f1JNlI
, FINALS
GRADING (Prigr to Sodding) :;.\;' ;t/ 14
BUILDING rl A-1 +0 t1( ~ 0 ~ If r / \ y~
ELECTRICAL ) '/ \
PLUMBING _ "5 H
HEATING .-'fA
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.
ta - if/-Oc;
7-7J-6~
2-/7
FOR ALL INSPECTIONS (952) 447-9850
QIrrfifirafr of (Ji)rtupanrl!
CITY OF PRIOR LAKE
~rparfttumf Ilf ~ttil~iug JlusprdiIlu
~~Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Sec{ion 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 FANILY
Occupancy Type
R3
Type Construction
VN
Bldg.PennitNo. 03-1329
Fire Zone N/ A Zoning District R1 SD
Legal Description
L8, B3, THE WILDS NORTH
Owner of Building
,.....-,
Site Address 2812 COUGAR PATH
POST OFFICE BOX 51, ELKO, MINNESOTA
55020
Contractor's Name & Addre" TC CONSTRUCTION',
ROBERT D. HUTCHINS I /
Building Official / v
Date: 7. ~'I () /
_ City Planner
DON RYE
Date:
DATE TIME
CITY OF PRIOR LAKE 7-2/
INSPECTION NOTICE SCHEDULED
ADDRESS 2~rz.. C'6Ut;(W"- ~
rJ
OWNER CONTR.
PHONE NO. PERMIT NO. 5"-(<.. ?9'
o FOOTING o PLUMBING RI o EXIGRADIFILUNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL ~~~r-TST
o SITE INSPECTION o MECH FINAL
COMMENTS:
\ Q(e-K () I /J
'-
/.
I>--.'.J. r-:;:...L f'1
,.JIWORK SATISFACTORY, PRo'CEED
~ORR ACTION AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
Ins
Owner/Contr:
CAL( 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I
dREQUlREMENTS AJlE FOR YOUR PERSONAL HEALTH & SAFETY!
UiSNO"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
2BI2.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ;;l. -19-0</
(?t1uc.if (j~
,
CONTR.
PERMIT NO.
'3 -/)77
\
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
S' PLUMBING FINAL
(\ MECH FINAL
COMMENTS:
L-KQ~ J-.Q.~ S\nu1. .(- ~1~L ~"".~
~r: ~;!'-L",,~n.;~l"~ ~-\~(>
~ H~. <;u.~ t)..~u> 2.<1' lMtl.k. A ~..ts. l~
~o -ex. k>-t<>-"'- ~.i
.../4., ft.....J . q, IN/)
v$", f~,~ S\-~'" ~"",:k ~ ~
'* 1,., ~...al1 ~'fl. ~s
yj. (b.~.JJ'-' ~..---
8 ~.. ...... ( QgJ:z. (.,p~4 2.J'..-.
1, Fi........l. c't-tuL ;v...<;"arl-j7....' loL~-e ~
.16. <;....,1..l-""'\n QV> I
~,. ~.l-0. He4 ' ftt-e9b. p~\--",,- ~
.('lXL.):u.._:.9.-- tz.: ~~.Q LJ) ~// ~ ({to a... ~(oc~
o WORK SATISFACTORY, PROCEED ~ ~ l-o 8- (
Jlf. CORREC ACTION AND PROCEED ~ I
X CORR T K. CALL FOR REINSPECTION BEFORE COVERING
Inspector:
o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
4<{1-+Z.Y{ msNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
C. ';/-{)'(
I
ADDRESS ~~ 1J r~'(}e:;/ P~r:I1.
OWNER CONTR. T (. L.a~,~'1.
PHONE NO. PERMIT NO. /') ~ -11::;'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LLING
"D CO~
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Lul,b &1<- OK..
breed< - Pc..
1/ WORK SATISFACTORY, PROCEED
{}.CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
InSpector:~~ .:>wner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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ADDRESS
DATE
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/$/L- Cw~ iJAn4
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3 -t32-Cf.
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
j?' PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREpLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
- ~RECT 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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