HomeMy WebLinkAboutBuilding Permit 03-1603
CITY. OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
J~ J/~~03
I PERMIT NO. Q3.j (g 03
1. White
2_ Pink
J. Yellow
file
City
Applicant
(Please type or print and siJm at bottom)
ADDRESS
.5/ 81 T~mh.Lv'J u)l)lt'
I ZO;~~ (office use)
{\./Jp)-t'_
LEGAL DESCRIPTION (ollice use only)
w./Js
LOT ..?9BLOCK I ADDITION u.JI"JrI)Js; r;j- '11..",-
!l7 ef)e:JrH.)J (J<Q..--<::: "/ ,
(Address) ? bo ( I f-IS-)~ ~ r u,.,fJ ~;~ .
PID 2,.6. 383. 039. 0
OWNER
(Name)
(Phone) 91;.-:;).43;2.- ?'c.)1
)illl'C.. Ur J ~ 111 -' '7-. s-~- / a Lj'
(Phone) 9s~ .L1.:S ~ - ? L-o /
(Phone) (", I 'J - ) (> { - f" l:. Lit.;
iJjJj}J-<.- r/JI ~ In. n-, 9.. L/
BUILDER 17/7 /l ( J f) 'i
(Name) /T f fUr?....'X V Lu-- b <
(Contact~ame) ~ e}-I C"-/~(s,,
I L{ s;--T/-. ~T W<-S 7.
(Address)
f) be/I
v
~ew Construction
Mower Level Finish
~eck
Ul.:Eireplace
DPorch
TYPE OF WORK
ORe. Roofing
ORe-Siding
~tility Connection
(!)OO .Q< )
DAddition
DAlteration
PROJECT COST IV ALUE (excluding land) $ lJ S If
..
o Misc.
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 Y'''-Y'''''} 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
;te;1l!71 ;:.:r::::.d in:ectiOns [? e _ f}.:57 b rJ - I b, 6 '3
. 7/ - Signature Contractor's License No. Date
- t/ V
I Permit Valuation
I Permit Fee
I Piau Check Fee
State Surcharge
,-
!T~5f. noo.oo I
$ Z-,< qq~.5S I
$ /, Q44.0(, I
$ 'tz,q.OO I
$ I
$ /0(').00 I
$ I {)(J. 0 () I
$ 35,<;;,"",0 I
$ 1./0 , tJ D I
I Park Support Fee # I $ -; t:l5; 0.00
I SAC ~ # 1$/,Z7S.DO
I Water Meter SizeSl8r~ $ :~OO. 00
I Pressure Reducer $ 7 0 . 0 P
I City SAC and WAC # $ 1"2..00. eO
I Water Tower Fee # $ 700.00
I Builder's Deposit $ , $:n,0, to 0
I Other $
I TOTAL DUE CtMA,@ It.. .~C..03 . $ / 1,337. / /
I Paid / /, 3:J 7.1 / I RBIVec /e-riPtM.o. -n,ff9 (p
I Date 12 '3/).0-<; {,/
Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~~~
Building Official
/.,,2/.,.,3.10 ';1'
I Date
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 t......yu.w.) Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~ 1..'2?j>~7 ~ oJ.-( ~. /.' ~
PI arming Director Date Special Condilns, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447.4245
16200 Eagle Creek Aveuue Prior Lake, MN 55372
Job Address3/ E T ~r-/~+- 6.
Heating Contractor Controlled Air
.. Po
Name of Tester
Dale .5/// /~
Percent O2 ~,.:~~
Percent CO2 R,?"?,.
~ () <"'?-
Percent CO
Stack Temp. /I.::::?P
.
.
I
"
~~
jYhit. . ~uildinq
(Canarv - Epgineeiinlp
""Pink - . ..hf"m"g
Thr etnlt'r of thr l..-lIt ('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"VI' '-',.,,' A r:
' )' '1\) ! \
, (" !), ' )
f ! \...- L,..., 'CO j J L-_._..
/\
" 1.~....--"'""f~
I, (1/,; I!<..
',~.,.. __ i \..i .,..... , .
, --. I (" /',-7
I.' '/
IL. ".~~,.J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
--:> I (:? -/ ",>.. -r I ,,. ,-
., . 7"~, _ ,,' L .' Ii I. +-_
,'/ c~, lil:.JF:-R....,\C,L-.
/--'1
( ,i {'/ /) I ,~,.-
I..~_ _oj i ~_. l._/\....t_
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
db
Date:
/2-1.3-03
Comments: ...sr~ RpVP!JlA Side for Additional Information!
"PP. A ttlldl111p.nt~. 1) C'TTacling 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."
~~
<:jNhite - allilrlinQ)
Canary - Engineering
Pink - Planning
Th~ C~nl..r Ollh.. I..k.. Count"..
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Me DON"A.LD CONo 11<-.
I Z. I (0. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3153 11 M BF:R- WOL-F= ~1f2.~
Accepted
Accepted With Corrections /
Denied
Reviewed By:
Comments:
~J7~~
;(Ilb-il o...-U.. ~
Date:
Id-/~::? !oJ
~~
I I
"The issuance or granting of a permit or approval of plans, specifications and II
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
,......-J--mK - t"'lannm9'"-)
Tl1l' C..nl.., Ollhf l.ak.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
NAME OF APPLICANT
I,v'
I I
" ".(ILI)
I,. , ! ~ \, .:--'
.-- ---~
I :<::._
APPLICATION RECEIVED
I c:.:,
I (
I !f
'.,' .
7
'-'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
_~ i-, ! ! I, F. k \\, ( L F / I k Lt.:...
Accepted
Accepted With Corrections
..---
Denied
Reviewed By: ~ ~~ Date: j;)?3~'3
Comments: D~ (Vl-lMd-.hu.p S' I.~ tb ~
,a...:- ~ ~ ~ e.C,cJ, ,4-{) df
I
"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."
e1/14/2ee4 e5:21
9528815975
BOB JECHE
PAGE e1
Date Rec'd
CITY Ot" PRIOR LAKE
SEWER AND WATER PERMIT
t?'le.ue ~ ororint and sial at22~m} .._..__.____
I ADDRESS
~ l <tr,~CGl1Lb<< I Jill:t_C1k__.
. LEGAL DESCRJPTlON (o;Y;;;~;;;'nly)---'-'-'''-' -""" .
LOT JqBLOCK.l- ADDITlON .wMl.a1-_~..w~
~:. ~'i~. I PERMIT NOo.l "i( 11-1Iil..
(Icl1"AwI,Q/III ~
ZONING (oftlc<_l
PID
~~e~~Jt1~ 0 ~qJX-Q~;~=.~=~=.~'='.'=
(Phone)
(Address)
,--~--,'
(~~~~~~.
(CiIY)
(Zip Cod<)
APPLlCANT'-r- I -
(Name) 0e.c..I\e..- t.YC'. (Phone) ~n~{) 7~
(Address) J.3ln ~y.,s:: fJa..CL..k.__...___ r3lflflmi'rtyfJ.i::L..Ml:L .J;.~43../
(Addm,) (C..y) (Zip Code)
(Contact Person) ~~ '-~Eta-~.n ,,,._... . (Phone) t/L'7/l. b '7c.j.jf:,
APPLICANT SIGNA T~RE ..LL~=~:,=.""__,,,___"='pA TE L.:J.:J..::.(.J y..
APPLICANT PLEASE COMPLETE BELOW
Size of water servi~-;-~-;;;ch;;~-'-"-_.'--
Location of any couplings from structure _12_ feet.
Type of sewer pipe. 0 ABC [ij'PVC 0 Cast Iron
Estimated length orsewer line -1LL feet.
Clean out (if required) located at . feet from structure.
Residential sewer and water lint' connectIon
Sewer connection only
SJ5S0
$17.50
<7':"'-~
Estimated Cost $ --IL..J-!
FEE SCHEDULE
Industrial, Com'l & Multi-family
Waler connection only
I % of job cost wilh . $39.50 minimum
$1750
Building Permit /j
SEwER AND WATER PER\11T FEE
STATE St.:RCHARGE
TOTAL PERMIT FEE
$
S
S
. - ~W'TH
SU1tOING PERMIT
(OMer OM Only)
Thls Application Becomes Your Bundine Permit When A.pproved
'Paid
I Re<e'pt No.
Buildlnl Of1ici.1
I)ate
I \We 1 .[
,
4 U ':I: I By
14 hour no lire for aU ;n'pe<l;on. (~~l) 447.98'50. fn (9S1).447"'HS
-,-.._---.__...,,----~--
CITY OF PRIOR LAKE
HEA TlNG/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
Ol~ J <<
(Please type or print and si2D. at bottom)
ADDRESS
; ;;;<:" ~::, I PERMIT NO.A" ~1,.,,"tIl
3. Yellow Applicanl ~
ZONING (office use)
3183 TIMBERWOLF CIRCLE
LEGAL DESCRIPTION (ollice use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name:' AT.T 1FT) FT'RPSTTlH', DBA 'tT'RPSTDF HRAli.TH t.r. HOME
(Phone)
651-633-2561
(Contact Person)
BRENDA HUSTON
ROSEvrr T P
(City)
(Phone) _651-633-2561
55113
(Zip Code)
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/22/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o 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 X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (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 #
$
$
$
PAID ~ITH
BUllOIN~ PERMIT
(Office Use Only)
BuUdinl! Official
Date
I Paid
lQ~te.,
,:1.1 ;'
" ,'-
% 1 0 L
I Receipt No.
I By
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
______.____.-..:..:-,........ ~n.L.vl'(, LA.KJ:;
IitJ 001
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I?lct~ tvDe QT;::rrin[:ul.d. s:i~ ac'bettcCl)
I ADDRESS
~ / 'X 3 ~;;;bl9f1(1 ~(lIP
t~~:. ~~~ I PERMIT NO".. ILA'l/l
1.'l"Dllo.....Appnn.... ~
ZONING (offi<<.,,)
c;',.,d'l'"
LEaAL DESC:RIPTION (offi.. "'0 only)
LOT
BLOCK
ADDITION
PIn
OWNER. , n ,{'I,
(N=e) .;h/f.,AJ(",~J:J,./"'!
(Address) A (/.
r APPLICANT (""'J
(N...'!!e) (' ~-:t::: ~..A)
(AddTcss),:;J/-5>dj ~h:J 1\ ~
(Add."'l
(~
('Phone) ....;~Q.- '7~" (
(); A
4.~
" .
(Phone) ).jeifj
~~.
"() CCitYl
c:-r.,::; 01
5~;q~
(Z;p Code)
(Conta~t Person)
APPLlCANr SIGNATT.JRJ; . ~~
-ZK~ I t1
(phono)
DATE
/ - AJii} ;"'A-'I
__ APPLICANT PLEASE COll1PLETE BELOW
~,'cV{CONSTR.UCT\ON OltEPLACEMDlT OAl.TEMTIONS. L
FURNACEMAKEAN'DMODEL~I-;'~r /M.~ FUEL ,,(j,qr
nut SIZE 3; If PVC F:ETUIU-l u.nOl<U'ms . 7 . _ INPUT /i'YJ.~ OUTPUT 0;::> N"C"\
.
HEATING ORl'OWER PLANT
TYPE OF ~l~IC.M
DW..",AiIPlo.nts
OGruyj'l'
d1"leeh8<lioal .'
::l^ir Conditioning
: :.do/c.nt. S)'stcm
os,"""
o Hot Wl>tOt
o F..dialloD
o Spoolal D"";.,,,
o Other DI:Yi\::;3 _
PLEASE NOT)l;:
Air Condition.r Units
Cannot Enc:rcaob. in"oQ
aeguirod Side Y.td
Setbaok>
FtREPLACE MAKE MID MODEL
FEE SCEEPUL'E
InchJstdaL CommerciaJ. & Mu.lti-FunHy 1% Qrjob ~ ~!ldl;fttit.l. Gu Fireplac:
S39.50 mmim1l1T'.
R..ldootlol. licetin.: ~ AlC (New Construction) . S99. 50 Rtsiclen1i1~ Adclition, & AI\o".tio,.
R"id.nli.l, H""tinZ Onl~ (Now Con<lructlon) $6~,SO R.sidenti~(AC Only
S39.50
S39.50
S39.$0
Bs\imatod Cost $
lluilding ?ormit 1#
HEAnNG PERMIT FEE
STATE SURCHARGE
TOTAL PERl'r:O:T FEE
s
I;'AJD WITH
BUILDING P'=PVlT
.50 - ".,.,
$
$
come::. Use OnlY)
1'bi. Ap_plloatloa Becomes Your Building Permit When Approved i'aici
-
Buildlnc Offici,,-'
OatQ
Dj'AN 2 6 2003
I Rooeipt N 00
I"J
24 hour notica for..1I in.spe.etibnf (,95::2.) 447.9S50t (u (9:$1) 447-a.245
If)f)~
lIlV CI::Ill0ll.LNOJ
9L~909tlS9 YVd CS:Ol fiHl tf)f)~/Z~!lO
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ree'd
CPIase ~ or DriolllDd sillll at bOttllm)
I ADDRESS 3; 8'3 .TtYhher"wo/-P-
LEGAL DESCRIPTION (office use only)
LOi31 BLOCK () I ADDITION /JIoock af fh e
I ~':e~R;XbOcnaU CONfru.~.;h'oh. :th(,~ (Phc.ne)_
! (Address) rJWI ) Yd) ~f V&+, A;JOf/r~ /hllr: X /1h~-s'lc) Y
. ~~fANTRIIP ,r;::;V/iln.6/hCl Ihc.. (Phone) h-S-/- Y...s-9-<!J/r:fo
(Address) /c)9-J 71i:Jwe/ AvG'.~. ~Aap GdW. /111 r-s-o/6
D (Address) , v (City) (Zip Code)
(Contact Person) ().!/p S/(llih , (Phone)-6\.r:::/~Krj-f?JcfO
APPLICANT SIGNATURE A-Jrv:J ../te.. JI~ DATE / --c9 (; --OY
I Quantity
I .."
I j
I 0
I '(:;l
'C'll
I /
I /
l '-/
APPLICA;'1T PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (I or 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
Water Closet (Toilet)
C/rd t'
]v; kis
'oJ-
FEE SCHEDULE
Industrial. Commercial & Multi-family 1 % of job cosl with a $39.50 minimum
Residential, New One & Two.Family
Residential, Additions & Alterations
Building Pennit # 6-3--/ r;; 0.3
II~
B~vG PERMIT
Estimated Cost $ /.Yt CtJO. Go
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(om.r u.. Only)
This Application Becomes Your Building Permit When Approved
BtliJdJna: omcl.J
DUe
24 hour notice ror all Inspections (~) 447-9850, fax (952) 447-4245
i. Btuo Filt
2 0014 ell-
J. Yellow A.pphGa"1
lPERMITN~
I I ZONING '''_''0) I
PID
9.sJ - x..W~ ~ JGO/
I
I
I
Type of Fixture
/
Rough-ins
Warer Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I' Backt10w Assembly
Backtlow Assembly Test
i Lawn Sprinkler
I Other
$99.50
539.50
I Paid
I Date
JAN 2 9 7001
Recoipt No.
By
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~/B.3 Ti.M..sE1t ,J~LF' eJ~E'
NATURE OF WORK N'E14J ~A1~LA.u.a-/oi:J
USE OF BUILDING ~,
PERMIT NO. ~ DATE ISSUED J;/~ J~"
CONTRACTOR ~~ ,jJJ~~/ij,) PHON~-- 'iJ/-t'&'1"!
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ~ 1/01 elf
I FOUNDATION (Prior to Backfill) I r,6 i -9 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
J40,. - ROUGH - I~~
~EWER I WATER I SEPTIC (71) / - /3
FRAMING\ il.r7f ~:?~
INSULATION (;Jb '"K-1
ELECTRICAL
PLUMBING m "::;;-c-
HEATING (if required) , ~ /11- ~// S'"~!/
FIREPLACE (2)--il1b 3 ~r(
GAS LINE AIR TEST ~ ,.....~ {J ~z...1 tt tet-!
COVER NO W~ UNTIL AB~ HAS BEEN SIGNED
I/.A71IE/CUtTll~E.lJ.J'NJk I ifb I ;?-;;:;?
, FINALS
GRADING (Prior to Sodding)
BUILDING I,~ rIz, 8 .( - 01(
ELECTRICAL
PLUMBING
HEATING
DO NOT
/
il1J:1
A /.
<) tJ !olj
. f'
~
j'-" 1J;5 _ ~-' .-....
((/)'. 0 - ~ ~
OCCupy UNTIL ABOVE HAS BEEN St'GNED
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.
FOR ALL INSPECTIONS (952) 447-9850
QItrfifitaft nf @uupant\!
CITY OF PRIOR LAKE
~tpztrfmtuf llf ~uilbiu9 JlusptdillU
~inal Permitted 0 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 FAHILY
Bldg. Permit No. 03-160'\
Occupancy Type
R3
Type Construction
VN
Fire Zone N / A
Zoning District
pun
Legal Description L39, B1, WOODS AT THE WILDS
Owner of Buildim! Site Address " 3183 TIMBERWOl.F CIRC':LE
Contracto<',Name&Addres~CDONALD CO~STR. 7601 145TH ST. W.. APPLE VALLEY
ROBERT D. HUTCHIN~ City Planner DON RYE
?P ~::rfiCIa] ,
POST IN CONSPICUOUS PLACE
25.lli
Date.
Date:
~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9-Z ot
ADDRESS ~i X'3 ~fl1ht",wDlfZ D'.r
OWNER CONTR. .me DOt1<i1l LnnSL
PHONE NO. PERMIT NO. {) ~ -/(;0 ~
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
. 0 COMPLAINT .
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
r;r~.u' oJL
("rHr. ~6~~ nL
.JrWORK SATISFACTORY. PROCEED
1d CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
,#, / r,-:?
Inspector//~A....: _ _...;:-Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,,'!NOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
S-5~L
ADDRESS '3\ ~3 h;~1. J f
OWNER
CONTR.
PHONE NO.
PERMIT NO.
\-1/_/))
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
-si. PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
\ ~ ~~. (~"o..
()- I' I /
Z. . ~II ,..1J... kyh.Ji..c
,
J t..J.. 1.. ~,~J..
U, (l",V t";;,~ MTI)
.K..r-
- U(/7 - 7'" cr 8.
o WORK SATISFACTORY. PROCEED
. A'CORRECT ACTION AND PROCEED
o CORlJ2E RK. CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
C 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
msNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
'lIt'''!> T.......lx- tU1fLP
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.Jil" MECH FINAL
DATE TillE
s-- ~ v.:W< I
.<-I/.In,
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r{) f'f5c ~ r.Nt dHf:. 0Vt o,.-h,r?5 I.... ~ "'~4A_
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o WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT 7'J?/WOR REINSPECTION BEFORE COVERING
Inspector: --f-II-( Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSlWTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 5- 1"\ -0 l.{
ADDRESS
3/83 1;......1...0- ~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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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
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~ORK SATISFACTORY. PROCEED
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)<..CORR]T K. CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
CA 44 9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
UlSlIOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
.31 Y..s
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.....erFiNAL
o SITE INSPECTION
COMMENTS:
/
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DATE TillE
SCHEDULED ~~~~
t
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CONlR.
PERMIT NO.
03 - /(,63
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~lORK SATISFACTORY. PROCEED
Z~~RRECT ACTION AND PROCEED
o CORRECT WOR~:..C~';i..7R 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!
,NSN<}TI