HomeMy WebLinkAboutBuilding Permit 03-0422
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
:3 - 21- Cf3
; ~;~:' ~::y I PERMIT NO. /)?_ 0 A '")""') I
3. Yellow Applicant U...::>' ~~
(Please tvD~ or Print and siJro at bottom)
ADDRESS
50Q3 Y()I1A\P~1Q/IA-7AO_ C,F
LEGAL DESCRIPTION (offi~e use only)
LOT 1 BLOCK \ ADDITION 1\.,?~pJ~, .1?fJv
OWNER
(Name)
(Address)
BUILDER"" '-;) \
(Name) .I} YI. ~ (~\'/\-r~
(ContactNam~). :5tev<'- S!'LL~ff1
(Address) ~9BIoO ~1:r)FRJcl-'~Zl'OU
W:t ~ D",^ \ 1/. t'Y\ (ltF r:;c:;D
TYPE OF WORK
o Misc.
JiC New Construction
DLower Level Finish
DDeck
o Fireplace
PROJECT COST IV ALUE (excluding land) $
~3d
ZONING (office use)
,leI
PID2;;-39'1- 007-0
(Phone)
(Phone) 0c..,'L.-qS1~-18a~
(Phone) C>fSZ-2'"2.k- I~?I.J
DPorch
ORe-Roofing
DRe.Siding
DUtility Connection
t.tr,r
'f
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
submitt plans. I am aware at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter on epropertyJoperfi 'nspe . ns. AOOD~S-1 ;),/2-I/O:z,
v
I Permit Valuation
I Permit Fee
1 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
Sign
)3), ,~[: 00 1
$ 1,73tr,.r.s+
$ I''''JO, Of. -I
$ "' .50-1
$ I
$ /IX], OD I
$ 11>0 ,()() I
$ l.f'SO 1
$ QO.oo 1
, ]u7EsYomBuildingpe~:~~A;ved
Building Official Date
I $
$
$
$
$
$
$
$
$q, ofJO " (; I
/ ; I
I ~~c~o. 4-4 z./z--
U
DAddition
DAlteration
Date
<g~O.OrJ I
l).. 7..r.00 1
2m.oo 1
4~.otJ 1
JJ...oo.{)() I
700.do I
/ r;-oo.Of) I
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 si by the lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Contractor's License No.
1 Park Support Fee
1 SAC
1 Water Meter Siz{5/S); 1";
I Pressure Reducer
1 Ci.y SAC and WAC
I Water Tower Fee
I Builder's Deposit
lather
I TOTAL DUE
#
#
#
#
4-4..'0"1 fl..d.. ill/ 11H-r j -i- 1f.>1rdd"r
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle CreekAvenue Prior Lake. MN 55372
I Paid
I Date
q /),rO ft7l
",4--/7.0'3"
..
.
.5'd'l3 /'..&- E/~
Heating Contractor ~)9Jv7 ~
~~n .
9/2/P3
+1>.~ %
~
'iL> ,l...?i
I dq or
I
Combustion air is adequately supplied per
UMC Sec. 606 ~
/'/a' hi; t3 7c./
Job Address
Name of Tester
Date
Percent 0,
Percent CO
Percent CO,
Stack Temp
input
.
"
~1
White - Building
Canary - Engineering
Pink - Planning
Th~('fnlfrof lhf I.lh('OUIllry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.0 12. HOe.TVN
.3 - 24- -()5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5095 ~o/l./OSt=:-u~ /.-IrA/6 s: 6-
Accepted
Accepted With Corrections
v-
Denied
i!<<~
{J,.,d . cd! MI-,. '>
Date:
4- 7-0 "3
Reviewed By:
Comments:
-t~
"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
Pink - Planning
Th~ ("..nl..r or Ih..I..kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
iJ. Ie'.
j-/(kTC/\j
Z c.r - (;.::
-:>
---
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,r
.:::... (~/'; r(/; !f; C /....)(:; C j..//I.iL ) (:;.... .
Accepted
Accepted With Corrections
~
Denied
liu~
(2--1 t:(1( r1ol-/s
Date:
4-7-03
Reviewed By:
Comments:
-I-- /-kwrdo..rt
"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."
L
~
.~~
TIw ('t..," a' IHI..llt C_.II1')
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION OePARTMI;.NT CHECKLIST
NAME OF APPLICANT
.0 /2. j-j tlc.TV 1'\/
.:s - 24-.- 05
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..c::' /. /",-,. /) / ,'-, r r::-J')..-:::' ,-- I j..:n ,," j--. ,::- .
_- v j-/ r' U!\,;L}.J ~. t../ \..:l,t;:.... f-I //\) c:> '-"
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/v1'ti3
Date: L.f ~ 3 -03
Comments: See Reverse Side for Additional Information!
See Attachments: I) Grading 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."
.
May. :. :003 1 1:14AM
GENZ RVAN PLUMBING A~D HEATING
No 1381
P. 4 11
,
Date Rec'd
CITy.oF PRIOR LAKE
SE\VER AND WATER PERMIT
J O~'" F;I. I PERMIT NO
:2. Y~!Iow Cjtt~ . t-J _
J Gald APPIl4l<nl ,-J
L/ ,.?~
(P1eas~ tv'Pc: or?riDt and siJ?;J1 a[ bottClm)
ADDRESS
911,3 T1JncV\f~ Un c.S'E:
u
ZONING (ollie,",c) I
LEGAL PESCRIPTION (office use only)
LOT {BLOCK 1 ADPmON b~f1dc4 ~
PID
OWNER..
(Name) "D u__o__ ~o_
(Address)
2.0 &DO Keinei<.\!::f::e.. C:r S'-;-p.1 M
(Add",,)
(phone) _
La.~\Jille...
(City)
qs2 -Qss-7...8..DA.__
."7~I...Ju.
(Zip Code)
APPUCANT
(Name' Genz-Rys.n Plumbing & Heacing
(phone)
651-423-1144
(Address) J.4745 So Robert Trail Rosemount. HN
G<\.ddrcss) . (City)
(CO/ltact Person) _ 011 t<-Ls-h ~ (Phone)
',IeANT SIGNATURE (\~.A ~. ~~_l,( /0._.__ DATE
55068
(Zip Code)
651-423-1144
6~ ;),-0 ~_._
APPLlCA1~T }'LEASE COlVIPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 pVC
Estimated length of sewer line feet
Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
Residential sewer and water !lne connection
Sewer cOWlection only
FEE SCHEDULE
$35 SO Industrial, Com'j & Mujti-fmnily 1 % of job cost wIth a $39 50 mIDIDlUro
$17.50 Water cOJJJlectio/l only $17.50
Estimated Cost $
Building Pennit #
SEViER AND WATER PERM1T FEE
STATE SURCHARGE
TOTAL PERi\1lT FEE
$
$
$
.50 p~
SUllO. 0 f.4n.... ,
.. '1IvG":"'/f '
Pl:~".
(Office Uti!: Ol1ly)
I This Applic..tion Becomes Your Building Permit When Approved Paid I Receipt No.
~.. .,",~- ~ ..,,,",. .,:,:.._," .~MJt:)~~~~o~ ~
(',
ff
I
I
By
f~~
'>~.+'lv O"tl'-
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'.\~"."'''''''''''"
~it.~~~~,;~,~~::
Mal. :. :003 I 1:14AM
GENZ RVAN PLUMBING AND HEATING
110 1331 P 5. II
"
D..te Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I Blue IiHe I PEn~'rrl' NO
,. "",. o;~ "'-' T. .;;? .--/ .i.::l "
1. Ye:llow Apf'lianl J - V7 (./ c::::7'r
q?le~eMe orn.rju.t l).ndSi$!'Tl arbottonl)
I ADDR:EsSr:)Dq~' fbh.ctnedC10 hn ~.
\l
I ZON1NG (ofaO! "',)
LEGAL DESCRlJ'TION (o/fico use only)
LOT I BLOCK I ADDITION b~.Jtl~,1 ~ 91n
PID
OWNER
(Nilme) DR Horton Custom Homes (Phone)
(Address)
962' q l7 fi - i3D!)
2O~t.;D }.(~X1B~Il)GC. Cr Sre ILD
UdL.LVd Ie. j.U N SE'.CLP-./
Al'PLICAJ.'IT
(N'.im.e)...r-"'........_P~,,,.... p~..,:rv'1:-~,...c ~- u""......r....3
(Address) 14745 So Robert Trail
(Contact Person)
(phone) -65.1 _f,? <_1 14/,
II J ~AddreSS)
VV I }V~11 fot u. \
rAA..~~
Rosemount
(City)
MN
55068
(Zip Code)
(phone)
651-42.3-1144
0/2-() 3
DATE
APPLICANT SIGNATURE
Quantity
,;l...
I
j
((?
I
?-..
I
4
APPLICANT PLEASE COMPLETE BELOW
Type of Fip:ul'e I QU:l.ntity
Bath Tub with or without shower .3 Rough-ins
Dishwasher I I . Water Heater
Floor Drain I Water Softoe,r
1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartmeut sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
I Water Closet (Toilet) Other
Type of Fixture
I
I
I
I
I
I
j
I
I
I
FEE SL.J:lLJJ ULE
IndustrIal, CommerCIal & Multi-f.nJlly 1% of job cost wIth. $3950 minimum Residennal, Now Ooe & Two-family $9950
ResIdential, Additions & Alterations $39.50
EstJmated Cost .$
Buildmg Permit #
9, P-41D
'l.I!t..Q'AtG ~
. ';~"..
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
(Office tilt OnJ)')
This Application Becomes Your Building Permit When Approved Pai
Building Official
DQ,te
Je@1E 0 ~ ~c~eir No. .
W;;....>M, I rt
oJ LUU ,
X (952) 447-4245 J
By
24 hour notice for all inspections (952) 447-9850,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please.!roe or1?rint and sism at bottom)
ADDRESS
"509-? 4/7../-'~ ~~f
,/
// 7/;/57
;;;,':':., ~:~ I PERMIT NO. 3 II,., '11
3. Yellow Applicant -q c:^ 0-...
.~~
56
I ZONING(officeuse)
LEGAL DESCRIPTION (office use only)
LOT~OCK / ADDITION
pm
OWNER DR HORTON
(Name) - 20860 KENBRIDOE CT
(Address) LAKEVILLE, MN 55044
(phone)
~;;~~~/ h A....,.L ~/"1~4/C-~ (phone) -C- _.e,-/- tV"~75-
(Address) . ~~ /t:/.-?A-' .6"" ./J/. ~d.q~ 55/.-?-:7
- ./'1 (Addre;~ . (lliI015 (Zip Code)
(Contact Person) /7a:/.i~~~/ (phone) ~5"/- s/5O?-..,.,?77<:"
APPLICANT SIGNATUP_- ~ -- J --: _ DATE
, APPLICANT PLEASE COMPLETE BELOW
~W CONSTR)II7ION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~"1/~~ 9""?~ FUEL /Lk~. t?-S
FLUE SIZE __ =?.P'V ('!. RETURN OPENINGS INPUT ~ OUTPUT ~ ~)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants 0 St~am
~1'Vlty 0 Hot W.t~r
... ird~~~~%ni~g B~~~o~eVices
, nt. System 0 Oth~r Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
R~quir~d Sid~ Yard
S~tbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi~Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New COnstruction)
$39.50
$39.50
Estimated Cost $ 2~Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~/A~~
$ ....50
$ r~
,
f:Jl4~A//()
~G~h
,o~ It
'9~)-
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
:\.~j
~ ~J~ ~ 0 W rP ~ By
Date I~i JUN I} 4 ZBC3 "I.
24 hour notice for all inspections (952) 44' !.lkl50, fax (952) 447-4245 :J
Receipt No,
flY
By__
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
L Pink
2_ Green
3. Yellow
~:~ I PERMIT NO. 3 -/ h ~I
Applicant r~
(Please type or print and si2ll at bottom)
ADDRESS
5093 PONDSEDGE LANE S.E.
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ATT.TRD FTRRSTDR DBA FTRRSTDR HRARTH & HOMR
2700 NORTH F AIRVIEW AVENUE
(Address)
(Phone)
ROSEVILLE
(City)
651-633-256 I
(Address)
'i5 II 3_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
/\/17/03
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
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
D Steam
D Hot Water
D Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % 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 Pennit #
$
$
$
.50
PAID WITH
BUILDING PERMI,
(Office Use Only)
HuUdine: Official
- -=l
r,\ \,!l~ ~ G ~ ~ ~ \\. Receipt No.
\ !~DajlJN 2 5 Z003 \i ~ By Or
LJ . , V
24 hour nolice for all iuspections (952) 447. }850, fax (952) 447-4245 .
8y_---.-.J
Date
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS f'o 0 P...J~B,I'I.~ J.iI~
NATUREOFWORK ~tv ~--r;;;;t
USE OF BUILDING S. ~.
PERMIT NO. '-:>. 047~7 - DATE ISSUED ~.. "'..3_
CONTRACTOR ~ PHONE..!.rJ.-UC. I'D'"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUilDING AND INSPECTION
'1
.
INSPECTOR
OATE
I FOOTING C}yL - vt 17--') /03
I FOUNDATION (Prior to Backfill) I JIt1/7 I s. s-': OJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
np -
vvyr
111H'
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING (),e.... v1If" Y-f-t/=' '~;i'Ol{;'js4-ffO
HEATING (if required) fVV7;"" '7-(Orch
FIREPLACE tr1/f /'1- (o--if)
GAS LINE AIR TEST M;/ J - ( D -d)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
AIR 1.a.o. It.) A
/#d
S ;'7-d].
7-((}"0
7- f4-cfJ
GRADING (Prior to Sodding)
BUILDING 'lfl'\f
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
, ".
II-I-O}
9//.JYcy'
//l1/'
M7
UNTIL ABOVE HAS
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.
BEEN
1- {'-tfj
t(-{, in
SIGNED
FOR All INSPECTIONS (952) 447-9850
@rrfifirafr of <IDrmpauru
CITY OF PRIOR LAKE
~rpctrf1ttlmt of ~uilMng Jlnsprdion
~nal 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:
Occupancy Type
R3
Type Construction VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-0422
Rl
Use Classification
SINGLE FAMILY
Legal Description
17, 81, DEERFlELD EIGHTH
Owner of Building
Site Address
5093 PONDSEDGE LANE S.E.
Conl,"ctor'sName&Address D.R. HORTON, 208&0 KENBRJDGE CT., SUITE 100, LAKEVILLE
_ ROBERT D. HUTCHINS ~ CilyPlonne' DON RYE
C~ / BuiJdfyrng ficial
Date 0/?/t:1~ Date:
'/ ;.
",,'.,
......... .~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
s093
/tdse~
OWNER
CONlR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.=e-t'1flAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE
~y{~
, .
~
TIME
C)S- y'//
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
/c?/ /) / //
{~4de (O"~/e 7e.d
...------
~~
")
../
~
----
/
/ ./?",:?
\(_ /6Se.
~ -----
, WORK SATISFACTORY. PROCEEO
o CORRECT ACTION AND PROCEED
o CORRECT WO::V~R REINSPECTlON BEFORE COVERING
Inspector: /" F'-7- - Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,/,"1'j
/-?" / e...
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.f01J
f(),Ild.$ej",<!:.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~ULATION
-Ef1!iNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o .eJ.UMBING FINAL
..III"'MECH FINAL
COMMENTS:
ro
lJ)
(i)
A-coI ~
t..-n....
Sl"al
/M.-ritli..,/.q I t'rh, H~/.+U_
n '" rI..~ IF
//P l'I.r7"fJr",-rl ..f!'h'''' ~r..
r-( -CfM.~ uwfr /
DATE TillE
q-/,
"]~t.(J.-L
o EXfGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-h>
Pac 1- ~
,
1Jt''''~
. /I-/-o~
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: K q -It; -11> Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
fN9I<<>TI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q-5"-O"J
ADDRESS
XOqj.
P <fvt CS-t" ct,..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
3-'11..L...
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 EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
"-
(il ((Wtok roofea(:!;
o WORK SATISFACTORY, PROCEED
,cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: (l;y? q- ~ -V6wner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
U<SNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~O~3 p,.,,,..A~ [,.,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
rf:rcuh-o J(.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
[db !3or-/?IC...
DATE nile
7-20-0-;
D~- flvfr,~
O'!.-LtZ7..
~~'LLING
o co INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COveRING
Inspector: ~~
e..- ..;... .mer/Cantr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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