HomeMy WebLinkAboutBuilding Permit 03-0693
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5_ /+. 03
; ~;::. ~:;y I PERMIT NO. ().? _ 0 /- 0'3 I
3. Yellow Applicant ~ "" 7..
(Please '!vpe or Print and sign at bottom)
ADDRESS
/)'2<))
WooJ
D'-tcl T rc.,'/
ZONING (offi<e use)
'WI
LEGAL DESCRIPTION (office use only)
LOT I ( BLOCK L./ ADDITION 1v;;Jr JO 4 It,
PI~5-:3&>~- 111..,-0
OWNER
(Name)
C~jdi,fr'"
22H? lO<;M
1
CKtolVl K",;/~;-
fl-.re-
(Phone)
(Address)
BUILDER t7 I I C? I
(Name) I ~rL~J.A"'" vc\ rj-o""
(Contact Name) h~ Qrlrl\aAt"\
(Address) 21 1"$7 /.v:::.&tVl (; 4v-e
/
:r? / Js
(Phone)
(Phone)
"1)"2 - 46C, - /611
., (..,/2 - nx.tjtzk,
(..~v;ilt"_
,
frJ /1,
'S)7Y/Cf
TYPE OF WORK
~ New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Misc.
~ireplace DAddition OAlteration
PROJECT COST IV ALUE (excluding land) $ 310, 00 0
DUtility Connection
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....) and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am awar at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:"I):;ertyf~ needed inspections. /?b'7 )-/4 - oj
..../ /./ Signature Contractor's License No. Date
I Permit Valuation 3JO,000.-. I Park Support Fee # $ >f5().- I
I Permit Fee $ d }t.,q'/~ I SAC # $ /a/5.- I
I Plan Check Fee $ 1 Lj If). 31./ I Water Meter S&'V $ 3D(j co I
I State Surcharge $ -jSS'.~ 1 Pressure Reducer $ ?fl... Gt) I
I Penalty $ I Sewer/Water Connection Fee # $ I, ;uJo.- I
I Plumbing Permit Fee $ /60.- I Water Tower Fee # $ '700.-1
I Mechanical Permit Fee $ 100' -- I Builder's Deposit $ 1,S'oo.-1
I Sewer & Water Permit Fee $ ~l),50 I lather $ I
I Gas Fireplace Permit Fee $ LI/J,oO I I TOTAL DUE ~ (..?0.7 ) $ [f CJ(J5:5!f I
I Recei~. ,
This Application Becomes Your Building Permit When Approved I Paid (I Qi/!:,S-7 #'bz~ I
~ ,.. ~/z/o3 I Date 1;0,'007 By .-:l- I
7~ U
Building Official 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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~ 7~f' ~/Z./03 A-O ad ~
Planning Director ; I'D:te "'--- Special Condit~, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagie Creek Avenue Prior Lake, MN 55372
..~\
Th., (-.nlfr nf lh. t......<..ounlry
White . Building
C:;-"ilr~ -cIIYllleerm,g.)
p(ril< - "'8nn,ng
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~jjDOIGf\0 (u~iUrl
I
c. -/4 - ,....<;
-...J ~J_
Fl-"n~s .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I '0LQ5 WOOD OU(jk:- rlt,AI L-
Accepted
(X
'-
Accepted With Corrections
Denied
Reviewed By:
M4-R
Date: $;- Z2 -03
Comments: ...see Reverse Side for Additional Information!
See Attachments' 1) Grading Plan, 2) Erosion rontrol Me::!~lIrp'~
"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
Can..rv - I' . eering
c15frik - Plannin
Th~ ('t-nl..r nllh.. 1.8kt' Counlry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
-'-I;
(
1;1/1
I ,I
i / \ \-..)
j
--/4
'~'llA
(Lu~_::~ .
APPLICATION RECEIVED
/
- ,
":>
,--.)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I '.:..:> z- <I !J-i \ ( Ui..)
I" r "./'
I ./ (/ '.. K--.
--.... ., I
(rhl~
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
,(/~
~~
t2-t..P " ,/ L
P
Date: to/2../as
I
-f-~
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."
~~
(1iihite - BU1iCJiiib
bimary - Engineering
Pink - Planning
Thr {'Pntrr of lh. L.kr <-'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ('lJDDI<:qAW WSlbVl Rt J)~S.
APPLICATION RECEIVED 5 -I 4 - 0.3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/52q5 WOOD OU(lX- fleAlL-
Accepted
Accepted With Corrections
~
Denied
,
C2'1 (
?~~
f ~ aU ___.It.~cn::zo
~ IJ~ ((iJ tf,(),uj,
J ---
, . I
Date:
~Ak7
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."
05/04/2003 10:22
5077445555
BADGER EXC
PAGE 01
w.j ~. v. j'~& ,_,v~ r^~ Oi~~~I~'.~
~!11 Ut rK!U~ LA^~
~UUJ.
Om Rct'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~ ~:.. ~,~ I PERMIT NO.-;2 J I D31
J. Coll' ..."tllaftl ..../ (n -, ,
J11!.....!"'>! 0' OM1lad.Jlla "born>m)
AODRESS
1'5).. 'is- 100ud ~t( c.t" ~a....L
I ZONING 1- '-I I
I LEGAL D.!!SClUP110N (alii" YJ' only)
l LOr BLOCK ADDITION
I OWNER ' E'
I (Name) CudcL../;<(J')"\ UJ ~~ t3 <.vJ.c..luy
v
I (Addless) ~l ~ L,~ Ave. WeUl Ik
IAdcl,{ul (0"')
PID
(Phone) ,~S; .L- V09- /c::, (I
m N SSUY(!
lZio Co4o)
: APPLICANT
; (1'Ia",,\ B,,,,.l.~ E}(c~vr.~c;
I (Ad<l=.) '6'61::' c..-J IQ~ . ~~
(Add'...)
~ J...., SI '''''"'<'?''\
~~~
(Cont.a Penon)
(phon.) -00/-'7'-('-(- ~-L-
/ r'/"SdJ.o SJ -z, 'I '"
I." ~
(CII)') (ZIpCO<Ie)
(phone) 507-)1.{ 'I-s..z r-
OAT.!! J:",,-::(C)3
I APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water serviu ~ inches,
Location of any cO\lplings from strUcture"::::" {eel.
Type of sewer pipe 0 ABL (3:1'VC 0 Cut Iron
atlmated len&th of sewer line -S> 0 feet,
Clean out (if required) located at {ecI from strUcture,
FEE SCHEDULE
R..identialn"'ar and WII.r Jina oOM.olion $J~,50 Indu.trial. Com'llL Muhi.rarnlly I'" orjob colt wllh. U9,50 mil1imwn
~..er tonnatlioft only $17.50 Water connection only $17,50
E~ima~ Cost $
BuJldioJ Permit ~,. ,..'
SEWER AND WATER PIlRMIT FEE
51A TE SURCHARGE
TOTAL PERMrr 1U
$
$
$
,'50
IlllldiD1 om,"1
~. t 1'&1(1
. D~"':0~ ~ Q ~ ~ 11,"6"-
,. hOlr noli.. ror al1ln.pocliOna ('51) 4'rr~ So, ru (~. 11. 4aV"1~
! JUN,0,4 2003
L ~.'
'p....,;-., '
, #.e<4lpt No,
PAID WITH
aUILDING PERMIT
1
~~J
(On'letl.'lfOllly)
"
I This ^~pllc..tioq Becam... Your BuIld'n. Ptrmlt When Approved
, By
___.__m'___'" . .... .___._ .-- ...------. - --
B8/14/2BB3 12:B3
95244B174B
ALTA CLEARWATER
PAGE B2
~OOI
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONJNGIFIREPLACE PERMIT
Oltl! ~ee'd
i: ~ ~ I PE:RMlT NO. /l? _ . tYZ!
,..... ......8~ I . lL::> O(P-u
t'P1n-"t l'rDIe or mnt aDd via If botmm,
ADDRESS I I ZON'lNG lol1l<<...,
JS~ 9S \~ TJlAf ,LI...\CTAI I~:,~. 1 LA'LtI,
LE.GAL DESCltu uu,~ (omc:...., oaM
LOT BLOCK
AJ..,JJ/. uvN
PID
OWNEltCI1\\' ,"
(Narne)jV~ \0\0\.. ~ (Pb""e)~ - i..:J..!::/- ~~1/Lo
. '-.J " .
(AddreI~)-Pn'PoL \ ~\...o '- ~('A.'\f'". \J\ V'\, ~~I-.::-- r----."I S \.0_
~~~\+:-{~ -t\ffih \~\fSP ?lMrA, (1'l\ont) 40(+ -L14t1"~~-{74
(Addreu)~~\L() ivlA~~'n1ll^An ~ K-\D'9. \ D.tf"-. G~~.Id-..
(M&<f,) (C;,y) (Zi!>Code)
(Cont~ct l'e.rson) ~A . - (p.hoOe) f..A./.o- ,... ./ '-:>
AP?UCANTSlGNATlJRB ~~ d:~. .:., DA'l'!L.=...7/tc/tlT-.
APPUCANT PLEASE COMPLETE BELOW
~ CONSTRUCTION 0 REPLACEMENT 0 ALlERATIONS
f1JRNACEMAKEANPMODEL ~'Y' a:;;t.(L~ YLt FUEL.J::J.i::*-.~
FLUE SIZE 3'{ RE1URNOPD~lNGS )?' INPtlT ~+tJ7J'l) OUTPUT ~~, ~
TYPE OF SYST.BM WlATlNG OR POWE.R PLANT
, jwarm A;r PI""..
0...;1)1
, ecftlUlicaJ
, r Coodltiom,;g
Oftl, SYNIll
fIJQ:.1'LACE MAKE ANP MODEL _
~St""'"
Ho'W""
RlllIilllibll
Spec;.! l\<vi...
Other Devices
PLEAS! NOnt:
Air Caaditiuner Units
C8nlIot :enetalll:h into
hql1ind Side Y.ud
SOlbeob
-.
Industrial, Commercial &. MuJri..flllli)y
FEE SC~DULE
1% of job ""I 1l...idendlll, Gu fircpl...
'39.50 minimum . -- ,.,
599.50 Re.<jd~tial. A.cIdition, Ik. AIIl!I'OIiOJl.O
S64.j{) I'-<!idential, AG Only
$39,$0
$39,50
$39.50
k.;<l<:nlia~ .l'I...lng .t. AlC (New eo.._ttioll)
R""dtntial, Healing OIlly (New ConlllN<lion)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PDMlT FEE
S
$
S
- W\iH
p,..'u Ef\M\i
~LO\NGP
. ,
&tlmllll!d cost $
Building Pennit /I
lul14lot Olli.;a,
Dltl'
1'< l.pllil1 '" i! U Co I~'ll ~~ NO"
~U 1- 1 IS 2003 I u J By
(0lII.. II.. 0.1y)
nl. Applleallollllfeo!'m Your DuOClbll!' Pumit Wlten ApprllVtCl
%4 hou, n.tlt4l fot.1l ;n.p"etl.... (~) 'jt]yPflIlA tox (9$2) 417.4)45
'-
88/14/2883 12:83
9524481748
U~'~~'V~ A~~ ~~;~~ r^A U~~1~1~~~~
~~~l vr rn~vn ~~
AL T A CLEAR~JA TER
'ti!J v.....
PAGE 81
CITY OF PlUOR. LAKE PLUMBING PERMIT
Dllte Rtt'd
~:~ ~~ I PERMIT NO.03_/\/ n"2JI
). V"'II.... ""lbtI~ VlO 10
1:flt_.lIft. "! erict IIl<Ihm uba.....u
I ADP'RESS
'~:+~"5JJ\!\)n-\ h M, \:-tV1A.,\ 11 ~\6.\JK U,l'?e,
LOT BLOCK
LEGAL D:eSClUr . .vrl' (oftlco '... only)
ADOrnON
ZC>>.1NO ("""" .,,1
PID
~= (' uA rtt4UvV\1 (Plt~e) ~~\
(Addte,,;1?o 12-N 181 I /{)Y\ d<::(la.,\f M \\, S351-1 ~- (), S'-o I
APPLICA~ t+lt1
(Name) ( "If';.O\..:R\~C\-+e-.R- --p, U}fV\'9~\11 .I!:$(P!l.otJe) . 4"'Q-447- xC] ?-.. (")
(Addm,) J:1~'l,D \\/I,\A'\.vdll\NV\ ~t\rk,f1yl,.w IAtf'.. S'S~/~
(Addte.<s) (City) CZip Cock)
(Canto'" PeLtell) ~l..l"""~ O'hOM) I...f...l.f-," f "i ~ '7
APJ'I..1CANTSIGNA11JRE, 4tv.2:J".J.~ DATE fl/#tZS~_
APPUCANT PLEASE COMPLETE BELOW
QURtlty
1
i
~
/
[
Jr
7.
I Type on"ll!:~re
I 811/1 Tub with or Wilboin 5ho~r
I Djsnw..~
i Floor Drain
I Lavarory (Bathroom Sink)
LlUlndry Tray (i or 2 comPartment sink
j' ~hower Stall
Sinks
I Bar Sink
I Wate~ Closet (Toilet)
Qua,lltit)'
~
I
Ef'
-tr
/
I Type o{ Flxtare
RouCh-illS
WarerH~
Water Softnet
Sta1l0 pipe (Washing Machine)
I Sewage ~jeetor
Baeld10w Assembly
Bacidlow Assembly lest
Lawn Sprillkier
Other
FEX Scar.DULl:
lnd"'rial, Cornmelcial8t Mul'l-f...iiy 1% .rjob mil!, willi A $39.50 minimum R..idenlial"NO\> OIl. It 1"",o-P31\lily S99,sO
Resi4otlrl.l, Additions I/. AI,..-tions 5)9.'0
Estimated enst S
Building l'et:rnit 1/
- ,- 'N\i\-\
"'f'\ '" flERt-A1i
e\,llLO\l-lG
.~O
PLUMBING PERMIT fEE $
STATE StJll.CiiARGE $
TOTAL PERMIT FEE' $
":;,'.:::::'-....... y.,............ :..hon Approv<d iU~{I::6 1 : ,;u;' '~\~~;pt Ne,
1I*\8a OltltIBI _ 1\ .1
14 hODr nllli.. rot oil iupeet:to.. (JS!) 4t' ,~~O, fill (llS11 ~7-<Q.u _\
'~--'---~----'~'-'--"--"-'-----
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or Print and sim at bottom)
ADDRESS
i =, ~:~ I PERMIT NO. 3- / -,CLI
3. Yellow Appliunl LO~
15295 WOODDUCK TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name_ CUDDTGAN CUSTOM HOMES
(Phone)
(Address)
APPLICANT
(Name) AU TED FIRESIDE DBA FIRESIDE HEARTH & HOME
(phone)
651-6JJ-256J
(Address)
7,700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PID
55113_
(Zip Code)
R/19/OJ
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
I ff~f~ [~: IJ ;-'j--:'-:~~eiPtNo_
I ~~Ie AUli 2 I Z003 I~i
Date IU J ILJ
24 hour notice for all inspections (952) 447-9Sliu.ltax (9521441~4S_
-- . - .~---~
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
HEATN GLO 6100TR-OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
_50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
HuUdine Official
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
~ $39.50
~~~
~~ I,
~)'
rr
f
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS IS 2- 9S _ tJ~/') Dut:.J,/. 7!I.Ai,
NATURE OF WORK N~kJ ~'7JE'r RU~ -
USE OF BUILDING S~ fJ ' -
PERMIT NO. _ (}.3~()693. DAT~S~UED W /0'
CONTRACTOR ~ ~~ONE~~
NOTE: THIS IS NOT ~ PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I f /~NSPE:R-'/t
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~") ;;>:.) /)
FRAMING riit >
INSULATION PP ..Po
ELECTRICAL p~ 7"3
PLUMBING 7'$ c:f"- 2lf
HEATING (if required) () f YJ
FIREPLACE (~) f D
GAS LINE AIR TEST J.A. ~ fV> ~{it
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I GRADING (Prior to Sodding) (}/I. p~ IA:
I BUILDING~ +0 3-(---("1 c,t (f!) rfl
, 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.
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
I
,
1r~7f'
z- L....,
8Jf?
4fP. "'I
'p-~
,
II;
U-6"
1/~
FOR ALL INSPECTIONS (952) 447-9850
-... ....... ..--
@rrtifirafr of @rtupauru
CITY OF PRIOR LAKE
~tparfmtuf of ~uilMuB J}usptrfiou
~Final Permitted D Conditional C,Q, Expires
This Certificate issaed pursuant to the requirements of Section 307 of the Unifonn 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 No.
03-069<
Occupancy Type
R3
Type Construction
VN
Fire Zone N / A
Zoning District
Rl
Legal Description Lll. B4, WILDS SOUTH
Owner of Building Site Address 15295 WOOD DUCK TRAIL
/7
ROBERT D. HUTCHINS
( , Building Official
./ - "^
CUDDIGAN CUS50M BLDRS., 22133
/,/F
V
City Planner
LOGAN AVE.. LA.KEVILI.E 55044
DON RYE
Contractor's Name & Address
""N'!
Date:
Date:
'r;'~
CITY OF PRIOR LAKE
INSPECTION NOTICE
AOORESS (S'LCzC-
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
~ jlISULA TlON
~~~NAL
o SITE INSPECTION
COMMENTS:
.,.f/ ~ /\
Vr- \ -
DATE nile
SCHEDULED Q!1-0'f
l.~r_~
CONTR,
PERMIT NO.
'5 -CXD7?
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
(" CCO)~ ~ t: \0
-. \
CALL FOR REINSPECTION BEFORE COVERING
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,"""'n
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
((,G~
-, -
10 !OIG'-
ADDRESS I ~,)'9F; W"",( n <.J<:-~
OWNER CONTR,
PHONE NO,
PERMIT NO,
J-~'1'J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!. FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I. ffa:lA..k U".,.'-z..., C!.
7-. (la}) ,~ t~ (?,~
$, 5'",J. ~ T N2-<<:I
~, ~...... th.rk \~ do.
if ~ U..9 ~ ,j LOA. f'l
. ,
T~ -Ie:,
I
8-t -ot!
,..,
D~~ u'^ \.~"'-~
o WORK SATISFACTORY, PROCEED
o CORRfifcT TION AND PROCEED
Jf CORR T , CALL FOR REINSPECTION BEFORE COVERING
Inspeete c J , Owner/Contr:
CALJJ~5Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""Ntm
DATE nMe
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 'O-~-O~ '?'OO
ADDRESS ~
OWNER
Vonc9- \)ll.c..\;;
CONTR,
PHONE NO.
PERMIT NO,
\-~B
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
11: PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
---L~~o~ (t,.,~ ~
'), (1jt +;.. 1"1,11 ')
~ . G.ln" Q 1PlL.u<. Co U \.
Ll. T.....\...J1 ~..,..,.
~,~~
l.J<J'1 =/818
GW .
~
~~, d..,_ Q I
\
~fl\- ~ ~r l ~~'~f'>(krA1
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
XCORREEWORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CAl -9S'FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
caDi ~REMENT.S' ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR,
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
d cIN~L
-
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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140""(
r:; 1''1 t:Lt h Y
DATE TIME
~ EJC'~LLING
"O'-COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
r/u, ~ v,II-, 6,~/-.
/)('WORK SATISFACTORY. PROCEED
'-'~RRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspecto,#q 4/':::- Owner/Contr:
- -: -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
'HSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!