HomeMy WebLinkAboutBuilding Permit 03-1075
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please .!,VD~ or Print and si2l1 at bottom)
ADDRESS
5lf~ ~J~Lj)~7J...
,'.6
LEGAL DESCRIPTION (office use only)
LOT l~ BLOCK I ADDITION \\P.v--C;",J
OWNER
(Name)
(Address)
BUILDER "";\ () I I
(Name) \ J. 1'\.. 'i-t7if~ k
(ContactNam~) <....a-P#\P- &,'rYs,{lY)
(Address) 2.f> Bt.; 0 . ~ 1"" ql\(..-C'{: st't"., 00
-UF""A/1 ((t. MI\.JV ~
TYPE OF WORK
o Misc.
l1Q.. New Construction
DLower Level Finish
ODeck
o Fireplace
PROJECT COST/VALUE (excluding land) $
DAddition
Date Rec' d
1./0.03
White File I PERMIT NO ~
P;ok C;" . /'l ? _ /0 Y1
Yellow Applicant ( L.;J I.
J/CjIU
r
J I
ZONING (office use)
R..2-
PID zS-. -to(J. 013. ()
#
#
#
#
(Phone) '1~7~q~t;-lttoG
(Phone) 3 C;'_' 2-2.1.",-- l~?>...{
Paid
Date
ilC1,<1Y1
ORe-Siding
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.....y_.~J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submi plans. I am aware that th building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter pon y.vy....~J totperfo inspe 'ODS.
x
Signature
~
~
This Application Becomes Y OUT Building Permit When Approved
~
PI7 ~3
Building Official
I lIlt. noo. Of) 1
1$ lt1K3.3S'"1
1 $ 7(J 'I. I? I
1 $ 63. 00 I
1$ - 1
1$ /tJO.(J{) 1
$ /oO.tJ(J 1
$ 3!>. S'a 1
$ .L/t;. {) tJ 1
bate
......
)
(Phone)
1-/'/ "lI.'>
Date
$ 8DCl.OCl
$ 1'2....75:00
$ flZ5:J.oo
$ ~(Ja
$ {Zoo.oo
$ 7ao.oo
$ '/S-co,DO
$
$1 fj4-1 ~
,
45JJO I
A
I RecektNo.
Bv/J
U-
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
:-vhen signed by the City Planner constitu~ a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~niog~~ rf?~3 ,412 ~nditions,ifilfY /
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
OPorch
ORe-Roofing
OAlteration
v
I Permit Valuation
I Permit Fee
1 Plan Check Fee
I State Surcharge
1 Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~() t;&S 7
Contractor's License No.
Park Support Fee
SAC
1 Water Meter Sir~; 1";
I Pressure Reducer -
I City SAC and WAC
Water Tower Fee
Builder's Deposit
I Other
1 TOTAL DUE
'7 'f +Io ?
r Jr. tIj
.
~
,
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent CO,
Stack Temp
S~.J() ~.,(.( C;,
M'_ ~
fkro...- ~
/Z/'f(DJ
B.31?J
~,....J
1,/ tD
37 ( Or
Combustion air is adequately supplied per
UMC Sec. 606 Vt'.S
B4c.t'o i7ru
input
"
~~~lL
Thf ("nIl" of Itlr t.kt Counll1'
White - Building
~n.arv - t:.nqlneerii'iD::>
Pink - Pla-nning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'1") J(. H 0 tc I 0 IJ
-7'l1()~
I -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S +:3 0 _I) (1: tz,(/ ElD (' .A IL .
Accepted
x
Accepted With Corrections
Denied
Reviewed By: ~\ ~ . Date: 1 /1..-1...( <'.l~
Comments: seeRJverse 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."
6~~
,---yVhitA . BuildiiUj:::>
Canary . Engineering
Pink . Planning
Th~ Crnlr. of thr L.kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHEr:KLl~T
NAME OF APPLICANT
en t? - J-tO~1 OrJ
,1,/()?
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54-30 Dt;t-;~(ELD {' Jte-.
Accepted
~
Accepted With Corrections
Denied
~i~~
Date: xi? /0 3
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,"
-_.,---,---~
~'t
White - Building
Canary - Engineering
rYlnK - 1'18n",n.\l.-'
----
Th~ (-..nl..r of 'h.-I.a".. Counll")'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=;T
NAME OF APPLICANT
APPLICATION RECEIVED
I) 1(',
"7 2-
-' ,
I
HCK I CtJ
I 6?
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
0) 4~ C, ___ L) fOE Ie ~-I LLu (' /1/<- .
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~
~
Date:
P/}~3
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,"
Jill i 8. = Q 0 1 i: 18 PM
GENZ RVAN PLUMBING AND HEATING
N i) : 7 61 P = i 8
,).m~;;;o+~
S / II \ ~
.:~,"t>~,
,~;.;t.~~'.,.,t~'.t'i ....
"f~~~;i;;'N~BSO"t....
Date Rec'd
CITy.oF PRIOR LAKE
SEWER AND WATER PERMIT
. ~'';;.
~. j';'
,iI'
;,~'i~;//
~:r~~;:';:'~
;t!!?-~f./ ..
1 ~~w ~~. I PERMITNO"f13~"'-' /01-5"'1
3 Gold A..l1~nt --" .
.: ....1
~1e;:ue tv'ee or..,;lr1Dtand. ~il'!11 atbcJa:om)
ADDRESS
SL/~
~~-hdc{ ~0ie Se.
ZONING (offlo,...)".
, LEGAL DESCRIPTION (o$ce use only)
LOT 13 BLOCK i
ADDITION
6f Dl_h f- (r1 q-/h
Pro
OWNER
(Nam.e) TYD U.................on-e...ro........- u~r.>.':'
(Address)
2o&aO~t3K\~ Cr- Sw./f'r,
(Addre~s)
(phone) _
La.~~ 1 lie..,
(Ci'Y)
CfS2-Qgs- ,8M
"'5UY--lU
(Zip Colk)
APPLICANT
O'mne' Genz-Rvan Plumbing & Heating
(phone)
651-423-1144
'..ICANT SIGNATURE
So Robert Trail
(Address)
rj/1 ~j ,S,tJ ft;)Jj,
(1). .tD~B -:frz f 0./1
R0gemoun~.. HN
(Ci'Y)
55068
(Zip Colk)
(Addrc.,,) 14745
j (Contact Person) .
(phone)
DATE
651-423-1.144
7- 19'~03
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Locatioo of any couplings from structure feet
Type of sewer pipe. D ABC D PVC D Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
Residenual sewer and water line conneCl1on
Scwer cOlUlection only
FEE SCHEDULE
$3550 Industrial, Com'l & Multi-family 1% of job cost wIth a $3950 lIummum
$17.50 WaterCODnection only $17.50
Estimated Cost $
Bwlding PermIt #
SE'WER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERJ."\1lT FEE
$
$
$
PAID WITH
BUIU)ING PERMIT
(Offiu' Use Only)
This Application Becomes Your Building Permit When Approved
Dare
\ ~~-~lJ IJ] [;
~ftrtAUG' I 8 Z003
Receipt No.
Building Official
J By
H hour no lice for.U ins~ections (952) 447. 1850, f'u (952) 4474245
By
B~~
+'IiNE.O"t-
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~~9
Si~' I PERMITNO'03--I07S!
I. Pink
2.""",,
3. Yellow
(Please tVD~orDrint and si2ll at bottom)
. ADDRESS
.s?/ -?G a-R" / k / c/ /?>r- /'., . ~~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
L01I'.:?BLOCK J ADDITION
PID
OWNER DR HORTON
(Name)_ 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(Phone)
APPLICANT /J, /. A
(Name) /-7'///~ '1/"..../AA/.,..-./
(Address) ~~ ~~-"1~'" ~ ~
;j3AddreS
(Contact Person) A~~ . '. 6~~
APPLICANT SIGNATURE ""'5'" ..- . .~ - ---
.
(phone) h,5/.. 45"'?-,.???$'
~~~ ~~??
- (~, (Zip Code)
(phone) ~ - c:;.I'~ --177.:2:
DATE
t APPLICANT PLEASE COMPLETE BELOW
.3lNEWCO~TRUCTION DREPLACEMENT [JALTERATIONS J
FURNACEMAKEANDMOD~/r,6""~ :?/aAA~4/070 FUEL .-f~ ,.(...f~.e
FLUESIZE.y~k~..ARETURNOPENINGS q INPUT6~~ OUTPUT 5Z~~.
TYPE OF SYSTEM HEA'fING OR POWER. PLANT
OWarm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
~ir Conditioning 0 Special Devices
~ent. System 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach intO
Required Side Yard
Setbacks
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 & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
. ~a:::>BuildingPennit # ~'IJ\1H \i
$~/~~GPEf\~
$ ~ .50
$ ?'
,
Estimated Cost $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
r_
: ; )~~j~,~i I!:, U 'l'j L:
~ lD~G 1 8 2003
I.'
Receipt No.
Building Official
I By
~: ;
i
24 hour notice for all inspections (952) 447 fIl/O' fax (952) 447-4245
~
~~~
''.',i;~,',''frfIYNB50~~
~~\~ili;~~
I ,."';\%.,,>;:U~
J I . 8 'n n 1 i'" '1 CI'I
u .1 ' <..,.1).. I,-"j, [,\
GENZ RVAN PLUMBING AND HEATING
liQ'7f1 P 118
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~~.f- .
(Pleas~ npc: or pr1ll.C and Sl~ .1.( boaom 'I
AnDRESS
1=JY::W ~R---.fi .(.,(CL
~v.<
(;,rz
LEGAL DESCRIPTION (otlice use only)
LOT 13BLOCK I
ADDmON
J1e ~16h -0ld,
Qfh
OWNER
(Name) DR Horeon Cusrom Homes
(Address)' ZOSwO Ken8l'oZ..l j)i;G Co Sie /60
A2PUCANT
(Name) r:Q'!"l"'-F:~"~T.. ~::',-~~-::lE So. ll",,,,t--l_Jj
(Addre,s) 14745 So Robert Trail
(Address) r,
(Contact Person) 0 ill ~ -11' mlL,J
APPLICANT SIGN:m -0lL ("V1l~)
',..>.,\
QU"!ltity
---" /
I
I
Ol.
I
/
d.
.
~
,
".Y', .~
.'
~.
.,-,:":-, ,'j
.: "'-(;.{, )c
~~~~~
I BIWl FUll
2, (".ol4 r:lty
]. Y"llaw Applie.lnt
I PERMIT I'Im~~:"lo761
I ZONJNG(o~"'.i
PID
(Phone)
q02.q;;,~ -76lJ()
uduv die... j,tA N 556LJ W
(phone) ~'L~?~-UM_
Rosemount
MN
55068
(Zip Code)
(ary)
(Phone)
651-423-1144
DATE
"7-IR~5
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower 2>
Dishwasher .' '
Floor Drain K;J:..
Lavatory (Bathroom Sink) 1
I Lauodry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Rough- ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
I Sewage Ejector
Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
Other
FEE SCHEDULE
Indu.sm.I, CommerCIal & Mulc.fumlly 1 % of job co" with a $3950 minimum ReSldental, New One & Two-fanuly $99.50
ReSldcntioJ, Additions & Alterations $39.50
(Office Un Only)
Esnmated Cost $
Bwlding Permit #
PLUMBrNG PERlvUT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
This Application Becomes Your Building Permit When Approved
Building Official
DO,ce
24 hour notice for./1 i..peetlnns (952) 447.9~1In' fu (952) 447 '21~
t"A'U WITH
BlJllDING PERMIT
.50
s
S
$
~~ Q3 ~~ ~] .~ I~ ~]' eceipt No
mreAiili ! hmrT~'y
!
f
FIRESIDE CORNER
#4087 P.005/007
CITY OF P
HEATING/AIR CONDITIO
OR LAKE
G/FlREPI,ACE PERMIT
Date Rcc'd
(Please ~ or tnint and siUt at bc,r,tom)
ADDRESS
FIRESIDl5:.
~::, , PERMIT NO. 3- /,/l'1..~
^,,"'i~ u JI
HE A-R T fr&HO ME';
5430 DEERFIELD CIRCLE S.E.
I ZONlNG (Qflio: use) r
LF..GAJ, DESCRIPTION (om,e u.. only)
LOT
BLOCK
ADDITION
PID
OWNER.
(Name D R HORTON
(Address)
(Phone)
APPUCANT
(Name) ALIJr;PJ.lJlf~N;'p....M..E!~m'.J;lM!!J'Ji~;QME
(Phone)
6.51-633-2561
(Contact Person)
BRENDA HUSTON
ROSEVJJ.LE
(01)')
(phone) _651-633-2561
.55113_
(Zip Code)
(Address)
2700 NORTH F'AIRVJEW A VENUF
(AddJ'...)
APPUCANT SIGNATURE
BRENDA HUSTON
DATE
lnJR/IH
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL rERA TlONS
FURNACE MAKE AND MODEL FUEl-
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PI,ANT
OWlltT11 Air PlAnt.
OGravily
o MechlUlicoJ
OAI, Conditioning
DVenr. Sysrem
BStcom
Hot Water
o Rodi.lion
o Specl,l Devices
o O~ler Dovices
J>l.EASE NOTE:
Air Condi.tionc:-r Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N Gill SL-750TR-C
Estimated COSl $
HEA TTNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
, . fEE SCHEDUJJE. . PAID WITH
I Yo o(,/ob caSl ReSIdentIal. Gns rlrcpl.e"'UILOING PI=RM!T'~39.50
$39.50 minimum t:S;, . .. .'
$99.50 Residenti,l. Addi,ions &. Allerot.lons $39.50
$64.50 Residential, AC Only _---- JJ9,~-:
rr-c'~"" - , \ 'j I II ~', ~! '"I
\'1): U .-.. :,\',
I")
\ ~I\ OCT 0 8 Z003 ',:;
UU ~
Building Permit If
$
$
$
.50
Industrial, Cammercial & Multi.Family
Residcntial, Hc"ing &. NC (N,w Con5lruetian)
Residential. Heating Only (New Construction)
(Offi,' Uoc Onl~)
8 Y _~,_-~- .------.-----J
ThiS Application Becomes Your Bllilding l)'MiJrW,IW'Ihm'IMn"ogr'&'YJtnnd Receipt No.
. ~'" Blli/rier Div;.';'" I Date By
~ R.lld;n.Ofl!~n rairview AvemJe North Ro~~le, MN 55113 I horlJ. 6S1-613-2561 Fox 65J-.i33-~R~4
."".11.'; <I."" 3850 West Hi~IJwav 13 Burnsv\' lIe. MN 55337 Phone 9.S2-890-0758 Fox 952-890-5408
2~ ,allf notice for.' n'po"lon, (952) 447-?8~O. (ox (952) 447-4245
....",Ii..,..ltIl:I'~Jl.ellm ,..~ Cnnlrle'tllr U~mlc /I :fltl~Q!l) I
g-
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITEADDRESS SJ/J ~/~~
NATURE OF WORK KJ I~~
USEi OF BUILDING . S,F:A.. .'
PERMIT NO. ()3 -/ 07~( DATE ISSUED 3
CONTRACTOR l),a.. tbtT4UJ ~N<. PH NE - - -' '"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
J 111/- I
I FOUNDATION (Prior to Backfill) Qrt Vlw- JI'Vt '6/J.( -O;J /JIt!rf' 4-4- d'l,.
PLACE NO CONCRETE UNTIL ABOVE HAs BEEN SIGNED
ROUGH - INS
I%-/
1M'"
I FOOTING
DATE
~//q-o '>
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING lI'Vv? 10- }'I-d],
HEATING (if required) 1/11;7 (rJ- 1'I-t/7
FIREPLACE yAf/ /11- jA-V)
GAS LINE AIR TEST 1/1'; /I'L 1.- '1-tI'J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) I ~ ~ -I' . (II-
BUILDING 1(1<Af' (j~~,1 ~-t-O)
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~- J-&--t/].
10/ Pi-t!>
JI- 3- "'3
j
~
~~~<;/
//VP
I J/lrP
UNTIL ABOVE HAS
NOTICE
BEEN
11-- / () -1)-7..
I~- 2~01
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
.. . ,.-...-
QIerfifieafe of @uupanq!
CITY OF PRIOR LAKE
~tpadnllmt of ~uilMng Jfnsptdion
~inal Permitted D Conditional C.O. Expires _
i
This Certificate issued 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
Occupancy Type R3
Type Construction VN
L13, Bl, DEERFIELD 9TH
Fire Zone
Legal Description
Bldg. Permit No._
03-1075
N/A
_ Zoning District
R2
Owner of Buildinp:
Site Address
5430 DEERFIELD CIRCLE S.E.
CT., SUITE 100, LAKEVILLE
Contractor'sName&Addre~~R. HORTON,~/ 20860 KEN BRIDGE
ROBERT D. HUTCHINS /- /"'" _ City Planner_ DON
/~~l1fficial
Date:
Date:
RYE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
IL-IO.() '3
ADDRESS
,StfJO
O...~Ab c-,.::-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~ --/o7~
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
#\SLUMBING FINAL
o MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(!) ,V-(,fM/lV<...
Y7J!tfz,o s
SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
o CORRECT W~R~~L FOR REINSPECTION BEFORE COVERING
Inspector: /IVr" Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .I SAFETY/
IN$JroTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~'1~o
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
DATE TIME
SCHEDULED t-/. :5?Y
])urC,~fI L, '/
CONlR. D. R. Ho/k.
PERMIT NO.
/'>:t..-lo7r
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
4ll "Y~I_ING
....0 COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
bl'Gdifll - r'Yt
v
(JV 16 ~Tt- S -- 6 IC-
(){ WORK SATISFACTORY, PROCEED
V D\soRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor#~' - Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
tm1<Qn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
(l{:J 6 fk,Gf~,.1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
-rMECH FINAL
DATE TillE
-12-2]-<13
6-;"
7-/cJ70
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(7) P-rr,.,""'~...,f- l'la/.L ~(/~r cI,,"~ &"'1',/ .
5) ~tk! -I- 1"1-Y<!J ,1::1<- d~p~
Bj Pi"'''I/ ~....c'e Q.a:>~ (
r; C Hf/J v...-zf; (
OY.5q. -t h'/:'~u:d
'i< -( -o:--r
I
o WORK SATISFACTORY. PROCEED
o C~CT ACTION AND PROCEED
.Ill"CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
s-~o
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
/!,~INAL
o SITE INSPECTION
COMMENTS:
/-
/ ./?/
( (_,/0-5,-e
'----
DATE
/P~~~
#ee-/' te (i 0t.--
nilE
SCHEDULED
CONTR.
PERMIT NO.
C5 S - /(:J7.:s-
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
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//
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----------
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S:~:ECT~REINS:::::::FORE COVERING
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'''''"'''