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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 ~ ') // /?/e ---------- ~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! '''''"'''