HomeMy WebLinkAboutBuilding Permit 03-0690
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
0,;)-03
I. White File I PERMIT NO A
2 p;" c;" "I'l..?_ /qu
3. Yellow AppliCarll U..J <s::J
(Please lVPe or vrint and sign at bottom)
ADDRESS ZONING (office use)
Il?:'~1 K:Vef -g'd1 'Plt{(p <--6- (2 d-
LEGAL DESCRIPTION (office use only)
LOT I BLOCK t) ADDITION 1k~rF.eJ..L ---,-nv PID eN; -39 jj - 01 f?- ()
OWNER
(Name)
(Phone)
(Address)
BUILDER\'\ ";)U1
(Name) )). "'. _ ' 1 ... I..n (.
(Contact Name), /1 JLi LUtih.l1ovJ-,ktt-
(Address) <1- 0 'il ~ 0 ~l €NLb,; d"le.. vf-. ~~~.{ 00
I '" V., _ I ~. VVl/\ V J:A=;hJ.<..i
.- -"".'-T
(Phone) Glts"? ~e~ - 7 'i-OQ,
(Phone) 3<:;2 -J...7L -4-702-
TYPE OF WORK
~ew Construction
DDeck
DPorch
ORe-Roofing
ORe-Siding
DLower Level Finish
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ tJ; I, 1 c;()
DUtility Connection
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 property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitt d plans. I am aWjlfe that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter po the property to pe:t(o~d inspections.
X ././4 J )a'rtlJ, ,:JOODS7D<:7 ?_~{}-O?:,
- - siknature Contractor's License No. Date
Permit Valuation 1''12 (}(}O. (J() Park Support Fee # $ ?SO ,00 I
I
Permit Fee $ 137. 7S SAC # $ /275: 00 I
Plan Check Fee $ ~,&l1 I Water Meter Size 5/8"; I"; $ - I
State Surcharge $ ~b.OO I I Pressure Reducer $ I
I Penalty $ I I City SAC and WAC # $ 12-00.00 I
I Plumbing Permit Fee $ /00. () 0 I I Water Tower Fee # $ ?O~ ' 0 0 I
I Mechanical Permit Fee $ 100.00 I I Builder's Deposit $ I
I Sewer & Water Permit Fee $ I I Other $ I
I Gas Fireplace Permit Fee $ .yO,Oll I I TOTAL DUE $5:e5~. 29 I
I Receipt~. 'f'".e r"L. "
This Application Becomes Your Building Permit When Approved I Paid 5 .r 5d". v-I
~ ':f~f-/ 61t sib:? I Date 10. I tf .()] Bv r-: .~
1
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 constnlcrion to commence. Before occupancy, a Certificate of Occupancy must be
~S~ning:e.~ ~J:?i~3 ~ ~ r~/
Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
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JUOAddress /7/R/Je'vY f,;rrL
Heating Contractor ..t!&.'riJ/T Ai' ,t::"~
Name olTester Ffr:;HJi"1. ~
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'1d.:J<1=
Date
Percent 02
Percenl CO
Percent C02
Stack Temp
Combustion air is adequalely supplied per
UMC Sec. 606 r.p ..r
input ~, CTlJ'J 1>,..;
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Th~ C.nll'r of lhl' l..kt COUnll')'
See Main File
~~hitA - ~uildin9)
Canary - Engmee{lng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'73tf/ IP/~er g/tcd PI.-
Accepted
/
Accepted With Corrections.
Denied
Reviewed By:
~
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1.v-R?
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."
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See Main File
White - Building
Canary - Enaineering
Oink - Plannin<D
Th~ ('tnlu of the L.kr <,'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:_) .
/'735'/ .A>!/f"; IJ/r;A /~l..
Accepted
/
Accepted With Corrections
~
Denied
Reviewed By:
Comments:
~'1~
Date:
~/I3'~ "$
"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,"
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Th.,("t'IIIt'rof ...., 1..k.,Counlry
See Main File
White - Suildin!! .
/ J.:a"''!Ji'''r - t:nalnP.erinq;::::.
Pink - i'laniiing
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at._
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Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/n'1- i3
,S-<.( fY7 c, ( ~
Date:
(; -9-03
Comments:
Fr' f r'
"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,"
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2.-'
3. Yellow
#2;l~
~:~ I PERMIT NO'3J 90 I
Apphcant-{c::J
I
I ZONING(offioeuse)
_ ~lease.!VD~ or orint and sism at bottom)
ADDRESS
/7-3'//
b/.h<?/&/-rA
FhrL
<E
LEGAL DESCRIPTION (office use only)
LO/7"...ikocK..37 ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRlDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT ./J, /. ~
(Name) /-f///LJ',,( ~ ;'// ,,..1.44/"-./
(Address)~ ~~I ~ ~
~AddreS
(Contact Person) A . <<~
APPLICANT SIGNATURE.-S- .- ~.3 .........
(phone) ,c,Sfi 4'~'?-.,Ii' ??.s-
~~~ ~~:':..1 -'!
- (aliIIf (Zip Code)
(phone) ~/ - q'~ --177.:2:.
DATE
. APPLICANT PLEASE COMPLETE BELOW
j.!lNEW CO~TRUCnON 0 REPLACEMENT DALTERA nONS
FURNACEMAKEANDMOD~/r,b.J~. :?/,0,4A~~07~ FUEL./I.2~.:-.-e
FLUESIZE.y'~~.ARETURNOPENINGS ~ INPUT~ ~ OUTPUT 6'Z_~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
~ir Conditioning
~ent. System
o Steam
o Hol Water
o Radiation
o Special Devices
o 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ~u.A a:::> Building Permit #
$ ~/ &...//c:4.r eu" ~41C "'--
$ ~ .50 ~<.JI""G ;""Ij
$ (7 P~b
(Offi<<UseOn~ ~~
~ .~
ThOAP:,::.::mm Y.., B';.."~:~" "P~w ill: ~ ~ l~a~ 1m :"'N./ I
"n.. 'M'...,,, '".-... .~, jliy"". .. "'" <<'~~J ~r
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Jun. 9. 2003 8:38AM
GENZ RVAN PLUMBING AND HEATiNG
No 6693 P i 9. 24
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,
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND WATER PERMIT
i ~ ~~ I PERMlTNO. 03- / c6
). Cillld A9PII~ (.0 I
(flleast:=: ttec orurtnr a:od siltll "t bottom)
ADDRESS '
11~PJ~ l 11/1l{!j,
LEGAL DESCRIPTION (olliee use only)
ADDmON B/~ II g / AaM-dd 7~
V
Ijf} ((t.
ZONING (91lic, U<<)
LOT
BLOCK
OWNER
(Name) IlR Nntga C"gtglll 1i~1r~~
(Address)
2o&DQ ~13i<-\:<;:::Ce. C:r Sn:> . J m
(Address)
(phone) _
La.~\j II I~
(City)
qs2-q'0.5- ,8M
"")f::()U U
(Zip Code)
APPLICANT
(Name) Gen~-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Trail
'..lCANT SIGNATURE
(Jy,f;l1f/' fatlf
Ctl1~
Rosemounc. MN
(City)
(}'hone)
55068
(Zip Cede)
(Contact Person) .
':fafv,
DATE
651-423-11~4
(// (,/()?:,
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of seWeT 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 llIld water line cO)lIloction
Sewer connection only
FEE SCHEDULE
S35,50 Industrial, Com'! &. Multi-family 1% of job CO!lt with a $39.50 minimum
$17.50 Water connection only S17.50
Estimated Cost $
Builcting Permit #
S.EWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL P:ERMIT FEE
$
$'
$
.50
;
r
(Office U.1C Only)
This Application Becomes Your Building Permit When Approved
Building OflldaJ
D./t
I Paid
I Dille
I Receipt No.
I By
I'
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24 bOQr notice for .11 in.pection. (952) 447-9850, fax (952) 447-4245
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GEN~ RYAN PLUMBING AND HEATING
No.6693 P.;0;4
Date Rec'd
CITY OF PRIOR LAKE PLUi\'IBlNG PERMIT
~ ~~ ~:~ I PERMIT NO. 3- b Go
J. YoIJo,u APl'liant -I'
CPlea.'le me or print and sistn at bottOm)
ADDRESS
/7.':?A/ 1./ ().f~; JiJ/~CJIt
Ln of.
ZONJNG (offi';"'.)
LOT
LEGAL DESCRIPTION (ollie< us< only)
BLOCK
ADDInON
tJ/k 8/
u
iJallftdftl7.{h
PID
OWNER
(Nron~ DR Horton Custom Homes
(phooe)
962-q;;&:; -7'2DC
(Address)' 20$(00 ~V1B~l tx-e. Cr S,e. !Da
APPLICANT
(Name)..G~-~-Pr"- ",,'~ld"8 t. u""~'_g
(Address) 14745 So Robert Trail
(Address)
(Contact Person) C.f/J 1l1~ -h toft J
APPLICANT SIGNATURE _(1.A.I ~ ~ J~/1
Quantity
f
I
,
.z.
f
1-
Lolu...vlllG MN 550LJ LJ
(phone)
';t:;1_ls.?1._111./.1.
Rosemount
MN
55068
(Zip Code)
(City)
(phone)
651-423-1I44
td t;J/03
DATE
APPLICANT PLEASE COM:PLETE BELOW
Type of Fixture Quantity I
Bath Tub with or without shower Rough-ins
Dishwasher I I Water Heater
Floor Drain /l-T I Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washiog Machine)
I Laundry Tray (J or 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks Backflow Assembly Test
I Bar Sink Lawn SprinkIer
I Water Closet (Toilet) Other
Type of Fixture
FEE SCHEDULE
Ind\l.smal, Commerc,al &: ~luJti.f.'lllly 1% of job eo,t with. $3950 minimu,m'
ResIdentIal, New One &: Two-Family .$99 SO
Residential. Additions & Alterations $39.50
Estlmated co.t $
Bw.Idmg PermIt #
PLillvrBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMUT FEE $
.50
)
(om<< u.. ODly)
I This Application Becomes Your Building Permit When Approved
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, Receipt No
Building ClflIclal
Dtte
I Paid
I Date
By
24 hour D.tic. ror AUIDspettl.D' (9S) 447.9850, fax (,s2) 4474245
FIRESIDE CORNER
CITY OF P . lOR IJAKE
HEATING/AIR CONDITIO '1GIFIREPLACE PERMIT
q'1.....'!Y<ororift'anhh"..'holloml FIRESIDB~ E~,~", I PERMITNO'3-0YO
I ADDRESS HEARTH&HOMEm
1.7381 RJVERBIRCHPLACE S.E. . ...
#1999 P.OIS
Date Rec'd
ZONING (om", "oc)
J.EGAT- DESClUPTION (office us. only)
LOT
BLOCK
ADDITJON
PID
owma
(Name T) R I-rORTON
O'hone)
(Address)
APPUCANT
(Name) AT,IJJill FJRESTDF. PJlA.flEESIDE HF.J\P,IJl & HOMi>
(Phone)
651-633..2561
(Address)
2700 NORTH PAIRVJEW AVENUE
(Add,m)
(Contact Penon)
BRENDA HUSTON
ROSEVTLLP
(CitY)
(phone) _651-633.256]
"1l3_
(Zip Code)
APPLICANT SJGNATURE
BRFNIM HUSTON
DATE
8/27/03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTiON 0 REPLACEMENT 0 AI. TEM TIONS
FURNACE MAKE AND MODEL FUEL
FUJI:: SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PJ.ANT
OWann Air P]'nt~
OOrnvily
o Mechanj",,]
OAir CondHloning
OVent. SJI'lcm
o Sle~m
01'101 Wale'
o Rlldil1rJoo
o Specilll Devices
o Omer Dcviccs
I PLEASE NOTE:
Air Conditioner Units
eMIlOl. Encroach into
Required Side V..n!
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL.750TR-C
Jndu.1rial, Commerciol & Muhi-P,mily
PEE SCHEDULE
I % of job CO$T, Rcsjdentinl, Gas Firephu:c
$3!}.50 minimum
$99.50 Residential. Addir.i(Jns. &. Altcr::I,tions
$64.50 Rcsidcmi,r, AC Only
$39.50
Residenti,l, He.ting Ilr AlC (New ConstrucT,;on)
Residentl.I, He.ting Only (New C~nslruCljon)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT fEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit II
$
$:u
$. : '~, \...0/ L..;;,
Q'~ ~
PAID \IV,
I:1UILDING 7TH
PERMIT
(Offi..IJ",Only) I., " "I onn
i. .' ~\Ir., L..kW,1
Thl. Application aecom.. Your Building P~'Jllil When.ApprQJIed I k.utPaid d
A Hearth dl: Hathe leel". jT~ re,~ ffran
~1 lJuilrler Divisit ~3 'Datil' By
~;: H"jl~I.. OJ'lj~~b PnirvieIV Avenue North RoRl1Jflle MN 55J 13 : 'hoJle.6S'_~11_"~1 c... "SJ..J,33.8
."".nn.. C'''". 3850 West 11fl~)Yai .J~li~V&P~)I]}.I'j;M,'l1.s.m~2f~1P!!9~i.l2~~~HM~./2~52.890.5~08
""....n~.ldcuu.tolll Mill: (:fln'nlC!ll)r ti~cl'l~ 1i 2001lG9tl
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-'J Receipl. No.
PRIOR 'LAKE DEPARTMENT oSee Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /'131/ 7<,'t/~y R /~J..., ?/tA-Ge- :;
NATURE OF WORK Jl/t!!A,t.)
USE OF BUILDING .~ F If
PERMIT NO. .-L:> '3 ~ ~ t90 DATE ISSUED
CONTRACTOR -.PR tflJI'.,-o,..; PHONE..;a.,..~- L/')lJ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I GRADING (Prior to Sodding)
BUILDING ~ co f(c,!1. 1ft ~4 ~
ELECTRICAL (~
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
SEWER I WATER I SEPTIC .
FRAMING JII/f'"
INSULATION I~
ELECTRICAL . . ~
PLUMBING (/vr./~ Q'0/(J?,
HEATING (if required) ~/ t1'((--cfI,
FIREPLACE YI/f/ q~(h1,.
GAS LINE AIR TEST I!/P' q ,((- '0
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
See %~~~ h'/e .
~ ?/J%y
q- II-if!,
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IA, / th?e3
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
Q]:trfifirab of (@rtupanq!
CITY OF PRIOR LAKE
~J1.1arfmtnf of ~uil~ing Jlnsptdion
,MFinal Permitted D Conditional e.O. Expires
! -
This Certificate issued pursuani to the requirements of Section 307 of Ihe 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, 03-0690
Occupancy Type R3 Type Construction VN Fire Zone N/A _ Zoning District R2 \
Legal Description Ll, B6, DEERFIELD 7TH
\
Owner of Building Site Address 17381 RIVER BIRCH PLACE S.E.
Contracto<'sName&AddmsD.R. HORTON,. Il."C.. 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
ROBERT D. HUTCHINS~...6/ _ City Planner_ DON RYE
0d~~cial
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t
Date:
Date:
/
DATE
~~~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
COMMENTS:
TIME
SCHEDULED
CONTR.
PERMIT NO.
Os - 0.' ?O
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
( f'J;;-e
"---
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--..--.- -----........
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----
".(WORK SATISFACTORY, PROCEED
J;;'~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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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
~ FINAL
/0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
)P MECH FINAL
DATE
TillE
l-JfJ~
3-0'b
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
,1! FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
t~ ~:f~~~~~-;::~O:
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. 0 ~RK SATISFACTORY, PROCEED
];a' CORRECT ACTION AND PROCEEO
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INVlOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETYI
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
tr It.{) J
ADDRESS
171~1
etVY hr;I,
OWNER
CONTR.
PHONE NO,
PERMIT NO.
s-(;f{O
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
,-,
(!) { t' /llt/A.h
/(t/;[.: u. 1'/5
.,
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
wy?
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
'''''"'''