HomeMy WebLinkAboutBuilding Permit 03-0261
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
(Please .!,VDe or Print and sign at bottom)
ADDRESS
SD("O b4S+ f),at il"j,j b. ,lit"'
I.White File
2 Pink City
J. Yellow Applicant
Date Rec'd
;2- r 3
I PERMIT NO. 03- OZh 11
I ZONtttffi"use) I
LEGAL DESCRIPTION (office use only)
{ :2
LOT BLOCK ADDITION ~{,l, J) /iJ t
OWNER
(Name)
(Address)
BillLDER... '.
(Name) \) a.. H.v../n.. . r:.. (
(Contact Name) Y s ",/" R.,k (
(Address) ,. r>" i/ I I ( I .
.~UdIvU I--t.. '''~''.L ..,...r
j ..b.U:' 1/,//1
TYPE OF WORK
p:(New Construction
o Misc.
DLower Level Finish
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ J t.j 1, ~ 0 ()
(Phone)
(Phone)
(Phone)
I'll N S30W
ODeck
OPorch
ORe-Roofing
PID615- '-/01- O;).{- C
9.5:2- 'l.f..<--7itD K
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 property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submi lans. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:,ter pon e 'Vy<..)~o:::rmt~:J4-- C:<o OO~"'S-7 ..:2-&'-O~
I Signature ""--'"" Contractor's License No. Date
I
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#;~If. tJOt),OlJ
$
$
$
$
$
$
$
$
/2..(0 2 .55"
Rza, ,,(..
~ 7J./,()~
/011,00
100. no
$5.50
4().~(J
This Application Becomes Your Building Permit When Approved
~
~
Building Official
d/M{:.3
I Park Support Fee
I SAC
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
! Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
" t7C:J oL, ~/ I
::;-2--:"--0.
$
$
$
$
$
$
$
$
. $fr,Z5Z,iJ
,~
I Receipt No. l./L.f~1
By ~
#
#
#
#
f.5"l>, () 0
{?..7S,OO
d}.SO.oO
'1'S,00
I z.cO. () 0
200. 00
/500 ,ad
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
~ ~tJ d-/~a43 ~~ ~ _-4..-~
Planning Director ' l'>ate Special ConditicMs, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec' d
c2-r 3
I. White File
2. Pink City
3. Yellow Applicanl
cr1ease .!YPc:.. or 'Print and sim at bottom)
ADDRESS
SXf) ;:;a,~-I- I)a!, iL-f. A '"f
LEGAL DESCRIPTION (office use only)
l 2 \
LOT BLOCK ADDITION I~ t. tI) it.' It
OWNER
(Name)
(Address)
Mainfi'ik
. BUILDER... '
(Name) \) {L. H,.,.,.../.".. . r:A<.
(Contact Name) Y.t;,~,'h /l.....,J., <
(Address) hI !/I.n 11, 1._'.1... f'. ,J- i f. L 0'; /// t11Ai ~W
=~ f~ ~ ~ 2-'5'~
T~,s~ . tMe. MJfWY ~t)
..Q ~ - ~- ~ ~ a-.- ~. ;:'. .1--
~~~. .""t' dj ~--.L! f).~. JYvv
su
en
x
~ "3(10/03 C3..J ~ ~ p. pC.. . J ~-A
P,
P,
PI
St
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permir Fee
IOtJ,DO
100.00
$S.5e:l
~O.6JO
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
$
$
$
$
$
This Application Becomes Your Building Pennit When Approved
I Paid
I Date
~~
Building Official
d/~/o3
Date
I PERMIT NO.
ZONING (office use)
121
PID615- 1..(0/- 0;)-1- ~
(phone)
(Phone) 95 J- yjJS- m K
(Phone)
ORe. Roofing
OAlteration
sJt.f1,'10U
r I
ORe.Siding
DUtility Connection
true and comet. I also certify that I am the owm.
te and local laws and will proceed in accordance \
I hereby agree that the city official or a designee r.
.7 .;}-{., -0"3
10. Date
# $ f.5"t), () 0
# $ rZ_7S'OO
";1"; $ .;)50.00
$ ~5,oo
# $ IZOo, () 0
# $ 70t). () 0
$ J Soo , 0 d
$
$
I ReceiptNo.
By
This is to certify that the request in the above application and accompJDying 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 constnlction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~/.J d/.;J-O;{3 ~~ ~ 4~
Planning Director ' Date Special ConditicMs. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
___.___.__....__,____...... ._____......_._ .. \6200 Eagle Creek Avenue .. Prior _Lak:,.../.1~ 5532.1.. ......_. __ . .
,.
$O(P() r;.I.~jPT
..
Job Address
Heating Contractor d/J'/~.~
Name of Tester .4'711 B
/ t1/;~3
)d,'7 Z
, ~~;J
j(~7tJ
7/" "r
Date
Percent 02
Percent CO
Percent C02
,
Stack Temp
Combustion air is adequateiy supplied per
UMC sec.' 606 vr J
input ( fJJ. o;,V ~.,.... GJ
""
~~
Main Pile
White - Eluil!finl!
c. Canarv - E:ngmeerliig)
Pink - Plalmmg
Th.. Cf'nluoflh..I..k..CoUlllry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,
~
;: ---',;"'-
t'~jv.., " "".',,1
. ift-.;._" l/t.:......_. J -,-
~
-- \ _''1 ,...c..
.-j -- r- ,...-"i
,'/1
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
C- /'J ,< /",.- ,EJ.1 j'. ./_ 'I- I{~
"...J L/ !(;> '~_./ ,~..//(~v --~ ,t' '..
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
/Yfl13
Date:
;} -;;; 7-(2]
Comments: -8"'''' RAverse Side for &:IditionalJnformation!
rf!C,I'r, F.'h
See A,tt~cnments' 1) Gr~rline f>],;m ?\ 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."
~%
Main File
Th~ (-"nl... nllh..I..k.. Counlry
(White - Building:;.
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMI;NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
OF( ~
a-i- 3
The Building, Engineering, and Planning Departments have reviewed th,e building permit
application for construction activity which is proposed at:
SO (;,o-- E'. Oak.- P-I- Jf)~
Accepted
Accepted With Corrections
/"
Denied
Reviewed By:
J?~ ~dP
~ ail
Date: ~/eJCJ)3
a::f;fodJ) ---' tHvi -~.
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,"
Main File
Th.. C..nl... of lh.. I..k.. <-'oUnll')-
White - Building
Eanarv - En'l.ineering
cPink - Planniny
BUILDING PERMIT APPLICATION DEPARTMENT CHI;CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
}<
/-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,J:,
() '.'
,
, ',--
,
'-
Accepted
Accepted With Corrections
~
Denied
Comments:
Reviewed By: &:. '-<- ~
-h1~~ .;JS I ~, -<JI"Q'-t~.
~ &..1.,. _. .:(--~.4-d~'
Date:
J/.u;IoJ
~
".->to "~""" ...~,
,<;C.
-,.....
"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."
ADDRESS
c Ck~ A//l~
CITY OF PRIOR LAKE Ii [)'! [~ @ ~ ~ IYIIllir.Rec'd
HEATING/AIR CONDITIONING/FIREPLACE PEl' ~IlpR 03)003 ~ I
,liLT #' ~
Il"( <---'- r
i~, ~:;y I PERMIT ,,0'-:2 ,--, (' J~ I
3, Yellow Applieanl ~ ~ ~
ZONING (office use) I
d
56-:
(Please tvoe or orint and sign at bottom)
~
LEGAL DESCRIPTION (office use only)
LOT / BLOC~ ADDITION
PID
~:;e~RD.~. HorTon f\usbm Home~<>...
(AddresS)dl)){toO .K.....~ric\~ QJ I Lo.kevilfp_ M~
APPLICANT II '/, + M h-
(Name) I1l.IC1I1 e<!....l::D. (Phone) Ip51-45:L-cf?775
(Address)d{oS{) l\.e.nnebe('Or. 5f.e #/ EaPQn 55/.2d
(Address) v (City) (Zip Code)
(Contact Person) J:ef'..\!re.-V Z;mf\1prfY"\ Glln (phone) (P5/-,(j5~- ';/776
APPLICANT SIGNATUk. J ;l~n<, fJ. 42...;,,~~ DATE
7/ Or)'v
APPLICANT PLEASE COMPLETE BELOW
!0NEW CONSTRUCTION DREPLACEMEN'T 0 ALTeRATIONS
FURNACE MAKE AND MODEL ~~~&310~'V62JUl"'" FUEL JlJCl.tum.1
FLUESIZEq.llclCLS~ 'B- RETURN OPENINGS I.(- INpUT "1b.Ooo OUTPUT 6lD.tJOo
TYPE OF SYSTEM HEATING OR POWER PLANT
(Phone) q5~ ~ q '??!5 -7,;<7.2.
5501../J.../
DWarm Air Plants
DGravity
o Mechanical .
~Jr Conditioning
~ent. System
o Steam
o Hot 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 & AIC (New Construction)
Residential, Heating Orily (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCF!ARGE
l'OTA:LPERMrr FEE
$
$
$
/.50
au,~I4'D W,,., .
1NG p 'f'1
'I2~M"'r
Estimated Cost $
Building Penn it #
(Office Use Only)
Building Official
~.~ii~ CC5 ~01J. ~ ~eceiPtNO.'
Date b~te APR 0 7 70Wl lli1Y W
24 hour notice for all inspections (952) 447-9'50, fax (952) 447-4245 U
IBy
This Application Becomes Your Building Permit When Approved
,- ._~~~'~!~'~~',~,~~",--~'~: ~\
CITY OF PRIOR LAKE .... ii : ~} I: UDi~te 'iiI ~\a
HEATING/AIR CONDITIONING/FIREPLACE PERM t1'."\ J\ II \I 8 2003 "i
lilj \
~.;;;::.. ~:~ I PE~O.-Ql::> ~O?&/I'
3. Yellow Applicant !..> c..
!!ll!'I!P1ease ~ or orint and sim at bottom\
ADDRESS - ---
5060 EAST OAK POINT DRIVE SE
, ,,,.,...,,;.,,"....."".....l,..~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name)_ALLTFD FTRFSTDF. DBA FIR ESIDR HEARTH & HOMP.
(Phone)
651-6JJ-2561
(Address)
?700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/8/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o 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
(Office Use Only)
Building Permit #
$
$
$ \ ~ll t ll:;
This Application Becomes Your Building Permit When Approved U~aidlJl U 1l i u03 Ii, Receipt No,
~pat,,- _,._ -c:~:=c ,____ jBy
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
6J--o~ /
. _ ~p..\O'.NX~\l,~"
. 'o.\}\\.{)\~G
IIIP
-
'I-C.' U-,S,,\,:]
.(~J Ll~
Buildinl! Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Aor. 2. 2003 9:23AM
GEN= RVAN PLUMBING AND HEATING
1'103231
p. i 7 i S
,
Date Rec'd
CITY.OF PRIOR LAKE
SEWER AND WATER PERlYlIT
t. G~" ';J, I PET>1\'"T NO
I y,,,... C:.,. .l'.l',AA . ':::l --:J f ^ \
3. Gold AwJleu1t ::;) C7"{JI
(Please t"o,'El: or -pnnt and S.:iRnllt bottOm)
ADDRESS
1)D00 E, ()fJ K P+ Dte ~E.
ZONJNG (ol&e "e)
I,EGAI. DESCRIPTION (oilice u,", only)
LOT I BLOCK '2- ADDITION ~~fl ere;{ I D ..yv.
PID
OWNER
(Name) "p "~M r"c"?m 110m^"
(Addxe..)
;>...0&00 KeJni2>K\U.-:e. Or Sw)f'f',
(Add=,)
(Fhone) _
Lo.~~ I lie...
(C,ty)
="-qQ(='-7C\~'''''
J'_~ o.:...J .,'Jlll,
."?CQL-IU
(Zip Cod!::)
APPLICANT
(N'~p) Genz-Rvan Plumbine; & Heating
(Phone)
651-423-1144
(Address) 14745 So Robert Trail Rosemount. MN 55068
(Contact Penon) . rt1~'rstl ~ Its. _ ;::~e) 651-423-1144 ;ZiPCO&!.J
('AA~ ~DATE -?..!61/0o
7---;
'_KANT SIGNATURE
APPLICAi~T PLEASE COlVIPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 CastIron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
ResIdentIal .ewer and water hne connectloD
Sewer conneetion only
FEE SCHEDULE
$3550 Industrial, Com '1 & MulIJ-famJJy 1% of job cost WIth a $39.50 mmimUm
$1750 Water connection only $17.50
Estimated Cost $
BuiJding Pennil #
SEVv'ER AND WATER PERMlTFEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING P,ERM'T
(Office Un Only)
I Thi. Application Becomes Your Building Permit When Approved
Building Official
:- j I Receipt No
(f,2c~nmrc;~1
ate- ~U~ I By
Dm , r :J i LUUj
24 hour notice for alllnspectioD$ ('52) 44~ ~" 0, f.3X (952) 447-12.15
By
or
Ii
;;..~ffi~ "R/O~.,.\
'- ''''
- \ x
U \ f2f
,~~,+,,,, ~..
'.' '....',.'.,,:>..,.> NBSO
~~\\i~~~rH":'~'(
API, 2, 200! 9:28AM
GENZ RVAN PLUMBING AND HEATING
No 8 2J I
P i 6 iJ
Date Rec'd
CITY bF PRIOR LAKE PLlJMBING PERMlT
1 flJ"~ FilII:
~ Gold eiry
3.Yttllo", ~1j~1l1
I PERMIT NO.=) /:J-0/
t'PIQge t'Vl?c: Ot 'DODt and sirro ubottom)
ADDRESS 1)D(a() r .
{)Q;/( 'P+, b Q. \.~ f:: -
ZONING (eiDe: ,",c)
LEGAL DESCRIPTION (olli""",e only)
LOT \ BLOCK '2... ADDITION ~t7erd 10M
PID
'OWNER
(Name) DR Horton Custom 1l.0000es (phone)
(Address)
902-q;jfi -iR:)()
ZOS(P() Ke>'1B~1 ~ Co S,e 1(;,0
udu...vtlic. HAN .f)c6J..j Li
APPLICANT
(Name)~n~~~'.-: r. uQ".<_~
(AdMess) 14745 So Robert Irail
(Contact Person)
(phone) ~,.?'_11j,A
r J0d~el~ -11' -GJ ( ~
Cu~
Rosemount
(City)
55068
(Zip Code)
MN
'- 0 (Phone) 65J.-423-11.44 ,
*^ J! L/l DATE -::1311 () ':<
I J
APPLICANT SIGNATURE
Quantity
;::;;l..
- I
i
~.I.,
I'""'
I
I
d-.
APPLICANT PLEASE COMPLETE BELOW
I Type of Fi:dure
Bath Tub with or without shower
I Dishwasher
I Floor Drain
Lavatory (Bathroom Sink)
I Laundry Tray (l or 2 comparunent sink
Shower Stall'
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
)
I
I
1
I
I
I
I
Quantity
,-)
"
Y-.(-'[.,
,-
Rough'ins
Water Heater
Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
Backflo\v Assembly
Bac.kfJow Assembly Test
I Lawn Sprinkler
I Other
FEBSCB:EDULE
Industnal, CommercIal &. Mull1-farnlJy 1% of job COSt WIth l $3950 minimum Residennal. New One & Two-FamIly $9950
Residential, Additions & Alter.tions $39 50
EStImated Cost $
BUIlding Pemllt #
PLillvlBING PERi'vllT FEE $
STATE SURCHARGE $
10TAL PERM1T FEE $
PAID WITH
BUILDING PERMIT
50
(ornce u.. Only)
This Application Becomes Your :Building PermIt When Approved ~o~ rrg r2 n \VI rE]' :eceip. No,
Building Offieial Date 1 ~ 1/\
24..u. Dotlce for.lI inspection' (952) 447-9 J .a:~x (952) 447.~245' ly U
By
PRIOR LAKE
INSPECTION RECORD
. .
SITE ADDRESS lL ft)1~T" ])a,~s:
NATURE OF WORK ~'Ot:).
USE OF BUILDING ~.F:' ".
PERMIT NO. ((5- OZ0 / DATE ISSUED
CONTRACTOR 'D.((. ~tJC.. PHONE 5.'7~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
Main FilE
INSPECTOR
DATE
I FOOTING
4-J-d"3
t--/~ n-tJ)
1~;,0 '1/1
~- / -(7J
GRADING (Prior to Sodding)
BUILDING 'ftr1? cM.4,( r-1~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
1/1 ;1//
vW
q -/7-UJ
'3> - /f'-<J'I
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
Qlerfifirab of <IDrtUpantl,!
CITY OF PRIOR LAKE
~~parfm~uf of 1liuilMug JIusp~diou
;dFinal Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential! 0 International
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:
U,e Classification SINGLE FAMILY Bldg. Permit No 03-0261
Occupancy Type
R3
Type Construction
VN
Zoning District
Legal Description
LOT I, BLOCK 2, DEERFIELD 10TH
Owner of Building _
Site Address
5060 E. OAK POINT DRIVE
Contractor's Name & Address D R HORTO~, l:NC
ROBERT D HUTCHINS;/;~
_~ /- BUilsJiny. leial
5;YJO/O"
" -
City Planner
DON RYE
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
roc 7J
e dt1l{
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
~UMBING FINAL
o MECH FINAL
COMMENTS:
r f7rA-t dVt.
r/1t1PL-/J04
..
DATE nile
'1-' 7-tfA
PI 0".
7:-.2.(;(
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o ~RK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORREC~ ~O':K);tLL FOR RElNSPECTION BEFORE COVERING
Inspector: if V r - 1 r 11.....~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
''''''''"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~ D I::. Oq/L (?r (f).
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
........INAL
o SITE INSPECTION
COMMENTS:
- sAn: t r{)(...k
CD ~ 5"~1/
(DHC1C, f ~~kcde
(J) '7K.e-'l v Sd~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
JrMECH FINAL
DATE TIME
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Inspector: ---I4J[ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY!
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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OWNER
PHONE NO.
o FOOTING
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COMMENTS:
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o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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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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DATE Tille
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 7-1'9
ADDRESS C;ObD 1:--;' ~ f- &".,/t.. f I. Dr.
OWNER CONTR. --.I1 R_ f!v/"-In~
PHONE NO. PERMIT NO. Ds-2t1
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[J FRAMING
[J INSULATION
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o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
[J GASLINE AIR TST
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COMMENTS:
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ji WORK SATISFACTORY, PROCEED
~~RRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR REINSPEcnON BEFORE COVERING
Inspector:d'~ _' Owner/Contr:
. ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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