HomeMy WebLinkAboutBuilding Permit 03-0647
(Please'!vpe or print and siJm at bottom)
AI'13~~ 0 f\u~.dA.
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Mm.n pOl ] Whik FiI,
Pink City
... , 1 e: Yellow Applicant
Dn'J(, ,)f;,
, LEGAL DESCRIPTION (office use only)
LOT/ULOCK 3 ADDITIONJ)f?Mh.lLJ '7~
OWNER
(Name)
(Address)
(Phone)
Date Rec'd
6-C),Q-tX3
I PERMIT NO, {)3-f9t/? I
ZONING (office use)
f(~
PIDd15- tfrJO- OG3-0
BUILDER" IJ ,I /I ''T'' _
(Namp\ <U 1<-,~-rtVY'n{~ +-n~ " (Phone) ~/~2--'ie<'-'7€:J)Ji
(ContactName)'-j.,-/.....;_ 'Cn..:.-k<i~ (Phone) lbl-'Ub-/??N
(Address) W9v{;keA;J,(')J~ ,;.ttA{)()htb:1-1U(1 WVJ /j'ql/</
TYPE OF WORK
o Misc.
,
"Jt1..N ew Construction
DLower Level Finish
DDeck
DPorch
DRe.Roofing
ORe-Siding
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) S Ii 57 1 '?7
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 local laws and will proceed in accordance with
submitted plans. I am aWa[!?- that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ent u the ropeTty to p'erfO~~ctiOnsJ j _,
X'/ -5-. <v' [..!7 ol~/l&'7t.s 7 s/n/Oj
SignatlJre Contractor's License No. f' Date
"
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
\ Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Jj(J,fJOO.D7)
$ - J '~f13. 35
s .1 'ltJ4-, /g
$ 511,00
$
$
$
$
$
/(/0 .1)0
IOfl.(LO
3s.5V
4-(J}) 0
This Application Becomes Your Building Permit When Approved
~ ~p ~//l_./03
Building Officiat ' Date
I Park Support Fee
I SAC
I Water Meter Sif~l";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid ,7 cj LJ i, rJ S
I Date I /) ~ i Cj <::5
# $ es 0, 0 0
# $I.Z'J.5.tJO
$' 2SlJ.OO
$ 45.. 0 0
# $1,ztJO_~O
# $ '700.tJO
$ /.5{)().fJD I
$
$'1. q4-1 O_~-
I . . , _ II
I Receipt N o.l.Ilf If/I
Bv r- ~
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
"S~~'::f~ l,/rz./o!S .,eAR ~ ,~. _'~
Planning Director I Dafe Special Conditions, ftany
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
t 7 3.'18;;:" !rt~D;
Heating Contractor !AH ~ ~
f\A. \(Q .::;.
_Ie f13J o::r
~.,
~ 17 RPfk
.{pio
-:? l::D P F
~
Job Address
Name of Tester
Date
Percent 02
Percent CO'
Percent C02
.
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606
input
'S?'ir ~ ~Tj.lJ
'"
~~
Main File
~~ . Rllildina
c-:t, . ry - EngineennlD
Pink - t'lsnnmy
Th~ ('~nl.r of Ih. l..k~ ('OUOlt}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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" i...,'.
,:.....,.-- /' \
, .,__.,.__..u__
J''''j '/'r" / " - ,
'.nT ". 1/, /-.... ,'--_
. - (,." {"'. ....../ I
.L':- - .~ .....-, /., ),.:.:;
APPLICATION RECEIVED ...::J ,~. 1- u '.'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is p.rooposed at: .
I r
i'~ .-, ,.~' .. ..., ......."'1. /( _:
:/ 'f'; ~::) ({ tJ - ;/; '~;. :_:7-A_..kUz':-C(/ ;C.".:~/1..J
/ .'
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Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
1/1I1-/3
Date:
C - 7-03
Comments: ~ee Reverse Side for Additional Information!
/Yllllt'\. F/ 1(.
S",,,, Attachments: 1) Grading Plan, 2) Erosion C;outro1 M",ll.s:ur",,,
"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
,....--white - BuiiCiJ'ii!r:,
~ Canary - Engineering
Pink - Planning
Thf Crnlrrof lhr I..h Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED .3)- ;(9-08
DR
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/f3Cf/J- ({JJP~ 6LA---
Accepted
Accepted With Corrections /
Denied
Reviewed By: ~~ 9'~ Date: ~lZj6 s
Comments: /fh.tl tJ-.t..f ~.-..; ~
"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
White - Building
Canary - Enaineering
~ Dink ~ PlannlnS-:>
Thl' C..nlt'r or lhf l..kl' Counlr."
I,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~'
/
" - !
/ t ()..., {{)'-~}~
~',
'-,
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
/,.. " " -.. ,", ,
///--,.1/)- / //.,/.r(. "I',..'....."A.
,/..,t/ " ".'/,"""- ./.......
, /
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~
Comments: 'fYZa...:.J~
~
r
';/-Ldl ~
/fL<.' 'b~ '-4
V
Date: ~/1~3
Ad/ld-1~
/
"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."
Jun, :' :003 1::07PM
GEN2 RVAN PLUMBING AND HEATING
No,5677 P, 18 36
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
i:;: ~::~ I PERMIT NO. 3 _/ /'//1
1 Yallow AppJiClllt (P 7 ,I
iPlwe.!V1>~ orudllt 3l1d9l2l1 .tbottom)
ADDRESS; X3qO ~e(J. /J)12.- cf[, I ZONING (offic<u..'j -
LEGAL DESCRIPTION (office use only)
LOT /:J. BLOCK \ ..{ ADDITION I1M2_lle!tl/ q/J.-
Pro
OWNER
(Name) DR Horton Custom Homes (phone)
9S2-Q'J.r:. -7BM
(Address)' 2-O'ZloD k'.b1P,~1 Dee.. CO Sre IDO
uJv-vi IIG MAN 5C:6l..J LI
APPLICANT
(Name)..c.:-,;_~r"- 'tn......1-.'l'...Z A. l-T'O~f....;.:':'{;
(Address) 14745 So Robert Trail
(Address)
(Contact Person) (!f1 Jet 15 -h Fu lw _
APPLICANT SIGNATURE r j I~ '171 lLd
",'"
.~ .
QUAntity
~
(
I
'-I
.;(
I
~
...,
(phone) ~. L/,?'_ 1 1 ^"
Rosemount
ill!
55068
(Zip Code)
(City)
(phone)
651-423-1144
(f~l-:-l5f)
DATE
APPLlCANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I
Bath Tub with or without shower I Rough-ins
I Dishwasher I ,. . I Water Reate!'
I Floor Drain I / I Water Softne!'
j Lavatory (Bathroom Sink) f Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartmeut sink I Sewage Ejector
I Shower Stall I Backflow Assembly
I Sinks I Backflow Assembly Test
I Bar Sink Lawn Sprinkler
I Water Closet (Toilet) I Other
Type of Fixtnre
fiE SI..J:IJ!,.IJULE
lndustnal, Commercial &; Mull1-fanllly 1 % of job cost WIth a $3950 minimum ReSidential, New One &; Two-Famlly $9950
ResIdential, Addition. &. AlteratiOll' $39 50
Estimate!! Co.t $
BuildIng Peonit 1/
PAID WITH
BUILDING PERMIT
r
PLUNIBING PERMIT FEE $
STATE SURCHARGE S
TOTAL PERMIT FEE 1)
.50
(Office Us. Only)
I Tbis AppliCSltion Becomes Y 011' Building Permit When Approved
,.-(",
1--'
Building Otlic:ial
\fr7I~ ffii IE n \1(~C~eceiPtNo, ~ I
D... ,,~ai\I~! 0 Il :;.nn'l Y I /J ~ I
,'II q-
24 honr Doli"" for.1I i..pettlo.. (952) 447-9: 50; fa>: (952) 447-4245
,BV
Jun, ~, ~003 1~:07PM
GEN2 RVAN PLUMBING AND HEATING
No5677 P 1736
f~Z~~
':";i'I':,
'!-"~~~;"\\~~"'~T;~: .
1".~":I>!1i'~ .
'~~~~~N"'E90~
Date Rec'd
CITy.oF PRIOR LAKE
SEWER AND WATER PERMIT
(Please npe OTuJint and sjm 'at bottom)
.~DR?io/1 ~!Jaf( herO[
i ~:,:..~. I PERMIT NO. 3 - / , /~
],Gold ~Ic:mt (0"7(1
/J!!.- (Jt.
ZONJNG (of';"'"",)
LEGAL DESCRlPTION (office use only)
LOT iJ...BLOCK.3 ADDmON /J.ep lLhe/J q A
PID
OWNER
(Name) ,\!, U?rt9R '''nom lk~^~
(Address)
2.0&00 ~IOR..\~ Cr- SwJM
(Addre$,)
(phone) _
La~\J I lie..
(City)
C}52 -q 85- !.3..0.^
0'Cf)LJ V
(Zip Code)
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Addre.~s) 14745 So Robert Trail
(Addre,,)
(Contact Person) . 0kJ.llJ.1l-nvltcJ
'.ICANTSIGNATURB~ -:h..dJ/ yf
Rosemount. l1N
(City)
(phone)
DATE
55068
(Zip Cod<)
651-423-1144
(o....1=()3
.~:,;,'
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure
Type of sewer pipe. DABC OPVC
Estimated leD"ath of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
ReSidential sewer and water line connection
Sewcr connection only
FEE SCHEDULE
$35.50 Industria~ Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Waterconnectionol1ly $17.50
.
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING ~AMIT
(Office U.. Ooly)
I This Application Becomes Your Building Permit When Approved ~ rG5 [~ n WI IE ~leceipt No. _ I'
_'. BuUcfiog OIIiciaJ D.,. ! ~ ate~r-'~I 0 4 2gg3 ~,y ~ I
24 hour Dotice for .11 inspectioos (952) 447-S Ish. fu (932) 447-4245
18y-..-- ----.----
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
#7/99
; ~~ ~:~ I PERMIT NO. '7 -/ -loin
3. Yellow Apphcant 0 l.D /
C?lease ~ or mint and sien at bottom)
I ADDRESS
/737'0 aC'l#e//.c:?
Sc
I ZONING(offic,us<)
LEGAL DESCRIPTION (office use ouly)
LOV~ BLOCK...:? ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT ./J 0 A
(Name) /7'//htl''''? -'~..../A4/"'-./
(Address)~ ~~~I r7 ~
~AddreS
(Contact Person) A
APPLICANT SIGNATURE _~ --,- ~
(phone) /:,S/- 4~"?..I' '?7~
~4!.6~ -?~;.'-'1 7
(alJt!f (ZIp Code)
(Phone) ~- .;/~--177.s.
DATE
, APPLICANT PLEASE COMPLETEBELOW
~NEW CO~TRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMA~ANDMOD~/r'-J~ :?/04A~I/c)7CJ FUEL /1..2 NJ:"--(
FLUE SIZE~/".k~.A RETURN OPENINGS ~ INPUT~. OUTPUT 6"Z~ ~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
OGravity
o Mechanicai
DlAir 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 & MultiwPamily
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 & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ..3sZa a::> Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~/ .&.-"/~ PAl
$ ~ .50 BUILD 0 WITH
$ ~ ING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When APprove'/~: lEI @~'I'i': U IJJ ~ I ~
O.le ~~ ~LH.f '2 3 2003 I ~
24 hour notice for all inspections (95 447-9850, fax (952) 447-4,~, 4, 51
Y --------:--- =-1
Receipt No.
By
('
l'
Building Official
SEP.12'2003 06:37 651 633 8884
FIRESIDE CORNER
#2755 P.001/001
(Please ~ or rrriJl,t and dlJ! at IJottl1lml
ADDRESS
CITY OF P:LAKE
HEATING/AIR CONDJTI~ " /FIREPLACE PERMIT
FIRESID~ E~~m I PERMITNO.3_4>{/'71
Date Rec'd
J:1.I~ A I<'J 1"1. c:r H V NI e
17390 DEERFIELD DRNE SE
ZONJNG (0/1;,""<<)
LEGAl. PESCRIl'TlON (office u.. only)
LOT
aLOCK
ADDITJON
PID
OWNER
(Name DRHORTON
(Phone)
(Addre~s)
APPLICANT
(Name)---<!c'_ T '''0 FIJl,ESIDE DB~J2F HI!AR'W.AHQ"""P
(Phone)
651-633.2561
(Addrc.~s)
2700 NORTH FAJRVIEW AVENUE
(Ad.d,...)
(Contact Person)
BRENDA HUSTON
ROSEVILLF
(City)
(Phone) _651-633-2561
55] 13_
(Zip Code)
APPLICANT. SIGNATURE
BRFNDA HUSTON
DATE
9/l J /03
APPLICANT PLEASE COMPLETE BELOW
XD NEW CONSTRUCTJON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR powr:.R PI.ANT
DWalTn Ai, PIAOl'
DGrovity
J Mechanical
JAir CondiTioning
JVent.. System
o Steam
o IiotWlllOr
o R.di.rlon
o 5pe.:ial lJovices
o Otl"r lJevice,
PLEASE NOTE:
Air Condilioner Unils
Cann,ol Encroach into
Required Side Yard
S~lbacks
FIREPLACE MAKE AND MODEL
HEAT N G.LO SJd:i./lTR-C
-. ..
FEE SCHEDULE
Indumi.I. C()mmerci,l & Mulli-Family 1% "fjob CO" Residenli.I, GaS Fireplace $39,50
$39.50 minimum
Residential. Heoting & Ale (Ncw Con"nIelion) $99.50 Residenti.I. Additions & Allerol;ons $39.50
R<<idenlio), Healing Only (New Constnledan) 564,50 Residenti,l, AC Only PA.IO $39.50
Estimated Cost $ BUiJ$ding,Perrnit # a.UILOING ~E~6rr
HEATING PERMfT FEE_ ~1I'1,
ST A IE SURCHARGE $_I~ ~ Ii] U}sg ill ~ 1'[",1,111
TOTAL PERMIT FEE S - II'
(om<< lJ.. Only) I!I SEP 1 2 ?nm}1 II
Tbi, Application Become~ Your Building P)lT~~W.4I\J hTlJ)MJYPPIr~ ?/o, '~" Wrnnd I 'J1eee;PI No. ,
~~~ l1uild,,' Divi.i, oN ::t\...' ----- --Jly ;;,... ~I
~Uildinl! Ofnc~!!. 1~.J~~Vl~~ _Avenue Nonll J(QlIfCI,J IC, M ~ ;,) I 1.3 ~hc le 6S 1 ~633.2S51 Fax. 6~ ~ 1(}53-8884t! ~. ~ '\.
lJUII.nmu CI.Ull'. .'O.J" WC~l nJgfl\V~Y u c:mrn~v1Ue, l~li~ ;jJ.l'l I"none 952..890-0758 Fax 952-890..5408 . ~1t.pJ.~1l,6~Y;'~~~::
24 110llr notl~c for All in'DfClio", (952\ ~47.9R50. fox (9~2) 447-4,245
\\,........nl'l..'llrdll\liod',~I'1tI 1\1 N r:nnlM'u:{l)r UI:C"u: II 20071)1) IT
PRIOR LAKE DEPARTMENT OF 1\Jfain Fil{
BUILDING AND INSPEC1'r~~
INSPECTION RECORD
SITE ADDRESS /'1~90 lJ~r.p,'e1J D~
NATURE OF WORK ----'JlJ!JI.-)
USE OF BUILDING ~J4.
PERMIT NO. - - 1/ 'I D~ ISSUED
CONTRACTOR ~ PHONE~~.']3"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING \)<l)L7 ~ -}fii7 7t-L..- t.-1~dC{3 I
, FOUNDATION (Prior to Backfill) I I/JAP /wf'1 (~-ff) /7~cl-dJ
I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNE.o
ROUGH - INS
1/1;V/
VVy7
IM/
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING \lJJ' M ()/Y'./ t:1- (1- v)
HEATING (if required) r t/p q- 1/)-1/)
FIREPLACE 1'1/17 '1- (7-t/)
GAS LINE AIR TEST I~ 1 ~("7-:::>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/I/tJ'
~
q- II'V?
4 - )..},-(JJ.
J
GRADING (Prior to $odding)
BUILDING ''i-(lt<rJ oj.!
ELECTRICAL
PLUMBING
HEATING
DO NOT
tf-J..{-o7
(". It" 04-
j? ~,!/e>~
y'W-
JM~
OCCUPY UNTIL ABOVE HAS
NOTICE
BEEN
/O-)..5--/fl;
1/ - 2-hn
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
... ~ ~ ..;....
QIrrfifirafr of Of)rrnpaut1!
CITY OF PRIOR LAKE
~epa:rfmenf of ~uilMng JInspetfion
,6inal Permitted C Conditional CO. Expires
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
Bldg. Permit Nn
03-0647
Occupancy Type R3
Type Construction
VN
Fire Zone
N!A
Zoning District
R2
Legal Description
L12, B3, DEERFIELD 9TH
Owner of Building
Site Add"" 17390 DEERFIELD DRIVE S.E.
20860 KENBRIDGE CT., SUITE 100. LAKEVILLE
Contractor's Name & AddreJ>. R. HORTON, INC.....,
ROBERT D. HUTCHINS~~
9flo ft~cial
City Planner
DON RYE
Date:
Date:
,
..-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
( 7 sf'() ()....A /d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.l!(FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,l!tMECH FINAL
COMMENTS:
CD :J.,rv\Ci {
(!J <::'r-J
DATE TIME
/1-J-/1J3
0".
7 -Cq-;
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
0r,J,. '7fVl"()~ /
4- 1>y....~ IU.,. ~..,I,..r.;7~ r
\J-~ (AA./-:J LM ;-.; )
/.,.;. ,
);-- j -cJG.-j
o WORK SATISFACTORY, PROCEEO
.I3"'Cl5RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. JI1/
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
IliSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/7310 Du"r;'t1rJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
&J-
jQ~
I
DATE nilE
b-lJ-bl{
Dr~
_bit l::Io/J-..
03".~tfl
~LING
~D C~T
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F~BEFORE COVERING
InSpector:~ ~erIContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
OATE nME
~/4
/7 3?'-0 LJ82riJ~ 1/ Cy
--
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.,..a-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~.,
0~e
u___ /
rz/~
-
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
6. s ~t!;Y/7
o EXlGRADfFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
')
./
IlaN{)n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
(/3ClD
iJ-r-h../rJ
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
~LUMBING FINAL
o MECH FINAL
COMMENTS:
(rJ r~
r~7
DATE TIMe
/ oJ--:l-(7)
f)/
?-C 47
o EXlGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
pt'ORRECT ACTION AND PROCEED
o CORRECT WO~K' CA FOR REINSPECTION BEFORE COVERING
~'J~
Inspector: I ~ Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
""NOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY/