HomeMy WebLinkAboutBuilding Permit 03-0649
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See M~l "0.,'1 F",
u..LD .l11~e~~!icant
~lease tvne or mint and sien at bottom)
ADDRESS '~ /)
\ l3c)t..( J~'oLl ~~
Sh
Date Rec'd
5-dvQ.--03
I PERMIT NO. 03-& LJ91
LEGAL DESCRIPTION (office use OnIY~
LOT /4 BLOCK ,~ ADDITION>>~~l J Cftrv
'" .
OWNER
(Name)
(Address)
(Phone)
BUILDER~J I I -r"
(Name) V~ '+\7~'Y' .~~_
(Contact Name) ,3telH" Z::nJX.s.~
(Address) 2.l!> elae \~dM.. c.J- 'S-k.,~' 0
1--", .~'" lLt vVO/n ~Ll
. - f - - -
TYPE OF WORK )lI'Newconstruction ODeck
o Misc.
DLower Level Finish
ZONING (offic,use)
~. ;;2-
Plod 5- C/OO- 055"- ()
(Phone) C\'52.qB<';-i9C9.
(Phone) CiS'Z '1.2J,!}- 1~?>tJ
DPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration DUtility Connection
PROJECT COST IV ALUE (excluding land) $ I Dk i.f9 7
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 aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter u e t'.~r-'-J to Ferfo inspections.
IfrJ
x
.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
/oe.MO.IlO
$ / r136.:!>s"
$ . /" 7~ O(P
$ !!)4-.0V
$
$
$
$
$
/ () (). tJD
/()(}.oO
3 G ,.~()
40. Cl 0
~
This Application Becomes Your Building Permit When Approved
::t~
!o1l2/r~
, Date
Building Official
^-?ao.()~,"!
Contractor's License No.
I Park Support Fee
I SAC ---,.
I Water Meter Siz~l";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
Other
TOTAL DUE
I Paid
l Date
fA 6t'a 3,1/
fL>- /9- =<:.
#
#
#
#
,C:;-22-O .~
Date
~
1$ ASlJ.Ub
1$/.7..75,00
$ ZS;() 00
$
$
$
$
$
I
I
I
4r,oo I
/,200-00 I
700_0~,~
I
I
$ft;(3 &3./ I
I ReceiPt No_ 4"70/()
By ~)
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
~~:h'/C: p-.;;::;;~~ cmillC~ ~o~m:anc' .nd ,"ow, oon,tturnon to comm'Seecu1VfiiiiiOpiie'
Planning Oirector I Date Special Conditions. ifany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
-4
Job Address
/"'"--- I
[/3<tL{ ~f,~)cQl
l~~ I.., l<-t<.. Dt. ;
Heating Contractor ,li:l..\ \ ,pw..3 ~,
Name atTester ~ ,k s. i
lr t("31 O?
.<( ~
I'f) 1)1) (Yl
~ olc
~ ~..~
Date
Percent 02
.
Percent co
Percent co,
Stack Temp
Combustion air is adequately supplied per
UMC Sec. 606
input
~<t I( ,
,
"(
~.
lhr('f'olrrorlhrl.akt>('ounn,..
See Main File
White - Building
Canary - Enqineering
~ "Ink - Planning)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.---~
NAME OF APPLICANT
APPLICATION RECEIVED
. n- r /~.)' II'" 7.L---
.J} Ie v_.
/ ,'r \
/ ')~.9 L/ /' ,,<(j \ l_ () k-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5- _:) 7"
/'7
(/
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~.
~
~L-,dl,L-
Date: iP/I 2.. /a ~
"..~;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."
~~
See Main File
CVfhite - Buildinq,.)
Canary - Engineering
Pink - Planning
Thr (rnlrr of thr L.kr (-ounll)'
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,9 l< rJ~ _
/~3qLj j~~ n~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5-~1- 03
Accepted
/'
Accepted With Corrections
Denied
~
Reviewed By: ~~ '1J~
Date: to It L /6-:;
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."
$~~
See Main File
White - Building
~_n!.rv .. t:.nql,!1eenng J
mf( - "18nnlng
Thr ('I!'nlu of lh. I.... ('OUIIII'}'
BUILDING PERMlI..APPLlCATIQN DEPARTMENT CHECKLI~T
- ._,-"'~"-~
NAME OF APPLICANT
APPLICATION RECEIVED
)~:
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rf"l/}7"/>~\-l'l.- ~.J
, "......... .".' '-',-,' -"".
OL /i/' ,.<;. , . ,l../ .,... (7,'_';(z.-.:~i
j /1 :.2, , j _. J._-". _ i/..__ . .",_Y.,.. ' .
f / j l i ...... F i - '-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4'0- J" "....., ._"
:::)- 7~. 0' :.:'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ4t2J
.s ( e /J1c, /V\
Date:
&-9-03
Comments:
h'lt
. -
"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
GENZ RVAN PLUMBING AND HEATING
No5677 p, =i 36
"'~lli~ PR10-t ("
I- ,.
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u '"
_.
...<''''.....,',1...
""""""w't.
~"4~~~""Nl!iO'("
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PE:RMIT
:. ~::w ~i.t. I PERMIT NO.--:;> .- / I J q I
3. Gollf ^tl'J)Uqnt J I/J '-1..
<P1c:J..<t(' type or1Jlim and sil7J1 at bortcn:n)
I ADDRESS
117;14 ~he/d
.;)!2-.S ~
ZONmG (oIfict ",.)
LEGAL DESCRIPTION (ollie. u.. only)
LOT/4BLOCK,~ ADDITION ~;ef1f'[L t//r.
Pro
OWNER
(Name) _I'"
(Address)
2o&tD Kev1i3I<.\t:<::e C:r Sr-PJ/V,
(Ad4<<'.')
(phone) _
Lau\JllIe.-
(CitY)
gs2-q~5-18{"1i
t')~UU
(Zio Code)
u"'....";........ r"?i"""m l,.:fOtll"",..
APPLICANT
~aroP\ Genz-Rvan Plumbing & Heating
-.JCANT SIGNATURE
Ct/tw!; fa 114
. OI.D 7iiJ -101.//7
(phone). 651-423-1144
55068
(Zip Cod<)
(Addr~) 14745 So Robert Trail
Rosemount, MN
(City)
(Contact Person) .
(phone)
DATE
651-423-1144
LI'.! )-o?;
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
ResidentIal sewer and water Ime conoectJon
Sewer connection only
FEE SCHEDULE
$3550 Industrial, Com'J & Multi-fumlly 1% of job co.t with a $39 50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50
PAID ~
BUllOING PERMIT
(Ollice U,. Only)
I ~.hiS Application Becomes Your Building Permit When Approved
BuildiDg OtJicial
rt
Dare
. - 1!lr'i
L . .
24 hour notice for aU i",pe~tioo' (951) 447.983'. ax (932) 4474243
IBy ~__u_
Receipt No.
ml
[il)
I
C~I
~..~.
Jun 2. 2003 12:07PM
GENZ RVAN PLUMBING AND HEATING
No.567) P. 22 36
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I",,, ",, I PERMIT NO.
2. Oold Cir,
1. YElil)w ApfIlk.ant
Q'1C3SC!'iEC or =< and '''''' aL bottom)
IADDRESS/~~ctL; ~td;"eld j)~, cfe IZ~~OL/q) I
LEGAL DESCRlPll0N (office use only)
LOT/4BLOCK 8 ADDITION /Jet;:z..h-t#l qh.
PID
OWNER
(Name) DR Hort:on Custom Homes (phone)
9~,Z-q;{n -'15DO
(Address)' 2-01,1.00 K.enB~l~ CT Sie !{)o
APPLICANT
(Name)~,- <".,_";_: ' u.'.<_g
(Address) 14745 So Robert Trail
(AcUJress) [J
I (ConractPerson) (!hlfjff1 l1ij~ r .
. APPLICANT SIGNATURE f!{ { I f:;fi:l ~ lj /J
';1'"
Quantity
b<
{
I
,~
~
uduvi IIG bIA N .se:04 LJ
(phone)
~<1_L.?1_11L.A
RoselUount
MN
55068
(Zip Code)
(City)
(Phone)
651-423-1144
//~ 1'--a~
DATE
APPLICANT PLEASE COMPLETE BELOW
I
/
I Type oC Fixture
I Bath Tub with or without shower
Dishwasher
j Floor Drain
Lavatory (B<rthroom Sink)
I Laundry Tray (I or 2 compartment sink
Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
3
i .
1l/J/
/
I Type of Fixtnre
Rough- ins
I Water Heater
Water Softner
I Stand Pipe (Washing Machine)
Sewage Ejector
I Backflow'Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrtal, Commercial & Multi-famIly 1% of job cost with a $39,50 minimum Resldent;.l, New One & Two-Family $9950
ResIdential, Additio"" & AIb:ratioDs $39.50
Estimated Cost $
BuJ1cling Permit # .
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WI'1JH
BUILDING PERMIT
.50
(Ofl'ier Use: Only)
I This Application Becomes Y onr Building Permit When Approved
<<
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BWldlng OlllclAl
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! ) flf:3l1D ~ U ~ ~ 1 Receipt No..
\ ~?a~UN 0 4 2003 )' By
~J '
24 hnQT aotice fOT all iDspeclions (952) 447"'850, f.;! (952) 4474245 I
,By ,
I
!7J).,.--- I
j
D.u
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
C?1ease ~or orint and sien at bottom)
ADDRESS
/7~c/ a~/,h0//~. ,<;'~-
//7/99
i~ ~:~ I PERMIT NO'3- / 1/9 I
3. Yellow A))'phcant <.0 If
ZONING (offioeu,,)
LEGAL DESCRIPTION (office use only)
LOT/~LOCK3 ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT /1, /, - , / A
(Name) /-7/~ J1'~../A4./'''''~
(Address)~ ~~~~ ~ 4:
9:Addre' -
(Contact Person) A ~ -6~~
APPLICANT SIGNATURE """:> ..~ _ ,"" - _
(phone) /':,Sfi 4$'""-'-..1'/;75"
~~~ ~:_J: -?
. (~ (Zip Code)
(Phone) ~/- qg-~77S.
DATE
APPLICANT PLEASE COMPLETE BELOW
. ,
" ,I!INEW CO~TRUCTION 0 REPLACEMENT 0 ALTERATIONS J
FURNACEMAKEANDMOD~/r""-'~ :?/O/-lAd!::k?~CJ7~ FUEL -LI...? ..4-./.,.-..e
FLUE SIZEo/-:;::'.4~.A RETURN OPENINGS . ~ INPUT ~ OUTPUT ~~, _'~ '
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm 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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ ~ a:> Building Permit #
Building Official
$~/ .&......./~ PAID
$ ~ 50 (JILDING INt,,.,
$ r? - P~FlMlr
p,. ~ [2 ~ [2 0 ill l;F iiPt No.
D 1~1 JUN 2 3 200: l~ n
24 hour notice for all inspections (952) 447-9850, ~~ (952) 447-4245 \..-{)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Date
.. _. SE.P.1.!:..:l203 06: 15 651 633 8884
FIRESIDE CORNER
#2692 P.004/006
r?h:.w ~ QT 1I1'fnt '114 ,ism al: brtrtorn)
ADDRESS
CITY OF PO~R LAKE
HEATING/AIR CONDITI~ l, G/FIREPLACE PERMIT
FIRESIDg~. 5.,,~ I PERMIT NO.;j -&Lf8t1
Date Rre'd
H.EARTH.&HOME~
17394 DEERFIELD DRIVE SE
ZONING (olli" uo:)
tEGAt DESCRlJ'TION (o!Jjee "'" only)
LOT
BLOCK
ADDmON
PID
VWJ"'J:'J;\..
(Nmc
(Address)
DR HORTON
(Phone)
APPUCANT
(Name) ALY.~.sD1UJ.j~A_EJJ!ESIOI'. J;me,B.Ili.~J~QMr,
(phone)
651-633.2561
(Address)
'.700 NORTH F A1RVlEW AVENUE
(Add"'..)
(Contact Person)
BRENDA HUSTON
ROSEVILT.E
(City)
(Pbone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRFNDA HIJSTON
_ DATE
91ll/03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE Or, SYSTEM Hr:ATING all. POWER PLANT
OW,nn Air PlanTS
o Grovily
o Mcc:hf'lrliOJl
DA.ir Condir.iDlling
OVen!. System
o Slcam
o Hot Wore,
o Radiation,
o Special Oeviccs
o OTher Device. _
PLEASE NOTE:
Air C.,nditioner Units
Cannot Encroach into
Required Sid.e Yard
Setba.cks
FJREl'tACE MAKE AND MODEL _..--...1[J;:AT N GLO Sl~ JSOTR.C
Jnd.,triol, Commercial & Multi-F.mily
FEE SCHEDULE
I % of job cost Residential, a.s Fireplocc
$39,501l'linimum
$99.50
$64.50
$39.50
R..idcnTjal, Heating & AlC (New Con,mlction)
Re,idcnti.J. Hcatlng Only (New Constnlction)
Residenti.l, Additions & Alterations
Resident.i.I. AC Only
$39.50
$39.50
~l4~D,b-iID /,,_
~J\tt;' ;;7),-
~~
~41..,..
Estimated COSt. $ BuiJdi~'g Permit #
HEATING PERMIT FEE $ _
STATE SURCHARGE $ " '_ _.~. '~'H'
TOTALPERMItFEE $-/:11'1", 1~1:i~-1 ]']Ol,q3, :1
(OmcolJ..Only) ~i,.Il ~ ,~~ . c. : 'I
This Appll.oti"n Becomes Your Building '?EWlM~b.ln,M.Plm", lo~F ~ l) ?nnO [, e..;l'tNo.
l..~~' Brulder n'l11~""G PJ COate I Qy ("
~ Bolldin< Olll~O F'lTview Avonue North Ro!llJUillc. MN 55113 J ho~51,633,,2)b.L..Eax..-?S~-8R84
..onnn,;;-;:;;u., 3850 Wcst Highw.v 13 Burnsvillt. MN 55337 Phone 952-890.075R Fax 952-890-5408
14 hour norlce for all In'pedlon, (951) 447-9850. fox (9~2) 4474245
_..nl't"llhh~/.Iul.~/)m l\olN Cllnrl'D~thr '~ntll: 14 2on'flN) I
_...._--"--~-"_.~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /!IS D l--
NATURE OF WORK Ne-~
USEOFBUILDING ~r+
PERMIT NO. .0 ~ - DATE ISSUED .
CONTRACTOR - l:LP Y'"kJN PHONE~. I ~ LI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF~Pp T\Jfalon Fel
BUILDING AND INS~e-i'I'O~ y.!. 1 t
INSPECTOR
DATE
I FOOTING V1A4i1'\
I FOUNDATION (Prior to Backfill) ~4,Y1 I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC f/V1--::'
FRAMING M 4~J-9-r(j
INSULATION JIi1/ lot -0').
ELECTRICAL
,
PLUMBING U,(r- V1f 1-j..) f/0/-: q-J-r-42>
HEATING (if required) rtlr/ a ,1-4-'5
FIREPLACE JI'VP e:r-H-;s
GAS LINE AIR TEST f1/{/ q~~1-~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I GRADING (Prior to Sodding) 5ee ~dc h /e..
I BUILDING tfiw(} til cr;'1~1 . ft# ?".t?o~y
ELECTRICAL
PLUMBING Y\ff' .. IlrVOJ
HEATING ~ I L-.('--tJ?
DO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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
"'..;,
~~
<!ledifiratr of @rtupanru
CITY OF PRIOR LAKE
~eparftuenf of ~uilMng Jlnspedion
)!5Final Permitted D Conditional e.O. Expires
This Certificate issaed 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 FMlILY
Bldg. Permit No,
03-0649
Occupancy Type R3
Type Construction
VN
. Fire Zone
N/A
_ Zoning District
R2
Legal Description
L14, B3, DEERFIELD 9TH
Owner of Building
Site Address
17394 DEERFIELD DRIVE S.E.
,
Contractor's Name & AddresP: R. HORTON ;4":ANJ- '
ROBERT D. HUTCHINS~~
9/?O,~yci']
20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
City Planner
DON RYE
Date:
Date:
DATE
;;Eofi,
/7-1?Y ~ee,J1I/ d
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,.d:H'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
/
( ..-,/ ~/
",--L/CF>e ~
TIME
OJ - b'Y',?
o EX/GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
')
.-/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEEO
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
17J,qL-/
(k~A~ (2.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o !/j$ULA TION
s'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o 1'-UMBING FINAL
.-er--MECH FINAL
COMMENTS:
&
F/~l
S'cJd...
t:1~ o/J/?'7JVa/
(., , t
../- rr ""-rCS ~
7<~p G/ifHI
DATE TIME
u- 5"":0)
D-
-s-c.qq
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
c:1,,(H/' q,o~
e--/~I
,
o WORK SATISFACTORY, PROCEED
.JI! CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In5pecto~ ~ Owner/Cont~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-LI-~.() '}
O....*i..,.!d tOr
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ ) 3r l.{
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
}If PLUMBING FINAL
o MECH FINAL
COMMENTS:
IV T eV110J/'f/~ ~uu?~
OA TE TIME
K-ettCj
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
'" CORRECT ACTION AND PROCEED
o CORRECT ';ARK~L FOR REINSPECTION BEFORE COVERING
Inspector: --If.-J4 "" 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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