HomeMy WebLinkAboutBuilding Permit 03-0650
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5" d-.-1-Q3
See Main File; ~i~:'
J, Yellow
File
City
Applicant
I PERMIT NO. tJi3- &50 I
(Please tyee or mint and sien at bottom)
ADDRESS
I-'.~(; ~,,~ 4:::.
ZONING (office use)
Rd-.
LEGAL DESCRIPTION (office use only)
LOT/S" BLOCK.3 ADDITION J)<i?",~..,J J g~
PIDc2S'~ t.((){)- 05(;,-0
OWNER
(Name)
(Phone)
(Address)
BUILDER 'Dl.) I I I ...."
(Name) '."'. ~ ..L.v\..c.
(Contact Name) ~'.>--DX-v; ('~~l/V).
(Address) Zo~ ~I ....~~d. Jte rlDO
. - ~ /1~ l.d fV\I) f357) tJLf
c-, -
(Phone) ~c;2-C1~-'lroB
(Phone) qs-Z/v1b-(1':3L../
I
TYPE OF WORK
~ew Construction
DLower Level Finish
DDeck
DPorch
DRe.Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration
PROJECTCOST/VALUE (exc1udingland) $ 11'5, '1f!7
OUtility 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
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
;ter~::;~:o:r~~s ~f)ODc:lhl /z; O~
. - () ~ Sign~ture Contractor's License No. 1 ;i -
L
I Permit Valuation II (p I 000. 00 I I Park Support Fee # $ p.;5" 6. ()() I
I Permit Fee $ 1,'0&3.3..5 I I SAC # $ (.2..7500 I
I Plan Check Fee $ 1tJ4-Jf3 I IWaterMeter Size 5/8"; 1"; $ 'z..5D DO I
I State Surcharge $ 5f3.00 I I Pressure Reducer $ 45.00 I
I Penalty $ I I City SAC and WAC # $ I, 7_00.DD I
I Plumbing Permit Fee $ /00. c 0 I WaterTowerFee # $ {('dOd{) I
I Mechanical Permit Fee $ / Q 0 ." ~ I Builder's Deposit $ I
I Sewer & Water Permit Fee $:s 5 . f:;V I Other $ I
I Gas Fireplace Permit Fee $ 4-0 00 I TOTAL DUE $ ~, 4-+1. 03J
,
I Paid (P 4'q;- _ 0-,,;:)
I Date in- /4..... '1
~
Building Official
~f:
(p /;3/0 :J
I ~~ceiPtNo'1fJU
This Application Becomes Your Building Permit When Approved
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 documen~
~~~=_~mpm~ c~~;;:/;;on" ond ,llow, ron,truroon toromm,n". Seeon1\imliUP'Pl1'
- Planning Director . Date Special Conditions. if any
24 hour notice for all iuspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Job Address n ~<<~ 'Oqj:I~~1r!i 0.- ~: s.
Heating Contraclor J'::\l~ \V\-iJt M~
~~. ~
Ib/'J-l]C":'}
X". 'S" .., r>
0/
Name of Tester
Date
Percent 02
Percent CO
..
Percent C02
Stack Temp
~
~c; C;" \=-
Combustion air is adequately supplied per
UMC Sec. 606
input
.srY~
"'-..,
__M___..~"___.'._____>
- ----- -------
Th.. ('..nl..r nf th..I..kr ('Ou"lry
See Main File
White - Building
~,!I'!l!"Y - cn!j!iiieerlng,;>
V,nK - "Janning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IfJ
.1 /
'7 {:~~I'-
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l :/~'.({_):-> ,;(.",.L"1~ Li<;.....,. ". / ......:.. ."
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propos,~d a!:
/ .oI;,;,,,,~.'H':;'/ .'1 .' i'l J i!~I" j.
,F I '-'J ~,f /...': - ;1 ',:'/j /l .. i~ P lJ t i l \ ,/ ..._\..'.,,~..,A__......'/
.,' ,<,," / ""/ ., .." ... ,,.!/( ....1' .....A.~..""--...~. m ..~"., ..~"
( " - . ,~~--- ~-....... }/)
Accepted
K
Accepted With Corrections
Denied
Reviewed By:
IIIJ4B
.5 f~ ;7I!c,r'v"
Date:
C. 7-03
Comments:
h'lf
"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
Canary - Engineering
"""k - I'lann'"9 )
Th~ (-..nil" nf thO' I..k.. Count.,..
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/ ~J .'.-". (- / / ;; () i
/ -:.. 7 (f) - /: .?/.yU.~)'(.J( /::y/1,J
. .I<'.~/-=</'
.:::::=::;J c~ .~
APPLICATION RECEIVED
..
i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposEild at:
/1:3</6 - t .if l,j'dCC2 A_~-'-./
.. i
, ,
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~
'1~1-
Date:
!o11~3
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."
5~\
See Main File
('"Whit.. - Build~
Canary . Engineering
Pink - Planning
Th.. C..nl... nf lh.. I..k.. COUnlf)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/139&-
5~aq-~
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application fO/13Q6 ~tiVity hich is proposed at: ~
/'
Accepted
Accepted With Corrections
Denied
r
Reviewed By:
p~'
7".a.c..JJ tu
Date:
&//2-105
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."
J un, 2, 2003 i 2 : 08 PM
GENZ RVAN PLUMBING AND HEATING
N0.5677 P 23.36
t~~/~O~~
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~~.
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~~~"..,~'it.1'l1N 0'.
'.", ,~...'t~'!<? "'E~
"
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERJ.'VIIT
(Please tYPe or 'Print and !Ui'JJat bottom)
, ...... ;;1, I PERMIT NO I
1 Y."'" Ci.,. . 3 -/ .c-7\
3. Ooid .\ppI'WIt (,::9....J .~
ADDRESS .
/181 b ikR-hdA.
IJ R €:. eft'.
/JetJdittd tJ tJ,
ZONING (oftlccuu)
LEGAL DESCRIPTION (office use olllyl
LOT I~LOCK3 ADDmON
PID
OWNER
(N~e) DR Rgrtga Cuotgm RgmQ:
(phone) _ qs2 -qSS- "1!?rV\
(Address)
2oa,Q I<e1nBK\~ Cr- Sr-e.)()()
(Addro,,)
La.~\l11Ie...
(City)
':?~i)
(Zip Code)
APPLICANT
(Name) Genz-Ryan Plumbing & Heacing
(Phone)
651-423-1144
(Address) 14745 So Robert Trail
/},f),P:37:t4. J:;._ / 1/ '
(Contact Person) _ Vf/ ) rv <j (I . ~~
r.ICANT SIGNATURE (II j j /7d!J~ jLxl
Rosemount _ MN
(City)
55068
(Zip Code)
(phone)
DATE
651-423-1144
1.tJ;j ---r2 ~
..:'~
APPLICA1"IT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer 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 and water Ime connection
Sewer connection only
FEE SCHEDULE
$3550 lndusaial, Com'! & Multi-family 1% of job cost with a S39.50 nunl.D1um
S17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WITH
BUILDING PERMIT
(omclC Ule Only)
, Tbi. Appliation Becomes Your Bnilding Permit Wben Approved
Buildiog Official
j~~dl01~ ~ m ~1~ReceiptNO'
!mJDlrt.e . By I~
Om ll: JUN 04 WilL_I U 1I./
24 hour ootice for all inspectio... (952) 447 9850, Fax (952) 447-4245 j!
By
I
I
Jlln, 2, 2003 12:08PM
GEN2 RVAN PLUMBING AND HEATING
No,S6)) P, 24 36
Date Rec'd
CITY bF PRIOR LAKE PLUMBING PERMIT
1 Db.u. Fi1.. I PERMIT NO
'.Gold a", "3-/ ,50 I
l Ydll:lW Al'l'liCllft (0
(P1c;ue type or Urtllt and 'ifJ1 at 00"""')
ADDRESS
ZONING (ol&,;;'c)
11,~qU I~/;wdd tJ~.J2
, , ~
, LEGAL DESCRIPTION (o1lia use only)
l.OT!t)BLOCK,1 ADDmON ~eld 417
Pro
OWNER
(Name) DR Horton Custom Homes (phone)
(Address)' 2.OSu>D kb1g~l DGe... C. Sre. I DO
, APPLICANT
(Naroe)Co'1;),'l-1?:::,:,,: ~"'~r'l."-'l ~ l.lo::-;r;ag
(Address) 14745 So Robert Trail
(Addrcss)
(C,,=p_) nWAS% :~
APPLICANT SIGN~TURE ' . . )
Quantity
,.Q
I
I
'-f..
I
I
,'I
QC,2 - q ~t:; -iISDO
l...cdu...vil/G VUN 550LJ Lt
(phone) "<; 1_1. ?~_lll.b
Rosemount
(City)
MN
55068
(Zip Cod~)
1tt U{')
(phon~ 651-423-1144
DATE M,-:/):J.,
APPLICANT PLEASE COMPLETE BE.LOW
Type of Future I Quantity
Bath Tub with or without shower Rough-ins
Dishwasher I I' Water Heater
I Floor Drain 12.. -'[,.. I Wat~ Somer
1 Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
i Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall Backilow Assembly
I Sinks I Bacldlow Assembly Test
I Bar Sink I Lawn Sprinkler
I Wat~ Closet (Toilet) I Other
Type of Fixture
FEE S....J:U!,.l1 u w:
lndusmal, Commercial &: MuJn-famlly J% of job cost WJth. ,$3950 minimum ResIdential, New One & Two.family $99,50
Residential, Additions &: Altentions $39.50
(Office Use Only)
I This Application Becomes Your Building Permit When Approved ';o:~A Receipt No.
Dm ~ 1- ~ ~ L~ 0 \1J [~I
'I 2003 'h
24 hour notice for ollln'pcctlons (952) 447-98: , II (952) 447-4245 cJ
~:'\.,..
i
1"-
Estimated Cost $
Buuding Permrt #
PLUMBING PERWT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
PAID WJ1}i
BUILDING PERMIT
BuUding Offia21
r
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
y,L //99
i~.:. ~:~ I PERMIT NO. 3 -1o~V I
3. Yellow Applicant Jl
(Please tvDe or orint and sUm at bottom)
I~~;;?~ at'~~/~.~ 5E
I ZONING(offioeus<) I
LEGAL DESCRIPTION (office use only)
, Lo~orv .:? ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
AP.PLICANT /J, /. ~
(Name) ./7' /// ~r..../ dA /.,..fIfL-I"
(Address)~ ~~AI~ ~
~AddreS
(Contact Person) A . 6- ~
APPLICANT SIGNATURE """::>' .... .~---
(phone) ;"';,Sfi #,~-,. .,..?'?;7S-
r- tlll49a;A' ~$;f.-_-;: "'!
- (~ (Zip Code)
(Phone) ~/ - c;/'g -~ 77..5"
DATE
APPLICANT PLEASE COMPLETE BELOW
,mNEW CO~TRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MOD~/r~,; ~. :;'/OAA~ FUEL",I2 r--..J.:"- .e
FLUE SIZE4]lM!5.A RETURN OPENINGS if IN~UT~~ OUTPUT 5Z~/~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
~ir Conditioning
}Ii1Yent. 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 & Ale (New Construction)
Residential, Heating Only (New Construction)
$39,50
$39.50
Estimated Cost $ ~ a::> Building Permit #
Building Official
$~/ ~~ BtJli'014/0 WITH
$ , .50 INQ PEFl.~
$ ~ ,~lr
~~'@ ~ ~ ill ~ ~ 'I Receipt No,
Date ~DJlJN ? J ~no: ~ By
24 hour notice for all inspections (952) 44' -9850, fax (952) 447-4245
By
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
rr
___ SEP.ll'2003 06:14 651 633 8884
FI RES rDE CORNER
#2692 P.001/006
CITY OF P . lOR lAKE
HEATING/AIR CONDITIO GIFIREPLACE PERMIT
Date Rec'd
(Please tVM or mint ~nd. sian at bnt!:om)
I ADDllESS H.EARTH&HOME'"
17396 DEERFJELD DRNE SE
FIRESID~7:w
~~,"m I PERMIT NO. 3- /# 50\
ZONING (om,,"<<)
LEGAL DESCRIPUON (office use only)
LOT
aLOCK
ADomON
PID
OWNER
(Name DR HORTON
(phone)
(Addre$s)
APPLICANT
(Name) A1_LlEP~WHA FIRl'.smE..l:!!ill~Tr-l & I-lQMP.
(Phone)
651-633.2561
(Address)
2700 NORTH FAJRVIEW AVENUl"
(AddJ'C!l)
(Contact Person)
BRENDA HUSTON
'P.OSEVTLLE
(CiTy)
(Phone) _65].633-2561.
5~J 13_
(Zip Codc)
APPLICANT SIGNATURE
BRENDA HUSTON
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 AI-TERATlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM I:lEATn;G OR POWER PLANT
DATE
9/11/03
OWltrm Air Plill1ts
o GJ1lviry
o Mechanic.1
DAir Conditioning
OVenl Sysr,cm
OStcam
o Hal Water
o Rildiarion
o Special Devices
o Oth,;r Devices
PI,EASE NOTE:
Air Condilioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL _ _ _ _ JiEA T..li.~.:~ SI::?~ETR..c
Industrial, Commere;.,1 & Multj.F,mily
PEE SCHEDULE
1 % orjob Cl)st Residential. GllS fireplace
$39.50 minimum
$99,50
$64,50
$39.50
Residential, Heating &. NC (New Con,mJcllon)
Residential, HCllf.;ng Only (New Construction)
Re.idenr.;.!, Additions &. Alterations
ResidenT,i.J. AC Only
l:1. /)4 $39,50
~/{" ~~~O
<.111\10 VV/.,.,.,
J:>~
~~111'"
Estimated Cost $ Building Perm;t #
FlEA TING PERMJT FEE $___~~
STATE SURCFlARG. E $_'.1 'i) []! iF' '~,Sl~
TOT AI_ PERMIT FEE S! u' \::.J b ~ ,- ,
,
(Om,e IJ.. Only) ,. n " ;
I 'r ."\ FP 1 2 290-] I
Thi~ Application Becomes Your Building Permit ~ht!llAJlDrollCd I I . d "li'Jl.eceipt No.
A 1ieur'1 &: lfn"u! Jcc1m, t'''/fes r(lff ~ i
~.I " BIII'lde, Di'vi.rh n ,1t1)3!C-.__ _ -'ly
~:\lIi amId.." QIIl11lll F,irview Avenue North RoR"HIIe. MN SS 113 : 'ho,J.. r.c I_~". 'c6JJ':ax...!l5J~ i:tJdlW,
.'In.,;;,,. ~,un. 3850 West "9~~,~~~ JoM'foPsnYil!M~~o~H~MJ1,pr.~8~t.~~iiql1M~2;2-890.5408
w....",..nl'ttldtu511,t'.!tlI MN C'lJltl"lldM' Uce.1It II UI09f)!H I
~ltn~;~~,~~~~1~
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ''IS", D~e"~iL.L4 p~.
NATURE OF WORK -'lJ...j:..Ji}
USE OF BUILDING SF.14-
PERMIT NO. ~ 'S..~,ltTE ISSUED
CONTRACTOR ~ PHON~~'- · ra 3....,/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT oSee Main File
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING 1/U4",
I FOUNDATION (Prior to Backfill) ~.." I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
M.-/
~
Ivr'/
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING l),(/- wf '7'1)'-"7
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
Cf - 1-Z-cJ3
t{-).S'-o>
'11/
~ JI1d7
/t#
;;1/
4-0~d)
Cf-bvtl1
q- v)..---C!3
'1-2- )..~r/3
GRADING (Prior to Sodding)
BUILDING 'f.(~cMhI ){-I-Ol-j
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Set" ~,:n_ h:/e .
///:t' 7ftc/oY
~
Y\;1/' /
OCCUPY UNTIL ABOVE HAS
NOTICE
BEEN
/()- ). q rf/J
//-1..l1"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
C".... -:..,...
Q1~rfifirat~ of @rrnpaut1!
CITY OF PRIOR LAKE
@.tpadmtuf of ~uil~iug Jlusptdiou
JiFinal Permitted D Conditional e.O. Expires _
This Certificate issued pursuant ta the requirements af Section 307 of the Uniform Building Cade 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.
03-0650
Occupancy Type R3
Type Construction VN
. Fire Zone
N / A _ Zoning Distri.F{~:' R2
Legal Description
LIS. B3. DEERFIELD 9TH
. i
Owner of Building
Contractor's Name & AddressD. R. HORTON. INC....
ROBERT D. ~UTCHINS~.?!.
"' ~ B~ing 9fficial '
Date: 9/ 1"0/0 c.,/
-/ / /
SiteAddre" 17396 DEERFIELD DRIVE S.E.
20860 KENBRIDGE CT.. SUITE 100. LAKEVILLE
,...
City Planner
DON RYE
Date:
-
DATE TIME
CITY OF PRIOR LAKE //';1. :t-cFl.
INSPECTION NOTICE SCHEDULED
ADDRESS 17.3.?~ O::-('~/c--I D....
OWNER CONTR.
PHONE NO. PERMIT NO. 3-~S-6
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
ffr-Fr",af fJ""'J, qf1l?'7Ju4 /
z.. ) <fh-. IT' I ~/~
~n.J.. -. /............ 3 J7.."..
~
I --e I'H r> (/.,f., I
8",(-04
r)YSq r nK
o WORK SATISFACTORY, PROCEED
A-CORRECT ACTION AND PROCEED
~CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector. vJ/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/7JPb
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,..a-F1NAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~~~
/k~4/.I &
CONTR.
PERMIT NO.
O..s - b :JO
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~-----
~ -'.
/
/ .-, /'
~/a:se
~
r"/e )
~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
''''''''''
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
..LO-'U-t7j
ADDRESS
17 '3 "t(.
f.)" -4/.r:,... Il
OWNER
CONTR.
PHONE NO.
PERMIT NO.
l-C.s-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 EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(!Jrfw,61,L ,r,w::u.05
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT ~R~,#L FOR REINSPECTION BEFORE COVERING
Inspector: JJL[' Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH It SAFETY!
"""""