HomeMy WebLinkAboutBuilding Permit 03-1213
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
,. ,.
(Please.!V{le or 'Print and sign. at bottom)
ADDRESS
5/)1LP W+OJ(Y()I~+ ~r1l1t_ ~
Date Rec' d
9- ;71-03
I PERMIT NO. 03 -/2B J
I. White
2. Pink
3, Yellow
File
City
Applicant
LEGAL DESCRIPTION (office use Only\.
LOT.~ BLOCK 2...ADDITION !}ocikLl . II\th /
OWNER
(Name)
(Address)
BUILDER~ Q ~
(Name) J). .C .
(ContactNam~) U'~- U. DhMMtKtV
(Address) ~D~lP.o . iq~e...d--s.k.IOO
~.......l ., . A'>4I'" ~
, TYPE OF WORK
}if New Construction
jillLower Level Finish
~eck
o Misc.
(Phone)
ZONING (office use)
7</
PIQ~--I/()I- Od -3-0
(Phone) ~~"2--Lt~9.
(Phone) -$1-1--'U,- t/7~2-
Ji(l'orch
ORe-Roofing
ORe-Siding
~Fireplace DAddition DAlteration
PROJECTCOST/VALUE (excluding land) $ /SC;Q7J--
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 aware that building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ente po the y.....y.....) th-pe d inspections.
x
I
Ii
I Permit Valuation
J 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
$
$
$
$
$
$
$
$
15(..,000 I
13 (y] .3.s-".1
%LfC{,1R j
'7~/OO.1
I
I
I
lotJ,--
/t?(?,--
3'1.sV
L/O.-
This Application Becomes Your Building Pennit When Approved
~~
Building Official
~9j3
Date
~nm:;~,(""1
ontractor's License No.
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
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
.rJ7U. b Z
? /.1-/) >
7 ~ ,
r;7-f.!JJJ ~
"Date -
#
#
1$ X'S'D.-
1$ /;;J..7C:;.-
,.j5o.-~-
$ LI.L;.-
$ I dOt') ,-
$ "700-
$ 15{)(),--
$
$ >5330,W I
#
#
I Receipt}fo. ~;{UO
BV"r,
I
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
"su,d . 7uiJf-- 9/9,.10 3 ~ CLI/ '!- I~
~anning Director !la', Special Conditioj/!, if any
24 hour notice for aU inspections (952) 447-9850. Cax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
Main File
White - Building
~ering
,.--pink - Plan,,~
Tn.. ("tn.... or Ih.. I.all.. Counl.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, .
/ Ie>"
/l.---'
/-
/~/J~'/
L/ '~.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.- ~,//~
(0 /k
i/
-'-
/ <"--'.-<--'
Accepted
Accepted With Corrections . ~
Denied
.......
(..J .
Reviewed By: _ H~
Comments: ~ ~
~~~
~
Date: 9h~3
d...-.....~~
,
c.d.
-
I .
~-') "'.' .
"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
~hiien . Builrlina----...
Canary' - Engineering
Pink . Planning
The C~nln of lh~ I....' ('ounl.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
JJ.- rz ffmL/f71.-./
c;?-;J-l-03
APPLICATION RECEIVED
The Building, Engineering. and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
50'/1, e:- ~ r-f Jf1.-
Accepted
Accepted With Corrections
~
Denied
~
Reviewed By:
~
~
~
-=/uiJ p
Date:
~.
~~..,
Uv
a.LI ~-/.I-'"
~ ~d_'<.......:a
/J
.i:.
e;/9/a'3
~~
4>- o-:tL ~.
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
~
.
White - Building
<CiJnarv - t:nq",ee!lllU-'
Pink - Planning
Thr Crnll!'rof lhl!' I.ab("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/)'
.. <,
_.._--e_
.f-,.- "
1>'/,", /" -,.,., ,
, t,~_- '.1./- " ~
~-'-~ ,'j I "....~ ~:;
'7(' ;7- -C/ J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-'" ?/"/' I '-.. 'I '
<) (, ,b /;/}-t lV /-r
~"-" ,~_vr,..,. --.
\..,;,,_.4---,
Accepted
Denied
:X...
Accepted With Corrections
Reviewed By:
/W)-~
Date:
J/7/03
Comments: !=;pp Reverse Side for Additional Information!
See Attachme:nts: I) Grading Plan, 2) Erosion rontrol Me::l~l1rp.
"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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",1'~~:''.''i.,~~tlY''E s O~ ,..
~:f.~~~\\t..:~\~
~.tri\t..>i.\\,"
S e P 1 5 2003 I 0: 41AM
GEN2 RVAN PLUMBING AND HEATING
No. I 51 0 P. 3. 14
CITY OF PRIOR LAKE PLVM:BlNG PERMIT
Date Rec' d
i ~id;,''';' I PERMIT NO. ~ - 1'12'3 I
J. Y~kl"" ~aCIM V (7\
(Plea"e me or 'Drint and riJ:!;1l at bottom)
ADDRESS
5?J7(p ~st Oa~ Pmnt ~&l3-
ZONING (Qili", ",e)
LEGAL DESCRIPTION (offu:e ",e only)
LOT--5 BLOCK;}., ADDITION fi)e.&it'ndot I D1'h
Pro
OWNER
(Na~pl, DR Horton Custom Homes
(phone)
QC,2 - q Q<; -7BtJD
(Address)' 2-O'Y,wo KeVlB~IDGe.. C. S,e. IDO
. APPUCANT
(Name) Ct:>~.,._tl:........ '01 "-:-~_""'g t. TJ"'.....~...E!I
(Addre~) 14745 So Robert Trail
(Address)
(coDtactPason) nVnZlst1 -fitU$ _
(\ug::1J ~ Pi /'\
Let lu..vi IIG MN .56bi.1 LI-
(Phone) ""'_I,?~_' 1 ~~
Rosemount
55068
(Zip Code)
MIl
(Ciry)
(phone)
651-423-1144
APPUcANT SIGNATURE
DATE
1f-/f51)~
'>'
I Quantity
I .,
4"
I J
I I
I 3,
I
I I
I J
I
I .Q
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity I Type of Fixture
Bath Tub with or without shower I... 7 I Rough-ins
Dishwasher I L . I Water Heater
Floor Drain JJJ: Water Softner
Lavatory (.Bathroom Sink) I I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment -sink Sewage Ejector
Shower StalJ BackfJow Assembly
Sinks I BackiIow Assembly Test
Bar Sink I Lawn Sprinkler
, Waret' Closet (Toilet) 1 Other
FEE SCHEDULE
Jndustnal. Comme",i.1 8< Muio-fanllly 1% of Job cost wjlh. $3950 minimum Residcnl1al. New One 8< Two-Fan'llly $9950
Residential, Additions & Almmions $39 50
(Office Use Odly)
Estlmated Cosr S
Building Permrt #
PLUMBING PERMrT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
lJU/,'!.P4ID IAh
!)/'vG 7/7'J., }
~AA.4rr
50
This Application Becomes Your Building Permit When Approved _. '.t.. RauL.,.." - n,n.'.,..".\1 Receipt No.
I "fi 'l3:lte' : ',1," I By ~'
I, ,.-'
Building Offici., ,Due 'i " I, ~ [~ 2 3 Z B B J i ",
", J I I II \
24 !lour noti"" for sUlnspedlons (952) <<'.19~0. fn (952) 4474245 l j \ .
BY,n _ I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~737?
q'lease '!ype or orint and sign at bottom)
ADDRESS
,~7~ .C--:- {2vC ~,'
i B~~ ~;~;~, I PERMIT NO. 3-- /.:7-'1 ~ I
ZONING (offic, u,,)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
pm
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(Phone)
APPLICANT /J 0 A
(Name) /7' /// ~ 'J'''''''/ #4/"'a../
(AddreSS)~ ~~A" t? 4:
~AddreS
(Contact Person) A tt2/. . '6 ~
APPLICANT SIGNATURE ...- 0 ~
(Phone) ~5 /- ~"?-.J' .??~
~.LA'~ ~,;:r;!-7!?
(ClW/f (Zip Code)
(Phone) ~/- .;/~--177~
DATE
. APPLICANT PLEASE COMPLETE BELOW
[!INEW cO~TRUcTION 0 REPLACEMENT OALTERA TIONS '
FURNACEMAKEANDMOD~/r~.J~. ~/~~~07a FUEL .-I.2~
FLUESIZEo/~.h~RETURNOPENINGS INPUT6~ ~ OUTPUT 5Z~~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plants
DGravity
o Mechanical
~ir 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 & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ . ~ a::> Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ~/ .&,.//~ P.ltii)
$ ~ .50 UILDIN, /Iv,.,.,.,
$ t? G PeA""rr
(Office Use Only)
This Application Becomes Your Building Permit When Approved ''falO
Receipt No.
~
~J
Building Official
: "Date
Date i'I' SFP? 3 7001
".:1
24 hour notice for all inspections (952) 447-Ps50. fax (952) 447-4245
"
\'3 'I.~__
, ,By
i 'j
_L I
r
I~~
Seol5 20031041AM
GENZ RVAN PLUMBiNG AND HEATING
No, i 51 0 P 2 14
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND WATER PERMIT
; ~Z ~~'. I PERMIT NO.;7 . I '/3
1, (;.)J4 AWliwrt ::::::> cr-
~ t'Y'oc: ororlnt.tndS'iI!:l1Ubo!IO:c1)
ADDRESS
F5D1tt h&:S+ /)a J( PrJ/n ~ bv (-.\{;
ZO:NlNG Co- .,.)
LEGAL DESCRIPTION (office use only)
LOT J BLOCK eX ADDffiON fu/f!fjpj J' /~
PID
OWNER
(Name) -I''' u_____ ~.._.?'" H9""OO
(Address)
2o&no ~PK\bL--e CrsOII'j(Y\
(AcL:lrw)
(phone) _ gs2-Qgs-il\",:/\
Lo.~~ I lie.. "5Q"t-lU
(City) (Z;" Code)
APPLICANT
~ameL Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 14745 So Roben Trail
() , (Ad;<!r"-"), C ' ,..
(Contact Person) . ,VI PIS,H 171 II J _
~,ICANT SIGNATURE . (~ J.!'7Af.:L-:f7J lis
Rosemounr.. MN
(City)
(Phone)
DATE
55068
(Zip Cod<)
651-423-1144
q.-/6 -rYO
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of wy 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
FEE SCIlEDULE
ReSldenual sewer and water hne connection $35,50 Industrial, Com'I & Multi-family I % of job cost with a $3950 minimum
Sower connection only $1750 Water connection only $1750
Estimated Cost $
Building Penn.it #
,
,
~
BuildiDg Official
I3lJ/I.~~O W/1ff
~Pr::,.,
1['Paid lj.eceiptNi,.'il",r
t' ,: :....:::; ,,> I
ii~te . ~y
D... i, SFP ~ ~ 7001 'I:.i
24 hour notice ror.lI in,pocti.., (952) 447-98~{r.x (952) 447-4;245 ..J i
lB,.v-_~_ ~... ncc--I
$
$
$
.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
,
!
(Offiee U5C Only)
I This AppIic.ation Becomes Your Building Permit Wben Approved
b~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Rec'd
i::::" ~:~ I PERMIT NO. 3- ]') /3 I
J. Yellow Applicant CT
<?lease tvPe or 1Jrint and sip at bottom)
ADDRESS
ZONING (ofli" use)
5076 EAST OAK POINT DRIVE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Narre n R HORTON
(Phone)
(Address)
APPLICANT
(Name) ALLTlm FIRESIDE DRA FIRESIDE HFARTH &. HOME
2700 NORTH F AIRVIEW A VENU"
(Address)
(Phone)
ROSEVILLE
(City)
651-633-2561
(Address)
55I13_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
11 /06/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATINGORPO~RPLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. 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
HEAT N GLO SL-750TRN-c (2ND FIREPLACE)
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace $39,50
$39.50 minimum 10 WI~
$99.50 Residential. Additions & Alterations PA T
$64.50 Residential. AC Only ~\JILDlNG P
Industrial, Commercial & Multi-Family
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
,':::;
~--=:1 r
Date
I.iPard"-' 'c C
,
.j
iPatiuv 1 :.I LUO]
u
Receipt No,
This Application Becomes Your Building Permit When Approved
BuUdinl! Official
By r
24 hour notice for all inspections (952) 447~.(9-52) dJ.7.d?4~
... J
DEPARTMENT OF Main File
BUILDING AND INSPECTION
PRIOR LAKE
.
INSPECTION RECORD
SITE ADDRESS ~O?, c.. (x:...~ ~~ l>~
NATURE OF WORK _ ~W
USE OF BUILDING ~If
PERMIT NO. 0"," 7.?..t3.. QATE ISSUED
CONTRACTOR -P '<-liD ""'t)N PHONE eJ~". Y'J'3 J...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
Ul~;i~~R-1 DATE
I FOOTING /'f v (/ ~ q~ 1/>41,
, FOUNDATION (Prior to Backfill) I // vr /' I / () -). - ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION WI\- t,f11'1 11'1<i'(j'7
ELECTRICAL
PLUMBING Ot6' M 10' 7'r!> (/(t; //F(P' fJ)
HEATING (if required) rvr { r- !VI-oj
FIREPLACE rvf /I-/~I-t!\
GAS LINE AIR TEST rvV1 /f - JVHu
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
9k...Ii~""l I f hf/ II-rr tJ3
./ '
FINALS
GRADING (Prior to SoddinI;J) IV' U 7. ..l-I-:L ~
BUILDING 'fc"l>.-tiq W3ok" ~,21t2/C)(( ~ ?Od/d<j/
ELECTRICAL )" f
PLUMBING
HEATING
DO NOT
lIVV'
1I-10-C~
//VJ~ ,j;J-a L./
~- -2 ot!
I .
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
@rrfifitafr of (IDttupanty
CITY OF PRIOR LAKE
@.tparfuumf of ~uil!liug Jusprdiou
KFinal Permitted D Conditional e.O. 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
R3 Ty C' VN F' Zo
pe onstructlOn Ire ne
1.3. B2. DEERFIELD 10TH
Occupancy Type
Legal Description
Owner of Building
Site Address
Contractor',Name& Addre,s D.R. HORTO~/_~~., 20860
ROBERT D. HUTCHIN~nCItYPlanner_
<' /? c: ~piCial' Date
Date:
03-1213
Bldg. Permit No.
~/ ihning District
R1
5076 EAST OAK POINT DRIVE SE
KENBRIDGE CT., SUITE
DON RYE
HOUSE HEATING TEST RECORD JOB #
ADDRESS 50??:, Dpd( Pi l)r .<: G" APT._ FLOOR CITY
OCCUPANT if:JTLU r,""",<: 'fr~ OWNER ~ ----rJ ~
HEATLOSS DATEHTq.INST~----.L1JO~,,----- -;' ~ it
SOLD BY Ofi-J\..o'V' .~""" /~TALLEDBY . ~~.!
Electrical Work By _ Gas Line By ~
TYPE OF HEAT GA_FA~HW_STEAM_ SPACEHTR,_ UNITHTR.
~S DESIGN
MAKE tl.. 1/ 1.1 dI... T' MAKE OF BURNER.
Model ~~ "''-.ltr':)?bC,)JO Jr(...al~odel
Serial -~, <:::;'0 ~ F\ i. q J_ LI:. Max. BTU Rating
INPUT "lSa 'K R'\u. MAKE OF FURNACE
Model
rw/o' .JI CONTROLS
THERMOST. ~ ~
Valve '" r!! ~~b
Limit !i r-Y
Limit settin~ ,,- 4. C-=!
Fan Settmg _ __
Pilot Type 5
Pilot Mako -
Pilot Model ~
Pilot Timing '"70 SEe...
LW-CutOff ';..-~
Pressure ". "'5 h we.., Percent CO2 ~
Input CFH ~3 ,Percent 0,-.1))
Stack Temp. OF Percent co ~~5
SUBURB
~-I-d'n
/J1u4 ,
/Pf.Wl..t
f/,. tP "K.
OTHER
CONVERSION
\ ~
\/1
/"-
/ '\
~Vc... -:2.. p', ~
Vent Size .:;J.. , (
KIND OF L1NER~17~ NONE
Draft Hood _ R,egulator ~.,.::; - "1 '--
Filters 1 Size ~ ~JI ~ Number 7 -
Chimney Location Inside butsid....
Chimney Construction ---ltJ T' \.1 (" .
,v
Wirin':,'
Dratt::+ ~1) lLUu1l Test Ta~ V
Door Pressure V _ Lighting Inst. ~ _
4)G~ DateTesled~1 ~!/'O).<.. _
oIfQ Company Testing AIIii'Jlt MephanlcaJ.,..4650 Kennebec Dr., Eagan, MN 5S122
rf-ll Name of Tester r~:>. -
Smoke Bomb. ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
{r;-o7r;.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
w
fLeJ.ll'l{)V ('
.
DATE TIMe
SCHEDULED j-.\"-o'-{
? OCfL Pr 12 d
CONTR.
PERMIT NO.
-'? - I Lt'l..
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
,--ovrca(l)
o WORK SATISFACTORY. PROCEED
" CORRECT ACTION AND PROCEED
o CORRECT ~~FOR REINSPECTlON BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNCn
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
[.,\ I- I'?e. e f) 1- ])~
D. It Ha/-k^
D3 -/2.( J
CONTR.
ADDRESS 567 C.
OWNER
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~.u,'_ .L1NG
"'0 COJP[ArNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~.......L
o SITE INSPECTION
COMMENTS:
6"'J,'("'- />Y
LVi!> 12,,'11-; t9i:
)( WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
InSpector~ ....--:; Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .1 SAFETY!
''''''''''
DATE TIME
SCHEDULED ZllzfO'l ."!:ao
8-J- jJJ.... 1l:f- ~1P.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RJ
o FRAMING C@) 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
o SITE INSPECTION ~ MECH FINAL
COMMENTS~ I~
11 , . - / '
~~,
@Jp ~ . _~~r
cP J.X;. * p;: A'"~ .
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
,~ )("
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03-/Z/3
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
~FIREPLACE FINAL
~ GASLINE AIR TST
o
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v
~~r~,
,
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~ /
To e. EJo cR 01 36/ () if
o WORK SATISFACTORY. PROCEED
is CORRECT ACTION AND PROCEED
o CORREC~RK. CALL FOR REINSPECTION BEFORE COVERING
Inspector. .. ~ Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
rJaN()"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY!
DATE
d~/
~S / O;~ // ,a.-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
."076
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;rt'IRAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
--- .-
T1M~
03 - /..20
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ '~
/ - / /'...--:/ )
( L- CdS€. /-/ k._______
"-- -----
~WORK SATISFACTORY. PROCEED
o CORRECT ACTION ANO PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
"'""'''
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .l SAFETY/