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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," ~ €~1 ",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 .k-R ~~ v ~~r~, , "-_.....~ori.>:i',i#!>l~~;.,..'1"..:~'''~" ~ / 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/