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Home My WebLink AboutBuilding Permit 03-1214 (Please'!ype or print and sign at bottom) ADDRESS CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd See Main File 0/ ;;/~ () '3 I PERMIT NO. ()J - /2-14+ - \,,\~. LEGAL DESCRIPTION (office use only) LOT If BLOCK 1.. ADDITION OWNER (Name) (Address) I. White File 2 Pink City 3. Yellow Applicant ~ "' I (JQ....; PID:?5 ~ L/~/- O),ll-O (Phone) BUlLDER\",\ () b (Name) J./. ~. . L. (L . ~~::::)N~~~'~:J( '00 , , TYPE OF WORK ~ew Construction ~Lower Level Finish !!!Week o Misc. ZONING (office use) R/ (Phone) _9_S1....li9;~1QDg (Phone) ~c,2 -'2.2lr- 'tEL7 ~orch ORe-Roofing ORe-Siding ~ Fireplace DAddition DAlteration PROJECTCOST/YALUE (exc1udingland) $ 15'"5. Q7')...-- 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 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 up' e property'l:o perl dins ctions. x '" Permit Valuation ! Permit Fee I Plan Check Fee I State Surcharge 1 Penalty I Plumbing Permit Fee \ Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee $ $ $ $ $ $ $ $ /540CQ.-i 1301-35'"1 Ql/1. 'it 1 -1!?-1 I 100.- 100. - .35,!::J'() Llo. - This Application Becomes Your Building Permit When Approved ~ ~ ~/a:3 Building Official Date ~OI)O~s-7 -Contractor's License No. Park Support Fee SAC # # >t-J9~ Date $ f?5t), -- I $ 1;1-"75. -- I $ ;)So- 1 $ 45,/ I $ 1;;"'00,- I $ {oo,- $ $ $ ~~30..63 I I Paid I Date t. ,r]O,t>.f l' 0.-. ().> I ReceipWo. By !r {/ ~ I/l./ 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 L:~~ PIMm:;;:;;;~'~ cmifi<a";h~;Plim" and illows constturoSee"MaIllEi~pan~ mustb, Planning Director bate Special Conditions, if any 24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake. MN 55372 Water Meter Size 5/8"; I"; I Pressure Reducer 1 City SAC and WAC I Water Tower Fee I Builder's Deposit 1 Other 1 TOTAL DUE # # "-~x PRIOR ( !:: ~ u '" See Main File White - Building ~,!arv . Enqlneerlng) Pink - I'lanrllng TJtc. ("...,"' of UN 1..11I" Ca..I..,. BUILDING PeBMIT APPLICATION DEEARTIII1ENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /! /l f i ....,..--:- I II 'J "v.-"",-,;' .-; , ..t r) /17_.~.i.... r;,,'..p~ ..-, -"} J ~ )f- c,..- - () ..) The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at:, .._/. - U "'::.-. )y.'. ~) !.....-',;..J c " ~ " II'" E ''7;/"-, /:'.:~. / ,r v......,."..-I-- j ':..:...J"~ ----- '-'" ..--. ,; \.r.' ./' / ~ 'I..-. Accepted x Accepted With Corrections Denied Reviewed By: Comments: IJ/J4B _~ (( fY1p"',,, P/{r- Date: 9/r() '3 "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 <1iiiite . Buildi~ Canary - Engineering Pink . Planning Tht ('fnlnof Ih..I..k.. Counlr,' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED (I /< ~ 2- ;;1-1-03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: j /7 $()[?-() _ E {j?cdz P0?4 ~ Accepted ~ Accepted With Corrections Denied r ~ ~~tJ Date: ~h I:? Reviewed By: 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." ~1 See Main File White - Building Canary - EJ1qineering ,...PiYIK - Planninb lhe ("tnlrr of the L.kt <..ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ;' i:.,' /1/'~7 I. 'r~f"/( If,'/_ ."~' .:? V. '1/._,/) " /1 .:7-. "-' The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ~. (J () ,!:- ,..;7-- (_ )' -I / I f '-' Accepted ~ Accepted With Corrections 1 Denied Reviewed By: ~~ 7JJ~ Date: 9h~j' . Comments: .'0" "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 yalid." CITY OF PRIOR LAKE REA TING/AIR CONDITIONINGIFIREPLACE PERMIT Date Rec'd #737cY ;~, ~:~ I PERMIT NO..." -I' -oJ ' I 3_ Yellow Applicant ,-;; ~ ~ (Please tvD~ or Drint and sign at bottom) ADDRESS -?2'?O e- /h.L A ZONING (ufficeuse) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PlD OWNER D R HORTON (Name) - 20860 KENBRIDGE CT (Address) LAKEVILLE, MN 55044 (Phone) . APPLICANT ./7, /. A (Name) ./~//./~ . 'J'r..../~A/.rg/ (Address) '-~.~~~ ~ 4 ~ a ~ (Contact Person) A~ ~~~ APPLICANT SIGNATURE ~ - ,- - ___ --- (phone) ";'5/. #'f,? ~ .,.J?;??.s- ~~Q:A' ~.5:!-'?? (<1JJiI{ (Zip Code) (phone) ~.. </<?l'-~ 77~ DATE APPLICANT PLEASE COMPLETE BELOW j!J'NEW CO~TRUCTION 0 REPLACEMENT DALTERA TIONS FURNACEMAKEANDMOD~l"r""',;~_ -?/a.4~.y'07~ FUEL -Ll2 ,4..;'j.--.e. FLUE SIZE"'; ~.hz-..,A RETURN OPENINGS - INPUT 6. 4 ~ OUTPUT ~~ LA..-L.. TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants OGravity 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 & Ale (New Construction) Residential, Heating Only (New Construction) $39.50 $39,50 Estimated Cost $ ....35Za a:> Building Pennit # Building Official Date $ u// ~.../~ $ .. .50 $ ~) ~~ [~C '11 '\\ mt'dSEP t 2 Z003 ~eceiPtNo, CJfiate r y oy__ _____ ~... A ~a 'f~ ~G ~l>y ~-94,/)- I I I h ff REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Only) This Application Becomes Yonr Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 SeD.15 200310:41AM GENZ RVAN PLUMBING AND HEATING No i 51 0 P 5 14 CITY OF PRIOR LAKE PLUM:BlNG PERMIT Date Rec'd (Plea:e rype or p.Jinr and Sl~ at bonom) ADDRESS F)OW fitJ.$,f Oak:.. Fb)()f jJk SJ; LEGAL DESCRIPTION (oBi"" we ODly) LOTL( BLOCK 'J... ADDmON /JapJ-;eCd 61; ;.:;:. ~!~ I PERMIT NO-.3' //., , 'J / ) Yc:J!aw A.tl~CIllt ..7-/"'--7 ZONING (office "',) PID OWNER (Name) DR Horton Custom !Jomes (Phone) (Address) ZO'iSl.?O lLel'1BItI b6e... CO ~Je. If;Q APPLICANT (N"ame) ('.o........,._~r...n "D~_._....\...~....8 r u..,,-.....:-.J (Address) 14745 So Roben: Trail (AddJ:ess) (Contact Pason) J' IlJr i sti Wl <'" APPLICANT SIG;:~ riJ jJ; /I"'Y;) I I I I I I I I I I Quantity .:J... I I ~ ! I i '1....' Rosemount ~k 9;;2 - q ';;c:, -ilrDC udu.vi lie. t<\.lN 5E:6L1 Li (phone) ~"'_1. ?~_11/,b MN 55068 (Zip Code) I I I I I I I I Quantity ~ 'V J' u: J (City) (phone) 651-423-1144 DATE PI-Ie; 1/3 APPLICANT PLEASE COMPLETE BELOW Est.tmated Cost $ Bullding Peron! # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ Bl~Jding Offiti31 I Type oC future Bath Tub with or without shower Dishwasher Floor Drain Lavatory (Bathroom Sink) I LaUlldry Tray (1 or 2 compartment sink I Shower Stall Is inks Bar Sink I Water Closet (Toilet) D.at~ I Type of FutuJ:'e I Rough-ins Water Heater I Water Softner I Stand Pipe (Washing Machiue) I Sewage Ejector Backflow Assembly I Backflow Assembly Test I Lawn Sprinkler Other FEESCREDULE Indu,tn.l, Camme,.,,,al & Multi-family 1% of Jab cast with a $3950 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39 50 50 PAID tv, eU!!.D'Nr. 17H -, -..:.' P'=:'='~*'.T '''''..",',. (Olli" Us. Only) This Application Becomes Y our Building Permit When Approvec c i :[' I'!aid! ~ i i Ii! Ii: ..... ".1 L.:: tJ::; ;_':l i.J 1..-.1 L-.:J II I ,.., S~el 8 2003 u:1 11 ' . I 24 hour nollee (or'lI inspections (952) tfJ.98S0, fu (9522447-424.5-' I Receipt No I By @/ , S e r . 1 5 2003 1 0 : 41 AM GEN2 RVAN PLUMBING AND HEATING No.1 5 i 0 P 4.14 CITY.oF PRIOR LAKE SEWER AND WATER PERMlT Date Rec'd I G_ FiI. I PERMIT NO C) 2. y,..~ C1'1' ' l --- I } II / ).GOO! Applielnt \....." C'\.-r (Pka,$c tmC OJ'lmDt'and sie.:n acbom:n:n) ADDRESS 6D8DGJ.s.f Oat. J1?j n+ biZ ~'b I ZONlNG(Offi"""') I LEGAL DESCRll'TION (office use anly) LOTif BLOCK;< ADDITION &J2.Hefi IO'-frL Pill OWNER (Nam.) DV Jl:ortOJ:l 1",.,,>-- "__a_ (Address) 2.0&00 'Kev1~\<..\!::6e C:r SwJM (Address) (phone) _ La.~\llll~ (City) Cf52.-qgs-~^ "59Y-1l) (Zip Code) APPUCANT (Name) Genz-Ryan Plumbing & Heatin~ (l'bo.lle) 651-423-1144 (Address) 14745 So Robert Trail (Address) /~ (Contact PeTson). 0)/1 ~;S,ti mil ~ ",ICANT SrGNATURE __CJ.i;axi:') -=ffz e f ./.) Rosemount. MN (City) (phone) 55068 (Zip Code) DATE 651-423-1144 q- /17 -/)::2; APPLICANT PLEASE COMPLETE BELOW Size of water service incbes. Location of any couplings from structure Type of sewer pipe. 0 ABC 0 PVC Estimated len",oth of sewer line feet. Clean out (if required) located at feet from structure. feet. o Cast Iron Residenl1al sewer and water Ime connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'1 & Multi-family 1% of job cost Wlth a $39.50 minlDlUDl $17.50 Water connection only $1750 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 PAID w; eU!!...~!~I~ Jfi "'>,..... " I:.:.~_~_."''''~ (OlDe. Use Only) I This Applic2tion Becomes Your Building Pennit When Approved , ~. Building Offieial r, J, J:', a1C\~" r, ," I', -;CCj-r':;- ,,-, Recelpt No. I l' I .' .':.~ ,.:\_- . '-~ ,. !'" I ~ I I: : ~ (;_') l-=-, U \j L;.:: I r ! '~bate . III By !: I s~p 1 II 2003 ~ II! ~~ 24 bour noti.. for an inspection, (9~) 447 .9850. fax (9S2) 4474245 Sy____ D.ate ({ I I ~~ ~ ,,'" "NlVESO CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd l ~;:." ~:;y I PERMIT NO. .-; _/~ I' ~ 3. Yellow Apphcant , ) '-11 (Please tvve or Print and sUm at bottom) ADDRESS ZONING (office use) 5080 EAST OAK POINT DRIVE S.E. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name DR HORTON (Phone) (Address) APPLICANT (Name) AT.T.TFT1FrRFSTDR DRA FIRESIDE HEARTH & HOMF. (Phone) 651-633-2561 (Contact Person) BRENDA HUSTON ROSEVILLE (City) (Phone) _651-633-2561 55113_ (Zip Code) (Address) 2700 NORTH F AIRVIEW AVENUE (Address) APPLICANT SIGNATURE BRENDA HUSTON DATE 11/06103 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT DWarm Air Plants DGravity D Mechanical DAir Conditioning DYent. System HEATING OR POWER PLANT D Steam D Hot Water D Radiation D Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks TYPE OF SYSTEM , FIREPLACE MAKE AND MODEL HEAT N GLO SL-750TRN-C (2ND FIREPLACE) Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39_50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE \'p,ald '" ~ u j ~ "~I-~eceiPt No. \.pattlUV 1 :4 l1jUS,': 'UfY 0- Date IJ'ci l -l {/ 24 hour notice for all inspections (952) 447-9 ~ll, falL(952)4!'.........- -- Building Permit # $ 'I; $ SQ PAID WITH ,~, lI' mNG PERMIT (Office Use Only) This Application Becomes Your Building Permit When Approved Buildine Official PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~ () '0 /;. ()4. It:. 'Po ,:ut' b ~ NATURE OF WORK ~ . USE OF BUILDING .:5J:~ PERMIT NO, t:>3 -_ /7..jr DATE ISSUED CONTRACTOR ~,.t-tJAJ PHONEQaJ.. t!"a~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT o~ee Main File BUILDING AND INSPECTION INSPECTOR DATE I FOOTING I.M~<IA I I FOUNDATION (Prior to Backfill) t'l'L(~ I I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIC f1L{~ FRAMING { ~ / C-- INSULATION ~ ELECTRICAL (YVC-.... PLUMBING /).&- IIl/ co )c/) VW./ II" rr-O) HEATING (if required) ~ #;tPlA/ teD FIREPLACE ~ [;Lt !hied GAS LINE AIR TEST ~ \.- '2-~ ~ ~ IAJ L ~..-IB3 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS GRADING (Prior to Sodding) ..Jee ~rA- h;e '" BUILDING ~ ~ . e....t 0 Vu,h-{ ~ ~ //# ?4'o/6Y ELECTRICAL tOIL...- _ PLUMBING I/VY/ HEATING W Iv ~ DO NOT OCCUPY UNTIL ABOVE HAS NOTICE 0;l4- _ Wt/ / LLjvt fB3 1/'" }..Fo -S j-1c)l-/ t /~~fc9c..{ BEEN SIGNED This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all inspections haye 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 QIrrfifiraft of Ol}ttUpauq! CITY OF PRIOR LAKE @.tpatftutnf of 1iuilMng J1nsptdion )liFinal Permitted D Conditional e.O. Expires / This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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 No. 03-1214 Occupancy Type R3 Type Construction VN Fire Zone N/A Zoning District ll.l LegaJDe,criptior L4, B2, DEERFIELD 10TH Owne,ofBuiJdin. SiteAddre" 5080 EAST OAK POINT DRIVE SE 20860 KENBRIDGE CT., SUITE 100, LAKEVILLE Contractor's Name & AddrmD. R. HORTON, INC.- ROBERT D. HUTCHINS~~ 9/?OB~~Cial , City Planner DON RYE Date: Date: ....4 , HOUSE HEATING TEST RECORD JOB # ADDRESS ~ORl2 O!AK~, S r:: _ APT._ FLOOR _ CITY SUBURB .{Jy(~ OCCUPANT ~___JJc. tv ("~wd' _ OWNER ('\ t2 U-.:n+w. HEAT LOSS DATE HTG. INST ----1...:kf () '>' _ --~..: ,. -~ A ,A... . J SOLD BY ---0 /.A-"v\ ~'l( c..J, 7 4L16I'IAF ~STALLED BY ~ 1/ F~ Electrical Work By _ Gas Line By ct././"Hv1A...I' .~ TYPE OF HEAT GA _ FA -L HW _ STEAM _ SPACE HTR. _ UNIT HTR. OTHER GAS DESIGN MAKE ~ '. I-" MAKE OF BURNER_ Model _ __ ~";l,~O~W'~ ".t\Model Serial ~ '5 01 :3 f+ \ .? Max. BTU Ratin~ INPUT ~r:- ,k" '-'R"," U MAKE OF FURNACE Model ~ CONTROLS THERMO AT Valve Heat PluWlb< - Limit I ~I \(~ . . Limit Setting :;2. :=;0 - __ 0 Fan Setting -r I /'kR. ~U Pilot Type \-'. ~ ~ Pilot Make t,..... . / Pilot Model Smoke Bomb Wiring .., Pilot Timing jD ~c...- K<..t.'1' Draft-:-f;Alpll/JAl TestTag-../ L.w. Cut Off ' -- MJ.t1ftt(_.J' Door Pressure _ Lighting Inst. --V' Pressure. -<:t;, 511[.V4~rcentC02 to ~ DateTested I.. t,C;-/O-z., Input CFH <:;J-V Percent O2 q -- ~ Company Testing Ailia~t'M~~anical, 3650 Kennebec Dr., Eagan, MN 55122 Stack Temp. '/1 ere percentCO~ Name of Tester lAJ.7Mo. ..<: L. pipe. KIND OF LINER SIZE _ NONE Draft Hood f'Jn l\I ..Q.... Regulator ""2. 2. ~ - ~ Filters Size JJ." ..,~ Number ,- - Chimney Location Inside ~ , Outside Chimney Construction P V L- Vent Size i;J.." ~ ~ONVERSION / )5~ OATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1- )-OC-j ADDRESS SVlm ~ L::-- c)Q Ie. (iJr- Oy OWNER CONTR. PHONE NO. PERMIT NO. 7.-/2/4 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 EXlGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: (;) \../ /'(,~ Y'otk-u4S o ~K SATISFACTORY, PROCEED )il"CORRECT ACTION AND PROCEED o CORRECT ~O:~ ~ FOR REINSPECTION BEFORE COYERING Inspector: j/ ~ Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! lNSNOTI DATE TIllE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED tAt..tG(.3 :_ ADDRESS .9;W ~\ ~ {->9~~ PHONE NO. OWNER CONTR. PERMIT NO. .3 ~ t 2-/; '-I o FOOTING o FOUNDATION o FRAMING o INSULATION r# FINAL I[i SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ~ PLUMBING FINAL , MECH FINAL o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI ~ FIREPLACE FINAL o GASLINE AIR TST o -q: f::. -- ~\~~ - . G{,.D '{ 0 ~/l If) '{ o )PORK SATISFACTORY, PROCEED 4I!f CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COYERING /"'J} , . Inspector: 0 ~ Owner/Contr: CALL 447-9850 FCJR TI-": "''=.lCT ''''~PECTlON 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTI DATE TIME f36~/ ~C;U/ CAr? // d CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS SOcf'O OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH Rl o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: r--- .-.-.,,-- f23 - /..2/~ o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ~~ C::/~<2 /WORK SA TISFA~ORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTION BEFORE COYERING Inspector: ~ Owner/Contr: .,,~ '\ ~/e / ~ .,..-: /' ~ALL 447-9A50 FOR THE NE.~T INl)PECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl