HomeMy WebLinkAboutBuilding Permit 03-0311
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
5-/1/03
Main FileF;;tw ~~;'kM' I PERMIl NO. 03- 3/1
(Please tvDe or Drint and sign at bottom)
ADDRESS ZONING (office u,")
153D3Je-FFeQ.$ n-:::..~ ,e/
LEGAL DESCRIPTION (office use only)
LOT\S BLOCK '2- ADDITION \2.~-;;;.. \ C\:2--BS. ~
PID 7..5 -,1f)~ ., OJ.] . ()
OWNER
(Name)
(Phone)
(Address)
BUILDER ~ /\ \ '1
(Name) '-D\\U\<-- ~ <:~ "CXnc;
(Contact Name) .f="&\-L- c:,'IA., ..-Au\-'2-
(Address) -=t-C12-0 l_-=:>'lL~U1'llL- P.L.VC\
(Phone)
(Phone)
La-~Vl H<...-
ClS2.40q. \0:100
\,,\2. \"'9lS. -S~
y()f) 5'5044
TYPE OF WORK
~ew Construction
DLower Level Finish
DDeck
DPorch
ORe. Roofing
DRe.Siding
o Fireplace
DAddition
DAlteration
Dutility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $ ::J '"2, 9, (')r'Y),
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 upon perty to perform needed inspections.
lMA... 9r:.a-i~
r20Q
3/ICl J~
Contractor's License No.
I Date'
I Permit Valuation Z 30, nOD. no Park Support Fee # $ I
Permit Fee $ ~.?l) SAC # $ I. 7~ 75,CV I
Plan Check Fee $ I" 4'b. Ztf _ I Water Meter SizeQ.,. I'" $ . 7--50. crt) I
' ,
State Surcharge $ . IIq.O I Pressure Reducer $ 6.GV I
Penalty $ I City SAC and WAC # $ I, z,r/v. iV I
Plumbing Permit Fee $ IO{l~OV I Water Tower Fee # $ 7 cJV . (]7) I
Mechanical. Permit Fee $ 10 7J .Cr(} I Builder's Deposit $ I.~.{.V I
Sewer & Water Permit Fee $ 3~, :rrJ I Other $ I
Gas Fireplace Permit Fee $ 4fJ. In) I TOTAL DUE Uu..e..L 4-, 1~d.J $ 91, '2,7'1. 3 I I
. L/;ut> 0
~ - ....... .
&::Be:n:ding;7':;A;roved Paid Y<7"/J-JI I Receipt No.
Date <(_//l-/l) Bv JC~
Building Official 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 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~ ::J.~ 3MJ,3 #~
Planning Director ' Date Speciai Conditions, Ii: any
24 hour notice for all inspections (952) 447.9850, tax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
Main File
White - 8uildina
( CanarY - EnaineerincD
Pink - Planning
Thr (""nlfr of lh. I.ah ('O".lry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
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APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
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Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
h74f3
Date:
4-3-03
Comments: Spp Rpv.eI!':P Sine for Additional Information I
See Attachments' I) Grading Plan, 2) Erosion Control Measures
"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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Mft:n Fl.1~ -Building:;>
tll Canary - EngIneering
Pink - Planning
Thf ('tnln of lht L.kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~~
f::y 11-3- D I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction ac;;;~c;iS Pn:d~, at:""'~ fJ~
'77U(J- ~
Accepted
Accepted With Corrections /"
Denied
Reviewed By:
Comments:
~
/!~
-:f~,L., Date: 3/~3
" /
I2L(l .-k-dJ~.
"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
Canarv - I;naineering
('1'1nk - Plan~
Thf Ctnln <If tht L.kt <:ounl!')'
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
/
Denied
\'
Reviewed By: ~ ~ . OJ-! Date: 36-9~:?
,
14.('. ~ ,.;J~ ~
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,
....,......
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."
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Date R~t'd
CITY OF' PRIOR LAKE
SEWER AND WATER PERMIT
(Pkuc tv'Pt or OMt md si.tQ at botmm)
i ADDRESS
I (5 3~~ ~ P6.J><:J'
\r
LEGAL DESCRlP110N (otll<< ux only)
LOr ISBLOC~ ADDITJON~ C~
: ~=. ~,~ lPERMIT NO..~ --::111
,. Cold "'PrllQRl ,-05 :::J
I ZONING (0,"" "'II
PID
I OWNER
! (Name) ~'iY
I (Addms) ',e{;).o
!
C:t:u ~
~ Stud
(Addreu'
(Phone) cr-S".2 - "It, 9-~ YCf ()
Lc..nsdcJp S:;VV.b
(CItY) (ZiJ> Cod&)
~~;~~ANT 0 Gd~ c)(
~
'if37.s- w
(^d<lru.)
(ContAcrPeuon). .sc,h~ S;.~
APPLlCANTSIONATURE .~ ~
C4 ()~, '"
70-/-1-.. .s*~
(Phone) 507- 7yV- S'"'6"c:. J
knsdo4> SWY6
(City) (ZIp CO<1<)
(phone) S-oi-7YY- S-SZP3"'
PATt', 7"-7--0....3,
(Address)
APPLICANT PLEASE COMPLETE BELOW
Si~ of water service ~ inches,
Location of any couplings from structure -==- feet.
Type of sewer pipe, 0 ABC ~VC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at -==- feet from structure.
FEE SCHEDULE
Residential sewer and waterline conneotion $3~.50 Industrial, Com'l & Mylti.family ) 'Ie of job cost with. $39050 minimwn
Stwenonnecrion only $ I7.50 Water connection only $17.50
Estimated Cost S
Building Pennit #, ..-'
:50
PAlO ..... .
SUILOIN FriTH
. G PI2AM/..-
i This Application Become. Your Bulldlnll Permit When Apprond I~n ~~ ~ ~ n \1il rHrl~ Rece~No. .
V \M'~ ,~ - \ II 6~({
BuUdiQllomol.1 Da.. \D ,-':'fI'\ 1 0 Z6~J ~
%4 hour nollc. for IlIln,pocllOnl (P5%) 44 ~SO, fll (95%) 4'~-4l4$ V
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(omer t'sr Only)
~.
By~
Ani 10, :003 i :4IPM
GEN2 RVAN PLUMBING AND HEATING
No,330: p, 1: :0
Date Rec'd
"
CITY OF PRIOR LAKE PLUMBING PERMlT
1 Blue FIl.. I PERMIT NO :5
I, Cold Ci~ I . ~3/1
] "lel\(l\II Atlpli.e~Jlt
. rrte:L~~ or'OriI1t and Slsro at bottOm")
ADDRESS. ZONING
J 1303 J effer<S fa& s (om",,,,)
LEGAL DESCRIPTION (olfice ').Se only)
LOT /0 BLOCK C}, ADDITION (k.,tf cJ.
PID
(Phone) C( C);), - Lf bC1-fJ1OC
ssrJ-f Lf .
(001- Lf2-o- ) 1<..(<"(
mn <;:;'()(O(?
(Address) (City) (Zip Code)
(Contact Person) 0"ftLf? i \Q mUs (Phone) (tl1l-L.{ '{3 ~ /14L.[
APPLICANT STGNATURE (l) il J.zrfl_'1r:Jl/) DATE_.j J 10 / O~
APPLlCANT(~ Q
(Name) "1 eVl?:. -- ~~()X1 .
(Address) fl1j~ ....\. ~Q[;.:
I Quantity
H
I I
I '-I
I I
I I
I I
I
I ;,;.;l,
(phone)
'{lnCL~r
APPL,ICANT PLEASE COMPLETE BELOW
Type of Fixture I Quantity
Batb Tub witb or witbout shower Rough- ins
Dishwasher \ Water Heater
Floor Drain 12...- J:. Water Softner
I Lavatory (Bathroom Sink) I Stand Pipe (Wa~hing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
I Water Closet (Toilet) Other
Type of Fixture
:lIEE SCSEDULE
InduS1n.l, Commercial & MultI.famtly 1% of Job cost wIth. $3950 minimum Resldenll.l, New One & lWo-Family $9950
ReSIdential. Additions & Alterations $39 50
Estimated Cost $
Building Penn it #
lJlJ/~~~ ~~7H
PLUMBlNG PERMIT FEE $
STATE SURCHARG.E $
TOTAL PERMlT FEE $
.50
(Offict 115t Only)
This Application Becomes Your Building Permit When Approved
n.__:.!
I .Receipt No
1
I By
I
J
. ~ r1l ~ ~--W ~
~
if
Buildihg Offrci:a!
D...
n
1 1 206'3 0
, [ax (9S2) 447~1245 .J
24 hour D.otice for aU inspections (95:2) 447-
By
A,rriO ~001 I:CPM
GEN~ RVAN PLUMBING AND HEATING
No.910~ p, i 1, ~C
.
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
l ~Z, ~;~ I PERl\'llT NO. 3 . 3//
) Gold )..lll\)!eolll
(Plea.~e t'VDe or tlr1n[ and ~1PJl at bottOm)
ADDRESS
1t6~D3 Je-ffees f<<s~
ZONlNG (of&, ",,)
LEGAL DESCRIPTION (office use only)
LOT IcJ BLOCK 2 ADDITION ~&d C f2..e.Sr
\J
~=R fhl leqf/ ~l1c mrv1RJ I Jl1(. (Phone) 351- Lf /vCf-lttlL12
(Address) 1!1J.1) I OJ.t 11/1f'1 BuIO{. /---La.k,(/ \ Lill V I VYlVl ""::> ~/)*
(Address) (Clry) (Zip Code)
pm
~~~~A-rirl1/- R\Jan
. "...- . \.
(Address) \411.fS 1.\. ~f) om.+ Tie,(.
(Address) ,
(Contact Person) .J;bIQ (t<tL_fz~D.\
"LJCANT SIGNATURE ClAA~
(Phone) ....1d5/- 423- W-[y___~_
IZOCfm()u.nt, m VI S'J (j((J15'
~::~e) (01)/-L/~3- IJ~PLf)
'"4r}~ DATE J..//IO/O:~
APPLICA.NT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 pve
Estimated length of sewer line feet.
Clean out (if required) located at ___ feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residentla! sewer and water hne connection $35 50 Industrial, Com'! & MullJ.famtly 1% of job cost WIth a $3950 minimum
Sewer connection only $1750 Water connection only $17.50
Est1ll1ated Cost $
Building Permit #
SEWER AND W ATIR PERMIT FEE
STA TI SURCHARGE
TOTAL PERlVllT FEE
$
$
$
.5 0 9lJll.~"'ID l1n....
I'AlG ;"'Ii
'~~t>4
.fl~
(Offi(;e Use Only)
I ThIS Application Becom",. Your Building Permit When Approved Paid I Receipt No.
. D.t, r. 116 U; U liJ ~Ira
BuildIng Offi,ial IV / l'o (;
Ii hour notice for.1I inspection, (952) 447-9 ~~ falleR!)1l414~(ffi3 ~ IJ
By
Anr,IO, i0034iPM
GEN= RVAN PLUMBING AND HEATING
No.930i p, 14, iO
. CITY OJ!' PRIOR LAK"E
HEATING/Am CONDITIONlNG/FffiEPLACE PERlVllT
Date Rec'd
;~:.. ~)~ I. PERMlT Neb._ 3('(
1 ydJ.?..... AppllWlt (-;)
(Please tvEe or oriDt and sma a.t bottom)
ADDRESS
l'f~()-?; \, feffett2s' PaSs
ZONING (officl!:lC.e)
LEGAL DBSCRlPTION (office w< only)
LOT fr:; BLOCK rA. ADDITION J,1-ea cd {J;zfg-j/
\J
g.w;:~~ ~[V!mS We .
(Address) jqdf3 LalaV!)).L PJlJd. ; ute IA III ,fJ7f7 S9J1+
(' .
=~^"'~f'/t}1: fJ,ya/L . (Ph,.., (n7 - /.};0-!fl-ftl
(Address) / 7tJ5' .." PfJuef 1/:?{. 11f}.fffl11)llliJ, mF7 ~()loP
'~~f (Ph,",,!~' 1fl?/49s-"j'IN
j A' C/ 1M DATF:u-=.-Lrj;olo~
APPLICANT PLEASE COMPLETE BELOW
MNEW CONl1UCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACEMAKEA~;MODEL l'J.IJOX_,11lI.oQ'?J-15 FUEL ()/9-r6AS
FLUE SIZE RETURN OPENINGS '? lNJ'UT 75; DOO OUTPUT &Il; non
TYPE OF SYSTEM H.EATING OR POWER PLANT
~arm AlT Plants 0 Steam
OGravity 0 Hot Water
o Mcch:ulIcal 0 Radiation
~Ir Conditiomng 0 Special Devices
OVent. System 0 Other DeVIces
Pro
(Phone)
Q5J. - 41/'/- (;qO?)
(Contact Person) -M fJ. j
APPLICANT SIGNATURE .
PLEAS.E NOTE:
Air ConditIOner UUllS
Cannot Encroach mto
Required Side Yard
Setbacks
.
FIREPLACE MAKE AND MODEL
Industnal. CommerCIal &. Multl.Famlly
FE.ESCHEDULE
1% of Job cost Residential, Gas Fireplace:
$39 50 mlllimum
$99 50 Res1denrial, Additions & AlteratIons
$6450 Re,id01ltial, AC Only
$3950
Residential. Heating & Ale (NCVI Construction)
Residenti.!, Heating Only <New COllSlIUction)
$39 50
$3950
HEATING PEJUvfIT FEE $
STATE SURCHARGE $ .50
TOTAL PERi'nT FEE $
"(Jll~1,{,~ WI.,.,.,
P~FiA,frr
EstJmated Cost $ Buildjng Pennlt #
(nmcc Ute Only)
Building Official
~~ (0 ~ U lil LS rlllReceiPt No
D... ~ffatAPR I 1 2003 J~IBY
2.1 hour notiee for .11 inspections (952) ,'"17. ~~. fa' (952) 4474~45 ,_..1
. '---_.,--- ___._~__--l
fir
1/
Jis Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~: ~:~onw ?i~icanl I PERMIT NO. :3 -3 / {
(Please type or vrint and sim at bottom)
ADDRESS
15303 JEFFERS PASS
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) COLLEGE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name) ATJJFD FTRFSTDF DRA FIRESIDE HEARTH & HOME
(Phone)
051'033.250 ]
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _65].633.2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
0/17/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS ]NPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
OGravity
D Mechanical
DAir Conditioning
OVen!. System
o Steam
o Hot Water
o Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO oOOOTROAK X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39,50
Residential, Heating & Ale (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
Building Permit #
$
$
$
.50
8lJ'L~/4ID W,,., .
1NG p. 'I"f
'l:f:lMlr
(Office Use Only)
Duildine: Official
Date
1~~10~uill~
1 ~~e JUN I 8 Z003
.~"ceiPtNo,
/ ()~ /1
I 1~
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447.98 ~yax (952) 4474245
PRIOR LAKE DEPARTMENT OF
BUILDING AND INS~aib File
INSPECTION RECORD
SITE ADDRESS Ir303 Je-.p.ters Po. 55
NATURE OF WORK;fW ~~;
USE OF BUILDING
PERMIT NO. ~. . 5 / ~TE ISSUED
CONTRACTO '/ef. ~/~ N~~ PHONE4/;l ,,~S' '3~9
NOTE: THIS IS NOT A PERMIT OR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING D.ec~ Wu...'1s ~./ Lf'(er~~
I FOUNDATION (Prior to BackfilliJ'-L...'k I (?.tJ /S"-,.
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH:: INS
n.
f .Is
~b -/0
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/Yff 9-./r. OJ
We
. 7-Z
, v:J'
('J..J \l
Pp~-/8
rY)
(I;;
7-7.
~
~.
---
GRADING (Prior to Sodding)
BUILDING fS - ("0 0/
ELECTRICAL I
PLUMBING
HEATING
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.
't-2~
fb
8- ell)
FOR ALL INSPECTIONS (952) 447-9850
@rrfifitafr of <IDttUpantll
CITY OF PRIOR LAKE
~lhpztdmtuf of ~uilbiug JIusptdiou
,tFinal Permitted D Conditional C.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:
Occupancy Type
R3
Type Construction VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-0311
RI
Use Classification
SINGLE FAMILY
Legal Description
1,15, B?, REGAL CREST
Owner of Building Site Add<ess 15303 JEFFERS PASS
Contractor's Name & Address COLLEGE CITY HOMES, 7920 LAKEVILLE BLVD., LAKEVILLE 55044
DON RYE
ROBERT D. HUTCHINS
Ijl Buildil}g Official J /'
, / '1 2) t k' Date:
POST IN CONSPICUOUS PLACE
City Planner
Date:
w"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / <!: O."?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
....a-FiNAL
o SITE INSPECTION
COMMENTS:
/)1 I
U~/O
DATE TillE
SCHEDULED ~-~?-~
, JJ+lj; ()~
CONTR.
PERMIT NO.
J - 1/1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
!'1 1(\ ()f
(~~~ Ie'{
~RK SATISFACTORY, PROCEED
o CORREC N AND PROCEED
o COR CT WO ALL FOR REINSPECTION BEFORE COVERING
7
r
7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
OWner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PEItSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I 1:; ." /"') ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o l'iSULA TION
..Id"'f'INAL
o SITE INSPECTION
DATE TIME
SCHEDULED
JQ~+-e ~ c::;<:\
-....
CONTR.
PERMIT NO. 03 "31 \
o PLUMBING RI
o MECH RI
D WATER HOOKUP
D SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
[J}'IREPLACE FINAL
~ASLINE AIR TST
o
COMMENTS:
I. Fi~ c:b~
2. . s.J. d 'T)VG-b
/'
1'\'4'
rlA.~ ,_
~
kv
~/' \.
I
n'-1
I
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
;;( CORREJ1K' CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ Owner/Cont~
. ,
CALL ,j,g850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
" .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
INSNOTl
15303 :Je.lk/\ 4<~
CONTR. L:e//ry i, j. ( f-'k"Y"J!5
PERMIT NO. 05-3//
CITY OF PRIOR LAKE
INSPECTION NonCE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
DATE TIME
SCHEDULED
7/),63
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~,. ,LUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
orc..&" - () t.
(.,Jib
&H\~ (<) y
~
!tr(WORK SATISFACTORY, PROCEED
'" 0 ~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspeclor:d~~ Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
uaNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 8-2 e- 05 3.' CC>
ADDRESS J~, ,,~Lv-<. (jl3d.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
C.QMMENTS:
('-~
CONTR.
PERMIT NO.
c-' --'zlJ
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
fi~ (l~
'-i~
---- ~ '
~ --'=-~'k.-......:,~ ;
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION AND I" OCEED
o CORRECT RK, C 1 F R REINSPECTlON BEFORE COVERING
Inspector. h Owner/Contr:
CA ;::: -9SJa Fok T~EXT INSPECTION 24 HOURS IN ADVANCE.
'-" -
QU~RE FOR YOUR PERSONAL HEALTH & SAFETY!
lHSNOTJ