HomeMy WebLinkAboutBuilding Permit 03-1151
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec' d
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ~/ ~ /0 [)
(Please type or print and siJm at bottom)
ADDRESS
/(/f70 T//,^ ~Z::P
Main File
I ,
a~~r D72JI/E
LEGAL DESCRIPTION (office use only)
LOT~BLOCK S ADDITION T;MP;~J?
OWNER
(Name)
DUI] t=: ~,.^E<
~!5"' Nlor17fY-,l{Xi Pt:.Mrv
(Address)
BUILDER
(Name) 4AAF
(Contact Name) {'"wT RI.~-<(" Jt.J<::L>
'-
(Address)
TYPE OF WORK
DMisc.
/'
~ew Construction
DDeck
I. White File
2. Pink City
3, Yellow Applicant
I PERMITNO'1J3_/15 / I
ZONING (office use)
PILD
02L~ p,4.'R ~
PlD,;(5- 40;)- /f);)-O
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
CJO.o9<>
<;ulfi:
110
(Phone) G,.;<;t-Lf~.2 --<::lot')
EA-(;,Atl ( MF~
(Phone)
(Phone) (0/.2.-22/- i.f'lBS-
DPorch
DAddition
ORe-Roofing
ORe-Siding
DAlteration
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 wiIn conform to all existing state and local laws and will proceed in accordance with
suhmitted plans. am aware that the bU.i1ding official can revoke this permit for just cause. FUrther.more. I hereby agree that the c~'ty Offi~'al or designee may
enter upon th ;rope~~~eededin~
X ~~""_.~~ BC-!"571 l?/$;b..3
/' - Signature Contractor's License No. / / Date
Permit Valuation
Permit Fee
Plan Check Fee
1 State Surcharge
1 Penalty
1 Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
9tJ,060
/ q;/3.1~
L.tJO,44 I'
tiS. -I
1
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1
1
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c=35 S7>
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This Application Becomes Your Building Permit When Approved
~ q~j-J 'i?!2.-Z-/o3
Building Official
Date
Park Support Fee
SAC
$ ~ - 1
$ /,;275'.-1
$ ~ S'Of- 1
$ l/5'.- I
$ /;).CX).- 1
$ 700-1
! ~ aJ(;J Vi
$
#
#
Water Meter Size 5/8"; 1 ";
Pressure Reducer
City SAC and WAC
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
{,,~~ 'L
.1
I Paid
I Date
~crY {;;
tf/t?-.6 ':'
11.r~ 0;)
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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
issuedAf _'" r IT" j
~ '1D~
Planning Director
cf>'/,).~/6 ~ /~ aAl .---1_ .~
f Date Special Conditioffs, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~~
Th~ ('en In of lhf I..kf Coun.I)
.
~ -IiUi~
Canary - engineering
Pink - Planning
Main File
.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
y LJ7i.- ~
'6- (.;, -03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ t, L/ 7D '- 11/v11 ~ (JAtJff () V'.
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Accepted
Accepted With Corrections
Denied
~
~
Reviewed By:
Comments: / ~
~~,
.~
rJ-.(
Date:
ff.;>.r/6 :3
~
,
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."
$~~
!\1ain File
White . Building
Canary - ~!".9ineering
......-....nK - t"'lannmg-,.
Th~ Cfnln of lhf L.kf Counlry
BUILDING 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:
) J /\
I {, ( I '7,- , k' '/" ~.' ,) i
Accepted
Accepted With Corrections
~
Denied
~.
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K~
II
c
Date: dj!;~~:?
Lff~ ~ ~.~ U~
Reviewed By:
9~p
Comments:
dS
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~-.
- -
"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 - B"i1dinq
~a'1arv - ,=~in~riiUt>
Pink - Planning
Tht Cf'nlf'r nl lht ta... Coun_,." I
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
',I';) -Id.h j U6?/.U?-J'
'6- &> -D3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ (~o ( i 7D ,,,-;'.L.1JI kC--L" (i'j<,fJA...-f {)}/,
Accepted X
Accepted With Corrections
Denied
Reviewed By: /~~tl
Comments: Drivewav Must Have A Concrete Approach
Date: <(It (o\
-- h....1.- U V1.\ 5
See Reverse Side for Additional Information!
See Attachments: 1) 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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CITY Of ?RJOR lAKE PLC).[Er>G pC:R.\IIT
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..\.P?UC-,-"T PLEASE COMPLETE BELO\V
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l.:1um.:r:. r r=:.:.' ( I ur : .::.:r.:C~r:;;1~:tt ;lr.:, S.:,.lw'::lg~ Eje~:~r
Showe: SC.J.i1 B.1ckrlow A::i~c::;tcly
Sink:; B~ckIlow A.se:nbl: Test
Bill'Slllk I L:lwn S9rinkle,
Wj(e,CloseqT~tle:1 ,Owe,
T~ne of fi.'-:~~r::
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HE. SC.!iED l:U
(n~u:;:,-::l. c.,m~~:::.:l.! J:. .1,,{ulti.f~i1:1 !% o{job ;;:~~t wir:t i1 ~39..s0 minimur:'l
~"mcc: t;,c Onl::)
Ra1dc::la~. Nc-.v One: &: Two~F:unil.:-'
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PU.J1vCBCNG PERMIT FEE
STATE SURCH."'-RGE
TOT..u. PElt."ru-r FEE
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J'!AID WITH
tsUILulNG PERMIT
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T~li.s Applic:J:cion 8<1:orn~ Your Buiidi.a:;:: Permit Wbcn Approved
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Sep 03 03 09:56a
METRO GENERAL SERVICES
763-428-2968
p.2
GAnM. FM..E
VELLOW - "PPUCANT
GOLD. CI"1'
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
95.2...- 'I'I7-tf'J, I/~
S.W.No.
-:3-1151
FAy...
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: (h 6if(.o (~Eft.JF.R.AI. SER.V~r::.PHONE: (b3-4:-~;L-:.;;J.'13:r
5 rrv C . Str 1I .) 1tf(jJ
ADDRESS: 'telo Q,yfllY1 AvE N.F.:. DATE:
~\' ~ f\ ----LJf"'\ ...--il>.-- Sr: rn I e./1 (1 F- L, -y,1 N. 5537 6
SIGNATURE: aYO..+t ~ J2....1V BLDG. PERMIT #
SITE ADDRESS ;-/ ?-:'r{o ::f-tJl/~.A-".A J r ~ PID# .
FILL. IN THE BLAN~
1. Estimated length of water service
5"
feet.
2. Size of water service.
(./
inch(es).
3. Location of any couplings from structure
() feet.
4. Type of sewer pipe. ABS
PVC L/- (j Cast Iron
'--
5. Estimated length of sewer line
...-
':::.;()
feet.
6. Clean out
structure.
(if required),
located at
NIIT-
feet
from
=~========================~=======~===============================
This application becomes your permit when approved.
BY
DATE:
============7=====================================================
Pwh'e.d IJ ''f'It
FEES: ~~1 P'~M,)t- Sewer and water line connection permit.
_, r ';-,.:--..:..... Surcharge
~O (-e.e.-) TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water pelits-.j,SS.U~..d.'for. new construction must be
recorded on the bui ~f~g,:~r~i~ card at the time of issuance
~o insure that no, ~urateL seweir . and water pe~its are
~ssued. 'II, i, SEP {I 5 2003 i SUI/. -:qID
DATE.)?AID UU. . AAbpNT PAID DII\tf;' *,-l'Jy
RECEIPTiI [)Y--~c:::'~-~'~~~D BY ~1f41""
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*
16200 Eagle,Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (Ys-2) 447-4230/ FAX ('152) 447-4245
An Eaual ODllortunilY Employer
1'-1 '-03; 4:29PM;
;952 894 0925
# 2/ 4
.
CITY OF PRIOR LAKE
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please '!xp'e Dr Print and sim at bottom)
A/~R~t7 0 11m b~y C{ es +
: ;;.:~ ~:, I PERMIT NO. ~ - 1'15/
J_ Y"IJ(lW Apphe.ni c:/ I
I
lJr:
ZONING (office: use:)
LOT
BLOCK
ADDITION
PID
':,:i)'"
pi
I
LEGAL DESCRIPTION (office use only)
OWNER
(Name)
'9Mk
~\S
\\:b~s (Phone) loSt - t.f5 Z - 5'200
l\JW Pt,wLJ. 5lJ...A'k (40) ~Mv1.. Mn.JC;C;/.1/
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.;,'
(Address)
APPLICANT
(Name)
(Phone)
~.;;"
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F';:'>),:
Bumc"iIIp. t-l.,,,ting & AIC. Inc.
12481 Rhode Island Ave. So.
.... ___ ...u.,! ~~~7A_11??
\~""""-'(Addre") (City) (Zip Code)
(Contact Person) .JlJ\. I ( . . (Phone) CJ 5' 2 - ?;c;L{ -000 5
APPLICANT SIGNATURE A\~ It ~ OATEJI-ll-03
\...J \j
APPLICANT PLEASE COMPLETE BELOW
-.
~NEW CONSTRUCTION . 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEAJ4"O'MOOEL Lf4IflATlf GS/rYlf-;(I.{f3 -- ot.(5 FUEL /Ja.J CIa's
FLUE SIZE RETURN OPENINGS '0 INPUT l.-{<;, 00 0 OUTPUT /
(Address)
~i~i!!
,.ot':
,.,;'
o Warm Air Plants
OGravity
o Mechanical
E}Air Conditioning
OVen!. System
{e.Il fL,(/K
HEATING OR POWER PLANT
o Steam
o Hat Water
o Radiation
10 1j-(--I3 ~ l-( 0 Special D~vices
;;Z {ON 0 Other DeVICes
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
I
TYPE OF SYSTEM
FIREPLACE MAKE AND MODEL
IndustriaJ, Commercial & Multi-Family
$39.50
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residenlial. Beating & AlC (New ConslNction) $99.50
Residential, Heating Only (New Construction) $64,50
00
Estimated Cost $ 5,900 I
Residential, Additions & Alterations -""0 $39.50
Residential, AC Oniy ,.." W/TH9.50
BUlLOING PERMIT
Building Permit #
(Office Use Only)
N /fJ
.50 rlJ btj ~'Idfl-y
This Application Becomes Your Building Permit When Approved "\ :f,a\f, ~J- "[",\1 I Receipt No,
I '.. Date' '\1: By u--
Date ii: ,.....NnV 1 2 Z003 J il If'
24 hour notice for.1I inspections (952) 44~'9 !ISO, f.x (952) 44704.245 \
16200 E.gle Creek Avenue, Prior .ke, MN 55372 c__c._cd
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HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Building Official
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please ~ or vrint and siGl at bottoml
ADDRESS
L Pink Fl I I
; ~::':w ii." PERMIT NO. ~ - I / :;'
16470 TlMBERCREST DRIVE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name PULTE HOMES
(Phone)
(Address)
APPLICANT
(Name) ALl .TRD FTRRSTDR DRA FT'RFSTDF HEARTH IV HOME
(Phone)
651-633-2561
(Address)
p"OSEVILLE
(CiTy)
(Phone) _651-633-2561
2700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PID
S';J 13_
(Zip Code)
11120/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
DWarm Air Plants
DGravity
D Mechanical
DAir Conditinning
DVent. System
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-550TRN-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
I Paid
ID,jNjJV
], 0 LUUJ
Buildio2 Official
Date
24 hour notice for all inspeetions (952) 447-9850, fax (9S2) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
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Receipt No.
By
!JT
'1J
DEPARTMENT OF Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
r LJ~
SITE ADDRESS -1' tL70
NATURE OF WORK ~
USE OF BUILDING ~
PERMIT NO. 0 ~ - //5L DATE ISSUED .
CONTRACTOR P ~- It - PHOt-4J~ - ~ ~ , - Gf9 i!"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
l FOOTING /f4.-V cr I-t::'- I/) J
I FOUNDATION (Prior to Backfill) I ~ I "Je7--B I~--.J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC qIJ vl'\it~ 111(../ _
FRAMING ~ ~.;:j/if/
INSULATION i/ //}/./
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/1/6 ~. 2~ oL
I GRADING (Prior to Sodding)
BUILDING ~ (w{) ""\.0"'-
ELECTRICAL
I PLUMBING
I HEATING
DO NOT
~
Vil'l!
Iii A/J'
OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
, / .
? /..2770/
1- j..[).()cl
{- J. 1-{)(.,f
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
@trfifitaft of @ttupanq!
CITY OF PRIOR LAKE
~~}lnrfnumt of ~uilMng Jlns}l~dion
%Final Permitted n 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 tht'following:
Use Classification
SINGLE FAMILY
Bldg. Permit No.
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
PUD
Legal Description
1.36, B3, TIMBER CREST PARK
Owner of Building
Site Address
16470 TIMBER CREST DRIVE SE
Contractor's Name & Address PULTE HOMES, 81.5
/!1',4/
ROBERT D. HUTCHINS
.~ Aui!djl>g OOy'Cia
,//G,.-"? ~ // C1
/
NORTHWEST P~VY., SUITE 140, EAGAN
DON RYE
55121
City Plannrr_
Date:
Date:
--
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BVRNSVILLE
Heating & Air Conditioning, L.L.e.
12481 Rhode Island Ape S, Savage, MN 55378.952-894-0005
r-~/. /"
Orstat Test Report for Jobl .) f(, (
Address Ilnt.l1() ~y;t:r
Occupant
Date of Install
Type of tIT. f/A
Other
- ,~<
Make
Model
Serial
Input
Pilot Type
Pressure
Input CFH
Stack Temp
Date Tested
Company
Technician
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v/ HW
Space HT Unit tIT
t '. 111 illY
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'v,rln L/""
I'I (700
HOT SURFACE IGNITOR
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BURNSVIUE HEATING & AIR CONDITIONING
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/f.470
/;rl/ ~1-V I:..-<>-r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~TION
,a4lNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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S"ocl
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DATE nME
j- 2q-()L(
3-1(.s~ I
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
'CORRECT WO~K. "FOR REINSPECT/ON BEFORE COVERING
Inspector: Yl1 f Owner/Contr:
.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I.NSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ADDRESS
) ~!J-O (
DATE TillE
SCHEDULED t,-lJ-o'l
riNl'"f(.JI lk/ih
CONlR. - P~/'h__J-bM6
PERMIT NO. OJ .//>1
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
/II( FINAL
fo SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
I1lC.EXI~' t.lNG
''0 Co INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMI;.NT5:
ffJl ~l'-
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
RK, CALL FOR REINSPECTION BEFORE COVERING
. Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INs/"on
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/_ )IJ~Oc.(
--,
ADDRESS
tf., l{70
r '''''I ~-<.-/..... " ..c-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:$ -/(J - /
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
)7llLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(-(1M 0\1(.
Y'oor UJ7
o ~K SATISFACTORY. PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WO~K."FOR REINSPECTION BEFORE COVERING
Inspector: ,rv 1../ ()ymer/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
UC<NOn