HomeMy WebLinkAboutBuilding Permit 03-1442
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'u
(Please .!Vt!e or print and sign at bottom)
ADDRESS
53a.~ Fu..d- Dol 90tA-f 'Dr c'->L
Main File
I. White
2. Pink
3, Yellow
/0-- /c,/~
jpt;;KMIT NO. 03 ~/4+Z- I
File
City
Applicant
ZONING (office u,,)
RI
LEGAL DESCRIPTION (office use only)
LO~{ BLOCK d-. ADDITIO~t(dd {O~
PID~S-tf~/- ()l(I-()
OWNER
(Name)
(Phone)
(Address)
BUILDE&-,...... '/) 1 l
(Name)---.!..)' ,,-, f-:,UL. UYO
(Contact Name) ~. k \tJ r~V\Pu...-lk(.A....
~l.120 bri l!.:t. ~~/OO
(Address)~)i\l:tJ J fYll'I ~Ol/t.j
(PhOn~~AS'-780l"1
(Phone ';;';::;(,.,- tf73~
TYPE OF WORK
~ew Construction
'SiLower Level Finish
DDeck
DPorch
DAddirion
DRe.Roofing
DAheration
ORe-Siding
OUtility Connection
lJ Fireplace
o Misc.
PROJECT COST IV ALUE (excluding land) $ I ~ I q"7 ~
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 y~",y';'aj 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
,~':~P_rm::::ections ~(YD2-,Lo~-' J;)-/{o-O--:'"
X I f L (\ Signature Contractor's License'No. Date
I Permit Valuation /5t, OtliJ /1 I Park Support Fee # $ vso.~
Permit Fee $ , j?-//J1 / j'i I SAC # $ f~ 75.--
Plan Check Fee $ ~4q/ 15 I Water Meter Size 5/8"; I"; $ 6)5'.-
State Surcharge $ - - I Pressure Reducer $ Lj5;--
/}::;; ..
Penalty $ I City SAC and WAC # $ /,;;)tJO,-
I Plumbing Permit Pee I $ ItJO..- I Water Tower Fee # I $ '100-
\ Mechanical Permit Fee $ lOt). - I Builder's Deposit $ IS~,-
I Sewer & Water Permit Fee $ !35/::>() I I Other $
I Gas Fireplace Permit Fee I $ 40,--- I I TOTAL DUE $ f"133V, ,;~
~ ..
This Application Becomes r our Building Permit When Approved I Paid YJ'.70,(pJ 11'}9'0//
~~ /~ ?/~':1 Date I tJ . -:) ( ,0 ) By/II.
/
.. 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
iSS~ ~ It;PZ/o3 &fh4a...<< ~
Planning Director Date .... Special Conditi~ns, if any
24 hour notice for all inspections (952) 447.9850. fax (952) 447..4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
,.
~
Jb Address Sz..L3 E.'~"'PT:"l)2.
Heating Contractor ;\tlio'\-f.Jr ""-Ci:<..~
Name of Tester -A:c.r-ev-,~
Date L/ U-/04-
, Percent 0, 9.8Je
Percent CO ~<::j9"""
Percent CO, ,.~/"
Stack Temp -1Q1 OF
Combustion air is adequately supplied per
UMC Sec. 606 V.......
Input &:3~ ohr)
~~
Main File
r:VYhit~ - BUildi~
Canary - Engineering
Pink - Planning
Thr ('rAIn of thr L.kr (-ounlf:\-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J !P fJ,~
~
10- /~ -03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction a~~~;;i: p~os~~ Pi- led
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~~A~
,
~~
r
/d~7/a3
~~.
Comments:
7~ Date:
a...flIJ a#~
"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."
sfi\
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Main File
White - Building
~ering
r Pink~Janning-....,
"lh.. ('..nIt" nf Ih.. L.k.. ('()Unl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
i
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16
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~/d
Accepted
Accepted With Corrections i/'
Denied
Reviewed By:
~ ~ '=I~~
I . .
r;)~ J~,~
Date: I~ ~ J'
JiI't?4.n.::h~ /~f~,.~
Comments: J1; f1A?
f~cf','/. ~
"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 01' cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Main File
White . BLlilllina
~.anarv . EnaineerJmt:,
Pjiil( .-. Planning
Thf ('fnlt'r of lht' I..kt' Country
BUILDING PERMIT APPLICATION DE;.PARTMENT 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:
"'r-/. .-..,).... ,14_'-.".: <~. I-~/
_\, ~r' ~;'('J/-'<"'''
I." !
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Accepted X
Accepted With Corrections
Denied
Reviewed By:
;yr:;. ("2,
Date: f{)~,,)7-(0
Comments: .5eP Revpr!';p Side for Additional Information!
~174/V\ {:,' Ir
~ee A tlllchments' 1) C'rrading Plan )) 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."
Oct31,2003 3:10PM
GENZ RV~N PLUMBING AND HEATING
N0.8526 P 2 41
Date Rec'd
CITY .oF PRIOR LAKE
SEWER AND WATER PER1vllT
; ~;;:w~;.;. I PERMIT NO. ~ _ II/I /, I
J Go!.d API)t1U;rl~ J 177 ~
~ease ~ or'OrlJl[ and Si2J1at bottom)
ADD,SS
V/tfAO GOSt Mt fVinJ b\'L~E
ZON1NG (~Jli,:, "',)
LEGAL DESCRIPTION (offico use only)
LOT 1.1 BLOCX;: <].. ADDITION ~ -h dJ
l~
PID
OWNER
(Name) n'O U_-'='>--C."~~--o ,,_::
(Addross)
2o&c.O Kev\lo~\t.<.:::e ex- SOP.)f',,,,
(Addz.ss)
(Phone) _
Lalw,illIe-.
(City)
%;2-q85-i{;Nl
"')~,LlU
(Zio Code)
. APPLICANT
(Name'! Genz-Ryan Plumbing & Heating
(Phone)
651-423-1144
(Address) 14745 So Robert Trail
(Address)
rJI1W,i~h ~{I\
rJl ,{;7A1; ) ~ lJ/:"'I
Rosemount. MN
(City)
55068
(Zip Code)
'.JCANT SIGNATURE
(Phone)
DATE
651-423-1144
4fJIa m/6? )6A
(Contact Person) .
APPLICANT PLEASE COl\1PLETE BELOW
Size of water service inches.
Location of any couplings from stlUcture
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 SCHEDULE
Residentlal sewer and water line cormeroon $35.50 Industrial, Com') & Multi-family 1% of job cost with a $3950 mmimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\fiT FEE
$
$
$
.50
SUlit'D WITH
ING PERMIT
(omc~ Use Only)
I This Application Becomes Your Building Permit When Approved
--.
BUilding Omdal
Il'aid
I Date
NUV Ii A lUUj
24 hour nolice for.1l inspection> (952) 447-9850, f.~ (9S2) 447-4245
Date
. Receipt No. I.
-
'By /; I
:r
Oc t .11 2003 3: 10PM
GENZ RVAN PLUMBING A~D HEATING
No 3526 P 3. 41
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMlT
;.:'; ~:~ I PERMIT NO.,,::?, - IL.I' .I........ I
1 YellQW Appllant I ~ ., t?'-
!?11!:Q!: sp! or n.rint a:nd ~lm at bonor.n)
ADDRESS
Y172~ f4(t D~k. VDI nt Lm- Sf-
ZONlNG (offi",,,,,,) I
LEGAL DESCRIPTION (olliee use only)
LOT 11 BWCl{ 1... ADDmON DeevL-h d d llit'h
PID
OWNER
~~~ DR Horton Cus_om Homes
(Address)' 2..oS(cO kh1B~l JX;e... Co S,e, iDG
(phone)
Qt:)2-Q';(&; -,gz:,D
uduville, .\..IN EE:OytJ
APPUCANT
(Name)~-6"""'_'tly"'~ '1?:."""l-,-:....g JL.Haa.~,;""g
(Address) 14745 So Robert Trail
(Address)
(Coutsct Person) ~ti &1 ( S
APPLlCANT SIGNATURE 04.u ill ~
I
I
I
I
I
I
I
Quantity
2-
1
J
I
~
1
,"2,
(phone) h,l_a ?~_11 t./,
Rosemounc
MN
55068
(Zip Code)
(Cjty)
(Phone)
651-423-tl44
DATE
In J:J;J I rf?-,
I .
APPLICANT PLEASE COMPLETE BELOW
Type of Firture I Quantity I Type of Fixture
Bath Tub with or without shower I Rough-ins
Dishwasher I ( - Water Heater
Floor Drain (J r:. Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (1 or 2 compartment sink Sewage Ejector
. Shower Stall Backt10w Assembly
Sinks Bacldlow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) I Other
I
I
I
I
I
1
1
I
I
FEE SCRE:DULE
Indusmal, Commercial 8< Mula-fanuly 1 % of Job CO,I With a $3950 minimum R,"dential, New Ono &: Two-Family $99.50
ResidenriaJ, Additions &: Alb:ratians $39 50
Estnnated Cost $
BU1Jdmg PermIt #
GlJ. A4/D
'1!.,t)/Na W1'lff ,
) PI:f:/4/rr
PLU1vlBING PEIU"llT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
50
(Office Use Onl}')
This Application Becomes You.r Building Permit When Approved
Receipt No.
Bwlding omclal
Dm
I Paid
I Da~DV 0 ~ Z003
By iT..
14 hour notIce for aUlnlpections (952) 447-~5.0, fa (952) 447-4245
',.-''; ...-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rel
h~
:~"i':. E:;~, I PERMIT NO. ,-j -/t.}LI:}-
(Please!vpe or nrint and sim at bottom)
. ADDRESS
~v?v-?3 /-:: ~k
A:A-/ L/.
ZONING (olliceu,,)
LEGAL DESCRIPTION (office use only)
Lqp(1 BLOCK cd ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDOE CT
(Address) LAKEVILLE, MN 55044
(Phone)
APPLICANT /J.; /. ~
(Name) /~///4:.L ~ r.-/A4/~-./
(Address) ~.~ ~~..6, ~ /2,-;
r:i!:AddreS
(Contact Person) A ~ 6- ~
APPLICANT SIGNATURE .,;c-;:.__
(phone) ~~/. 4~'?-,,?.?/5
~~~ .~.;S;~??
(~ (Zip Code)
(phone) ~/ - c;./~ --177,S
DATE
, APPLICANT PLEASE COMPLETE BELOW
~NEW CO~TRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACEMAKEANDMOD~/r-.;~ ::?/oAA~qCJ7CJ FUEL -LI.2 ~
FLUESIZE~~~~RETURNOPENINGS # INPUT~ OUTPUT ~~~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
lJ'Plent. 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, Addilions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
(Office Use Only)
Estimated Cost $ ~ a:::> Building Permit # . PAID Wfn.t
HEATING PERMIT FEE $~/ ~.//4.rtjUltiJING PERMIi
STATE SURCHARGE $ ~ .50
TOTAL PERMIT FEE $ C7
,
Building Official
"
~! \l?aid!_
)~ '0 ,..J U U L_
I"D i':
II 1 mV 1 2 2003 i
~u "-'
24 hour notice for all inspections (952) 44t~~SO, fax_(952) 4474245
Date
i Receipt No.
I
I By
II
fA
7
This Application Becomes Y onr Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvve or Print and sUm at bottom)
ADDRESS
~.;;;,:" ~:~ I PERMIT NO.~ I ~
J.Yellow Applicant ~
ZONING (uffice use)
5223 E. OAK POINT DRIVE SE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Addtess)
APPLICANT
(Name)----,^ T.I .IFD FIRESIDE DBA FIRFSIDF HFARTH & HOMF
(Phone)
651.611.2561
(Addtess)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
12/I/i/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
OWarm Air Plants
OGJavity
o Mechanical
DAir Conditioning
OVen!. System
HEATING OR POWER PLANT
o Steam
o Hol Water
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
ResidenIial, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Buil~ing Permit # PAID WITH
$ gUllm~ PERMIT
$
(Office Use Only)
This Application Becomes Your Bnilding Permit When Approved
Paid
Receipt No.
Date3:~ 1 ii LUU:! By
Duildine. Official
Date
24 hour notice for all inspections (952) 447-9SS11, fax (952) 447-4245
PRIOR LAKE ~~rtD~~~~NJD~~sM. File
INSPECTION RECORQain File
SITE ADDRESS 6~D\3 c. thK P-t- ~cI.
NATURE OF WORK ~
USE OF BUILDING ~ F-Fj:
PERMIT NO. -LJ ~ - 1442- DATE ISSUED
CONTRACTOR ~ .,,1at:J ~ PHONE iiJ..~. "if~::J-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING I IN;;;! I f \ ~Al~ ~ ':J I
. .
'FOUNDATION (Prior to Backfill) I i/]/).L/ /~ I/-ILI-~/V/.~~
PLACE NO CONCRETE UNTIL ABOVE HAs BEEN SIGNED /
~ROUGH . INS
SEWER I WATER I SEPTIC 1 ftJfv\ ~
FRAMING ':>WQ\).,...... /Ill' /L. t)...g IAJ/(1 ~
INSULATION I ill/1//
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
Y{/Y/
k...,
. &I-'{~)
/('2~lO)
/ j;r101
( -11.--v'f
/J. -/7-0"l
1/'?/tJ q
; I x!/t, l/
( I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
IUd
,
GRADING (Prior to Sodding)
BUILDING I\{uf (/vIf, I q-(VlI
ELECTRICAL
PLUMBING
HEATING
DO NOT
#1"8
--
!/W'/1
Jl'l/f/
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
.A'?/OY
~ ->>4'';
~ .. 1()-1J'-1
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
Ql~tfifienf~ of <IDempnnel,!
CITY OF PRIOR LAKE
@.rparfmruf of ~uilMug J1usprdiou
;.iFinal Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements ~f 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 Classificatior
SINGLE FA.,'1ILY
03-1442
Bldg. Permit No.
Occupancy Type
R3
N/A
Zoning District
Rl
VN
Fire Zone
Type Construction
Legal Description 1,2], B2, DEERFIELD 10TH
Owner of Building
Site Address 5223 EAST OAK POINT DRIVE S.E.
20860 KENBRIDGE CT., SUITE 100, LAKEVILLE
Contractor's Name & Address D. R. HORTON, TNC..,
ROBERT D. HUTCHINS/~
/O~ ~ircial
City Planner
DON RYE
Date:
Date:
I
I
I
I
I
I
I
I
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
-5':2..23
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
COMMENTS:
DATE nME
SCHEDULED ~~~~
~-~a/ //4
CONTR.
PERMIT NO.
dS-/f/1/2
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
/ ./"? /'
( C~/6J-t'-
\...
--
-----~
,-;)' "\)
/7 /e. ~
~
A~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~
Inspector:
CALL 4.017.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"''''1m
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TillE
S -Io-()<{
ADDRESS
S2-~ 3' Cast {Xic /?r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o PLUMBING FINAL
o MECH FINAL
~-14'4'i- -z..
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~h",,,1 ~~aJ.., C...<O.n~_
~ ~ ~ T~w 3; f~~ c1t"o~//'~.-...., j..
'tD p~-- ,.1<-C......"I-!- <..~d/ ~ IR .
~)~rC{/ ..4/ 11';.-- '/A..J..., -h.v~~
( I ~....r/ v..,+, I
y~f --0-,1
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CA~R REINSPECTION BEFORE COVERING
Inspedor: _____-;/tr . OWner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
U<SNO"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NonCE
SCHEDULED
;). - JO-CI'1
ADDRESS
,{").-}...3
rz O:iL {PI-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
"g-ltlq2..
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
a- PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
{jJ r f /lVl.iJl,..L YoI!fU':J5
lJ WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT W~R.~LL FOR REINSPECTION BEFORE COVERING
Inspector. -t.JLf' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
",'Ntm
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
PHONE NO.
PERMIT NO.
PI, J).r,
. D.R. J-/d/-J.n",
n ~ - JL/Ljz.
ADDRESS
~223 E.\+ t!)c, K.
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
c;ii4lNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
hf'i!A /f.r - {) J(.
(" 116 }j07- -OJ(
\( WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:d~ Owner/Contr:
'.. ...;.,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNS1lOTl