HomeMy WebLinkAboutBuilding Permit 04-0107
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ;J- L/ -0 ~
Main File
; ';:i~i~ ~:;y 'PERMIT NO, riA -.0 / () 71
3. Yellow Applicant 1- ~
(Please!vpe OTVrint and sign at bottom)
ADDRESS
----soS'JloO Ea.d ~l tbud D(\'dE
LEGAL DESCRIPTION (office use only)
LOTI') BLOC~ ADDITI~ lOt"^--
OWNER
(Name)
(Address)
ZONING (office u,,)
;€/
PID 2S -t01. 033. ()
(Phone)
~
(Phon q . 9A5-7m~
(Phone) 9S~ ;~t, -L/732
BUILD~ (j) I I 'l
(Name) V, K., ric;JITQn I(l {' .
(contactNam~ 'vJo/lr07~_
2C>eliD \ C.::L "'?/UO
(Address) J c. K,'~ ~ ~.)lf/
J
)s(,New Construction
DLower Level Finish
DMisc. /.B.CL{U.gc) f""nES
TYPE OF WORK
DDeck
o Fireplace
DPorch
ORe-Roofing
DAlteration
PROJECT COST IV ALUE (excluding land) $ i51j /8 :;;
DAddition
ORe-Siding
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 pennit for just cause. Furthennore, I hereby agree that the city official or a designee may
.~~to~~~~n:ections dCf.XY5G57 d.hlol
1 (\- Signature Contractor's License No. ' I Date
~
I Permit Valuation
J Permit Fee
I Plan Check Fee
1 State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
\ Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
t
1f ('5"'=t oco.ad
$
$
$
$
$
$
$
$
Iii 07/501
ql'-l.aBI
79.501
1
I
I
I
I
100,0-0
100.01)
3<;.so
40.00
This Application Becomes Your Building Permit When Approved
~~p
Building Official
02/r10 </
ate
I $
1 $
1$
$
$
$
$
$
$fl.S72...3e
..
I Receipt No. /.i{P{.ld-/
By /'
U
1 Park Support Fee
1 SAC ---=-
I Water Meter C?i~e5/8:;Jl";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
1 Other
1 TOTAL DUE
/; ,- ~ ~ _J ~
I Paid ,.r ~:::/ 'l6L. -...)
I Date -S -/t:;"-J/
#
#
#
#
.8SO.00
1350.00
Z SO.DO
lfs.OQ
\ 2..00. Do
700.00
1'S00.00
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
Z~J~
Planning birector
-d4<f
f(~ aP~~.
Special Conditionst'if any
24 hnur notice for all inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue Prior Lake. MN 55372
"".,
..
Job Address .51~O:f"- ~
Heating Contractor j) J/,YtP7 h F/.L/
Name ofTesler /b~1S
Dale 7/ZZ/oi/
Percent 02 / I. 1..l'v
Percent CO ~A""
Percent C02 ~ r /0
Slack Temp It} F OF
Combustion air is adequately supplied per
UMC Sec. 606 Yer
.
,
tS--ru
input
~
..__._....~,,_..~_,,__~_._m"__".._._.__._._.~.._'_ .,-
':4-<::"1'-'~
.1.,~;, _, '!
"'.""'-'
. ~
~~
~o. _ l:Iuill'fina
. _ Grv - EncrineeriilaJ
Pink . - Planning
Thf (""If' of IlIf t.kf COIlItI",
BUILDING PERMIT APPLICATION DEPARTMeNT CHECKlJSI
NAME OF APPLICANT
APPLICATION RECEIVED
.0. /2 . f-.le I2.TD~)
7 .J-.., r'4-
!--,.__.l,..
The Building, Engineering, and Planning Departments have reviewed the bUilding permit
application .for construction activity which is proposed at:
Sf ({ [) r.A ::.01 OA Ie PT. DiC.
Accepted
Denied
x
Accepted With Corrections _
Reviewed By:
me:; f3
Date:
~ - 2~~ OIoJ
Comments: See Reverse Side for Additional Information!
/J7e,,'n (do(
See A.ttachments: I) Grac1ine Plan, 2) Erosion rontrol Me::l~nrp.~
"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." p
~R/Of;,
~%
Main File
~... - Buildlii1r--,
Canary - Engineering
Pink - Planning
lhr Crnll'r "r lhl' 1.lkf Counl~.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
D.e - HOYC./lVf0
z. 5. 04-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t5/LP 0 (;A 51 Oft IL PT. 'De..
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~
Comments: ~.J_ ~
r
<:/-F. fl ~ Date: OJ.-// 7 ~ L/
a.::U'~~~
"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."
~
o~~
Main File
White - Building
Canary - r:n'1.ineering
........mK - t',anmilg";;>
_/
TIlf: c-~nl"r nf Ih.. J.Mk.. C-ountr,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
! I fl-::, r
APPLICATION RECEIVED
-- .
c:~. ( t~j
The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I (f ( 'fl' (.1\ ic: T (jl'-.-
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~ ~ Date: c9// 7)'/
Comments: ~LJ ~~. ~ ./l"~ AA ~-:h-":-, ~~
. J~~
..
"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."
CITY OF PRIOR LAKE 11 7c/~.:3
HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Rec'd
L Pink
2. Green
3. Y~llow
E:,,_ I PERMIT NOO 'I-14?
(!'Iease tvj>e ornrint and sign at bottom)
ADDRESS
51&0 L
D/ik 'Poif1+
'0,.
ZONING (office us,)
LEGAL DESCRIPTION (office use only)
, LOT
BLOCK
ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT ./'J . / /1A .~./
(Name) /-//.//d.,A ~ ./ rE-''' A4.,., /r- -/ (phone) .? ~ /- c;/~...,..?- -,,~??~-
(Address) . ~.~ /C/ 4A.1 h" l' ..cJ/. ~ q~ 5.s-/'?.:?
:::~~N~-2:~~~ -'~?5/-s/~:::;;7"
. APPLICANT PLEASE COMPLETE BELOW
~W CONSTR)lI?l'ION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~"5./"~~ 901%. FUE~ X-)~~ ~
FLUE SIZE ._=i' p7VI'L RETURN OPENINGS INPUT /~ ,~ OUTPUT ~ '~)
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plants
~..rilVity
echanical .
... ir Conditioning
nl. System
o St~am
o Hol Water
o Radiation
o Special Devices
o Other Devices
PLEA~E NQTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE ANJ)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 $ 7t?':Y? a;>Building Permit #
1Jl,.
HEA~ING PERMITFEE $ L:.d/ h,..u'/ ~ A .
STATE SURCHARGE $ ......50')r ~'J1Ji Wl17N
(Office Use Only) TOTAL PERMIT FEE $ ~; _ ___ 1:-l:fP/;"Qi'[:Y.TG ~r'Mrr
This Application Becomes Your Building Permit When Approved !'aid ,... !~i~ec~iPtNO.
! '1
42004 I .ry (f(
J
Building Official
~at'MAR
'i
j.uU
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date
Ma r . 12.
€~~
,.",~~"-:' l"....."'850"(l'-
~ ,..,,,,';:;,., ',,-
'~~{"'~\\~%'\-~.~'~
'~W""Al","
2004 12:38PM
GENZ RVAN PLUMBING AND HEATING
P 29/31
Date Rec'd
N0.5768
CITY OF PRIOR LAKE PLUl\1BmG PERMIT
I. BI.." lil.
2.G4ld City
~,Yellow "ll9l(l:II\(
I PF.RMIT NO.t/_/O "1l
(PIe.,< t;'l><i. or pIill[ and sleO. l! bOttOlll)
ADDRESS
5'1110 Gees-\- Oa!Zthint DVl_1 \b
ZONING (olllcc"",)
LEGAL DESCRIPTION (office use ooly)
LOT I~ BLOCK iL ADDITION /)toelt{ [cl
IOfh
PID
OWNER
(Name) DR !:lo:rt:on Custom Homes
(Address)
(phone)
%2-Q'){6 -7'6DO
20$(.00 kLV'1B~I!)6f~ Co Sre.IDC
ud...wille.. }\..jN 5ScLfLl
APPLICANT
(Name)-c:,..:_,?,-:c: 1""~hi~g h-l1.^::~.:_g
(Address) 14745 So Robert Trail Rosemount
(Address) (City)
(Contact Person) .-CJ1~ i,,: ~-Fa II ( (phone)
APPLICANT SIGNATURE (fJ ~ '-i:A Cr ../7 DATE
- ~
I
APPLIC.AJ.~T PLEASE COJVIPLETE BELOW
I Type of Fixture I Quantity I
Bath Tub with or without shower I Rough-ins
I Dishwasher I i Water Heater
Floor Drain 'fL.t: Water Softner
I Lavatory (Bathroom Sink) I I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
I Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Oth.er
Quantity
1.-
I
I
'-f
I
2.-
I
,-J
(phone) < '" _I, 0>_1 H~
MN
55068
(Zip Code)
651-423-1144
3---1;) -BLf
,
Type of future
I
I
I
I
I
1
I
I
1
FEE SCHEDULE
Ind\lslTUll, Commor<lal & Mulb-famJ)Y 1 % of Job oost wIth. S39 50 minimum Res)dennal, New One & Twa-P.""Jy $9950
Residential, Additions & Alter.trans $39 50
(Oflle> Use Only)
This Applicarton "Becomes Your Building Permit When Approved
Est)Jl)ated Cost $
Buildmg Pernl)t #
-:.t;z;'~()
<~e ~.l
~
"'~
I
I
PLUMBING PERMIT FEE $
STATE SURCHARGE $
rOTAL PERlVrrT FEE $
50
BIrlJding Official
D:lU
I P&1d . _
I DateMAR ~ 0 Ld3'
I Receipt No.
I By
,4 hour notIce for all !nspetllons (952) 447.9850, fn (952) 447-4245
Mar. I 2. 2004 12:37PM
GENZ RVAN PLUMBING AND HEATING
No.5768 p, 26/3i
Dste Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~ ~,:, ~;~ I PERMIT NO. ,. ~-IO r1
J Gold Apphunc '-7' ' -If
<'?1ea1e t'tP~ or 'Print and $l,;nat bottom)
ADDRESS
15 lV! 0 8l\+ 0 WL- 17n I VL t bv2.. S~
ZONING (o_us.)
LEGAL DESCRIPTION (otlle< u,. only)
LOT I~BLOC~ 1- ADDITION I~,-h dct l D+trI
PID
OWNER
(Name) DB. BI"'lV'i-I"'lT'! (""l""f-"~,: ?...~:.;
(Phone) _ Cf62 -q~-18(\11
(Address)
2-oUDO Kev12>i<,.\b6e c,- SOPIf\n
(Addie,,)
Lc..~\! d Ie...
(Cj'Y)
''7'''':f';>L1 U
(Zip Code) .
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(Phone)
65J.-423-1144
(Address) 14745 So Robert Trail Rosemount. MIl
(Contact Person) . rN1reI~~) l ~ .~ \ . f) ;::~e)
".ICANTSIGNAT~_ ("')1 ~ ~j PO./J:;ATE
.
55068
(Zip Cod<)
651-423-1144
,1- J? -o~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any 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 strocture.
feet.
o Cast Iron
Resldenllaj sewer and water lme connection
Sewer connection only
FEE SCHEDULE
$35 50 Industrial, Com 'j & MultI-family 1% of Job cost w\tb a $39.50 mmunum
$17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER A.J'lD WATER PEIDvlIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
D2tt
rPatd
I Date
I
Receipt No.
,OJ... A
'-~J; ~b
~~~
v"I:)/j; v.;{;
,
1
(OffiCI! U!e Only)
I This Applleation Becomes Your !lu)lding Permit When Approved
BUilding OffIcial
Bv
~I"R 1 6 20(4 '
24 hour nOllee for.1I inspections (952) 447-9850, f.x (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink
2, Green
3, Yellow
~:;, I PERMIT NO./J _ ~."
Applicant ~
(Please type or mot and siltll at bottom)
ADDRESS
ZONING (office use)
5160 E. OAK POINT DR SE
LEGAL DESCRIPTION: (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) ATJ.TFDFTRFSTDF DRA FIRESIDE HEARTH & HOMF.
(Phone)
651-6:13-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Addiess)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-256)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/26/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Planls
DGravity
o Mechanical
DAir Conditioning
OVen!. Syslem
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
HEATNGLO SL-750TR-D
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 $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
.vl-,~
. _ c" 'D
l\" ""-'-c:i.'~
+. G',,,,?~
,.~ "0 'I
"';!~~v!.t
"''':''h~
-";~~~,'r,~
l.I".; !.~
(Office Use Only)
Buildine- Official
Date
I Paid
I Dall;PR 2 7 2004
Receipt No.
This Application Becomes Your Building Permit When Approved
24 honr notice for all inspections (952) 447-9850, fax (952) 447-4245
By 6t--
(J
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
Main File
SITE ADDRESS 5t ~~ O/6..1J.. ~'Ito.\r ;P2. s.€.
NATURE OF WORK t.J~ ~ ~$"'A,' JcrfoN,
USE OF BUILDING 'S. t=:' ~ . .
PERMIT NO. 04-.0/07 DATE ISSUED .....II~O~
CONTRACTOR 12Jl.. ~ . 'IIJC. PHONE l..- 7,l..-CU3l.
NOTE: THIS IS NOT A PERMIT FdR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING 11Ift' _ .-'5- l!t.oL!
I FOUNDATION (Prior to Backfill) I f'VY/ I ?-I- ;!-cJ"}
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING ~'I(.n.~ V\,f l{ -jqov( I/W/
INSULATION ' flip
.
ELECTRICAL
PLUMBING UtV il14} J/L/ _ 5~ ]-ULI
HEATING (ifrequired) IM../ [-; - iI-ul)
FIREPLACE . / W'/ t.;- /1 0 i I
GAS LINE AIR TEST ~ S~ /1'0' I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) _ 11//3
BUILDING~~ 9/1~9 //~
ELECTRICAL
PLUMBING
HEATING
DO NOT
,(/1/ -r)LJ
J:,-no./
/q///Q?
7~..5~Y
ffl/ t ~ soo,!
#/~ ~#'"
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
5'.11~
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
C!ltrfifirah of <IDrrnpanrl!
CITY OF PRIOR LAKE
~tparfmtut of ~uilMug J1usptdhru
j{Final Permitted D Conditional C.O. Expire~
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D International
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:
SINGT,E FA'lILY 04-0107
Use Classification Bldg. Permit N.... _
R3 VN r1
Occupancy Type
Type Construction
L13, B2, DEERFIELD 10TH
Legal Description
Owner of Building Site Address
n.R. HORTON, 20860 KENBRIDGE
Contractor's Name & Address ~
ROBERT D. HUTCHINS ~
:/' /~ City Planner
,,/- ~u~l~ Offi"al
Date. /0///"7 Date:
5160 EAST OAK POINT DRIVE
CT., SUITE 100, LAKEVTLLE
DON RYE
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
~ -1/-01/
ADDRESS 5/(,0 Ecn.1- t").,1t.. Pl D#".
OWNER CONTR. l2 ~_ ~'"
PHONE NO. PERMIT NO. r,L/-IO 7
SCHEDULED
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~lllING
rDC~T
o FIREPLACE RI
o FIREPLACE FINAL
o GAS liNE AIR TST
o
COMMENTS:
'<rr</M - (7f
~RK SATISFACTORY. PROCEED
[J CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
Inspecto~, ___ Owner/Contr:
fAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJ<SNOn
DATE TIME
CITY OF PRIOR LAKE _ J.
INSPECTION NOTICE SCHEDULED 7 ~t/
/ - .
ADDRESS <)/~ () ?-"11:.\,t. &~ ~ /~ #
OWNER CONTR.
PHONE NO.
PERMIT NO.
o~-/C>7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.;rFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXfGRADIFILLING
o COMPLAINT
o FIREPLACE RI
".P--F1REPLACE FINAL
o GASLINE AIR TST
o
COMJJlEN}\S: , -- "./1 / /
CUcl/;c41 h~/.!'ft~ ?ft~y
~ J /i ~y:'~to-c. hk j /1 , ,4K-'
"V' Z/vlve.r c;P ~; 'h/"/
- - ~
~c4,,/7h9/ ~
~L elJk d 6JI';W f- /C<5 ;I
....- A I / / /J .-/
(/.) /Y~~....l ~/d6V(j.,Le.- ~y.~.a,:"",,-V:;
gJ G:..J,L -:?/L,v~d 4/" ~~r_~kS/
-,~~.cAkv~ ~;Ly +&-kn It,~/e-
1~....,h , U~t// C /1/ /: /
(5J ~c.d [J"'{/ -r-hcr....) ~"717~ +,)...",1
"1'Y4'd.e e:;.-1~/"" Jo. /' . ..... ~
V / -r;;:.~ p, C. L~U
o WORK SATISFACTORY. PROCEED / c...L.(/ ~L,/
~ORRECT ACTION AND PROCEED On T' / 0/';5/'" r
/" 0 roRRECT 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 &. SAFETY!
D<SNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
~/!?~-;/
- - .
ADDRESS ",",/60 ~,-r/ ak // a
OWNER r5 di~.s
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~s RHOOKUP
PLUMBING FINAL
o MECH FINAL
COMMENTS: A
~~.-.... r.-r
&d/
(jJ a//
{!.; ~.~,(
~~,'
-
.~~~~
J
~;&
- /
hxTo/e.-5
/C'J./ /CJ/
CJ0/o7
/
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
~/'-
, .
,.k; ..--../v ~~/4~
/
V#'
,
/~
/
4/v, ..,L 5/(; Y
-- /
lip" ~ F/..-c74cwa./
/7J ~ /
~ORK SATISFACTORY. PROCEED
CORRECT ACTION AND PROCEED
o CORRECT WORK. :~:;~EINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
, ./ /
COq :7"e-r /k.., /(3/$
-
~/r
@ ~/"ML.
~
CALL 447,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ