HomeMy WebLinkAboutBuilding Permit 03-1539
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
~lease ~ or mint and sUm at bottom)
ADDRESS
I. While File
2. Pink City
3. Yellow Applicant
'1r6t-
$UFF J/f3.I~ rrt+lL-
LEGAL DESCRIPTION (office use only)
LOT~BLOCK j ADDITION
7:mBut Ctur:., ~
PVJ..TE- ;j" mf~
{lIS- /J!p.lZ-/k ~ AvG- 'S&--
Pl/~ Hont6rS
CutzT$iAaHltA
OWNER
(Name)
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
./
l!1'New Construction
ODeck
o Fireplace
Date Rec' d
//- 6~ 0'3
I PERMIT NO. 03. /539 I
ZONING (office use)
(J tA- lJ
PID a5~ tjo)..- ~ ~ ~,.o
(Phone) ts/ -VS ?-Sk;:O
SttITG- /'10 _ ~;t6A'?7. n1V1..
(phone)
(phone)
OPorch
OAddition
ORe-Roofing
OAlteration
biZ -;>?/ -1/?k5
ORe-Siding
OUtility Connection
9q tJ9's
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
sUbmi:~9 ~ I am aware that the building offi' can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;ter~__/ertytoperfO neededi ons tfc -/37( II ~~
,//. , or Signature Contractor's License No. ~ ;ate
I Permit Valuation
I Pennit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Pennit Fee
DLower Level Finish
PROJECT COST IV ALUE (excluding land) $
J'9tJ,000.00 I
$ 1/.-J. 75" I
$ !a"o. ~If I
$ ~s;. " 0 I
$
$
$
$
$
-
loa.Go
JDIJ,oe
~s: 'Sa
L/tJ.oo
This Application Becomes Your Building Permit When Approved
$.n...~ ~ 4'/103
Building Official Date
I Park Support Fee
I SAC ------..
I WaterMet~ I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit ""
I Other
I TOTAL DUE
I Paid
I Date
/;/-. - d / .J
L.. '?fit-I' 0Cf
# $
# $ IZ7S;~(Ja
$ 2<;;;0,()t)
$ 11'5. tJ-CJ
# $ IMa.OO
II $ "'lbO.CO
$ ISoo.oo
$
$(,.8/4-.&9
I ReceiPtNo.j.A~7b/-
Bv (~
(J ~
This is to certify that the request in the above application and accompanying documem:s. is in accordance with the City ZonipJ 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 conunence. Before occupancy, a Certificate of occu~cy must be
~ningZ~' /;I-J 10r~~' ~D ~~:conditC~~~A-T/.
24 hour notice for all inspections (952) 447-9850, fax (952) 4474245
16200 Eagle Creek Avenue Prior Lake. MN 55372
.~~
Main File
White - Aullplna
<::... _Canary - Englneerinb
Pink . ... rlilll.......,,--
TM("'''luollhtl...Ir.,Co...try
NAME OF APPL,lCANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,i;~:1 j //. t~~
,/',
-.J.,.-
.',~'.,,,..~~'-
/1 _?
APPLICATION RECEIVED (-:> ---)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
k.'/ q ,<:? I;' (';.....~JJ ~,/,-f! Aj::;~, '~7. A J
, ,~ c,__ <./vL: /. . " ~_ ~ /'-'
f'(!
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
, 114/~
Date:
/I-/~ -())
Comments: See Reverse Side for ~onallnformation!
iJ1C,/~ h 'k
See Attachments: I) Gradine: 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."
Main File
White - Building
Canary - Enqineering
<;;fInk ~ Plannln~
Tht ("tnlt-tnf lht' ...ktCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
f"/'
./ /(
I
,
!
'-
APPLICATION RECEIVED / /5 - .~..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/./-...:.1 .
.... ~ ( / .. " / ,/ t' /---r-
1..-7(0 "~.c'<"/JI,"/ ("
! if "
,A....)
Accepted
Accepted With Corrections /"
Denied
Reviewed By:
Comments:
r
~ -::t.t< -,{It...>
~ ~~
Date: 1(;/'/};3
~4~"~
v
"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
Main File
~hitA .. Buildii1'i:t>
Canary . Engineering
Pink . PlannIng
Thll' Cll'nltr of lhl' l..kt (.ounlry
BUILDING PERMIT APPLICATION D~RTMENT CHECKLIST
NAME OF APPLICANT ~..I/.ft ~.
,
APPLICATION RECEIVED 1/- 5-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
I/q{r;~ ~,(k;. J~
Accepted
Accepted With Corrections V--
Denied
Reviewed By:
~ ~~ Date: /0~;;:r
R~ J ~~.
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."
Nov 26 03 01:10p
METRO GENERAL SERVICES
763-428-2968
p.2
GMt" .. 'LE.
YELLQW & APflLlCANT
GOI.D. Clr'f
CITY OF PRIOR LAKE
SEWER' AND WATER PERMIT
'1$2..- 'I'I7-'1"'''.r
3-/5 3~
S.w. No.
FA'f...
NOTE:
Sewer and Water
contractors must
be registered
with the city.
NO\! 2 6 2003
APPLICANT: rn 1=-1 K() (~EfIJERA/. SER.I/JU;.~ONE:.-rb3 -l..{-d..?J-d,'13,rs
ADDRESS: 57q 0 (.;), uAIYl AIh=. NE I ,\le'DATE: NOV 2 62003
~\ ~ 1\ '--Llr .....JP.--,. 51. rYl 1l!.li Po 1= L --"''''IIIJ. S 5:3 7 b
SIGNATURE: .....:- a.vg.-+-I_~Oll..N BLDG. PERMIT #
SITE ADDRESS: 4-9 u", - '&2u, 4! ~.e~P:~~?
. FILL. IN 4~ BLANKS :'''"'~
1. Estimated length of water service .C:;; 1'\
feet.
2. Size of water service I"~
inch(es).
3. Location of any couplings from structure
(') feet.
4. Type of sewer pipe. ABS PVC Lj.J/ Cast Iron
'-...- 5. Estimated length of sewer line S () feet.
6. Clean out (if required),
structure.
located at
tV/A-
feet
from
===~----;==~===========~==========================================
This application becomes your permit when approved.
BY
DATE:
============f======,~====-===-=====================================
P""J/e.d 1J.'Ht
FEES: /1ld 'f.-(I<''i- Sewer and water line connection permit.
, surcharge
Alo F'e.e.... TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded CIlrth1!"-butld:l:I'I<1'p~rmit card at the time of issuance
to insure that nodupll.cate sewer and water permits are
issued.
lIli ' DEe
8 20113
AMOUNT PAID
PAID WITH
BUJLD\N~ p~I=\MJT
f;~
.,'. ',: i
'DA'l'E';jl'AID
.. .
RECEIPT 'j
Bv____
J
REC'DBY
16200 Eagl(::Crcek Av. S.B., Prior Lake, Minnesota 55372/ Ph. ('/$2) 447-4230/ FAX ('lS2) 447-4245
A.. 'RflllDI t"\n"nrtl1nitv Emnlnve.r
F@b IS 04 02:05p
METRO GENERAL SERVICES
763-428-2968
p.3
GIIU.. . FtL.
YELl.OW . ....LICAIIT
GOLD ~ C11'
CITY OF PRIOR LAKE
SEWER'AND WATER PERMIT
FA'" '15~ "'I7~'I"J,1/.r'
S.W.NO.~~
1.
Estimated length of water service
. II
size of water service I
inch{es).
2.
4 .
Type of sewer pipe.
ASS
from structure (]
PVC 4 I' Cast Iron
f)O
feet.
3 .
Location of any couplings
'--
5.
Estimated length of sewer line_
feet.
f
6. Clean out (if required), located
====:::::::::~===~===================(!!J4
at
feet
from
-~===~====~=====:=====
This application becomes your permit when approved.
I
BY
DATE:
, ' ''', ' . '.~
. .,_' -,'-- I''';'
.'t,;;;;,~.;t1t.{';
1:."",
.-~v'_"'"
=~~__a===-=~T~-~=====-=--=====--~-------=C=--------=---~~====---==
Pwlld ~,'I1t - --" -- ------- -------- --- ---
FEES: {lld.j P-f.4.....:';" . Sewer and water line connection permit.
, ,..,-", , surcharge
No n!.e.- TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewec--afld~laterpe:tl1d.tsissued for new construction must be
reco ;P:~1i (<Wi :thel,iPH1i.MinlJ permit card at the time of issuance
,. ~o qsu're- tH.a, t no "c '~liP," llcate sewer and water permi ts are
" . ~s,su rm' FEB 18 21)04 bi ' .
.:DAT&;:~M: )J ,I ' , AMOUNT PA1i'A1D Wrr: l
'RECEIPT . ?y~c=-..::::,,~ c... t REC' D ISUILDINGPE8M.II-
;t:,i,~j~i~, 'f '~',
;", ':16200 EagI(::CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. ("52) 447-4230/ FAX ('$2) 447-4245
, AnEqiIal OpportUnity Employer '
vA..... ... '-'.L' ... ...__.....".&J4 "'...........
;952 894 0925
# 2/ 9
....AL......'C'"' U
!!
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
~',
~
,~~
;~
i
c?lease'!yp~ ar nrint and SiPl1 Jlt, boltol:\."\
ADDRESS ' 'c ,.. - -
L(qLacp (2;(4 jV-It Tr({~
LEGAL DESCRIPTION (office use only)
Ui::"m ~~ I PERMIT NOA7 tt::.'2ItJ
l. YdloVl AppIiCllll ~7
ZONING (olli",...)
,;
:'1
n
.LOT
BLOCK
AnnmON
PID
OWNERJ)
(Name) ---XI J j *
{Address) 8)5 N
fJ(J 17'U...!J
fA) .fJo.p.l-l~)Wr
(phone) trD../ -{J:::::: :-J _ 5 ;)00
(City)
(Contact Pelllon) (phone)
N'PLICANT SIGNA11.TR'R /..Jr ni1..... }1!ti...IJ.IY1 An rI DATE _ t/ - J'-{)Lj
(Zip Code)
~~
~
I
~-,.
~,,",
~"
~
;0;
APPLICANT
(Name)
(Address)
a\,UII.;)V:l1..:.II.......~;.,:;! .:,va, ~i..v
12481 Rhode Island Ave. So.
JfoooIW'-';'t ;.IN(BBri i~~
(phone) _Cf.-'=) d -f'9 Lf-d(.Y'5
APPLICANT PLEASE COMPLETE BELOW
, ~WCONSTRUcnON OREPLACEMENT o ALTERATIONS
;;"URNACEMAKEANDM,ODEL J In/l()}( G5/mp-:~fD{3r070 ' FUEL cy.<f YJ..1...l
'LUE SIZE ' RE11JRN OPENINGS t../ INPUT .:JQ, (JOO OUTPUT (OC/ {j 00
TYPE OF SYSTEM, HEATING OR POWER PLANT
OWonn Air Plants 0 Steam
OGravity 0 Hol Water
o Mec:hanicaI 0 Radiation
OAir Conditioning 0 Special Devices
OVcnt. System 0 Other Devices
PLEASE NOTE:
Air Coriclitioner Units
Cannot Encroach into
Required Side Yard
Setbaclcs
'IREPLACE MAKE AND MODEL
,f~
p,"'"
'duslrial, Commercial '" Multi-Family
.csidentiaJ, Heating'" NC (New Consttuction)
.csidential, Heating Only (New Construction)
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
,
R.esidential, Additions'" AUet1ltions
Residential, AC Only
$39.50
$39.50
$39.50
ii,-
~;!":'
~."';
"',
FlEA TING PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
J)~ 'BW-O~~
Estimated Cost $
1m.. Us. Only)
This Application Become.. Your Building Permit When Approved
,
I
! r~ll1dC ! f Reccipt No.
, '
, l pate 09 ilBy
BuildingOffidal , 'Dat. I, ,l APR __2QOJ_:L________~__
- '-'-_.--'_.:--:-- ". -.. , . ," j""' ,,_ ", ", C
i-4 NH!1!' \1;C!.Kt ~or aU ~n,S',)ec:tlnn,'i (952} 447 :;;fbO,: iz'-x ;!l::..:_: 4---~1~,'-,~
1620a EagJ<:'. Crl'.ek, Avenut., Prior t3~' M:N SSJ7 :
I. . -..".--..-.---.:':::.._ ..~ ~--,.,---c--
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please ~ or orlnt and sion at bottoml
ADDRESS
l ~:w ~~i"m I PERMIT NOe -/539 I
4966 BLUFF HEIGHTS TRAIL
ZONING (office "'e)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name PULTR HOMES
(Phone)
(Address)
APPLICANT
(Name) ALl .lED FIRESIDE DRA FIRF<,I'1Il..HEAR1'T'I /!, l-IQMI1
(phone)
1i.';1-1i~~-2.'i1i1
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRFNI>A HUSTON
DATE
4/20/04
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 HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. 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
HEAT N GLO SL-550TRN-C
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 & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
I.:;)t::&'!.>>~~i~
;]rJ:~~\~G .-
.,.,,'C,..
.50
(Office Use Only)
BuildiDe Official
lf~ @~ nm ~~IReceiPt No.
~~a~PR 2 7 2004 ~ ijBY ur
J~ ~I V
24 hour notiee for all inspeetions (952) 447. )850, fax (952) 447-4245
By~__~~_ ~~
Date
This Application Becomes Your Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS J.JJJS. 7aA/~
NATURE OF WORK I'CW
USE OF BUILDING s: J:: ... .
PERMIT NO. ~ 02. /5.3q' DATE ISSUED L.l.LJ!tl.o3
CONTRACTOR J:::Lu..LE HOMES PH6NE.LIa.%2'''~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
.
'FOOTING WI&- I M..I I ).-ICj-O<) I
I FOUNDATION (Prior to Backfill) I 1...1 /j/1' / rvrt 2_ J..,t:--()J . / -f-.2 -0')
PLACE NO CONCRETE UNTIL ABOVE HAs BEEN SIGNED /
ROUGH. INS
SEWER/WATER/SEPTIC AlI()~jI-5 Y//r/ ,.
FRAMING I pc., L..G. ~'5' . r#..:.
INSULATION //{/ ./
ELECTRICAL A
PLUMBING tJdr /WI t1rf"!li
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
;VB to.~o.O<f-
~
. /f'3-0:,
4/~o,f;
I.{ - j~-Pf(
.
A
IfVY~.
It ./;t.
. LI,Uv--J
~Z"',.{,.,.
it Ize;/o~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
.
/~./.zz/o/
,
m# hfr7/<?'1
1(iA- ~/~ij'
. )
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
N OTI C E
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
Qttrtifiratt of <IDrrnpa1Jt11 .
CITY OF PRIOR"LAKE
~epadmeut of ~uilMug Jfuspediou
;i Final Permitted 0 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 PUD
;> ,:?n
c,-. J --7
Use Classification
SINGLE FAMILY
Legal Description
L2S. B1, TIMBER CREST PARK
Owner of Building
Site Address
4966 BLUFF HEIGHTS TRAIL SE
55121
Contractor'sName&AddreJ'~TE HOMES, S15.NORTHWEST PKWY.. SUITE 140, EAGAN
ROBERT D. HUTCHINS~' City Planner DON RYE
/OhZ~~cial Date
, .,
Date:
':::/~~t...o\
BVRNSVIIJLE' .,~ ~
Heating & Air C.(JI1~itipni!,g. ~;-L.C,
12481 Rhode [sumd Ave S, Sa~, YN 553~~4"OO/is, \ .. \\ ~
t )J<)}
i)
,') .' .- .o-:"l:,
0rs1at Test Report for JobI (P I ., l-
-f '[
'" i
_.
. ,).;
AddI8S$ t/q Ld, ~. .C~ U\... ~ City~
Occupant
Dale of 1ns1al1
TypeOfHT. FlA ~ HW SpaceHT UnitHT
Other
Make Lu,Y''''~
MOdel Or-s ;,..,1> - d4A .... c Ig. "DI
Serial P10"l c.::1~L- I'
Input, 41/ OQO
Pilot Type HOT SURFACE IGNITOR
Pressure 'Z . ~ C02--1D' ~ o~
Input CA-I ~ ,J. 02 9." "Yo
StackTemp In""/) CO cJ~
Dale Tested ---" / ..!oJ '
Company 8uFlNsviLLE HEATING & AIR CONDITIONING
Technician _'!t.A.~
L..u
'17'(, Blv-P/' Jlh 1/ I
Pul h NDI'IU ~
PERMIT NO. -.3, I ) rC1
~~'LLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
- DSITE INSPECTION
COMMENTS:
'1~ct \
I/~t~ ) f9t.
"'7,) /
'iC,72. - M
SCHEDULED
CONTR.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE nile
/()-~
.s J.. T
[1(.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT 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!
-
~n~ME
f/Y~~ 11/(/ N ~k 'P/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
CONTR.
PERMIT NO. ~ - ;:S-..J'9
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~MECH FINAL
~~~MEN1S: _./ ~
~~.b;../ h:r9' ~..~
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
2.lIREPLACE FINAL
~ GASLlNE AIR TST
o
~~~y
.....-
~,/ hh./ _
~~.Ie,. ~"'~ 7' ~4 ~~:r4~
~,~ /7 ~ ~rL/ r 4",,,,-
~~",,-;,-j . 29,-("'../ ~~~./
{j./~L,i ,&;,,;;/ 4
,& /~/_' ~~
&J ~~t/ 50/ / ~~, ~ ~ hi,." ~../
~",d ~ ",#/:1_U'4 /
1/ ;r /
-/c
o WORK SATISFACTORY, PROCEED *~-./f" C Cl.
~ORRECT ACTION AND PROCEED aJlfV ? #,;6. Y
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~M/'/
/' ../
,..,.",
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETYI
ADDRESS
~?b6
DAT1!
~~
alP ~ 7/-/
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RJ
o MECH RJ
o WATER HOOKUP
~EWER HOOKUP
. PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLINE AIR TST
o
UJ
(i)
COMMENTS:
~/ /' ./ .- /"
#~~J ~ TO .:z...~/I'-eJ.
.If /J /
R;:A (/'x"ft yLS
"/
G-%J
/.,/ //
e-' ~(..J" / (Y; ,4..9 /' ~c-
v
o JPRK SATISFACTORY, PROCEED
/ CORRECT ACTION AND PROCEED
o CORRECT WORK, C~OR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
.-un