HomeMy WebLinkAboutBuilding Permit 03-1175
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File ~. F:;~w
f!'lease ~ or orint and siJOl at bottom)
ADDRESS
~? J to s
II'\Q ; C"sf;<.
Gn-e
LEGAL DESCRIPTION (office use only)
LOT r; BLOCK zj ADDITION I~ t't:taJ
J
OWNER
(Name)
(Address)
BUILDE~
(Name)..J..:-D II tD" -e C/ I:J
(Contact Name) , F- cld; e
(Address) 79(2.0 La k:e /J ,. If e
1-1-0 I'll r~
Blucl
TYPE OF WORK
~New Construction
OLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
.;2S 7. s-SD
ODeck
o Misc.
I Permit Valuation
1 Permit Fee
I Plan Check Fee
1 State Surcharge
1 Penalty
1 Plumbing Permit Fee
1 Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~ 1~ P'~/~.7
Building Official
. Date
File
City
Applicant
I PERMIT NO. 03 - {I 75"1
Crt's t-
Date Rec' d
7- 1. OJ
I ZO~G(OlliceuSe) I
PID?.E 38(,. oS9' ()
(Pholle)
(Phone) ~S.l. - ?r.:,9- b~()tJ.
(Phone) ~/.2- (P3:S--3.;2tJ9
L...4Il.J< -€V ,'/ / e 1h i) 5 soqtj
~
OPorch O~g ORe-Siding
I
1
$ 7. IJ44.111
,
I ReceilltNo. #~3--ib
Bv r7'
tr'-
OAddition
OAlteration
DUtility Connection
$
$
$
$
$
$
$
$
/2-75.00
3lJ~.tJO
70,110
12:00. DO
700, DO
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 a -men~'on ....y.....J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans( I am a that th .. g official can revoke this permit for just cause. Furthermore, I hereby agree that the city officf or a designee may
;terupo~.... ~.f per{orm/ eded spection~ 19.{)lj 7-/q /O?::>
~ Signature ~ Conttactor's License No. I Date
I~ J
~ ::J...5? (J (J D. oJ
$ I R"'7F, 5~'
$ - 12..z..I. 0,-1.
$ - 1::J..<1.tJo f
$ 1
$ IDO.OO I
$ /t!Jo.tJiJ I
$ J5.'!;;o 1
$ I./O,DD 1
1 Park Support Fee
1 SAC
1 Water Meter Size5/8"~
I Pressure Reducer
1 City SAC and WAC
I Water Tower Fee
1 Builder's Deposit
1 Other
1 TOTAL DUE
#
#
#
#
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
~: th~ C~ p1anny~re7po",'Y C",",; IJ ;mpli"'ce ",d ,"ow, construction to commence. Before occup"'cy, . C",",c.re of Occupancy must be
Planning Director , Date Special Conditions. if any
24 bour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Paid
I Date
, /f) ~f1, / (
a - ..l:f -n.-?.
~~
.
White - Building
~a........~. E"'gineering
_Pink - Planning--=:>
Tht'C'pnlC'fllflht't.bCounlry
BUILDING PERMrLAPPLI&ATION DEPARTMIiNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(l / l r::- ,. -
, . C (_ -1.___(;) G
,
~7. r; . C3
Clh/
I
The Building, Engineering, and Planning Dl~partments have reviewed the building permit
application for construction activity which is proposed at:
3 $Ql>> t 1/\ JF '~T) ~ L;J
-'.;"
Accepted
Denied
c./'
Accepted With Corrections
r
Date: ~/lJ:1
Reviewed By:
~
~I-'
Comments:
.
,
"".....".
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."
,:;~~~ PR10-? (7
/' iJ f;;
i/
~ yf)~l0 (~
White - Building
~a!!arv - Enqlneerln!! /
Pink - Planning
Th"("lI'nlll'rnfth"l..-b('o"nlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(1 (II' i r/::'j C.
\. ""' _.' l. -" ...:.-....,.,/t _"<' G.
'" (j.. C., -7
I.. . j
. ... ;'"-"",,
,I l'r\..11
c. "
(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:3~; &.~ tl !-t.JE.<;T; ~ LA) .
Accepted
,x
Accepted With Corrections
Denied
Reviewed By:
1/II4l)
Date:
7/i/~'?
Comments: Driveway Must Have A Concrete Approach
,~'a IYL/r-I t::l/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."
...
Thl'("l'nll'f<lflhl'l..bCounlry
c::.:::hb.ite - Bulldlng-:>
C!8riary - ~ngltleinng
Pink - Planning
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ J)LLeGiG
I. q: 03
c,t!\J
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3tJ~ MA-J~S71(0 LtJ
Accepted
Denied
/'
Accepted With Corrections
Reviewed By:
~ ;Z~p
Date: ~!t.~ 3
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."
0g/11/2003 12:54
5077445565
BADGER EXC
PAGE 82
~.J.~~ ~~ tAl ~~.V~ r^~ Oj~~il~~~J
I... j .. ~ vr flU lJtt. L..\J\t.
\&J~~l
Pate "l'd
CITY OF' PRIOR LAKE
SEWER AND WATER PERMIT
Jl""".!"!!. 0'_' "ltJifIl &l bomlall
ADDRESS
3X-~f rn~,L~
, ..... ft,. IPE
I. ,... c., RMIT NO'."::1 //-,.....l--
1. o.tc I."t... c.-)- ,....:;:;> (
I I ZOND'C;_~ I
I LEOAL OI!SCRlPTION (olllft... Ol1ly)
I LOr ~t.oCK <-f ADDITION
IOWNEIl
I (Name)
I (Add...s)
j
t?~{t~. ~
('..."..(~ 'If. ~ ~
--rt 2f'J 4~ lJ l'-'.J
(AddreJI'
pm
(l'hOllC) _~ Y~-G 1'".,-,,)
L~ rsr)Yc/
laryl (Zl,; CoU)
! APPLICANT
I (Ni""\ ~",,,J.~ kKc,.c..L.'~1
I (Add,,,,,) 1?37~ f-..J -'70~ Srt<'~
- (Addt"') .
(Contact Pcuonl 5~ 5 I ~ .
1 A.J>I'LlCANT SIONATUIU! ~...L..~ ..J:,~
(phORe) !fSDi- :::J.::/ V - ..;;;> .:::,(;., :<:::-
Lc-....~J~
(Cl~
(pllone)
(~ COd<)
DATI!
7<-f<-f -
9-/(~~ ~
.' .._-- .
APPLICANT PLEASE COMPLETE BELOW
Si~ of water service I '/ inches.
Loudon of any couplings from stnlcture - feet.
Typo ot sewer pip::. 0 ABC (;!i''VC 0 Cut Iron
Estimated lcnith of sewer line ~feet.
CI...n out (i(required) located at - feet from strUcllll'e.
._-
FEE SCHEPUU
R..\doMi&l .ow"' and w.ler lilI. OOMeotlon $j~.$O Indunri.I, COIIl'I A Mvl,j.fllllily 1% of job cot! willi 0 U~.lO minilll\lZll
Sew", 'onn~llon only S17.50 Wate"onnec:tion only $17.S0
Estimated Cost $
lloUdIol Pmnllll., .....
SEWER AND W A m PERMIT PBB $
StATBSURCHARGE $
TOTAL PtRMlT FEE S
lom"t..o.,.\" ~ ~ @ ~ 0 ill ~ rrl
I Thl. Application Becom.. Your Bulldl... Pormlt Wh.. APpro..cl .. Jil4 SEP 1 2 2003 I ~,r~ No.
I 'Dale i~~..----
I ,..11<11..011I41., Don' 8.'. -, II/)'
. . I v.V
J~ hour noli.. I.. .n l"Pt<lloftl ('5J) 4"~"50, fllll95JI <<'-G~ .
~
li(q~~[) Ifh....
~G ;,: 'If
,.o~~
~I}-
. """
, ':
....;.......,
Sep,15, 2003 10:42AM
GENZ RVAN PLUMBING AND HEATING
No. 1510 P 11/14
.
CITY OF PRIOR LAKE PLTJM:BING PERMIT
Date Rec'd
..
....'\~.'
J'
.~"
. ~ -
.- 'I
. ,.".-
.J.~ .-
~t~,"".'-;!'
I BIuo"~ I PERMlIT' Nw;;.' ,. ~
2. GoI4 CIty .. ,.." """fff;;r 3-/:;1
J. Yellow Appliemt ~ .;;J' , '~
- ',<".
tP1ease: tvne or >>rmt and IDr:n at bottom)
ADDRESS
3(iP~ Mv'1'!lStic' Ln.
ZONING (O_';"'~
-~. '
"
;,'
LEGAL DESCRIPTION (oflia: use orlly)
LOT (p BLOCK ~f ADDmON
Q P fA aJ/ C;fU!J-
.)
~~R i~jllli!/J Cl71j I-hYn;j I hC- ,
(Address) 1 q 'X) 1I1J(fJ/i III) Pzr1 Vd., la/4vlll-f Vl1 JI"\
(phone) /ii/j/- 1./u- 1J1fL-/
.~umIJUt1l m VI Q;;oU8
(Ciry) (Zip Code)
(phone) irnl- W2--3-llyL{
DATE C!t,It?{)"h
PID
(Phone) q t;J '2-,4(120 -w bD
t:W-Jlf
APPLICANT n_ I/J IlIA 11'1
(Name\ C!ffi1::- t'Vtf./L!L~ /
(Address) \Y7'-lc; .&. fetibtR>/ T~.
(Address)
(C,O, nract Person) rJII teA S:11 fa ( (g J..
''"'l'UCANT SIGNATURE 0,LrtlAl5J ~tJJ.J 1IA
Quantity
1"
I
J
.~
'-"I
J ,
1
,;{
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
Shower Stall
I Sinks
Bar Sink
I Water Closet (Toilet)
Quantity
,~
JIg I
/t;fZ:j:.
J
,
I Type of Fixture
I Rough-ins
I Water Heater
WaterSoftner
I Stand Pipe (Wasbing Machine)
I Sewage ~iector
I Back:ti.ow Assembly
I Backflow Assembly Test
I LawnSprinkJer
I Other
I
I
I
I
I
I
I
i
I
FEE Swu.;vULE
IndustnBl, Commcrctal 8< Mulli-f8II1lly 1% of job cost with. $39 50 minimum Rtsid~t1al, New One &0 Two-F>2llily $99.50
Reoidential, Additions &0 Allcnltions $39.50
Estmlated Cost $
Bu.iJding Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE . $
TOTAL PERMIT FEE $
PAID WITH
SUILDING PE""
.,MIT
50
(Ollie. Us. Only)
l'~"PP_-.YM""'''F''''-A''-' ~ (tf~ n \lI ~..l:cciptNO'
BuildhigOllicW Dare 'lU ~~p 1 II Wi 1
24 hour nDtic. for sl1ln'pections (95%) 447_91~~ fax (952) 44~2-45 _
~
!&
.....88p.15, 200310:43AM.'GENZ RVAN PLUMBING m HEATING.. '. ..""""'No, 1510.'-'P. 14/14"-""'--'.
CITY OF PRIOR LAKE ,
HEATING/AIR. CONDmONlNGIFIREPLACE PERMIT /:
"q~
.,
Date Rec'd
;:.
~'r
~.!"Oe or 1lmlt and siJm ar boaom)
ADDRESS3
.~
... .
-, .j
~ "-. ,," .
?i~l~
I P"m' F"'" f PE"'lVn'T N~' ',"" ::r
1...... C;"'. A~''''''-:-. .' . :. """) _/,' ~
l. YtUctw Affll.KUI .. ....... ,..;,;:r"'=::> r.;,/,
... '_:!
}.A.aJ(&ft~ I)().
, LEGAL DESCRIPTION (ollic:e use 0I1Iy)
LOT//) BLOCK Lf AuuwON l!lRIAIAJ (Y2.f&t
I
OWNER (\,('i() ~ A rr . 'itz2yJ I
(Name)~,l IAlLj. I d1 'J!]r.
(Address) '14 W ~ aJUAI / II {J/f.; lttd, j lulL:! li II It:
. APPLICANT 0-IPfIl 10 // 1
(Name) ( n.,n l.~ It!) //1 VI,
(Address) J L) 1'-6 ~\ Y<b 0f~ ltJ. J
(Address)
(Contact Person) e'~ . ()
(If
I ZONJNG (o!,,,,:;.;c).-
r.".
'.'. -::
.'
Pro
APPLICANT SIGNATURE
(phone) qti'J..- L/{fq~(tJqdL
fhn /?f9J2/t./
(l'hone) r6/~L/d--3- /IL/L/
fetkh1/JWi\i . m n h~(~
(City) . (Zip Code)
(l'honc:) (/JS/- L/~8- J{L/(./
DATE 4107J~
APPLlCANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLAO:MENT 0 ALTERATIONS
FURNACE MAKB AND MODEl.. ~~ ')(00. s- 71.:::; FUEL ~
FLUE SIZE REnJRN OPENINGS ' X' INPUT b iC..fflJ OUTPUT 14t t/Jr))
TYPE OF SYSTEM HEATING OR POWER PLANT
o Stearn
o Hot Warer
o Radiation
o Special Dcvi=
o Other Devices
'W.vann Air Plants
[jGravity
o Mechan.cal
{).'\.it Conditioning
{JV Ol1t. Sysrem
PLEASl: NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, COJllJllt1'clal & Multi-Farn1ly 1% of job cost Residentlal. Gas "lreplace
$3950 minimum
Resldent.s], Heating &. AlC (New Construction) $99,50 Residential, Addition. 8t. Alterations
Residential, H...ong Only (New Construction) $64.50 Rc:sidenlial, AC Only
$39.50
$39.50
$39 50
Estimated Cost $ Building Pr:nnit #
HEATING PERMIT FEE $
STATE SURCHARGE S .50
TOTAL PERMIT FEE S
PAID ~
8UILDIN .,.,.,.,
G PEFlMli
'. VI. Only)
_ .is Application Becomes Your Building Permit WheA Approved
Bunding omaal
Dstt:
.. 1_ __ _ _ _ _."_ .,_f-.....~
~ 1lO ~ U I!J It 111reipt No.
JljtesEP 1 8 2003 JJ ~y ..
~
24 hour notice for a/lIMp.ctioM (952) 447.9 ~~ !"ax (952) 447....245
-
SeD.15. 2003 10:42AM . GENZ RVAN PLUMBING AND HEATING-
No.1510 P. 8/14.,.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
'.
...:.
:';c 1~' .
Date Ree'd
-.
. ,-
~ .,
: .:/,' ~
'=""".,,~-..~
~~'"
. i!lt!'1 ;.
- '-"""-;-- /"
:. ~w ~\;. I J:.I!..t<J.\I....TNO.'/7~ II.rJft..... I
3. Gold A""lCIIIl - ..::? I .q
(!'lcasc!"Ec 2rp"", and sil!:l1 at bottomj
I ADDRESS
3<6l/t J,'tOj~1i C/ /1tl.
I ZONJNG (Oi&.~);."
LEGAL DESCRJPTION (ollia: us< oDly)
LOT lb BLOCK 4- ADDmON ~ol. r 1,?.1St
PID
v
~:T-CDl \ea{e. C'LfLJ H'Drne~ I JI10 . . . (phone) Qt:jZ-4{t;Cf-!ofltV
(Address) 1QW LakeVI"Ut 'Blvd. I )J},/{f;Vlll-e" J /tYJn - ~4~
(Addre<,) (City') (Zip Code)
1J~~ANT ~- !(JJAI1J1J (phone) . (jILQI- Lf'2-:S-lIL/J
(Address) ~ 7 Lj S"" S. Ilfj) mJet 111d . l~~MDUJLj tlaV1 ~t.XfJB
'\. . ",,:ddiwL (City) (Zip .Code)
(~onractPerson) 1l1lti~:tL..:flrJ.K /"! (Phone) (on f -42.-3 -/14'-1
(:;:)LrCANTSIGNATURE~~.(..Gl DATE //:).,I5--aS
<:~;...
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from strUcture feet.
Type of sewer pipe. 0 ABC 0 pvc 0 Cast Iron
Estimated leJlgth of sewer line feet.
Clean out (if required) located at _ feet from structure.
FEE SCHEDULE
ResIdential sewer and water bne cODllectioll .$35.50 iIIdustrial, Com'l &. Multi-famHy 1% of job cost WIth a $39.50 minimum
Sewer cOlIDection only $17.50 Water connection on!)' $I750
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
8U PAID WITH
lLDING PERMIT
(Olli.. U.. Oaly)
J, This Application Becomes Your BuildiDg Permit Who Approved
Buildiog Ofli.w
't- ~ rc; re n ~n re ~ I Receipt No.
,>ate jlBY
Date ~Pl~~
24 hour notice for ,II in.pectioa., ("2) 447- ,fax (952) 4474245 -
By
( "
~
I
I
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(PI.... ~ or mint and sim at . , '''.'
ADDRESS ZONING (olliceuse)
3868 MAJESTIC LANE
1 =.. 1:,,,,", I PERMIT NO. 3- 117St
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name COLLEGE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH 8-. "OM"
(Phone)
651-633-2561
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
';5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(phone) _651-633-2561
APPLICANT SIGNATURE
BRFNDA MUSTON
DATE
10/2H/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 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
REA TN GLO 6000TR-OAK X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, .AC Only
$39.50
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
(omeo Use Only)
81J/~:'lID W"., .
VNe P." ,..,
: ~~~/~
Tbis Application Becomes Your Building permint .Wteben Approved ill."_: .:~~1 ## S," ,~ r€ ~'l:ceiPt No.
Buildine:OfIicial gr~1 ".;/fj /.A'
24 hour notie. for an insp.etions (952) 447 ~o. fax (952) 447-4245 V
y-
:::
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PRIOR LAKE
.
INSP,ECTION RECORD
,
SITE ADDRESS t: ~. Ie LAAJE-'
NAWRE OF WORK ..., "/l.Ma~
USE OF BUILDING s~ . .
PERMIT NO. 1J3 - 1175 l- DATE ISSUED
CONTRACTOR~(~6C~lMn PH N .,
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 v'~ '1-11'~
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER 1 WATER 1 SEPTIC
FRAMING
INSULATION
ELECTRICAL
'11>
PLUMBING U. <; t/,'oS'
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
#5
fJA
"7 _I' g
J"'z-?I')
~~ ~/_~v
AI( - C?- /T
fP -I~ -/_"
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
I
~
't'm
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
-
J
/or
Wb'J
UNTIL ABOVE HVAS
NOTICE
This card must be posted near an electrical service cabinet prior to rough-In Inspections
and maintained until ail inspections have been approved. On buildings and additions
where no service cabinet is available, card shail be placed near main entrance.
11t) /~(IP 11
BEEN S(GNE'D
"
FOR ALL INSPECTIONS (952) 447-9850
~tttifitatt of ~ttupant\!
CITY OF PRIOR LAKE
@.tp(ulmenf llf ~uilmng JlnsJledillu
Q'Final 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 th" following:
,<
Use Classification
SINGLE FAMILY
Bldg. Permit No._ 03-1175
Occupancy Type R3 Type Construction VN
Legal Desctiption L6. B4. REGAL CREST
Owner of Buildinr Site Address 3868 MAJESTIC LA~
Contractor's Name & Address COLLEGE CIMoMES" 7920 LAKEVILLE BLVD"" LAKEVILJ.E 55044
ROBERT D. ~UTCHINS I d I J _ City Plaoner_ DON RYE
I t7;:}:-:illyng Official V If
Date: /II POST IN CONSPICUOUS :::~E
Fire Zone
N I A _ Zoning District
Rl
,.l
.-l
.".?'.
CITY OF PRIOR LAKE /~1o/TIME
INSPECTION NOTICE SCHEDULED
ADDRESS 38(08 ~ .Q<3.l..t;..-
OWNER CONTR.
PHONE NO. PERMIT NO. s-/I~
o FOOTING o PLUMBING RI o EXlGRADlFILUNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ~PLUMBING FINAL o GASUNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMr,tENTS:..... \;\
l. l Yl -\-,t t.tLL 1 I U
2. ~ ~J-' ~~
'-- r/
~ '!tf7-'l81S
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
'0 CORRE CALL FOR REINSPECTION BEFORE COVERING
Inspecto
Owner/Contr.
o FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETYI
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CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
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OWNER CONTR.
PHONE NO. PERMIT NO. s -J/rr
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o FOOTING o PLUMBING RI o EXIGRADlFILLING
o FOUNDATION o MECH RI D COMPLAINT
D FRAMING D WATER HOOKUP D FIREPLACE RI
o INSULATION o SEWER HOOKUP D FIREPLACE FINAL
~L o PLUMBING FINAL D GASLINE AIR TST
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o WORK SATISFACTORY, PROCEED
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Owner/Contr:
447.9950 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI
fN$fiOn
CITY OF PRIOR LAKE
INSPECll0N NOTICE
ADDRESS ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
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CONTR.
PERMIT NO.
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o MECH RI
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o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o WORK SATISFACTORY, PROCEED
Ji CORRECT ACTION AND PROCEED
o CORtJWORK. CALL FOR REINSPECTION BEFORE COVERING
Inspect r: h. Owner/Contr:
CA JUso FOR THE NEXT INSPECll0N 2. HOURS IN ADVANCE.
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CODE REQUIREMENTS Al/E FOR YOUR PERSONAL HEALTH 4 SAFETY/
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