HomeMy WebLinkAboutBuilding Permit 03-1423
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT I ~ 0;;;'- 0 t3
(!'lease .!VP~ or orint and siRll at bottom)
ADDRESS
:2~3S GL-ori'I."" ?afL did.
I. While File
2. Pink City
3. Yellow Applicant
I PERMIT NO. 03- 14.-23
ZONING (office u",)
tzlsD
LEGAL DESCRIPTION (office use only) I.U /
a ~ -rk W, tfS Norl'l..
LOT BLOCK ADDITION
PID;J5-tfo4- tJ,JL-()
OWNER
(Name)
(Phone)
(Address)
BlITLDER ,J
(Name) IrlL~V,.1I- 1N1o.L~
(Contact Name) MrrLJIL W.L/hM
(Address) IJ;1s;l A/'-UJIJ~f 4LA..t.." ~L.r~Sl/,1lr
I
(Phone)
(Phone) 9s;z- i'9o- 1'7.2.2
MAl .~.s7 7)
TYPE OF WORK
jSlNew ConstIUction
OLower Level Finish
ODeck
OPorch
OAddition
ORe-Roofing
ORe.Siding
OUtility Connection
o Fireplace
DAlteration
DMisc.
PROJECTCOST/VALUE (exc1udingland) S &StI.eIVO
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 permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon the pro~ to perform needed inspections.
X 4,,: &./~ uJdL.' ,2tJt!3."I/I~ /11-.2"'.3
Signature Contractor's License No. Date
I Permit Valuation ::1SD,COO I Park Support Fee # $ -
I Permit Fee $ 1f?~3.15 . I SAC Size 5/S"V # $ 1;;:75. -
I Plan Check Fee 1$ /IQ1.qt/ I Water Meter $ 3<X)-
I State Surcharge I $ 1-::J.5'. - I Pressure Reducer $ 7n -
I Penalty I $ I City SAC and WAC # $ I~,-
I Plumbing Permit Fee 1$ I Dt) .- I Water Tower Fee # $ 7tJO,-
I Mechanical Permit Fee 1$ Ion. - I Builder's Deposit $ /Sl){). -
I Sewer & Water Permit Fee I: a5.50 lather $
I Gas Fireplace Permit Fee L{(J _--- I TOTAL DUE tAl,WD 10 v.f-.03 $~4--7/. I~_
~ I ReceiptNo, lb"8fff I
This Application Becomes Your Building Permit When Approved I Paid '6'1'//. /7
~~ /()II~~ I Date /fJ- :::J.!ij--'.:) Bv f./J_
t7
Building Official ' Dte
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 c~tutes a temporary Certificate of Zoning compliance and allows construction to h____.___~. Before occupancy, a Certificate of Occupancy must be
~~ ~.{J4J lot/Llfo'J tf'~ ail ~ L f.". ~
Planning Director ' Dare Special c~~y
24 hour notice for all inspections (952) 447-9850, fax (952) 441-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
n. ('..,un .1 1M LaP Cn.try
White - Building
r r.~nAfy:y ,.: ., ...:,;..-'
filnk . - Pla"nfng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APP~ICANT
APPLICATION RECEIVED
, .. '.! / .'
~..;'J<;..,')/ ,.' . ~ ,-:'1' . _1...,2:.......,., ~/
/'~ 1,-" i -;.........L.".,.;. ",-r-..,/"!"//i-"i,.~.,.....~
, ..~.r ,_ ..~ _' ,. .... -, ,_.- ,..~.. &-' f ...
//1- .~,.:;:<.
; U '.-:r .,J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which. is proposed at:
"'. r...~ ........ "'" j'_."~"..-,..;..I-...j,l~
,__.../ .k,' .:-' ') i:. /- . l .:1','
,~~,~..... -- / 1/ t' )., "Ir;rf../t,./.--, .- ,-..-'...., '-'_'
......--.. I'
:.,...-
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
/Y1l-J~
Date:
j{J-/t -t:)3
Comments: ~ee Reverse Side for Additional Information!
W""~v SU"I/,'r l /l71/\1 ~w G,r.I 41 t'19//tV I ~
Dor /V{"1/t,/'
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 vi~late or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid." -:-
-
~1
White - Building
Canary . g!'l~ring
cPillK - !"!~!,,nln~
the> n~nlC'r of lhe> l..kf ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/J/(/ l{
(/! ~'ii>)1 '"~
/^ ....., :::<
V- d.' .J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..;) f:3 s- (~!!ln7Y0V
....71
. '. I
III' ....
~
Accepted
Accepted With Corrections /./
Denied
~ ~ Date: IO;;7"~3
Comments: A,e. ~~~~
v ~, f 'jO~ "'-": J) -...J I~ O(J .~&-.- <"f' ~ .-
~ <H,,>-~ a' ~ r--- ~'~O'L ~
...fA- ~. ~... {/
Reviewed By:
....J>
/'
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."
Th~ (.~nl~r of lh~ t.h Counlry
c- Wh!....~ - Buil!li.!W>
...anary - ~ngineerlng
Pink - Planning
BUll,.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
JJJ(1~~
/t)- d-,-3
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constru~o~3a~~ Wh~S proposed at: ,/!_" /
0( 6 ~ ( ;' 6n,,(~ Jt:U:_~
'--""' (j 7 -
Accepted
Denied
Accepted With Corrections ~
Reviewed By:
.
~~
/C ~ ~ ~ a-r.:f:,
&vJ~ L-L '- ~,
J '-../
Date:
ICJ;/ </k 'J'
Comments:
JJ.f)~~ d
"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,"
F~B.09'2004 10:59 651 633 8884
FIRESIDE CORNER
#1846 ?,001/002
Dllte Rec'd
.. CITY OF p~ LAKE
lJEATING/AIR CONDlTIO(r ." /FIREPLACE PERMIT
FIRESIDB.
(1'1.... tn. 0..,ri.lan4 oj"".t bollnml
ADDRESS
I: LA. ~ T Te: n ':' ~'H E~
~~ I PERMIT NO.^" UL.,.r;r
~n' ~
ZONING (offiO:
...j
2835 COUGAR PATH
LEGAl. DF.5CRIPTfON (office U$e only)
LOT
m.oa<
A'J'J/'ION
Pro
OWJI/ER
(Ns.mel MCDEVITT HOMES
IPhone)
(Address)
APFUCANT
(Name) ALUED FIRE.'5mF. DBA FIRESIDE CORNER
(phone)
651.~'561
. .
(Address)
2700 NORTH FAIRVlEW AVENUE
(A"drcs.)
(Con"'c': Person)
13RENDA HUSTON
ROSEV/UE
(City)
(phone) _651-633-2561
5511.3_
(Zl.p Code)
APPLICANT SIGNAtuRE
BRFNDA HU:;TON
DATE
2-9-04
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 AI. rEM TIONS
FURNACE MAKE AND MODEL FUEl.
F1.UE SIZE RE11JRN OPENrNGS rNPUT "UTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OW.rm Air Pln.nls 0 Ste.m
OGravity 0 Hot. Waltr
o M<chsnical 0 Radiation
ONr Conditionine 0 Special Device.
OVenl. System 0 Other Oeviees
Pf.EASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbod<s
FIREPLACE MAKE AND MODEL
HEA T 111 GLe SL-750TR
Indu$triaJ. C,mmcrcial & Mull,i-F,mily
R<:sident.t". Hearing &; NC (New Construction)
Re,ldcntilll. HCllI.ing Only (New ConSU'lJc1inn)
FEESCHEDUU
f% o(job cost Relidenli,!. GIS rircpl,ee
$39.50 minimum
$99.50 Re.idcntj.I, Addition. & Aherat;on,
$64.50 Residential, AC o"ly
S)~UO
$39.50
$39.50
Estimated Cost $ Building PetTllit /I
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PRRMTT FEE S
(OIlier Ute Only) A ffetJrlI, 4< 110m" Tee/",o"'gr<<s,~qmrt.
.PJlcatJOll ~~~b~~~i~~ :~~~~n~:;r,m~~,:~:~f~/fsf13'i. ~~, :i~lif- -2;61' f:a~x ~SI I fi~.3..: ~ti4NO,
~'l""';'.' C','~, 3850 West H;~w"y 13 Burn.villc. MN 55337 PIon. . 751li-'al( '. ~08
BulldfoK OGJd., "".....".n,QI\lAA,51l.tom MN C,nlrl'lctlJ 1.ltl: 1l2r"11 . J
.
"-~....._J
~~ITH
.~ILDING PERMIT
'l~/OZ TKU 14:41 YAA GIZ4474Z4$
-_...--..~ .
un U~. rKlUK IAN:
It!J....\,I..
.-----
CITY ~AKE PLUMBING PERMIT
..ll5YLrve: 'r....' __.'~lIa.l
ADDllBSS
;;J g'~S
Co lA 'j;.."'-t
LEGAL DesClUPTION (......... ..lyl
LOT BLOCK
ADDmaN
~:1l /' n c L/e..... ;-; J
(Address)
. APPLICANT
(Name\
u .
rRIlIllliln I".UIftUlng ""Rllllll, InG.
1'0.Qell. ~~...')
(~!MN 55122-0172
(Ccm..ct PwIon) I'h ~ 'i<.... \;' < 1-. l j.k
APPLlCANTstON~TURI! /?2~ ~
.
(Addft:ss)
Date Ree'd
;.:::. I PERMlTNO... ~...
J.Y~.... ~
~ -+1."
I ZONING '0010..1<) I
PID
(Pbone) 9. s 2... e~ -I 7 , z.. .
(phone)
(City)
(Zip Code)
G, SJ- c.. If J~ '! 2...$ ~
DATE /~ L J~ () t;
...
(PlIone)
APPLICANT PLEASE COMPLETE BELOW
Q.,
~
t
.;:l.
4
I
I
I
I TJpe of 'l'btBft!
BIIIh Tub with or ...., Ihowa
I Dilhwuher
I Floor Drain
uvatoly lBalhroom Sinlt)
La"D~ Tray (i or i companmclll sink
Sllower 51al1
Sinks
Bar Sink
Vi..- CIOICt (Toil~)
?
fJ-llty
l.J
I
i
~
Type or Fl1d1ate
Roul":-ins
Water Heater
Water Soilner
Stand Pille (Washing Machine)
:-:- .' I ,~. EjeCtor
Ba<okhow Assembly
B.ddIow Assembly Test
Lawn Sprinkler
Other
I
FEE SCHEDULE
IndulVill. Commercial A Mulli-f-.n,ty I%or.iob 1tO:It with. $39.50 lI'linift'l\l1\\ Ilaidcn'i", New One A Two-Pamily S99.S0
I\..idcntial. Additions" AI_,;OI\$ 139.50
Eolinuad CosI S
lIuiklina Pamit ~
PLUMBING PERMIT fEE S
STATE SURCHARGE S
TOTAL PJ:RM1T FEE S
PAID WITH
~ILDING PERMI/
(Olli.. v.. 00Iy1
TIlls A"'btIoa Ilecvmes VOIIr Blllldilll hl1llit Wltca Apprantl , F\'Iid i." , !JW:cjPl ND.
-- ___k: .... ...~,.;..~.:.6..: I. '" j
tQ..E.altC_"....S.&.Pwio.\.......""~l1l4_ -- --- U
I . '"
SOEBIBSISS
Z.114"S ;"'nw
e02'1I YO 12 ue~
02/10/2004 10:03
9528947939
ANDERSON AIR INC,
PAGE 03
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
l!'lnltl'(p!, '" Ml,,,IIICI_ a. b....".}
ADDRESS
).3J5" COU.,.,,4.K /?;.+J...
LEGAL DB5CR.1P'I10N (oll1ct Iltl! ODIy)
LOT BLOCK
ADDITION
. OWNER /]A f) . 11- J I
(Name) I' Ie f./~(/ ITJ /"1Ort'tt:-5
(Address)
AFPUCANT /J /I , -
(Name) f-tIln~I?f(s" /-+(~ .1 ,,"<-
(Address) .~()3 tJ4C(c",. ;/.t'~ IlJ
, (Add....1
(ConlactPerson) .J>lln Al'U'Jc~srt</
APPLICANT SIGNATURE ~ A ./.b.Jl___
.... .
l>ate 1\ec:'d
;;~
~ =. ~I:, I PERMIT N~"Z "~~''':
1.'.new ...... - ........~
I ZONING (oftIer ...) -
PID
(Phone) .9S"~ - 8>70 -17;:l~
(Phone) 95"~ -1f'lt:.f -7" 3 'I
7.31A.1'/.,",;v~/u :>D 3 7
(Clly) (ZIp Code)
(phone)
DATEd -/f}-(;t(
I APPLICANT PLEASE COMPLETE BELOW
EJ1'IEW CONSTRUCTION 0 REPLACEMENT 0 ALTBRATIONS
FURNACEMAKEANDMODEL ~YM,;( 3,'iQ/YI{1-/JOgJA/DO FUEL /1/1..J.-."A J
FLUE SIZE f ilL RETURN OPENINGS ~ INPUT ..J.t)JfdrJd OUTPUT .!l4-ADO
TYPE OF SYSTEM HEATING OR POWER PLANT
. OWII1lI Air PIGllts 0 StOll1l
DOravity 0 H.t Watt.
.01'iechonical 0 Rlldiati.n
.QJl!I' Conditioning 0 SJlIClat Davl...
.0<fonl. Systeln 0 Other Dnicca
FlREPt.ACE MAKE AND MODIlL
PLEASE NOTE:
Air Conditioner Unitl
Cannot SntrMCh into
Required Side yllrtl
Setb1ck5
FEE SCHI!.DULE
Industrial. CommerciaJ & Mulli-Fomily 1 % of Job COli ll.esldeatial, 0., Firepface
$39.50.minillllllll
ResidentiaJ. Healin, &. A/C (New Conslnlclion) $99.50 Re.ldential. Add'JiIom a AlteratiDnJ
Residential, Heal!na Only (New ConstnlClion) $64,50 Resiclcntlal. AC Only
~ .50 PAID WITH
s tsu'LDING PERMIT
~---
['1 ~Il\ I Receiptt 1
,,' 'I
II ~B 1 0 20Of'fL' ,By ..... _ .
Dllt i '",
%4 bour notice for AlIlnspecllo.. (952) 44iuso, .. (9SR#1:4Zt5:=J \...,
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(0Ili.. u.. Only)
. Thll ApplicaUolI Becoml!.l'Your 81111d11ll PermltWheJI Approved
_.. om.lal
539,50
$39.50
S39.50
Building Pennit ~
02/17/04 TUE 09:22 FAX 6128902753
STOCKER EXCAVATING
@002
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Pll!Ul:!: ~ or "rint aa.d sicr.n at bottoml
I ADDRESS
2835 Cougar Path
; ;::. ~~,~ rr€RMIT N
). Colli ^ppJil:anl I -
ZONING (ollice u..)
LEGAL DESCRIPTION (011\.. uoe only)
LOT 2 BLOCK 2 ADDITION
The Wilds North
PID
OWNER
~ame) McDevitt Romes
(Address) 12252 Nicollet Ave
(Ad4r.,,)
(Phone) .952/890-8722
BurnsviJle. MN 5~337
(Ciry)
(Zip Code)
APPLICANT
(Nam~\ STOCKER EXCAVATING COMPANY. INC.
(Phone) 952/890-4241
(Addre$9) 12336 Boone Aven,ue Sava~e. MN 55378
(2d4rm1 (City)
Curt ~~
(Contact Person) __. _ ~
APPLICANT SIGNATURE 'i~ ~
V- v cr-
(Zip Code)
(phone)
. DATE __ 2:1~04
same
APPLICANT PLEASE COMPLETE BELOW
Size of waTer service inches,
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 pve
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Residential sewer and Water line conncc[ion
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-ramil~ 1% of job cost with .$39.50 minimum
S17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND W ^ TER PERMIT FBE
STATE SURCHARGE
TOTA-I. PERMIT FEE
$
$
$
,so !:IA. '
- r".O WITH .
SWLOING ~MIT
(Office Un Only)
This Application Becomes Your Building Permit Whell Approved "-:~~""-'~f Receipt No
.-.- 00. 1;1 ~~ ': ~ ,:..j" r
24 hour notice ror aU,nspeetions (952) 44' ~O, en (952) 447-4245 ' I
'..'1
--'PRIOR LAKE DEPARTMENT OF
BUILDING AND'INSPECTION
INSPECTION RECORD
SITE ADDRESS II~JI~ ~ArH N.eel.
NATURE OF WORK . ~
USE OF BUILDING , . ~
PERMIT NO. DATE ISSUED I~
CONTRACTOR C' 'fillies" PHON -~e.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
-
, I!!S~CTOR
I FOOTING !tZ(, I () ') ~
I FOUNDATION (Prior to Backfill) I ~ 11-13 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATER/SEPTIC /.0 /;"~/t
FRAMING r~/c- 1jU9#'~ ....../)~
INSULATION VI' / C 2. (L1--{D !of ~
ELECTRICA~ .
PLUMBING'2:tt'r:.~b ~
HEATING (If required) ~
FIREPLACE # :;--f
GAS LINE AIR TEST 1?r.;QJ~.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
N~ ~_
i
.'
I
.
GRADING (Pri,gr to Sodding)
BUILDING ' \~ to ~-I-oV
ELECTRICAL
PLUMBING
HEATING
DO NOT
f/4
II-/?
DATE
7-/C? Co,,!
~~'i-t'A
I
J I. rz..04-
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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
dlnfinrat:e of ~rtupanr\!
CITY OF PRIOR LAKE
, I @.tpadmenf of ~uilMng Jlnspedion
1iFinal Permitted D Conditional C,Q, 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:
Use Classification
SINGLE FAMILY
Occupancy Type
R3
_ Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A ZotringDistrict _ R1SD
03-1423
Legal Description
L2, B2, THE WILDS NORTH
Owner of Building _
Contractor's Name & Addres' MCDEVITT HOMES,
f7ROBERT D. HUTCHINS
(\ \L Building Official
Date: ~ \1
Site Address 2835 COUGAR PATH N.W.
12252 NICOLLET AVE., BURNSVILLE MN 55337
City Planner
DON RYE
Date:
'. ~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED LJ~
ADDRESS:2B3S""" Ol"lol1fr-' ~
OWNER CONTR,
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
-,. Q.,. .......<'I-tJ
2. (.t,l,l P
PERMIT NO.
~ - J <(2.;5
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)llPLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~F Oa.r
IIA. ('\...~ rn.~'
o WORK SATISFACTORY, PROCEED
[)f...CORRECT ACTION AND PROCEED
o CORRE~K' CALL FOR REINSPECTION BEFORE COVERING
.~
Inspector: ,'.. ~ OWner/Contr:
CAL 7'~R THE NEXT INSPECTION 24 HOURS IN ADVANCE,
.~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED l/.-2?-o1
2B< r I.)U<:{ t ~ ~
CONTR,
T1IlE
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
"< _ 11..("2-3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1lt FINAL
"0 'lI1TE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o pLUMBING FINAL
,J;I"MECH FINAL
o EXlGRADlFIWNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
,.. F;IIICo.t ~~ '~
/_- 1\I\a.:....\-.... ~ ~ .
oz.. ~ %j-: ~'tl>U~~" IM(>.'X '2.tc.l~ ~
LC-~. ~ I'"{DLh p~~~.....O,.J 1-- fk-.
5. ['~. ~\I{."'~'\l" ffis l<. .r R""IL ~~
.k..:.J~.4.t~~. \:),Q \,.,,\,s
~ ~"..r
. I O.A~6
~
~o >1 -I - 0 '-II
I
-.:6....'"""'->t V\I'\t- .1.~IA;4..u..,.l
o WORK SATISFACTORY, PROCEED
o CORRECT CTION AND PROCEED
l:...ORRE , CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Conlr:
~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
C
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
UUNOT'
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
11-/2 '(!f
ADDRESS ~9JS- Cci{Jt:/ ~~
OWNER CONTR. n'lL./).,VJ '+ HOJl'1~I
PHONE NO, PERMITNO. 03 -1'1 Z3
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
[] FINAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
;:.(...~ ..LING
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
COMMENTS:
b/~.,t.- ~,.r
(~(j(b &r~ ol(
IVWORK SATISFACTORY. PROCEED
VO'eORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~;>[ 1 ",.~ _ Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SltFETYI
JJaNOrJ