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HomeMy WebLinkAboutBuilding Permit 03-1459 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d /0.7.03 q>>lease ~ or mint and sim at bottom) AWk; ~-W:?~ V LEGAL DESCRIPTION (office use only) ~ . '\ LOTI~BLOCK ;;J-ADDITION I IA.e U )'IIJ~ ~~ I r04"le~-s_ (Address) (f D, 60 X t4B11) ~~~utI8l~ /At:) I. While File I PERMIT NO I 2. P;,k G', . /1"1 -/45Q 3. Yellow Applicant l..I-' / I ZO~~(Officeme) I PID t5. 404- . 032.0 -' ~ew Construction OLower Level Finish :v. (Phon(h/Z~<g - 2-158 JaIi!tM MN. ~f-d '--/ I ..... y' I'J KvL" ;Q"'-~I F- 10 ,;;l- (Jo(Phone) .012--3'2-8 -2-/8:8 YfAl1. (Phone) ~ 7. - .3,:2g"":2/ ~S( Vt11J!PrJ #1 tV I 55/'2-f r /- ~ch ORe-Roofing ORe-Siding OWNER (Name) (Contact Nt.j) (Address) \'[' O. TYPE OF WORK II , [jDeck o Misc. o Fireplace OAddition OAlteration OUtility Connechon PROJECTCOSTIVALUE (excluding land) $ ~ /tf:1 . 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 a . d agent for the a -mentioned r-wr"n. that all construction will conform to all existing state and local laws and will proceed in accordance with bmitte lans. I am a e t the . g offi can revoke this permit for JUSt; Furthermore, I hereby agree that the city Offi'; or a designee may ~r~n ey..y...,t perf dm . /71 r /0/0/03 ~ ( S' Contractor's License No. Da~ ~ Permit Valuation 3~<j/J 000 I Park Support Fee # $ - Permit Fee $ dtLJS3.6S I SAC # $ lJ..rJ6.- I Plan Check Fee $ 1G'P.b' Dto I Water Meter Size 5/8"(0 $ - 300.- I State Surcharge $ . J'1q. - I Pressure Reducer $ ?l? - I Penalty 1$ I City SAC and WAC # $ /;;ZOO.- I Plumbing Permit Fee 1$ !()t). - I Water Tower Fee # $ ?OCJ - I Mechanical Permit Fee 1$ /a:J.- I Builder's Deposit $ I.~ t.l"J. - I Sewer & Water Permit Fee I: 35'.~ I Other $ I Gas Fireplace Permit Fee 40.-- I TOTAL DUE . $'1..523. II This Application Becomes Your Building Permit When Approved I Paid ClC7-'I-(! I Recei[)~. ~(H / ~ ~ /4 /~:.;;;:l I Date . -10..:11.0 f Bv 1/.vf / . Building Official ~ 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 re~. 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 ~ must be iss~ ~ /6//(;,10:1' /&~~ aA. ...L/.n... ..;';-~ Planning Director Date Special conditiO:' ; ~ u 24 hour notice for all insr ,..:. .. (952) 447.9850, fax (952) 447-4245 16200 Eagle Creek Avenue Ptior Lake, MN 55372 ,-white - BuildiJ1i::> Canary - Engineering Pink - Planning Thr ('tnlt. of lhr L.... (.'ollnlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 6~~~ o 10 - 7-03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ;)It,t/~- c2C77A'vtPAJ ~~ - , Accepted Accepted With Corrections / Denied Comments: ~- . <-/.;'- Reviewed By: ~ ~ ~~ LJ...L-I ~ ~ ~~ -to ~D-<>.d ~ ~~ ~ -?~' Date: ItJj;r,1o :J _ (1'1->. ~ . .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." . lht C"tnlt't of Ih. (..kf ('ounll') White - Building ~rv - En.9!neering . - Plan",~ ,.~.:., I3UllDING PE;RMIT APPLICATION DEfARTIVJENT CHECKUSI NAME OF APPLICANT APPLICATION RECEIVED l;:; f/ ,// . /...':.-iaAG,z/<--" ry O-~~1'C1.-_ I ^? () 0- 7- v -.; - The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,:90 (( S - (/}'C;?( {//(~0 I-ZJ ft. , Accepted Accepted With Corrections / Denied Reviewed By: Comments: ~' 7'~fJ /~ a.H Date: /d/;'/o7 ,. / "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." . White - Buildlnll (' CjInarv - fngln _ '., '\..' Pink - Plann(ng . TII, C.....,tralI'" l..k,CoulIlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME"OF APPLICANT APPLICATION RECEIVED ~ f /!:CU/(&-<-, :tlcru~'71CA_ () 10 - 7-03 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: a /" , ,. .--. _/" ,,.-' - ,',~"'", d(., l/~ - c:J'U.:/{.'l-<..j /.c:.:L--t.fL_ f Accepted Denied .x .- Accepted With Corrections Reviewed By: ~!S Date: If)r.~~-oJ Comments: See Reverse Side for Additinn~llnfnrm",ti,..nl J11.J~+ k..VI t1 f- /t,lIVv (;.,i/S I;-~/:''''~'' Wheo I.w...... ((J,rrJ- , ~Y\ r~.1 '<1'1 l'ef, ; j t>-fI!. ~dJ,'"J Aw-/ ( ~I~e Attachment.c:.j) Orading 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. . t ~'.I<;;7:;.~:;i,~"-, ,- "1""-".'" '.'-'. -..~. CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Re. [. Pink 2. Green J. Yellow File City Appli<;;arlt I PERMITNO~ ZU.1'lIll _G (office use) (!'lease tv1N;: or Print and sian at bottom) ADDRESS .5 COUGAR PATH LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name BUTLER HOUSING CORP (Phone) (Address) APPLICANT (Name) AT.LlED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-631-2561 (Contact Person) BRENDA HUSTON ROSEVILLE (City) (Phone) _651-633-2561 55113_ (Zip Code) (Address) 2700 NORTH F AIRVIEW AVENUE (Address) APPLICANT SIGNATURE BRFNDA HUSTON DATE 1/22/04 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 HEATN GLO PIER-HV 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 $3950 Residential, Heating & A/C (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ REA TING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Pennit # PAID WITH ~ ~ PERMIT $ (Office Use Only) BuUdine: OOicial Date I Paid IJAff 2 9 2003 Receipt No. This Application Becomes Your Building Permit When Approved By 24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245 .. CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 1. Pink U;"". 3. Yellow ~:~ ,. PERMITN~/'J.r1!J Appb~l tIIfii'- .,-0-" q>lease ~~ or Print and sign at bottom) ADDRESS d& Lt5 (i at Ct1R /l; fh ZONlNG (office use) . LEGAL DESCRlPTION (office use only) LOT BLOCK ADDITION PID . (Jone) q~:J. /431- 4/3:1, JjPPi.1J ~< (. ~"Lfl11.tJ. ~'\5.1 ~4 ~:;~~ANT ~A)" L I~ (phone) t/-:)., f;2y-if?1 (Address) i./~ "S1~/elt(jO Ie:. -~d -!lltn,,/J1J ~S/''ldl . II) ~ i, I.) (Address) (City) (Zip Code) (Contact Person) I, ,~~ " >J (Phone) _/,/.J, /.~J".6fZ/ APPLICANTSIGNATu.!<::E ~- ~ A/d!i. _ ___ DATE /-.Q-t>'l ., ,- - - - OWNER (Name) Ylu t(L!Y1 l~aiS/,Jb r1/),' (j~ 24:)11 (Address) / APPLICANT PLEASE COMPLETE BELOW @flEW CONS'1k)!:Jr 0 REPLACEMENT 0 AL TERA TION~ ) J /ii, FURNACE MAKE AND MODEL E- - 'TtN. / ,gt/ FUEL .M:L:4..< FLUE SIZE RETURN OPENINGS ~ INPUT ) ;)1J;/)7Jt) OUTPUT . JtJFIt$V TYP" 01" SVSTPM ""...AXING OR POWER PLANT . ~E- Air Plants 0 Steam L...-r oG . 0 Hot Wa",r chanical 0 pdiation J l. D i, ~ I2rAjyeonditioning [Jij'Special Devices '''''1+1 I/JI,I/{;:A,_ [iJ'lfent. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into . Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial. Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Firepiace $39.50 minimum $99.50 Residentiai, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Oniy (New Construction) $39.50 $39.50 Estimated Cost $ Building Pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ irii"'l;~' , .50 (Office Use Only) Building Official Date I Paid I Date Receipt No. This Application Becomes Your Building Permit When Approved By 03/01/2004 08:55 9~28959394 ALLIED.EXCAVATING PAGE 01 I , i i I , ! ; i /fI:_ _'U'r"_M<l~ ADDRESS . I ~LAY5 c.~U~o..~ LEGAl DESClUPTIO (0 ... DIlly) LOT BLOCK mON CITY OF PRIOR LAKE SEWER AND WATER PERM rr Date Rec'd i?::. a; t PERMIT NO~ 3, CIIl. ~ ....... r --,"'" JJ p~ + ~ !?t- \1.))' l.p.lCt.., 1 ZONING c......) I PID I I OWNER /).... \ (Name) --h.,lU 1- " (Addreu).fb ~ ~~l~ ~ Lh151 ildltu . '(Phone) .9S~-Ll2>~ A\f,{)lt'" XI,. \. PAl 1tV\~) 5$ Jay ~=-r-u r (ZIpCDdo) r" APPUc::ANT (N&llIC) . (Phone) en~ -ho41) (AcId.tcso) "4 1 W. 128th tr... I I :) ~~'-O;J, MN OD"'Cf. (City) '. (Zip Code) '(CoIlt&QPerson). }t<> \'sJOV\. . (Pbone)..tJata-qlfQ-3~(07 APPLICANT~IGNA~~'--r- ~_.'~-/'O\{ i . UJPLICANT PLEASE COMPLETE BkLOW Si~ of water service 'inches.)... I Loq,Uc 11 of any couplings from struc:i ~ feet, I Tm 0: ' sewer pipe_ 0 ABC PVC 0 Clljlt Iron E5ti\D8.f ad lezllth of sewer line JJI':l. fe t. .1 Cl~ C lIt (if required) located ~ feet from strUCWfe. , Residential Sowor and W.!Dr Uno >onnacnan Sow.r conaection oaly ! lEE SCHEDULE i $35.50 Industrial, Com'l &: Multi.famiJ~ 1% of job cost wilh I $39.50 minimum S17.50 Wa!Dr COIIIIectioa OI1ly , $17.50 Elti!nllld Cost S Building Permit' , ! EWER AND WATER PERMIT FEE . !TATESUR.CHARGE : OTAL PERMIT "I; : $ $ S _50 l~~~~b H.t..... ; .~~ ; ~ I[! ~ ~ ~j9T"O ;.~ 1 1 LUUIf I U i . (952) .,.1oC45 LJ I r (Otftu tl.. Otif) : Thill Appllcaalon JIeeoIll~ Yc ar Bulldla. PI..lt When Approvod '.Ildi.. Ollkial Da. 14 haur nOtice for alii .,' , u (952) 4011. FROM: WELTER & BLAYLOCK PHONE NO. 612 8828573 Feb. 122004 11: 10AM P1 Date Ret'd CITY OF PRIOR LAKE PLUMBING PERMIT ; ~ ~~, I PERMIT NO".. I~ IYeJlowAop,lk:llnl ~ ZONING (oil"".,,) (Please rvDf or orint and siPIllt bottom) ADDRESS c 0 U q a r fa +1-, c:< b'lS' LEGAL DESCRIPTION (office .'" only) ADDITION PID LOT BLOCK OWNER (Name) _ 13 tt-l-/e t" J-I()u.s.~nq COf'JO >oJ , fiVJ" J.... ;)0 //~o./ . , , (phone) '15.,)- 'f 3/ - Lf/ 3 ~ 55/.:>..4 . (Address)' Po 130)( .;;; J/S9 7 APPLICANT (Name) I)),.:. I +-e r oJ-;:3 lall / PJ (! k ( (Address) )..5"09 E'" Hw V I.~ (Address) I (ConractPerson) ..elL Lor -:JU d..t \ APPLICANT SIGNATURE .-W;, Q L:~ a.. 11 ~ fI lJ ~ APPLICANT PLEASE COMPLETE BELOW I Type of Fixture Quantity Bath Tub with or without shower / Rough-ins I Dishwasher I Water Heater Floor Drain / Water Softner Lavatory (Bathroom Sink) / Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment Sink Sewage Ejector Shower Stall Backflow Assembly Sinks Backtlow Assembly Test Bar Sink Lawn Sprink.ler Water Closet (Totlet) 0( Other qa.s .fro" ,; ;",eDI. e e.s Quantity .? I I b J / I '-I (phone) 15 d - 8"'8';J. - 'i( b ~ J l3urns,,;/I-v. A1/V 55337 (City) , (Zip Code) (phone) 9S;;;-[{Z ~- 81." g) DATE ol-J~- 0"; Type of Fixture FEE SCHEDULE tndiJ~trial. Commercial & M\llti~tan'l.ily I%ofjob cost with a $39.50 minimum tomtit Ute Only) Residential. New On~ &. Two..family 199.50 Residential, Additions &. Altcratlons 'S39.50 Estimated COSt S Building Penn it # 03-- / 'ISq PLUMBrNG PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ ,.. WITH ~,wJlI~G PERMIT n...lIdln~ Offici:.1 r!'<'~ Trec"Pt No. i: I., n,,, ICjI F~B 1 2 2004 !il,BY I L.~./ ) 24 hour ll(Jtice for all i"~p~c:tjons (952) 44'''t~810. fax (9S~.) 447~."24SI' Hi2()() f:.llRIl: Crl:ek Ave., ~U~:.~ Prior 1J:lki.:::Mtt:SS:3:7~.I'~.i4:---.-----.._ '~-,....._~~- This Application Bceomes Your Building Permit When Approved v CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT (Please ~ or. vrint and si... at bottom) ADDRESS 2645 cougar path LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name RUTLfR HOUSING (Address) Date Rec'd ~. ~:'M ~::, I PERMIT NO:'iiC ... ~uctJJ 3, Yellow Apphcant ...., ,.,~ ZVl. lfli -.G (office use) PID (Phone) (phone) - ti51-ti33_2~ APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HF.A RTH ,. HOME , " (Address) 2700 NORTHFAIRVIEW AVENUP (Address) ROSEVILLE (City) (Phone) _651-633-2561;:'> ';5113_ (Zip Code) (Contact Person) BRENDA HUSTON 4/1/04 APPLICANT SIGNATURE BRENDA HUSTON DATE APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 A~TERAT10NS 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 OVenl. System FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) o Steam PLEASE NOTE: o Hot Water '," . Air Conditioner Units o Radiation ~. Cannot Encroach into o Special Devices . Required Side Yard o Other Devices .Ii . Setbacks HEAT N OW SL-750TR.!2.~D F1REPLAC};)~d ~ FEE SCHEDULE . ~ Q""e 2?a' 1% of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Additions & Alt~~. Residential, AC Only ,<I4ff:) BUil~ing Pennit #& ~ $ .50'T~ $ $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (omce Use Only) This Application Becomes Your Building Permit When Approved Building Official -'1 , :i i'Receipt No. II" i'i 1): By I 24 hour notice for an inspections (952) 447" !IJ!iO, fax (952) 447-424~ Date [ID)~ @ 0: C G U; \I~atAPR U Ii LUU4 (r" '-'oj ~ PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD tilh'lS AJ~IAJ CDNn- USE OF BUILDING $'.~. . PERMIT NO. (/3-/fr9 .DATE ISSUED I(JII,!/IJ~ CONTRACTOR ~ ~ &Jl6 PHONEl/2- SZS- ZlIB NOTE: THIS IS NOT A PERMIT FOfr'(NY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT SITE ADDRESS NATURE OF WORK SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (If required) FIREPLACE GAS LINE AIR TEST ('I\"'" f.~. COYER NO WORK UNTIL ABOVE HAS_ B~EN SIGNED \IA~t.71I~ ~ I ~ I FINALS ^/J) #1J 4 f 7;CTOR I FOUNDATION (Prior to Backfill) I 'lffi:/2-r PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH-JNS (lp () we ~~ , --) I <.:...J DATE I FOOTING I IJK Ie.-'<. ::?-z7 I I I 't GRADING (Prior to Sodding) BUILDlNGk....,1) ~ S -I ~ Pf+ ELECTRICAL . PLUMBING HEATING DO NOT llll7.--_0 4- 9 -~1,~C>~ ~~. '\i"'- OCCUpy UNTIL ABOVE HAS BEEN SIGNED' NOTICE This card must be posted near an electrical Servlce cabinet prior to rough-in Inspections and maintained until all Inspections have been approved. On buildings and additions where no service cabinet is available. card shall be placed near main entrance. FOR ALL INSPECTIONS (952) 447-9850 Q1ntifitat~ of Q1)t:cupanqz CITY OF PRIOR LAKE ~tJlndmtttt of ~uilMng Jlnsptdion ~nal Permitted D Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying, that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior Lake regulating building construction or use. For the following: Use Classification SINGLE FAMILY _ Bldg, Pennit No. 03-1459 R3 VN N/A R1 . Occupancy Type _ Type Construction Fire Zone _ Zoning District Legal Description. L13, B2. THE WILDS NORTH Owner of Building Site Address 2645 COUGAR PATH Contractor's Name & Addres' BUTLER HO~. G CORP.. P.O. BOX 24597. APPLE VALLEY 55124 ROBERT D. HUTCHIN../iP DON RYE "::f . City Planner Date: q - Z (_ ()Bcurg Official V Date: \ POST IN CONSPICUOUS PLACE i - - 1 HOUSE HEATING TEST RECORD .- ADDRESS~C . "CA>. )$'d .tLiL,. APT _ FLoOR_ CITY _ SUBURB 1 OCCUPANT _ c-fb.../' OWNER ~ ~~ ~~~/ i SOLD BY i'JYt/ ;,/ lAb /A.i INSTALLEDBY ~V I / J'/ ElectrlcaIWclf1<-8J' / GasuneBy_1< 11.L.-//f/tI!- /"I..v- TYPE OF HEAT GA _ FA _ HW _ STEAM _ SPA<;E HTR -=- UNIT Hril ~ OTHER / . ' '- ~ ..i( tP j() - GAS DESIGN CONVERSION MAKE :-t.c !k~. MAkE OF BURNER :: ~~~ '}fh1 C!fJ1!:! .. ~=TU RaIng INpUT ~ ~rY)tJ MAKE OF FURNACF Model THERMOSTAT':)....<; Ve~ ... r// Um~ liJI:?~ Um~ SeUlng / C; 1'1 -' d Fan Setting. .' I ",..~ Pilot Type . I PlIotMake !I -::> -:-1 Pilot Model Pilot TIming L.W. Cut Off .PreIIure _ 3, 5" I r InputCFH/...)~ ~ Stack Temp / f ., CONTR~ He8tPl.... - Venl Size KIND OF LINER Dreft Hood Fillers Size " Chimney Locallon. I"hlmney~ -'''-- lit!' SIZE Reguletor Number NONF 1_ "utsId- Percent COz ~O Percent a.z 7 , ~ Percent co -1? "'make Bomb Wiring Dreft Test Teg Door Pressure Lighting I"" Date T&*' ~ - ~ - CJl( . . Company TeotIng ....P Jt- 'i. JV JA,Je .IIY- Neme of Teater / jlJ ?J J'M L J'-tv,/ d L.. 'Ii ..t,.~ ........ ., CITY OF PRIOR LAKE INSPEcnON NonCE ADDRESS Q(P+f OWNER PHONE NO. [J FOOTING [J FOUNDATION [J FRAMING h! pULA TION ~~AL [J SITE INSPECTION COMMENTS: ,.~~ DATE TIllE SCHEDULED ~t.~ ~ CONTR. PERMIT NO. 5-N5 7 [J PLUMBING RI [J MECH RI [J WATER HOOKUP [J SEWER HOOKUP [J PLUMBING FINAL reCH FINAL [J EXlGRAD/FILLlNG [] COMPLAINT [] FIREPLACE RI [] FIREPLACE FINAL [] GASLlNE AIR TST [] t"""'- () ~~~ ~7) V ~RK SATISFACTO Y, PROCEEO . ')(CORRECT AC 0 NO PROCEED ;r [] \oRRECT ALL R REINSPECTION BEFORE COVERING Inspedor. OwnerlContr: CALL 447~ FOR THE NEXT INSPECTION 2" HOURS IN ADVANCE. CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETY! '''''''''' DATE TIllE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED '5 - ~ --0 <I ADDRESS ?i'/-!b 0(J{)~Q OWNER CONTR. PHONE NO. PERMIT NO. '] - / l./s 7 lJ FOOTING lJ FOUNDATION lJ FRAMING lJ INSULATION lJ FINAL lJ SITE INSPECTION lJ EXlGRADlFILUNG lJ COMPLAINT lJ FIREPLACE RI lJ FIREPLACE ANAL lJ GASLINE AIR TST lJ lJ PLUMBING RI lJ MECH RI lJ WATER HOOKUP lJ SEWER HOOKUP ~ PLUMBING ANAL lJ MECH FINAL COMMENTS: _ to.. I f4~,. . ~l-' ( )~n<: "'Z.D,(vt.. ~ 01.-...1 ~ ~. r.......fiUt~""&. 4 ",j ~ . . 4. O.uil . __ Mil J olfl/7 -~rf6 (S: -s:...--b:...I1 GtD~~} \l~~ drt.J'JV< ld,.. t.... ...._I'd- . lJ WORK SATISFACTORY, PROCEED .J( CORRECT ACTION AND PROCEED lJ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspecto~n OWner/Contr. clL117h 0 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE. VI CO U1REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI ......", , DATE TillE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 1/-/2"0( PHONE NO_ ~t 'I J Ct,()~ar Pfh..ft,. 'v CONTR. Bvf/u- ~(/~t'fl/ PERMIT NO. 83-/JI~S ADDRESS OWNER o FOOTING o FOUNDA nON 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 ~ F1UftII'i'M!Il UNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ~,k-t"lt. Cu/6 ~-/ ~ AC ~RK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector. 4~ _ Owner/Contr: CALL "7.9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/ """""