HomeMy WebLinkAboutBuilding Permit 03-0247
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
~-lq-a3
I. White File
2. Pink City
3. Yellow Applicant
I PERMIT NO'D3-0241I
(Please ~ or 'Drint and sim at bottom)
ADDRESS
...
ZONING (office use)
/21
LEGAL DESCRIPTION (office use only)
LOT I BLOCK? ADDITION IN i /.Is 5Cct ~
OWNER
(Name)
(Address)
~~~R CJ~~ C.S fe~ ~ l.l-<"f
(Contact Name) ~ c..JJLr....
(Address) 2- 2-1 ~ ~ ~-. A-"..,
TYPE OF WORK
"'New ConsbUcti.on
DLower Level Finish
PID25-.3:~- tJSS-1)
(Phone)
UL-
(Phone) CJf"l-4 be, - H.II
(phone).J/2.. - Jlfj--4&z.(...
57;?J'I'I
[c, /q V; lie. MVI
,
ODed
ORe-Roofing
ORe-Siding
OPorch
o Fireplace
OAddition
DAlteration
Dutility Connection
o Misc.
PROJECTCOST/VALUE (exc1udingland) $. Z9.q,\!)SO
.
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-m .oned l"~~t'..n) and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am aware e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;.- -r-.D;~.~;r--_".'ededinspections /J[/) '2 'I f -(8
) 1/ Signature Contractor's License No. Dale
~"'to. ~Q .
$ 2. ~t;i. 1S
$ I ?~1. 54-
$ 145.00
$
$ <<DO.-
$ Ico.-
$ ~b. S-O
$ 4~/-
. gp~l5;O;ved
'--- Date
I Park Support Fee # $ eSO.-
I SAC # $ ('Z.. I c:::_ -
I Water Meter S~l"; $ 2.$0- (
I Pressure Reducer $ 45 -
I City SAC and WAC # $ I 2...e::v. -
I Water Tower Fee # $ -, CO. - I
I Builder's Deposit $ t S-o-o .... I
I Other $ I
I TOTAL DUE tMD 3- tf)' 03 $~_ ~:3S ~
I Paid '1f4.~ f:>. ..., '( I ~~ceiPtN~f~~_ I
Date 7..I.J!?(",..... '
/
/'
is in accordance with the City Zoning Ordinance and may proceed as requested. This document
d allows construction to commence. Before occupancy, a Certificate of Occupancy must be
\
'1/'
I
.3 C, 03
/ Dpfe Special Conditions, if any
,~ 1\0>,., nolice!.or all L..",..:._. (952) 447-9850, fax (952) 447-4245
-. "102llirnagle Creek Avenue Prior Lake. MN 55372
.~
Tb,C"l'nlt'roflhl'l.lkrCounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEeARTNlE.NT CHECKLIST
NAME OF APPLICANT tu DD/9A tJ ~tJ5TDM /3LDR.S.
APPLICATION RECEIVED 2 -I q - 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!54-50 WnOD DU~ TR-AlL
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments: A ~
Date:
C"e.,NNd>r EN~Ac.-I+ d'A/ cAsr s;,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."
~1
White - Building
Canary . Engineering
Pink . Planning
Th'("t'nlt'foflh"tabCounlry
BUILDING PERMIT APPUCMjON D.EfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
c'U DUI Gf\ N tU5TDt--1
I
2-jq- 03
ESLO'<.S.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
154-50 VV()OD Du(j~ TrcAII
.
Accepted v j~~~ th Correcti~ns
Denied ~
Reviewed By: Date:
, ---- '--
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."
s~~
White - Building
Canary . Engineering
Pink . Planning
Tilt Cfn'..r IIf '''I' I..., ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1 " 1.'--. U' ,.r'\ J f.."! ,-,-7, J...,..'
l_U U I '-~Af\ 1\ \_.,./...:, J Lit!
I
2- / q -- 03
k? j ['J.- n <
l_..J l...... 1<_"':--" ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J .CS4-.!-") () V\/()O /) DU c.~ T{<::"-'}\ ( I
.
Accepted X
Accepted With Corrections
Denied
Reviewed By:
M!lB
Date:
3-Lf-63
Comments: ~e Rev~rse Side for Additionallnformatinnl
Drivewav Must Have A Concrete Aooroach
See Attachments' 1) Griloing Phn ?) Erosion r.ontroJ Measurp.s
"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,"
"
83/13/2883 17:47 5877445565
v" ~~ "_ 'A~ 4..V~ r^~ O'~~~J~~~~
BADGER EXC
\".. ~, vr tl\J.lJl\ L..,'U\t.
PAGE 81
I4JUl.lJ.
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I ~~';;:S;'MI_""_1
I } 5'4SD WooJ ~cJ::: Tr~
I LEGAL DESCIUPTION (olli.. UN anly)
I Lor BLOCK ADOmON
,
I OWNEIl. r '-I.. . F__
! (Nlme) .>>..r~cyYf\ VJ.S,1b"Yy\ 8o)~
I (Al1dless) ..:Jd., \ ">, 'L Of. ~ ~. J ~~
'....,&";1
: AI'PLlC~ I r=
I (Nlme) c:;,.c; c:.....'!..lC r-.- x ~ c.. '-)c~
i (Alll1ms) f(3i f L.J 7 o-t-~ .s--k~
<^-)
(ConUd Peuon) Sa rd. 4 .s <<' /Y'O Y'\
I APPLICANT SIGNATURE _~.....;A:-__ ,'. ~ -
; ~=.: I PERMIT NO.2 / '1/ /YJ I
1. 0.14 ....1Ql'\I l~.J nJ.."7. I 1
-I I ZONIN~-;;jl
PID
(Phone)
rnN
(elM
Q5;J.- ,-{(/i- J1l{~ ~
SS-o'-fC(
(zo,Coal
(Phone) "3Zi7-7YY-S-Q. r-
J 'f'^.s:. dJ SS"'oV,b
(City) (tip Code)
(l'hone) Scl7-7yt/-~.J
. OAT!! ~ --I 3 "'Q...$.
APPLICANT PLEASE COMPLETE BELOW
Size of WILer service ....:::L- inohes.
Location of IlI1Y couplings from Stnlct\Ue /JIlt- feet.
Type ohewer pipe. 0 ABC r5TPVC 0 Cut Iron
Estimateclleneth of sewer line ~ feet.
Clesn out (ifrequired) located at - feel from stnJclllrll,
FEE SCHEDULE
f\.:identi.l "....IT Uld ....ler line ooMeotlon S3l.$0 ludustri.I, COdI'I '" Multi.romily 1% of job eo!! willi. S39.$0 milimwn
Sower connectIon only $17.S0 Wiler connC4'llon only $17.'0
&timated Cost $
BulldJul Penn It N. -.-"
~ ~D Wh..
:SI! 'II.D'Nri:'" '11
p~~,.,.
IiIJ~'~~}~ ~ 0 IJ] ~ jl...IPI No.
1 .{ 7flJl1...l -
1111' lte , '. ' l' tf'
u ~o.r n.II.. ror ollln.p..II.M ('51) 44~'''. . - . ()
SEWER AND WATER PERMIT FEI!
STATE SURCHARGE
TOTAL PERMIT 111
lomM tat O.l;t')
"
: Thl. Applie".." a.eOIll.. Your Bulldt". P.,,,,lt Whon Approvod
....U.i_, otII4lal
$
$
$
64/15/2663 13:28 9524461746
_____ O~/2t/02 TUE 11:19 FAX 811~4'424S
ALTA CLEARWATER
CITY OF PRIOR L.IKE
PAGE 62
-.......
Date RK'cI
CITY OF PRIOR. LAKE PLUMBING t.a1.A.L.uT
~ a :..... I PERMIT NO. ~ - d'-'/71
~!"--_.._\
ADDRESS
/ 9-/.Cl) u)(-t7cl 1) AI',L l:::n:~;"'L
~~l,.......~(cOeI.e)
LOT Bl.OClt
UG~Dl!~., ..w.. (ollloo_...,.,
PID
ADD1TION
&:a ('A~ r,{J ~ "~..-- ~')n-w-,<\ ~) qc;a -4&R -I t.tJ IL
tAAldlat)
=~lcA-Y1 ~r- '"PIR- --r-f.J-to'-
(Addms) (q,1?[/J(f) ~""V\ ~
(A4dresl) (CIty) (Zip Code)
(Conma:l'aoolI) '3.A~ ~ /J /l ~ Cl'bonc) .qq., -I (I m~ <(1 S)
APPL1CANTSIGNA'IUlUk~~~~ . DATE L-f ../c;-~ __ __
...--..---- - -' --.--
APPUCANT PLEASE COMPLETE BELOW
T3'Pur I'btlIre Q " .' : "
1ItIh TlIbwilbor ,,-.;, . ,..~
Dilllrwuber
Floor Dr:I1Il
LaViorylil ..:,... . SiDk)
Laaildrv ~ (I .... 2 coaioanment siDle
;r; .- .
..~,.ll ." SttAl
!iiiits
li..SiDk
Vier ClOSll \'TOilet)
Qu111lty
t7..
I
f
c:;.,
I
I
I
.(.,
(Pbonc) q6a -1..f-l4 -'R'1',?(1)
(~IY LaItI rnn ~~7r-
Type or J!b.t\o...
-~
I
RoqIl.-iM
'W....'Heeb:r
WIII!r ~
~ ~ISIIiIlgMacbiDe)
B~A.",..IH'
&ic:1a1Ow As1cIIIbIV Tat
I.aWii~
Oiher
FEJ: S.....,.....,'.....I'..
,lDdutIIlol. CommelCill" Muhl.lIlnily, 1% ufjob co!l wi1ll & 53'.50 ,'. '.. .. Re&idon~oI,.1Ilew One a: T ,l" .:\y 599,50
lWldmtbI.~"Allllnliont Sl,.50
E.ltImattd Cost S
Building Permit N
PLUMBING PERMIT FE.B S
STATE SURCHARGE S
TOTAL PI1lM1TFEE' $
tILIl PAID I.4Iho. _
" .'Y:JING ';;:'11
.t::lIAlrr
~No,
B)'
(OCto U. Ool>>
TIoIs A ,I" " JIIo r .. yo....... P.rd WIlea 04"1
,I, ,l ,0CIdI.1
. .1 l Plid_ .
~....,:
,.
, .!,~ .-s>>~;;9.. .1',.,1
1 If "Ur, L~i
o
{}
...
24 ~..r ..cleo for III .
By
~"':':::'::~::=f
84/15/2883 13:28 9524481748
Ul/ZIIUZ TU.t: 11:11 1'A1IJlZ44iUU
ALTA CLEARWATER
CIn- Ot' ~IUU" .........
PAGE 81
..... -.-
"'-,;;
.. ~ .
:~"::('." :'.'.'- 1"
Date Jl.u'4
CITY OF PRIOR LAkE
BEAuJ:~~/AIR CO~uu""'.~....~GlFlREPLACE PERMI1'
1J\t*_...._1IIl1iD ,. ". I
ADDRESS
I~C[) W~":)1A(JL T~L
~=- !- ,r~~o':.Q-al/1J
I ZONINO~.IO)
r 'etlA.l. m.~ .....Iwl.. ill (oJIc:t -.It"'"
Lar BLOCK
Au~. uv.l
Pm
&=~'Ar!~lj~
CAddn:ss)
C' LA~~" I ~Sl_ (l'IloDe) q5J,' ~~ ":'flPfl
. .
=~ ~~~~j~ '-P~l~:.~;~t~~~
. ~l . (CIr:J') : (2IpCode)
(CaDlacsPenoa) SI1~ /,; /J..-.. (l'btme).!:.f~ -<./:1+6 ~ ~ 77<::;
APPUCAN'l'S1GNA'I'tJU~&'&7~~ DAT2. 'I- -Ie;" -:u~ .
APPLICANT PLEASE COMPLETE BELOW
~1.~.,~....L..u....~ pJlEPLACEMElln:: QALlEllk..I.o".J. '.
fUlNACEMAlQ1ANi)WODBL l-cnnn,oa G-lA&JfV,'WlP . FUn. f)~
PUlESlZE ::1' ntUlN~,.",......(lS 5? 1NPUT /Or'J,D7JU _V"V' Cj<....I'JmJ
TYPB OF -a.-a.......
" ~_,toirPlllla
~,
_. .1 .
~
.. s,..
F\llEPLA.CE MAKE AND M01)!!L
IlBAllNG Oll~ v........PI.AN1'
~SleInl
HatW_
.....-!7
SpodII tIovicet
0lIIet Powl_
./
PLUSt.l'iOn: .
AJtI"l-AM' A Uoib
c-e=v'*_
.....SidioYn
I r .
",I"" ...'
IncNslrial. CanuI\eIclal.. MUllI-Fllllily
;'\ . ' ! . co. lHlll\1ls" AIC (New CCIIlIlNCdOll)
lesklIaIllI, RIa\lDa 01117 01.... ~
Estimad Coat S
nE&_....~~ oioo...E
I%O{job.... ~~,GuYu",1Kc
S39.30lIllalaIwn ,. -..,..,
M.JO lloIidaltlal, ~CIl\.t ".Al~_
$64_50 .1l.e1idcmlll. A<; Only ..
. Building PermiI II
$3'.50
. $]9.50
539.'0
\
-....-
-
.uWt:l3q E>N,cn,na
.50 . H.UMOlYd
,
../
I PeMI I-'~
rft~~'~ ~r tl
APR 1 6 2003 ~
. ,
HEATING PERMIT FEE $
STATE SUJl.CHAIlGE . S
TOTALl'IlUm'ftE $
_VIoOolr>
nIIApp11c81ioea ..' ,_, y_..............ItWlloJl .,... _1
Z4_._rornllr. .1. Itn2)~.
By_
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(PI.... tv1Ie or mint and si... at . . d....
ADDRESS
1;;. ~;u" I PERMIT NO',3-dtf1I
15450 WOODDUCK TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
CUDDTGAN CUSTOM HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FJRESIDE DRA FIRESIDE HEAl1TH & HOME
(phone)
651-6B-2561
(Address)
ROSEVILLE
(City)
?700 NORTH FAIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PID
55113_
(Zip Code)
4/22/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
I3lJ,~:4'D 111,,., .
'1^'G P. ,,.,
. 'l:~~/.,.
I Pai ~ ~ ~ [ ~ \f.lk~1~iPt No.
I Da ~U APR ? 8 ;Qr'1B). (~
V
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGraviTy
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
HEAT NOLO 6000TR-OAK
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
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine: Official
Date
24 hour notice for all inspections (952) 447-9850.1iiY'9~21 44?.:4~o.~.,C:'
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I s4- '5D t..U.,o.J lic..lLliZA' c...
NATURE OF WORK 61~~ ~'L'" ~I~""<..G
USE OF BUILDING ~ f-c' / /
PERMIT NO. <9~ - ()2.4~ DATE ISSUED ~/5"lo~
CONTRACTOR (':'.....:>c. ('~^,....(I.F.r. f.l.,~ PHONE "'1'Z..-s'2.8"'4€s'Uo?
NOTE: THIS IS NOT ~MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT1S BY SEPARATE DOCUMENT
~ECTOR
, FOOTING I In..!> d ~A'V
, FOUNDATION (Prior to Backfill) I ~6 .:< y..) 1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
% -.:) ~....:>
ffi
~/J ~ /~
DATE
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING KJ - 5" - ?
HEATING (if required) P8 6;&
FIREPLACE {~I
GAS LINE AIR TEST i 'f? ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I {,k~ l?;r~ I ~1/2.c/er3
FINALS
#15
~ ~..e,
GRADING (Prior to Sodding)
BUILDING \~.(..p,0 ~&/t ~
ELECTRICAL t1hL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
0)
/~ ;'}, r-t
12ft,lrJ..1
, f-/
1'1/
~
6- ~'1'"
~M~
BEEN SIGNED
This card must be posted near an electrical service cabinetVprior 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
QItrfifiraft of @rrupanru
CITY OF PRIOR LAKE
~rp&rfmrnf of ~uilMng Jlnsp~dion
'fifFinal Permitted 0 Conditional e.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. Permit No.
03-0247
Zoning District Rl
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Legal Description
L1, B3, THE WILDS SOUTH
Owner of Building
Site Address
15450 WOOD DUCK TRAIL
Contractm'sName&Addres, CUDDIGAN CUSTOM BLDRS., 22133
ROBERT D. HUTCHINS11,)I!j/
I r I) City Plannpr
/ J Building Official V
Date: J? & /1')1 I Date:
I I
LOGAN AVENUE,
DON RYE
LAKIlVILLE 55044
.} .' .'..,',.;....1"
, .....
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
I '5t/X)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)J..FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED /~
~ (j}yt<
TIllE
CONTR.
PERMIT NO.
>-"'2c..f7
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADlFIWNG
o COMPLAINT
o FIREPLACE RI
o FIREPlACE FINAL
o GASUNE AIR TST
o
it ,fJ (\ f
~_~n,",",,_ :tu ,k }4
,
-- ,
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREJJJ. CALL FOR REINSPECTlON BEFORE COVERING
Inspector: Owner/Contr:
CALL 44T.. . . n ~,,~ ~E NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH '" SAFETY/
UtINOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
It; 1./, <;D
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
eJii(.FINAL
- [] SIrE INSPECTION
COMMENTS:
DATE TIllE
SCHEDULED 1/-1'10/
Wt:PI9J j) ,/J:~-1;t.,/
CONTR. CU;;/;t i: A -1
(/ 0
PERMIT NO. /??".Zi.f/
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
'!it.EXIlIIG:iiA:L1NG
OCO'lilltAiNl"
D FIREPlACE Rl
[] FIREPLACE FINAL
[] GASLINE AIR TST
[]
c,/~ve; IlL ,QP
~ SATISFACTORY, PROCEED
[] CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor:~~ _0" Owner/Conlr:
CALL '"7.9860 FOR. Tl'e NEXT INlIPECTlON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH '" SIIFETY/
",.,.",
~Z2/m
Lwm c.~~~
./
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
A'FlNAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
~ECH FINAL
DATE TIllE
'~~2-l.l7
o EXIGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPlACE FINAL
o GASLINE AIR TST
o
COMMENTS:
14 ~'AA~~ ~~rv-fev'
:L.ll1.t..Mx- ~i-~rJ.
1:5 ~ ~~/V t1 ~. r""YlD"tZb-.
tA\rd[ ~~~..
~
c l ~~t>. (7
'6
nTD
I ,
/JJtL! 03
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. 0~-
Owner/Contr.
CALL "7-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
-,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
DATE nilE
CITY OF PRIOR LAKE 0 j.
INSPECTION NOTICE SCHEDULED t:y 2lP-~
ADDRESS -121.0 u...~ ~k.
OWNER
PHONE NO.
CONTR.
PERMIT NO.
3-2..'-/7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J! FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
JI1 MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o ~UNE AIR TST
}if ""^
~
""'" 'i+V'~
~
G/..<\ ~'2-
o WORK SATISFACTORY. PROCEED
~ <;SlRRECT ACTION AND PROCEED
fb'CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector.
?JJk-
OWner/Centr.
CALL ..47.9850 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE...
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (. -~1'1'
ADDRESS ---15-t.Jso u....~ f)O(_L
OWNER CONTR.
DATE TIME
PHONE NO.
PERMIT NO.
"l_ 2t{7
a FOOTING
a FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
a PLUMBING Rl
a MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
rJil PLUMBING FINAL
a MECH FINAL
a EXlGRADlFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
IJ GASLlNE AIR TST
a
COMMENTS:
I. K.JL~ ~S; (> "&df""-
IJ w&RKSATISFACTORV, PROCEED
","CORRECT ACTION AND PROCEED
IJ CORREC RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ OWner/Conlr.
;lso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE QUlREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
UGNOn
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