HomeMy WebLinkAboutBuilding Permit 04-0240
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3.2.3,,04-
O~ PIlIO",
" .,.
,., ~
~ ~
t.) '"
~1^'IYESO'\\'>
White
Pink
Yellow
File
Cily
Applicant
(Please type or print and si2Jl at bottom)
ADDRESS
7!3qL-1 (i,( 10\cur Vo.--t-v,-
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK::' ADDITION ll\.t.. Lv,lOe ':::,
OWNER
(Name)
(Address)
BUILDER ,
(Company Name1 'v\i.Ji)(,U)G\.~
(Contact Name) ?--,y.... ++- T ~Ct
.- ~)
l oiY) 1 t:3 a./I Lx.
(Address)
-:::'TE:+t, g[)
i,,-\ c;..".-tv"
(Pho )
(~~. . I
,--"".v,~,r; UI\.
(Phone)
(Phone)
5':")?
TYPE OF WORK TilNew Construction DDeck DPorch ORe-Roofing
tJAdditlon DAlteratton DUtility Connection 0 MIsc.
CODE: P<iI.R.C. OLB.C.
Type of.{C;.stmction: I
Occupancy Group: A B E
Division:
II
F
I
III IV ~ 1-.(1)
HI MVSU
2 .€) 4 5
ORe-Siding
DLower L :vel Finish
o Fireplace
PERMIT NO. 0 4-. 02A-()
ZONING (office use)
R../SD
"-
PID 2-5: 4-a4--. 036.0/
---------
r-...
?J2.'lll (9 -~LI.3L1
PROJECT COST IV Al.UE $ /}ilf\ /)(1(.7. (J()
(excludiug land) ~
I ht'reby certify that I haw furnished information on this application which is to the best of my knowledge true and correct. I also cenik 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
:fiC~2~t fa< JUst '"u" FUclh"mote. I hmby 'gtee th" the "'Y offi",l 0" d,,'gnee tmy en", opon the pmperty to p"ro,m n"d;;i~'~'J:~)~
/- f..,' Signature Contractor's LIcense No 1 Date'
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
.,I2-.9tJ, dOa 80 I
$ l!.j '7~. 5""0 I
$ I L/ 2-':;'. 7'! I
$ /L/5.0D I
$ I
$
$
$
$
/(M. ()tJ
ItJlJ. iJo
3'5: 5""0
,,!O,O()
This Application Becomes Your Building Pennit When Approved
Z~ ~/-J
13uildin_!!Otlicial
11!/o'l
Park Support Fee
SAC
Water Meter
Size 5/8((10
#
#
, :<'50.06
~O('J. 00
70.00
I ZOo. 00
70lJ. OD
/500. eJo
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTALDUE ~
9. /0. 7/
~./t.o9-
Paid
Date
#
#
4- .qd+-
11
I ReceipiNo. dfLC,~
By /f, .
(}
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 constItutes f temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CertIficate of Occupancy must be
~~hnning~ ~/aD~ ~ ~con~
24 hour notice for all inspections (952) 447~9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~\
White - Building
Canary - Engineering
4"_I.rtlC: - ;:::1~I.r1I~
-
fhr ('tnlrr ollhr 1.lkt COllnU'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,
.., ( I
r c. !,
\ ,f\ 'y
(4-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.70'4 / I
..~. (' / -,'- . , ~.. i" \ : i..
Accepted
Accepted With Corrections /'
, Denied
Reviewed By:
~
~M
~ Date: 4//a</
r
oJJ ~+..~
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."
~\
~hite - Buildiiict>
Canary - Engineering
Pink - Planning
rht>('rnII'T of lhl/' 1..101' ('ou"l~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
YOI2.WA y
3.23.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ZeQ4- (!",OU6Arz.. PAni
I
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
~ ';j.." fl /...J Date: 4,/110 <I
I?~ aLl' ~
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."
.~~
White - Buildin9
c ~ -!:Il"!:Ilrv _ ~nc::uneerlO~
Pink - Planning
Tht' ("t'nltor of Ih..l..".. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'yo 12 Vv A Y
? --:>? ('4-
-"'. L_i. I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 eC;4-- C G 6/-\f~FATH
I
Accepted
>(
Accepted With Corrections
Denied
Reviewed By:
n14~
Date:
4-~Olf
Comments:
See Reverse Side for Additional Information!
1!1.,,.,,,/G,;n E'05"Q^ Co,.,-/-,,,{unl-,'/ fvd t'~ Eb/~6/,'-5J,~eI
See Attachments: 1) Gr::lding Plan, 2) Erosion Control Measur~~
"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."
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
42-0,0 I-
I. Gc~, FiI. I PERMIT NO
2. Y,,,ow City 'Cff oz40
3_ Gold Apphcant .
(Please ~ or nrint and sign at bottom)
ADDRESS
cf?J'1J/ COU(;/J.e ;Jf)Tf/
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
I ZONING(oflk'use)
PID 25. 4-04-, 035. 0
OWNER J J //
(Name) YDRuJI1y C I/<;mlYl /tOJJ1E DU/J../JE~S (Phone) 7'5~ -.f?~j, -.:3'f'~
(Address) "'MI Flk:'/l-N MVE ~U ITE I;Y() fSllvl1/'E j'J1AJ ./)53:7~
(Address) (City) (Zip Code)
APPLICANT
(Name) .1CI AJ 1ft... (.;J?lftJE .:r/IJe- (Phone) ?,./}j(-d'33 -/200
(Address) /.-3/'-) PJIJRIJc. '5-rf.?E'...er # J SfI/JKIJ/EE /J1/lJ 6.?:-3';79'
(Address) (Cityf (Zip Code)
(Contact Person) VI) AJAJ/~ (Phone) :752-~33-/':<t!Jb
APPLICANT SIGNATURE ~m.tL/ /JJJd;~A?1/J DATE ./y /) 'J' /~"'/
/ ",
APPLICANT PLEASE COMPLETE BELOW
Size of water service / inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC IXI PVC
Estimated length of sewer line IJ-',)- fe;t
Clean out (if required) located at - feet from structure.
feet
o
Cast Iron
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
~ '7-. 024--0 t) V
pf\'ID O~
e Vi 1/
Estimated Cost $
Building Penn it #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$ ./"
/"
./
./" .50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Ipa~
Ina~.~o,o4-
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
-
R~
By ; IlL
1
Ap.. 29 04 01:13p
J..rr Sch........
952-447-6735
p. I
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
~C)\~
~lease ~ or Driot and sirm atbottoml
ADDRESS '\,
\ dI. ~~'-\ 0-0UC\ 0;( YCi \h
J
LOT
LEGAL DESCRLr ! IV!' (office use only)
ADDmON
OWNER
(Name)
(Address)
BLOCK
~\\~x\~e"
APPLICANT 'SQ..\,QS'e.r 9\'0-(\\'0\(\.
(Name" : Iq
(Address) I.\~Q:) \\ch-,C\\'\ c:..\'vL\~ S~
(Address)
(Contact Person) :Se.. \\ ~c-\1e.\er-
APPLlCANTSIGNATURE~\ ki-
v~
Quantity
L
i
l
Y
,oS
L.... Fi" I PERMIT Nf)",,_,tj()- -
I. Gold City
~. YellGw A.pplia.nt
I ZONING (.- =)
PID
(phone)
(phone) OI:'Jd- - ~~ l-lo J 3Y
\\-ic,\ lc\\zQ mN ~'S 3 7d.
(City) (Zip Code)
(Phone) 10 \~ -{li 7 -30~S
DATE Y 1:1-.'1/0li
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture
I Bath Tub with or without shower
I Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundrylfray (lor 2 compartment sink
Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
'- l'
I
I Type of Fixture
I Rough-ins
Water Heater
I Water Softner
Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
Lawn Sprinkler
I Other
I
FEE SCHEDULE
Industrial. Commercial & Multi~family 1% of job cost with a $39.50 minimum . cntial, New One & Two-Family $99.50
Residential. Additions & Alterations $39.50
Estimated Cost S
PLU G PERMIT FEE $
TE SURCHARGE $
TOTAL PERMIT FEE $
.so
(Office Un Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
I Paid
I.~f" r,~AY
I Receipt No.
U l> LUU~ lay
24 hour nnti.., for all in,pections (952) 447-98$Q;I'a. (95Z) 447-4245
l,___".___~
METRO AIR 952-447-8126 NO.3JJ
ern Uli l'l<.lUR LAKE'
HEATING! AIR CONDlTIONING/IrlREPLACE PERMIT
P 1
uRle Rcc'd
I.\'ink
1, Cl~ell
3.".11011/
",. I PERMIT NUl- ~ I{(J
Cil)' " CJII
"'l'plie~111
(PI'ilsc JV.2,C or oru.1t Ol.nd slen at bollom)
AI;JDRESS
d 'b ~ '-\ \. Clv. '\ "'~ (9 v.. \-'"
ZONING (om" "..]
L~OAL DESCIUPl'lON (olnee Ul. only)
LOT BLOCK
ADDITION
~~\~s. fuo,,~l,
PID
OWNER
(Name)
'1 ty W 4\J \\ (\ 1'".-..1..$.
\ ~ \1' a ~1 "-''l... \\~,
"
P~1.\l- l \(
" .\
(Phone) ~ \ ~ . \" liS .. \ \.\ () \
S" C:3 I -:),
(Mtlress)
AllPLICANT '^ \ -r--
(Name) \'\'t~(\' ,.On ~ _L ~\ <.,
(A~dress) \ \SJ ~ 'X ~j "i" \ ((.r!'"\.> (-\ \f '--
(Addre~S
(C~Olact Pel'son) N t.\ V\ "-\/ . L'\' ~ '- \ \.,
AFPLlCANTSIGNATURll .J.f\"^^",,p ul"'~
(Phone) S S :),. \.\ \:\ l- ~ \ d- \{
~.\U- \'..,\ll.... N-J .s~::,ld,
(c.Iy) (Zi~ coa.)
(Phone) <-V:;~. "11.1\ ,. ~ \ D\..\
DATE
APPLICANT PLEASE COMPLETE BELOW
.J2lfiEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
rUl1.NACBM^RBANDMODELCc,.-..-~~v (I'\X~ -\a~:..\\l fUEL \\)c,t
PLIJB SIZE (r' \! c... llllTURN OPENINGS ~ INPUT \ ~ (,) ~(j"" OUTPUT j3., UU'\)
TYPE OF SYSTEM REA TING OR POWER PLANT
. ,lJWann Air I'lnnls 0 Sleam
DGlavily 0 Hal Wale,
iMccnanlca' 0 RBdlntlQI)
ir ComHUonl118 0 Spcc:ial Devices
Vt;lIt. System 0 OU1C.. Devices
PLEASE NUTE:
Air Conditioner Uuits
Cannot El1cl'onch into
Required Side Yurd
SOlbacks
Fllj.EPLACB MAKE AND MODEL
Inullslrial. <':ommlucio.l &. Multi.FclTIily
FEE SCHEDULIl
1% "fjob roSI R",iuCIllI.I, 0., Fi"place
$39JO mlnhmlln
,\99JO Resiaelllial, Addilions & Alleralions
~M.50 RosidenIi.I, AC Only
$.19.50
Regidenllal, Healing & Ale (New ConslrucIlon)
Relidential, I lea ling Only (New Cunstroelion)
.~l9.50
$39.50
Estimated Cost S \ \ ~ ~r:::, '31
lluilding Permit #
101\1" 1I.. Ooly)
This AI'I,lleaUolI Deeome, Your Building rermit When App'.OVOll
HEATING PERMIT PEE
STATE SURCHARGE
TOTAL PEllMIT 11EE
$
$
$
.50
nulldlllg OIDclal
0.,.
I Paid
I Dale
r,~AY
I Receipt No.
D 5 2004 181
24 hDU'. noli.. fur olllllsp..liun, (952) 447-98~O, fAX (952) 447.4245
07/06/0~
07:33 F~~ 7635530BB7 ~U~~RS. BUI~DERS SUPPLY
_. .-.-.-..-
'--11:r: VI' t'KlUK LAK}<;
REA TINGI AIR CONDlTIONINGlFlREPLACE PERMIT
14I 002/002
Date Rec'd
(please m>e or orine wd '"'" ar bOrulm)
ADDREsS . .
~ X 9'-1
-"
t ~~ E~r~l I PERMIT NO. '1- ~ t/(J
C-t')uaa~
v
LEGAL DESCRIPTION (offie, use only)
~a..-l~
ZONING (ollicc we)
LOT
BLOCK
ADDmON
PID
OWNER
(Name)
(Phone)
(Address)
. APPUCANT {l 12 {
(Namel=:--L::>\)'je..\"~ JOOddCI' :::'L)?p(i
(Address) /3405 1,5/''''' /l0Ci1.U-t>
(Addre1!)
(ContaCt Person) b c,^- f'k ~ f' (phono)
APPUCANTSIGNATURE _ ~. ~A--4tfl-'r( DATE
- . ~
(phone) 7i&>3 -C:,C;Y -51(,,63
PfYi1?r1rJtf" s~o/'1/
(City) (Zip Code)
7/blov
AJ>PLlCANT PLEASE COMPLETE BELOW
t:: /~Cf> kc -e ~'lEW CONSTR~~ON
~ '" MAKE AND MODEL Ie l I II') 00
FLUE SIZE s;- ( I RETURN OPENINGS
TYPE OF SYSTEM
OWann Alr Plant:
OGravity
o Mechanical
. DAir- Conditioning
OVenl System
FIREPLACE MAKE AND MODEL
o REPLACEMENT 0 ALTERA nONS
S0 l:>e.r--;ol' FUEL /,JC<..i- q.~
~
INPUT OUTPUT
HEATING OR POWER PLANT
o Steam
o Hot W'lf!:r
o P.adi.tion
o Spccilll Oc:vie..
o Other Oeviec:l
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
10 T It, c;:::;
Suf::>t"I>"'.,,,,,
IndUStrial. Commercial &. Multi-Family
FEE SCHEDULE
1 Gill of job cost Residcntiall Gas Fireplace
S39.50 minimum
599.50 Residential, Additions & Alterations
$64.50 Residentia~ AC Only
539.50
$39.50
539.50
Residential. Hearing &. AlC (N"", CooOl"""ion)
RosidenliaJ. Hencing Only (Now COnslNction)
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
~, ".' (:Z.'i!7.;"
~"':'? . ........r,
".....D,;,~" 4tl.l)~i-'
'.'hQ~.. "-r.'
-,'^'.....
-::-.::--'/"....
(Offic:c thee Only}
This Application Becomes Your Building Pennit When Approved
Building Offici:d
D.te
ffi.t i! ~ ~ 0 ill ~ ~ecejPt No.
~~" 7 7nn4 ~'Y
fJ
24 tlour notice for.1l1 inspec.tions (952) 447.9 :50, fax (952) 441..4245
By
-~_.- --'~-~""~-----"~---'---'-----'~ -_.._~
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS --Z8,&.t ~ f'~,..~
NATURE OF WORK We: Co\) cc.....".t qu"t-tD,..)
USE OF BUILDING . S. F: D. ..
PERMIT NO. ~d,O,;l-kJ DATE ISSlJED .II I I' 0'/
CONTRACTOR ~.:srtlJJ.af(J~ PHON~ _l7~-3'~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING rVkOR I ~ _ 2, ~TE
, FOUNDATION (Prior to Backfill) I r~ So ? I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ --$-:J
cJC It#) ~
Ij/i)
4r:~
IfI/!
/.p /-r~
j
j
SEWEB I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST lIt";""fn
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. I
\UTtfF. JC;flla4ICJ/OlJJ2DJ1mtJ& ~C/ I ?f'-cf-dI.1 I
j , FINALS.;r ~ U1-lP~.J' '=
GRADING (Prior to Sodding) tV} 1//6 tf
BUILDING ~c. f!iJ' I~/ i~)d I
ELECTRICAL _ I
PLUMBING J/J L V if) % A V7. .
HEATING
DO NOT 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.
/IJ - /7
."
FOR ALL INSPECTIONS (952) 447-9850
4' "" ~
@erfifirafe iJf @rrnpanr\I
CITY OF PRIOR LAKE
~tpadmtuf of '!/iuilMug JIusptdiou
)(Final Permitted
o Conditional e.o. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 Intemarional
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:
SINGLE FAMILY 04-0240
Use Classification Bldg. Pennit No,
Occupancy Type
R3
Type Construction
VN
Zoning District
RISD
Legal Description
12, B3, THE WILDS NORTH
Owner of Buildim'
YORWAY HOME&;f1Iil01
Contractor's Name & Address I /I I
ROBERT D. HUTCHINS ( / r ;1.-.
I - . / Building Official V v
Date: I:' " ,1>);/
I
Site Address
2894 COUGAR PATH
EGAN DR., SUITE 180, SAVAGE, MN 55378
DON RYE
City Planner
Date:
"
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 8-l'2-o V
/
ADDRESS
28?<../ - CooC/JoJ- ~_
o
COMMENTS:
_I. MfL;,",~-. )~~4A
7. ~ \=~ ~.~
~. Sr...l +- .,- NI ~
4. ~~ ~~,.I Vl>l.4o._n.../
I I .. G
~. .!i...~ ",t.."....... ..~, ..
jJ~~~~~
-
l:.::f"'O+~
OWNER
PHONE NO.
o FOOTING
Cl FOUNDATION
Cl FRAMING
o INSULATION
~INAL
Cl SITE INSPECTION
-
-r-"-"t
CONTR.
PERMIT NO.
U -7t.(J)
o PLUMBING RI
o MECH 11.1
o WATER HOOKUP
o SEWER HOOKUP
J!1- PLUMBING FINAL
o MECH FINAL
Cl EXIGRADIFILLING
Cl COMPLAINT
Cl FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
~h--~ "-
~~....otO-,'-k~
do- (J..".t.. V~-6.
11-1-0<-1
/),
0/~
010.7<
.
o WORK SATISFACTORY, PROCEED
o CORREC): 4CTION AND PROCEED
X CORRF,CT NORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector. -t .i Owner/Contr.
CAul"," 850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~Q 1 MENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
"""""
DATE TIME
CllY OF PRIOR LAKE rl
INSPECTION NOTICE SCHEDULED ~-17 _
ADDRESS ;2~C)~ C:"l~o'.r ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
(j - 00 "'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o ~EWER HOOKUP
-E!J"""PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. TJa...O ~;lC'\vl-6
2.. CD \U-D (1\ DA..... .,.ut
~. {\c.Ll to. Mj\l. "IS2.c../c.l1-~eq~
'-I. L-t.,,-l.,.d ~
5. :!M.-P ~~~.J
(,.~.~~
]. C~! -~r Wl.....{l- f- .~
o WORK SATISFACTORY, PROCEED
~ORRE~:O-ION AND PROCEED
o CORREcr'12 : Ii' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
..-/'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
IN""'"
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
TIllE
2~60
SCHEDULED 10 - )J-{)'/
ADDRESS
),ftJ'I Cott~/ I~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
(?!! fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMI;NTS:
bl'a.&, - /"J ~>
(,II/to B197- --- I""'lY
't"W'iV
/)'1-~'/()
""~LING
....OeoMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
6f-'T-
V WORK SATISFACTORY, PROCEED
'& CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: d~ Owner/Conlr:
.,
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
fNSNON
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!