HomeMy WebLinkAboutBuilding Permit 04-0454 & 241
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and si2l1 at bottom)
1-- m!~ I",g(p(p Til"ltJG~tJvF
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
O~t;i~l\c.c LAvtlAMJN
-
(Address)
Date Rec' d
White
Pink
Yellow
5. /Z,04-
Ftt-6 wi 04-. ozA-1
I PERMIT NO. 04-,0464- I
File
City
Applicant
71U--- .
ZONING (office use)
f>(J[)
PID
~ r{1S2'YlLO' S L:t7
BUILDER ~ '"
(Company Name) l li.M.f>,{c"'l1l1Yu-7' t:'y.)LLD8-t--s'
(Contact Name) {\Alk.J-:O'
(Address) b'7Y?l G,tUClCu:::~A-~ Dn-..
o New Construction DDeck MPorch ORe-Roofing
DAddition DAlteration Oyfil1'ty Connection 0 Misc.
~ Pth.4..I-.
1lI IV 6) A <It)
H..l.M(!)SU
2 m 4 5
I hereby certify that I have filrnished information on this application which is to the best of my knowledge tme and correct I also certify thaI I am the owner or authOrized agent for the
abovc-menuoned property and that all construction will conform to all existing state and loca11aws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke this permit for Just Ise. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform neede Inspections.
X.~ - Ie: o"if
. ~ ".~ Contractor's License No. ~,',','~.; Date,.." .~
,*i1";"""" , 41i., .
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; 1"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
$ /t{7,1(
TYPE OF WORK
CODE: .8.R.C. OLB.C.
Type o{ C~nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
Permit Valuation
~3oot). 00
$ 'W,z..S
$ 57.3'-
$ /.So
$
$
$
$
$
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Your Building Pennit When Approved
~Ol~~ ~~y
(Phone) 7J --Z--l.jl.{0 - ?:;'?l-:S
(Phone) <]<;7-'11 T - 3'-f16
SIl-v AG--C (/I1N
ORe-Siding DLower Level Finish
D Fireplace
PROJECT COST IV ALUE $
(excluding tand)
TOTAL DUE ~
f.n.'V
Paid
Date
/ "". /1
Cc .? C4-
I ReceiPt A9l 0,
Bv --:f--.
(j
'1 n,7
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 a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions. if any
BY:
Residential Building Permit Checklist
~~'/2c~Additions to Single Family Homes
r
~ Date:s-;;~~<(
Building Permit # P1D:
Site Address /~?h0 T~
~
Zoning:
~
Legal: L
B
Subdivision:
Existing Structure:@or NO
/
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: NOT APPLICABLE
MEETS CODE
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
Side Yard
Requirement
Proposed
10'
I'
I'
10'
"-/IJ I'
~ (t) '" WJ4
L/p/ f- I
Nit
Rear Yard
25'
. Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TE!vlPLA TE\DECKCHCK.DOC
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 3 _ ) g - () ~
I
(Please tyPe or print and sian at bottom)
ADDRESS
Date Rec'd
1. White File
2 Pink City
J. Yellow Applicant
I PERMIT NO. 04-. 02.4-/
/4~ fR(, Tindel!: wo,-,P 77lA/L.
jVN
ZONING (office use>
PuD
LEGAL DESCRIPTION (office use only)
LOT.f'~LOCK (ADDITION 77It!: WOOD S" kf 7116 1111/.;0.5
OWNER"A'"",^ \ L
(Name) l""IIU\lAe. lXlAM<1nn
(Address) \5071 Rr"~gewcrlty Dr.
BUILDER
(Name) lTmhf'Y1OOf, 1Juj Idex:c,-rLnr~
(Contact Name) .t1ic.tn~J La..!.! mo..nn
(Address) 15D11 erictlevvClte.r Dr. J 5o.YGVJe, , MN
TYPE OF WORK
o Misc 1.R.c.. c.v D 6S
State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
I Sewer & Water Permit Fee
Gas Fireplace Permit Fee
"X' New Construction
DLower Level Finish
PID 26. .3 B3. 04-*1' Q
S(lv(lf; MN
(Phone) q 52- ~L\-O-R2.4"2.
852>18
(Phone) Q52. 44(). 3613
(Phone),952. 41? .2A.la
55318
ODeck
OPorch
ORe,Roofing
ORe,Siding
o Fireplace
OAlteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $ ?l? 5: 000 , Q7
DAddition
~325J 000.00
$ .;:l.'-I()3.6'0
$ /5"2.ZJ>
$ J Ia z. 60
$
$
$
$
$
/"0.00
/00, tJo
.35"',5""
'I(J,so
This Application Becomes Your Building Pennit When Approved
:&~~
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 aU construction will conform to all existing state and local laws and will proceed in accordance with
submitted pia 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
::u.........::;~:~:::2::lIneededinspectiOns '2D'25\~4D\ 05/05/04
f" /' /' Signature Contractor's License No. Date
'I '1/
Permit Va uatlon
I Permit Fee
Plan Check Fee
Building Official
L/II/()t[
Date
1
1
I
I
I
I
1
I
ITOTALDUE 1'~)4104--'' $/0,373,781
:~: 10; J.-'6~ ell ,::""N/; '1:5:;/
I Park Support Fee
1 SAC
I Water Meter Size 5/8'<c.::D
1 Pressure Reducer
1 City SAC and WAC
\ Water Tower Fee
I Builder's Deposit
I Other
#
$ 8D'0.OlJ
$ 135;;0.00
$ 30 <:> . 00
$ 70 .~"
$ ["Z.-OO.c'lo
$ 700.00
$ tSOO.OO
$
#
#
#
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 si ned by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
"m ',~ $l./ aq
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-98S0, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
uer
White - Building
~~::Iln~ t:r'lglneerln~
Pink . "t"'uilII III IY
rh.,C..nlf'roflh..l..hCounlr)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.,
NAME OF APPLICANT
APPLICATION RECEIVED
l
.{ <
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i i
i "
U-1j;J..-
'...; - IK--~'/)Lj
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'/'~'/ / .I ,
, /1 .,' (j? t-, /. .
r- It:;.,.,
;oLO-;,:{-'
<' . ~~.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
Mi3
Date:
'1-7-0,/
Comments: ~pp Rpvpr!';!'! ~irle for Mditinn::>1 Inform::otinnl
jf)e;,',;..!",^, jir05Jtln, Co_'f,."i
E (...14-,/, '~4<'/
v,,/d /ut'r. 1<'
s~~ Attllr.~t~: 1) Grading Plan, 2) Rro~ion Control Mell~ure~
"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
Qvhite . ~uiidinQ::::,
Canary - ~ngineering
Pink . Planning
lht('rnrrrofthrl.akp('ountr1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT c-{I~ h..~ /1.1 d92 t3 ~
V
APPLICATION RECEIVED ..:3 - I g -04
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ii/f&k, ~tb1/ao;;~-
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
~
;? I2.bd
~ Date: -Ij; /0'1
~'~/
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."
ii'@1
While - Building
Canary - En!l.ineering
"'-"'mK - I'lann'np
Th~ C~nler of lhf L.kt ("oun(1'1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,""'--
-'
1/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/
I
,x'''-:; , .-' / /.,'
f,
, J
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
(I ~/I/O<(
(
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."
Na~ 26 04 10:43a
LOTCl"'eh
lZ/U/~t~O;4Z t'^", 81Uf1.!llJi
Htc 8. A/C
CITY OF PRIOK LAK~
651-4601208
p.1
'EJ"'-Y'"
CITY OF PRIOR LAD
BATING/AIR CO",..'A,u....'.I..IGlFlREPLACE PERMIT
Da'" R.e'd
f!'I- l'Wlpe- -- ..... .......\
I iJ>"bJI:ESS
I I ~ <6rot", (i rnhf'r uM}+'
~ ::. ~-:., lPERMlT NO. A) '1-/) "'l J ill
)....... ~ (.I (_~
I:tONING t....w.) 1
T {'c. " I
L1!OAL DES....... ..ON (oIIa: _ 011171
LOT BL.OCJ:
ADDmON
PID
w'+.,...~.......
f...I(yYIJJfJJ~Jj'.i. fj)dr<.
(Pboae)
(Nuwl
(NIdrcosl
Lur(JREN
HEATING & AIR GnNnITJQNII'C
04bb 212TH STREET W STE ."
(Addras) FA~MINmON 'I" ,'.,,, '
{A.......) '0"0' (CiIy) tZi, C.~'J
1"-_ --Lk- ~ ^ ~ K~rl , I , ~ ......, '" -!/ 'Lt./1 nJ.)
Al'PLICANTSlGNATUllE /"j. ft-!/'11i 11 jJ DATE
APPLl~ PLEASE COMPLE'B BELOW
1:\10..... .."..snucn6N 0 lEPI.ACEMENT 0 AL'TERA.1l0NS
rulUlACE MAl<UND MODEL c.c. NU OJ) -< K m u P / Of) FlJEI.
FLUUtZE '3" P \J r RFrUlN v,...,_lGS a;:; "I- / I lNPUT OUTPUT
TYPEO~ ~.~u",( HE.\TINGOJl.POWEllPIANT
~~ ....~Plan" 0 S.....
If'w;:,inI ~~::
!!l<frC_, SpodoIDcvl..
gvllll. S_ OoIIcrDc._
FUlEPLACE MAKE A1>lD MODEL
APPUCUlT
{Namel
(1'1>"".1
PLEASll'lO'l"I;
Air eo.dili..." UIlil$
CalIIlolllncro ICh in..
Roqmm Sid. Yord
SeIbodts
J'U SCIIIDUU
1.........I.C"""..,.,..Ii6o MIlIti.J'lDlily 1%.rJab_ _<ill. Go< FItqlIltc
"'.~ ..-...
,l\c1i\IQItill.lluIIIII.AIC ~ .,,_. ".:~l S9UO _01, ""di.....6o ....Ilcnti...
-....11.~"'0II11 (N.... C_l 164.'0 ~ ~C Only
$l9.30
EslinlllallCQIIS BtJiklinJr.nu..~
HEATING l'EIlMIT FEE $ BUI.DING r"crv.fIT
STATE SUR.CHAllGE' ,SII
TOTAL PUtMJT ftE S
539,50 ~ }
1)9,'0, (AJ
~ <~jJ'}\
(..-".....,1
.....--T----':1! U ~ ~ I':;"""
-- - Il~ MAV 2'7 2004 ~ 1
U~...r_"""" .: Il952J~ ...(t5a)44'~05
By " \jJ)Y1rJYcJ) \-\
J ''I-J '.JI\~ if' fy q_O
\}JC)':~ ~ ~ '?-
"iP'J\~
-~
-------..-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvDe or DIint and si2n at bottom)
ADDRESS
; ~::" ~::y I PERMIT NO.A......L. ~ ~J
J.Yellow Applicant ...,~ ~
ZONING (office use)
14866 TIMBERWOLF TRAIL
LEGAL DESCRIPTION (office ose only)
LOT BLOCK ADDITION
PID
OWNER
(Name TTMBERTDGE BUTLDERS
(Phone)
(Address)
APPLICANT
(Name} ATJ.TFDFTREsrDF DRA FTRRsrDR HEARTH & HOMR
(Phone)
1\51-1\33-251\1
(Address)
?700 NORTH F AIRVIEW A VENUI'
(Address)
ROSEVILLE
(City)
'55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/27/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D 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
OVen!. System
o Steam
o Hol Waler
o Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEA TN OLO 6000TR-OAK AND SL-350TRS
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64,50
$39,50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39,50
$39,50
Estimated Cost $
HEA TlNG PERMIT FEE
STATE SuRCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
~D Wffi{
eutntNG p~'
(Office Use Only)
Buildine Official
Date
~)t!i'@ ~ 0 W ~ -}~
J t~(JN 0 2 2004 II By
Receipt No,
This Applieation Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 44~ ,9850, fax (952) 447-4245
Rv_,,~,_
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
S, 2.5 ,,4--
(Please tvp~ or mint and sim at bottom)
ADDRESS
14~(,(p
--
77 n d b7u-V' pt--r flZA'J''-
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
APPLICAN\l'\ ,nIl!
(Name) Y'f'o /JIl~ (Phone) /.~} -..( CoD -'8V2 L
c)'-fo 1) LJ J g '/ J-< 4. 12- /"YM--W-h,;" ~2. Y
(Address) '(Cityy (Zip Code)'
(ContaClPerson) ~i- (\ ., (Phone) {,c;J -Y(,,6.--g<.{ 2. L
APPLICANTSIGN~TURE ~! f7 DATE5"-'L~
V APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower .s
Dishwasher I
Floor Drain l
Lavatory (Bathroom Sink) (
Laundry Tray (lor 2 compal1ment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
OWNER
(Name)
(Address)
(Address)
Quantity
l
\
/-
~
-r
,
~
BLOCK
FEE SCHEDULE
Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum
(Office Use Only)
Residenlial, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
BUildin$g Permit # O/-. 0 ~ J nLY I 0 ~ ~D 6 r&
PLUMBING PERMIT FEE ---- r r'
STATE SURCHARGE $ ...............50 112 V ILl
TOTAL PERMIT FEE $./' IJ
/
IP~
I Dat3": z.,J: ()4-
Estimated Cost $
This Application Becomes Y onr Bnilding Permit When Approved
Building Official
Date
I, Blue File
2. Gold City
3, Yellow Applicant
I PERMIT NO. O+-. CJ~/ I
ZONING (office use)
Pl/O
PID.u-: 36.3. 0 ++~ 0
(Phone)
Type of Fixture
Rough- ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backtlow Assembly
Backtlow Assembly Test
Lawn Sprinkler
Other
Receip~
~fi1-
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
\J:.
~
J
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS /~fl~14 ~~(u.F.II2AI/" N,tJ,
NATURE OF WORK . ~e-W CO~'tItw:nO ~
USE OF BUILDING ~, F=:" r.:>.
PERMIT NO. () 4-. 024- / DATE ISSUED 4/' /0'"
CONTRACTOR ~E .&U'a.OElLS' ,I'tJC., PHdNE'5'~..'l'2.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPEcrO~
DATE
~J --/0
I FOOTING we- I
~
I FOUNDATION (Prior to Backfill) I &"6 If . 7~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TES~~ ffJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
II..A.THe/ Wt.1ltJtFIJ $1"'fJt.lE I I
, FINALS
NB ~,~.o4-
{f !;
p9/!,
I'
trv{
GY/
( .:1 '1Ju\
~
-
(./{5 ~<f,
rlVV .
;PO s-. ~B
fI..1'<lI,\
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
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.
8-'W
LVC.
-
ra
~~
~~
FOR ALL INSPECTIONS (952) 447-9850
-:::..
.. ......
QIrrtifiratr of <IDrtupanqJ
CITY OF PRIOR LAKE
:!Eltparfmtnf of 'lJjuilMng Jlnsptdion
,J:f Pinal Permitted
D Conditional c.o. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential! 0 International
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 04-0241
Use Classification
Bldg. Permit No.
Occupancy Type
R3
VN
Zoning District
PUD
Legal Description
Type Construction
L44, BI, THE WOODS AT THE WILDS
Owner of Building
TIMBERIDGE BUILDERS, INC., 15071 BRIDGEWATER DR., SAVAGE 5507
Contractor's Name & Address . .-..,t','
ROBERT D. HUTCHINS 1}l1
_ I J / City Plann<,r
Building Official V 1-/
Dateo R-7D rY{
I
Site Address
14866 TIMBERWOLF TRAIL N.W.
DON RYE
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
iYl'lNAL
L./iJ"liTE INSPECTION
COMMENTS:
o ~ -t-O
DATE TIllE
SCHEDULED
B-?t>U
r \\_~ ~
CONTR.
PERMIT NO,
l/- z q I
. .
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I ^ f\ (I
C- L~ r J 't Lt --\ (
I
l?J
'~~l~
X WORK SATISFACTORY. PROCEED
Q CORRECT ACTION AND PROCEED
o CORR T WORK, CALL FOR REINSPECTION BEFORE COVERING
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NV<<>n
DATE
S -7-0'1
/qt]hb TlY"1 !Je".-/,JoIP T/I
T/i>,!x/ f~r' lWrj
G 'f ()~'f/ I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
('.,r.,,/,.. - cD It-
L-v(6 (!;o f- - (") j/
TIME
y(~ILLlNG
o COlifi!l:AiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
,~ WORK SATISFACTORY, PROCEED
- O'eORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECT/ON BEFORE COVERING
Inspector: ~ _'- Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
"'$NOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -Lc.( 3 (,{,.
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
S. INSULATION
-<J FINAL
o SITE INSPECTION
DATE nile
SCHEDULED <5- 2P-Oi
f(Wlloo- w.-J F
CONTR.
PERMIT NO,
o PLUMBING RI
o MECH RJ
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
.I" MECH FINAL
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY. PROCEED
o CORREC CTION AND PROCEED
~ORR T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTJ