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Home My WebLink AboutBuilding Permit 01-0062 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please tyoe or orint and sign. at bottom) ADDRESS J..Io f'VI 2ft -..) LEGAL DESCRIPTION (office use only) I~~ ~t! LOT & BLOCK ~ ADDITION LJ'\~:> OWNER (Name) T t L()r\S r ~CJ 13c'J( s:1 -:;:p-tAC i2/ko (Address) BUILDER (Name) 5c-.-. ... (Address) TYPE OF WORK ~ New Construction ODeck o Misc. OLower Level Finish o Fireplace I, While 2. Pink J, Yellow /-3- File City Applicant I PERMIT NO. ~~ ONING (office use) RI 1"'t.. s- PID Z5-375-()ZI-(')_ , J.,4,1ff.,o(.'"1 (Phone) tfS-,9 - ~-SOa.C ~~/ -fgf g 'I (Phone) OPorch ORe-Roofing OAlteration ORe-Siding OAddition OUtility Connection PROJECT COST /V ALUE (excluding land) $ J e:::l q?S 54 ' ~ 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 :'erupon'/;:~.x.:;spections 10 7~ I - 3' OJ Signature Contractor's License No. Date I Permit Fee I Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee ~m::,on lp-~goffic, $ $ $ $ $ $ $ $ 18>. I ,~I'08. SC:;- I q tiS, 0(" I qJ. 5n I I I I I I J ~.l'9O L(JO .bD "$~. '>i? if () . (J(j comes Your Buildmg Pemut When Approved I Receipt~ ;$9()() 3 By /I~ r This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and maf 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 iSS~d,.~ !."A ) ~ ~~.- _ ~ t '31/94 Planning Director 0 te Special Conditions, if any 24 hour uotice for all iuspeclions (952) 447-9850, fax (952) 447-4245 I-I 'r ' 7"'="l9 Date o CIO . OC> Park Support Fee # $ S5b .00 I SAC # $ /, J S1">.dCL Water Meter Siz<.@"; 1'" $ I ;;l6" .l"::J("') , I Pressure Reducer $ 4!;.f}~ I Sewer/Water Connection Fee # $ I,~.&':J I Water Tower Fee # $ ry Ml.U> I Builder's Deposit $ I ,,~M .fJr") I Other $ I TOTAL DUE ~^-- $ e,34-3. ro I 2-1-{)J Paid Date )( ;J~:1. (, I 2-(..-01 5~1 01-00' ~ Thr Crolrrof Ihr l.akrCouIIlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED T(', ( t' ::~--II",-C CT I L f\J I /7, / ( , I I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I ~.:>1 /, e/Cl Hr{< I\! I~A ss Accepted Accepted With Corrections /" Denied Reviewed By: ~....... j, /I -:--_-c.-: _, J'.!Jt c Comments: 2t1y, .M~ ijv~~~~ (A)~ € '51'1-/~R.. +- l}tv._, yQ.O'l-1) ~ Date: 1/3t/b( "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." ot-oo(,~ Th~ C.,nl." of IhC' l..kC' Coonlry White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED Tt > Got~ CTRtJ CT (C N ) 1/3/0/ I / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 15344- 5/6 H()f2.N PASS I , Accepted Denied Reviewed By; l I_L Date; / - /7- 0 I Comments: .5u- ~/"'r:5e.. s'OE ~ 1bo/77/Jr1/fic ;Z;V~/177()LJ./.. / Accepted With Corrections .~ /lJ$C/lIllBi/73: ,) 6MO~(7 1lA--v Z)EJ?iJ5I/w ~1l:bJ.:YR/3 3) E(q)ynn/ Un/lent.. fU;/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," \ ___~"",~,",__~",'".__'_"m_._..__,......_____._"_____ ~1 Ot.. 06'1.- Tht' C..nln of lh.. L.h Country While - Building Canary . Engineering Pink - Planning .BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED Tf J C-,Of\[ 61RU a {ON 1/3/01 f I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /5344- 13/6 l-/()I<}\J PA 55 I Accepted Accepted With Corrections 'Y- Denied n Reviewed Bif0 Comments: f3 Date: /-/1 .~~ (l ~O a~cU ~~ ?" "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 PLUMBING PERMIT APPlicant:CJ~;;wIA~ Plf,.j....t+ta Address:~. l11~cd~. Signature~ J Y:2J Legal Description: Lot ~ - I/? Block 3 Site Address:.15?+-1 l..-\ ~,:J \ \" , .~s<: Building Permit # PID #91~ -- ~ 7f1 ~ Od-t-6 NOTE: This permit will not be processed without complete information. ~~ Thfl' ("('n.... of th.. L.kr COUnlf) FIXTURE UNITS Quantity Type of Fixture Quantity .-"^ Bath Tub with or without shower .~ I Dishwasher I I Floor Drain L.\ Lavatory (bathroom sink) \ Laundry Tray (1 or 2 compartment sink) " I Shower Stall I Sinks Bar Sink VJ3 Water Closet (toilet) FEE SCHEDULE Industrial, Commercial & Multi-Family (1% of job cost, $39.50 minimum) Residential, New One & Two Family Residential, Additions & Alterations State Surcharge $99.50 $39.50 GRAND TOTAL 1. Blue File 2. Gold City 3. Yellow Applicant PP No. (I) 1-00 b6l Phone: qt?J.~I...Jf....l"'-'M:~D 'D\"l{.,....-L,~ su~J!u_, tv;lj~ Type of Fix1ure Rough-ins Water Heater Water Sof1ner Stand Pipe (washing machine) Sewage Ejector Backflow Assembly (RPZ, Double Check, PVB) Backflow Assembiy Test Lawn Sprinkler Other $ $ $ $ .50 $ This permit is granted upon the express condition that said contractor, shall comply in all respects with the ordinances of the State Plumbing Code and the amendments therof. -RECEIPTNO. 4-30-o/DATE r~ ATTEST Call for all i(J,ections 24 hours in advance. r PAID WITH ~ILDING PER;,f,iT 16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245 An Equal Opportunity Employer FROM KUPER EXCRVRTING.Co PHONE NO. 952 895 9394 Nov. 07 2001 09:46RM PI .. CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rc<:'d /1-7- 0/ f?1cue t'Yp or orillt and sien at bottoml ADDRESS -1 ffa Lt 'i I. Or I'ik: ,- . .. ; '/:.'"i- ~I;_, I PERMI'l NO()/_ OD(gZ- ~ I ZONING (olIke-.) ! g~~ K~,('~ LEGAL DESCRIPTION (office "'" only) LOT ~ BLOCK1 ADDITION 17.0 W,' Ii "5 r;714 PIn OWNER n (Name)~, ~. CtJw!.f- (Phone) (Acldzess) (Ad~,) (City) (Zip Code) APPLICANT---,-. (Namel .J e.e. kf'..J Eye'. (Address) d;3ln ~;a~ eJQ~e- (Ad~s) (Contact Person) ~IP, r'~ APPLICANT SIGNATURE ,L i'" , :k:,,-, (Phone) ~/;; "J,::}{) 7~ glfJ()m;~+fJh MAl - ,':i,~43.l ( ty) (Zip Cock) (Phone) (,!.J. '7;), b 7,/.57. ~( DATE APPLICANT PLEASE COMPLETE BELOW Size of water service I I \ inches. Location of any couplings from structure 0 feet, ,Type of sewer pipe. 0 ABC _ 0 pvc 0 Cast Iron Estimated length of sewer line ~ feet. Clean out (if required) located at -AI1L- feet from structure. Residential sewer and water line cOMection Sewer connection only FEE SCHEDULE 535.50 Industrial, Com'( &: Multi-family 1% of job cost with a $39,50 minimum $]7.50 Water connection only $17.50 Estimated Cost $ ~5{) Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 ~~~~RM1T (Office Ule Only) This Applieation Become. Your BuildingPermil Whcn Approved lIulldlulil omdal b.tc I Paid I Date Receipt No. fly 24 hDur notit.e for IIn inspKtions (952) 447..9850, rai (952) "7-4145 CITY OF PRIOR LAKE MC /'f)/_ 000d.. 16200 Eagle Creek Av, S.E. Permit No. V Prior Lake, MN 55372 HEATING APPLICATION / PERMIT Date L/ '-//6--0/ PID#;)S--- 31S....0;).J-() ~ ':!d'"'; '0 f'l S~e Address -! ':: -z..,C/i 1~:;t'l')11 ror:s::,_ Lot ---h- Block 3 Add~~.:JP t.u ~ ~ Ownefs Name "1, (\ . U.~lJ7l-dl Address ~ Heating Contractor ~.A~.v ~11 ~ ~ Address -lli.t7-") I Utlu:~)rVr...J_.AA _ rJ Telephone# ~-C;L-L./L.f/-J?C130 Furnace Make & Model ~ j ne. Model Size II j . /J 00 - , Conn. Load Fuel rJoho..wi Flue Size TYPE OF SYSTEM Warm Air Plants Gravity Mechanical 1f Air Cond~ioning' \( '2:, J;::;' 77J'n Vent. System ,Ii HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices tIJt' ~" Supply Openings I{~ <l Output 01 j)vD Return Openings Input lll"D bO Edr. Other Devices ~~b'€~ ~~r'-v) Cfm. TYPE OF WORK Anerations Replacement New Construction '/J , Repair Est. Comp. Date Est. Cost $ 'iJ (5757) Building Perm~ # YJ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ .50 PAID WITH BUILDING PEF;ii,;'" Receipt # TYPE OF STRUCTURI; I. Pink 2. Green 3. Yellow File City Contractor Single Family Commercial vJ Multi-Family Other Two-Family Industrial Public Fee Schedule Industrial, Commercial & Multi-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & Alterations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add the State Surcharge on the bottom of this application. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted with hlJildinn oermit number before build- ing certificate of occupancy will be issued. !::I.EAI eAI elll ATION!'; RFOIlIRFO with number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with suppiy and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. - 4:30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447-9850 I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFI,CIAL",; that the w]rk 'lI,be in accordance with the approved plan in the case ofpwork which re 'Ji'lJ review and approval of plans. AU:J1,,; r rd1~~ tj-/F-oI .7 - Ao;:.;nature - J 3~ ~ J Date BUil~ Ollical's Signature CITY OF PRIOR LAKE MC ' 16200 Eagle Creek Av, S.E. Permit No, OJ - ~ 'J- Prior Lake, MN 55372 HEATING APPLICATION I PERMIT /1- c.-Q I PID#M- ~7."J.-O:+/'-() J 5 Yi<{ (l."..- HOf~ .(J..::>:> Lot + Block~, Addttion uJ))riJA 3'#'1 l-c... Date Stte Address Ownefs Name (~>^" ~c-{-,'j)"", Address Po lly.y. 51 IZ 11.0 fllN Heating Contractor \J:"<-I<-<-l ?.<'- .0(""-'- Address JI../51 /'1<.>-,'",- \ fh.x. Telephone # C1SL- <-f'f 0 - S-t. 2. 0 Furnace Make & Model Model Size AO J .~ i... Conn. Load Fuel, N/f'r" Flue Size Supply Openings Return Openings Input Edr. Output Clm. Merations I hereby apply for a mechanical systems permit and I acknowledge that the information above is complete and accurate; that the work will be in conformance with the ordinances and codes of the city and with the state building/mechanical codes; that this form does not become a permit until signed by the BUILDING OFFICIAL; that the work will be in accordance with the approved plan in the l'~: . .: , case of aZI wor which requires ~vie'l)v,lnd approval of plans. '.(." /J A~ '.'-, /'/-(;-o( -~- I. ./-'" . ...., . ... .. Applf91'nt's Sign~re Date (C1f-.......-- / /- ~-O/ Building Offical's Si~re Date j'1..... : <LohL , TYPE OF SYSTEM Warm Air Plants Gravity Mechanical Air Condttioning Vent. System, HEATING OR POWER PLANT Steam Hot Water Radiation Special Devices Other Devices M'fC..P/~ TYPE OF WORK Repair Replacement New Construction ~ Est. Comp. Date Est. Cost $ HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEES $ Building Permtt # .., ,>'0 ,~'5_ ,,~5~/llPtJ3~ b~' V TYPE OF STRUCTURE 1 Pink 2. Green 3. Yellow File City Contractor Single Family Commercial \/ Two-Family Industrial Public Multi-Family Other Fee Schedule Industrial, Commercial & Mu~i-Family Residential, Heating & AC Residential, Heating Only Residential, Gas Fireplace Residential, Additions & A~erations Residential, AC Only 1 % of job cost ($39.50 minimum) $99.50 $64.50 $39.50 $39.50 $39.50 Remember to add the State Surcharge on the bottom of this application. The price of your heating permit includes one rough-in and one final inspection. Additional inspections will be billed at $35.00 each. House Heating Test Record must be submitted with huildinn oermtt number before build- ing certificate of occupancy will be issued. )-lEAT CALCULATIONS REOUIRED wtth number of supply and return openings listed per room with CFM's per opening. New structures or additions send floor plan with supply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE, MN 55372. City Hall business hours are 8 a.m. - 4;30 p.m. ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL 447-9850 PRIOR LAKE D,EPARTMENTOF . BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS . 6:~44 1<.~ Ht'll"1A ~c::.s NATURE OF WORK k l.a~ USE OF BUILDING 8. . PERMIT NO. - DATE ISSUED 1 -1<1.- ~f CONTRACTOR -r: C. 0. . PHONE '1fi~ - ~Cf NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR lfTE , FOOTING I 1S -~fi~ LeJ.ilt>( , FOUNDATION (Prior to Backfill) I-.g. \h..wj , I ~\ ;:u.!DI PLACE NO CONCRETE UNTIL ABOVIE HAS BEEN SIGNED ROUGH - INS <t. 11fl-1 ~ \lo-Jr, ~) 1 \IIIlii"\ ~ 1,u ce1'\tk COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS #8 "'''' \~ SEWER I WATER I SEPTIC FRAMING 'tJ>.,^", Y Ihl.~"'F~v INSULATION '1?x...M-t- I~l ::J~h V ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST " j?1f. ~~.1 (,/,;1 Of l ~J1401 F,V't4 'f.. () t1.voI I {gl,~ rJ ( 5-1/(Jol , GRADING (Prior to SOdding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT ~/S;ld~ 1i-./-z1 (-);:;) I . 1j.,~o.; /O}/B.,b( bcl~( ~t.Od- OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE This card must be posted near an eler.ttlCllI .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. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (952) 447-9850 ~tttifuau of OOrmpanry CITY OF PRIOR LAKE Department of .uilbing )n~pedion litFinal Permitted 0 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 ordilliJnCes of the City of Prior LaJce regulating building construction or use, For the following: SINGLE FAMILY Use CJassifi~ . Bldg. Permit N" 01-0062 Occuponcy Type R3 Type Construction VN Fi.. Zone N / A Zoning District R 1 Legal DoscripCion L6, B3, THE WILDS FIFTH ADDN. SiteAddress 15344 BIG HORN PASS TC CONSTRUCTION, P.O. BOX 51, ELKO, MN 55020 Owner of Building Contractor's Name" Address RO~RT D. HU1CHINS ,\ Building official Date: _~ IJ(jL'4 ;:) - 7 - OJ, . City Planner . Date: DON RYE DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /53'fif SCHEDULED .;(7/a z...- I j.' (J7) ~~~~ J CONTR. OWNER PHONE NO. PERMIT NO. t:)/ - (, z..... o FOOTING o FOUNDATION o FRAMING /i.. 0 INSULATION /1 , FINAL ~SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: IZtt \'rJ5f, A-~ 1'{"ad.-t4 O~ cJC)s;.e- ~'\e ~ 1s.:s.ue C-..O, ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOR~\CALL FOR REINSPECTION BEFORE COVERING Inspector: :J, -l.b..-vei Owner/Contr: CALL 447-9850 FOR,lE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IHSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED Z-7-ol.- 1M ADDRESS /531/'( !3;~ lid"., tw V OWNER CONTR. Tc.. Con.d,...cf.'tJ. PHONE NO. PERMIT NO. O~ o FOOTING o FOUNDATION o FRAMING o INSULATION 'M(fINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~GRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: LvJo 13oJC. - oK.. &rgd-t - (71:. XWORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ ~ - _Uwnei7ellntr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY! INSNOTJ DATE TIME CITY OF PRIOR LAKE ~ 3 \ ....."r> \ INSPECTION NOTICE SCHEDULED o-/7-() / ' (../ u IS~L/~ B,5-.~ CO~. ADDRESS OWNER PHONE NO. PERMIT NO. o PLUMBING RI o MECH RI ~TER HOOKUP - Et"!EWER HOOKUP o PLUMBING FINAL o MECH FINAL o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSrCTION COMME S: ~e ~h-- " t I Q\ ~, ,'....... """""':'" ~ \ /_~~2 '~ o EX/GRAD/FilliNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o GA1~7 ~ ----- - L) - *ORK SATISFACTORY, PROCEED o CORRECTAi?ETION ~PROCEED o CORRECT W It FOR REINSPECTION BEFORE COVERING Inspector: ,) Owner/Contr: 1- I, CAll 447.9850 Pll~ THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTJ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER PHONE NO, o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: DATE TIME SCHEDULED ;Jj -( f'i 11;(7) 15JL(L(;),0; ~~ CONTR, 0 PERMIT NO. /- OtJ(,d-. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP /! PLUMBING FINAL o MECH FINAL o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o .VV\ aM ~ /;\\ 'f /ter Jk- r M e:\-u '!S' ~ nl efI_ ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORREC~RK'<fLL FOR REINSPECTION BEFORE COVERING Inspector: :b ~ \ JrrtCc.JJ Owner/Contr: CALL-44709850 ~OF! TIlJ NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME 1(/(,,10/ /I,'''Q ADDRESS /53'ii( ~~~ -J CONTR, OWNER PHONE NO, PERMIT NO, o FOOTING o FOUNDATION o FRAMING o INSULATION )!il FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP ^ 0 PLUMBING FINAL ,..,.-~MECH FINAL 0/ - /".;J- o EX/GRAD/FilLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: ~, '" ..- fn.-~ ""f-W&-Pl"'J\\A.it- ~ +-~p^L,r~ ~;'t ~, /'+'J ~ 1. - \ JPA'\~ (' JPIl..o.M.C€- 10 ~'[Pfkce ~u<<()u.,,1 o WORK SATISFACTORY, PROCEED o ;9RRECT ACTION AND PROCEED )'I'CORRECT WOR~ , CAll FOR REINSPECTION BEFORE COVERING Inspector: 7 _\f1JJ.fl1 Owner/Contr: CALL ;709850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE, INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI