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Home My WebLink AboutBuilding Permit 01-0081 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT ..... z.e.- Date Rec'd 1- Z2..-0/ I PERMIT No'Jlf!008 ( I .f1Z~ISDU") I I. White File 2. Pink City 3, Yellow Applicant (Please'!'vp~ or print and sisw at bottom) I ADDRESS 15365 SChr'oEDElZ. C"..d~ LEGAL DESCRIPTION (office use only) LOT 7 BLOCK..i ADDITION iA.J\I.J~N<'\ o~ThE LA\'o:i l....1 ~dJ,:J.,1!>.J OWNER (Name) 3A~~S A. M,~\....'b.. (Address) 1320R (-) ,';"",.,.d Ava ~ BUILDER (Name) 5- A- W\ v.. Ar-&. (Address) 312.~ 007 PID zz;~ (Phone) CJ 52' S q </ -"Z /"1.3 8or........v;1f~ MtJ f,S337 l\..~d~E TYPE OF WORK ~ New Construction o Fireplace ODeck o Misc. OLower Level Finish x A. Signature Permit Fee Plan Check Fee I State Surcharge I Penalty I Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee $ 1.1.~.IS- $ I.I'lC,'l.s1.f $ /o7.':>() $ $ $ $ $ IDo.on 100. 00 3.,-sCJ '-Ia,oO Permit When Approved 1-'2..",~~(_ (Phone) OPorch ORe-Roofing ORe-Siding OAddition OAlteration PROJECT COST/VALUE (excludiugland) $ 200.000 OUtility Connection 2024L76~ Contractor's License No. :::v s: (!)C!JO . O!) I Park Support Fee I SAC I Water Meter Siz~'; I"; I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE # # 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 enter upon e property to perform needed inspections. ~ ~ 2-1Z..-OI /-/7-01 Date # # $ $ ~,$ \" /)!,$ $ $ $ $ f?~_061 /.lSD.Ool 4~~1 / :2S.~Gl I f:200-00 I ''{OO.OO I I . t:;'O 0 -clcL. . , $ 8J~65. z9 I I Receip~ ..3fCl"Z- Bv L(h' ~ # 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 i~I" __ _~, v ~ tL/B{,,;( ~-'" f.:.v,~);e~~~~19V ~~'1O'h 24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245 Date I Paid a _ 4 s-S"'". '?.3 I Date '.~-~' 117 ~1 ~~ cxt( Thr C"h'<< of lht' L.h Counlr)' White . Building Canary . Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~AH~5 A . HICHK.A 1- z. 2- 0 I Accepted Accepted With Corrections Denied Reviewed By: LLL Date: 1- Z ~Ol Comments: See Reverse Side for Additional Information! " See Attachments: 1) Grading Plan, 2) Erosion Control Measures 3) Erosion Control Plan "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." €~~ +''''NES01.t- CITY OF PRIOR LAKE SEWER AND WATER PERMIT Date Rec'd 4- -fO-D! i ~:w ~~~. I PERMIT NO. 01-008/ 3. Gold Applicant (Please ~ or orint and sien at bottom) ADDRESS I <:::) t) s: Sh YOpJ eV C tl--I'"J e. ZONING (office use) . LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PIDZS-3t2.- 007- 6 OWNER (Name) )- Ct lfh as (h ; r"J.\ h q (Phone) (Address) (Address) (City) (Zip Code) tfi/I reJ e.x:.r- G~ (Phone) Rt Lj B cJX ~ Y Y We....! PIr" ffU.-L (Arre:s~ A (City) (Zip Code) (Contact Person) '1#(\. - (Phone) 6{)..- q7 f- J~"(L APPLICANT SIGNATURE6I wi ~ DATE ' -- U Vv U APPLICANT (Name) < 6'07 , (Address) APPLICANT PLEASE COMPLETE BELOW Size of water service -L- inches. Location of any couplings from structure Type of sewer pipe. 0 ABC ~ PVC Estimated length of sewer line SO feet. 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 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE (Office Use Only) Building Official Date I Paid I Date . Receipt No. This Application Becomes Your Building Permit When Approved By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~~ OI;6u~1 Th.. C..nlet of lh.. L.b Counll')' White - Building Canary - Engineering Pink - Planning ,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~AHES A. KIC.HKA 1-2.2- 01 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: / ~i~lo5 s(' J-fR,nF; D6 r<. CA R.CLb Accepted Accepted With Corrections x Denied ~/7f:) Reviewed ~ AA; \... Comments: ~aQP CP~~ Date: I ,- 29~2at? ( ~~ "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." . 01. 60 g I ThO' Center of the L.h Country White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLl5>T NAME OF APPLICANT APPLICATION RECEIVED -/\" -r A , I r \' I r_-, . \- Z. 2. - C I . I- \. \ / , ,'\ILI'. f'-...M The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: I. ;'-) (, i__ j f/ -'" I (- i ,- 'e! kf, l' , t:, ('flf- L/r-'~I,-- ~_ Accepted Accepted With Corrections ~ Denied Reviewed By: 4..~ -~~1""~ Comments: .J-t! 1;:', ,ML,bLJ IM.J~ 0v ;~~ 4 (';")v1.JL... ~ h-Av\:r J:r~~ I J~ ~ 11vurIJ (.2,t) ,tt) qo ;;!<<AO"-J - r JJ/~l, Date: 2-/B/t> ( 3D~, M\\I\lV'v1..l)k\ VM ~ .ptD~~e..L~ vz..6) ftJ A.-r ~~ - ........ to '\.j (' .JMI1c9V' "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," Apr 06 01 12:10p Mike Schiltz 04/06/01 FRIll; 23 F~_~~!l4474245 651-681-8306 CITY OF PRIOR LAKE p.1 III DOt D.te Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT :)'::::;:~ 11'ERMIT NlU-.... ._ / ,-, C>/ I " ........... """- rl..4/ I~, f}'l~ J"P..e or nriat 51: ~,i_ at botIrnn\ I ADDRESS /5 3G:,5 ZON'INO (~\Ulrl P<<SD 5 < 2. 1"" < ~Q ,. ~... r-r;:. I '<:.. LEGAL DESCR:II'nON (.me.... DIlly) LOT 7 BLod. I ADDITION I OWNER (Namc) (Address) 1/ /' Pn/lcJ)7!f- ff7/ tiLt .'::}~ J*FiJd - u . /2~- 3/,d.-,mO ~ ft\ " <.. 11; "'c a. ~~J (phone) f-\e.ss"~~ P/~ (phonc) (PS/-G,Ej-,/?;;Js'2 (fO!Je..'i... Q;;)17::? 'L-.;la__ j/J'L.v- 55123 (Address) (Ciey) (Zip Code) (ContaCt Person) . _ y\.--. 1 '-'i-,<- .s co.. ).., ) I ~ (Phone) /'-1_ C. I "2.. (" I 'i' _ -;I l? J (; I APPLICANTSI,I NATURE 7J/?,YL ~ DATE (t:- ~ -0 I APPLICANT (N orne' (Addrc..) r Qllantity I 1 I r I i I Lj I I' I I I. I .; APPLICANT PLEASE COMPLETE BELOW Type of FiXture I ath Tub with or without shoWCT r Ishwashcr I l'loor Drain \ i avolOry (Bathroom Sink) ! aundry Tray (lor 2 compartment sink I ! nower Stoll I! inb I r or Sink 11.14t.r Cloact (TOIlet) Qua.lily :3 I I Type Of Fi"ture Rough-ins Wuer Heater W oter Soflner Stlltd Pipe (Washing Machine) sewage Ejector Backllow Assembly Backflow Assembly Te.t Lawn Sprinkler I Othcr FEE SCHEDULE Ind"'s~ri.l. Comn';', "Cial &:. Multi-&.mlly 1% of job east with II. $]9..50 minimu'!' Rcr;identiat. New One &. TWo~Family 599,50 Residential, Additions .a Allerations S39.'0 Estimaled Cost S BUilding Permit II I. PLUMBING PERMIT FEE S STATE SURCHARGE 5 TOTAL PERMIT FEE S PAID WITH R.c~~ING PERM~ ~C-- \ / V .50 (Office u..: Only) This ,,"pplicoU, I Boc..... Y.II. BulldiaC Pc.....il When Approved DIIUdlnc. I Imml I Plid IDa", U _ {;7-0 I .... 14 hDllr .orlu fOF .U in.pudoRI (!J51) ....,-9.SO' r.. (951) ...'....145 nil - Oty 5S c.-" .."... l 0.... J.Y_ I CITY OF PRIOR LAKE MC 16200 Eagle Creelc Av. S.t::. PeJmillio. 01- 0081 PrIor lake, MN 55372 TYPE OF STRUCTUM N ~ - N o o MuIli-FlIIIliI't 0"'8r Two-Family Indusllial Single Family HEATmGAPPUCATION/PERMIT Dala L~j PIO. 25-3(2.- 007-0 SfteAddress /53m, -So"'-rrJD.I.... (/4;.b ?fJSD lol 7 Block / Addftkm /VINOSONG 2ND - Th-u~ kh..1-.l . ~ o Public Commercial ~ -I Fe. SchatIu1e '" '" ... 1% 01 Job COSI (539.50 minlmuml $99.50 $64.50 m_50 $39.00 $39.50 IndUSlrial, Commercial & Mult;.FlIJ'Illy Residen[laI, Healing & AC Rl'sidenUal. Heating Only Resldenl1al, Gas Fireplace Residenlial, Mdiliol1S & Alterations ResidOlllial, AC Only '" w w Own''''! Nam.. '" '" '" ~ Addre.s HealingConlractor ALLIED FIRESIDE dba FIRESIDE CORWER Addless 2700 N. FAIRVIEV, ROSEVILLE, Mil S5113 Toleplione. 651-633-2561 YIREPLACE )( 0)- lMIW-t\!! Mat<e & Moijel ~ AJ (, c., ~ Model Si19. t.CPc>SE R" " ,_ _" to add lhe SlaIe Sureharge on lhe bollom ollhis o;ppIcelion. ... H " '" '" H t:I '" TYPE OF SYSTEM Warm llir Plants Gravity M..chanlcal Air Condilioning V""'. Sy&l<ll11 K'EAllNG OR POWER PLANT SIeam Hol Waler Radlalktn Special Devices The PRC" 01 your healing ""rmil includus one rough-in IlI1d one lln8I impecllon. Additional inspections wil be billed al $35.00 each. Hoosl' Healing Tesl Record musl be submitled wilh IIllillIII>> pmmjl ,.,..;._~. belorelMlg mg cerlillcale of ncarpancy will be issued. ~ '" HEAT CAlCULATIONS REQUIRED wilh number of supply end relum operlin!p Ilsled " ",om will1 CFM's per opening. New slruclures of additions 58nd Roor plan wilh supply and return Iocafions shown. HEAT LOSS CALCUlATlONS, F"YMENT AND APPLICATIONS MAY BE MAILED TO me CITY OF PRIOR lAKE, 16200 EAGLE CREEK AVE. S.E. PRIOR LAKE. MN S6312. City Hall business hoo'" a/8 8 8.rn.. 4:30 p.rn. Conn. Load Fuer~ Flue Siu Supply Op..nlngs Retum Openings OUlpUI~O;) IOpul Edr. . ALL WORK MUST 8E INSPECTED (ROUGK-IH AND FINAL) - CALL CITY HALL 4U-4230 I hereby apply for a mechankal syslems permil and ,I aclmowladll" that Ihe ~ Inlormalion above is complete and accurale; Ihelll1e work will be in conlorman<\;: willi Ihe ordinances and codes 0' Ihe cily and wilh the slale bulldlng/mechanll'" codes; Ihallhis rorm does not becolne a permll unlil signed by Ihe IlUILOIN:" OFFICIAL; Ihal Ihe worll will be in accoldance wilh Ih.. approved plan in Ihe:; ~se 0 II work w,?h requiru review and approval 01 plans. ~ ~. ;J6~~, ^ . a1ura ~Oale 3.;z.(,.O/ 8UB'r fIIcal5 SignalUle Dale Other Oevices Coo. TYPE OF WORK k Alle,allons Rep/acorneol New Con!lruclion R"""lr . Esl. Comp. Dale < ~~ Esl. Cos! S ~.<'D . BuRdlng Pennh , 0/- 00&/ PAID WITH BUILDING pEf\Mrr HEATING PERMIT FEE $ STATE SURCHARGE S lUTAl PERMIT FEES S .50 Receipt' . - I 'I j J i il\ I J J if · J J i t __"i1 s: ~}AIII - L( ~i () I I'~' I I ~ ~ ! ! '. i' i I' I i ~: '\ ( ,I 1"'; , " ! ~ r--' It! \; ~ ~! l~ ! I !~~ \! II ~ 1 ~! 91\~ II 'j: ! ~i~, '1'1 \ ! I ,,; B rt:1 ",". I I ~ V J' ~ .': I I f l I~! : ~~r! I 1. ~ II ~J ". 'II I I I: j i ] " \ I I! \ ,[. C1 ~ .. - II 'I'" I ,; ll.I -r.: '" ' .-: ' ,Cl c ' , __ . \ t I I' .. . ' 'I ~t ---01 I), I ' I I l a:: Sl 4 j f vI ~ I ! j ,~! ' ()' : . , ! i I : ~ : I f ~:; ~....I . ~~ , !~ ~~ ~Il I ~i !. I ; '0. I , I t .\ I -1.,' ! : i : ~ ~ I ~j~ ~1 ~~I ~ I i ~ 1 ! = ~ t I !! >- Il I (Vii ~ \ ~l ~~ ~?5. I ~ \ i~ I I i 8 \ ; \ : 5" ~ iY <q ,j-S-! 'jrPl! ~..Jl~i, 1 ',' :: ~ i.j J .. E <>1. M --+~ 1~~ ~ I' e) a ! ""! ! a i.' I i:t ~ 8 \ I \.I): ' i \ -- O"i h' ~- 81 ( I I i ~ ... .::.:....~-:1~F. "'.~ -"ji i l' I ; e .1 i n--:.,. ,; t ~ I S i~; t. ~ ~ ~, . ; \ 0 ~ ~ ~ I I ~ us .9 ~ ~ ........ ';;i!! 5 ~ ~ ~ ....-.., ' . J 'I 'l = ! E '1Ii i' i ': F. ::; a. . <( 0( .- . ';: T'-, ' ~ ~ " ~ , ~ ! _ } ~ <3 ,~ ~ ! I j;j ':l !:: ~ ;; 2 ~ .'or .. ~ _ '01 " . j R' i ~ u~~ f. .......... 2 " ~ it' ~ :' ~ 1 ~ ~ ~, j 1 .. ~, f ~i I I ~ "I $ I 1 ~,~$:~ !!llal td W~0S:0t .00G 90 "~d~ : J. ;i~! ~ JijUii :.$'~ ~: - i , ~ tl " · ~ 1 -,-.- : ': - ""II '" . J" t ' c: : i . ~. S !! " , 1 I I- II I ~111 ~......,;~; I I 1 ~ c'f,.,.J- \ '0 I 8 J. :1~5~ t i J4f"i; " ' ~ ! U t IiI;, !hlh !1:1 III: I~;I~~ : ~ 'ti!tl~;J...;!' ! IJ 1'"11 I, l~l~if '~,...il f ~ ' lli! J. "1/ .' II] I '. ,~ : 11 l: I ~ II!; I ~ : ~ . i&) !: f: j ~ j I. j i~ i ~; j [~ lil.rlt1il:~ Iiii~itJ ' I- - xii J-;wl ~11. ! g~ ~9 ~, 6E6,-1'68GS6 : .ON Xtl~ Jr~ U05J_pU~ : WO~j PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS ~c:;- ,<J.. """k'l- {\r. NATURE OF WORK Ne....."\ USE OF BUILDING $f:'l'l PERMIT NO. nl - GOBI DATE ISSUED 1-2"1-2001 CONTRACTOR .It..r~~ ~--k- PHONEcr~-89Y -'2./23 NOTE: THIS IS NOT A PERMIT"FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR OATE I FOOTING10! 'Zl,., vC)~iJ5l~ 02--1 3k/D! I FOUNDATION (Prior to Backfill)r/lp'~ 1 ~. :5('] (0 I 1 ~. ,3/1/!J I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH i21~NS ,_ SEWER/WATER/SEPTIC f/?{I ~/INt)/ FRAMING /J-. 5'J'6II~V 1ft ~ I fl#o( INSULATION ~. 4/r"jf) I ELECTRICAL I PLUMBING ~~!i1'~~ATI ~~ 3In!f)/ &110-4 ~IfCflo/ HEATING (if required) I.-L-- r::/1,1 , ht. '2/ /Lj/; I FIREPLACE (J..) - ~. 4//~ I , GAS LINE AIR TEST ~ ~ ~. '1/J1iP I I J COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED I I FINALS nf.fl " GRADING (Prior to Sodding) BUILDINGT.W, ~J.q 211c,(61 tJq, &!rs'() f ELECTRICAL A PLUMBING II1ANO~OAlc., r.j'/'~/I f):;r7 HEATING tR. DO NOT OCCUpy UNTIL ABOVE HAS NOTICE 11- d- d---Oo-. fpl/'-(/01 fol } ~It/ ) BEEN SIGNED " 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. Call between 8:00 and 9:00 A.M. for all inspections .. ~ . . FOR ALL INSPECTIONS (952) 447-9850 ADDRESS /~'-3~,s~ DATE TIME SCHEDULED ~I /:1/tJ/ a:.OZJ / ( \\'rJ~(J~ CITY OF PRIOR LAKE INSPECTION NOTICE OWNER CONllR. PHONE NO. PERMIT NO. I~Y/ o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP o FINAL ..E""fSLUMBING FIN o SITE INSPECTION 0 MECH FINAL COMMENTS: f ~ ~ '7 LaJfC AT ~ ~ 3, f<Mv ~ o EX/GRAD/FILLING o COMPLAINT FIREPLACE RI FIREPLACE FINAL GASLINE AIR TST o o WORK SATISFACTORY, PROCEED '.-.c.-'" RRECT ACTI N AND PROCEED 'D CORREC W R , CALL FOR RElNSPECTION BEFORE COVERING Inspector: Owner/Contr: ~ o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED Ihl:1-dL ADDRESS /5'7,GF; Schroedu" OWNER CONTR. LI" Y'I",,.S fL_-,Y"},'r}"I<'1 -O-I-A () YlI ~~ILLlNG o COMPLAINT o FIREPLACE Rl o FIREPLACE FINAL o GASLlNE AIR TST o PHONE NO, PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION c:IlI-.E!NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: br~J-r:- (?r- C-lI/S 5t9~~ & 1:: Sf-I '}-....WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING tnspector:dii24A ---BwrrerIContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IN$NOrJ DATE TIME SCHEDUlE~ rrO/ ;;; :30, /!2 3 & ~- \<\'C:liAt~~~ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. /-y/ o FOOTING 0 PLUMBING Rl o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o IN~ULATION 0 SEWER HOOKUP .Jil-'FfNAl ~ PLUMBING FINAL o SITE INSPECTION \!.!:Y r MECH FINAL COMMENTS:@ ~,~ ~ @)tPP~'~ . ~ ~/7...-'.....,.,..-u()"'n-- ~~ U - - CJ -..; J l . u ~.;te ~ ~g..,n,<#-r J:+-~' ~ ~ ..J- .'5 b!a~ /!""/>'~ ~ ~ ~r( ~Q ~ n::t:b~ ( ~, ~~,) p v D --~"'":~~ .,--'... ~""",~.,.:~~r_._,... ,... r: G)?/. -f3<J /-.~- .#.:, t o WORK SATI~~ORY, PROCEED >>ORRECT'TION AND PROCEED :S::~O:ECTq;:~l FOR REINS:~::/::n::FORE COVERING / CAll 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. ~"., -- o EX/GRAD/FilliNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o ,.......".~-~- "<, .~ '(If ~io I~~ -~.,........~............,""~-_.- I/'iSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /53 C, s- SCHEDULED ~~( //:~d ~~::... OWNER CONTR. PHONE NO. PERMIT NO, ~/-,JI o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION ~ o PLUMBING RI o MECH RI ~ WATER HOOKUP /lilJ SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTSi] ~ M.i~.I> rJ. ~O'/r~ -Hl ~ d"l r '""'-<M..h , @ (I / ~ d7clido . @~~~ , C ( .. ~- r f/l:( .bcJ.d!..<jp Pt.c ~ o W~KSATISFA~RY.~~~ )Ill CORRECT ACTION AND PROCEED o CORRECT WORK~L FOR REINSPECTION BEFORE COVERING Inspector: 1)1' r ( Owner/Contr: 1"~IIK~~ ~ ,. / v 'n_ n ~ Ho~ t </" ~ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl ::':" -i;;:~-S~~~~~-:;nn_ _~ ., ...' ..&i.fJf'YISP',.I J4 . rz':;:,...,c , .r............... ~ Dolo Poundo _. !l!!!! '_Uno - lnopoc:Iod PERFORMANCE TEST '-eoz 0d;0 -_CO CY'tt __~_9o/d _SIockromp,.9!Jr) Finollnopoc:tion OM