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Building Permit 13. 1236
tit i� - � � r_. _. .i _ _ r: _n.. .. _ _i ._n. ..ra.PC._ ..r' �_. _�ttJr' ' u..n., ir n_:i _.,: „.,,,.„_. „,_. ,_ .:i_ .. „f, (11� �x � ( rrttpary ".. ,,,,,i,...,7 xt CITY OF PRIOR LAKE KPriaarfturttf ofPuittringci1nspi rfiou KFinal Permitted ❑ Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section 110 of the❑Residential l❑International Building Code certifying that at the time of issuance this structure was in compliance with the various K'' ordinances of the City of Prior Lake regulating building construction or use. For the following: SINGLE Use Classification F A M T I Y Bldg.Permit No. 13-1236 c Occupancy Type R3 Type Construction VN Zoning District R 1`�D Legal Description 1 2 , B9, SPRING LAKE ESTATES 16697 BRENTWOOD PASS N.W.K Owner of Building Site Address Contractor's Name&Address KEY! AND HOMES ROBERT D . HUTCHINS j7t v- City Planner Building Official 4 Date: 7/ �) / /I < Date: . ,. POST IN CONSPICUOUS PLACE I ❑ c n o40000 o > ■ � n n f 0 0 0 . E gkc22 Z § z o/ § q m m 7 s Er ■ 22 z $ dm o o ■ Z $ bB � @ P 2� 10 t k > § -I 0 2 5 z g q q k / z o m m 0 % 0 » 2 ■ % -4 § 2 \ 1 ■ 73 m 2 O 00 000000 11 41 0 0 m xi El3tn ■ E71 E -4 § o o 74 'AE 2 CA , A . f § ■ 73m § m 0 Cl) ■ ? m § E a q > 000 0 3 2 m q q 3 Zii � Z XXI Z 7 F § 2 § W P- § � P § S2 X o V Mo a . 000000 , pi E. 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AND UTILITY CONNECTION PERMIT U 4.4NBSOil" I. White File PERMIT NO. /3 /23k, 2. Pink City 3 Yellow Applicant (Please type or print and sign at bottom) ADDRESS ZONING(office use) 1 1400091 B E34— 4OC 774-' - V• k. fS0 LEGAL DESCRIPTIION(office use only) LOT 2 BLOCK 9 ADDITION a ► - LA-14e. FSTA TSS PID S 440 0 71. 0 OWNER (Name) (Phone) (Address) BUILDER 1 (Company Name)1/�a'a/i till- t 4 ,E_ q -or. (Phone) {52-'4U - 944, 0 (Contact Name)Eel IL- 'P.41-4 J1uc ?seen 1T-4 l Tr c _Sam—. (Phone) Nth (Address) I-7oz1 FL,s4 Pas 47 r6- sE. :log L ALE ' Hsa. S'S312.. TYPE OF WORK "(f flew Construction ❑Deck ❑Porch ORe-Roofing ORe-Siding ULower Level Finish 0 Fireplace Addition DAlteration 0 Utility Connection CODE: 2(R.C. DI.B.C. 0 Misc. Type of Construction: I II III IV V ?�B q Occupancy Group: A B E HI M CBIS U PROJECT COST/VALUE $ J USa 1tX>--- Division: VP 2 3 4 5 (excluding land) I hereby certify that I ave ' ished 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-menu ned pro. A at, 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 r 'oke/cis 1-mi or just cause- Furthermore,I hereby agree that the city official or a designee may enter upon the property to perform needed inspections. X , ,, 13L e031l4:1SLb - - i Signature Contractor's License No. Date Permit ValuationQ/ ear - Park Support Fee # $ 7 Permit Fee $ VV�((UU_ //_q. 5-6 SAC # $ 3 Plan Check Fee $ /fTfe /6 Water Meter Size 5/8' ") $ ���Q State Surcharge $ Pressure Reducer v $ O Penaltyd� e .:. e $ ---. Sewer/Water Connection Fee # $ ��� Plumbing Permit Fee $ /5-45--`O Water Tower Fee # $$$$ l✓mac-/C1 � Mechanical Permit Fee $ (/ S. /. , - ? Builder's Sewer&Water Permit Fee $ s-/T. Other $ GY"✓� Gas Fireplace Permit Fee $ -�/PSO TOTAL DUES 4— �� $ / 35 Thi App ti. comes ;.ur Building Permit When Approved Paid eipt No. �_ Date ``/' 7,. / r Building Ilicial late This is to certify t the request the above application and accompanying document is in accord ce with the CityZoning Ordinance and may proceed as requested. This document when signed by, it Pt," e co statutes a temporary Certificate of Zoning compli cis,: and alto 5 construction to commence. Before occupancy,a Certs icate of Occupancy must be issued Planning Direi. Date Special Conditions,if any i u ice for ail inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street Prior Lake,MN 55372 Residential Building Permit.Checklist New Construction for Single or Two-family Dwellings in R-1 r R-2 istricts Reviewed by: ,i:i.6 Date: i 02z Building Permit# PID: oning: R. Address: ( `s� 7 4, - '''-`'`', .4- 55 L , B Subdivision: S Existing Structure? YES 1,& . Existing Nonconforming Structure? YES I NO " CONFORMS TO ZONING NO ORDINANCE 4 Yard Setbacks: NA/FAILS/CA) Standard ' Proposed • Front Yard(can be 20'if a f.w/'• 0' 25' i Z 1 • Side Yards 101 25'if abutting a street /5-- S , /s- . 6 • Sidewall exceeding 60'requires additional side 2" 10'setback+ setback for every 1'over 60'in length. Not required 271'over 60' if building wall is 10'-0"or greater of being parallel to a side lot line. • i • Rear Yard 25' .fco 713 • Patio Door; provide for minimum 10'deck or sign 10'side/ statementindicating no deck will be built in the future 25'rear • From 100 year flood elevation of watland/NURP 30' pond. • Refer in-ground pools to the Plannih Department • From OHW(Prior or Spring Lake) 75'or setback average of adjacent structures,but no less than 50' 1 Floor Area Ratio: NAI AILS ICO ,;�'S I .30 Maximum I ,07 1 Yard Encroachments: FAILS COMPLIES Standard Proposed 11 Eaves and Gutters no •8 -than 2 feet in width and no closer than 5 feet to a to ine(Easements). A/C and other equipment cannot encroach on interior side yards. . I Tree Preservation: (FAILS/COMPLIES ' Standard Proposed I_ • Total caliper in • Permit 35%Re oval • Caliper Inches Rernioved •• Calip6r l(ches Preserved • Replacem %:1 L:\TEMPkkTE\BLD GLIST.D O C i 6(qt White - Building Canary -Engineering Pink -Planning x BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /66-Y AID /-1-0// 3- APPLICATION // 3APPLICATION RECEIVED /6 . 9. 3 The Building, Engineering, and Planning Departments have,reviewed the building permit application for construction activity which is proposed at: C6 � l 7 J, / c��d0 /ors Accepted Accepted With Corrections Denied Reviewed By: /���/_/ Date: Comments: See Reverse Side for Additional Information! See Attachments: 1) Grading Plan, 2) Erosion Control Standards "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." O YRio+i' White -Building w,vas Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT /(&Y-"J' "3 M)/`'/&i- APPLICATION RECEIVED /6 - -l 3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 6 6, / 97 .� ����ti'cc /94- Accepted Accepted With Corrections x Denied Reviewed By: Date: Comments: • I l R�vl j-Gt5;CV Lt?J Z. 4%45 eckAi "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." Y$Ip4) it, i White BOiding: ' sod* Canary -Engineering Pink -Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ,NAME OF APPLICANT /6,6)4.44)N0 /)r?6:3 `' APPLICATION RECEIVED / 9. 1 3 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /6. f 7 L�� �1 (,v6-00p, Accepted Accepted With Corrections 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." 4.2.0 BEATING/AIR CIZDOroPPIOR. LAKE LA.cipt PERMIT Date Reed- . • . • • ,4 • . .. 1?Zen Fa% PERMIT NO.13 I (Please typo or pint and sign at bottom) f • • 3.Yenow Applicant • .. 111 ' ADMIXES - . . MAC) 9f.*Piek,--\14J3. 0C.I'' jR.3 r'•n U....) ZONING(office use) .. LEGAL DICSCREPTION(office use only) LOT BLOCK ADDfl1ON. . PID • OWNER k4L .1Ci --------- 04.amo . \. •. (Phone)1 g- a --34.,A2.- s26 roil 41 • sit a _eip -a-1-... H It . 1, icre, 4 , di A 5s 7D— .. • . . .... .• ., • .. . . • .• . .... ...• . •. .APPLICANT (Name) . 11. 4, ... 0 f • ifinQ (Phone) 215__,___ ! ii>,.,... .....-7 e ftriorms, „,- f--- a (Address) . 0.00 • Mtn t a Ayr 1lir A Ali 3 _. ,... _ (Contact Person) I 0• i C) A in (Phone) —_ do D77 ... •. APPLICANT SIGNATURE i 9/43 WOW...Ea.— •DATE...........0 • '' APPLICANT PLEASE COMPLETE BELOW . Eit‘'W CONSTRUCTION OREPLACEMENT .' Ci ALTERATIONS FURNACE MAKE AND MODEL FUEL_ _ FLUE SIZE , RETURN OPENINGS INPUT OUTPUT__ TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner OVianat Air Plants • . 0 SteamUnits and Fireplaces Cannot Encroach III ei" 'tY Bitotwater . into Retivdred Side Yard Setbacks. I''eChalliCiil Radiation • . . Fireplaces with Box Additions or ' ri AirConditieniali • . ' 0 Special Devi:ces , Cantilevers to.the Outside of Buildings • • • 0Vent.System ' ' ••0..or:Devi' = "'_.:,.',,-...___:_IL. •-kequire a guildhig Permit. FIREPLACE MAKS AND MODEL IL...LAI '. to L1 &TiCr' i a - . . F' ' SCHEIAJLIE Industrial,Commercial&Multi Family 1%of job otst 4- ...4 OM'nal,Gas Fi . . $49.50 $49.50 minimum Iteidurdial,Heating&A/C New Construction) $149.50 Residential,Additions&Alterations $49.50 ReSidential,Heating Only(sew Constriction) A64.50 • . Residential,AC Only $49.50 • Cost$ Building Pertnit#____ a C-7.., PAM VA/Mi HEATlisp PEWIT FEE $ 1,- k..) STATE STACHARGE $ . TOTAL PERMIT FEE $ This Application Becomes Youtlivilding Permit When Approved Paid Receipt lie. - Date . By Date , . ' •' 24 hour notice tor all inwatons-(952)447-9850 Olen fie 39tici /a+J...11, 1•••6441 b.".....4 r w• . .1..w TAwfi ER.. nnesota 55372 HIMSH eNIM019 9009Z6VZS6 60:60 CI9Z/6-Ein Date Rec'd �1'RAr© o CITY OF PRIOR LAKE PLUMBING PERMIT u 4FfNxi;so'cP 1.El cay PERMIT NO. 3.Yellow APPlicum .. _(Please type or print and sign at bottom) ZONING(office use) ADDRESS �.I j ______ LEGAL DESCRIPTION(office use only) 2 ' t : Y--; k:� ` , 'S eLs PID LOTS.BLOCKj1 ADDITION __..al i OWNER {Phone) 9 n (Name)_ �° (_Address) A 3 rvC' ,c' ` t, APPLICANT , ,„'l f p,„.; _ 1 C ( cam r (Phone} i'''- (Name) P 'f 1 j r y' ° { 1 L, ) .t-t:' A r., U I (Address) — d ' ) (Zip Code) (Address) -_ (Contact Person) '� \J t <---- ( "C .)i"f'`` / {Phone} APPLICANT SIGNATURE 3 °ze->t) f.v0 C L , > DATE / f � APPLICANT PLEASE COMPLETE BELOW a of Fixture Type of Fixture S uantit _.______T__P Quan ty Routh-ins Bath Tub with or without shower Water Heater Dishwasher Water Softener Floor Drain _ Lavatory(Bathroom Sink) / Stand Pipe(Washing Machine) I..aund Tray(1 or 2 compartment sink Sewage Ejector Assembl Shower Stall Backflow Assembl Test r. Sinks Lawrinkler Bar Sink —/ 17 Water Closet(Toilet) 6 Other FEE SCHEDULE Residential,New One&Ttyo-Family $I49.S0 industrial,Commercial&Multi-family I%of job cost with a$49.50 minimum Residential,Additions&Alterations $49.50 ist $ Building Permit# The Minnesota Statutes§32613.148 "SURCI LARGE"has been changed for one year effective PLUMBING PERMIT FEE $ 1 „' July i,2010,until June 30,2011. STATE SURCHARGE $ ��r, m .50 ti The minimum surcharge for a"fixed fee"permit TOTAL PERMIT FEE $ t► ;> ; N1�14 �1 is g-,beginning July 1,2010 This Application Becomes Your Building Permit When Approved Paid '`"`Receipt No. Date By Buiidine Official Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 4646 Dakota Street S.E.,Prior Lake,Minnesota 55372 Date Rec'd of P Ri°�xr3 CITY'OF PRIOR LAKE /Q. 'J. /3 _� SEWER AND WATER PERMIT U �� ArA'� NESO'Sr Gfpil', 1 ` 2 .L Yecn dtaw c'';',',Y PERMIT NO. / /�3 3. Gold Applicant (Please type or print and sign at bottom) ZONING(orrice use) ADDRESS 1 LO CO 9 'T Y-e vt- ,0 bOc . Pass . R LEGAL DESCRIPTION(office use only) ,7„� ,r�r�C)/�l _ C l LOT,P. BLOCK 9 ADDITION S-�rnrn of 12A,CiO'�-' PID OWNER (Phone) ati, l-It IO-git00 (Name) � �i 0 t-I COrn>=c, % I T----13i-A.i''' 11----‘-t” 2.-1::) SE Sic 1 Do. ?e.1,3�- l--�1z-i-- SS 3`12 (Address) (Address) (City) (Zip Code) APPLICANT (Phone) 952/890-4241 (Name) STOCKER EXCAVATING COMPANY, INC. (Address) 12336 Boone Avenue Savage, MN 55378 (Address) (City) (Zip Code) Curt same (Contact Person) (Phone) 1 i APPLICANT SIGNATURE I ! _ f1_/,//� / DATE /0/41�/3 F APPLICANT PLEASE COMPLETE BELOW Size of water service inches. Location of any.couplings from structure feet. Type of sewer pipe. n ABC I I PVC n Cast Iron Estimated length of sewer line feet. Clean out(if required) located at • feet from structure. FEE SCHEDULE Residential sewer and water line connection 535.50 Industrial,Cotn'1&Multi-family 10/0 of job cost with a$39.50 minimum Sewer connection only 517.50 Water connection only 517.50 Estimated Cost $ Building Permit II SEWER AND WATER PERMIT FEE $ � ���� STATE SURCHARGE $ .50 V 0F TOTAL PERMIT FEE $ 0 (Orrice Use Only) This Application Becomes Your Building Permit When Approved • Paid Receipt No. Date By Building Oficial Date 24 hour notice for all inspections(952)447-9850,fax(952)447-4245 r^I, 1 i 10/07/2013 11:15 9524926006 GLOWING HEARTH PAGE 01/DA v't r 04 • CITY OF PRIOR LAKE Date Reed t HEATING/AIR CONDYI1ONING EPLACE PERMIT a "Bk Pik'fan ' PERMH'NO 3.ttlnow Applicant (nesse type or plot and sign at bottom) • AbO ZONING H /(1$ bren'i•iota fêiss LEGAL DESCRIPTION(office use only) LOT BLOCK. ADDITION PID ((Name) V141 Wi (Phone) '//, - 6 dd ). 110 1 ►n` #.P(IptgiattiLev, 171AP1J 455 :. (Name) CANT r t + •Gt,Y'* t tir rsQ (Phone) ��SV 4I 3-'II '7 -! (Address) sa .4 l W1M 5 f (Contact Parson) (Phone) APPLICANT SIGNATURE '''.a .DATE /0/? AtIF APPLICANT PLEASE COMPLETE BELOW ESI .�1BW CONSTRUCTION DB EPLACEMENT °ALTERATIONS FURNACE MAKE AND MODEL FUEL FLUB SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE:Air Conditioner Cl Wazin AiurPlants 0 Steam Units and Fireplaces Cannot Encroach ■ 'ty pilot Water into Required Side Yard Setbacks. URadiation Fireplaces with Box Additions or •[Went.Conditioning 0©Other Devices Cantilevers tole Outside of Buildings Rivin us a permit. FIREPLACE MAKE AND MODEL..` %r" , 4 -- a 1k ` ' ; SCHED Commercial d Multi Family1%ofjob cost . s' Rend ,Gas Fireplace $49.50 $49.50 minimum Residtiotial,Heating&AIC(New Construction) $149.50 ,.77 <r &Alterations $49.50 Residential,Reacting Only(lir Construction) $64.50 Residential,AC Only KD $49.50 Cast$ Building Permit# HEATING pauer FEE $ ' S STATE SURCHARGE $ 145.TI TOTAL l RM FEE $ irk ,�� 1110 1111$ ♦ .. This Application Becomes Your Permit When Approved Paid Rpt No. BuildingOfficialbade By 24 boarnetke for all E i i -M 1; me 447-9850 • 4646 Dakota Street SI., i or Lake, a 55372 OCT. 7. 2013 3:59PM METRO AIR 952-447-8126 NO. 773 P. 1 aAg � o CITY OF PRIOR LA Date Rer'd ° - ' i 14HEATING/AIR CONDITIONING/FIREPLACE PERMIT s t hitt 1= i'Lt'RMIT NO 236 a'tcnN type wad*middjn ata iottoa ADDRESS ZONINtl p,anr;;r}• \kO\fg-i :VT (SNr"ku).t.%4 0 4 i e ,..i • _. _ LEGAL DESMON(orsm Moab") ..,.�. ...._._. LOT.).BLOCIr5 ADDITION . p , r 5 LArt...€4.4 , PID ...�,.._.__ OWNWt(N ) Q ; `Q1r� ° M1 S (Phone) _!5 -Vi\PiC3- ..... (Addren �- ►--fl k•�`�1 {au _ t...L`\ Cir 6 V t S 'p C) _._._.._.___ �_ _._ (NFL�taASN`) N.t-0 iSt ti *" -1,—.11 tt, atone) q c - r- e, 'l.__ (Address) \A\\ 64 Qv t i (3, k>, N s s -Q_______ ,+� ( � ) t w (Zip (Contact Person) t'1',.h L ' tv1Q StS (Phone)CI S.- -.‘"S1 41‘... .._.__.___ APPLICANT SIGNATURE i DATE �== = __.,mn=__...._ APPLICANT PLEASE COMPLETE BELOW ANEW CONSTRUCTION p REPLAcI3MENT 0 ALTL1lcnTIONA ._...••••••••••• ....__. ._.. FURNACE MAKE AND MODEL s el_-ly. ..1:$._:*ei-i4s9 't _ Guist, ivo1 _ FLUE gra F V C. ,RETURN OPENINGS 9 INPUT I CP.51 CAI OUT?UT1' __. TYPE OF SYSTEM HEATING OR POWER PLANT PLEASE NOTE: Air Conditioner I, , arni Air PIM" . Stearn Will awl Fireplaces Canes(>Mncroaie5a ■it vitt' IotWader into Required Side Yard 81411100. Sti Mechanical Radiatke Fireplaces with Box Additions or •Conditioning . Special Device Cautiie+vttre to(ho Outside or'Wilting:4 R coat Syateaa Omer Devices � wRequire a'Wilding Permit. MAKE AND MODEL _ FEE SCHEDULE Industrial,Commercial do Muhl-ITunily 1%of job cod Residential,Ono Fireplace PI9.50 $4930 minimum Roeldentital,Heating&A/C(Now Construction) moo Rcaidoatld,Addition&Aitentliotad $49.50 Residential.Heating Only(New Construction) $64.50 Residential,AC Only $49.50 Estimated Cost$ / -C " Building Permit g FAXED HEATING PERMIT PEE $ oci 0 7 2013 STATE SURCHARGE $ 49 TOTAL PERMIT PEE 3 METRO AIR,INC. tot3hce the Odr) This Application Becomes Year Building Permit When Approved. Pani Date: Bonen Ottielat Date 24 hour notice for ail inspection(951)447.9850,Fax(952)447-4245 4646 Dakota Street S.F..,Prior Lake,Mliieeeota 55372 ° . p 'D� Builders Deposit Deposit City of Prior Lake A$2,500.00 Builders Deposit is included in the Building Permit fee. The Builders Deposit is issued as security to insure compliance for a Final Occupancy Permit. (It is not an escrow account.) All exterior items including but not limited to grading,sodding, landscaping,tree planting, driveways,siding and painting shall be completed 180 days after the date the building permit is issued. If the work is not complete within the 180 day time period, the City shall notify the applicant of the violation and the applicant shall have 10 days to comply or the $2,500.00 builders deposit will be forfeited and the applicant will be billed for clean up or corrective work to rectify the situation. A $500.00 Tree Deposit may also be required and will be refunded if specified trees are preserved for a period of one year. By signing this I, the undersigned contractor, acknowledge that I am aware of the erosion control requirements of the City of Prior Lake as outlined in the Erosion Control Measures for Building Contractors handout. DATE: to - I - 13 SITE ADDRESS: I (0('T7 E TtA)O t ffl<2.S PERMIT# /3, 1 2--3 3 REFUND TO BE MAILED TO: KEEL 4 T CAME= S 1-7177..1 F iPoit4T 1 t . c . VIZ I:Az. LA-4e. , MO . SS'3-7Z PLEASE REMEMBER AUTHORIZATION TO RELEASE 1. KEEP STREETS CLEAN DURING CONSTRUCTION 2d .00A 2. KEEP EROSION CONTROL IN PLACE j 3. TEMPORARY OCCUPANCY PERMIT MUST NOT EXPIRE OR $! LyndaAllen,Building Services Amount 1 k '7 /S Date Acct.801.20204 4 SIGNATURE: VY ___ __ _ _ _ _ __ BRIDGEWATER BANK 35557 BLOOMINGTON,MN 55431 EIFRaLwiawx KEY LAND KEY LAND HOMES 75-1752/910 DATE i 17021 FISH POINT RD SE PRIOR LAKE,MN 55372 H o M ,E s PH;(952)440-9400 11/04/2013 Al UNT *13;357.68` m THIRTEEN THOUSAND THREE HUNDRED FIFTY-SEVEN AND 68/100 DOLLARS a o PAY TO THE 1 ORDER CITY OF PRIOR LAKE OF: 4646 DAKOTA STREET SE VOID AFTER 90 DAYS PRIOR LAKE MN 55372 a Ai i • AUTHORIZED SIG TUBE •. III 00355 ?Ile 4:09 L0175 23': 830 ;66 L8u' J:FORMSIBUILDERS DEPOSIT FORM.DOC PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION R CORD SITE ADDRESS6 - I ice' / i NATURE OF WORK, GA _ .. 4 !�� J;