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HomeMy WebLinkAboutBuilding Permit 01-0388 Date Rec'd CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT qtlease ~ or mint and sien at bottom) ADDRESS .1Jo l ~ 2 \.J IN t'YSa Q Lp... N E 1. White File 2. Pink City 3. Yellow Applicant LEGAL DESCRIPTION (office use only) LOT ~ BLOCK"?, ADDITIONl.JiIA1'r~ R,nd~ ?!nt9..~ OWNER ~ / (Name) J !(pl" ~ ( (Address) BUILDER } . (Name) , , (Contact Name) t. ~Qmes ~r\(' . .Jo": ,Jt"'hY\i~~ tb.\rmcm~ ~+h , (Address) \ lD 0'5<0 TYPE OF WORK ~ Construction OLower Level Finish o Misc. (phone) AM 20m ZONING (o_us.) ~Isn PID::J~- 3/8- OS h? (Phone) ClS2- 8ql-~Ob'8 (Phone)-'a..-f::J.- ~7" rl.f)sb J .0 C<e UI lle. . )..f n 'S9JJ:r tl , I Paid I Date ~ S-Z~()/ '7, /5.5/.~ 5~iJ-d I # # A,c:;{).(!)6 I I. I c:y).OO I ~ , Ql,'5"'#f)('} . Cf$:eo $ I~.I?O $ r1tJ(') .l)C) $ ( . 5"ty)~&ieJ $ . . ODeck OPorch ORe-Roofing ORe.Siding Ji<!'"'rreplace OAddilion OAlteralion OUtility Connection PROJECfCOSTIVALUE (excluding land) S 2-0S\~ I hereby certify that I have furnished information on this application which is to the best of my knowledge tnle 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 ;terFt;:rr,:rns:.u,.'gnam;;;0ections ao I 30 -a \ L J../ - / ~ate- ;;U)O I ""(f' ~- Contractor's License No. I Permit Valuation 20.">. or:n.()C) I ParkSupportFee I Permit Fee $ I, "'i~1 . Ie;- I SAC _ I PlanCheckFee $ 'j fll'Z$. I L I WaterMeter Size~.$"; I"; I State Surcharge $, r(l . 9"J I Pressure Reducer I Penalty $ I Sewer/Water Connection Fee I Plumbing Permit Fee $ 100. on Water Tower Fee I Mechanical Permit Fee $ ,. lIJO. DI1..- Builder's Deposit I Sewer & Water Permit Fee $ J'S". '5Q I Other I Gas Fireplace Permit Fee $ l(o.OD I TOTAL DUE r7/fjttYomBuil7i~;;ved l~lg~cia1 Date i- , $ $ $ $ # # i;:;: ~'/ {, I 1~0. ~fd I 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 -...r-....... Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued. '-l/'SG tB-i ~ ~-<'~~~.. Date Special Conditions. if any - 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 Planning Director ~ '-..../ ',' " ..,...'...... \'. ~ Th~ ("~nltr of 1M Llikt COllnlr)' White - Building Canary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT ~ 0/- ~ o/J ~ APPLICATION RECEIVED L;- ;} 0-0 / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /~ 7~;(- 0r..-MJd.4-i7V J-~ Accepted Denied x Accepted With Corrections Reviewed By: /V11-13 Date: L./ -Z,3-C)} Comments: ~AA RAverse Side, for Additional Information! ~ee Attachments: 1) Grading Plan, 2) Erosion l;ontrol Measures. 3) Frosion 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." ~\ White - Building Canary . Engineering Pink - Planning Tht('tnltrof tht Lab Country BUILDING PEflMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT LJJ 0/-):" 'iJ ~ APPLICATION RECEIVED l.I- d 0-0 J The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /~73;(- ~~d4uv l-~ Accepted Accepted With Corrections ~ Denied /} rfl I Reviewed BY:~.1./ ~/<-- Date: cf- 2c;- - '2a:J,( Comments: - n, ]tPOJ'l.- dVJLa.ifa~ ~()Yc~ "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." u~1 ~ White - Building Canary - Engineering Pink - Planning Th~ ("l'ntC'f of lh~ L.ke Counlry BUILDING PERMIT APPLICATION D~PARTMENT CIifCKLlST //) NAME OF APPLICANT L;t 9lJ::'/j;rJi1.R// APPLICATION RECEIVED J./- j ()-o / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /1:-7 '/-3,)' all/j; o?; i-'U ,J.~-I(/ Accepted v Accepted With Corrections Denied /....\/ I ^ Reviewed By: ~~~ Date: t{4718/ Comments: .'1Ivur} 1M1/'"1 :;2. L-{ F, ~{\\).o.A ~ / A }f~ - A-1F~ W~ /~-AA.1 4- ~~ It< 'U'0 ~ ('V/b,' L . "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 Date Rec'd vr 'Z--t ---() / (Please ~ or orint and siJln at bottom) ADDRES/67 g;). ~ tv~v'\l~ ;~7. ~::y I PERMIT NO. 0/-03 "dl 3. Yellow Applicant fJ '( kN~ IZ~1?=)1 LEGAL DESCRIPTION (office use only) LOT 10 BLOCK J ADDITION OWNER (Name) (Address) -:s -J- ( Mwt)i'!.lVGIf ,I'INO J 2-,.Jt.> Ii,) rt1 ~ S ,rN c., (phone) PID 2S -. ~"3f -b z.r-o ~~;~~ANT See -H _S'+eJp~/(~,~one) 6s-1- ~so--69b5(" (Address) 63:2.1 f$"",rC{v..Y A-lAL T-h II- 55a 77 ~Addreslt /.. (City) (Zip Code) (Contact Person) 'SCI2L!/~ _ L2 ~ ~ (Phone) bJ1-')?r-:--/5'S/ APPLICANT SIGNATURE ~ t/ ~ DATE 6bflfo/ Quantity :2 I I I.{ f ( ( 3 APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower ( Dishwasher I Floor Drain Lavatory (Bathroom Sink) Laundry Tray (lor 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) Type of Fixture Rough-ins Water Heater . Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other 1 1 j FEE SCHEDULE Industrial, Commercial & Multi.family I % of job cost with a $39.50 minimum Residential, New One & Two.Family $99.50 Residential. Additions & Iterations $39.50 Estimated Cost $ Building Permit # -? PLUMBING PERMIT FEE $ ~ STATE SURCHARGE $ ",..--- P PAlO WI-\~\ TOTAL PERMIT FEE $ /'" 1_ \\\.O\t~G p~, . (Offiee Use onlyA J rrJd~e! /' \ pi ThisAttJ~iRsYoUrBUildingle':;Ah~noToved II:~O ( ::~ro' B~meial Date (!) VV I- I 24 hour notice for an inspeetions (952) 447.9850, fa. (952) 4474245 04/20/01 FRI 11:30 FAX 8128902753 STOCKER EXCAVATING 1aJ00l _"~I"ILI 'I'Iu.o_ - .....1'UCa.-y- GOt.D - aT1' CIT~ OF PRIOR LAKE NO. SEWER AND WATER PERMIT NO~E: Sewer and Water contractors must b.. rl!!gisterad. with the city. APPLICANT: DIl Mechanical/Stocker Excavating PHONE: 890-4241 ADDRESS: 82//).:/: 12}% St. CZ~ SICNATURE: LI ~ ~ ~ SITE ADDRESr 14361 Dove Court ~n711 DATE: 4-70-01 BLDG. PERM,IT jJ 01-0212 pID~ ~T.LL IN THE BLANKS 1. Estimated length of water Sl!!rvice feet"_ 2. size of water service inch (es) - 3. Location of any couplings from structure feet. 4_ Type of sewer pipe. ASS PVC-x-- cast Iron S. Estimated. length of sewer line feet" 6. Cll!!an out (if required), located. at structure. feet from .:z==______... ._______am.c:z=c=====:::;::;:_ _______.. ..._~__.s=:c==__________---s-.c This application becomes your permit when approved.. B~ DA~E: ==llIiiliill';;;:;;;;;__....________====:::.B.z:::z====:c ._." , O' lIS==:::::; _.,.,." .' M~_~______=========~ FEES: $ $ $ 35.00 .50 35_ 50 Sewer and water line connection permit. Surcharge TOTAL * Fee for either sewer or water individually is $20.00 plus S .So surcharqe_ * Sewer and water permits issued for new construction must be recorded on the building permit card at the time of issuance to insure that no duplicate sewer and water permits are issued. . DATE PAID RECEIPT jJ AMOUNT PAID REC'D BY 16200 Eagle Creek Av. S.E., Prior Lake, Minnesola 55312/ Ph. (612) 447-4230 / FAX (612) 447-4245 An Equal Oppol'tunil)' Employer MAY I 6 2001 -........ ...BLOW .. ...... OM7 -.- ~ .... CITY OF PRIOR LAXB SEWER AND WATER PERMIT S.W.No.Q.J~O g( APPLICANT: ADDRESS: SIGNATURE: SITE: ADDRESS: NOTE: Sewer and Wal.r contractor. m~~t be reqiste sd with the Ci ,. ~ PHONE:J,.61' fl'57 k , ~ 6#1~~tfrE: S.../1-a/ : \ BLDG. PERMIT . (J 1-.:03 g-~ \ . I: PIDlI 'Z5 - 33~ -Ol.$>.D 1: Wb,k.,./,. · 1- 2. Estimated lenqth of water service ~/ / inch(es) . FILL IN THE BLANKS ~r feet. Size of water service 3 . Location of any couplin;s from structure e> feet. PVC ~ast Iron ~S-;-' teet. 5. Type of sewer pipe. ABS Estimated lenqth of .ewer line 4. required) , hrm " " ~_~z___.____m______KC=_D---=-=___..ta~- ! Ii when approved_ -5 --/7 -0/ DATE: 6. Clean out (if structure. lqrat-o.t -. .-. ... -~ ,.,.,~. feet This application BY I: _.____a=~~___._. _==_________._______~_===~__..~c~_~=______~__..__ Sewer and water line connection permit; Surcharge TOTAL ~______~_~=~_____c= FEES: $ S $ 35_00 .50 35.50 .. Fee for eit:.her sewer or water individually is $20.00 I lus $ .50 surcharqe_ Sewer end wat:.er permits issued for new construction must ;be recorded on the buildinq permit card at the time of issu~~ce to insure that no duplicate sewer and water permits ilre issued. ; ; DATE PAID AMOUNT PAJ:D ~p~~~ I RECEIPT 1# REe' 0 BY f ~~ I: I; f 16200 Eagle Creek Av. S.B., Prior Lake, Minnesota .5.5372/ Ph. (612) 447-4230/ FAX (612) A~7-424.5 . An Squal Opportunil1 Employer 1 II 10 ~d 9NI!~^~X3 NOSNHOC 09~~15p 1E:L0 000~/11/E0 . JUN-2Iil-2Iil01 12:57 VIERECK FIREPLACE .... J.~lJ0456 .~~"0" -.,~ hi I\Idto.- ~&& & 'V.. ........nJ".L.-1'\..I\.L '"1'1 \ , ~ ~ HEATING/AIR CONDITIONINGIFIREPLACE PERMIT ..,,"...... ~ +0 ~ RD <..I:J........ ~ ~ o-n P.01/01 Date Rcc'd 6 -,;). 7-0/ (Please fvTJ!:: or a~t md !licm. at bottom) ADDRESS \ ~\3~ ;;:.~ ;!!~. I PERMIT NO,- 3C>~ 1. Yellow ^pph~1\C I D LEGAL ~ESCRu" ! lvN (ollicc UfO only) LOT hLOCK 3 ADDITION r I ~~G(om,.vx) I ' /sn fJ (/}t JA--~~.;25-33g- O:J-S- 0 (phone) b/:J. '1~7 ~ .1J4J .<!:) SnW l,_,~._...., ~or Ij)-J&;A~ OWNER I {Name)-----=:>- k t1ornE5 (Address) \-bO~b .~~,,"'~ ~...~ l A.1lD V, 1\0 APPLICANT (Nam.) \.J ~ ~ _ ~ '\ . "" \,,-'>> (Addre.<s) \ \" \ S I ~. ~ r--.... (Add..ss) (Contact Person) -T- n .. .. t;l. \ J ~ ~ ...~ - \~- APPLICANT SIGNATURE _ _~.. Q>_~ '\ ~~ \ 0 .0.. (phone) C\S;}. "-'l..{D ~bd..D '\'"C"' .n r -..l.M.t (City) .~ ~ C; '" ~ ",_ (ZipCo<l<) (Phone) q <: ':).. I.f U L) "F, ~ V'I J2~DATE _~- ~o-ol APPLICANT PLEASE COMPLETE BELOW ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL . FUEL FLUE SIZE RETURN OPENl'NOS INPUT OUTPUT TYPE OF SYSTEM HEATINQ OR POWER PLANT OWarm Air Plants oGl1Ivity o Machanic.1 DAir Condltionirlg oVent. System o Ste.m o Hot Wolor o Radiation o Special Deviccli o Other Devices. C'N'3h("') R~",J PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setback. FIREPLACE MAKE AND MODEL }"Y\~.e.o.+\c.... --... " FEE SCHEDULE I % of job COSl Rc.sidc:ntial, Gas Firepl8ce S39.~0 minimum 599.50 Residential. Additi"ns & Alteration. 56'1.50 Residenlial. AC Only 539.50 JmJ1Jstrio.l. Commercial &. Multi-Family Residential. Heating & Ale (New Constnu::tion) RC:iidcntial. Heating Only (N!!\\' ConstrucEion) $39.50 S39.~0 Estirn~ted Cost $ Building pennit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PER-WIT FEE $ $ s .50 (otTictll:'icOnb") This Applic.tion Becomes Ynur Buildinll Permit When Approved Paid Buildinl omcial --- D... DatY76l/ 24 hour noti.. far all inspeelloas (952) 447-9850, rax (952) 447...l245 QIl;t''''ipt No. ---- By ur _ U 8U PAID ~ . 1l.D/NG ;1"fM;AL P. 01 E~rv.rr 06/14/2001 10:34 9528911656 AIR MA""t:.I<'" INC PAGE 01 ,-/' t if ~ t. f I f ,~ 11 . i I ~ I 11 II' I - 'f I ! I~ J l (~ .. t I! ~ w , I Of l . It?: . I' ~ ~j '~l J ' I j.8' ~ . ~ ! ! Is I f 1 i I~ \ ,I' II.~ ., ".1' :'. I , ,_ t ;;. t il i 'I. , I < \8 ~ .,i : ~" I~!.~ i ~.~ .. ~~ ! \ <; ; t. i: ~ ",',~ ~ " ~ -- ~'-.)" ~ I ~ \ W . ~ CI ,~ .~ t. i'~ I - f' ij ~II P ~ : I I: 1111 Ii ~,l!' ,':''-''ll!tf! _, (~!II if;,11 Ii it!111 'i: G. ,...:s I. ! ~ II ",. ~ ,,1'!B1Il ... - Ii.. ' ... 0 ... ~ \ ~ L . = h i ~ J: ~ ~ :41 t! I "j jl~iil ~ if ~'" 1'.1 8 l,il"iH I ~k Il \ I -..n~ i. , I ~!."I'i ! Iltl i I ; ;til!lsJ: ' !Llj.ili ~ li! i-lia!.! ~ ~ ~ 'l~i~l ~ i~i~ I I . ~ i~' 11181 ~ il,~.. I t.1 . \ iii ~ ~~lt,ll ~ 11 2: \ I ' . ,~ iil I 1 ' I. ; ~ 5~ 26 (i)~ "1l::j m::t: ~ ::j :DY] llOIIlcI .0 l.L1 D nztLnZtt 1:V" tt:tO aa.ll st/U'SO lnnB' Job Address ---- --~- .' PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD ., SITE ADDRESS J.IiJ n w 1w:9..~l- ~'....J/_ NATURE OF WORK f\.).e.....J USE OF BUILDING _ ~p~ PERMIT NO. nl- 03P.l9., DATE ISSUED 4-Zf..t-'7t!'Y!.)/ qONTRACTOR - \ ....K~... :J;,r. M2-"1en -20Sb N~TE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR J _ .J"TE/ I FOOTING !l-~Pm.J.- ~ 7/1110 IrQ 11- 1 0Jo/ , FOUNDATION (Prior to Backfill) I A.-. 151.;2/ I b f PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - ,INS SEWER I WATER I SEPTIC "b \!1lMA $" ) ~Ol FRAMING ./k- " 71 ~ /tJ) INSULATION . ~ 1is'/t) I ELECTRICAL /J' PLUMBING tL.-. I t?:r io icH/O / HEATING (if required) W r } I r3-!~ , FIREPLACE ~'I ry /2-/6/ GAS LINE AIR TEST ~P. Cf1~ I ~ rA (., 7~J I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED '_((Y~pt.. I I " FINALS GRADING (Prior to Sodding) A a.rf5 _ BUILDING'l.c....o ~ !r/15~1 br. ~~I tzr ELECTRICAL ,(l PLUMBING Rx . H~~ ~_ DO NOT OCCUpy UNTIL ABOVE HAS NOTICE 1tJ.5.0:l /1.1~/ol '61J.'1/01 . q(~l/IIJ r BEEN SIGNED \, This card must be posted near an electrical service cabinet prior to rough-in inspections and maintained until all .in15peetlons have been approved. On buildings and additions where no service cabinet is available, card shall be placed near main entrance. Call between 8:00 and 9:00 A.M. for all inspections FOR ALL INSPECTIONS (612) 447.9850 ~~.~~~~", (~"" .".:" -:- -'-' ;":.J. ~".. '-.-:-:' t h;_..~"" ~. ",,'t "'_,.,..."Itj;i-.... '~;";$' ",_' "f;'''i. . .,' -. ~ . K:- '<1'..... . ........ . ...",.!iM ,~ ..., I ~, . .~ ... ,. ,l_ltl__ i - ; _ :': Itrtifirau of .crupancy :~.~' C.ll i OF PRIOR LAKE :i~ J!bpartment of .uilbiulI Jn~pedion Il..-..f ~ Final Permitted 0 Conditional C.O. Expires r~ This CenijiCOle isswd purslUl1ll 10 1M requirements of SectiOll 307 of 1M Uniform Building Code cenifyillg thDt al the tiIU of isSII4IICe lhis slructure wa.s ill compliance wilh 1M various ordi1lll1lCes of 1M City of Prior LoU regulaling buildillg COIISlrtlctiOll or lISe. For 1M followillg: SINGLE FAMILY 01-0388 Use C1usi_ Bldg, Permit No N/A R3 ~Type Owner of BuiIcli... Dare: Dole: POST IN A CONSPICUOUS PLACE CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME ADDRESS / ~ ?:3'Z.- SCHEDULED I~;'al ~l..".,/~ ~. laUd OWNER CONTR. PHONE NO. PERMIT NO. ~ / -Jp> SIT; o FOOTING o FDUNDATION o FRAMING @ o INSULA TIO "FINAL l:J SITE INSPE o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: S~ \, ;d WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ -, Owner/Contr: ~ CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNO" DATE TIME SCHEDULED ~J,lj-I d),;06 /~~)tN CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 1(",73::;) OWNER CONTR. PHONE NO. PERMIT NO. /-3 f~ o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING @ 0 WATER HOOKUP o INSULATION 0 SEWER HOOKUP o FINAL _ P[UMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS~.x--- ~ f~ ~~ ~ ~ /''' uJ. (' , o EXIGRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o Irt<- , o WORK SATISFACTORY, PROCEED (B\ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr. CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, 'NSN(}T, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED '1.z401 Z:3D ADDRESS /6?732.. W/NOSOf!- LfJ OWNER CONTR. PHONE NO. PERMIT NO. / - 388 o FOOTING o FOUNDATION o FRAMING o INSULATION ~FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP -e, PLUMBING FINAL )A MECH FINAL COM~ENTsfi) ~ .p~ ~ I~ 11 I.u~ ~ t.-a.~.t.-. - .A1.Q.e..: ~tr, .~, -r ~~ -'11.~ ~ ~~~. o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~ ~~J~ o WORK SATISFACTORY. PROCEED !: CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING 1?fy, Inspector: Owner/Contr. / CALL ....7_0 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.. CODE ItEQUIItEMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/ IN$NOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME !O-,-o( 1//1 ADDRESS j(p 731.. W, 'vdJo f Lyo_ OWNER CONTR. PHONE NO. PERMIT NO. O{ - ~R~ 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 ~GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: L///h B{)~ - uK &reuA.,~ - CJY , , J)1(WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING InSpeclOr:~ - ~er/Contr. CALL "-7-9850 FOR THE NEXT INSPECTION 2.& HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI """""