HomeMy WebLinkAboutBuilding Permit 04-0268
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
-S6 c h(NIJ HLe
(Please tvDe or Print and sign at bottom)
ADDRESS f_?' A'_
'O.J~ fV1vt? M7>S
Da~Rec'd
7 ..b 03
I. While File I PERMIT NO
2. P;,k C;'y -. /VL. 0 '7(, Do
3. Yellow Applicant ~' " U
~
LEGAL DESCRIPTION (office use only)
LOTJ) BLOCK / ADDITION M1J.JJ0.1<..~
I ZONING(offie,us,)
PID 1-\.]~t-, 0" ,0
~~e~~t'-'"'\s ~ ('-\ e.s D-L G (Phone) (Or~-80(i -43 f) 'f
(AddreSS)~J),-<6o)09,.li06'13 _~ L~ U a j;1Y'4JM"t>"L~o/~V
~;~~R~~ ~ol'VLe LL0 - (Phone){p~'-!:10~
(Contact Name) ~VI rd-Vl') r--~a-- (Phone)
(AddreSS)~ .o~~~Oc(q3-Aw-Le-- \J(} )\i~AA ~/l.J)(') fA v:
TYPE OF WORK
p9'New Construction
DLower Level Finish
o Fireplace
ODeck
OPorch
OAddition
ORe-Roofing
OAlteration
OUtility Connection
ORe-Siding
o Misc.
PROJECTCOST/VALUE (excluding land) $ p..'~-
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 plans. I am aw 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 operty to p eeded in1ections.
X -L^-. /'\ 1j'<<A----"""" !lOX 'f~Gt.\-()
Signa'ture Contractor's License No.
I Pennit Valuation ~ I s: DO (). Ol!ll
I PennitFee ;'743.5"0 $ ;;;
I Plan Check Fee ~ 11 ~ 'S'. tl $
I State Surcharge t07. ~O $ -
I Penalty $ I
I Plumbing Permit Fee $ 100.00 I
I Mechanical Permit Fee $ I DO. 0 t) I
I Sewer & Water Permit Fee $ "3'S. $'0
I Gas Fireplace Permit Fee $ JfD. (J~
I Park Support Fee
I SAC ~
I Water Meter eize 5.LJ"; I";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
"
7~r-~. 7tJ
~.IJ,II~
i::::eco~;ur;;g PermilWhen App<oved //0) ~~:e
Building Official ~
Date
It
# ~$ 'f'Ef.;"O.8D
.;~1~50. ~ _
'II"Z,~. b 11 I
.t..:jS.ob ---=-
# $ l'Z.oo.tJO
# $ 700,00
$
$
$ '1. t,54, 71;
'.
I ~':,o"
{f
~'r/
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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
U~ning~~ ~ '-1/1;0'1 -Pee s:1i~~s'iff; k.E
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-
~~
SEe
ftl(A I;J F7~
White - Building
~rv . ~n'l!.n~e~g
- Plannl
Th~ Crnll'r of lhl!' l..kr Counlry
BUILDING PERMIT APPUCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ji\ /L I ~")
;.1.
H uH(5
Cs
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
G 3 (( 4- \ \\ I L DCA K..;rE1.1<J\ (~(:
Accepted
~
Accepted With Corrections
Denied
..
Reviewed By:
Comments:
~
+~~
Date:
7Acf'~3
,
"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."
~~
~b 1l1A-1;J hLG""
( Whitp' - Buildi~
Canary - Engineering
Pink - Planning
Thf ('fnlnof Ih, I.lk,Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
t3A/61 ~ HOMES
}.l. Os
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
03 (04- WIL.D OAIC-S 'G~c.E
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~
-
=?~
Date:
7/.;LP,43
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."
..
SEE tv\~I'~ FILs
ThtC"lIltro'lhr I.ah('ounlry
White - Building
""1=anaf\f .. "',rl:\lneerlnQ )
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
rjA /<:TS
-} ~'J
. I.
H O/VIES
()j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ? (' 4- I \ I LL'--) /',. 1/ ('--rrt? D .,--
<..t:' _,,' ( V \) - C,\ 1"-) C.A--~j\ '~.A:::;:..-
Accepted __ X
Accepted With Corrections
Denied
Reviewed By: ^f.o.....,.....~'L.
Date: 7/1010)
Comments:
See Reverse Side for Additional Information!
S't"c w\A,';:J RLF"
See Attachments: 1) Gradina 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."
05/13/04 THU 08:32 FAX 6128902153
STOCKER EXCAVATING
Ii!I 003
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
l ~.7.'. ~~. I PERMIT NO. 04-0268
1. Oold "lIP1l1Wll
CJtI-d.' ~
I
t'Pleue tVDC ornr;nt and shm.'f bouom)
APDRESS
6364 Wild Oaks Terrace
I ZONINO(ollicc.s<) ,
LEGAT. DESCRIPTION (office use only)
1
LOT
BLOCK
ADDmON
Wild Oaks
PID
OWNER
(Name)
Bares Homes
(Phone) _ 612/306-4384
A~~le Vallev. MN 55124
-- (City)
(Zip Code)
(Address)
P.O. Box 240593
(Addk..)
APPLICANT
(Name) STOCKER EXCAVATING COMl'ANY. INC.
(phone) 952/890-4241
(Address)
12336
Boone Avenue
(Add"")/
Curt
Save~e. MN 55378
(City)
. j # /1. _ (Phone)
'pJJ /~ DATE
- 5>V Cl
(7.p Code)
(Contact Person)
same
APPLICANT SIGNATURE
5-11-04
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches_
Location of any couplings from strUCture
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from slnIcrure.
feet.
o Cast Iron
R.esidential sewer and wster line connection
. Sewer connection only
FEE SCHEDULE
$35.50 Industrial. Com'l & Multi-falnily 1% of job cost with a $39.50 minimum
$ 11.50 Water connection only $17.50
Estimated Cost $
Suilding Permit #
SeWER AND WATER PERMITFEE
ST ATE SURCHARGE
TOTAL PERMIT FEE
Building Omci.1
Dlte
-,~~
D ~~4(h
I ",\ill< rr I< H! ~r>INO'
L:'@ MAT i Hl~ ~ '
$
S
S
.
(Oflicr: Use On.\)')
Thi. Application Becomes Your Building Permit When Approved
14 hour notice ror An ;",p.otion, (952) 447.9850. f; 9152) 447-4145
fl;
(J
87/14/2884 88:47
9528947972
LAKE SIDE PLUMBING
PAGE 81
CITY OF PRIOR LAKE ~LUMBING PERMI1 ~ ~ @ ~~Ili!JLe']\.
ill) JUL 1 5 2004
I. alu~ FiTl! I PERI BT NO ~
l.Oold c;\y ~ ~~1' _-
,. Ycllcww AppJien ~ . f JL
fJ'lc.QC ~ or r.m.nt cd sim at bottom'
ADDRESS
lo3~
lJ.}! ~l"IAl(~ --r.....~
ZONING (oflice .It)
LEGAL DESCRIPTION (o/lia:... only)
LOT BLOCK
ADDITION
PID
OWNER
(Name) R.s....k
~~~
Art"" IJ~
(phOlle) ~I:J- 30"" "/sf~
(Address)
APPLICANT ..b
(Name) ,*~..:d.._ ~~
(Address) ~~Z;"m.n r....
(Address)
(Contact PeISOn) ~_
APPLICANT SIGNATURE --.Jl.a.... ~
(Phone) q..{~- ~q..,- 11.,=,,,
~~. S~31B
(City) (Zip Code)
(phone) '/.Stl- ~~c.oo
DATE 1- 'f-M
~
....
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
8ath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (J or 2 compartment sink
Shower Stall
Sinks
I 8ar Sink
I Water Closet (Toilet)
Type oU1xture
Quantity
I
\
~
I
I
I
,f,'''j-'A
<I
Rough-ins
Water Heater
1 Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I 8ackflow Assembly
I 8ackflow Assembly Test
I Lawn Sprinkler
Oth.er
FEESCllEDULE
Industrial. Commercial &. Multi-family 10/0 of job COll! with. S39.50 minimum Rc,idontial. New One &. Two-family $99.50
Rcsidonli:ol. Additi\lf1' .t Alterations $39.50
$
$
$
04-,0 Zt,e
RiUDwm;
BUIWING 19MI'?
Estimated Cost S icl.oQI.....
Building Pem1it#
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTALPERMlTFEE
'11.5'0
.50.
100
(C)CJice l1~r:()lIly)
Thio Application Becollle, Your Bulldinl! Permit When Approved
lIuild;n~ Omdol
I)...
l~J~j~ ~ U \ij ~ ~JI~ ReceiptN .
lli ~f1l 1 5 2004 J By
14 hOUT noti.,. ror .11 Inspection. (952) ~~ ~50. rax (951) 441-4US
16200 Eaf;le Creek Ave... S.I., Prior, A
'! 02127102 WED II :Og FAX Ol::HH:U
I
...U,l "U' /:'l\4....l'lo __......
I
~ !
i
. ,
I
. i !!B::SSlliutall'hl'l""~l
: '--olR~ \N \ \d ()r.v_~ T~xm(,R:
I
CITY OF PRIOR. LAKE
HEATING/AIR CONDlTIONlNGlFlREPLACE PERMIT
Date 'Mac"
U:. \!:~ I PE.RMIT NOn. J -^" IJ 0 I
:I, y~ ,.,rl... u--ru~ .
---'l'~
LlGAL Pl!SCRIPTION (olllcc~.. ollly)
-.-.'-' .-.--""'''-.-'
. i
i
tOT
BLOCK
ADtlITION
---'-"-_._-'~."'''._.'' .--
FID
,
.1 ~~ fird v--e ztI-e-U 1cj(J
.
(Phone)
(Adllress)
",.. -..- ."_.,u.,__.. :::~;,:,i~~~~~;'
(Phone) ~:J. ?"4J"7 c~ 1_.. ':;:"~(
~O~/MJ/"j- nc:;nln~ ..
(Cll)) (~
(C;omaaPenon) ~L\Pl'ltc:\VJV;~ (Phone) ~~- L8..03.-
APPLICANT SI0N^ro~~~~ 'f'~ - J:lATE_~;1 ~f ... ,_
,. APPLICANT PLEASE COMPUTE BELOW
~EWCONSnUCTI0N Ci REPLA.CEMBm" Cl ALTUATIONS 1 I -L
l'URNACI!MAKBANDMOD!L Le.ll'lNl.CY r;~IME-~>"-m.t.L....._l't.u ~(~
Ft.UESIZl'. ~')l' (JJ(:.- lU:TlJR.'10PENINOS 'ex" INPUT -!1.Q,:c,oC;. __ OWUT ._""!J
'IYl'1!. OF SYSTEM Ii1lATlNOOR POWEP. Pt.AN'I'
,!ll1:WIllIIl""'iJnll 0 StcIIlI
~i1Y 0 Ilot Wa...
,MoOhallir:ol . 0 bdiOllon
. Ir Condi,lo,i"ll 0 S~""ial C.wI...
VOllt.S~..om DOlllorCcvicQ
~~~Ylc, Ut/1 ~ ~ ~.Jti V-
(Acl4rc,,) ~(j v v-.Q.kl. ~'1': \ \ ~ ..l
. (Addttu) - \
.'-'
I'LL\.SX NOn,
AJr CondillOMr Unill
C_l!IIc:oacb Illtll
ReqIlInd Silla YII'4
litlb&cu
Jo1REl'LACIi MAleE AND MODEL
. i
:
;
FEE SCHEDULE
l,du,,,I.l, COIMlrrc1l1 It. Mul<i.~&Il\l11 \'Y. .fJ'~ 000 lI..idonllll. 0.. Fi...."...
SJ9.~ miAilllwn ,-
J!.oold:rltiol. ~1..&i'J'" NC (New C..,wttillll) m,50 Rllidclllial. AdlIiticn.... AlIoralion'
ll<lliGCIIIII'. K"U'I ClAly (14... C....1IlIClI.n) $64,50 Rosideotia~ lie Only
SJ9..lC
S39,~
S39.lC1
MEA rom PERMIT FEB
STATE SURCRAJUjE
'rOl'At. l'J:RMlT BE
$
S
S
j~'~
Eatimalloa Casl i
BUildina Pcmtlt ~
.s~
,.il4i", om<lal
;.....-
,_ ----1~
rN~yr, D \11 ,", ..."
Dolf . \) Q ?nl'(A I ,t ~
14 ho., ..~.. ra, 1IIInrp'.lJo.. (pn) 647. ,In (~) 44704W
I
I
(Olli..lln 0\111)
. 'nil Application IhcOlllea Your Dullolllll Permit When "",preved
, .
\Sy_
Je~d
68t~Z:Zt:>t!;;9
SNI>tanr
Wd ge:EB ~e-8Z-~~O
,...;;.,,';"..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
: =.. ~:~ I PERMIT NO.~4 ,*,LIO..
3. Yellow Applicant "'7. ~
(Pl.... tvoe or Drlnt and sian at hottoml
ADDRESS
6364 WILD OAKS TERRACE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name BART'S HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLillD FIRESIDE DBA FIRESIDE HEARTH & ROMP
(phone)
651-633-2561
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
Z'U'H.lJ.lilG (office use)
PID
55113_
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
(phone) _651.633.256]
7/21/04
APPLICANT PLEASE COMPLETE BELOW
XD.NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Rot Water
o Radiation
o Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
Industrial, Commercial & Multi.Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
_ rltil.lW!1'H
-5W1LDINQ PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved rijJ ~'1]l T~U \vr~
Bulldln. OlIiclal Date Jr1'\J G 0 4 2004
24 hour notie. for aUlnsp.etions (952) 447! ~850. fax (952) 447-4245
By
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
U11 By
Receipt No.
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~ 4{ . WiLD _
NATURE OF WORK AI'-fAJ lOA
USE OF BUILDING S .1". .
PERMIT NO. ~~.!2.?-h 8 DATE ISSUED~/~IIJ'.
CONTRACTOR 7/IiJAZ7 ~.L.e.. PHbNE"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
.
.
I FOOTING I I
I FOUNDATION (Prior to Backfill) I ~ I q.&<~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~ I
FRAMING -"h- M/? A$ t/;'# ~
1
INSULATION !~
ELECTRICAL ~
PLUMBING ;-cr,;' J - /:YfN.
HEATING (If required) ~? aC)/~'
FIREPLACE _ . . I ,
GAS LINE AIR TEST ,,#jq,j-, r /: I( ~ /"//..r70 t'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- .
~LTlI"J;1J 5f'NS $$ I /t:7Q?fl;4/
FINALS
--
GRADING (Prior to Soddlnll) . I ~ e ~,;., hl'e '"
. BUILDING~# eav.'fil ffi/IIJ ~/~k ~ 57'#s-
ELECTRICAL' ///~~ .
PLUMBING /114- . /lh~1
HEATING //P/ ;,..#~t/
. .
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical servlca 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.
'\
~/~~
~ff(f~
f?/..2r/O?
-
\
FOR ALL INSPECTIONS (952) 447-9850
L-
'.,.-
QI~rfifitat~ of Ql}ttupanq!
CITY OF PRIOR LAKE
;!!leparfmrnf of ~nilMng Jlnsprdion
~Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential I 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 04-0268
Use Classification Bldg. Pennit No.
Occupancy Type
R3
VN
Zoning District
R1SD
Legal Description
Type Construction_
L11, B1, WILD OAKS
Owner of Building
Site Address
6364 WILD OAKS TERRACE
240593, APPLE VALLEY 66126
DON RYE
C 'N &Addre BARTS HOMES, pnST OFFICE BOX
ontractor s ame 58 I
ROBERT D. HUTCHINS~
_ ~~ /ding Official
C;-/'f~ o.~
/
, City Planner
Date:
Date:
~.Io's _ nME
~J&~ /V;/r! Q~" h/Y
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
..,A!rtiNAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
.....--(/
J?"/ ,H""
Dtf
~-.26r
[J EXIGRADIFILLING
[J COMPLAINT
o FIREPLACE RI
[J FIREPLACE FINAL
o GASLlNE AIR TST
[J
~--------------~
/' /?/1 ~/ "
~_L<!Ue /-;/e.. ~)
haRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
[J CORRECT WO~';tA;Y>R ::NSPECTION BEFORE COVERING
Inspector. ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
...,..Tl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIIIlE
SCHEDULED
AODRESS 6:?.i (' t4! II ~Lr fe-
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
~NAL
[] SITE INSPECTION
COMNEN15:
,I1f4dn<-"I/
CONTR.
PERMIT NO.
tJ/t! ....~2'
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
JJ"lIIECH FINAL
[] EXlGRADlFILUNG
[] COMPLAINT
,....a'1'IREPLACE RI
~ ,;"....LACE FINAL
[] GASLINE AIR TST
[]
/ ... J -~ .I
~/ d,~. /~/~~L/
F;~/J{;ce /C,~ ....z;', c7d
- 4-, I h;'h / ~I..c. /" ,
4// Vii to-e ~ ~H;;hJ / d
, -
~.. ~ - "
/'7-tzL:-. A'"'7~ / dllC ~
~" ,,: / 'd ... cl C!)y, ~ a.- -r T-r:S r
:'f\ ,; I - A ~
C!:J ff//~' dv ~ hq,kUi'rlac: #"t:!'y.,
~'r/n/nff 6ir4tl~ ~~~( ysVl"-?1..f6
:.<? /y-e tA 7'f~~s "k, ~!i~~Yd
'.) /Yeri ;t;),t:i/c-~ ~ CCO ~/~"J
~~h. c:.:cJ, vL-h7 r/;~~
[] WORK SATISFA{,.ORV, PROCEED ~~
.Jt"CORRECT ACTION AND PROCEED It' <:
/ ~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: $~ Owner/Contr.
, ,
CALL .&47.9850 FOR THE NEXT INSPECTION 2" HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY!
_n
~~o/
,
~jbf/ C,U,Y/ c?~~ 'k';y-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
a FOOTING
a FOUNDATION
a FRAMING
a INSULATION
a FINAL
a SITE INSPECTION
a PLUMBING Rl
a MECH RI
a WATER HOOKUP
a SEWER HOOKUP
~LUMBING FINAL
a MECH FINAL
COMMENTS:
;'f /
//.4-~c>.--e---t-eF-
--I-- J
/~,rr-
W
/::
@
A /) /
/A~ -/,;y ~y~~
; I
_~ 5~ // L.u ('. /),
DATE nilE
&c/-.x )('
a EXlGRADlFILLING
a COMPLAINT
a FIREPLACE Rl
a FIREPLACE FINAL
a GASLINE AIR TST
a
- I
CJ~
/
~/;-
- / I
C~c Ie C.J
~,/ LF
. c/
~YL
hkl"
a WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
, a CORRECT WORK,C~L; F71NSPECTION BEFORE COVERING
Inspector: /~ Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE,
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"
..,...,..-.
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.Permit#
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