HomeMy WebLinkAboutBuilding Permit 03-0138
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
Main File
I.White File
2. Pink City
3. Yellow Applicant
I / (1/2>.
,
I PERMIT NO. Of"OI.38
. t?~~~(OffioeU~) I
~lease ~ or 'Orint and siRD. at bottom)
ADDRESS
C/IOO WID/A Oovk.s
~ rro-.c..v
LEGAL DESCRIPTION (office use only)
LOT!!i BLOCK I ADDITION l Uy\ A Of). k"
PID a5-<,B~lf-?rJ5-b
OWNER
(Name)
(Phone)
(Address)
BUILDER 0 4- u.... 0
(Name)--C0 r- \.<::1 \'~("J M.P.."i (Phone) g,,\9-.-fQB~
(Contact Name) Rfl..r-+ v" '" ~ U' (Phone) t11 <J,.. ~~O G - y-~ S S;C
. (AddreSS)~() ~)c;).. Stos-~t", .\.)(),.,.JII~ Jli1 n.-, ~ /~ V
TYPE OF WORK pG"New Construction ODeck OPorch ORe,Roofing ORe.Siding
DLower Level Finish
o Fireplace
OAddition
DAlteration
DUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
;te(;o:;<. "_;:'" to e nee~:.~ '1.03 Yr,:\cn e
~ /'J.J~te~~'
Contractor's License No.
I Pennit Valualion II}.I/.I/ 1J1J(},d () 1 I Park Support Fee # $ PJ<;;o. 00 I
I Permit Fee 1$ l~Llo, I~ ~ 1 SAC # $ /2- 7"5.Glt> 1
1 Plan Check Fee 1$ 9t')~.IO f I Water Meter €iZe 5/8'~ I"; $ ,:).5a fa 0 1
1 State Surcharge 1 $ 77. (!)o t I Pressure Reducer $ 45.00 1
1 Penalty 1 $ 1 1 City SAC and WAC # $ I~CJ.Oo I
I Plumbing Pennit Fee 1 $ 100. cJ 0 I I Water Tower Fee # $ 70cJ.oo I
I Mechanical Permit Fee 1 $ /00.00 I 1 Builder's Deposit $ /~()o.OO I
I Sewer & Water Permit Fee 1 $ ~5.50 I IOthet $ I
I Gas Fireplace Pennit Fee 1 $ ~().OO 1 I TOTAL DUE . $8J 2/3. #'J51
11
This Application Becomes Your Building Permit When Approved I Paid V 7/J, YJ I ::zJ' q-f7 ~"l / I
~ ~ 1-/3/03 I Date ,/ to -0 J I
Building Official Date
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
~~::frn~1 - PZ/f~a?e ~ dcond~..,J
24 bour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Plior Lake, MN 55372
~\
Main File
White . !')uilding.
( ~anarv . t:nql!'e.!'rimt>
Pink . PlannIng
Thil' (......lI'r II' fh.. 1..11.11' ('o.,,'ry
BUILDING PER~APPLlCATlON DEPARTMENT CHECKLIST
NAME OF APPLICANT
'2
/.1:/ r; <;
'.
'-~._i /\ -"1 ~ ,~-;-' (..
f 'J(." /"f/; C. ~~-
APPLICATION RECEIVED
1
r
'/~"".) -3.'
/ - -~ ._" "
I I .~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposlild at: , .
1 . / I' /", .. 'J'/ "') 1/
i '" U( i ( I. / .' . . r; / 'a/ ,(
'~? !.-' '....../ 1./1j-,( I ! \.!_ ~/' I \
'-/':;:" y I'" .... /
'---. ;..-'
f"" /~''''
(.. ,..:-,,-:--
Accepted
Denied
J(
Accepted With Corrections
Reviewed By:
;m0
Date:
/- 3cJ-03
Comments: ~F!F! Reverse Side for Additionallnformatinnl
See Attachments' I) Gr::lcling Plan, 2) Erosion C;ontrol Me::lSltrl'"
"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."
Main File
White - Building
Canary - Engin~ring
Qink . Plil"""'9 "
Thl!' ("I!'"lC'fof lhl!' I..beoun'".
IDHL-DING PERMIT APPLICATION D~ARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;J", . € -L/I ".,(
I j, .I II) I "-f\. /~i." .-.-"
(
/- r')-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~t!()() d)//,/ /l)tJkT..,::r {I C ~
Accepted
Accepted With Corrections ~
Denied
Reviewed By: ~
.
~Jl.c..-
Date: .;zh.h?
Comments: A,c.. L.4.:b ~~ ~
V
.L2d~, k(/ f ~ .-. ~_' ~./~ ";;1A''''-'- ~--p
M.-~ /l~.2\ _~/ ~ f.., ./~ f~ A,
o z;~ g q , p - ~
"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,"
~~
Main File
('"""White . Ruild!iiv
l,;ani:ll Y .. !ngineering
Pink . Planning
Tht' C't'ftlpr or Ih.I..". ('ounlry
BUILDING PERMIT APPLICATION D~PARTMeNT CI-tECKLlST
NAME OF APPLICANT ;:s () tr+S Ho /1IJd
l
APPLICATION RECEIVED 1- /?~ G
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construct~ ~~iOWhiCh ;;)~~7d;~ /< s krYO-(/2_-
Accepted
Accepted With Corrections ....-----
Denied
(~, r
~ ~ Dat::l:1a3
~ All' ~ (~
Il....:.u- ~ #-r- yU..../ I, r2 . e, - ~ .../ToLL ~.,~ _ '-~
/
~ 4< . O' -If( ~~ ~~ ~ 10 kj~.
Reviewed By:
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."
02.11/03 TUE 13:42 FilX 612.1902753
STOCKER EXc'1 YATING
~O(j1
Date Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PE&'\1IT
('Please tVl'C' or t1rlnt aJJd ~i~..n ac bottom)
ADDRESS ZONING (oilk. "'.,
6400 Wild Oake Terrace
; $~':. ~',~ I PERMIT NO.
1 Co" ',,''''M 03-0138
LEGAL DESCRIPTION (office u.. only)
Lor 4 BLOCK 1 ADDITION
pro
OWNER
(Name) Barts Homes
(phone) 61 V 306-4 38".
(Address) P.O. BOX 240593
{Addri';~~l
A:c'Olt; .Val1~v. 'MN ~"il?4
(CitY)
(Zip Codp.)
APPLICANT
(Name) C::"l"l...\r~.,. ;"'7'~ing.......C1"I
T__
(Phone) 0.0(890 ',01.1
(Ad.uess)
''',.,.,,,; l!....~'"^ II...........""
(Addres,)
s~.....~r:'
Sf;"'~
(CltY)
(?,p CoJe)
(ContaCt Penon) Curt ~_ l'~
APPLICANT SIGNATURE -JvfP:!:::1{!-. .f';:iuh~
APPLICANT PLEASE COMPLETE BELOW
(Phone) 952/890-4241
DATE ?-11_(\q
Si7.e of water service inches,
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer I ine feet.
Clean out (if required) located at feet from structure,
feet.
o Cast Iron
Rt:sidenrial sewer ilnd water line connection
SI.."Wer connection only
FEE SCHEDULE
$35.50 InduStrial. Com'l & Multi.family 1% of job COst with a $3950 minimum
$ 1750 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
5T A TE SU RCHARG E
TOT AL PERMH FEE
$
$
$
,sq.-___
I~" " ~~.'f1~- .
.~" ".'" O~Q"."." '--....
~~. "..,
--:: c~,
(Office Uie Only)
This Application Becom.. Your Building Permit When APprov~'~. .....
Building Official D,,, /j;j ._, ,~ !J7 (f j" I
'I../U '. I:::H , " rnA
N hour notice for 311 inspections S2) 447.9g50;:-f~ (tsJr}j47
Sy ,
~... '";
--.- '-
Receipt No.
By .r;:
/ ./ v___
-;-
'-......
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please ~ or orint and sien at bottom)
ADDRESS
;:: ~:~ I PERMIT NO. /'r,:1 _ L':2O I
3. Yellow Applicant ( / t?,J1l
!nL/D()- 11/;)& I'fJk~'
ZONING (office U~)
RISO
LEGAL DESCRIPTION (office use only)
LOT.~OCK I ADDITION
OWNER
(Name)
(Address)
~
B~~
17~
PlDa~- <"?iP'l-tJosO
.. ~,:k'... -4t3eA-YY\.~ f(\<YI-\.~ 'IW)
~) &75" I11:Iiii/''''''''J /?/uA
WlI k-f ,40f>AjN\.5
./fr~O~
Quantity
'Z...,
I
i
U,
l
:;;2.
(
(:)
'i
(Phone) _
~ (" /2 -...) o/'s- 9<:/ (:) 0
kwsd~k S"ro9L
~) (Zip Code)
(~ S A-J'Yl <..
..". :z -:2..~'" 3"
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity
Bath Tub with or without shower I I Rough-ins
I Dishwasher I I Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) I I' Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink I I Lawn Sprinkler
I Water Closet (Toilet) I I Other
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi~family J % of job cost with a $39.50 minimum Residential, New One & Two.Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(omce Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
Building Permit #
$
$ .50
$ ~
IPaid~
I Date a - (1.g <3.
Receipt No,
BY~
24 hour Dotice ror aUIDspeetioD' (952) 447.9850, rax (952) 4474245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372.1714
82/83/2885 89:43
9528947972
LAKE SIDE PLUMBING
PAGE 81
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
..3 -)3 ~
I. fll.,t File , PERMIT NO
'001< CU, .
" Yl!/low ^pplitant
(Please tv"!: or mint and sim at bouom)
ADDRESS
lcr:!Ol'l h\:I~ 0&'"
7.0NlNG (olnco Ule)
LEGAL PESCRlPTION (office... only)
LOT BLOCK
AI.JJ,JluON
D~~
(phone)
PID
OWNER
(NamE) P-...J.
(Addless)
\h-...
\
~t'\ ~
(phone) ..3.{';;J- {('fl{- 11.0t>
~i;r
:{~~R
(Zip Code)
APPUCANT I
(Name)_,...l...\l..
(Addres~) ~,_" ? '^ rft_ A.,..
(AddJ:eS~)
(Contact Person) ~" ot!-,
~.
~J
(Phone) ~ -..
hl7~ 1<_
DATE _,;I. t- Q.~
APPLICANT SIGNATURE
FEE scm;J)ULE...."'~ (t
Industrial. Commercial & Mulii-fan'ily 1% nfjob cost with a $39.50 minimum Il..,idclltial. ~ ~ $99.50
Resid.nets\t~~ At'Jitio;;' $39.50
Building Permit #
{\o~ : We. o.Ie. l"~~ ~.Jl'j
.50 c:.. k..... ~. +J~ ho.~ h~
it th~t\- ~~r\~.... ~
]tee;~~Nn. 8 2005 1,.,.,.,.,\ I
I\~y -' I
_.__,::::::-..:;:,:;;:;:.::.:.;;;:.::;:....:;.:.,1
Quantity
\
\
,
.!.
\
;J
,
(Office tJ~ Only)
APPLICANT PLEASE COMPLETE BELOW
I Type of Fillture
Bath Tub with or without shower
I Dishwasber
I Floor Drain
I Lavatory (Bathroom Sink)
Laundry fray (lor 2 compartment sink
Shower Stall
Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
\
\
Type or Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
1
Estimated COSt $
PLUMrnTNGPERNITTFEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
$
$
This Application Bceome! Your Building Permit When Approved
Date
Paid
Blaildin,Omcin)
Dllte
14 hour notiee ror .11 Inspeetions (951) 447-9850, fn (951) U7-4145
16100 Elgie C....k A,e., S.F.~ Prior I...kt, MN 55371-1 7J 4
Bv
Monday, March 17, 200312:21 PM
U/H/Il ~I~FM 8U447C24$
Lofgren Htg & Ale 651.4601208
CITY OF PlllOR l.AJ\t
",Y,U&
p,02
CITY or PRIOR LAD
SEATING/AIR CONDmONlNGi..aAI!.& &.ACE PERMIT
0... a.'., '
3-17-03
~_",,"_l
_C; J.f Df) W~.P ,,1 ()up.f\ r P/)J)./) .r Q
~E:. L jPERMlTNO'03-01..3'8 I
I ZONING_..., l'
I.aI IlI.OCr'
ADDmON
PID
I
LJ!GAL DESC1l..: ......J c....-ooll'l
,..',l...~~
CNa-'
~)
An fl j }.. ~rYY\..J?
(Phoacl
~~(ft 11 O.ll\ }vi ~ 4- l/?,J r (Pbane) ~ <5 ) .y h () X: 1 LL..,
CAMIosI.S':.:-I /) < @.J.;;''i- , 1 j- u) -# lj .{(}J/hYlJ~;t"NJJ f1l1) ,.c;,-:{Il;;l-
IA ) {OlJl lZiP Cotlol ;
c<=-,-> ilo n r' I .' II I (Phoac)
APPLlCANrSlGNAlUU . .()J.L:EC'~._,c DATE '=? -j f)-f). 3
loP ' "1r.~ COMPJ..I.1'E BELOW
(l,...... ,........mudloN OlQ!Jll,ACEMENT QALlmIA110NS
l'\W4ACE MA1CE 100) MODEL & J Fl f) ~ 1. ,-:58' J1\ )I' An c, n RJ5L
I'LUUI2Il LP \) t ~ ......,_,..5 7 1Nl'tlT OlTCPut
T'II'B 0' .. ...._,( DATING 01, l'OWD.PIANT
~~~A~~ o~:r:=
jJAlr., , ,",' '" $pII:IoIDori..
.:IV. sr- 0lIl0r~
'f1IlEp1.ACi MAD AND MODEL
PLEASE NOTa;
Ait CoalIltiollC Ualls
c:-at I!lItIuuh bllO
1looluiNl\ Sidt Yord
w..as
IU.II....:.#'.IJU
-..",.. .,,' .M~ l'lIloljoll_ ""1 Ul,Gosfftp_ $)9.50
IJUI.......
lIai.wd"'~&M:'-C"" ..,I S9UO 11 (' .. MdilbII&A'- 539.JI
.-IlHMlcODl)o~C, ,,,, .', ) *-'0 111<" .'~ M:OolJ Sl9,50
ESliIUIllcICOIlS
Buildlaa PamIt #/ tU- 01.3 f)
HUllNGPaMlTl'a S
ST ATE stJl\CIfAB.(iI $
'fOTALPUMlT IU S
.so
PAlO WITH
IUllDtNG " cn..rr
~""'_l
,....AppIa...- ".,.y_r.........WkII~ ~~
...._ _ ~-/7-(}J' IBY t:/jg( ..
z.e..r...........L" ~...(ISJ)...,......(95I)"7..&2A5 T ".' _.~'
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
i~, ~:~ I PERMIT NO. 3-1 ~ () I
3. Yellow Apphcanl vIS
(Please ~ or 1Jrint and siJ<n at bottom)
ADDRESS Z'u,'.u.G(offic.u~)
6400 WILD OAKS TERRACE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) BART'S HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLTRD FTRF,STOE DBA PIRESIDE HEARTH,. HOM;R
(Phone)
651-633.2561
(Address)
2700 NORTH FAIRVIEW AVENTIF
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/9/03
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
DAir Conditioning
OVenl. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
, FIREPLACE MAKE AND MODEL
HEAT N GLD 6000TR-DAK
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
$39.50
$39,50
$39,50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ ,
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,50
PAID WITH
BUILDING PERMIT
(Office Use Only)
Buildinl! Official
[~ n m ~ GI~ Receipt No.
I tl!1 By If'
24 hour notice for all inspections (952) 44 '-9850, fax (952) 4474245
By__
---.
Date
This Application Becomes Your Building Permit When Approved
P. RIOR LAKE D;;~ENTOF l\Jf"ln File I
BUILDING AND INSPEtTMft
INSPECTION RECORD
SITE ADDRESS ~ "DO- ~
NATURE OF WORK ·
USE OF BUILDING ..s J:
PERMIT NO. ..Q - IJ I. DATE ISSUED
CONTRACTOR PHON""_-S6f.- II$1tI
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING w/~~ /3/d 't-Itt..ift8
I FOUNDATION (Prior to Backfill) I ~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ 31p? /t'X3
HEATING (If required) WI" 4..--y~
FIREPLACE . , .#J,';i( I. 'I-f"-t;?J
GAS LINE AIR TEST /$t,J,. f- f .f "1.:1 ~ / I.pl'! IS
, .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~..~ "?t\~ 1M 'J\) I YVf' I c,- (0--0
FINALS'r-
GRADING (Prior to Soddin~) tV 17
BUILDIN~,..,.4. ca o"J'~fi5- A~..2/z#-
ELECTRICAL
PLUMBING
HEATING
DO NOT
1M,) .
tillYI'
4- R'~
C-f-II
~ 6~
.##' s-/t/cC'
~ ///.7/18
ffJ"f . ..2lY/c6 ,
/Ju. ~h4/(}!:.-
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an eiectrlcal servica cabinet prior to rough-in inspections
and maintained until ail Inspections have been approved. On buildings and additions
where no service cabinet is available, card shail be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
-..........~~,.....
QInfiftraft of <Drrupanrl,!
CITY OF PRIOR LAKE
~tpa:dmtnf of ~nilMn.9 Jlnsptdion
)1' Pinal Permitted D 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 ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Legal Description
R3 Type Constructior' VN
L5, Bl, WILD OAKS
Fire Zone
Bldg. Permit No.
N! A Zoning District Rl SD
03-0138
Use Classification
SINGLE FAMILY
Occupancy Type
Owner of BuUdin. Site Address 6400 WILD OAKS TERRACE
Contractor'sName&Addres,BARTS HOMES, PqBT OFFICE BOX 240593, APPLE VALLEY 55124
ROBERT D. HUTCHINS~ City Planne' DON RYE
_ / / ~ding Official
Date: -5,/~ 0 r Date:
DATE
~A..r
6900 U/I/d a:..ts 1;:/1/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~ I!JlULA TION
,..e1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
/1'/
/-//U, /
Oct
.'-
--------..---
~
(
4
--
....... /J
(' ,/'""s.e
'--
TillE
(f)q-P
,
o EXlGRADlFIUING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
~
----- ,
)
.-/"
Af' WORK SATISFACTORY, PROCEED
/' .j."CORRECT ACTION AND PROCEED
o CORRECT ~~.:..C~LYOR REINSPECTION BEFORE COVERING
Inspector. /Y~ Owner/Contr.
v
CALL "7.98&0 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
II<',"m
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE nile
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3-~
ADDRESS
-6!1oo W,}) {Jb_f<. T2o""ru
CONTR. J.r IJ 1-!of'1~f
PERMIT NO. 63-/3t
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
I".:lI!CFINAL
- 0 SitE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)C"'S:Wr..D.l.r\llilliLUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
C~/1o "&.n,j' oi"_
G,..~~ ~/V
..l"'"f..." ~/ II- ft~{r q'" /:;j r &!p:.-
L,'M -!-v '''1/(11\1- (/,'/1- VVIA",;A(
~,.J..I
o WORK SATISFACTORY, PROCEED
rtl<l:ORRECT ACTION AND PROCEED
Vo ~RRECT WORK,~~FOR REINSPECTION BEFORE COVERING
,nspector.4~ Owner/Contr.
f:ALL "7.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
INSPECTION NOTICE
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D WATER HOOKUP
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D PLUMBING FINAL
D MECH FINAL
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D EXlGRADlFILLING
D COMPLAINT
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D FIREPLACE FINAL
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Inspector. r~ Owner/Contr.
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CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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ADDRESS
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DATE nME
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CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
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In_....... / I'~ Owner/Contr:
CALL oU7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETYI
IJGNOT1
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~.iOo
OWNER
PHONE NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPECTION
DATE TIllE
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[J WATER HOOKUP
[J SEWER HOOKUP
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[J MECH FINAL
[J EXlGRADlFILLING
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
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COMMENTS:
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Inspector: ./ ~ OwnerlContr:
CALL 4&T-9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE;.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INViOFI
---
~ Job Address
Heating Contractor Lof~(u\
Name of Tester jf
Date .4-110-0'}
Percent o. ,%
P.eroent .co Cflo
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Percent co.. '1/t
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