HomeMy WebLinkAboutBuilding Permit 01-0452
C!'lease lVI"C or orint and sil!l1 at bottom)
ADDRESS
~4 a/1
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I
AND UTILITY CONNECTION PERMIT ,5- ~-O
~ Q. t\t... -L
~ ~::: ~:~ RMIT 01- OA.J::'? I
3 Yellow Applicant "";.1 '-
f2Qu:)()
(lnIJr+
. <) If.
LEGAL DESCRIPTION (ollice use only)
LOT 5 BLOCK J ADDITION
~/dff.6 un/I- I?
t\n n .--..c,'f' ld 3rol
OWNER
(Name)
(Address)
(phone)
BUILDER
(Name) 1\ (2.. I+rl rtT JfI
(Contact Mame) rYD~~"l? 1~[)brt/-)//}(7 fl_f .~p. J/Jt)
(Address) LQUvllle., fY\ 55a:F14-
J 1'\ I I .,-,'" PY"~'r""I"'-
. TYPE OF WORK
~ew Constroction
OLower Level Finish
o Misc.
(Phone)
(Phone)
ODeck
o Fireplace
OPorch
ORe,Roofing
OAddition
OAlteration
., ,;) , }(')O
PROJECfCOST/VALUE (excluding land) $
ZONING (ofliee use)
R-~
PlOdS ~ 3 7'3' ~ t?S"-~
"
,
{~SJ - ;}."5(o- '713~
r
ORe-Siding
OUtility Connection
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 y" ~r-'J' and that all construction will __-:_.._ 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 pennit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon e rA~r""' oJ' t9 perform nee inspections.
.
x
Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
ry',J l~.on
'1 '17 . 7 c;:-
C;/8.sc.1
.5~'OO
{9() .rJO
{Of) ,tf>O
..:;0.50
q().olf'
----L2JX:O.5'I/;.~ '7
Contractor's License No.
I Park Support Fee
I SAC
I Water Meter Size 5/8.t:2j
I Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
rDate
'7 n Lf'.1. 7 '1
~-I"-I5'
$ 8=h . (!)i{5
$ I, /SO.oo
$ ';l oO.QJ
$ 70-0(;)
$ I. ~.O'l$'
$ . IoO.6H)
$ /. Soo".af
$ .
$7, 347. 7'1
-, I
I ReceiotNo,-:S"1b <d
By fJ"/
#
#
#
#
.5-d-OJ
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
~f~ed~/\ec:p_~comtiNt~.rempm~Cmficare~~;mplim~md~ttu~;:~_,. i:~~"C~
~!~gDi;;'o;- ~ I~ate&( - '~~onditi~s.ifail~. "
14 hour notice for all inspections (951) 447-9850, fax (951) 447-4145
,
,
\)
..
"
~~
White - Building
Canary - Engineering
Pink . Planning
Th~ C..nl.., of Ih.. Lak.. Country
BUILDING PERMIT APPLICATION DWRTMENT CHECKLIST
NAME OF APPLICANT f) R Un \" +-D jJ
APPLICATION RECEIVED .....l:) - 3 -0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
S L/aQ FawAJ c2-f SG
Accepted
Denied
Accepted With Corrections
y
Reviewed B .
l_
~~ Date:~-/(,.2CJC)/
/
olf O-HQ{'~ "'-~ o-u~
Comments:
[(.(>CJ..J.
"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~~
White . Building
Canary . Engineering
Pink - Planning
The Center of Ihl' uk.. Counlry
BUILDING PERMIT APPLICATION D~TMENT CHECKLIST
NAME OF APPLICANT f) I:? J..\..!) y +-() jJ
APPLICATION RECEIVED S - 3 -0 J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 L./dQ FawA} cZ + SE
Accepted
~.
Accepted With Corrections
Denied _
Reviewed BY{ fi<t vb/1- l5'
Co ments:
-.!!:'-'--
Date:
,0l bf
..:;.
.,Q ~)
P~tJ,O. ~
~ /~JJ)~A_.
~ r~QH;t!"nA< #
(J1c:r ~ i\=.pA).~
"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,"
l
I
,
J
"
C~1I1n 0' lilt Lll." COun11'}'
01 - 452-
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPART~T CHECKLIST
NAME OF APPLICANT 1) I~ Un \" +-D;.J
APPLICATION RECEIVED ..s - 3 -() J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5 L/aCf Faw).) C!-f SI?
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
A/~f3
Date:
5-7-0/
Comments: . See R~ ~ittA fnr AMitinnallnformation!
mOo ,'" ,:,./ f
~ Anacnments: ') GrlIOIIltt Man, 2) troslon Gontrol Measures
3) ErnAion 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."
MaY.14.2001 2:08PM
GENZ RVAN PLUMBING AND HEATING
No.3810 P.3/13
Date Ree'd
Cp''9~ pRtOR LAKE....-
S~~AND WATER PERMIT
.~.~:;.;' .
, I ar-t, """
~ ~ ~:_I PERMIT NO. / - Lf5';;;;"
l!~C,_;V~vnm me! :iimi..thoUttml
yn'RE~\ .,"
( b.i~pl.~7-
~PIl J 1", 1 C~-r SF
ZONING ,am.:....,
'R'd-
pm;2y ~1:3~O
uu;U:DESCRu: u...n (office use Dilly)
/'
LOT '7 BLOCK) ADDmON
~= ()Q- ~... \
(Addres.) ~~ 1~~1r'lU ~ ' S:'I""e- 2ou.
(AcldR9)
(Phone) 1d51- I.I~ l./ ~lJ4 d ,.,?--.
f71 r..d/"'l---AA ~ ~S/2;4
(City) rZlo Code)
APPLICANT
(Mom,,) & .vY7 - ~ ""'"', (phone) ~I -Lt'2. :::'-1 \ \...p.J,
(Address) 1~'1~ ~ ~ '1"(1.L ~ S-~\?'
(Address) (City) (Zip C1>li:)-
(Contact Person) ,^-J. r;:;,..rv{ (') r Mt--J (phone)
-'PLICANTSIGNATURB.lA__ ~ DATE S-IILi/OI
, APP~'PLEASE COMPLETE BELOW
Size of water service inches,
Location of any couplings from structure
Type of sewer pipe. D ABC D PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure,
feet
o Cast Iron
FEE &...ail.uULE
R.eaidential sewer and water line COlIQection $35.50 hulustriaI, Com') & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17,50 Waterconnec:tion only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.so
BU/[6}WG WITH
. PERMIT
(Omee U.c Oaly)
I Thio Application Becolll"" Y Ollr Buildiul Per:Jllit Wbeu Approved
,.
BoiIdl., OlBciol
Dale
r Paid
I Date~>:'/_ 0 I
I Rc.:eipt No
I By 4C--
()
I
I
14 bour uotlc:e for aU i..pectlo,," <,51) 447.M1so, fa" (952) 447-4245
MaY.14.2oo1 2:01PM
GENZ RVAN PLUMBING AND HEATING
No.381o P.4/13
Date Rec'd
CITY OF ~BJG~ LAKE PLUMBING PERMIT
~~.. . ,:
, . .
... tf- , .
.! .~\ ~ilI'
.. -
~Ieue typo or_ an4 siR!! at bottom)
'ADD~t..f c).'~:".. ~A\k \~ \ C'T ~~
i= ~ I PERMIT NO. 1-/JC;::-"1
I 1. Y"_ AwI-- Vf J c;1""'1
I ZO~~~_)
LEGAL DESC1UPTION (otllec use ollly)
LOT (BLOCK I ADPmoN---r-opo~~DD ~ \/l'l\r.r\ PID?f7//?/I~1Jo5'...o
OWNER
(Name)'DP. ~ ~,. )
(Address) ?-.u"Sa.. l J..\~^\\ ~ ~ St-P 2ol.\
(Phone) ~'S\ -~ - \.ful.c ~
~r-A r\
<'CO.?
APPUCANT
(Name~ (hp Jr\7 - a ~ VOl 1'"'\ (Phone) ~~ -U-? _~ - \ \ 14 \..i.
(.Address) \\.l.4.u.c:..... ~~. -m I t/l1::JJ!.JrY'ert.1.YI1 5'~)(,
(Addros) (City) (Zip Code)
(Contact POISon) \k 1 PrfL..1...( n~ (phone)
APPUCANTSIGNATU:RE~.'\LO A DATE 6\11..\ \0\
." ,k.ICJ..; PLEASE COMPLETE BELOW
I Quantity I Type ofFb:tun. I Quutlty ,
I I Bath Tub with or without shower I . I Ro~-ins
I I ! Dishwashct I ' I Watcr Heater
I I j Floor Drain '" " I Water Softner
I 2 Lavatory (Bathroom Sink) I I StaDd Pipe (Washing Machine)
I I I Laundry Tray (lor 2 compartmCDt sink I I Sewage Ejector
I I I Shower Stall I I Ba.c::ld:1ow Asllembly
I I I Sinks I I Ba<:ldIow Assembly Test
J I BlU" Sink I I La~ Sprinkler .
I '2- I Water Closet [roilet) I I Other
Type anuture
FEES'-.t:IJ!.UOJ...E
lndustnal, Commercia! &: Muil1.famtly 1% of Job cost wltb a $39..:50 minimum Res1dential, New One: &: Two-Famtly S99,50
Residential, Addition. &: Allo:ralioo. SJ9.50
Estimattld Cost S
~ildm,g Peront #
PLUMBING PERMIT FEE S
STATE SURCHARGE S
TOTAL PERMIT FEE S
BoUdi.. Omelll
nil<
I PlIId
I Dare b~h:; (
I Rec:~ipt No.
I '"."- .
. 8UIl.':fi~(/""'rH
PER."-
'v" (
J
,so
(om.. Uk Ooly)
I Thi. Application Becomes Your Building Permit When Approved
14 bour nod... for .U iospectioos (~) 447-9150, fu (952) 447-4145
IBy ~
\
CITY OF .PRIOR LAKE
HEATING/Am CONDITIONtNGIFlREPLACJfPERMI'r
Date Rec'd
i. Pink
2.""'"
"J. YelkIW
3_1 PERMIT NO,/_ 1/5;)-,
(Please'!ype or Dtint and sim at bottom.)
ADDRESS
. ~~ H1WYl t-t
ZONING (alike use)
~ -J.-
. LEGAL DESCRIPTION (ollice we only)
LOT ,,rBLOCK' ADDmON
In ~ rcl-
~~~
I'm .dS-373 -MS-c.1
g.':~R 1){( \-\Dv-1ti\
(Address) '3lfsq Wlt9tun~fm1_ Awj ~d
~~;~~4H1'laM YYle-cJrltu1ICaJ
(Address) ~D j(fJ)nd:~r.l\)r
r:. (Addless) . (City) (Zip Code)
(Contact Person) Jt1Tt0 . (phOne) ~5 I 45'2--2.-'76
APPLICANT SIGNATURE ~;~f/ l1m.tT)iYIrIPfl rItW))VATE.. L//Z3!fJ/
_ APPLICANT PLEASE COMPLETE BELOW
[gmiW CONSTRUCTION [J REPLACEMENT [JALTERArtONS
FURNACE MAKE AND MODEL Bi'IjWl-. ?J8?JV-A-VD2J/01 OFOEL ~ tlhihual
FLUE SIZE Yl\ c\a.Sc;, F, RETURN OPENINGS L/- INPuT .10..DDD. OUTPUT 5w}bDD
TYPE OF SYS'I1lM HEATING oil. POWER PLANT
DWann Air Plants 0 Sltllltt
DGravity 0 Hat Water
o Mechanical . 0 Radilltion
Wir Conditioning 0 SpeCial Devices
[j)l(Cnl System 0 Other Devices
(Phone) Ji51.
,~il-t-f.i \
(phone)
. ~. M.f\J 55/7-.2-
lfCSZ ~ llE'
.'
PLEASE NOTE:
Air COriditiotler Units
Cannot Encroach Otto
Required SideY81'd
Setbacks .
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & MUlti-Fatnily 1% of job cost . Residential,GilSFiteplaCe
$39.50 minimUm
Residential, Heating & NC (New Canstfuction) $99.50 Residential, Additions &AiteriUions
Residential, Heatirig Only (New Construction) $64.50 Residential. AC only
$39.50
$39,50
$39.50
Estimated Cost $
Building PertIlit #
HEA 11NG PERMIT F'Eg
STATE SURCHARGE
'rO'rALPJ!:RMrI' FEE
$
$
$
Bu'L~1~~ W"H
P12Rtv:rr
.50
(om" Us, Only)
This Application Becomes VOur Building Permit When Apprtwed
Paid
~
1 Reet;y' ]fP.
IB~
Bulldlnl.OmclA'
DAk
Date 0-?/ -01
14 houfnotic. for all in.pection. (951) 44"'1l50. 1..(952)447'-4245
OCT.31'2001 08:47 651 633 8884
FIRESIDE CORNER
#4106 P.004/008
DAte Rec:'d
CITY OF PRIOR LAKE
BEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
rrr-_lVJ!! arurlnc 11I4 oim acbaQ"m)
ADDRESS
5Yd.q ~ ~. J":~.
: ~ ~:~ I I"ERMlT NO.(_ ff5"o..
',y_ll.,.., AppI_lIC Y'
ZONING (011I.. .Ie)
12'/J......
LEGAL DESCRIPTION (olllo:c uoe only) ,(J I - /l
T.OT ~ BLOCK I ADDmON ~cO
u
~rd
Pro ;;;\5- ~73~~-o
OWNER
(Name)
(Addrl:ss)
rol2. 1J,~
(Phone)
APPUCAl'lT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone) 6S~-F;3'~1
(Address) ..l.700 N _ F AIRVIEW AVENtTlf.
(A.""",",)
(CClllta~ Person) BRENDA HUSTON /1
APPLlCANTSIGNATURE ~4~./)._ f1~
.
~SRVrT.r.;"! ~T
(City)
651-633-2561
I:.I:."'J
(Zip Code)
(phone)
DATE
/tJDlI()J
,
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION D REPLACEMENT D ALTERA. '..."".
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RE'IURN OPENINGS INPt)T OUTPUT
TYPE OF SYS'T'EM HEATING OR POWER PLANT
OWIIIItIAlrPllCIls
C10ravjly
o Med11lC1ical
SAir CondltioninJ
Vent. Sy_
FIREPLACE MAKE AND MODEL .~.J (De;,
3SlelI1ll
HotW.....
1WI111f0ll
J Special Dev'e..
o Other Devices
PLEASE NOTE:
Air Conditioner Unitll
Cannot EncrollCh into
Required Side YlI/'d
SBlbaoks
..4( 1:ff11TL-
InduSlrial. Com",ercial &. Mulli.Family
lI.esldenllai, Hearing & AlC (New COIIstnlttion)
ResidlCldal, Hcotjtlg Only (New Construction)
Fll.ll. SCHEDULE
1% of Job ""'" Residential, 0.. Flnoploce
539.50 minimum
$99,50 Residential, Additions & AI_Ion.
$64.50 Reoideotial, AC Only
539.50
53'1.50
539.50
Ealimated Cos~ 5
Building Permit /I
HEATING PERMIT PEE
ST A TB SURCHARGE
TOTAL PERMIT FEE
$
$ .50
$
Bulldlo.Offldll
Dale
I Paid
I Date
. ,O-3f-O/
, eUJJ..Zt~ l1t'l'rl-{
IJt:-..
~jPINO. .\.l'v;'L
IBY~
v
(om.. v.. OIIly)
This AppllcRdoll Becomlll YDur BuUdlQg Pemlt WheD ApprDYed
;14 hour lIelfco rer oil ....p..lia.. (m) 447-98511, f'ol (952) 447-4245
r
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
.
'.
SITE ADDRESS 5;t.J2'1. fi"'1I^ C:I--
NATURE OF WORK {JpL'1
USE OF BUILDING --:S.F"Ll
PERMIT NO. __ :-:QI.:-{)~Z- DATE ISSUED yl(p,~/
CONTRACTOR ~ PHONE~<:::7- 2SZ::- 7/ ~c.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING ~ ~. 71..,,1c/t!>} I t/;:;. 1511$ IYa!
, FOUNDATION (Prior to Backfill) I ~~~ I ~ J ;;2t)OI
PLACE NO CONCRETE UNTIL ABOvi HAS BEEN' SiGNED
ROUGH. INS
SEWER I WATER I SEPTIC
FRAMING I~ /~22)
INSULATION .Jdtr... t:J tfJ:r. I ~/&{ IDI ~ ~
ELECTRICAL
PLUMBING ~~ l.{,~, ~, ~;.;;?/(, / ~. 11..&t-. 6,. 7/to/IJ) ~,,)l)J9jlbJ
HEATING(lfrequlred)'Jlh1.~ ~ l..~/ ~,~-zJg!tJJ .
"FIREPLACE . . ~. /1- ZCJ .
GAS LINE AIR TEST ti5 J 1- 22J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, .
IlJ~~ ~. 11/~/1J1 ~ b::r, M/'j,hll
" . FlflALS
J1/ /)- I P 6\ . q -/.J,-J--
9~ q-ld-.~o~"f~~~ ,)t5'102.
~
bJr. //q/orz-
'{ illo~
.
BE N' SIGNED
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted naar an electrical service cabinet prlDr to rough-in inspections
and maintained until all inspections have been approved. On buildings and .additlons
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
lertifuau at (Jcrupanry
L.l.l ~ OF PRIOR LAKE
Jhpartment of .uflbinll Jn~pettion
~ Final Pennitted 0 Conditional C.O. Expires
77Ii. Certificaze unud punUQ1/l to the requiremenr. of Section 307 of the Uniform Building Code
certifying that at the time of u.UlUlCe thi.s .tnu:ture WIU in complionce with the variou.s ordiflQ1lCe$ of the
City of Prior Lake regulaling building con.struCti01l or u.re, For the following:
SINGLE FAMILY
R3
BIdg,PmniINo
N/A
. Type Construetion Fire Zone Zoning DiIIrict
B1, BLDG 5, UNIT 17, DEERFIELD THIRD ADDITION
~iteAddress 5429 FAWN COURT SE
D.R. HORTON, 20860 KENBRIDGE COURT, LAKEVILLE MN 55044
VN
01-0452
R2
u.. CIusifieatj.-
Oceuponcy Type
Lepllleo<ription
L5,
Owner of &ildilll
~'. N_ & Address
ROBERT D. HUTCHINS, ~l) .,~
Bu!JdiDI 0IIlCiaI \J" lJ...-'
q-I')-{)~
City PIInner
Dote:
DON RYE
POST IN A CONSPICUOUS PLACE
DATE TIllE
CITY OF PRIOR LAKE t'J
INSPEcnON NOnCE SCHE~ED 7 -/.;;J.-~ ,
6'1BO- 301.. r~ YJ'Y!P-cferu)
ADDRESS 5'1d-.7 -5/ ~ c::r
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR. ~l-
0;- lfS"Cl 5'0 6~ vO
PERMIT NO.
o PLUMBING RI 0 EXlGRADlFILLlNG
o MECH Rl 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE Rl
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0{:-. 0
Sf-I ~ /l
/). _ /1,--- I f,K...D
. j oS-e- tJ
'--"
o WORK SAnSFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEcnON BEFORE COVERING
Inspector. wb . OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPEcnON 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-.n
CITY OF PRIOR LAKE
INSPECTION NOTICE
.s+c- q
ADDRESS .54-.3-/
~~ED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION @~SEWERHOOKUP
o FINAL PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTSffi ~
DATE TIME
/-1-02. 3; va
I-~';>
I' J--.t:> 4.
,
.
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~,
~
~~
S"f'2..9 . aIL - Stf '3 I , zrl-.-,
~.
o WORK SATISFACTORY. PROCEED
1f1 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!
"""""
\
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
,
OWNER
5 LJ:JCf F4wl1 cr ~E
CONTR. ZlJe I-/O~~
PERMIT NO. 0 1- ~
ADDRESS
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.)fI'"FINAL
- D'sITE INSPECTION
D. pLlJMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
:>@:~IUlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
5'-1J9 6YGJ~- /?t
jJliA,1' / L,.". If / r !f'{, /1 rl u-/
,_.~~o ~fJI-.A<"(,
_ ,,_A'.. ,{(./.4'/ LUff, R.....v
5 L{i I {:>r ",de' <It<
c:; L/'?2 {. (AlT' 0 r
~
ro
\'
Q,
:\" 0"\1'
vQ
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
'J( CORRECT WORlio CALL FOR REINSPECTION BEFORE COVERING
Inspector~4 ,.A;;./,,?, OWnerlContr:
CALL 447-9850 FOR THE NEX-f iNSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETY!
mtNQn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
f-l> -lIZ- 3:110
ADDRESS
54-29 PAWN 61.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I - ~t;;'2-
A
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
,s.-PLUMBING FINAL
!t",Aa MECH FINAL
COMMENTS:
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....
roRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
\
o CORRE~'f CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~- \ ()>>{{J Owner/Conlr:
CALL 447-9850 FOR TLE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH It SAFETY/
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