HomeMy WebLinkAboutBldg Permit 03-1440
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
(Please tvQe or print and sign at bottom)
ADDRESS
~4 'Wu,+ Oa116ivJ Dr. Sf
I. White
2. Pink
3. Yellow
File
City
Applicant
PERMIT NO'03 -/440
LEGAL DESCRIPTION (office use only)
LOT 4 BLOCK I ADDITION~t'eJd lOT!:::-
OWNER
(Name)
(Address)
Date Rec'd
jo-q.-3
ZONING (office use)
f{{
PID21)" '-/fJ!- ~/JL/-C'
, -
(Phone)
BUILD~ ~ , 1_ ...L
(Name) U. K, NOrlOV\..
(.contactN~m . ni\(.c ,,^(ohn.()~+ko..- '.
II . - I-r-.'deu- Co~-t ~/OO
(Address) <.Jl.JJ;IR';'(},NIJ S<::;o Ll-4
TYPE OF WORK
~ew Construction
DLower Level Finish
(Phon~~~'-780PJ
(Phone n- '773;;\
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOST/VALUE (exc1udingland) $ 155. 97:;)...
J .
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
,~prOP:~,OP~oc:ctions d-LrDSf.,57 /6 - 9 - 0::3
X' (~( Signature Contractor's License No. Date
o Misc.
I Permit Valuation /5~,()6{) -
J Permit Fee $ '/38'7,35
I Plan Check Fee $ 9. L/Ci, 11?
I State Surcharge $ 'lx,---
1 Penalty $ -----.
1 Plumbing Permit Fee $ /bt/.-
I Mechanical Permit Fee $ /&;1.-
j Sewer & Water Permit Fee $ 3S,5V
I Gas Fireplace Permit Fee $ Lf6,-
This Application Becomes Your Building Permit When Approved
~ ~/..J 10117/0 'f
Building Official
Date
1 Park Support Fee
I SAC
1 Water Meter Sif' 5/9; I";
I Pressure Reducer -
City SAC and WAC
#
#
.,.....,
#
#
'?t5'o. - 1
I a..7':1 ,-1
~G{).- 1
45.-1
J ri-OCJ. - 1
'70b. - 1
15CO,- 1
$
$
$
$
$
$
$
$
$~331). (I). ~
;
I Paid ~/SJC. lIll
I Date 10.1,/,0]
I Recei/~ ~OO /
Bv 1---
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
"~"t~/-- /qj7~3 /~
Planning Director 'Date ~a1C~
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Tower Fee
I Builder's Deposit
lather
1 TOTAL DUE
~1
Main File
..--1lIi.i+a ~-8~i1d~
Canary - Engineering
Pink - Planning
Thr C.nltr of Ih. 1..1.. COUnlT)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D /2 ;j(Jrl-olJ
lo-Q-3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .-
SZ>iJ t) /J ).. /'ihk fJ-f /9v~
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
~~
/'~ ad'
Date: ItJ/; 7/0?
~-~
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."
~ X PRIOIi'
@~
Main File
White - Building
"""'-Canarv . Enqjneerm~
Pink - Pla-nning
Tht ('tofu of lhr L.b Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPl"ICANT
APPLICATION RECEIVED
,--, ;--, ;' { - J,"'A .
{,~/ / C' l '", () r f v,qj
/ .--....
/:) -- -:"'1-' V
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: '
/. ,.-. oj
~.~ l'
.. , /_".~."
''"-' <""'.,.
.' .
/11 ).
,.., ,I'. t.
~ /', I("/..--J-"" :/. ,," ^~
.;~.{,l.t( , ! ii.7 ':',./1.," ~-~
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
/YJ4r<,
.~
Date:
/&-).7-01
Comments: s",,,, Rp.\/l"r!'\l" Side for Additional Information!
I'll,.. ;-d1
F,it
~
See Attachinents: l) Grading Plan_ 2\.Erosion C:ontrol Measures
"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 - Engineering
('" PI"K - Plann1ll9)
The (-rntrr of thr L.b('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
</f
'---'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
i \
"'..,;....".
,
(
-f .
'1.../
Accepted
Accepted With Corrections ~
Denied
Comments:
Reviewed By: ~ ~?---
({~ on~~-
~ ~~ ~, A,C,u..,
J U
~ ~ -a.-",tJ,{L ~.~
C/
Date:
/~/!7~ 7'
~
-
-
.~
"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,"
Oct.~O.
;flT\lZ~ p~:~ \
u~m
.,.",~': ;:,~''''N'I:SO ,"
,,;~;ldi(,Ai\';:
'~P\~
~003 114IA1,1
GENZ RVAN PLUMBING AND HEATING
N0.653~
P, 4/5
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I EN.!: .il.
l Gold. Cil3'
). Y"'/.o\V Ap.pli~
I PERMIT NO. 3-/tj'-,C) I
fPle:ul!: type: ortmn,t' and nsm atbottorn)
ADDRESS ,
ZOD~4 WUt- nfi~ Po/VI+- ~~C:-
ZONING (offiClllLle)
LEGAL DESCRIPTION (office use only)
LOT f BLOCK I ADDITION ~-h ejcL ,(~
PID
OWNER
(Name) DR Horton Custom Homes (phone)
(Address)
%2 - q Q., -7'6tJO
2-o'SI..?D KeV1B~l~. Cr Sie /DO
fA lu..vi I Ie:- YUN 5fui.j Lt
APPLICANT
(Name) (;Qnz-P;"- "':'-'-<:-: ' u~"~'_g
(Addres.) 14745
(Contact Person)
(Phone) ." _lo.?>_ 1 1lo."-
So Roben Trail
(Address)
(I;//) Jtl&t1 b1 j (S "
rLU~~
55068
(Zip Code)
Rosemount
(Ciry)
MN
(phone)
651-423-1144
If) / J-O 10(2)
APPLICANT SIGNATURE
DATE
Quall.tity
~
\
]
,'I,
I
I
1
d.
APPLICANT PLEASE CO:M:PLETE BELOW
Type of Fixtu.re I Quantity
Bath Tub with or without sbower ,':1,
Dishwasher I .
Floor Drain U
I Lavatory (Bathroom Sink) I
I Laundry Tray (J or 2 compartment sink
Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Type of Fi:s:ture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I Other
FEESCBEDULE
lnclu,rnal, ClllnmCTClal &< Muln-famtly 1% of Job co,t wIth. $39 SO minimum RClnclcnllal, New One & Two-Fanllly $9950
Residential. Addition, '" Alterations $3950
EstImated Cost $
Building Ferml! #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERl\fiT FEE
$
$
$
.50
,
tlr'Jit~'N'DGwm.,
'.' ~ PERMIT
Receipt No. I
~
I
(omce Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Building Officill
I'
1 pat. By
. Dare 'I i OCT 2 8 2003
24 hour Dotice for llllD'pcetiona (952) 447-98~~:'~~5!)44~-4245~__.-\
r
Oct 20 200311:41AM
GENZ RVAN PLUMBING AND HEATING
No,6532 p, 2/5
Date Rec'd
CITY ,OF PRIOR LAKE
SEWER AND WATER PERMIT
; ~:;,.,';. g~ I PERMIT NO..3 _j,,,tLlo
). Gald ,.\ppll.:.l.Ot ~-((
Q?Je3Se _~ or J:lrmt and ::1"" a.t bottOm)
I ADDRESS (,)
1JOczL( ilJ1~+ OaIL jJ~m+ ~(~
I ZONING (offi<, ...)
LEGAL DESClUPTION (ollice use only)
LOT+ BLOCK I ADDITION Dttte.--h dri [~
pm
OWNER
(Name) n1> u_____ f'n_"__ "=_'
(phone) _ Cf52. -Q'85- -,fSLV'i
(Address)
2o&nO l4:v1i2>\<..\DCe Or Sr"'Jt'.'\
(Address)
La~\jllle.,
(City)
. &?C0--I U
(Zip Code) .
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
(Phone)
651-423-1144
(Address) 14745 So Robert Trail
li1~1Er .
(Contact Person) . /1.. '~ n
',.TCA-NT SI~NA TURE (1 i. . .'=tLt? 1----.
Rosemount~ HN
(City)
55068
(Zip Code)
(Phone)
DATE
651-423-1144
to/dOlo?"
APPLICANT PLEASE COMl'LETE 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 structure.
feet.
o Cast Iron
ReSidential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'] & Multi-famIly J% of job cost With a $39 50 mmimum
$17.50 Water connection only $17.50
Estimated Cost $
Buildiog Penmt #
SEWER ANP WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERl\Ur FEE
$
$
$
.50
Building Offldal
I Pa~
I Dale. , JEY
, OU 1 b tOU"
.. '" [ ~
~4 bour notice for.1I m.pect.ons (95Z) 447-9850, ilX-\95~) 447-4245
Date
> ,PAlO wri.. .
-..JiLD!N~.r,:. f1
\,;iP.::::'::J!",...
tMc~jPtNO. I
I
f)
(Office lJll~ Only)
I This Application Becomes Your Bunding Pennit Wben Approved
~
'31
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~:~ I PERMITNO'9-/diJO
Apphcant '-17
// 7t799
I
~leasetvDe or orint and sim at bottom)
. ADDRESS 0
,-;0dc/ ~ O~/2J/~ a ,S"e-
ZONING (office use)
LEGAL D7SCRIPTION (office use only)
LOT ij' BLOCK I ADDITION
PID
OWNER DR HORTON
(Name) - 20860 KENBRIDGE CT
(Address) LAKEVILLE, MN 55044
(phone)
APPLICANT /J, /. A
(Name) /~///~ '1r../d4":"-t:t..-E"
(Address), ~~ ~A..Ih' ~ ~
-2:AddreS
(Contact Person) A ~ . .t!~~
APPLICANT SIGNATURE ~. .,. - _
(phone) /:'5/- 4.5".,('- "p;J;?~
~~~ ~~~??
(~ (Zip Code)
(Phone) ~ - c;/""S"""e;o? - J 77.::r
DATE
, APPLICANT PLEASE COMPLETEBELOW
~NEW CO~TRUCnON 0 REPLACEMENT GAL TERA nONS
FURNACEMAKEANDMOD~/r,b.J~. :?/oAA~~CJ7c) FUEL ~ ,(,.J.':"-.e
FLUESIZE.y~h~.ARETURNOPENINGS ~ INPUT~ I'~ OUTPUT ~_~ .
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
~ir Conditioning
~ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
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
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $ .1_ q~t:..t...A q:::> Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$~/~~/~.fJAIOWITH
$ ~ .SOtiUIl,"Mf; Pr=RMIT
$ ~
(Office Use Only)
This Application Becomes Your Building Permit When Approved I 'Paid 1 Receipt No.
Building Official Date I Dale NOV 1 2 2003\8,)'\\ 4---
24 hnur notice for all inspectinns (952) 447-985ri.f~X (952) 44~-424S~_.__.J
I ~- .--.- --_.--
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or vrint and siltD at bottom)
ADDRESS
i ~~';'w ~!~i"", I PERMIT NO. 3 -(ClLiOI
ZONING (office use)
5024 W. OAK POINT DR S
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
pm
OWNER
(Name DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AU.!ED FIREsrnE DRA FIREsrnE HEARTH & HOME
(Address)
7700 NORTH FAIRVIEW AVENUE
(Address)
(Phone)
ROSEVILLE
(City)
651-633-2561
';5113_
(Zip Code)
(Contact Person)
RRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/3//03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVen!. System
D Steam
D Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-550TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Buildine: Official
Date
Building Permit #
$
$ .50
$
~\O \14\ ,r\ '"T
Po. '<D\~G t'~
()~
I D~te
: . DEe 8 2001
Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-98fO, fax (952) 447-4245
By rx
u
~.... 0 pOl
DEPARTMENT OF -
BUILDING AND INSPEC I(JUn 1 e
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS SO~ w. 04.l( PCUv'" ])1,.
NATURE OF WORK /Vtf:,W
USE OF BUILDING .sF 19 .
PERMIT NO. ~_- /44Q. .DATE ISSUED /0.2-8.03
CONTRACTOR --D.R ~AJ PHONE ;;) , · '/~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING /I/I(J 10 ~ J/Fh
, FOUNDATION (Prior to Backfill) I il1/V' I h~t1cO'J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~t A YW/
FRAMING ~....'tloM, yw:? J).c'tJv!JJ ;11'/
INSULATION tlly!
ELECTRICAL ~
A ./7
PLUMBING 1/ vr /' _
HEATING (if required) ~
FIREPLACE ~ _
GAS LINE AIR TEST ~
INSPECTOR
DATE
/1- 2q-cJ3
/2.. -/:V-~
J).-- J--.l-' l5}
J).. - /5-- 07
/2- -(.Y c/?
/,p- /.f -o'S
/.?--<('-t/3
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I I
FINALS
GRADING (Prior to Sodding)
BUILDING .--;; r' CO
ELECTRICAL
PLUMBING
HEATING
DO NOT
/Vff
/$Y
/o4~/
Vl/V'
/fd
. -
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
/z , z ~ -"yI ~
t&/~OS-
,i/ifJ.r
)c {'~ 0:-1
9~?/cvI'
SIGNE'D
This card must be posted near an electrical service 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.
FOR ALL INSPECTIONS (952) 447.9850
@:~rfifitat~ nf @ttUpautu
CITY OF PRIOR LAKE
~t}la:rfnttut of ~uilMug Jlusptdiou
)S Final Permitted D Conditional e.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:
Use Classification
SINGLE FAMILY
Bldg. PennitNn 03-1440
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District r 1
Legal Description L4, Bl, DEERFIELD 10TH
Owner of Building Site Address 5024 WEST OAK POINT DRIVE S.E.
Contractor's Name & AddressDa R. HORTON, INCIJ"
ROBERT D. HUTCHINS~~
Date ~/y ~.$iEg Official
20860 KENBRIDGE CT., SUITE 100. LAKEVILLE
City Planner
DON RYE
Date:
;iJs ~ T'ME
S-{);Z~ M~I 6i~ /-0/ )j,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
...,.t:H'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~
y-/ /'f ~
/
I'
CJ /C:
~-'C
/: / /'/
( (3 6J-e- h Il-'~
~
a.? -/~j/U
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
\)
----------
MORK SATI
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECT/ON BEFORE COVERING
Inspector:
Owner/Contr.
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
1N$Nt}"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
~J~c/
S-O~c/ CU..." / c;Jc;" ;4f -dr
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
C.o~ED/'fS:
~,,/,In c... /
heLJ~ce
/
~~.
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FtNAL
~CH FINAL
~~
.....---;/
J-;;/t#t
hq/
/~~q' /
<
C'('L
Os - ,1":/yO
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
-B-FIREPLACE FINAL
o GASLINE AIR TST
o
~I/~/~
./
~~
// //,
<'/-e'---;# {: U, u-"!- T<-' I /O/",,?<VOy'
-:l /' / II ~ .---. /./ /'
{f/ /Y47t'!cf -/;kl (3n-.ch ffAPft~ /
,-r- So d ~ ,>>eqe . ,
.....
~//
/
Ot'C
o WORK SATISFACTORY, PROCEED
rORRECT ACTION AND PROCEED
o CORRECT WO:5: :AYOR 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/
lNSNQn
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
J.2 -ZPor'
ADDRESS ~ ~'-I Lv't6+ ~k:.. PI- Dr.
OWNER CONTR. j}. R. }/(JI'I-o ')
PHONE NO. PERMIT NO. ~ 3 - / '-I f1J
SCHEDULED
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,...Q"FINAL
"D SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LING
o CO'iiPLAlNT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
6r~-- "J{,
W6 1>tn4., - t9 lG
5r1-r
M WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
/7/7- .-
Inspector:,(/~ ~ Qwner/Contr:
I--
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
STP-r W. dalL- Pr
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
IjjJ- PLUMBING FINAL
o MECH FINAL
COMMENTS:
(!) ( eU10~ .rodruCJ
DATE TlME
2-S'..o'1
7,-4'7'10
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SATISFACTORY, PROCEED
.!I CORRECT ACTION AND PROCEED
o CORRECT ~R~ ~ FOR REINSPECTION BEFORE COVERING
Inspector: r V r"' OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"""""
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!