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HomeMy WebLinkAboutBldg Permit 03-0263 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd Main File ;2- 7 -03 I PERMIT NO. f23, Oz.liJ q'lease ~ or Dint and sign at bottom) ADDRESS .5"~.JS h. 5/- ,?"" "A, nl- b.i vfS E. LEGAL DEJCRIPTION (office use only) ;27:2 LOt BI,QCK ADDITION k.c-..t,'dJ j()th OWNER (Name) (Address) BUILDER.. (Name) f), i. H.>r 4u.. . ;+:',,::. - ().1;1 (Contact Nane) :=JC<;~'l:<', &",../d (Address) .'QoZ("c It ~..L I-:L (J)I..~+ /.,- ki/f Ilc' , TYPE OF W ORK ~ew Construction OLower Level Finish ODeck I. White 2 Pink ), Yellow File City Applicant I I ZONING (office use) /PI Plod5-L/O/- ()Ljr;-() (Phone) (Phone) (Phone) 9~',} -9 ts- 7:?o;? MIV .5:>t'Ji'V OPorch ORe-Roofing o Misc. o Fireplace DAddition DAlteration PROJECT COST IV ALUE (excluding land) S 1'-11 q DO . -/ I hereby certify' hat 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 agen for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with subm' plans, I am aware the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may ente upo the p 'operty to perfo n ed inspections. A~ x Signature ~AtAA ;' I Permit ~aiuati m I I I Permit Fee I Plan Check Fee I State Surcharg ~ I Penalty I Plumbing Perr lit Fee I Mechanical p~ nnit Fee I Sewer & Wate. Permit Fee \ Gas Fireplace ?ermit Fee Jf'/"';~ (UJ tJ. (JD I $ j;;z1A 2. ~S- I $ ~z.o. 06 I $ 7"';,00 I $ - I $ /ot:J,OO I $ IIJ/),OO I $ 3~ $'0 I $ ~.CJO I This Applicati )D E_w..._~ Your Building Permit When Approved . =/.Jld2 f-J ~i BUildin~ Official ~;'l</jt;3 Date ~Ot;vm.~7 Contractor's License No. Park Supporr Fee SAC # # DRe.Siding DUtility Connection ,.;; '/A 7J 3 Date $ ~O, 00 $ P7S".(!)O $ dS-~.o IJ $ Lf5.d'D $ l2t:Jo, (J 0 $ 700,00 $ I~OO,OO $ $ g 'ZsZ. '1 I Receipt No, Bv - '^/ /..t/.1Vo"lJ r Water Meter (!ize5/9 1"; I Pressure Reducer I City SAC and WAC I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE q d-':1d.. r 7 i ") - ~ ~-()~ # # This is to certify t$t the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by tht City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be iSSU~nin~ ~/~3 j(~ ~co~ _._.__.._~-- 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ----., ----+----_._-_.__._._"-~~". Paid Date Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-l or R-2 Districts Re viewed by 1!:en-,.JIE fi3 I Dr Date: ;;(1'7/03 Bllilding Permit # Si :e Address: Pill: Zoning: Llgal: L}~)'7, B 2- Subdivision: ~eILR~LD (Dff- El isting Structure? YES~ Existing Nonconforming Structure? YES@) CONFORMS TO ZONING ORDINANCE YES NO , YI rd Setbacks: N/A I FAILSKtOMPLIES' ) I. Front Yard (setback averap;e i{m-hU lot) I. Side Yard (25' if abuttin,Q; a street) I. Side Yard (Easements) I. Sidewall exceeding 50 feet required additional side setback of 2" for every foot over 5 0' lonj:( I. Rear Yard (Easements) I. From 100 year flood elevation of wetland . From OHW (Prior or Spring Lake) Standard 25' 10' 10' Wall over 50'? Proposed Z5. '57 2.5:11; ,J...u. I 25.l.o$ /!tv.- ~ t:. , NONe I z.. 7.910 I NA 25' 30' 75' or setback average of adjacent structures no less than 50" NA , FI, .or Area Ratio: NI A I FAILS ~oMPiIES ) - - .30 MmomUffi I TwiN ~ -oi<-l 1 YI rd Encroachments: NA I FAILSQCOMPLIES)~' Ea ves and Gutters no more than 2 feet ill Wlom ana no closer than 5 feet to a lot line (Easements), I Ai::; and other equipment cannot encroach on interior sic e yards, Standard Proposed t-Jo~6 (Uo,uG - , T. ee PreservatiOlt.~) FAILS I COMPLIES I . Total caliper inches I. Can remove 25% of total I. Caliper Inches Removed I. Caliper Inches Preserved I. Replacement Standard Proposed Yz:l L:\trEMPLA TEIBLDGLlSTDOC I .-1-__.______._______. , " -\,~~ PRIOR,/ !::: '~ U rn Main File White - Buildina ~narv - En~ineeriniD Pink . I'lanMlng Tho:' C..II tor of thO' 1..10... <,'oulIlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NI\ME OF APPLICANT / ' ilL J',:;/ j'.. ~ (}-;/Z.:f)'1~ A :>pLlCATION RECEIVED ,,::~).~ ~? ~ () ~. Tile Building, Engineering, and Planning Departments have reviewed the building permit af plication for construction activity which is proposed at: .--, 1)1 / [;;. l'j t':.:.~..I A(cepted x Accepted With Corrections Donied Reviewed By: /Jl4-(l; Date: ;;2,-:27-03 C(mments: ~pp Rp\fp.r~p Side for Addition~llnformation! /f/q;n f,i (, .';:;"'''' Attachm",nts' 1) Grading Plan, 2) Ern~;on rontrol Measllr"'~ "Tt e issuance or granting of a permit or approval of plans, specifications and cor ,putations shall not be construed to be a permit for, or an approval of, any violation of an) of the provisions of this code or of any other ordinance of the jurisdiction. Permits pre suming to give authority to violate or cancel the provisions of this code or other ordinances of the jurisdiction shall not be valid." ~1 Main File C White . BuildiiigJ Canary - Engmeering Pink - Planning ThO' ('..n..r or lh..l..k.. ('ounlrl BUILDING PERMIT APPl.lCATION DEPARTMENT CHECKLIST 1\ AME OF APPLICANT /J PPLlCATION RECEIVED f). R- rpJ~ ;;;<- 7-0-3 lhe Building, Engineering, and Planning Departments have reviewed the building permit a pplication for construction activity which is proposed at: 5()39'- e- .~ fJ1- ()v /J ccepted Accepted With Corrections ~ [ enied Fieviewed By: ~ ;t~ a.Lf ::; ~j-.) Date: .,.( //L./ 10-3 ~A...,Q ~~ Comments: "l'he issuance or granting of a permit or approval of plans, specifications and ctDmputations shall not be construed to be a permit for, or an approval of, any violation of allY of the provisions of this code or of any other ordinance of the jurisdiction, Permits pi esuming to give authority to violate or cancel the provisions of this code or other 01 dinances of the jurisdiction shall not be valid," - . "-~~ PR/0lj> <' f:: ~'~ u . rn Main File Th~ (-"n n Ilf Iht' L.b ('ounl.., White - Building ~"rv - [:nqineering C.Pink - Plannin\r::> BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST ~AME OF APPLICANT "". ~PPLlCATION RECEIVED " / /~ c. . r , 1,/ ) I..- ;? T he Building, Engineering, and Planning Departments have reviewed the building permit a Jplication for construction activity which is proposed at: " !-' /- / ,..."" ~ Accepted Accepted With Corrections ~ C enied F eviewed By: 7~P ma<'. ~:', ~~ ,~., dJ~. ,.a:.a.."a.-~-,;). _~('. ~ t'~ -L. .~ I'. .J!l..fl~ 1---.tJ~ ~_L, n _ . d ~ ~ .?a I ~ ,.ecJ,uJ, en- c..,.. ~~. d ~, Date: 07//~;Io3 Comments: _~ 4- ,~ ~ d?- '? "rhe 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 G ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits ~ resuming to give authority to violate or cancel the provisions of this code or other c rdinances of the jurisdiction shall not be valid." t@~ +,....N'ES)~... , - CITY OF PRIOR LAKE I,!) [1; [E u ill It Itl Rec'd HEATING/AIR CONDlTIONING/FIREPLACE PJ;p 03 2003 JJ .' ~2~.? ...;.,y ;~" ~:~ I PJ<;RMlT NOd ~d. b '3 I 3. Yellow Applicant (Please ~e ~r Print and sign at bottom) ADDRE~S ~_.-1? 7' ~ ~c: h/ A:-...,L L2.,~- ZONING (olliceuse) LEGAL I lESCRIPTION (office use only) L~~LOC~ ADDITION PID ~':e~R)~. HorTon (lusbm HO(Yle~ I . (Address)~gtoO ~hrjc\Qp. (H.. Lo.kevi IIp. M~ APPLICA~T II II. 'f M Jh --- ' (NameL -.L:1l.1I an ee.. .J-1IJ(I, (Phone) 0/- 45:L -cf?775 (Address)5(PSO ~(')ebe('_ 1)-" Sfe. #j f:apoY1 _?5/.22 (Address) V (City) (Zip Code) (Contact Person) J;f.r...~_p..y Z;mmpr.rn. ,~n _ (Phone) tp5/-~5~- ~77~ . APPLICA'ITSIGNATU~_hi"(...,u fl.41_~~ DATE 1/ (/(/ (; . 1/ APpliCANT PLEASE COMPLETE BELOW !0NEW CONSTRUCTION DREPLACEMENT 0 AL TERA TlONS FURNACE MAKE AND MODEL 'BrUl'1nt- 3'a310~'VIl2~'1 0 FUEL J\JQ.fuo"n.l FLUE SIZl tJJ1cla.S'i. 'B RETUlrn OPENINGS A.I- INPUT '10,000 OUTPUT 5iD.tJO 0 (Phone) 95{)' q ~5 -7tf17.2- 550~L.1 TYPE OF SYSTEM DWarm Air Plants DGravity o Mechanical ~ Conditioning [!'Vent. System HEATING OR POWER PLANT 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 FlREPLACF MAKE AND MODEL , Industrial, C< mmercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99,50 Residential, Additions & Alteralions $64.50 Residential, AC Only $39.50 Residential, ljIeating & AIC (New Construction) ResidentiaJ,ljIeating Orily (New Construction) $39,50 $39.50 Estimated Cost $ Building Permit # 0.50 (Office lis, O~ly) This APpl,cation Becomes Your Building Permit When Approved jij' Mict0 ~ U ill ~ -~! Date ~ D~I'R 0 7 2003 1) By 24 hour notice for all inspections (952) 44' ~50, fax (952) 447-42~1 HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ l:Ju/t-4/D W, DING ~ .,.,., . 'l:f:I~/"" Receipt No. Du Iding Official fir ADrlO 2003 1:41PM GEN~ RVAN PLUMBING AND HEATING Na.9302 P, 10 20 €~;! ;,,,;,,.n.'~~ '\\.~'~>>~\'~'JHN'S.' ..~"''' Date Rec'd CITY,OF PRIOR LAKE SE'\.-VER AND WATER PERMJT ~~" Z~. I PERMIT NO.-::< -d ~31 G.11d ApplJOl.rIt J (flcase NOe or ot1Jll and S12J].at bottom) ADDru::SS Yi~Of f, Ot{ /( 'Pt.. DQ s. e- ZONlNG (offi""",,) . LEGAL DESCl cIPTION (office use only) LOT~BW'Kr9. ADDITION 1\.ee..~f1cr J ID~ PID OWNER (Name) -I)&.....H':''":'~~.... r:"~~,:,- 't!,Qm(:: (Phone) _ o/J2-QS5- -:,F;tJ!, 0GQWU (Zip Code) (Address) ~OUDO Kev1Bi<-'.tX:K.. CrSw.iN1 (Awmss) L.a.k:L~ 1\ Ie., (City) APPLICANT (Name~ Genz-Ryan Plumbing & Hea.cing (phone) 651-423-1144 (Contact Person) _ (Addr.,,) o kJJ~lJ~A1[ <; .JCANTSI3NATURE e<,AA~ )~ Rosemount. MN (Ciry) 55068 (Zip Code) (Addr~s) 14745 So Robe"t T"ail (Phone) 651-423-1144 DATE LiJilo3 APPLICANT PLEASE COlVIPLETE BELOW Size of water service inches. Location of any couplings from stmcture Type of sewer pipe, D.ABC 0 PVC Estimated length of sewer line feet. Clean out (if required) located at feet from structure. feet. o Cast Iron ResidentlaJ sewer Llld water Ime connectlOu Sewer connection lllly FEE SCHEDULE $35.50 Industrial, Com'l & Multi-family J% of Job cost with. $39.50 minimum $17 50 Water connection only $J 750 Estimated Cost $ BuIlcling PermIt # SE\VER AND WATER PERJvllT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 lJl.J/l.~:D ""-'/'Iff . G P~~4f/~ IOfn,e Uoe Only) I This Applicatiol . Become.< Your Building Penult When Approved _ J Paid .. .._ ) I~ @~ 0 \Jj ~! Ii L BuildiagClliciaJ D... [ 'I :1'1 24 hour .oti" for 311 inspectinn, (95'2) ili-9l\;g,~.J-(~21.\lDi42 &;1 I ~ i By ~ 1/ I J Receipt No By .. .I .>.~Zf p~~,o~~~ 1- ~ \ ~ ~ !~ '" \",,~J ~'.'A\: ,:~:~,.~ 'j"i/"~~"I,'-.""~~\\l:; ~"J\Wii' AD r i 0 = 0 0 3 I: 4 i PI,! P i i = 0 GEN2 RVAN PLUMBING AND HEATING 110 930= ~ CITY OF PRIOR LAKE PLUMBING PERt'VIlT Date Ree'd I,Jllwc <'U'" J. GQJd Cit:y l '(e.!Jour ^flpli~," I PERMIT NO'3 -;;f.&3l fPJl!3Sf.: ~ or "r1rLe !.J1d :'l1l?Jl at bottom) ADDRESS 5tCi1 [::. (XLI( Pr. ~R. 6~ ZONING (on;" "',) L.EGAL PESO IPTION (office ",e only) , LO~1 BLOCK ;L ADDITION ~fie/ J !/}1h PID OWNER (Name) DR Horton Custom Homes (phone) (Address) 9S2-Q':iFi-7'2iJ(J 2CSlo D k'eVl p,~ l j).:;G C. Sre I be uduvd k:. 1.\,,['\.1 5!56/..J L/ APPLICANT (Name)...t;..........~'tl~......... ~'.....,1-.i~g ~-E.o..,....._g (Address) 14745 So Robert Trail (Address) (Contact Person) j}J.ij:(h~'-rn 1 VI I APPLICANT S1 :;NAru:~St& ) Quantity ;;2. I { ~ 1 I I )}.. (phone) ~,I_I. 01_11 I,', Rosemount (City) MN 55068 (Zip Code) ~hOne) DAl:)l-;;Ji;l~ @/03 , " APPLICAJ'IT PLEASE COlYll'LETE BELOW !ype 01 .l<lXmre Quantity I Type of Fixture 3ath Tub with or without shower :;; Rough-ins )ishwasher I ' Wate:r Heater : ;loor Drain Water Softner Ii .avatory (Bathroom Sink) I Stand Pipe (Washing !vlach in e) E. uodry Tray (lor 2 compar1ment sink Sewage Ejector . hower SUll Backflow Assembly , inks Bac.kflow Assembly Test ijlar Sink Lawn Sprinkler 'Vater Closet (Toilet) Other :FEE SCHEDULE Jndustrud. CornXfU rClal & MultI-famIly 1% QfJob co.'>t wIth a $39.50 minimum (Office U'e Only) Residennal, Nc:'w One & Two-Family $9950 ResidentiaJ, Additions & Alterations ,~39 50 Esllffiared Cost $ BUlldmg Permi' # &UI{ ,o..qIO I... OI1\lG r",'0f f:)~Ii) _ 'll/I,!, PLUMBING PERMlT FEE $ STATESURCBARGE $ TOTAL PERMIT FEE $ 50 Building 1Bicial ~~~f~ u ~"i~~11 Receipt No rn jDate r I By D." JIJ APR 1 1 7001 ~ 24 hour Dottce for .1l1n'pectlons (952) 447.9850, fax (952) 447-42-15 , By _______ rr This AppliclltiOl. Becomes Your Building Permit 'When Approved CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS SOJ>? ~(/ & OWNER CONTR. DATE 1'b. PHONE NO PERMIT NO. ~ -.21;.( o FOOTINO 0 PLUMBING RI o FOUND~ TION 0 MECH RI o FRAMINt- 0 WATER HOOKUP o INSULA ION 0 SEWER HOOKUP ALSINAL 0 PLUMBING FINAL """CI SITE IN PECTION ~H FINAL ):-k~/ ~/ ~~ hkft:C<'! , J/ ~cL,,- ~/ I /7~/ 0/ n~y/ o EXIGRADIFILLING o COMPLAINT [J .!J8EPLACE Rl ~IREPLACE FINAL o GASLINE AIR TST o ~/~s ~ ~ ~ ~..... ./ ~T<"" _ ...n \1-".." .."TISFACTORY, PROCEED o CORR oCT ACTION AND PROCEED o CORR oCT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspectoq ~~ Owner/Contr: CA~L 447-9850 FOR THF. NI;XT INSPECTION 24 HOURS IN ADVANCE. CME REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY! IN$JHJrl CITY OF PRIOR LAKE II J ~ I,; Ur) l~~ D~t~'R HEATING/AIR CONDITIONING/FIREPLACE PERMI1UU JUI 08 200j ~.~,.....'..... I. Pink 2. Green 3. Yellow By ~::y I PERMIT NO. O'? -02/ ? Apphcant ~ lO-> (Please ~ (l r mint and sim at bottom) ADDRES! 5 )39 EAST OAK POINT DRIVE SE ZONING (officeu",,) LEGAL DESCRIPTION (office use only) LOT lLOCK ADDITION PID OWNER (Name) DR HORTON (Phone) (Address) APPLICA: ~T (Name) ALLIED RT'RFSTOF DBA.. FIRESIDE HP.A RTH &. HOMF (Phone) 0' 1-/\~~-25/\ 1 (Address) ?700 NORTH FAIRVIEW AVENUF (Address) ROSEVT T P (ei!)') 55113 ~.,~.''''';j'''lO''''\'~ (Zip Code) (Contact p, rson) BRENDA HUSTON (Phone) _651-633-2561 APPLICAJ IT SIGNATURE BRFN/)A HUSTON DATE 7/8/03 APPLICANT PLEASE COMPLETE BELOW xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants OGravity o Mechanical DAir Conditioning OVent System o Steam o Hot Water o Radiation D Special Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLAC i MAKE AND MODEL HEATN GLO SL-750TR-C Industrial, Cc mmercial & 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, I [eating & Ale (New Construction) Residential, 1 [eating Only (New Construction) Estimated Cost $ Building Permit # HEATING PERMIT FEE $ STATE SURCHARGE $ 50.-, - (Office Use 0, Iy) TOTAL PERMIT FEE I'm [E lE U: r! \LU: Iii IiI ! I. This App ication Becomes Your Building Permit When Approved l'u IJt,id 0 8 700-J I. ': I Receipt No, I Date .jl I By B~ildine Official Date E ,y (J3 --0 2to S ~ - ~p..\O '-N~~~\'lI\~ <ati\\.O\~G 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 P lOR LAKE DEPARTMENT OF Main File. BUILDING AND INSPECTION INSPECTION RECORD SITE ADDRESS SlJ39 · _ ii/G S:G. N,~TURE OF WORK U(TIOAI U:3E OF BUILDING ~ F: A . PgRMIT NO. (J:J -02 DATE ISSUED ~ C NTRACTOR D.~. · PHO · -?BfB N TE: THIS IS NOT A PERMIT FO ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE J/IIV/ II :OUNDATION (Prior to Backfill) I y'ltV / I 44U3 PLACE NO CONCRETE UNTIL AEfOVE HAS BEEN SIGNED ROUGH - INS YW/ _ i/tIYJ Mt/ , I :OOTING t-( - ]-d3 !:EWER I WATER I SEPTIC I :RAMING :5-fliG., 7/z./o;; INSULATION I :LECTRICAL PLUMBING r 9.4 A-T. I~~ r-tlJV2-- HEATING (if required) FIREPLACE (iAS LINE AIR TEST t-{-{7.d) 7~n -V::J, '// U-r/7 //1/y"l ylf Wf" t~ 7 - L-I- en. :7~LJ-OJ 7-- PJU3 7-,t-TI/) COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED t--ct ~ I M I G/J-'3 U) FINALS !vi3 (iRADING (Prior to Sodding) E IUILDING ELECTRICAL F'LUMBING tlEATING DO NOT OCCUpy UNTIL ABOVE NOTICE PJ / . 6'/ .i-.<ya.S- ?~/~ I IvY ti-r \-c0 ~ &7.z.Vqr HAS BEEN SIGNED 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 C!trrfifiratr of O&rtUpanr\! CITY OF PRIOR LAKE ~:eparfntlmf of 'lJiuilMug JIusp:ediou ~inal Permitted D Conditional C.O. Expires , I This Certificate issued pursuant to the requirements of Section 110 of the n Residential! L 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 FA'lILY _ Bldg. Permit No. Use Classification Occupancy Type Type Construction_ L~7, B2, DEERFTELD 10TH R3 VN Zoning District Legal Description Owner of Building Site Address 5039 EAST OAK POINT DRIVE SE Contractor's Name & Address D. R. HO~U~nO KENRRInr.F. r:OTTRT. J,AKEVTT,T,J':. MN ')')044 RORRRT D. HUTCHTN~~7 City Planner T~ANSTFR 0~~ ,.Build~Official ,.y 2..7 /' 0 ~ Dateo . 1'- Date: . Co, ~ . - CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS (6jq OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: @.Y"I/1.f~A DATE TIME SCHEDULED q, /J:.. f(> /:.",.r;f- oak. (? r CONTR. PERMIT NO. "(,'u3 o PLUMBING Rl o MECH RI o WATER HOOKUP o SEWER HOOKUP ....LUMBlNG FINAL r?::J o MECH FINAL \y o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ~<; o WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK. CALL FOR RElNSPECTlON BEFORE COVERING Inspector: 1M' 4'-(('1/'7 ONnerlContr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ,{ SAFETY! """"" DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ...,~ 3 : 2 r /(,7. z..?- f> ) ADDRESS 5'"'039 FLAk PI-.'Pr,ve OWNER CONTR. DR. Ho rc:h IA, PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~L o SITE INSPECTION o PLUMBING ~I o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL ~ILUNG o COMPLAINT o FIREPLACE m o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: 50.57 6rud., - 0 It L-lf /L, Rid - /?;( 50'17, hl""/'{- I'? fL (/,/ f b ,7,/9/- /) It ~ATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING InSpeC\Or#~ OWnerlConlr: CALL <<7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY! .....TI