HomeMy WebLinkAboutBldg Permit 04-1073
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I
(Please tvve or hrint and si211 at bottom)
ADDRESS I
! '1"7 5 Y 111M. L.v- ~() I-P
While File
Pink City
Yellow Applicant
~ 'I
I\..-~
JJW.
LEGAL DE SCRIPTION (office use only)
ADDITION VvOtJeI.J' 4.-f4.
LOTS! B ~OCK I
Il.-A. /Io~
~s
OWNER
(Name)
I'
(Address)
BUILDER
(Company l' ame)
(Conracr Na ne)
(Address)
12 .J1 ,k..:r ~.r Ie
Il, ctL ;t..T
,
It 9 Y /2-~ sr t.-J
S;'fR Y
(
DLower Level Finish 0 Fireplace
.
w,klJ'
(Phone)
/J~L<
1/
(Phone)
(Phone)
Vli/~
/'
TYPE OF V'ORK [g1:Jew Construction ~ck DPorch ORe-Roofing
DAddition DAlteration DUtility Connection 0 Misc.
CODE: jg(.lt.C. DI.B.c.
Type of Com troction:
Occupancy G roup: A B
Division:
III IV V
HIM
Z 3 4
A
R
5
I
E
II
F
I
ORe-Siding
Date Rec' d
1.17. 04-
I PERMIT NO. 04./01.3 I
,
ZONING (office use)
PtJo
PID ZS. 3~ 03/. 0
~)r42:3> -oj 12>
?J(~Lflj, ~t?5 ~o
B
S U
PROJECT COST IV ALUE $
(excluding land)
.<)$"0000
I
I hereby certifY tt at 1 have nlfnished 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-mentlOnedjPropr;!Y an at all construction will conform to all existing state and local laws and will proceed in accordance wilh submitted plans, I am aware that the building
:0,1 con "vok t~t 1'<lmt fn 07'S1...."mo". I h",by 'g'" th" the Diy oflki,J Ot a designee m,y em" upoo the pmperty to p"lotm oeed'9h'7'70 y
V Sigmfture Contractor's License No. . Dati
Permit Valua' ion
Permit Fee
#'05 r? 000, oJ
$ 3&:77. 7_~ I
$ ;)3901 s-o/ I
$ 27~dO I
$ I
$ /CJtJ.OD I
$ IdO.GO
$
$
Plan Check F ,e
State Surchar ~e
Penalty
Plumbing Pel mit Fee
Mechanical I ermit Fee
Sewer & Wat ~r Permit Fee
Gas Fireplacl Permit Fee
85" ' 'SEl
L(O. 00
~ to.1~.OV
Park Support Fee
SAC
Water Meter Size 5/8"V
Pressure Reducer
Sewer /W ater Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
12.-, fYF.?'7
/("I.-.81--
I
I
I
I
I
I
I
I
$11.: 5~~. 'If I
I Rece.6lt No. 'ff'Jr) I
B~_ I
o
#
$ ?S-O.OO
$ r s 50. () 0
$ 300. dO
$ _ 70,00
$ IZoo. el a
$ 70 0, t) 0
$ 1500.00
$
#
#
#
This APPlica,ion Becomes Y ~ur Building Pennit When Approved
~ ~ ~/I /eJ,-!
Bui1ding Ofticial I Dhte
ThiS IS to certify ~hat the lequest m the above applicatIOn and accompanymg documents IS m accordance With the City Zonmg Ordmance and may plOceed as lequcst
when Signed by t~e CllY Planner constitutes a tempOlary CCltlficatc of Zonmg comphance and allows construction to commence BefOle occupancy, a Cl.'ltlficatl' (lfOc
'''~~'':lanm~ Iq/;~( f~ ~"Icon
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
__..___._______--4._..
..l..~X PRIG", (
f::: ~
u '"
-'Mlit" - Building
C Canant....... EnQineenna ,
.. Pink - Planning
Tbll'Ctnlp nflhpl..ktCOUIII'1'
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLlSI
,.f>JI,ME OF APPLICANT
AI 'PLICATION RECEIVED
"',) .
/'-. /7 ,'!c.::: (
'''I' r' (' /,,'--
, ,',
Tt Ie Building, Engineering, and Planning Departments have reviewed the building permit
ar plication for construction activity which is proposed at:
i .cj-
/--- ./)
"L__
--- -,-
-/-:-; /- / 1<-/,,> i Ii ( i , ;::,.'
,L(__.. '-',' "........,
-;Tic-hi L,,_
l L/
Ac cepted
)(
Accepted With Corrections
DE,nied
RE ,viewed By:
ml-J3/~
Date:
/-/1-OL/
,
Ccmments: _~F!F! Rffiler",." ~irt.. for Aciciitinn::lllnfnrm::ltinnl
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
"T 1e 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
ary of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr~suming to give authority to violate or cancel the provisions of this code or other
or jinances of the jurisdiction shall not be valid."
Thr ernlrl <of Ihr l..kr ('ounlrl
White - Building
Canary - Engineering
( ,...mK - ,...,armm(\"',
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ,ME OF APPLICANT
AF'PLlCATION RECEIVED
/ /) k..:" / ""I
! / /. ( 4--
Tr e Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
/ -::/ /:"~.-' {~/ .-. /:' I. / :" C r--
/.'r;IL
/ ~ i I ;'
, . I 'v
Ac cepted
Accepted With Corrections
/'
Denied
Reviewed By:
'"
~.- ;2eJJ?-
I?~ cdf
Date: /e/M jc,<-/
Cc mments:
II
"T1e issuance or granting of a permit or approval of plans, specifications and
ccmputations shall not be construed to be a permit for, or an approval of, any violation of
ary of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr 3suming to give authority to violate or cancel the provisions of this code or other
or:linances of the jurisdiction shall not be valid."
~~
u~~
c:White - BuildirnD
Canary ~J:ngineering
Pink - Planning
The C~nlr of lh L.h Coun..,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ\ME OF APPLICANT
;e. /J. KoT
9, /7. () 4-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
/ 4-75'4- T/ 1'1 tJ&" J:!-.W 0 L- F 7lZI9 / L- /II W
Ac cepted
Accepted With Corrections
/
De nied
Re viewed By:
i)~
~
r
~
ad
Date: Id /i ~ 0/
Cc mments:
r
"T 1e 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
pr< lsuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
11/15/2004 11:10
MRY-26-2<le4 16: ~
9524612166
CITY OF PRIOR lAKE
DASEN CONTRACTING
PAGE 01
'352'I<l':<l<!~:> t . ""'O'H
&J.""',~""~ ~
CITY OF PRIOR LAKE
SEWER AND W AnR PERMrI'
lJ'Ieuo .-,.,t' _...d ,... .. _",1
I ADOREr J. "
475Lf -rlrn~flntJ..p "':'YJCLU
LEQA,L ::l~;C!UP-:I(lN (otJi.. '* 0Il!y)
:: ~ ~ I PERMIT , NO^",- ,~-:!JI
). o.w ""ltII;1! _~-Ll1JLL..;J1
ZONDoIOI_"',
A))l)
LOT BLOCK
ADDmON
I'ID
(Pl:uC) ,
f1ep1 l' \ ~llle( J
10tY1 .....,
~;;~~~~s.p Y'\ (I rvt+rn.('H~ Or (PhollC) ~-dilJ/ '~_
(AddI-:sJ il.Y~ S f\ 'Y1 ~7 ofu l.O r>!Uo mU.o f'{F.,0U!1
;Mdrw) -: (Q'1') -Q (Zip C,,"")
(Con~iC:Pcflon) ('YJca1 /11 (,~l:V) (pbo'Ac) _~~jti'J _
A1'PttcANrSIG~~Annu, " OAT! lL:dp;.(jl_
--'--r- =====,~
~=~:::fsllJ:J:;-t +16rfI-f2-.S
(AcI4n,a) I LoqL\ ~!' ~+ L0
(,\ddroal
66/aL
IZlo Cole)
U
APPLICANT PLEASE COMPLETE BEl,OW
Size ofwatel' service inches.
Loea'ioll. of any couplings from struCtUre. feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cas,::ron
EstUnatcd lel1gth of' ~ line feet.,
Clean out (if required) loc;a.ted at fcl:t from strUcture.
FEE SCHEDULE
'Raid,a ,tlal ,...or and Wllltr il'.10 COllllOctiOD S3'~O [ndlll1ria~ Com" &; Multl-fanlily l~ ofj_1b COR ..,i:b a 5:<9,50 ,',inimum
S....: "'",ncctioll oely 517.'0 Wll<lrcCllllleetion ollly $17,'0
Eatlnlted Cost S
BuildillS Pmnit iI __
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL 1'l.RMlT FElt
s
s
S
_-:Ii!
", "~:";"J:.r j
., " ;,
. ~". 'l;"'4-",.:,:'~ ' ::
"ilfU;-~_..
-..'
rOlllo, ' l.. Only)
Thil AppllcatloJi Joc:olll.. YOllr BIli1d1DI Po...it Wb"D Approvod
BWldlOJ: Olll.,..
i~1iII1 -; II, ~;;;;>> No.
i.R~OV 15 2004 l\il~
.'" "'t-
14 bOUt ..d.. for on ja,pocclU, (951) 447.~, In ('51) 4'''~4S '
Do..
TOTf'L P, 01
01-31-2005 10:16AM
MATTHEW DANIELS,INC.
423 3017 P.01
vate Kec'd
CITY OF PRIOR LAKE PLUMBING PERJ.'\1IT
1.81".. Pil.,
:. Cold C,tY
J. 'fellolll "PJIlil:aru
t./-lfJ 73
I PERMIT NO, I
(Ple3=C tyl)c or Nint: and njl']l at bottom)
ADDRESS
N15'1 ~ ,-1,,/>',L ~.~
u -
ZONING (ol!kc,=)
LOT
LEGAL DE 5CRll'TION (office..... only)
pm
OWNER
(Name)
(Address)
BLOCK
ADDITION
(~1: ~lhJ
"1'9-1 -/:J.'il'Y.h~,"*, .
'.:fl. J/.,.fJ3-
.sO/~_'/..
(Phone)
() 'I"lr'/. . 'YtU 1-",..... . "-hI. n .
) ( V .
11.:~? /')
. APPLlCA~T.1 -.....
(Name) ~TH-,,';) /j~u.uJ...)."-.IlLn (Phone) tsl. t/,;J..:><,. _'J::Hn
(Address) _ /,51J'Vl (ill),}, A/I Jt1 .J, .J:", ~ ~ r/ . iI I 1-'. '-tJ :;) ..s:s-Ob8
(Address) q ; (City) (Zip Code)
(Contact Pe cson) /J.fi ; ) ~ / l \.. ') (Phone)' "5"/. ~ . _:?'131)
APPLlCMir SIGNATURE 11., ('I )"-tJ. -' JJ~A - DATE c-J"A.. -.31 "'''(1'''-
. U v
APPLICANT PLEASE COMPLETE BELOW
Type or Fixture I Quantity I
Bath Tub with or without shower ,4- Rough-ins
Dishwasher I "- I Water Heater
Floor DraiJ'l I ~ Water Sonner
Lavatory (Bathroom Sink) \ I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewage Ejector
Shower Stall i Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink I I"":' Lawn Sprinkler
Water Closet (Toilet) ,J Other
QuantitJ
~
I
lL
S-
-4
/
I
l~
...:~
Type of Fixture
FEE SCHEDULE
Industrial. Commerci~ &. Multi-family 1 % of job cost with a 539.50 mlnimuM Residential. New One &: Tw~Family 599.50
Residential. Additions & Alterations $39.50
(ome. u,. ( 'nly)
Estimated Cost $
Building Permit #
Ma.~ID WITH
~"t9 PEJ;lM'~
leO.de "1"~
PLUMBING PERMIT FEE
I STATE SlJRCHARGE
TOTAL PERMIT FEE
$
$
$
This Ap~lication Be.omes Your Building Permit When Approyed
I
,
I
i"i'dlll/l omelal
I Pa. ~--'.lUc.ipt No.
\,.\ l''-'i',,(
I l!il~
DUet:U 8 zon~ '[
" " - 1 ;j
24 hour notite for aU inspectiol\1 (951)447-9893. rax (9Sl) 447-4245 ' j I
I . ....
,- ,
I ~') Y
L....--~,,__ ^_..
D:ate
TOTAL P.01
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pi.' FiI, I PERMIT NOI-/ J / 013
2. Gn:en CIty .
3. Yellow Applicant
(Please !'(pe. 01 print and siJ!Jl at bottom)
ADDRESS
/<;7:1-~ -r; ml,,.,.U/C//..{" HA I / /11, tv!
LEGAL D SCRIPTION (office use only)
LOT ,LOCK ADDITION
ZONING (office use)
PID
OWNER
(Name)
(Address)
J? ;<J . kdt J../;:>M~s;;;.
b69~ /.;;If?-//z/ ,,:I/6d ~r'.5-r
(Phone) 6-:;/- ~;;Z:3 -0 '?d01
. APPLICA1"T
(Name) ."'inGel/ or/{} / ~ (Phone) 9s~- 7v6-S';;)od
(Address) I :2;2C:;-~ /{/, -~//z/' AJ.oAb' 5.0 QV/,;7Sk'//b SS 33 /"
(Address) (City) (Zip Code)
(ContactPe:son) 1?~J4I.c.. .v<J)<J.<..~/J (Phone) $}(Jm~./
APPLICA1'TSIGNATURE.~ ___ ~ DATE /-:~:/-dS-----
~IaT P~EASE COMPLETE BELOW
....fDNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE v1AKE AND MODEL -8'" vXJJ ~S-'::;;_1<i1/060/a:::/ FUEL ,Pt/nT
FLUESIZE 3....P.V.(, RETURN OPENINGS .,IS/' INPUT /t7c;,Cla:? OUTPUT ?.:J;C7Pc:/
,/
TYPE OF SYSTEM
~arm Air Plants
DGravity
o Mechanical
~Air Conditioning
~ent. System
HEATING OR POWER PLANT
o Steam "1f'iOSt"~'-V
~ Hot Water J1l,,"'/' ,Jp-b;v '''_
o Radiation J;;./':.dy~C7>~
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACI MAKE AND MODEL
Industrial, Co nmercial & 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 $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Ony)
Bu-lding Official
I Paid
I Date
Date
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
Receipt No.
This Application Becomes Your Building Permit When Approved
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~::y I PERMIT NO. ~ -. .1 ",-rr:t.
Applicant ,,.,. _~
(Please type 0] ]Jont and siJnl at bottom)
ADDRESS
ZONING (olliceuse)
14754 TIMBERWOLF TRAIL
LEGAL DI ,SCRIPTION (office use only)
LOT BLOCK ADDlTION
PID
OWNER
(Name R A KOT HOMES
(Phone)
(Address)
APPLICAlIT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
7700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Pe rson)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICAlIT SIGNATURE
BRENDA HUSTON
DATE
2/24/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE \1AKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
OUTPUT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. Syskm
o Steam
o Hot Water
D Rudiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Cc mrnercial & Multi-Family
HEATN GLO 6000TR1-IPI (LOWER LEVELl
--.---
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
FIREPLAC, MAKE AND MODEL
Residential, I :eating & Ale (New C()l1struction)
Residential, I :eating Only (Nev.' COllstruction)
Estimated Cost $
lIEATING PERMlT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
.19UILDING PERMIT
(Office Use Oily)
This App ieation Becomes Your Building Permit When Approved
IPajd~
\,::
, Receipt No.
Blildilll!Offil'ial
Date
iPafe MAR 1 4 2005 By
L II
24 hour notice for all inspections (952) 447-98~1:~~._(~52) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE PDDRESS --L!l'6"I r,iARDr.!4>t:u.I"'._
NATUFIE OF WORK -NE~,.JrrIeKCr'6J
USE (; F BUILDING ~. ~ .
PERM T NO. lJ4-jO}.3 DATE ISSUED ,.// /''l
CONT~ACTOR .&.A. ~r tIfw.., PHO~EW"~J,2.0.JlO
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PER~~T IS. aY SEPARATE DOCUMENT
'A,uI-.f;J.I'.r INSPECTOR
I FOOTING ~~~,::>\-"'y,' we.. I (j?~ I Iz./,.
",,-j.. .}
, FOur IDATION (Prior to Backfill) p.::::j ~ /~
- r
<..( {7-PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
~ ..;~ ROUGH??JNS 4
I SEWI~R/WATERISEPTIC _~ -r~ /~
I FRA~IING I~k . c..ft-~r.rr. ~ dfl~~3,[~ JKq .2 hId"
IINSU~ATION IJI. ~ ~""^ ~ \ JJLJ ~ t.."o,A/ ~ ,.
ELEC TRICAL ' -
PLUNIBING Vb .ljtP .z,U,q~A-:r. br )/fI/(o5
HEATING (if required) I';.,.. ';/l'V/D5
FIREPLACE . err JJ/c//oS
GkS LINE AIR TEST ;1.~:.r.y ~ J/ItI~5
.1 COV~R NO WORK UNTIL ABOVE HAS BEEN SIGNED
,UJ.TIf. ~"J~ /AJIU,JI' I I
I 8~tr~ FINALS
GRA[ liNG (Prior to Sodding) IV/? P-/); v J- 1 ~ .
BUIL[lING"~ h, 8-\ -() (f"!/ ~/c j~>
ELEC TRICAL ' ",' J-/
PLUMBING / ) 1"'15 /I' kt >'~
HEAT NG / I . (If,':; /" / 1.(/26/~
[10 NQT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
I NOTICE
Tllis card must be posted near an electrical service cabinet prior to rough-in inspections
alld maintained until all inspections have been approved. On buildings and additions
w~ere no service cabinet is available, card shall be placed near main entrance.
DEPARTMENT OF
BUILDING AND INSPECTION
DATE
-,
FOR ALL INSPECTIONS (952) 447-9850
~tdifitaf:e of @trnpant1!
CITY OF PRIOR LAKE
. ~tp&rfnttnf of 'lJiluilMng Jlnsptdion
~inal Permitted C Conditional e.O. Expires _
&hlS Certifiea/e issued pursuan//o /he requiremenls of See/ion 110 of /he U Residential I U In/emational
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 04-1073
Use Classification
Bldg. Permit No.
J
R3
VN
Zoning District
PUD
Occupancy Type
Type Construction.
L31, B1, THE WOODS AT THE WILDS
Legal Description
Owner of Building
Site Address
14754 TlMBERWOLF TRA[L N.W.
R.A. KaT HOMES, INC. 7694 128TH ST. W., APPLE VALLEY 55124
Contractor's Name & Address
ROBERT D. HUTCHINS
\Jft;ltn~{~6;r
_ City Planner_
JANE KANSIER
Date:
Date:
..
........
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS IY 154
17",,~~\t'
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
.J'!"PLUMBING FINAL
o MECH FINAL
~~~
TIME
LI-ltSf!?
o EXIG~FILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
}, UcJ1!.., -br fV\, \" U Qt.J7- W'tB
OZ. ~ ~ CUtyJ
3. ~ ~) \'" CLcY:".5'~
~. S'P"'''l-P &t~r- &tcL~\A -b, r cJa,"'A1I \.
o J!PRK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORR~ WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. h Owner/Contr:
CA L7.~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
rUlREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
INSNOll
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS l!i) 5"'1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
,L:L/
SCHEDULED ~
TM<""""~.J-P--
CONTR.
PERMIT NO.
1.(- '''7S
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.)iI'NIECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I. M..:~k:. . ~.......-,.,.. ~
2. i=t~, ,,~ l/.....~
:;, S.....J d- IIZP...... f-'-r~J ff- ~
<1. ~LY~,'~I"'A.I\(~.,f- J:l..,."Q. <zc"k....::::: (\\-;u...o_
/- A ~
,AAcU<. -2.<1 ~ (..- r"'r. I..."j
~ OJ})
- ----------
+0 f/-{-O ~
llArt(~n,.) lJ}.t., "t:;_tl <JUI k- .'trj';t"t........ b. ,,(I,.,~L...... \
o WORK SATISFACTORY, PROCEED
o CORRECT ActiO NO PROCEED
/J( CORR~.,Jc, , ALL FOR REINSPECTION BEFORE COVERING
lnspectol J Owner/ConIc.
CA 447 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSlWTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE L SCH~IWLED
1 j'n~( ~~t;-
ADDRESS J~7Sf ~~1'11
CONTR. .fJJ Kd ~
PERMIT NO. 64 -/0 7J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.;:f=~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMME~TS:
Vi": 1t1J'''''f et--
\
DATE TIME
CA5'~
~1/r.I.:Ity"lllt:1 LING
""5COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
No S~..,
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: -'l1~_. ..,~ner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,NSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
DATE TIME
CITY OF PRIOR LAKE F?'7~
INSPECTION NOTICE SCHEDULED
ADDRESS ~I '"""'i:1M \c........I"...If'
OWNER CONTR.
PHONE NO. PERMIT NO. l/- 1073
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE Rl
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
A' FINAL o PLUMBING FINAL g a~E AIR TST
o SITE INSPECTION o MECH FINAL
COMMENTS:
G-l~ +4- -l \n
"--
)( WORK SATISFACTORY, PROCEED
/ 0 ~RRECT ACTION AND PROCEED
o CORREr10RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: I J f!; Owner/Contr:
CAL /~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IIi$.NOTI