HomeMy WebLinkAboutBldg Permit 04-0557
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
See Malon Flolel. Wh;" FH,
2_ Pmk CIty
3_ Yellow Applicant
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I PERMI'I' NU'04- . {)557 j
(Please ~ or print and si2l1 at bottom)
ADDRESS
\S33~
\ (:~f- L\2S 'Pc:::;"<'::_S
ZONING (office ose)
Jrej
LEGAL DESCRIPTION (office use only)
LOT lCBLOCK '2 ADDITION'\2eLF~ \ C--lLl::~> I
OWNER
(Name)
PID(~5- 3f'~-(}3R;v)
(Phone)
(Address)
BUILDER (\ . (\ . \ "
(Name) _ L' \ \f.C)f ~ .\ lc.\ +- (X\\1' '::,
(Contact Name) ('(jd\-r' _ <--.}~)(:+(c )
(Address) -iCi2D lJll" ( VII \e 1")\ uC\ .
(Phone) qt=)2 . l1J,;!f , Viet')
(Phone) 101/. (dlh,?S2LYJi
La\( f ,-,I\L \\.In SS(:L(L.I
TYPE OF WORK
1NewcoDSbllctiOn
DLower Level Finish
DDeck
DPorch
ORe-Roofing
ORe-Siding
o Misc.
o Fireplace DAddition DAlteration DUtility Connection
PROJECTCOST/VALUE (excIudingland) $ did. ((Y),
,
I hereby certify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that] am the owner or
authorized agent for the above-mentioned "'--l'--J and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitte '. I am, a, ware tha:%-1>Uildin, g official can revoke this permit for just cause. FU,rth., ermore, I hereby agree that the city official or a, de,Signee may
en ponth~'f?;~:o~(~;;e~:n~J /2{{! Sill /OL{
" / \) .VI Signature' ,/ J Contractor's License No. / D'te
-------
I Permit Valuation .:::::)Id, tJOO I Park Support Fee # $
I Permit Fee $ ~/ l7~c; .CJ() I SAC # $ I:1;SO. c>O
I Plan Check Fee $ lid-- /. 58' I Water Meter Size 5/8"; 1"; $ ;:)~Of o()
I State Surcharge $ /D0- I Pressure Reducer $ LIt;: CJt)
I Penalty $ I City SAC and WAC # $ J~OC), 00
Plumbing Pennit Fee $ /()O,OO I Water Tower Fee # $ '70D, ()D
Mechanical Permit Fee $ IO(),OO I Builder's Deposit $
I Sewer & Water Permit Fee $ 35-50 lather $ I
I Gas Fireplace Pennit Fee $ t-/1) ( 00 I TOTAL DUE $(.773 5Q I
(.p ';'15, Sf( '1
This Application Becomes Your Building Permit When Approved I Paid I ReceiptNo. Lf{" ~wlf
~ - I Date lo-lL[-{}t-{
~;:.. t;/0 y Bv ~
Building Official
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
~~p;2~emPOCMycenifia~/;~;lianceandallomconmuroSeee MaiftFITean~mustbe
Planning Director Date Special Conditions, if any
24 hour notice for .n inspections (952) 447.9850, t.x (952) 447.4245
1 tl?OO Fsurl~ r.reek Avenue Prior Lake. MN 55372
$~~
,
Thf CenlJr nf th..I...... ('oun".,,,
See Main File
White - Building
Canary - Enqineering
,.--p-;nk - Plannl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"
/
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NAME OF APPLICANT
APPLICATION RECEIVED
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THIe Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//;! --) 3 -, ,11 ,.-
,I r J
A<;cepted
;i
/
Accepted With Corrections
Denied
~4.. _ .
Reviewed By: ~
~f1~
Date: ~,~ <-T
C-ctlmments:
'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
prl3suming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.~
~~
-
lhf(.I'n.....<II Ihfl..kr(.ounll).
----
See Main File
~hite - BUild~
I::anary - ~ngmeermg
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
Mbk aL ~u~
- / ,~
..5 ~ / (;) - 041-/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity WhiCh~' roposed at: /) _ )
/5333- -/r&uJ ~~
/ G U
Accepted
~
Accepted With Corrections
Denied
~UN
Date: t, 1-9~ 9'
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."
~:( PR10tj>;---
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See Main File
White - Building
c "",r.;;j~I'jr - r~~nee-"lnd;>
Pink - Planning
Th..Cnll'roflh..l..k..Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which iSJ;lroposed at:
. c
:.2 --, ,
) .::) -
/i~~-5"
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
lY4i)
Su /Yl'l,/, h/~
Date:
s-~ ::(S-OLj
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."
GENZ RVAN PLUMBING AND HEATING
No.0703 P 7/10
Date Rec'd
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I ADDRESS
In~~ JlI1JUVa~
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ZONlNG (offi.:e:;';.) ..
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LEGAL DESquFnON (olllce uso only)
LOT J1J BLOcWZ- ADDITION
lJJ.VJaJ/ (}wj-
V
OWNER 1\ (f'.hJ /-h11l1/: nA )
(Name) 1r1JUt1-e fILf~Vlr.
(Address) I~ W Lft-kYvil/tJ/ r3l1td,; i4/tt vll/r
1f;;;;~ f1en l- Jf. () a Jill
(Address) lL/1'-is- J. ~~ 1lJr}
() , ,(A fIr>
(Contact Person) _U/l;Ur5'fJ ff'H:-J. . .
APPLICANT StGNATIJRE ~ ) ":::/;P .IJ/I
PID
(phone) qtjj.- L{ Ifq -&;qw
J1J.Y! i7NJz/tj
(phone) r6/~L(CJ3- !(L/L/
/e{)~.t5ltVti . m n t-; '\ul#;
(City) (2:lp code)
(phone) (f}C,/- L/~Q- t{L/L/
DATE (//d/:1U
,
.. . , A APPLICANT PLEASE COMPLETE BELOW
<. iXINEW CONSTRUcnON 0 REPLACEMENT 0 ALTE:RA nONS
FURNACE MA~ AND MODEL U YJ 11.191 ~{lJalrq -7 c::;- FUEL n.af--t:ra/l
FLUE SIZE. RETURN OPENINGS 1 lNPUT ~~Ol)tJ OUTPUT Cd!jIl).f)()
TYPE OF SYSTEM HEATING OR POWER PLANT
r;zWann AIr Plants
rlGravity
::J Mechanical
. Z'Air Conditioning
:lVenL System
o Stcam
o Hot W8b:r
o RadJation
o Special Dev,ces
o .Other De-vices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE Mi\KE AND MODEL
FEE SCHEPULE
Industrlal, CommellcJa.l 8< Multi-Family 1% of Job co", Re.identIal, Ga3 Fireplace
13950 minimum
ltestdenltai, HeoIlng 8< f:JC (New Construction) $99.50 Residential, Additions &< Aiterations
Residential, He~ Omy (New C~nstruclion) $64.50 Residential, AC Only
$39 50
$3950
$39.50
Estimated Cost .$
Building P=ir #
HEATING PE;RMIT FEE
STArE SURCHARGE
TOTAL PERMIT FEE
.$
.$
.$
.50
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Building Qfficial
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JUN 1 a 20041 .
Dab:
Z4 hour notic. for .UldSpOetlons (95Z) -I47'985~P.> IQS2) 447-4245 1
~
Jis Application Becomes Your Building Permit When Approved
GENZ RVAN PLUMBING AND HEATING
No,OlD8 P 6/10
uate .l<.ec'd
l'
(.l1ca.se tyPe or 'Droll and,uw.. al bCJttom)
ADDRESS
15:333 Jeff~ p~
LEGAL DESClJJ>TION (office us. only)
wr~ BLOCK ~ ADDITION 'P-v1a1 CIvA-I-.
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~:~')II.fq~pj Lhf.
. (Arldr...) I q ')0 I a.i({vIIlIJPi! Vd.. Lal~.vl Il-f
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~~~T fhall;- ~.M1J/ (phcm~) IiCJ/- L/u- IJtfl-/
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(Address) 1~7L-j<6 $. r<-obti2>/ TJa-l. t2.0C-GYnrnAJ1-Jf. m V) '-:?si.JIP~
(Address) (City) (Zip Code)
(ContactPoson) ~w.1s1Lf?jlS " (phone) (j::) r~ tJ2--3-:1 J 4 L{
';,mcANTstGNATURE _[ylj)~~D./l DATE (pli.//!YfJ'
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I QIla.ntity
Bath Tub with or without shower I '?
Dishwasher I
Floor Drain I /2-I
Lavatory (B<rthroom Sink) I
I Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
I
I
,
,q
I
1
I
r2
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- ;;. --;
~..,,-~;-.;.~"" :f
......~~'...
i.,~;' ~ I PE:R,MI'F_~~,:;/Li. I!;cr?
J Yenow Appllelnl ~~ -,-~
ZONmG (of&ce~e)
~. .,
.~,
.
PID
(phone) q 16'2-,4 fA -lcCI DO
)/1;) 11 q]jJlf
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (W ashing Machine)
Sewage Ej~ctor
Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
Other
FEE Sca:El>ULE
InduSln.I, Commercial &. Mull1-famtiy 1% of job cost with a $3950 minimum ReSldennal, New On. &. Two-FamHy
Residential, Additions &. Altel'3tions
Est)mated Cosr $
Building Permit # _
PL~INGPERNaTFEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(OlIiee U.. Only)
J ~"is Application Becomes Y our Building Permit When Approved
50
599..50
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Buildiog OCllcil1
Jun. 4, 2004 11:44AM
GENZ RVAN PLUMBING AND HEATING
No,0708
P 5/10
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
"
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, f'P1ease CV!te or 'Or:fi1t and SlllJl at bottom)
ADDRESS
- (632::t y~_\ ~M
LEGAL DESCRIPTION Collice u<e only)
LOT ~ BLOCK ~ ADDITION IUA II ! . (I Af.Jp rI-
, ~ J' -
~=COi !eare. edvt Htrme~ (VlO.
(Address) l1W {..Glke/v II/{, 'BLvd. ,.lJl,kz, vi 11~
(Addw.;,) ,. (cityj
..
~ I
~ ".-
. ,,;.,-',.
;':.o;t..;;; .$
w~~.:?4
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J. ~;:. ~\:f" frii<lmiNO':;.:i... c~
). Geld A.PflJ~t L ." Wi'.:il!:1I
I ZONING(OIJu:'~':,1
Pro
(Phone) QC;2-L}{r11- {Qqw
01 Y1 - l-J~ () t.J4
(Zip Code)
APPLICANT /1_ _ If) - " f
(Name) Of'V1l,- IdAI1Jli (phone) J.J0/- W~-lILJLI
(Address)~lLjS- S.Jl{o>bf.JetTW,,~Yrn12Ul)j ttJVl ~
(Addie,,) r:.. I (City) . (Zip Cede)
~9~ntaC! Person) (l J/l 'illcr +7 m1 (j (phone) {ot0t - Lf?;;~l L{y
i' 'LJCANT S]GNATURE --1!.LI I~ ~ Pw D~TP. tzA
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APPLICANT PLEASE COMPLETE 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
FEE SCHEDULE
Residenual .ewcrand water lme connecnon $35.50 lndustrial, Com'! & Multi-family 1% of job cost with a $39.50 mlnimum
SewercoDJlectiononly $1750 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
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(Offit. Use Only)
l ThiS ApplicatiOlll BeCOJlle! Your Building permit When Approved
Building Official
~ Receipt No.
ate .1/ By
Dale 1- I
a (OD4 1111'
24 hour notioe for aJllnspectJons (952) 44' . 0, fax (952) 447-4245 LJ
By
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Date Rce'd
CITY OF' PRIOR LAKE
SEWER AND WATER PERMIT
I ~~':;a~~oMt.tDdfila,tbottOm)
i IS 32>::) ~ Pc/X)
\I "
I LEGAL DESCRlP110N (olll.. u.,onIy)
i LOTaoaLOCi<~ AIJDITJON ~~ C'\.l1~
: ~=. ~,~ I PERMIT NO.U~L' ~
). c.l4 "'pp1lat1l -'. ~ 2J
. -
I ZOND-lO I.~-
PlD
v
I OWNER
I (Name)
I (AddleS')
I'
['..if( ~ ~\
/l'f~o Jo5-e~
IAddm,)
~
e(0J
(Phone) 9'5),,- y~? -& 70(1
/~& .:'.)SV'-tCj
(City) (Zil> Cod<)
APPLICANT _ <C7
(Nam.) 6c-J..1,flA..-.- C)< (6..0r I. -'4 (Phone) .JOt -7Y'-(- S'-"oJ
(Address) Z 37 S- LU iO+r... Srr...<>..d:- LC/Yt'Y~cJr ::>-:'5ZJY'k-,
(Addrml . (CIty) (Zip co<<)
(ContacHerlon) 30-r-.(L~)jrY'C/Y\ (phone) .s-u/-7YLf- -S-SG:...s-
APPLICANT SIGNATURE ....~~ ~'\'!'~ ...k';::'.!..:-;~.'i
APPLICANT PLEASE COMPLETE BELOW
Si:z:e of W1.tor sel'Yice ~ inches,
Location of any couplings from StI1lcture -= feet,
Type ohewer pipe. 0 ABC mpVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located al_ feet from-stI1lcture,
FEE SCHEDULE
Re,idential sewer and wI,er line oOMeotlon SlUO Indullri.I, Com'l '" Multi.family 1% of job cost with. $39,50 minimum
S.wer connecrion only $ I 7.50 Water connection only $17.50
Estimated Cost S
BuJldiog Penn it ~. -.-..
SEWER AND WATER PERMIT FEE
STATBSURCHARGE
TOTAL PERMIT FEE
$
S
S
:SQ
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; I Da ffll JUN ~ a zJw ~
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Tnl. Appllcltion Becomer Your Bulldlnll Permit wn.n Appro",d
:4 hour noli.. (or .lIln.p.ction. (952) ..7:9i50'My~Z) .'V-414$ .
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CITY OF PRIOR LAKE
HEATING! AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please tvye 0' vrint and sim at bottom)
ADDRESS
l ~=w J!~;u.. I PERMIT NO. 04-.05571
15333 JEFFERS PASS
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
Pro
OWNER
(Name COLLEGE CITY HOMES
(phone)
(Address)
APPLICANT
(Name) AT.T.TFn FlRFSTDR DRUlE.ES.IDF HEARTH & HOMF
(Phone)
/i51-/i33-25/i 1
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
R/2/i/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
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 Stearn
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
HEAT N GLO 6000TRI-IPI X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Onlv
$39.50
$39.50
(~Q ~{\
Residential, Heating & NC (!'few Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
PAID WILt!
.soBUILDING
..~KMIT
~ Jri]a~ I c. II \' I Ir" l'li\ I Receipt No.
1111 om' 1 0 2004 .' i I By
Date ~ L.i~
24 hour notice for all inspections (952) 4~o/l50, fax (952) 4474245 I
t ,___.~......_,-,"""._:...,~~-:~
Building Permit #
$
$
$
(Office Use Ollly)
This Application Becomes Your Building Permit When Approved
lluihJinlZ Official
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 15333 tJe~ ,P4.SS
NATUIRE OF WORK ~~
USE OF BUILDING S.
PERMIT NO. t!)1I- 0..55
CONTRACTOR
NOTE~ THIS IS NOT A PERMIT OR ANY 0 THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMEN~e M:lln File
BUILDING AN~SPc~ I jOlt
DA E I SUED ~ .
PHON~/tJ. .~~t;"" ~~
INSPECTOR
DATE
I FooliNG
I FOU~DATION (Prior to Backfill) I I
PLACE NO CONFRETE UNTIL ABOVE HAS BEEN SIGNED
L L fr P8 ';'0/1>'( ROUGH - INS
SEW~R I WATER I SEPTIC
FRA~lING
INSU _ATION
ELECTRICAL
,
PLU~IBING CPt!)
HEA'IING (if required) ~ If!
FIREfLACE I fJ
GAS pNE AIR TEST ~ L f/} o/.B
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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GRA~ING (Prior to Sodding)
BUILDING
I
ELECTRICAL
I
PLU~BING
HEA,!ING
DO NOT OCCUPY
I?f/
,
tI~ ~k
f/h / 8' -2q - (ff
UNTIL ABOVE HAS BEEN SIGNED
NOTICE
B-2?,. cf7
This 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
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 8-2:1-00:::-
ADDRESS I D3~:;, . \o~ ~"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'-/ -sS7
o FOOTING
o FOUNDATION
o FRAMING
.P 9/SULA TION
)r1'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
. r fA (I \ _
t5.J.' .J-o c (e>CJ2. ~ -\l '-,C/
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRW1.. K, CALL FOR REINSPECTION BEFORE COVERING
Inspecto . \ { I Owner/Conlr:
CA ...1:850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOT'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J S ~ ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED {,~~
~ W>!;>.
CONTR.
PERMIT NO.
'i - 557
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o )lEWER HOOKUP
~ ~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
;ztG~NE AIR T~
o .LJL.. .L.
COMMENTS.;.
I, t:.ce>F ~ 5 _____-
--------
2, G. \ , ~ ().. } ().JIJ.-.-/~
o WORK SATISFACTORY, PROCEED
~RRECT ON AND PROCEED
o COR T K, CALL FOR REINSPECTION BEFORE COVERING
)
Owner/Contr:
.9 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
....."