HomeMy WebLinkAboutBldg Permit 04-1107
CITY OF PRIOR LAKE BUILDING PERMIT, .~U\ re (D fie rl'~1f{~ :~~
TEMPORARY CERTIFICATE OF ZONING COMPLIANC '.1 Ll: .1 IE; I . ~ r
AND ~TILITY.CONNECTION PERMIT L~\ OCT 1 2 2004 _J
MaID Fde ~;t ~:ili,""' I PERMO'YNO.-:'t. IIi; ill
_(Please tvoe or orint and si~ at bottom)
ADDRESS (p 3 55 ff I L. ?J
0/'1'c5"
( bJGel9(!.b
ZONING (office use)
~.r.o
LEGAL DESCRIPTION (office use only)
LOTtlBLOCK / ADDITION /J/;I ci Oc{.ks /.
OWNER
(Name)
(Address)
PIDe.s-. 3"~. on.?)
(Phone)
,P!!i ,!~2-,"'''1"3. -<<:;"-1/
~C~~~:Name)~",~.t-\--j""--e','--1. L C- (Phone) GJ.?--S06-VP, Rt;.-
(Contact Name) ?v-.. ~ "t c''\;b ",-"t--1' v (Phone) t..- '\...--"' '--'--
(AddreSS)\\J\lx,~ (:)lfJ'I,t:::C1~q ^':"~l.e Via\LJu., ~,_ ~~f.';b,f(
, .~~' )"
TYPE OF WORK ~ew Construction DDeck o Porch DRe.Roofmg
DAddition DAlteration DUtility Connection 0 Misc.
CODE: '!ill.a.c. DI.B.C.
Type of&s~ction:
Occupancy Group: A B
Division:
I
E
II
F
I
IIIIVVA
HIM R
2 3 4 5
ORe-Siding DLower Level Finish 0 Fireplace
B
S U
PROJECT COST IV ALUE
(excluding land)
4-
~c9t -
I hereby certify th,II1 have filmished 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 ifroperry and that all COil . clion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:""''''"' '''h''P''~f~J',t'7Z?h='' .=..""rty~()':;;lf&f1;tP'OP'rtytoP"fo'm7o'j~h~
glgnature -. ........... Contractor's License No. / / Date
Permit ValuatiOn
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Pemit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
". Z-1S" 000.001
1$ 17 ~~.C;;o
I $ 11'3 ~. Zl? I
I $ If) 7. <:;0 I
I $ I
$ /00.00 I
$ }oo. 0 0 I
$ 3 S. '5""tl I
$ '10.00 I
This Applicati..n Becomes Your Building Pennit When Approved
~~~
Bll1ldmng Ottlclal
/o/zzfoc-(
, Oak
Park Support Fee # $ f1r!;O. {)o I
SAC # $ ts-:;-O.OO I
Water Meter ~I" $ "2.<;;O.C"O I
' ,
Pressure Reducer $ l\'S""'. Q 0 I
Sewer/Water Connection Fee # $ \"'Zbo,Oo I
Water Tower Fee # $ (00.00 I
Builder's Deposit $ /S-O 0,00 I
Other $ I
TOTAL DUE t'JI1MTJ I O. UJ.M-.$~/54-. 7~
./
Paid CI/'l'/'. IJ / I ReceiPt No. 9,rl,r I
Date n. "7~'1 By ,
I
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 constllutes a temporary Certificate of Zoning compliance and allows construction to commence_ Before occupancy, a Cemficatc of Occupancy must be
i'~~ M~ g ~_.-
Plmlning Director , Z. 2.1D~e if " ~ o.L{pedal-;:o;~';;, ;:;:'~
24 hour notice for all inspections (952) 447.9850. fax (952) 447~4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main File
White - Building
~anarv . cnqmeennQ ;>
Pink - Planning
ThO' (-rnur ~.f thO' I..k.. (."oun.,.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
-NAr-,.1E OF APPLICANT
APPLICATION RECEIVED
i
~.j
1~"":J /' I ,A
:!...../: ':......:- L...- _, .../..-
-./1 J'
'. .I -" _.
fro:" ~~ 'A~ /' ,0 -
" (~/ j.,.:-:..-::..-;:.-;;.
/<') -
:l_,./
'._ .r,( I
/ ! _.{ . -'I
/ "7'__ ,.~,.r.~
The Building, Engineering, and Planning Departments have reviewed the building permit
ap~lication for construction activity which is proposed at:.. ,
. j _;.___ /e"'- / .:' /} F",-'? __,r>; I \ " _i'
; ,-""" -....,~, -,) " ,/ )' /~ !J/ y" /}'J ;..<:2.-.:J._ ,,' ~:; ".1 _~_/
t.;:..... -" ',j '- L"'~t.-,.~-~--t._j~.-\~ \...____ ''7.,,",,..-~-.-'''~,_- _
ACli:epted
>\
Accepted With Corrections
De(1ied
~-
,
Rejtiewed By:
m4/~
Date: /0 .)t,-o'-;
Comments: See Reverse Side for Additional Information!
!
See Attachments: 1) Grllding PllIn, 2) Rrosion Control Measures
"T~e 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
prE1suming to give authority to violate or cancel the provisions of this code or other
orqinances of the jurisdiction shall not be valid."
-_._._~_..-._--~---------~_._-_._---_.,._--"---_...".
~~
u~~
Main File
White . Building
CanarY . F~ng
c::- Pink . Planninq::::,
-.
Th~ ('enlfl of lhf L.lIf ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NhME OF APPLICANT
,
,.,....
/;)> /~
/ I
I( /,
I ' ~./
..J
r;--'
AF'PLlCATION RECEIVED
o
> (/
n e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at: ,
; ;? C-' i: -- ': / ..' -('7 ! /, ~
u) ...-' J) (/.~/A-< i: (t ..,/,~..i,l..:......, ~._-j?"--,,~_/
A( cepted
Accepted With Corrections
/'
Donied
Roviewed By:
CClmments: ---,-:J......./ ~
~-,..- i7-;j
~e..A. ;"
Date: )0--~;;''''
~L.t.tJ k,{) ~ aJ-f(
-
"lhe issuance or granting of a permit or approval of plans, specifications and
c mputations shall not be construed to be a permit for, or an approval of, any violation of
a y 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
OIdinances of the jurisdiction shall not be valid."
--I-.
s~~
Main File
~i!l! - B.!-I!lding::,
Canary - Engineering
Pink - Planning
-'
Th.. C..n.O' nf lh.. l..k.. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Ni \ME OF APPLICANT
&~~
/0-- /,~-Ocj
APPLICATION RECEIVED
!
T~e Building, Engineering, and Planning Departments have reviewed the building permit
a8plication for construction activity which is prpposed at: \.;j"". /
! It, 3:;5'" {LJ..dcf CbI~ ~
! .
A( cepted
Accepted With Corrections
,/
Donied
RjVieWed By:
C~mments:
~~1-J Date: /d~.c-t.'
- ! -
f/"J cuI~.
,
"~he issuance or granting of a permit or approval of plans, specifications and
c('mputations 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
pr esuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
_.____1_
11/04/04 THU 09:55 FAX 952 890 2753
STOCIGER EXCAVATING
III 003
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1101
,. o,~. 'H, LPERMIT NO. 04-1107
2. Yello'" e,l)'
1 ('".old A.f'l,li~",u
(Plea~e 1 roe or mine ane!. Si'!:Il at bottOml
I ADD> ESS
6355 Wild Oaks Terrace
ZONING (oJ'l'keu,.::)
LEG^"L DESCRlPTrON (ollice use only)
LOT 17 BLOCK 1 ADDITION
prD
OWN' ,R
(Name) _
Barts Homes
. (Phone)
612/306-4384
(Address)
Apple Vall~y, MN 55124
(City) (Zip Corle)
(Add" ss)
P.O. BOX 240593
APPL CANT
(Nam,) STOCKER EXCAVATING COMPANY, INC.
(phone) 952/890-4241
(Addr< ss) 12336 Boone Avenue Sava<1;e, MN 55378
Curt (Add"''')/ i / A (City)
(ContI ct Pcrson) // _/ ~/ (phone)
APPL CANT SIGNATURE h /;- /.h /~ DATE
(/' v
(Zip Code)
same
11-2-04
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feel.
Type of sewer pipe. [] ABC 0 pye D Cast Iron
Estimated length of sewcr line __, feet.
Clean out (if required) located at __ feet from structure,
Reside ,nial sewer and water line connecrlon
Sewer :::onnection only
FEE SCHEDULE
$35.50 Industrial. Com'\ & Multi-family 1% of job cost with ^ $)9.50 minimum
$17,50 Water conncction on Iy $17.50
Estimated COSL $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT ~'EE
$
$
$
.50
., f."~i<.~'
. ",'<;.' I'
ft;. " ~ " ....
""~ . ,
...~ ',',"
"l'!i1'r~". )'
..."j.:-..
f,"',
(Office Jst.Qnly)
Uuilditlg Official
r \a,i~ I ~eceipt No,
I r~, NOV 0 9 2004 Il:)' ~l:-
14 hour <10 tic. for.11 in'p,elions (95~) 447'9850\S'.~5~) 447-4245. (I
Dale
1'hil, Application Becomes Your Building Permit When Approved
FEB-16-85 11:16 AM JUDKINS
-........... I t\o.'i, V.I....... 140.:.;\;)
6514234189
CITY OF PRIOR LAKE
P.l32
~QOli
nauRu..1
CITY or PRIOR LAKE
HEATING/AIR CONDITIONlNGIFIREPLACE PERMIT
: r:.. ~:~ I PERMIT NO. I.J.. }r' A '/
" "f\low' AI'II1l_4 ~ '-1"
~"llIiaclilJ'!olan"-"'\
ADI I 55
11?'~C:;~1\ \C\ OoJLs
iZONlNG -.-, I
LIlCl "-L OESCIUP1tON (ollie. w. OIlly)
to' ~ !lLOa ADDInON
___H___".,.__"._..._.___.._... _N.....__..
PID
~~ 'Ba v-tcc? -H OY}:~S . _ (phon.) j.o I Z ... 305- 43Rt.j
(Addle"L1b.'Fb1-240c;9.3 '~"LR. \/oJ)J-Y-j, rnV\ 55.1.a~L__
I 7'r-'jJ ( ,
APJ'tJCM'T .-- .... ... "
CNme) JudlUnc, Hf'Q-b()cV~.ft., 11"" (phone) ___~51-4'23--.5'lf;'7
[Add,..,) \ c::; 19r;..tn II' (OI..LS"f J \~rru J ____j2J,J':r VYI.Llli l1"1"- 5~1)(,?~
.~..) - ~ (CIly) (Z1pC04c)
leonfa=Pcnon) J)l\.P () 1 (1 k':.1 VlS L ____.._ (phone) -1e1.'2 - ~~3"', t..f03-
An~ICAm CIONAn11tE ....~k9.u-Jl _ - ___ DATE --t.~ I.k. :.f?2._ .. ...
APPLICANT PLEASE COMPLETE BF~OW
IZlNEW <.:tJNSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
PU~ACI!M.o.KIANOMODPL l;(:'Cinc..'t G51 Iv'< P-?-<.;>f<', - 070....__. Ft.llL N(l).. GttS
FLtnf SIZE ..2;' pve RE'TtJR."i OPENINGS ~ INPUT ..:J..Q,CCO..... OUTPUT .__..
7YPE OP SYS'I'!lM H:EATlNGORPOWf.RPLANT
~"",,A"P1Il\" 8 51_
> OMIt)' . Hot WIlIt
M..honiOlI CJ IIadllllon
~ ~Ir Conditwninx 0 SpeciIJ Duhxs
ven, Sl"Il,", 0 Otlloro.,ie.,
4U,Cfi MAICE AND MODBL
1 PI.USltNOT!,
Air COlIdlll~1ICI' UDlII
ConDOl EIIerooob "Ill
I Raq1&lrccl Sldo YIIlI
S.lb&.~
'f.'i..":'
,
In.w.+Ia~ Com:norcill " ),Mti.Flm!ly
Ilctid n,ltl. ~toal". ... AI(; (New eo.""'ction)
lIesla nlllJ. ~-'8 Only (S"'" CMl1n",IQMl
rEI SClUDVU
1'1 or Jo~ COlt ll..id:llill.l, 0.. F1"'I"1..'
530.50 mlnim\lll\ .
599.SQ R"idalllal, Addld_ I< AILor.llon!
564.50 R..ldoollal. AC On~J
S39.l/J
Slt.l<1
$39.l/J
SJtlm.,,,Q Cost S
BUildlnaPennit '--.-.--
ifflA TrNO PElt \.lIT FEE
STAn SURCHARGll
TOTAL PERMIT FEi
"/(~~ W~
· ,', Pli,,'
i/" ryM,'7-
$
$-
$
(0fIk, , u.. 001J)
nil Application Deooftlu Your Dullolio. 'umit When Approved
? 4 Z005
. ,.Recllpl NO.
1,1
hil4ltllOlllclal
Dale
I~
I D~II
By
~'''~-~5'./
24 ~GYr Jlode. telr .11 illJpeuJont (952) ..7.,150. In (952) ...?~U!-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tV1)e ot orint and sim at bottom)
ADDRESSI
, 6355 WILD OAKS TERRACE
; ~:':" ~::y I PERMIT NO. J.l _ J'IW"l
3. Yellow Applicant .", , ~ " /I
ZONING (office use)
LEGAL DtSCRIPTION (office use ouly)
LOT ~LOCK ADDITION
PID
OWNER
(Name B~RT'S HOMES
(Address)
(Phone)
APPLICAllT
(Name) AT,TJRDFTRRSTDF DRA FTRRSTD'F. HEARTH & HOMF
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
llRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
. APPLICA~T SIGNATURE
BRENDA HUSTON
DATE
3/25(05
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
DWarm Air Plants
DOravity
o Mechanical
OAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLAcIj: MAKE AND MODEL
IlEA TN GLO 6000TR-OAK X 21
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Co nmercial & Multi-Family
$39.50
$39.50
$39.50
Residential, t eating & Ale (New Construction)
Residential, ~eating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
au PAID WITH
ILDING PERM,..,..
(Office Use OnIy)
This Appl1cation Becomes Your Building Permit When Approved
HuUdine: Official
Date
I'-t ;:";J
! ~ ' ,
,
1 I D~epp
;" Receipt No.
eo'
il';
,,' By
i!'1
,.
1
unn~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
"--_._~-...'_.
07/19/2005 14:06
9528947972
LAKE SIDE PLUMBH1G
PAGE 01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Plc:\sc tVDl':: dr urint and sig;n at bol:tom)
ADDRES~
I" ~K5" L< \: \ A oAK.s
- I
LEGAL qESCRTPTION (office use only)
; ~~;: ~::, I PERMI,T N04L. II n 0"71
1,Ydlnw Allpl'C:1\nl ~
I ZONING 10m" use)
LOT
~LOC)(
ADDITION
PID
OWNER i
(Name) i M<..
Jk.,,-<'
P'L.&'.t d~"
(Phone)
( Address)
~~
APPLICAr;J
(Name) , ~\G. <;,).". ?,,'~)
(Address) ~1;;l'J("'l Z;nr.>J\~_
(Address)
APPLTCA"NT STGNATURE
l\,. _ .e -4M. '_ .
(Phone) 3<J- f?~!:L:::J-"'M
&""0"-
(City)
(PI10ne) o/5d- '?4"f-"l(.,oo
DATE ::i.-lo'OS
5" ~3"' f
(Zip Code)
(Contact P~rson)
~Ql.."_
APPLICANT PLEASE COMPLETE BELOW
Quantit, I Type of Fixture
\ I Bath Tub with or without shower
\ I Dishwasher
\ I Floor Drain
L.j I Lavatory (Bathroom Sink)
Laundry "tray (J or 2 compartment sink
Shower Stall
\ Sink~
Bar Sink
;" Water Closet (Toilet)
Qllal)tity
Type of Fixture
\
Rough-ins
Water Heater
Water Sonner
Stand Pipe (Washing Machine)
Sewage Ejector
Backftow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Muhi~rilmily 1% (,rjnh cost with !'I $39.50 minimum Rcsidcnl:ial. New One & Two-Family $99.50
Re~irJentiaJ. Additions & Alten~tions S39.50
EStilt).ted Cost $ \'\.lX:iZ>
"~.",
PAID WrrlfV;;;z:f; . ,
tjJ[QINGPEFUi~!1 v\\ ~I ~...'
...I~:~, \
f\.~ i:~ c. ,~~.i.,~->(.~~.~~l.l \
t - B~ ,r"
L L JUl 2 1 2065 ~fr-dJo-^l' J f 17/ ~
24 hour nollee ror all i..p.ctioo, (952) 441-98\ 0, fa> (952) 441-4245 '1\
16200 Eagl< C....k A.ve., S.E., Prior Lake, 1ifri-.55J1J--l1-1L__......_ .J
Building Permit #
,
PLUMBrNG PERMTT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(OfliccU!;cO"ly)
This ^p~ication Becomelii Your Building Permit When Appr-:wed
,
n,ildln2 01netAI
ntlll!
~
PRIOR LAKE DEPARTMENT OF Main File
BUILDING AND INSPECTION
ItiSPECTION RECORD
SIT~ADDRESS "3SS ~\&..D eA."" ~
NATWRE OF WORK tolE&,,) c,A~$TLt~""'.A
USE OF BUILDING Sf:'. ~. .
PERMIT NO. 04-.1101 DATE ISSUED ~
COf'ITRACTOR ~ t'O..M.C$ PHO~E.If:.~..,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTO~
/~nJ
I FOLJNDATION (Prior to Backfill) l1,e...,....,lt t.V<<II.. 10- I {'tl/t.'J:;J7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS "
SE HER I WATER I SEPTIC I m~;Z j)..z ~f". #11
FR~MING ~i'f.:j;t:J:;/.J%[~y-~~-:f::Z !/ftIl -'HTloS'. L,I, ~~0~
IN~ULATION ' . ~ 1"#//6,.5--
ELECTRICAL Jj/'i/C.5
PLJMBING L, t. /M' rk;M- fr1_$ :1/6/-4.5
HE "TING (if required) /,L /11I':1 Jft'~k ~ J#Ij.. $ It? /D ~/
FI~EPLACE L,L /1# f/ttJ;$' . ff1# r.5/!6/~S- .
GAls LINE AIR TEST nkA t } r.? /ttIf :J111 /05'
I ,
. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
luftt~ HDClSE'~P I ~j I 9'1:/05-
FINALS
A/5.
IftJf-
,
DATE ,.
/.7-/1 Jj /tfl/
I FO DTING
G~ADING (Prior to Sodding)
BullLDING
EL ::CTRICAL
PL JMBING
HE"TING
DO NOT
7. zs: o~
? ///pr
~?/~S"-
ffi-C.- _ ? /ff, o.r '"
~/ rf3;r- t,~'r
,
OCCUPY UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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
-~-,...__..--_._.,_._--!--..
Q]:rrfifitab of @ttupanq!
CITY OF PRIOR LAKE
~:eparfm:enf of Iliuil~ing Jfnsp:edion
1/
;1] Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section liD of the 0 Residential/ LJ International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances afthe City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 04-l107
Use Classification
_ Bldg. Permit No.
Occupancy Type
R3
VN
Legal Description
Type Construction_
L17, Bl, WILDS OAKS
_ Zoning District
RlSD
Owner of Building Site Address
BARTS aMES, P.O. BOX 240593,
Contractor's Name & Address _ ~
ROBERT D. HUTCHINS~
CIty Planner
c:;; / / ~ul!9.mg OffiCial -
5//~/O-J Date
,-
POST IN CONSPICUOUS PLACE
6355 WILD OAKS TERRACE
APPLE VALLEY, 55124
JANE KANSIER
" ~.
~',
DATE TIME
?4~)/
bSsr I~'/'d ~k ~/r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULEO
ADDRESS
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 S~R HOOKUP
.)Oi"'PLUMBING FINAL
o MECH FINAL
<!)<;I: //tJ7
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
.1/- ./ / / -? /'
k...E!R<..p~fi" rS T O/C
~ ~P.</ /<<ru 'M /~/
~// _~4'r~,rl ~ ~c;;/7-.?'~c-'
a) ..rLv,Z / ~- tk~/ 2!7~", ~
r/c#A!:&.k~nd~ >>f--- ~fA-<~ S .
_/ "
/~c~P
d ,,/
~,(/ddt~
-1
~ /
/"'74 ./
o WORK SATISFACTORY, PROCEED
~"ION 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 & SAFETYI
OATE
9/J~5"
" -
h.5 Ss- u/;/ I t!':hls k/ /'
/
( ..--r /
V ~/~_,,~
------
~RK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRECT WO~KA C:;tJOR R~INSPECTION BEFORE COVERING
Inspector: YP I ______ Owner/Contr.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o !!JSULATION
.BfFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ /"
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/7,/
C/!,C
d"'J'/
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.......
nil.
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
')
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INS/tlOTl
&35~ W, I) Oc,/(s T~Y''''i(~
CONTR. ~rf,; }-/o~.r
o'-l-llQ)
~EXI~LING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(:,met, --- t9 {(
evIl, !5of'. () r(
DATE nMe
9'lS~
)10!!oRK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,nspedor:/J1,H Owner/Contr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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