HomeMy WebLinkAboutBldg Permit 04-1109
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CITY OF PRIOR LAKE BUILDING PERMIT, 1, ill lf~ @ L~ Ib~e ~ ~
TEMPORARY CERTIFICATE OF ZONING COMPLIANCR0\ OCT 1 2 2004 1\
AND UTILITY CONNECTION PERMIT uL J
While
Pink
Yellow
File
City
Applicant
"'v
I PERMlT'!'tv. (j 4.
116q
(,359
fr/L-.o
OItKS
7E~t.G
ZONING (office use)
;e 15D
ADDRESS
LEGAL DE$CRIPTION (office use only)
LOTH BLOCK I ADDITION w,eld Oo.lA.C:
PID z5'. 3(" 4-. alt:]. 0
OWNER
(Name)
(Phone)
(Address)
~~~~~~Name\~ l'-T" ib~LL C (Phone) b!1,-:SOG-v39v
(Contact NaJll1e) 1~t- '\bll'--'1:--<u (Phone) v L- '-...-------
(Address)&-:>\O o.JIQt,-q3 .s6yp I (' Yo. 1 L...c7'jAA Vl.-,z,-:<; 127
TYPE OF WORK. 0 New Construction DDeck DPorch ORe-Roafin( ORe.Siding DLower Level Finish D Fireplace
DAddition DAlteration DUtilicy Connection D Misc.
CODE: ~I.f..'C, DI.B.c. PROJECT COSTlV ALUE ;).!)q ----
S
Type of onsjroction: I II III IV V A B (excluding land) -J
Occupancy Gtoup: A B E F H I M R S U
Division: I 2 3 4 5
I h. cr.CbY certify thpt I. have: h.lmiShed information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzcd agent for the
abovl'.menlloned property and that all tructlOn Will conform to all eXLStmg state and local laws and WIll proceed in accordance with submItted plans_ I am aware that the buildmg
:fi"'[: ;;?'h;p:,m" 'J"" "F"~"mo, I:::" th" Ih~~~'$84' 7;Tn th, plOpeny to p"rOtm needed m;"'~y
. ~ Contractor's License No. Date
Permit Valuation '2..' S".OOO.t)O I I Park Support Fee # $ ~S-O.OO
Permit Fee $ 17<(3.50_ I SAC # $ '"3~O. 00
~
Plan Check Fee $ II g'3. 'Z-8' I Water Mete( SiZe~ 1"; $ "Z..~O ,00
State Surchar$e $ P7.5"O I Pressure Reducer $ Ll~. 00
Penalty $ I Sewer/Water Connection Fee # $ 12.00,00
Plumbing Perynit Fee $ /(JO.O~ I Water Tower Fee # $ 'loD.(}a
Mechanical Permit Fee $ 100.00 I Builder's Deposit $
Sewer & Wath Permit Fee $ 35.50 I Other $
L Gas Fireplace Permit Fee $ 'fo.oo 1 TOTAL DUE $ ~~o4.1~1
/
This Applica~on Becomes Your Building Pennit When Approved Paid '7t-rL/. 7 J, I Rec::>fN o. ~P7 f 1 I
~~~ 1()1z..~ t./ Date /7 '7"'1' By -,. I
U
Bui~illg OftiCilli ' Date' .
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 nfOccupancy must be
imfb. . ~ C
~ .Jl?
Planning Director
/lJ/u!ot/
Date
24 hour notice for all inspections (952) 447~9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
&~~
See Main File
C:::W;:itA - Buiidiri'aJ
Canary - Engineering
Pink - Planning
-
The (.rnlrr:nf Ih..l..k.. ('ounlrl
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N/ME OF APPLICANT
AF PLICATION RECEIVED /~ - 1;2- Ot.../
f
&~ }j~
Thle Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! 63S?- ///ddJ ()a~v~
,
,
,
Aejeepted
!
De nied
~
Accepted With Corrections
Re viewed By:
~
~~
Date:
(d/2,-/1t..f
.
Cc mments:
see Ivlain File
"The issuance or granting of a permit or approval of plans, specifications and
co~putations shall not be construed to be a permit for, or an approval of, any violation of
arly 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."
./ X PR/O;\'
lA\
~~
See Main File
White - Building
rcanarv - Enqineel'ln!:J:::,
Pink - - Planning -
Tht ("..nl r of lhrl..... ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N II.ME OF APPLICANT
APPLICATION RECEIVED
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,
Ti'le Building, Engineering, and Planning Departments have reviewed the building permit
al tplication for construction activity which is proposed at:
t:,._;.>....~, ,_'::~ ,r" '~~,7 - ; j./
7' .i;_/---{~t,,..;,
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1/,""':"'-
L/L.tL~'.~~.12--./'
A, :cepted
x:
'.
Accepted With Corrections
Dmied
R wiewed By:
;YJJ!l..,
Date:
16 -Z? -0 if
C )mments:
,,- -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
a lY of the provisions of this code or of any other ordinance of the jurisdiction. Permits
p 'esuming to give authority to violate or cancel the provisions of this code or other
o 'dinances of the jurisdiction shall not be valid."
-----+------ -.---
See Main File
White . Building
Canary - Engineering
~lnK -.....Iannlijg::::--
Thr crnrrrlof thr I..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N).ME OF APPLICANT
r . /~
J/'
t
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1/
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j',y 4..
AFPLlCATION RECEIVED
/() - /~ - {)L/
Th e Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
/' .... -:' '/-' _ . / / //<... (' /)~: /(' l._ / .
~:-" ..-/ j // /,.-'{A'" ,1.' ' P "-- --/ ,~/,/-L"'_a---
i
Accepted
/
Accepted With Corrections
Dried
Riviewed By:
I
Cc mments:
~.
~~
Date: /oA-2....fC/
.
See Ivlaill File
"T 1e issuance or granting of a permit or approval of plans, specifications and
cqmputations 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
pr~suming to give authority to violate or cancel the provisions of this code or other
ort:linances of the jurisdiction shall not be valid."
11/04/04 THU 09:55 FAX 952 890 2753
STOCKER EXCAVATING
~001
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. Cilcen
2. y~n"...
3. Cold
~::~ r 'PERMIT NO: 04-1109
^P~lj~onl _
Ol/,IJo1
I
J..Please~~ or~~_tand sip;n at borrom)
ADDl<..II.SS
6359 Wild Oaks Terrace
ZONING (0_ "",)
LEGA4 DESCRIPTION (office use o;',y)
LOT ~9 BLOCK 1 ADDITlON
OWNE~
(Name)!
PlD
Barts Homes
(Phone)
612/306-4384
(Addt~SS)
Apple Vall~y, MN 55124
(CitY) (Zi, Code)
(Addrcs~)
P.O. BOX 240593
APPL!1 cANT
(Name s'rceRER EXCAVATING COMPANY, INC.
(phone) 952/890-4241
(Addre$)
12336 Boone Avenue
Sava~e, MN 55378
(City)
(Zip Cod,)
. curt(A.~ddr"') 'h
(Concaqt Person) . .
APFutANT SIGNATURE. / A ;;r::;;;~
l/ . ~
(phone)
DATE _~-2-04_
same
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
ESlimated length of sewer line feet.
Clean out (if required) located at _ feetfromslructure.
feet
o Cast Iron
Reside~tial sewer and water I ine; connection
Sewer dormection only
FEE SCHEDULE
$3550 Inclusrdal, Com'[ & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated COSl $
Building Permit #
,
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50.
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.....p.~f'1f('J;;. ~"'.' ' " ,- \
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tQflictl.heOnl)')
This A-pplic3tion Becomes Your Building Permit When Approved"
''''Rai(1
I... .
Receipt No.
Bl.lilding Omtil1l
-Da~ Bt
D1"',\ Nnv 09 2004 ,,(
. I
24 hour nati" (or 111 inspection, (952) 447-9 fll:f.X (952) 447.4245 \
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FEB-16-e5 11:15 AM JUDKINS
'. -. "" "UI.I ".L.\'lO' fA..\,. lH~".r;-t.:!4S
6514234189
CIT, OF PRIOR ~(E
P.01
(1'Q11lr
D.~ 8tc'd \
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
,".. "', I P"RMIT NO ~. 10
J"u.- C,tjI.a;:.,. 1
;I, VtI\8.. ,."JI",. , \
~arDril:ll:_IiL"tbefJrlm'
AD~SS
Go-,;c;9 \N i \d ()a.x: c,
--'1 fZON1I'JO I'.......'
Ul~AL DESClUPnOH !.""', Ul< .Illy)
i 1
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ow -lER n J-,.- u, - ,L;!'3: o. J'
(NIne) t:"~ V . \ '2..s-L<;-~/Y~S _ (PhO. ne) J.~. { Z. .:). G. ."'. - 4::..W II
(Ad4t".l]).m'A lLlOSg3 .4erLr \,LL~~_mn. 55IBl.1_.
~~ -, - 1
~~~Al\'1','JUcll6ll<:' -Hf'o..tli/iCl ~ A, V- (phone) _f~!.H.::..!d2;>) 5'l~ '7 '
(AddreSl) -6J QC') (' n V'r.Q.[.I c,,.. J \f\t^\~ J _ Qf!<;C 1'1'i.QLi \ 1-r-C)")O~/(
~<Jdr.UJ-"'\ (Clly) (Zi.Codc)
(Co~ Penon) JAl_\P (t:/1 ~Illl c, (Pholle) (C) 12 - '?;CtPr (t-fc.;
Al'PtjCANTCION^TURE__.~~ DATE 2-11.,-0'5____._1
APPLICANT PLEASE COMPLETE BELOW
\1!lNEW (XJNSTllUCT10N 0 REPLACa.iENT 0 AL T1'.RA110NS - -'.-..'
I'UJ!.1'IACl!MAK1!.ANDMOO1!l. L:C{il'10'L G.'JI ~ P-A{"l7J - Q'I() Fl.'EL NaJ Gas
Ftut SIZE .:t' PVt, REruR.'10PENrnCS c;< INPUT .:Jr:, .CCQ..... OlJl1'UT.__.
'rYl'E OF SYSTEM HilA mo OR POWEP. rUNT
~V""'A" PI""" 0 $,_
O~il)' LJ Ho' War
.0 Meehanlc': 0 Radiallon
-B"AirCoftdilionln!5 CJ Spccit] O.rio::s
ov.., 51'S'em 0 Otl1or D.,lm
_1,2'!'... ",_.~;9.~_ '.'. ~P.D!1:1.Cl~.
PID
PIREI'LACIi MAKE AI'D MODIlI
I PI.EASE NOT!::
I Air COl\ditionor Vnlu
CmDot EDcr".oh Ioto
I Rtquin:d 5.4c YII1l
,___ S.lbtc~'
,- .--..-,--------..-
-",,_..._..,-~. ,~...~
lr.dUJtl"ia~ ".:"tr.."1'rreitl It M~[ti..Fam.ily
l\tl;id:io,;.1 ~r...i"I" NC (New eor.rtlUo,jon)
RI\',ld~tliJ. ~t:ld"lS 01'1.1)1 (NP.\IJ C:M~TT\Ir.!!tlr.)
FEE SCH1!,DliLE
t% 01 JOI;I eo" Rlt"id!!l'l1ial, GaA Firq'lllee
S39.~0 minimum .
199.30 Re.identi.l. Addi,ion, "' ,1,1'''''1<"'
!~OO R..ld",II.I. AC On!).
S3 Me
E!llmat.d Cost ~
Buildins Penni! #
m.lC
811(~~l) ~m.30
G ~~,.,
7:1/1,f1'}-
HF~~ TlNO PF.It\IIT FEE
STATE SURCHARGF.
TOTAL PERMIT FElt
$
$
$
.so
(O'""!U"Ollbl
nil Applicallon D,.olllt" Your Dul1<liae remit When Approved
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l .~tctlpl No.
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i00511ll1
"'i1~ltlfOll1<i'1
Da~
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,
2'" t'lour "otic. fa".11 il1l'purJ6,., (JS2) ".,.~. In ('52) "'7"'14~
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B3/3B/2BB5 13:28
9528947972
LAKE SIDE PLUMBING
PAGE B1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~. ~~:: ~:~ I PERMIT NO.~. L _ I' ()/).,
)YeJl(lW"'I"IJ'llit~nt ~
(plC&$C:'!\::pc: orrorint and JiM at bottom)
I ADDRESS
1o"J,A'9 \'J\\~ I'\A\t~
ZONING (om" ",,)
LEGAL DllSCRlPTION (office U;C nnly)
LOT
ADDITION
PID
ijLOCK
OWNER .
(Name) ~o.r'<<.. \.\..M'='-
~., ,/.::.\lfJ.II
. ~- 0-
APPUCANT j ..
(Name) ~. ~\.
(Address)
(Phone)
DI.....h'J
Z~f'ItG\.. AIJ4'
(Address)
0",-.,.,
(phone) Q:\.;l- 5i'Ci..,.1C.Ob
(Address) .J.Cl$~ q
I) S-Cnir
(Zip Code)
(Contact Person)
s.,.Jo~...._
(City)
(phone)
,Scun""
to.- ~~
DATE _3::~"-cS::-c-'_
APPLICANT SIGNATURE
Quantity
I
I
)
1.(
r
::Y,
\
3
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture Quantity
Bath Tub with or without shower Rough-ins
Dishwasher Water Heater
Floor Drain Water Soliner
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (J or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Spriokler
Water Closet (Toilet) Other
Type of fixture
FEE SCHEDULE
Induslri"l. COMmercial & Multi-f.mily I: % ,,[job CO!! wltil a $39.50 minimum Residential. New One & 1'wo.F.mily $9950
Residenlial. Addition~ &. Alrentions $39.50
(Offlet u~ Only)
E~timaled Cost $ 13,1)00
l( U 6'"
Building Permit #
Building Of1\l::IIII
$
~ .50 PAID WITH
I :ijl~-C-;ci~! -t iBf~~~G PERMIT i
001< i :W~PR 6 2005 I~il Y Q- 1
24 hOllr ..t;ce for all inspecti... (952) 447-! !~O. tax (952) 447-4245 U
16200 Eagle Creek ^ve., S.E., Prior La! e; JifN'SS37l-H14.. ---.-.
PLUMBTNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FtE
This Application Becomes Y our Buildin~ Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'd
; ;;,~, ~:;y I PERMIT NO~,i- / j~
3. Yellow Applicant V fJ
(Please tv1Je ot orint and si211 at bottom)
ADDRESS
6359 WILD OAKS TERRACE
LEGAL DJIISCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name BART'S HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FTRESTDE DBA FTRFSTDE HEARTH & HOME
(Phone)
ROSEVILLE
(City)
ZONING (office use)
PID
(Address)
651-633-256]
2700 NORTH F AIRVIEW AVENUE
(Address)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
';5113_
(Zip Code)
5/2/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
Residential, Gas Fireplace $39.50
Residential, Additions &8tt.~Jio~/D ,~. $39.50
Residential, AC Only li..()/lVa 'J"f1'1..1 $39.50
Building Permit # 'I:/iMrr
$
$ .50
$
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWann Air Plants
DGravity
o Mechanical
OAir Conditioning
OVen!. System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
o Radiation
D Special Devices
o Other Devices
FIREPLACE MAKE AND MODEL
REA TN GLO 6000TR-OAK X 2
FEE SCHEDULE
Industrial, Commercial & Multi-Family
1 % of job cost
$39.50 minimum
$99.50
$64.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
II'I/~"C '., ,- "
: W.~I i'~ ji:.J Ii li-"'
iUi!~~~' i'" :', J ...::0
I
I !i!1tteMAY 2 3 2005
: I~
BuUdinl!: Official
Date
24 hour notiee for all inspections (952) 447-911rgy fax _(952)4~7:"2~5_=
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
nIl'1 'ceipt No.
"
I"
iJI1r
I
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PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS (0"3"",)'( WILD (J~ILJ" Tt2..tlk:r
NATURE OF WORK flJFiIAJ c..o...t~r.",
USE OF BUILDING ~ /A-.. .
PERMIT. NO. ::--R. ~/I09 _ DATE ISSUED ltJL"'~ .
CONTffiACTOR ~ ~ PHOOE~ -tfll'I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTOR DA~E ".
I FOOTlNG I ~ I /*~:/
I ,
I FOUNIDATION (Prior to Backfill) ,/k'v".Af ~"/M/ r/.77 ~ I -:~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. ,
SEW~R I WATE...R I SEPTIC .J ~ " / ~;'.'~:~.
FRAMIINGC:E'~~ ~t~/~H~ ~.'. ::>[.r'k
INSU4AT(QN I I d.r?- S//oj' pS'
ELEC'rRICAL I Y / a ~s""'
PLUMBING I Jl/fi Jj'/I;/tlS
HEATING (if required) . I J'J?'/~ I . <;/~us"'-
FIRE~LACE '/. I, /111 sj;./"s _"" 1'6-1<1t~./ Idl/ I ~~s;4r
GAS ~INE AIR TEST ;;!t"J. to));'1f ~rf~l%Y~. I L-d~o.s~
CO~ER NO WORK UNTIL AljWV,E,HAS BEEN SIGNED
lLA1}jtE I fo\oa,E~~P IH~ 1/1{/~ 1..L1t: 114 -5:1~si
· , FINALS
GRAD NG (Prior to Sodding) ~ \. ~p ~_.I. /f;;~
BUlL ING ~ I rr-h-~/o\-
ELEC RICAL I, J I d'/"{ ~.I.'o~
PLUM ING I //Z.:?' cP#'/()'~
.
HEATI, G I g..1.-f't- X~,J~ <; ~
DO NOT 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
<!lrdifirnfr of @rrnpnnr\r
CITY OF PRIOR LAKE
~rparfmrnf of 'lJiluilMng Jlnsprdion
~inal Permitted [J Conditional e.O. Expires
/
This Certificate issued pursuant to the requirements of Section 110 of the [J Residential / D lnternational
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 04-1109
Use Classification
Bldg. Permit No,
Legal Description
Type Construction_
LI9, B1, WILD OAKS
R3
VN
R1SD
Occupancy TYpe
Zoning DistTi"
Owner of Building Site Address
BARTS HOMES, P.~. BOX 240593, APPLE VALLEY 55124
Contractor's Name & Address ./ ~ .--. /.
ROBERT D. H1JTCHI~S 1~~ JANE KANSIER
/'~- ( /" City Planner
. /, JJuil~Official
Date, _2/ /h/ cJ r::-- Oat"
/ /
6359 WILD OAKS TERRACE
'0 ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
?';?: ~ y':-'"
, /
ADDRESS
~ ~.)7 CU:/d t2q~ ;';r/
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
~UMBING FINAL
o MECH FINAL
COMMENTS:
-J_/ I / /'
;"Hr:~~~ TCY-
/;'1 /J /
0; ~<:"h ~e-, -Tr'l-'"
U/4/'r/KJ~JI ~
-{--)C#7 /,6~!t,~
6.) ~,,^"1.d~V :/c/A
.~ ~:// ~~.<."
#~dt::Jr<<-~-
t3~/- //c;p
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
d~
J
C9'CC'-.SI ~
~y.b""
/
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7' ~ ~.-L n--
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(~C,.t (dV Lf(///ct'.--r
--..
--
~h.,/
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
lnspectoc ~ Owner/Conte
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/
17;* nu.
bS)7 ~'Ic./ ~'/r 7//
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
r::!~LATION
~~~~~L
o SITE INSPECTION
D~ ~BING Rl
~Ec:HRI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
c:? r' -//09
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:~/ / r< /
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o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
AORRECT WO~K,_CALL y, REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
6:557
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A:;FtNAL
~ SITE INSPECTION
DATE Tille
SCHEDULED ~~~~
/
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CONTR.
PERMIT NO.
~r -//09
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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o CORRECT ~O~K~ ~ FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn