HomeMy WebLinkAboutBldg Permit 04-0436
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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ADDRESS
3314-
While
Pink
Yellow
File
City
Applicant
I PERMIT NO. 64-.043Co I
Fo)( 'T1\ l L....- ()U....
NvJ
LEGAL DE: ,CRIPTION (office use only)
LOT a w"oCK3 ADDITION co, Ide
OWNER
(Name) Jl.r,,'#p
(Address)
BUILDER
(Company !\ ame)
(Contact Na] ne)
-;;;hJ /lo/b1 e
M#'..-
co/? <;r
(Address)
?lcr/
7:1.= /' '"
'or
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Date Rec' d
f, ZIe,ol-
ZONING (office use)
Rf
PID 'is'. 375. on,o
(Phone)
TAn.
(Phone) 9';,.,) -;), '7'd--)<';f?f?'
(Phone) 9<:";)-I./"U:' -~q~
&If - "/52 - .#:1d - J<!~o ~
TYPE OF ~ 'ORK ~w Construction DDeck DPorch ORe-Roofmg ORe-Siding DLower Level Finish 0 Fireplace
DAddition DAlteration DUtility Connection 0 Misc.
CODE: MI. I l.C. DI.B.c.
Type of ~nsl ruction: I
Occupancy G Oup: A B E
Division:
II
F
I
IIIIV@~@
H!.MQtJSU
2 W 4 5
PROJECT COST fV ALUE $
(excluding land)
'3.;(0: 07J
I hereby certifY th, t I have filrnished 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.mentlOned ilIroperry and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1 am aW3. re that the building
otflclal can revoke-Ithls permit for Just cause Furthermore, r hereby agree that the City official or a deSignee may enter upon the property to perform needed mspectlons
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Permit Valuat::m
Permit Fee
Plan Check F"
State SurcharB ;:'
Penalty
Plumbing Pen 1it Fee
Mechanical Pc rmit Fee
Sewer & Watc: r Permit Fee
Gas Fireplace Permit Fee
Signature
'If 3ZS;ooo.01J1
$ ~i./03.50 I
$ 15"2. zg I
$ I ~ '1. 50 I
$ I
$ IDO.DO I
$ )00.00 I
$ "35. S""o I
$ ~O,oo I
This Applicatl m Becomes Your Building Pennit When Approved
.~~
-- Buitdmg Official
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$ I
TOTALDUE t~ ,".17.04- .!..J.Q,,373. 7aJ
10. .::f7-J. 7tJ I RecLZ No. -ru,q? / I
","J. /4-. ci i- Bv r' . I
(j
Contractor's License No.
Park Support Fee
#
Date
$ e~a,oo
$ (3'50.00
$ 300. Q'l!l
$ 70. (JO
$ 1 '2..c9o ,00
$ 700.00
$ 1<;;;'00.00
ThiS IS to certify tl at the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This document
whcn signed by lh ~ City Planner consytl.ltt's a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~A.--~' .~ S/~'I' ~ ~/tM4...7'::"";~.
Plarlning Director ' Date ...- Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
SAC
#
Water Meter Size 5/8'e;f:J
Pressure Reducer
Sewer/Water Connection Fee
#
Water Tower Fee
#
Builder's Deposit
Other
Paid
Date
"-~x PRIOI( <'
D ~~
While "Building
CalJ"ry - Engineering
(PinK - Planning)
-
Thr ('rnlf of lht' (.IIlt' ('oun",'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ \ME OF APPLICANT
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:( L- ( i L
APPLICATION RECEIVED
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Tt e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
-/4-
- ;' , /.
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"',,11.
Ac cepted
Accepted With Corrections /
DEinied
Rnviewed By:
;Bu.
A.e, ~
-q.v IJ P--
Date: 5/7/0 '-/
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4-L~ , ~ o--eJ(
C( lmments:
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"1 he issuance or granting of a permit or approval of plans, specifications and
cc mputations shall not be construed to be a permit for, or an approval of, any violation of
airy 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
or:tinances of the jurisdiction shall not be valid,"
*Permil#
'JobAdd<_ _'1':j/4 FO~~I
'_.. METRO AIR
'T..._notu'. 1~ O'~
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Poundo
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Pressurized
..........
PERFORMANCE TEST
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Fir*lnspec:lion
Dote
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ue~
~e - Buildi'iiQ:>
Canary - I::ngmeering
Pink - Planning
lh~ C~nl~ or lh.. J,lk.. Counln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NI~ME OF APPLICANT
TOM HOL.-M S
4- < 2-(, . 0 4-
APPLICATION RECEIVED
Ti,e Building, Engineering, and Planning Departments have reviewed the building permit
arplication for construction activity which is proposed at:
3314- Fox Tf\IL TeAlL rJW
Ac cepted
Accepted With Corrections
/
DE,nied
Rl'lviewed By:
~
~JJ
~ Date: D/?ft'l'
aLl' --A~
Cllmments:
"lhe issuance or granting of a permit or approval of plans, specifications and
cc 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
pi esuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
Si)1
.....YJUWe - Buildinq
~n-"rv - ~ineerit1lr)
Pink - Planning
rhr ('rnlrr ollhr L.b ('ounU')-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-Tc) (/1 I-I eLI-I (:
/. 7' (4-
'r .....,Ct'. ,,' -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'3314.- r=- 0 x' -T}--\ I L 7l:f\ I L 1\) vV
Accepted
Denied
X'
Accepted With Corrections
Reviewed By:
/Y11 i~
DateY LJ - 0'1
Comments: !=:..", RAv.erse Side for Additional Information!
See Attachments' I) Gmrling Plan, 2) Frm:io1J...CQ11trol Measures
"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,"
t~:
.'NJVE5C"t-
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
'1, /1", Of-
;:: ~::y I PERMIT NO. L, 4-3/-
3 Yellow Applicant , , \P
(Please'!vpe ( r orint and sim at bottom)
ADDRES:: 33/+ rO X mIl.- (JtA-. I ZONINGCofficeuse)
. LEGAL DESCRIPTION (office use only)
LOT
OWNER
(Name)
(Address)
HLOCK
PIDz..~.:ns fJl? 11
ADDITION
(Phone)
APPLICA'IT
(Name) ?OPI9Ny':S /./lJ"7ft::j.
(Address)
(Address) /J (City)
(Contact P "son) ~;;:;r (Phone)
APPLICA \JT SIGNATURE I'd /7--t:_.) DATE
.'7 / i'
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity I
Bath Tub with or wilhout shower I Rough-ins
Dishwasher I Water Heater
Floor Drain I Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine)
I Laundry Tray (I or 2 compartment sink I Sewage Ejector
I Shower Stall I Backflow Assembly
Sinks Backflow Assembly Test
I Bar Sink Lawn Sprinkler
,I Water Closet (Toilet) Other
Quanti! y
1-
I
)
1'1
~
1
-;
(Phone) _-~~ta...CJ;;I-(j'?72.
(Zip Code)
o/-/0-0c;/
/
Type of Fixture
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential. New One & Two-family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Ottl-.04.?c.
Building Permit #
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ ~O'
$ ~
,.
(Office lJse 0 Illy)
This Apllication BecomeS Your Building Permit When Approved
B Iilding Official
IP~
I Datir./~, c> 4-
Recei~J~ ;
By ~
...
Date
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714
METRO A I R 952-44 7-8126IOI~ LAKE
. "-olol .l v.!' .r ol'-.l" I
HEATING/AIR CONDITIONING/}'IREPLACE PERMIT
NO, 332
p, 1
Dnt. Rec'~
I,rlnk
2.01'H'n
J. ytll11W
~:~ I PERMIT NO. 0+ 04-3(p1
^III1Ullnl .
(PllllsC' ~~ 1C: or Drint Ind liPJ\ II bottom'
AP:;1~,\ Y~fu.\ \r~\\\
ZONING (01Th:. 0")
L~GAI, DESCIUPTION (oOle, u'" only)
LOT BLOCK
ADDITION
pm
OWNE R
(N~me)
T(,,,^- \\I.J\~ \..t.l('\.;'~_
~,^I \ \,\",', \. ~Y' S\~\UOv....
(Phone) '\ ~ :l. d. '\ '";(. \ '" ~.~
(MdICH)
APPLl' :ANT N\ '^ \ -~
(!>lame \' "L~(\) '",<,,.... -\- 1"\ l,
(A\ld,m) \~~ ')1,1::) \,J <c.\ lll~ f\-I! '-
<Add",..)
N L\V\L..\J S l.-I,~!I...\\.
API'LII:ANTSIGNATURE J.r:\~.1 L1.\;h
(Phone) ~ S ~-\..Nl- ~ \:)\.{
~r,c.)- \.."\ll,,. ,\,1\) S~7:>'-'~
(CIty) (Zip Code)
(Phone) "'I ~'),- \'\1..\ (- 'lS \ fJ \..\
DATE
(C4n1ac I Person)
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REI'LACIiMENT 0 ALTERATlO~~....4.
FU~NACEM^KEANDMODEL C'^V'~ '\'-"'" \"\xA-\\)\)-j\d I'UBLIV\.\\
fL\JE SZ~ \J L RETURN OPENINGS \ ~ INPUT' (\t\ :Y& OUTPUT q <. ~
,
TYI'E OF SYSTEM aEA TING OR POWER PLANT
" OWnrm Air J)lnnts
iraVlIY
Mcchalliclll .
Ir COluJiliolllng
"'!SlV'"1. Sysl,m
o SICDIll
o HOI WOler
o Radialion
o Special Dcvices
o Olhcr Devices
I'LEASle NOTE:
Air Conditioner Units
Cnllnot Ellcruoeh into
Required Side Yard
Setbacks
FlI\EI'L ~CE MAKE AND MODEL.. "
,----
F~E SCHEDULE
1% 0000 cosl Resid'I'I;DI, Oas Fireplace
$)9,SO mlnimulIl
Re~idenli .1. il..ting &. AIC (New COn'lIlleliun) $99,50
Re,idcll!: .1, Henling Only (New Consll'uction) $64.50
Estimated Cost $ \ \ :;:.. Ci'" ~
- ,
Indll'lrJo , CommlUeinl &. Mulli.Pamily
Residcntial, AuulUon, 8< Aller.liun,
Rcsiu,nlial, AC Only
$.19.50
$39,50
$)9,'0
Dui Iding Permit II
HEATING PERMIT FEE $
STATBSURCHARGE $
TOTAL PERMIT FEE $
"PAID WIllI
.50BUllDING
~1l11 '
~ !-"~Ji)>f"m,-
10'\1" tl: , Ol1ly)
This) .I'I'IlCRtlOIl Oeeomes Your DIIII~lng Permit When Appl'ove~ Paid
Dolll
l3y
IMhllne Orn,la.
VlIIe
24 Ioollr noliee fol' nil Iolll',ellon. (952) 447-9850, rn. (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
;:;.:. ~::y I PERMIT NO. I J...~-
3. Yellow Applicant .., '1-~
(Please tyPe 01 'Print and siJtQ at bottom)
ADDRESS
3314 FOXTAIL TRAILNW
LEGAL DlilSCRlPTION (office use only)
LOT BloCK ADDITION
OWNER
(Name TI)M HOLME CONSTRUCTION
(Phone)
(Address)
APPLICAlIT
(Name) AIHEn FIRESIDE nRA FIRESIDE BEARTB &. BOMF
(phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(Cily)
(Contact Po <son)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICAI rT SIGNATURE
BRFNDA HUSTON
DATE
ZONING (office use)
PID
';5113_
(Zip Code)
10/11 /04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. System
FIREPLAC , MAKE AND MODEL
HEATN GLO SL-750TR-D & 6000TR-OAK
Industrial, C< mmercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, ltIeating & NC (New Construction)
Residential, l\Ieating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
,so
r
(Office Use Oily)
- This App licalion BecomeS Your Building Permit When Approved \ 1) ~,I1l\i\l ! ~ [) ~IJ it r \\\\\
11:[\ I @elll 3 2004 ~
B Iildine: Official
Date
24 hour notice for all inspections (952) ~ii~50~~axJ9~2L4~'7:~~__~
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
iJ"(,.,.~r"",;; ~"l~,t.!
'.1; "'~~... ~{I~{j-I
;,/j:W~ P;.':):JII"''7
-.,..,. "C'
Receipt No.
By
PRIOR LAKE 'DEPARTMENT OF
- BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS --33/~ ro K TA i L T72.L-. ~l W .
NATURE OF WORK N~ c.o~t2M.Cd1'O~
USE OF BUILDING O'.~ 1) ,
PERI~IT NO. 04-.043C::>. DATE ISSUED s: '7
CONTRACTOR "1D~ t-(Qj.MF CONrt. HJC. PHONE . - 0
NOTI:: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~~DR DATE
I FOC TING vc:.} ([J:). I S; - Z ~
I FOJNDATION (Prior to Backfill) Cuc.1 f<'IJ /1J) -( b I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
t.L,F~ ROUGH - INS
SEVII ER I WATER I SEPTIC I 1'/7 to + / j,
FRA\IIING l. / 1
INSl LATION i n ~#~,;Ior)' I.
ELEC :TRICAL I ,I
PLUlnBING : #f/ ,I
HEAi "ING (if required) ,i 1
FIRE PLACE i ,I
GAS UNE AIR TEST ~ ,i ,I
". COVER NO WORK UNTIL ABOVE ~~ BEEN SIGNED
l4fl1)fEtsTk<<Q/CuirtlHlJ~N& c::r, '-0 h.;- 9. .
., , FINALS "::.>
GRADING (Prior to Sodding) ;1I1f 5~ q. VJ~ l .
BUILbIN~A ~ f'l-(b ()/7 I i /q Jab
ELEC TRICAL p! I I)
PLUMBING I fiOf- I ..z/ft:/D.)
HEATING i #/i-- I /-j///o~
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
Tllis card must be posted near an electrical service cabinet prior to rough-in inspections
arid maintained until all inspections have been approved. On buildings and additions
W lere no service cabinet is available, card shall be placed near main entrance.
I
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9/ /( /1)1
I
,
FOR ALL INSPECTIONS (952) 447-9850
l
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ \ l\
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
_~NSULA TlON
~~INAL
o SITE INSPECTION
COMMENTS:
SCHEDULED 'Iif;~
~~ 'J'r-'
I
TIME
CONTR.
PERMIT NO.
1 /q~&
I
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ Gt!;I~IR TST
I I I fA ()!.
/)/.( 1t' c.1 ~ creu. -\> ~
/
rORK SATISFACTORY, PROCEED
o CORR ACTION AND PROCEED
o CO CT , CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
V 7f 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INS1<<J',
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS TS/q ~ 4,,;( rrr:..
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
I, (,... J C..-t.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-
fat.:~ 5;rj/
,
I <A.Ar ,
? s",( J:.t<J 0
rL~ 0 ~~' (i
~
,tr
~~
TIME
LJ - 4J('
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
" !-t"'f7
o WORK SATISFACTORY, PROCEED
o CORRECT A nON AND PROCEED
t CORRECT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: i _ Owner/Conlr:
CAL. -9~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
, 1/
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
-..--",.-------..-----...---.--- .~- -
Y<SNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
331'1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
DATE nMe
SCHEDULED ~-7'~
Fox -'-;',' I ~/ I
CONTR.
77>.... I-I,J,."
M-L/~
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
'!l!:::eMiiiAiilFILLING
o COiiiiLAiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Lu(~ ,'flv,/ -(;'IL
G/'&h- nK
/YIe. i:- 'Ie.,' /\. P q; (1';7'" c;, ./Ofro I
./4'1/' I g~f/
CI,e-V\.
c..r/l~ I- ho fh
o WORK SATISFACTORY, PROCEED
V'CORRECT ACTION AND PROCEED
V ~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: #;1'~ . Owner/Conlr:
--
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETY/
,,,,,,,,"
DATE
4~~
~ '/ 1/1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
J3J~ /~
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
~MBING FINAL
o MECH FINAL
COMMENTS:
TIME
C)~~~L
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
A /
#k~~ ree.-
)~s-;L r1l
eJ J;.oj// 8'<<rShl
k,-,~~ "L.!"'ve I
-,
/,A.-
/l I. ,...-::- /
L::h,c/ rI, ~~ /7 Jtq/
-1 .
o WORK SATISFACTORY, PROCEED . ~
klc:ORRECT ACTION AND PROCEED ~ ( L-
;;;--~ORRECT WO;t)l}IOR RElNSPECTlON BEFORE COVERING
Inspector: P, I/" Owner/Contr
. ~
- (
r](/?ck r;i)
-=-
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
lNSImn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
:JJlc/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE nME
SCHEDULED >>~)
,,-- ,
/-oX ~ -/ ;!;-/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
COMMENTS: ,
~h.1~ /71/
~F/t ' ~/d
/ /
Ac (!/o t' (/
C'&/ -fib
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
C;-:;/he "
-/- /2-./er-
/
k~ 0/1..
/2 2 /::; ~
d"Jk .
Orsc< ~ HS I-
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rA~i
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~n'v>'li ?~,t;..~~. C.d'7
h" /C U",/ /
/7 / r: /
(? h./t'/ dhp /7~ (
--
/'
o \'!ORKSATISFACTORV, PROCEED ~/ C
R"EORRECT ACTION AND PROCEED { l
/0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~"t!~ Owner/Contr.
- /"
/~ecl-
....... .
r::ALL. 447.pa50 FOR. THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH It SAFETY!
uaNOn