HomeMy WebLinkAboutBldg Permits 05-0364 & 05-0046
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
While
Pink
Yellow
5- J.-d5"
r;t.-~ wI (J s-. f10-l- ~
I PERMIT NO. 05. o3tl4--1
File
City
Applicant
(Please type or llrint and siEm at bottom)
ADDRESSJ
Z ILJ';-'" , . Jc:L:JS
~L-
ZONING (office use)
PUD.
LEGAL DE ,CRIPTION (ollice use only)
LOTq BWCK ADDITION SllLL:.lr/fr ~/?rrJ.+.
PID ~ "/..b. COl. (')
OWNER.,--7 ~.' /
(Name) ./5.~ ~?S
(Address) Z/~,f3 bb..A/~ A,,~
(Phone) 9S2--"7.J's-- L/ /7'7
~L i//CL..Z.-
BUILDER ~'
(Company N ,me) '7,
(Contact Nar le) 'j .J/-r
(Address)
k .kRd7)$'
~~
(Phone)
(Phone) 9SZ-C;~-'//79
TYPE OF" ORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAdditJOn DAlteration DUtHiry Connection 0 Misc.
./
~ower Level Finish
o Fireplace
CODE: ~.I..c. OLB.C.
Type of oust ~ction: I II III IV V A B
Occupancy GI oup: A B E F H I M R S U
Division: I 2 3 4 5
PROJECT COSTlV ALUE $ /~ ('fl7?)
(excluding land)
I hereby certify thdt.1 have furnished mformatlOn on thiS apphcaclOo whICh IS to the best of my knowledge true and correct 1 also eCltlfy that I am the owner or authorized agent for the
above-mentlOne-jilpclty and that all c structlOn win conform to all eXlstmg state and local laws and Will proceed 10 accordance with submitted plans I am aware that the bUlldmg
;",1 coo te k, :"~ J"'" " Fmthe.more, I hereby ',ree thot the "ty 0';;2;;(1,0,;;:;7-;OIet upoo the property to pe.fotOl 0'5 )";S--
-r Signature Contractor's License No ~te
Permit Valuati m +,000.00 I Park Support Fee # $
Permit Fee $ 87.251 SAC # $
\ Plan Check Fe ~ $ I I Water Meter Size 5/8"; 1"; $
I State Surcharg' ' $ 2.00 I I Pressure Reducer $
I Penalty $ I I Sewer/Water Connection Fee # $
I Plumbing Pern lit Fee &I/!- r $ 4-0.00 I I Water Tower Fee # $
I Mechanical Pe omit Fee $ I Builder's Deposit $
I Sewer & Wate: Permit Fee $ I Orher $
I Gas Fireplace >ermit Fee jt.J 0 $ I TOTAL DUE r.'RUev ,5-_ " . Os $ / a-
21 Z.:::>
T&;;;(~col;;;:mg;4~;oVed
Buildl1.!!.Ollicial Date
Paid
Dare
---- . . - _.~
I d-- UJ. 01 f7 I ReceiPt Ncf-t'\) / v u
c:;- e::-Joe;- I By C/ /
;r
ThiS IS to certify th Ll 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 th( City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence Before occupancy, a Certificate llf Occupancy must be
issued
Planning Director
Date
24 hour notice for all inspections (952) 447M9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
.
-
Residential Building Permit Cheddist
Basement rmish or Interior Alteration to Single Family Homes
3Y;
~,:
-;:(~ Date: S /3'~.5
Buildino Permit #
..
Site Address ~~ 5..5
PID:
uJ(;jl<..J~
Zoning:
: ~eg:U: L
B
Subdivision:
:i.Iisting scructure:@Jr NO ~
CONFORi\JS TO ZONING
ORDINA1'{CE
e..:;. .+...~~)
YES
NO
I: this an ~on of the e:-'..sting fcy,!,,':". or
b n1ding height?
YES
Refer to Plamring
NO
NO
III the prope:'t'jloC:lted witbill the flood plain?
I D JCS the altC"..tion include any adciitiOIllll kitc!le::.s? I
D lCS the proposed alteration include any outside
e:: trances other than patio doors?
Refer to Plamring
t00
Refer to Plamring
tJo
Refer to Plamring
t'J()
Is Ithe proposed use of the finished spac: or
all er:r.tion for anything othe:- :h:m a nor:nal i.ngle
fm t:lly !l=e (oEc:, group h=e. d:ly c:u-e. etc.)?
R.::f::- to Plar.Iring
00
Tus Lr.....CiG.1S7 :vn:S7 BE COMJ>LETED .~'iD I.,'ICLUDED J;'! TliE BtlLD['iG PER.,!17 FT.H TO
:vr...P.I7.->.1!'l.->. RECORD OFTm: REVIT\V.
.
.
.
.
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or trint and siltll at bottom)
ADDRESS
J,(;,5S 'JJ ;lrl~
Lcu\e.....
Date Rec' d
d.1
12-~-()$J
Dev-~r 12<'YLdLl
I PERMIT NO. OS. 004-& I
Wllile
Pink
Yellow
File
City
Applicant
ZONING (office use)
PU{)
LEGAL DE ;CRIPTION (ollice use only)
LOT 4 B..OCK J ADDITION S-lerIIM ~ui-h o+-INluilds 2ttiA~tj~ID ZS-. 430.004-. ()
,
~\J
OWNER'\. rt u....... _ I'
(Name) nCrl-z.\Ct'rt I ~.rC.--....
(Address) 214R3 brUiado. Aue. "- Lakw i J le,
(Phone) 952 ~ QP5-6951
W1 D 055Cf/L.j
BUILDER f) ^..L.. 1_ rr. II-
(CompanyNime) f'L--rT~ n()~l-t-i:
(ContactNalOe) ('DII~e.~ tn..:t<Pau.._
(Address) ? I ij&'1 h-re.na.da Aoc- -\. LaJt~J" 11e.1
,
(Phone)
(Phone)
mtJ
q62 ~qg6-.5Cj5.q
q5Z-qgS-~/ 76
tfDIlI
J
TYPE OF \\ ORK "txNew Construction DDeck DPorch ORe-Roofing ORe-Siding
.~dditlon DAlteration DUtility ConnectIOn 0 Misc.
CODE: ~.Jl.C. OI.B.C.
Type of ons1 mctioo: I II III IV V A B
Occupancy GJ onp: A B E F H I M R S U
Division: I 2 3 4 5
DLower Level Finish
PROJECT COST/VALUE $
(exclnding land)
o Fireplace
;(35 c-tri) . &f)
x
I hereby certifY th. t I have furnished information on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner or authorized agent for the
above-mentIOned ropt'lty and that all construction will conform 10 all existing state and local laws and will proceed in accordance with submitted plans I am awarc that thc building
offIcial can revokc his permit for Just cause Fl rthcr ,I ereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
;:)0/ 'i?~7 /2.22 -04
'-'
Permit Valuat on
Permit Fee
~3S.~.~:::>
$ .
1.~3. 50 _
$ /~JI.GPl
$ /17 . ~-O
$
$
$
$
$
Plan Check F< e
State Surchar~
Penalry
Plumbing Pen it Fee
Mechanical PI mit Fee
Sewer & Watf Permit Fee
Gas Fireplace ermit Fee
11711. (JO
l~" . 00
J:,\,.t:;O
tltJ.(J{)
I
es Your Building Permit When Approved
Jfk~
I f
I
I
TOTALDUE l"'U~.I.IJ.~.J 1$9292.115 1
~ 2h/#:'RW . iNC". . .
.- -<- -re)--. 7! I Recelp)]lY\)" 1;Y'<.' (0
.). ,r." By ,/LV.!\.
J ~
Contractor's License No
Park Support Fee
SAC
Water Meter ~,;e
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
#
#
#
#
Date
$
$
$
$ 7S:tJO
$ I;-s7JC V (;
$ I QUO.Oj)
$ I.SOd.oo
$
-
/t.f~o.oo
3 t1(J.~
ThiS IS to certify tl1l1 tht' request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested ThiS document
:~;::~: ~PI1i3j; "mpo"ry Cenif",,, O'~1g;;i;' eod ,llnw< constwz:;m'&B:'me :""JC"";;::;;; must be
. Planning Director 'I' Date SPeciaJ Conditions. if any
24 hour notice for all inspections (9.52) 447.98.50, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Builder's Deposit
Orher
Paid
Date
Residential Building Permit Checklist
New Construction for Single or Two.famlly Dwellings in R-1 or R.2 Districts
Re liewed by: ~?~ Date 1j13';d 'f
Bu ilding Permit #
Ad jress:
Lejal: L 4 , B I
PID:
Zoning:
J. t-J
Subdivision: ~t',~ Ja.-,.,..:tL (i) '+k. J.k d -~.
Existing Nonconforming Structure? YES ~
Ex sting Structure? YES@
CONFORMS TO ZONING
OlmfNANCE
I Yal d Setbacks: NA I FAILS/~OMPLI~
. Front Yard (can be 20' ifavq, wlin 1S0')
. Side Yards
I.
I .
Sidewall exceeding SO' requires additional side 2"
setback for every l' over SO' in lenqth
Rear Yard
Patio Door: provide for minimum 10' deck or sign
statement indicatinq no deck will be built in the future
From 100 year fiood elevation of wetland/NURP
pond
From OHW (Prior or Spring Lake)
.
.
.
I Flo Jr Area Ratio: NA I FAILS ~Pb!W
-.-----
Val d Encroachments: NA I FAILll1CbMPLlEP'
Ea\ es and Gutters no more than 2 feet In width and no
clo: er than S feet to a lot line (Easements).
I Ale and other equipment cannot encroach on interior
sid, , vards.
I Tre = Preser/ation: M FAILS I COMPLIES
I . Total calioer inches
I. Permit 2S% Removal
i. Calioer Inches Removed
I. Caliper Inches Preser/ed
I. Replacement
L:',C 'E'vIPLA TE,BLDGLIST.DCC
YES
Standard
2S'
10'1
2S' if abutting a street
10' setback +
2"11' over SO'
2S'
10' sidel
2S'rear
30'
7S' or setback average of
adjacent structures, but no
iess than SO'
.30 Maximum
Standard
Standard
12:1
NO
1
I
B-fw-,-.l~ .
I
ID t /IlL ....., fU.. CSfw,.l, (?(.9..cp .
I
"3'21 I
Proposed
Z-S-'
S'
I 10' 6l- IV'&-U
I Sl
Not-.l6
N~
I Pet. Pr.tO ,
Proposed I
Nor-lc I
}"lONe j
Proposed
v
~~x PR/O.." (
& ~~
White - Building
~ariak'v .l:n~nlet::JIII~
-pn,;,. . Pla.imng
rh~ ("tnl, r of th..l,.k.. COU"I!')'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N, ~ME OF APPLICANT
,
,
"'/'" ,.' ,', j
j I --,;!~;t",..>" /1 ~Ii
AI'PLlCATION RECEIVED
.-/1r
!,./ (,.../ J
Tile Building, Engineering, and Planning Departments have reviewed the building permit
al plication for construction activity w,hich is proposed at:,
,../
;
,
/
/;
"
Accepted
[)(
Accepted With Corrections
Dlmied
Roviewed By:
11M
--,
Date:
-
'J. -7-06 -
Comments: .See Reverse Side for Addi!ion:11 Information!
Orivewav Must Have A Concrete Aooroach
See Attachments: 1) Gradin!!: Plan. 2) Erosion Control Mel\S.Ure~
"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
orjinances of the jurisdiction shall not be valid."
~)
ue7
/
While - Building
&l:n~ry - F[1oineering
ink - Plan~
fhr (-...n1I" <If lh... 1 .lIk... ("ollnlr~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ ,ME OF APPLICANT
AF'PLlCATION RECEIVED
I
I (
/'
j
,. ;)
z~
i
n e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
j
/ r 1 l'
,. -' j
Accepted
Accepted With Corrections
/'
Dnnied
Rnviewed By:
Cllmments: Ati.
~
~
Date: / /, ~llJ 5
~~
~/~
....d~
..-.~
,
, . r
~"$~
,
1~:J::i, ~ ~
d,r_~}; .
"The 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
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."
-
lh~ ('en... or Ih.l.8k.. Countn
CWhile_ - Buil!fiDg.>
Canary - t:ngineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NhME OF APPLICANT --PO {.~t1..(rf
APPLICATION RECEIVED /C}- dCf - {J S"
n e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for cons~~ctio~ a~tivity ;ij1ich is proposed at;..-- .
L //-I3LI ~?j JO./;;t;iilJ//~ oilnsS" tJ~~,_IJ.uJ,
U .
Accepted
Accepted With Corrections
7'-
Dl!nied
RHviewed By: .(4~
tI
Cl1mments:
L~ alP /ll;{f~ J(-/ J.-
2 r1-ff.t... Jj.~l1SP (.J\~ .~t,'cM
Date:
I jr,/d'r
/ I
"l he issuance or granting of a permit or approval of plans, specifications and
c1Jmputations 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
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."
B5/~4/2BB5 17:5B
9528815975
BOB JECHE
PAGE 0-3
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
MAY 5 2005
(Please <Y1>c or =,. ,d """ at bOttlllll)
ADDRESS
-2J"f..," f\ lJJ ~ t J l. ~ t
I. On'" ",. I PERMIT NO
: ~r ~~I"," '05"-/)1) t.j 6
ZONING (oIIIc'W<)
LEGAL DESCR lPTION (office USe only)
LOT t{ BLOQK I ADDITION ~Ir 1 riA... c: f\ . 1 VI J.
I 1/
~:;e~~:Lla tf 1~
(Addr~ss) ..dJ:1 ~.~ f':... \. ': 11) ;'J..d_lL".L
I ~5S)
APPUCANT
(Name) JECHE EXCAVATING
2310 JONES PLACE
(Address) BlOOMINr.TON MN ""A~1_~O?1
(Address) I
(Contact Person~ --.Jj~ ~ ~f ~V\L, /}-!J
APPLICANTS~GNATURE / ~J..0 UfJ fu
(J
APPLICANT PLEASE COMPLETE BELOW
Size of water service l inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC ~ 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from SU1lcture.
PID
>,'. ,-fp. 1J7)
'~Clry)
(phone)
1-Akw.Jle-)1~ h')()Y~
( "' Code)
(Phone)
(City)
(Zip Code)
foI~ 7J.tJ 17'-1 l1('"
(Phone)
DATE
FEE SCHEDULE
Residential sew.,- llIld water line connection $35.50 Industrial, Com'l & Multi-family 1% of job COSt with a $39.50 minimum
Sewer connecrioL only $1750 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~ID WITH
g~ING PERMIT
(Oln.. U.. Only)
i'
This Appliesti on _orne. Your Building Permit Whon Approved :p.,id
Buildinl Official
Dafr
. [MAT 0 ZO05
I Receipto.
I By A
1
,
-,
24 hour ootic. for all inspection. (952) 44r4.l~50. fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
l)ate Ree'd
i ~ ~~ I PERMIT NO. Ar IVI...ttI...A..
l"follo.A~ ~
fA );/Ds
/Ant='
LEGA [. DESCRIPTION (office... <mIy)
LOT BLOCK
ADDmON
~~~~~?//-} 1212- ~Y">-?P~
(Addre is) ~(
. ~~~ ~A 'l1r~/kO 0.;f1
(phone)
I ZONING (elfie'
-)
PID
9'F-:' - 5"?'5'9
(Phone)
-1t:.i') - ~C'\::;} ~
(Phone)
~ DATE :?-/-(')~
.<' APPUCANT PLEASE COMPLETE BELOW
~WCONSTRUcnON o REPLACEMENT o ALTERATIONS
FURNACEMAJ<EANOMODEL ~A:lr" i17)(("')\?(',c..(l.:i~ FUEL -ILtL1-
FLUESI~ _7:? If ~IJ('. RETURNOPENlNGSc:( INPUT. ~O (')OC OUll'UT?<5 hA'i..-
,
TYPE OF SYSTEM HEATING OR POWER PLANT
----._~.~~.-. '"j .
(~: ~ 4 2005 \d:cel~NO'!Jl.
t\ 1"-
24 hour ooti.. for all iD'p<<tioaa ('52) 44;~, ru (9S2) 447.4245 r
(Addres)
;;1//)/(')
!:7l-fAJ. ) (JI le -
(Addt...)
r:Qt-")
<3
P1t0 '
(Ory)
(Conta~ : Person)
I
a~
AP?UC ANT SIGNATIJRE
Ow""" Air PI."U
OOravily
g.g..,hanicol
~ Coqd.itiomng
..0\1<111. Sy.....,
PIREPLACE MAI<.E AND MODErd..-
o SlOom
o HolWater
o Radiation
o Special Devi"",
o Olber Devices
dn.f~fJ.A SL:. 7~0
FEE SCHEDULE
I % of job cost Re<ridOlllial, au Firepl_
539.50 minimum
$99.50 Reoidential, Additions & AIltration,
$64.50 Residential, AC Only
!IlcIustrial, ;..__.:.J&Multi-PamiIy
Resitlential HealiDg & NC (New CollSlrUCtion)
Re,idential Heating Only (New CollSlnlaion)
Estimated Co&! $ Building Pennit #
HEATING PERMIT FEE $
STATE SURCHARGE $50
TOTAL PERMIT FEE S
(Offi.. V.. I ..Iy)
This Ap ~Ii...tion Becomes Your BuildiDg Permit When Approved
lildJDe OIIkial Da..
------------~_.
t,',"
L-,,____"-.~
~y:,.c:d
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
S39.50
$39.50
$39.50
pA\D W\TH
BUlLOlNG PERMlT
9Lo909tlS9 YVd ot:Cl ffill SOO./10/CO
100 iii
lIlV aaTl0lllNOJ
Lt..
Iff
PAIOR LAKE
INSPECTION RECORD
SITE: ADDRESS Zl:,.SS \^/;\~S I r~p tJ.vJ.
NAT JREOFWORK t\\.J>',\ (\rM.J. \tJ/(j' L.L. Ft-r-->'l'SlIt
USE OF BUILDING ~ 1== h I I I
PE~MIT NO. (;5. c CL-I-(r;, DATE ISSUED J I ~/ 0 c:;-
CO~ITRACTOR RQ\-, \ c.~ Qllllld PHON~---=t..(,::I- CfRC)- '-I/1D
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR ,I
my
, FOUNDATION (Prior to Backfill) I ~f- I ,2/~05/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
-;/J .$11-
ff/-P .
I FO OTING
DATE /
;a2/f/J5--
...?//J/os-
SEWER I WATER I SEPTIC
FR~MINGC,~ f=1/\-\ \
INHULATION lc.t r:-l "Iu/~
EL ECTRICAL "7' /
PLUMBING f:n5 :~~
HEATING (if required)
FIFIEPLACE 1M'" "5-.J./-cr5
GAS LINE AIR TEST~ J/Jr-? yl.--I-~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I L~ / HouSil- lU~o.D $I)~"-!-4 ~ I I
I ,. -; FINALS
GF,ADING (Prior to Sodding) tJt3 If. z,r.oJ
BlILDING 1-tv"P lJVIhl IH~ ~(?1!>
EL ECTRICAL
PUUMBING
HE ATING
DO NOT
t/l-,/J
v/f/J/?
OCCUPY UNTIL ABOVE HAS
NOTICE
I /I
q/7J1/~
1/ '-'
G - }.'7-os-
G ' 1/7- 0)'
SIGNED
BEEN
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
~"",;'.,,~~
.~
.'
-......;
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
c t~
'""'
It
DATE TIME
SCHEDULED
CONTR.
-PKII
PERMIT NO.
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 GASLINE AIR TST
o
LY.
u r\..
\"?{/l
i ; \.Y
w:yl
/'v.U I .
VVIV
,..-
'-)....
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DUNOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
1-1,1-eS
PHONE NO.
~~s- WI'IiLl.I'I~
CONTR. R~/zJJ!p
PERMIT NO. ttlt:;~l/h
ADDRESS
OWNER
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
x..E~LLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Grtk -te>J(
Cuf!:, ~1-""'(') f
$<f-r-
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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/
INSNO"
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
2~'iC::::;
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
I. r:;.~ Cn;A-,o,
qr':'i_
SCHEDULED I ~
~ 1:\ fJ.. lPJ..v.o
TIME
CONTR.
PERMIT NO.
"r - 00'( (p
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 GASLINE AIR TST
)ll S I-T
J:.-'f"'~
~ d--;I~
n\(
o WORK SATISFACTORY, PROCEED
)iCORREC CTION AND PROCEED
o COR CT LL FOR REINSPECTION BEFORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/<<m
CllY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
)..{,S'S- WI/.1..5
LWI.(
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
Jjl"FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
JIl1 MECH FINAL
COMMENTS:
v
IIf ( ~
S'.ls:!.." '1_4"
Loo{u A--c.
4j?t?m- .I
~ d~vt"kil'?_1
Ii:....
7~-P fh1+i (
DA.TE TIME
~). '7 tJf
~*
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
//-I-~r
o WORK SATISFACTORY. PROCEED
, CORRECT ACTION AND PROCEED
o CORRECT w::,R"'.:J:"'" FOR REINSPECTION BEFORE COVERING
Inspector: -lJf( OwneI/Con!l:
CALL 0&47.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
1l<SI<<JTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4 SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.C,.:t1-Qy-
.'
ADDRESS
J.&<<
{An'/ b /'.fNV
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 !!f.WER HOOKUP
..a-l'LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-
r^c""r,4.-( Y1A}t(U!?f
~ORKSATISFACTORY. PROCEED
o CORRECTr ATION PROCEED
o CORRECT W ll.LL FOR REINSPECTION BEFORE COVERING
Inspector: l _ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTl