HomeMy WebLinkAboutBldg Permit 05-0183
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ~
AND UTILITY CONNECTION PERMIT 3 - / -0::;;
1. White File I PERMIT NO
2. p;"" Ci<y . r. C:. (; J B.3
3. Yellow Applicant V __
q'lease ~ or pr .!It and sign at bottom)
ADDRESS )
/ "II':;Y) .~:.45. h/r ,~d
:::r:N:::: oM"fi~ _",,_ Jc n
~--
(Name) /,;;,X
(Address)
BUlLDER\- 7 :~
(Name) /:.',-f'?ZCAns:: /,,{~'/?-'S.
(Co~tact:t-!~l~.e) d//~ A~
-."
(!!Adress)iZI#$ W/h.-IAd4 /Y..c.
."
TYPE OF VI 'aRK
:'<-
/ f,{J
o Misc.
...
ld1ly ConstrUCtion
fi{Lower Level Finish
ZONING (ollice use)
ii [)
/>d<: Z'~PIDdY. Cf:;;;;o-OrJ<'
(phone)
(phone) CX:<:- '?'rS - SYS-S-
(phone)
-,;;/p ,,-)7)4/9'
4~/':~
[]B('ck
[3Y"orcb
ORe.Roofing
OAIteralion
o Fireplace
OAddilion
3, 7:)0. ('I'Yi
PROJEcrCOSTIVALUE (exc1udingland) S
ORe.Siding
OUtility Connection
I hereby certify that 1 have furnished 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 agel It for the above-mentioned r~-r-'.) and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
.. submitted plan:. I am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon fQe. o.",y...nj to Pert'o:Ip,1 ~eeded inspections.
'Il-~/ ....~ ",(i,'//,/" ./,
X :1) ,\: ~:......~J. ! i'..' 1(.."li ! r,-,::.,..
I Permit Valua' ion
Permit Fee
Plan Check F 'e
State SurchaI ,e
Penalty
Plumbing Pe mit Fee
Mechanical] 'ermit Fee
Sewer & Waer Permit Fee
Gas Fireplac , Permit Fee
Sig.nMure-j
:'t~350, 000,00
$';;>";S'3-50
$ /0 S'7. 7R
$ 17 '-0:;.00
$
$
$
$
$
/OO.CO
10 n. 0 J
3:...s' 0
Llo.bV
This Applic; tion Becomes Your Building Permit When Approved
/"l "
"d" . (;/" .f
2\(1.A~<...(/ ~. /...., 112/0 c,
-'-=-- .;..'
Buildi 19 Official ' Date
;.;:u//(p3c.n
Contractor's License No.
I Park Support Fee #
I SAC .' #
I Water Meter Size 5/80
I Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
Builder's Deposit
Other
I TOTALDUE to.!J.J'c. 3./4-. (S-
I Paid It .,fft.77/
I Date -'/\'br"
-,;' ;
I",,'
1'..J
Date
$
$
$
$
$
-$
$
$
$ /0. 4-'68 7h
l'le.c) .c.:;
sew ,() (i
7t;-, (;0
t "~JCJ(J, n Ci
I Gen. co
ISo(',oc
I ReceiP~NO.. .
Bv . jld'J
*,l }' .y-r
/,i
:/
This is to cern!) that the request in the above application and ac.-_...:o-__,,:'.g documents ~ in accontance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a l~...J-''''.'''') Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~-:-i+t (h, ~.. ~ J ,/(ll -21ud ,.;>:r1A-:r. .0 f}J....,<y f1J'J.{l/c
~~~ingDirecior _ IDate I _ _ _ ..l<)peci~Conditions,'ifany (J/~lfA ~ I~JI.-yJr
24 bour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~ .
\6200 Eagle Creek Avenue Priur Lake, MN 55372
-l.~~ ;K/0;;' (
o ~?;
C ~vvnit~ - Buildinv
l;anary - engineering
Pink - Planning
-
Th~ ('fnl, , of lhf L_h Coulur)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N,l,ME OF APPLICANT ~(d-V~ ~
A!)PLlCATION RECEIVED ~ - / -O~
Tile Building, Engineering, and Planning Departments have reviewed the building permit
al 'plication for construction activity Which)\ p~oposed at: L) .
/ tjjjql) JL(f;t?/.,U)(7/Y7+ ~
/
A, :cepted
Accepted With Corrections
D 3nied
C Jmments:
R3viewedBy: ~ 9~
;(p"J) a.U Ac.
-W~ ~~_/,. .-"!.b~
v -I' -
Date: l3/.;V()5
,~~i
~
(
.
...A..fZ4 <"_' ~ n ..IJ .
d
". rhe issuance or granting of a permit or approval of plans, specifications and
cJmputations shall not be construed to be a permit for, or an approval of, any violation of
a,ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits
~ resuming to give authority to violate or cancel the provisions of this code or other
c rdinances of the jurisdiction shall not be valid,"
-,,@X;"K10-1'(
fJ ~~.
While - Building
Canary - Enaineering
(l>ink - Plann~
lhr Cfnl., of lhr l..kf CounlrJ
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N,~ME OF APPLICANT
I'
"
c'
---
"
AI )PLlCATION RECEIVED
Tile Building, Engineering, and Planning Departments have reviewed the building permit
allplication for construction activity which is proposed at:
1/('//)
/
/
A, :cepted
Accepted With Corrections
j
o 3nied
R3viewed B~ l'n, ~
Date:
6 (, J~
""- LUck &d:I~
C)mments: ~7\6 A-/.c-u-:J ",:...dJ ~ I..l)~
f. /\.I2.A '
,,- "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,y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
p oesuming to give authority to violate or cancel the provisions of this code or other
oIrdinances of the jurisdiction shall not be valid."
(iJX.PR10l)>
..l..' (
!::: ~
U rn
Whitp. _ Buildina
('Cana"-, . - Enqineerino
Pink . 1"18nn'"9
Thr ("tnll r or lht t.kf {"(tuM"..
BUILDING PERMIT APPLlCAilON DEPARTMENT CHECKLIST
N, ~ME OF APPLICANT
'J:' !_, ..1 /1 /7 f /
,\ : /.' (. V.X./. i /( i
; ---;"
/;1+1(.: ti( /
I' '/ "J
/v (e \!---C....
( '.."'"
.---"
"::::J
AI'PLlCATION RECEIVED
i
Tt Ie Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
, t ,....r....,
I fi " --1/'>
;' ~/' ,"J I I. /
y.:...."
l'('<)/'.::t
,
-.,;'
/
?'-~
A( :cepted
)(
Accepted With Corrections
Dunied
R'viewedBy: ~
Date:
3-/1{-" ~
Comments: See Reverse Side for Additional Information!
-
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
"Ti le issuance or granting of a permit or approval of plans, specifications and
co Tlputations shall not be construed to be a permit for, or an approval of, any violation of
an 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
ore'inances of the jurisdiction shall not be valid."
I Drive vay: NA I FAIL'-[COMPLlI;S)
I. ~ aximum width at pr~perty lin'e
\. ~ equired setback
I. ~ aximum slope
I. f:. I parking areas to be paved including R-V or
s laces adiacent tp the qaraqe
I. L lcation to match subdivision qradinq plan
, Build ng Height("'~MPLlE$)1 FAILS
I Shor~land District:f,NA~ FAILS 1 COMPLIES
I Minim Jm lot area (square feet)
I Minim Jm lot width
I Shore and alterations
limper 'ious surface
I Bluff i n Shoreland~ FAILS 1 COMPLIES
. S itback from top of bluff
. B Jff impact zone
I. Ellqineerinq certification submittedlapproved
I. G adinq in bluff or bluff impact zone
I Flood )lail1': Nfi)1 FAILS 1 COMPLIES
I' 1( 0 year fiood elevation
.
L, west floor elevation
.
PI Jposed lowest fioor elevation
I .
I'
EI wations 15 feet from structure
Rc ad access must be no more than 2 feet below
Re gulatorv Flood Protection Elevation
I Aeces ;ory Strueturer1'NNt FAILS 1 COMPLIES
I. Si:e -
I. Net Iccated In front yard (Matenals)
I. Si~e yard and. rear yard setbacks
. M~ximum heiqht
I. M, terlals ccmpatible with principle structure
LTE1\ :PLA TFBLDGLlST.DOC
Standard
24'
5' from side lot line or
30' from r-o-w on comer Icts
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-np
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Enqlneer
No importinqlexportinq
Standard
908,9' Prior Lake
914.4' Sprinq Lake
909.9' Prior Lake 1
915.4' Sprinq Lake
Must be l' above fiood
elevation for new and existing
structures. If existing
structure was constructed
9119190-11122197 then
additional foct is not required.
Must be fiood elevation or
hiqher
907.9' for Prior Lake
913.4' for Spring Lake
I Standard
1832 Sq.ft. or 25% rear yard
I 10'
I 15'
I
Proposed
7-0 '
\
I
I
I
~ I
t"~ ~. D-a.rf>
~ I
(tJ (
(,.". 9 ~o
Proposed
Proposed
Proposed
Proposed
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Ree'd
i ~ ~~ I PERMIT NO.6;" ~
J.YolIow ^fIpI.i_ ,
~ It ~ Of Print ~ sbl:n ilt bottom)
ADDRI :SS
l...y~qt::l PhPflWlI1-- -;e.1tU
(Ix /
LEGAL DESCRIPTION (office".. only)
LOT BLOCK
ADDmON
~':e~~AtaL~
~n?t:&
(Phone) qg5' - .~'1:s-L
CAddres ;)
APPLIC ~ / 11 1\
(Name). _r' 1"\;, if-~.p ~ )
ZONING (olIi<:.
...)
PID
(phone)
-$I c. () - c::, f"l~ :::J
;;() ~ ",) a" e . J"lJ r::;::.,
(Addrao> (J (City)
(Contact Person). (Phone)
APPLIC\NTSIGNATURE ;J::,;::n/, -z..~,;"""(/J DATE :'? - ,f;fY -0.<:
./ APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS /
FURNACEMAKEAIIIDMODEL 7;:JR'A"t'" "7,_;-Y~Q<"c.9:..-Y'.;l.. FUEL A-'R/
FLUE S1: ffi ~<:" ~I J('. RETURN OPENlNGS c:;' INPUT _Q~. IY\("") OUTPUT ~
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
DCJr:!l<ity 0 Hol Wale<
..B1I'!eehanioal 0 R.odiation
~.) ~Conditioning 0 special Devices
c.!l~ ,@en,. System 0 Other Devices
rw;:;:A CEMAKE AND MODEL #t".Y)/-,,-~c:..L~ 7s:h
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.S0 miniJll1llll
m.so
$64.S0
():/l
(Addres ;)
,::J/;::) Il"I
Industrial, COlDlIlercial & Multi-Family
Residentia , Heating & AlC (New CollSlrUction)
Residentla . Hearing Only (New CollS1rUCllon)
Residential, Additions &: AI1l:ralion.
Reoidontial, AC Only
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penni, #
$
~
S
.50
(om.. u.. Only)
Tbia AI plicatiOD Becomes Your Bailding Permit Whea Approved
ssO;;) ~
(Zip Cocle)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach inID
Requiml Side Yard
Setbacks
$39.50
$39.50
$39.50
PAID WITH
BUILDING PERMIT
I' r".I1~L' \' r ~)\ c' !!', ! \ [!"iRFceipt No.
\'111-' . _, -.' II ii,
\/,R"\PR 6 2005 .BY
BuUdI.Ie om".1
Daft
1...':'l
24 hour DOrice ror all 1"1*'010' (951) 447-srso.1la ('52) 447-4145
)'j\
.-".._-,.._~..
I
11
9L.909ttS9 XVd 8t:60 3111 SOO.16./CO
too IiJ
lilY a:nl0ll1NO~
FROM :FARMINGTON PlG & HTG
FAX NO. :6514637835
Apr. 20 2005 08:28AM Pi
Date Rec'd
.
CITY OF PRIOR LAKE PLUMBING PERMIT
; ~ ~~, I PERMIT NO. r: /8' ~
I Yof... """~ '- /j -- -tJ
(Pltue ~ or ~riot and lir;n at boaotnl tJ
ADDRESS <f. ~
.-l!:L9>9~ ~(A crt.
ZONING (olfi<tUI<)
LOT BT..OCK.
UlOAL DE ;CRIFnON (Dllioc... Oftly)
ADDmON
PID
~~R ~ ~h I Cl-\.r tlOYYlP,
v
(AddIm) ;.14 2'~~ Grpv,ocP" (.)...L
(pholle) Cf::;:;;... ((I2S <,c15Q
APPUCAN":'
(N1lIIe' 'j: n r '^'" i "'t'^ f?1.. ".J,; .>t,
(Addn:a) :; 163I-J C~; n(lE';AJc,.\ 2
~
(CaaIact PC1l aa) r:-Uct V"
APPaCAN' 'SIGNATOlUl
Q_ut)':
.i:
l
1
1..{
J.
1
\
"""D }~ (phone) -kSI-CJb-;.
~ ~ryY\lflf\toV\
(City) a
.
(Phoae)
'73;),,4
SSOd. '-/
(ZIp Code)
(0:;/. /J(c?;;.. 7ed-4
~) ~ I~~,-~
DATB
4. JO-OS
APPIJCANl'PUWJt CQMPLETE BELOW
?,
. ~O..~
UIIIl1.)l",..ilbclrwlUlout
~.
FIciar IblQ
'UVifiiIY'(lIiairoom Sink)
..... n., (I or 2 cornlJll1mClltlink
Sbowcr stiI1
SIIIb
Bar Sink
W.~ Closet (Toilet)
\
QuaUty
I
I
r
FEES\..IlUIVLE
"""*'-I. C ,'.. . ,I A MullWallr Uh/' JClIl- wldt. SJ9.SO I .
.'"1-''' N"OIlcA~rt~H
.....-.01, A4dIIIanIA ~t~ I
INl:i PERMIT
lltll.......t CM $ ByJldlaa ....1lI
PLUMBING PBRM\T PBB S
STA 1B S1.JR.CHAROB $
TOTALPJ2M1T JIE S
"
...... 0CIdII
(011II U. 0ol.l1
nls AppIk .....IIeeo.. Y.., 8alI4\q..... WII.. ApP"'''.
.
-
"I'.
05/04/2a05 17:50
9528816976
BOB JECHE
PAGE 01
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date ~e~'d
MAY Ii 2005 I
I c,'" ';1' I PERMIT NO -
2 Y<1I.. Cl~ . /)6 - /O?
). aold Appll~t LlJ ~
Cl'lcUe lVll<! or orint and .ion at bcttolD)
ADDRESS
\"l~~i
0\ 111\ Gf
I ZONING (oDie.U")
. r
LEGAL DfSCRlPTION (office use only)
LOT ~LOcK ADDITION St{> r t 11Il~
,
~=e~R (( ("\ t zlq ~ ~ p, <;,
(Address) .W 9;.~ (1.,,,.^. J ^ 1/.1 W_
~I
~~
PID
>,: ...L ~ T/)
'~Citvl
(phone)
J~kJjJ) b') tY/y
rh>cod<)
APPLICA .'T
(Name)
(Contacl P ~rson)
JECHE EXCAVATING
;!;11 U JUNES PLACE
BLOOMINr;rON MN ~'i4~L?QV
(Addrw)
811h .
(Phone)
(AddresS)
APPLICA'lT SIGNATURE
(City) (Zip Cod<)
(Phone) b I ~ ryJ.. D '7 LJ /, Ie
DATE
APPLICANT PLEASE COMPLETE BELOW
Size of water service -1- inches.
Location of any couplings from strUcture
Type of sewer pipe. 0 ABC 0'PVC
Estimated length of sewer line feet.
Clean out (ifrequired) located at feet from structure.
feet.
o Cast Iron
FEE SCHEDULE
Residential Sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer com ection only $17.50 Water connection only $17.50
Estimated Cost :5
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
$
$
PAID W1TH
9Uft..DING PERMIT
(Ofllu U'e (nly)
This Apl,licalioo Becomes Your B"ilding Permit When Approved
I
rluildi.. OOi~i.ll1 Dart
Il'8.id
I Di'AY 6 2005
Rec.ip~o.
"1-
'J'
24 hour nodce for on in.pection. (952) 447-9850, fu (952) 447-42.45
PAIOR LAKE
INSPECTION RECORD
SITE ADDRESS /~ lJ fJHCIIs-It~r ~,,#
NA'rURE OF WORK --A/EJAJ ~1Ite,ct::l'1~,.J~. FiiJrut
US~OFBUILDING S~~ .
PEI~MIT NO. _ OS 0/63 DATE ISSUED ~
CONTRACTOR ~1IC4S P~Z -'!I'S'"".;ll~ '7
NOirE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, F<fOTING I INSPffl 13/; t;):;-
, FOUNDATION (Prior to Backfill) I 1"'15 .?/~ I
_ e.LAC~~O CONCRETE UNTIL ABOVE HAS BEEN SIG.NED
l...L ~L. m 5/13 ROUGI1 ::.-I}lS , 0
S~WER I WATER I SEPTIC ?/ -;IL-> -w :> )..
FFfAMING l.f.r IN! . tIJ;!:. -, "-
IN:;ULATION ~r ~
EL ECTRICAL
.PL UMBING l-,I... wf n:s q' fa :;)
HEiATING (if required) Vl/.;.. vi)'
FIIIEPLACE / ./ A 111/ fr ,s-~ HI6'> 1/
G~~S LINE AIR TES'f')~1> Or,!
DEPARTMENT OF
BUILDING AND INSPECTION
COV.ER NO WORK UNTIL Afjjj)Vp HAS ,BEEN SIGNED
~nfE / IM<<dlAJllAI' I r;1s-/z~ /JttJ~.;t. 1M! (,-2--0)
FINALS v :.5
/V1f6 I/', z.r.' r
'/ib
GF lADING (Prior to Sodding)
BlIILDING)~ ~ t~~I-m(
EL'ECTRICAL
PL UMBING
HfATING
DO NOT
J I
q /Z-7/Cf7
I ~
tJ-s--~ -
-
OCCUpy UNTIL ABOVE
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.
'jj-7-c?;
HAS BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
----,--_._--.~~~...-..........,.._~_._---._~-..__.-. '
B.q~
p~~ fUVL
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .LYa9 n
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
c:; - ("7
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
.I. ~~ ~ C;~t'af)l, '~
L . ~...R...-\...- ""'-.t7 vA ..
- \' (J_-.ll-. n
~ 1i\A" i' ~ \- c:> ,- _ '7l'...--",,~ ........."'-"'.~'
~~
. . .-/
/0 - l -to
o WORK SATISFACTORY, PROCEED
o CORREC TION AND PROCEED
!\ CORRE'.T K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
,VI _
CAt ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lN$NOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J'-lfJ9 0
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
1J ",-~t.A
DATE TIllE
e-t;~
~~
SCHEDULED
v
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
Ji!l\PLUMBING FINAL
o MECH FINAL
c; -/8 <,
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
LM ';;o~ f5~
,
{:t Iv\T 0
\ \.\~ ~
'2. (\~
~. ()'lvt..
It t~
~~ lh/)<>
\
o WORK SATISFACTORY. PROCEED
~ORRECT ACTION ANO PROCEED
o CORR f)~' CALL FOR REINSPECTION BEFORE COVERING
InspeclOr.~ ~ / Owner/Contr:
CALL 44;.1sS0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS / L./8<=t ()
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
~/~:i_, "M<
~5
&pQ~a...J- r-Uf/\ QJ.
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
5-/83
o EXIGRADtFlLLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
; G~!~ TST
). ~~ )J~ I~. h;<
-~#
~-r;;jJo.2J
V I
O/c
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRE(jjR ,CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr.
CALL 7-~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7"zi~
ADDRESS
Il./~{) fh&q.~+ tV)').
&"hJ"ir:?
PERMIT NO. os::- J ({J
~LING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CONTR.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(., rJ-.- - t') If..
C-JrJ, &"","-19 If..-
51--"'-
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor:~ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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