HomeMy WebLinkAboutBldg Permit 05-0372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 05".0372....1
(Please tvDe or trint and sism at bottom)
ADDRESS
,'3865"' AQ.I'\S~,^-ll+O~ Au€- "-J.8.,
-..i
LEGAL DE ,CRIPTION (office use only)
LOT 6 B "OCK l ADDITION
W ~v'\~Sf'lr- E~~s
PID z.5.4/3 (JOG,. 0
OWNER
(Name)
(::;-e1't:A6 8,f<':*~s
J 1./ ocr e, Mc..~,^- S-t.
1+0 Wo.O_ s.
f....l ~>, 1~ fJJ'o~ L.Q
(Address)
BUILDER <:' I
(Company!\ame) ~~ Q. S;; Q.lQdLLO
(Contact Na] ne) ~rLV'o. r-:; .o..-.-{A
(Address)
Date Rec' d
f 22-. 05
ZONING (office use)
Jet
(Phone) 9!;d -7~-~1{.::l
^^~
:5 60-')1
(Phone)
(Phone) cr:s;:}.. -::J. Ql'J - 3 t!..?(!;'
TYPE OF ~ .ORK ~ew Construction DDeck DPorch ORe-Roofing
DAdditlOn DAlteration DUtility Connection 0 MISC.
CODE: "Jr.,LC. Dr.B.C.
Type of t:nsl mction: I II III IV V A B
Occupancy Goup: A B E F HIM R S U
Division: 1 2 3 4 5
ORe-Siding o Lower Level Finish 0 Fireplace
PROJECT COST/VALUE
(excluding land)
s l.//5' OOb
<':>/0 'wr
1 hereby certify th t I have fi.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 authonzed agl.'fit for the
above-mentIOned lropeny and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans_ I am aware that the building
:T"~;~ :" p"m" fa< JU" '""" Furth"mo",.'. ,by 'ge" th" the my offici,l oe i/;~'Y cnt" opon the pmp'rty to p"foem :jd:;;t::;,.s-
Signature
I Permit Valuat: ::m '-/ J ,I). oat}.OCJ I
I Permit Fee $ 'Jj'/:? 50 I
I Plan Check F( e $ t. 'f I.r. 2Ft, I
I State Surchar~ e $ ,
2(')/. <;'(}
I Penalty $
I Plumbing Pen 1it Fee $ [OO.f'JO
I Mechanical Pl rmit Fee $ Inf').oD
I Sewer & Watf r Permit Fee $ 35'.S-O
I Gas Fireplace Permit Fee $ qI'J .00
T~:eC~dmg~~:;roved
Buih in!! Ullicial bate
Contractor's License No.
Park Support Fee
SAC
.
Water Meter Size 5/8"Q)
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTALDUE t!FJvt€;lJ 5.3.05"
i/ If~ti / u"
5',. tt ~/)?,
#
#
#
#
Date
$
$ /. q,t;"(') . 06
$ '3.C)(~. DO
$ 76.66
$ I. t:;oO, CJ C>
"
$ 1./'J{jo.oO
$1' "-00. Od.
$ - ,
-
$ /1./(;,1-. 78
I ;~<'~J'1'I0
Paid
Date
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
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
'''~~ 5/3/05" ~ ~/'
04.. . ~
Planning Director Date Special Confiitions, if any
24 hour notice for all inspections (952) 447~9850. fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - !;!qUdl[lg
S\"RnJl'MI - I:n9lneerinQ-..,
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKUSI
NA ME OF APPLICANT
AP oLlCATION RECEIVED
'" ,c. '.p, ')
c7v/t:';t'{,.L-
8R,0:5. /(7)1'165
'~.., ,..-
A /.~., (j ...-
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Th]! Building, Engineering, and Planning Departments have reviewed the building permit
apl1lication for construction activity which is proposed at:
/3& (; C l.~e.Ji/5-1 /vie; 7{}/,j /I J/ E . /V'D
Ac( :epted
X'
Accepted With Corrections
Del lied
Re' 'iewed By:
IJ11fJ
Date:
4f-:<&'t)j
Comments: See Reverse Side for Additionallnform:?tion!
See Attachments: 1) Gradin~ Pllln. 2) Erosion Control Measures
"Th ~ issuance or granting of a permit or approval of plans, specifications and
cOIT,putations 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
pre: iuming to give authority to violate or cancel the provisions of this code or other
ordi 1ances of the jurisdiction shall not be valid."
White - Building
CanarY - Engineering
<:;"Pinls.- - F'lannln9")
_. ,
BUILDING PERMIT APPLICATION D~ARTMENT CHECKLIST
N,Il ME OF APPLICANT
ARPLlCATION RECEIVED
",'-- ,.,^, , L -- ,,- I
c::7C:- /tC:( " U' A:,J,~. / /1:'//' d~ .::;
-", / ~
"I. ?.?.c_
Th ~ Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I-'c ( C ILI<; I (-:j I{'; I // v[ / C-
Ac :epted
Accepted With Corrections
'y'
,
De nied
Re ~iewed By: /
Co mments:
Date:
L/ ~7 10,
I
,
,
"
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"Tt Ie issuance or granting of a permit or approval of plans, specifications and
cOlnputations shall not be construed to be a permit for, or an approval of, any violation of
an:' of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre suming to give authority to violate or cancel the provisions of this code or other
ore inances of the jurisdiction shall not be valid,"
U<>/J.,'j/U<> W.I:::;D 11:20 PAX 952 890 2753
STOCKER EXCAVATING
Ii!J 001
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
53?~
(Please.n ~ or orin[ and si~ at bottom)
I ADDR ;:SS
13865 Kensington Ave NE
; $:D:w ~1~. I PERMIT NO. r- 31',1
l. ~ld AppllCllf\t O~-O f?o-
I ZONING (ocr"" =J
LEGAl. DESClUPTlON (offioe use only)
LOT hOCK 1ADDlTION
Windsor Estates
rID
OWNB ~
(Namc)
Gerold Brothers
(Phone) 952/758-2842
(Addres :)
P.O. BOX 128
(AddLeS')
New Prauee. MN 56071
(CitY) (Zip Code)
APPLT( ANT
(Name' STOCKER EXCAVATING COMPANY, INC.
(Phonc) 952/890-4241
55378
(CilY) (Zip Code)
(Phone) same
DATE 5-18'-'05
(Addres,) 12336 Boone Avenue Savage, MN
<"'"= p~,,, "'''''7; 4:1 ,/1
APPLICA.NTSIGNATURE I'AfJ.:#~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any .couplings from suucture
Type of sewer pipe. 0 ABC 0 pve
Estimated length of sewer line feet.
..'Cleano;:;t(if required) located at "'feet from structure.
feet.
o Cast Iron
Residenti l! sewer and water line connection
Sewer CO] mection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% orjob cost with a $39.50 minimum
$17.50 Water connection only $17.50
ESlimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
__.AL~I ~O kh..
-:Wj"DINQ ;"'.!/1 '
. ~~I]-
(Offit~ Un )"Iy)
This A~ plication Be.eomes Your Building Permit When Approved
~uildint Offici.l
Dale
',I ". I I r., II
< \:SJ i_; If
I iW~AY 2 3 zoos
\i:/ t:,J
:li Jf"
, ,.:'
~ ceipt No.
Ii,
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unr
1/
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-
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~4 hour nO';ot ror.1l inspections (952) 447_ *,-0, fax (95~) 441-4Z45
y----.
11:34
CITY OF PRIOR LAKE
9524474245
1".01
Ihlte ReC'd
CITY OF PRIOR LAKE
HEA TING/AlR CONDITIONINGJFIREPLACE PERMIT
~ tvpe r crillr.lIIld _ at bcIUlJlIl
ADD'?Y~5 k~/r>5-b- ~
i ~ ~~ I PERMIT NO",~ Ii"'"
1,Y"Iow^"llU~l\I'. ~~
ZONINC: (olfioo 1110)
LEGAL 1 'BSCRlPTlON (omce u.. crily)
I
LOT I BLOCK JLuuJ,uON
PID
OWNER
(Nem~\
&:~d-d' 6--cr'~-~...&- ~.M'S~~(Phone)
J
~,'ev- L .......K...-:..
(AddIess: .
APPUC ~NT
(Namel Sou+L
2100 G
(Add:ress ]
~~~.J &.+~Ile) _ 97,?-//~.;z -"';;y/~I()
~'9 .C j Aw.. .::r;;;,. ~l__ /<<- .s;-~;">..J;Z..
(A.dclre..) (CItY) (Zip CO]~
~o ~ (Phone) tP/Z-2Z/- ,-~~~
_ /'7 ~ '"7 $- 1- /;. '-..A:... DATE. b - z..1-t2.5~
(ContllCl: Person)
APPLlC I\NT SIGNATURE
e. ",PPLlCANT PLEASE COMPLETE BELOW
. ~CONSTRUC~ION 0 REP!tCBMENT 0 ALTERATIONS
PURNAJ:E MAKE AND MODEJ. ~l' ~ 90" /06. ,avc> &i7<-FUEL
FLUE 51 ZE RBTURN OPENINGS INPUT OUTPUT
TY1'1l OF SYSTEM BEATING OR POWER PLANT
OWann Air P1anlS 0 St""",
OO~ __' Ol-lotW.".,
El1'l~ 0 Radl.tlon
I9Ktt Candlt.ionint 0 Sl"'.olal D."i~
OVen:. Sys,,"m 0 Other O",io..
l'LEASE N(J(!'E:
A if CondltiolWf Unit.!
Cannot Encroll,ch into
R~uired Sidi~ Yard
Setbee\ca
l'IREPL ~CE MAKE AND MODEL
FEE SCHEDULE
1";;IuQtrl.~, Commeroi.l8< Mu1ti-FllOily 1% of Job co.t Re.idenU.l, Gas Firepl.ce
$39,50 minimum
Resident II, H091lng &:. NC (New COOStl'l1Ctioo) $99,30 Rt.!I.idOllI!aJ, Additions 8< AI~lIlions
Reoldent "l H.otlng Only (N<:w ConStOlotiOJl) S64.l0 Ro.Weoliol, AC Only
$39.50
$3]1.50
$3950
Estimated Coot S
Building P=it #
(OlIiee tr . oeM
TIIi., lJlplleaUon eO"'lIllU YOllr BuildIng Porml! WheJl Approved
HEA 1'INO PERMlT PEE
ST ATE SURCHARGE
TOTAL PERMIT Ji'EE
$
$
$
.3 9. 5(l., ... PAID WITH
DgjJlDING PERMIT
~fl_e~
,
: i f~l' Receipt No.
II,
].
"'lEI
1:1,'1 y
.'i
I
.=-.1
Buildin~ OffitiAl
- \
I~)~d\': i ! \ i \1
. Dft.. . l'li!DSStJN 2 4 2005
. !!
:&4 !loti. ..1Iee r.r.n ("'pecllc", ('52) 4'11 ,9850, lax (9S:l.) 447-4:145
162M Eagle CredtAYenae, Prie. l~Y. ~~:~~_m
.,
CITY OF PRIOR LAKE PLUMBING PERMIT
"h" ';J, I PERMIT NOfJ5. t47Z-
l ~llj City
). "'1111'" AI'p4i~1\l
rPlt:l\~e twt: 0, 01 lot:lJ3d ~if11 at bottom)
ADDRESS
/3~"'u ~ ~s.',./~ ~
I ZONIN3 (e!l;" ....j I
LOT
LEGAL DE:, CRIPTION (effice uso only)
ADDITION
. OWNER
(Name)
(Address)
APPLICAl'T
(Name)
B .OCK
PIP
Ge--~d. df/.--o~
~I"" 'en- /,..-'/<::.,-.
~J"':'..:..
....(Phon.)
<=-<) ~ k4.cA--.."c---e ~-I .
~e;~ ~
ZI tJe?-5'
(Address)
(Contact Pe 'son) ....q P7--> -.-.€. d.
APPLICAnT SlGNATURE _ .L;;a..r"7~
-- ,--
(phone) ?i,?/-~9'lJ
.::r- c.-.:/___ ;.v.--. S:>5$.;:;L-
(City) (Zip elIde)
(Phone) ,e../Z - ;!.ZI-15''?~'5
~~~ DATE k -2-1-0..,5.;"'
(Address)
QUll.nli~1
;;;..
(
,
I
..I
I
/
i
I
.-
,
APPLICANT PLEASE COMPLETE BELOW
Type of Ft'tture I Quantity
Bath Tub with Qr without shower I
Dishwashet
Floot Drain
Lavatory (Bathroom Sink)
Laun ry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture .
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machin'~)
I Sewage Ejector
I Backflow Assemblv
I Backflow Assembly Test
I Lawn $prinkler
Other
I
FEE SCHEnULE
InduSlri.1 Commer6.1 & Multi.family 1% of job cost with. $39,50 minimum Residential. New One & Two-Family ':'19.50
Relidential, Addition, & Alteral;on, ~;39,50
ESlimated COSI $
Building Permit II
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT l1EE $
PAID WITH
MofNG PERMIT
(Offi" U.. !Jnly)
This AI ~lie"tion Becomes Your Building Permit When Approved
~,-,-...- .,..
Q11Ildlng OmdA.1
O.lt
, ~~ f~i~'
IrIID~N ? 42005
LJ.:
By
Receipt No.
24 ko.. Mllce rnr all in.pectloos (952) 441~~~~~~nx (952) 4.4.~-424S
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type 0 ~ vrint and sign at bottom)
ADDRESS
t50nw E~~icant I PERMIT NO.l6.fJ.,/4.
13865 KENSINGTON AVENUE NE
ZONING (office use)
LEGAL D ,SCRIPTION (office use ooly)
LOT I LOCK ADDITION
PID
OWNER
(Name Gl :ROLD BROTHERS
(l'hone)
(Address)
APPLICAJ IT
(Name)HR,RTH ANOHOMR TR~HNmomRS ORA FTRFSTDR HRARTH ""HOMR (phone)
2561
65]-633-
(Address)
2700 NORTH F A1RVIEW AVENUE
(Address)
~OSEVILLE
(City)
55113_
(Zip Code)
(Contact Pf rson)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICAl IT SIGNATURE
BRENDA HUSTON
DATE
7/16/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plaots
OGravity
o Mechaoical
DAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
D Radiation
D Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACI, MAKE AND MODEL
Industrial, Cc mmercial & Multi-Family
HEAT N GLO 6000TRX1-1Pl X 2
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential. AC Ooly
$39.50
Residential, I :eating & NC (New Construction)
Residential, I :eating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50 PAlOWITH
______.. JJJDJ?1NG PERMIT
(OfficeUseOlly)
\'\J c\P.... 'd
\: "d: _>_al
i\\I\D~l
uU
2 1 ZUU~
I Receipt No.
t By
This Application Becomes Your Building Permit When Approved
BI: ildine Official
Date
24 hour notice for all iospectioos (952) 447 .[W'll:!.".x.J9_52.t447"-4245.____
PRIOR LAKE DEPARTMENT OF
BUILDiNG AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 136{"S Kr~~A~~ )\JE- ~
NATL HE OF WORK J::,JPL' , f=;t.1IS tf8D L--. I..IVA)
USE )F BUILDING 3j:"n .
PER~~IT NO. 05.0372- DATE ISSUED 110.\, ~, 2oo~
CON"rRACTOR G .05 ~.J PHON~E 9~' 75Pl-:22>'12..
NOTI:: THIS IS NOT A PERMIT FOR ANY O):THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR ,
DATE
I Foe TING /Jt/1- S/// /os
, FOUNDATION (Prior to Backfill) I ~ I ~/trl or
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
:::t
SEVI rER I WATER I SEPTIC
FR~ING
INS LATION
ELE TRICAL
PLU MBING
HEA TlNG (If required) L. L, ///./ ~~~;--
FIRE :PLACE
GAS LINEAIRTEST~/M /111 t,/l?k- l..2)/f/! 4YfY'~~f: /?Q 7/~'-
. '/ -
COVER NO j'lOR1( UNTIL ABOVE HAS ,BEEN SIGNED
I Latt-- ~Illse. W~~r I~JtI'/~ #y~' I~#: .at ;1'ZJ~
, . I -
FINALS
GRA DING (Prior to Soddlnp)
BUIL.DIN~'-tp.C(),u'.If;:/ //j4fA~ 7ftk
ELEI :TRICAL1
PLU ""BING IlPt
HEAriNG .~
100 NOT OCCUPY UNTIL ABOVE HAS
: NOTICE
. rhis card must be posted near an electrical service cabinet prior to rough-in inspections
'lnd maintained until all inspections have been approved. On buildings and additions
, vhere no service cabinet is available, card shall be placed near main entrance.
,
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/.,/; 7/ af:'
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,rIi' 7(2.7/;.5.-
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9~7~5-
/?/.ll /OJ~
tf/J/jor
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
@~rfifitnf:e of <IDttupnnqJ
CITY OF PRIOR LAKE
~~parftU~nf of ~uilMng J1nsp~dion
~inal Permitted D Conditional e.O. Expires_
This Certificate issued pursuant to the requirements of Section IIG of the LJ Residential! LJ International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY 05-0372
Use Classification Bldg. Permit No._
Legal Description
Type Construction
L6, BI, WINDSOR ESTATES
R3
VN
Zoning District
R1
Occupancy Type
Owner of Buildio2:
Site Address
13865 KENSINGTON AVENUE NE
GEROr.D BROTHERS HOMES, 1409 E. MAIN ST.. NEW PRAGUE 56071
Contractor's Name & Address ./
ROBERT D. HUTCHINS pU{?/ . JANE KANSIER
//7~ _ CIty Planner_
;0 ~ildi Off!.sjal v
D"", '9 'JJ 0.5 Date:
.
-
~v:~E
)t'/)S/~/d?t A~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
13-f6)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNOATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
./
,/"'1 /
r--; ", ""i f
05-, ??2-
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
""
Of{
~----_._----_.-
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~ ----- ------
/::- ""ORK SA TISFAl:lUr<T. l"r<U,",,"U
o CORRECT ACTION AND PROCEED
a CORRECT WO':K~~~~REINSPECTION BEFORE COVERING
Inspector. ~t?/~ ~ OWner/Contr:
--..........-.
--;)
../
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
<NSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
13~6s-
&'i?-tl\
/(ens,''l( -1-0..... It Vl
t~d/ Brb,
PERMIT NO. 05;-.?7?
-
SCHEDULED
OWNER
CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~~TION
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(.;r.L. - t') ~
Curb &.,c- c9K
TNo5
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION 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 & SAFETY!
INSNOT<
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED g;j,~~S
~ I!'~/:.v.:. ,t?< A ~
/
CONTR.
ADDRESS /?"fA)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
PERMIT NO.
C/Y ?7,2
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
~CH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COM~"rS:.. __..
F/D~6/~.,. hh/ ~ /
~k4>~~r- ~r/- C)/C
{!J &// k,,.-. ~ ~~7':''7~
(?r/t/ ~. YU /.r..;-~/./4~~ I
. /Ydd ~ . /E,,~~~. /4I"c'/ _,~v-c,#-I-z,.,
- ~)1. S,(Y~c:P<"jf @ ?V/S
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. ...aD ~ .... /1. ~<;;;:k <"~ " /'>
/~7'.,./// -11'", f;.Q..-;sr'c,- J':'" "MtCe.
(!) ~4,t') ZFCk:."",. / q-r~'" /
../J;~d4c t! V~k .J- I __ /
.~~~"" k ~ ~f'/../;hc.. hh,
o WORK SATISFACTORY, PROCEED ~' "
~RECT ACTION AND PROCEED ~ L-
o CORRECT WOR~, ~~L ". REINSPECTION B ORE COVERING
Inspector: ~_ Owner/Conlr:
/-/
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I-.Tl
;;:s / TIME
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
6")-J>7 L
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMM,NTS.: r q',/
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o WORK SATISFACTORY, PROCEED
~RRECT 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.
INS/'IOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/