HomeMy WebLinkAboutBldg Permit 05-0021
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
/2.. /&.04-
I.WJlile File
2. Pink Cny
J Yellow Applictm
I PERMIT NO. 0 5. 00 z. (
~ tv.pe or' lIint and. sian at bottom)
ADDRESS
/jf~tl IJtrnk/u./wf'iM;L/ Iv W
LEGAL DE ICRIPTlON (office use only)
wrj)B~OCK / AUIJ...oi1JJ~)~ai'lk/)t-tjdJ
I ZONING (olllce UR) I
PUp
PIDctl5:.={ 5U;c:J~/ 0
OWNER
(Name)
(phone)
(Address)
=:hme)~.1 J..1j~~f.~'n~t1A~e~A"" /-Jf.5~ - tJh 7~ .
(ContactNane) ,~~ / , (Phonet~/C')'7-f/t1-,4L7c)/J.
(Address) J0~.t; . ~p<<pdj;J~. &~ 7nr-n ../),~/~
TYPE OF V 'ORK ~ew Construction ODeck OPorch ORe.Roofing ORe-Siding OLower Level FinISh 0 Fireplace
OAddition OAlteralion DUtility Connection 0 Misc.
CODE: OdI.l.c. Du,c, PROJECT COST/VALUE S <-11-:3, (J1"Jt'/.
Type of&. ruction: I n ill IV V A B (excludiqland)
OctvpanCyG:oup: A B E F HIM R S U
DirioioD: I Z 3 4 5
I JKoreby ttrtify ttlll I have lUmished intOrmation on Ibis application which is to the best of my know1tdBt' tIUt and comet. I also certify that I am the owner ur authorized ascnt for tht
,,~.. .......'.. X'OptftY and dW aU COIWI'Uction will confi:Jrm 10 aU exilltins .tale and local laws and will proceed in ...n~.":L._~4 with submitted plans. I am awa~ that the b\liklin.
;a~'''~~.Grca,Q 7~)~lIhed~O~:;;;;;;#';'-"-a~q'_c74
- ~- I .Siano.... c.."".... ,lJcenJeNo, D...
I PennitValuai.on '~J~I?~ ,060.0-0 I Park Support Pee # $ @SO.DO I
I PermitPee S 2. 751. So I SAC # $ I. 45000 I
I Plan CheckP, " 5 J 7'i?1r, L/'i' I WaterMeter Size5/(f.?) 5 '}5'''0, 0'6 I
I State Surcha~ ~ S I "'J 1. S-O I Pres,ure Reducer $ -j,J; Dol
I Penalty $ I Sewer/Water Connection Fee # 5 /.0 () O. () 0
I Plumbing Per nit Pee S / tJO.()() I Water Tower Fee # 5 )IOO(),OO
I Mechanical P "",lit Pee 5 10rJ , 0 (J I Builder', Deposit S /5" at) , 00
I Sewer & WatT Pennit Fee 5 SS-. 56 Other 5
IOasFiIep1ac<PennitFee S .t.!(),OO TOTALDUE &LIed.- /0:;,06 5//60/90
Thi, Applicat on _, Your Bul1dlnl pam/t When AppI'OVed
~~~
BUilliM Oft1cial
/c7/..q/~
DaIc
I Paid
Date
// 4PY frf
/./1/ ar
I ReceiDt No/.' ?fi(., ~
Bv /Valj_
'I
ThIS is to ccnil\r I ~.. the request in die above application and accompanying documents is in accordart<< with the City Zoning Ordinanct and may proceed as requt.'Stcd. This document
wbl'n Alfted by ~ c CilY Planntr constitutes.. mnporary Cenillcace of Zonilla complia~ and allows construction to commence. Btfixe lXXUpaney. Ii Cl'ltifieate of Occupancy mu" be
-~d~
--
9?;J~o/
0...
14 hour Roder ror IlIlnlp<<tlonl ("2) 447-98...qJ. rn ("1) 447414!1l
16Z00 Baile Creek Avenue Prior Lake, MN 55372
SPCCiaI C'-O". if lIlY
~1
~----------
lh eenler of ll'l..l..k.. Counl.,
(White - BuildinO
Canary - 'I::ngme..ring
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Nt.ME OF APPLICANT J:;R7l--I'f "7?&1' /"1,t:1~ U's7ZJI'1/1(V1bS
AF PLICATION RECEIVED /2, / &, 04--
The Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
/ #-9; Z. 7 77 JVl /Jf7ZM/o{.,? 7JU:I / t-- /II N
,
Ac cepted
Accepted With Corrections
/'
De nied
REviewed By:
~~
~ df
Date:
/d/~plj, if
f .
C(,mments:
..-IvJ~
"l'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
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,"
~~.
ue~
White - Building
CanarY - ineering
<::..,.g!nk - Pl..nnina
Th..('..nlN 01 lh..1..k..Countr"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Nt ME OF APPLICANT
AF PLICATION RECEIVED
;:;-I//}
.. /. ,.., / ./ /--'( L~'-
_ /1/ / //(" I'/{~~-::"~
/L /" (9--
The Building, Engineering, and Planning Departments have reviewed the building permit
ap ~lication for construction activity which is proposed at:
. j (.74 . '(' / I L /'. I i./
/ ~ Y 1__ I /./ /' i./""f! i.-'r c. r-'- /-1/4::-- -
Ac cspted
.,/
Accepted With Corrections
De nied
,
Re viewed By:
Ccmments:
.~
9--~
Date:
1~7/oc.j
,
"l1he issuance or granting of a permit or approval of plans, specifications and
ccmputations 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
oldinances of the jurisdiction shall not be valid,"
'~
~t
White - Building
LCanary - Enqmeenn!l)
~ - Planning
Tho.' ('rn'rr ~. th... La"", ('OdnlrY
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAI,IIE OF APPLICANT
;,//... "'"C).. ; ./
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-'77; /'/ /_/ /. /...--) ,.-:;' C:.
,-,' / C'I , .r' t-} I C"","-
APr'L1CATION RECEIVED
/.;;> , '
::;,..... lv, ()'i--
The Building, Engineering, and Planning Departments have reviewed the building permit
apt: lication for construction activity which is proposed at:
;./-92.7
;7 . 7 .' /",. i. ./., ,-:;.
I J /1-- I )r'~/ c ,.. V U(__~r
772:/,1 / L.-
.'
"',' 111
/ It , ,-,,'
Ace spted
x
Accepted With Corrections
Deried
Rm iewed By:
/YJ4/J
Date:
I-Jf-or
Cor lments: S~eR;'v..e;';;;:'''~c;jrl';Tr)rArl~;;..1 information!
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
"Th, issuance or granting of a permit or approval of plans, specifications and
conlputations 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' .uming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
CITY OF PRIOR LAKE
HEATING/AIR CONDlTIONING/FIREPLACE PERMIT
Date Rec'Q
3,Q05
: ~ ~:~ I PERMIT NO. as. /)/"2 II
3. Yellow Applicam ~ VV
(Please ~ 0: Drint and si2l1 at bottom)
. ADDRESS
ZONING (office llse)
_/l/~:71
17 YHht'</U/o/../' 7/a, '/ /1/. vt./'
PUD
LEGAL 0: ,SCRIPTION (office use only)
LOT'l--lj'LOCK ADDITION \N60P @. ~It,pf PIDZ6. ~3, ozl. 0
OWNER / 1.
(Name) 1?v'l7.hy 7;.~ ~Tc.....- A!""n-.1"'5 (Phone) .L-.....~-I-~S~-d67Y'
(Address) 156G. u,n!:tX~dH:.e..-/'.,,/ 511&11/ ~n/ S-S/;l;;J-
I
APPLICA!' T
(Name) ,-'0 176e.// ~;<J;d.R./ =t/??- (Phone) ~~,-?Y't::'- .s;,loc:;/
(Address) ~:2..,<~ <:"H/"L/<:/I?JIlZ-..><Iv?' .~..../-d.!../ --::<:...,/7<),,/1{.... _A./ . <:,~~'57
(Address) (City) (Zip Code)
(Contact Pel son) 61'ZXl/G:. xJ#c.t'// (Phone) ?<::?- -7Y~-S.;;;2c/c;:I
APPLICAI'TSIGNATURE /?' /' ~ DATE :5-7-c/'S~
<<LI~T P~EASE COMPLETE BELOW
3l'!EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE J 1AKE AND MODEL ~"".s2hut1ud</R-/Cla FUEL A/XJ T
FLUESIZE S"PI/"/ RETURN OPENINGS ./~ INPUT /"o.etOO OUTPUT 9~t?CY<7
TYPE OF SYSTEM REA TING OR POWER PLANT
3Wann Air Plants 0 Steam JJ....DJ PLEASE NOTE: .
DGravity I!?I Hot Water/ ~/lj,f;A"" /' !c.!fV AIr CondItIOner UOIts
CJ Mechanical 0 Radiation S;qs;J-;.. ""~iX I Cannot Encroach into
~Air Conditioning 0 Special Devices .>e../...- Required Side Yard
~Vent. System 0 Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Cor-.mercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential. HI ating & AlC (New Construction)
Residential, Hating Only (New Construction)
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Penn it # () 5' , 001..- ( BY
$ ~'~Pf\(06t2-
$ .A ,50 I 'I vO
$ Aoo,~ 2.v
[ !)
Estimated Cost $
(Office lIse Onl: ,)
j
BuH~ing Official
Date
Ipa~
IDat~q,05
Receip~
This Appli, :ation Becomes Your Building Permit When Approved
By
.
.lD1L-
I
24 hour notice for nil inspections (952) 447-9850, fax (952) 447.4245
16200 Engle Creek Avenue, Prior Lake, MN 55372
07/25/2005 17:36
9528816976
BOB JECHE
PAGE 01
--
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please fV!l! ~r mint and $im at bottom)
ADDR1!:1S
l~Srp~liliJ-Q
; ~:.. g~ I PERMIT NO.~ AA" 'I
J. Gold A.pplilWlt ~. VV6/IIIf
- 'I
1...i!l1/
,
NJe1
ZONING (0,"", u"'l
LEGAL ' ~ESCRIPTION (ollice us. only)
LOT BLOCK ADDITION
PID
I
OWNER
(Name)
\~ a thy
~~l~.
~f',(
(Phone)
(Address)
(Addre,,)
(City)
(Zip Code)
APPLIC. ,If!). L. +- -,- ~ --.-,. I 1::'- ~
(NameL.~..L uf'r ~~( V.ODt~ (phone) _
(Addross: ~ ~( _ _ _ @:..~~..j..,,'f\. t!)Ji ,7.PI3)
(Add",..> ~ty) (Zip Code)
(Contact 'erson) (Phone) & I J rya ~ 7-) S}
APPLIC.,NTSIGNATURF D.~TE ~ ~i)?;
APPLICANT ,fLEASE COMPLETE BELOW
Siz.e of water service \ ' inches,
Location of any couplings from structme V feet,
Type of sewer pipe, 0 A8C @PVC 0 Cast Iron
Estimated length of sewer line I.lc b feet,
Clean out (if required) located at -1L feet from structure,
FEE SCHEDULE
Residenti: J sewer and water line connection $35,50 Industrial, Com'] & Multi-family I % of job cost with Q $39,50 minimum
Sewer cor nection only $17.50 Water connection only $17,50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~D WITH
~UILUING PERMIT
(OMtt Un :)nly)
Thi. A.I pljenlion Beco",.. Your Buildin2 P,rll1it When A.pproved I lni1.;;;l [0,;' \:; 'I ( I m\leceiPI No,
ill) 11'
I fRO ateJUI 2 6 2005 By
!Slllldfnll Offici..1 Datt II I
1-4 hour no.I., for.1I ;o.p."lon, (~52) 447-f&~'~U (~S2) ~4~~:~5 _ ~
03-04-2005 10:17AM
MATTHEW DANIELS,INC,
423 3017 P,01
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
fPleasc=!ypc c ~ DTint i'lnd sim Mbottom)
ADDRES~
/t./-~J..1 ,~ ~ N.W'
U
LEGAL DESCRIPTION (ollice use only)
; ~~~ ~;~.I PERMIT NO..O~ "^~II
J. Vellov. Ap~liealll . ~~.
ZONING (offic, \>$C)
LOT
BLOCK
ADDmON
PID
~~~R J. .....j...,',..IlI,) (I""Th.:-:: ~.c.~.,,)
(Address) ISt.t. #U!ftA.JPJI. ~.
APPLlCA'IT
(Name)_~..w I\.,.,....JPI. J...",
(Address) I~~ c...,V","",,_1 WI'1V
(Address) /
J ~ '-hi. rl
(Phone) t,5I,..Jet, - Ob'1;'/-
SS/'22..J
(Phone)
"'~/_ 42.5--"I'1~
I? hoIlD r'\'1t'll~J rr/:-:
(City)
.~11'
(Zip Code)
(Concacr F ,rson)
Quanti y
-:L
I
I
~
~1
2-
2
I
..;.
n. (Phone) , t..s'l. 14'4'" - ~~'1,;yl
/1.. Y"IJ \:YJ .~,JJ' . ,,, '~A./ DATE _Ytft1..Juo},) ...;, .21'1),"-
J - i (j
APPLICANT PLEASE COMPLETE BELOW
I Type of Fixture I Quantity
Bath Tub with or without shower II Rough-ins
I Dishwasher I Water Heater
Floor Draip I Water SoftneT
Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (lor 2 compartment sink Sewaile Ejector
Shower Stall Backflow Assembly
I Sinks Backflow Assembly Tes!
I Bar Sink I Ai.. Lawn Sprinkler
I Water Closet (Toilet) Other
Type of Fixture
l
APPLlCA NT SIGNATURE
FEE Scm:DULE
Industria, Commercial &. Multi-family 1% of job cost with a 539.50 minimum
Residential, New On. &. Two-Family $99.50
Residential. Additions &. Alterations S39.50
.
PLUMBING PERMIT FEE
I STATE SURCHARGE
TOTAL PERMIT FEE
Building Permir #
PAID WITH
qq~ING PERMIT
laatrJ ~ '-AIJIl. '
$
$
$
Estimated Cost S
(omu lI.. )nly)
This AI plication Beeollles Your Building Permit Wheu Approved
Building Ol&cial
Datt
I Paid
I DMAR 1 4 2005
Receipt No.
I
1
By
24 hour notice for 01\ in.peetloos (95Z) 44~~O, rox (952) 447-4Z4S
......--~.__..~. ,. . ,
TOTAL P,01
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE
PERMIT
Date Rec'
], Pink
2. Green
3. Yellow
File I S:,...",
;;~i'M' PERMIT NO. 0 ......
Please type or uint and si2D. at bottom)
ADDRES!'
ZONING (office use)
14827 TIMBERWOLF TR NW
LEGAL D ,SCRIPTION (office use only)
LOT I LOCK ADDITION
PID
OWNER
(Name F ATHY TRIMBLE HOMES
(Phone)
651-456-0674
(Address)
APPLlCAJ IT
(Name) A1cLrED FIRESIDE DBAFlRESIDE HEARTH & HOME
~~61
(Phone) _/\Sl-/\3.~.
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact p, rson)
2561
BRENDA HUSTON
(Phone) _651-633-
APPLICAnT SIGNATURE
BRENDA HUSTON
DATE
03/14/05
APPLICANT PLEASE COMPLETE BELOW
XNEWCONSTRUCTION REPLACEMENT ALTERATIONS
FURNACE \-lAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT
OUTPUT
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
, FlREPLACf MAKE AND MODEL REA TN GLO 6000TR-QAK
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Industrial, C< mmercial & Multi-Family
$39.50
Residential, ljfeating & Ale (New Construction)
Residential, Neating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
BUILDING PERMIT
,50
(Office Use Onl r)
This Appli :ation Becomes Your Building Permit When Approved
Bui ding Official
Date
:~r~<1'
I, I~.AK 1 4 ZOO,
Receipt No.
By
PRIOR LAKE
NSPECTION RECORD
ITEADDRESS /t/Pz..'7 7iwt4EJt:.~LF: TItA/~ ~./,c).
~IATURE OF WORK N.IAJ OIJNS'"/"III.Uer/~~
LISE OF BUILDING oS; It': D. .
~ ERMIT NO. as ooz / _ DATE ISSUED II-MI."
C :ONTRACTOR 1?8'Ht' T~"". t::MS1IItt HoPHONE-'tJ,.. r/l. -Z#De.
~OTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PEjMIT IS BY SEPARATE DO:~~NT DATE
II~OOTING Eu~/~ ~~ F Di<J ~~f f/{R _ /- ~ I
/ FOUNDAT!6N (Prior to Backfill) I r dJ ~ I
PLA.CE NO CONCRETE UNTIL ABOVE 'HAS BEEN SIGNED
LL eJ: ~. '1' ROUGt:L - U~o/: /
SEWER I WATER I SEPTIC &' ~-> ft'\
=RAMING R& ../ ft.( P
~NSULATION ()IJP~ 1-1 '-/_tJsnP 1/05
LECTRICAL
-
LUMBINGU'1 /' 1/6 ~~<I
If EATING (if required)
FIREPLACE I 6"~ $-2.1
GAS LINE AIR TEST I ti}. If /
COVER NO WORK UNTltLiEf6VE' His -mEN SIGNED
,
Au} t'.t7I.5A ~
DEPARTMENT OF
BUILDING AND INSPECTlON
:';1'
0/.2C
G-J- .
ItArN.!" /Hdll.rrAWA'- I
<
FINALS
. 4RADING (Prio] to Sodding) , NJJ R -?-7. oa- -~' .
~UILDING )-"'-<1> ic 10' t- ()~ fj) ~
~LECTRICAL ...., . rC)
. LUMBING rj5 - ~J>)t.tl '/
I EATING (~ I 7/2/{t:JS
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.
J
FOR ALL INSPECTIONS (952) 447-9850
C1Irrtifiratr of @rrnpanry
CITY OF PRIOR LAKE
~tpatfmtuf l1f ~uilbiug Jluspufil1u
'~inal Permitted D Conditional CO, Expires
This Certificate issued pursuant to the requirements of Section 110 of the C Residential / D 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 05-0021
Use Classification
Bldg. Permit No
Occupancy Type
Type Construction
L21, BI, THE \"OODS AT THE WILDS
R3
VN
pun
Zoning District
Legal Description
Owner of Buildiof!
Site Address
148:>7 TIMBERHOLF TRAIL NW
Contractor's Name & Address
KATHY TRIMBLE CUSTOM HOMES, INC. 1566 HEXFORD COURT
ROBERT n. HUTCHINS
City Planner
.lANE KANSIER
r.:A&~:l~, ;.(N--5-51 22
Date:
BUiain~ ?~~
,*
Date:
l
,./lI .
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TlME
SCHEDULED ~~6~
1:_\..uJTI.}t'llt:
ADDRESS ~
OWNER
CONTR.
PHONE NO,
PERMIT NO,
..;:. 0021
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
X PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COI'!'IMENTS:
~J-~j _ 1Js:c.PC:;S
3.
\)CO-<Il
,
+0 LJU ~t
~I' (I
.......+ ~
^
aJ1. t: v'f" l) .1J.
Ui...--f..t-
2, K.e.I~.I
4. C. I L'l-f _ Qi '€.t...A-~
~. (lJi f-~ ri ll) YGZ- '1t.17-~878
~D )YORK SATISFACTORY, PROCEED
?ORREC TION AND PROCEED
o CORRE T RK LL FOR REINSPECTION BEFORE COVERING
Inspector
OWner/Contr:
/. 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
(/,
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
CAI
CODE
ININOTl
DATE 'rIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
;-). 7-Q)
T;}..,tM,.wolf -r f I
CONTR. Kd-I, y T r rf'? 6 Ie Cvslo"" 1-1->
"
~s 1- 456 -f) (, NPERMIT NO, OS' 21
SCHEDULED
ADDRESS
/ '-I~J. 7
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.-:iii::'FINAL
~ DSITE 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:
Lu /b Zoll- cJ K
b~6)f...
/V.s
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ VWner/Contr:
CALL 447.9850 F9R T~E NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
IJISNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
-d2? )r;K
.
ADDRESS J!:j8;)''7 T~~ w" l ~ 0;.
OWNER
CONTR,
PHONE NO.
PERMIT NO,
5" - OD2I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;s(FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I. Fiwl b)~ ~~'z:.tA
1... R..,,,:&.t. ~f' ~,,~ or- M..'^IA....,.,,~
/t.V\.ol.v\CL~L ~r~", ~ o..~ ~.
J..v; I ~ ) lA L..hl' \...~ vri
,<, S.....R.. ~\ n.ub po}- ~ pJ!.... ~.
-ld..-// (l ~~. f) -k~-{f)
,. - ()
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector 12 h Owner/Conlr:
CALZo FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSI<<Jn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /VfJ27
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;ji<ofINAL
o SITE INSPECTION
COMMENTS:
ok.J.o
SCHEDULED
DATE TIME
~
~h...r{J Jl
CONTR. IJ
Gl5"--CO'2 (
PERMIT NO,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXfGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GA~INT""R TST
Y S'J-
(J r ,.";,,D t:f.J0... ~, II.
~ORK SATISFACTORY, PROCEED
o CORRECT7/JION AND PROCEED
o CORREC W . CALL FOR REINSPECTION BEFORE COVERING
Inspedor: _ Owner/Contr:
CALL 0147-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY/
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