HomeMy WebLinkAboutBldg Permit 05-0090
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
l /2. OS
... "
( , 'NN"O
,,--)
(Please ~e 0 . print and si2l1 at bottom)
ADDRES~
I. White File
2. Pink City
3, Yellow Applicant
I PERMIT NO. 0 r:. ( 0 C/O
/ J 7 /rJ
A rduJ-Utl1 ~ .k "
~
ZONING (office u~e)
/2/
LEGAL D ,SCRIPTION (office use only)
LOT I
3LOCK '+
ADDITION
W,Hdsvv cS'sfd4
PID :l 'S 1/-/302.2. 0
. OWNER
(ljarne)
() IA cI d'iiith1
J
c~ 15~ LLe.
:>4 (J-f_
(Phone)
1,1:1.
~2S' 'fR2.h
BUILDER
"'-''::(N'ame)
(C<'lntact N ,me)
("'-tldress)
.
(Address) :1. 2/ J:i 4.6 L.,.
J
Gitidif<?At ()~ "iZdmN LLt
])G~f" (',~n~
(Phone)
(Phon ,..,
(, /2-
6/:;).
,"'?).9
32&'
</.1l.1- ""
'f/11."6
J
C. TYPE OF NORK tl'New Construction ODeck OPorch Of'Roofing
". 1" '~~~wer Level Finish 0 Fireplace \ OAddition /,dAlteration
Jlise)f\b L, L, FIN;' f/ J I, t2., ('. PROJECT COST IV ALUE (excludinJjliind) s/fO/!OVO 1
\"'-.-'- ~k-" ....... ~ ~
I herer,y certifY that I have furnished information on this application which is to the best of my knoVl:'ledge true and correct. I also certify that I am the owner or
authorized ag' ~tft for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
s1}btwtted pIa I~ I am aware ~~ the butldlOg official can revoke thiS permit for Just cause FurtHermore, I hereby agree that the city offiCial or a deSignee may
-~terupon~::totJ"J.n;:"dedmSpectiOns 136~ /"IO_OS
. Signature Contractor's Djcense No Date
\.
I Permit ValuHlOn 11 f~o. 0011. 00 I Park Support Fee " # $
~~:~i~e:~Tee ~ ..1'~~~ i ~~K ~a~ei Meier. Bize 51B'~-' # :
I State Surcha>ge $ 200.00 Pressure Reducer $
I Penalty $ I City SAC and WAC # $
I Plumbing Pe mit Fee $ ( 00 . 0 0 I Water Tower Fee # $
I Mechanical] 'ennit Fee $ I 0 0 , () a I Builder's Deposit $
ISewer&WaerPermitFee $ 3~. SO I Other $
I Gas Fireplac, Permit Fee $ 'iU. 00 I tOTAL DUE {'I-/{{CV 2. Z ,5" $ /1, () U (:'. 7 [)
ORe-Siding
OUtility Connection
1L{~Q.oo
:s 0:), (j d
7<;;;,00
/500.00
1000, 0 0
ISoo,Oo
~iS APPlic,ti~n Becomes -: our Building Permit When Approved
;{~~ 7N{.., ,/7.,/0s:
( \ Building Official ~Date
---/
~ Tflis is to certify ~hat the request iJ'I the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by t/he City Planner constitutes a temporary Certificate of Zoning compliance and allows constrUction to commence. Before occupancy, a Certificate of Occupancy must be
"'ljeA~ V-fiA P 112 I It) s e ~ Chwr~ ~.et:;-
Planning Director ' .. Date Special Conditions, if any
24 honr notice fnr all inspections (952) 447-9850, fax (952) 441.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
J
I Paid /1 OOfl7I
I Date ~. ij PJ
I ReCfbipt!)(...~ ~.(, 7'1
By ~ '
./ ~..._--
I__\~__.
~. PK/(5R~
.~~ ,/
C ~ "i}.-
u . ~
//
While - Building
Cananl . . eering
~;-... - "Ianning
-
TIt~ C~nl~ or lh.. J.Mk.. CObnl!"}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ \ME OF APPLICANT
// - .- / .
(.'//1/(_ ..,
{.-J"."Ll/O~LJ li-; "-./
.- .
..J,: i 7t ._/ /<-<,-Lv:~ C "<.1.,.-/
APPLICATION RECEIVED
./, (e-
I lit... j-
n e Building, Engineering, and Planning Departments have reviewed the building permit
a~Plication;3 cr7Ztion K~;~;~~ed !t!le;
/
Ac cepted _
Drnied
R viewed By:
/
Accepted With Corrections
~
r
~
Date:
I/z., /65
I
Cc mments:
"T 1e 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
ar.y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pn lsuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
0" PRI00
.:..~(\
f... ~
U en)
'-~
White . Building
<"Canarv . E:nameennq,;
Pink . -=-P1iiniiing
Thf('..n'f "rlh..I..hCounl~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NI \ME OF APPLICANT
APPLICATION RECEIVED
/1 .'
/ .{..//<t,..:/!: J<'-'/J../, ..
, V~. '" ,-, ..... "}' "c-, ....--
l ~._...
/ ../ Z . 0 l_.~
, .
: .T . ,.T...~~" '. I jJ:'- -<~> I _ f. ,,' ,.' ...../' /'",., , . /';'
,_-J.-{.,[ /,;"'L_// ...6-..-' oLd.... L.<~~'C.tL...- {,,~-, -"- ..-'
Tt e Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
_.J'--'"
_.4 j t"}
_~ /377l
KellS :i?S lei".
{)vc
,,/
Ac :epted
)(
Accepted With Corrections
De nied
Re viewed By:
~
Date:
J).-j-())
Comments: See Reverse Side for Additional Information!
Driv"wav rvlust Have A Cnn"r,,!.. 'ArrrQC'~h
~ee Attachments: n Grading Plan. 2) Erosion Control Measures
'Tt e issuance or granting of a permit or approval of plans, specifications and
conputations 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 ;uming to give authority to violate or cancel the provisions of this code or other
ord nances of the jurisdiction shall not be valid."
.~~ "Kif)!? ,..
;::, 'y
_ 7'
u \'T',
~ - Buil!W:lQ)
Canary - Engineering
Pink - Planning
lh~ C.nt....f lh. l.llkr ('ounCI")
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NI \ME OF APPLICANT
f1dd,,~ C~%~
l ~2.0S-
APPLICATION RECEIVED
n e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
/397 Z K'ci11:;iNG 73;J AV~
/
Ac cepted
Accepted With Corrections
De nied
Reviewed By: ~ ~ Date: I/-z./Ios
~ , ,
Ccmments: RR4 a.Lf ~. ~~ ~
('1J~~fHO ~:;t~ a-uL A.LLI~.
!" . 'J'
"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
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."
03/01/2005 12:08
9524926006
GLOWING HEARTH N HOM
V U~I \ v,,/'- '-J'-J"
1~t>\j PD.~-
PAGE 01
CITY OF P1U()R LAKE
REA TING/Am CONDITfO~G1FIREPLACE PERMIT
Date Rec'd
I1'lease!Yllc Q. .rint and .i....t botlOm)
ADDi3~nd keN0\f\rON AJe, ,-:j)nor La~~,) mN
! $S:" f;'"", jPERMIT NOfJS OtJ1!J
ZONING (office u,,)
LEGAL D BSCRlPTION (ollioe us< only)
LOT
BLOCK
ADDITION
PIP
&~e~R ~~c\c\lf)~al\) CU6i()ffi j.1(')(y\P.,\
(Address) acn~~ l~ON AJe. - Loh\l'\\-e.,; hlN
APPLICA'lT .
(Namel r^ \ (\\1\Iy\(l UPM+I--. + J-I.QT'n 'f'
. - It
(Address) I\)() (:' \ r\ 0'1 ()~" bR
. (Address)
(ContactP!l'Son). l\rn 'shi(Y\e.l. ~
APPLlCA~TSIGNATURB -l,l'<l Shl~,~L0
APPLICANT PLEASE COMPLETE BELOW
LiiJNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZI : RETURN OPENINGS INPUT OUTPUT
TYPE OP SYSTEM HEATING OR POWER PLANT
OW"",, Air Plants 0 Steam
OClTavlly 0 Hot Wftler
o Mechanical DRadiation
OAir Conditioning 0 Special Device.
OVent. System 0 Other Device.
F1REPLACE MAKE AND MODEL He~t\- l'J Col\) ~i .i-I\J .I.P1. ~
(phone)
bid -3a 'b. YSd, ~
00f(}QN
(phone) q 5~, 1.4 q(i . q rl'lt
tY1 f\J 5535" d-.
(Cily) (Zip Code)
(Phone) q S ~ . y q a. q en l.o
DATE 31 \ I 00
--,~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
600CY1R. OAI---
FEE SCHEDULE
Industrial. C ,mmerciaJ &. Multi-Family 1 % of job cost R...idential. Gas Fireplace
539.50 minimum
Rcsidential.ieating &. NC (Ncw ConSilUction) 599.50 ResidentiaJ. Addition. &. Alterations
Residential, ieating Only (New ConSilUttion) 564.50 Residential, AC Only
$39.50
539.50
$39.50
Estimated COS( $ Building Pennit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL P:ERMIT FEE S
PAID NITH
~llDING PERMIT
.50
(om<< Uoc C nly)
ThioApllication Becomes Your Building Permit When Approved Ii r,
, I'
,
'cf~j(j i
(. ,en'
B ,lIdlae Om<lal
J)lte
,
24 hOUr nollee for all inspeetlons (952) 4\!1:9850,w: (952) 447-4245..
16200 Eagle enol< Avenue, Pri.k-L/lke, MN 55372 ..
a~~ 1 4 2005
;"1,\ . Receipt No.
I.
By
~-------~._.-._-
Da1e Ree'd
ern OJ' PRlOllL&TA'. PLtJMBJNG PDMlT
ftf-it;:;
. )
LEGALD~(alIa_"" ,
I.OT Bttb. A...................,:.,J
~=. S- ,PDMlT~OS; IJQ1fJ
\ I ~.~~~-I
PJD
&'::'( '~ tt1.c1l.@.Yl\ 'AA~VV\ 'P U \01tVS. ~) ~- / [pi /
(Ad4z=ukl~~l)~ I loJtp.l\\\fr
=dHf;t -+1111, ~ ip\{i -r VI ( " (PbaIe) t-fL//J- :3123
(Addms) \ 1JQD_J\I'4l\~~ffl A ~nVYi_l\=1:i.ot.Lat1?, ~~/L
(Ad . ....) . . (OlJ) " . (Zip Cock)
(CoDAr:t Jl) ~lA<:'OY1~(ir1lLrYJ Cl'be)4W0-1-r1tO'l
SIGNATVllE m/l~ro) H A J /l DATI. S~/D1
.'\..... "--
APPLICANT ppr "SR- COMPLE'l'.E Bl'JI)W
I <;, ''''''1' 1)peor:lbdJo,.. . .... ,,'
I ~ BlIIn'ab"GJ-r.., ,,' ,". r (oJ'-/)
I ])j,;., ,,',. I
j Hliar Draill
,- L:.~...;,j~.'~':..SiIik,)
I LaaidrYTaI,y(larZ .".." . ",,,., .....
I ('3f;:O JIIiW.r'St.u
1... !IT'ab
o L-SiDlc
'1 ~"'1Iblr a- (ToiJC)
n:E~.
IDd__L udII &: M111lWl1ma1y, 1% afjab _ widl a SJ,.so , ... .. ,"'. ."',NaIr Olle.lt 'l'Wa-Paily "'.$0
'If" ,. '.MdIIiiwaA!... I." ll!9.30
ERilnmd.ClIIt S ~ BIIU<IIng PenIs' .
PLUMBlNGPERMlTFEB S~. s-v PAID WITH '
STATE SUJaL\llGE . S , I:IlJILDJNG PERMIT
TOl'AL PJmIIt' PEl' S I OD .00.0: '
Type orna...
1
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s-affPel'f . '~L.C t)
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r.- frI" - .. iilIIY
w laW .......... . Ial
Liwi hnl&r
, CiIba-
(l)lII<R UIol'ollf)
'IIWIA, I,.... . . ." Your........P-a........"II' .J ......;---....
,
........-
I
,
-
, D*MAR 1 4: l005
. ., . (,951)4&'....~lJ52l.".at5 .
--.1
f.,....No.
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l' .... ...-IN' III
...,~.- ;.----.....-....---
CITY OF PRIOR LAKE
HEATING/AIR CONDmluJ.~Al~GIFIREPLACE ~'AN.uT
rrlt!!:.!J1'" crt" lot ...._..llaaDml
ADDR.BSS
-1'~-PIl~N\sA V1qtb\!\ . ~.~,
UlGAL ...r..-....JPnON (oJIlc:e_ CllII:I'l
LOT BLOCK Av...IUON
~:::. 'e- 1.1"~~O.A"" ~.,A
~.T" ~..,
1......'_'...___
l'ID
~~L/! AdClJ.M.lLJ AA(-\j]0I\' fl1/\ i l.d~ y~ (Pbom:) L-f 11(1-/ (p If
CAddlels) ). i I '7;-~ 1 ()~(illLLPn lC I 1 fA~P-. \1\ lip J. .'.
AP1'IJCAN1\l~ \--l~ h.1J~: '1" 440": 2iz:1~i?I..,."
(Name>-.14L1'11 . I -. t" " V\r ". l,Pbane) I' ~. '-1~:~( .
(Add=)~12lP(J liAs" \ALVl 'P--rl 'Wlnv) Altle ~/2-
~) (~ ' (ZIpCade)
(CClIIWll_.._. SJ Ac:::..al/1 ,y' E (PIwl:ne) L.:}'-I()~ -zq
APPUCANrSlGNATURB 'PI "eD~pt..TE. ~ ~. .
-...
ANT I'LL\SI. COMPl.ETE BELOW
. · u..",..CONSTlUCllON O.REPI.ACEMENT. OALlElATIONS,' .
FURNACEko.ANDMODIlL ~V"'\~ ~ 1=-1 d1D-l"-.~ :rom. .rvA+.,;;"((}e,. 'S, <:;,
FUlESlZE 3 il.ElVRN_..,......,-Gs j1 lNJIUTt~~tg-D OUTPtlT~
TYPEOFSYS11D4 HBATINGOll. ~ II......PI.ANT
. ~UIll Aiz PIInU ~s..n
. Hl!I w_
Meolllllicol , ll.Rd1llillD
- . CoodIda..... SpeclaI DeviooI
Ven\. Syslem 8 QlIIef Devices
PLJAS!; NOTE:
Air Conditioaer Units
C8atot i...... ,.......... iDto"
bqIiind Side YIl'4
SeIbIdcs
r.........L.ACI : MAXE AND MODEL
RE SCIIBD1JLI
1% of job llOJl lltsldellll1l1, au Pi/qlIaa:
sn.50 lIIirrinlum ' -- -_. -"
RaIdaIlIoL f eo<i"S ,. Ale (N... CoulncdOll) S99.5O. ' RelldooEi", Addill....1t AI__
Ilo5fdonIltl, I :eMina 0DlY (1'1", CGnItnu:lIaII) $64.50 . :ResidcmI1II. A<; 00Iy .
E.ljrr"*.dCA>sts5~7~. Elf! B1lIldIasPermlt /I
UEATINOPERMlTPEE $ :?~.sD' PAIDWITH
~~= ; 4// ~~UltDI~~,~E~MIT;
(OIll.nltoOIly) . ..C""-~t .;/. '
Till" Ai" ... ~', IJlecoIIus yOlll'BaIId...Pumlt.... ...., , ,I, I PIId .-ptllo.
,_ 14 2005 ". By
. .,1.. DjIdoI o.lt
Indu.Ilrial, Cc mmmiol& MII1&\-fll1lily
S39.50
I., ,.
539.'0
S39~
Z4 __.otIc>o for.n;..., .:...~)..,...,., to (952) ..,~
~ v ^ ,,_ . ", .. a , "" I f\.' ".,...... I .. .. ,\"
~~ll vr r~!IJn LA^C
~VUI
Date Ree'd
CITY OF' PRlOR LAKE
SEWER AND WATER PERMIT
(P~aJC "",>e or orint md,WI ubotrom)
I ADD~ ~SS
! \ 347 :z.
~ ~=. g'~ I PERMIT NO,A"-"""
). CoI~ AHI\t.W\1 ~"
t+~\...V-L
ZONIl'lO (oll's:t u<j ,
Ke t1 lIS (. ~-+L"'"
I LEGAl DESCR.IP110N (otlle< u.. only)
I
! LOT BLOCK
ADDITION
PlD
: ~":e~~Cu(k~f~Cu.0-fuv", ~Je~ . (PhOl1e)0S-~-V?9-1(d/
I (AddJes.) ;}.;)..\'3?::. Loc,~ ~ !-..~. s",-o'7V
I (Addn..i ') .. (CI"'liZil> Co..)
A P PLI CAm....
(Namd t:::Sn r\ \t"'- CK L c, J c:tc-rc,i
(Addm) 'R?-., 7 " 1 AJ ,/u+1\ SlI ~
(Addnu)
(Contac PeIlon) 0G..~ S,nl(/)'
APPLlrNTSIONATUItE . ~~,L( ~/l(1/~
APPLICANT PLEASE COMPLETE BELOW
Siu of waler service ..':::1- inches.
Location of any couplings from SlrlIcture ~ feet,
Type of sewer pipe, 0 ABC iRf'VC 0 Cast Iron
Estimated length of sewer line .5Q feet.
Clean out (if required) located at feel from'slrllcture,
(Phone) SO 7-7 V'-/-S'SGs:'
La>S ek. ~ /JV-V S"5Vif
(City) (ZIp CO<l<)
(phone) 501- 71...( L;- :::>:.., (., S...,
PATI! :;2.- 3.-0 s"C
FEE SCHEDULE
Residen' iol ,eW.t and wIler Iln. cCM.o,lon S3l.S0 Indumi.i, Com 'I & Multi.fll1llily 10/. of job east with I $39.50 minimwn
s.wet" M,crion only $17.50 Wale' conn.ction only $17,50
Estimaced Cost S
Bulldiag Pennit Ii.."...
SEWER AND WATER PERMlT FEE
STATB SURCHARGE
TOTAL PERMIT FEE
"
$
$ *'0 WI11-I
$ ,~PERMJT
lomeeC.'Onl)')
Thl. ~ ppllcation Becom.. Yuur Building Permit Wl1.n Apprond . f-~.PL'ldllr""'\.," iT, \,I\~'ccIPt 1'0,
Bulidi'K omd.1 Da.. ,; IP'fAAR 1 4 2005; t r
I..... , "'1
Z4 hour nolle. ror.I1 In.p.otio.. (95Z) ..',9850, (ax (~Z) 4'f~J4$ ,
I .
!~) j -,-- .:~ ,--- ---~.-
~. :!
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PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /.3, ?~ ./(I-";SINb4 I ~ ~
NATlJRE OF WORK ~AJ t:1JAJ~ut:rl.,:J M:J,.'. ~jJlrN
USEOF BUILDING ~ If':D. .
PER'I1IT NO. oS'. 00/;0 . DATE IS..2l)IiD //Z/ LM
CONTRACTOR l'~D/J16AJJ CIIJl4)"t l!lL11l~ONE'/Z.~Z8. W~
NOT,:: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE /
, FOOTING /1ZI _ ..2./9/OS'
, FOllNDATION (Prior to Backfill) I /Jt'~ I -? ~ /;05'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS / . .
SEWER/WATER/SEPTIC ;--<7 ...2////U5'
FRAMING ~J ?//rf/oS
INSULATION l/VV "Y)..y.c>5"
ELE eTRICAL _.? P%S-
PLUMBING /If5.-- 1ftJ/t>5":
HEATING (if requiredL_ . I) /~~ ]//..{/oS-'
I FIRE:PLACE (~)/.I" /Z-1'rh,f',,{;~-
I GAS LINE AIR TEST~/n./.J) ;,;.-! /Ji/I -.?~,? ~S-.-/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~t.I.s-, 1J,t'A/" 111/;" J/IY/o5 I L~ n rid/crt
FINALS
GR~DING (Prior to SOdding)/. / AlI/. yo -" S-
BUILDING~d/GOf' ~A5 ~~~
ELEyTRICAL ' .
PLUMBING fjt)(J
HEATING .~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
.
00t"PE
S/f/o~
s72J~J
BEEN SIGNED
. 'his card must be posted near an electrical service cabinet prior to rough-in inspections
llnd maintained until all inspections have been approved. On buildings and additions
"here no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
,
1
QIertifirat~ of @rrnpanqz
CITY OF PRIOR LAKE
~eparftueuf of ~uil!liug Jfuspediou
~Final Permitted D Conditional C.O, Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / n 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 05-0090
Use Classification
_ Bldg. Permit No.
Rl
VN
Rl
Occupancy Type
Type Construction_
Ll, B4, WINDSOR ESTATES
_ Zoning Distri,.t
Legal Description .
Owner of Building Site Address
CUDDIGAN CUSTOM BLDRS., 22133 LOGAN AVENUE, LAKEVILl.E 55044
Contractor"s :~~~~;d~:SS HUTCHINS ffi:.n~c .JANE KANSIER
/rY'ff City Planner
(' - /_;)0' B . ding Official
Oat", Y.h<"'7' ("J <. - Date,
/
13972 KENSINGTON AVENUE
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~/~J"'"
.kc'HU":" ~*A. Ale
'-'
ADDRESS
/-5/7.-2-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR,
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
t:l~R HOOKUP
~"-l:~r.lBING FINAL
o MECH FINAL
~, ~U /
05-- 92:>
o EXiGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
...../
C//L
~ / / ""
L'f'.,/ /c 4'NJV1' d_" /~ COtf'k-
~I"l.; // / <S 4", (.;v t" V k4' ~.
AtJu~'clt" ~ce~\ :/0
~ ~4 +~O', ' _ # /'
t(ffJ A/eed ~TV ~S -*//eri
/'
...-.. f/ /
he c /<..
(CJ
'-
/7 . If
AiJ//~
,-r ,
~/C
..-;- /"
r?.h<;;/
o WORK SATISFACTORY, PROCEED
................"RECT ACTION AND PROCEED
o CORRECT WORW'y ~~INSPECTION BEFORE COVERING
Inspector: / Vt../ ~ Owner/Conlr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS/fOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /3772.. Ket1c,,'YtJ ,1-0... ;fvt
OWNER CONTR, ~&..<..,
...,
PHONE NO. PERMIT NO. (7) .fin
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
:i..EX1~LING
o CO~T-
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
6M-01<
C.uf6 ~Y'" rOJ(
~WORKSATISFACTORy,PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~ OWner/Conlr:
.-
CALL 0147-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INS/tIOTI
DATE TIME
CITY OF PRIOR LAKE rf-:- _~ /'
INSPECTION NOTICE SCHEDULED $/ Z<.Y Gij-
ADDRESS 13''172 k4.l~~c;;:A AieL
./
OWNER CONTR,
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
/FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH R1
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
.JlI-1f\ECH FINAL
~NT~. I .,.-- / /
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r.2) hrL,pt:J/'Pce
,
03 ~ 90
o EXIGRAD/FILLING
o COMPLAINT
o !IREPLACE RI
,;;;rFIREPLACE FINAL
o GASLlNE AIR TST
o
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o WORK SATISFACTORY. PROCEED
~"u"RECT ACTION AND PROCEED
o CORRECT WORK, CALL F R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
l/iSl<<)n
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .t SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/J?7-Z
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..m1'INAL
o SITE INSPECTION
COMMENTS:
-------
r r
1>/27
.-----
DATE TIME
SCHEDULED ~~~J--
~~~.J /,;d____ ~e.
~
CONTR,
PERMIT NO.
OS:- 90
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 GAS LINE AIR TST
o
/
t'
..-
?)/
C/I' c
-----....
~;,; ~
-~
~
/ /
\/::'/0,) e,
. ~KSATISFA~
I 0 CORRECT ACTION AND PROCEED
REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ