HomeMy WebLinkAboutBldg Permit 05-0149
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT d _ d.J - 0 ~
O~ PR/O,,".
.:.. ~
,.. "..
- l<
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""l\'NESO'\'"
(Please type or Print and siKll at bottom)
ADDRESS /. Ii _
/3 ?S J /\ ~ tit.t~ ,Ifff&
LEGAL DESCRIPTION (office use only)
LOT / BLOCK :i ADDITION
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05. 0/441
ZONING (office use)
1<-1
c
M~~
PID"]5- L/J3-0N-d
BUILDER ~' /J ';/--., /D '4.
(Company Name) . ~d."" (!d~~.A..-' Li...c.
(Contact Name) /' '44J.L (J.ht.d-"tfJlPto-
:;l,L.1.?3 ~~ ...J~
/
TYPE OF WORK [i;(New Construction DDeck DPorch ORe-Roofing ORe.Siding
DAddition DAlteration DUtility Connection 0 Misc.
CODE: M.l\.c. OLB.C.
Type o~sttuction: I II III IV V A B
Occupancy GrfJUp: A B E F HIM R S U
Division: 1 2 3 4 5
OWNER
(Name)
Mil
Ak~
/,'""\
fr.
MicA
/'J..tJ I./- t,
(Address)
(Phone)
952
,
J!..,~
M
(Phone) '9 S2
(Phone) G /2-
..1-.<1Jt./-t/
I hereby certifY thaI I have nlmished information on this application which is to the best of my knowledge tnle and correct. I also certify that I am the owner or authorized agent for the
above-menlloncd property and tha construction will conform to all existing statc and local laws and wiJl proceed in accordance with submitted plans. I am aware that the buildmg
:""'J "n/J::,:e>m" 'm "t c~" Furth"moce. I h",by ,,,eo thot the city offici,J", ~'~i' '9y en'"~ upoo the pmpeny to p,,'o,m n"d;:'~;~O ,j'../
-- - Signa~ - Contractor's License No. Date
t'loO. 4(J(). 00 I
$ "';P5''3.'!;;O I
$ I g >''f. 7 Y I
$ 2.<!l0. 00 I
$ I
$ 100. Be) I
$ (0 tJ. 00 I
$ 35.~ I
$ *,.00 I
(Address)
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
~~::i::-Becornes
Building OHicial
~~
I Dafe
OLower Level Finish
PROJECT COST IV ALUE
~
> j/4 L.t... F!iJ,'St-{)
~~
Park Support Fee
#
4'll
qt'J~1
SAC
#
'-I-i/l
:? :2..I{
16;/
~,q 2- b
Water Meter Size 5/1((1}.)
Pressure Reducer
Sewer/Water Connection Fee
#
o Fireplace
s "f..t)CiI'Hl./
$
$ / '1')0 .00
$ :300.00
$ 75. () CO
$ I C::;;o CJ, '<)0
$ 1000. 0"
$ IS-oo.o()
$
$/ t, 008. 78
Receipt N Q. .,.-r.y ,;r 7
By -fi/-
I
ThiS IS to certify that the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This document
~: PJ~mpo"'y CeM,,"e :::b;':'; ,lIow, construction to commence Be'me ueeup,ney,' C"tlficot, "rOeeup,ney must be
Plmmmg Duecto. . ~ SpeCial Cond"mns. " ""y
24 hour notice for all inspections (952) 447~9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
Paid
Date
11/ {j(j1.1r
J.l->,
~x PRIGii' <:
t ~
u '"
White . Buildlna
.... ~mnar" . Enqineerin'C:>
Pink - Planning
Th.. ("..nlt'riof Ihr L.k.. ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/,..., /' ,
N-'1-ME OF APPLICANT ([~lA'.'/(ll:~-'(2-.1j
I
APPLICATION RECEIVED '-:;; -.::-;;:;{ -(-;):;;-
/ J .
.1"/ /'/;'11'11
..I", L.., F., :e,
,/ j ~ ",
'1\) { - / k';-
, ," Ie.., --.J
T~e Building, Engineering, and Planning Departments have reviewed the building permit
aRplication for con/s~uc_tio~ctiVity which is proposed at: I g,., ,
/ ,,_''') .J::; .3 <j./-;, "J Sf, . /7{;'T,'^-. I' ,I (l'___/
- ". ..-" /( -.... ,.,
I
~~."
Aqcepted
D$nied
R$viewedBy:
x
Accepted With Corrections
Ih1(<
Date:
;;) - :J..C;-/) \'
C4Jmments: SAe Reverse Side for Additional Information!
Damag!'d Concrete Walk Panels
will be renlaced bv the BuiMer
prior to issuance of Final C. of O.
~
See Attachments: 1) Grading Plan, 2) Erosion Control Mea~ures '
"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
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
..l.,~1( PR/O", <:
!::: ~
u en
White . Building
Canarv . . eering
(1'"mK . Plannin
hrCrntfr lrlhrl..b('ounll,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
1/
N1ME OF APPLICANT !J,J',
A~PLlCATION RECEIVED
I ,
'.r ,j '/1'
II ,
. j
- >', .
j ,,7
,
.'
!
/ / ./ -.1'
I i .~
/(. / }~
II.)
~
.J
Tt e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
/~: '/ r;-..? !' /I iC) / I'
J
,/{r.k
/~"')..r
r~'
, I,
, i
~,,' .
....--/
A$cepted
,
D~nied
i
,
J
/' Accepted With Corrections
R ~viewed By:
~~
Date: d.b-~:s-
C Jmments:
A. 0 C diU
_ldl" iOJl eBe1" and Other Ucduuu\:al
Units Cannot Encroach into Required
nOJ ~- .> -;! b .
103A. t ~41.U at::t acKS
The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
"Yi."\
u'O~
(\v"i~p. 'Bllil~in!t:>
cana'ry , Eng neering
Pink ' Planning
Th~ ('~nIU ..f lh~ L.kf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~dd (j-a-JJ ~UC;h4t 1?!oLyS
AFi'PLlCATION RECEIVED .;{ -CJ-.:5--oS-
THe Building, Engineering. and Planning Departments have reviewed the building permit
a~plication for COi3UQS;ivity ~:::r;:~::: In- ~
-J
Aocepted
Accepted With Corrections
/
Denied
~
~ ~ Date: ~b~~5,
yp~ ~ ~, ~ 'C
r-
~ ~r~ o-<J-.
r
"A;z.q~ ~
d'
Reviewed By:
Cdmments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction, Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
03/11/2005 15:57
5077445555
BADGER EXC
PAGE 01
I I"\.J .... ~ .... , .. .. .. ..
I
~.ll ~r r~~v~ ~~^'
"'" l,Il.Ii
Date Rec'd
CITY 01" PRlOR LAKE
SEWER AND WATER PERMIT
(fkut 'YJ>f or oM'1I>d dID: II bo
I ADDil.EJj.
J3q$
i< en /\S i~-hrrt
(/
i ~:. ~i~ I PERMIT NOIlliO HAd
"o.f4 "'wllClMll v..,~
~ IZONINOIO~-
I LEOAt. DESClUP110N (olll ,. only)
I
~ Lor BLOCK ADDmON
I
(\uJ/luuL ~,1lsm ~
'::J.;;l..l 3~ j. L..oq~ /1vG
lA dnul J
APPLICANT/? \ d Cv ~ -, ,-,uU -G -
(Namt.J_1::"Juc.lu , yr-Lc.U~ (Phone) Q{)/- '-'7-c.v~
(Ad~l) ~,~ ~ W [/)+1 ~ hon.s<:~ /)1.f\.J S'S'dI'p
~~ c . ~ ~~
I (Con..", Pellon) S fVI +-t . ~ I '1'0Or""'\ . (Phone).$ ~ _
i APl'tICANTSrONATl!1lE I'~ ~ OATI! 3-11-cJ.J.
APPLICANT PLEASE COMPLETE BELOW
Siz.e of' vater nrvice ::i....- inches.
Locatioll of any couplings from 5lr1lCturC -==- feet.
Type of sewer pipe. 0 ABC ~PVC 0 Ca.l1 Iron
E.stimat,1(\ 1enith of sewer line.:::2Q feet,
Clean 0 It (ifteQulrcd) located II feel frorn'lt1Ucture.
plD
I OWNER
I (N Imel
I
, (Adclll!$sl
I
(Phone) qrs.J-- Vie t( -/(p/ /
~ oro<t<-f
l~ c...)
leM
,
RelOidcnllil) Sliker Uld Wiler liII, ~OMCQIIOn
Sewer c:onn'~fioTl only
FEE SCHEDlJLE
$)~.SO Indu,,,.;.l. COlll'l clr. MuhHllIIIily 1% of Job coil willi I 539JO minimWll
$17,50 WmnonnectJon only 517,lO
,
Eltimltfl COll S
BuJldllll Permit N. .,...
S ,WER AND WATER PERMIT PEE
S I A TB SURCHARGE
1 DT AL PERMIT FEE
$
S
S
'5Q PAID WITH
~llDING PERMIT
"i
lOmtll."tOnly) ;
I ThlJ "ipplle'lion B...m.. Yo~r Bulid!.. Pt,mlt WIltn ^ppro..d
lulldi.. Ofn4hl
i
i 0&1.
i %. h.., notl<l for '"In.p.''i'.. (P5%) ..'f"'O, (.. (95%) "'''1'' '
l'j 'Paid :J
(jr iD'iiAR 3 '2 ?nn~
! <<a"'plIiO.
, -
I
l
IIlf
.
~ ,'"
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--"'-~"'----- ..~-"---~-_..~----- .....~--~ ."^'-"-~'-'---
Dlde Bft.d
arY OF PlU.0ll L.A.n PLUl..L, "II ~ .. al,,,,...JIIT
r1~&~Y1 !S:J~,
LEGAl. PJ!SCR. " ... J" I,' ....._..."
~= ~ '~l'CO.a ill;L,l"
1....... ....... ~
I
Z,...I...II....... !Jr;''''''1Uf)
LOT BLoc([' A..-....LAI..
PID
...... ,'1l.lA ( J Il"?
(Name) /1 .J.i.
1 P].AJ IfJp M (l'Ilo8e) H.lf.frl1.e.l1
(M!flss) 1.--1_\ fA '11J^A!\ f> ), I W,'itV\y~) ~ L{ .
~\M -i:!:fab..+ rPL~ ttlf r." ",.....) L-I40--:~'Tlcr
(~). \2i2J~~,U.~jj)V\NL~. I~~'l' ~27-
(C---Peaaa) ~\A;~N\ ~U~ 1 hf1 K:. I CI'IaIe) 1illO-!:~~;l( OJ .
APPLICAIN1'SIGNA'l1l:RE ~~ J1A IAAMJlO JAil 1\f.J DATE t410Bl {rf;
, '-
AfPUCANTPLEASE COMPLUEBELOW
~."",;,. T1(IeC",,, . . \.'" ;.\ TyJIeOfftl:1lln
1 ," BllllTabwilll." 'I.!, ,,1IIowa' \ (3/41 ~
D~,,:, ",;, ". I hSelt>>L.). ....,;........
I ~ fiA{i .. . W.... 50.<" -
.c; li."*i~..-s&') se.l....~IlIlIiDKU"--.)
I 1 -~_'P9i:lGr2' ~..l"** 1:-.~h
, ~lItaIl 40. .- It.. _""I;y
I WJ11 !iDles . ;l'. ,&) ~Tat
A IiWIadt ~ ~~U...
l"; W_daMUoIlC) dibir
FEE S- -1L.tlJI.E,
'Indutllit~ComtneJdaI&~l"'D1jGb""'willlaS3'.sD.' ae.IdonIIal,)IewOlleAT ,''.... ",.$II
.......... AiIdIliou a AIIo. ~ ll\I 13'.$0
&Iimaled.Ce5 s_ _. _ _ SulIdlllgl'a1Dlt.
~ 1/ot 0llIr)
'IIlitA' . '. , .,.,. . y_.................i I
PLUMBINOPERWlTFEE S
STATE SUIlCKARGE S
TOrALl"DOOTl'EE' S .
-.... _..
PNOwmt
~DING PERMIT
'.
.1
~
-- ]."No.
'i ",~ .\. -..
\. '; ,'"
n ?nn'i .'~
,Jl
-.......: 0M0I0I
-
.X-
.;....JI^V
~"T, .~('JSJ)~
]11__......,... I'"
CITY OF .PRIOR LAKE
BEATING/AIR C01;ul..uONlNGIFIREPLACE PERMI'r
Dale llet'4
..- ... I,PDMlTNO.K'/~1
~=-::.... . . '" 'i ..,;,..,~
~i'j;~;;S~ ~'~, . Al/( Il,,~,.,~\a~-I
, to' (I I V' · .
LBGAIi.,...~ .., ........ (.Ill<e.....,
LOT BUlCK Au.,.........
1"1])
(A.ddlal)
111 (Jl;t\1il'Yl 'r2JllrAiA4> en-> ~r ;-
1~AVf: ~~j\AV1e- 1 ~
~, ~ 1), I tt:,: 'I'Vlf . . 1-JLi ~:iQ""1ft~'J:';:: ;:'.,
~~Al\V\11JW^ Yzr1 ~a'~-\-1i?- '.
~). . I (~ I I (ZiloCode)
1 J' , , ~l n (Pbone) u~O-/lJ.~
Y.An 1\ .I.thAl1l '-/I ~j1Y;-
/7 APP~CANTPLEASECOMPt.ETE BELOW
~""'''''.''A,,^,,''.&VI.'' OACl'~' DAL11iItA....vl...,) ,~, ".
I'URNAlCEMAKBANDMODIlL VVlInlT"'N C::::7L4~lofJ1-t)-\~~ ' FOEL ~i./1't~'
I'l.UE SIZE ~ I .' kE11JlN OPENINGS q INPUT 0<;;r:eI2 OUTPUT J~~aJ;/
TYl'EOF..l.......<< BBAllNGOlt." ",,;.,,1'LAN1'
"I~~: ~== .
AIr o,...'~ . I $JlocIol DoMoeo
v_ SynaD. OIlIer DevIcos
FIIW'l,ACENAlCEANI>MODEL, ~.
,-t
'r}-r
y
o
(Name)'
rAdd.la$)
(Conta~ PersoD)
APPL~ SIGNA'l'Ului
API'
(NaiIIe
pI.P &51: 1l'OTE: .
AlrCall.:':.... tlftitoJ
,ClmlltE .1. .:.. iDIo
~SidcYard
s..,., ;'""
IIIllaSlria/. CclIlIIIlmiIl .. Muld-l1lllilY
~lfalInt! .. AIC(N... c... .. ".1,)
I, i,. liJ,HioIiqOntJ(NcwC'...d..-'..)
RJ:S....I,s.,'",.~
l%ofloboast JlI:Iidetodwl,GIo~_
s:n.JOmlnl_ ...--..,.',
199.$0 1letIdenIi1l. AlWI...... A181n1i... '
S6UI ,JtaidcdloI, ~ ~ ..
S39.!O .
S3'.50
S",5O
\. .,
1;";"'1Il!d Cost S
81111c1luCP_ic It
HEATING PERMIT FEE
STATE StlRCHA1l..GE
TOTAL PJ:llMIT I'D
S
$_
5
PAID W\T1-I
.5IjUILDING 'PERMIT
-..-
-
. ,\ ~. ,.'. '. ::
._:__+L_~-~~--::,-:;,~~' '
I Pioi4 ,.' ': ".~f4o.
",
. IOWAY 5 20051, IIY
(,m) 44?\MH. rn: (951) "7~
I
IOIIk:I 'IIlo 0ol)o1
nil Appllmlllllllkcom_ "...r ...... ~It WIIeB A, I " ,'. ,II
14 ~..r MlIu "1'In i..,: ../,
""""'''l''!~'- ',. .... '!il~vi""""~~":>
'f~:,;\i"" .. . .;,1$:>.~ ,'-"..:.~,,,./..
_.'."" "i~~ ..!,.... ".." .,.... ..', .. .. ."", -,\,;,'''' '"
CITYG
.:::w~A '
HEATIN:\\l7.._~NDI,
Date:Rec'd
;:-;;:. ~i~,,~ITN@.t1S: Uld-O]
3. Yellow Appli~t<::::;~~::':':::'--'-_" ."7 / ..
(P1easetvoe:ot-mnt and',s:im.atbdtfbnil
ADDRESS 13953. KeN6\l'\'fot\) AuQ.--
LoJ:~ IYItJ
J
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT Bl10CK
ADDmON
PI~z6. 4-13.
OWNER
(Name)
(Address)
(udd\Y'\1C\N Ll>.6iOrf\ 131 dr5 (Phone)
d d, 12>3 [09fN A\fe. "lC\\(evdll2./TYI0 5~OY4
- '
Q5a.4bQ,lblt
1Jr;~?ANT G I owi\\Q.J-f f:'ar-H-.. + H Q me
I 0 C) t I o.~()y 0. ~ CJ 'J)n0~
(A:~S!)
(Contact Person) -r\ '!\"\ ~ \1 ,frY€, K-. ~
APPL,ICkN'TSIGNATURE -rIm sb;d;;\(. rp)
(phone)
q 5 ~ ' tJ q ~ ' g <31 k,
(Address)
q 5~i~), (Zip Code)
(Rhone) 4 ct 0. -C\ '6'1("
4/ &0105
DATE
APPlil~tM'J~E"'8E,C0UPLE'FE'DEIli0W
~EWCONSTlW€TI@N ORE'f,I,A'CEMENT 0 AL TERA nONS
FURNACE MAKE AND MODBL l-lf'ot N Gla - boOO-1R-OA-fc FUEL rr:nS
FLUE SIZE INPUT OUTPUT
TY'FE OF SYSTEM HE;<\'FE<CS OR POWER PLANT
OWilmIAir Plal11S 0 Steam'
OGravity 0 Hot Water
o Mi:chan;eal G}Radiatfon
OAit CORdi/ioning O'S~eoiitH~e\<iecs
OVent. SySfem '[JOllier DeviUs
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
RequfredSide Yard
Setbacks
, FIREPLACE MAKE AND'M€lJ)EL.
Industrial, Commercial& Multi4'luriily
Residential, Heating & AlC (NewCOnstnleiion)
Residential, HeatmgOrily (NewConsttuctiot1~
,FE!1)-SCHEDULE
I %-ofjob co~t Residential, Gas Fireplace
$39,5a miirlinum
$99.5<1
$64.50
$39,5a
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
~,~
('~\OJ '
BllildingPetnlit # c7S,C'I"'9 ~111 0 t3 T 6~
i 14\:,~"50~O rrgU1I/V
IRe~
IBY P/
Residential, Additions & Alterations
Residential, AC Only
Estimated Cost $
(Office UseOl1ly)
B\lildiljgOfficlal
[ Pajd
I Date" ",-
Date l""Z,~
24 h0l1rnotieeforll!llJ1silactJons(95Z) 447-9850, tax (952) 447.4245
16200EagleC.;-edlAvenUe, Prior Lllke,MN 55372
Tbis ApplicatloQ Becomes Your Building Permit Wben Approved
PRIOR LAKE
INSPECTION RECORD
SITI!ADDRESS ;S95.3 ~/'N&71~ AJ;-.
NATURE OF WORK ~~a7tJN Na L.L. FiI:J,ill
use OF BUILDING ~ JIIf': JJ, .
PE8MIT NO. os. 014-9 DATE ISSUED l,
CONTRACTOR "" 'S' I..U. PH N - Z - ;ZG.
NoltE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUII,.DING AND INSPECTION
I 5'lj~s ~
l FOlJNDATION (Prior to Backfill) I fr4 I j//6~,r
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
A .
SEWER/WATER/SEPTIC ~, ]//6/05;-
FR~MING }tPl-- Lj /ZtY IDs
INSULATION ~ ,S-/J/c r
ELECTRICAL / yj.74!oS
PUiJMBING /~ y-/zs/,o,r
HE'1mNG (if required) ~. ~ L/ --lJYcC
FIREPLACE . . fi'Vr V 1.JJ"Au-
GA$ LINE AIR TEST ;ft."" I rl/. /4,('// <j /;Jk~
COVER NO WORK UNTIL A~OVE H~S .P'Y=N SIGNED,
ltAtJ./& / l-!()us6eAJ/QA,o Wlw ~ ~/C;5t kif,' ;ttf ~/~~~
~t.J/ A-~! d I~/}h,j FINALS &#~iJ ~"'5 ~kk/
GRADING (Prior to Sodding) _)/.l1,' 10, Z,,p,OI .
BUll.DING;:7';~~.a (:"" t?, cJ" Ij 7} a-s 4'~ ~/~r ,
ELjCTRICAL' / ~/~.v,/-or
PL . MBING ~.I ?@/tfs---'
I HEATING ~rf- .b?~/~
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough,jn 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.
INSPECTOR
.
IlPI-
l FOpTING
FOR ALL INSPECTIONS (952) 447-9850
~_._.~------~_..--.......-,-~_.,.,,_..,..,-
(fltdifiraft of @rmpaurl!
CITY OF PRIOR LAKE
~tpadmrut of ~uilMug c3Jusprdiou
~Final Permitted D Conditional e.O. Expires
, .
'This Certificate issued pursuant to the requirements of Section 110 of the _J 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 fallowing:
SINGLE FAMILY OS-OJ 49
IUse Classification _ Bldg. Permit No.
I Occupancy Type _
R3
_ Zoning District
VN
: Legal Description _
_ Type Construction
L1, B3, WINDSOR ESTATES
RJ
13953 KENSINGTON AVENUE
i Owner of Building Site Address
CUDDIGAN CUSTOM BUILDERS, ::>2133 LOGAN AVENUE, LAKEVlLLE
Contractor's Name & Address . /
ROBERT D. HUTCHINS,~~
City Planner
JANE KANSIER
Building Official
Date: /,' / ( -:-
Date:
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J3lf.53
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
MNAL
o SITE INSPECTION
DATE TIME
SCHEDULED
I~'l"or
KMSJ),( k-. Aw
"-
CONTR. C.J'//u,",
V
PERMIT NO. ~ c;-. l'f~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~LING
"0 co'llrmiNT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENT~:
&,.~- <d.-
w{b Bt<d~t9/L.-
5~
7"'U'O"{K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. /!7:Z~ _ Owner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
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ADDRESS
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OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
<...r
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o EXJGRADIFILLlNG
o COMPLAINT
o FIREPLACE R1
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~6~RRECT WOR~~ ~7INSPECTION BEFORE COVERING
Inspector: /W~ Owner/Contr:
CALL "7,9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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DAle TIME
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/..? :?S=s'
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 SEWER HOOKUP
~BING FINAL
o MECH FINAL
COMMENTS:
,~;4 I
,//f'Z'~~77-
~-/Y/Y
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~CT ACTION AND PROCEED
o CORRECT WOR:~)LWEINSPECTION BEFORE COVERING
Inspector: /' ~~ OWner/Conlr:
CALL 447-9850 FOR THE NEXT IN!lPF'l!TION ~4 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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