HomeMy WebLinkAboutBldg Permit 04-0269
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
M ~D U~liY CONNECTION PERMIT
aID ~ lie
/~oJ
(Please type or print and sign at bottom)
ADDRESS
&35~
/}J / lAJ 01-1/:-5
t. White File
2_ Pink City
3. Yellow Applicant
~
LEGAI.:,DESCRIPTION (office use only)
LOTjf,l BLOCK / ADDITION wPLri OcJ<,
Date Rec' d
I PERMIT NO. 04-. DZrr, q
./
ZONING (office use)
.e/ S-!J
PID 25' .3fo'I- -0/4- -0
&~~~Q:_~l ~ tk rv..-es. Lf _ ~ (Phone) ~ <:~O h ~ 9 Cf
(AddresS;?rO~)o ~,HOc543 b<wkUtvn..up~ 6KJ'd-v V
BUILDER~~\ .' LLF '
(Name) yQ..,.t--''''\ . O~S . V (Phone)
(Contact Name) . . r& i- ~ (Phone) 1$ I ~ -R O(;-Yi3 9 .y
(Addresi\),O ~CJ)O~Cf/J6C13~. (J~tJ~.,)) All. c5"6L~Y
TYPE OF WORK ~ew Construction ODeck OPorch {]Re-Roofing ORe-Siding
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
OAddition
o Fireplace
OAlteration
OUtility Connection
Q...,ts;- -----
~
I hereby certifY that I 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 agent for the above-mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. I am awar~t the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon roperty to pe or eeded inspections.
X -' IGA~ G..,O<3Cf3CttO
Sign e - Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
1 Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
1 Gas Fireplace Permit Fee
. fZ,fS:ooO.OO
'7'f-s,g, $
, 133,t~ $
$
$
$
$
$
$
~ -
",..-~ ~-~-
;;~- -
, ~
"107, So
,
-
100, (j 0
J 00, (!)O
35. ~o
'ft). 10
This Application Becomes Your Building Permit When Approved
~~
Building Official
>>-r/ /a:J
Date
Park Support Fee
SAC
I Water Meter Qizf57~l";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid Ci/6-<-;: 77
I Date - {J - (~- L/
# $ ~t). tff)
tfl, 3S('.~ __
$ ZSO,{)o
$ 45,01:>
# $ IZOtL~
# $ 7lJa,/JO
$ / fSfJO d;j.8
j$
1$ Cl /5tf. 7~
,
Receipt No. l-f'l47::)
By r-
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 documeJ
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must 1
issued. .
~ -;:;~
Planning Director
;/EM/o3
I '>Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Main File
("")1I:llte~ - Building)
'\,,;anary - t:ngmeering
Pink - Planning
Thr Crnln of Ihr I..k. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!3A/<!.",S' !/D1v;65'
7.7.03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
{p 35(, tiV I '-D 01\ 1c.5 TDCIC/J eb
Accepted
Accepted With Corrections #
Denied
~
~ ~~~f-j
~~~
v
~ ~tl ~
~ CT -- e::< z- ~fo \'
Date: 7 /~?/O s
, ,
Reviewed By:
Comments:
,.
/
_ t.112~ ~ )
~~
o ..
"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."
,.
Main File
White - Building
Canary - Enaineering
f"'1:>>ink - Plann1iicD
-- -......- '
Th. (".nl., or Ih. I.ok. ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
[;' / j /(: I~- / /DI'" 1 [,-~,--'
--'7 7 (?
.. . '-r~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(./ r-{y r .. (L '. (,r i..,/ /'.'
.. .. I, i. I f.
I..! ~j _/ J II i. Ij '.. I . ,-".-
'-"', -" -' ~
/ J l~'..t- I 'I ,.
c.~ ,. I \:......r let.,
Accepted
Accepted With Corrections
~
Denied
(~. r-
Reviewed By: ~ ~~ Date: 7/~~~3
t' Comments: ---A~ ~ ~ '" i..a I () ( )( 13 I ~ ~
~ 10-0 /6'% //_1_,". JI'6 ~ ~'JJ~ ~
L ~L va
4u. ~~., A (). U-r ~'t &--~ ~J- ~
:r: --r~. A-tt~~ ~ ~
~ ~n:~ ~~.~ -r1 ~.f)~~,
d' /
"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."
Main File
White - Buildin~
~narv - En~i~ee~
Pink - Planning
Th. (".nl.r of Ih. I..k. ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
L3l-)/~ IS 1~/DIi.iES
--7 7 I,!?
.' .' 1...1..-'"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(f350 / LU C:A /c:...S 7Vc:/ul e"~
Accepted ~
Accepted With Corrections
Denied
Reviewed By, "g.-Ll_ Date: (110 (0)
Comments: S~e RE:~erse Si~e for Additional Information!
Main File
See Attachments: 1) GradinQ Plan. 2) Erosion Control Measures
3) Erosion Control Plan
'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.1I
.~5/13/04 THU 08:32 FAX 6128902753
STOCKER
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
,. Cr~n ~it:
2. v.I/o... O'J
l. c;.ld ^PlJiO<.,.,
()'I -;;Iott
PERMIT NO. 04-0269 I
(PIClLSC lYtle or print and sign at bottom)
ADDRESS
ZONING (offio:U.lc)
6356 Wild Oaks Terrace
LEGAL DESCRIPTION (office use only)
1
LOT
Br~OCK
ADDITION
"Wild Oaks
PID
OWNER
(Name)
Barts Homes
(Phone) 612/306-4384
Apple Valley, MN 55124
(City) (Zip Code)
(Address)
P.O. Bo-,.;: 240593
(Address)
APPLICANT
(Name) STOCKER EXCAVA.TING COMPANY, INC.
(Phone) 952/890-4241
(Address) _ 12336 Boone Avenue Savage, MN 55378
Curt: (AddrCIfS) ~. (City)
(Contact Person) .{ _. _ II L (phone)
APPLICANT SIGNATURE ~/J //d .~ DATE
APPLICANT PLEASE COMPLETE BELOW
(Zip Code)
same
5-11-04
Size of water service. inches.
Location of any couplings [rom structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi.family 1% of job cost with a $39.50 minimum
$\7.$0 Watereonnectiononly $17.50
Estimated Cost $
Building remit #
8tJ~O 11...._
.50 rJlVrip.uv if
~lVl1Irr
S EWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
(Officc Use 0111)1)
Building Official
I Receipt No.
..nn ["(;-- I
te ~ ~:
Date .
.' ~ '004"
24 hour notice for 311 inspections (952) 447-& . fa.x (95l) 447-42.45 ~r
This A.pplication Becomes Your Building Permit When Approved
By
.,
:. f., .
i".,
NOV-24-04 08:44 AM JUDKINS
t .~.... "... ...... t ....tJ
6514234189
P.01
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."" ~ ','.4
CITY OF PRIOR LAKE
HEA TING/Am CONDITIONINGIFIREPLACE PERMIT
1
D.te~"\ .
. I .
I
I
t;;. ~_I PERMIT NO.O~
-- .. . .._n_..... -"ZONING to_., I
JJ'IeeK ~~9# I\r:i al ~"'~
ADDUSS
(P.~5Lt; \}J dc\ C~(u::c,
LEGAL D!SCIUP'l1.ON \oftlc. I1le ollly)
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PID
OWNER 12_..~. .~ ,~. l1' /1-;r:-- ,---- . I I
(Name) -----~~.-~ ~~ ~ tLl~..t.U.A. . (PhDnc) ..uJJ. -::SQ0 -, ~
(Addr!:C!) P.Q...Eo~ ")..L{Q 5CC3.. . ~ \/rl U 0 J {-Ml\l....5S /2.i..f
APPUCAJI,."1 I . , \..... ' I \ . ,'" -4-1 I --r- .. .
(Name) \... I.A C, r:...' V l~... H f ~l ~1\'1 <~ t\l V' (ph~ne) G c-:! I -' 4 j,. -:z, -.s -, ~-,
(AdQ1'C~ss) l '21,gc:; (\~~ ~-eJ ~~:.~_ rA{)~J'VtfT'L(;'1i .'1f:O-&> <2
(A~fIl) (CIt1) (Zip Code)
(Contact ~erllOn) beui' l ~J '" lc1'.Vl ~ (l'bO..) G S I - .2,,, 7,.- 14 O-z.,
APPLiCAm'SIGNAn1U -kJl../LR~~ .' DATE _JJ- bj--OY ___
.. APPLICANT PLEASE COMPLE1'E BELOW
!2\NEW CONSTRUCTION Cj R:EPLACEMENT 0 ALTERATIONS
PIJR.NACE MAKE AND MOD!L J.. 4.3 - 70 fJ..J:LO F"(';"EL
FLUE SIZE .f Lt;.. ~\ \ RIfrt.rRN OPEN(NCiS''8 INPUT .... O~'UT __..
n"PE OF SYSTEM BEATING OR POWER PLANT
~Wl/lIl Air Pl&lIlt Q Stelll11
:JOM'I~ . D Hot Watar
:J Mo'hAnl~1 . 0 JUdlal.lon
'~Air Condi\lonl"" 0 Spcti&l Device!
!:jV6!1t S)lSll!m CJ Other Deyices
PLt;,U~ NOTEl
AJr CaadiUc.aer tJmC&
CamlQt Encroach InUi
1\cli1lirDd Sldo YInI
Setb6cM
. FIREPl.ACE MAKE A~'D MODEL R
FEE SCHED'ULE
Ir.llustrlal, 1.':>mn'eT\:;tl " M:Jlti-i'llnily l% o!jot! COlt ltesidi:l11111l, GL\ FI~llCe
139.50 mlninlllrll"
R4/;'d~~i.l. H~nl.'VC (New ~r.~uctiDn) S99.~ RcsidClltlll. Acld.luON ok Altor~ri(ms
keslllent18l. ~l!Qt1'1B Oftl)l (New CanstN~lon) 564.50 Rosldl!llllaL AC Oil!>,
S39.~
nuo
S39.!()
I
I
. I
Estima!tlQ COBI S
BUildina Permit ~
MEA TINO PERMIT FEE
STATE SURCHARGE
'l'O'l'AL niMJ'r FEE
s
s
s
,SQ
IOfl~1I tlM Oll!l)
Thb Applic!.tion D'~OR1tt Your BulWift~ Permit When Appr<lVtd
..,,'
.~.
, ,M.toelpt No,
I By
I Paid
I Date
.: l
..Ub.I' GIld"
Dati
_.......,_........... ----...-.-...1
U hour "otic. far ,II hUpllCdollt (952) "'.JUG, fn ('952) M7..1A5
!
I
11/24/2B04 18:28
9528347972
~.
~.
LAKE SIDE PLUMBING
. i
'Cl~_"~~ I
(Pleue~.otmut 0 :
ADt:nlESS 0 _ Ju-,"
"/\'\\ ~..o.o
0.0 ~$'$ \.Do . L.W> 9 0 L
o 0 LY"I"bT~ON(aIti~l~onty1
Ui:CML 0E;;l~.~J,
k" iA!)JrrloN
LOT BtOS,. . I .
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PAGE 81
utteR'V
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00 O<lla 0 _ .
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PJawn-NO:~
....... . :"~m.;G(dlliteli.le)
.gVt'!J4'!
$'J
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(Phone)
"'"""-"-
R.fl:(iipt No;
By
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CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and si~ at bottom)
ADDRESS
L Pink File PERMIT NO M.. ,.""A
; ~~:w ;~~icant . VII' · VftIIIf'J
ZONING (office use)
6356 WILD OAKS TERRACE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name BART'S HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
_ (Phone)
651-633-2561
APPLICANT SIGNATURE
BREN/)A HU.~TON
DATE
2/25/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
HEAT N GLO 6000TR-OAK X 2
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
rw&wITH
i;WllDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
i ,
I .
lpaMAR 1 4 2005
By
24 hour notice for all inspections (952) 447-~~O!fax (952) 447-4245
DEPART~ENT OF Main File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS "35" tJ il,J) OAltLf ~
NATURE OF WORK IJIiIW . .
USE OF BUILDING ~f:: A-
PERMIT NO. ....~~OZ(p9 DATE ISSUED
CONTRACTOR J;;n51" tilIlB L.l.,.C. P ON -~C(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR / D~TE
'FOOTING /d'ct f~r;I'-;%r //4!.6kk ~~ I '9//-7/0/
, .- I .. , iL.. II
, FOUNDATION (Prior to Backfill) ~'-'i'.1j l//~// ~~ I $h1%7
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN' SIGNED
ROUGH - INS, ,/, "
SEWER/W~JE~/SEPTIC. ~. >.>, 1/~9Iof
FRAMING /'/<;)/yql!s- ,/1// #fr~~ #If ?/~ft-5---
INSULATION / ifl}f J () l~'-
ELECTRICAL 'J /tl"s- I
PLUMBING .?~ ~-5,hfis- .. jfP/- //1.,27/~
HEATING (if required) /,/, ~ W~~- ~ /.2/24t/
FIREPLACE?',L.. ;:/~,,df ~ ;ft~- . /,1.~ s-~~/c:Jr
GAS LINE AIR TESTA,;? '" '1:[ R~ //j)9/tJy
. / }
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. ,
~ l"fe/4u1Tll1l!4lJ :r1lJ"'~ I ~1(1f~'~<J/r~r
r
FINALS
GRADING (Prior to Sodding) Alj?
BUILDING~-:;J, CtJ. ~*f)J #/qJ /J?.(/...[//~--
ELECTRICAL
PLUMBING
HEATING
DO NOT
"
.
~
~(j:tiJ;
//IV /,,/~js
--5Z/z/~'-
s II~/~
S~.3/oS-
".
BEEN SIGNED
OCCUpy UNTIL ABOVE HAS
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.
FOR ALL INSPECTIONS (952) 447-9850
QIerfifieafe of @ernpaneu
CITY OF PRIOR LAKE
~rparftttrnf of 2iuil~ing Jf nsprrfion
/~ Final Permitted 0 Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D 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 04-0269
Use Classification Bldg. Permit No.
Occupancy Type
R3
VN
Zoning District
R1SD
Legal Description
_ Type Construction
L14, B1, WILD OAKS
Owner of Building Site Address
& d BARTS HOMES, P.O. BOX 240593, APPLE VALI.EY,
Contractor's Name A dress ~
ROBERT D. HUTCHINS C' PI DON RYE
_ lty anner
. / 0Uil ing Official '
Date: /(7 /.-2~ 0\- Date:
-. ,
6356 WILD OAKS TERRACE
MN 55126
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
6JS"b
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSU~ TION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~.dr-
y -
w/II Oc;L ~J=/r
CONTR.
PERMIT NO.
~--269
. ,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
D~EWER HOOKUP
/'l ~_LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMP~INT
o FIREP~CE RI
o FIREP~CE FINAL
o GASLlNE AIR TST
o
COMMI;NTS: I / /
g~)H.~r- ;:ecrl- eft.
11 ~J// / / /..", /
0) ~,'rew-- J;L..tf. ~. /- / 4c,f~/ 4 d. I l
d5 4/J h~ - ~G;;-.~~ ~~"e/~
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@i~u~~cI~ ~;-~r~ ~ /~-*-- ~.
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l!-) P4'd ~~.~yes
/./) ,. / - j / . /' "* /'
fi;1J1::;;ft:;;::;ti~~
~kk Q ~//~k ~/
- / - ~/;
o ~SATISFACTORY. PROCEED ~ Z (
~ORRECT ACTION AND PROCEED
o CORRECT WOR~~R 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!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
I{ -it) -os- 1:'/0
ADDRESS B5(' ~,'LI /?&#t1 7e~'''{L
OWNER CONTR. &rlJ H,,;4fJ
PHONE NO. PERMIT NO. t')t./-;}~9
SCHEDULED
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~lNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
')1l! EXI~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
lu/-6 &,;l~f-' of:
&~,- o1l~
It WORK 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 cf SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ ~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~ULA TION
,B"'FINAL
o SITE INSPECTION
COJc1fJ1ENT~: ,
~/ e?.~ Ut- /
~
SCHEDULED
DATE TIME
~S-
LU, '/ I 6!J~k~ %rr
CONTR.
PERMIT NO.
o PLUMBING RI
.0 MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
.". / /
h~. I cb~~
,. ~
~~C/', hhq /
cO ~ -..,.26 9"
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
~REPLACE FINAL
o GASLINE AIR TST
o
J J
r/lZhJ\
"
,
67/c
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~f). ?/oor- .T;/;/S,.:;1~Ce /ZL
~~~ ~,,{-
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- /
- / /..# , .;
trlW) ;V~(;& 70 7e/~CH--Ic /LC7r:;/"i:?
Ull[1/./~/ts tQtA/ q t/ r-/?Q- .4yd, +
6~kk ~ /7'"~'rr ~h/~~
@ . / ,,- /\ / / /' ~ / /?
r,2J ,/led fiS'/-/ /:4~r;lhn~e;.J?&;... {i--~
/ y' ~ c.-.c<. :1,/,.. ~!-
o WORK SATISFACTORY, PROCEED r .
~~;:;'RECT ACTION AND PROCEED CCf'7
o CORRECT WORK; ~~L~""'REINSPECTION BEFORE COVERING
Inspector: ~........-- Owner/Contr:
,.
e;...<-
..... I
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~7 / TIME
g/j'/f21
, ...
h~S6' ~//cI {:Qk ~/r'rY
CITY OF PRIOR LAKE
INSPECTION NOTICE
C::/
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT 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
~ t"LUMBING FINAL
o MECH FINAL
t7y'-~9
L
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
...,a..trrREPLACE FINAL
o GASLINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
A1'CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
.b3s, w~/~ ais
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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~/
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~
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~
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-~/
"h /~__
DATE TIME
/f46r-
k/J"
Lj -- ~7
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~SATISFA
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
r
CALL 4.47.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS/'IOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!