HomeMy WebLinkAboutBldg Permit 05-0560
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
~ND U~:qY CONNECTION PERMIT
See MaID rile
(Please type or print and siltJl at bottom)
ADDRESS
~'1.. ~~ f","~s
LEGAL DESCRIPTION (office use only)
Date Rec' d
(0,3 .05"
WhIte
Pink
Yellow
File
City
Applicant
I PERMIT NO. 05. S t, 0
LOT \ BLOCK 3 ADDITION ~c,..\ 6<-<..h~
<J
OWNER I' "
(Name) \.J.)~
(Address)
(,~~
'\
~~
ZONING (office use)
ILl
PID Z5. 3Bb. MS. ()
(Phone)
BUILDER ' I ~
(Company Name) ~~~ v'""t \\oW\.-(,S
(Contact Name) ~6\"'" ~~
(Address) 7C1w ~.~ ~~: k..k.w},.\v ""~
(Phone) ~~z.- "''\- 'ctoo
(Phone)
~()Ii.~
TYPE OF WORK ~New Construction ODeck OPorch ORe-Roofing
OAddition OAlteration OUtility Connection
CODE: ~I.R.C. DI.B.C.
Type of ~nstroction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V
HIM
234
ORe-Siding OLower Level Finish
o Misc,
A
R
5
B
S U
PROJECT COST /V ALUE
(excluding land)
o Fireplace
$ --u!'\! S"~!-
I hereby certifY that I have furnished mformation on this application which is to the best of my knowledge true and correct. I also certIfY that I am the owner or autho!'lzed agent for the
above-mentIOn d properTy 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 buildmg
official ca oke this R for Just cause Furthermore reby agree that the CITy official or a designee may enter upon the property to perform needed mspeclIlms,
>(1/7>( O~
x
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 )..1"5. 0 00,00
$ z,~s.s;o
$ ',4 Olp.'22
$ J,Lf2.,<;;o
$
$
$
$
$
I Do, 00
(00. () 0
3'$,$0
#(Jr (!J (.)
This Application Becomes Your Building Permit When Approved
~i"~ ~,LIDt/o&-
\ ~"'-
Contractor's License No,
Park Support Fee #
SAC #
Water Meter (S'i; 5jl1!1";
Pressure Reducer
Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE t!mMro ~ j( ,oj'
Paid
Date
~
%,,).-J7 vA
L-/ &-v ,;
Date
~
I
I
I
I
I
I
$
$ JL{t.;;O,. Do
$ ~S"(),OO
$;- 50. 0 0
$ ISafJ,oo
$ It) 00, (f)O
$ .
$"
$ .~Z37 l.fJ
~~. #t'.NV
This IS to certifY that the request in the above applicallon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, ThIs document
~".~"mpm.' C,nifi,," 0' 'om., rom;:; .f"" '00'""<1.' fO See'''Miiii'''FlIe m"rt oc
Planning Director #t!I; Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
See Main File
White - Building
Canary - En~eering
C-Pink - PlannlnS:>
,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(c l [' fj [.
/ -::> (
((P.. -f.
r I )/'
C /L'
/
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The Building, Engineering, and Planning Departments have reviewed the building permit
application tor construction activity which is proposed at:
/ ~., ~:; 72- ---C( t:-: E f~ .--=:. r-!-i.-:;-'-
.r- Accepted
r/
Accepted With Corrections
,~j
Denied
,/ Reviewed By:
Comments:
~
("
~
Date:
(PI ( t.{ lo'S
~
See Main-FiIe
t ,
<,
"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 ot
any ot the provisions of this code or of any other ordinance ot the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions ot this code or other
ordinances of the jurisdiction shall not be valid."
See Main File
<White - eui~
Canary - Engineering
Pink - Planning
BUILDING peRMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~{){'&6&j6 (!,1A,j ~rt6.S
/
(p.s. oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5372- 0t;,r:p6R-6 fJrfSS
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
Comments:
~
..
~
Date:
(p /1 t.{ I () :;:
,
"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."
See Main File
~hitA - Building
. Can,!lrv - Engineerlnv
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C {?[ { t;- Gj 6
C",.. {' ,,) ,/ 1-J.,.<,/. v'l J.- ,.--
. tv, /7 L/ l~ 1-'~~
/
/. ~..> () (.-
~. '~-" J" -........,;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
l5~?7Z. cFe;-Fr:: E,ft~.3 rlfSS'
Accepted
Denied
x
Accepted With Corrections
,
Reviewed By:
.~
5<-e-IYlC.f ~ F:' Ir
Date:
b "'/'-j-() \
Comments:
'--
"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."
07/22/2005 FRI 8:28 FAX 952 767 1900 GENZ-RYAN
~ 0011001
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERl\'UT
L 81.. File I PERMIT NO.o.~. lJ5IO'
2. Gold City
3 Vellow AppliOlJll
(Please ~e or print and siltll at bottom)
I ADDRESS
\' ?_' ~/ ,~ . '-~ Crt;> f/S
) ,__ v ,J "-., 1-( vI _.
f "\(' ,0.S
\--" ""
,/L )-
, ZONlNG (of/iceuse)
LEGAL DESCR.ll''llON (office use only)
LOT I BLOCK i3 ADDITION
PID
~~e~R ~ \ \ eg f ~\ tu \-\tJrYlcs
, j ,
(Address) l q;}f) ULkt\/! i I c r.31 \fel .
/ APPLICANT (\ - 1)
(Name) C1e-J11-- ~llav,
(Address) 211)0 W. 1-f1.'\J U L'3
( !A~dress) ",) . . (
+<. i r(\ ,h!erNi {(€-
i , ';
1(;l'41'll l:;!;ij2DllJ/
f JLklVillG
(phone) L{fJJ -U(Eq- {yq(i)
n01 f\i Ef1)LJ 4
(Contact Person)
(phone) qr:JL-ltPf - 10DO
~(/Lttt1c,V,-r Ie., M N S5337
(City) -.. (Zip Code)
(Phone) L;'5-~ .-7&J7-jtXL)
'-7/'), 6/6<5--
DATE
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Quantity I Type of Fixture Quantity
d- I Bath Tub with or without shower
I Dishwasher
Floor Drain
-3 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I j Bar Sink
~ I Water Closet (Toilet)
Type of Fixture
Rough-ins
; I Water Heater
j I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other '
lIEE SCHEDULE
lndustrilll, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
Building Offic:ial
q{j -Su
.50 PAID WrrH
I (X); {Bu\LO\NG PERM\T
~- -
,n)rei4.f1-l,!2,' ll'I'if;f li-[~ /':I'ReceiPtNo.
u, ~ lr;!C, L'..s 11!
1 f DI\t,e. II' I/BY
Date _ I' Jul 26 2005 "
-Lt.., - I...J'
14 hour notice for all inspections (952) 44.139850, fax (951) 447-4245 - I
y ------ ----;:.----'------
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
(Office Use Only)
This Application Becomes Your Building Permit When Approved
05/29/2005 14:22
5077445555
BADGER EXC
PAGE 02
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CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date R.e'd
-.a.~...r ~Dtl1Ir ~-.r~CII1
AODRBSS
tff"3 ".~ J~
r LEGAL D2SClUP110N (o~ 1111 ani)') .
! LOr BLOCK ADDIT'ON
I OWNER i1 . I ~
1 (Name) ~~\f LetJ' ~~
I (Adl1les$l. 7 '1 ~ 0 .J.- c.. h. ~ gl ud,
(A4drtl L
{JCA..J.)<)
I. 0.,. ,". [I:> 'In,.!
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l. 0014 "'",_ I
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ZONTNO Ce" ut)
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PtD
" (PhOtlc) q s)..- y, ct-- ~ Pt::I C)
?-.~ .:. .,:)uY'-/
rei!}) (1JII C~)
! A P P LlC A.NT .-;:::;:. ___ '
i eN am e) \..::> Cl. J.. cy.-c , C i( C' ~ '-' c...f--.--;'~
I (Addra~) )( 37 S" L-.0 7 0 ~ -S'i-f...act;:t:
.(A~:')'
(ContlCf Pu.on) <:;4 "....J-L" S c 'ff'~
: APPLICANT SI~NATtlM _.... t6~ ,~
. .' r
(pkOl\') 507- 7 YV~ s-s-~~
L<:n..Sd~ ss-o u
(Clly) CUp Coclc)
(phone) ::;-07-::"7 YV. S-~ S""
DATE b -.2-,[., -.tr
'..:-'!:.__..."e..".... ,.... ..,..
, AP:?LICANT PLEASE COMPLETE BELOW
Size of ~ 11 ..[VIce ...::L- inches,
LOOltioD of any coupllnes trom atrocture - flit.
TXpoot se~er pipe. n ABC @VC 0 Cut Iron
Estim&ted IllDith of lewer TIne ,"") U feet.
ClelUl out (lfrequired) locaLed &t feet florn.struClture.
,J
FEE SCHEDULE ' ,
!\etidtMial..wer I1\d wa'.r 1\:11 o.::lM lotion $3~,.50 (nduu:I.!. Com 'I &. Mulli-famlly 1% of Job colt wllh I S3'.~O mir1ill'lw:n
Sfow,rconllccrlollonly '17.50 WaUlrtonnc.ctlononly 117,30
BJtlmaced CoSt S
Bulldlal Permit /I.. ..-"
SEW ER. AND W A TEF. PERMJT PEE
STA':a SURCHARGE
TOT 4.L PERMrr FEE
S
$
S
:~Q PAID WITH
BUilDING PERMIT
,lomecL'1I0.ly\ " ~-) 1_' ,,-,
I nail Applleulo" 8'C:OIIII' YOllr BJlldlna p.,mll \\/hen Appro\'.d ! D., ~,I~ I '! i 1 i I f ~Ctlpl NO.
'i r'<l J i!i ,~
I .u1l41~1 om.hl PilI (;!t! 9m 0 6 2005 i ,.,.
~~ I.~r nOli'" for alllnlptctlon, ('5J)~":1lI50\ rll (9111) 44'''':2~'
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07/22/2005 FRI 8:20 FAX 952 767 1900 GENZ-RYAN
~ 004/004
z:(,t-;-
~-
Date Ree'd
l.:lTY OF PRIOR LAKE
SEWER AND WATER PERMIT
(please ~e or print and sign at bottom)
. ADDRESS
J ('-. ~ I .., --J--p r(j;J /-
V]/ ,17, '. l tiCI ~
i: :w~::; I PERMIT NOAr A~
3_ Gold AppJi,",,1 ,,;;;,~
1""0 -.-.,
.-- . c. <-'
:' ..., ')
,'\, '.- ..
. ZONING (ofliee use)
LEGAL DESCRIPTION (office use only)
, '~
LOT I BLOCK ':/ ADDITION
PID
OWNER f\ '\ /1' . , \
(Name) LD\ eQ C l'\-\--j l-\()'(nl~
(Address) 1 q~c LC\J,-Cvi lIt I?>I \fd -
(Address)
(J"A_k(vi lie,
(City)
(phone) q~d.' L4Cl1-loQOO
~5j)i-J4-
(Zip Code)
. APPLICANT 12,('11"'2. II iJ /l I]
(Name) 0' lu..z...- ,:---vl (/11
(Address) 1-200 VV. Hvvu 1,3
V (AcIdre;s)).. ) . i .
(Contact Person) 1"\.11')'1 \'\t:/l V J{ (t..
I), /)-''j ~11<
1?LICANf SIGNA TURB -:d4/J'10 F-(:e. U/ Ujj
~, '. -
(phone) 1 VJ2 - 7 !P7 -- (( JD{)
BlA J{J/1 \ V,' { I~ f\A.N q;337
(CitY) _, (Zip Code)
(}';4:-- '"'\ '-7; '7 ( . -,
(phone) '-1",) c,< -- I v) - UU
DATE --7!)() / GS
At J:'LICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from 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.
If'EE SC.tLI!iDULE
Residential sewer and water line connection $35.50 Industrial, Com '1 & Multi-family I % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Penn it #
SEWER AND W A lER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.5~A'D WITH
BYtlO'NG PERMIT
(Offi<< Ule Ollly)
I This Application Becomes Your Building Permit When Approved ~F~ ~(ti m [f; Inll
!~) Date Iii il By
I JUJ 2 6 2005 i Ii J
_L L)
24 hour notice for all Inspections (952) 4 ~7-9850, fax (952) 4474245
By ________ ______
Receipt No.
Building Omcial
Date
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and siltJl at b , ;. ,,_ ,.)
ADDRESS
15372 JEFFERS PASS
~. ~e:n ~!:y I PERMIT NOL:. C'I71
3, Yellow Applicant ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name. COLLEGE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRfNDA HUSTON
DATE
7/28/ 05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
REA TN GLO R-CORNER/SL-750TR
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
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 #
$
$
$
Date
.50 /
it P''''ipt No
~,~ By
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I. Pin\:
2, G....
3. Yellow
~ 003/004
08/11/2005 THU 14:47 FAX 952 767 1900 GENZ-RYAN
CIty OFPlUORLAKE-""
HEATING/Am CONDITIONING/lI'1KEPLACE PERM
(Please !V.P.e or print and &~ at bottom)
ADDRESS
I c; ~l ~ :Je. ~r ev~.;
\
/,
f-'CeSS
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER l' t (, 'I \ ,^,
(Name) -,u leUr
v
!\. . 't'
I r ' - -< ~'
( ,\ ttj t {KY\.S
LoJctVr l I( 01 vd.
(Phone)
(Address) / q,j,D
IfO)(YVa Ie AA f\/
APPLICANT G f'J
(Name) :::rerYl.. " -<-.1 j (J 1'1
(Address);J;}[JJ W, M-Wv113
(Phone)
bllYVlSv11 if
. (Addtess) (City)
(Contact Person) j-<\/I~ l1'rwi Jte- (phone) q.tS;;;'-7G7-I,
APPLlCANTSIGNATUR~ <f-411,c, /f?/:!2{(jUb DATE .-F!II/ff;.
, APPLiCANT PLEASE COMPLETE BELOW -
~liEW CONSTRUCTION D REPLJ\C~,MENT 0 ALTERATION
FURNACE MAKE AND MODEL LfJr,(\()}( G"2~ 3 \J{- - 3.tF,- Ur 0 FUEL ..
FLUE SIZE RETURN OPENINGS y' INPUT _ {o& DUO OU
TYPE OF SYSTEM HEATING OR POWER iLANT
~arm Air Plants 0 Steam
DGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
DVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL
-----'::_-;~'.-::,-;"-=
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1 % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAlO
.~UILDIN
(Office Use Only)
Buildinlt Offidlll
nate
I" I
iJ ~d,r' I '
:. ' I D.tJr, 2 4' 2005
-'--'''1
This Application Becomes Your Building Permit When Approved
l'-"--
24 hour notice (or all inspections (952) 4~~50, fax (952) 447-4245
Sc.cr.. ~~ (: ~
PRIOR LAKE
.. I , .1-
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS IS-s I) 2, c I~
NATURE OF WORK S F/l N~ ("~
USE OF BUILDING 5 r/T
PERMIT NO. ~- s:f.p 0 DATE ISSUED (:,-I'/-(Y:)
CONTRACTOR ~(~ 0 ~ ~ PHONE
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING I
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING u,\ L-V<-C
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
p~
JIb
~ j
r'/8/t:6
~}r/ 10/
(, ./
,/""':. ~ " ---- . , ~,
.~ )lz.'\~
GRADING (prior to Sodding)
BUILDING ~ ~- <rl-tJ ,,0t(
ELECTRICAL
PLUMBING
HEATING
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.
9-2-<=6
q/r; I J-f
J ' f
lilt () / () ;.
I .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
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FOR ALL INSPECTIONS (952) 447-9850
Certificate of Occupancy
CITY OF PRIOR LAKE
Department of Building Inspection
[XJFinal Perulitted
~Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the DResidential
Dlnternational 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 llse. For the following:
Use Classification
Occupancy Type
Legal Description
Owner of Building
Contractor's Name & Address
.) /
I:.. 0 PC I l I) .
I Building Official
/ .;)J - 0 S
~J (llU C
Iz{u) ~' ; C)'
Date:
POST IN CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
flJ4n<"
TIME
ADDRESS 12-~ '1'2 ....jolf1,..S ~C~
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
;s:1>>LUMBING FINAL
o MECH FINAL
COMMENTS: /1
l, (~~ /J.-t -()
2- I k "-\4IJr ~ 0",,~
s - s (,0
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
\.0 ~RK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORRE17K~LL FOR REINSPECTION BEFORE COVERING
Inspector: f~ ~ Owner/Contr:
CAL~ 44~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
_OTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ADDRESS
16 S7&
~ATE I / TIME
SCHEDULED (( ~~
.k~ ''7 ~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~. ,?]Cc6
o FOOTING
o FOUNDATION
o FRAMING
q INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
o k I.. c. {O",,{.. -i-A. ~-1>
Inspector:
Owner/Contr:
CAL
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl