HomeMy WebLinkAboutBldg Permit 05-0731
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
f.1. 05
(Please type or print and sign at bottom)
ADDRESS
2[PS-Z:. UC~ kE-
NU.
Date Rec' d
~. ~i~~e ~::y I PERMIT NO. 05_ 073/
3 . Yellow Applicant
ZONING (office use)
?IJD
LEGAL DESCRIPTION (office use only)
LOT/9 BLOCK / ADDITION sna/A../f.r Sm;;T7-J. ~ JAi~ ~t:..KfS Z~ PID Z5 4-3tJ 0/9.0
OWNER /
(N ame) JA>../ M./ G
dJAS
(Address)
BUILDERr-:/ /
(Name) ./A-7 / cL/1 iP ./-7'owtE.S
(Contact Name) L:b-utr /~
(Address) Z /c/P...3 &.e'E:.;t/rk;14 .A0e..
TYPE OF WORK
~
8New Consttuction
OLower Level Finish
(Phone)
c-'-
",
(Phone)
(Phone) 95'2- 9P'S:'-~ I"R'
/ Zc> ,_ MK.!:.V/~~L._ffld , ~"""~CJ<lsI
\
lORe-siding _____--
OUtility Connection
I Park Support Fee
I SAC
I Water Meter Size 5/8"Q?
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
Other
#
#
#
#
&Lr~
o Deck
ORe-Roofing
o Misc.
PROJECT COST IV ALUE (excluding land) $ .2.ffi I Df)() , ()f~
,
OPorch
o Fireplace
o Alteration
I hereby certifY that I have furnished information on this application which is to the best of my knowledge ttue and correct. I also certifY that I am the owner or
authorized agent for the above-mentioned property and that all consttuction will conform to all existing state and local laws and will proceed in accordance with
submitted plans am aware that the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter upon th p perty ~ed inspections. Z 0/.8' U?3o 7 {p / / S" /os--
Signature Conttactor's License No. ' Date
$
$
$
$
$
$
$
$
TOTAL DUE (!'nt.t-eD '7..J-Ct. CIJ $ CfJlll ;,l., (;vI:-
J ,~~~. ,
-i::::-~uildIDg;;.:;;;; . ~: rEfit ~ . ~/ei7ffl'n'-
Bw'dIDg Offi'i~ ' D.;" 0
ThiS is to certify that the request m the above applicatIOn and accompanymg documents IS in accordance with the City Zonmg Ordinance and may proceed as requested This document
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 be
~_~ 7/2-z/os &iJ Il-U ~
Planning 6irector f Date Special Conditions, if/.ny
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
#~3S:~oO,Oq
$ $ /;Jto3.~O
$ -I I Z II , 28 _
$ . /77, S" 0
$
$
$
$
$
Sewer & Water Permit Fee
IDO .00
100\00
3:L.57)
40.0,:\
I Gas Fireplace Permit Fee
o Addition
I
I ,400. (~j
~ ()Q-~(\
7~. 0/")
I, 5:t::n. 00
(aDO.. 00 I
t'~~1
,
~~
Whit~ - euildinq
C::-~aRal'\' EnaineerinQ)
Pink - Planning
The Cenlrr or th~ I..kt' ('ountry
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l' > , ; '7'-'--' .' '};:-- ,-
/,..~ "...;' /",," (r ,t-
1\:...;;.,...... . ," _'_ t-.. ", /
,/ ,/."r-, ./ i._ ,,'- (""'--
r:' 1..// / L."..:.;.-
-77 () .S-
f -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i / L_. ~:.~) _.,,~-::
",.i~/ /101,/6'_-
,{ / /
/V f
Accepted
.~,.
'-
Accepted With Corrections
Denied
Reviewed By:
~
Date:
/-J2-tJS-
Comments: See Reverse Side for Additional Information!
~p.p. A tt3chmentf': 1) Gradini! Plan. 2) Erosion Control Measures
,,- ~ ~
"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."
.~~
Tht' ('('nfer of Iht I..k" Counlr)"
~ - BuildlnV
- Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!2ATZ,L.--19 F'F !ltJ/fes
7.7.05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z&52- WIt-OS L-AAl6' Aff1/.
Accepted
Accepted With Corrections /
Denied
Reviewed By:
~
~
?~f--
aLl ~,
Date:
7/2... 2-~ S-
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."
Tht' Ct'nlt'r of Ihe L.ke Counlr'}'
White - Building
Canary - EnQineering
Qlnk ~nnin9:::>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
c' / 7 .'-;,-: / / I ,r;:..
i-..' .. I
/ 1// ,- -.,
, , /. f
. l L....... '-~-
If ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i
-" t:.-_.
i l
/t C
I' /
I V.
Accepted
Accepted With Corrections
/'
Denied
Reviewed By: ~ :)~t.J
Comments: K~ ~
Date:
7/z. 'Lias
,
,
,
.~.......
"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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts',
Reviewed by: I~~ i~
Building Permit # PID:
Address: " ~ _ c-" . ') 0 L d-. \Jr - r I ,
~t!7 ~ L-- ~(-L- Jr /1 ~~. I\J. L(J .
Legal: L /9 . B I
Date: . 7 (2- 2-/a s;-
Zoning:
Subdivision: ~ ~ @ f/.-.... ~ 2.4
Existing Nonconforming Structure? YES@)
Existing Structure? YES @
CONFORMS TO ZONING
ORDINANCE
.
Yard Setbacks: NAI FAllSI ~PLlES))
. Front Yard (can be 20' if av~O')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
-:.----...
, Floor Area Ratio: NA 1 FAll~ .e'OMPLlE~)
.... -
, Yard Encroachments: NAI FAilS I~MPLlE~
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
Tree preservation:!~AllS 1 COMPLIES
. Total caliper in2nes
I. Permit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
I. Replacement
L\TEMPLA TE\BLDGLIST.DOC
YES
NO
Standard
25'
10'1
25' if abutting a street
Proposed
ZS-' +- ~.
~,I2..-
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
~'3,~1
'E3 .07 t
NON€:
1JA- -
75' or setback average of
adjacent structures, but no
less than 50'
tJA-
.30 Maximum
fuo
Standard
Proposed
NONe
rJo ,.16"
Standard
Proposed
%:1
I
,I
I
'I
I
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNGl.lflKEPLACE PERMIT
Date Rec'd
~ ~ ~~. I PERMIT N~ 73- 'j
], Ydlow Appuailll' ~
(Plca8e type or print 3J1d Nj;n :It bottom)
. ADDRESS
n?GfJ& tJ// fJs
AhWr
ZONING (of6ce
115e)
4; /tJe
LEGAL DESCRu- J.J.ON (office Wleonly)
LOT BLOCK
ADDmON
PID
~=~h-!a~/l
4}h;;np ~
t -
(phone) c:r~~ - 70)7 do
(Addzess )
~:;rer~A 1b~/~O
rl.;r
(phone) Q60 -- God:) ~
(Addres~ 1/
(Y I';:;) f (')
;;:;~A )
(Addt~)
t:} () P.. I ~ r:::::.,.
P?AJ .
(City')
~sn~4
(Zip Code)
(Contact Person) I (phone)
APPLICANTSIGNAruRE _ ~d ~ DATE 7.. R ,... O~
- APPliCANT PLEASE COMPLETE BELOW
~ CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE ~ MODEL 7fltA)e ~ ~c.0r'-I~ FUEL ;t4 f-
FLUE SIZE ~;r ~(Jc., RETtJRN OPENil'IGS INPUT ~6.oo ~ OUTPUt 7:'<
( (
HEATING OR POWER PLANT
o Steam
o Hot Willer
o hdiatioD
o Specill1 Devices
o Other Devices
~
TYPE OF SYSTEM
OWann Air Plants
~ty
,.e:rM:ecbanica1
@ Conditioning
~em. System
FIREPLACE MAKE AND MODEL ~I N
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial. Com......._:al & Multi-family
Gfo ~L -75"'(')
FEE Sw:1J!.DULE
1 % of job cost Residential. Gas Fireplace
S39.50 minimum
$99.50
S64 .sO
$39.50
S39.S0
S39.50
Residential, Heating &. AlC (New Construction)
Residential, Heating 0Il1y <New Construction)
Residential, AdditioN &: Altl;ratjons
Residential, AC Only
Estimated Cost $ Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE S
.50
~tfJ(~, ~
""(3 ~g~ No.
~.9;c,,,.
(omce UlJe Only)
This AppliCltioD Becomes Your Building Permit When Approved Paid
BlllldlDl! omclal
I Date
Date
24 hour DOQl:e for all iDspe&:tions (952) 447-9850, fAx (~) 447-424S
AUG-09-2005 08:05
CITY OF PRIOR LAKE
9524474245 P.01
'......
Date ReC' d
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Plco: fV1)C orl:lrim i!.Il4 sim ~t bottol'l:l)
ADDRESS
1,i' E'1
~ Cl CA ()J i J.... (
l,~..... FII. PERMIT NO
; ~~w ~~~I "1JIf.. '7, J
ZONING (QIli~nlJl!)
~o~
LEGAL DESCRIPTION (office \I~ only)
LOT f.~BtOCK \ ADDITION
st.. "rI 10-, (,' t:
IOWNER() t ~ 1 1 d...
(Name) ,-<.. ri 7 _, Q \ l (::t-.Jl..i7L P, c;.
(Address) 1L:i ~.2. r ~ ~ ~Vla cL1 JJ l~ ~
~ddfl:ss)
'PID
~
I . .
City)
(Phone)
I ,,}<r,w'lk J1~ fiS-M~
( . Cod.e)
APPLICANT
(Name).
JECHE EXCAVATING
~;jlU JUNES PLACE
(Address) BLOOMINGTON Ml\I 5-.~4~1.')~~1
(A44n:!~)
(Conracl Per.on) J3~ h I ~ ru. 'I.ly /1 A
APPLICANT SIGNATURE1,T ~,~
'f
APPLICANT PLEASE COMPLETE BELOW
Size of water seJVice --L- inches.
Location of any couplings from structUre feet
Type of seWer pipe. 0 ABC /B"'PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from strUcture.
(phone)
(Clry)
(Z~ c*)
(Phone) ~II ~ 7~ /) f] 1./ s- ft;
DATE
FEE SCHEDULE
Residential sewer anc:l wot=t' line conne~rio-n $35.50 lndusttiall Com'l & Multi-family 1% of job t.()st with a 539.50 minimum
Sewer oonn~c:tion only $17.50 Wate(" C:OnTlection only S 17.50
Estimated Cost S
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOT At PERMIT FEE
$
$
$
(O(Jj('t U,t OIlJ~)
Thi" AppHc,lItion .Becomes Your BUjlding PUTIlif Wbe.o .4pprQvo!:d
I hid
Date
n
r;{/}(/
11-/"
.50 ~
~~NO
By
Bui/dinl:' Omcl.~l
Dtrlt
~4 bOllt Ilotir.c tor aUln!peetlollS (95Zl 447.:1850, (U (952) 4..7..U45
08/08/2005 17:19
9528816976
BOB .JECHE
PAGE 01
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please: tVDC: or Print and sim at bottom)
ADDRESS
~ 1aS.;. evL.J.,..J 1 J)",ltL6 ,
~' ~~o~w ~::~ I PERMIT NO. /))- n 2 J
), Gold AppliCllnl VI ' lZ.l
ZONING (office U5e)
LEGAL DESCRlPTION (office use only)
LOT r!:\BLOCK \ ADDITION ste'\'>.~
OWNER () --. .C!....b.. l'
(Name) t-<.. r1 z.... . q \~l l= -DJ:1t p, ~
(Address) 1l..:! ~U..... \. ~.~ 1M --'
lAddrc:ss)
~~
PIP
~c .,1J7)
"(City)
(Phone) _
~e,.t)}J r,'S'{)LfY
dip Code)
APPLICANT
(Name)
JECHE EXCAVATING
~;;!1 0 JONES PLACE
(Address) BLOOMINGTON. &11\/ S~4-=l1_"911
(Address)
(Contact Person) 8'1\ h ,-1 A, ~_~ /J t1
APPLICANT SIGNAT~RE .tI ~~~"~ fJM.fi.L,
, f
APPLICANT PLEASE COMPLETE BELOW
Size of water service l 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.
(Phone)
(Ciry)
(Zip Code)
kJ~ 7~/) '7~ 5"0
(Phone)
DATE
FEE SCHEDULE
Residential sewer and water line conne~tion $35.50 Industrial, Com') & Multi-family ) % of job eost with a $39.50 minimum
Sewer connection only $17,50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FE:E
$
$
$
- PAID WITH
dOING PERMIT
(Oilier Un Only)
r--:"
I',,~ccipt No,
Iii:
!la~
I .
6uildinl: OfficiAl
Dat~
~I,~W~
11, L; b
~~te AUf, 2 4 2005
" I
Thi.~ Application Becomes Your Building Permit Whe,O A.pproved
24 hour notice for all Inspections (952) 447-9~O, fax (952) 447-4245
FR0I1 : FARr1 Il'lGTOl'l PLG & HTG
FAX NO. :6514637835
Oct. 01 2005 02:21PM Pi
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
I Illl", nl.
1 .",1<1 ("'Y
~,Vullu..., A.,V1i..."hl
I PF.RMTT N$' · 73/
(Please lVpe or print ~,:,.~_~!m at bortomL_
ADDRESS
dJQS d-.. lALl I de:,
ZONING ("Ilk,#. ,,.~\
i.- r.
,* ...
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
A DDITlON
PID
OWNER\) rr
(Name) 'hQ, l.1 a. ;.""\
<J
(Addre-~s) (I.. (1../ 8'~
Jbv'V\e~
(Phone) C[Sd. ~.3S.~,:$9.53
r!/ r e V\ a.0:~
QvL
.....
APPT JCANT
(Name) fo..rV"V'i"'+,^ _\:10 o..."Q H1~
(Address) aJ01)LI Ch.; IIMi-'1J>iP,.(t:_ r1vt::...
(A~
(Contact Person) J II'\/\, ) ~ V'.
APPLICANT SIGNATUR~ ',\')c::vv ~. 0 k4~-",'\
APPLICANT PI,EASE COMPLETE BELOW
(Phone) ~1.:!.~f?,~::J3J.. L/
Fo. rIM ,'V{trb"" 55. Qa,.~"..
(CitY, - (Zip Code)
(Phone)
DATE
Quantity
I
(
I
A_
1
;)...
l
Type of}'bcture
Bath Tub with or without shower
Dishwasher
Floor Drain
-Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment ~ink
Shower- Sta 11
Sinks
Bar Sink
:;.:-.-' Water Closet (Toilet)
Quao'tity'
3 '.'
I
-"---1
Type of Fixture
Rough-ins
Water H'catcr'
Water Softner
Stand Pipe (Washing Machine)
I S~wase"Eiector
I Backflow Assembly
Backflow Assem bly Test
Lawn Sprinkler
Other ,."..', ...'...
FF.F, SCHEDULE
(nelll,trial, Commercial & Multi-family 1% llf.loh eM! with a $3950 minimum Re~iJC:lIli(J,I. New One & Two-jo'amily $99.50
Rcsidcnli!ll. AlIdiliulIs & Alterations S39.50
F~timatcd Cost $ BlIilding Permit # PArD WITH
PLUMmNG PERMIT FEE $ BUrLDING PERMIT
STATE SURCHARGE $ .50
TOTAL PERMIT FEE ,,_~.t.... ,__, ,'..----7"''"~.'-,\'
{Orlitt U~e Only) \-fl :-~ ~ I, ~ : \ Ii \
This Application Recomes Your Ruilding Permit When Approved Ii :~I ~~dlJL~ 2~~~" \ \]0]; Receipt No.
U \" ""'1'iaie L) By
Ruildin~ OcndAI Dllt~,.,.
24 IUlur nollce ror All Inspection~ (9S2)~\a~.:.fAUUl)...44-1-4Vr-'--:1
16200 F..agle Creek Ave.. S.~.. Prior Lab1 MN S5J72-l7l4
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDI~G - AND INSPECTION
SITEADDRESS ~~~ WI\~5. ~
NATURE OF WORK TlP ~.1 ~c,. +~uc.\.\~
USE OF BUILDING --.SFfJ ,
PERMIT NO. Os.Oi3( DATE ISSUED :L2.0 ~~
CONTRACTOR RA~.cr ~e, PHONE <1S~~o,es-. '-1/21
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/'IJI!jfECTOR I I DATE
FOOTING We- I rr fi 8 A' ~/ d'J
, ,
~ FOUNDATION (Prior to Backfill) I ~t? ~.//~ ~
1'2$Y'-.' N€R PLACE NO CC;>NCRET~~~Y.':.., ~ f'~~ ;.~N~/~~
r~~~'~~OUGH -1t;!S.O-n... ~~~.
~ SEWER I WATER I SEPTIC Y /J 18...., ""' 0\:;--
FRAMING l) c. /PI) rJ r?
INSULATION 1/1} 7-) t,
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE .
GAS LINE AIR TEST ~~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'LA rlfE/ /-ttJ C(S"E LtJtCA-P s~ fIJ ~~o I
I
FINALS
,tVff ~j<l OJ-
~6 :9-~~ I
P-r3 1-/+. '; /~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY
J 1- (~
t9Jl L/)~
V\;V./ ,
UNTIL ABOVE HAS BEEN
NOTICE
~
1(/"lk~tJ1
SIGNED
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
Qlertifirate of @rtupanr\!
CITY OF PRIOR LAKE
~tparfmtnf nf ~uil~ing Jfnsptrfinn
If{ Final Permitted
o Conditional e.O. Expires_
This Certificate issued pursuant to the requirements 0 of the D Residential / D International
Building Code certifying that att~f}_time oJ~ce-ihi-s-.fructure as in compliance with the various
ordinances of the City of PriJp:l:1ike regulating building cons'truction r use. For the following:
//SINGLE FAMILY ~-) I 05-0731
:.::~:. /R; j, w'~ect,j l~ / /;,:::.:::::,:" PUD
Legal DeSCriPtiO/ L 1 ~ I.! WERt. niG ~OUTH 2~P/ /
ownerofBuildin~' ~eAddress 2652 WILDS LANE N.W.
Contractor's Name & A:~~lUt't'Zt1\:r'F ~ 21483 GRENADA AVE.. SUITE 120. LAKEVILLE
I A/I,::;' JANE KANSIER
ROBERT D. HUTCHINS i/ v, City Planner
Building Official
/ I- IV- ()('
Date:
Date:
.=.-0...........- '
"~,,"., '.,' '~.d! ~'r' ~~IJil!i~~~.,.:~;M.'....:-
.._."~;,.~ ....
....~'-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS :J11}c:;2 W i \~~ L t'\ L
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
~ PLUMBING FINAL
o MECH FINAL
DATE TIME
II fmJ~
S-~~I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I, GlU4) Cl~~
'2.. ~ ~ ()CLJ()<.
~, {\,J ~ ~r- M r (J r - 4l!7.. q8 t:t~
Y. O'\() ~~~
'- ?~K SATISFACTORY. PROCEED
~ORREC CTlON AND PROCEED
o CORR T ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : Owner/Contr:
CAl..L 7098SJOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~~MENTS ARE FOR YOUR PERSONAL HEALTH'( SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~S2- w/lit, L",-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
oJLaNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~-()/(
wr.~ gal, e L
DATE TIME
JI-IL(~
(<"/z.lli/!F
~-'731
~~ILLlNG
o COMJ5I:AiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Sv-T
M WORK SATISFACTORY, PROCEED
V01:oRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ --c:: Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
J.t b.L IA/lleI.>
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
..,I!J'"'FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PJ,JJMBING FINAL
~ECH FINAL
COMMENTS:
DATE TIME
/(-(~-0
LV\
~-7"3 (
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ -------;:-~ ')
/' Or- 7 / I /
( I j)Ct'/V2 ./
\.'--' ~
"--- -----
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W?R~~ FOR REINSPECTION BEFORE COVERING
Inspector: VVf'/ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETYI