HomeMy WebLinkAboutBldg Permit 05-0226
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ::;/, J 3-~
(Please type or print and sip at bottom)
ADDRESS
13~
'~s'dk 4ve
1. White File
2. Pink City
3 Y.llnw Applicant
I PERMIT NO. os: 02Z(P
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK -z.. ADDITION W ,~ctr tS-b"k)
ZONING (office use)
PI
PID dS' t//3~ 01'1-0
~=~k LaY'~~ J
(Address) /L/~ C~-CW D,..;~
BUILDER /'}, l /J ., D' L Co I
(Company Name)~t.t~~ Ll"-~tol;\ 11 "'-, ~ (Phone) CJr"l-4'c; -/1,1
(Contact Name) ~~ ~L~ '. (Phone) 6t'l-I~i'. 'IfZb
(Address) 2'2.B3 LoyfM ~ Lc\'~l/~ lit;. ;"'/J. IT7Hf
(Phone)
5'lt~, 1>>1I,
, /
LflO' J}tJ/
TYPE OF WORK ~New Construction o Deck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition o Alteration OUtility Connection 0 Misc.
CODE: l54I.R.C. DI.B.c.
Type of &stmction:
Occupancy Group: A B
Division:
I
E
V
M
4
B
S U
PROJECT COST IV ALUE $
(excluding land)
, ,
DecJl. . NO l....., h e-) '$ it
A
R
5
tJo
L/ OQ CX)()
, ,
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 nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;~ iy ""Ais permit for j se. urthermore, I hereby agree that the city official or a d7?,,~y enter upon the property to perform nee3bP;Z;-
../ Signature Contractor's License No. I 'Date
/'
Permit Valuation
Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
n
F
I
III IV
H I
2 3
IYb~ .I)()(!) , f)()
$ Z-~ 53,S"
$ 13.t;"4, 78
$ '2..00 , Ot)
$
$
$
$
$
/OO,{)(J
/d/). 0 ()
. 3S-, Sd
J-/D .oa
This Application Becomes Your Building Pennit When Approved
~~
Building Otlicial
3/ZYft,s
Daie
I Park Support Fee
I SAC
I Water Meter Size 5/s(Fr)
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
#
#
#
#
$
$ 1L/5"a ,t)O
$ 30~;Oo
$ 7'>..06
$ JZ:;l/(),OfJ
$ 1000. t) 0
$ 1$00. DO
$
I TOTAL DUE ~ 3.2..7. oS
I Paid ///ooB. 78
I Date *. ~,oJ-
$/1. ()o8.7e;
49/3/
Receipt N9.
By ..4:l:f!/
/
--
ThiS IS to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitu temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iSSU~~ ~/ZY'/!i S-
Planning Director , , Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Tht Cmlt, of tht tab Counlry
~e - Building
,*a~ En~ineerlng)
t"lnk - Planning
BUILDING PERMIT APPLICATION OEPARTMENT CHECKLIST
//./ J /...,
/ ,/ ~,. i" //}/ /
NAME OF APPLICANT (')'/ /,! (fa. I ~l a IJ (!~/tt.A1 Tc:w(
,--....
/-\ /! .I}
. "&' ",
i '-..1..././ I .....'1
l _ ___'~_~
APPLICATION RECEIVED
I
2- d 3-$"""
:"~:.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed-at:
~. / h
I ':2 ' . /'
J ,J PSD "t-.a'I1-4.?:t;<~. ,j'?'
('/
Accepted
x
"
Accepted With Corrections
Denied
ReviewedHy: fiB
Date:
3.~~-~J
Comments: See' Reverse Side for Additional Informationl ;
. .
Dri~Y'qY Mu~~ HaY.e-A Concrete Apprnach
...
"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."
/;
Th. (....,.. of lh.t.kt ("ou"'ry
White - Building
Canary -Engineering
~.. .ll11< _ - P18nml19>
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ab oIell fa IJ (fU4IG>>tf iSJJ~_
APPLICATION RECEIVED '3 - d. 3-S-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed-at:
/3.f/5V ~~/~0.~ /
r { v-l
Accepted
Accepted With Corrections ~
I~Denied
Reviewed By:
~.~
Date:
3~r~r
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."
CWbiIP - Buildi~
Canary - Engineering
Pink - Planning
The (""nln or the l..k" Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANT aa~/tJa/J (2~f~ /StdLc.-
- I
APPLICATION RECEIVED :]- d. 3-S-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposeti-at:
/3?5lJ ~~.)
Accepted
Accepted With Corrections
/'
Denied
7r~. ~ Date: .:tfgol/;S
&~ cVlP ~
Reviewed By:
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."
04/22/2005 14:06
5077445565
BADGER EXC
PAGE 0.
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IIIlI 11\1.
"
"
Date Rea'd
CITY OF' PRIOR LAXI
SEWER AND WATER PERMIT
JZ:~u, ~a .r DMl md W &lllomlllll
ADDRESS I
\?,'O':)Z) K~" ,:yi"'J~ ~
I LEGAL OJ!SCJUY1'ON (o~ct ~.. only)
I '
! LOT BLOCK ADO 7JON
I
~ '
\ ~-:;,~ c..u~eCYr~ C...~ c~ 13euJ.~ ,(Pbone)' 9~ ;l-~Y-I"lf
I (Addles,) ~l33 )~OI:1v.-r, A~,. L~rJ.k ssuy'l
I ~l L-" . ,. aJ CZID Ct*)
! ^PPLIC~ i
i (Name) O<:;(')~ e J< C~, vJ..v "1 (phon~) S"o7-,V'-rr SS~--
i (Aclcl.reSs) 837S 0 CA.i..) IO~ ~i<'~ t...~JcJe SSU<r'(a
c. (M~t) , . (City) (Zip Codt)
(ContAct Pcc.on) ~.s ~ f'Y'c.h"'\ (p!lone) ~ ~
I APPLICANTSrONATt1!tE ).._ ~c,....~ ~ ",-,7.--""_ DAT! 4....~-oS
!
t ji. t...1 PEKMI"l' NO.~'
,
ZONINO lt~ ..,
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, AjpPLICANT PLEASE COMPLETE BELOW
Size of +_r a.rvice cJ inohes.
Locadon:oC any coupllngs from atrUcturc - feet.
Type of ~wcr pipe. 0 ABC ~VC 0 Cut Iron
&tim&t~ lenath of ~WClr line S!> feet.
Clean out (iCrequirc~) ~~Lcd It _ feet from-stnlcturo.
, FEESCHEDVLI
ReciQtntill UWtf ",d wa"r Ilna cdMcotlon $3 ~.50 Industrial. CClrft'1 6. Mvlti.fatnll)' 1% gf Job colt wlll\ . S39,SO mltlirnum
~....'~r ctJnnecfioll Of\ly , S 17.S0 Waler connection only S17,$0
,I
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~"'G 'i:!""
. J;;W fi;j he ~ ~J Ie QI ~~
Ii fhl, A.,,,..,,.. s....... fO'1 B'''''., '"mil When Approv.d .' ,'''II ::J~l~l) ~AY- 2 ~:, *;~ -rOO
...Udla.om.1I Pile _ I R-
*' II.." notIce (or IlIlnlpactlon. (U1) ~~,~..so. (/~~~~~~:~::~ '
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Bstimlte4 Cost S Bulldllll Permit *',' .,-...
!
SE'WER AND WATER PERMIT PEE
si A T8 SURCHARGE
T~TAL PERMIT FEE
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lEGAL DJ!SCIlIPX1DH "'-4lIlIIJ)
LOT BLOC%. JWaltfON
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APl!UCANTSIGNIt.~~'AA ~ _~/ DAm /t?/qp~
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, fadaadII, 01........ ~ l~otJab CIIIIIt willa a SJ,.so...e-- ....~ 7"" ...... Ole. TwooP..." "'.$1
IL..S,z., g~ ....r ~. '.~.AJ""'" 119.50
~Cast I,I./} V /a, JuIIdIBC"-'t" .
PLlJM8lNO P.EIMIt' fEE S.'
STATE SUKal.1JlG2 ' s " , .so .
1OI'ALI'DMtr I'D" S
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06/02/2005 17:42 9524926006
">:'~.t'.:~: I' ',' I. 1" :"~;:~:1:;/:~.. ::. .: "
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GLOWING HEARTH N HOM
PAGE b.
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APPLICANT, .' ' , . '; " '." ,'"''''
(Name) ~l \ \'n~H Pn(;+~,4;::.1+?fY'e " " " i(phonli.) q S & . 4 q ~. 9 Ci "1 b'
'(Addxl$s) loa E.\d\)1'~~f~~f\\e" ' J"u~c~~tJ .Ir'(\f'J 5~~~~)J-
(Contact PeT$ori) -rIM ~h\f1\~e1...~:" "~......., "hone) qsa,. 4q~ . g d~ k.
AP~~;,rS~GNATl1,~"1I.rf\ /)~\~~~ ,,'~\'~:~-',,:' :,p~T$ , .b~O:;
r ", " ~,;:~~:~,~,,' "\O~~~ ,',',,' ,,'
Q~~il..l.'il'~~iil~: ,:':. ":::O~~~~~:;l .. 'l~jJ(~'LTEltAJt~I'~;
FU!Q.\lACE,MA&EAWMO. :j,()Oa:~1cR.. ,fU4K,' " , " ' ," FtJ$. " ho..s
, FLUE S.IZE . '~rO':RN:~$irb~'~~- ':", JNFUT ~TP~T
i;;,(.,~~).i"sit~'taM HErA~$;Q;'POWER. PLANT
, '8':' ;\Y~~".'P;8lrts .CJ'Ste'tqt' ,
,'~ E!abt'\v'ifeT '
I&H<cfe@tl'ti_ ' ' ., bn-'
D.Aif_jli~1.l1g : ' -iiiQ~9_~
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F~LA"CEMAK.aAND~W~e1.,~_~~~, ,_
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, P:LEA.SE NOTi::
Air Conditioner' Units
Cann<!tEnCTO-ach irtto
,R~li'U1!tLSfde Yard
Setbacks
Jndustria1, Commercial& Muhi4J.iinil1y ,
Residential, Reati'q~&A:lC (N~w~....;~!~~)
Resldenlid. He1t1llg,O~ly,(NewCons.ttut<U~~, '
, " , ,_~nl!.~\lJ1JE
~1%'1)tj$~$f' R:~ei'ltjjd, 'Gas..Fireplac'e
,S99SO: !1t1ti1ffi\l1~\;
S~;Si>: 'a-esicJenthil, Additions'&. Ailterations
f64~:50' R:esit!~ntiMi ACOnl}'
$39,50
!39,SO
539..'0
,Estimatt'ClrCOM$
BUildingPert1lit#
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R-ec:cipt No.
D:ate
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lY.ft
, U h~b1i6tl~e~t'qr'Ii1i~1tl"'~tilin.:,{9.~i}~;.9850"tlix (9S2)'.47~424S
l$'Q;~!J~:'~~fnul; Pi'lotLske.MN'5S372
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. "." DatI....
w.... . OF PRIOR LAKE
1IEA~I1(GlAJR CONDmoNlNGIflREPLACE pQM1T
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LEGAL ..,,~ ..oI!w!&t (omcc.. eaII')
LOT BLOCK AvU1UON,
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,(Addaaa) ~/~ L ~ ~ ,/(;1 #.
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APPUCANTSIGNA-ruU il4:::l~ff(~L1:< DATI p73/;;$: .
r . t . APPL1CANT I'l.&AB coam....... BELOW
, I l}PEWCO""..:u.,.x;,.,",u ~ : [JAL...c.aA~^ I .:' A A'" "
M.NACEMADrlw..wtt..'~ - , j 11 () , ruEL ~~
FLUE .lu.,&:l. ~ '. IUn1JQ 1...,.:....t1NGS 'INPUT ~ at...." l., . _ .
.1 iPE OP 5\.0)&-' 1IBA11N00Jl.l-()w1Ul.I'LANT
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-JAk o,..a.L ~ tpecIIl 0-;..
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ResfdaltitJ, HcIIIIa 0Itr (lW CclI\tInIedon) J6C.JO ,~ AC;.......... "
00 ' -..,
Eaimllled Cost S t ~ 1- Lf ';)~ 8aOdbI,Pemdr ,
HEATING PERMlTfEB s qt?J,O[)
STATE SUI.CHA1tGE 'S ..50
TOrAL P.I'.IlIUr I'D S /.f.4.4. cJV'
toIIIIe v.. o.tr) ~ '
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By
Z4 ....... fer.n &up r~. (tS2) """'50. fb (J5lI) 447-GA5
P R I 0 R LA KE DEPARTMENT OF
, BUILDING AND INSPECTION
INSPECTION RECORD
.
SITE ADDRESS I:BSO ~S,..~tJ AtE.
NATURE OF WORK ~W ~1~. NO ~CI' . tiUuJ.. 1=iw;Sfl(
USE OF BUILDING s..1="'; b . · -
PERMIT NO. ()5. OZz,(a DATE ISSUED ~iJC
CONTRACTOR ClD~ C.unb-. --SLDI~. PHONE.blz- 328-"&.c.
NOTE: THIS IS NOT A'"I>>ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOf} ,DATE.
FOOTING /ft/f # .l6ft,..('
FOUNDATION (Prior to Backfill) I ~t I ~r1?/0S"
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~
FRAMING M
INSULATION //PJ
ELECTRICAL
PLUMBING v/",..Ii-' I
"v/: I///~/~
HEATING (if required) J40'r t5//~~
FIREPLACE ~ ~//~/4.S-
GAS LINE AIR TEST .I!#/~ ...fJryc, T ;; If ~ ~~f( <tS
COVER NO WORK UNTIL AB,oVE 1:1 AS ,B~EN SIG~ED, . I
ILA111E'"/ "o_SeWf'l~ I1M#tI'I ~f'~/"s1 ~f/t ,'A n'4.J1
FINALS
GRADING (Prior to SOc;ldin~) ,_ /JIlf .-. ~
BUILdIN~,(:bJ ",,-Ii /lNu> tfitll) '1/1< {t:/.::I
ELECTRICAU u6.;('
PLUMBING /fO(
HEATING ~#
DO NOT 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 INSPECT,nNS (952) 447-9850
_/ "
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6/7J(ot'
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If//I/ob-/
Nf/oS-
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BEEN SIGNED
Ctlertifirate nf OJ)rtupanr\t
CITY OF PRIOR LAKE
~tparfmtuf nf ~uil~iug JI uspttfinu
~inal Permitted 0 Conditional e.O. Expires
This Certificate issuedpursuant to the requirements of Section 110 of the 0 Residential / 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the vario~s
ordinances of the City of Prior Lake regulating building construction or use. For the following: '
SINGLE FAMILY 05-0226
Use Classification, Bldg. Permit No,
~
. I
.'
Occupancy Type _
R3
VN
_ Zoning District
R1
Legal Description _
Type Construction_
LS, B2, WINDSOR ESTATES
Owner of Building
Site Address
13850 KENSINGTON AVENUE
Contractor's Name & Address CUDDrGAN CUSTOM ';UILDERS,
ROBERT D.' HUTCHINS. ~~
./vr r City Planner
Building Official
II. 10, OS Date:
POST IN CONSPICUOUS PLACE
22133 LOGAN AVE., LAKEVILLE 55044
JANE KANSIER
Date:
'AI,:" '"":'~, Ji.~.~LJ1;.;.cO;"< l.,,:i,',;';:;',, ;,'>{~' -~;;,.,';.J:,,,,_,,i;~...:'\~~'~~,~.l'~i;,jj,l "';\'J.,.;:~:i::i"";.';j';i;;~;:~;"'1':" (~i:L-~:,~~'~~~,,~;;,~ '. '~,~::.' ',~~~~~:l':;J-~'i"~~:L.'1:1 :~':L'~\~~;~A~:';~';~:'~~~i:-"'i.,....';.;"~,,.&. ,. '~,,:,:i,.:f~...J~ :[';"'~:J.:'. \'~ r,<;;~.~ '." "~'~ ~'L~~;"'."
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS --t::D 5V
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
9-FINAL
tJ SITE INSPECTION
COMMENTS:
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CONTR.
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SCHEDULED
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
g ~AIR TST
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)(.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~ CALL FOR REINSPECTION BEFORE COVERING
InSpectOrJ \; ~ ) Owner/Contr:
CAL~_>.~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
_n
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED J.!::j-fJr
ADDRESS l~gs-o Ke~JJf~^" &_
OWNER CONTR. ~Ub&~
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
o PLUMBING FINAL
o MECH FINAL
vl..EXI~jU.ING
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o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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COMMENTS:
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~ORK SATISFACTORY, PROCEED
.h ~RECT 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 A.RE FOR YOUR PERSONAL HEALTH & SAFETYI
I/I6NOTl
DATE TIME
,~~r-
/3t?cs-O h/?.s~h9k~ 4'2,
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ ~TION
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o SITE INSPECTION
COMMENTS:
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o EXlGRADJFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
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INSNOTI
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o CORRECT ~ .2~.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 & SA.~i:.II'/
DATE TIllE
d:/eJAr
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,/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
[] FOOTING
[] FOUNDA liON
[J FRAMING
[] INSULATION
[] FINAL
[] SITE INSPECTION
[] PLUMBING RI
o MECH RI
D WATER HOOKUP
[] SEWER HOOKUP
,,_" ',..MBING FINAL
[] MECH FINAL
COMMENTS:
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[] EXIGRADIFILLlNG
o COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLINE AIR TST
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[] WORK SATISFACTORY, PROCEED
~ et>RRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~p ~er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI