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Home My WebLink AboutBldg Permit 05-0045 CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE I,. --'lQ _ Oi,l AND UTILITY CONNECTION PERMIT 0.. .f5(:--~ n t J Bv.. ;Vo-r- /'<.~CI y I. White File I PERMIT NO 51 2. Pink City . 05.00 A_ 3 Yellow Applicant ~ (Please type or print and sign at b" ......,) ADDp....'1C; , ~."79 vj;\ds ~ Nw ZONING (office use) PUP LEGAL DESCRIPTION (office use only) ADDITION&erhnq So~ ~-lk,W,\ci~ 2ncLAddih'etfID Z-6.130 . DOz., .n ~=R "1\a.tz.\af+ \-D'\1Ds. ~. (Address) ~ \ 4~3 b-rehGldQ k "- BUILDER.....-;) r,.. I L. u_ (CompanyName) f\Q12J.grt ~ (Contact Name) (lcl\een ~ If.BecuL . (Address) 2148~ ~acl~~ '\" _a.~; J leI LOT 2. BLOCK I (Phone) 9.52 -q ffi -696 q ~;Jle, t'\~lb5044 - (Phone) 3..S 2..- CJffi - 6qsQ (Phone) tltl52 - '1 gs ... Lj /70 vn tJ" c5.5DL.J4 - TYPE OF WORK ~ew Construction DDeck DPorch ORe-Roofing DRe-Siding DAddition DAlteration DUtility Connection 0 Misc. CODE: rrlI.R.C. DI.B.c. Type of &nstmction: Occupancy Group: A B Division: I E IDlY H I 2 3 A R S DLower Level Finish o Fireplace B S U PROJECT COST /V ALUE (excluding land) $ ~. eo0.ev 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 authorizcd agent for the above-mentIOned property and that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building :cia an revoke thIS p~r JUs cause Furth.. . ." hereby agree that the CIty OffiCia2;;g ~D ':Jon the property to p..~v.... needjd 2pe:ii #I Contractor's License No. Date I Permit Valuation Permit Fee Plan Check Fee State Surcharge I Penalty I Plumbing Permit Fee I Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee V M 4 II F 1 'a ~ OJ IJ(Y>. 01::> $ ~~. ~O $ " 3oCO. i ~ $ /_~_ (}C $ $ $ $ $ loo . 00 I OD . 00 35. IQ(L 40.00 I Park Support Fee # I SAC # I Water Meter S~) Pressure Reducer Sewer/Water Connection Fee # I Water Tower Fee # I Builder's Deposit Other TOTAL DUE !AU1;:1J:J j.. 17, 65 I Paid I Date .I CfS5Z.7% /. /7. tls- $ $ $ $ $ $ $ $ $ 9.552. '7fJ , J<<4 60.00- ..'J f51UJ.. t,Seo.a, {ooo.c::tJ I J..500 '00- Receipyt.Jo. ~,., By.4 . U 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 requcsted. This document =qs:;i{7i\};;::-."m~;iT~;?"~troctio'M oom~. "fure~p"". ~""r_mO="'" m~'" 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 :':,~;~r-' <;;-'. Tht' (ot'nlt'r of I'h~ t,lkt' ('ounlry ~ite - Building Cananv- Engineering..) Pmk - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ,-~''') I-";~J _.( / j~//,) l"", :: ,j~'/) !,/...\..f/f--p,"LQ..-4 1'\ (./i-"" ~ <"__l.' 7 J 1 ') .' ~/L~ " . ,----1 tjL/ .......,; /;2 - ,~;..:;J- c7 - 0 (/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . , ;...."') . "1 ,;" "," ..., /1' , i--" (,t"J / ;/.-;1'"-:' /' ", -f.. /i / . ,"/ . ,. Lc:.) r. ,>} I (j L I ,.6:.rj!~-rij:_, ;:3o-.::;l t/ l/4:. c.,{'/..li"'c..t<-c-) ~fI'79 tJdJtj ~ jJ,w. Accepted With Corrections V 1/' v Accepted Denied Reviewed By: mff3 Date: J-Jl-05 Comments: See-Reverse Side for Add.itionallnformationl Drivewav Must Have A Concrete Approach _ __. u" See Attachments: 1\ Grading Plan. 2) Erosion Control Measures. liThe 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 ordinahces of the jurisdiction shall not be valid.1I ~\ rvynjte - Buil~ Canary - EngIneering Pink - Planning The ('enlrr of Ihe' Lake Couner)' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT Q~~ ~ APPLICATION RECEIVED 1;2.- d-C? -0 L/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: _ , L~(-.:2; f!,L I,' j;uJb>I~~o_dtlleWd~ d~7? W~ ~ ,u,W. Accepted Accepted With Corrections X Denied Reviewed By: C2.Q ~~ ~ Date: #r::;- Comments: J. W~tttkcW_ ~ enJ~~ ~. (krl tbr- 4o~ I"'~o..sp ,V\<>pu:.~fOIL "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." .~ '" Thr (.tn'er or fhf t.kt ('oUnll")' White - Building Canary - Engineering (pink - Planning) ....,. BUILDING PERMIT APptlCAffo't,J'O'EPARTMENT CHECKLIST NAME OF APPLICANT l<~l.t- GIA.I) i l./ ~-- '..1 APPLICATION RECEIVED I ~ -- (1- 0 (/ -' The13uilding, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '..' -) I 7.,- /. L (/ r>~ L j ~_ ,~:.{ ///' /..._)) .f I .",- i /d07~ uJL-~V ~ 1. Accepted With Corrections t! "J. {~ . i / / /.../<.../'.1 Accepted Denied Reviewed By: ~ m, f?1.eIuv- Comments:. De.c~ I Pa..t<:o ~.s~ ~ 1.t~ ~ d _ ~_ I~ (j ~ I "I cO~ ~ ..~-- , -/'k, ~ r/~ ..n ~;.8v...uJ . Date: "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: ~ 1YJ9fJW.- Building Permit # Address: Date: I III /rYS PID: Zoning: Existing Structure? YE~ Subdivision: ~ ~ @i;4..~.AJ.J. Existing Nonconforming Structure? YEs(!j).________~_ Legal: L~ ' 8--1 · CONFORMS TO ZONING ORDINANCE CYEQ NO Yard Setbacks: NA I FAILSI COMPLIES . Front Yard (can be 20' if avg. w/in 150') . Side Yards Standard 25' 10'1 25' if abutting a street . Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in length I. Rear Yard . Patio Door: provide for minimum fO' deck or sign statement indicating no deck wilf bebuirt in the future . From 100 year flood elevation of W~tfancfiNURP pond. ....,,-.,-),' .., -' . From OHW (Prior or Spring Lake) 10' setback + 2"/1' aver 50' 25~ 10' sidel 25' rear 30' Proposed' ,-~,,!,:~f" ~ f\.;.,-.H g......... -"C' ~ -ok. "'" r:l~~~&.. J,/ I ' ". ,,''""~ . ~..':-i. __' I L'-":-'-~1O'- ' ~i;;i~li.;re-1~ . "'''''''-.:_..:'- .,- ~.'i'~ .......'_... ",._. .,U..... __ _' .. ..' ,- I "\" --; ... . ...c;.t.. ," ,--- Ii! ~ .- ,- -'- '-'1 A._;::*~~C'-' .30 Maximum 75' or setback average of adjacent structures, but no less than 50' , Floor Area Ratio: NA I FAILS I COMPLIES I : Yard Eneroachments~ NA I FAILS/COMPLfES I ;JEaves: aoc:!-Gutters.namare thaI! Z feetin width and-no : Cro.seirtffan5 feetta a. ratlfne (Easementsy..~,2,>!!7in,;.i ,. AiCattcr.atha:;eq\lipmentcannpt etw.rO~~ollitrtect()r s~~. . ~~~~1 - Standard ~:."'~~P,~.~~~:;~~::,' l?rop' ose~~,:;l . ......-"...,._.....'n... '::. ....-:.,. , ,::':;'Frl:lpCise~ \0 J~-t^:I{F ~~~-'- '~r,. ".:;:r:WtJr -"- '- .... --: ~~ !'~v : :-:~~ . i: ~:-,~~,~:~~!?:'- r ~ree~::;;:::~:LFA1LSlCOMPUE$.~;__.. I. P-ermit25?l~ Removal . Calip,etrJiJCf:teSlRemo>led .. . CatrperrJaches, l!reserved t. Replacement: ~;:t Ft: L\TEJ\lIPLA TE\BLDGLIST.DOC ell x OF PRIOR LAKE HEA.l.l1oJG/AIR CONDIIIONINGJJ~1AEPLACE PERMIT Date Ree'd ~ =.. ~ I PERMIT NO.r _.I J~ J. YolIow AppIi.- <:J ~ C!'!.eue ~ or 1lIrint aDd &ia:D at 'bott0Dl1 ADDRESS ,n OJ Co 7Cf /;j;INS /.~ LEGAL DESCRu .l.lON (of&e use cmIy) LOT BLOCK ADDmON OWNER.c1J _ L I _ (.) l} (Name) J'<??T-z.. /..B....CJ- d! ~P?e.C!.. (Phone) (Address) APPLICANT ,/ (\ (Name). ~/to.he ~ ("L~ ZONING (of!ice lite) PID q %5' - ~9s'q - (Phone) 4~ (i - h(\~ (Address).., / Q!./cQ/O ~rn.JlJ flf)e. ~ (Adches5) - (J (City) (Contact Person) / (Phone) APPUCANTSIGNATURE ~:.d Z~" ;;/./1 DATE ~-12S -O~ ./ APPLICANT PLEASE COMPLETE BELOW ~w CONSlRUcnoN 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE AND MVlJr.J... 2ii)((')~ c q. L/Q. FUEL V41- FLUE SIZE 3 II PV c... RETURN OPENINGS q INPUT ...J'('). ~ OUTPUT ~7 r~. ~f'lC ( nPE OP SYSTEM HEATING OR POWER PLANT []warm Air PIUl1S 0 Steam OGrayity 0 Hot Water ~jcal 0 Radiation ~ ConditioniDg 0 Spceia1lkvic;es ~ent. System 0 0tIw Devices FIREPLACEMAKEANDMODEL ~ linl ~ ~ _ ~L -7~ FEE S"-.l1I!.DULE 1 % of job eost Rmdeu.tial. Gas Fircplai;c $39.50 minimum Residential, Haling &: AlC (New ConstructioD) $99.50 Residential. HcatiDg Only (New CODStruc:tion) $64.50 Residential, AdditioD$ &: A1t.l:r8tioDS 539.50 Residential. AC Only & ~ $39.50 rull.D 141() ~ ~1\IG ~l'Jy ,o~ i9~~ 1-tr1~ (E 'j 0 ill [E r::'. eipt No. I'litt ~~ .,. eFFR ? 4 ?OO, JL L_ ~ 24laour notice for aU iDlt ..:,.., . (952) 447-t: ~_(~):7~~__________ , - Industrial, Commercial&: Multi.Family Estimated Cost S Building Pennit # MEA TING PERMIT FEE S STATE SURCHARGE $ TOTAL II: I!.AMlT FEE S .50 (OIIIce UIe 0IaIy) This ApplieatioD Beeomes Your Building Permit When Approved BlIil~ 0IIie.1 DIlle ~=:'~ 4 (Zip Cocle) PLEASE NOTE: Air ConditioDer Units Cannot ~.........eh in10 Required Side Yard Setbacks $39.50 lOO~ HIV \1.:l110Hl.NO::> 9L6909tlS9 IVd SS:Sl IHd S006/S1/60 85/84/2885 17:58 "- 952~, BOB JECHE PAGE 85 I. ar- Filt 1 Voila\>< Cilly ), 0014 "ppli_ \~[E @ ~. ~~~~ I..:,. \:!I UAY 6 Z005 u '. ill m : -/ U B 1-----::::::::::- \ PERMITNO~~ ell i OF PRIOR LAKE SEWER AND WATER PERMIT (P~ tyPe or ~ and. t.iml at l. - --_l ADDRESS ~'lQ ~ I ZONING (oftk;e II.H) lll. k.~__ LEGAL DESCRIPTION (office use only) LOTa BLOCK l ADDmON S'+e~ .~\\~ <;:: 1'1 U ~~~R~r,- 7-1 ~ 1-" O\1l PI~ (Address) ~:""\'P~Jt"e, ~J]) 1'/o.c1dressl ''''1bj~l PIP (Phone) !.a.wlk b1J..f.f o:J!i APPLICANT (Name) JECHE EXCA V A liNG 2~' 0 JONES PLACE (Address) BLOOMINGTON. MN ~;&~1'2831 (~~ , (Contact Person) ~ "'~~,4-1} APPLICANT SIGNATURE J ~ J;:( (jf4 ~ ~ (Phone) (aty) (Zip Code) (Phone) ~/~ ?~D '7l/ SlR DATE 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. FEE SCHEDULE Residential sewer and water line connection $35.50 tndustrial, Com'l &: Multi-family 1% of job cost with a $39.50 minimum Sewer connection only S 17.50 Water connection only $17.50 Estimated Cost $ Building Perm it # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ S .JiAID WITH BUILDING PERMIT (OMtt U.e Only) Buildinc ornel.1 .\~I!f~ \~ 1\ Ii] li: '1\ ....'P1N Date fOrAY 5 2005 tJ: By I ~ LL . U 24 hour notice for an iD,pectioll5 ('51) 447. ~~o, fax (9~~ 44-''''245 _oj This Application Becomes \' our B,dldiDI Permit Wben Approved ; ,'" /: "" '~ '---.. PRIOR LAKE INSPECTION RECORD SITE ADDRESS 2(P / q _ Wi \J~ LIf\. ~ylA0. NATURE OF WORK ~,(ld}t1c,f, USE OF BUILDING S' F'D ~J PERMIT NO. - 05.0045 DATE ISSUED 0 CONTRACTOR &rl:z14{:'~ (J~,~ PHO E NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILDING AND INSPECTION INSPECTOR _ ,. I FOOTING fk>>Jf/.. J- ~~ PO 1j2(aS I Veek n y?~ I FOUNDATION (prior;o Bacldill) I II 2b/~ I LL.((L.ffl PLACE NO CONCRETE UNTIL ABOVEtHAS BEEN SIGNED 1//7/tn ROUGH -..JNS . SEWER I WATER I SEPTIC r~ 1/;,y):S- FRAMING r\ " t..J u fib ~4.h c.. .J INSULATION I$~.PI rt y'7 ;?l' - ELECTRICAL I PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST FP €I I/VI/ J..,. J,1-C COVER NO WOR~JJNTIL ABOVE H~N SIGNED L~~ /~ (1~ i/2J, .1 ~ /t; I , . )'.~~ FINALS GRADING (Prior to Sodding) IVB!ti/./tf.tJf- II J } BUILDING ~ {; PJ~/,-oh r /(J I ) f / ,((/ tJ ELECTRICAL v . / I I -/ PLUMBING we f II ~p/pr I I HEATING Vf' / ~/'~/~ DO NOT OCCUpy UNTIL ABOV)E HAS liEE~ 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. DATE 1/Lr7 2 - 7-2-0<'( FOR ALL INSPECTIONS (952) 447-9850 ~ttfifitaft (lfQl)ttupantu CITY OF PRIOR LAKE ~tflUttmtut of ~uilhiug JfuSfltttiou /)( Final Permitted 0 Conditional C.O. Expires This Certificate issued pursuant 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 various ordinances of the City of Prior Lake regulating building construction or use. For the following: SINGLE FAMILY 05-0045 Use Classification Bldg, Permit No, R3 VN PUD Occupancy Type Type Construction Zoning District L2, Bl, STERLING SOUTH AT THE WILDS 2679 WILDS LANE N.W. MN 55044 Site Address 21483 GRENADA AVE., LAKEVILLE, JANE KANSIER Legal Description Owner of Building /')_ RATZLAFF Ho<<ES, Contractor's Name & Address / A< RO~ERT/ D. HUTCHINS ( /7/-; 41 Building Official V (j Date: f" If? ) Date: . -. POST IN CONSPICUOUS PLACE City Planner ;"L';:l;R-"u;.ilti;"":t:i~llllil~~I;~:;'A:i.i~';"':i.r t.,i.~'~~;,;ii'~~i!..i.i~~~~~~~.>,.:,,~i..';~w~k~';";"""'il:~,-t;,'~~'I'L"';'~,:;";,,,:),.w,~",",",; ir:.:.t<.J.'~'\' ;,'.~~";'i,!J:~i..;js::';~i.il:t.:..\.t~:"J"' ~,",:;;,,,.,:;.,:-~.uk.l. .;..t.J! ',..~~/i.f;-:-'~, '\ ,.<' "'t~;';~;~\2~~~kh:j.. ..~::.i..-,.L;:~"i':;:-">ili'~kji~\u;"lil',I;,\,I,i;'<';~:iJJ~." DATE nilE CITY OF PRIOR LAKE 0/#- INSPECTION NOTICE SCHEDULED ADDRESS 2(, 7 q l-v t'U) <; ~, OWNER CONTR. PHONE NO. PERMIT NO. ?- OO</~ o FOOTING 0 PLUMBING RI o FOUNDATION 0 MECH RI o FRAMING 0 WATER HOOKUP o INSULATION P ",EWER HOOKUP o FINAL XPLUMBING FINAL o SITE INSPECTION 0 MECH FINAL COMMENTS: ('J.;"" ~ _'I Q( 0(> Cl ~ ;: ~\.t:f~ o EXJGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL {frllLl1~IR TST o WORK SATISFACTORY. PROCEED ~ORRECT ACTION AND PROCEED o CORR[~RK' CALL FOR REINSPECTION BEFORE COVERING Inspedor. . . .) Owner/Contr. CAL~ 7098.6 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. J CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 2 (,71' OWNER PHONE NO. lJ FOOTING o FOUNDATION lJ FRAMING lJ INSULATION ~FINAL lJ SITE INSPECnON ~i.:i.~ TillE ~ ~ SCHEDULED Wl'~ CONTR. PERMIT NO. [J PLUMBING RI [J MECH RI [J WATER HOOKUP [J SEWER HOOKUP [J PLUMBING FINAL ~MECH FINAL COMMENTS: I. f u k ~t. ~.L"A.M\.c..tC! Y< 'to T~~ S(&.~A\sz. _ ~3_F~~~~ '1. F~ at '" c9 ~ ., t'Cc.'l ~ TJ 'Il""'" 7 v 0-. Sv- .I- (n~.I.A C. ~. tJ-- ~t:.'. 7~ ~.~,,~_ )-~~ lJ EXJGRADIFILLING o COMPLAINT lJ FIREPLACE RI lJ FIREPLACE FINAL lJ GASLINE AIR TST lJ lJ WORK SATISFACTORY, PROCEED lJ CORRECT ACTION AND PROCEED "CORR~RKI CALL jR REINSPECTION BEFORE COVERING Inspector. Owner/Contr: CAL ~9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI 1NSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS 2~~~ L~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: I. F&'~ (;~o..c1L. \~. c.. S:d +TfU.&.L\ :r Itl.:...-L. ~(~ rlJIA-hr( ~ [1,,(:"' 6 --\ '"' DATE # TIME S"-oo4b- o EXIGRADJFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o ;;3 -I-~ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED Y-COR~K' CALL FOR REINSPECTION BEFORE COVERING Inspect r: . OwnerJContr: CAt.: -9 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE ~IREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETY/ /NSNOTl DATE TIllE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED I /-/y~ ADDRESS ~, 71 \.J,'/,6 /-"'- , OWNER PHONE NO. CONTR. ~ PERMIT NO. --'!).!-, '15" o FOOTING o FOUNDATION o FRAMING o INSULATION ~NAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL 'Iil~lING DCobmNi-- o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: (;y(:lJ. - It\ IL ...... ....... Cv ,f" &,,_~- tJ J{ ....... Sf r ~RK SATISFACTORY, PROCEED [] CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: ~ Owner/Contr: CALL 447-9850 FOR TH~ NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI _n ! SCHEDmRD 'fif? WIt-Of I-A/'. CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS Z(P7CJ OWNER CONTR. PHONE NO. s: OO~S- PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL SiT o EX/GRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o /1/0(''- vG JV , 7~ / /' / (J C I / .z:::-. I I ~ ~K SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CO~RK' CALL FOR REINSPECTION BEFORE COVERING Inspe or. Owner/Contr. ALL: 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/