HomeMy WebLinkAboutBldg Permit 04-1119
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERuIlICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
/0. I~;
~. ~i~~ ~:~ PERMIT NO. 0"'-. III a
3. Yellow Applicant "'r-,
(Please type or tlrint and si2ll at b~ ..w_l
ADDRESS ZONING (office use)
/44-78 ~\JElJ ~U~I
LEGAL DESCRLt'nON (office use only)
LOT .5 BLOCK ~ ADDITION KJJ08 Hll-L. 5"~ ~lTl0to..l
OWNER
(Name)
(Address)
~I
PID 25'. 3(,8. 03'.0
(phone)
BUILDER
(Name) J(e.y t AlUh U~5..
(Contact Name) MANbV
(Address) Ji02.1 ~'SH :PO'~T=t:b. Se: ~~ Ole l.A.V-E Ht-.l
TYPE OF WORK
(;J11'ew Construction
o Misc.
DLower Level Finish
PRomCf COST IV ALUE (excluding land) $ 2.<4lo I t::t:x)
(Phone) ~ 2.. ~4+0- A4-~
(Phone). A~-..4AD- ~~"\
'55372.
ODeck
OPorch
ORe-Roofing
ORe-Siding
Dutility Connection
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 ... w......J in accordance with
submitted plans. I 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
enter upon the property to perform needed inspections.
X ~1j. Si~~;~ .--::>
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#o1~' {JOO.D 0
$
$
$
$
$
$
$
$
I q '2-9. (;0
J Z 5'L/.IF
}z,3,00
100.00
100.00
~$" _ so
This Application Becomes Your Building Permit When Approved
~~
Building Official
IO/~lo 10 1
I Date
$ V.s-O',tJO
$ 13'!;~ .e 0
$ 2-So.eo
$ ~S .00
$ 12...oa. DO
$ 700.00
$ 1$00.00
$
10. Z-6. 04- $ 'I. 477. //3
?J.;.....;.: 'ho. nJ7.i
Bv _ /
/
o Fireplace
DAddition
DAlteration
-12. - t:)f.Z::L)4.
Date
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 constiljlltes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~",,,Z~ /"A>~./oi ~-~c~
U hour notiCe for all in.... ...;':ons (952) 447-9850, tax (952) 447-42045
16200 Eagle Creek Avenue Prior Lake, MN 55372
./
.
J~;e:;~
Contractor's License No.
I Park Support Fee
I SAC .
I WaterMeter ~e5/~1";
I Pressure Reducer
I Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
#
#
I TOTALDUE ~
/
I Paid f ~"17. I r
I Date . / I. .:l 6 ,..-
White - Building
Ca~al"i - ~~9.in~ring
C t'.Wc - "lannlng ::>
The' Ct-nlrr of the take Country
BUILDING PERMIT APPLICATION DEpARTMENT CHECKLIST
!
APPLICATION RECEIVED
,l(utJ~1d ,Li:J:LH !
(I - .) /!-() (l ~) ~ ~ ~ U ill ~
t OCT 14 2004 J
The Building, Engineering, and Planning Depar ~nts have reviewed the building permit
application for construction activity WhiCh~~JroP. a at: '
I q t/ 7lff K U/lIcA t rl. r-
, .
NAME OF APPLICANT
<'I'-
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
Comments:
~'
,
~
Date:
Ic;4~.y
if
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."
,
~
........"
.Job/" . /~~79 lllUl.e'/l c-I-
*f . I. C:, ., ilEa nO AIR
.T.....,....... ;V~
.0. UN
.........
IrwpecIN
.PerCMl c:~.
.r . ~
FinIII r , .:, n
2!!!
!lm!
I'clurI$
"'--
PERFORMANCE TEST
1/, V ."-" co ,p
VI 5 ..... T..... ~ 7
-".:.:..
.~
..
:~
0..
..1
<Jfhite . Buil~
Canary . I:ngjneering
Pink . Planning
Tht' Ct'nfrr of 'hr t.kr ('ounlry
The Building, Engineering, and Planning Del-'~n'l ".,(1'('':': : ._~ re'dew.ed the building permit
application for constru;;;c;~ whiC:P= ~r-
Accepted
Accepted With Corrections /'
Denied
f'"
...
Reviewed By: ~-~ Date: /o!-e-G:.. (;;1/
~ I
Comments: ~ <2:::LI' ~~. c:::J - d)~ (I +
~ ~ ~~ ~~~/M-~
~ d ~--. /
~ /lUt~~
-J
"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."
White - Buildlna
~arv - En9lneeriilD'::)
Pink - -PlannIng
The Cenl.. of Ihe I,ak. ('ounlry
BUILDING PERMIT APPLICATION DEPART~NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ / ...." }
, /'- I
I" -1 (,.,.../
,. \ j:.:..{'I_.'U-11 Ct---
I .
/~ t" ~.il
/1_ ") ,I I-//{ /'
I..~ _"" --1'4, .iF ,,-. ,
, _....;T
..j.' /
/1' ,/\,"
. ' ;;""'-~' ~"{'i.l ;",.I.--'j
.. "..c.' l,n.,Jc.-'-J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which .i~.~roposed at:
/".. G i./,.'" /!) ,4-.-...
If L/ 1 ~ (\ (t,./fie/i'A ~.}
Accepted X
Accepted With Corrections
Denied
Reviewed By:
/YJ1{3
Date: -1fJ -iJr?-or
,
Comments: See Reverse Side for Additional Informationl
~ep. 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 ot 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."
;'1
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~
Building Permit #
Address: I '1'. ~ 7 g
Legal: L~ . B 3
..
~
Date: :!()IZ~/o ~
1'10: Zoning:
~ It.llt;~ C!.IJ u It!:..:r
Subdivision: K~ fl-dP Stb.-
Existing Structure? YES@
Existing Nonconforming Structure? YE~
CONFORMS TO ZONING
ORDINANCE
YES
Yard Setbacks: NA I FAllSI COMPI:.IES
. 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 minimumf'O' deck or sign
statement indicating no deck will be bunt in the future'
. From 100 year ftood elevatlo-".of~~~rtd1NURP
pond .
. From OHW (Prior or Spring Lake).
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
3D'
75' or setback average of
adjacent structures, but no
less than 50'
J Floor Area Ratio: NA / FAllS(COMPLlE~
.30 Maximum
Yard Encroachments: NA f FAll~IIY!PLJ~.
.__1
Eaves~Guttersnc .......~ than 2'feetiri widtbanctmf
cfoser tIlan: 5 feetto. a Jotlfne (Easemenfsl ,., "," .
NC.~.otber:equipmentcannot encroacll.on;in~riQt
sfdevards.,~'r'\' .
Standard
'ftee.Preservatforr~t=Alt.S I COMPt.IES'~...".
. IO:taf:catiperinches
I. Permit25.% Removal
. Ca!iperlnches8emavecL
. CalfperJnchesE'teserved
I. Replacement
Standard:
~1
L:\TEMPLA TE\BLDGLIST.DOC
NO
I
>-,....~,.,-~'""'~.........,._..~
Proposed .
ZS' ,
IS J. :W'-,:. ~~~""-~.
......,... .."~'..'
.:" .....,-.'''kf~ ..C{ .... ."
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No
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Pr:oPos~~..1
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~
NDU-16-2004 10:59 From:D&D MECHANICAL
9528904650
To: 9524474245
P.1/1
Dnte Rcc'd
CITY OF PRIOR LAKE PLUMBING PERMIT
t~.I~i1..~~.m"C or IInnl and $ill/\ Il~ bouom)
ADDRESS
L__fi.l~':LJ.' df ~ LJ II. t ·
I 1I1~ ril. PJ!,l'\JdJTNO.~
2. Cold 0.,
) VlflOw Appli_
ZONING ("mer UJt)
LEOA r..: DESClUP"fION (office use only) .
LOT $" BLOCK .3 ADDITIO't!-1( N4--1.J....l,L Sit.
OWNER "~I A..) )J._
(Name) r f~'i) ~S
(Address) J7()~1 F,sH /Jr. L/). st.
. .. - - ,
PID
(Phone) J/~tJ - etJ<.Io 0
~!"tJ:tt LpJ:f./f.. : rnlJ. $S 3 7 ~
APPLICANT
(Name)
DaD Mecluan'eal
J025 W Bwy 101
Rldtll R
(AddrCsiImiP, MN 55378
95~8288
! (Contact Person) ~jJAJA
i .
I APPLJCANT srONATURE
(phone)
(Address)
(CiLy)
(Zip Code)
Quantity
~~""-f:'~_ t:~
. V
APPI"ICANT PLEASE COMPLETE BELOW
Tvpe of Fixture Quantity
Bath Tub with or without shower ~.
Dishwasher '
Ploor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartmenT, sink
Shower StilI i '
I Sinks
Bar Sink
Water Close!, (Toilet)
(phone)
DATE
1I111.ItJtI
r
I
I
I
!
Tr~c of Fixturo
Rough-ins
Water Henter
- Water Soflner
. Sii'nd Pipe (Washing Machine)
I Scwa~,e Eiector
I Backfjow~Asseinbly
I Backt10w Assembly Test
I Lawn Sprinkler
.. 9thcr
FEE SCHEDULE
11'Iduslrinl. Commcrci;ll & Multi-ramily I % or.i~b COSl wilh:J S3Sl.S0 minimum Rcsidcnli:lI. New One &. Two.ramily $99.50
Residential, Addition5 &. Allcl':llions SJ950
E.stimnted Cost $
Building Permit # _~ .. I U 9
(Office Ute Onl}')
This ApplicDtiun Ucc:omcs Your Buj)din~ Perlnlt When Approved
P4UMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
9 l:J. Sf)
.50
/lJ().OO
pJ. 1J'f 8u., J...De:/C.
Pl\id
Receipt No.
Date
By
. Dulldin!: amelll
Olll!
24 hour notica for lllllnlpcetlnns (952) 447.9850, rlllt (952) 447-4245
METRO AIR 952-447-8126
p, 1 R 'd
..,...,.",; oc
1. 'Ink
1 0.....
). v.lI....
~!~ I PEltMIT NO.
^~IIl..nl O~ - \ \ \ v...
crl~:fJlllVtl.t: OJ orult IIld s1lm at botUllU)
AJJQRnSS
\ ~ ~\ ~ ~ ~ \l OJ\ ~ -\-. N €.
ZONINa (IlmeeU!e)
L~Qi\L DESCRIPTION (omet: U5e ollly) \
lOJ S DLOCK J> ADDITIO~ 1'\ 6\ ~ J \
OWNER \J \ ~
(Nitn}c) --J......y'J (.,\~, t\ "~
(A~d(CIS) \ -, D ~ \ \.,~ ~ ~.\;"
,
s;'b.
PlD
e 'f )~O- \L\\~
(l'hollC) ~ S ~~ ~\\~.... ~~ C~
55 ~rl).
API' 1;-1 CANT (0 \
(tiaI11c~ '\<\Q...:"-f\:l ~\,,.... ~- n ~
(A~dl':ss) \~(\~\:) 'i~\L<.),",",_ A\!'-..
(MclfC~
(C~1l1nct Pel'SOO) N c..\ V\ L. \/ - l,..." ~ \., \ \.
^tlPUCANTSIONA'rURE ~~ 1 ~\).h.
(Phone) <; S ~,,~ ~ -1 - '~~ \ :)., \.{
(l (, ()- \.'-1\~ ~,~ .S ~ ~ -,~.
(CilY) (Zip Codc)
(1' bone) 9~' ':A. \:\ 'it ....,. 'lS \ '.) .'1
. DATB
APPLICANT PLEASE COMPLETE BELOW
.
SEW CONSTRUC110N 0 REPLACEMEli'\' 0 ALTERATIONS
FUI'lt'iACEi MAKE AND MOIJBL Cc.V"o/""" r..,I'" h cA ..., \ ~~-.I V IlUEJ.. N~-+
JlLV~ slzn P'" c.. RETURN O)IENINGS ~ INPUT\ ~~, \\,,~ OUTPUT 13. ~
'ME OF SYSTEM HEA1'ING OR POWER PLANT
" ~WlI.nn Air I'llnu 0 Sleam
JOravlly 0 Hot Willer
~ Mcchanilllll 0 Rlldilllioll
Air Condiliullil1g 0 Speeil\ Devices
Ven!. Sy#lcm 0 Olher Devices
I'LEASI! NOTE:
Air Conditioncr Units
Cannot Bncruach into
Required Side Ylll'd
Selhackll
FI~IWLACll MAKB AND MOJJBL
FEESCIiEDtJLE
1% or Job cost R~ldel1lilll. O.s Fireplace
$39.50 minimum
Itesld~f\lial. Healing &. Ale (New Construction) $99.50
Reside/Ilia!, HClllillB Only (Ncw COIISII'llcllon) $64,50
Estlmllted Cost $ \ \'1 S" ~ t\ OS/
Inll\ISllial. (;uU1lllerel.1 &. Multi-P'al1lily
$.19.S0
Resldcntinl. Allditiol1s &. Altcratiolls
Residcntial, AC Ollly
.$J9.S0
$J!I,SO
au Ilt.ling Pel,,,lt 11
HEAnNG I)ERMIT FEE $
STATE SURCHARGE $
TOTAL I)EUMI'I' Ii'EE S
.50
(OI!iCt Un 0111})
.
Thi~ ^Il(llh:atlolll)ecollles YOUI' BulJ\I;pg Penult Wilen Approved Paid
Receipt No.
Dale
By
Dullllllllomd.1
Oftte
24 hour notice fOl' :tll hllpecllDn3 (952) 447.9850, fnx (951) 4"?<lI"S
11/11/04 THU 13:01 FAX 952 890 2753
STOCKER EXCAVATING
......... ~q.Q.L..n
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. Or..... File I PERMIT NO
2. Vcllo... COlt . 04 11
). Oold AppiR/Il - 19
(Please me or Dtint: and silJ!!.!.C..!?otrOm)
- ADDRESS
14478 Raven Ct
ZONING (llftioeuse)
LEGAL DESCRIPTION (office USe only)
LOT 5 BLOCK 3 ADDITION Knob Rill 5th
PID
OWNER
(Name)
Kl!yland B01lles
(phone) 952/440-9400
(Adclress) 17021 Fish Point Rd.. Prior Lake, MN 55372
(Adcltess) (City)
(Zi? Code)
APPLICANT
~ame) STOCKER EXCAVATING COMPANY, INC.
(phone) 952/890-4241
12336 Boone Avenue Savage, MN 55378
(Address) (City)
(Contact Person) Curt ./ ,,___ (14 t! (phone) same
APPLlCANTSIGNATURE t:.v<;:(~~ ~~ DATE II-Il-Q'
APPLICANT 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.
(Address)
(Zip Code)
FEE SCHEDULE
Residential sewer and water linc connection $35.50 Industrial. Com') &. Multi.family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water cOMection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~A..~i 0'\'\, ~.l. ...-.... ~:
. J1'W:J.~" ., }....;
· 'U ""cMl'!:: 1;." .;i;.'" ~.".'
. .j(}u:rttwv, ':h.'::w i,
..
(Office Uge Only)
This Application Becom~ Your Building Permit When Approved
. Bulldillg omc:ial
Date
~)ijici@ ~ ~ m ~ ~I Receipt No.
j,' DfJ{)V 1 5 2004 By
14 hour notice for all inspections (952) 447!lB.50, fax (952) 447-4245
,By
~_., "...."".. .......'._......r......,.. ,. . ,..,,,..,"-
;>
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /tl/J./78 ~I-J ~r
NATURE OF WORK AI.EW CC~sr~c:rr."
USE OF BUILDING $.f:: D · ~
PERMIT NO. . ~. /.LJ'II DATE ISSUED ~ ,.(
CONTRACTOR 9VLMr/ ~",p PHONE.!n..4lC/".......
.NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~.
FOUNDATION (Prior to Backfill) I'~ /~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.~ ,.~
(;1;(./
tP' /y Y
,? ,p~ /''''y
l/VY/ / I-I y()(
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING'W ~~'I'au...(
tlEATING (if required)
RREPLACE _
GAS LINE AIR TEST ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
LATN,J H6MSeIAJ/t.AI' 1P/70y I
, FINALS
GRADING (Prior to Sodding) /fI2? P: lC)..w (IJ-
BUILDING ('J~ tiW'\-t1 1/1- (JcJ
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
t
FOOTING
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
D~TE .
/~zVoj/
J-Iyff.,
/P1j
lo/! I~
. I
vvv/ ~
I YW~
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.
1)-- J-)r()'J
7, - I {, -tJ:f
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
1
..,:. :;.j'i ;./.:.;. '".,'.J.J..i,.;. ~:..,,>:~ .,t,I',~~~'~'" ,'.~ Jc.;ii;:.';.i~, ,,:';';1'2~t.i;.;,,1'~tA.:"';;:~''\:i.I;jL:'.i,~O:'~~1'',,:,,;''~~';,i.:;1'';:H'~;iit;,.;.".i';"~-'~K ,,',.ni::~i,;;>J1..;t,,'~'.cf:..i:ai.~ ,,:;.H.'.:z:,'~ '-'~ '';; ':~:iii~;;':;'.......'..:..1;.:~~.i~'i..';...1.;"l.;.>l'\;>'"'''I;,'.~:,iWI-;''':; ,-.', ~"~,.,,...~:. _..:.i~:::~"'";
,:_,~. ,'d.\,..i.."~",~,~, I '\ '
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE )J.'E
2-1J.-05
ADDRESS
/!/1{15f ~
~-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
(j) rt ANVIJ-.
CONTR.
PERMIT NO.
4r-111?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
.0 JU!WER HOOKUP
..i!f'"PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~AAt?5
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~')FtJ~ FOR REINSPECTION BEFORE COVERING
Inspector: 1!f Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOrl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
B- /.7<
ADDRESS
1'-1&./ 7g K~VIII'- c,
PHONE NO.
PERMIT NO.
Kevllt"j ~\
I
---.b 4-1'"
OWNER
CONTR.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;X, FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ EXI~ILLlNG
cr COM"i'fJa"NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~
G~-/)~
I ~ Bcrl- J!>Y-
Af WORK SATISFACTORY. PROCEED
"ct- 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 A.RE FOR YOUR PERSONAL HEALTH & SAFETYI
_1
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
J-/!'.(}..s-
-I'
ADDRESS
/l/L[?~ ~ / A-
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
4-/(/1
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
&d1 fr:, 114 ~4 { ~ti 5 kS A-{?
,.......+- It..,! {~LJ J,./fk &N'I\.J ... ~ fJ~lJtt!1k
,::,,.11(4/ C,...L, a/JIJ"1Jv~ J J
),..1 d. ~e'S i:J.N. d~~VI'tb1J-
/(up fJ4 J.. nJ Jqpy blodu.l. Co-' #1 J- r I
d~(J/ ~i rr
r~ (!~ 7-/-(}.)
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
roRRECT.~"LL FOR REINSPECTION BEFORE COVERING
Inspector. r V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY/
lNBNOTl
DATE TillE
CITY OF PRIOR LAKE F~
INSPECTION NOTICE SCHEDULED
ADDRESS J.Yl/7A ~)..f "--
OWNER CONTR.
PHONE NO. PERMIT NO. ~-tiL(
o FOOTING o PLUMBING RI o EXIGRADIFllLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
<-FINAL o PLUMBING FINAL '~~~~IRTST
. J SITE INSPECTION o MECH FINAL
COMMENTS:
ot -{,
"\0 ~ R Q0L
~WORK SATISFACTORY, PROCEED
o CORRECT ACTIO AND PROCEED
o CORR T ALL FOR REINSPECTION BEFORE COVERING
/
Inspect r: 1 Owner/Contr:
CA 4.47- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HE.4LTH cl SAFETY!