HomeMy WebLinkAboutBldg Permit 05-0057
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tv1Je or print and sip at bottom)
ADDRESS
t/'1t,3 wild ~ La n e..
/VvJ
LEGAL DESCRIPTION (office use only)
LOT ~t BLOCK / ADDITION
OWNER
(Name)
Date Rec' d
/- r;-a;-
I. White File I PERMIT NO
2, Pink City .05.0057
3 Yellow Applicant .
ZONING (office use)
PUJ)
5TE/l.LIN& ~u.~
(lJdcfJx; .
cx-t tILe. PIDQ?S: (~ /).- ('J f?-()
MGlJonaJd Con.siYI.Lc..+io,/) I IN <-
.
1~ol- /L/-SV",-, ~rW... Apple, va../lel/
J
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone) q S;;l- if3 ~~, 7 too /
MAl ~Sl2-y
ItA c-lJona.i~ (on~ +ru. dlrsn f / IV Co-
"JeFF /,1:1. -701 -~(P'f4 Jev-(4
-J
(Phone) qS;J. ~ Y 3:J - 7 (00 I
(Phone) q 5; d- - .;J..9;;' - 10 &, b
Ia ~ .........
TYPE OF WORK ~New Construction Gi6eck ~orch ORe-Roofing ORe-Siding ( s(ower Leve~in~ ~replace
o Addition DAlteration ~Connection 0 Misc.
CODE: !!l"I.R.C. DI.B.c.
Type ofConstIUction:
Occupancy Group:
Division:
A
B
I
E
IDlY
H I
2 3
V
M
4
A
R
5
PROJECT COST IV ALUE $
(excluding land)
35 ( (POD
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 proceed in accordance with submitted plans. I am aware that the building
:1~kr:::'" j~ ~'" F-=, I """ "". """d. ,ffi<W oc. "'tt ~23 7~"-;:;':'" 'ih;;U; UiO~ _,'
, .--...-- Signature Contractor's License No. Date I - '7-0S .
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
n
F
I
$
$
$
$
$
$
$
$
35;1.. 006.~
';;l.5/~O
,
1,~'7 .58
. 11ft,. f)O
I(}f) . DO
IIJO . O-e>
~ ,"0
qn . ()f)
This Application Becomes Your Building Permit When Approved
~~
Building Otlicial
~O~
$
$
$
$
$
$
$
$
~ 1.lll, oS- $1I1.3..?'f. 5~
Receipt Nol./f?tJ5 '1
By /!
0---,
B
S U
Park Support Fee
SAC
#
#
850,00
Jl..p;;O.Oo
~~O ~ 00
75,00
1~1JD,OO
I:OOO.VO
I ,n~c)
,
ThIS IS to certifY that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document I
~.~-~7;Jz:~C_"'f;~;1;--'=~~~~crti_rn ~~m~"
Planning Director { r Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372 ,(
/ '''-...
~
Water Meter Size 5/8'\!:)
Pressure Reducer
I SewerlWater Connection Fee
I Water Tower Fee
I Builder's Deposit
Other
#
#
TOTAL DUE
I Paid
I Date
-
U 35~O
. J-.;;LD ~
"
Th. ('.nltr nllh. tlk. Country
White - Building
C' ~~na'Y - EnOlneern Iy,:::)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'Ill t l&tJu:u~L
I
.I 7.0 S-
();)'4iJ../L/{ld;tZ~7<--/,1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo~ed at: I
. 21{J ~1Mh J\__;fl.'J0<- AlfU
- I
Accepted
x
"
Accepted With Corrections
Denied
Reviewed By:
/Y#;
Date:
/-/s'os-
Comments: See Reverse Sid~ fnr Arlcfitinoallnformatinnl
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~1
.... .$Y"~
The Ctnltr of the Lilt.. Counlry
~te ~ - tsulI.aln~ )
Canary - Engineehng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'hJe, A!t~
,
I 7. OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicati;1djstr~Z:;s ~ /VN
- /
,/
Accepted With Corrections
Accepted
Denied
Reviewed By:
~ ~~ Date: / /I~;;o/
;(?~ ~ ~~ '
~.
~ci/~
t II
---
~
~
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."
...,.....w
-
,,r.. .,,;.
The ('enl~r of th~ t.k~ ('ounlr)'
White -Building
Canary - EJlqineering
<:.ei,gk - PlanniJ],g)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'fJ / t /2iA iJutc(
,
/7. (~
(C) ~,j;iiL.{ i ett..c--z 1..-/)
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicati02n ~~c~struc~o~{~t~v~tY~hiCh is pro~o.~~ed at: A //J
. / VV "-oJ.:pU-r;Jt.u /'c...,,;'C ~.-IV-_ I v f/
- I
Accepted
Accepted With Corrections /
Denied
,..
..
Reviewed By: ~ ~ Date: / //~/t?t/
, ,. " / .I~. - \
Comments: It) I' ~ _... ~ ,~
/~.~ ~ ~~.
A,~,~/)~~~~~
~/~~"'1~' i/
~
'\l
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
ordinances of the jurisdiction shall not be valid,"
85/83/2885 17:38
9528816976
BOB JECHE
PAGE 81
Date Ret'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMI 1.
(Please \'me or Mint and sim at b. ~~, _)
ADDRESS
J ~ to h Uli-~{~ lttLu..- 1\/~)
~:; ~~ '.t"Ji,KMITNO'A '-I'~ I
~. 00Id AppllCAftl v.~
ZONIN G (otl:1oe IIIC)
LEGAL DESCRIPTION (offi.~ use only)
. LOT~ BLOCK \ ADDITION 7J+'\V' \ i'1<<} So u-th
~=Rtl~~~ l~ ~o...ktt
PID
(phone)
(Address)
(Address)
(City)
(.z~ Code)
APPLI~ 1 E. .1
(Name) uI e..UI\&.- 'J... (' ~.4Jd4T '~Gr
(Address) III 1) ':J=Ow.s (11 Qw~
(Address)
(Contact Person) -ilib n
APPLlCANT SIGNATURE
(p~nt)
~m ,'It 2v1o.n , IVl 11
. ( ty)
(Phone)
DATE 5~Ji"'Ol\
.~I,L/ l/
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
Size of water service --l- inches.
Location of any couplings from structure . feet.
Type of sewer pipe. 0 ABC [2fpvc 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from stn1Cture.
FEE SCHEDULE
Resjdential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a S39.S0 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
.50
PAID WITH
BUILDING PERMIT
.~l! @ .~ 0 ~ ~ .\l~eceipt No.
..~ ~ jot< MAY Ii Z005 J "
14 hour notice lor all Inspections (9S2) 447-~O. fax (!JS2) 441-4Z45
IBy
$
S
$
(OfJiu U,e Oll1y)
This AppU<lation Deco...., Vour DUild'n, Permit When Approved
Bulldl"l Official
Date Rec'd
CITY OF PRIOR LAKE PLCMBING PERMIT
~= ~y !'PERMlTNn_~_~
3, Yellow .\pplicant I ~. .::::> ~
(PIeuc ~ or Print aDCS Ii8n at bottom)
'ADD~SS()9G3 w;lds lane N. WI
ZONING (ollce\lte)
LEGAL DESCRIPTION (oftk:e use only)
LOT~BLOCK ~I ADDmON SferlYlC --Sn4fh
'"
PID
&W;:~R XU,DOh a Jd 0~IJ.zi('u.~f;oVJJi,c. (phone) f0()"'Y.J>~-tJ6{J f
(Addms) ?6Qj / J<sib ~ Jad I .1rp//" /!allet Jtzn_ rVO> 'y
. ~:;F;-dLP \. c::;7:9Y' ,PIuv.,b1J/ J;y(,. (Phone) bS-/- Yu9'-r?/~O
(Address) j,-SY Sufj,er/rJrJ .lJr; ve I )1I~);~V /}1)/J \.\n;;) 1
I) (Ad6ress) / ~ty) (Zip Code)
(ContKt Person) l / (.II) P t).J:;;, I 1-A .' (phone) 6.s- /~ Y\r9- cP/ rf' )
APPLICANTSIGNATURE q-J~ -- ~ .~!?A.T!5~ ~ -) 7~CN
'APPLICANT PLEASECOMl-LE17E BELOW,;
Qua.tity
/
'J
I
Y
J .
"N
J \.
. J
'y'
.........,
1'ypeot: Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
~a~ty'." ,
, . Type 01 Fixture
Rough-ins
Water Heater
Water Softner :
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
; }";'(
/
,
FEE S....AU.DULE
Industrial, Commercial &. Multi.family 1 % of job cost with a $39.50 minimum
Estimated Cost S / 0/ ~Oo. 00
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office U,e 0111)')
$99.50
$39.50
This Application Beco..Your Building Permit When Approved
,_C "'--i
Balldiai& (MIdal
Pa ~l \ ; ,;:~e~jpt No,
i U j : 'I i:.:: in iI
m{:"'."~." ,jIi1!
-- ,',' _, .J - ~, '_1' -", .':',::' ,',' _ _ _', l,!:t
.: Date '..' . .. " . ,',wi :~EB , 2 ,',', ' ,; i' );f
24 Itour notice to.. alllupeetlold (952) "7-9850. ti,ax".. . (951) 447-4245 ]"
By ...'
Lll 'i OF PRIOR LAKE
REA ILLiG/AIR CONDITIONINGIJ.4J..dPLACE PERMIT
Date Rec'd
1. f'jak JIlJc
2. c;.- a..
3. 'l'dIvw ~
PERMITNOS-~
ZONING (aflk:e
.-e)
/JI'Ieue ttD! 01' print UMltlp at bottom)
ADDRESS
rYq~ ~
~J/~
L&.h
AI. W .
LEGAL DESClL.r uON (office use only)
LOT BLOC!<
ADDmON
PID
- =Rj-?j7~n/l) ('~s.;'.
(Phone)
~3d ,.. 7~ol
(Address)
APPLICANT 1 J / 0
(Name) c". ,Tro )/ ~ I (\/1" (Phone)
(AddressJ..;J /A /0 G, I~ h ) fllJe f ~ z:;:..
(Mdreae) ." U (City)
(Contact Person). (phone)
I APPUCANTsrGNATURE ~~ -zaz~ DATE ~~ /7 -0<5'
APPLICANT PLEASE COMPLETE BELOW
~W CONST1W",uuLol' 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL~f~~ r c..9.J??~/oc:,J / ~ FUEL .<.b9 r
FLUESIZE :)1f.t:!!G RETURN OPENINGS '1 INPUT /~"YY' OUTPUT -W,-OOO
T\'PE OF SYSTEM HEATING OR POWER PLANT
Dwmu Air Plants 0 Sream
OGravity 0 Hot Water
J;;31\if~anical 0 Radiation
~ CODditioniDg 0 Special Devi_
JaVeat. SySlllm 0 Other Devices
~~-~OD1~
t5 5'b~ J./
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot En......-11 into
Required Side Yard
Setbacks
FlREPLACE MAKE AND MODEL
liE! S\"J1l!,DULE
1 % of job cost ResiclaltiaJ. Gas FirepJaQe
$39.50 minimum
Residential. HcatiDg &: AlC (New Coll.Stnldion) 599.50 Reside:utial, AdditiORi &: A1teratiODS 539.50
ResidemiaI, HtatiDg Only (New Couau .~',.,) $64.50 Residl;utiaI, AC Only .~ ~1i::J~$39.50
Estimated Cost $ Building Permit # VIiII~
HEATiNG PERMIT FEE $ ~-I:b:.
STATE SURCHARGE $ _SO, - ~l>~....
TOTAL PERMIT FEE S '1)~ r
539.'0
IndusIrial, Commercial It. Multi-Family
(onIce UN 0..,.)
This AppJieatioa Beeom. Voar Baildiag Perm.it Whea A,:, ~" ,,'ed
Bwild_ OfIiciaJ
Date
~_,_"'__ ,0-
p ~~~ [l; (i~~ ~~ I) R-',' ~t No.
ro ~. ~._~ L .~ Tr
. I: I
I I'jj FEe 2 4 200iB:,!) Ii
L-/
24 bo.r 80tice for aUilllpecOOIIa ("2) 441-~ <"2) ~~~245 ___
~--._.... "--'-'-'--~
lOO~
1IlV <Ia110&LNO~
9L~909tlS9 IVd LC:tl nBl S0061Ll/60
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERlVlll.
Date R.ec'd
(Please tvDe or Drint and silm at bottom)
ADDRESS
~: ~ ~~. I PERMIT NO.OII: 005-;
3. Yellow Applicant iJ. II
2963 WILDS LANE NW
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
Pill
OWNER
(Name MCDONALD CONSTRUCTION
(phone)
(Address)
APPLICANT
(Name) A.T-.:UEP FIRESIDE DBA FIRESIDE HE~T-I & HOME
(Phone)
6,';1-633-2.')61
(Address)
2700 NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
_55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
2/15/Q5
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
o Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK X 2
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Industrial, Commercial & Multi-Family
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
BUTgpe,.,it #~~
$
(Office Use Only)
BuildiDl! Official
\ ~~ ~ ~ Q \IJ U; ~~eiPt NQ
~a'llAR · 4 ZOO5 }Y
L J t/
24 hour notice for all inspections (952) 447-9\a~ fax (952) 447-4~__
Date
.
This Application Becomes Your Building Permit When Approved
.
t\
05/03/2005 17:30
9528816976
BOB JECHE
PAGE 02
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERNIIT
(Plelm! tVJ)e or Print and siltl\ at bottom)
, ADDRESS
fJ./11-4 ().J/) 7., 1 _. N
IJ1/ I tL fdlJ1.1. LV
I C;,.., ~il. I PERMIT NO I
l V.llo" C\ly ~~,"":/,A4IW ,
I (i~l; "PIllicMI ~,
ZONING (office usel
LEGA t OESeR. TPTTON (office use only) -
Lord. \ BLOCK \ ADDmON 0t <:.v \ ;Vl) ~'h
OWNER 1t.J'\ ~, .. II (.....; t
(N ame) \ Q.. \Ull\.{\ .~, '-....> ~ ~~
(Addre~s)
PID
(Phone)
(Address)
(City)
(Zip Code~
Al"PLlCANFr J"- 1
(Name) uI e.. '\,&.. t:. '" ('.2..1.1 tJ~
(Address) ,1 ~J b YD i,'\.tS (Ju,. C-. t...
i ,(Addrt:s,).
i (Contact Person) \1 ~ \ ;)1tiJ.c:J'~'1
I . " -l- I '
i APPLICANT SIGNATURE f,..{ . ',' ~ p
- . f
APPLICANT PLEASE COMPLETE BELOW
Size of water service -1-- inches.
Location of any couplings from structure . feet.
Type of sewer pipe. 0 ABC 0pVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from strUcture.
(Phone)
giflo.miulOi1 / r!lJJ
( ry)
.~~I,l./ 1J
(Zip Code)
_ (Phone)
DATE
h'" Li -()It
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'J & Multi-family 1% of job cosl with a $39.50 minimum
Sewer connection only $17.~O Wa\erconnectiooonly $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$
$
$
PAID WITH
.5~UILDING PERMIT
(Offitt {'at Onlyl
Thi$ Applicalion gecornes Your Building Pun,it When ApprovetJ
8uildltl~ onkilll
Dltt
~@ fi: 0 ill U;r\R...iP1NO
J P_V 1 0 2005 Il By
""='"
24 hour notice for all insp<<tion5 (952) 447 ffliO. fax (952) <<7-4245
PRIOR
INSPECTION RECORD
I "
~~/
LA KE DEPARTMENT OF
~ . BUILDING AND INSPECTION
SITE ADDRESS ~~ G23 \.J.J& WL~
NATURE OF WORK ~ lJ.JfTrt F"~lS ttf;2l LO WelL Lb-vt51",-
USE OF BUILDING S.ED f I
PERMIT NO. 05.0057 DATE ISSUED ~ 1'1 d~
CONTRACTOR J\C't>Q,^~ ()~ PH N CfS:<...4'J2- 7~OI
NOTE: THIS IS ; OT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
INSPECT.e') / D~
I FOOTING I " ,. f(fih 1/,E1I~
FOUNDATION (Prior to Backfill) I Y/1 .y~/ ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SllGNED
ROUGH - INS
_ __.4
~LlL ,} f'lVt
. )~
/~~ .p?;
SEWER I WATER I SEPTIC
FRAMING ~ ~~ (l/I tk>(
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) .
FfREPLAC~th (~r Ph! y N J/,kI/ft$"
GAS LINE AIR TEST . ~pr LL.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
L4~,^ IlbSt2. tu~ I I
I FINALS r\~~t;W ~~~
GRADING (Prior to Sodding) (LiL,) AI It '1) J'. ilr
BUILDING. cJh .
ELECTRICAL
PLUMBING
HEATING
DO NOT
f
I/J7/o~
.
1- ~ I:) -oS'
}(~l)
J-r J4~5
l-z.hct ~V
i} 5/.74,
~t> / \t~ 'I~ U1
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.
FOR ALL INSPECTIONS (952) 447-9850
Q1~rtifitat~ uf @ttupantu
CITY OF PRIOR LAKE
~tpttrfmtnf of ~uil~ing Jf nspttfion
~ Final Permitted
o 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 05-0057
Use Classification . Bldg. Permit No.,
Occupancy Type
R3
VN
Type Construction . Zoning District
L88, Bl, STERLING SOUTH AT THE WILDS
PUD
Legal Description
Owner of Building _
Site Address
2963 WILDS LANE N.W.
MCDONALD CONSTR.,
Contractor's Name & Address _~
ROBERT D. HUTCHIN&C~~/L)
Date: I 2. / I t I O~Uilding Official ~ ,
. { I
7601 2. 145TH ST., APPLE VALLEY 55124
JANE KANSIER
_ City Planner
Date:
I .
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
t2'- ~~NAL
-6 SITE INSPECTION
COMMENTS:
DATE nilE
SCHEDULED f~ . ('1Ilf{'
LJi ta~ l",.
CONTR.
PERMIT NO.
S::-o oc5"" 7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS~ AIR TST
cc::;.a.:
-
nr IJ)__ (lJ
\ .;,\~s.t., '1"'-ll- *~ Lo
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o COR~' CALL FOR REINSPECTION BEFORE COVERING
Inspect r: )) Owner/Contr:
CAL 44~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETYI
/NSIIOn
~ TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS 33 4j;'\As l JAu
OWNER CONTR.
PHONE NO. PERMIT NO. ~-OO~.
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
&-1~ ~ O'ttu.D Max zi/.!d- R.. I,IN
2. H~ Q--~ t~.
:~. ~ ~ '~tJJ\
, t~. ~~~r"bi. lW ~
I, Cr..~1# S+-er-- pX(PpJ;. ~
rr.
a
~
q _J-/F..
" II r I./J
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
l\CO RJrT.. " · CALL FOR REINSPECTION BEFORE COVERING
Inspector ) Owner/Contr:
CA l4~ FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
"
~
CITY OF PRIOR LAKE
INSPECnON NOTICE
SCHEDULED
~
nilE
ADDRESS ~~ y):\c:ls
~
OWNER
PHONE NO.
CONTR.
PERMIT NO.
~--~7
C FOOTING
C FOUNDATION
C FRAMING
C INSULATION
C FINAL
C SITE INSPECTION
C PLUMBING RI
o MECH RI
o WATER HOOKUP
C SEWER HOOKUP
KPLUMBING FINAL
o MECH FINAL
C EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
C FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/
/
/WORK SATISFACTORY. PROCEED
r 0 CORREC~A TION AND PROCEED
C CORREC , K, CALL FOR REINSPECTION BEFORE COVERING
'- ; -l \ 0wnerIC0ntr:
CALL~)"-~~OR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
_n
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-/105
PHONE NO.
11t3 w, !/JJ Ln
CONTR. -/f1t. [b,ttlJ
PERMIT NO. ~,S7
ADDRESS
OWNER
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
~~LLING
o cciDtriNr
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(~.,~f,
r
C-v,/6 is <0"- ,,~ Ie
~
T .A.b S
()(1 WORK SATISFACTORY. PROCEED
Y a--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 ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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