HomeMy WebLinkAboutBldg Permit 03-0538
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT 5- G,-O.:3
See Main File
1- White File I PERMIT NO 5 71
2 p", C"y '/13 - ~
J. Yellow Applicant 1/:/
(Please tvQ~ or orint and sign at bottom)
ADDRESS
147L1~ /--J:/rS;/<- r:.,'!2-l-(<.- AluJ
I I
ZONING (office use)
PU{j
LEGAL DESCRIPTION (office use only)
LOT L"~BLOCK
I ADDITION'<;""" 41:"7...
C7
". J7 "'- ,
~
PID~S- ,~()7-()t/ 3- 0
OWNER ,,# f) U -
(Name) I'n ji1 I/~.-. eer <. J
(Address)
h/...eJ H~_
(Phone)t:;,~-4.!:~- ?(.,e) f
BUILDER /) (
(Name) /J?"..o-..>J L'<J>A;" .
(Contact Name) ,\, < ~~ Cc.JJ I $0_____
(Address)?(...Otl J 'l~T<- .,,"J- c:J~ c;;. 7' , A}lOt__ V""ct-.
..-
(Phone) C:;~~45?-- 7l::,cJ(
(Phone) bJ'J--?O( - fb4q
/77 . .,., ,r"\.
",-<;' r~ l(
TYPE OF WORK
~ew Construction
ll[Lower Level Finish
JiJpeck ~ch ORe-Roofing ORe.Siding
R.Fireplace DAddition DAlteration ~Utility Connection
PROJECTCOST/VALUE (excluding land) $ ,f6Z (S~ 00
/'
DMisc.
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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon e property to perform needed inspections.
i<. e -.9.. '<. 7 1-.
Contractor's License N'Q.'"
-'0<'- (,.,-0)
Date
x
I PermiiValuation ~ Z-Z. 0130, Od I Park Support Fee # $ 8''5"O.Do I
I Permit Fee $ 223t'o.9S I SAC # $ J 2. 7~.(')O I
I Plan Check Fee $ /49{.02- I Water Meter Size 5/8'(1'?) $ goo.OC I
I State Surcharge $ /(DI.OO I Pressure Reducer $ 70 , (') 0 I
I Penalty $ - I City SAC and WAC # $ lZoo. 00 I
I Plumbing Permit Fee $ 1"0.00 I Water Tower Fee # $ 7"0,00 I
Mechanical Permit Fee $ /CLO. El 0 I Builder's Deposit $ I
Sewer & Water Permit Fee $ 3~. 5""0 I Other $ I
Gas Fireplace Permit Fee $ 1'd, od I TOTAL DUE rJtl\.tW 1,,1.01 $ 715"ZZ .4-7 I
I
This Application Becomes Your Building Permit When Approved Paid I Receipt No.
~ ~/..; S/Z--';-/o~ Date Bv
Building Official 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
2?:n:th:: PI~~tempOwy cem;k;~O;liance and allows consseemeMaiii~' FiTeoccupan~ mu"be
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
~\
See Main File
(White - Buildi~
l,.;anary .. C1 ryllllC.;IIII'
Pink - Planning
Th~ (-"0'0" nllhr I..kr Counlr,"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~u.Y.d!. f!/YJUJA~ /.
APPLICATION RECEIVED 6: - t:, -(")3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i,s proposed at:
1L/9 L(S 'II~ ~~ftJ
/'
Accepted With Corrections "
Accepted
Denied
-
~
~
Date:
S/~3
I
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."
See Main File
White . ~uilding
C. l<!tnary - I:nyineerlng;:>
..inK o-l'lannlng
Th. c-.nlt'r nf lh. L.kf <-'oanlry
BUILDING PERMIT APPLICATION DEeARTMENT CHECKLI~
NAME OF APPLICANT
'I';
J j
>,1' ..
, I' / /~ .//
, ',~V i', ./ /,,' i
A \..:.../ if !:",<:/,I_~..
.(f'lZ~~~~?;~l/' .
APPLICATION RECEIVED
'" / .- 'j ';::'
~.'") ..../ '--.)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whJch i$ proposed at:
'.' .; c' . J
;' l ,,, i "_' .__'
('.J ,'( c2..-C I.J.C?
/. ,/),
./ t:/ '~'.
:)
//~",'zQ~- (i
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/YJti5
~4' /fJe./n PI'~
Date:
S"- J 1../-(<) 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."
~~
See Main File
White . Building
Canary . EnQineering
"""-:-Pink - i>la,in~
-
Th~ ('rnln ,If the L.kr ('ounl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ))} J , ! ,,( / ^
, , .. ' t, "-J ~ '--"
.- (0 -; ) -
APPLICATION RECEIVED . ~-"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which i,'5 proposed at:
/(/. ,l.
/ ,j I / '-~- " , '. .....: ( / f l:
./ ;., <
c_"'
1_
Accepted ,/
Accepted With Corrections
Denied
Reviewed By:
~:
.
~
Date:
S/z-~3
.~
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."
From : JECHEEXC
PHOt,IE t Jo,
612 8926396
A1.l9.01 2003 6: 23Af1 P01
~~
!:.ll.
I, .'0 ,I~:'
p.' ,."
, / ~,~
, ~~'I~
, "f
I~",=,'~_:j:"<,.~ ~,o :~~~,<,;". ' .
I '~J,J.1. (.g',\~, ,
., .:tf!i.".I' ~"/ c. . ,
tue ~ or llriDr ADd 11m. .t bonnm'
DDRESS' ,
;~~~;,.Ijj~F t!,' J/)';j (' . (,;y "m
d."lo....\'...'",;.....\.....,.: ,....,...._..__..
B~ DRSClUPt'lON (om" u.. only)
t~~~;~~i.~~~" ADDITION 51-M:~!:~2~:::~'--'"
;;;}~ I ~ ~()JC1 f.-j - . .' _.. . ._m_.... (Phone) W 4 ~/fJ61
~!:~ "1:.;~; 'h0\ ~I ;J1l17_1~ll.d./tlltJ~~'J.~"$<l' , .
~o'l\I1'I2lt'Mlt;ti"'" ~',,_I IAddre,,) _._..__"_.._.._..J::T_._(CI!YL~~:~O*) '-,,"'."i
~~o11...~l~,;jl1,ot~':r.lj.i~,:,:>.:: .
....... "- -- -- 1__----+-=---,...,-____,_. .. ._...._..~_...
~~e.e.I\P.J EV0. ____..__.___...._ (Phone) '.. t.1;) "J!J{)'lY.:SJ,"
1;~~::i,~~!,.1'~If). -r- 01 -L MAl rr-L/?(
~)r~ ./"'~aS: Ul'l~,p__.._. B!W!111I1yIOh l.'U.l, '7,7 ~..,
~~J~';l"",;;!. ~'~~ ",," .."'"
.r,l'''''i { . .".. , l.l,f 1 nQ ^ 20 r-/
~::~:.~~~) O.J' .. __ ... (PbOlW) ...'-l 01 IV) II 7>:1 f"...
~~LlCANr'sIONATURE jl ,IL ~P._::..._ ."-.____u_ _____._..~!{I..I~~.. '? _I ~()]
"~'~"(.)':: ' f~
I"~'"~
CITY 01" l'RlOR LAKE
SEWER AND W ^ TICH. pm~MIT
I., .',
" " ;~'~':dfl'\"~~:" ,\,
. 'i' ".-1 1l,'!'J.. "
I' '11I1t.RM'~
f. . 1'-, '"I
. ' " ,
'. ';};3 7
I, '"-, I'll. 11'ERMIT NO jlI'l' ' \
1 v.ll^"" Cll)' , ~l/"'~""'~~
1.1..,IA AJlJlII_1 I
ZONING (oIlb UN)
1'10
"
APPLICANT J>LI>:ASE COMl'Ll::'l'E Bl>:LOW
.-----_....__._._w~...~..__
" Si%e of water sel'vi<.:e I in"hcs.
Location of any couplings from stHlC\\lIC __.._._. feet.
. Type of sewer pipe. U ABC [rl'I'YC 0 Casllron
Estimated length of sewer line ~512.. fecI.
'Clea.n out (lfrequired) Iucllted at f<.:<.:t from ~Iructurc.
.-.--.----.....--......--....... ....
le.ldentlall.oworaud water line connection ~)S.~(l
low.. connoctJon only $1'1,50
FEE SCHlmt)Ll~
IndtlStl'l:\J, <":01\\'1 &. ~t\llli.J;.IJlil'y 1% of Job cost with D $39.50 minimum
Waler C;Ollllcdhm 0111; $17.50
Estimated Co.! $ q Z; i)
(j\Jilding Permit"
SEWER AND W ATclt l'l::l~MIT \-'I'T,
STATE ::;UKCI'lARGE
TOTAL PERMIT FEE
~/. .b.
" ~b. '9~
~6' ~l>y
~-9~.
i.~rs'''@ ~ I~\' Kocolpl NO.
. - - .... " ,U fu".. _. \ [' 11)1 1'\
a.t(' I I rer
.. ... .. I II.: "AUfJ 1 2ll1B-:!j " ."
14 hnur' nollet f(,r .1I1I1spcchf)lI~ (')~') jJ' L1~O. r1lJ (95;!) 447--424$
1
$
$
,.._-~
om.. UN 0.1)')
'I'll" Appllc.tI~; lhCOlncs Your nulldlng Permit WI."~n A/lprO"f"tJ
bulldli\1 Official
.
8y
._-----_..__.,._--"._~-_._^-----.-----
FIRESIDE CORNER
#1999 P.OO!
CITY OF P
HEA TING/AIR CONDITI
(PJe2JC ~ or Print Ind sit!n l'It bott:om)
ADDRESS
FIR ESIDBr..
.oR LAKE
G/FlREPLACE PERMIT
Date Rec'd
;~"" I PERMIT NO. 3- 53S'"' I
HEARTH&-H.OMEN
1.4945 HILI-SlDE CIRCLE
ZONlNG (office ,,'OJ
LEGAl, DESCRIPTION (omce "s. only)
LOT
BLOCK
ADDITION
PJP
OWNER
(Name
MCDONALD CONST
(Phone)
(Address)
APPLICANT
(Name) A1JJED ElRESID1lil.M..ElJYillDE H~AJiQ!tE
(Phone)
651.633.25(.1
(Address)
2700 NORTlHAJRVJEW AVENUE
(Add",,,)
(Contact Pmon)
BRENDA HUSTON
ROSEVILLE
(Ciry)
(Phone) _651.633.256J
55113_
(Zip Code)
APpr.JCANT SJGNATURE
BRFNDA HUSTON
DATE
8/22/03
APPLICANT J'J.EASE COMPLETE BELOW
xD NEW CONSTRUCTJON 0 REPLACEMENT 0 AI. TEM nONS
FURNACE MAKE AND MODEL fUEL
FLUB SIZE ReTURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
Ow."" Air Plants
OGravily
o Mech,nlco.J
OAir Conditioning
OVenr.. Sysrem
o Stcom
o Hol W'lcr
o Rndi'lion
o Spec,"' Devi...,
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach imo
Required Side Y3rd
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR.()AK X 2
FEE SCHEDULE
J% or job c-O!t1': Re~jdenliat. Gas Firepl3ce
$39.50 minimum
Resldenli,', Healing & NC. (New Construction) $99.50 ~-:-.JU-,;nr'1!i;ll. Addilio", & Alterations
"',..",. H,.'~ 0." <N- ,,"~,,,,, ,~" II , II: """'~,. '" "m~
l"J ~~ ", c', lJ ,'J J;
Estimated Cost $ : I)) ~~i\diQl1: ~ennjt #, 0 ,0",,,'0
l-fEATING PERMIT IJIJJI u~ ~ '1 2003 ,I oU'l.D" WIn
STATE STJRCHAR E $ ISO ~IVG p J.f
TOT AI. PERMIT --- - S---J 'l2F1I1rt,.,..
Industriar, CommcrciJJ & Mulri-FtJrnily
$39.50
$39.50
$39.50
(orne. Us< Only)
Thl~ Appllcallon Becomes Your Building Permil Whcn-APDrOYQd I .1. Paid I I Receip. No,
A 11p.ur,II << lff/1II.e ler.7.mogres7frnnt
ill _ . . Builder J)ivr~'i(j '1 I Date I By ~."'., ""
~ ", ( n,..lfhncO~m'J Fairvirw AvrnllC Notlb.....BQHJl}f'flc. MN 55J 13 J.hork.':;CL""L'HJ::1 r....v "(L~3J.:.SUU;lil " , '
'Ill,,""" "'.u', 3850 Went l-lj,8'j,'iiar JJtIPc'It~s.~ill~lp1'o1ct;!o~mM~2flJj~?:-P.~~fH1~4~~h~~2-890-5408 ....,.. ,~_ .~.,~~
w"..nI"l1IdM'D.~f\fJI MN (fln1r~~I~r 1.1.~l!nu~ II 2fIf)l)1)91 I
__ _ __'_~ __.____._ __ ~.--.=._=_.......' rJ:\.l.UJ:( LA.t\..C;
I4i 001
CITY OF PRIOR LAKE
REA TING/ AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
(Ple!.3C: t'(De cr oritl.t s.nd ~iED at bottom)
ADDRESS
_ /2/9-'15' 99!/Is/Ne
~ ~;.~. ~:~ I PERMIT NO. 7._r 3~ I
1, V...,...... Appa~~1\1 , J ~
ZONING 10",", '''I
ell', N I,J ,
LEGAL DESCRIPTION loffio. '" only)
LOT
BLOCK
ADDiTION
PID
OWNER n
(Name) h70.().-,. \nj>. }
.('~/,l
Cfhone) .J/~,9 - '/A:) /
(.A,ddIess)
APPLICANT 1/ n
(Name) rr.A'//Y",/;P",,}
(Addtoss);;1/;;7I("\ U) /r,.,,, )
IAMm,)
QJ;'l
Cfhone)
...y' C () . vX');O d-
F:s;.."a. L/
(Zj~Co<lc)
(Jill":? ,
"cn fA )
a (City)
(Contact Porson)
P;;~:d
'2/1' , ~;5l
(Phone)
DATE
APPLICA.NT SIONATURE
APPLICANT PLEASE COMPLETE BELOW
)d'I'lEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL CC'>>,.,.,P-oI'IJ'>?4Jf(' CG/?;7ftl t a '] < FUEL A/A' /-
FJ"UE SIZE ,'{ If Pt!(. RETURN OPENINGS INPUT ~(")t'lC\ OUTPUT ...b.-C{ <"'Y"r)
TYPE OF SYSTEM HEATING OR POWER PLANT
oW..-m Air Plants
oGruvity
o Mechanical
DAir Conditioning
OYerl.f. SystClTl
os,,"'"
o Hot Water
o R,di"ion
o Special Dc....kcs
o .Othcr Devices
PLEASE NOTE:
Air Conditioner Units
CaT-mot Encroach into
Reguirod Side Yard
Setbadc.s
FIREPLACE MAKE A]<,'D MODEL
Industrial. Comrncrcl.e.! & MQltl~Fami1y
Fl1Ji: SCHEDULE
J % ofjoe cost Residential, G2.S Fi',epl~c~
S39.50 mini~um .
S99,50 Res~de:r!ia\. ,Additions & Altcrarior,s
$64.50 R.esiQ~ntial. AC Only
539.50
Residcotis.l, Heating &. .Ale (New Construction)
Resid::~tiaL Be~t:ng Only (}lc~ ConstrJcUon)
S39.50
S39,50
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERIY1IT FEE S
eU1I.P"lID IA.
D1'vG rV/'rlj
. p~~
'1141.,.
Estirn2.t~d Cost $ Btljlding Permit #-
(Ome: USe' Only)
Building Omcil\1
....,--.,_.".~-_.-'"---~:~
~,'j L.c; II iieceipt No,
i .i1PatAUG 2 7 2003 jl )'fY /1....
O,t. []U ,( 'fI "
. . J V
24 ho\lr nctkl! for :dl in5peetibn~ (952) 441- ~~o--,__~~___~~_~_~~__~?-4~~~___-=-
Paid
This A~pHc.ation Becomes Your Building Permit Vf'hen Approved
TOO~
lIlV a31101l~NO:J
9LZ909~TS9 XV~ 9T:LO IlI~ EOOZ/ZZ/RO
......_-_._~.__.._-_.~-------_......_~--
F~OM WENZEL PLUMBING & HEATiNG 651-452-0367
(WED) 9 3' 03 7 52/ST 7 5LM 4860053574 P 2
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'cI
CflC'uc ~ or })rint and 1.iJ!!3 at bortoltf)
ADDRESS
. 14145' JI"_l-SIi:JE..
C'1l A/tJ
LEGAL DESCRlmON (allia""" only)
LO-r43 BLOCK J ADDITION
5~,-ox. Scur-1fI
OWNER M (J. /J
[Name) _1'((, 'bAJ/kJ:) ~CN!j..,.~n~
I (Address) 7WJ/' 115'121 5r W I j!)~j)l.E:.
'APPLICANT I. J IIA
(Name) wEJJttL f'(t;.u.lA~
(Addz...) ED A~J4~nEJl- I?IJ .
(AddresS~ '
(Contact Person) MIKE. 1cJ:t- (phone)
,APPLICANTsIGNATURE ' 4f ~MA.~
QuantiI}'
I
,
f
4
I ,
P.
I ,
I . ~
~,~~ ~~ I PERMIT NO'3- ,53 (), I
J ,.'..... '-'p"I,"'1 _ U
ZONING (omee"'l
PID
I fhone) ~- 412. -~o I
\-:'~ PIP
r -
(Phone) {,~- 452-- ISb'!{"
~ !:;)~uJ
(City) (Zip Code)
DATE
9/3~3
Type lIf Fixture
Bath Tub with or wi1holJl shower
Dishw.,;her
, !,'loor Dram
LavlltOry (BBlhroom Sink)
Laundry Tray (I or 2 cumpamnent sink
Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
qllllUtil>i
APPLICANT PLEASE COMPLETE 'ELOW
Tylle of F1J:tur.
FEE SCHEDULE
Industrial. CommercII'" a: MuJ[i.family I"'. ot job 100'' with a $39,'0 minimum
10m" 1,)" Oft!l')
1
I
Rou~h-ins
Water Heater
Waler Softner
Stand Pipe (Washing Machine)
SewBlle ~jector
BackHow A.sembly
Boc:Jd)ow As.embly Test
Lawn SlIrinkler
Other
R.e.sidcnti.J. New One &. Two.F.vndy S~9.S0
R.,idenli.l. Addition. &. AIl.rallons $39.50 (f ,
ESlimated Cost S Bui1di~ Penn it. O~- 5~8 p~ ~ c.,
PLUMBING PERMIT FEE ~J PAID WITH ..r,.., ~
STATE SURCHARGE l\U'LUII~U t"t:t1WJIT fv' fb I
TOTAL PERMlT FEE S p~10 0,1
Thi. Applintion Become. Your BuiJdinc Permit Whrn Appro.cd
BUIlClI"1 Ur1'i~i.1
D.lt
n,1 fra;;;; ;~ rl :;: r I"'"
iirlL:::J "--' 1_"'"] '.; U Ii,:
ll[i[~O 4 2003' By
Recclpt No
~4 hol.. .;(;~j~1" 71:.," &11 irlspc.:tiDfI. (ffiJ" ~VCl~~~'~_~_~~.:_1) ~~_~_~~_~.
PRIOR LAKE
INSPECTION RECORD
. .
SITE ADDRESS ~S' HiLLSIDE CifCLg ~. t\J,
NATURE OF WORK NN COi3T t..ucrl6f6
USE OF BUILDING S. f';~ . _.
PERMIT NO. 03-{).!)"5B _ DATE ISSUED ~itlJlj)J~3
CONTRACTOR ~LJAL~. P~~ ~I-&'fl(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SEE lM.ilJ FILE
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING
, FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
P'L; 8,1
SEWER I WATER I SEPTIC
FRAMING
INSULATION cJlA- (fi>/~ ~
ELECTRICAL
, PI/< 7-'(, d
PLUMBING l/, C:, ,'- VI '<;lIa.l'
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST /114, .rp ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.
1S71A~~JCU~~GD Jr<WJt I
, FINALS
{j" D
~ 7-/~
~
/0-2..
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
~~
A
~ \'2--tOlR>
ltJC
rff<
.J
/2?S
~
HAS BEEN
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
@rrfifiratr of @rrnpaur\!
CITY OF PRIOR LAKE
~rparfm~ut of ~uil~iug Jlusp~diou
'ysFinal Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Pr!or
Lake regulating building construction or use. For the following: ." j
Use Classification
SINGLE FAMILY
Bldg. Permit No,
03-0538
Occupancy Type _
R3
Type Construction _ VN
Fire Zone
N/A
Zoning District
PUD
Legal Description _
L43. Bl. STERLING SOUTH
Owner of Building
Site Address 14945 HILLSIDE CIRCLE N. W.
MCDONALD CON~TR.. 7601 145TH ST. W.. APPLE VALLEY 55124
Contractor's Name, & Address
ROBERT D. HUTCHINS
I I I ...... I .'" Building Official
Date:~
I :' I
. 1/
V v
City Planner
DON RYE
Date:
DATE TIME
CITY OF PRIOR LAKE Ijl2.[O~
INSPECTION NOTICE SCHEDULED
ADDRESS ~l"l.j~ !JJtsr-dL.r G,'t-
OWNER CONTR.
PHONE NO. PERMIT NO. 5-~~
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
eULATION o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLINE AIR TST
. 0 SITE INSPECTION '~ MECH FINAL 0
COMMENTS:
~~ ~ ~'lo
~ORK SATISFACTORY, PROCEED
1u:ORRECT ACTION AND PROCEED
o CORREC~T WO ,~K. CALL FOR REINSPECTION BEFORE COVERING
Inspector: \ 7 Owner/Conlr:
CALL 7.9\50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <I SAFETY/
INSIiOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1(/1 c.jE)
SCHEDULED I z' (--()"") crt ?6
!I(l/~~o ~ ;.r-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
5 -"=) ~
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
jj( PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
\. W> r:;r LvtTC) 'Wl-'1,e"lpj
2. D,r ~.DO..t)(hJ~~
~. ~'J.",,,^ P~.t (1~ f
- r n
Lt. {>..,_,,,&lg, f)cn,cc k_j/~'\^,l,~{ --t'u_f'
3. ~~ (\I~. -~.*
iEI ~^T ~ .p
r
~l() lW
~\ Slt0
/'
eRK SATISFACTORY, PROCEED
)!!<CORRECT ACTION AND PROCEED
o CORREC OR ALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CALL 7- 50 FO~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~NTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY!
/ OONOTl