HomeMy WebLinkAboutBldg Permit 05-0509
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5../0. 05
(Please tv1Je or print and sign at bottom)
ADDRESS ZONING (office use)
I. White File I PERMIT NO
2. Pink City . Olr. 0 ~- /'0
3 Yellow Applicant :.::,} , ....J V-/
, '""'-~\a. \. ~,~'::.. ~ Clo.(. \,. "-"->....-.
fZl
LEGAL DESCRIPTION (office use only) ~"'-~.... If
LOT ~ BLOCK \ ADDITION \y, ''-~ ~ o..~ ,'-- ~ .~~
OWNER
(Name) ~ ~"-....... ~ ""'S.~"-=.
Q...~."
(Address)
~o...__ ~~,.,:~..';._
......
BUILDER
(Company Name>-~.~L~_"""'__
(Contact Name) \Jct..,-
(Address) \ ~~ ~ ~-a....... 't:;)~-""-'
,;".,.........-J-~
PI~~1/,..4
(Phone)
(Phone) \o.s..,
(Phone) \a \.--..
~~\.o
~~,
......""u 0
\. ''''-\0
~"-~~ "":!:.~C
<h... "'~-.
x '-J '-oc........ ~~'-............_c. or-
Signature
$
$
$
$
$
$
$
$
s~..OCX) . QQ.
3,4s-r.C\o
2~ 2'14. i8
. 2. $'l::) . ()()
TYPE OF WORK ~New Construction ~Deck o Porch ORe-Roofing ORe-Siding
OAddition o Alteration OUtility Connection 0 Misc.
CODE: l'slT.R.C. DI.B.c.
Type of ct;struction: I IT III IV V A B
Occupancy Gronp: A B E F HIM R S U
Division: I 2 3 4 5
~Lower Level Finish
~Fireplacec<....~ ')
PROJECTCOST/VALUE $ -5~Ol <.:>uO
(exclnding land)
I hereby certify that I have ti.tmished information on this application which is to the best of my knowledge true and correc!. I also certify that I am the owner or authorized 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
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.
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
100. DO
If/D. 00
35, 50
L/O.CJO
This Application Becomes Your Building Pennit When Approved
f 7/t;,r-
, ""-So.,,
Contractor's License No.
SJ s.. J c::;S'
Date
Park Support Fee
#
SAC
#
I Water Meter Size 5/8'0
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
#
#
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
Whenw;. . the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Celtificate of Occupancy must be
Issue
_ NJ. ~ ~(T'f,~
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
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts',
Reviewed bY~ m.1Y\e1n- Date:.5.13f /0 s'
puO
Zoning:
Building Permit #
Address:
PID:
Legal: L 1 , B f
Existing Structure? YES ,19)
.
Subdivision: V& @ ~ ~
CONFORMS TO ZONING
ORDINANCE
Existing Nonconforming Structure? YES(NO)
~ -
( .y~ NO
'Yard Setbacks: NA! FAilS! COMPLIES
. Front Yard (can be 20' if avg. w!in 150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
. Patio Door. provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
pond
. From OHW (Prior or Spring Lake)
I Floor Area Ratio: NA! FAilS I COMPLIES
.! Yard Encroachments: NA! FAilS !COMPLlES
Eaves and Gutters no more than 2 feet in width and no
closer thanS feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
Tree Preservation: NA! FAllSl COMPLIES
. Total caliper inches
. Pennit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement
Standard
Proposed'
\ -A
f\ .~
I
%:1
L\TEMPLA TE\BLDGLIST.DOC
1 Driveway: NA/ FAILS / COMPLIES
· Maximum width at property line
· Required setback
· Maximum slope
· All parking areas to be paved including R-V or
spaces adjacent to the garaQe
· Location to match subdivision QradinQ plan
, Building Height: COMPLIES I FAILS
I Shoreland District: NA I FAILS I COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
I Bluff in Shoreland: NA / FAILS I COMPLIES
· Setback from top of bluff
. Bluff impact zone
· Enqineerinq certification submitted/approved
· Gradinq in bluff or bluff impact zone
I Floodplain: NA I FAILS 1 COMPLIES
· 100 year flood elevation
· Lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than 2 feet below
ReQulatorv Flood Protection Elevation
Accessory Structure: NA 1 FAILS / COMPLIES
· Size
· Not located in front yard (Materia/s)
· Side yard and rear yard setbacks
· Maximum heiqht
· Materials compatible with principle structure
L:\TENIPLA TE\BLDGLIST.DOC
iili,,,,'/IJ;~
.: .lI..~.,
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Engineer
No importing/exportinq
Standard
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior Lake 1
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90..11122/97 then
additional fooUs not required.
Must be flood elevation or
. higher
907.9' for Prior Lake
913.4' for Spring Lake
Standard
832 sq.ft. or 25% rear yard
I
I 10'
15'
"hli ,~ il1,. ......r...
Proposed "... t
o~.0-( ~O)
AJ: ',' /9-,
~""
()k"'~
6171'
"I) A. ,
Proposed
~ { /11.;1"'
I VI I ;.1'
I [.. '
"
Proposed
.tJ fA
If
/\,)I+1
Proposed .
!
/
1\
---~
I
Proposed
I~ 1.11
{. l
-=-.,.~.&: J ,.. .
The" C<<,nlC'r of Ihe [..111' Counery
White - Building
C C~n~rv - enaineerlnd)
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
t~V e /II,) /i'?'H /1// i,./' /~;r;/"'/t5 .~-:
:.5-. l f.~i (/.5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ~j6 & I t !/ / DOS ;:)/I/ze: /V/7 }/'
Accepted
X1
Accepted With Corrections
Denied
Reviewed By:
~
Date: ~-2if-o.s-
Comments: See Reverse Side for Additionallnformationl
See A tta~bment~~ 1) ~rading 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.1I
Tht ('tnttr or thr t.ltr Counlry
<:W.biIe . BUII~lInq,.)
Canary-. Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
we IISI'1/1 /1/ If/ HtJ/'1t55
5, / (). 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4~(P/ ty/(,(}S ;::;/1~W/9-V
,
Accepted
Accepted With Corrections
><..
Reviewed By:
.~
Date: ~/;7;:o-
~/ I
Denied
Comments:
~.JP aff-~
~~
~
"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."
/
/ .~
~...<,,,,,,-
Tht Crnlrr of Ihf l..kf Country
White - Building
Canary - Engineering
~ - Planninv
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f'l/bl/5'/'//i IV/V /-!tJlvlt5 ~
C //., /', J""""
~. (./. "'-'
~'!!"-"..
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4- e t, / t t/ L (/.J' ? /1 k~t:::. It/ r1 V
Accepted /' Accepted With correcti~ns
Denied /~
Reviewed By~ht r ~
Date:
g- /~(IOS
I .
''(!
Comments:
Air Lionciltioner aLd O...:her Mechanical
Units Car..not Encroach into Required
S5.de Yard Setbacks
"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."
10/24/01 WED 11:22 FAX 6124474245
CITY OF PRIOR LAKE
I4J 001
CITY OF PRlOR LAKE PLUMBING PERMIT
Date Rec'cJ
(Plene: type or print ROd sign ;It bortom)
ADDRESS 480\ \;),\J-.s. "Vk~"
.
~.~; ~:~ I PERMIT NO.~. .,. ,
J, Y.,.... AppllcUlC ~. ... 'WI" -I--l
ZONING (olftee we)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
Quantity
, r.
I
I f
~'
- --,
I ~
I r
I
L
~~? l~\eA"6m(",.<\~ '~omes. . (Phone)r:.~)-Lf{X-WD6
(Address) I g~ S- 'P C\V>.. k. 20\ 'k o'llio ~V'\ I VA. f\. ~.... ) :zr:s
~:;~~ANTtJ~e.\ ~\b~ ~ \-\\~~. . (Phone) 6S1-fs)-/s~
(Address) 171D ~~~ ,~J. _ ~ Mn~ !:::6/:2"
~ (A~) ~ (City) (Zip Codey
(ConractPerson) ,\,~ ~~~.J.' . (Phone) tsl..-%;l-/S"65
APPLICANT SIGNATURE ~ DATH IO}\q)ot,
~LICANT ;LEASE'COMPLJ!.!.r.. '~ELO~ · I.
Type ofFixtare ) Qaantity Type of.vlxtare
Bath Tub with or without shower ~ . Rou~ins
Dishwasher I I water HNter
I PloorQrain ""'''8..
j Lavat9fY (Bathroom Sink) I J j StandPipe (Washing Machine)
I LaUl1dry Tray (1 or 2 compartment sink I I Sewap E~
I Shower Stall ,- I Backflow Assembly
I SinkS' I I Baektlow Assembly Test
I Bar Sink j I Lawn Sprinkler
3 -1. Water Closet (Toilet) I I Other
FEE SCHEDULE
[ndwllrial. Commerchd Ii: Multi-family 1% of job co,t with a $39.50 minimum Residential. New Onc &. Two-Family $99.50
Re;,idential. Additions & Alterations S39,50
Estimated Cost S
Building Pennit #
PLUNtBlNG PERMIT FEE $
ST A IE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
~llDING ~ERMIT
(orntt Ule Onl)')
....~.._...-
al\l!: 1:1\ - 1KJ!
Y~LJ..o~' . ~'l'UI'..A"T
GOto. on
_....;,........,....,-JliIIN.UflI1ln!tu::.,'-...':L...;.l~"'-....,. >,;'!./.I;.J1"1o"'I.~~,,j,r NVJllf.JliR,I"",I-i'j .;i h 1,1. ~'llill~~d ,ilOI""";[I~.. ,J,." ,,!~,I,ll.l lii..I,I.llI. .'''11:-
-
I ""'....-1 n If r
CI~Y OF P~IOR ~.KE
S 'E:H'EP p.1ID !fIATE? ?S?l.-!IT
NO.4: SIJf'
HOT'E::
Se'....e:::- and Ha ter
contractors must
be registered
with the City.
F~
io:'.
s -= ~ ~-; ~.~~_-?:: :
W~e\ ~~\,
lL.g&\. /~~\~~ V\<W\L
.. . 'If!!l!~--'' ---'- -- ---..-
PHONE :65)-'-I9-"J!;65
ID tiljoL/
)...PPLI CA.NT:
ADDR~SS:
OAT:=::
~-";'"'r
--,-- --
'":)":"''":)'',f7!''T'''l
=~LL IN Th~ 3L~~KS
1.
Es~i~a~ed length of wa~er ser,ice
30
fee~.
2.
size of water se~vice
/
inc~ (es). 41 M
S"'::::::-'.1c"'::ure 'I\J{ V\-
PVC K
,3CJ
feet.
] .
Location of any couplings from
4.
~ype of sewer pipe.
ABS
Cast
Iron
5.
Esti~ated length
of
ser.....er
line
6.
C!.ean
out
(if
requ ired.) ,
loca":.ed
fee: ~/lIL
at ~feet
f:-cm
st:.=:.lc-::u-::e_
=============================================================:====
Th~s a~~licaticn becomes ~ou~ pe~it Nhen approved.
BY
DA.TE:
=======================================================~==========
F:'::::S:
s
s
s
]5.00
.50
]5.50
Sewer and wc~e~ line connection pe~mit.
Surcharge
TOT.~L
*
?2e fc~ e:the~ sewe~ C~ wate~
S .50 s'.J~c:.arge.
i:-:c.i T,/ idua 2..1 y
lS
$20.00
plus
'"
S e '."V' e :" 2. n C "~./ 2. t e :::::: De ::-::l i t. s i s sue c. -: 0 ~ n e 1",./ can 5 -:: r..l c t: ion In U S ~ be
-o,...~~-l'f3 ~n "'~11~" '~~;,..,c ""'e~'~ c",~-l ",'- "1-,0 +-i,.,,,, 0'= ~ss',,:>""rQ
::: :: - ~ :. s~: j ~t} Jju ~R .~ T. ;' ~ c -a;J ....: ll, -'- s~ y,:: =- ~ ~.: -l '-. -.--: :> ~ :; - n eL _-_I ;- ~ _ w - ;. :::
'- '--' -- 4 . 'tJ l....~-.l1-. .....:. ...... ~ ':- _ '- ;.j - _ L;. . ~ '''"'"' -H '- '...- '- - :- _....:.. '-.::> -- -- -
iss:.1ed
. JUN 02 2005
..........-~- .....,--
~....':-". _...:. ::' .....4. ...... ~'
---/
t\YO(j~':' D.). 7'f?AID WITH
BU(l]),,~. ....t:HMIT_...
;z.::: C I 0 3 'f
F~=~ ~::: :"-:: ~
Bv
06/27/2005 MON 9:37 FAX 952 767 1900 GENZ-RYAN
. ~ 0021002
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please ~e or l1:rir1t and si2l1 at bottom)
ADDRESS
jLlc;[ol (frd O~ \-=>\< u. )tj)
~:~:. ~~ I PERMIT NO. ~ ~(J.
3, Yellow AppIitllll ~. 4iii" IJ
ZONING (ofElt:e
use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER U ! ( \
(Name) ~('6i'Y'l rA;l't1t\VY'fS
(Address) I ~0F5 PI011l) D(". S{-C.~H:
(Phone) 0~ ! -C10S'- ?;70C;
rv\',
.--1< ~;
-LQgLtun, l\}\ 1\! 53 J (~J-
APPLICANT r )
(Name) L-rtYrL,. r<-lJ(J V,
(Address)~XO L"U, H-U.)L.'] 1'3
(Address)
(Contact Person) t<lr\'') ~~\\ji I Iv
/-J4ifY'"> ;=--2P.J/IOiJ/ft; DATE (V' kJl-lIO S
, APPLICANT PL'EASE COMPLETE BELOW
~W CON,STRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL LeVlno 'A C;tLj ~ U r:- Lj g C - J I (; FUEL L-vA -J (~l1 L,
FLUE SIZE RETURN OPENINGS 1 ~ INPUT 110, {j()U OUTPUT /(1~i UC~)
TYPE OF SYSTEM REA TING OR POWER PLANT
fg.Wann Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
SAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
(Phone) qF)~ ~I !i1- 1000
B W'l'lSvi j Ie
(Cty) (Zip Code)
(Phone) Cf5 d. -7(/;7 -- I J1 (f /
c:J)3~-7
APPLICANT SIGNATURE
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & Ale (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residentia~ AC Only
$39.50
$39,50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$-
.50 PAID WITH
_._,.,..,.:".:BUff D~G PERMIT
~rJ;ii1'j i . ., i #eipt No.
; I ..~
I at;ll " 0 6 2005 iSy
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildinl! Official
Dati:
"'-,
24 hour notice for all inspections (952) 447. '~~, fax (~:2!~~~245 1
,........ .-.......,..._____...J
CITY OF PRIOR LAKE
tlEA 1.11 ~G/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvIle or print and siltll at bottom)
ADDRESS
14861 WILDS PARKWAY
~. ~~n ~::y PERMIT NO.~.. ~o
3, Yellow Applicant ~ .. ~ f
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name WENSMANN HOMES
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HQME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVJT T P
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
_ (Phone)
651-633-2561
APPLICANT SIGNATURE
BRfNDA HUSTON
DATE
10/12/ 05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK AND 6000CF-OAK
FEE SCHEDULE
Industrial, Commercial & Multi-Family I % of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$ PAID WITH
: !\~. I. I~, G PERMIT
I J I I
,paWC T 2 0 2005 j Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildio2 Official
-j: By
By ___.J
24 hour notice for all inspections (952) 447-~lS~U, tax (952) 447-4245
- Date
Date
PRIOR LAKE
INSPECTION RECORD
~/
DEPARTMENT OF
BUILDING .AND INSPECTION
SITE ADDRESS ,.., 'S{~I lJJ.&s
NATURE OF WORK N~
USE OF BUILDING St:f:> . t
PERMIT NO. O~.o5ifl DATE I~SUED ~t7Io-5
CONTRACTOR lV.(.MJ;~ r~ r V~'^ PH E I ~/2 - 2.~\..?LL.L,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I I ~ INSPECTOR - j6ATfJ
I FOOTING ~:\ ~~ ~ D I f'..J~ ~
FOUNDATION (Prior to Backfill) I 113 '.t'lJ>~S- I /
PLACE NO CONCRETE UNTIL ABOVE "AS BEEN SIGNED
ROUGH - ~NS J
(11/ tJ /1/'1
we... Pit / t 6 I vf]6..(
J II
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING act- p# ?//tlt:Js
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST Vltf 1J"d~
COVE~WORK UNTIL t~V~AS BEEN SIGNED
lr~/ I-IQ.~ ~)t~ 1,."7~ -' . I
/ ' FINALS
/Iff
GRADING (Prior to Sodding)
BUILDING ~ ~~ ~ ~ 1- O(P
ELECTI;1ICAL
PLUMBrNG
HEATING
DO NOT OCCUPY
----
I
I
....-
. I
. ,
/~/~
t
/01 z,~ ~
. .
#:0
RI)
/~ r,l.I
(I...
t1J>
I
in \ L~~~
- .
tfftJ /
~~11?lJ0L1
#J~ ~
! ...y
UNTIL ABOVE HAS BEEN
NOTICE
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
-----
<",,",;:~ '"l l'I',t~\II\'I:;;'I~I:""""\"'" "';:0".;,;.- .ii';'",''''' ,~~',
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 142>(0 \
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)i(FINAL
o SITE INSPECTION
COMMENTS:
I
t7~, ',~
DATE
SCHEDULED {,~
\JJJS -Pk\O\..V'"
CONTR.
PERMIT NO. ,- - ~
nile
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
o GASLlNE AIR TST
o
Qk -Ill{Co
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC t, CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J~~v l
OWNER
PHONE NO.
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
~INAL
[] SITE INSPECTION
TIME
DATE
SCHEDULED :?~
l.0; 1~5 C?\<\.U/
U
PERMIT NO. ts, '50'1'
CONTR.
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
[] EXIGRADIFILLING
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLINE AIR TST
[]
COMMENTS:
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3. s<>~ c:f- \I>J.U
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[] WORK SATISFACTORY, PROCEED
[] CORRECT CTION AND PROCEED
;( COR CT )~ALL FOR REINSPECTION BEFORE COVERING
Inspect r: r. ~ Owner/Contr:
CA L 44~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'-='- .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1NSNOTl
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3. Sk{'u,,~ rf)i-5~ll\C; c::..t" 01 ~'SC'A~
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J L{ B (0 \
OWNER
PHONE NO.
CI FOOTING
CI FOUNDATION
CI FRAMING
CI INSULATION
CI FINAL
CI SITE INSPECTION
COMrJlENTS:
(..(~
2.
DATE TIME
SCHEDULED l~
'_f):\ c9.-~ ~I
CONTR.
PERMIT NO.
f.t, , 5()?
CI PLUMBING RI
CI MECH RI
CI WATER HOOKUP
CI SEWER HOOKUP
,.e-1ii.UMBING FINAL
CI MECH FINAL
CI EXIGRADIFILLlNG
CI COMPLAINT
CI FIREPLACE RI
CI FIREPLACE FINAL
CI GASLINE AIR TST
CI
4f.{7-cr~ ~~
CI WORK SATISFACTORY, PROCEED
)( CORRECT ACTION AND PROCEED
/~)ORREIbRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 44 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIIOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J"g~1 w,'lis Pf.vy
OWNER CONTR.
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
COMMENTS: .
~--~
~ I.l, &~,()K..
DATE TIME
JI-'~
Wt~
~""6{J1
,
~~LLING
o Cc1Miii:AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-9850 FC;>R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSNOTl