HomeMy WebLinkAboutBldg Permit 05-1177
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec' d
/ /. /0. oS
~. :i~e ~:;y I PERMIT NO. Ol5. /177
3 Yellow Applicant
(Please type or print and sip. at bottom)
ADDRESS ,
\151\ ~:~\.M1_
LEGAL DESCRIPTION (office use only)
LOT5BLOCK';>' ADDITION ~d fd..'*"
OWNER
(Name)
(Address)
(Phone)
~~~~~Name~\--\~~ cOA1Lj
(Contact Name) ~ lA.'~.
(AddreSS)~~ Cj- -=fP10l)
TYPE OF WORK ~ew Construction ODeck o Porch ORe-Roofing ORe-Siding
OAddition o Alteration OUtility Connection 0 Misc.
CODE: a()I.R.C. DI.B.c.
Type of &;'nstmction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV
H I
2 3
V
M
4
ZONING (office use)
RZ.
PIDZS: +Z-4'. Cf4-.0
(Phone)l]Sl).. t3J <65 :]~,~
(Phone{ 11'~ ~~ -l(J~
( aAtVUtt ! mil 5SJ..II.f
OLower Level Finish
A
R
5
B
S U
PROJECT COST IV ALUE $
(excluding land)
o Fireplace
O~,ld.H
I hereby certify that I have fitmished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed 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
:at~rmp~a}f;;'rtu;;::ebY agree that the city offi~ge~7e property to perform net~drl~DrOs
Signature Contractor's License No. -WR~te
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
t
~t)1 040, ()tJ
$ I ~ , 3. 5't)
$ BI.fo.?'l
$ 7~ , t:JO
$
$
$
$
$
10D, tOo
! () l). to c:J
3 s: S""lJ
~() , () D
This Application Becomes Your Building Permit When Approved
~~
Building Otlicial
/1/2Vfts
j Dafe
I Park Support Fee
I SAC
I WaterMeter ~; 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
J
Paid TZZq, J/
Date //3(), c-r
#
#
#
#
$
$
$
$ S"O, 0 "
$/S't:J6.00
$/OOlJ.OO
$ ISOD,OtJ
$
I'ISo .O'()
2...5""0, /J ()
$ E1-22~7E;
I
7' No. ~<JYO"Z--
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
~""'C~"C~"""'f;;X:io;d"""'~tro~~=~:f;::;~'~
Planning Director r Date Special Con .ons, 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 Distrlcts
Reviewed by: ~ VtL~~ Date: j~~~
Building Permit # PID: Zoning:
Address: 11SZ~ /? s / 3 J)E:l;;1t..J=7~~ J)L/ ~b-
Legal: L~ ~. B-2- Subdivision: ~ r~/;tL>
Existing Structure? YE~
Existing Nonconforming Structure? YES~_.~___~-__
CONFORMS TO ZONING
ORDINANCE
YES
I Yard Setbacks: NA I FAILSI COMPLIES
· Front Yard (can be 20' if avg. w/in 150')
· Side Yards
Standard
25'
10'[
25' if abutting a street
· Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
· Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicating no deck wilf be Duirt in the future
· From 100 year flood elevation of~tfanc!/NURP
pond .:""J,:" .... .,
· From OHW (Prior or Spring Lake}; .
10' setback +
2"ft' over50'
25:' "
10' sider
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
, Floor Area Ratio: NAI FAILS J<(oM;L1;sA
.....---.....
Yard Encroachments:. NA I FAI '/e.O-MPLfEa
:: i~Eave~ a.~c;Gutterst1O;mare thall:2: feel II t WI . arid no . I
: cfasertftan5'feeftaa ratline:{EasemenfsT""'~;'\"::;':'i;:.: ,
i A!.c.anC;?Ula:eq!Jfpment cannot etlcroactl:ofl.itltedo[ . .
; sfdeyardS'~ : ;~.;;;~L _i " ' .
.30 Maximum
Stancl'arcf
~'. Tree.Fte~e~..~atfo.1"NA)FMst COMPf.J5;~-
I.. TotafcalIDe6d~". . . .... . ."
r.. P'ermit25?!ci Removal:
I .... GaliperJnche$ Removed...
/, .. ,CalfperJhches: P'reserved
t.. Replacement
Slaridimf
..,."n':'~.:'.j.
NO,
;-:"'::1; ;":c}~'.~i~..: ;"
,JA
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L\ TENIPLA TE\BLDGLISTDOC
- f,
~'C'
Driveway: NA I FAILS I((OM~
. Maximum width at property line
· Required setback
. Maximum slope
. All parking areas to be paved including R-Vor
spaces adjacent to the garage
. Location to match subdivision grading plan
. -
, Building Heigh" C6MPLlE~ FAILS
Shoreland District: NA / FAILS / COMPLIES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
Bluff in Shoreland: NA I FAILS / COMPLIES
. Setback from top of bluff
I. Bluff impact zone
I. Engineering certification submitted/approved
I. Grading in bluff or bluff impact zone
I Floodplain: NA / FAILS I 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
Regulatory Flood Protection Elevation
.' Accessory Structure: NAJ FAllSrCOMPlIES,
., Size
I. Notlocated in front yard (Materials)
I e: Side yard and rear yard setbacks
I. Maximum height
I e Materials compatible with principle structure
L: '.TEfv'IPLA TE'BLDGLlST.DOC
Standard
908.9' Prior' Lake
914.4' Spring lake
909.9' Prior lake /
915.4' Spring lake
Must be l' above flood
elevation for new and existing
structures. If existing,
structure wa~~9~~truc~ed
. 911919a-tt/2219~ili~p:r:":' .'
.. additforiatfoo'fiS'noUequltear: ~."::~"~."
Must be: flood efevatiorlof'.l'. !~
.. -'---:1iigft~r:~~~=~tf':~-r:.:~Y;..';.','
907.S' for !?'rfor;~ lake.
913:Lf. fOr Spnriq!"taRe; "
Standard
24'
5' from side lot line or
30' from r-Q-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 importinQ/expoctinQ
Standard;" ~.
832 sq.ft or 25% rear yarer .
10'
15'
Proposed
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$.'7%.:
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Proposed:
Proposed: "'. I"
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White - Bulldl~.
<. CMarv - E""IMefI,DgJ
~rnf( - Pl8nn.ng
BUILDI"G PERMIT APPucAnoNDePARTMENT ~eCKI-IST
NAME OF APPLICANT
APPLICATION RECEIVED
D. ~. )--/O/2-fGJIV
/1. I D. 05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/75/ / J)C;e~,c/e-lrO LJ~.
Accepted
Denied
)(
,
Accepted With Corrections
Reviewed By:
.1JUj
Date:
Comments: .._M1ft..'.i....~~1
tIlfJt ivt pI,
;,
, ,
1/-/7-ro
.J"'"
I I i -, I
,~~._: 1)~~, ~)Jt,).",,'t:~~I~..,
, " ' . '-r
"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. II
White - Building
Canary - En~ring
c;-P1nk - Planning;:,
BUILDING PERMIT APPLICATION QEfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.( ,1-/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,...., /f
. , / / /' "'".....'/~ .
....-'" }
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
~~
~ t:LP-R ~~:
Date:
/ I /ZY;{,.s-
I
Comments:
,.
~--
~"'.~"" ri~.H ,;""y. "",'...
~~.1dlLUW.Vlll~Ji
Units Cannot Encroach into
;~~..8rr1!
"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."
U~j~l! . Bulldinv
Canary . ~ngln..rlng
Pink . Planning
BUILDING PERMIT APPLICATION DEfART~NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. e. 1/ tJ/Z7lJ N
II. 1();o5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/75/ / f)6~/l-P/eLCJ LJ~.
/
Accepted
Accepted With Corrections
Denied ....
Reviewed By: ~ ~ Date: / I./,;l ~s-
Comments: ~~. ~ ~ I ~
~ ~ ~~.,:.) ~
./? ~ 1/
''C~ w
,.....:..:.: "'~~,',Ctil," · oiislial1~2!l1.1111,~
.. ~~ ' <._.~~,"<.~--,< -. J '
~ththe 2000)~':~~~r~U ,~.~
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."
11/18/2005 FRI 9:53 FAX 952 767 1900 GENZ-RYAN
~ 002/005
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
,1151 \ brerh'c IA. ~r.
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
11'1"
~ ~:~o"., ~\:; I PERMIT NO. ~ III
3. Gold Applic.nt .., .
-
ZONlNG (office use)
LEGAL DESCRIPTION (office use only)
LOt) BLOCK '2- ADDITION
[jP,t,tl{1 f ( ct (2 fM
PID
OWNER DO \ L \ '\
(Name) ./ I" "1 D\(-D ('\
tJf'O( 'f" I)p 'If)l 'C(IIP ,1,
(Address) (7'I)f\ iJ J '\"'"\lJ/1 ,l\ liiL. v~'.
(Address) ,/
S\CltD
(Phone) q(fd,- q~;;s -. 7rzCl)
[.itIC1VUlc. ~5(JqLJ
(City) (Zip Code)
~;;~fANT tlfl11.- {Uf a Vl
(Address) l.LJ)O VJ. I ~-h^flAJ 1,3 BJA Jlll/ S' V/II-L- f'v1\N /-=!:33 7
\ . (Address) . (City), (Zlp Code)
(Contact Person) ~-f(\,\" ' " (Phone) q~)l. -7101- 1852
"L!CANTSIGNATURE 'ff\ V)2l.J-JS' h.illlv.{(v1i\.) DATE II/Ill oS '
V ;],7 ~I -
(Phone)
t; t?1- 7 LOJ - (DO{)
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $ Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
""'D WITH
BUILDING PERMIT
t..
Building Official
Date
.!Imrf;
!~te
: i i QEr 0 1 7nnr;
I' :
I ~lfpeipt No.
~;1
I
~' ~; L \
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
11/18/2005 FRI 9:53 FAX 952 767 1900 GENZ-RYAN
~ 003/005
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(Please type or print and sign at bottom)
ADDRESS
t -1 ~-) i I b'(r h (lri~ ~r.
1. BI.. F'i!" I PERMIT NO~ II
2. Gold City .
], Yellow Applicanl .
ZONING (office U$e)
LEGAL DESCRIPTION (office use only)
LOT::) BLOCK?- ADDITION DtU1.'~ e ( cC (2,t"Vl
PID
~~~R [) I:? -\--tV/+Of)
(Address) l~ogLo.D Kcnl)~1 atilt: (0.+ s:,--(-e. if)(j
'-'
APPLICANT f;, n i /: /'
(Name) tJ.t~111~ - r-- J vi(, \
(Ad&=) 1-'lD~,! }:~d:Jt~ _ 13
(Contact Person) \/ II ~L I ~ i1 _ tt! I S
(It' '\)=>f.. i J. f '.0
APPLICANT SIGNATURE , "Lt ,(/\A1.- / ...~.Jj/'
(phone) C)5;i. .' q ? t).. "7 K(:n
LCLi<.tV, II..t~ 55fJ L..I L.I
(phone) q02~ ,IF! ' (DuG
~L{llt1~V die.... M f\J 'S~337
(City) (Zip Code)
(Phone) Cf C{L:- 7 (jll - ([) 00
DATE i 1- { 1 -Vi"=,-
APPLICANT PLEASE COMPLETE BELOW
Quantity
I
I
J
'/J.;
Type of Fixture
Bath Tub with or without shower
I Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
Quantity
3
i
I
I
Type of Fixture
'1,..
Rough-ins
Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
IfEE SC.11J!.;DULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Penn it #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
PAID WITH
6rullDING PERMIT
(Office Use 0 n Iy)
This Application Becomes Your Building Permit When Approved
Building Official
Date
flt~EC 01 2005 :,:riPtNo
24 hour notice for all inspections (952) 447-! ~~~~x.(952) 447-4245
CITY OF PRIOR LAKE
ltEATING/AIR CONDITIONING/FIREPLACE PE~lll
Date Rec'd
(please type or print and sign at bottom)
ADDRESS
17511 DEERFIELD DRIVE SE
~: ~ ~:~ I PERMIT NO. ~
3, Yellow Applicant 'it' -, ~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name D.R. HORTON
(Phone)
, (Address)
APPLICANT
(Name)!IEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (phone)
2561
651-633-
,
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(phone)
651-633-2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
112.7/06
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
DGravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
o Radiation
D Special Devices
D Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
REA TN GLO 6000TR-OAK
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Date
By
Buildine Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
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HEATiNG PERMiT. FEE
STATE ~UR.CHARGE
TOTAL' PERMIT FEE
, ,
, ,
BU~l~~g~~~i~. '..'
'$'W^"~'\1~~:
$" .50'
$
-,','
" ~. ':
(O.ffice l1sc Only),
Tliis,,"ppli.cation' ~ec~,mts:'Yf>ur Building Permit When Approved'
Paid
Receipt No.
......
Date
By
Building OffiCial.
Date
, " '24 hour notice for all inspections (952) 447~9~~~ fa,x (952) 4474245
PRIOR LAKE. DEPARTMENT OF Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS /75'11 /)i::,c,e.FIEz~ DR;.
NATURE OF WORK lItE"" C>>~/~C:>> I.. c .
USE OF BUILDING ~ F': A . _
PERMIT NO. (J.5 //77 DATE ISSUED JJ/e t/IJ.,. ,
CONTRACTOR 1hL · ~N J I~. PHONE M. -," .. f'"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOp, O.TE I
FOOTING . _~L r /J/q /a,(- I
FOUNDATION (Prior to Backfill)trNliI ~1 ~ ~ ~t--
PLACE NO CONCRETE UNT L lBOVE HAS"BEEN SIGNED
ROUGHaJNS
SEWER/WATER/SEPTIC ~I'?- ,...~ ~ /2~---
FRAMING I /%? ~.. ~/? /tJt ~
INSULATION . $~ ...2//.7/06
ELECTRICAL _ r .I v ;:J-/ ,r lOb
PLUMBING (J. tp; //?1,1'~a~ / /lt~./ .:2/1'/06
HEATING (if required)t!. f5, ~'/~Ab ~ ,:J-/~ /46
FIREPLACE WI- 1,;J-' /~
GAS LINE AIR TEST /'%;,~, 'r hI! #t- ~j,f,.6
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. " ,
JLlfrHiF / "Dflre ~'" I /~- I //f~
FINALS
GRADING (Prior to Sodding) I ~ II Nt:> r: OJ ,r Of .,
BUIUDING~(jJ,(OI'c.ui('l/ft.h6 }t9f- /FI' 6/?ft6 4
ELECTRICAL 1 JA?/frl
PLUMBING 11#- )'/,;2//0 h
HEATING M I J,4f'pG
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
([ertificate of <!&ccupancp
CITY OF PRIOR LAKE
lleparttnent of ~uilbing JJn1ipection
lJ\jFinal Permitted
DConditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the DResidential
Dlnternational Building Code certifying that at the time of issuance this structure was in
compliance with the various ordinances of the City of Prior Lake regulating building
construction or use. For the following:
Use Classification S/A/6t-e F.-9I'1IL.'I Building Permit No. () 5. /177
Occupancy Type'(;3 Type Construction V,v Zoning District R. z..
Legal Description L 5.1$ z.. De151eF'16t-n /2 7iI
Owner of Building .. Site Address /7.5/1 peeRJ/~ Oll!..llIe
Contractor's Name & Address-'2..€_ .HO~-"7)AI, 2013tAo ~.A/"~ON€ 0-.1 L.1''1:/av/~
/eode./Z..r O. H~/,A./S# City Planner ,JANe J::::A/VS/~
-0 BuiJsl'ln~ Official
Date: "/ ./0 C.; Date:
~ -
POST IN CONSPICUOUS PLACE
DATE
CITY OF PRIOR LAKE . /.. . /. .-
INSPECTION NOTICE SCHEDULED < ?/L.//1::t6
/7S// ~/l;L ~
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~ION
~~NSPECTION
TIME
CONTR.
PERMIT NO.
S--//77
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~~R HOOKUP
~ ~.l;.~~.BING FINAL
( 0 MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENT.$?./ I
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
INSIWn
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
Sr'lSd
ADDRESS
/7S/1 Jk~I'r:~{J Dr
OWNER
CONTR.
'P.Il.. /1t;~
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
C~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~J;~ILLlNG
/OC~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
GA~- ~L
-
Cd (6 ~- rt)l!
~ORK SATISFACTORY, PROCEED
o 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!
/JtSNOTl
CITY OF PRIOR LAKE ~ . /
INSPECTION NOTICE SCHEDULED 3'/..2~4:;"
ADDRESS /?s// .?leerllle// .4-
TIllE
OWNER CONTR.
PHONE NO. PERMIT NO. s--//??
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
...,....e1ijNAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION ....e1iECH FINAL 0
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o WORK SATISFACTORY, PROCEED
~RRECT 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 cl SAFETY!
IItSNOTI
DATE TIME
CITY OF PRIOR LAKE -I /~ /
INSPECTION NOTICE SCHEDULED 4' 7/d
ADDRESS /7S-// dter4/{~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
s - //77
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
/Ci siTe INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
D FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
D
COMMENTS:
~/
~ftcy/
_/
O/C-
,
-----
~ORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
o CORRECT ~~/ ~ FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
~
~~
( /" ~/ I)
V6J'€- r; /€- /
.---
----- .-
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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