HomeMy WebLinkAboutBldg Permit 05-0214
(Please type or print and sip at bottom)
ADDRESS
.{l80g W c'LJs;.
t Y OF PRIOR LAKE BUILDING Pi .~nT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND lJ IILITY CONNECTION PERMIT
I. White File
2. Pink City
J Yellow Applicant
Date Rec' d
3.ID.{)~
PERMIT NO. 05. 02/4-
L-- -L /JLJ-
LEGAL DESCRIPTION (office use only)
LOT {"OLOCK ( ADDITION ~ l' -e;Q ) c' e" ~ S;:;t A...
~~(l/)O~,J Co-.JT.
(Address) 700( ILtr-JA Sf-w~~ 7,.
ZONING (office use)
PUD
PID :2-5. 3()7. 0 sn v lJ
(Phone) ~,..~- ~3;) -7(01
AIJO/~ d~1 ~~ ~7'J
t:/
~~~~~Name)# t'Cb,.,~1 J C(!)~<;1 ("
(Contact Name) :-).e.l'P (Jet"" L.ro--
~. ,.-r-
(Address) '/ rex, ( ( it <;;;"" fA ';' 1 fA j L-C'l.-
(Phone) Q~:J.. -o/::?-:z.. 7 (P)
1 I. (Phone) ce, 1"1- - 'J6 ( - 8"'10 Lit!
i- .J"<.. r/wl,.. - ~ s..-~-- ~&/
/gp~ V' /
TYPE OF WORK ~ Construction ~ck .~h ORe-Roofing ORe-Siding ~ower Level Finish ~irePlace ~\
o Addition OAlteration ~ir-C~nnection 0 Misc. b"3 . '-IV
CODE: ~.R.C. DI.B.C. PROJECT COST/VALUE s3.b "? & .
Type of Cull...~.action: I II III IV V A B (excluding land) .
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 S
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- enl10n d property and that all construction wilJ conform to all existing state and local laws and wilJ proceed in accordance with submitted plans. I am aware that the building
;cia an k is permit r just cause. Furthermore, I hereby agree that the city offic;~r acSig~e"i- 3t7o~property to perform 3d ~s10:D . ~
Signature ' - Contractor's License No. Date
v ()
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~t3 "4 lOCO, 00
$ nlGi37.50
$ '7 14 ,33
$ l ~'2..,oo
$
$
$
$
S'.
/O(),oo
loa, () f)
s5.~o
/kJ, f) 0
This Application Becomes Your Building Pennit When Approved
~ ~.p 3/23/05
Building Otlicial Date
I
I
I
$ /1: 484. 3f) I
j "r '" 4'"
ReceiptNo.Uk"UI/
By ({ t
U
I Park Support Fee
I SAC
I Water Meter Size 5/8nA
I Pressure Reducer .
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~ .:1.2.f.05
Paid Ii 1I J''':/~ a ~
Date _~.. if);, ~
#
#
#
#
$ YbV,o-o
$ /LfS"tJ,tJo
$ 300,Of:)
$ 75"- 00
$ /SOo, () 0
$ 1000,00
$/~O(!), E)(!)
$ .,.
ThiS IS to certifY thatthc request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted. This document
when Signed by the City Planner constitutes a temporary Certificate of Zomng comphance and allows construCl1on to commence Before occupancy, a Certificate of Occupancy must be
~~ 3/G5~O:
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
. ...---.
Special Conditions, if any
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts'
Reviewed by: ~ ~ Date: 3/d-o/as:
Ai, u..J ,
SUbdivision:.:rr~ ~J, g yf....LJd.lt
Existing Nonconforming Structure? YES~
Building Permit #
Address: d-~ tJS
Legal: L SO J 8
PID:
tJ~~
/
Zoning:
Existing Structure? YES ~
CONFORMS TO ZONING
ORDINANCE
YES
I Yard Setbacks: NA I FAIL$[OO"MPlIES'?
· 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 minimum 10' deck or sign
statement indicating no deck will be built in the future
· From 100 yearftood elevation ofwetland/NURP
pond
· From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
. ..
, Floor Area Ratio: NA 1 FAILSLOOMPLI~
.30 Maximum
Yard Encroachments: NA I FAII.4:f<l61vII"'LIE~'"
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
AlG and other equipment cannot encroach on interior
side yards.
Standard
, Tree Preservation:~1 FAILS 1 COMPLIES
I. Total caliper inches
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
Standard
Y2:1
L\TElVlPLA TE\BLDGLIST.DOC
NO
~,
Proposed
33. (:)3 ·
I
/...3
I~~r'
'7. 51' t' ~..f.I
/t,;sr /:~
J.,)o!JC
NA
fllA
.p~~ f/un
Proposed
,Jo r0C
NorJ€:"
Proposed
I
I
1
I
I
, Driveway: NA 1 FAILS I~PLI~ )
I. Maximum width at property line
. Required setback
. Maximum slope
. All parking areas to be paved including R-Vor
spaces adjacent to the garage
I. Location to match subdivision grading plan
I Building Heigh<COMPL~ FAILS
Shoreland District ~~FAILS 1 COMPLIES
Minimum lot area (sduare feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
. """
Bluff inShoreland:(NA) FAILS 1 COMPLIES
. Setback from topof bluff
. Bluff impact zone
I. Engineering certification submitted/approved
I. Grading in bluff or bluff impact zone
~
. Floodplain~.Ai 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
Regulatory Flood Protection Elevation
.
Accessory Structure: (N!tJ1 FAILS 1 COMPLIES
. Size
I. Not located in front yard (Materials)
I. Side yard and rear yard setbacks
. Maximum height
. Materials compatible with principle structure
L:\TEMPLA TE\BLDGLIST.DOC
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 importinp/exporting
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
9/19/90-11/22/97 then
additional foot is not required.
Must be flood elevation or
higher
907.9' for Prior lake
913.4' for Soring Lake
Standard l
832 sa.ft. or 25% rear yard
10'
15'
Proposed
-ZO'
'1'
9, SOlD
dk-
f~~, t)~l
oiL - ~t
Proposed
Proposed
Proposed .
Proposed
:j'll!^',..,i,JtIl,.
.. ....j~AI .-.- _.JJI
..;'1#
rf"'~MM.~ -
'W'. .'~l.a:.ii~~_'
.. - .~~'.t.o-, - ..
White - Iluildina
( C!lnary - Engineerin9")
. Pink . - Planning
Tht ("f'n'f'r of .hr t.kr Coun.ry
BUILDIN'G PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J'Vl C-. D ()/V /1 '- 0
3. ) I . ()~
/l D 1\/ .- -:J./ ?
l,.; , ..;. I / '-- .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z f;,i 0.3 vV l LO~ tJ-i IV~ /1/ f-V/
Accepted
x
Accepted With Corrections
Denied
Reviewed- By:
IJ1'! is
Date:
3 -;J L/-t)S-
Comments: See R~verse Side for Additfonallnformationl
..
.See Attachments: 1) Grading Plan, 2) Erosion C~n~roI 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."
Thf Cfnlfr of Ihr L.kr {'ounlry
White - Building
.-9mftrv - Enaineering
("Pink_- Planning,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;v/~ DO/\/rll-O
C ON::77L .
'? I -
-> . I . ()~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I
2 C C2 HI; LU"::' 1-1-) IVE;- IV l II
Accepted
v
Accepted With Corrections
:Denied
~- '
Reviewed By: ~
Comments: ~ ~
~ Date:, '/~31o 5
. .
~~. A-,(!.. ~ ~
~
A.-v4- ~ ~ (J_~ ~ ~
~~ (/ ~ -<1-1J-;J~.4~ dU~.,__.,
".
"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."
....
r)Ml1.i.!e - Buildlng::)
Canary - Engineering
Pink - Planning
The Cf'nlrr of Ihe l..kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT )1 ~D ON;Q '-0
APPLICATION RECEIVED 3 , ) / . O.=,
totJSTlL.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2 BCG WI LOS LA Ale- /tf W
Accepted Accepted With Corrections V
Denied ,...
Reviewed By: ~ ?~ Date: 3/ G$ IdS;
t . I
Comments: ;?w a..il ~.
-
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,"
CITY OF PRIOR LAKE
HEATING/AIR CONDl.1l0NING/.r.1KEPLACE PERMIT
Date Ree'd
1, ",nil f.1e
2. Gles Cl'l'
J. Yc:Ilow Appli-.
PERMlT NOS :J-/4
ZONING (oftIce
->
(l'k.ue ~ or priIlt lIl\d.lIiRn at bottom)
. ADDRESS
~~()3 t ~~AJs
~.a=>fJ IV. ~) .
LEGAL DESCRIPI10N (office UlIe only)
LOT BLOC<
ADuluON
PID
~=.h?~0c^~!D Co~f,
(Addte6s) 4DJ~ 1/19/!ev..
. I , \.
=rm.~D~~ ~ !1)r
(Address) d) / r9 / () ~ .1-0 ^ 1 ./1 t1f? ..
(Add:ae)
(Phone)
..y3~ -7~o r
(phone)
..yc-t) - ~.Q
.iftM
. .5"s6oJ 4
(Zip Code)
(Contact Person), (phone)
I APPLlCANTSIGNATURE ;{pi -7d" J. ~ DATE -1'"- /~-(Jc:;'
_ ... APPLICANT PLEASE COMPLETE BELOW
.....0L~'" CONSTRUCTION 0 Aerl.tACEMENT . 0 AL~ TIONS
FURNACEMAK.EAND}.~v1J1:.L. ~~,LJI1'7~~ t?C//??p/il/(X);rIlu&, Alai-
FLUE SIZE ~ If ~ J C --: kEnJRN OPENINGS ~ lNPUT ~I ~ OUlPUT .9q.C(X:)
TYPE OF SYSTEM HEATING OR POWER PLANT
DwlUDl Air Plants 0 Stelm
DGraviiy 0 Hot Water
o MecbaDicaI. 0 RadiatioD
OAir Conditioning 0 SpGCial Dmc:cs
DVent. S.,........ 0 Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot .Encroach into
Required Side Yard
Setbacks
ruu:.r.L.ACE MAKE AND MODEL
FEE Suu.DULE
IDdust:rial. C"_....,~"~:al & Multi-Family 1% of job cost ResideD1ia1,. Gas Fireplace
$39.50 minimum
Residential. HRtini a:. Ale (New Co~n) 599.50 Residential. AdditioDs " Alterations
Resideotial, Heating Only (Now CoDStl'llC'tion) $64.50 Residential, AC ODly
$39.50
539.50
$39.50
Estimated Cost $ Building Permit #
HEATING PERMIT FEE S
STATE SURCHARGE $ _50
TOTAL PERMIT FEE S
(OIIcc UN Oaly)
This AppUeadoD Becomes Yoar BuildlDg Permit Whea Approved I Paid Receipt No.
B~ Official Dn I Dare l/ r dO -S 13y Q
24 hoar notice for.n ioepection. (952) ~7.t8501 fa (952) 447-414S U
100~
HIV G3110atNO:>
9L6909tlS9 IVd C6:tl nRl S006/tl/tO
Date Ree'd
CITY OF PRIOR LAKE PLUMBING PERl\'u 1
~.:o: ~~~ I PEKl-.flT NO. L -" J J,J
3 Yellow Applicant ';,;;;1..,. "fI
(Please tvDe or orint an,l sim at bu..w...)
ADDRESS Q203 ~1v0'/d~ I..fAh e
}Y,W;
ZONING (ollil.'C use)
LEGAL DESCRIPTION (office use only) ...._L /
LO.y!D BLOCK 0 I ADDITION ~ re r 1/ 'h, ~
...
Quantity
/
~
'I-
. Co )
I \)-
I.
I
~
PID
DAT.E
")
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Type of Fixture
/
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.S0 minimum
Estimated Cost $ / ~ ~ 0, 0 \)
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations S39.50
Building Pennit # o.s-:- 0 ~ / Y
~~~~l~~~"
jnJ [2 @ le n rll l~fLpl No
!t~ APR J '8 ZOO~ ,~ ,l
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Uac: Only)
This Appllc'aii6~'':Bec(o\rilt~ 'Your Building Permit When Approved
Building Officill
Dlte
24 hour notiee forallinspedioDs (952) 447-9850, tf~ (952) 447-4245
CITY OF PRIOR LAKE
HEAll1~G/AIR CONDITIONING/~lKEPLACE PERMIT
Date Rec'd
I. Pink
2. Green
3. Yellow
~:~. I PERMIT NO.r. ~ nJ
ApplIcant ~- ~,.,
(Please type or JJrint and sip at bottom)
ADDRESS
ZONING (office use)
2803 WILDS LANE NW
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONSTRUCTION
(Address)
(Phone)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700NORTHFAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
4/28/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
D Radiation
D Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
HEAT N GLO 6000TR-OAK & SL 750TRS-IPI
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
~ 1f4/D WI... _
olJILD/~ . :! ' ,.,
G f:Je~MI'"
(Office Use Only)
This Application Becomes Your Building Permit When Approved ..~~
:: I i.._::""
Receipt No.
I
By
I,
Buildinl!: Official
Date
Dite
. MAY l1ofl~
L.
a~.
(J
II
II
24 hour notice for all inspections (952) 447-9.50, fax (952) 447-4245
85/83/2885 17:38
9528816976
BOB JECHE
PAGE 84
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please Me Of Drint and si211 at bottom)
ADDRESS
a.5? 0 /3 lvJ~/h L~ML Nul
~. ~ ~~ I PERMIT NO.AL-""-. !J /tl
J. Gold. 4ppliant {.J4 -- ~
ZONING (office we)
LEGAL DESCRIPTION (office Ute only)
LOT 5ChLOCK L ADDmON ~ t ~ '%
~~~R Il~ (l... ()l>~a L~ ~"L-tS t
PIP
(phone)
(Addrc:ss)
(Address)
(Ciq->
(Zip Code)
~~~~e.~ E.,^~f,\1,~
(Address) .l.2J b TD w..s (11 4. <:., €.-
(~)
(Contact Person) ~ .0 .
. APPLICANT SIGNATURE .1 -
. . f
APPLICANT PLEASE COMPLETE BELOW
Size of :water service , 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.
, (Phpne)
~ } ""'1M I'" ~t" VI
.I~,
t!JJI
(f:f:iji
(Phone)
PATE
< i)" 4 -D~'i
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com', '" Multi-family
$17.50 Water connection only
1 % of job _ with . $3~nimum
$17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STA TE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
BUJILDING PERMIT
~
(omu lIN Only)
8ulldllll O"'~l
r_~
Ii ~ 1[' (rl" i~,:' ~Il
I ~ ilto " I, [, ' !
i c '\
i!~.teMAY
Dak ILJJ
U hour notice for all inspections (,:52) ~7-9~ ",!(?~~L"'~245~.
" i
I~~, 111!,ceiPtNO.
11'1
5 2005 U~
u
This Application Beeomes Vour Building Permit When Approved
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS Z803 lWiLDS ~E p.",-,.
NATURE OF WORK .1t~ (wIt.. L.C.. FbJrno.
USE OF BUILDING ~ b. _
PERMIT NO._ 05.02/4- DATE ISSUED .:sJa.) ,as
CONTRACTOR Wf'~~T. PHON~&. 76.-flt.1f&(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INfJ."'OR
-ff1-J
FOUNDATION (Prior to Backfill) I f .6 $IN- >'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
tL e:c sjzr(P:f ROUGH - INS.f ,
SEWER I WATER I SEPTIC ~ ~ ~
FRAMING fl~ . s- ~"
INSULATION m S-/7/ 1a.};
, ,
ELECTRICAL
PLUMBING I. ~I I
HEATING (if required) ,:-, -, fYlS 1;:;/7/
FIREPLACE V7' r)';, / v loP
GAS LINE AIR TEST ~(?) f fj
~ CO~ER NO WORK UNTIL ABOVI? HAS.JtPlEN SIGNED
(JJ.TNE / tfolASt-~ I ~~~.p~ .J-~ ,-]..-'6
, FINALS
GRADING (Prior 10 Sodding) . I , ~
BUILDiN~ ":L~ +DJ8-I-c;6 we
ELECTRICAL
PLUMBING
HEATING
DO NOT
DEPARTMENT OF
BUILDING AND INSPECTION
.'
FOOTING
/ DA~/
I J/29/~
#/// ~~;..
'~
I;-
J
I
fb
j
~
, l t / 2 '8/ th
~15 ~
_ /IP;
OCCUpy UNTIL ABOVE
NOTICE
8-"/-t. ~ _ . .
" .
S 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 'Nsor:'CTIONS (952) 447-9n~o
QIttfifitaft of @trnpant\!
CITY OF PRIOR LAKE
~tJlarfmtnf nf ~uil~ing JlnsJlttfinn
t!!'inaJ. Permitted D 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 05-0214
Use Classification _ _ Bldg. Permit No.
Occupancy Type
Type Construction
L50, B1, STERLING SOUTH
R3
VN
_ Zoning District
PUD
Legal Description
Owner of Building .
Site Address
2803 WILDS LANE N.W.
MCDONALD CONSTR., 7601 145TH ST. W., APPLE VALLEY 55124
Contractor's Name & Address
ROBERT D. HUTCHINS JANE KANSIER
_ City Planner
Buvding~
.5 2fo. 6lo (_Y~ - Date:
IJ-V'
Date:
~''';';''.trMM:;~\i;'~ .,;.',;,..,-r ~':>,i.~'\t-i',or '. ~;';";'~;''''''''';';';'''''''':^'' .\.~'~~. '-~'"'~.I/'I'I~;;-'(1 . Cd_ .,..... i'..tL -..,.....';~'.'...Ci.l.:.,. :.'lk;~",'':'''~.,~,..,.~/"I,.',;!",."... ".-."-..wll 'III> 111'~'ll- 1111
~.
,:~ -~'-"I"\io-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED ~~
Ld.. l ~~
.J'IA..
CONTR.
PERMIT NO.
~ - Oft/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
ft PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~J:' ('{t4~ S
~ tl ~t"' v.--\ T ()
~.
,
o WORK SATISFACTORY. PROCEED
.J(CORRECT ACTION AND PROCEED
o CORRE7f1RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL 7-9~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE nMe
CITY OF PRIOR LAKE 8-t1-~
INSPECTION NOTICE SCHEDULED
ADDRESS 2803 l.UJl&.~
OWNER CONTR.
PHONE NO. PERMIT NO. ~ -21~
D FOOTING D PLUMBING RI D EXIGRADIFILLING
D FOUNDATION D MECH RI D COMPLAINT
D FRAMING D WATER HOOKUP D FIREPLACE RI
D INSULATION =R HOOKUP D FIREPLACE FINAL
~FINAL D LUMBING FINAL D GASLINE AIR TST
D SITE INSPECTION MECH FINAL D
COMMENTS:
1. Fi~ ~t-~ ~lA.CJi~ bk <;011
---2.. S~ d- TM~
.e~.~f ~ -~
,,-~ Q g 0 +0
.r-
}f) -I-DC)
. ,
D WORK SATISFACTORY, PROCEED
D CORRECT ACTION AND PROCEED
"CORRECy'}f~ALL FOR REINSPECTION BEFORE COVERING
Inspector: .''/- ,- ) Owner/Contr:
CALLfI47- ~8~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSIiOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'~ no.
ADDRESS
280)
l..Jll!.t; ~
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
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlN~IR TST
i!( '1~ ~..
COMMENTS:
, .}~~ ~ ~\~~ ~~
c-;
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeclor:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
II'ISNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~8Q3 w,,1iJ LI1.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
l1l"FINAL
Vo SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
b~- ~k
Cwb e~ -C)~
DATE
nil", ,
5"-U-a,
Il7L 'D,,,,t; if
(')5-21,/
~~ILLlNG
"O-CciMP'LAiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ WORK 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.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!