HomeMy WebLinkAboutBldg Permit 05-1189
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
II. /4-.05
(Please tvDe or 1Jrint and sian at bottom)
ADDRESS
1~44~ PNi!<.#tIlC
I. White File
2. Pink City
3 Y cHow Applicant
I PERMIT NO. 05. /1~9 I
t
ZONING (office use)
c-,--
Pf)5/)
LEGAL DESCRIPTION (office use only)
LOT" BLOCK 6
---
ADDITION A (;F"rlE'
~ND I~I
PID r5-~7-oerf!:-o
OWNER
(Name) fJII///I::-
(Phone)
. (Address)
BUILDER
(Company Name) WeN~.1It II/11'Af #61"'l€!;
-r-
(Contact Name) 7 &J fIo1
(Address) I 'It:( 15 PLI4- Zit- bx:.
(Phone) (,!i /, ~ ~ --If~
(Phone) 61;J-3(,9-7~3 /
TYPE OF WORK. ~ew Construction lltfDeck()lPorch ORe-Roofing
o Addition OAlteration OUtility Connection
CODE: )tiI.R.C. DI.B.c. 0 Misc.
Type of &nstruction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish ~irePlace
PROJECT COST IV ALUE $
(excluding land)
/75/1'50
,p
I hereby certify that I have filmished 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-menl1oned property and that all co uctio ill conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can rev~ermit for ju ca Furt ore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
X ~ V hi-( (... 1458' /(.-//-a5
. - Signature Contractor's License No. Date
Permit Valuation 6;~(,. DOG I ()'fJ I Park Support Fee # $
Permit Fee $ /50" ~o I SAC # $ II/So ,t) Q
Plan Check Fee $ ~VI ,Iff I Water Meter Size 5/~ $ SOt). 0 tJ
State Surcharge $ V<i. (1) I Pressure Reducer $ 7~. 0 tJ
Penalty $ I Sewer/Water Connection Fee # $/S()(J,OO
Plumbing Permit Fee $ ItJO ,0 D I Water Tower Fee # $jOOO,DO
Mechanical Permit Fee $ 10D,OD I Builder's Deposit $J5'(JO,OO
Sewer & Water Permit Fee $ 35.'S'o I Other $
Gas Fireplace Permit Fee $ ~ 100 I TOTAL DUE $ ~ ~ 79. /8
This Application Becomes Your Building Permit When Approved I Paid '2>01'1 . fB Receipt No. ~CJ!}! E:;
~ . (~~tJ{JJ 1/ Iz,J(J~ I Date I'Z-/e;/~< By ~;:r- -
, I
Building Ollicial f Ifl1te Ah/iJ~ 1~~
"
ThiS IS to certify that the request in the above applical10n and accompanying documents is in accordance with the City
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction c
i~~~ ~I-
Planning Director
y j'roceed as requested. This document
ore occupancy, a Cel1tficate of Occupancy must 1Y
/,;1./(, h.5
r Date
~4 "-
~~.~-
Special Conditions, if "y
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
White - Building
~arv - EnQineering
'- Pink - P.ann~
BUILDING PERMIT APPLICATION DeeARTMfNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'-
'/ - / /-I/"v/
,.-.-' I"
I I / -r .
r-
--.....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4' -I ~I- 2- [/i./C.>tl'l vE
//-
<./1 .
Accepted
Accepted With Corrections ,/'
....
Denied
Reviewed By: ~ ~ Date: /I/Z-~/os-
Comments: ~ a.Ll ~ _ -t-;W, Na
~~ 31~ ~~
f'
,
~
~.,
/'
,t
ConditioneJr Other'
T...Tnits Cannl2t :Encroach illto Iteq~~l:"prr~
Y!i1.~d~ ~;(~th~lCks
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."
<\II,Ihite - Bulldlri)
Canary - I:ngln88rlng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WeN'5/V) A /'/A.!
/ /. /4-. OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-44-2- &N ~/f l/6 if
Accepted
Denied
Accepted With Corrections
/'
,..
Reviewed By:
~
~
Date: 11/1, Cf la S-
f
Comments: ~ o-.iJ ~ ~ ~
; ~ .1'
rJJ /""Il (LP.f ~,.J/4 ~
~. -A.e6-II...~ '1 ~ ~ if.,,__ ~ ~.
d- ~~" ~ o-IL ~- tI b'L( ,.....1- ~
~ ~ J~.
"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."
Whi~e. - Building
c:;; Canarv - EnglneerlnV
Pink - Planning
BUILDING PERMIT APPLlC.ATION D..E&\RTMENT CHECKLIST
NAME 0;= APPLICANT
APPLlCP.TION RECEIVED
tV E N~ I /./ ;-) f'l/V
II. /4-. OS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1444'2- E/VUrl vE: if
Accepted
)(
,
Accepted With Corrections
Denied
Reviewed By:
JJ1I&
Date:
II-Z,-o,j
Comments: See Reverse Side for Additionallnformationl ;
No L.....,/s~~ I~ 5e,,,,!/.,,.,, fit,",e/' E.sc.MItIf~'/'" .f,o"f\f; Y.',I.
,
" f '\ "
'to
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
<I -,'
"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 violatioh 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."
Residential Building Permit Checklist
New Construction for Single or Two.family Dwellings in R.1 or R.2 Districts
r-
Reviewed by: ~ ~-<.{) /).J Date: /1 / z. F /0 S
Building Permit #
Address: /if'/Lf Z-
Legal: L Z I . B 5'
PID:
f' JleLA-f/C-
Subdivis ion:
Existing Structure? YES 1tf9)J
CONFORMS TO ZONING
ORDINANCE
I Yard Setbacks: NA I FAILs(tOMPLlES:>
· 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 lenqth.
· Rear Yard
· Patio Door: provide for minimum fO; deck or sign
statement indicating no deck will be built in the future
· From 100 year flood elevation of~tfanq/NURP
pond ..:,:.q:, ,..,' ..',
.From OHW (Prior or Spring Lake}, '
, Floor Area Ratio: NA I FAILS t:mMP1 tC:i Y
Yard Eneroachments~ NA I FAI~C.OMPuEb': '.'
:. ;7-Eave. s atT,' "ct..,., GilttersoO;.ma., re.: , thall,. . 2:,'....fe.,er. Tn, 'w. ':id" tn,. and.. '.,"[1.,.0, ',,:>'
. cfoseiffiam5feeftaa: rot!ine:(EaSemenfs}{'.~;~G'r,;~,.;j):'
,: AiC.ar:t~;other~eq!Jipment cannot. eflcr~:~nit1!er:io!: . .
'sfde'larcfs:.. . . '.311" ",
; T.r e~.preser.v._afj~jJ?l FA~Sl C~~E5'~
· Totaf.ealloer:ll1c~s;.. .. ".' ',>
I. P'ermit25Plo.. Removal; ~ .-.
I .. ,. CalLperJtrcbes: Removed u
, e., ,CalfperJhches: P'reserved
.. Replacement.
L\TENfPLA TE\BLDGLIST.DOC
Zoning:
v-,
~.yr f'~
1st: .: .
Existing Nonconforming Structure? YES ~_~____~-__
YES
NO.
Standard
25'
10'1
25' if abutting a street
Proposed!' .C;~:":;'
J./ '7 '
. I . :'~< "?t" :'.~:~; ~'; !
,.,., ;- Y' ." . ~~",:""."'~'" ..
/."1:)'. .~. ~J~~4~:'J' ~
liS,,' ~~.
; l , :;;:z:~~1jalt-,,~ : .
. -f--'l/ ~~:, t,<~~~7:"'[:.. .
- - .. -", "'''. .,.:.....:~~~7~;:.:;,:.:'.c.~.
1 A' setback +
2"ft' over50'
25' -,
10' sider
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
N A"."'-,",,'....ii:/
_"d4.;,~:j/L((':, .:, .
(lC 7 .(6.... ;...~..,...~.+,,,....,, '1'
. '~~{i!:-~~f~1i~~t:~~~~.__:: :
.30 Maximum
Standard'
Propose~~'~~ f'
,..',;'
r
l~
~
':io-''',
~:';::
'.j.,
5.~:
:J,';"';."
Sfandard
.. ......'.'~~.....~..... !'E'ftiposew;;~.lj
f-':';':"~~:~~f!':Jf;'
. -- ..... ~... "' ;:. .:~;.t:'~f,'i~;0~~~~::~': .~.
". '. .. (.:..:".~:~.:~::~:~~:;~~~~f_'~}
~:1 c
Driveway: NA I FAILm6M~
· Maximum width at property line
· Required setback
I. Maximum slope
· All parking areas to be paved including R-Vor
spaces adjacent to the Qarage
I. Location to match subdivision qradinq plan
I,_J
, Building Heigh~dMPlI;i'1 FAILS
-
Shoreland District: NA (F' AIL~ J COMPLIES
Minimum lot area (square reet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
..
Bluff in Shoreland,(NA ~FAILS I COMPLIES
\
. Setback from top of bluff
I. Bluff impact zone
I. Enqineerinq certification submitted/approved
I. Gradinq in bluff or bluff impact zone
· Floodplain: ~A) FAILS f COMPLIES
. 1 00 yea~od elevation
· Lowest floor elevation
· Proposed lowest floor elevation
. Elevations 15 feet from structure
., Road access must be no more than 2 feet below
ReQulatory Flood Protection Elevation
.-. Accessory structure{~ FAILS I COMPLIES
., Size-
I. Not located in front yard (Materials)
.' Side yard and rear yard setbacks
· Maximum height
I. Materials compatible with principle structure
L: \TEiYIPLA 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~ c~m~tructed
.9/19/9a-tJI221SIfthen2':::," ..
additfcii1af,(6otlS'nouequlfec[' ~':~'~~...
Must be flood elevatfort;:or;',
,. .-'-=rlijFief'.:~~~:"t',;:,:
907.9! for ~'rior; lake'
91:).4' for S'~iifriill.aRe
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 TopotBluff
Bv City En9iheer
No importino/exportino
,_, I
Staricfant:' ~.'.,.
832 sq.ft. or 25% rear yard
10'
15'
Proposed t
III '~,
5'
5.1{~ c'. i
~
rl-- .'..e',_""
I?' ".
Proposed'
.,~ .' .._-,,~.~
J
3 ., ~ . "<:S'b';"~q-
11 . . YTfI
propos:!'ri:: )ifF -~,o
Ii. .
(-.
.'~".?-~':::' '~:~~~~;~~~?~:;.t~
P'[Op"'o"s' 'e..l;',:".,i;~'Ji.'.'.'
'- " ~~.,'-~~~+--' t,..,t.
"!'i',;
t.),:
f""+
E2'. ., -"'''. "cf.':;';o';;:"~";!""W~: .
. .opose "''''''''''~''~'''''' ...,
...., ' . . ~",'_ -:r''-'"-,,., ,'.,.....
- ,. . .'.......'.
. . -.. i:'.:~:~-::'~,~~~~i~~A~~~f~;:z{tl~;J w:~~
-- ~.
. ":.:~'~~;:;;;';':;;:~;~-"'r'
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01/10/2006 TUE 15:31 FAX 952 767 1900 GENZ-RYAN
~ 002/005
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
~. ~:n ~~. I PERMIT NO~ II aQ
). Yellow Apphearol .., · P "II
(Please type or print and si~ at bottom)
ADDRESS
t Li L} l~ 2- Elft ( I (A U -' C f- .-
ZONING (oilice
use)
LEGAL DESCRIPTION (office use only)
LOT 1\ BLOCK 5 ADDITION
PID
~::~R \_ ~ lC\:,SXY\ n. Xl if) \-\O'n~
(Address) \ gq5 IOIO~lGL Dv. Sic. ~OD
(Phone) (j5 f -. q 00- 37 DC,
E~ag Ofl f\./\l\l
5){,)d-
APPLICANT r-. .,." _ '), I
(Name) l:1i5 11- 1\::_JjOYl (Phone) q'F)~-7{f7~'IOOO
(Address)~;){D W. f-tLul-'ll'~ Buxnsvi lIe ~353'j--;
. ,<:?,dd{~S) (Oty) (Zip Code)
(Contact Person) . \-' ~cd'\ 0(n IA nf:JYl (l V\ (phone) Q SL"'lLf1-! ~ ~2~
APPLlCANTSIGNATURE /4\vOvf\ t<\(hlOOtIlIlRtu DATE I / () ~ JOlt;
\/ ApPLICANT PLEASE COMPLETE BELOW
. ~EWCON,STRUCTION 0 REP~ACEMENT 0 ALTERATIO~~
FURNACE MAKE AND MODEL Uh Vi ()), (~r~ ?J.fit - oc) 0 FUEL N lL~. fi a ~.
FLUE SIZE RETURN OPENINGS INPUT~ ,000 OUTPUT 2?O. q(vo
TYPE OF SYSTEM HEA TING OR POWER PLANT
DWann Air Plants
o Gravity
o Mechanical
. DaAir Conditioning
'll21Vent System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39,50
$39,50
$39.50
Residential, Heating & NC (New Conslruction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID WITH
tsUluwlNG PERMIT
BuildiRlZ Official
\\,:~~ : ~ LUU:~ II ir;PI N
Date U ~ LJ\
24 hour notice for all inspections (952) 447- '~50, fax (952) 447~~~~."_"_._ \
\ 2'y..~~:=,;=;===- -" ..-..'"
.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEAIJ.1~G/AIR CONDITIONING/.1i'lKEPLACE PERMIT
Date Rec'd
I. Pink
2. Green
l. Yeltow
~i~. I PERMIT NOS- .........0
Apphanl " " II
(Please type or print and si~ at bottom)
ADDRESS
IV"lt"~ ~ C*
ZONING (office
l1Se)
LEGAL DESCRIPTION (office use only)
LOT
BlDCK
ADDmON
PID
OWNER W
(Name) ~
IQ'OIS p~ ~,
(Address) (pS I.. LfOL, .. ~400
(Phone)
..... delO , ~ I Yh,. SS/.J.~
APPLICANT
(Namerl.,~""h~, ~.\)" frr-A. J.. t= R (phone) 'lLD~- Sr"lI-dS"dS
(AddressL
x9cn /09..u. QAJf'~ A.J -ii:.I.ct::Jo ~.L~ .J?11'1 553/(p
(Address) I I (City) (Zip Code)
(Contact Person) .-\:( ('..~\~ ~npKl"\O'- (phone) rJt,,~ - Sflto-/~ IIp
APPLICANT SIGNATURE kl\A.~ blo~ DATE
APPLICANT PLEASE COMPLETE BELOW
~W CONSlRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE tI:m 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
FIREPLACE MAKE AND MODEL W-t:
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
~ c:D4~L,rZ-
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
3139.50 minimum
$99.50 Residential, Additions &. Alterations
$64.50 ResidentiaI. AC Only
$39.50
Residential, Heating &. AlC (New Construction)
Residential, Heating Only (New ConsUuction)
3139.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
S
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildiol!: Orficial
Date
I Paid
I Date
Receipt No.
By
24 hour notice for .11 inspections (952) 447-9850, fu (952) 447-4245
zoo IP1
HOOG 3~VHV~ ~I~VWO~V
66ZL 9L9 C9L XVd Ot:Ol 90/LZ/I0
PRIOR LAKE
INSPECTION RECORD
SITEADDRESS 1!I1{~/z- EJ.JCLAllc C"U~r
NATURE OF WORK ~ QJ".trrA..cum"'~ (1fJ/I..L. P=",jI,)tN)
USE OF BUILDING _. _ S.F':b, .. _ .
PERMIT NO. DATE ISSUED J1lt.cr ID~ :
CONTRACTOR M.~N ttetnCI PHONE~ · t'd-I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
. .
J FOUNDATION (Prior to Backfill) ~ n/('f"/~J
PLACE NO CONCRETE UNTIL ABOVE"HAS BiEN SIGNED
ROUGH -~fiS/ }
. /'1'PI1P h /6? --
, !fJ' j I -
I I
w'- m /#;>~y
,jJij , I I I I
~) ~'" ~ Jv/~ I
I j/
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
DEPARTMENT OF
BUILD1NG AND INSPECTION
IN!)JI,ECTOR
&
DATE
-
. 2/11M
7/.9" h>/r-
. r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
tA:rllE I H,ul'l'lAJIth- r I'
.
FINALS
.re
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
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.
j
~
/ e-
t..Je...
(f/ P. 1*/1 ., /6 (4
. .
FOR ALL INSPECTIONS (952) 447-9850
'..",(';,
@erfifitafe of (1)ttttpantll
CITY OF PRIOR LAKE
~tpatfmtuf nf ~uil~iug Jluspttfinu
'CfFinal Permitted
D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential / D 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:
Use Classification 5 I NG L E F /i /"/1 ,-:V _ Bldg. Permit No, 0 s: 1/8,9
Occupancy Type 1< :::., Type Construction V N _ Zoning District PUS D
Legal Description L 2.. I I e 5, JE FP 61<::: pc AJ () I :::r
Owner of Building _ Site Address /"'4-42.. c=/v'CLrI ve GT.
Contractor's Name & Address ti/t:.N:::I'1/iN;V HOlIeS, Ih'?5
I..! OfjE.J?7""'.o. f!U7(J.H1 N:5 /;;1, _ City Planner
I _ !Uilding Official V
Date: (/, I? ", A Date:
I - I ( - POST IN CONSPICUOUS PLACE
PLrtZI'f C>~'! ;;1"kJ~;J 6-512.<-
J 11 N e IC/t;./$I c.R....,
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE nile
SCHEDULED
~'z-a. ~
ADDRESS Jl/lf!il. E~~JfV~ C1
OWNER CONTR. '-ve.rS ~Atf
PHONE NO. PERMIT NO. ~S.I'~'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.. FINAL
YO ~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
r",,"~ I'JL
Lvlb K,,~, tLlL-
1
..x.WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector~ _/ Owner/Contr.
CALL 44~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
DATE nilE
CITY OF PRIOR LAKE I I
INSPECTION NOTICE SCHEDULED 3j I r 6(,
ADDRESS J <...1 Ll L/ 7..- -f.CA (' t ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
5'-I/~ '1
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
-rI PLUMBING FINAL
""'0 'MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
,. K~~ L'c.....Oe, .
.::T' I' 'T" I ~*r.' 4ql- c.,'~ i.~
7, ~ ~r !"\ L,..I . r>...,jjJJ 10 V'
~. ~ l~\b ~ ~ ~
4, ijav,ceP IIcr~Q ~ WL.,.\ ~t /IAo-tor-
- .
o WORK SATISFACTORY, PROCEED
~ORRECT CTION AND PROCEED .
o CORR T ~K' CALL FOR REINSPECTION BEFORE COVERING
Inspecto' : Owner/Contr:
CA, 44' 8.. JR THE NEXT INSPEcnON .. HOURS IN ADVANCE.
C~MENTS ARE FOR YOUR PERSONAL HEALTH & SA.FE~I
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1 <.Il/ 4 e.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'ft FINAL
tJ SITE INSPECTION
COMMENTS:
SCHEDULED
~~7
I'
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
n'
(\t r/\ I .{
~ ~ --J-lif'tL t-( V
42;j,t
TIME
t:; - J (3 \'
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~T RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR 'YOUR PERSONAL HEALTH & SAFETYI
INSNOTl