HomeMy WebLinkAboutBldg Permit 04-1194
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and siWl at bv..u~)
ADDRESS
3J I 4- G~ 'Yl6 ~U1cJ 1 t'
Date Rec' d
1/,6.04--
I. White File
2. Pink City
3. Yellow Applicant
PERMIT NO. O~, I / q 4-+
c ,. J2. ,-' Ip
ZONING (office use)
PUt)
LEGAL DESCRIPTION (office use only)
LOr~<\ BLOCK / ADDITION Jt. ~
(JJ,..,a.ls r~f 7' t.,.., _ L~'; J;- PID zs: 383. 036. a
~w:.e~R.~~~) C~""5 rr
(Address) ?c:..Ol I L/,- '72-.. ~ (';-u Jl.,.'S" I,
BUILDER. ,//1 I) n /
(Name) mtN'J"'"..,~h \... c,.....S r
(ContactN'ame)" J <f.Ll G~s.;'
(Address) 7(,.., c) I 14s- -;- h l'\ j
TYPE OF WORK
o Misc.
\ .<2- ,e.... ,
(Phone) 9~-L, ~.. '")/"OI.-
Jtpl<l tleJIr #1-.. ~-/~,V
(Phone) 9c:;.~t. ?'2.. - ?'o/
(Phone)C~ ~ 4J~~ ") (0'
AJJ(}J~ J):J;, /h~;;a I..f
.. t,...."'"
!{JIZ S'r
~ew Construction
~er Level Finish
~k ~orch ORe-Roofing ORe-Siding
JkFireplace OAddition OAlteration 1\,'-" ~j tilJ)f)nnection
PROJECTCOST/VALUE (exc1udingland) $ ~c!)~ '3 . - (
iffOl..I./Jo(),tJo I
$ ~S'S 2., 75 I
$ 221~-'ZJf I
$ :;>'<'0,60 I
$
$
$
$
$
I 00, D-a
!O{).oo
3 S".$"" ~
L/{J,t)()
This Application Becomes Your Building Permit When Approved
~~ JJ/(~~'"
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
=teA~7J(l~nspections. l? C _ 2:5 ? (? :5 - 05-
1Jf'if;' Signature Contractor's License No. Date
vvv
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
I Park Support Fee
I SAC
I Water Meter Size 5/8"6
I Pressure Reducer
I City SAC and WAC
Water Tower Fee
$ 85""0. tJ 0
$ I?, SO,OD
$ 3aDt O-e
$ 7(J,{)O
$,,2..00, De
$ . ?o o. 00
Builder's Deposit $ I ~(?J~. lJ 0
lather $ I
I TOTALDUE~ /Z.I.{)~ $/2./335'.04-1
Paid ~Z-1frd? . .BRvece~ ~YJd9
Date 'n.. _ .f',() 4- ~
#
#
#
#
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when signed by the City Planner constitutes a l.....,,~.ary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~~
Planning Director
Ji/, C; ~o{
'Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 Oistricts
Reviewed by: Dc~tJ/C V-c~~'- Date: :)/ ~ 9 ~y
Building Permit #
Address: 32- J L/
Legal: L~ , B I
PID: .Zoning:
TlJ1.1.t$e/Z-W&F C/~C/L6:
Subdivision: ~ e ~ I~~
Existing Structure? YES~
Existing Nonconforming Structure? YES J~
CONFORMS TO ZONING
ORDINANCE
YES
NO
- -
Yard Setbacks: NA I FAI~OMPU~
· Front Yard (can be 20' if avq. wlin 150')
. Side Yards
Standard
25'
10'1
25' if abutting a street
Proposed'
2-5" I
"
Ilt,.'1 '
· Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in lenqth
I. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicatinq no deck will be built in the future
. From 100 year flood elevationofwetland/NURP
pond
. From OHW (Prior or Spring Lake)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
.'"~....~-,..~.:~.,.--
~ON E~~::::' .
rJ
75' or setback average of
adjacent structures, but no
less than 50'
J Floor Area Ratio: NA I FAILS (COMPLIES': )
.30 Maximum
NA
I' 7 V,
I
':. Yard Encroachments: NA I FAlls<iCOMPLlE~
I
Eaves aOd Gutfersno. mare than. 2' feetilT widthandriO
closer ttlan 5teel to a,lotlfne (Ease'menfs}. '.
. AlCamiother,eq!Jipmentcannotencroac1lon.interlm
sidevards. .......';,
Standard!
I
l'reePreservatrorr.tN~E=A1LS I COMPLIES,
. Totafcatlperinches
. Permit2.5% Removal
· CaliperJnches:Removed..
. Caliper IncbesPteserved.
. Replacement
Sfat1tfard: .', ,.
~.
r
Yi1
L:\TE:rv1PLA TE\BLDGLIST.DOC
_.~
Driveway: NA I FAIL$'I COMPJ."lES-J
· Maximum width at property line
. Required setback
· Maximum slope
· All parking areas to be paved including R-V or
spaces adiacent to the qaraqe
. Location to match subdivision grading plan
~ Building Height~oMPL}P'1 FAILS
-
: Shoreland Distric~ FAILS I COMPLIES
Minimum lot area (square feet)
Minimum lot width
I Shoreland alterations
I Impervious surface
Bluff in Shoreland(N~) FAILS I COMPLIES
. Setback from top of bluff
· Bluff impact zone
· Enqineering certification submitted/approved
. Grading in bluff or bluff impact zone
Floodplain(~') FAILS I COMPLIES
. 1 00 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
R~urat()ry Flood Protection"Efevatfon
. '.Accessorv Structure:fNAi)FAJ~ICQMPtJE5
. Size \:-
. Not: located in front yard (Materials)
. Side yard and rear vardsetbacks
. Maximum height
. Materials compatible with principle structure
L:\TEMPLA TE\BLDGLIST.DOC
standard
908.9' Prior Lake
914.4' SpFinQ Lake
909.9' Prior Lake I
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure wCJ~9o.n~tru~~~d
9/1919Q.:Ut22itiuuii:"
adaitiOiratfOO1ht~I1cf;T:;"""
Must be trOQf.f.~~' '
"~~:::""0;[:"~ .'
907.9' fOr Prior Lake.
913A"fot SIffflif;ftaR&
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'
By City EnRineer'
No importing/exporting
stancraictC~
832 sQJf o"'25~'re8F vant
10'
15~
'@il:~ ~i?TT-
-.-..
,!l.:!!.....a:_~~::r.;_I. ~\':' ,
Proposed
~Qt
t 8 I
7. '1o/a
~
~
~
:,
Proposed
Proposed: , ,,: I
, .'
f_::~.,
,
.. ':::-;~~: :':~~(J-1!ir"~ C'
:;...:~:.~II!!J
, .a:. _ II' '*~... " :.
White ~ Buildin~
C CanaJ'V.-=.-Engine@riiilr)
"',"1(- - Planning
Thr ("f'n'l"r of Ihr I..kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECiKLlSr
-NAME OF APPLICANT
APPLICATION RECEIVED
(vj c DON /-\ cO CDlv'STIL '
II. 10. 04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~3 2.. / 4-T'II"/ .C C. f;;'~ V\J 0 L F" C,I/2 ~.LE
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~ flIJ'
Date:
/1- /t-04
,
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Grading Plan, 2) Erosion Control Mesumre~
"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."
.-',;fit'_
White - Building
CC')nalY - Enaineering
(" Pink - Plarimna..::>
The eenle' of Ihe take ("ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~'1c D('~ 1\ LtJ CCN~T7L
II. 2.. 04--
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
32 J 4- T II L: E I~ \ \J C L t- t I L CLLS
Accepted
Accepted With Corrections
v-
Denied
,..
Date: / 1!t9 /a~
, ,
~T~
Comments: ~ GLf-I
ltJIK~ ~~~ t.,~~
~ ~ ~_.~ ~"'O
Reviewed By:
~
"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."
C~hite - BUildin9)
Canary - Engineering
Pink - Planning
The C"rnltr or Iht' Llkr ('ountr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ticP()N A L-O CJJN5~.
II. ?J, 04-
, -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
32./4- IIMB6f2-WOl.,F C.AeuE
Accepted
Accepted With Corrections
V'
Denied
Reviewed By:
~~,J
~~ a.eL~,
Date:
11//9/"(
( .
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."
CITY OF PRIOR LAKE
HEAll1 iG/AIR CONDI110NINGIFlREPLACE PERMIT
Date Rec'd
Il'!.-e tn'e or mnt aad siD iIt bottom)
ADDRESS
r~'oIJ/ 7/,h?.ter,,",IP
~:=. t '.rJ!.AMIT NO. Ll_J J DiJ J
,. YolIow AppIiam '7 . "'...L-L17
ZONING (ofb
ute)
c//' '
LEGAl. DESCRIPTION (of&:e use only)
LOT BLOCK
ADDmON
PID
~~~q;{J
(~I0Sf- .
(Phone) -1'c$C)'?~ 0 I
(Address)
=r~IU~0~D
all'"
(Phone) ((;.,.<;7) ~Cfj - G:D~ do
'-.. -
(Address)
;:;)J p. tJ:)
eD~i:I J due,_
(Address)
raT1I?'?'~ ~,.J
tr(City)
..5" sf) ~ )I
(Zip Code)
(Contact Person) . (Phone)
APPUCANTSIGNATUREI:",d ~d-<~ DATE ~- -1 -0 ~
APPLICANT PLEASE COMPLETE BELOW
~ CONSTRUCTION D REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODBL C9P7Pbl /~ ;/B-O FUEL ---A,)..qr
FLUE SIZE .J If PVC. RETURN OPENINGS INPUT /~, GOO OUll'UT ~ ~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Slcam
DGra~ 0 Hot Water
o Meohanical 0 Radiation
[]Air CouctitiOD.iIlg 0 Spec:ial Devices
OVem.5J......... 0 OrherDcvices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FI:REPLACE MAKE AND MODEL
1% of job ~ ~~, Gas FirepJace (r~ ~4>$39'50
$39.50 minimum <J~
Residential, Heozmg &. AlC (New CODstruc:tioll) $99.50 Residential. AdctitiODS &: Allerations ~ A 0
R.c5ickutial, HClItiDg Only (New CoDStrUCtlon) $64.50 Rcsidmrtia!, AC 0Illy ~.il1J'"
Estimated Cost S _ Building Permit #
HEATING PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE S
IDdUSlrial, Commercial &: Multi-Family
.50
(Office U,e 0",.)
BaIldlDe OfIkIaI
nlre
I'~ @ r~ ~ ~I [f~iPtNO.
I ff~e FEB 8 20051 fr
This AppUutIoll Becomes Your Building Permit Whea A.I'" '...' led
]4 hour notice for aD Dalpeer:lcm$ (95%) 447-9~:~ (9~ 447-414~____::___.J
TOO~
lIlV <I3110lLLNOJ
9L~909tTS9 IVd 80:0T lHd SOO~/tO/~O
Page 1 of2
From: Christa Wegwart [WegwartC@hearthnhome.com]
Sent: Wednesday, February 02, 2005 11 :54 AM
To: Lynda Allen
Subject: PERMIT FOR 3214 TIMBERWOLF CIRCLE
L{ -)lcpf
Lynda Allen
CITY OF PRIOR LAKE
tlEA 1 J.1 ~GI AIR CONDITIONINGIFIREPLACE
PERMIT
Date Ree'
1. Pink File
2. Green City
3. Yellow Applicant
I PERMIT NO.
l'lease tyPe or print and sip at r. . "i"...)
ADDRESS
ZONING (office use)
3214 TIMBERWOLF CIRCLE
LEGAL DESCRu uON (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name MCDONALD CONST
(phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
2561
(Phone)
651-633-
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
2561
APPLICANT SIGNATURE BRENDA HUSTON DATE 2-2-05
APPLICANT PLEASE COMPLETE BEL~'I ""0 ~
X NEW CONSTRUCTION REPLACEMENT ALTERAt?~ --;;;:'
FURNACE MAKE AND MODEL FUEL "f::1A,f,.,.
FLUE SIZE RETURN OPENINGS INPUT
BRENDA HUSTON
(phone)
651-633-
OUTPUT
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water I,
Radiation I' L!
Special Device$
Other Devices !! II ~ ~5
II
, ,
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
FEE SLI1.1!.DULE
1% of job cost Residential, Gas Fireplace
FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK
$39.50
2/2/2005
Date Ree'd
CITY OF PRIOR LAKE PLL"MBL~G PERMIT
t1'1~ cvee or urine IDd sUm at bottom)
ADDRBSS3 d ) \f -n Yh b er lIIO )-f
C;{l(}! e
i ~n;: ~~ I PERMIT NOU_ 110' J
3. Yellow Applialml -/ ~
ZONING (oftice use)
LEGAL DESCRIPTION (offtee use only)
LOT.:s>~OCK 0 \ ADDITION
Jl/t;ods a+ +hrJ ~'/j\
&V::e~$ahQJrJ {/~h~tf\J.\/+;(jh; :Inc.
(A4dreu) 76Qj LYS"ib sf. liAisj / ~ IIaJI (J Y ,1::10 '-\ --D () Y
=~t; VP S'fa Li!Jy,...~; "3 "XY'l'1(J (Phon.) 6'>11- Yv<J- <f> /~O
I :=P~ /J~~~~e / .~.d~:=)/h~;/~~S;---;~~lt)
APPLICANT SIGNATURE ~~ ~ cP/~ DATE a - c;:p....ov--
Quantity
I
I
rl..
c.-,
'R
.~
I
I
'LI
I
PIO
(Phone) 4sd ... y ~ ~- :760 I
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or wjthout shower
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
I Type of FIxture
I Rough-ins
I Water Heater
! Water Softner
Stand Pipe (Washing Machine)
Sewage &;ector
I Backflow Assembly
f Backflow Assembly Test
I Lawn Sprinkler '
I Other '
/
I
.
FEESCBEDULE rO
Industrial, Commercial &. Multi-family 1 % of job cost with a $39.~O minimum Residential,Q.,.. samuy $99.50
Residential,' AY~I!J~ . s $39.50
Estimated Cost S /3, ~O() . 00 Bulldlna PonnU fl 'L:::J..f1Y. ~~~
:~~ ~
$
PLUMBING PERMIT FEE
STATE SURCHARGE
TOT.L PERMIT FEE
:1 " ",', ,
(Oftlet Ute Oniy)
. This Application Beeomee V our Buildiril'Per~ft When Approvtd
l.jf~FEa; 4'2-~;~; I t No.
BwlJdlRl OMela1
Date.
24 hour notice lor .11 Inspections (951) 447-98~ fax (952) 447-424S
lijY
-
.. ....- r_..
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 32.14.{ T, M Si7l..IJOLf:' j C ; tlJ:!.t&
NATURE OF WORK ~ ~~~/C~
USE OF BUILDING S.f:':t:>, .
PERMIT NO. ()4--,//94- DATE ISSUED If ((Clto4/.
CONTRACTOR ~~~ALD ~""/12J.lC,t~ PH6NE~S2"t.l!!.. ?Wd I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INS,....,..,..R /DATE/
f::1/1 I /2//3/'~
~l . .
I FOUNDATION (Prior to Backfill) ~ /~ <s I'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
, M/ /~
# .J-,6~
7;tJ' ~4
~ 7'"?
,~~~~
I FOOTING
wet
SEWER I WATER I SEPTIC
FRAMING
INSULATION t?' tnvf ~4
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST .~ ~ M "'4--ft-or
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
r . ,
L~"~ l{ t-\eu~E~ fAP III/w ~ J/; /a )' I
FINALS. (fi
GRADING (Prior to Sodding) ,.0.\ ~ \l
BUILDING '1~ J.-, ., ..t--~ ~ 'tA/f)'
/ ELECTRICAL /'1 ,_;-'Y'
PLUMBING Wi!:?
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.
?" O\P Ida
5,IDb
Cf?/J ~ ~
,
FOR ALL INSPECTIONS (952) 447-9850
I
~. ,',4' " ,-
.,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5 ,zta,
PHONE NO.
3),1'1 TllVllwwo/f' C,/'
CONTR. f}1 (. lA,r'Ji/1I
PERMIT NO. eLf-II';'!
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
rISlFlNAL
've SiTE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,
~~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
f?rJr ?lIe..
....
r; l Jlh JS;>;", oIL
It WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,nspector:4/L -. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 321'f I:'~ ~ f' c.~,....
PHONE NO.
OWNER CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
R ~LUMBING FINAL
If\.. MECH FINAL
q- 111c.(
o EXIGRADJFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
t. t:t1...rtor ('~ f'rov-k S:I~
'"t.. :t"",,,, \. ~S J.~ II\crl ~\-c.~ RUlI\ '(I'~
",~IC ~~ - <=lwV\4T ~""Cj~_
~. f?~ - S"W\.r +0 -('I.p4r~ &t~LA- $O~f
~~ G~k ;w,.~
5". ~-C;nf).A .
J~ro Cl""tL) .\.~
\.
-----
0(- l-tJe::.....,
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS r~~ll.\
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~
\\W\~ ~\t-'
CONTR.
PERMIT NO.
~ - lti!/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
D.
C<?J(lMENTS: __
I.~c~~~"~~
A~' U ,T\_I ~ '"i 1- l~
o ~K SATISFACTORY, PROCEED
;a'"CORRECT ACTION AND PROCEED
o CORRETf!JCALL FOR REINSPECTION BEFORE COVERING
Inspector:l Owner/Contr:
CAl 7-985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFE~I
INS/<<JTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nilE
5. JO.Ot,
ADDRESS
.s 2-1 t!- Tl n PDt ~vCJ~ UK-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
C FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
C MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
r'!f/);)L ;{~
v
4.(lc(4-
o EXIGRADlFILLING
C COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
}O~;;E AIR TST
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: trJU Owner/Contr.
CALL 44/."50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/