HomeMy WebLinkAboutBldg Permit 01-1262
I
Date Rec'd
/)Jt-t' f
10-5 -0 I
~J. J. '1 OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERuJ.41CATE OF ZONING COMPLIANCE
AND lJ llLITY CONNECTION PERMIT
/dl?/~- ( (7f((d-~_
() _ I t.f L-/ r/ Y 1. While File
~ 2. Pink Cily
3. Yellow AppIic:IIIl
C?leass tvDe or mint and sim at bottom'
ADDRESS
~ f!J4 ~
LEGAL DESCRJ.r .l.lON (ofticle we only)
LOT 56 BLOCK Z ADDmON
&r4()J~ bli/~
e~
1-5 - ~,4 - ()5'- 0
11~f)tA) IJiBIU
PID
..I
~':~R C6u~ !/r;mfS
(Address) IlAOfJ fA)~IeIAJ,jv
(phone) is?- - 936 - 2n~
Dr., 5 ~ fe 12..0, Hi"f\dD"J.4.., I1AJ I5..J'I~
, I / '
(Phone) flJ2 - 9 36 - 793:t
(Phone) ~/l-3"--1~9J
BUILDER . 1.... . , I
(Name) ('.~ ex. /7lJA<1f!. S
(Contact Name) 11 Aff tJ' ~" /I ell
(Address) se e a,),tP tI L-
TYPE OF WORK
~New c...,,, .mon
DLower Level Finish
~
~ireplace
oPorch
OAddition
ORe-Roofing
OAlla'ation
oRe-SidiIIg
OUtilityC..... ..:DD
I hereby ceI1ify that I have f\Jmished information on this application which is to the best of my knowledle tnJe aDd comet. I also c:erlifY that I am the owner or
authorized agent for the above-meDtioned w"W .,..} and that all......., JCtion win conform to all existiDg state and local laws and win ~....1 in aa:ordance with
S1I...:,.,.d plans. I am aware tbat the building oflidal can revoke this permit for just cause. Furthermore, I hereby agree that the city oflidal or a desipe may
;terupon the~A~.' ~~ iDspections. Za; '76 t:J J ~ /4~.tb /
~ Contractor's LiCense No. ( Wate
I 'LCoJ. 000.. C!)O
1 ,J I'lS. l"",, Park Support Fee # S ~.(!)(j
-')13. ~ SAC # S 1,15000
C,'L.DO WaterMeter SizeS/8"; 1"; S - 0
Pressure Reducer $ - 0 --
Sewer/Water Connection Fee # $ /. ?tQO .0(:)
Water Tower Fee # $ - ~ldO.(1)GJ
Builder's Deposit S _ " -
Other S
~rY""'-"""Wb<D-
~ IO-I'5"~ () (
Buil' Omcial Date
o Misc.
I Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Sewer &. Water Permit Fee
Gas Fireplace Permit Fee
PROJECTCOSTIVALUE (excludingland) $
I z..~J ~
S
S
S
$
$
$
$
S
! OD. f,2f~
,I>() ." iJ
1'5'.Ij"O
'to .~O
TOTAL DUE
,Sf6/098.. 95
~~.~~.J-
Paid
Date
r6 Oy j '1..r
II ~ l~ I -t) J
"
ThIs is to c:crtifY that the request in the above applicadoD iU1d a......~,.nyID& doauI1mIJ Is In ace......"... ..widJ the City Zoain& ()rdinaJJce and may proceed u requc:smL 'Ibis cIocumaJt
wbcn slped by the City P\aDDer.. ....:. Jtes a ... .., ",. ..' Certificate of Zonin& comp1iaDce and aIIaws COI\S1I'UCtio1l to .....,,,, - .ce. BefcR oc:a1JIIDCY. I Certificate of 0c:cupuIl:y _It be
~~"4W' ~ltatDt ~~~.-.-l<'
PllII11ling Director Date Special Conditions. if my
14 hour notice for all inspections (951) 447-9850, fax (951) 447-4145
White - Building
Canary - Engineering
Pink - Planning
The Cenl.. of the toke Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~/FJ^Jn" J-Io~J E:::
10-5-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted ~
Accepted With Corrections
Denied
Reviewed By:
a..,-~ _ .~
?~ .~
V" v
Date:
lt/~/Crl
~~---1> -~/) 'i>-tg C~~
,o-:ll ~ ~LJ. /J. c~Q IfJf?:1- ~
V \/\ e..t'~ >LV ; /~) ~
....
"The issuance or granting of ..a ~mit. '. 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 ~ny 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."
Th. C.nl.. of Ih. tlk. Counlry
White - Building
Canary - Engineering
Pink - Planning .
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~ ti12M 55
10-5-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted ,L
Accepted With Corrections
Denied (') II
Reviewed By: ~ It*.yj,.
Comments:
~ ~ ~\~~le
Date: IO.....IL.,...O(
"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."
White - Building
Canary - Engineering
Pink - Planning
e ('.nltr of 'hr tlkr Country
BUll-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT:
APPLICATION RECEIVED
~jF.AJTE" ~'OM 8S
/ D - 5 - 01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is. proposed at:
'f'iL(2 ~:- 13rCJ(Jtm(r~ B/vtl
IX-
i
Accepted
Accepted With Corrections
Denied
Reviewed By:
Comments:
/tIfJI3
. Date:
1/--/7-0 J
I
5-6<.. ,(VI ct r'" r-: / f L
..Ii ( "
. ~ J
11"
t_ .
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 PRlOR LAKE PLm-mING PERMIT
Date Rec'd
(Please tv):)e or crint and silln at bottom)
ADDRESS
1(/~07~ &/Yhn!'e W
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
BLOCK.
OWNER ~ 11 .
(Name) :t4 . ~ Jb
(Address)
'~~;~~'~)aJ~/-! _P/b/)
(Address) ~O (/ {/uali; &e.-
(Address)
(Contact Person)
APPLICANT SIGNATURE ~j~
Quantity
,.J
/
I
..Y
/
/
/
~?
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower . ':?
Dishwasher /
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
,
MM~/
.l'.I!..I!,; SLJ:::IJ!.DULE
Industrial. Commercial & Multi-family 1% of job cost with a S39.50 minimu!l1
"
Estimated Cost S
~ ~ ~:~ I PERMIT NO.", __,,,, ...1
l. Yellow Appti..... U I ~~
ZONIN'G (office use)
PID
(Phone)
(Phone) tJ.~~r2,o1/J/
,~J.~ .1~~?5~
(Ci.ty) (Zip Code)
(Phone)
J.;)v./ ~r oj
DATE
Type of Fixture
I
Rough-ins
Water Heater
I Water Softner
Stand Pipe (Washing Machine)
Sew~e Ejector -
Backflow. Assembly
. Backflow Assembly Test
Lawn Sprinkler
Other
Residential, New One & Two-Family $99,50
Rcsidential. Additions" Alterations S39.50
Building Pennit #
PLUMBfNG PERMIT FEE S
STATE SURCHARGE $
TOTAL PERMIT FEE S
(Office Use O1Ily)
This Application Becomes Your Building Permit When Approved
Buildinc Official
Date
24 hour Dotice for all inspectioDS (952) 447-98S0, rax (951) 4474245
, ~10V4m'..urT
) _~tlG~-- I
I Paid
I Date
Receipt No.
By
15:03 651 633 BBB4
fIRESIDE CORNER
. ell i OF PRIOR LAKE
milA J. .u.4G/AIR COND.I.. ..ONlNGIFIREP LACE PERMIT
#0567 P.001/003
Date Rec.d
tfI-c I:J.P.C ar milt ad.... 1I11D11D1ft)
AuuRBSS f} // M .
/WcJo) ~ ~ JtJ~
t f- ;;. I PERMlT NO. () I-I z..(P.
ZONING ("'-J
LEGAL DESCllu: uuN (o1l!al1Jl8 anJy)
LOT SLOCK
ADDmON
pm
OWNER.
(Name)
(A.cldre.)
tburJM 4- r
(Phone) ,
APPLICANT
(Name:) ALLIED FIR.ESmE DBA fIRESIDE CORNER
(PIu DC) 651-633-2561
(Address) :;1700 N. FAIRV1:ft AVENtI'E ~'IIT.LP! MIlf lI;lI;l. 1'1
(AddmS) (CIty) (ZIpcacre)
(CoDIICI: Person) BRENDA HUSTaf f (phc ne) 651-633-:2561
APPLlCANTSIGNATU~~)'~A ..4~ .t !"A:TE_(/::Slb.~~
APPUCANT PLEASE COMPLETE BELOW
'5INEW CONSTR.ucnON D ~I...:.o:'...ACEMENT 0 AL TEkATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE aE11.1IlN OPENINGS Jll,/PUl OUTPUT
TYPE OF SYSTEM
Bwarm Air PflUlts
On.vlE)'
o hf.eGhllDlc:al .
:JAlr CondhJonlPI
::lVIIU. S)'_
HEATING OR POWBR PLANT
3 Stelm
1m, Water
o lWl.uon
:J n~ ..:"J Devlc:ea
J other Devices
PLEASB Nu a'::':
Afr CoadJdoner Unirs
CIDDOl ~ ImD
J.equired SJde ylltd
Sebcb
FmEPLACE MAKE AND MODEL ~ j.J ~to ...n. ~ol"Dm-
nB SCHEDULE
1ncIu1llria1. CamlrlCfcl.. & Multi-Flmil)' I" of jab CDI& llaickn1ial. Q If Pirclpl..
$39,50 mlnlmwn
R.esldandal. Hcatlnl & AIC (New Construction) $99,50 RulclM1tlaJ. It ldiD.., & AI...IldoP.
ReafdcnUaJ. HaDllI Only (New CoDSD'IIc:tioa) S64.SO Raldeftdal. It = Only
139.50
S39.!O
139.50
Eatimed Cost S
Bulldiag P&rm t ,.
HEATING PERMIT FEE
STATE SURCHAllGB
TOTAL PERMIT PlI
$
S
S
I
I
.~ 3 I 2W!
I
I
~ p~'O W~~M\T
.so leu\\.D\NG
\!. -
~c u- 01117)
Thi. Appralton IIecoIllCll Your Balld.. rermlt When Appnwed
...... omdal
DI~
~~
,By r
~ It.., nlltiar ,., all ht.,..:d.... (952) 447-9150. III : (9D) 447~
IW"ZfO - OI-'Z-fp3
CITY OF PRIOR LAKE Me ,,,., Zr, - () I ' ,2.(, z..
182CID I!IIgIe Cntek Av. 8.Eo PlIfII1It No. I <M2 '" - (j { , / Z ~ I
PrIor ...... MN 55372 I t.I 'f 2. z.. ,. 0/- iz&O
HEATING APPLICATION I PERMrr SIngIlt FemIy
D_ 1- ~o _ ()~ PIJ' c.' ,~III
SlleMcha 1'f~1.~ .J.C.-2Y. ~ R.._k.---. S''''' fb' F..ScheduIe
Lal Block Addllon
0Wner'a Hem. .J 1." r e...x:
H..llng Conb8Clor i-Ie.<l.. b '(\If 1 c..ooL...<;
Adct... 1<6:>S- 0 ()...... f1.. ~J ~;
...... I
Tel".." 1(~'!-,4-;.~,.7'71
F~ MlIIw I. Model -Z.aO 3 "01(>
Mod.SIz. 10,.>D" f?tl.f
R.lum ep.nmg.
Input 1t>. ,<71 Ou\pUI s:r:h')
Edr.
~
I
!
,
.!
t
'I
1,
ji
~
fl.,
~.
~
1
l
"
i!
t!
11
j
I
I
I
.,
I
I
I
, ,
I
I
,I ~ .'
'.
Addr...
CoM. Load
Fuel 6.....5
supply Openings
elm.
~ra1lon.
RapaIr
Ell. ColI .
HEATlNB PEAMIl' FEE .
STATE SURCHARGE .
TOTAL PERMIT FEES .
J1 0 .'^-l >
r:. JI)
FIua SIz.
lj"
TYPE OF SYSTEM
w_ Nr Plan..
Gravllr
M,., .J
Nr Condllonlng
Verd. S,...m
HEATlfO OR POWER PlANT
SI88I1l
Hal WII.r
RadiIIIIun
SpedII DevIc8.
J~
7
Othar D8vIc8I
TYPE OF WORK
At. " ., .... ConsIrucIIon
v
Ell. Camp. DIl.
Building P.rmll'
...-~~
~~
.50
~,
TYPE OF STRUCTURE
J...... . c,
lWo-FImIy
IndusIriBI
tMl-FemIy
ov.
't./
PubIIo
~=~~~F~
ResldenIIaI, Healing Only
ResIdenIIaI. Gu FIreplace
R8IId8nlI8I, AddIlIona I. AJlllrallon8
RllIIllIdul, AC Only
1'110 01 Job coil ($39.60 nir*num)
$99.&0 )<- l-\
$84.&0
$39.&0
$39.60
$39.&0
R" " '., r 10 add IhlI SIaIe SUlcharga on ... bottom oIlh18 appIcaIIon.
The price 01 your healing parmlllnc:ludel _ rougIHn 8I1CI 0ltlI ... r ,.,'.
AddUonaIlnspecIIon8 wit be blIIad aI $35.00 aach.
Hous. H8allng Tnl Recotd musl be 1IUbmIII1Id wIIh IIIdIdIDg IIIUDIIlI1llllllllll befor. build-
Ing cerlllcale of 0CCl ,". " wII be ....... '
HEAt ~~ ~auIRED wlIh number ohupply end relum , ,., hied ptIl'
Jl1l1II\ wfth CFM'. per , , , i' New 81ruc1unl8 or ~ 88r1cI Door plan will 8IlppIy
and return Iocallon. ", .. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATlONS MAY BE MAIlED TO mE CITY OF PRIOR LAKE, 18200 EAGLE
"nee., AVE. 8.E. PRIOR LAKE, MN &6372.
ell, Hal bu8In888 hours are 8 am. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGtHN AND FINAL). CALL CITY HALL
447-4230
I hereby apply for a mechanical .ystama permit and I acknowledg. thalth.
Inla :\ above Ie complel. 8I1CI acourel.; lIlallhe work wtI "'In ,. , snOB
with the ordinance. and code. of the ony and with Ih. &tala buBdtng/mBchanlDBI
code.; Ihallhl. form do.. not bIoome a permll untO "lined by 'hi BUILDING
OFFICIAL; thet the work will b. In accordance wllh the approved plan In th.
ca88 of .11 work wNoh :t:.lr.. ravIew and .", , ., 1 of p18118.
.~ ~. ~ /-?O ~ cJ,j..,
DII8
/- 3Q.::..tJ.)-
D8Ie
~~~:2'~~'~02 18:48 651 633 8884 Cll {OFPRlOaO:LAKE #0076 P.002l~~Ree'd
€~~ HEATING/AIR CONDiiiONIN'GIJ!ud:PLACE PERMIT
...'....0....
fI'I- ~ !l' urine...... at baalDml
ADDRP..5S
/"~.u ~~__. &vI JJt2J
;: 5:. S-l PERMIT NO(7/_/ z. ~~
...u!\U..lIiIl.# (dtkRBe)
LEGAL DBSCRu nON (01lJa! UMl aaly)
LOT BLOCK
ADDmON
pm
OWNER.
(Name)
(Addtess)
APPLICANT
(Name) ALJ:.IEJ:l FI:RESmE DBA l!'IUSmE COliN.
(iJbT~ ~..
(Phone)
(phone) 651-633-2561
(Add.zess) 2700 N. FAIRVIEW AVENUE
(Addreu)
(Contac.t Person) BR!NDA HUS'1'~
APPLICANT SIGNATURE (' ~ ~
"SlNTr,T,Jl! "'Ii ';1;;1')
(Clt.r) (lAp Code)
(Phone) 651-633-2561
DATE /"'''J.J/J~
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRucnON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUB SIZE RE'It.IRN...'t JC.1-l1NGS INPUT OUTPUT
'I'YPB OF S A ~ 100M H!ATlNG Oil POWER PLANT
~WIIIm. Air PIMes :J Starn
~Ity ~ Hot W.,.
~lcal . Wildon
DAir ConditianinC Spacial Devices
OVent. S)'IIIm. OCha'DoYf,.
FIREPLACE MAKE AND MODEL ~ ~ G w. .l:c. Sl"'i"I&-
PLEASE N,~ . ...:
Air Conditfoner Unlfl
CalmOE Eru:raedl imD
RequJncl Sid., YIItd.
se.cks
R& SCIIEDtrLK
1**,11, Commercial all Multl.FlftIlly J% afjab _ IbIidcntillJ. 0.. Flrcpl_ 539.50
$39.50 minimum
lbldcatial. H~nl & AIC (New ConlWctfon) $99.50 RaIId&ntiDJ. Additlolls IJL AIIOrIdon. $39,50
ll~dl:ada1, HCldlI1l Onl, (Naw ConstrucCioa) S64,~ Ruld.d", AC On'" $39.50
ElStfrrNltad (At S Buitdmg PenniE , 01' I Z. (,3
HEATING PERMlT PBI::
STATB SURCHARGB
TUfAL PERMIT FEE
s
s
s
.so
(Me, U.. 0ttIy)
nit ApPUC8tfon Bftolllell Ya., a.'Wldl Permit WIled Approwed PUd
...... omdII
D..
DaUI~ 2 4 2002
~)jf
By pr.
14 "oar latke for an 1..pedlDDI (~) ",...., fu (952) 447-4245
10/07/2002 12:00 5
..w .~~4r-lae .4...'.'..
CIlT or '11m LAD
PAGE 14
...1
Dat. ....
~ & I.- PIOO. LAD
BWD AND WATal PDMrI'
1..... ...
&.-~
J." ......
.;iI!&..............L \
~ 14~~ ~ ~/I(,d AltIer /5
v
rIUIIIIIT ~-1d--~9
i r.aNINO.....
i
~
UOAJ. PlSCaD'nOlf ,.......,
LOT ILea:
ADDl'nOH
.xl)
. O'MID.
l~)
I
I~)
Cf4JiiN ~
/;;JlIev tJ~y Sf Of)
,.....
. 1__)!I~-~-n33
/)J6!~. ,~ .%~t(3
~ , I.CelIlIi
I AP'I'LSCANT
i. (M...) K &. R Conaactinc, Inc.
3245 Lake A\lenue
I C~) . New Prque, MN 56071
I. 952.758.6247
i (~.....) 8l~
i ARUC"NTSION~~..~~fJ/!,A~
~)
l
I.
I
~
(hIIaI)
DATA
-~
-
AI'PLlCANr PLIAR COMPUTE _LOW
... of..-.... ~..... .
1 ~'" oClD'/ ..pw.,1aIa .....ft.. 0 ....
T)'pII 01-.... L] ABC 2PVC 0 C._
II" ......"...lieJ4l-
0..._ (ifnQuiM) --. -JI'L." ........
,. SCIJ&1)UL& ..
....~.............IiM.N~ t3UO "'y 1Mtc.i1............, ,,,..jIIIt.-.....I1'.SO.......
s-. :&411I....." 11'UO YaW........., 117.10
.. .__ Con I ....1dIaI '-il'
IIWU AND WA1BI'DM1Tn! I
.TAU IWCJWlOI I
1'OT~ RDIIT I'D I
a,
,." ~A~D M-rn
OOMD~NG pr=:':' ,'.
'- ........01 _... ~J J
..... U. GIIIW)
'---. I.-y__--Ao-- . - :.r-'"
_- ....._..:. " 1_,~_!~6 . if'
PRIOR LAKE
INSPECTION RECORD
~\Wlf-e.. ~\u&
UIAL._ ~
R,'V"-, <b,~
~"t~ Ma.,~ ~l.Q
DEPARTMENT OF '-
BUU.DING AND INSPECTION
-
,
,
.
SITE ADDRESS I #Z?)
NATURE OF WORK lJav
USE OF BUILDING S~jA., ~
PERMIT NO. Q/ - J ~ DATE ISSUED
CONTRACTOR CQ..a..J.y~ ~ PHONE
,
NOTE: THIS IS NOT A PEI1MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
MPECTOR
DATE
I FOOTING ,.,^ I
, FOUNDATION (Prior to Backfill) ~~ I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
\f\'ta~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING U.e-, ~ II.1!./DV ~... 7"f)~
I
HEATING (If required) i...i.tJ:l
FIREPLACE ~ -7"'o;J.
GAS LINE AIR TEST p.,1.::f2)..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
$ l)~,\
~ -1-cJC1..
GRADING (Prior to Sodding)
BUILDING
ELE" I nlCAL
PLUMBING
HEATING
DO NOT
~ A.J~o"
'gV~ 4)J~)-
-:g~ 4.Ct tJ~
OCCUpy UNTIL ABOVE HAS BEEN ISI NED
NOTICE
This card must be posted near an electrlc81 service cabinet prior to rough-In Inspections
and malnl8lned until all Inspections have been approved. On buildings and a"dltlons
where no service cabinet Is avall8ble, card shah lie plAced near main entrance.
J
I
'\
Call between 8:00 and 9:00 A.M. for alllnsp8ctlons
FOR ALL INSPECTIONS (952) 447-9850
Itrtifkau of ImqtaDqJ
CITY OF PRIOR LAD
Jaepattment of Jluilbil1l .J.-ptdian
ijrfFiDal Permitted 0 Conditional c.o. Expires
17IiI Qni/ft:tIU IsIUd pruIIMIIfIlO 1M nquimrwnu of S<<tiOft 307 of. Uniform Buildin, CoM
cenifying _ at 1M time ofi8sutlnce dIU 81n1c1ure WID ill t., ,. j'lU.utce with 1M wariOlU o~ ofIM
City of Prior UIU replalin, bMUdln, con.rtruc:tiora or file. For. foIlowin,:
SINGLE FAMILY
u.~
BkII" P'ermit No
01-1268..-
o ..' , "', Type.R3 Type CanIInIctioa VN
Lepl o..ulpdoa L56 t B2 t MEADOW VIEW
Owneroflluildiai SifeAddleu 14428 BROOKMERE BOULEVARD . \
a. u.a..-CE.....:t.A. HOMES. 12400 WHITEWATER DR.. SUITE 120. MINNETONKA
Contndor". NIIIIe...-_
ROBERT D. HUTCHINS v1/ City ~ DON RYE
JIlIiIdiaI 0IIIl*I . .
0.: 1- b 2-QL{ '. DIlle:
'. "'~" IN A CONSPICUOUS PLACE
Fire Zoae --tlLA ZoaiIIa DiIIric:I R?
~,. ~
CITY OF PRIOR LAKE
INSPEC110N NOncE
SCHEDULED
I -). :1--9-1
ADDRESS
/'1t12-fr'
~~-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I - /J-&~
COMMENTS:
o PWIIBING RI 0 EXlGRADlFWNG
o IlECH RI 0 COMPLAINT
o WATER HOOKUP O.-,..=,l,ACERI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASUNE AIR TST
o IlECH FINAL 0
<:;;r cd. ./- rrh..,.....,
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II1VoRK SATISFACTORY, PROCEED
o CORRECT AcnON AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~ OwnerfContr:
CALL ...7-1850 FOR THE NEXT INSPECTION H HOURS IN ADVANCE,
CODE REfJ.UIUMENTS AU FOM. YOUll PEUONAL HEALTH. SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
~(/2-
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TIllE
SCHEDULED
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ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01 -Iz.(, a
o EXlGRADlFIWNG
[J COMPLAINT
o AREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
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'0 - SITE INSPECTION
o PLUMBING RI
D MECH Rl
o WATER HOOKUP
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D PLUMBING FINAL
o MECH FINAL
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~ CORRECT ~OR RElNSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 447-9850 FOR T IE NEXT INSPECTION U HOURS IN ADVANCE.
( .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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