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Home My WebLink AboutBldg Permit 04-0185 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d ..3. Q. ()4- ~. ';i~~e ~::y I PERMIT NO. nA. ,010.5 3. Yellow Applicant V'1" . tf (Please type or print and silm at bottom) ADDRESS Ilt9b~ ~r ,,7?~ /1 c--{(2~~ .4w. LEGAL DESCRIPTION (office use only) LOTPLOCK I ADDITION sf-L4J;~ nv-r" . CT . ~V::~~e/Jo~") Cb-. 6-;' (Address) TYPE OF WORK o Misc. /. R.~ & IJBS. ZONING (office use) PUD PIDzS. 307. OBZ. 0 (Phone) ~ew Construction .6..ower Level Finish 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 ;t~r up n e fJ.perty to perform needed inspections. /? e -12:3 7 /., .i?- 7- 0 'f ~ture Conttactor's License No. Date V 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 ~~~~Jh (J !l-,..o/U (J 1I7C- T. (Phone) (Conta;Name) ~Pt::e.,..ru;~ ~-/:k)~ (Phone)~-U.7"""'" ?(..() , (Address) '/Go I ( L.f c, -)-/- ~ r t::A.,.~ -Y-. .1~-< Uj,.,_ ,,h-,-'? _ ~ c/ ~eck ~orch ORe-Roofing ORe-Siding ~eplace OAddition OAlteration Aii!!tility Connection PROJECTCOST/VALUE (excluding land) $ ,',?,? J 90 7. <:!J(J ~ $ I ~a~er Meter Size 5/8'~ # : I Pressure Reducer $ I City SAC and WAC # $ I Water Tower Fee # $ I Builder's Deposit $ lather $ I TOTAL DUE ~ .J .30.04-- $/~,~.SS2J I Paid 10 I ifi-/b ..q-?' . Receipt No. U~#~ I I Date / L_ /-/1(./ By G-.' I ~, e., {I' #332. OlJ(J ,(20 $ 2. t.{ t.{ s-. t;; 0 $ I 5!C) .58 $ 1(,.1. . 00 $ $ $ $ $ Park Support Fee ItJo. CJ 0 lL)tJ. a tJ ~~5,S-Gl ~a I ~ 0 This Application Becomes Your Building Permit When Approved ~U~ Building Official 3/~i-h Date aS-a,DO 13 So,OO 300 . 00 7{),{JO l'2.0a.DO 700.00 (S~C). DO 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 temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~Plannl'n~gDI're.Jcto{)r 'P 3!2..l{~DaateL/ M M-( -J{~ ' Special Conditioor, 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 Districts Reviewed bY:~ . : ~~I2JL; Date: 13/c:?-Y~Y Building Permit # Address: /'/'7~3 Legal: L?z.. . B / PID: Zoning: ~~;U:aJ, Subdivision: ~0 .J,~ ' Existing Nonconforming Structure? YE~ Existing Structure? YES ~ CONFORMS TO ZONING ORDINANCE 'Yard Setbacks: NA 1 FAILS,((!'6MPi:i'Es ~ . Front Yard (can be 20' if aVQ. w/in 150') . Side Yards . 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 elevation of wetland/NURP pond . From OHW (Prior or Spring Lake) ..----.. J Floor Area Ratio: NA 1 FAILS{et>MPLlES) .... - - . Yard Encroachments: NA 1 FAILS laLbMPLlES) Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). AlC and other equipment cannot encroach on interior side yards. 'Tree Preservation: tf4~1 FAILS 1 COMPLIES . Total caliper inches I. Permit 25% Removal I. Caliper Inches Removed I. Caliper Inches Preserved I. Replacement L:\TEMPLA TE\BLDGLIST.DOC YES Standard 25' 10'1 25' if abutting a street 10' setback + 2"11' over 50' 25' 10' sidel 25' rear 30' 75' or setback average of adjacent structures, but no less than 50' .30 Maximum Standard Standard %:1 NO Proposed ..s~, ~ I It) I ~ ~~~S- l. r1'1.1B' ~ 8+- /J, Z.~f N(JflC ,JA fJA I f/a ,J Ii/J Proposed NO.-J~ ~o~ Proposed 1 Driveway: NA I FAIL.,8'1 ao'MtLIEs) . Maximum width at property line . Required setback .. Maximum slope . All parking areas to be paved including R-V or spaces adjacent to the garage . Location to match subdivision grading plan J BuildinA Height: COMPLIES 1 FAILS Shoreland Distric("'N~) FAILS 1 COMPLIES Minimum lot area (square feet) I Minimum lot width I Shoreland alterations I Impervious surface I Bluff in Shoreland~ FAILS I COMPLIES . Setback from top of bluff I. Bluff impact zone l. Engineering certification submitted/approved I. Grading in bluff or bluff impact zone ~ Floodplain(N~(FAILS I COMPLIES . 100 yea7"frood 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 Structurei'NIlI]FAILS I COMPLIES . Size ' ,- . Not located in front yard (Materials) . 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 importing/exporting 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 was constructed 9/19/90-11/22197 then additional foot is not required. Must be flood elevation or higher 907.9' for Prior Lake 913.4' for Spring Lake 1 Standard 832 sQ.ft. or 25% rear yard 10' 15' ~#_::-- ,~, ',-,'- --'-"~'_ J.t. ;,.., ;.__.......'~j""...t.:Jl;..iJ.::..'~..l;JILiIiI..,jM.!k.,~..'_.. ~ ,~ Proposed IPi' I Id /o~ jJo,J€, ~ a,... &.;f-, ,~ v - Ir'~ Proposed Proposed Proposed Proposed ".i~'-"-"- ..:;a:... ...A ~;" 6Mhi~ - BUildi~ Canary - cngtnt!ering Pink - Planning The' Cf'n'f'r of Iht' l.akr Country BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT tv, c C)()N A LD \) t: :::-'T- f-::.. .. -:2 ;-'"';f ,'. ,..1 - '.", . C./l.-r-' t APPLICATION RECEIVED -,,-' it The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: i 4~ (} &; 3 .:~:~ \) !'-''/ Ivi (T ~ IIL.(!, Lrb ' J Accepted x:. Accepted With Corrections Denied Reviewed By: /JtI48 Date: 3 -.) '1-" 1(' Comments: See Reverse Side for AcIditionallnformation! AI" Ie ; /).~ J' VI vc. y- ItJ'fo fY1 Ci # See Attachments' 1) Grading Plan, 2) Erosion (;n.ntmlMeasu!es "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." The ('rnler of the Lake Countl)' 0hite - Buildinv \'anary - Engineering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I" u DO N' A L D (!., 0 tJ S I 1<- . 3.Q.04- I The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 14Qro3 5UMt1'T ~,~~ I Accepted Accepted With Corrections ~ Denied Reviewed By: ~~,~ ~~ aL{ ~cnX Date: 3/Lr' ~ 7' I . 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." ,1' Tht" ('t"nln of tht" takr t'ountr)' White - Building Ca~ary - ~~gineering ~ ..Ink - tilann~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~ Ie I~( t\ A LD ~ .). C:4- l I<- . ,/ The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: J ,~~(// ~'J i--lll (T C_ Ilc~ Le- I Accepted Accepted With Corrections ~ Denied ,. Reviewed BY:~; . (., ~ Date: 3/,;)'-110'1 I Comments: tJ~ ~ ~ ~ ~ - ~ ~ 8 I ~~~.;;to 4~./J..~..Jlc-:t _l.'.~ C"1-- ~1-J ~,,_A,(J. ~ 'TG1 ~ ~~ .~ ~ ~~ ~;f'~~ ~/~~ 7--- 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 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 LA.KE HEAl JliGI AIR CONDl.ll()NING/,lllJ:cEPLACE PERl\'UT 'Date Rec'd i ~ ~ I PERMIT N.r.rH." I~ I 3. Yellow Applimat t7 '1' ~ (P1cuc ~ orMnt and Un atbouom) ADDRESS ZONrnG (om,CIlSe) /..y9C.~"? ~( J ;1?'?/?7;'1f- CrC:;/P LEGAL DESCRIPTION (ofliceuse ou1y) LOT. BLOCK ADDITION PID ~~f~.C')~ r~.. (Add=s) ~Ye ~/k (f.. . APPUCANT """ - I 1/ 0 \ (Name) ~ ~r(l/tp. ~. (Admess)r2/::J If') e-n..ia.A) (i,Je. (Address) (l'hone) 4~c9 - 7h(') J - -. (pho,rle) #t;(") - h();>':::> .&::Q~. J'??~. -~<hd-l o (City) (Zip Code) (Contact Person) APPLICANT SIGNATURE ~~ 7~~~(J (phone) DATE # - 6ff,- cf4 / APPUCANTPLEASECO~LETEBELOW ~1'1~ vi CONSTRUCTION 0 REPLACEMENT 0 AL TERA lIUI\fS J- FURNACEMAKEANDMODEL~~/~ rt!~/~ FUEL'.~ FLUE SIZE J' // We... . RETURN OPENINGS &( . TNPUT ./ ~ ~ OUTPUT.2~ {)OO - , , TYPE OF SYSTEM HEATING OR. POWER. PLANT OWann Air Plants 0 Steam . o Oravity 0 Hot Water ,.....81Vfcchanical 0 Radiation ~1' Conditioning 0 Special Devices ~nt. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MUJJ.eL FEE SC1aDULE Industrial. Cornmercia.1 &. Multi-Family I % of job cost Residential, Gas Fireplace $39.~O minimum R.l:isidcntial, Hc:ating &. AlC (New ConstrUction) $99.50 Residential, Additions & Alterations R.t:ridential, Heating Only (New Construction) $64.50 R.=dcntial, AC Only $39.50 $39.50 S39.SQ Estimated Cost $ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ ~~.~-- ~--- .50 .--J (Office U,c Only) This Application Becomes Your Building Perin it When Approved . Paid ! ii' Receipt No. . I Q I 'j :11 J.l^tY 5 2004 , .' B uulJaie L. Y' . Date' i Z4 holU" notice for an il2Spedions (952) 4i::;SSO. fa (9S.1)44'l-421t5 l 16200 E8Ele Creek AVe1IlIt. Prior Lake, MN 553n HIV a3110H1NO~ 9L~909ttS9 XVd 00:9t anl tOO~/L~/tO Buildllll omctal too~ CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd (Please type or 1Jlint and silm at bottom) ADDRESS ~. ~~w ~l~icant I PERMIT NO. 04 . 0 I 8.f 14963 SUMMIT CIRCLE NW ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name MCDONALD CONSTRUCTION (Phone) (Address) APPLICANT (Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME (Phone) 651-633-2561 (Address) 2700 NORTH FAIRVIEW AVENUE (Address) ROSEVILLE (City) 55113 (Zip Code) (Contact Person) BRENDA HUSTON (phone) 651-633-2561 APPLICANT SIGNATURE BRENDA HUSTON DATE 5/5/04 APPLICANT PLEASE COMPLETE BELOW XDNEWCONSTRucnON D REPLACEMENT D AL TERA nONS FURNACE MAKE AND MODEL , FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants o Gravity o Mechanical OAir Conditioning OVent. System INPUT HEATINGORPO~RPLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL HEAT N GLO 6000TR-OAK X 2 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 anI. $39.50 $39.50 ~JJ.J:; Residential, Heating & Ale (New Construction) Residential, Heating Only (New Construction) Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE PAlO WIllI .50BlJlLDING .P.h.RMI l' U)~c{Ig ~ U "r i\ Receipt No. ~flAY It 2004 J By 24 hour notice for all inspections (952) 447 }850, fax (952) 447-4245 By Building Permit # $ $ $ (Office Use Only) This Application Becomes Your Building Permit When Approved BuildiDl! Official Date 11l=!Y-e14-2e04 l~: 34 CITY OF PRIOR LRKE ':II:>.::"1"1.I....C."'~ r."~"Ot:I~ Dat. Rcctd CITY OF PRIOR LAKE PLUMBING PERMIT ~ ~j; ~~ PERMIT NO'OA_. 0 1t:J. 5 2, V..... ...... ~ CI JrJsII!~ 1IUl...~) AJ".,AESS L!J!j b3 S v\ ff\. fY'\:I"1' I C1.~CC-f NqW~ ZONING (.....-> LBGAL DISClllPTlON (olllce use: only) LOT 8LOCK ADOITION PID ~~~R me -0 rnJ-A L..9 (Addrat) r... h1 <1" ,(phone) 43,.} J 'D } APPLICANT iJ.1 I J? J ,~Q (Name) 01", ~ r:i..)Jc.r u, '()) ~ :(,..) b . (Phone)...f c:L l-P) l.W.) (\ (Addftss). '"~ L~ 1 ~~' ((I l.i~l:.l vfh-u.....J ~Q,J,t.J (Ac1iSren) (City) -- / (Zi~ (Contact Pttson) ~ 0 J.. is ~._ (pbone) ~ J J. '7 b ) ~ tS1' . APPUCANTSIONATUU ~ (}..~.~ -.-,- DATE..$ -'c::.... A ~_.._ APP~ICANT PLEASE COMPUTE BELOW - Qa..tily _. Typf of1(mre i QUIAdC)' Type or ~." - f ~~th Tub w;ch or withobt mower 1- -~ _=: RO\lRh~lns - , UlShwasher I i "Water }{eater . Floor Drain ! Water Softn.r JI- ~atorY'6a.;lroom ~iPk) - - I tand PI ubing achine) , lAundry ra') 1 or ~ oempanrncnt sink ewa~e eotor ~ Shower Stall BlCldlow A,uombly _I ~lrlk~, Bac1dlow Assembly' ('est - , ~ar sm~ I =-----.J I L~wn Sprinkler ~ . Waler Closet (Toilet) ~ !l'fhcr r &11, SCHEDULE 1"~\JJtri.l. ComJncrcial &. Muhi.MiI)' \ II. or job cost ~ith. $39 50 minimum Jtuidcn!i.l, New Ole" ~o-FMlily S99.~ Ruidcn1itl. Addltiun. .a. Al\Cl1llions 139.50 Estimated Co. $ BulletinB Permit j ...".... om.1 MlDmiH ~Pe!Mrr ~. @nn~ IlAv 1,1'2004 11y . oJ ....; 1~ !leur ..tic&: r....1I inJpectioll1 ("%) 44'7. .50. tal <,5%) ....7-624' lliUO Each Cndl .A\'e., 5.1., 1rt., La ~.,..: 17J~ PLUMBING PERMIT FEE S STATE SURCHAROE S 1l'OT AL RllMlT FEE $ (omce UN 0.1)') nt. Application Deconla Your ."'dine '.rmlt WMn Appraved . 011.. TOTI=(. P.01 PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~ ~; r ClicLE IJ.IAl. NATURE OF WORK NEW ~~T_(~.flll USE OF BUILDING ~.i="; b, - PERMIT NO. 04-.o/es- DA-r~ ~SSUED ~ Z'UtJ'I CONTRACTOR ~tJAL.O ~.IfGC" PHONEjSZ.'lIZ-?&d1 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARTMENT OF BUILOING AND INSPECTION . INSPECTOR I ,J1) (j-'C;- I FOUNDATION (Prior to Backfill) I;/b ~ -e I PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~~ V.~7 I'~ ROUGH - INS SEWER I WATER I SEPTIC rlJ ~ .2 cj FRAMING I,J r _ f'/4 INSULATION ff; ltJ -( ELECTRICAL PLUMBING ~ HEATING (if required) tJc.. ~ FIREPLACE _ P ~ <C - ~ ") GAS LINE AIR TEST "'~ d- pp Y t> . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED lA'nIr; t!H~7ZU2HJ mAle; I P"t:> '" -10 I , FINAL~ ~~ . GRADING (Prior to Sodding) "\ Y BUILDING -~ 1-., l/+d'/ Jl ~, . ELECTRICAL PLUMBING HEATING DO NOT DATE FOOTING - l/Vli/ ~ ',,?1J ,,6}.0 Y\ ~~~ ~ - ;"'~-t/t/ 7 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 . .", QIerfifitafe <<lit @trupantll CITY OF PRIOR LAKE ~eparfmenf nf ~uilbing Jfnspetfinn )g(Final 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 .ijsuance 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 04-0185 Use Classification Bldg. Permit No. Occupancy Type R3 VN Type Construction. L82, Bl, STERLING SOUTH Zoning District. PUD Legal Description Owner of Building _ MCDONALD CONST~ Contractor's Name & Address /lbd ROBERT D. HUTCHINS i 'If - 'v II' City Planner I yuilding Official P-l' Date: I ((r 5 z.t,. ~ b / :&;> Date: _ ( POST IN CONSPICUOUS PLACE 14963 SUMMIT CIRCLE N.W. Site Address 7601 145TH STREET, APPLE VALLEY 55124 DON RYE ........,' ..J '''-' ,.' .r.M"": ,.~,J:' i":"'~'.:.tjdJJll::;....A>'.i:.y ',;~ -":c.,_t,5,,'-~', ;1'" II-"~;"" "~. Iiii CITY OF PRIOR LAKE INSPECTION NonCE ADDRESS J c..( 1.J, ~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~FINAL o SITE INSPECTION DATE TIME SCHEDULED S :(l..C) ~ S Vv..A.. ""'" : \- Q. N'" CONTR. PERMIT NO. l../ -1Jp. I e5 o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH(INAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: I. t:,~~. 2. ~l..-'T~ ~ :) - ~U Jc!> / ". ,/' /1-/-0 'I I ~ORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORREJl1RK' CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CAL U7- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CO~lREMEN'l' ARE FOR YOUR PERSONALllEAl.TH I< SAFETYI IN8NOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME ADDRESS I +9 ~ S{)/'1/"1/ r (j;/~ 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 sl/ I COMMENTS: J . I f:n.,Jl)~!. ,l\{r;p I /l \n ).( l / thJ2 . TV1l ~t l..e I / tJ4,O/8S o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o /') ~". V' Owner/Contr: 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS A.RE FOR YOUR PERSONAL HEALTH & SAFETYI INSNOTl CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS II.1QtJJ S Vliftfltflf I .f- 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~RHooKUP 'PLUMBING FINAL, o MECH FINAL COMMENTS: w TLcM.(M. y~~ DATE TillE 7-J.7-cA.1 , , t;. 1_ L/ -/~ o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o WORK SATISFACTORY, PROCEED o CORRECT ACTION A~OCEED o CORRECT ~rrfJlLYOR REINSPECTION BEFORE COVERING Inspector: 1.lJ- Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS /1'j~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION DATE TIllE SCHEDULED 5..::zj ~ Su""fYll 'f C, 'r. CONTR. lJ1e !1.t,,1tI PERMIT NO. ..o'-j-/8'S- o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL .;8.EXI~ILLING o CO['-:ir,NT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: &.~L' e tL ell' (10 fl <Y.-o tL ~WORK SATISFACTORY, PROCEED '~ORRECT 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! INS1tOTl