HomeMy WebLinkAboutBldg Permit 05-0666
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE r'
AND UTILITY CONNECTION PERMIT /;; _ f. (J
I White
2. Pink
) Yellow
File
City
Applicant
PERMIT NO. 05l0&&fd
(Please type or p~. tans' at bottom) r11:: .:J
' ADDRESS ~ T J~ I ~~ tV 0 L. ,:
~'O~ lA.<e. M~
. -
C)ltC-l..C,
et;t;~71-
ZONING (office use)
PuIJ
LEGAL DESCRIPTION (office use only)
Lofi OBLOCK \
ADDITION ~S A,.~ WtLJ)$
~ 1/~
PID 3g3-0'-lO-6
OWNEIO.. ..._L
(Name)~
(Phone)
(Address)
BUILDER
(Company Name)
(Contact Name)
IVI rrri.l..S fJ9~ r ~ ,-)l.CJL~ c:. ~ ,
~'9~~""'DN (Phone) -=a'2'"1- ~JYO
~ crJJ!/11lat...S~'" n (PhOne).J~ 2'" ')'1" l
(Address)~,~ 'S)- ~l lAJ5.~r) I'-i/JCSC~r-! JI1~ -!:.-S:-b~s--.
~
TYPE OF WO~ New Construction ODeck l!llPorch ORe-Roofing ORe.Siding
, OAddition OAlteration ou{ility Connection
CODE: MI.R.C. OI.B.C.
Type of ~stmction:
Occupancy Group: A B
Division:
o Misc. ~
poLower Level Finish
~~
}t( Fireplace
I
E
II
F
I
III IV
H I
2 3
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$ 5S"'O J t;j&-()
x
I ished mformation on this application which is to the best of my knowledge true and correct. 'also certify that' am the owner or authonzed agent for the
that all construction will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg
r Just ca<<se Furthermor:, hereby agree that the City offWa'!;gi:( q ;r upon the property to perform C;d~:P(i' _ ~:::a--'"
Contractor's License No. Date
I Permit Valuation l15S0. 000,00 I Park Support Fee # $ eSt) . O~ I
I Permit fee $ 3(, ;7, 7S SAC # $ 1t(S"o.oo I
I Plan Check Fee $ Z3~, 0, ~C( Water Meter Size 5/S@ $ 300.(} 0 I
I State Surcharge $ , Pressure Reducer $ 7.5".00 I
Z-7S.oo
I Penalty $ Sewer/Water Connection Fee # $ \ ~oo.o 0 I
I Plumbing Permit Fee $ f 00 t ()-() Water Tower Fee # $ 1000.00 I
I Mechanical Permit Fee $ I 0 o. D 0 Builder's Deposit $ I~oo.oo I
I Sewer & Water Permit Fee $ 3s, S-o Other I $ I
I Gas Fireplace Permit Fee $ Lfo .00 TOTAL DUE ljf v~eD 7.13.05 I $13l 293.711
I
This Application Becomes Your Building Pennit When Approved Paid 1.3. ZCl3. -; CJ Receipt ~ 498 M- I
~~~ ~ /z,(J /or Date 7: /3 t).s,- By '--^-- I
cr
Building Otlicial , Date
ThiS IS to certify that the request in the above applicatlOn and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested. ThiS document
when signed by the City Planner consutute' a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~; ~
- Plannilfg Director
#2-0,<~~
&44-RJ ~.,~
Special C~itions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Reviewed by:
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts'
r . .
~ ~ Date: .~(z.c-ldS-
Building Permit #
Address: 3( q 9.
Legal: L 46 , B I
Existing Structure? ~
, PID: .- Zoning:
T~t ~ 0
Subdivision: ~ 0 ~ ~.
Existing Nonconforming Structure? YE~
CONFORMS TO ZONING
ORDINANCE
YES
NO
. Yard Setbacks: NAI FAI~{)MPLlE~
· Front Yard (can be 20' if avg. w/in 150')
· Side Yards
Standard
25'
10'1
25' if abutting a street
Proposed
Z~S'
10, "5"'
· Sidewall exceeding 50' requires additional side 2"
setback for evert l' over 50' in length
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)
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
/1J,r-1
~ 2S'
AlA
NA -
75' or setback average of
adjacent structures, but no
less than 50'
tUlT
I Floor Area Ratio: NA 1 FAILS((COMP[iES))
.30 Maximum
OlO, 2. S-%
I Yard Encroachments: NA I FAIL~<D'fJIPLI~
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
Proposed
tJo~€"""
fJo .Je-
Tree Preservation~ FAILS I COMPLIES
· Total caliper inches
· Permit 25% Removal
· Caliper Inches Removed
· Caliper Inches Preserved
I. Replacement
Standard
Proposed
Y2:1
L\TEMPLA TE\BLDGLIST.DOC
L:\TENIPLA TE\BLDGLlST.DOC
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White - Bu~
~ - Engineerin~
Pink - i5'lsnnlng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/'L/.' l i j' -t:--/ ---;-?-II=-;.. j /-- t/._. j /,>..' (,.~ _~ .
. / I L. '-_, __._.l.., 1.__ ,/ _ _ /'-. _ __
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.-:::> i /.'), (/' - - (i .. fi ( ,-
., ..( ,./ --, "/--/ Iv.' /"? r:- i,_' / 'I /';,. /- ',_ I f- c. _.,.c::.-
~__~. . ..' J ,.. ___.... '_" I .~_._ . ....' \...- ~_,I t
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/i1ff:>
Date: ~-II-OS-
Comments: See Rp.v.ErS.e Side for Additional Information!
\
See Attachments: 1) Grading Plan, 2) ErQsion Control 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."
White - Building
9~ - F; .neering
.--P'filk - Plannln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/LI/ 7-7 C L .~,-/)/ f:;- I> / //:/, / ~_-;.
/ r ('r-'
(/'. '/.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.....-:J I /,." '
. /' / /
.-'-"''''- / - l..- '." .t~' l /
I / / / /, L. / '- "
/ ( ;:-
/ .f ( .-
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Accepted
Accepted With Corrections
/
~,A -.,,"1'
Denied
~
~ M4-J
~ ~ ~ ~D
Ix s' ~ ~ b .12.'!.
Date:
b/U/oS
JJ~
Reviewed By:
Comments:
Air Conrlitioner aLd 0 Jier l'~!!ed&anicRJ'.
umts uarnot Encroach into Required
Side Yard Setba(,:ks
"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."
~~him -Bu~
anllr t -..:, 'll:I" ,,,-,arlng
Pink . Planning
BUILDING PERMIT APPUCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1"11/ /t;LSTJ9EOT BROS.
~. 6.05
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3/qq Tln061eJ1/0vP e/~U&
Accepted
Accepted With Corrections V
Denied
. r-
~ ~.-fJ Date: ~/2~~S-
. , I
J(12~ a.Lt ~~ & nt~ o--P
- -
Reviewed By:
Comments:
k-z. A e "'c.J"-l ~
I
-'
~_.R_7~
~
~J/' ,t" ~1J -
"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."
07/19/05 TUE 11:56 FAX 952 890 2753
STOCKER EXCAVATING
I4J 001
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I, OreEn Pile PERMIT NO
~. Yr.ll~", I:ily . .
J. Cold ^P~Ii<"1 05-0666
J?lease ~~ ortlrinr a.nd sim at bonpm)
ADDRESS F
WOL
3199 Timber ~ Circle NW
ZONING (otr-.ceuse)
..," .
LEGAL DESCRIPTION (office \ISC only)
LOT 40BLOCK 1 ADDlTION
The Woods @ the Wilds
prD
OWNER
(N ;.l.me)
Micclestaedt Brothers
(phone)
2520 151st Courc W., Suite 100, Rosemounc, MN 55068
JAddress) (City)
651-322-l~ 1llO
(Address)
(Zip Code)
APPLICANT
(Name) STOCKER EXCAVATING COMPANY, INC.
_ (Phon~ 952/890-4241
(Address) _ 12336 Boo(l.C A.venue Sava,ge) MN
(AJ.ldress) .
Curt: h . ~ A
(Contact Person) ~ //,/ //
APPLICANT SIGNATURE :!: ~:t>?~. .- - ~.
-l7"' .- /' //- ..
APPLICANT PLEASE COMPLETE BELOW
55378
(City)
(Zip Code)
(Phone)
same
.__DA T~..--2:~8:05
Size of water service inches-
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feeL
Clean out \if requir_ed) located at _,,~ feet from srruc:ure,
Residential sewer and watl!:r line connection
Sewer conne.clion only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost wilh a $39.50 minimum
$17.50 Water connectlon only $17_50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOT AI. PERMIT FEE
$
$
.$
.5tpAID WITH
BUttOING PERMIT .
(Ollke Use Only)
BuihJing Official
~ I ~t!~rtlg l'~' n \ ~ J' \ f; i i. ':.1 Receipt No.
,n I L. \ \.__ ___I !I-
j- I '
", Date ,I ~ By
: n JUl 2 1 2005 U IL
UL -::7 .
24 hour notice for 311 inspections (952) 44' -9850, f~x (952) 447-4:l4S
8 V ----------
D~re
1'his Apvlication Becomes Your Building Permit When Approved
9:30AM;
;952 894 0925
# 2/ 3
CITY OF PRIOR LAKE
HEA TINGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~: ~::n ~~~. I PERMIT NQ6~ .,., ~ ~
l. Yellow AppbC4l1I '- b
(Please tvtle or print and siltll at bottom)
ADDRESS
3/qq Jim bey wolP Ctvc.lu
ZONING (offiet uSt)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PID
OWNER
(Name)
. m.l.tt~I.$J::~'~/t+-
~5;{D /5/ s-l- ~+
l'?J Y itS
W
(Phone) b 5/- 3~;{. +, LfD
/21JSe fY1 tll-Gn +-
APPLICANT n. l t -+ - d f.} J c,. g "J
(Name) I') ill vnSv I G I elL~1 (It('J (phone) q 5 ;{ - 17 - () b 0 5"
(Address) ,~LI51 u) RL,cYrJ5\J Ill.~ pf-vU,/ gl;tvY75vd/t: 5'5331
(Address) J (City) (Zip Code)
Bc111 . (Phone) 15;(-gqL( -0005
gi:?5/~5
(Address)
.
(Contact Person)
APPLICANT SIGNATURE
DATE
APPLICANT PLEASE COMPLETE BELOW
-
...e:fNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACEMAKEANDMODEL LeJ1 no I.- C"*l Lf,::] IA r::lf%e.r-o / /() FUELtJrl-hA. val
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Me.chanical
DAir Conditioning
DVenL System
INPUT
HEATING OR POWER PLANT
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
Industrial, Commercial & Multi-FamHy
FEESCHEI)ULE
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 & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
. (Office Use Only)
I Receipt No.
I By
v;
REA TING PERMIT FEE
STATESURQ~(}E.
..TOTALPEl{l\1JTF'EE
.5oPAfDWITH
'BUIL.DINGPERMfT
This Application Becomes Y ourBllildll1g Permit When~pproved
Date
Building Official
Date
J
24 hour notice for all inspections (952) 447.9850, fax (952) 4474245
16200 Eagle Creek Avenue, Prior Lake,[\fNS5372
. :. ,.. '. . . . ..... - ',' . '. '. ,.... : -'.' -' >-, . ',", ".
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Nov 16 05 12:44p
Emil~ RC3dC3nt
651-451-4809
p. 1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
t ~:~.. ~~.- I PERMIT NO.05. ,"'"
(please type or print aod sign at bottom.'
ADDRESS
's/11 'lI'VJW,.""J}
11
ZONING (office usc)
tl-
I
LEGAL DESCR..1r uON (office use only)
LOT BLOCK
ADDmON
PID
OWNER
(Name)
;/l; !k/J-J f
&'?5.
Uf/1sl
. (Phone) 32 z - Yf'-(C)
-I
l~1 J:- d- ,;./.,
I
APPLICANT /...,,7 , ~/ 1- /
(Name) ///1;;/ ,5TA"1e //~t-'lh'
tJ/SffJ ft~
(Address)
;'z'A/I
t,5?u
/f; y_e-~
_I;,-:;''V ,,;r
(Address)
(Address)
:()71
./~, ft ~
l/A:5rtA/6 S.
(Phone)
LIf;'o - j/5r
(Contact Person)
~P'I'
(City)
(Phone) .;It I y' 76 '7~
11M) -
S'::.-U 3 3
(Zip Code)
.'":;> /J
APPLICANT SIGNATURE <+::- 6.{ ./ DATE
~I
APPLl,CANT PLEASE COMPLETE BELOW
Quantity I Type of FiX1ture Quantity
Bath Tub with or without shower
Dishwasher I
Floor Drain I
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
ShowerStlil I
Sinks I
Bar Sink
Water Closet (Toilet)
Ty~e of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ei ector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50
Residential, Additions &Alterations $39.50
Estimated Cost $ ,.
Building Permit #
Pi UMBING PERMIT FEE
SljATE SURCHARGE
T(~T AL PERMIT FEE
(om~u~~~ I
This Application Becomes Your Buildin~ Permit When Approved
$
$
$
.50
PAID WITH
BU'LrnN~ pf;Rr
Paid I Receipt N
DalNOV 1 7 2005 I By _
C
Buildiru! Of'fidal
Date
24 hour Dl tice for all inspections (952) 447-!J850, fax (952) 447-4245
162011 Ea21e Creek Ave.. s.E.. Prior Lake. MN 55372-1714
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS -..31" J M.Ba. WDL~ dlt.C.c.E - -
NATUREOFWORK ~. ~,'~Cwl Ca,l, t=i~rH)
USE OF BUILDING ~~ · .
PERMIT NO. 05.0000 DATE ISSUED t.~
CONTRACTOR tAiTr'~' ~ftP.S PHONE~&-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~; f
FOOTING /-- r
FOUNDATION (Prior to Backfill) I Ih ? ~? I
PLACE NO CONCRETE UNTIL ABOVE HA-8 BEEN SIGNED
ROUGH - INS
-.
SEWER I WATER I SEPTIC iD/-J'7./]/./
FRAMING U <- rr j
INSULATION PIS ~r / QS.
ELECTRICAL ~.~. .~
PLUMBING { A -{ (()
HEATING (if required) r "' C/L::;} 9~?
FIREPLACE ~ ) ~ q-~
GAS LINE AIR TEST ~~r~.. .
COVER NO WORK UWTIL ABOVE HAS BEEN SIGNED
IATlIE/ H,1Ul ~ I~ ~,c//~ I
FINALS / ,
- - -
N/J ~6 IJ (, A
7JL; :/c(d /
. i J J
rr /? ,,:'/at~- I
_ 1:'/0 . r/lu~
OCCUpy UNTIL ABOVE '-HAS BEEN/ SIGNED
NOTICE
GRADING (Prior to Sodding)
BUH...DING .\-C~ lJ"~\I\ &-( -ou
ELECTRICAL
~
PLUMBING
HEATING
DO NOT
DEPARTMeNT OF
BUILDING AND INSPECTION
OJTE /
7/.ut"J
-7- J4,-'?::;
cr -<7
)
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
~~ '
<1lrrfifitafr of @ttupantll
CITY OF PRIOR LAKE
~tparfttttnf nf ~uil~ing Jf nspttfinn
AFinal 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:
SINGLE FAMILY 05-0666
Use Classification
_ Bldg. Permit No.
Legal Description
Type Construction
L40, B1. WOODS AT THE WILDS
R3
VN
PUD
Occupancy Type
_ Zoning District
,
Site Address
MITTELSTAED'I).BROS., 2520 151ST
Contractor's Name & Address J I
ROBER~ D. HUTCHINS ,.., "
3199 TIMBERWOLF CIRCLE
.
Owner of Buildinl!
CT. W., ROSEMOUNT, MN 55068
JANE KANSIER
_,! (I Building Official
Date:. I i 7 f t5 l1
I
_ City Planner
Date:
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -.3 Pi!
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o ITE INSPECTION
COMMENTS:
I DATE TIME
SCHEDULED 'l ~6'
~ANG)- U.~
1/
CONTR.
PERMIT NO.
t; ,. (/J(M
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
;~urAIRTST
o ,o/,Ji,#~C
_.
:1/
X- WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CO E:T:~ CALL FOR REINSPECTION BefORE COVERING
Ins ctor: 1') Owner/Contr:
v ~9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
- '-/ U .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
f,A,d
ADDRESS ~~/rr Ti" !J,ft,JO/{ C,'/
OWNER CONTR. tYJ,f-kIsk:.//..
PHONE NO. PERMIT NO. (:)S -",
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 EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
GLib ,~10 1:<
(",,,,. ../1,_ h JI!
r_~b ~
~ORK 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
/I-li--()~
3/ q q 1't ~ bt,.-/Nr/!F- Ct;..
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
( I)
(t)
ktAC1 I
- 5d.s:!.
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
c.- Ut:
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
c:; -q ~ ~"" e. /? ~ ch c-..,
.r 1 ,r(~ '-) -
~ -f..~ Ul/1 h J
I .
G/(~C4
o WORK SATISFACTORY, PROCEED
...r::r"CORRECT ACTION AND PROCEED
o CORRECT W~~K'.ACrOR REINSPECTION BEFORE COVERING
Inspector: r V r Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 31'1'1 - }/.;b.r W~
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
~PLUMBING FINAL
o MECH FINAL
COMMENTS:
~~Dd _
2,. ~(V.D (\~"....- on~
DATE TIME
I~
s-~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o COR~ WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto 0 Owner/Contr:
CAL.: ~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
/NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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