HomeMy WebLinkAboutBldg Permit 01-0213
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
3-/5-01
PERMIT NO. 01.. Cz ( 3
(Please type or print and sign at bottom)
ADDRESS
Ilo01 n fUor+h lJJood {(d.
/U.lJJ.
LEGAL DESCRIPTION (office use only)
LOT~ BLOCK 3 ADDITION f\\Cf+h~ /)rlk~ 1st
~':~R -:g~" ~~ &Air
(Address)
ZONING (office use)
1</5D
PID 2.5-3(PO... 016- 0
G51-4~-l\q33
55/).3
(Phone)
BUILDER
(Name)
man 1i'L{ btJxfh ifE, Co~ ~ir ULh6f\-
'-t 11CJ 8thfb1 bri~. f-agOA I V1UJ
(
~New Construction ODeck
ORe-Roofing
(Phone)
(Address)
TYPE OF WORK
OPorch
OLower Level Finish
o Fireplace
o Alteration
OAddition
ORe-Siding
PROJECT COST/VALUE (excluding land) $ !d.lo3l'i)O
OUtility Connection
o Misc.
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
=teruponj;:;:7_0em;:da:~::ections. JLD543d7 !Jli/D(
'- Signa~~;---r Contractor's License No. Date
Receip~. ..3 '10S z...
By 11t/'-
I
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
iS~~t~.~~. -3jL?~l ~~~.Y6v-~~
v Planning Director Date Special Conditions, if any - 'I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I Permit Fee $ I J '}OCJ, .SS- I I Park Support Fee
Plan Check Fee $ I ,:Z3 ~ . ?f.t, I SAC
~
State Surcharge $ 1 3 l. S'O Water Meter Siz~; I'"
,
I Penalty $ Pressure Reducer
I Plumbing Permit Fee $ IM.OO I Sewer/Water Connection Fee
I Mechanical Permit Fee $ l () C . 00 I Water Tower Fee
I Sewer & Water Permit Fee $ ~S .So I Builder's Deposit
I Gas Fireplace Permit Fee $ ~O .00 I Other
TOTAL DUE
"3..ltt.&-cf
I Paid q a z" . ! I
I Date 'f .3roz.....q-t> 1
I
Date
#
#
#
#
$ 850 .00
$ I. I SO. 6?J
$ ( 25 .t)O
$ LIS .t9(L
$ I f~OO .eo
$ 'loa. ClO
$ 1(500 . 06 I
$ I
$ 'JIZZ. 81
I
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-l or R-2
BY:
~
Date: dJ d.3J () (
Building Permit #
Site Address: I bO"fo
PID: 25... 3/00 - 61&-0 Zoning: elS.D
~0'Y'tt\ woecl ed
B 0 Subdivision: ~ ~ w cO:t.. Chko ~~ l ~
Legal: L
~
Existing Structure? YES 0
Existing Nonconforming Structure? YES <@
CONFORMS TO ZONING
ORDINANCE
YES
NO
I Yard Setbacks: ~BLE / FAILS
I (MEETS CODE "")
· Front Yard---
(setback average if in-fill lot)
· Side Yard
(25' if abutting a street)
· Side Yard
(Easements)
· Rear Yard
(Easments)
· Sidewall exceeding 50 feet required additional
side setback of2" for every foot over 50' long
· From 100 year flood elevation of Wetland
Requirement
Proposed
25'
10'
~.s'
Ilo.'J-~
, ~. ~S
)Sf
ND
10'
25'
Wall over 50'?
30'
· From OHW (Prior or Spring Lake)
75' or setback average of adjacent
structures no less than 50"
NPr
Nt?(
I Yard Encroachments: NOT APp'!-ICABLE /
FAIL&fJ.V1Jj,JH~ LUJJY
Eaves and Gutters no more than 2 feet in width and
no closer than 5 feet to a lot line (Easements).
NC and other equipment cannot encroach on
interior side yards.
Lot Coverage (Structures Only)
"n J\
J\f-r
30% Maximum
Significant Trees: NOT APPLICABLE / FAILS
MEETS CODE
I. Total Caliper Inches
I. Can remove 25% ofT.C.L
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
I
Requirement
Proposed
Y2:1
L:\TEMPLA TE\BLDGLIST.DOC
908.9 Prior Lake
914.4 Sorinl! Lake
909.9 Prior Lake 1
915.4 Sorinl! Lake
Must be 1 foot above flood elevation for new
and existing structures. If existing structure
was constructed 9/19/90-11/22/97 then
additional foot is not reauired.
Must be flood elevation or
hiczher
907.9 for Prior Lake
913.4 for Sorinl! Lake
.
Maximum Width at property line
Required Setback
.
I .
Maximum Slooe
All parking areas to be paved including R- V or
soaces adiacent to the l!aral!e
Location to match Subdivision l!radinl! olan
.
I .
~
J Buildinp" Hei~ht: 0EET.5-oDi 1 FAILS
Shoreland District: NOT APPLICABLE 1
FAILS 1 MEETS CODE
I Minimum Lot area (sauare feet)
I Minimum Lot width
I Shore land Alterations
I imoervious Surface "-.)0 orJ- i Il\~~
./ ..... t~
Blut(': N~~ APP~~C~AILS '1'
M .1 ~ LV.1J~
. Setback from Top of Bluff
.
I.
I.
Bluff Imoact Zone
Enl!ineerinl! Certification submittedlaooroved
Gradinl! in Bluff or BlufflmDact Zone
. Flood zone:(ftOT APPLICAB~FAILS
EEl'S COO}.;
. 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
RelZulatorv Flood Protection Elevation
. ..
-I' Accessory StructurQ"~~,~PLI:~LE ~
~..J,'-ML""'.I-..,~ODE
. Size
. Not Located in Front yard (Materials)
. Side Yard and Rear Yard Setbacks
-- ~{(~~-~~'-~~- ~~~b~!
Conm.a1ih1e M~.l'l
L:\TEMPLA TE\BLDGLIST.DOC
Requirement
24'
5' from side lot line
30' from R-O-W on
corner lots
10%
35' Maximum
Requirement
7.500 Rio. 7.999 Non-riD
50' Rio. 57.3' Non-riD
30% Maximum
Requirement
25' setback from slope
less than 18%
20' From Too of Bluff
Bv City Enl!ineer
No imoortinczlexDortinlZ
Requirement
Requirement
832 So.Ft. 125% rear vard
10'
1 <:;,
Proposed
30.
trlc-
01t-
;:)y, .~'
Proposed
tJ fA
.~
Proposed
Proposed
Proposed
1
~
/
~'l -;Jr - .""!...
jlllfjf;,\ 1.._ il;...jl!.. ___.,~I~,4" l.~ .. h , . ~ iF ,~ ',~i"!1II!fr.'-
s.. " ,~.. HI'
Dl.-otl)
The Crnter of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Ii/II Iv L E- l/ [; Ie' cS ,
t
-;:> . ,-
-..) ~ I ,,-, - G I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/tc () 7 (, lllt/G.l H IVC()U /CV IV tV
Accepted
Accepted With Corrections
v-
Denied .
Reviewed By: 4~( t~
, 'V"-
Date:
'30?/i; I
Comments:
J. L{ F, JAu.;~
i-ltcfM'1 f.AMe ~ <Thvu
\ ~;:r-W~'
\.() ,LJ q-;; ~~,
"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,"
6t.-Ot13
The Ct'nter or thr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.~/1NLEV B~CJS.
,
::s ,.. 1.5 -0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1(0070 ;V~~rlWOOD ,eo NN
Accepted
Accepted With Corrections
'<
......
Denied /'.....);( L--
Reviewed Bt ~
Comments:
_?~ It!( Q4ht~ kJ~
Date: ~... ,~ -2.00,
"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,"
~
"
A.
,
~I ~6 1;13 '<>,
Th. C.nt.. or lh. L.k. Country
White - BuiJdinq
Canary -~ineering../
Pink - Planmng
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/t1/iIVLE V Bte..os.
,
3-/.5-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1ft; 07 () j'JtJ/~ H tVOOD I3D IV jlJ
Accepted
Denied
Reviewed By: Nl4t". . Date: -.3 -;}o -ot
Comments: See Reverse Side for Additional Information!
x
Accepted With Corrections
D r i v( ""'" v -l-o h Co-
no I~('Q(/r +~I\J'1' ~+- jJfOper1..v 1,'Vle.
,
~.
"
See Attachments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control Plan
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
.'
.,." c_ "" .. ..... c.....,
CITY OF PRIOR LAKE
PLUII81NG PER""
AII~- ~ 5c..nQ.,\Q..'(' "\um'o\~
Md~ I I. 4~OO ~Qr'Qr\ cr ~ S~
.J. 1TIrW; ry~
~~: Lal Itock. 3 sUblJt'U-JL~ 1sJ-
.. Add",..: Il,.OfC) ~I 'o,+hWMcl ~. ~ )1.&.1
~'...PMNt. P,o. ~~-3~Uift-:O
NOTE: T1'III..mit.... be pta E III W wfthaut comptet. information.
PIXTURE UNITS
I,.... .u.
l. 0.14 c.r,
, Y.II.. .-,,1_
PPNo. {()!- 6d-/,-~
Phone:'1"S'd. -l..\4f~ ~'l3Y
~n'o~- LCl~
~,~-
~~
QuantRy 'TWe e# FbcII.I.. ~ Typ. of Fi:ttur.
rl. .... T,* .... or wino.... ....... 3 Rou;"'.i"_
I DIIh II. 1 Water He..r
l FlOG, DrUt Wall' Soft".r
y ~ (DMrtI'DOnl link) I SIand Pipe (w..hing machine)
t ........'1 Tray (1 Of' 2 ........... link) SI.age Ejector
Iho~.,. Stan ""'..,w AalerMltf (RPl. Oo&bll C.,IlC.... PVB)
-[ ... 8&c:ktlcw A...mbly Test
.... 8Ink Lawn Sprtnkl.,
3 w.., Qout (1aIM) 01".,
... MIl -.,..
s
s
s
s ~
.50
IncII L W, ComrnM:llll . .....~jII....,
C'....... -. ..10 "**,,,m)
- ,'f I ..... __ One a Two I'III'I'IIy
~1~"I'IlII. ~.r..... a AIbI.-.,.
-~
ORAND TOTAL
PAIOVi.';
s ~G PElllVli I
TNa .......11 ..-s ... die ...... CD...... lbat Mics
-""'\V ~.............,............... dl. orlSl_
III............ c..-.. -71 . I'f:.....
....11;III"1 M). - - L6An
r:,.,r ----- ATTUT
Cab ......a ~.. I : 1.',.. Z4 ~ ill ..:Ivane..
16200 &,Ie erect Av, S.E.. Prior Lib. MiaDesor.a 5'3121 Ph. (612) 4.&7-4230 / FAX (612) .a.47-~24S
Aa .... OL. r ..11f em,..,.r
~
0.:
III
~
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.....
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r->
o
o
.....
.....
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10
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s:::
r
o
cO'
iD
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I
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Qo
~
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.....
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o
OIl
03/30/01 FRI 10:09 FAX 6128902753
STO~~~ EXCAVATING
~001
GalliC. - nLe;
're;u.ow . ....Pl.1C.i.1IT
GOUt. CTT
CITY OF PRIOR LAKE
sEWER AND WATER PERMIT
NOTE:
No.OI-();1J3
Sewer and. Water
contractors ~ust
be registered
with the City.
APPLICANT: nD Mechanical/Scockar Excavating
PHONE:
890-4241
3/30/01
ADDRESS: 824lJ":.~ 12}th .x;vaee. KN
SIGNATURE: ~"~ ,. 'k-
SITE ADDRESS: 16070 Northwood Rd. NW
55378 DATE:
BLDG. PERMIT # 01-211
,PIOi /l5-3W - Olf---O
FILL IN THE BLANKS
1. Estimated length of water service
feet-.
2. Size of water service
inch(es) .
J. Location of any couplings tram structure
feet.
4. Type of sewer pipe. ABS
PVCy
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
~~=~=======~W_==:~______~~_;=~~-==~~-~-=~=:==~--~==~~-~~-========~
This application becomes your permit when approved.
BY
DATE:
~====;=~~5_===~====~=~=~=~~=~==~~~_~~===S==~===~--~~=~=~~~;~--~-=
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee' for either sewer or vater individually is $20.00 plus
S .50 surcharge.
* Sewer and vater permits issued for new construction m~st be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued. -
DATE PAID (;-;;)--;
PAID WITH
AMOUNT PAID BUILDING i-'ERMIT
REC'O BY ()-C
()
RECEIPT #
16200 Eagle Creek Av. S.E-. Prior Lake. Minnesq,ta 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
/U Equal Opponunily Employer
FIRESIDE CORNER #7298 P.006/006
CITY OF PRIOR LAKE Date Ree'd
BJ1iATlNG/Am CONDI I. J.ONING/FIREPLACE PERMIT
~:~:. S'-l 1l"Jl.,!'UVlll liO. r~/3
(Please lU"l:. Qr mint IJIJ,chilllIlUi. '". ...1
ADDRESS
(liD~ ~~ eo
ZONING (ome. use)
2/50
LEGAL DESCRIPTION (omc,= u.e onty)
LOT;+""BLOCK 3 Aoomori-1I1tJ7U~. !(~
- , - ,"-,,",. - _...
~= f'n~~ ~~"-
cJ - -
r ~ Pro ..2S~ - 3,<)- D/g--O
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE: DBA FIRElSIDE COMER
(Phone) 651-633-2561
(Address) 2700 N. Fa.JJNIEW ~
(Addn:ss)
BRENDA i;MSTON /
(Con.tact Penon) / ',,- . A ,... (Phone)
. APl'LICANTSIONATIJ~~ (~_~O-J\.~. DATE
APPLICANT PLE~ COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT 0 AJ.. reRA T10NS.. \
FURNACE MAKE AND MODEL FUEL 1"-l-l:JPr":::.
FLUE SIZE RETIJRN OPENINGS INPUT OUTPUT d3- f'<-~~
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann Air Plamrs ::J Steam
o Gruvity J Hot WDtIJr
o Mechanical . :J Raditttion
OAfr Condldonlng :J SpecleJ Devices
DVcn~ System 0 other Dcviccs
FIREPLACE MAKE AND MODEL lJ,.'U ~~ '. ~_\R..~((
'RQS.F.;VTT ,T.F. MN
(City)
651-633-2561
"~ll~
(Zip Code)
t-fq-Q (
PLEASE NOTE:
Air Canditioner Units
CannOJ: Encroach into
Requ.ired Side Yard
Setb~lcs
Il'ldustrieJ. Commercial & Mu/ti.FlllTlily
FEESCUEDULE
f % of job cost ResiderJfial, 0115 FircplllCe
S39.'O minimum
$99.'0 ResldCfllhd. Additions&. AIJenaions
$64.50 Reslden.tial, AC OrIly
$39,50
Residential, Hmting &; AIC (New Consm.lction)
Residential. H.eating Onl)' (New Construc;tion)
$39.50
$351.50
Estfm.a~d Cost $ \ ((:j.J - 00 Building Permit tf
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMlT FEE
$
$
$
.so
PAID WITH
BUILDING PER.Vnr
(OftIee U,e O"'y)
This ApplfcatJon Becomes Your BuiJd'ng Permit Wbca Approved
Paid
R,er:eipr No.
n.lldlJII otlh:lld
Dire
D&fl1.7_ .)3-0/
a
~
\J
14 "our notice for 1111 in.pecf;llIn. (951) 447-!JIJSO, ru ('!Z) 447-4245
PRIOR LAKE
INSPECTION RECORD
I
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I ("nt-rt[) liorl\kW~ ~~
NATURE OF WORK ~
USE OF BUILDING -.SF~
PERMIT NO. 0' - Q.zJ~ DATE ISSUED :$ -ICf"8to(
CONTRACTOR Mt1M~ \I~ PHONE1A.S1- QS,/-W3J-
NOTE: THIS IS. NOT A ptRMIT F. O.R ANY OF THE INS~j:CTIONS BELOW
A A f, THE_ PERMit IS .~ SEPA~TE DOCUMElU Pb
c~ '-I..':)...?<<:,J 1LE-. l~ J (~~NSP~'- .' DATE
FOOTING 113-~ 't I 4:.S"! 0/
FOUNDATION (Prior to Backfill) I~ ~~ 4.~t-1,; D1 I "t9fJ.M1 A-I~}I)(
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN stGN'Eb
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING sk~ /;_'" IS~ <t \l""4 ?,/;~7)O{
INSULATION 1s - \),.).. '7 'I e::.!o I
ELECTRICAL [ ,,'
PLUMBING 1SN~ ro\04-'b'
HEATING (if required) '& ,,'~ loll 0",", b(
FIREPLACE ~ , ~\ "1, f~~ tbl
GAS LINE AIR TEST tWA,~~ ~~\ % ' \~ (pt, C'4 .'"
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
GRADING (Prior to Sodding)
BUILDING SF.E- /\lo-rl<n.J ~o,,-(l.-
ELECTRICAL
PLUMBING
HEATING
I
FINALS
ll{~-I;~:~v(.
\
.
~
t5r~ll~
If
13 ',oJ
.J~tW
BEEN ~:NED
DO NOT OCCUpy UNTIL ABOVE -iAS
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 sh1i1l ~e p'laced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
QLtrtifirat! of (Jrrupanry
CITY OF PI{IOR LAKE
" Jlepartment of Jiuilbing Jn~pettion
t~fFinal Permitted 0 Conditional C.O. Expires_
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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 C1assificatiol'
SINGLE FAMILY
Bldg. Permit No. 01-02 13
Occupancy Type
R3
. Type Construction
VN
Fire Zone . N/ A
Zoning District
R1SD
Legal Description
L2, B3, NORTHWOOD OAKS FIRST ADDITION
16070 NORTHWOOD ROAD NW
Owner of Building _
Contractor'sName&Addr~NLEY BROS., 4179 ETHAN DRIVE, EAGAN 55123
I~-'
/// City Planner
Site Address
ROBERT D. HUTCHINS
DON RYE
Date:
Buijding Official
q-.
Date:
..........
'.......
, . ......
-'
...
..... ,
" ~" 1 ,~
DATE nile
CITY OF PRIOR LAKE
INSPECnON NOTICE SCHEDULED .1-IS.o4
ADDRESS ICO 7" /JbdjwoJ....!/.
OWNER CONTR. !n,1I(C( Br()'.
.
PHONE NO. PERMIT NO. D / ...43
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
~~L1NG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:"
GI't:cd<'" e K..
.
Gvl!:J ~- (J Ie
Cdf\l.. Af'ilaG"
.
,,.,.
~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
~ATr .
~.
/t?o70 J\J~r~uJ~cxL 1<d-L
TIME
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
jE FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
t'?~ (Vto.J,'-cM c... () ~
~/
- ~#Afci tve-es ?er cbiel"f'WI e..t t-
!~.. +~ C.O,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ ~~ Owner/Contr:
CALL 447.9850 FOR ,1HE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
lNSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~.~CJ{)I 33.l)
ADDRESS / (p07 0 /1/ 0 161 rl tv eJri r)
, * ' .. .. --
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- 213
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
^ 0 ~EWER HOOKUP
f.t'11i(""YLUMBING FINAL
ft I(' MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENT~:. \ ~ \
~ ~\O tV\\~lL\~ to ~e..LOw
\ ~ t,l,mber
~ ~
\QB/l... 1M'~.r <1a%\d'Y\1
b .19L~ ~'n ~'f'
1~e.rM. -&LVe-u)a.L.
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o CORRECT ACTION AND PROCEED
o CORRECT WO'~ CALL FOR REINSPECTION BEFORE COVERING
Inspector~ -- \)CJ.AA.(J Owner/Contr:
CALL 447-9850 FOR THJNEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl