HomeMy WebLinkAboutBldg Permit 06-0098 & 06-0724
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
J2.30. CJ:5'
2../ lof Op
I PERMIT NO. 0(0.0010 I
I
ZONING (office use)
See Main File
(Please type or print and si~n at bottom)
ADDRESS
3~,33
Cr t.j~~~
B/#
LEGAL DESCRIPTION (office use only)
LOT / BLOCK /5" ADDITION
White
Pink
.3 Yellow
File
City
Applicant
. I
./
L~
A-L W.
"'"'-'
C t L/6fp....! BaA-f
'--.J
PIDZS. 4/7, OltJ.()
I
E
II
F
I
V
M
4
OWNER
(Name) H C-L/1Le-f J g( o+N f. ~
--.J .
(Address) ~/ 13 ~U f-f- nr-. E4-'S~
--
e/~LJ
LP5J.- o-Dq,. 77lg
(Phone)
Inn S5/a-J--
BUILDER f) -- I--J.w.
(Company Name) h a. ~ t:2VV. · tr<,
, " " /' I... /
(Contact Name) -1- II. L I <---- -' Do~
(Address) ;;)//3 tJ;i+ [)-, ~
(Phone)
(Phone)
{P5J~ ~Dq~ I~LZ
&51r ~- ,i] J ~./
'- ~SJ.d J 7SC::-7?.aL
- - - -
ry}/1
TYPE OF WORK 'KNew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition o Alteration OUtility Connection
CODE: Dai.R.C. DI.B.c.
Type of ~nstmction:
Occupancy Group: A B
Division:
III IV
H I
2 3
o Mise.
A
R
5
B
S U
PROJECT COST IV ALUE
(excluding land)
$ ~t)1J 000. 00
- ./
I hereby certify that I have htrmshed mformation on this application which IS to the best of my knowledge true and correct, I also certify that I am the owner or autl1lJnzed agent feJl' the
above-mentIOned property and that all nmstruction Will conform to all eXlstmg state and local laws and will proceed in accordance with submitted plans, I am aware that the buildmg
:fiCi can r'voke i i~Pj~r Jt~"it~erebY agree that the City official or a designee may enter upon the propelty to perform JJd_ms;;.t; 'Q)
Signature Contractor's License No, Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
'"
(p So I 0 [) () , Do
$'-1/77.75
$2.7/5,5'1
$ $25. ao
$
$
$
$
$
!O().OO
!eJO.()O
3~ S;-O
10.00
~
This Application Becomes Your Building Permit When Approved
~~
d47~'
D6te
Building Ollicial
I Park Support Fee
I SAC
I
I
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDU~ 3.~.O'
I Paid /1. .f'4--] . 77 Recei~No.
I Date 2. (" tI (p By /i
See Mam File
#
#
Water Meter ~ 1",
Pressure Reducer
#
#
$
~ /55"a,.0()
$ "250.00
$ SJ. 00
$ /500,00
$ 1000, 00
$'
$
$//
I
- -
<~I/T/
ThIS IS to certify that the request in the above application and accompanying documents is In accordance with the City Zoning Ordinance and may procl'cd as requested TillS document
when signed by the Cay Planner constltutes a temporary Certificate of Zonmg compliance and allows construction to commence. Before occupancy, a Certlticate of Occupancy must be
issued/? // ~ :l-,).I(-tJ6 .5~e ~.WI~ 51e~
/~ Plan~Direetor Date Special Conditions, if any
. 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT A (p.~.
~i~i~e ~:~y PERMIT NO. /7/. _ r11 / J I
3 Yellav.' Applicant ( / ~ ' 101-- 7
(Please type or print and sign at bottom)
ADDRESS
3033
Cf '-1 ~ \~...Q
LEGAL DESCRIPTION (office use only)
LOTf) BLOCK
ADDITION
~~
--'
C (G/5-t-LJ
LG..A'\
0..-/
~~
OWNER~--, U ,. _
(Name) ,- '-~ ~ ',' \ ~~
(Address) U / ~ C {17'fd Or.. ~a:J~
+6vo~r~
BUILDER
(Company Name)
(Contact Name) ~ ~
(Address) ;) II ~ C L ,{iJ (dv
t-1 h-n U-u
......J
fJAfj?Lr\
Date Rec' d
ZONING (office use)
PID
(Phone) l&) I~ ;J CPl' /1 L<{
rr-n '-.~ fa-a-
I- 65'"/ - ?S'r- ?ZLJC
(Phone) &57 r 49-/ 4432>
(Phone) (05 ,cy$ --l../C13 ~
~ ,-~.1C2.0
TYPE OF WORK 0 New Construction ~c~ OPorch ORe-.Roofing ORe-Siding OLower L;jFiniSh
OAddition OAlteration LOUtility ConnectIon c....-f7~~ (, _5~:J, r 'v-t.
CODE: DI.R.C. DI.B.c. -::=r -rJ Mi~c.
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
PROJECT COST IV ALUE
(exduding land)
o Fireplace
/. [{l.' I CD
~ J'
$ jT1{~'\t 1i'-~
I hereby certify that I have hlrnished 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 fllf the
above-menl1oned property and that all construction
:rl~:evoke thIS Piml~ for urause:ur e'
-r . ro^c..L~nature
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
'11 conform to all eXlstmg state and local laws and will proceed in accordance with submmed plans, I am aware that the building
o;e; ~gr:;at the CIty official or a deSignee may enter upon the property to perform ~;!5ij-- () t"
.... Contractor's License No, -- - Date --
$
$
$
$
$
$
$
$
((X>o.oO
41.2~
2(, -. e(
.50
Gas Fireplace Permit Fee
/J /1 A
ffi, ,;f:: Yom BWd;n'e;;; 7;',""d
.;; v
Park Support Fee
SAC
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
Paid
Date
I
Sfl,l>tr
# $
# $
$
$
# $
# $
I $
I
I $ . __ I
i$ 0'61!:>'O
(" . Ji'
I Recei;l1/Wo, ,6 ~.~ to
I By lj n ) -
/
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_ TIllS document
when signed by the City Planner constItutes a temporary Certificate of Zonmg compliance and allows constructIOn to commence, Before occupancy, a Cerl1ticate of Occupancy must be
issued U 9- //-Ob
, "
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special Conditions, if any
-
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~),
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3~~3 Q~J5~ ~,
Accepted
Denied ~
Reviewed Bt~S
Comments:
Accepted With Corrections
x
\, ~.e.(. ~ cJ.J
Ct:1k 5
Dale: /; lit } 6 V
( t
cl ,~t ~
L. ~ i15~ -:::-1: 0 (p - {)ocn
"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."
See I\tlain File
White - Building
Canary - En ineering
Q'ink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHE;CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
l .-/ )"-1"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/~~
- ~ I;"'Perv';'1I.$
I~ a/iw-e/ '
- //< ,~cc)/t-
Date:
IIf.n~rc.,l/~r -T;r
:2-;2 ~.-t?6
~YI~~t:lLP/~
, 1...../
Comments:
5 ~h/I!V r.e4fA./'rJ 6~re e~r/:,;t;'de /
, v
oa:~Jt)(;c."7 fir lIer,'"Lje.6'o1l ,/ ~kvA-6-'At--i:' I';"~IV'~
S"~U., ecc.
jJo I t-JCfi..t~G"
~
OfC- I ~c7<-t/1 OG4.S thz.~
FU. ~s-
.
A-L.L.c w e?:J I ~ /H-G
"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."
Seervlaln File
White . Bulldi"L
c ...c-I'liarv . I;nalneerlffit::>
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ftJ/)/V~eV L?eo5.
2 . / (j . O(P
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.:3(p33 UU/5P1L PA-41 LtJ.
/ /
Accepted ~
Accepted With Corrections
Denied
Reviewed By:
~
St:l. /fl~,~ f; f(_
Date:
2--z.l{~
Comments:
SecMain File
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."
See Main- File
~hi~ - Buildini)
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/l1/J/V~6V 8,eoS'
I
2./(j.O&
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
...3(733 UCA-j5//lL. P#1f uJ.
/ /
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
0dJ~
Date:
~1/~ ,
Comments:
See lVlalnF\lile
"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."
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:
J e#' lIf~e
Date: 8.1/"'1)..6
Building Permit #
Site Address 3 b 3 :3
Legal: L Is- B
PID:
LrySn/ 87 ~e
/ Subdivision:
Zoning: 'pUD
C,.ys~J
Existing Structure: YES or ~
CONFORMS TO ZONING
ORDINANCE
~
NO
-...;",:
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
. Side Yard
(25' if abutting a street, 30' if abutting a street in
Cardinal Ridge)
. Side Yard
$1'1
/
)
~
JU".NA
,
. Rear Yard
/ -
}IS Ii A
S
7/
. Townhouses
Must be consistent with
approved plan for
development
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALSO, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TE\DECKCHCK.DOC
03:07/06 TUE 12:12 FAX 952 890 2753
STOCKER EXCAVATING
I4J 001
DLlte r<.'ec:'d
<VRiC0
/O/~?'>~
(~~j,
"'~'
CITY OF PlUOR LAKE
SE\VER AND WATER PER1VHT
G:ct"1\ Flit
YdJ"w (it'!
(..i<lld Arfl1iCM'l1
.,- ~~ q,g
P ~RMIT NO.
06-0098
(Pk,l:;t.: ('y"P'': or print ;,u'lfj ~ll?fl .H h()t!l)m)
, ADDRESS
~~6~rystal Bay Lane
7.01:m-JG (,?IF,~~ \J~'-)
,,-
Ll::G/-\.L DESCPJPTfON (o!fiu: 'w 0,'.1:1)
LOT
BLOCK 1 ADDITION
Crystal Bay Townhomes
PID
o'.'rnER
(l-bmc)
l'1.::H~ley Bro the l~S
(Phone) _
651-454-4933
(I...ddrc:s) _.2))3 Cliff Drive, Ea.gan!_}l1~ 55122
(Addr~~~)_._
(Ciry)
(Zip Cl")dc)
APPLICANT
~Jamc) STOCKER EXCAVATING COl1FANY, INC.
(Addr('-ss)
12336 Boone Avenue
(Addrc\,)
Cure
Sa1iage., MN
(Phone)
55373
(City)
9.52/39)-4241
(Zip coo':)
(ConrJct Person)
/'1..
APPLICAHT SIGNA TURf _'v10JLf- [' -lot-~/ .
-- .,- .-'.'- / KJ
APPLICANT PLEASri: COl\1PLETE BELOy,
(phone) __
68 D.f.
._~ DI:TI: __.,~t 1- t) ~___
Size of waTer service inches,
Location of C1l1y couplings frorn stjllcture feeL
Type of sewer pipe. 0 ABC 0 PVC 0 Cast lroll
Estimated lenglh of sewer tine [tet.
ClcBn ()l)t (i f required) located at. fed frornstruclurc:.
Rcsidcnri11 sev!er and wa(t:r lint.: connection
Se'-'Jo::r connt;c;tion only
:h3S.S0
5: 17,50
FEE SCHEDUUi:
Inclu::;tria.l, Com'] & Multi-family
Water connection only
1% 'Jf. )b c.ost with;) :rJ9. 50 rn inimum
$17.50
ESlimalr;,J Cost $
Building Permit -# .
SEWER AND WATER PERlvfIT FEE
STATE SURCHARGE
TOTAL PER1\1JT FEE
$
- PAlO WITH
. B_UILOING PERMIT
$
$
(Office Use Onl))
This Applic~tiol\ Becomes Your Building Permit When Approved
. -Paid
RC:Cl:ipt ]'-.1\),
Buil,-Jing oni601
(I;d"
Dare e y
MArLO_B. 2~ ------
Z4 hour notice [,or .111 in~pcc(ion~ (952) 447-9850. rn (952) H7---421~,
Apr 20 2006 12:53PM Lofgren Heating and Air C 9524312187
__p. 1
;'-Pi~;:1W"
,- G!oiin. 'allY
i ~\l>W Al'pii....
-- , . .... ...'........->'.;'~..::}._\..(..;...\.'.:.'.,'...i.;.'.'
lPEttmTN()',,~. ':": .::"
;: '", ': ;r.~:;'.. '.'j :~/:1 ',:'-.
ze,NIN('i}- (offi.e~'U'S'tJ.) - .
LV\
PID
Lofgren. :~:~~~';'li1~'
5708 UPI :r'147th St W #102 (Phone)
Apple V: l;:y, MN 55124
(City) iiPC<llU-)
(1b$re) CJ5 ~ ' LJ,.3J. <,~:cLJ
DApE J-j - ~U-Gdl;;~
; ~ I'
;t~';~i;i*,~J!:~i;;S~t:y,.;;.~~:t~~,;, ,
Residential. Additions'& Alterations
Residentiiil, .At:. Only
$39:$0
$31}.~O
PAIa WITH
BUILDING PERMIT;
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
..5:. 18. Oft]
~. ~;~w ~l~ic.nt I PERMIT NO. Ot.J, 0098
(Please type or vrint and siWl at bottom)
ADDRESS ZONING (office use)
~(,a~ (}y~rA,-13~>, LANe
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Phone)
(Address)
PID
APPLICANT J d"
(Name) \//eec:c~' EJp,r:-t?Lt!JCc ,,;;/Al.E'~. (Phone) 9$d2- ~.!/O..~-~
(Address)~~/$1 HAIA.1 AvE ~r ~/o,e L4~:' 9a~7~.
(Address) (City) (Zip Code)
(ContactPe"on) :2~~ -: (Phone) 9:sa-<I4I'7-8'/~
APPLICANT SIGNATUR ~.. - ~ DATE /R /-'?.A,/ ;::].a,:;,,.--
"
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
Residential, Additions & Alterations $39,50
/ $39
~ fj~,y
p~'O, o{r-
6 ~If V
- . ,
Recei~
By fi~",-j
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
REA TING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent System
FIREPLACE MAKE AND MODEL IVIA.J/.:' ~rl't'-: LJv,~ i PVT.'::} BeAl
,
Industrial, Commercial & Multi,Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
Residential, AC Only
Estimated Cost $ .3'. S' OC;.. OC>Building Permit #
J
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
$~9.. SO
$ .50
$ ,-/0 ~ (X)
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
~
Date f
5: /B.()~:!
Building Official
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39,50
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF SeeVlain ~'ile
BUILDING AND INSPECTION
SITE ADDRESS 3W33 c:tl\fST"'- -:sAv L~ JJ.~ .
NATURE OF WORK N."" c..o~~O" (W/I..I... r:-1N/SH ~ 1>EtJC.)
USE OF BUILDING ~, J::' A..
PERMIT NO. a. 0098 DATE ISSUED j..-/-Z:1LfJ4
CONTRACTOR ~ -sa..s. PHONE-'-E/-lSS-lIo"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPfFTOR /'\
(!J1/I/ )t{ r I
J,!,
, FOUNDATION (Prior to Backfill) I n I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
,u,-,,-r c..", ....., (j H - INS ,
SEWER I WATER I SEPTIC
FRAMING
. INSULATION
ELECTRICAL
PLUMBING v,'~ U~ V/I?h'h rb ';/wA0
HEATING (if required) /~ ~ I t?~
FIREPLACE ( V . tI tJ I 5/RW'
GAS LINE AIR TEST~I~FP, MA,- I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
LA TNI f H'.'-' IW rII4" I I "\~'c. V I!> ~!' ~otJ
FINALS
DATE
, FOOTING
?-7
1
ff,1J
ffdJ
GRADING (Prior to Sodding)
BUILDING 1~fD --+. loh /6 ~
. ,
ELECTF{ICAL
PLUMBING
HEATING
-
(/~
0h
I
)'j
an
7/z7
1-2)
V'
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.
FOR ALL INSPECTIOf\IS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3Co3)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J:t' FINAL
o SITE INSPECTION
COMMENTS:
DATE
SCHEDULED /~/o ~
CrJM- ~av --C"'-
CONTR.
TI",
PERMIT NO.
~ -oora
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 GAS LINE AIR TST
o
I rO
l" ' ~ c~ 'f1'VL
/) (
l<'- V
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~T . 0 , FALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CAL _ 7 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY/
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~ \ ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ? f "2.'1oe-,
(I()W ~
CONTR.
PERMIT NO.
r, - 6 (:) 95
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o JEWER HOOKUP
ja"PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COM,ftOENTS: n' J t
~A~~.A- lK"l ~A-
'2~ G1, /--( ,Q(A'~ J--
o WORK SATISFACTORY, PROCEED
)/.. CORREC ACTION AND PROCEED
o CORR T 0 CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
CA~ 7- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
-V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
OAT: TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED -C :t1 d...p
ADDRESS 3{",:~:~ O.hlC,~<j
OWNER CONTR.
PHONE NO.
PERMIT NO.
~(J - oo9g
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
(Zf FINAL
o SITE INSPECTION
O-PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
lZf PLUMBING FINAL
If MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
cJV\. ~t ~d~"""":' '1'0\ Qa...v..~-
~. f\~ ~~ ,w;;r-A\~
~~. rnll:\A\c.;", ~.-.l"""'- ~~
1. S..A ~:~fTf"", @ef L.....&sco. 'P pk'^
ofJ--6. Q..0V0'~L,.\.4' ~k.. -
of-/(p. S~;..h ~;+ -\Dr ~ S\.c..\,.. ~-
J. Y>\AI6ll>o'" ~ l)ol"'~ ~ o.i>!>"'~
--G-t (\ ,A 6 7'
l6-l-0Go
,
~..~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)( CORRE T OR. CALL FOR REINSPECTION BEFORE COVERING
Inspector
owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..:.
QUlREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI
3~ 3.$' Cr,y56:J .6~
CONTR.
PERMIT NO. Of - 002>S
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
DATE TIME
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
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;6 WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
tnspecto# ner/Contr:
CALL 447-9850 F THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl
INSNOTl