The URL can be used to link to this page

Home My WebLink AboutBldg Permit 06-0546 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d r;, . 9 ()~ Main Fi~e White Pink 3 Yellow File City Applicant PERMIT NO. c1'. 054-fd (Please type or print and siJ!:n at bottom) ADDRESS '~t,f3j 3g?P-~~5 Pil-lv~ I ZONING (office use) PU.5D LEGAL DESCRIPTION (office use only) LOT~BLOCK \ ~ ADDITION ~ ~?1-::'-;::::-l1l-S 14'- PID ~5'";-t;3'} 'o~q-O OWNER (Name) S.4-~ (Phone) (Address) BUILDER (Company Name) (Contact Name) (Address) I y,?~ ,~/4--hAr L/~ y//.77:?z:?ll TYPE OJ.WORK - \ ~ coo,,~ct;oo Do", Dpo,," DR,.Roofio, ~ddition o Alteration OUtility Connection CODE: .R.C. DI.B.c. 0 Mise. 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 (A.J'~V{jV1AOrJ /-I//h?,...J' --::2 --/- LL,~, ,- ,c> ~.' .L: Z /Tl..;/.,I'f?2,/ ' (Phone) ~7--if/t?t ,- .,.~C)O (Phone) W?-' ;z.,?/ -/ (, Ztg t?A774/0 05id7 i/ ORe-Siding OLower Level Finish 0 Fireplace PROJECT COST IV ALUE $ (excluding land) 17'(OpCJ~ f / 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 abnve.mentloned 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 'x,f!iCial can revoke this p.?B:-rm,' r.Jl 't cause Furthermore, I hereby agree that the CIty official 0/, r a deAc:,=.p upon the property to perform needed Inspections , ~r" (J ~- 51-(JL ( Signature Contractor'S"(icense No Date Permit Valuation I 75". tt)C:O .C:>D- Park Support Fee # $ 1 Permit Fee $ , SAC # $ J55(),- I I~~ :",n S~;I"; Plan Check Fee $ ;77. '2.8 Water Meter $ ~5Gt -I State Surcharge $ 8t].5C::> Pressure Reducer $ t:;(), ----- I Penalty $ I Sewer/Water Connection Fee # $ I 5tx) , --- I Plumbing Permit Fee $ 10/). - I Water Tower Fee # $ I ct?cJ ,-- I Mechanical Permit Fee $ lOt?, - u I Builder's Deposit $ I :J ao, --I Sewer & Water Permit Fee $ 9,S.i: I Other $ I Gas Fireplace Permit Fee $ LI O~ - I TOTAL DUE $ 8,(,93.78 I Paid {(, 'i /. -'i/ I Date &.t?(,.(/(, 1..10 XuCl2-e1t-s-t= lJF / S A-~ uJ61) /'N Receirft~o. S /.r9 0 By -;{;- ," _ I ~e:R-V 10 "tel ~A. Tlfe- ~, ThIS IS to certifY that the request in the abllVe application and accompanymg documents is in accordancc with thc City Zoning Ordinance and may proceed as requested, TIllS document when signed by the City Planner constItutes a temporary Certificate of Zomng compliance and allows construction to commence. Before occupancy, a Certificate ofOcclIpancy mllst be ~ ~ "/19/~'b A~ o-U ~ . pianning Director Date - Special Cond#ons, 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 , R~vi~wed by: ~ Date: t.,(; e; /a fD PID: Zoning: ~~ (9#n.J) Subdivision: 9-rzf1. ....., I rr ~ Building Permit # Address: . SlP 8'7 Legal: L-4lo , B , 'f 3lc,91 . :3 Existing Structure? YES~ Existing Nonconforming Structure? YES ~ CONFORMS TO ZONING ORDINANCE I Yard Setbacks: NAJ FAILs(COMPLI-~ · Front Yard (can be 20' if avg. w/in 150') . Side Yards · Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in length . Rear Yard . Patio Door: provide for minimum 10' deck or sign statement indicating 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(P.(ILSjtOMPLlES I Yard Encroachments: NA J FAILS lebrlPLlESj Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). Ale and other equipment cannot encroach on interior side yards. .... I Tree Preservation~NAJ FAILS 1 COMPLIES . Total caliper inches . Permit 25% Removal . Caliper Inches Removed · Caliper Inches Preserved . Replacement L:\TEMPLA TE\BLDGLIST.DOC YES Standard 25' 10'1 25' if abutting a street 10' setback + 2"/1' over 50' 25' 10' side/ 25' rear 30' 75' or setback average of adjacent structures, but no less than 50' .30 Maximum Standard Standard Y2:1 NO I Proposed t ef}f. 'f 1.( - , S 'A tJ......,.J) ~~ lip' ~. , " ,I ~ ~1J.(Jrl K~~ I .!iJ.D' Nit I J,;c % - K~ .J{o::.tuI. Proposed j../(J;Jt5 tJott-l 6' Proposed .,S-' 1"1' Driveway: NA I FAIL$'I c"OMPLJE,t . . Maximum width at property line . Required setback . Maximum slope . All parking areas to be paved including R-Vor spaces adjacent to the garage . Location to match subdivision grading plan ~ Buildin~ Hei~ht: NA / FAIL(1 ,et)MPLI~ , Shoreland District: NA / FAILS / COMPLIES Minimum lot area (square feet) Minimum lot width Shoreland alterations I Impervious surface ~ Bluff in ShOre1and~ FAILS I COMPLIES . Setback from top of bluff . Bluff impact zone . Engineeriqg certification submitted/approved I. Grading'-in bluff or bluff impact zone ~ Floodplain(,f.,JAi/ FAILS / COMPLIES . 1 00 year flood elevation . Lowest floor elevation . Proposed lowest floor elevation to . Elevations 15 feet from structure . Road access must be no more than 2 feet below Regulatory Flood Protection Elevation ~ Accessory Structure:IN'() 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 9/19/90-11/22/97 then additional foot is not required. Must be flood elevation or higher 907.9' for Prior Lake 913.4' for Spring Lake Standard 832 sq.ft. or 25% rear yard 10' 15' ~.~n , ,1 1 Proposed .J..~ ...P I" I ~ / PUO. 5.7 Ii $-. S?~ b"ic- ~~ &,1 Proposed - r; I. 17.-- ~tf' ~ ~~~~ , Proposed Proposed Proposed j ,1 Main File White - Building Canary - Engineering r" Pink - Pla~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / 1 j/ i~~- I , l~.! I' ///c/ t.' /'(" /. t' ( The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: .:) I "rooJ ~ . / : " 1,'.,- ;;" I jI .-' ....~.. ,.... / Accepted Denied , Reviewed By: v' Comments: Accepted With Corrections x. Date: I I . no ~,..Ao - 4~c7J ~~~ ~ c9-ut- ~ ~ 4~~ .. ~~ /4u-p Vcr"~ ~ ezr,-. L- ~ , . ~~, " "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." ~-\1aiIl File White - Building ~HlUlrv - t:ngmeenns,D Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED lit! ENS1'l/-I/VN /+0/1-;165 (p. C), 0& The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ..3 0 8 7 J c.;::- ~ t-7c ~ /:)/9 R'K--i~ t/ /1Y / Accepted x Accepted With Corrections Denied Reviewed By: ~ ,Date: ~ - 2..tJ-~~ Comments: See Reverse Side for Additional Information! !IIq (~ f,'f{ , 1, t . See Att~c.hment~. 1) Grading Plan. 2) Erosion Control Measures "The issuance or granting of a permit or approval of plans, specifications and c;omputations 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." M~in File _~ IiIYild~ Canary - engrneering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT W ENSft-'I/1 N AI /-ft}1o/ 65- (p. 9. 0 (p APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 3 & 8 7 V t:/ P;:: EK-..J ,0/1 /CJ:::A,1I flY / Accepted Accepted With Corrections X Denied // I J f2 -' Reviewed By: ~---.... - I Comments: I . ~J oJ (o.1ta.ckdJ ~~ Date: {,.. /5'~ ~ u "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." 08/04/2006 FRI 7:41 FAX 952 767 1900 GENZ-RYAN [4J 004/033 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGIFIREPLACE PERlVUT Date Rec'd \ P;nk 2_ Grecn :> Y~lIow rile CHy API,h,Mt i PERMIT NO.". 546, (Please type or print and si~n at bottom) ADDRESS 1/ ~3lp IJ 7 Ar ~~__ . () i J-( ,'-' ," Cv S PklJLU } ZONING (oCk. use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID ~:~~R 0U.Q)f)S\Y\GJ~\/) (Address) I gc(,5 pr (1ZCt : 'Dr- #= Z()) a 1 "S'j-ybS-3701 (Phonej1 UJ ~~~~~ANT C:rcn {,," (2.\4/1 Y\ j wC\ {If''l .J (Phone) C.V)21'~--7 (rr7 -I 000 {01 N 55'Id-~ (AddreSS)),;?CO UJ ' t-+UJL/l l~) r2, U.YV\SVi 1 Ie ~~63'S7 (Contact Person) +< I n\ (Add~eSS) ____ '(Phon:'~itYtr 5~ - '7 0/ ~iP 1M APPUCANTSIGNATURE (~(~ l-JfJj;t[{Jj/; DATE _XL3.i-u'Y ( APPLICANT'P~COMPLETE BELOW r [;;l~EW CONSTRUCTION :J RElj_ACEMENT 0 ALTERATIONS V ~i FURNACE MAKE AtD MODEL Lfr\f'{:t (fz ~)~~t::5l/C ,- (;Y'U FUEL VV)j Cj61 S I FLUE SIZE RETURN OPENINGS. t!:2 _ INPUT -C/{:Uf) OUTPUT ~-, L12 (J I' PE OF SYSTEM HEATING OR POWER PLANT I PLEASE NOTE: i, o Steam ravity 0 HOI Water Air Conditioner Unrts echanical 0 Radiation Cannot Encroach into ( .ir Conditioning 0 Special Devices Required Side Yard en!. System 0 Other Devices Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial &. Multi-family FEE SCHEDULE 1% 'lrJob cost "csidcl1liaL Gas Fireplace .'h3950 m;n;mlln1 $99,5J Residential, Additions & Alterations $64 50 Residential, AC Only S3950 Residential, Heating & A/C (New ConslnJClion) Residential. Healing Only (New Construction) '.39,50 $39.50 Estimated Cost $ Building Permit # HEA TING PERMIT FEE S STATE SURCHARGE $ TOT AL PERMIT FEE $ PAID WITH .~ILDING PERMIT (Office Use Only) This Application Becomes Your Building Permit Vl'hen Approved llllildil1e Orlicilll Onle I Paid I Date I Receipt No. I By 24 hour notice for ~.ll insr,.;:(ioll', (952) 44i-9850. fax (952) 447-4245 08/04/2006 FRI 7:41 FAX 952 767 1900 GENZ-RYAN [4J 005/033 Date Rec~d CITY OF PRIOR LAKE PLUMBING PERMIT ~: ~~~ ~~~y II PERMIT NO''-.,5:L1-, 3. Yellow Appiicl.m fP ~~ (Please type or print and sign at bottom) ADDRE, ~ f ~ . /i<' "~() I ~--re,H-pi// '-" ly { '-~ \, 01r S P kGuu j ZONING (office use) LEGAL DESCRlPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) UJp.li\ Snnun 1'\ i YC15 (~l QU Dy 1f 200 CPhone>lu51- q ()f:).- 3; (J1 fZJt~ ~n tVl N 65 i:) ~) (Address) J APPLICANT /~ . Ii VI f . Or"'- (Name) o€..) 1'2:-- ~~("j 0Y\ (Phone) /l ~1.-l{ji1 IDDG (Address) 2'2-00 \IV. 11\,,\/ fA [,3 B(AJlI1~\( I Iff-, \\1\ r~ "~~'''J337 (Address) j (City) (Zip Code) (ContaotPmon) ~<lm -'::,/~ ~', (,,- I j.i i, (Phone) Of5d-:;(IJ7~ ~ OUJ APPLICANT SIGNATURE _J~lv\.- ~ DATE 0 13/ C0 / APPLICANT PLEASE COMPLETE BELOW Quantity i Type of FixtUl'e '2- I Bath Tub with or without shower I I Dishwasher ! i Floor Drain :3 I Lavatory (Bathroom Sink) I I Laundry Tray (1 or 2 compartment sink 1 Shower Stall \ Sinks Bar Sink ~'~ Water Closet (Toilet) Quantity I Type of Fixture 'S ! Rough-ins i I Water Heater I I Water Softner I i Stand Pipe (Washing Machine) I Sewage E:jcctor '-2:.-1- Backflow Assem bly I Backflow Assembly Test I Lawn Sprinkler i Oth er FEE SCHED:JLE Industrial, Commercial & Multi-family I % of job "os! with a $39.)1) minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39,50 Estimated Cost $ Building Permit it PAID WITH ,aJ,JILDING PERMIT PLUMBING PERJv1IT FEE $ ST ATE SURCHARGE $ TOTAL PERMIT FEE $ (omce Use Only) This Application Becomes Your Building Permit When Approved Date I Receipt No. i Bv I - Paid Building Official Date 24 hour notice for aU l;1Splct!ons \952j 447-9850, fax (952) 447-4245 AUG-18-2006 13:21 CITY OF PRIOR LAKE 9524474245 P.02 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Da.te Rec'd i ~.:. ~~, I PERMIT Nol · ~ ). Ydl.... ^i>Phc:aA1 ~ 7 "'r (rlC'Jse l'Ypc Dr print and sir;n ~t bottom) ADDRESS 3~~f'\ W~p~ ZONlNG (elliee ~e) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDmON PID O'WNE\, \ (Name)~~ \..cl, ..\o.A..o (Phone) ~S( 4C/DC.o .t..t'f06 (Address)' ~9'5"' P~~. i:\; ~. eO~ I f\'1 Y\ s,sJJ ~ APPLICANT (Narne~:"'_ ,~~ fJ-.rA. do i=='.P (Phone)~' SC""J l-dS"dS (AddressL x9cn 109..tA ~ IP. JJ -# /D'JD r), 1'),.,..., ./J , . ~ . ,mr1 55 3J ~ (Acidress) I -.. ~. . (~Ity) (Zip Code) (ComactPerson) t:~\~ \Je..nn~~rl : (Phone) ~~-S~<'p'-/~ APPtICAN1'SIGNATURE ~ DATE APPLICANT PLEASE COMPLETE BELOW , ~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS FURNACE MAKE A~ MODEL . FUEL FLUE SIZE RETURN OPENINGS lNPtIT OUTPUT TYPE OF SYSTEM REA llNG OR POWRR PLANT DWann Air Pla.nrs 0 Steam PLEASE NOTE: OGrll.vity 0 Hot Water Air Conditioner Units o ~hanical 0 Rildiation Cannot Encroach into DAir Conditioning 0 Specilll OI:vice$ Required Side Yllrd DVc::nt. S)stc::m 0 Other Devices Setbacks FlREPLACEMAKEANDMODEL~ c.Dl.4~<.a-,_~-,-~--l-ecJ.o...D FEE SCHEDULE Ind\lSll'ial, Commercial &. Mulli.Family 1% oCjob cost Residenlia~ Gas Firepla.ce .li39.50 $39.50 minimum Residential, Healing & NC (New Consrruction) S99,SO Residential, AdditIon! &. Alterations S39.50 Residential. Hearing Only (New Construction) $64,50 Residential. AC Only $39.50 Estimated Cost S HEATING PERMlT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Pennie #I $ $ .50 s . ffif) is P, \~ D, \~. "t r- \\ . ~litt celpt No. -~ 3 2-BQS I\il ~ Dale nee' .- - J 24 hDut noticl: fDr an inspediolls (951) 441-'~~llX (9~~7."74S .~ :r:- ,.' (orocc' Usc Onl)l) TIlts Applic.ation BtComcs Your Building Permit When Approved Bulldinl! Official ",..,,,. ""''''Y'\JY<'\ "T T VIInT,!'lV 666L 9LS ~ GJ:jTrH ~A1vfI, ~9L XVd 91:Z1 90/Ql/90 TOTAL P.02 PRIOR LAKE INSPECTION RECORD SITE ADDRESS 3~'7 _ JtFF~RS 'PKIA.J'r NATUR~ OF WORK -^l - ~r: 6tJ!1..1..l;jjrJl DgJt)J.h ~A.t:1'I USE OF BUILD1tiq Ft ' PERMIT NO. Or. · 054(0 DATE ISSUED CONTRACTOR ~AlJ.J PHONi>/.':1.' ~. ~ NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONSBELOW THE PERMIT IS BY $~~TE DOCUMENT ~~~ INSP~pR / DAT~ FOOTING }A JC 2 ud I if/? I tJ. Ie ./as FOUNDATION (Prior to Backfill) I~.& <"~ ~ 7~ PLACE NO CONCRETE UNTIL ABOVE HAS/BE~N SIGNED ROUGH_- INS / I z"".~ M .~--r! ~ /1,~V 'rf{ 1 /ffi Iff /27/~:. . . - # / } ff/? ~/ lC> 7~7 kv / / COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED .MT1I6 -i HIJICS,~14JI I I '1;..~ . FINALS GBADING (Prior to Sodding) .,J 6 BUILDING '!br b Ir 1"0 1 -jjj ELECTRICAL - , PLUMBING . I'P ;vl/c 16:b HEATING 1M 10/2 i DO NOT OCCUpy UNTIL ABOVE HAS BEEN1 SIGNED NOTICE SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST DEPARTMENT OF .t\1ain File BUILDING AND INSPECTION lj' t--<-t1), ~lA~ 4JJ~ J I , I/!</{,i // /Uj,()lv~ I I 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 0" TE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED PHONE NO. 3.'9 7 ]~s AI' f.\AW I CONTR. W''1.sl'7lt'"'''' PERMIT NO. 0{:, - s-V.t ADDRESS OWNER o FOOTING o FOUNDATION o FRAMING ~NSULATION FINAL o ITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL 0(: EXI~LLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: Lv/to 6(}:~..<!)1L b,~- oK- 1(WORK 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 ADDRESS 3~d"7 OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ):!-FINAL o SITE INSPECTION SCHEDULED - .J.~ f'~tvr__ o CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL ?' MECH FINAL COMMENTS: . I, 0~..s,,~ o-'/nLI(j T~ ~, S-I- 0'7 ~ DATE TIME (O/~~}c( --,. (,- &-04(;, o EX/GRAD/FILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING Inspector: () JJ Owner/Contr: CALlL/~50 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 3~8' \.\c:>\~~,.t5 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 ~LUMBING FINAL o MECH FINAL COMMENTS: (. ~~ ~'" r1 \'\ 1 2. ~.~ t~ .,3. Raull~ k~ tL-~ ~~ t..\.. (2(v't (.L ......... ~ '). ..t)~L~ ~ DATE IOJqbl:- TIME (p- ')l/ ~ o EXlGRADfFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o o WORK SATISFACTORY, PROCEED A.. CORRECT ACTION AND PROCEED o CORRECT ORK, CALL FOR REINSPECTION BEFORE COVERING f:A Owner/Contr: R THE NEXT INSPECTION 24 HOURS IN ADVANCE,. Inspector: INSNOTl CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! / / CITY OF PRIOR LAKE INSPECTION NOTICE ADDRESS 3\.QBl OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION o FINAL o SITE INSPECTION COMMENTS: o~ ---.8 SCHEDULED I~j~ ~A)w-s ~ CONTR. PERMIT NO. o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL TIME b,;, )<-{~ o EXlG~D/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GA~~ AIR TST A$,y r'\()~ ~\o ./ I WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRE~ORK' CALL FOR REINSPECTION BEFORE COVERING Inspector: ^ Owner/Contr: CALL ~8J. FOR THE NEXT ,NSPECTlON 24 HOURS 'N AOVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYl INSNOTl