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HomeMy WebLinkAboutBldg Permit 04-0578 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec' d ? (P. oS- White Pink Yellow File City Applicant I PERMIT NO. O+. 057~ I (Please tyoe or orint and si~ at bottom) ADDRESS &388 ift];L,l) 04tJ T'6etC!. LOT BLOCK LEGAL DESCRIPTION (office use only) ADDITION PID 'C~. 3'-"!- 00 (,.0 OWNER (N ame) (Address) BUILDER (Company Name) ~N'!) (Contact Name) f'A90 (Address) (Phone) (" r.t5P~ f!t;/v\Co&t-Jjo!' ~ C orJtA." q):/ll~ 'ji) fl. t'I/ j 11 ('II (Phone) (Phone) b,Z- 2l12..- 612 - 2::1 2- ZONING (office use) ),y J~ r 7~r')" TYPE OF WORK ..ew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace If'[J]Mdition OAlteration OUtiIity Connection ~Misc. I/lA-AI<.E6-tL ~~ ~ ~ntes CODE: DI.R.C. DI.B.C. ~ 70 ~~O . Type of Construction: I II III IV V A B PROJECT COST IV ALUE $ Occupancy Group: A B E F HIM R S U (excludiug land) Division: I 2 3 4 5 I hereby certify that I have hlrmshed information above-mentIOned propelty and that all cons official can revoke this permit for Just - ----~~..... ~/ Signature ~/~ Permit v:it1Uation x Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee Sewer & Water Permit Fee Gas Fireplace Permit Fee this application which is to the best of my knowledge tme and COlTec!. I also certify that I am the owner or authoflZed agent for the n will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildmg urthermore, I hereby agree that the City official or a designee may enter upon the property to perform needed mspectlOns. C}-b -05 z.,r:-/7s '=>5"""" Contractor's License No. $ $ $ $ $ $ $ $ Park Support Fee SAC # # Date $ $ $ $ $ $ $ $ $ v~ c Water Meter Size 5/8"; 1"; 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 cons!ltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued Planning Director Pressure Reducer Sewer/Water Connection Fee # # Water Tower Fee Builder's Deposit Other TOTAL DUE ~ Paid Date Receipt No. By ) '" 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 ~i4~~ CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT .5- X -ex; See Main File I. White File I PERMIT NO 0 c 1 i ~~~l~w ~~l:licanl . t. -. 0 ;> f' (Please me or print and si~ at b " '."', ..) ADDRESS -43 M ~p\~ 0" \(~ t~~ iAJ ~^ ZONING (office use) L C. (Phone) ~-<- ~ Ob-'R-. gCf ,A-P?\-e.. \LrJ1~(1\,~ l~ Cf BUILDER ~ \ I /'l 'J (Company Name) . "'_~O(\l\.,~ Lt- (Phone) ili~~Ob-~~Y (Contact Name) ~CL.r-- Y C> t'-'-te.~- - (Phone)~~~O Cr4:3 9 y (Addressl\JO ~~9(fDS--q3 ,~~kJln).4 ,AA~..._(1;""C"(~Y LEGAL DESCRIPTION (office use only) LOT(2 BLOCK / ADDITION \JJ~\~ O~~ ~=R~b~o~~ t (AddreSS~O~~Cf~.3 PID~ -:~ Gp.-{)IJ~-O TYPE OF WORK ~New Construction ODeck DPorch ORe-Roofing ORe-Siding DAddition OAlteration OUtiIity Connection 0 Misc. OLower Level Finish o Fireplace CODE: DI.R.C. DI.B.c. Type of Construction: Occupancy Group: A B Division: I E II F 1 II1IVVA HIM R 2 3 4 5 B S U PROJECT COST IV ALUE $ (excluding land) ~GOO cJ~- I he,~by certify that I have furnished mformation on this application which is to the best of my knowledge tme and correct. I also certify that I am the owner or authonzcd agcnt for the above-mentIOned propelty and t at al lnlction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am awarc that the building :cil;~:voke this permit fo st cause urt;;J ::;;:he City QG ~e(f~~q ~topon the property to perform needed mspcctlOns Contractor's License No. Date Permit Valuation 2.1 5'.000.00 I Park Support Fee # $ aso~ Permit Fee $ IJ 7~~.C;-O I SAC # $ ',360 .DO Plan Check Fee $ J~ I 3 ~. 2.!> I Water Meter SiZ~'.l". $ 2. S-D ." 0 I ' , State Surcharge $ 1~1.C\7) I Pressure Reducer $ '-15. DO I Penalty $ I I Sewer/Water Connection Fee # $ I. ~oO .OC> I Plumbing Permit Fee $ JDt>. O~ I Water Tower Fee # $ . 70(). 0 D I I Mechanical Permit Fee $ I fY'l . Ql> Builder's Deposit $ I Sewer & Water Permit Fee $ :<'.~ I Other $ I Gas Fireplace Permit Fee $ 40 .~iJ I TOTAL DUE I $ 7. (p 54-. 7e r:itt:~~~B""dm'2~R:7."d I Paid '7 {;O-l./ r/~/ ReceiPtNo.~~i'7 &/ I Date ~"- /7-L{ By ~ . / '0--- Buildil1~ Otlicial Date , Th IS t certify that the requcst in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcstcd. This document I ,,,~/g "by , '" ~""'" <0"""0"" "mpo~ ~~~: ~":i <om,,;~~~, 'U=, '~'"""m" m 'S"ee1WaiirFile moo b< \.J;,lanning Director , 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 t - 1 -~ "',' .,. ~ if'3.~ , t , 1 , ~ i ~~ See Main File White - Building Canary - ~n9ineering (,f-IrlK - ...~nnl~ / / Thr ("enter of the- Llkr ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED I \ i, -r ,.-- I! r t~ I L I ,I,' : , ...... / . The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (/ ~ -, (/ \\J I L I) C t\ t: ': IE Ie r,- t \ vt.. Accepted X Accepted With Corrections Denied ~ ~ ~ Reviewed : .;: 1/ }'><.. \ ~VV~ "'!~"",.. Date: &-8-{)t/ Comments: ! _ S <:J.€. .LL.o - tt\Ao ; LA .[ P "'..,,,t:~-ii ;"',, "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,j.,~......<r'!l;'tfrlI'i'''...~'.~1j;lt~''fI~~'<f..,'IJ(..,'''''''-'''''''--ii;+~~~~t.~'~....'~~~.ll.1i~,;,.....";:.- See Main File Tho Con.or or 'ho bk. Country White - Building ~~arv : =~~ni~~: .~ BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED Ef\ I~ I S rto Vi t S- S. 2 (, .01 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: & ~ r/( V-JI L I.) oAt:.s: -I t:.1~t\Ck. Accepted x. Accepted With Corrections Denied Reviewed By: /J1H3> .5 ( t. ;tlC,I:" hi ( Date: ~,./tJ..o,-/ 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." See Main File ~h~e - Building:) Canary - t:.ngmeering Pink - Planning The C('nfer of the L.kr ('ounlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED 8Atvt s H-oK"bS s . 2-~ ~O 4- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: (Psy( W\LD oA~ '(~~ Accepted >-- Accepted With Corrections Reviewed B : Date: &-B-6L( , Denied Comments: I. SeP -~. .~ IA!? --P "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." 06/18/04 FRI 12:03 FAX 952 890 2753 STOCKER EXCAVATING ~001 Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please CYlle or Orinl and si'?1 at bottom) ADDRESS I. c.-... fiJ. 2 Vollow Ci'y 1. CPld Appl;.,.. _'I,5-q PERMIT NO. 04-0578 j 6388 Wild Oaks Terrace ZONING (officcusc) LEGAL DESCRIPTION (offict uS/: only) ., LOT 8 BLOCK 1 ADDITION Wild Oaks PID . . OWNER (Name) (Address) Barts Homes (Phone) 612/306-'4384 P.o. BOX 240593 (Address) Apple Vallr.y, MN 55124 (City) (Zip Code) APPLICANT (Name) StOCKER EXCAVA'rING COMPANY. INC. (Phone) 952/890-4241 (Address) 12336 Boone Avenue Savage, MN 55378 (Conta<tPe"on) cu,t"7 -1- U -I ~::~e) APPUCANTSIGNATUREpt.!tJ.{.I ~ {It ~ DATE APPLICANT PLEASE COMPLETE BELOW (Zip Code) same /q-I fro' 0.'1 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 feet. Clean out (if required) located at feet from structure. Residential sewer Clnd water line connl!:c[jon Sewer connection only FEE SCHEDULE $35.50 Industrial, Com '} & Multi.family 1% of job cost with a $39.50 minimum $17.50 Water connection only $17.50 Estimated Cost $ Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOT AL PERMlT FEE $ $ $. .50 ) \~.~ "~ :Q)~",. ~ '7~~~ "~~ '</t4 .~V; (omcc Use Only) ihis Application Becomes Your Building Permit When Approved Bujldin~ OfficiI I . Oi~ @ ~ U ill ~ rceiPt No. I Oale ~., 0210 t _ JUN 2 5 2004-, ~ 24 hour notice for all inSpec.tions (?52) 4"7-9 ~50, f:'lx (952) 441-4245 By ---*}-- CITY OF PRIOR LAKE PLUMBING PEAAu.l Date Rec'd 1. .:r 0 . OS- , 1. Blue File I PERMIT NO ,y i ~:~w ~~~Iicanl . ()~. t'.5k1 (Please type or print and sian at bottom) ADDRESS C:,3ri' W/&LJ tJJ1J:;r LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION OWNER (Name) . (Phone) (Address) ZONING (office use) PID APPLICA~T I f)j (Name) UeL</'f-z- L/.(./~/J15Ir#(~ (Phone) 9S2'-!c//1....t;35""2 (Address)j5LL(;3 AI(~h BII//L.Pr,'ol'laky:' AA/'.. 55372 (Address) (City) (Zip Code) (Contact Person) ~rn O..pUb_ (Phone) _ q52- Z'Iz, '7.J'J/ APPLICANT SIGNATURE ~;J:.~~ DATE 9.ft:J,()S- APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity Bath Tub with or without shower Dishwasher I Floor Drain I Lavatory (Bathroom Sink) I Laundry Tray (lor 2 compartment sink I Shower Stall I Sinks I Bar Sink I Water Closet (Toilet) Quantity Type of Fixture . Rough-ins Water Heater Water Softner I Stand Pipe (Washing Machine) I Sewage Ejector I Backflow Assembly I Backflow Assembly Test I Lawn Sprinkler I Other FEE SCHEDULE Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $99.50 Residential, Additions & Alterations $39.50 Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Office Use Only) This Application Becomes Your Building Permit When Approved p~ Da~ol()j'9'r Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 4474245 16200 Eagle Creek Ave., S.E., Prior Lake, MN 55372-1714 .50 IlfYlO .l'Jj GfL- ,,. e()1 () /7 RreeiPt . By . o NOV-30-2005 08:56 CITY OF PRIOR LAkE 9524474245 P.03 CITY OF PRIOR LAKE' HEA TING/AIR COND~TIONINGlFlREPLACE PERMIT Date Rec'd (Pl~ rype or Print ll.Dd SillIl ~r bottom) ADDRESS{, )71 g VJ,II~ OGlk5 1. PInk 1 Or,"" l. y.u- ~~I~I I PERMIT Nm4-. '7& , ZONING (ol'fjee UlA!) Tf'frqC e LEGAL DESCRIPTION (oflic:c W~ onl)') LOT BLOCK ADDITION PID OWNER "'--.J A~ '('\. (Name)_~ _v)h~ (OV\ (Addrm) ) 7 ~y.) ]"',VI,lpV \ j t1 f<, (p,.) , Ptt'~ (I4J~~, I1.Q ~cJc~one) ~." ..k 3/ 0 ~ilt.:tl/'k ro I,) - J6) - 7f;SS' mt.f'-/ , APPLICANT '.,... JJrl.. VJ [I' I ( - \..,..\ (Name) ..J 1.> 71 t,. J '1i~~fRp. L,'+""D" v 1._ (Address) TOto ~Cllt..ul~W C.~ (Addrcu) 5' tJ~ · 't:. ",j! / It L- /Ik./l~ . ~'--:- APPLICANT PLEASE COMPLETE BELOW . ~NEW CONSTRUCTION 0 REPLAOEMENT 0 ALTERATIONS FURNACE MAKE AND MODEL 60~i,{/'11"J FUEL /bf'/...c1! FLUE SIZE )". WL . RE1URN OPENINGS G INPUT ?0,000 OUTPUT (, ", OO'D HEATING OR POWER PLANT 1Lrtl.41:t".l ~hOne) . , ,r-lJ 7:- ;UJr-,;) r 7 ~ 2-1~;./()tl.or 5s'11 ) (City) (Zip Code) (Phone) . .:5"D{-) 13.-01 r 7~. DATE -.!//.:Jj-/OS- (Contact Person) APPLICANT SIGNATURE TYPE OF SYSTEM D OWarm Air Plal1lS i C f.> '(" ~f- OOravicy t I' . Cil Methe.nic.al ., t);~5 F,\'tf/tH-C- iJAir Conditioning :JVcnt, System o SIGam o Hot Water o R&dilllion o Spc:ciB.l Devices o Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into R.equirod Side Yard Setbacks FIREPlACE MAKE AND MODEL 1-~7 i; I~ 1.>1. FEE SCHEDULE Industrial. Commercial & Multi-Family I % of job cost Re!idemial, Gu Fireplace $39.50 minimum ResIdential, Hearing & NC (New Constnlction) $99.50 Residential, Additions &. Alterations R.esidential, Hearing Only (New Construction) $600 Residential, AC Only $39.50 $39,50 $39.50 Estimated Cost S Building Permit # HEATING. PERMIT FEE ST ATE SURCHAR.GE TOTAL PERMIT FEE S $ $ PAID WITH BlaILDING PERMIT (Office U)' Only) 8uildln~ omCIRI (I -.... ~~ ~ - ~- -... i ff~j~ I I " ~ceipt No. I <. I I '0' cfJE ail Dtlc I i!i8t C 012005 T 24 hour nOLice for 1l1llNpetliOflf (952) 447.~8.50, ra.x (,952) 447.42AS 16200 Eagle Creek Avenue, Prior xJ~~!J.Ml'!-~S~7~____ Thi! Application Becomc.s Your Building Permit When Approved TOTAL P.03 CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/FIREPLACE PERMIT Date Rec'd 3.30.0~ (Please tyoe or orint and si2n at bottom) , ADDRESS ~. ~;'~n ~~:y I PERMIT NO. 0 ~. 05'" c.f 3. Yellow Applicant -r. /d J ~3!t (;1111../0 0 fYK..S Tl:YlL ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Phone) (Address) APPLICANT A " J.. (Name) N(fM fVJ I~Q (Address)~S" (frd~ L&Jt:< L~""- (Address) (Contact Person) A~~ (Phone) APPLICANT SIGNATURE ~ DATE _?l}tJ/ t>' APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION D REPLACEMENT D AL TERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT (Phone) 6 id ~ tdd --It, (,olf r:qr/~c., If .~\ (City) (Zip Code) TYPE OF SYSTEM HEATING OR POWER PLANT D Steam D Hot Water D Radiation D Special Devices D Other Devices PLEASE NOTE: Air Conditioner Units and Fireplaces Cannot Encroach into Required Side Yard Setbacks. Fireplaces with Box Additions or Cantilevers to the Outside of Buildings Require a Building Permit. DWarm Air Plants DGravity D Mechanical DAir Conditioning ~;;:2KEAND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE 1 % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 $64.50 $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) Residential, Additions & Alterations Residential, AC Only HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ /"" ~ .50 /' " $39.50 J39.50 ()~f) ~ 'DOV \' f>V\ \J Estimated Cost $ Building Permit # (Office Use Only) BuiIdiDl.! Official Date ..,,- pa~ rfat~..10..d ~ This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Prior Lake, MN 55372 PRIOR LAKE DEPARTMENT OF BUILDING AND INSPECTION INSPECTION RECORD SITEADDRESS '3i'~ Wild ~ ~ re,y NATURE OF WORK USE OF BUILDING . PERMIT NO. -U _ DATE ISSUED 3- ~ . CONTRACTOR J-A1:6/.AN.() PHONE "'Z. Z1Z. 7'$5 NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECTOR DATE I FOOTING I ~'-O f./ I FOUNDATION (Prior to Backfill) , Mq I t(..~=J.o4l1 PLACE NO CONCRET UNTIL ABOVE HAS~EEN SIGNED €,)(+ S/I+j 1M ~~H - INS SEWER I WATER I SEPTIC 1. ".(;9 FRAMINqNulu!JI ,....., 1M- 11/2rtPf INSULATI~MII ,.I~ w.,,,. /~ )//.1'0/t:J5- ELECTRICAL .,; 1// J I atV' PLUMBING /,JVf/. //J);./;J.,. HEATING (if required) ~ I/wor' FIREPLACE . A ~ ///.2.J/oS GAS LINE AIR TEST.$./h . iJrlt/ r-/?/! ~.. //4o/c~~t5- . 1 / / COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED '11-01/ ill' I /..;>-" FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING 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. A !IV) II;frtt, J/~2-/o6 3A~b , Y/7fr6 ~ FOR ALL INSPECTIONS (952) 447-9850 PRIOR LAKE INSPECTION RECORD ~ ~o J..~ DEPARTMENT OF See lVla1n J:lle , BUI~DING AND INSPECTION -:--.. SITE ADDRESS lo ~88 Ll119 Or. ~ ~ f p rt <lA1 NATURE OF WORK tJ e.w tJ USE OF BUILDING ~ f= A PERMIT NO. 04. D57e DATE ISSUED {, - e --oc-( CONTRACTOR jfgt-k. H~~ LLc PHONE (.,12-JOv,-L/rBt NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT INSPECT~ ~ATE , I FOOTING /1/..4 ~ /;1.1 / c~ . FOUNDATION (Prior to Backfill) ~.....f ~...,," ~ I . h~..,. PLACE NO CONCRETE 6NTIL ABOVE HAS BEEN SlGNED d uI~~~ P?ft'~ROUGH - INS SEWER I WAfE~ I SEPTIC J ~ ~ FRAMINcyr~,f-/(tA~1 //# JYff~"/ INSULAT~ul17~.f""',r ~ ;rhk . ,. ELECTRICAL PLUMBING HEATING (if required) FIREPLACE GAS LINE AIR TEST , / 7 /9'/o~ , COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED t h0uj~ u/r~p ~#~,#/~ ~ I /~c/oy FINALS GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING 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 INSPECTIONS (952) 447-9850 ( 1,"''''':;''''"'"''';''' '-, ,1l4;;';'" '....'..."'-;.'~ "<".' ", ,- ";-, ,,,.-'~-', . 't CITY OF PRIOR LAKE INSPECTION NOTICE DATE ~J~~ 6J>J>~ U/,,~/I ~L5'/~/r TIME SCHEDULED ADDRESS OWNER CONTR. PHONE NO. PERMIT NO. L/-S7 tY 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 ~ t'LUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o / 1..../ ~~~.~rer ~ ,/ ///U~.6/h9 ~/h~. / /;;J // 0(': /. COMMENT&.c1 / (3 / /' ./ A/-I'eo ~)( /J?~~JJ , . ~ -:/Z,~ ~ /"" .' ,~ t" \ I ~ .-./~ /' .4 // V /' (' ~C/c.~~ but'/cLlta.. /;/h:;j( - -.{ / ~C- o WORK SATISFACTORY, PROCEED ~RRECT ACTION AND PROCEED o CORRECT W~A~/OR 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! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED DATE TIME ll-&-a ADDRESS r: :3 ~ w r I J Qtf/t.-s. ~ OWNER PHONE NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION COMMENTS: / \ ~ CONTR. PERMIT NO. 4-S?Y 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 ~~~ ...--=-------- -.. ........... 0/- I 1- // l//Ic- L--/ V..F '-- "\ ) -------- rORK SATISFACTORY, PROCEED . 0 CORRECT ACTION AND PROCEED o CORRECT WORK, CALL E R 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! 1NSN011