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Home My WebLink AboutBldg Permit 04-1010 (Please type or print and sip at t " .. _ ,...) ADDRESS llt7W CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 25 ~ (,- i AND UTILITY CONNECTION PERMIT /2e..CI"'-'''''' 8.3o.Dr T, r'\ ~1LV--l0i.-f' "T/2..A-( L LOT ~qBLOCK LEGAL DESCRIPTION (office use only) 1. While File I PERMIT NO 4r 2. Pink City . 0 . I 0 I 0 3 Yellow Applicant ADDITION WooO~ ~~ 'fL-!(LD~ OWNER (Name) ZONING (office use) PtJD PID.z5' .383. OZ9. (J t:::.bUPr{L()o DPrf::fl..0 ~( (Phone) q) 2. s4 Co' ~ 'fl S (Address) ~I()I {~P-(<P&e:- cr, BUILDER (Company Name) (Contact Name) (Address) fl" r0T1LA . J'Vl N S-s 3 '4 \" ~~~P. ~h b~~SLI Ca (0 J r,.l'bc...-rl'-.- (L(D6c CT. (Phone) C, {"" ).. 54 Co, ,.:}... 4 , r (Phone) W\ , N Ntru"-.JIl.A- ~ I'J" S~ ~ if \' TYPE @F WORK ~ New Construction o Deck o Porch ORe,Roofing ORe-Siding LJAddition DAlteration DUtility Connection 0 Misc. CODE: Mi.R.C. DI.B.c. Type o~nstruction: Occupancy Group: A B Division: I E II F I ill IV V A HIM R 2 3 4 5 DLower Level Finish B S U PROJECT COST IV ALUE S (excluding land) o Fireplace .::JS.D IOOO~ I hereby certifY that 1 have t\1rnished information on this application which is to the best of my knowledge true and correct. I also celtifY that I am the owner or authonzed agent for the above-mentIOned property and that all constfllction will conform to aU existing state and local laws and will proceed in accordance with submitted plans. I am aware that the buildIng :fficiAP ,h;< ,~:e Fll~hermore, I hereby agree that the city official or a desi:;a5;upon the propelty to perform ne~d ~:c:o~ / . . Signature Contractor's License No, Date I Permit Valuation I Permit Fee I Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee I Sewer & Water Permit Fee I Gas Fireplace Permit Fee Y/f;5tJ( tJt> () ,08 $ /9$<50 $ /2-119r 7r $ / 2 >r {) ?> $ $ $ I $ I $ 1f)I).~ I/OtJ,tPO 'J5". S;o L{o,tJo ~~WIw..""iz-;2';" Building Oilicial Date I Park Support Fee I SAC I Water Meter Size 5/8'r.@ I Pressure Reducer I Sewer/Water Connection Fee I Water Tower Fee I Builder's Deposit I Other I TOTAL DUE # # # # $ Yso, &0 $ /35'"0,00 $' ':300. (J ~ $ 70,00 $ 1'200,0 a $' 7o~ ~ 0" $ /SOOf dO $ . $q5'l~_ '"1~ ' Paid Date tA1A,(;O /' (I SCf:.r. 74 /(). ~ ,t1~ 1O,(P,04- ~e;~~Yr'7 , ThiS IS to certifY that the request in the above applicauon and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This dOCI when signed by the City p. lanner consu.tlltes a temporary Certificate of Zoning compliance and allows conSlrUctiO;:? comllmence. Before occupanc ,a Celtificate of OCCllp{n"CY rr iSSl1~ ~ /}!z~~f I~ aU Plamling Director -Lf e ~te Special Con '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 Reviewed by: Date: Building Permit # Address: PID: Zoning: Legal: L 1 8 Subdivision: Existing Structure? YES I NO Existina Nonconforming Structure? YES I NO CONFORMS TO ZONING ORDINANCE YES NO -- .. Yard Setbacks: NAI FAIL<sLCOMPLlE~ . Front Yard (can be 20' if avg, wlin 150') . Side Yards Standard 25' 10'{ 25' if abutting a street Proposedl ,q/.{I .~/13 I , . Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in length I. 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 ofweUand/NURP pond . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' side/ 25' rear 30' (Ze 'I ti1~ZJ~,'ii - ,45. ( .-._..',..,"~._, ,/J/t. 50 ...l~~:-(}~;;'" 75' or setback average of adjacent structures, but no less than 50' tJA ~ Floor Area Ratio: NA { FAILs:rC~PLIE'"S' ) .30 Maximum ,. I;;.. OJt'l' , .- r Yard Encroachments: NA I FAIL$1COMPLlES).7 I . Eaves and Gutters. no more than 2 feetfn width ana no croser than. 5 feet to a lot line (Easementsl. . AJCand other equipment cannot encroach. on interior side yards. Standard I Proposecf"'~:7"",'1 1 Tree preservatiort.~LFAILS I COMPLIES. . TotaL caliper inches . Permit25% Removal . Calioer Inches Removed I. Caliper Inches Preserved I. Replacement Standard P '_~~i:i-"~'~~'" ,ropo~';.."",~:"s"" %:1 , ~ ~ f L\TEMPLA TE\BLDGLIST.DOC I Driveway: NA/FAllsQ~~ · Maximum width at proPerty line ' · Required setback I. Maximum slope · All parking areas to be paved including R-Vor spaces adjacent to the qaraqe I. Location to match subdivision qradinq plan - ~ Building Height: t"OMPLlESl)=AILS '-----'" Shoreland D,stricel/ FAILS / COMPLIES Minimum lot area (square feetl Minimum lot width Shoreland alterations I Impervious surface I Bluff in Shorelan~AJ FAilS / COMPLIES · Setback from Spof bluff I. Bluff impact zone · Enqineerinq certification submitted/approved · Gradinq in bluff or bluff impact zone I FloodPlail~Y FAILS / COMPLIES · 100 Y Mood elevation · lowest floor elevation · Proposed lowest floor elevation - Elevations 15 feet from structure · Road access must be no more than 2 feet below Regufatory Flood Protection Elevation --" , Accessory structur~)FAfl~ f COMPt.lES -Size I. Notloeated in front yard (Materials) I. Side yard and rear yard setbacks - Maximum heiqht · Materials compatible with principle structure L: \ TEl\tIPLA TE\BLDGLIST.DOC ,c. "\OJ ~.,_il"'...,... .;.; to' ~ ~ 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 o.fBluff By City EnQiheer No importing/exporting Standard I 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.~9.nsH'U~ted 91t9/904JI22J~l'ttll~ri,' . , adamematfoof:JsnorniijUireif~,.'.~~'"' ' Must be f1ood~e.lJ~tfoJ:) Qr, ,~=.:,..,.::.:.o.. 907.9'fOrPnor Lake 913.4' for SptiiitftaR& Stanaarcf . , 832 sq Jt. or 25% rear yard I I to' 1,_ I, 15' [ I r ,ojo!o:."".......,..~~~ Proposed ,?L{( 12- ( q l1J e) r ~ trr1n/ ~ t Proposed Proposed ~:A -, ,- --,:..;.. -, ...,........' ;.;.,~"'. . Pro~o~~=*r~ ~; "-_.. ~""'~,,.;:-,,'","""'~,-'-::'--'- ~' ~ "'~ .' "\}(, -'.~ .~ ""~~ ," Thr Crnfn of Ih. I..k. ("oun.". BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED ~\jEsn\l~ DEV. .:"""1 (~) Ii .--:; .r \ ( Ll- .~>) <--,: \...) -1'''-- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1472 f) T i 1'1 f3S rc.. l.\i (:L F t-/&r' ( , Reviewed By: d)fS 7f Date: /0 -s- - 0,/ Accepted )( Denied Accepted With Corrections Comments: See Reverse Side for Additionallnformationl See Attachments: 1) GradingPlan~ 2) Erosion Control Measure!il "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." The Center of Ihe take ('ounll" White - Building Canary - Enqineering Uink._ - Planniny BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED \ \J E ~~n\ I~ Ot V . t") (. (4-' () - -> /'. / The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 1472 f T 11.-\ CE r<- \ \;' CL F TI{l-\ I L- Accepted Accepted With Corrections /" "fDenied Reviewed By: 'i;iJ~ ~ ~~ Date: 9~ 3~/ / t. . A J _ -L' , ~i ~tI-''"~'' I" 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." Thr ("rnlrr of Ihr t.kr Country ~ite -Bui~ \';a..d. 'i - t:.lg;;-;aering Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED W8S I Prt0 DEV. <R _ 30.04- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: ,~,Zro TI t16~r'<...WOL,F I ft,f\l L- Accepted Accepted With Corrections / Denied ~~ ~ Date: 9 ~3j~ I&J aLl' ,~,'f ' Reviewed By: 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." 03/21/2005 MON 9:04 FAX 7634279448 Larsons Plumbing & Heati ~ 004/004 CITY OF PRIOR LAKE REA TING/AIR CONDITIONINGlFlREPLACE PERMIT Date Rectd i ~~ ~::y. I PERMIT NOIwL j IV iI\ J. Veno.. Applr,arll 'v-I"'" · ()tI..Y (Please t'ytJC or print and sign at bottom) I ADDRESS 1 Lil a s\l IVt ~:erV:::C: l(?- '\ H..l\ l ZONING (office use) LEGAL DESCR1r llON (office use only) LOT BLOCK ADDITION PID OWNER (Name) (phone) (Address) APPLICANT .t (Name) I i'Lf<..(}-(\. PiulVt\) 1(':) c.J\~ (Address) "~(1{0 \ lrA'~ L(\ N 110 (Address) \-\w-1-1~ (Phone) -,(,,;:yl{r;n-1~~ f-\<J. D \X:.:r t'j 5 3:1-~ (City) (Zip Code) ,.-'..... (Contact Person) . (Phone) APPLICANT SIGNATURE (~\. 7'\CL3l1\'11f'~ DATE f i~rC},tI ()'S u v { APPLICANT PLEASE COMPLETE BELOW . QJ~EWCONSTRUCTION 0 REPLACEMENT 0 ALTERATION,S . FURNACE MAKE AND MODEL 1-1 1 XD,JrL . FUEL N(l.\,-tm.l (1(1'>_ FLUE SIZE RETURN OPENINGS \8. INPUT \',=10 (j'0'\'; OUTPUT . TYPE OF SYSTEM HEATING OR POWER PLANT OWarm Air Plants 0 Steam OGravity 0 Hot Water E Mechanical 0 Radiation Air Conditioning 0 Spl'cial Devices Vent. System 0 Other Devices PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL FEE SCHEDULE Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace $39.50 minimum Residential, Heating & Ale (New Consttuction) $99.50 Residential, Additions & Alterations Residential, Heating Only (New Construction) $64.50 Residential, AC Only 539.50 539.50 539.50 Estimated Cost $ ~\~ Building Pennit # HEATING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE S PAID wrTH .50 BUILDING PERMIT (Offiee Use Only) This Application Becomes Your Building Permit When Approved 'Yaid U .,,~ . ," ,1 :: Ii ~\\ Receipt No. Building Official t.fA~ t2' 2005 \ \ By I', 24 hour notiu for .n 1nspec:tlons (952) .... "~9850, fax (952) 447-4245 16200 Eagle Creek Avenue, Pr'or Lake, MN 55372 Date 03/21/2005 MON 9:03 FAX 7634279448 Larsons Plumbing & Heati 14I 003/004 Date Rec' d CITY OF PRIOR LAKE PLUMBING PERMIT ~.:~ ~:y I.PERMITNO-~.I^'n J. Vdlow Applicaot 'vr"' VJY (Please type or print and sign at bottom) ADDRESS 1 L\ 7a'~ '~MbifWC$: W-o.:\ \ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) (Address) . (Phone) . APPLICANT (Name)~ r';)o'f\. ~\v-\'Yl. bi"f'a 0_'(\ 6 .J (Address) '?:x110 llo;.1~\ L'\. I$ w (Address) \\f'e-.\.-\ rj (Phone) ~cbver (City) '~nli'3-L\ a\ -102s\:J C'C'2?)' ' ~J .J;.I-- L{ (Zip Code) (Contact Person) APPLICANT SIGNATURE ~~ Wl ~1^/'YU.~f~^-. iJ U APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantity I Bath Tub WitJl or without shower i Rough~ins Dishwasher ;J Water Heater Floor Drain i Water Softner Lavatory (Bathroom Sink) I Stand Pipe (Washing Machine) Laundry Tray (lor 2 compartment sink I, Sewage Ejector Shower Stall I Backflow Assembly Sinks Backflow Assembly Test Bar Sink Lawn Sprinkler I Water Closet (Toilet) Other (Phone) DATE Cfb (illJ (fj ,...-....... Quantity 'a , \ d Type of Fixture q ~) FEE SCHEDULE Industrial. Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two.Pamily $99.50 Residential, Additions & Alterations S39.50 Estimated Cost $ "J'd,\.m~ Building Penn it 1# PAID WITH .~UILDING PERMIT PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ (Offiu Use Only) This Application Becomes Your Building Permit When Approved " "Paid f\ Receipt No. _ 12 2005 :I,jBY ,..--- Building Offidal Date 24 hour notice for all inspections (952) ~7.98s(), fax (952) 447-4245 16200 Eagle Creek Ave., S.E,. Priori.L&.MN 5SJn.J.1U--':= - -- Date Rec'd CITY OF PRIOR LAKE SEWER AND WATER PERMIT I. Green File PERMIT NO 2. Yellow City . t'1-jtJ /0 3. Gold Applicant (Please type or print and si~ at bottom) ADDRESS ,q1;2r; Ti~.ktwbf+' ZONING (office use) I frc, I )..), w. LEGAL DESCRIPTION (office use only) LOT BLOCK ADDITION PID OWNER (Name) L )e,fc; i?(A.' IJ ~/ ~ (Phone) (Address) (Address) (City) (Zip Code) APPLICANT i- II I (Name) W~, tMl(c. ~C'C,^. (Address) bSD( cO - tfcf.'5 (Address) (Contact Person) 1?tt c, V\ C.~I k ~ /7 APPLICANT SIGNATURE 'P. ~ (Phone) (/<;:) ( Lf7.2-c(9t'i MOUV\ J' -;;S::J6 Y (City) (Zip Code) , (Phone) ~/=< _ 7l/1-9777 DATE //~/()S APPLICANT PLEASE COMPLETE BELOW Size of water service .:z. inches. Location of any couplings from structure feet. Type of sewer pipe. D ABC B1 PVC D Cast Iron Estimated length of sewer line 3S feet. Clean out (if required) located at feet from structure. Residential sewer and water line connection Sewer connection only FEE SCHEDULE $35.50 Industrial, Com'l & 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 TOTAL PERMIT FEE $ $ $ .50 This Application Becomes Your Building Permit When Approved P. I dA-J Paid Ot'f ~. Receipt No. Date BY} (Office Use Only) Building Official Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 "'-1 I I ur- ,. '"'-.l.l..,.Ir"';. l-,...,f'.C:. ::;.;,.::::"". (4'::::4::> ~.lal/I::ll ell r OF PRIOR LAKE HEATING/AIR CONDIIIONINGIFIREPLACE PERl\'l.ll Date Rec'd (P1.e.a.se rroe or print and ~ ltt 'bo ttom) ADDRESS . 1'/7 d F5 Tim her- (J)(9 (P 7~Q. ~ { . lL i:~~ ~!~ I PERMlT NJ.l_f4- 3. YcUow !\p~Il~1I1 --r ZONING (offia: we) LEGAL DESCRIPTION (otftee U5C onI}') LOT BLOCK ADDmON PID OWNER J.") + (Name) U-/ c: ~ a... " (Phone) (Address) I ~;;fANTG? u \J ~ft'\ ~ lb ~r d -e lr g c) eF I '-( [ -:Tv..... I (Address) / ~ t.JO,L) /~ /1-t/CP1 Ve. t\ (Addres'l (Contact Person) UQ 1\ . ..fY; APPLICANT SIGNATURE :.^.' k )ClJJ.~(/d~ (phone) 7(;; 5-~ 9'1- </~t 3 PII{Mnu~fA 5~~Y I (City) (Zip Code) (phone) r;V1 . APPUCAJ.'iT PLEASE COMPLETE BELOW O'NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS INPUT OUTPUT TYPE OF SYSTEM HEATING OR POWER PLANT DATE 7/lg o StCl\IIl o Hot Water o Radiation o Special DClvicc;S Cl Omer Devlce.t ~RJoOo PLEASE NOTE: Air Conditioner Units Cantlot Encroach into Required Side Yard Setbacks OWarm Air Plants OGravl~ o Mechan\;al OAlr Conditioning OVcnt. System - FiREPLACE MAKE AND MODEL ~ U P e...i' l 0 d" FEES'-'n.l!.DULE IndUStrial, Commercial &. Multi-Family 1% of job cost Residential. Gas Firepl3l:e $39.50 minimum Resident/I\!. Heating &. Ale (New Construction) 599.50 Rcsidartial, Addlllons & AILwaLiolm Residential. Heating Only (New Construction) $64.50 Residential, AC Only $39.50 EstimatCld Cost $ Bulldiog Permit # $39,50 ~~ ABA TINQ PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 (Office \J~e Only) Thi3 Application BeCOIDIl., Y OUT BuJIdlllg Permit When Approv~ Paid ~ I/th.....oipt No, -'~t4::i ;:.. IJ," IB~~ nlrildiJlli' otnd.1 Date D.ltr 24 hour notice for aU iDspeerio/lS (952) ~7.9850.1ax (952) 447.4245 lJC'1I\tlIl'..._I_ ,-._...,. ... _. _.. _ _.. _ , TOTRL P.01 PRIOR LAKE INSPECTION RECORD DEPARTMENT OF BUILDING AND INSPECTION SITE ADDRESS -'!{j z,B" 7i1U661L WD~. 7~1f Ii.. NATURE OF WORK ~ ~14J~'T",,"cT1~,J USE OF BUILDING ~t:: 0., _ PERMIT NO. 04-,1010 DATE ISSUED -'/l~" .- CONTRACTOR _tJEsTlS, 'Dnta. PHONE__~.Q'/S NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATjOCUMENT. #.e.* 1545 ! INSPECTOR, DJtTE FOOTING ' I ~ I HI S!cy I FOUNDATION (Prior to Backfill) Y I PLACE NO CONCRETE Utt1'IL ABOVE HAS BEEN SIGNED RO~GH - IN~~ SEWER I WATER I SEPTIC --- f:/fb I ?-~ FRAMING O~ \e k'<..~Z!!> ./1'0;- ~k INSULATION ' ELECTRICAL PLUMBING ~Wi~"'F~ 4.e" //,4' HEATING (if required) FIREPLACE . GAS LINE AIR TEST ~~~ '"S f jJ -;1P:z> . COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED /.Arlie I Nf)lItl~AIJ. I I I FINALS ~ 0~~ -' b/~ Jm ~ '" GRADING (Prior to Sodding) BUILDING ELECTRICAL PLUMBING HEATING DO NOT ~ I/b tJl /,f7..? ( b~ , , I],., J".C/ 4f /() )~ 1 r OCCUpy UNTIL ABOVE HAS BEEN SIGNED NOTICE l/l/\l' f)/3 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 J '.."'iIiiI' .,,' CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME SCHEDULED kJ*j~4, ADDRESS /q7~~ n~bJFTI"I CONTR, 'vt~, PERMIT NO. ---.f>L/ -lolD OWNER PHONE 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 o PLUMBING FINAL o MECH FINAL ~~LLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: ~a1l- CUr b 80~" n K.. ~ 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 DAlE '~O(P liMb- SCHEDULED ADDRESS .1!:/!l2{; OWNER 'J;IM.~ ~\~ CONTR. PHONE NO. 4-WlO PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL h--MECH FINAL o EXIGRAD1FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o COMMENTS: I. J:='"i~ ~ ;\.U;p. '-(4'1- '8-10 ~tl'O VOO" ~\l:.d 'JS.,.WORK SATISFACTORY. PROCEED o CORRECT ACTION AND PROCEED o CORR~ORK. CALL FOR REINSPECTION BEFORE COVERING Inspector: \4 .1 OwnerlContr: V'f' CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl INSNOTl "' ../ CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /u7/"y tf- 1vrJ/p-. 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 ..wPLUMBING FINAL ,MECH FINAL COMMENTS: (!~;/ ftMrM. - (7J/~tA?7 , - DATE TIME 12.. ~-ca L/-IOlc) o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o I WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WOJ,K... C&OR REINSPECTION BEFORE COVERING Inspector: r IIr Owner/Contr. CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE., CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! IN$NOT/