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HomeMy WebLinkAboutBldg Permit 05-1023 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT t) I Main Eii(!"o", I J") 0. s~ (Please type or print and si~n at bottom) ADDRESS ~bqS- :se {.(.ers;. P~lWl A}w LEGAL DESCRIPTION (office use only) LOT II BLOCK ~ ADDITION =s e+'fv'S OWNER (Name) BlI: \,ler (Address) BUILDER (Company Name) (Contact Name) (Address) R I-lS Wt.I\' D~^^:.s ft.: leL.:^:) /'11.(4."" ~O.-f..,.S P- Sc..J~t: :J.t"'.r I Rq~ PJ(1~r;vo!. (Phone) --.b ~ I - Lf 06. - '"'f'1 0 0 (Phone) l.,) ~ - ~l.ct - 7 9 ~ "t E A.J"''''" I M JJ ,<;-.s- J :). ~ C~\ )'11' ,j ~ !; ,/{;l ", " / ,u- , ate'Rec'd C/J4.cJ PERMIT NO. 05". / 0 7~ p o,j ;::- rS f o.JJ.' t :o^- ZONING (office use) pilip PID ~.s--l.{3~)-O&I- 0 (Phone) 5u, t<-. J-oo TYPE OF WORK ~ New Construction BOeck OPorch ORe-Roofing ORe-Siding ~Lower Level Finish ~Fireplace OAddition o Alteration OUtility ConnectlOn CODE: ~LR.C. OLB.C. Type of Construction: Occupancy Group: A B Division: I E II F I III IV V HIM 234 o Mise. A R 5 B S U PROJECT COST/VALUE $ I g~ OOO,e) () (excluding land) I hereby certify that I have furmshed Information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authoJ!zed agent for the abllvc-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 buildrng :licial cCi)';: t7e~It \:JEermore, I hereby agree that the City official or ~ d~;;ay enter upon the property to perform need~ I~';::'~~~ Signature Contractor's License No, Date Permit Valuation 'If/75': 00 (), OlJ $ /5ZI.50 $ ~V'r:9Y 8'1. OT> Permit Fee Plan Check Fee State Surcharge Penalty Plumbing Permit Fee Mechanical Permit Fee $ $ $ $ $ $ /00. ()O /oo,{ja 35'.5"0 10, Q1) Sewer & Water Permit Fee Gas Fireplace Permit Fee This Application Becomes Your Building Pennit When Approved ~ ~ -f/~Y!OS; BIlIlulIl.g Oflicial Date Park Support Fee SAC # # $ ---.... .- Water Meter Size 5/8"(!:,;J Pressure Reducer Sewer/Water Connection Fee # # $ 10/50.00 $ 300.00 $ 75.00 $ l500,00 $ IOfJO,OD $ / Set) . 0 0 $ $ f/,{, qq~ 9PJ , , I Paid ?it/? '1q, Y X' __ I Date /D ~ a4- 6'1 Receipt No. ..!5 () !LjO By 0" /0/0~ ThiS IS to certIfy that the request in the ab,we applicatlOn and accompanYIng documents is In accordance with the City Zoning Ordinance and may proceed as requested, TIllS document when ,SIgned by the City Planner conSlltutes a temporary Cenifieate of Zoning compliance and allows construction to commence, Before occupancy, a CertIficate of Occupancy must be \~~ I'lanning Director Water Tower Fee Builder's Deposit Other TOTAL DUE ~ ~~';{"'~ ~ ~ ~ II Special Con IOns, if any . 24 hour notice for all inspections (952) 447-9850, fax (952) 447-424~ '0 ~ ~ 16200 Eagle Creek Avenue Prior Lake, MN 55372 fV Residential Building Permit Checklist New Construction for Single or Two-family Dwellings in R-1 or R~2 Districts', Reviewed by: ~ ~ Building Permit # PID: , Address: 3Io1j ~ 3 fac!f5 ~r p~ Legal: L I H 1"'2... B -3 Subdivision: '7~ i?nJ I~ Existing Structure? YES 1@9) Existing Nonconforming Structure? YES (@) CONFORMS TO ZONING ORDINANCE I Yard Setbacks: NA 1 FAILS~M~L1Ep · Front Yard (can be 20j if avg. w/in 150') · Side Yards · Sidewall exceeding 50' requires additional side 2" setback for every 1 j over 50j in length I. Rear Yard · Patio Door: provide for minimum 10' deck or sign statement indicatinq no deck will be built in the future · From 100 year flood elevation of wetland/NURP pond · From OHW (Prior or Spring Lake) - I Floor Area Ratio: NA 1 FAIL~MPLlE~ - I Yard Encroachments: NA 1 FAIUS/COMPLlEV Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). AlC and other equipment cannot encroach on interior side yards. Tree Preservation(N11 FAILS 1 COMPLIES · Total caliper inches I. Permit 25% Removal I. Caliper Inches Removed I. Caliper Inches Preserved I. Replacement L:\TEivIPLA TE\BLDGLIST.DOC Date: ./OP~S YES Standard 25j 10'1 25j if abutting a street 10' setback + 2"/1' over 50' 25j 10' side/ 25' rear 30' 75j or setback average of adjacent structures, but no less than 50' .30 Maximum Standard Standard Yz:1 Zoning: NO Proposed 1<&' ~ ~. , I-L ~. '3 H "I I~' 0 (L ~ '*+ 6'~. I 33:~' fa H()L I ...sA I ~ -fo HLJL, tJ~ "'CAD Proposed ~~ NONe Proposed I Driveway: NA / FAILS (COMPLIES)) · Maximum width at property line · Required setback I. Maximum slope · All parking areas to be paved including R-V or spaces adjacent to the garage I. Location to match subdivision grading plan - I Building Height(t.OMP~IE~AILS Shoreland District: NA / FAILS / COMPLIES Minimum lot area (square feet) I Minimum lot width I Shoreland alterations I Impervious surface I Bluff in Shorelan~)FAILS / COMPLIES · Setback from top of bluff · Bluff impact zone · Engineering certification submitted/approved · Grading in bluff or bluff impact zone I Floodplair(Q FAILS / COMPLIES . 100 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 Regulatory Flood Protection Elevation Accessory Structure(tN~.PFAILS / COMPLIES . Size \. I. Not located in front yard (Materials) I. Side yard and rear yard setbacks I. Maximum height I. Materials compatible with principle structure L\TEMPLA TE\BLDGLIST.DOC Standard 24' 5j from side lot line or 30j from r-o-w on corner lots 10% 35j Maximum Standard 7j500 Rip, 7j999 Non-rip 50j Ripj 57.3j Non-rip 30% Maximum Standard By planning dept. 20' From Top of Bluff By City Engineer No importing/exporting Standard 908.9' Prior Lake 914.4j Spring Lake 909.9j Prior Lake / 915.4' Spring Lake Must be l' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90-11/22197 then additional foot is not required. Must be flood elevation or higher 907.9' for Prior Lake 913.4j for Spring Lake Standard 832 sq.ft. or 25% rear yard I I 10' 15' Proposed "'2- '2.. ' II' -4fs~ ]),~. 10(0. ~.l '70 ~ trl... ~ S'j I bVA ~... Proposed I I JM If - tft. c.. 7.. tA- 11.- liS, J tJ?,. Proposed Proposed Proposed ,; Th(" ('("nl("f of Ih(" L.1w.t Counlr"'l White - BuildinQ ( Ganary - Enqineering':) Pink - Planning BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT [IVE /,jJ/j~J /7 j\'//U (') " r-- 1.26-;,0') APPLICATION RECEIVED The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: . / __5 &:} 9,:-S- ,:JErk7Cj- (/?It/Lj / Accepted x Accepted With Corrections Denied Reviewed By: pJ AJ~ Date: 10--13 .o~s- Comments: See Reverse Side for Additionallnforma1ionl /l1c, ,'v, ~" (( ,., See Attachments: 1) Grading Plan~ 2) Erosion Control Measures "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 th~ Lakt Country White~1k ":'::" '.:::0'- ~n""ry - Fngineering Pi~k_..._ - Planninij) BUILDING PERMIT APPLICATION DEPARTMENT CHECKL.l5T NAME OF APPLICANT APPLICATION RECEIVED / 'j, /~ //1/\ /\,/ " .,,,J -, - "J ( . c::: t.,. ( 1 The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: '""]./ f'" /--' "-.-" ( /..--' -..; /,._/-,,,- {, ' I 1......//"-, ~ , ,/ ,.'/,/ I! !f' / ,I<--- t " / / Accepted Accepted With Corrections Denied Reviewed By: ~~ Comments: ~ ~ a....uz.. ~, Date: /a/:s/or I ~~~~ , Vo ~ /~/ .~~ odJ~ d"1- ~~~~, ;/~~ ~ ~ - Air C d.i' . on tioller and 0tL'c.:& M~'lol.Jl.nical UmtB~:~~m:Beqmed "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." CWhite - Building::::> Canary - Engineering Pink - Planning The C"fnlt'r nf Ihe t.kt ('ounIl1' BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED WEtif.F;vJ/J;J;J f? 2{P,O r The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: 30 95 Jt/P~~J- ~?WV / Accepted Accepted With Corrections X Denied 4? . Reviewed By: ~~ Comments: ~ ~ ~ ~_ No tJ~ .:J~ ..rLZ:.-. ~ ~ - -/ I / r ~I- a...e.f7 ~. fl~ Date: /~/3./0~ ~ ~'~o;v ~~ V / ~ "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." 12/08/2005 THU 14:10 FAX 952 767 1900 GENZ-RYAN [4] 003/013 Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT (Please type or print and siJln at bottom) ADDRESS I" o { (/ 9 p-~, -t -tCr\" - - l. Blue file I PERMIT NO>8:~ 2, Gold ell)! ), Yellow Applicant ~Cl( k LiVa Lf J ZONING (office use) LEGAL DESCR.i..t',110N (office use only) LOT \ \ BLOCK ~ ADDITION Pill ~=R ( tjfj,r^f) VY;!1 Y!(l MnntJcS (Address) \ rx~0 PI CllD-. Dv, );+c :?U~! APPLICANT (1_ 'j) (Name) qe-J1l- - ~&J ~{vl (Address) 21.JJo \N. Hli\/(A (,,3 BfA.t2J1~V /' (If, M N ~337 L' ,(~~) ) (City) (Zip Code) (ContactPe=n) ~!llh ,<)( ^011tUJCiJ1 (phone) C5J - ~?, APPLICANT SIGNAro@ UJv~aAr"-.J DATE I J I 031 0'_') (phone) (rt5i---Crl5.' 37CI1 Fu C1/11 YI f\Jl N Ef5 i;)' d- - "J . , , (phone) QCJ1--,1ff( ,- I aDO I I I I I I I I Quantity I ! , 'L APPLICANT PLEASE COMPLETE BELOW I Type of Fixture I Quantity I Bath Tub with or without shower I I Dishwasher I I I Floor Drain If(' - I I Lavatory (Bathroom Sink) "'", I Laundry Tray (1 or 2 compartment sink , Shower Stall Sinks I Bar Sink I Water Closet (Toilet) Type of Fixture IJ- Rough-ins I Water Heater I Water Softner Stand Pipe (Washing Machine) Sewage Ejector I BackflowAssembly I Backflow Assembly Test I Lawn Sprinkler I Other .liEE S\.-.tU!.DULE 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 $ PAID WITH ~ILD'NG PERMIT (omc~ Use Only) This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date Date JEC 0 9 2005 By 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 12/08/2005 THU 14:10 FAX 952 767 1900 GENZ-RYAN ~0.04/013 . CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/.lllKEPLACE PERMIT Date Rec'd (Please type Or print and silt[! at bottom) ADDRESS \ ^ r 3lLfl ~ \ 1t r~eV\ ~:~:. ~!~ I PERMITNO~ IA*7":Ji1 3, V,U.,... Applicam ~ ~l,WCi (/ ZONING (office use) LEGAL DESCRIPTION (office use only) LOT \ 1 BLOCK '6 ADDITION -- PID OWNER (Name) ~ )\ )e\~S;ntj n ,1",1'1 . - \-\[)n~ (phone) &51- ct0'5- 370S (Address) I gq5 t:J1 all)"" r)~I', S-k: 'XO E"Ltt1 ell" rv\ 1\1 r:::c 'J "\ ':~ .J ( c~' "f:;J- APPLICANT r n qF t) '7' ,,-/ fU'1 ,"\ " (Name) c:TCrw:.-- 1<-..(jOYI (Phone) ';0\- lJ) -' UU (Address)~~ W. t-hvUI 13 B tAynsvi lie ':n3~7 ......... - . . (~ess) . (Ci~ (Zip Code) (Contad P",on) Uo.Y\, \ )C~mrl')')r..lVl (Phone) y ~ L -1(0 1-, \~l APPLICANfSIGNATURECDROl. JY.1tLL{I\.O~~ DATE ---1dJtK. 0, ) . APPLICANT PLEASE COMPLETE BELOW ~NEWCOliS~RUCTION " 0 REPLACEMENT 0 ALTERATION~ _L r: FURNACE MAKE AND MODEL ~n()OX 64~l1r-?iJc. - 00 (') FUEL 1\lU - tJoS , ~ FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM OWarm Air Plants OGravity o Mechanical &Air Conditioning RVenl. System INPUT HEATING OR POWER PLANT o Steam o Hot Water o Radiation o Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Setbacks FIREPLACE MAKE AND MODEL Industrial, Commercial & Multi-Family FEE SCHEDULE I % of job cost Residential, Gas Fireplace $39.50 minimum $99.50 Residential, Additions & Alterations $64.50 Residential, AC Only $39.50 Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) $39.50 $39.50 Estimated Cost $ HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE Building Permit # $ $ $ PAID WITH .50 tsUfLDfNG PERMIT (Office Use Only) This Application Becomes Your Building PermitWben Approved Paid JJFr 0 9 2QQS Date Receipt No. Buildin! Omcial By Date 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 12/08/2005 THU 14:10 FAX 952 767 1900 GENZ-RYAN f4J 002/013 Date R~'d CITY OF PRIOR LAKE SEWER AND WATER PERMIT (Please type or print and si~ at bottom) ADDRESS ' "2l ,n~ \ r'lr" C A..;?'-1/:> \. t +-ri:rS ~:" ~~ I PERMITNO~ IA~' 3. Gold Applicant ,;;,., ,,~ .~C\r K, \N{1 V ZONING (office use) II LEGAL DESCRlPTION (office use only) LOT \ \ BLOCK~ ADDmON PID ~=R [1 )fAn~ \'YVAJ\ln i-tDn:lcs (Address) l<lQ5 PIOLlOu Dv, S1cd(J) (Address) (phone) (o5J-- q(J5- =~n00 'fJlUQll fv1 N 551 )1) (City) (Zip Code) , APPLICANT (ll'i/\/t n' /1 I] (Name) l1..LtlL.- lL..-{~ lIll . ' I (Ad_,) 110D ~. ~ (Contact Person) ,- r OL-\fj : (. n Lt' ;~j. \ LtJ\, ' ?LICANT SIGNATURE (phone) Ij V/2 - 7&1 - ({)O{) Bu tJl/ ~ Vi { 1-<> {\AN q:;337_ (City) (Zip Code) (phone) Jti? - ]Lo l~1 ~ ~ L MJUr0 DATE I dv 1)~1 C'f) I ~I' - APPLICANT PLEASE COMPLETE BELOW 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. FEE SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'] & Multi-family 1% of job cost with a $39.50 minimum Sewer connection only $17.50 Water connection only $17.50 Estimated Cost $ Building Pennit # SEWER AND WATER PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ .50 PAID WITH 8UILDING PERMIT (Office Use Only) I This Application Becomes Your Building Permit When Approved Paid Receipt No. Building Official Date I Da19EC 0 S 2005 By 24 hour notice for all inspections (952) 447.9850, fax (952) 4474245 CITY OF PRIOR LAKE HEATING/AIR CONDITIONINGlFlREPLACE PERMIT Date Rcc'd ; ~o~n ~!~ I PERMIT NO. ~ 'IJ?-a 3. Yellow AppliclUlt ~ (Please type or print and sign at bottom) ADDRESS ZONING (office use) ~qS (\Jl/..g./\l\ p~ l/Ju~' 0' LEGAL DESCRIPTION (office use only) LOT BLOCK ADDmON PID OWNER (Name)~/VV~ U.... JlL) (Phone) (Address) APPLICANT (Name0h:l.u..~A'"\~r_J_~ ~A. J.- ~ P (phone) ~LD3- SClI-'dS"dS {AddressL x9CD /09~ OAteJ...; #ICXJO r~j,,~ .n'vl 5S3/~ (Address) , I (~ity) (Zip Code) (Contact Person) ~c\~ ~npK\"\O~ (Phone) ~""'"'<,- Sfllo-/~ Ilo APPLICANT SIGNATURE t<PJ..~ ~ DATE APPLICANT PLEASE COMPLETE BELOW DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS FURNACE MAKE AND MODEL FUEL FLUE SIZE RETURN OPENINGS TYPE OF SYSTEM DWann Air Plants DGravity o Mechanical DAir Conditioning OVen\. System FIREPLACE MAKE AND MODEL bl[.. INPUT REA TING OR POWER PLANT o Steam o Hol Water o Radiation o Special Devices o Other Devices OUTPUT PLEASE NOTE: Air Conditioner Units Cannot Encroach into Required Side Yard Scthacks Residential, Heating & AlC (New Construction) Residential, Heating Only (New Construction) _C.\):i~~l&. ~O.Jo~ 0___ FEE SCHEDULE l% of job cost Residential, Gas Fireplace $39,50 $39,50 minimum $99.50 Residential, Additions & Alterations $39,50 $64.50 Residential, AC Only $39.50 Industrial, Commercial & Multi-Family Estimated Cost $ HEA TING PERMIT FEE STATE SURCHARGE TOT AL PERMIT FEE BUil~ing Penn it # PAtD wITH : etlW-O\NG PERMIT (Ofliu Use Only) DuiJdin!! Official Date Paid -I Receipt No. ~ Day.Z5 ~ I By This Application Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 zoo Itl ~ooa H~V~V~ ~I~VWO~OV 66ZL 9L9 C9L XV~ Ot:01 90/91/10 PRIOR LAKE INSPECTION RECORD SITE ADDRESS ~9 S ~Ef'Fa., ~..,y ~. &\J. NATURE OF WORK ~ ~r.a..-r~l.i.;:. ~ ....&... F'.......I~ USE OF BUILDING S. F': A . _ _ PERMIT NO. 05, /023 DATE ISSUED '1llAllJS CONTRACTOR ~"'^W~ HO,^e"S pHONEiIi.~"1- ~'I NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT ;~R / DAJE if/7 I kP /"Sf If}:) / ~ I' FOUNDATION (Prior to Backfill) I VVY/ I I I (~~-~ PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - JNS / / rt5 _~.e.ff cr5" (1X' ~v DEPARTMENT OF Main File BUILDING AND INSPECTION I FOOTING z~ I SEWER I WATER I SEPTIC FRAMING INSULATION ELECTRICAL PLUMBING Vc~ lJ6_1J1 HEATING (if required) FIREPLACE GAS LINE AIR TEST w/e- I/~-;) J b /1/3/crb fLII I</n If/L - . Il/J~,M1 COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED lLA71I4* / 1/'lIr, ~JfIJ I I , FINALS AlP f;JJ /~~~ -- GRADING (Prior to Sodding) BUILDING i"{~ uV'\'"' \ l~l~o~ ELECTRICAL PLUMBING HEATING DO NOT , - t/VV1 .. l/VV / OCCUpy UNTIL ABOVE HAS BEEN NOTICE , J-J4-()(y 3-/-0& SIGNED 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 INSPECTIONf' ..3-2) 447-9850 <tI:erfifitnle of @ttupnntl! CITY OF PRIOR LAKE ~tparfmtuf nf 16luilb:iug JIuspttfinu B Final Permitted o Conditional e.O. Expires This Certificate issued pursuant to the requirements of Section 11 0 of the 0 Residential / 0 International 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 Classification .5 I 1'/ (5 L E.- FI",I'-11 L 1./ Bldg. Permit No. 0 5. / () z..3 , Type Construction- V AI Occupancy Type ;<3 Zoning District PU:::"D ,l<'\ Legal Description L 1 J . ,? ? LJ~ , JEFFEK'~ p(jj.JC I ': T I-I!JO"j Owner of Building ("', Contrictdr's Name & Address /I' E IV ,'=/"/r) /'J 1/, i(,\ \.U-..-r"\. I \ I t (\7f \'Hl \ ( "j'-v'-'\ J Buildin~ Official Date: I ~ () I.t: , . Site Address 3 C'c '1::'" J'E ;:: FE. K ~ P K-LV L/. I IF1~-; /JL/-/ZA 01<::""1 c/-iG;t9IU 5S /2.2... City Planner Date: .. CITY OF PRIOR LAKE INSPECTION NOTICE DATE TIME PHONE NO. ].-a"{t' _?r;'t(:> ~" ~ ,J...e~ ayc;.~7- . CONTR. PERMIT NO. k l UL 3- - SCHEDULED ADDRESS OWNER o FOOTING o FOUNDATION o FRAMING o INSULATION ~ FINAL o SITE INSPECTION COMMENTS: o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP , )\ ..erPLUMBING FINAL fir' j B MECH FINAL (f!!) V!-/ o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o ') { (, eM (-' (~) ~). I "-- I!. WI(),,,-c: ,:JJ?- '-c-: P' 5 ~ '" Ii /"'1 /1J ~ d() f' "d L/U I V' Sod d 1"'""'( '("5 f-v d-lHII/(J /~;v-i-- /JA I) ..-L~J 0 ;.1 1\/ II . ( 1'('-(2 ~/C(.h-\Lql .f-.~ -'1 / ~ f.o-hi~ L6<~ Q((: oV\ ""1-, / - cJe. o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED ;"\ CORRECT ~~~K;?LL FOR REINSPECTION B~FORE COVERING Inspector: t,; r Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTl DATE TIME CITY OF PRIOR LAKE ~6fP INSPECTION NOTICE SCHEDULED ADDRESS ~9S- J~ OWNER CONTR. PHONE NO. PERMIT NO. 5"=- (0 2'"3 o FOOTING o PLUMBING RI o EX/GRAD/FILLING o FOUNDATION o MECH RI o COMPLAINT o FRAMING o WATER HOOKUP o FIREPLACE RI o INSULATION o SEWER HOOKUP o FIREPLACE FINAL il FINAL o PLUMBING FINAL o GASLlNE AIR TST o SITE INSPECTION o MECH FINAL 0 COMMENTS: ^ I _ , I~ '--"\.O~ ~ 0./ \..-t l~ .-/ ~ SATISFACTORY, PROCEED o CORRECT A ON AND PROCEED CALL FOR REINSPECTION BEFORE COVERING Owner/Contr: Inspector: 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 SCHEDULED &, ~ "'" ADDRESS 3'9S~Jefto fJtV( OWNER CONTR. 'W~II" DATE TIME PHONE NO. PERMIT NO. 0<$"./023 ~~E1LLlNG o coMmiNr o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o o FOOTING o FOUNDATION o ~RAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: G~-ol Cvlb BoJ--r:)' o 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 INSPECrlON 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 4< SAFETY! INSNOTl