HomeMy WebLinkAboutBldg Permit 06-0500
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF WNING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or 1Jrint and sicn at bottom)
ADDRESS
Date Rec' d
.j>~b .
PERMIT NO. O(P. OS~
Main File
f?tW'1
,
LEGAL DESCRIPTION (office use only) ~~
LOT / BLOCK \--5 ADDITION I J r
~~~r
-y-rrc~
OWNER
(Name) A./~.vS jY\".,nJ
(Address)
~
I. White File
2. Pink City
3 YeUow Applicant
,vQ7Jd
(Phone)
B~D~ I~
(Company Name>-.b./'~HJ hA....JJ.~ rr4AA~~
(Contact Name) ~ - -ri4t:.c..A-(2...-r"
(Address) tictr ~~ D(L. <w:JJ..Y- ?dJD
,
ZONING (office use)
PID;s--437-0S""/ - 0
/
(Phone) r;.~/-,!/)' 4ot10t)
(Phone)li2 - Z:Z../
- J M.J
~
- .Lk..2- R
f ~ I~
ORe-Siding OLower Level Finish 0 Fireplace
TYPE OF WORK crN'ew Construction ODeck OPorch ORe-Roofing
TIAddition OAlteration OUtility Connection
CODE: ~.C. OI.B.C. 0 Misc
Type of Construction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: 1 2 3 4 5
x
I Permit Valuation
Permit Fee
Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Signature
PROJECT COST /V ALUE $ .f2S;.~OO-
(excluding land)
Contractor's License No.
y-.Jo
Date
"l-"
"~
/~r~a? -
$ ;5~g.SO'
$ ~41/'. ~
$ , .2, ~-D
$
$
$
$
$
rIOO'oO
It) (J If1 0
i36". SD
If tJ raJ
This Application Becomes Your Building Permit When A"., .. cd
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
above-mentioned prope that aU construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
official can revoke . e or just cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed Inspections.
/ t../ Slf?
I TOTALDUE $p,-;q1. 7B
Paid f;1ft1, -;&" R.eceiPt No.6 iii~6
Date t,;"',Jt/":"(}b By ~
tJo~ '1~~~
~ ~ of/-.c -A t4~~.,
ThIS IS to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance anUay proceed as requested, This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
~~~.., ~ Wo"
Planning Director Date
~/~~rr ~
B 'Id' . 1- ' I
I UI mil Of ICla
\)
~~
I Park Support Fee
I SAC
I Water Meter Size 5/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Other
f..~~ D-L(
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
#
#
#
#
, $ ~ \
$ /550, Ol>
$ ~. c;() ,0{)
$ ~51J . 0()
$ ..I.2fX) , ()()
$ tooO, "0
$ 1.500,()7)
$
J.~
Special ~ditio~;. if ;;;y ~ --
.//
/ I
"V'
Residential BuiIding,p<<mit"Chacklist
, . . New C~tructlon for Single or Two-family Dwellings 11'1 R.i or R.2 Districts
~ ..,.. . ...,,..
R:~i~!~J>Y: ~ ~,~#- Date: /"/7~"
B'llndft9 Permit 1- . PID: Zoning:
Address: 3l#t:S' , .!I.~q ~"AIL."i PA/lt..cJ ~
Legal: L I ; ~'''! B .3 Subdivision: ~ p~ L Vt'
" .
Existing StruCt~re? YES @ Existing Nonco,rifOnnlng Structure? YES r~
1I"f>"\~~ .<
. ..-i......,
CONFORMS TO ZONING
ORDINANCE
\11:8'"
.;'. 'I;
l:. : ,', , ~. ~.:... )';
,
.. ,., .., ", \
1 Yard Setbacks: NA I FAllS,eDMPLIEV
. FrontYard (can be 20' if ava. wrm150')
. Side Yards
Standard
25'
10'/
25' if abutting a street
. Sidewall exceeding 50' requires additionalslde 2-
setback for every l' over 50' in length
. Rear Yard
. Patio Door: provide for minimum 10' deck or sign
statement indicaq no deck will be built in the future
. From 100 year flood elevation ofwetlandlNURP
pond
. From OHW (Prior or Spring Lake)
10' setback +
2-/1' over 50'
25'
10' side!
25'rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
, Floor Area Ratio: NAI FAlLS'i cO.. Ait't.c.D I
I Yard Encroachments: NAI FAlLS(COMPUES') I
Eaves and Gutters no more than 2 feet' IIt'WICfth and no
closer than 5 feet to a lot line (Easements),
AlC and other equipment cannot encroach on interior
side yards,
,30 Maximum
Standard
1 Tree Preservatlon('" FAILS I COMPLIES' .
. Total caliper inches
. Pennit 25% Removal
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement
Standard
%:1
L:\TEMPLATE\BLDGLIST.DOC
NO
1 Proposed
-:rtt.' ~ 3'1. 'Z '
-, ., ,
.J ." ~ 311.2,.
11...LJn.-1SUt'.
IS.q' ~ 8~.
'Z!'J. ~S"
N' tJe
,
~'D
tJA-
I L/~.G,"tJ ~~
PropOsed I
1J~ ,J e
~" ~e;
,. I
PropOsed
.......
I DrIveway: ~JEAlLS/CMPLIjl>
. M(.,,~,..Jm width at property line
. Required setback ..~ ": '. . ~
. Maximum slope
. All parting ale8S to be paved includi~ R.V"or."
soaces adjacent to the gal'898 ),;J'!'. ,'\...~", \
. Location to match su~9~illQ ~ ~:,
; ;\
--
, BulldlnpHel9ht: NAI FAlLI[COMPU~
""=:~~::sItpAPl~r~
Minimum lot width. . faac"J ~IJ .
Shoretand aItetatIOns . . . I..J
ImpeMous .SUdaGe
\
, BkIff1n~;ftl FAIls I COMPLIES
1,1 . __,
. i ~~~.~bIuff ,
'i'1~'1~.-J :
. !I~~~
. t FI-~"'I_J Jr"FAtLS I COMPLIES
, . ~ elevation
. ... \~. '~,.1i-4
. loweSt floor eleva1ion
. ProposcMJrMest flOOr elevation .
.. ..N_ ,
"'~-' ,'~"'l .w. . ,. ':: r;
. Elevations 15 feet from structure
, ''':'~ L., ' .f
......' --, ~, ..,./'!
L:\TEMPLATE\BLDGUST,DQC
I
Standard
24'
5' fIOm side-lot line.or
30' ~..()o-ti'oh com8r'tots
10%
:' >:d: K:
.
~' -:,:~ # ~:~. f
....c..
PropOSed
~""- "f8 '- ~ ..~
.~
., -/W. ~_'
2.. '3 1'-' C..Fe
'..'.~. "'.
I " ."..
,-.,.. ".'
~
. .,..; .
,
I 35' Maximum I '7 · I
.1tInCIn ~ 1
7,500 Rip, 7,999 ~
50' Rip, 57.3' Non-rip -,'
3O%,Maximupl. ,
.......
By planning dept.
20' From Top.of Bluff
'By CltyEnJllneer
No ~xPOrting.
Standard I
908;91 Prior Lake
914.4' SQrinv Lake
909.9' Prior Lake I
915,4' Sprinp take
Must be l' above flood
etevationfornew and~. .:i,~r:.g
,~ ,."\)~~~'
~11~11~7~
ackIitIonIffolflilwJtfIQUirecI.
Musta1RSQdi~or
~
907,9' fDrPriorLaP
913.4' for Sprl~ Lake
I
1 . .Stl.,.".
832 ft. .....~ ... ........ ~
, . $(1,.. IF .f.U''''' ANlr JarU
10'
15'
-
l./S .1.":1.
ProOOHd
~.
~
I
~ H~~'~_'7~F-' ". ~'-'_l''''''M'~;~'''''_'_''
'''~~l1'''''.!"'1f~...~" ...r'1l\!l'fli'''~",:"'1'_''~''.''''''-'
Main File
While "~IRJ
<; ~~r:gNlaJ
1II~"LlCAngHoePAIHII.NJ CHECKUII
NAME OF APPLICANT VJ _
APPLICATION RECEIVED ~ - ~~ 0 I h
~
l
The Building, Engineering, and Planning Departments have reviewed the building permit
a~far3Z;~u.,~: ~klJA( -
, --Z/if~-~' J
Accepted ')(
- "'-.
Denied
Reviewed By: ....It1l::f!,
Accepted With Corrections
Date:
, -9-0b
Comments: '. . .
~eo1\=,~_.WJlkiine~
W111,'ir.J&~~l". J.",...uI~o.
priortOlaaUaMflof~C... ~
, ,-> ,~
~ ,. ,.;,. "" -"'>.,;; - /)... "
J.:';ZC'j. ",1 :~:;; il!
~
~. ,:.
I ,_._~~ l)~PIIlJl,.~)'~M~~~
liThe issuance or granting ofa permit or . approval of plans, specifications.and
computllltions ..llnol be construed to be a permit for, or an approval of, anyviollltion 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 shaU not be vallef..
,"~
.,
;~.,t';::',JAl
.;# ,.;~\""~;;;f<,."t
I< ',.:ijI,(>.....;....:,;~, '- k .~'j;,tp._I...;'-:.:..Aoi~"i. ~'.,,",fi,t;~.;. .,:;':;, ,:-,H'i' f "(0',
1
.
-. White - Building
Canary - EnQln,.rlng
~\(ain File (Pink -PlannlV
BUILDING P~RMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I,.J) ~().A711Z.r'':,1/VL;
APPLICATION RECEIVED ~ - ,-;;;; (). k....
iv&-]1~
{
~,
-:.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity whiclyis proposed at:
.3 GS ~ (~~/U!/!<1
j' t/l/
,/)//
I' OK... Lu\/(
J
Accepted
Denied
Accepted With Corrections
j(
Reviewed By:
~~
Date:
sft~
Comments:
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. II
Main File
c::: - BuDdin ~
--..ow.'BrY - Englnee~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I j) ~
-
APPLICATION RECEIVED ~ - t-=? 0 ,~
~
v
The Building, Engineering, and Planning Departments have reviewed the building permit
application fOrCOn~n~~~wh~ j/k:5
Accepted Accepted With Corrections / J(
Denied
Reviewed By: ,/If(~
Date:
~~(
Comments:
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. II
07/19/2006 WED 16:45 FAX 952 767 1900 GENZ-RYAN
flI 003/006
CITY OF PRIOR LAKE
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
(Please type or print and SiKI\ at bottom)
ADDRESS
3lffi ~jLl~ref s
~:.~ ~:~. I PERMIT NO' · SO lI'\
3. VoI.o\\" Appli....' Y
/0< Luy
ZONING (oflke
\I..e)
LEGAL DESCRIPTION (office use ollly)
LOT BLOCK
ADDITION
Pro
(Phone) [(61- C1rfJ37 01
..F7JfACurj !v/I N
J
(Phone) (10 ~":70/~ ({1JJ
.Hv\J1A \~ gCL~~nbvj If'.. ~.J33'l
L./ (Address0 (Ci~) (Zip Code)
(Contact Person) !) l h~ i' -J ; (Phone) L.19r707 - falL)
APPLlCANTSIGNATUR~ ~ 1:Y@lI/LDATE IIIOft)( 0
, APPLICANT PLlASJteoMPLETE BELOW
QNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
fURNACE MAKE Ai'SD MODEL \ P(lvY)i Grtf2,(F- '::Jiflf'. - (nO FUEL l(-y[t . q-to
FLUE SIZE RETURN OPENINGS n INPUT QQLW OUTPUT KU1D
':f.)'E;E OF SYSTEM HEATING OR POWER PLANT
1tann Air Plants 0 Steam
ravity 0 Hot Water
echallicaJ 0 Radiation
ir Conditioning 0 Special Devices_
V .System 0 Other Devices
~'::R l JJPJ1~1i1f)t1tlJ}
(Address) I V46
01a20. r)y ~; 7(JJ
~~=~~ANf~Pjtl'2, rR~fClY)
(Address>;?;? 61')
l A )
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Residential, Healing & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Industrial, Commercial & Multi-Family
Residential, Additions &. Allerations
Residential, AC Only
$39.50
$39.50
BI.#t. ~/O Wn-. .
DING ~ ' ,..,
P~F1Mtr
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
S
.50
(Office Use Only)
Building: Offici,t
rn1~ ~ ~ Uffi ~9'ptNO.
n,tc _ ~r JUl 0 8 200~ B ~I
Z4 hour notice for all inspcetions (95Z) 447-!)8~, fax (952) 447-4245
, IBy
o
This Application Becomes Your Building Pelmit When Approved
07/19/2006 WED 16:46 FAX 952 767 1900 GENZ-RYAN
IgJ 004/006
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please t'01..e or urint and siln at bottom)
A~?jRE~ffi -].e::Pe..VS (.)'<WL/
;:~ ~~'I PERMIT NO~ . C-~k
). yell.... Apj,ticonl P w '-'~
ZONING (of/ice
use)
LEGAL DESCRIPTION (office U$e only)
LOT BLOCK
ADDITION
PID
~~~R U )eJf)~~tyJj:1V1 (Phone)WS/-QU3"31Cf;
(Address) I ?q0 ,~) Q Z{~ (); l2(lJ fNA tA y~ tv1 N
- .. J I:.
. APPLlcANt-1-t1!l'\l_ IU ^{U/\ ( rc:..:/j -n -:l_ (nlY\
(Name) "-IJ; 1~1I ' l (Phone) '1' ),Q"T Ilj) l !LA I
(Address) /~d( D A J. Y W~"3 'h UYvrxv I /I..e. 5:;r:557
1/ (Address) .. (City) (Zip Code)
(Contact Persorl) 1\ I )~') . (Phone) CfS~- 107- lOUJ
APPUCANTSIGNATURE __ff1rh g J1j)M DATE ( !Jet /Oifl
"~APPLICANT PLEASE COMPLETE BELOW
Quantity Tvpe of Fixtul'e Quantitv .
I Bath Tub with or without shower -5
( Dishwasher I I
II Floor Drain j)
;3 I Lavatory (Bathroom Sink) I
\ I Laundry Tray (J or 2 comp81tment sink I
I I Shower Stall I
II Sinks I
I Bar Sink I
::2-1 Water Closet (Toilet) I
FEE SCHEDULE
Industrial, Commercial &. Multi-family 1% of job cost with a $39,50 minimum
Type of Fixtul'e
Rou~h-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
Sewage Eiector
Backflow Assembly
1 Backflow Assemblv Test
I Lawn Sorinkler
I Other
Residential, New One &. Two-Family $99.50
Residential, Additions &. Alteralions $39.50
Estimated Cost $ Building Pelmit #
PLUMBING PERMIT FEE $
S1hTESURCHARGE $
TOTAL PERMIT FEE $
::JOll'!;/D ~ ..
.50 ~G -PS ".,
~A4I'"
~~!2 @ ~ n WI rt ~"iPt No
ra~UL {) S Z09S L! '
J '
24 hour Rotice for all inspections (952) 44i 9850, fax (952) 447-4245 .J
16200 Eagle Creek Me., S.E., P,.iol'l ~~ MN 55372-1714
Dllte
I
bj/
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildillll Official
08/08/2006 12:08 FAX 763 576 7298
_. AUTOMATIC GARAGE DOOR
IaJ 002
--- --.-
LIlY OF PRIOR LAKE
UEA.lli~G/AIR CONDIIIONING, r.I.KEPLACE PERMII
Date Rec'd
~: ~ ~~ PERMIT NO./. r ^O
l, YoIIow Appllcul W ~
(Please type or print and sian at bottom)
ADDRESS
',65) Jr~rt -Prwy
ZONING (offi~ use)
LEGAL DESCRIPTION (office use only)
.LOT BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
W!t/l(IM.UUIIL UO.v.lJ
I ~9r P142A D,.. .:t! 1.00
&qa,"'l.
.
~,j
(phone)
0""11.-1.-
~ $'"1 - t.106-Lltf 0 0
APPIJCANT f /' /_ _ ~ /
(Name)--AvftMAllJl (, a.uWL, ~ ~ -hf(J.j1fIt.CeJ
. f(/
(Address) 8 'fa;) IO? AL€ Ill.
(Address)
(Con_Penon) ~,il !:In j
APPLICANT SIGNATURE f1JJ,)J.
(phone)
duw., {.'"
761- 01 - ~'! r
5f'3 (6
(City) (Zip Code)
(Phone) 7{3 - J7 ( - Uz,r
DATE e( glob
APPLICANT PLEASE COMPLETE BELOW
;!INEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL . FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF S'\:>~ .cold HEATING OR POWER PLANT
DWarm Air Plants 0 Steam
OGravity 0 Hot Water
o Mechanical 0 Radiation
DAir Conditioning 0 Special Devices
OVent. System 0 Other Devices
FIREPLACE MAKE AND MODEL jJ tl~ t()~Z, 3' ~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial &: Multi-Family
J
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimwn
$99.~lO Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $ ~~ IJO
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
,50 BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Bunding Permit Whea Approved
Paid
Receipt No.
Date
By
Building omelll
I
24 hour uOtice for aU iDspedloas (95:1) 447-9850, fax (952.) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
I
Datt .
PRIOR LAKE DEPARTItfENTOF l\.KI'tl': POI
. " BUILDING AND INSPBMlUD 1 e
INSPECTION RECORD
P~wy
SITE ADDRESS 3 (.$' $'.
NATURE OF WORK --'J!l"w
USE OF BUILD1tJ<i ...Sa F if-
PERMIT NO. Q./II- ~ 5'00 DATE ISSUED . , -'\ "
CONTRACTOR ~A.A.I^" PHO-~" .- 'I ...
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
""" INSPECTOR
'FOOTING 2~ 1() t., I tr'D
, FOUNDATION (Prior to Backfill) I y~ I t9 2 '>-C!
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS, I
SEWER I WATER I SEPTIC Z "'i k (Y~ 'fi Y";;' ( A
FRAMING ' II) ~/I
INSULATION tJg ~~~
ELECTRICAL '
PLUMBING \/V1./t Cf/VVo
HEATING (if required) 11\11,0 (,( ./I<f 4h
FIREPLACE ~ f I ; II~
GAS LINE AIR TEST {/J ~7/ ~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/l("'t1 /I. '1. 4 b
rr IJ I ~/8L.
/ ,
I /
we HJ T/dY'd (
FJ I' /Op7p"
OCCUPY UNTIL ABOVE HAS BEEN' SI'GNED
I
NOTICE .
DATE
~"Sv[,t
,
,
GRA&ING (Prior to Sodding)
.
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FOR ALL INSPECTIONS (952) 447-9850
~y
~;,
~
/i
l.J
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.
F"
-----.-.-....--... --~-.
";,;,'-',,,, ..-:.,,';t,~"''l'"'''''~-''';'''
'-';~,.:J";;;- ~.
,\>';..:",:'. ~.-::,~.;":',,>",.-;~r';-o.-;' ,..., ':~".', V, -..'.-._1
dterfifitafe nfQ1)ttupantll
CITY OF PRIOR LAKE
~~att1Utnt nf ~uilliins Jlnsptttinn
g Final Permitted
.;rNt
o Conditional C.O..Expires_
This Certificate issued pursuant to the requirements oj Section 1] 0 of the 0 Residential I 0 International
Building Code certifying that at the time. of issuance this structure was, in compliance with the various
ordinances of the Cityo{Prior Lake regulating building construction or use. For the following.'
Use Classification .:sINGe€.. FA/1?tLV Bldg. Permit No. 0'. ~50()
,
OccupancyType .K::: Type ConstrUction VN Zoning District ;J US U
I !
Legal Description . L II t33j ..:J€;;P"€'k:.8 ;:;(;/-/0 '.s,
Owner of Building
Site Address 3&55 JEFFEIc.:: fleW.
Contractor's Name & Address tl/ t IV J/i-lri /\IN 1-101'-1 C S
120 C EJL7Bui D.' g ~~7O'''{/NS~. City Planner
Date: ,! 1~O.W Date:
P9ST IN CONSPICUOUS PLACE
,T~/v6 KAN5"IE.I<..
DATE TIME
CITY OF PRIOR LAKE ll~o(,
INSPECTION NOTICE SCHEDULED
ADDRESS 3le$ ~~ <fbl}
OWNER CONTR.
PHONE NO. PERMIT NO. (,-e6t)
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL )JCPLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: _
t, f.'l (GMt- ~O-1D
1
2, QJJO ~ U/7J
- lJ- ,. ..'"
.? ~m()iAk. lj~ &~_~~
o WORK SATISFACTORY, PROCEED
X.CORRECT ACTION AND PROCEED
o CORRE~T a~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CAL -9~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Boo ~
ADDRESS '3~~ -J~ t.~ Pkt..L.o-....{
OWNER CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
PERMIT NO.
(p - 50()
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o G~,SLlNE AIR TST
o ~..~ .
COMMENTS:
I, 1=..-.1 (O~_ : 1J...t;;(l' ~(~7
--
~~
-
~~()
~ ?)-l-CJfl
. .
o WORK SATISFACTORY. PROCEED
~ORR~~CTION AND PROCEED
o CORRE! I v,9/.' CALL FOR RElNSPECTlON BEFORE COVERING
Inspector .. L- Owner/Contr:
CAI.L44 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~ .
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE I
INSPECTION NOTICE SCHEDULED I .../7-cJ6
ADDRESS 3(,5-.5 f S,5t :sears fKvv
I
OWNER CONTR. WW1'141M
PHONE NO. PERMIT NO. r rCr-COO - s:oJ
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
(lllt..E~LLlNG
'0 c()gj5t;6JNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
.All r9L
)f'W.ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect.orl1f~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl