HomeMy WebLinkAboutBuilding Permit 03-0167
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please .!':J?e or orint and sign at bottom)
ADDRESS
'\S34?J W~\J lu(l~
LEGAL DESCRIPTION (office use only)
LOT -1 BLOCK 4 ADDITION ~ \jj, Id <..,
OWNER
(Name)
{Y\i(~(t~ ~ <<\"4
(Address)
1, White
2. Pink
3. Yellow
File
City
Applicant
I PERMIT NO. rE-O/fR'11
,
ex.
c
~
Date Rec'd
/-'2-Z-03
I ZON~/(offi"use) I
PID 7."5'-3A2- IIZ-0
(Phone)
tf~I;}') 3.~5<~1d..:>""
BUILDER 0 \ 1...
(Name)---f".r1.X 7J~ 1l0fNO ~(~
(Contact Name) Co \\.OP7\ ~ R.cdU1D l tR A2~D..AA..../
(Address) d-D'\ ~t ~),., o\JI. ~ ~.A\~
y. \:l., Jl-..ifu:.- 1\35
lVn~t<-;,
(T~or;u~v:'l~)
(\
TYPE OF WORK
~New Construction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
DDeck
o Misc.
I Permit Valuation
! Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
~ 201. 000.00 I
$ I 5 t,;q3s-f
$ 10 I '3. 'SPlI
$ Il'll). So.1
$ - I
$ ~C)ll . 0 0 I
$ too.ao I
$ ,3'S.S-o I
$ L/t),c) tJ I
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
This Application Becomes Your Building Permit When Approved
~
'lu'elf-' Z/3!tJ 3
Building Official
, Date
(Phone)C G S"";j.. ') "18 S--Sq,,-"]
(Phone) l qg.)3R-S- 4170
%DfY
(Y\,J
DPorch
DAddition
ORe-Roofing
OAlteration
ORe-Siding
OUtility Connection
43" eFt
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. This document
3::iq p~= a temp~~C~illca;;.;;;mPli~" ~dillowz;n ';j;' B":,ru~:,::zspanq mu"~
Planning Director Date Special Condition" if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
I Park Support Fee
I SAC
I
I
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUEMum
#
#
.Water Meter Size 5/8G..~)
Pressure Reducer
#
#1
2,~/ 0 ~D3
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 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:tetucn~~::rty~perfgde~e~&ClA/ ;Jt)llioz,n1 I J~ /O:l,
Signatu \J Contractor's License No. e
$ 8so.0o, I
$ 12..75,00 I
$ 300.00 I
$ 70.C)o I
$ (000,00 I
$ 70tJ,Oo I
$ 1 'SOD .00 I
$ I
$ R. fj4-3. q3 I
l Paid
Date
,)
I Receiotjo.
Bv L_
o
YuJ f' 5' 'I f
n_:.l_b-iJJ
Job Address I )J'lJl/lv~IJ~
Heating Contractor Co~trolled Air J
.. Name of Tester If(
Date t. ~ '-a-oJ
Percent O2 &.0
Percent CO2 '7;" )
Percent CO t!)
Stack Temp. liD
~.
nr;; Cf-tJt]
'"
~1
<;:Y'{hit~ . Buildin~f':>
Canary - ~ng,"eering
Pink - Planning
Thf Ctnltr of Iht L.kt ("ountl'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
RAT~L--AFF HOMES
1- Z2-03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15,~44--
WI LD TURK.5V
I
cr
Accepted
Accepted With Corrections
--
Denied
Reviewed By:
~ -=I~f..> Date: .;L/;>~3
;?.ao..IJ o.1..P ~ ~ -~ .
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."
~\
While - Building
~rv - En~ing
( Pink - Plannin9)
The ('to In of the L.kt <:ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1 "/-\) Z L..- f \ F ~=:
I - ~~-2- -- /'~
if I'-It~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1,:-;j44- /;
I........J, ,,) i '\ .-/
,'" -
i'~, r~-l~.
I
\.j
iT
Accepted
Accepted With Corrections
~
Denied
Reviewed By:
24'
Comments:
~_iJA-~_rf'
,
~
~
::4,') r-
Date: .:y3/o3
6.J;/)T,,", .41 ;2.tJ. tJ. f;J
W'-A;.I<C
L/~e.
.
7)/Z.( VIt'-WA-t4
,/ )
"The issuance or granting of a permil 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."
~~
White . Buildin",
c:l<aDarv . En<lineerinq~
Pink - Planning
ThcoC"rnlcorofthco I..kco('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
RPTl_ L-f\F~~
, j . - --
I J~. t;. .. i ,"'"
,-.- i \ j'-"'/ ,_ - .
f 1 \ /' I r I _"",---I
. I
i --
"7 ''--;7 _ r,7
L:__ L- l.j,./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,/ c::: :2 44- '\ 'i i' ,--,-/ '\ .,' I,) 1/ r:::: ,\/. 11"--
; ... .J. j .. ,/ \1 1; I) I J, "-... r__\. -' t \.
I
Accepted X
Accepted With Corrections
Denied
Reviewed By:
/VfI~
Date:
;< -G-6 3
Comments: See Reverse Side for Additional Information!
C-blh Sed LJ,'7/ 11<<ei
Fore! //i COV(f
See Attachments' ]) Gr~c1ing Phn, 2) Erosion !:ontro] 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."
.______.~___-.-...:....:;.........' r'''~V.rt .L..AltE
@OOl
CITY OF PRIOR LAKE
HEATING/AlR CONDlTIONINGrFI:REPLACE PERMIT
D9,t~ Rec'd
~ ~1);, ,S;..~~ I PERMIT NO'03 -0/1071
(Pk:::e r"l'~ or Dri::o.r md. 6i~ 4~ bott.:m\
ADDRESS
/~3-'f-f Ud6J
ZONINGCOlll<:"")
7f7"kAt
("J,
LEGAL DESCRIPTION (offi,e u., .llIy)
LOT
BLOCK
ADDITION
PID
--
I OWNER.~ J /.[) J)
I (Na.~e) ~ AT'? 1ft r F
I (AddreSli) / /(; /
d:k,x>?~c:::
(Phone)(9~ CW<, - ~-U-
AE?UCANT,..... / _ 1/ n /'1,
CN=e) C-C" 17/YJ1tr"c'1 ) ( J 1,/1
(Addn:.:;s) .r)J /.::;J / ("') ,.c::?)A . \ A I ,0_
~<ld=,)
(phone)
~h") - trl-J 6l?.. .'
<y:;;;) "'Y
(Zil> CoO.)
,
.t:=/J:r::... . rrz,,_
If (City)
(COlltact Porson) . .'
APPLICA..>olT SIGNAT\.JRE;I'{~ 7~~
(Phone)
DATE rV - 7 - ()~
.......- APPLICANT PLEASE COMPLETE BELOW
,...-I::::J"l:.W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL /A7..ot' . 7i/"y()?;OC 9-?":;;J FUEL -U.4-r,
FLUE SIZE ;::<\ (I 2J)~ RETURN Ul'l:.,'u-lGS c., INPUT g~ nOlJ OllTPUT 7.1 M()
- . ,
Ti'1'E OF SYS'TEM HEATING OR :POWER :PLANT
DW=Ai,PllUlts
DGl1lyi<y
~ch..;ccl .
-- ~_Condittening
~, Sys~
FIREPLACE lv'.AKE Al'm MODEL ~L N
05'_
o Hor. W..er
Oll,.di.ti.o
o Spc'l>1 D...d=
o Other Devl..'
(.;/~ >.,L -75"(",)
PLEASE NOT)i::
Air Conditioner Units
C"""'t Encroach into
Required Side Yard
Setbacks
FEE SorEDULE
InduStrial. Commercia! & MuJ[j-ramHy ]% ofjob CD-:t R.e.sidcntie.l, Gu Firepbce.
$39,50 minil"flum
R~::.i.d~lltiz.l, Hoaun.t &. rJC (Ne"JoI Consw~on) , tS9,:SO R.tS\der.:ti.a~ j.t1oldens &. A\te<;,moI'oJ
Residtlntial. 'Hea1\!lg Only (Nr.:w Construction) S6ll.,:50 R:S'id~Tia.\~ AC Only
S:>9.50
.39.50
:n 9 .50
Estim",.d Cost S
lluJlding Permit ;I
03- Nh1
$ I UAID WllH
i 15~U-~D-ING
(Om c:: Uk Oldy) ...Q.
Thi. Applic:ltloa Becomos Your Buildin~ Permit When Approved '\T~~ [ ~ ~. ~~i I
nl\ Dfl'EB 1 0 i'UU:J ~ I By
D:rtc ':i\ J
1.4 heur noti" iar.1I inspection, 1991.) 441~sso, tax (9$1.) 447-4245
1rJY ~
HEAT!NG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT F'EE
I
B\I,ildlng omc:il\J
11)1) I2i
lIIV a::rI101ll.NO~
9L~91)9t1S9 XV.:! I)S: 1)1 Ill.:! CI)O< I LI)' ~I)
02-24-03 [9:44 AM FROM FGTN PLG RTG
T'l 9524474245
PO.
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(Please lVpC or orint and siP.n at bottom)
ADDRESS ZONING (olfi<< u"l
; ~% ~:~ I PERMIT NO. 3 _(4:,/7 I
) Y"llow Apel!lUIIl ,
1.1:) '11./ Lf
(1')( lr+
w~l&
TlLl.kpu
.1
LOT BLOCK
LEGAL DESCRImON (ollie< uo<: only)
ADDITION
I OWNER
(Name) .
,
i (Address)
1<.0..\:) \... ff J.j-th'\l1~<
u.k.\:.. v; I \e..
APPLICANT I 0
(Name) Fo.(" l'V) i .., II 1"b "" t" ~ \t
(Address) ,,1.10,14 ~hjPf-e:V1JCl.\p
(Addrcss)
(Contact Penon) :=l)~ '"
PID
(Phone)
(phone) l.,SI-4{03-7iJ..4
tdr rY\lY1iron SSO:;l. 't
(City) 0 (ZIp Code)
jPhone)
L :::PM.a-n -DATE 3- 14-6~
A l) e..
APPLICANT SIGNATURE
IJ~
I Quantity
I ;2...
I \
~ ~
I I
I ~
I
I .3
APPLICANT PLEASE COMPLETE BELOW
Type or Fixture Quantity
Bath Tub with or without shower .J
Dishwasher I
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (I or 2 compartment sink
Shower Stall
Sinks
Bar Sink
, Water Closet (Toilet)
Type or Fixture
Rough-ins
Water Heater
Waler Softner
Stand Pipe (Washing Machine)
Sewage Ejector
BackfIow Assembly
Backflow Assembly Test
Lawn Sprinkler
O1her I-II. "",,,\ 1-[r~ ("
}F~! SCHEpULE A ~
Indu~[rial. Commercial & Multi-family 1%, of job cosn.ith-a ~O e,u"tJ. 0< ...)es' ial, New One & Two.Family $99.50
'Re. " Additions & Alteration, $39.50
fl: fVV\/ +-
Estimate?A b-CA: 1(tn-ienniIN
PLUMBING PERMIT ~E $ ~
STATE SURCHARGE: S '--'
TOTAL PERMIT FEE S
(om" VI< Only)
This Application Becom.. Your BulldlDg Permit When Approved
Bulldl.. Officlll
D.te
14 hour noUce for tUlnspl'ctlonJ (9~2) <<1,
.50
'. ".'n Receipt No.
t.~ IT;~~~~-~y fh
MAl( II 11 ZUU3 I
. In (952) .j.47"'U5 L0 "-fJ
By
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1'Z~rK3
L &~, Fi1, I PERMIT NO 7
2 Y,llow ei'y "/13-0/{p
J. Gold Applicant (/.
(Please type or Drint and sim at bottom)
I A;~S~V WZLtJ
r/..{tl.-Uy
CT.
I ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) /2..A T2-l-CJht' )JOYYl e l'
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) 012..1'...,['1IE-/2.
(Address) l (." Il ~
i=~x L .
(Phone) Jf:L
Lie V'-_,
(City)
[{'7:J- t. ~ rl
,s-r6L1 <-I
(Zip Code)
.J 0 f L Xv-J W>+'1
(Address)
(Contact Person) B VI.. 'I c. 1-1
APPLlCANTSIGNATURE~.t, <'f)~!1._
~
(Phone)
DATE JI/J.-JO:3
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure -
Type of sewer pipe. D ABC ~ PVC
Estimated length of sewer line ~_ feet.
Clean out (if required) located at - feet from structure.
feet.
D Cast Iron
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
cC>
Estimated Cost $ )j ()O .
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # IJ]'- 6/" 7 rJ 1
_____ ff,lOO~
$ ~.50 Vi/!
/~ 6
$
(Office Use Only)
This APPlipi~ Building ;'m~t ~;n Approved
Bulldiiig Official Date
~
Dat4- ' ~ '03
I~
IBY th,
U
~
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /S31/tI 1Jb' J1
NATUREOFWORK ~
USE OF BUILDING ~
PERMIT NO. Q3 - 0 '& '7. D~TF ISSUED
CONTRACTOR ' NtJ~ PHON~S"". ~~.. y'70
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING I I~RJ ~ 'I.rl<
I FOUNDATION (Prior to Backfill) I FB ;:) <\~ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC I
FRAMING /. .(.. ~AYtlG-ee.- ~ f.l/'PUC fJ^
INSULATION PI?
ELECTRICAL //
PLUMBING fJ//? ~-~I
HEATING (if required) _
FIREPLACE if".:I .s.? I
GAS LINE AIR TEST 1'1w:..., d-- f:~'!' tf?r? ~ -)/
LL. f.:I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- ~
~tti) /lIJ./,11m6D mAJI: I (r/(5
FINALS
IU- ~6
eJJ
. I
~/O3
./
.
s-?f
GRADING (Prior to Sodding)
BUILDING ,-eM] w.-\1\ ~+(,^1
ELECTRICAL
PLUMBING
HEATING
DO NOT
/(). W. CO
cr - -zz - ef-1
-
VVV'I
Ml
OCCUPY UNTIL ABOVE
NOTICE
(Q- )..0/1/)
r.. ]..~~
BEEN SIGNED
HAS
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
Ql~difirat~ of <IDrmpanr1!
CITY OF PRIOR LAKE
~tpctdmruf of 'lMuilbiug cIDusprdiou
r;YFinal Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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
SINGLE FA11IL Y
Bldg. Pennit No.
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
03-0167
Rl
Legal Description
L7. B4, THE WILDS SOUTH
Owner of Building
Site Address
15344 WILD TURKEY COURT
Contractor'sName&AddressRATZLAFLHOMES. 20730 HOLYOKE AVE.. LAKEVILLE 55044
ROBERT D. BUTCHINsfj/ i,!
6 , City Planner
Date:' '1 - r; l _ ,(tfng Offi"a\ ~J Date
\ POST IN CONSPICUOUS PLACE
DON RYE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATe T11IE
lo/-z.-iI'72
ADDRESS
\ 7)2:,..-\ l.--\ C)J:.",[j.-1; JI2V..{:-{ r:;T
CONTR. ~~A.cL H()I:/"\,,~-::-.'
0, I'......
PERMIT NO. ~\. ;, n ,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGliADlFILUNG
o ...."~r:xlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
&,(:"&>,06:. - OV_
(.-UP.. (J-.. c..(,VP ~() iI.
c..,UI'1,....,,_{J,j,"'......p (Qu>Jr. r :-'rr:: (\ r(CJ 0f. k'f, )"-(1 Lt
r. i,..,.-.. " ,"
::,010 \" I'<.~'
;;:a. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. '~A.~/~...!\\ OWner/Contr:
CALL::fs:':OR TI !;NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNO"
It)F<l~ +u~
PERMIT NO. 0< - ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /t:)"C,W
OWNER
CONTR.
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
l.a- ;g-Cl3
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. r.-~ Gr-o.Jl..L ,'kt:~ ~ /v"' ,
2. l~l tJ~ ,i 1h1zllJ-'''''' .(...\.-..... iP .I~
-~ - I
~
o WORK SATISFACTORY, PROCEED
CTION AND PROCEED
CALL FOR REINSPECTION BEFORE COVERING
Inspect, r:
OwnerlContr:
C, .LL l 985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lJIISNOTl
CIlY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/S:Jt.f4,
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
G) r.e U1fA..t
SCHEDULED
lNil"!
1I.IY/;~"
(
DATE TIME
(;. If{-~
~ -1(.7
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASL1NE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ':1\O~CALL FOR_REINSPECTION BEFORE COVERING
Inspector: V Vr c,-f~ 07OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CONTR.
PERMIT NO,
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
M!"PLUMBING FINAL
o MECH FINAL
r ()o(.l:/ll/5-
.l
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I 5')1./ l.J
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
DATE nile
SCHEDULED 9 - "22 -c (
1.0;\& I;)r~~ (\ 1-
o .
CONTR,
PERMIT NO.
?.- /l,7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASUNE AIR TST
o
1,,/ .1 ,If) nf
I) K... -to (~, ....e~:e.rft/\...l \- ( l{J
\i..woRK SATISFACTORY. PROCEED
./0 CORRECT ACTION AND PROCEED
o CORREC~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: . J _ Owner/Contr:
CALL . 850 .hR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQurf1MENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
",,"on
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS _/.("J l./I.i
lJr,t/r-1.
1"1.4.-.,
1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o I!lSULA TION
..a"FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
(.-].('.ctJ
1-1(,7
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ A~d fJ.'f>1 h"
, N'" I. ~.....J, a(ltJrtJl/r.f I~""
r_ <>J- q ^' d {l-tr cJ-tox Itlf'....- ,.;;;
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o CORRECT "1::J1 CALL FOR REINSPECTION BEFORE COVERING
Inspector: Jf!!f ~ - JI) --dL.. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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CODE IIEQUlllEMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!