HomeMy WebLinkAboutBuilding Permit 04-0497 & 0894
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5.5. 04-
J. White File I PERMIT NO I
2. Pi,k Ci,y . o-"-.OAA1
3. Yellow Applicant ~ T 7
(Please ~ or Print and si2D at bottom)
ADDRESS
324J \0 i \d. tk. +t.ss '1\ W
LEGAL DESCRIPTION (office use only)
LOT 2.. BLOCK 3 ADDITION ~
\JJ ild~
Rt:th. I caf \-\ornfS ~J-n:..
OWNER
(Name)
(Address)
BUILDER:""1) -1--1 ~ rr
(Name)_f'\Q;l'::" l.tIY :
(Contact Name) (J) ,lep1'
(Address) 2(J'7~'i.D~ .,
t:nkpvillp . IV1IU
- / .
TYPE OF WORK A New Construction
DLower Level Finish
o Misc.
~
ZONING (office use)
1<./
PlOd5.4/2.Dlg-O
Cl6 Z qgj -5q5!i-
(Phone)
~
f+ Lct.l3eo..tA.../
i:Jt/.
~5()i.lt/
(Phone) Q/j.2-
(Phone) %2
ODeck
OPorch
ORe-Roofing
q K5 -.6959
Cfg5 - 'II ? 0
ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECfCOST/YALUE (excluding land) $ attO.f)f)D .0{)
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 y....y""nJ 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
:teruC"~O~rf];tditrectiOnS dlJl g0.307 ~!oL(
Ii SignaOlrJ ~ Contractor's License No. Il>ate
(,
ill Z-90,OO(). DB
$ z..ll!t~ . ~
$ '1'-I2-'5.7J>
$ I,-/~,(JO
$
$
$
$
$
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
1M, 00
100, DO
35: $"0
'-It;, h
This Application Becomes Your Building Permit When Approved
~ ~ '~//d<l
Building Official Date
I Park Support Fee
I SAC .~ #
I Water Meter Size 5/8'1i.!::V
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE IAUbJ~. ?J.O+- $q 159. 78
_ _ _ _ _/ _, A
I Paid ~ to 'f' 7 (5 . I Receipt No. 1.( V, y~ 'i
I Date /".- 'i-07 By ~
#
#
#
$
$ /3"SQ, 0 0
$ -gOO, t10
$ 7() , 0 0
$ 12.00. () 'tl
$ 700.6'0
$ I S:OO. 00
$
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows constnlction to commence. Before occupancy, a Certificate of C..~.~t"~""" must be
~ ~f-.J s-,h l,fa., Ifz.J ad ~
. Planning Director Date Special Conditi~, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
m.-.,,/o.p
... <'
... ~
- "
1.1I. ''''~,.. /:'17
""It'NES01.t"
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
q. 7.04-
(Please type or orint and si2l1 at bottom)
I A~~~~/S
<:">>7, Wild... ~e -=?a..~
LEGAL DESCRIPTION (office use only)
LOT 2.. BLOCK .3
--, '^^ \., ,'1 ..I'..
ADDITION , I.J( \N \0....)
(fib
OWNERS) _ I . rr \.L . ~
(Name)~IQ~ 'TU'Y'\DS-1.nc.
(AddreSS)~~ A:t:L. ~;ll.Q..
BUILDER\) . Jl. _ ....--r_
(Name) ~b.~ TUY1Q!::.~.
(Contact Name) eO~I"I' ~ ~
(Address) ~ D"120 ~ u cto... 4ue.. lct~: U.Q.,
,
TYPE OF WORK
~ed
o Fireplace
o New Construction
DLower Level Finish
o Misc.
Date Rec'd
I-Wbile
:I: Pink
J Yellow
rlt..6 IN 0-+,0497
Il'ERMITNO'04-.0e94-i
File
Cily
AppliCllnl
ZONING (om"use)
RI
PID J 541201 00
(Phone) q52 - 9&-6-..59,5 9'
(Y) "-2J 560 LJ l/
(Phone) Q.f7 2. - Q'6'5 ~5C;59
(Phone) 952. 985. l..fl '7b
f'Y) 10 $;JL/4
oPorch
ORe-Roofing
ORe-Siding
OAddition
DAlteration
OUtiliry Connection
PROJECT COST IV ALUE (excludiog land) S
I hereby certify that I have furnished infonnation 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 wiIl 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
enter upon the prope erform needed in s
x
a()/ g(,~7
~ontractor's License No.
q /1j,'1
.:.-
I Permit Valuation Z/ aoo. 0 0 I I Park Suppon Fee # $
I Permit Fee $ 73.75'" I I SAC # $
I Plan Check Fee $ +7.f~ I I Water Meter SizeS/SOl; 1"; $
I State Surcharge $ ;'00 I I Pressure Reducer $
I Penalty $ I I Sewer/Water Connection Fee # 1$
I Plumbing Permit Fee $ I Water Tower Fee # S
i Mechanical Permit Fee $ I Builder's Deposit $ I
! Sewer & Water Permit Fee $ I Other $ J
! Gas Fireplace Permit Fee $ I TOTAL DUE tA1A.eD '1.1.04- s I 'Z. z,. (, 9' I
/i
This Application Becomes Your Building Permit When Approved I Paid /21.-"1 I7}N. <f-7RtJZ-
~ ~,..., 9/m~ I Date _ /J. tJ4-
Building Official Date
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
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allow:; construction to _..._....._._. Bef~ occupancy, a Ceitificate of O<:cupancy must ~
issued.
Planning Director
Date Special Conditions. jf any
24 hour notice for all inspections (952) 447.9850, fax (952) 4474245
..."'"'. .~,., ":~"<1"""""",7..?::$~'#'\I'!r;~' .. ,.., ,.'.1 .... ,
"'~'"
~.~..~
,,""..- ~""'A'... ~ ~~,,~., .,~" .0. .,_
Residential Building Permit Checklist
Deck Additions to Single Family Homes
BY:~~
Date: 9 / tf'J~
Building Permit #
Site Address
32- '/1
2--B3
PID:
v.J I L-l)
Zoning:
~e- ;:J1fs~
Subdivision: uJlJ.& ~&
Legal: L
Existing Structure(@>r NO
CONFORMS TO ZONING
ORDINANCE
YES
NO
Yard Setbacks: NOT APPLICABLE
MEETS CODE
Requirement
Proposed
" Side Yard
(25' if abutting a street. 30' if abutting a street in
Cardinal Ridge)
Side Yard
10'
I"
I" Rear Yard
10'
501
S~r
30'
25'
" Townhouses
Must be consistent with
approved plan for
development
Nf>o-:
ANY PROPOSED DECK NOT MEETING THE ABOVE CRITERIA MUST BE REFERRED TO THE
PLANNING DEPARTMENT. ALso, ANY DECK ON A LOT WITH A SUSPECTED BLUFF, OR ANY
OTHER UNUSUAL CIRCUMSTANCE MUST BE REFERRED TO THE PLANNING DEPARTMENT.
THIS CHECKLIST MUST BE COMPLETED AND INCLUDED IN THE BUILDING PERMIT FILE TO
MAINTAIN A RECORD OF THE REVIEW.
L:\TEMPLA TEIDECKCHCK.DOC
~~
( .Jal.I'lite - Bu~
Canary - I:nYlneer.ng
Pink - Planning
Th~ (",nln of lhp l..h (.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECI<LISI
NAME OF APPLICANT
APPLICATION RECEIVED
/f A7:&L--t4FF tfOI165
55.04-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3Z4-1 WIL-O HOR.S6 p~s /VIA.!
Accepted
Accepted With Corrections /'
Denied
Reviewed By: ~
R~
'----
,.
-/~r-.J Date: 5,4~ht/
a..d ~ o-z..X .
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."
~1
Th~ ('rnlrr of Ihr L.kr <,'ounny
BUILDING PERMIT APPLICATION DEPARTMENT CI-{l:CKLlST
NAME OF APPLICANT
ItA TZ-L- r1;::-;:: tfOl1~S
5.5.04-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3Z41 WI/...D HOle~5 P/iSS /VN
.
.
A9cepted
Denied
Accepted With Corrections
/
Reviewed By:
~
~d~
r
-::JJL~~JJ Date: '=;-/2.( Ie of
.u..I ~~ -'~
Comments:
'"ot.__
"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."
~t.. - Bulldl~
"ry - EnalntHInl.u,
Pink - Planning
Thf ("rnlrrof lh, I..",('ounlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CIiECKLlST
NAME OF APPLICANT
,-
IfA7lL_J1FP" Ifo/'-16S
S. 5.04-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.3Z 4-1 t/VIl.- (.) H 01<::"'5 6 PltS;.S IV",J
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
p;IJ
Date:
0".. 20 -c')}/
Comments: See Reverse Side for Addition::!1 Infnr."atkml
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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please tvDe or Drint and sign at bottom)
ADDRESS
32.</1 W~t~ l-loI2.U PASJ N."";.
:~::" ~\~. I PERMIT NO.{) A_ A./71-1
3 Gold Applicant 'f ' I<f 7
I ZONING(officeus.)
LEGAL DESCRIPTION (offie. use only)
LOT ..t BLOCKJ
ADDITION W~"5' ,.,.--g
PID
OWNER
(Name)_IlAPr7:../--O~
II OW\. of. S
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name' /) I)J...s#bl~~ c..
(Address) ll.. H 2 r {){J L -wJ lV~'f
(Address)
(Contact Person) au. -r- C- ..,
APPLICANT SIGNATURE C~"r-- . t:LoJ___.
(Phone) '1r.2 -l( '.1~! Cf 0 ,
LIL JL.
(City)
(Phone)
DATE
..r.\o lj <-(
(Zip Code)
" I"JfJ4
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure
Type of sewer pipe. D ABC ~ PVC
Estimated length of sewer line 1/ () feet.
Clean out (if required) located at - feet from structure.
feet.
D Cast Iron
Estimated Cost $
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
(>0
'J 00. Building Permit #
Residential sewer and water line connection
Sewer connection only
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office Use Only)
0l~
Building Official
Date
I Paid
I Date
/\
14~ '
b.... 1\- OlfY
Receipt No.
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
c
o
.....
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Rel:'d
i)' ~.!I'D< or PriDl and..... at bottOm)
A )DRESS
3~ I I;. );/[) #r..,.~~
~,g~
~ ~ ~ I PERMIT NO.A.L.. ~
J,Vellow ~ U'T"~,.
ZONING (olIIcellR)
L: ~GAL DESClUPTION (omo. ... 0IIIy)
.LOT BLOCK
ADDITION
PID
-
g=~/I7-~P
~vYJP:;
(phone) . ~<- s'95ct
() d.d=;)
A: 'PUCANTC .L }/ (\
(l iame)..E'vI. ?rC!:Jf1P~ 1
(A idress) CJ I CJ I 0 .tfn ~l!- )
(Addr...)
(C mtact Pason) , /
Al PLI~ SIGNATURE ~:"...h
dl.1'"
8LJ~.
(Phone) J?;'('l
r-~.
~'.,
(City)
-~~
<,~.y
(Zip Code)
7~
(phone)
DATE 7 -- q -('l;l../
_ APPLICANT PLEASE COMPLETE BELOW
,...01ilEW Cv"~ ll\U", UV.. 0 REPLACEMENT 0 AL TERAuv1'i:)
Fl RNACE MAKE AND MODEr. 7Mit ,p 7U}(/('\('lf'_ ~..fi? FUEL
. #~ ~
Ft JE srZE ~ ~ r-'II(,~ RETURN OPENINGS l'\ INPUT / (V'\ tVV'\ OUTPUT
>
TYPE OP SYSTEM HEATING OR POWER PLANT
nlll1ll Air Plants
. DGravity
o Mc<:hllllical
~ O:Indilioning
...l3"f en1. sysiem
FU EPLACE MAKE AND MODEL Hen ~ A) (;/",. ''=>L-"7..56
.vA f-
Q.q. """^
OStoam
o Hot Walor
o RadiaJ:lon
o Special De'ices
o Other nevi.,..
PLEASE NOTE:
Air CQT\ditiOller Units
Calmot Encroach inlo
Reqnired Side Yard
Setbacks
FEE S\..l1.I!.JJULE
lnd ,strial, Commcroial <1 Multi-Family 1% of job COSl Residential, GIS Fireplace
$39.50 ..~.~_..._
Roo dential. Hoating <1 Ale (Now Con$lnlClion) $9950 Rmd<lltial, Ailclilions &: A1~on8
Rc:o dential, Hoating Only (New ConstrUction) $64.50 R.esillcntlal, AC Only
$39.50
$3950
$39.50
Estimated COSI $
Building Penn.it /I
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
v-'A.~ U':-J'>oo
"""JJ!jn""'.~ ilJJrJ.
~,,"u"-ll.i/~ I!"C _.
SO "-C-'fn-.
. . "o,/JJ,
(OD "u.. Only)
BuDding omdal
'I~@ [fa [YJ ~ l~ii~ce1ptNO.
D... wr'Ul 1 "ZQL!4 1111/:lY
24 hoor notice for all inspections (952) 447 9SSD, fox (932) 447-4245 L /1
16200 Eagle Creek Avenue, Prior Itfe, MN SS3?Z .
~IV a3110RlNO~ 9L~909ttS9=fVd tt:tt lad tOO~/60ILO
T lis Application Becomes Your Building Permit When Approved
too~
FROM :
FAX NO. :
Jul. 26 2004 01:56PM P1
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
(P\eue~ or1'rinllAd.i", aJ: bottom)
I ADDRESS
31LJ I l..J; 1,([ ~...se~
~ o.~ '-
LOT BLOCK
LEGAL DESCRIPTION (ollia:.", lIIIIy)
ADDmON
~~ U.. } "..c.r WTJOIA eS
-'
(Address) L.tll-k-e ,": II <:.---
APPU~
(Name) (VV1i~1.e,^ P/~ & \..+1...
(Address) ~'D34 Ch~II'I~"'_ .f.,e-.-
(A~
(CoIIlad Penon) J~ rv'\ J Do. V\.-
APPUCANTSIONAroRB ~ n'A:.O
Qu.llty
:l.
\
J
4
I
I
\
;~ ~~~. I PERMIT NO. //_//tj.k7
) v"... "pp1IUlf1l '-1'''' L-f - r
I ZONING (oma OJ() J
PID
(phone)
(phone) f"c; I U 101. "I~:)' u.
"6:r r tV'l i"'I1.k.""'-t:;'50~ "!
(CiLf1 (ZIp Code)
(Pbone)
.L~.Q-..
OATH
'/ - :::l. (.,-(;)4-
APPLICANT PLEASE COMPLETE BELOW
"
TfPe or.ll1xtve
BatII Tub wi1II or wilbovt Il\ower
DIthwuber
floor nraIft
Lavatory (BaUuoom Sink)
Laundry Tray d or 2 comparlment sink
Shower Slal1
SinQ
Bar Sink
. Water Closet (Toilet)
Qaaatity
. :3
I
I
Type oni. .; ,." .
Rough-ins
Water Heat.
Water Soflller
Stand Pi~ (Wuhinll Machine)
BewaRe Biector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
laduIlriaLC,... .:alAMuld-&mlly l%o(job_wllltl S39.30mla........ RaIdadial.NcwOne..T_P....ily S99.SO
RaI4entIal. ~.. Allenllons S39.SO
Estimated Cost S B!,ilclln& PCIIIIIIt" FArO "~Q ~ '
PLUMBING PBRMIT FEE $ 'itfJ'~~ P:=~!llirr
STATBSURCHARGB S .. .so . . .., .
TOTALPERMlTPEE $.. "'.:'~ti.;)>.._~"i.t..
I.: (jlJ.~. n.~. .l...~.'.":f,:.,.~;,~~,.,:.
J' ~ L; 'OJ \ "!' . i"
I ... ~"lIL'..:,..I'1
.. ... .. ~..~._. ..
~iJG ()2 20M ,;. '
..
lotIet v.. 0IIIJl
nil AppllClIlIoIIlIecolDeI V..r IIOdIll. '_11 WIle. A"..,
.
.-..-
DIH
Z4 ...r lllko lor III ...p.d.... (951) 411.,. g.,t!'195214l7"U.
.1
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 32.4~ fl6~ ~ /J.W.
NATURE OF WORK ~... C.oNrrJl.udritJjj
USE OF BUILDING S. ~ () . .
PERMIT NO. 04-.04Q7 DATE lSSUED S/21!()I/
CONTRACTOR ~T"2..LAt:f:' IIdlttE"S' ,IAle. PHONE~~"I'lo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPE.!(TOR
'If,
I FOUNDATION (Prior to Backfill) I pvg I ~ ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
/dg
iIW
(}Ie. 17J Cj'?'" ?
DATE
I FOOTING I
IA>VJ
I {g-t5
I
I
GRADING (Prior to Sodding)
BUILDING
I ELECTRICAL
I PLUMBING
I HEATING
DO NOT OCCUPY
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST 1'(.... J:P
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
~ 1I.1~.p(j
~Ip
~c ~b
hb..?~~
~,(o-rAj
. .
m
'-2
t/W
J1/)//
g-tO'(Jl1
~'(()4
.
J
I!lJjAV
4;7-
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
QIntifiratt: of Q1)rtupant}!
CITY OF PRIOR LAKE
:!Elrparfnumf nf ~uilMng Jlusptdinu
[{Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 110 of the D Residential! D 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:
SINGLE FAMILY 04-0497
Use Classification ~ Bldg. Permit No
D Q U
Occupancy Type
Type Construction
L2, B3, THE WILDS 6TH
Zoning District_
Legal Description
Owner of Buildin,i!
3241 WILD HORSE PASS N.W.
Site Address
H9MES, 20730 HOLYOKE AVE., #48, LAKEVILLE, MN 55044
/ DON RYE
City Planner
RATZLAFF
Contractor's Name & Address
ROBERT D. HUTCHINS
Building Official
Date:
Date:
1Iil'
"";'-
~~:,",
...-:..
,";';;".--;;, ,:'~"",,,,,,,,-""
~.,'.'
Wi'
PHONE NO.
't;"
WJLlksL
PERMIT NO. f..t - tfl/
nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 32l[/
OWNER
CONTR.
[J FOOTING
[J FOUNDATION
[J FRAMING
.e...~NSULA TION
.J"""<"INAL
[J SITE INSPECTION
[J PLUMBING RI
[J MECH Rl
o WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
[J COMPLAINT
o FIREPLACE Rl
tJ FIREPLACE FINAL
tJ GASLlNE AIR TST
tJ
COMMENTS:
. ~ ()
k -\ ~ (: \.,,.. 0 -\Zc ~. ~--=
I'"l
X.WORK SATISFACTORY, PROCEED
[J CORRE AND PROCEED
[J COR CT . CALL FOR REINSPECTION BEFORE COVERING
OWner/Contr.
50 FOR THE NEXT INSPECTION :u HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
uat<<J11
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .32 cf/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED I~
LJi \ ~ f.fz,~ e..
TIllE
CONTR.
PERMIT NO.
C/-tf/7
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.;.m::pLUMBING FINAL
o MECH FINAL
o EXlGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
tO~\:~YD ~ ~ (\
\ 1.'1"6 f/cc .ee;.r; fu-
~ ~~c.
/
~uL,
o WORK SATISFACTORY, PROCEED
XCORREC TION AND PROCEED
o COR CT '/ RK. CALL FOR REINS:'::n::FORE COVERING
C L ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
;~QUlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY'
UiSNOn
:Ulf I M Icll-/l'Nv ;c.i J
CONTR. Rc, Iz-~ 1+ I (IC..
PERMIT NO. 61./ - ()If'j 7
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE nIlE
SCHEDULED
lo-:J7()1( 3! 30
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMME~TS: I
{;d'q~_ & K...
f'.",,~ J7,A~ - to ~
,
,
SJ.-I
')( WORK SATISFACTORY, PROCEED
/ 0 ~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector. ~
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HE.4L71I & SAFETYl
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DATE TlME
CITY OF PRIOR LAKE lo/~/()'l
INSPEC110N N011CE SCHEDULED
ADDRESS 3':J. t/ I {J;kR. f..Iot"&o@
OWNER CONTR.
PHONE NO. PERMrr NO. if- '1f7
o FOOTING o PLUMBING RI o EXlGRADlFIUING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)f. FINAL o PLUMBING FINAL o GASUNE AIR TST
o SrrE INSPECTION o MECH FINAL 0
COMMENTS:
I. (;~ Gt~ 1'-s~0Vl WO,"" 5-.J- (\,11 9Q.1/-/7-'T83C
2, ~~O ~e4) "'..... ~ s/~.. t.:s
? J
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORR~RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector:' r OwnerlContr:
CA 7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETYI
_I
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