HomeMy WebLinkAboutBuilding Permit 01-0169
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3-5-2oo{
I.White File
2. Pink City
J. Yellow Applicant
I ZO;~; (office",,)
(Please tvDe or orint and si2l1 at bottom)
I A3l6D ~ocd d0C- ~ d\' 1'0f
LEGAL DESCRIPTION (office use only) \
LOT If, BLOCK f ADDITION TN> W / Id s. '3 \l1
PID25-337- O/b-O
OWNER
(Name)
. BUILDE~/c
(Name) I'
~ A./y~
(Address) J
J --Bu: tdt -~
(Address) l::. SOL 1Sc-1 S..>W\ L "'.
~ ----
TYPE OF WORK ~w Construction
[JLower Level Finish
(Phone)
l)~"l+Oh.
7~ ~ - 7/;). -14.J t/
MtJ SS~d(
(Phone)
[JDeck
[JPorch
[JAddition
[JRe-Roofmg
[JRe-Siding
[J Fireplace
[JAlteration
[JUtility Connection
nMisc.
PROJECTCOST/VALUE (exc1udingland) $
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
a ". ,_:...~:, ~';!o_",,_~abOVe-mentiOned &rii_.~d that all construction will conform to all existing state and local laws and will proceed in accordance with
s 'tted pl-ns. I am a that UI~Ul.l ~tli' c revoke this permit for just cause. Furthermore, 1 hereby agree that the city official or a designee may
;terup ~ '~erfO~eededinspecti . \ ~ 3/ 5:-/ 0 ~
~ - Signature Contractor's License No. - Date
/88,"'- < .90
I Permit Fee $ 1.1.'~,S\ I Park Support Fee # $ 8'm.aP I
I Plan Check Fee $ . '1 G,c" .2v I SAC # $ 1 I <;;n ri5.)
I State Surcharge $ ~q .00 I Water Meter Size 5/8"@ $ ;}Si'J . otJ
I Penalty $ I Pressure Reducer $ I)('J.()~
I Plumbing Permit Fee $ Jon. r!JO I Sewer/Water Connection Fee # $ I, 20". d6 I
I Mechanical Permit Fee $ / ()() .oD I Water Tower Fee # $ 1') ()O.ar' I
I Sewer & Water Permit Fee $ IS" SO I Builder's Deposit $ l --m .~C) I
I Gas Fireplace Permit Fee $ f(o . CO I Other $ I I
.
I TOTAL DUE ~ $ 8.64-'Z.. 31 I
mes Your Building Permit When Approved .3-14--01
3.7-ltYJ/ I Paid 5S~Z.3 I I Rec~~~. ~ '31"
Date I Date ~. ~I Bv/ ~
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
~~d~'ii:i~;;:ns:m"sa"m~cmill;/~;p~cemd~~rn~~Ct:J~e~ ~
Pfanning Director Date - Special Conditions, If any- ... ,
24 hour notice for an inspections (952) 447-9850, fax (952) 4474245
~~
b \ ' Ol 10 ~
Thl'C..nll'r of IItt IAk, Counl,.,.
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
T/~ 8U/LDPR.S
I
3-S-()/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3L~() W()()D bur.A::::- DRIVe
Accepted
Accepted With Corrections
Denied
Reviewed By: VJ.2....b-,k-
Comments:
Date: ;3 - 7 - 2<:>0 l
~a1l(t~~
"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."
~RIO<9
C),c~<''7
,-_ "f.
u rn
Dl..()/Co,i
Th~ Cl!'ftll!'r of ChI!' L.kl!' Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMlLAPPLlCATION DWRTMeNT CHfCKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
T / (I~ 8u I L.r)~R.S
I
3-S-()1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
32!)() 'v\J(iO DU(~K DklVG
Accepted
v
Accepted With Corrections
Denied ,. '4
Reviewed By: .~~ix ~~
v
Date:
3/q/~(
Comments:
)''-IR- ~K.,~rkV.A}I---,~ tJt~ Rr ~~
~~~ IA~ -i-~~ lQ.Od>h) <:{O ('v-vtu
~ j 1 - -
A-~_ ~ANw~~/.J ~iY~~~ ~ ~
~eL-. ~lk9v- ~~s LL6JF;;-)4O
"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."
I
J
.,. - ~. ....'. "'" " ";.. "",.- ',:."' \ ~'~,;, '. ..
b~ ~61~G ,
,,,.
ThfCfntfrollhfbkfCOUllll)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENTC\1ECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
T/(i____ BUILDERS
I
3- 5 -01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
32 ~() \N()()D lJUrA(.. DR I vE7
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
A/f111
Date: ? - e;.-& I
Comments: See Reverse Side for Additional Information! .
"
::see Attacnments: 1} l:iraolng Plan, ~} erosion (,;ontrol Measures
3) Erosion Control Plan
"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."
,-
III vel
t.' I r\ (IF PR 1 Uh l..:\I\E
Data R.e'd
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CITY OF PRIOR L.....KJ: PLt;~lBING l)ERMIT
_~!,yDe ifnnt\t I CU!1IIl. aON'l'IC..l
. ,..15J)IU!SS
32.?P ~() () d ::-D l.lC!..1:
r. ' --'--
i LEOAL OESeR. ;'"rION '01'\0< 'J'" "..,)
I l.OT '~!LOC: ,
,-
4.D D rc 0" ---t-Iu..
L..<.)l /(15-5J ~~(
'lit)..... rd.
: 'J..ld :;i:t
1. v........ ""1.....'
: PERMIT NO. /-1"7
1
I
I ZONING:_...,
I
L--f&j)
I
.!l.r:J5 33'1 O(J-o
I OWNER
I 0.llmt)
,
,
! (-'<l..l",..)
-C4--E IA e~
1~:i9 I 13d.::;_R!Y\
.-
__._____ (Phone) Z ~ . ?/2' -/~~" I
'. -f.W.-~~~1 ..J
I, ~.~--~Tl4-~fc~i _._
_~.'-:ld.:)r "'___ :Ion.) ,'?G> 3 - IV a? - 2;t.z I
.L_.1.L._____f..; · "'2r' . .ss.3o~..
. ''Y) (ZIp Co4t)
i AI'PL1C:A."IT
i IN.me) ALii .I ~ q ':J:' r.
I - :H: ",x.f.'
: (....:ldr...) ~4..__.2____.t:,-
I (AO:~~\'
I r---
! (Conti" Penon) ~~_
,/
: APPLICANT 5K ,ATUR.E .. ~~
f ~-~,._.~ - - --.-----
._:l_o:cli(~~r=:.,._._==..
~IC.\KT PLE',~-.- , J
Qllanllly I ,. F ,~'Idur'; -.--....,... I, '.".,
~. _ ~ I~: ~::.~"hO!..:;"ll"_U1S~(".e':..,..__..r~:_F
I I I f' ,or Drain -- - ---...-- -- u
I'--:L- '1'1: Vlll.lr;-.ahtc;;;' .,,11- --HT'
L . l~, .andry TnlYI .;( 'rllcnt
-/-"Di ,,,,.r Stai' ...
--, , si ;r;---
Ie,.: S,n"
i VI :ter C;C~itt C ,-:;-;
'-'-'J
lt1d.:ufri~l, (:l;mmel' .I&: J'lr\U~l:'-i:' :~
.~
';1 '~l .lIo\H~I;). ~x,.~,),~ Jnl,
Eninl<:. ~~
<jj~K
_,~_-t'..dr:'\lG r'[:l'~.\/
'; St'tf '"J.-
:.d. Lx>,,;..v',... LF.
("m,,~t,;.cOQI)')
1 This "'pplh:ahon e(.ome~ Y () - ~
.,~ II' ".11 ''f',
B"ildin. ~jri it'
n.."
c..!.
','1
T.,,;
one) .2te,.~ l./::r7 -Z:iJ? /
"=-~__.~.IYo/ _, ,--
1: BELOW
I Type oU'illtllr;-
, Rough-ins
..-1
: Wale' Helfer
I Waler Sonner
--r Sland Pip. (W~h;nK Machin.)
. Sew'lIe ~..tor _
.J B.c~f1,,'" AS$cmbly --
I B.ckflow NsemblY Test
-Tto"", Sprinkler
....lEthe,
I
-;
,
-:J
q;~lcr:f'ltill. l'ic.... OnC!: ~ TOlt'g-f'Jll"Ull' $)9 SO
,.;:::r;enIIAI. Addition.j A AIt.rauQOS SJ9 :HJ
,
'lit 1#
BlJ/! ':"AID Wi'T:
, Oo4IIN(3 P. H
'ERl'v;rr
,
-'
so
-...----
__-----[ ~:ec~ip~ So
-~ -1-:2/-_. : By
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,
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(~s:n ..1.....1..'
or../'
1/
l.:lTr U1' rK1VAI..J~~
REA TING/AIR CONDITlONINGlFlREPLACE PERMIT
, APPLICANT PLEASE COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT [J AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPB OF SYSTEM HEATING OR POWER PLANT
OW""" Air PlanlS 0 Sleam
OGravlty 0 HOI Wator
o Mechanical 0 Ro<liation
OAir Conditioning 0 Spacial Da.ice.
OVOl1L Sy"am 0 Other 0.,.1=
,FIREPLACEMAKEANDMODEL ~,...'-,-, " f--(.ONe:S~''''(
FEE SCHEDULE
1 % .f job cosl ll<ll;dentiel, 0.. Fi.-eplo""
539,50 mInimum
llesidential. Healin8 & AlC (New ConStruction) 599,50
Residenlial. Heating Only (New Con"ruction) ~ 564.50
..;or , a$,
Estimated COSt S ~
CP1cue lYD<< or ar;nt and sit', ..,t bottom)
ADDRESS ,.. .
3t?sD W'OOO{)U~ j;);e.We
LEGAt DESCRIPTION (ollIe. LUe only) ,
LOTI BLOCK \ ADDffiON f) } ~
OWNE~/
(Name) / / (1
I
~ rd-
/i?vl LLJt.D7':>
(Ad.drcss)
~~~"'W:"" "..rP~'" S"WL4
(A44rcs.) \~l.lClC I r:::"i L\ It\V~. N. PU,~ """LJT"l<!
(Addrefis)
(comactperson)~",I'A\""" ~ ltLA€2..<t...
APPLICANTSIGNATU~P....-e.e (' ~
IndllStrial. Commercial & Multi-Family
..............."'...........
~ ~-:. !~iQnt 1 PERMIT NO. 1- ! ~ 9
I Z~u~e)
PI~b- 331-Qf ~-o
(phone)
(phone) 2te3 c"qt.j
H....... ~ <; L/t./ I
(City)
1../ iI.1i2S
(phone)
(Zip Coda)
?~3 ~qt.l L!-(,C4"3
h I/~/~
DATE
PLEASE NOTE:
Air Conditioner Units
Cannot Encrollth into
Required Side Yard
Setbacks
~I '"3(,:,
$3950
Residential. ^dditions &. AltcTalions
Ile.idential, AC Only
539,50
$39,50
Building Permit H
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PER.'mT FEE
IOmcel.ln OOly)
Thi. Appllcotion Becomes yoqr Bqlldinll Permit Whe. Approved
Bundlnc omci~l
DII/::
l' hour noti.. for oU in.p..don. (951) 447-9850, [
IOO~
SSaHdi3 SH3a1IUa S.H3An~
$
$
$
PAID WITH
BUILDING PERMIT
'-
.so
I Re:,eipt No.
IB~
v-
L990CSSC9L YVd ~C:Il nRt---Y0/tI/90
04/2&/2001 12:19 &12-427-380&
01/01/00 ~ 11:(( y~ BIZ(111218
DAVE PERKINS CONT IN
\;lTr U~' I'K1UK lAAJ>
PAGE 03
"""UJ,.
_....
Y&UIIW' .. ~ -~"
... . arr..
CITY OF PRI.OR LAKE
SEIIU AND WATIlR PEMI'1'
NOTE:
s.w. No. t)/- 0/ h 9
SeWer and. Water
~ontr.Q~or. MQat
be relJiatered
with the City_
PHONE: 7(..3:'1.f2-7.C)/o ~
DATE,:,
BLDG. PERMIT f
PIo.;),5-~~1-01r.. -0
SIGN,. VRE:
S:ITE ,00RE55:.,32,&;0
DIM P.rlrIM CDatDctlng I..,
14230 Basalt Sl N.W.
t\la'u~~"), :.::Jt!iL'":':t: .
,,"PPL]: :ANT:
, ADORE IS:
FILL IN THE
BLANKS
50'
reet.
1.
Elti~ated len9th of wat:.~ service
S...ze of wate%:' service I inch(es).
2.
3.
Lloation of any ~oup1inq.
trolll structure
pve ~ Cast Iron
50'
feet.
teet.
4.
T 'pe of sewer pipe'. ASS
Eitimated 1enIJth of sewer line
s.
6. C,ean out (it requir~d.). located at:
e. ,n:I~tur...
r.et
from
_____I~.___.W...__.____._~__~===___
. .,------------
...IEii:IG:........._.
This ~p~ication becomes your pe~it when approved.
BY. DATE:
--....- =--_.. ...._...........:::11___.... .
---...-....----
,,_.I::I::la___
P'l!:ES:
$ 35.00
$ .50
$, 35.50
Sewer and water line connection permit.
SUrC:harqe
TOTAL
* y, a for either sewer or water individually is ~.~ plUS
$: , . so lllu:eharge.
· So wer and water permits issued for ,new construction must be
r. corded on the buildinq permit card at the time of 1..uance
~. insure that no duplicate sewar and water p.r~r; VIIfM
1.: sued.. BUILDING PERMIT
OAT!: : AID Lj. - f7.1.o/ AMOUN'l' PAID
~t!i:';)~~;i,;.:;.l!:'C"'B'..~' T'..II, :':,:" 'BEC'O BY ~ /" ~
~~~.:." ,.:~t .n ..~. . ", ;", . j': /" /~ ',i.;'"
U
'::~ "r~ ~J CnckA". $.E.. Prior ~ =::~ SSl~:":':~612.) 447-4130 I PAX (612) 447~
....
..,
CITY OF PRIOR LAKE Me
11200 Elgie c..- Av. 8.E. Pnnil No. 1- / b CJ
.Iior LaIIII.1IN lI5311
w
\!
Q.
OwnefaN_
AIlct.-
,
..u.d
.. · Ilt"f
Edt.
I7l
I7l
~ Clm.
"
l'l
"
N
....
'" AI"."
Olher DM:ee
TYPE OF WORK
R . "'" .,.
Ell - NM ConeIUCIian ~.
l15W.~"~ ~ 1^/^1
_.. Pennll .~
....~
In
OJ
..,
Ell. ClIIlI
.... HEATI4G PERMIT FEE I
N
~ STATE SURCHAAGE I
......
I7l
~ TOTN..PERMITFEES I
In
..,
.50
8u1l ~""D WI!1t
..ulNa P~l'
"-'" t
1._ ...
~- - aor
J,_ ~
o
S9 FamIy
c, ,,'"
TYPE OF !iTRUcruRI;
. --- MIIli-Femly
~ T_fMlIy Oller
- PuIIlIc
lndu8IrIa/
Fee Sc:IledUe
IncIuIlrW, C, ., I & MIJli.FomIy
Re.idInbI. Hedlg & N:;
R..... H.Iilg Ontt
RlIl~III"" Gas F ," .
It ,:" I, I - I J AdcIIorw l Al8lIIIionI
RIIllIInIlIiL /It::. Only
.% 0/ job aMt (I3UO "**-'1
_.50
SI4.50
131.50
131.50
".50
RemImber 10 add lhe S... ~ an lI1e bGlIam of lie 1ppIlca1iall.
The price 0/ your healing permll tncMlw _ rough-in .... _ IhIIInIpKtan.
~ _.-pecllo.w ... be blIId ..135.00 8llI:h.
H_ " TBIt RecanI..... be NImilIed with IIiIIIIIa DI/IIIlIlUlllllll beIDN bulId-
WIg c...... oIl1OCUp81lCy wi! be iIIUId.
.I:E6I !"..AI ClJLQ'lQN!l RECUlAEn wIh IUIlbef DI-. .... NUn ' " " --1*
- will CIVI..., ',' " ,........... Of 8IIIIIol.. .... __ plIn wlIIlIlppIJ
Ind rwun I. _ '" , lIhown. HEAr lOSS CAJ.CUIAT1OHS. PAYMENT AND
APPl.lCATIONS MAY BE M.&~ A\ 10 TIlE CITY OF PRIOR lAKE. tl200 EAGlE
CREEKAVE.S.E. PRIOR LAKE, MN 55372-
CIy HIlI ~ MImI... 8 1.lII. - 4:30 p.rn.
All WORK IIUST BE INlIPECTED (ROUQI+lN AND FINAl)- CALL crrt HALL
~7"'DO
.
I hereby apply lor 1 mec:II&nicaI ~at_1 permit and I acII , ", ",ellllllh
inlonnalon Ibow II camplele Ind acurall; IIlal till MIlk will be In con/olllllnCe
wlIh till onInancea inti codee DlIIle c:ily Ind wltlllIIe eta. bulding/mlchenical
codN; \hat Ill. rv~m nol become. permll unll ligned by IIIe BUILDING
OFFICIAL; tllal.IM _I be In acordanee with the lIppt'ovH plan In the
cae 01 lilt wodt wtl _if.. fevlew and app~ of plana.
~/~/()I
0IIe
.~:l-q--o I
DlIII
ir'/jF .
BulkIng 0IbI'a"SI/!ni.tuN
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3~S"O Ld.d. '\)')t'_k
NATURE OF WORl<NeLU
USE OF BUILDING 9,f::D
PERMIT NO. 01- Offoq DATE ISSUED 3 -I - :loot
CONTRACTOR -d(C' ~dthJ-s PHONE-2{"~~71'2-~<(
NOTE: THIS IS N A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING 11LV~EcrOR I ~)1t41:~
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC -0 ~ 6/./0)pl
FRAMING ;g-_~ "jri.J~1
INSULATION "R _1)'Woj ~ll/l'Jol
ELECTRICAL I' '
PLUMBINGLlP~.l' "'~/"I~' C\~~ toilt\/O(
HEATING (if required) -:g- 8rAi1 \ ~1i~Jpl
FIREPLACE 4, \ ~ t? t{~1 01
GAS liNE AIR TEST ~ ~ 1313.101
COVER NO WORK UNTIL ABOVE ~AS BEEN SIGNED
I I
FINALS
'liT?
~~
"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
\
IQ,,~~'()I
gJ,7}OI
.
92.\e>l
f3 I,JIJ/
BEEN t S'IGNED
~b
OCCUpy UNTIL ABOVEf HAS
NOT!C!:.
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.
Call between 8:00 and 9:00 A.M: for all inspections
FOR ALL INSPECTIONS (952) 447-9850
~~'~~~~,,;..'~~~- - - -.
!:~:~~'.';~.::~,:.,-~.,:.~'r~~~~"i)'f .'
(it.: '. "~"(lt."'
(7-
~i" QLertffkat.e at ~cnqranry
~~' CITY OF PRIOR LAKE
,,-
it~ I 1Department of .uilbfng .Jn~pedfon
~t~ ') ~Fina1 Permitted 0 Conditional C.O. Expires
(~:i lhisifycertiJihacate u..~d pUofrsuant to theh requirements of Secti/on 307 ofh 'hhe Uniform Building Sotf.~
( ~c' certi ing' t at I,,~ ti"", issuance' is stnu:lUre was in comp Umce wi' t e various orditl/UlCes oJ t,,~
(' ~, City of Prior Loke regu/Qling building construction or use. For the following:
.,.;'
( ."
(~~
(:,:;;,
i~
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(~.
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:~
(.,.,
Use Clusificatior
SINGLE FAMILY
Bldg. PermitN". 01-0169
NI A Zoning District PUD
Occuponcy Type R3
_Typec..""___~1lIl VN FiJeZone
Bl, THE WILDS THIRD ADDITION
3250 WOOD DUCK DRIVE
Legal Desc:riptio,'
L16,
Owner of Building
,c;:,t,e Address
Contractor',NlIIl1C.t:AddreIa Tic BUILDERS, 13501 BALSAM LANE, DAYTON, MN 55327
ROB,ERT,'D, HUTCHINS DON RYE
&Jft: Cily PIaDner -
, ilcli"ll Olt1cW
I.JH1t ' () I Dale:
- I' POST IN A CONSPICUOUS PLACE
Date:
i"
...... \ ,
:_,
,'iliIiiiiii1Iio"
~
ADDRESS
-32- So
DATE TIME
SCHEDULED {C/"..(Ol ,A 7/,
tJ-~~Drz.,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
C I ~ fa to '1
o FOOTING
o FOUNDATION
o FRAMING
M INSULATION
rr. ~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFIUING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: S.J"\, . c., rse..a....., I
~""'&, ~(l)V~!-
~/'- c..O l .
,f!(9~e '~"';\e.-/"
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: q .U(LJJJJ Owner/Contr:
CALL 447-9850 FOR T~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
,-"',
DATE TIME
SCHEDULED f /3-0) /4--1
3;;250 I;.)o~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~LUMBING RI
o MECH RI
o WATER HOOKUP
" ~EWER HOOKUP
~ ~LUMBING FINAL
o MECH FINAL
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
P FINAL
o SITE INSPECTION
COMMENTS:
-
Nn 11LL..p~MlJi1A
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o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
tv 0 FIREPLACE FINAL
~SLINEAIR TSTM
(""') r
-h: tAQ\
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK\ ~LL FOR REINSPECTION BEFORE COVERING
Inspeelor: b ~ \)0AAt~ Owner/Contr:
CALL 447-9850 FOR THE ~EXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED (f> - .;2.3-)
3~S6 /.ncd~
CONTR. rA: i3o,'Urs ! 1; ((
PERMIT NO. 0/- ~J,:;q
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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~~RKSATISFACTDRY.PROCEED
. 0 ~RRECT ACTION AND PROCEED
o CORRECT ~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~~ -Owner/Conlr:
CALL 447.9850 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL REALm & SAFETYI
INSNOTJ