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Home My WebLink AboutBldg Permit 04-0924 {Please tvoe or lrint and siltll at bottom} ADDRESS .3 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT Date Rec'd White Pink Yellow ~- Lj-6 q I PERMIT NO. 0 4-. 09zA-- I File Cily Applicant e~ u:idL~~.IId-,;tJuJ ZONING (office use) 12/ LEGAL DEtCRIPTION (office use only) LOT II B"OCK,"<" ADDITION ul:~.J (Phone) % ~ Cj~ -3 9t:. fJ. L . , -. I'~J m/lJ~<.~Z)~Lj BUILDER l' .I ~ ~ (COmpanYN,meL.1!~A'M !J. ~<1/ (Phone) iS~ >?9.<"8'1vR (ContactNane)~A_._.~________, ) (Phone) '15:~ ?C),<""rs'Y'tf (Address) I t3 I J ~ . _. . <; 4=:u;O 6""~ -' .-. nJ 0_ , (YJ pt) Ss .....'=?l'JG.- ~,I' , I . TYPE OF WORK rslNew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace LJAdditlOn OAlteration OUtility Connection 0 Misc. OWNER I' (Name):J..A-r~ (Address) " €4/ ~ " ()fYY\-<1f ~ V I?~ .s::t:.W. PIDZ5. .3~2. /37.0 CODE: !.I ..C. OLB.C. Type of onst uction: I II III IV V A B Occupancy GI lUp: A B E F H I M R S U Division: I 2 3 4 5 PROJECTCOST/VALUE S j..<~ Z'J?)LJ (excluding land) I hereby certiry tha I have ti.trnished information on this application which is to the best of my knowledge true and correct I also certify that I am the owner or authoflzed agent for the 1 above-mentIOned J: .operty and that ail construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building :fi~~11m" fm rt tause F,uth"m '( I h",by ''''IT thot the "ty offi",[ 0" des''.2 7':;t" 5n th, ptOP'''' to p"focm needed ;7u", t) Slg a CmUmetor's L,cense No W 7" Permit Valuatilln Permit Fee Plan Check F el State Surcharg( Penalty Plumbing PenT it Fee Mechanical Pel mit Fee Sewer & Water Permit Fee Gas Fireplace I ermit Fee I ffI91./JI)t),07J $' I 1~99SfJ $ 10 3 ct.'-? I $ 9'>. 50 I $ I $ ItJo. Del $ tt)e>. 00 I $ ,~S-o I $ ~CJ. Dll I This Applicatio 1 Becomes Yow Building Pennit When Approved ~~n~ ~/;{(o~ Park Support Pee # $ ~() ,dO I SAC # $ /35tJ , aTJ I - Water Meter Size 5/8'~ $ 3Dt!J.O~ I Pressure Reducer $ '70.00 I Sewer/Water Connection Fee # $ (2..00.00 I Water Tower Fee # $ 700.00 I Builder's Deposit $ 1500. 00 I Other I $ I TOTAL DUE M1M-n ~,I f ,04-' If ~ qRo./A I ./ Paid y, qat),/o I :gYNO ~7EU".J I Date '{7 U. ~ff- I IllS IS to certify thi t (hc request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requcsted ThiS document en signed by the ::ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a CClltficate of Occupancy must be '~'~ Planning Director f?) 3/0 't' I Date 24 hour notice for all inspections (9.52) 447-98.50. fax (9.52) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 ~ ~ \~~.7 t1:iJ Special ConditioIl'!;, if any .Permit' ._.......3/ fi' ~ '-dLJ dIllY'::' C it-.. ss '_'-'- METRO AIR .Tntera/Signatur. ~ ~ Q!!! Ii!!!! Poundo ~ .aas UM Pressurized 100_ PERfORMANCE TEST 'Pe,_Co" t., 'rO/a 'P.._co C'~ .........0" _7. li'% 'slackTemp./O 7(1 FjfYIlnspec:lion Oale '"-~x PR/OIi' <" !::: ~ u '" White . Buildinq o:'"t;anarv - EnaineenRl:t:. Pink - Planning . Th~ (-tnl", of lh.. L.h Counlry BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr NA ME OF APPLICANT \, V 1,'\) r ) I!\! C. '..['1D I I 1 .-- . .-/ V V H () ~ /--:. ~ '~'. ? ('.:4-' () . -' . AP :>L1CATION RECEIVED Thu Building, Engineering, and Planning Departments have reviewed the building permit ap~ ,Iication for construction activity which is proposed at: ::~ I 't 0 L\j I L () H 0 /2 c: E- PA <""5 N vV Ac( epted x Accepted With Corrections Derllied Re, 'iewed By: /lflA jj- Date: '7-/l/-0Lj Cornments: See Reverse Side for AdditiQD~llnfnr'llation! iee Attachmentll: 1) Gradine Plan, 2) Rrosion C.ontrol Measures "Thll issuance or granting of a permit or approval of plans, specifications and COrT putations 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 pre~:uming to give authority to violate or cancel the provisions of this code or other ordi lances of the jurisdiction shall not be valid," ~x PRIO.." <: t ~'~ U .;r; \White - Building-:> Canary - Engmeen"g Pink - Planning - rhr (.rnlrr..f the L.kt Counl.,.. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST NJ! ME OF APPLICANT AF PLICATION RECEIVED WINOWOOD l-InHSS 9J.3. 04- Th 3 Building, Engineering, and Planning Departments have reviewed the building permit ap )Iication for construction activity which is proposed at: 3/00 IN/LD HQ12.55 PASS f\IW /' Ac ;epted Accepted With Corrections De,1ied Re iliewed By: ~ ~.d /.2/..f' ~ Co 11ments: "Z/e,{)F- Date:6fl7? 'f ~, -- "Tt e issuance or granting of a permit or approval of plans, specifications and cOlnputations shall not be construed to be a permit for, or an approval of, any violation of an~r of the provisions of this code or of any other ordinance of the jurisdiction. Permits pre suming to give authority to violate or cancel the provisions of this code or other orc inances of the jurisdiction shall not be valid." i ~~ Ue~' lh~ ('tnlrr of lht 1..l<t ("ounu.,. BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST WME OF APPLICANT AJ;PLlCATION RECEIVED \ \ I " . 1..../\\((0' Y ~=. (<'+-~ t~ - ,- / \ . ! (l--. Th 3 Building, Engineering, and Planning Departments have reviewed the building permit ap llication for construction activity which is proposed at: " .' ( (' I- i ~ ~ i l ' I I , ) I I i<. t:... i-\ i '-J , .' - , , ~ Ac ~epted / Accepted With Corrections De nied ----- I.. RevieWedBY:( {~ (h.~Y1' Date: a f zs-I vy , J Cc mments: , "T 1e issuance or granting of a permit or approval of plans, specifications and co nputations 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 pn lsuming 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 tvD~ or ,rint and sign at bottom) ADDRESS 3/88 w:t/..I) I-\OI2St P~Sf; rV.lAl. ; ~~:w ~ii~~. I PERMIT NO. C..1- U--:J/I/ 3_ Gold Apphcant / . 10'lj? / ZONING (office use) LEGAL DI SCRIPTION (office use only) LOT ELOCK ADDITION PID OWNER (Name) It) 'X-J/l W"'6~ 14<>MES (Phone) (Address) (Address) (Cily) (Zip Code) APPLICA~ T (Name) I) IL E-$ HU ~)(.C, ILll2 Toft.;::..J (Address) WAY (Phone) CJS,). - K'J.}. - t ~ O~ L~kL V:CLLI: .r ..JOI-JLj (Cily) (Zip Code) (Address) !?lAYCI-I APPLICMITSIGNATURE r ~t-.-- ~~/ ~ (Phone) DATE jolt/oW (Contact Pe rson) APPLICANT PLEASE COMPLETE BELOW Size of water service ~ inches. Location of any couplings from structure -. Type of sewer pipe. 0 ABC I ~ PVC Estimated length of sewer line If 0 feet. Clean out (if required) located at ~ feet from structure. feet. o Cast Iron Estimated Cost $ $35.50 $!7.50 ,,0 '100. FEE SCHEDULE Industrial, Com'! & Multi-family Water connection only 1% of job cost with a $39.50 minimum $17.50 Residential iewer and water line connection Sewer conn :ction only Building Permit # SEWER AND WATER PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 B Iilding Official Date ~ 0 llv I Paid [JJ j) (VI IJl:fA-fJLf Receipt No. (Office Use 0 .Iy) This App lication Becomes Your Building Permit When Approved 24 hour notice for all inspections (952) 447-9850, fax (952) 4474245 Be (/ MATTHEW DANIE~$,INC. 4iil3 21lWl' P."l "lit. a'C'd ttt\' tiP' flUOR LAta rLtJMtitNti ~ERMt1' q>le:ue ~ tit! aIIdlt1llll.C bollcll'll . AODRJ!~/~e ~)~J~OQAQ)'i.*. . I. t!:OAL ~CRl:Fll0N (cill.. tis! only) LOT II Bt9Cl< r AO0I110N ~~ J, J l:tD PW ............ g;='~~"'i~~"") . .. ;"..,....';..... w.iJJt ...: rAddr~tt~~}. ..'. ':'1h"~' ..&.) ~JJ1jlLlThJ'+C::J~'1 .'~ " ~ '""",IIiIl"" Al'ptll:ANlt I . ; ""'""" (NlIllltJ~lLI.J) ,A;JJJ/.lJ)f~~11 (FhCIl\!) f.E), ~..AIIl. ...111M (AddteSi) ..Ii!>.!l.ltt.l . (lJij,j A ,I/tlll. .:U1>il-;, qlM rY. A.LJJ.r. '-Ii j) ~.68' (Addl'&." (Clly) (ZiP Cade' (e"......'" ,i)I,;,~ ,. ",,,,,,,,.. oC~ A'llU~~SIQNA1'titiJ;. ... .", ... ..' . ..... .t.r.~~~ dAd.' .. '. ....,. .... .........~~ .', L. ,.~lft1iAJ(t..LtAStt:tJM'W~TttJ~l;)WHI..;.. t, 1.~.~ijt=1 . .......'. ...... .. ...._..,...t.. Qtii1l1.ty. ......'.......Jl1le.bfmtut:.. u........ J. . . IB~tfl'~Wltllbt.~ltntl!i!~~w~t . . ...j. t1~II!m ..... .... . . k::~ fr~t' }'-, . .~ '~ ..H Ih ...II~~~~:~.:.::,,~~'f,~,:... ~ slit oi'Y atroolll Sink) -- -... . I d Pljle (W~lh!l1i.t~hltlt5 I Laundry Tray (lor:2 compartment sink I Sewage Ejflctar J Shower Stall I Backflow Assembly I Sinks I Backflow Assembly Test IIt..L. Bar Sink J 1,1... I Lawn Sprinkler ~ I Water Closet (Toilet) i Other j~, ~it '1l>~k.Mt'rNOihA .~.L . It.ill. .\iIiI....I. ... . .....,...~ . Td~lINO (ol\1te _I . ," FEE SCHEDULE Industrial. Cc mmercial & Multi.family 1% of job cost with. $39.50 minimum Residenlial. New Onc & Two-Family $99.50 Residential, Additions & Alterations S39,50 Estimated COSt $ Building Permit # PL~UNGPE~FEE $ STATE SURCHARGE $ I TOTAL PER.lmT FEE $ BuilllnE om.I.1 14 hour notit< for.U inspectiollS (952) 447. mo.,~_(952),447-4245 ~:~ Dare (Omel! Ute Onl, I This Appllc .tlon Becomes Your Building Permit When Approved NO. 831 P 1 1J1Ile Rcc'd U'l!::I$s! tyDl:: 0 oliut anc.1 shIn at tJOlLOIll) I Al1j~RESS .~\ '9.. V-. \,'\ ~ \ ~ ~t.-,.l ~ ~~i~ N hi : :i::" ~:~ I PERMIT NO.U_ Q-"Ad ~,'l'cll~w ^1'I,n~nl ~~ I ZONING (om""..) LI\OAL D lSCRIPTlON (ome< u,. ollly) L'J~\ lLOeK S ADDITION W, \ ~ J ~.J\ ~;;:~c~R \.\', " 0.. \A \,) ~ ~ ~ I;;;\~~ (Mdrm.l ,,-\:,~\ '(...,,-\""\ {-\,I\. ~ 0v.~",!.\\.\\i PID (Phone) "\S;L ~~i~~~'11..\ ~ 'S S '")a-1, APPIJCAH r '^ \ .,-' (l'{a1Ile) \f\'l..~("\, ,~\,... _L n (.. (MdlC!s) \~,,~~\) \J\(.\I(\~ f\y,-- (Addt"'l (Cvn!acl Porson) N t.\ V\ L.\I S L.\-\ \;: "" \ \. APP;,ICAlf"!' SIONATURr, ~~~,'1 J..-\"h (Phone) ~ S :),.'"\\.\l- 't\:;J.\( ~(\()-\....\ll.. ~~ S5,S-'-;), (CiIY) (Zip Code) (Phone) c, S:. ~ - "\ '-\ (. ~ \ I") \.\ IJ A 1'13 Al'PLICANT I'LEASE COMI'LETE BELOW ~EW CONSTRUCTION rU!1.1iACfi 'vtAKE AND MODIlL (l....."...~ \"" FL0a SIZl! '('Vc... RETURN OPENINGS TYPE OF SYSTEM . , ~Ilrm ^h' Plnnlll EjOn"'ily o Mc::eJllllliclll DAI' Con~hlonlng .rg.Venl, SYSICIll o REPLACEMENr 0 ALTERATIONS 'f'r'\ \Iv? - ~ {j. c;,~ FUEL N ~-+. -, INI'U"t ~(). ~ OUTPUT "'-f- ~ , HEATING OR POWER PLANT D 51el1111 o Hol Waler o Radlnlian D Spcclal Dcvlocs o Olllcr Devie" I'LI!:ASIl NOTE: Air Conditionol Units Cnllllol Bllcm.eh Inlo Required Sid. Yald Solhack! FIIUlI'LACI i MAKE AND MOllEL Indl'Slj 101. t:o nrnercial & Mnlii-I"l1Illy RC~ld~~'lal. I ealing & A/C (New Consl,ucllon) Rc\idclllinl.l.c'ling Only (Ncw COII'lroollon) FEESClIEDULE 1% orjob cost Rcsi~cn1ial, On, I'l,oolaoo $J9.S0 mlnilllulll S99.50 Rc,idemi.l, Addilions & Alieraliolls $6tSO Resldenlial, Ae Only $J9.50 $)9,50 $39.50 ESlill1.tod Cost $ ~.$" (\ (\ ~ Bllildlllg Penni1 II HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE $ $ $ .50 .,.'" <.;,~ ~ :-:.>.1', ".\,.;.,~.~, > .."J,r /.... l~..~:......':., ....;., ~, .,..ft;~ . .".".t,..... . /,", (OI~" U.. Oily) Thll AI'l'lkallon DecOllle. YOUI' Building I'erlllll When Alll,roved Ih Ihl1n( orne1.1 I ,,,-,.. n on ~,. ,.'. .;11.1 Reeeil'1 No. 1"1 ,i~"'Jf~ ~ II \Ii,! ir.! .. ;{ flail" ~ - I, ~ l3y ,il. OCT 2 8 2884 ~1 24 hour notice r." nlllllslloclioll' (?51) 411/l9J50, rnx (952) ~47.4245 - I i'-'v I UIlle --t- FAX 7635530887 GlNERS BUILDERS SUPPLY CITY OF PRIOR LAKE HEATING/AIR CONDITIONING/F1REPLACE PERMIT ~001 Date R~'d I ~"j;~s~mintand,,,,,,.tbOltDm) :5/ !,? wi l.hY0>e..5e ~r.H . LEGAL r: ESCRlPTION (olliee U!e only) LOT BLOCK ADDITION OWNER (Name) (Address) APPLICA '<']:., , ~ ~ (Name' C-1I/~,:~,j !7Vlt.-nl<:"E dtJ~,P(. ..., (Address)/3c/oS'" /~J3.JfJ/ N. /J (Ad_'J (Coneace P :rson) 'rhof'l _ Al'PLICA -IT SIGNATURE w../L.(..;t:/", ,,""1-- l. Pi~k ~ cm~ ). Vellow ~:, I PERMIT NO.I'\L ALl "!LtIil..- ^pp)icalli ~ ZONlNG (office...) PID . (phone) (phone) 7~-:: Pt;-,tHdO!Tk (Ci<)") (;'9 </i/t,t. 3 .PPI '" h~dd / - (Zip Code) _(phone) '7t.~ /,,'1</ L/t.,~5 DATE /1/1/"<1 . Ii APPLICANT PLEASE COMPLETE BELOW J$J..NEW CONsmUCTION 0 REPLACEMENT 0 ALTERATiONS FURNACE MAKE AND MODEL mn'''-,,"''!IeA/I.3:2~/)VI/I34> FUEL Nl'f""-V~A'L FLUE SlZI f. ,,. RETURN OPENING INPUT .2~"t!fP OUTPUT 1YPE OF SYSTEM OWarmAi,PI",,1S o Gravil)' o Mtthanic.al DAir Conditioning OVent Symm IffiATING OR POWER PLANT o Slcam o Hot Water o lUdil1ion o SpttiaJ Devices o Other Device,; rlll!yf'<.A'/ PLEASE NOTE: Air Conditioner Units Cannoe Encroach into Required Side Yard Setb.cks FIREPLAC;; MAKE AND MODEL FEE SCHEDULE Industrial. C< mmcrcial & Multi..Family 1 % of job cOSt Residential, Gas fireplace: S39.50 minimum Residential Ileating & Ale (New Con"ruetionJ $99.50 Re,idenlial. AddItions & Alterations Residential I [""ting Only (New Construction) S64.50 Residential. AC Only tt! Estimated Cost $ / ~ Building Permit # HEATING PERMIT FEE STATE SURCHARGE TOTAL PERMIT FEE (Office Use Oily) This App ication Become.o Your Building Permit When Approved B.ildl~ OfIici.1 DAte $39.50 $39.50 $39.50 $ $ $ .50 t" t.,.. t.,. .~.J. ?~", . .>i~', ,~~.:e- { _'~~~.. ij\f!~d ill 1,IJ'f{ov 1 5 2004 , Ii Receipt No. I I I,BY 24 hour notice for all in'peelioM (9Sl) 447j98S0, fu (952) 447-4245 PR OR LAKE I SPECTION RECORD SITE,~DDRESS 3189 LJ~ ~4JI-..A'- P"I. ~.~. NATURE OF WORK Nf:kJ ~--'..1;-/.-~ USE OF BUILDING S.F: O. _ PERr-vIIT NO. 1)4.0'fz.4- DATE ISSUED ., 0'( CONTRACTOR .lAli~ DIIJMCLlh..as PHO E ~'If'l' NOTf,: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATF DpCUMENT rn I ~ /2 t,-1'4SPEr:TOR DATE , FOO riNG (Jl1J6l'LfU Na. ~5 - tV . ~ I I ~ /p~ p~ ,. ~ , FOUNDATION (Prior to Backfill) I ff L> """ 0 -.r? PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ~'f< tv,y: M /d.>~1 ROUGH - INS SE~R/WATERISEPTIC I ~# <...../~ . FRA ING 1 ~-#" //~ 7/cY INS LATION ~ ~~ ELEGTRICALI A I ////~~-/ PLUI"BINGI ~ l/f/151M HEA'tING (if required) ,I $#' 1 ////0;/ FIREPLACE I 4# I /~.?/o/. GAS LINE AIR TEST /It,,,, ///I' //I~'.d" ~ I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED r-- . 1lA1>IG/Cu07t~ .m~/~/y,v, I , ~\Jk~'v.:.<'~ FINALS ...-' GRA )ING (Prior to SOdding)) A/L? ~1c)"'7"{jr BUlL DING ......--~ -\.e, ~+~.,- 11 {) ELE<;TRICAL V PLUI\nBING HEAtiNG DO NOT OCCUPY DEPARTMENT OF BUILDING AND INSPECTION q~~ Nt: if} 1-111-<>>' .(j} UNTIL ABOVE HAS NOTICE 8-I-ch J BEEN SIGNED 1 his card must be posted near an electrical service cabinet prior to rough-in inspections I1nd 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 .- CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ?I~~ \V;~ -\-I~~ OWNER CONTR. PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o JI'ISULATION ftFlNAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: _'/ 11"5 r L?4~> .fL (/ f-- ( DATE TIMe q -"2 -o'J l.{ -'12.'( o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlfig AIR TST It- c; .LT J: u k'SATISFACTORV, PROCEED o CORRECT ACTION AND PROCEED o CORRUJ' CALL FOR REINSPECTION BEFORE COVERING Inspecto: ) ,11 OWner/Contr: CA ~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE, CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY/ JNSJ<<)Tl - -----,.,-.--.--- _._----------~-_._."- ('-J7 31~ 1rJ.:Jj H{)fse P~J;5 CONTR. jA/,.J~ tY/ -C;Jt/ , ~ING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS OWNER PHONE NO. PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~AL o SITE INSPECTION o PLUMBING RI o MECH RJ o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: c.urla ~--~.( (?"t:dLr.~ ,?#: DATE TIME =<13tJ r WORK SATISFACTORY, PROCEED ~ CORRECT ACTION AND PROCEED o CORRECT WORK, CALL FOR REINSPEcTION BEFORE COVERING InSpecto~__ ::lwner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. lNSNOn CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS ~A lJ ,1& .J.-b. OWNER CONTR. PHONE NO. PERMIT NO. 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 COMMENTS: I. M...'...~ ~oSl~ c1a1-'M (' 2'/' ,,1 <? I{..,.!l.. Srr't<-U.. Dh'u.Q.. "'^<>.><. ..., '< s. r:;--.J (p~ ,,,,",,,,iP . l..,.~>{l ~ ~ .,f-1'~ 5. f'..v-ktif O::rvy- n ;- 0 ^ v, -r:'1A> J! SJ.oc,. ~ - - T~ h> /' B-1 -0~ DATE TIME /tin~ q-<fZ'f o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o (;(,." - s..;.. 1,1/00, ~"~ ~ (.1L,~ o WORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED J CORRE~CALL FOR REINSPECTION BEFORE COVERING Inspector: Owner/Contr: CALI. 7- 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. v U<SNO" CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS slBP. LAW u,~ OWNER CONTR. PHONE NO. PERMIT NO. 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 )fit PLUMBING FINAL o MECH FINAL COMMENTS: (,&~ ~i2f p, GIUf' Q~ o-H S. fV\ IH k. "C/7-'l~:lf?:' ~'" ;:r~\~" DATE (~ TillE (f- 121 o EXlGRADlFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o o WORK SATISFACTORY, PROCEED )( CORR t" TION AND PROCEED o COR RK, CALL FOR REINSPECTION BEFORE COVERING Inspecto : Owner/Contr: CA'r::I.. ~7~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. COD~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! ,,,,,,,,n