HomeMy WebLinkAboutBldg Permit 05-0255
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
White
Pink
Yellow
File
City
Applicant
(Please type or print and sil[ll at bottom)
ADDRESS
fill' ( LJ)
/to tC-J' E
3zff5
LEGAL DESCRIPTION (office use only)
LOT.] BLOCK 4- ADDITION
iVfL,GS ~",
OWNER
(Name)
("..v,^ ~"-'<J--' tfJI..'X. f'J A tZ.#/'-J
(Phone)
(Address)
BUILDER \ /
(Company~ame) 10(1-./"'"1 (. VS.n,
(Contact Name) K,tyrl 'Tl/~'-;
(Address) / 'dlrO f!-J.'C~ ;t~.
H,I_.t:.
(Phone)
(Phone)
.rrT1L
-f'l..v~ L~K-AC
/'1_"
Date Rec'd
3 oOr--
T, -:J
I PERMIT NO. 05'. OZ551
ZONING (office use)
IC-j
PID 2-5. /f12. (J 2-1. U
$rz.-LOYZ .C'7'''-/{j dr-<ff'
'j,'l' zzr;,-;Jff(;o,ckY'
TYPE OF WORK ~ New Construction DDeck DPorch DRe-Roofmg ORe-Siding DLower Level Finish vfFireplace
DAddition DAlteration DUtility Connection 0 Misc. r
CODE: ~I.R.C. OLB.C.
Type of ~nstroction:
Occupancy GToup: A B
Division:
B
S U
PROJECT COST/VALUE $ itbc. .., LI. v,>
(exdudiug land)
i hereby certifY that I have furnished information on this application which is to the best of my knowledge (me and correct. I also certify that I am the owner or authonzed agent for the
above-mentIOned property and that aU construction will conform to all existing state and local laws and will proceed in accordance with submitled 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 property to perform needed inspections
::, _.f ---- ~. 2D/LfzlSY
:'-.0.-~ S' C ' . N
19nature ontractor's License o.
I
I
NfUCV ..,. .'-.OS" I $CJ I') ') Z
'f. l.
I Receipt No. W'I);lu
By Cl
r
I
E
II
F
1
I1IIVVA
HIM R
2 3 4 5
x
Permit Valuation
Permit Fee
1;;l6 tJ,'OOt1,O 0
$ ,;JiJ /7, . ~O
$ / 30-lr, 7K'
$ /30.00
$
$
$
$
$
Other
TOTAL DUE
Park Support Fee
SAC
Plan Check Fee
Water Meter
Size S/8"(~
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
ttJCJ,OO
IOO,DE>
gS-,~6
4tJ,O()
Builder's Deposit
This Application Becomes Your Building Pennit When Approved
. I . .......-
I Paid --r- /1.... L)'J
I Daw7;'-",,' j t> 0
'"1 U-/ 0(' I' 1J
~~f.-o
Building Onicial
S/Z/2--!c s;-
Date
3-9-Cif-
Date
#
#
$
$ /Lf~o,oo
$ 300.0 0
$ 75".00
$ /500,00
$/0"0_00
$/'S"oo, fJO
$
#
#
,9,
I
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 constmction to commence Before occupancy, a CCrlificate of Occupancy must be
;'~ Z~e:: ,rL~t: ~ alj ; : ~
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~~
/While - BUllalng!
Canary - Engineering
Pink - Planning
Th~ Crnlrr of thr I..kt ('ounu'~i
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
y{JI&W/i r (!,iJJ7l)/'1 !-IofVI6..s-
3 ,'1. uS-
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: A / )
:5 2- 1-13 /t1!/I.-D HO/i'..J'6 (/;:;SJ /v'f1/
Accepted
Accepted With Corrections
/'
Denied
Reviewed By: ~ ~
Comments: R~ ~ ~
~ ~, Jl':hJ.
/u/
Date:
r
~
3/2-3/()~
" ~
~~
"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."
....
.~x PK/0fj' (
t ~'~
u .rr.
White . Building
&;"'Y . Enaineering
Pi . "IBnn~
The (enlerof the I..ke ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
y. I "II IV
(~~ (, I I //tl,(.;
.., r-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~,? "'- <{ f I h. ;,/! c C- FI-I.;J jc..!I/
Accepted
Denied
/'
Accepted With Corrections
Reviewed By:
Comments:
~~
~ o.f2.J
~
~
~
v
Date:
3/23/oS;
, ,
"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.. - Eluilding
arv ~ ~nginAArm~
Pink - Planning
Th~ Ctnl~T of lh.. l.akt' COdnery
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST:
NAME OF APPLICANT
APPLICATION RECEIVED
L,.', ...' \.
,. /, ."."1' ,/
/ J c.... {
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f
Ljt' ,<",'
I rCI', L.',-
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(' i~-
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-:....., '.,~'" 4~- (,
"._':-' '-'" J L-'
'.' ,',' /", r'/
j.t"} <-~.1_' . f{
.,'" >__ .' ":.., ,-' f'
. 1_' I.,-/., '. ,
'-' L~,,' l rJ.' .1._1
.' .'..' .,/'
,1''(",/ i 1/
Accepted
J<_
Accepted With Corrections
Denied
Reviewed By:
~
Date:
:? ..IJ-tJ5
Comments: Se:e RevF!r!;p. Sirlf> for Addition::!llnfnrm::!tirml,
D,.,'vt. ;""y r~tlJ"m .a./d A-I. (tPv~;~;, r.u/6 ~101O
See Attachments: 1) Gradinl!" 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
4-. 1/. oS-
; ;:::w ~::~ I PERMIT NO.ll~ 025..c1
3. Gold Applicant Uv""' J I
(Please '!ype or print and SiiOl at bottom)
I ADDRESS .2 '1.u 0
UtA H"J W ILiJ HOI?.<5E ~ As<:
ZONING (offic, use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PIDZS4-/2.. 02..(, D
OWNER
(Name)
Yo,fu)f/ y rilSrDlYI t!OJ1JE Bu lJ.-tJt3/C.'S,. (Phone)
//117D '"RICE t(o/frJ y.Jt)()~ L;1)(!3
(Address)
(City)
9.52-~~ -d5lf:'/
653;79
(Zip Code)
(Address)
APPLICANT /' ~
(Name) FtAJ /if lQgj}fJC ~c.
(Address) /3u; f}JlI-fllts ST,(7~81
(Address)
(Contact Person) lit' A)NJ..t:- J!Jr, It );.I.L./ /9;t1J<;
APPLICANT SIGNATURE ~4? - ,
(Phone)
Sjf/} KO/'EE
(City)
(Phone)
7'6'{?-,2.33-/~()o
.57379'
(Zip Code)
9.~g::..,i';33 -/6100
~/d'/{)6
DATE
/ /
APPLICANT PLEASE COMPLETE BELOW
Size of water service ) inches.
Location of any couplings from structure - feet.
Type of sewer pipe. D ABC IXI PVC D Cast Iron
Estimated length of sewer line -1ifL feet.
Clean out (if required) located at - feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $ Building Permit # () r, 0 z..s-d B J
SEWER AND WATER PERMIT FEE $ /~N1 0 b
STATE SURCHARGE $ ~50 p". f) (C-"
TOTAL PERMIT FEE $ /./ BlJV
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
P~
. Da4 /1 / /()~
Receipt No. - I
-s:-JlUL_1 ,
J
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
'------..
251PM
METRO AIR 952-447-3126
ern' Ull' PIUOR LAKE.
HEATING/AIR CONDITIONING/FnmrLACE rjj;I<MIT
6'"-:.. ;).5'r
I
NO. 236
P 1
Dale ltec'~
i,rink
2,GR.CIl
,. YeI\D'"
~:~ fPERMIT NO.
Alljllitl/ll I ~ ',:";"-;-.. O~>S
(PllOIUC: \'li. or Drin! and siM at \)otlom)
AQDRESS
5d- ~ ~ \-\,\ ~ '" tl.... s,Q.
I ZONING (,,,,,,, ",,)
L~GAL DBSCRIPTlON (onico UIe only)
LOT BLOCK
ADDITION
1'IU
~~~~R \j 1;:)1/" W (.1.'/ \\ () V\A..1
(AI)dIOSS) \ ~ \1' Q ~\ ",,- ~o..
p,. " \)- \,
\ " \\
(1'hono) ~ \ ~ ..\. 'I, 5' . i \.\ Cl \
S' C, 'Yl '),
AVPLICANT '" \ -,-
(Name) \<\'l....l,;:(\, ,." \,... -\-1'"\ ~
(A~dross) \\s., ~ ~~'J \J <:..\ LU!'"\.\ 1-\ IJ '-
(AddJ1:'s.
(C~lIlnct Pe.son) N l..' V\ '-\/ v" ~ '- \ \.
BPLICANT SIGNATURE ~~ ~ L~~4.
(Phono) ~ S ~i, \.j W1- 'I;, \ '), \.{
Qr'c.l-~"'\li" N0 .S~"')Td,
(CllY) (Z;p Code)
(Phone) <-I <; ")... "\ \.Ii {. ~ \ l'} .>,.\
DATE
Al'I'LlCANT PLEASE COMI'LE'I'E BELOW
I ..Q(NEW CONSTRUCTI9N 0 REPLACEMENT 0 ALTJ:.RATIONS
FUI'NACE MAKE AND MODEL (,",vorl~"" $'~ Mt.~ -\<:1<:\" \ \ FUEL Iijo,,+
FLllESIZE ,,\1 (. _ llETURNOl'llNINOS 9, INI'UT \~: G<:\::l_ OUTPUT 9'1, "cr3
TYPE Ot' SYSTEM HEATING OR POWER PLANT
., ..!}Warm Air Plnnts
oOr,vily
1Sl Mechllll;eal
-BAir C01JlJitilJlling
oVe"l. Sy,tem
OSlo""
o Hot Waler
o Rn~ia\ion
o Special D,vi...
o .other Devices
!'I.EASE NOn;;
Ait Conditioner Unil'
Cl1llllol11neru~ch into
Required Side Yard
Sclbnck~
FlI\~PLACB MAKE AND MODEL
InOI15II1II, Conllnerci.1 &. MulIl.r..nlly
trEE SCllEDU LE
1% or,iob cost ltcsitJolllial, Gns Fircpll\tc
$39,50Inillianul1l
$9~,50
$61.30
$.l9.50
ReSjdenllal. lIenling & NC (New Consl.llelioll)
Residelllial, 11..\iIl8 Only (New Construction)
l\e,ldClili.I, Mdillon, /I'. Aller.liulI'
Re.!idellllnl, AC Only
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT 11EE
$
$
$
$J9.50
m.50
8~/)
1~G~
'~.f1"i"
E'limated Cost $
\ \ . ~~~ ~
DlIllding Petlllll U
.50
(0111" U.. 0111)1
1'1111 ^pl,lIeatlollllccomcs Yoor Dulldlng Permll When Approved
u"n~I"R OIOcl,1
8c . ~Itr r~ n \1:1 i: ~.l.. Receipt No.
I 0j' Dal~' '.1 u 1~ fjy. (\-.
D.(, i ,i UAY ? 9 2QrE 10, l.cJ-..-. "-
24 hour 1I0!lee I". nil hUlln"iOIl' (952) 441~~85D, Inx (~52) 447-4245.1 U
'"'' ..."'" ............... "'-J.......:.
.....1 I I UI"'" 1"'"r"'.~Ur:. L..1""l1"'.c,
:;l";~<'+"'I"'c::.......>
1"'".l:J.l.'~.I,
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~l=e!"P". <1' Drint andsim atoo..",,)
I ADDRESS
3~49< LO~\c\
l:~.. ~:~ [PERMIT NO.'" 1i_1!:li...
3.y.D~ MIlUtlIml- ~.r~
H () r- Sc
~ C\..s 3 I ZONING (,ffi",,,,,,) I
LEGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PI!>
, OWNER
(Name)
"I 0 '\ /.AJ a.. '-1
I
c. u ~ fo ff\.
(Phone)
(Address)
APPLICANT /J (', - ~ \ Q I
(Namp) I'") r J--.J l'" r- <, 12'-> I,) \ \ de.~ ,~U l'-(? 'j
, ::-n\
(Address) f ?;,'Ios /5 A-tJcY/{) (
f"\ ^ /"'0. (Addte,,)
(Contact l'exson) IU, J I ' If;
APPLICANT SIGNATU~ b?J/I I11r ffA
(pbone)
(phone) 70'3 -t"C;y - y/;t 5
jJ/ U Mc)(;/ h
I (City) (Zip Code)
710 -5 "'1e9'V-<(t,th~
S-hSl/or
DATE
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 RJ!PLACEMENT 0 AL TERATlONS
FURNACB MAKE AND MODEL SLl () () T /" 0 0 FUEL 11.Jct.- + a I.( S
FLUE SIZE s II RETURN OPENINGS INPUT OUTPUT
TYl'E OF SYSTEM
OWann Air Plants
OOravlty
o Mechanical
OAir Conditioning
OVem. System
HEATING OR POWER PLANT
o Steam
o HOI W."r
o Rarli81ion
o Special Ikvi,cs
o Other OIlVi,..
PLEASE NOTE:
Air Conditioner Units
Camlot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
IndUStrial, Commercial & Multi-Family
Residentilli. Heating It Ale (No", Construcdon)
Residential. Hoa"ng Only (Nt'" ConstnIotion)
FEE SCflEDULE
1% of job cost Rooide",ial, OIlS Flrepbu:e
SJ~.~O minimum
$~9,50 Residential. Addition. & Alter.nic..
$64.50 Re.identiol. AC Only
S3g,50
539.50
539.50
Estimated Cost $
Building Panni! #
REA TrNO PERMIT FEE
8T A'fE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50 PAID WITH
BUILDING PERMIT
(om" \J.t Only)
Thi3 hppUc1ltion Becomes Your B\lildiuS Perroit Wbeta Approved ~j" ',~ !~l.i Receipt No.
. Ir)~ ;, .,1 Ir'\[:1BY
Pa", I ~ JtJ~ 'l~~~ i "~I,
Z4 hour notice tor all illlpeeliolll (~SZ) 447 ?~~. tax (952) 4474245 i~) l
'olC.,nn 'C"..._I... r"___'_ a.. _.... __ _ 1
n.,ildiog OMd.1
mTAL P.01
Bv --
----..--.--.-- ---~-~-_.._--
100~
Xlddrrs sHacrlIrra SHa~1~
L880CSSC9L XVd 6C:ll SO/t~/SO
PRIOR LAKE
IN:SPECTION RECORD
SITE ADDRESS 32- ~ 8 WI '-0 Ii 0 ese-. .
NATURE OF WORK Ne;k.) c.o~ior\ (.\JO c...c... Fi ~'S" \
USE OF BUILDING ~. ~ D. .. -
PERMIT NO. 05. ()Z55 DATE ISSUED~ %-2../0 S
CONTRACTOR Y.c.&wA.V CUS'tJ)..... ~~ PHONE~2 -z.CfZ.-f.CfClV
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUII:DING AND INSPECTION
I Jom
Ie; III lot::)
. .
, FOUNDATION (Prior to Backfill) I I I f
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I FOOTING
~SPECTOR
ffiD
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~
we.. PI?
ffl
ffl sI2D~"
. i
Ct -/~
(7~t,~
COVER NO WORK UNTIL ABOVE HASJ3.E'EN SIGNED
It-J4rHE / N()I,fS',IAJ/lA,. I /!-IW fl'J 'l"r
, FINALS -
GRADING (Prior to Sodding) /I/"!5 _
BUILOING;Y7C/j*-~.l //~~J~'#~-- (Ih
ELE(;TRICAl ,.....
PLUMBING P'\ r..
HEATING M.r_
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
/b./?,OS-
I' I'R IDe.
'11, f)'} ~
BEEN S(GNED
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
QIrrfifirdr of @rtupttur1J
CITY OF PRIOR LAKE
~tfla:rfmtnf of ~uilMng J/nSfltdion
)1Final Permitted 0 Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section no of the D Residential / Illnternational
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 F~~ILY 05-0255
Use Classification Bldg. Permit No.
Occupancy Type
R3
Type Constructior
L3, B4, THE WILDS SIXTH ADDITION
VN
Zoning District
Rl
,.
Legal Description
.
fit..
Owner of Buildine:
Site Address
3248 WILD HORSE PASS N.W.
ROAD, PRIOR LAKE, MN ~5372
YORWAY CUSTOM HOMES, 18170 RICE
Contractor's Name & Address ,/, 11
ROBERT D. HUTCHINS / (/{/1)
l,!.!
City Planner
JANE KANSIER
Building Official
Date:
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
fO-/7-cS-
PHONE NO.
?~'i1, ld,tl /1t;rJt Pc,s.5
CONTR. Yorl.Jc,,/
PERMIT NO. OS, 2S-S-
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"9:EINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ EXIsftiillFlLLlNG
o COIllLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~-~t
(.lIlb &1- oK.
X. WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. 4U ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNO"
ADDRESS
dir;)
:1;1.. 11 t-U )7d !~fS ~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO.
&:.;./ ~
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o )'tUMBING FINAL
)If MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o F~LACE Rl
..J;J--f'1REPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(D LO// 4 ./iJ.." / e;?c1; ~~
~ /f/~~"'/ ,-\O'd~ 1A,~'i ~ L4~ /.J~~
C;1 '/ /
(} ~/u'r-i ft~~ ~/ J.f'kco
~ ~",~./h.cy /.4-<?-_ ~
/' .
7~~~.
..--
~ / ---
~h-/ //~/~
{,a,
,
.
..,-
L..c:.-L' ~
o WORK SATISFACTORY, PROCEED
~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FO REINSPECTION BEFORE COVERING
Inspector:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
HiSNOTl
DATe TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
8 - <J-<:::t::r
ADDRESS .12l/8
(),),' (J lI6,."'L
OWNER
CONTR.
PHONE NO.
PERMIT NO.
<i - '2 <;"~
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
;8'PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
CO.~'_ r l~r-
I. ~ I.()
2 , A iI cc.,D<:.<" {:"
'f t{7 - <fa rr:s
Ul.-'i'=( ~
o WORK SATISFACTORY, PROCEED
)( CORRECT AC]ION AND PROCEED
. 0 ~RR~ ~RK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto : _...-? Owner/Conlr:
CA 1 -985~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""""TI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5;;'~~
OWNER
PHONE NO.
o FOOTING
JJ-FOUNDA TION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
r
I
-
I
I
't
-
SCHEDULED ~
tU:~ Jt..tc, ~
TIME
CONTR.
PERMIT NO.
S.'29>l
o PLUMBING RI
o MECH RI
)j:. WATER HOOKUP
1,ll SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
\
I
L_
:::r~
&.
I G"'*I-
~
I
I
_ ,r r
,,"U'"\.J''' J
tLG~ ~,~u.X
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORRE~WORK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -98 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ