HomeMy WebLinkAboutBldg Permit 03-1401
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ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
5535' ~hoNL Tro..~\
OWNER I/' \ I~
(Name)h~v:,^-- ~ k~~~ SkV\e.~
(Address) 5535' SkoNL \Ib.~\ ~_ ~ _
BUILDER /!'" \ \. C\ I I
(Name)~ -e~\ ~ C'\('C)S_ H-OII'NL-$
(Contact Name) k ~ ~ 12.1'O\. ~
(Address) /SCl6? XS-br\.d Ui.e.w (20 _ N.L0..
TYPE OF WORK.
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
06~
$ ('?# '1// (}.O
$ ~h~ 3/
$ ;;;1.'}5,-
$
$
$
$
$
/ot),--
/{l:?,--
35J50
L!/J, -
This Application Becomes Your Building Permit When Approved
~ ~ /tJ//'I~~
Building Official . . , Date'
Date Rec' d
!fJ- J..-03
I PEfWIT NO. 03-/40 (
II
I. White File
2. Pink City
3 . Yellow Applicant
~,~ -
I Park Support Fee
I SAC ~
I Water Meter Size 5/8"(1"; , )
I Pressure Reducer -
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE tJt1M3tJ
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II
"
"
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ZONING (office use)
I( /SD
$
$
$
$
$
$
$ l5"a~ ,dt)
$
,~.o 0
'lOt ()~
-
10 .11.',10.3 $ 4 / tHJ lJfo
Receipt No.
i~y
I Paid II' /~.OIO
I Date ' /I).XJ, uJ
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance a4d may proceed as requested. This document
when signed by the City Planner constitutes a te"',M..r}' Certificate of Zoning compliance and allows constructi~1 to c~~ce. Bore 1cupancy, a Certificate of Occupancy must be
issued. .~ -I~izll ~ rEe 'n
lO.15.6b .- DNR. perrlll+. 0/'Ie.Y ~'Y)If~
Planning I irec r . l .. Date .. Special Conditi01' if anyW tt I \..
. 24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
LEGAL DESCRIPTION (office use only) , r-I,*/~ 810c.k.:;J.. D.V\.6 +k c...ues+ 30' D~ lot I? 8/oc.!;..;:t.
Lo-f 16/8'0~;1.,o.r\."b-#&eclS+ZS 0'7 I I Ii, I
LOT BLOCK ADDITION to()r-\-"'-S~NL ~rl- 1ID J.5"{)q6-{)d-~-o
Ii 'IilS-
(Phone) ?fd. -~- Qr;~q
~i'lOf'- l~l~ I'
II
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(Phone) q$-Z -4 I./D --t/9;;. tI
(PhOne)(i'! : CIs;). -d-QO'-34f6
-P-('l'Cf' ~~ Ii
Ii
,i
I,
)KI New Construction ~eck OPorch ORe-Roofing ORe-Siding
!SLower Level Finish (do) titFireplace OAddition OAIteration Ii OUtility Connection
~Misc. ~~\\sk olo he"',,-L -bc;~11o l\e'-Pig~cOST/VALUE (excluding land) $ ~~"I f) SD
I hereby certifY that I have furnished information on this application which is to the best of my knowledge true and corre, . 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 localla s 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 I that the city official or a designee may
;ter~:;:::~~ Oooms- 11 (O-Z-o 3
Signature Contractor's License No. II Date
~
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Building Permit # PID:
Address: '55'00 SJto/<t:, TF?AIG
Legal: L It> , B f)... Subdivision: NOl<I ti
Existing Structure? YES I~
Zoning: < ISD
I
SJ-tORE ~6br-
Existing Nonconforming Structure? YES@
YES II NO
CONFORMS TO ZONING
ORDINANCE
I Yard Setbacks: NA' FAilS' COMPLIES
· F ront Yard (can be 20' if avg. w/in 1 SO')
· Side Yards
· Sidewall exceeding SO' requires additional side 2"
setback for every l' over 50' long
I. Rear Yard
· Patio Door. make certain that a future deck meets
minimum required setback
· From 100 year flood elevation of wetland/NURP
pond
· From OHW (Prior or Spring Lake)
, Floor Area Ratiol QAILS' COMPLIES
I........-
I Yard Encroachments: NA' FAILS 'COMPLIES
Eaves and Gutters no more than 2 feet in width and no
closer than S feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
Tree Preservation: NA 1 FAilS' COMPLIES
. Total caliper inches
I. Can remove 25% of total
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L:\TEMPLA TE\BLDGLIST.DOC
Standard
2S'
10'1
25' if abutting a street
10' setback +
2"/1' over 50'
2S'
10' sidel
25' rear
30'
7S' or setback average of
adjacent structures, but no
less than SO"
.30 Maximum
Standard
'd(
Standard
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II
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II
II
Proposed
-, ), '1-3 (
101
10.q..0(
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nlo..-
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nlC1
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Proposed
1.5'
pnk:Ylcwn
Proposed
17/
4:(. ,,-S- L~ l0 I
Ij Lll U2S..u ~O
\ 1/ -I
C:;-:YVhite . BuildiiiQ:::::s
.i "'i11lldl Y . engineering
!: Pink . Planning
The Crnlfor of thf' take ('ountry
BUILDING PERMIT APPLICATION DEP,ARTMENT CHEfKLlSI
NAME OF APPLICANT ClMd~hJ I!
APPLICATION RECEIVED (J / ~- ~ -eJ 3 "
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propo~/Jat: . Ii r
s~35'"- ~~ ~~
ii
Accepted
Accepted With Corrections
/'
Denied
. r 'i
Reviewed By; - ~ ~ Date; /q-1't~ 3'
Comments: f ~ aL.I ~ -~ .' Ii
~~ ~ ~ ~, ~J':7-: -I ~
~~ ~ ~:/J; , .(J %d1GJ~
&iJ 7' J~ ~ ~!i 7S-t'
~ ~ -A, ~CJ'Y
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"The issuance or granting of a permit or approval of plans, I~pecifications and
computations shall not be construed to be a permit for, or an approval!lof, any violation of
any of the provisions of this code or of any other ordinance of the j~risdiction. Permits
presuming to give authority to violate or cancel the provisions of ~his code or other
ordinances of the jurisdiction shall not be valid.'"
" ~
..
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Th. C.n.., of lh. I.ak. Country
White . ~uUdlng. .
C.EIJY . i:~"1'g {'
<. '"'15'ii1k - - PlannlnClj.
BUILDING PERMIT APPLICATION DEPARTMENT CHEC,:KlIST
/",:'
(1'~1 (9-f~ ivtfr~'
APPLICATION RECEIVED (/ / t?~_-;;; ..0 '2
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is propos,<<;d,at:
~- .:S 55 - ,,::::r)"o~t e ~~.',~d--/ /~
'-
Accepted ~
, '
Denied
Reviewed By: (1~~
Comments:
Accepted With Corrections
#.~
v~ 1Y'<!-Lr\~ ~CJJl ~
~ to 6L ~~rl.
V'~Lf'..91 ~ ~cru.J ~Io~\
~cL> D- - Df\JT<- ~ p~
Date: (0 'f.03
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'The issuance or granting of a permit .t approval of plans, specifications and
computations shall not be construed to be a perrnit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the lurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid." II
White - Building
~~ - EnAln~blnC>
I, Inl( - Plannln
II
Th~ ('f'n.~r of th~ '"ake Coun.ry
BUIl.DING peRMIT APPLICATION D~RTIVJENT CHEQKLlST
':
NAME OF APPLICANT
APPLICATION RECEIVED
~, ~.
/'.1 ..:.-i~l fl':"-, ,'. ...,/,,,/
" 4 11'__""'('/ ,... 'i' /'1/..." ,I..,
.~!,,'l<l~. ~. l~ ~.:j ."..-
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The Building, Engineering, and Planning Departments have reviewed I~he building permit
application for construction activity which is propo~,~d at' ,
.-)- .r -:z C _/ / ,.-.:<, Ii /t
-' ~ J..J \~:::::r /if (;l- [. t \\<...--<:..../1....t-L.p., ~
!I ...........
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
.fiff!)
Date:
If) '-It-t)3
Comments: See Reverse Side for Additional Informationl
~I,/'
/f"... IItr iCt 5" 1I,'C. (j f'1Il? -iIi ~/~. r "'0/ fd f ~. ,." '1.
See Attachri1ents: 1) Grading Plan, 2) Rrmdon rontroll\deasrP.':'~
liThe issuance or granting of a permit or approval of plans, ~pecifications and
computations shall not be construed to be a permit for, or an approval bf, any violation of
any of the provisions of this code or of any other ordinance of the JU~I,lSdiction. Permits
presuming to give authority to violate or cancel the provisions of t~is code or other
ordinances of the jurisdiction shall not be valid. II
CITY OF PRIOR LAKE
11..EA TING/ AIR CONDITIONING/~Tl(EPLACE PERMIT
Date Rec'd
(Please type or print and sip at bottom)
ADDRESS
~. ~~n ~~;y I P~,RMIT No.A" ,dI1'
3, Yellow Applicant!i ~
ZONING (office use)
5535 SHORE TRAIL NE
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
rID
OWNER
(Name GEROLD BROTHERS
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-6~3-2561
(Address)
.2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-63~-2561
APPLICANT SIGNATURE
BRfNDA HUSTON
DATE
2/11/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTER!}\. TlONS
FURNACE MAKE AND MODEL FlJEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWann Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TRI-IPI X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39,50 minimum
$99.50 Residential, Additions & Alteratiorls
$64,50 Residential, AC Only
$39,50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
~ :JW~RMrr
(Office Use Only)
This Application Becomes Your Building Permit When Approved ,~aajd,:J
>.--..J '- ~ ' -]
Buildin2 Official
Date
I ~ 1 2 2004
Receipt No.
By
\ '
24 hour notice for all inspections (952) 44~-9850. fax (952) 447-4245
FROM :SOUTH MECHANICAL
FAX NO. :952 492 2446
Jan. 07 2004 10:51AM Pl
CITY OF PRIOR LAKE
REA TING/AIR CONDJ J JONINGIFIREPLACE PE~IT
Date Rec'd
lPlcue tvDe or Drmf and li8D tt bonom)
ADDRESS ~
5.(;36 ,5ha/7e
I. '10\ PlI.
2. 0.- ell)'
,. V'lIlN ""U.....
-p~fl,. mNO.^"C 14111
- 'i ~T"l/
,ZONING (oflict \/$C) ,
/ r~~/ /JE
LEGAL DESCRtr L .lc)N (otfice UJe only)
LOT BLOCK
ADDITION
~
OWNER
(Name)
(Address)
i:
'I
, (Phone) ~~~-~~-~~
~~-'"a... Cd' 8ve>Y-G--.s
\
/7-e(~ ~~'"f~ ~
APPLICANT
(Name~ c..51t7"r~'-
(Address) ,?/ ~~5
~~~-.-'e.~..L (Phone) q7.?--t~P',7-~/~O
/ I,
?dJ'?~~d ~ ...:.../_. _.4- Jw..-... $"!!;J:501.-
(Address) - (City) I (Zip Code)
~~,;- "d (Phone) 4'/2.-~z/-?'P~
h~~ ~~4'~ DATE
/ -i2',-t!:)r'
(Contact Person)
APPLICANT SIGNATURE
_ i APPLICANT PLEASE COMPLETE BELOW '.
, ~EW CONSTRUCTION 0 REPLACEMENT 0 AL!ERA !JON'S
FURNACE MAKE AND MODEL ~~........ 90 70 /~ dlJO dn<..~
FLUE SIZE RETIJRN 0 INGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
, . OWlItfn Air Plants 0 Steam
OOrlvit)' 0 Hot Water
~hnnlcal 0 Radialion
~ Canditlonlng 0 Special Dc:"ices
)4Yehl. System 0 Other Dc"iccs
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
. FIREPLACE MAKE AND MODEL _,','
Estimated Cost $
FEE SCHEDULE
J..!4 or job cost-- - Residential, Gas Fireplace
S39.50 minimum
$9950
564.50
tf J-Z I (1b6. CO
539.50
Industrial, Commercial & Multi-Family
Residential, Heating & AlC (New Construction)
Residential, Heating Only (NelN ConstruC1ion)
Residenlial, Additions &. Alterations
Residential, AC Only
Building Penn it " ().3. l.!/,o I
$39.50
S39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
$
PAID WITH '
BUWNG PERMIT
(Omet Vir Only)
Bulldl"l omclal
Dire
\~
!Dal~i~ .l.T LUUj I',
This Application BecomeJ Your Building PermIt When Approved
2.. hour notice for .Ulnspectlon. (952) ....71'9I5O,(~Jl(952)447-4~..f\o.
FAX NO. :952 492 2446
'.
CIT\' OF PRIOR LAKE PLUMBING PERMIT
Jan. 07 2004 10:52AM P2
lJ.\~ l\..:i\; \&
(PleAtc M!e or orint alld den at bnttom)
ADDRESS
.ff~f' (5.httJh~
;/;:e~ - / /1/ E
LOT
LEGAL DESCRIPTION (omce UJe only)
BLOCK
ADDITION
OWNER
(Name)
(Address)
IJ~-L rf. .&,.~,s-
Ak t.-v /l-;if. r t.-<. ~ .
=
-
.
APPLICANT
(Name) (: ~t.c,'-:L- ~~~~
Z/t;JO?' ~y.,<;;d "~
(Address)
~07'l~ cd
/?~'?ey
(Address)
(Contac[ Per$on)
~. ~!~ ~~lia~1 I PEiIT NO.~
ZONING (oftlee UIt)
p~o
~(Phone) "4'-~vo-~~
(phone) ~?:?~~- ,7''YC;
J prd"'-- ~. S>_~,;z....
(City) (Zip Code)
(phone) k/Z,-Z~- .:fi9.<?~
~,~ DATE I-i!~ -0 L(
APPLICANT SIGNA 1'tJRE
Quantity
;-
(
/
t,
/
I
/
I
tI
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (J or 2 compartment sink
Shower 8tl\11
Sinks
Bar Sink
. Water Cloget (Toilet)
QUAntity
APPLICANT PLEASE COMPLETE BELOW
, ~ LL SCHEDULE
Indu~lrial, Commercial &. Muhi.famil)' 1% nfjob cost wilh a $39.S0 minimum
(omet lJle Only)
.I
Ty~e of Fixturo
Rough-ins
Water Heater
Water Softner
Stand Pipe (Wa$hing Machine)
Sewage Ejector Ii
Backflow Aggerpbly
Backtlow Asse$bly Test
Lawn Sprinkler r,
I Other
/
Residential, New One &. :rrwo.Family
Residential, Additions &'!Alterations
~II ~ ".._~n~~1
E!itimated Cost $ /~I tJtJO~ Building Pennit fI ~
PLUMBING PERMIT FEE $
ST ATE SURCHARGE $
TOTAL PERMIT FEE S
$99,'0
$39.S0
PAI.Q)WITH
IIUILOING P~RMIT
Thi~ Applieation Becomes Your Building Permit When Approved
-..-.- .--.----.------- ..--
~, I \ I Receipt N
\ Ii
rD~"N O. 7 2003 \ ij \ By
Dalt I ' ' -'1\'
14 hour notice tor aUlnspecllo"s (951) 4~7~';~O, tn e9g) 447-4104.~~
\, __ 'o! __.._....:.__._.___.._--"
Bvlldlnc Omtlal
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
.'\
SITEADDRESS S5~S ...PHtJ# IIlA/L It/,I, ,e-
NATURE OF WORK ~14J ClJNS~G~
USE OF BUILDING S.~ D. .'
PERMIT NO. OJ - /4-() / DATE ISSUED 16I1cfiJ, ,: .,
CONTRACTOR ~UJ ~S. ~ P~z. -ZIO-.JC.SC.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPEtPTIONS BELOW
'J THE PERMIT IS ~Y SEPARATE DOCUMENT
,J~1I4 CJ~ ~ ~r[2c-f~ "~l!t~~R DATE
~ FOOTING LA) /L le{~t>J~ T~ I tlrw/t0 I
I'
, FOUNDATION (Prior to Backfill) I ~~ I ~ l jJ.Ot't5 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
SEWER I WATER I SEPTIC
FRAMING U Ir ./
INSULATION
ELECTRICAL ~
PLUMBING 44. II t~ I~
HEATING (if requir~ ,~.r,~. ! '. 4;;I,L-,' i211,~ I~ .
FIREPLACr:<~~ ~~~ ~ ~/ I$/d-f .
GAS LINE AII~-TEil( ~.~ i::b:. ~~~ I, ~\ ~~ ~ ~A t)'< 'z"I.~/L;if
COVER NOWcrRK UNTIL ABOVE HAS BEEN S'IIGNED ~
.
'1(,A1N~ ICII~ru~1 I
FINALSN6
VlN/
~
tJ
'2../18 lot.!
3.-2.,"1
.
~
.
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
,f" -' I'
{) ,~ .U)
S4/~~\
fdJ y.~o
r-
VVV/
UNTIL ABOVE HAS
NOTICE
G" / G-o '1
BEEN SIGNED
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 I.nd additions
where no service cabinet is available, card shall be placed near main entranc.,.
FOR ALL INSPECTIONS (952) 447-9850
QIerfifitaft of (0trnpantlZ
CITY OF PRIOR LAKE
~tpartmtnt nf ~1til~ing Jlnsptttinn
~ Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Buildiflg Code certifying
that at the time of'tssuance this structure was in compliance with the various ordinances Id the City of Prior
Lake regulating building construction or use. For the following:
Use Classification .
SINGLE FAMILY
. Bldg. Permit No.~-l An 1
Occupancy lype R3 _ lype Construction VN Fire Zone N / A Zoning District --B.l..SJ1
Legal DescriptioJ.2T 16, BLOCK 2, AND THE E. 25' OF LOT 15. B2. lIT .30' OF 1. 1 7, 'R2
Owner of Building _ Site Address 5535 SHORE TRl\IT. lif. F.
Contractor'sName.&Address GEROLD BROS.. 15967 ISLAND VIEW RQAILN.W.. PRIOR T.AK'F. ~5372
ROBERT D. HUTCHINS . City Planner. DON RYF.
. ) r:/ Building Official
Date: ---j1/ 7-2J..j)5 Date:
~"f:"~:' :;';II''';~''';t-')../;:~'r;,,,,,i.!~, :" 'iiitlt '~irill"~ I;~i~~l ';~.: ~~;f.l,r:l'.l,,;~ \ :,~_.:~~j~;r'~"Ll;~':-;':':; ;j;~",,j"w~:,,'~~)i,' ,11.." :~ ~~"":k':,~
; L1~:H)i,> '~, L;~"2i,:'. ~ ~,~~~
~,,,;,~; J.,;,".;~;.,~i'-'.;\oI,~.J;;,..!c';';,;, i:..X
,:;;./iJ.';,~.~~.;~L.'t"";":;:!L' :l~~t";:r','~'.;.'~' "
DATE nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ -g,oS
PHONE NO.
SS!$" Short- Tr~,,1
CONTR. ~I"DV BrooS.
PERMIT NO. 03-/'-101
ADDRESS
OWNER
[J FOOTING
[J FOUNDATION
[J FRAMING
o INSULATION
j(FINAL
[J SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
'it... ~ILLlNGI
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINA"-
o GASLlNE AIR T81
o
COMMENTS:
6Trt~- OfC-,
wfb ~$~ (:) K-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:.t?1~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAJ'ZH J'/
o. I..~ I, j J
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED t( - '30
ADDRESS
553>5 Sko~
.I t
OWNER
CONTR.
PHONE NO.
D FOOTING
D FOUNDATION
o FRAMING
~NSULATION
FINAL
lYE INSPECTION
PERMIT NO.
3 -/401
D PLUMBING RI
o MECH RI
o WATER HOOKUP
D SEWER HOOKUP
\!iYPLUMBING FINAL
YD"MECH FINAL
D EXIGRADlFILUNG
o COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
~r:i~ I
COMMENTS:
t.~~
':i v 0.~ .t=-c,ot- 'M TU 4/<./ 7 - 'B ~ e
s. () ""f f~ J& "t.' ~ < 0...0 VLU.~.l...~..,\
...
~RKSAnSFACTORy.PROCEED
1(CORRECT ACTION AND PROCEED
o CORRECTJ<<5R}. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ( / r Owner/Contr:
I 1
CALLf7-98 ~O FbR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUl ~ENTS ARE FOR YOUR PERSONAL HEALTH at SAFETY/
/ msNOTl