HomeMy WebLinkAboutBldg Permit 04-1137
CITY OF PRIOR LAKE BUILDING PERMIT,-~ [~ ~0 [E, fl n~tdi~-f. 'd
TEMPORARY CERTIFICATE OF ZONING COMPLIAN( E OCT 1 ..
AND UTILITY CONNECTION PERMIT Z 2004
See Main File I. White File
2. Pink City
3 YeHow Applicant
...J
(Please type or print and sign at bottom)
ADDRESS
I PERMft r"'G. 04-'" 1/;$ 7 - I
,
_40 +'1 ~, r=
I~
ZONING (office use)
;e /5!J
LEGAL DESCRIPTION (office use only)
LOT Z BLOCK 2 ADDITION if ~tA1E ~UDIl)~
OWNER
(Name) ~~~~51~ljEI2-15 + B~tz..S
'lb617 - I I
(Address) pp lor ~ I; ~II I s- 5312
BUILDER
(Company Name) ..::;;A-M.... A..::> ABa"\&;.
(Contact Name)
(Address)
PIDa5- qd-~-- (JOcf-()
(Phone) 4 SL- . 44-1 - 0 ~ >5
(Phone)
(Phone)
TYPE OF WORK IZNew Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc.
CODE: g:.R.C. DI.B.C.
Type of'c~nstmction:
Occupancy Group: A B
Division:
I
E
II
F
I
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST IV ALUE $
(excluding land)
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 authonzed agent for the
above-mentIOned property 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 buildmg
official can revoke this permit for Just cause Fmlhermore, I hereby agree that the city official or a designee may enter upon the property to perform necded mspcctlOns.
x
Signature Contractor's License No. Date
Permit Valuation ~/'7~ tJOO.07J Park Support Fee # $
Permit Fee $ /o/'1J3.S0 SAC # $ r~S"'Q.OO
Plan Check Fee $ crs 7 . 7Y Water Meter ~e 5/8; I"; $ ZS"C.OO
State Surcharge $ 9~. B D Pressure Reducer $ LlS.o a
Penalty $ Sewer/Water Connection Fee # $ 1200.00
Plumbing Permit Fee $ l~tJ, l)'tJ Water Tower Fee # $ 700,00
Mechanical Permit Fee $ !tJt), l)?J Builder's Deposit $
Sewer & Water Permit Fee $ 3~s:o Other $
Gas Fireplace Permit Fee $ 40100 TOTAL DUE $ ~.'33". 78
., /J
This Application Becomes Your Building Permit When Approved Paid t:!Jr,~J,l ReceiptJ(o. ff?.r 5
~~ /6/Z- $";:' 4{ Date I/. 4-.0"9- By A-..
U
Building Ollicinl , Dnte
ThIS tS to certifY that thc request 10 the above applicatton and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This documcnt
~ P1,""~m,o,,~ C~ill,," 'f;;i;;':'~'"Wm"~"IDSee :\1a.uLEfe'~ m,,,~
Planning Director . ~ . Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
S \If. --'.-
.. ee --.v.laln t~l:_e
!
White - Building
Canary - Enqineering
~k - Planni~
f/ The Center or the takt ('ountry
., \
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
J>'
,.-' /,...'
( C
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( I.,
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--
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APPLICATION RECEIVED
I() -
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I j' ) Ii (J Xi -f2__1./..h/21) L.~--,.~
7 ,'/ 7-"
"
Accepted V'
Accepted With Corrections
,M,
it
I (.
I'
Denied
Reviewed By:
~
r
9~
Date:
/~ /z-s-~ cf
. ." I.
j: ,
Comments:
See Main File
"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."
See~ain Fi~_e
~mte
~..
'11,'....'...7
Pink
- aUllal~
..:ng,"eenng
- Planning
The ('rntrr of Ihe take' Counll"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1CocL
APPLICATION RECEIVED J 0-
ere..- e.(C-
/().-D<J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4ol/1 iI-~ ~
,
Accepted
v/
Accepted With Corrections
Denied
Reviewed By:
~
~.~ / ~
Date: ItJ~5Jif
Comments:
See MainEle
"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."
See Main File
White - Building
~"nAa.__' Enameenn~
Pink - Planning
The Crnlrr of Ihe- I.akf ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
J(...-
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r L
(.,...1::....._
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'--,,~
e {e=._
APPLICATION RECEIVED
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( /
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction, a:,tivity w,hi~fh is propose_~ at:. /..LL- _
i/ () (I ii :1lj!!_./i,.(_.-,l;;~1...~9-P (.... . "'k._a---
Accepted
)(
'-
Accepted With Corrections
Denied
Reviewed By:
trIJfJ
5(.~ 11I4/'".,. Fo't,
Date: / 1- 2 - 0,-/
1
Comments:
liThe 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."
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
1. Green File
2. Yellow City
3. Gold Applicant
ec'd
n r-:i
I" "1 U I,n 1\
"/1 I "'I
I: ;11 NOV 05 2004 i ill
lu[ :: :
lay' L~)
@~--- ~
PERMITN()~
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
46Ll-q
Lane.
S"E
Wvt'.-\anp
.-.J --
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER 0
(Name) t'l/V k
(Address) L LJ ~ I f)
Cr e. €-K
U'-.t+h
(Address)
HDme s
~\pnll e
I I_C
P (d'J
(City)
(Phone)
nKe
qSd -'-i-L/-7 -tJ15~
5'3 '37 ~
(Zip Code)
c"-
_ ~r-
APPLIC~T
(Name) \- \ (\ (\ \
(Address) ! 3lS
(J (rl Ap \ () L (Phone) q5~ d 3.3 --I dO{)
f\;~a(l1~ S\ {ee.A :#- / Sh/t ki'J()ep S5~7g
(Address) (City) (Zip Code)
(Contact Person) i1L..l \r-\f'\\€ 1_ ~ (Phone) q~)d - d~_~ -I :;).0(:;
APPLICANT SIGNATURE rf\ U-Llli. ~ J JK 0 it [J (I Q; DATE I J / Dt./- j (lJ
ad
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection . $35.50
Sewer connection only $17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
1% of job cost with a $39.50 minimum
$17.50
.50
BY
fll'O 06P
~U{l/
Estimated Cost $
Building Permit # 0 ~. /137
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$ ./
$/
,
--
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
p~
Date 'I...r: O~
Receip~
/J ~
By fD~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
I U) b l,'C) L'c., LI LJ b l"
CITY OF PRIOR LAKE f !" APR Dr '
HEATING/AIR CONDITIONING/FIREPLACE PERMITJ~ ~~ .
By _____________.
1. Pink File PERMIT NO
2. Green City . 4. II ~ I'
l. Yellow Applicant -.)
(Please type or print and silUl at bottom)
ADDRESS
~ C?7/ '7 /./p./.-f ~ce" ~ ,KJ VI ,; P u"..... _ 5. 1:::.-
oJ 0
LEGAL DESCRIPTION (office use only)
ZONING (office use)
K. f.5L)
LOT 2 BLOCK Z ADDITION ~--ru77t 4F:
OWNER
(Name) .~ n cJ//___~ /" t' eJ<- N c ~ C <;
LANDING
I
PID ZS: 4-zs: 008. 0
(Address) /h~/7 uu/0Jv X1t.6 .5.
(Phone) tJs-;;1- Y'I7-o9.s-.s-
~/~-~;Oj/ / .,,>:,-s7_7
.-
/~
APPLICANT
(Name) J4)/J beJI-./j u1j!" -J'h/.-/ (Phone) 9s";;> - TVL - S~V' C
(Address) /.;l;!-~3 N ,'i-o//e..rr AVt:/ 5ov-lAj ~V/.4St////L/ S-S- 3'3-:7
(Address) (City) (Zip Code)
(Contact Person) ;'7/.()J<J)- 6. ./;? 6e// (Phone) S}&~
APPLICANT SIGNATURE /~ ~( ~ DATE "7"-6-0r
~ ~IC6?~~~E COMPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL 3'Y6 M Al/O:f ;:.('/f?d~L/AJ4- FUEL rV)<J / -
,
"
FLUE SIZE ~ P. v.? RETURN OPENINGS // INPUT :;;-0. dOC/ OUTPUT 7~ S-Oc;1
;
TYPE OF SYSTEM REA TING OR POWER PLANT
~Warm Air Plants
DGravity
~ Mechanical
~ir Conditioning
~Vent. System
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
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AIC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Bun:ng PennH ;-. 113 7 0<<1 0 601 e;f-
$ ./ .50 r ' {J ,
$ // eU V
Estimated Cost $
(Office Use Only)
Building Official
Date
Paid~
Da1} .1. 05
Receipt~
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
By ~41
-'
11-12-2004 04:02PM
MATTHEW DAN I ELS. I ~~C.
423 301 7 P. 06
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
*H vkl..d:t>fr'lc)ft_'L ,j.~.
LEGAL DESCR..Li" Ll0N (office ~ only)
LOT efJ.. BLOCK. A. ADDITION~~,c...J.:",
CJ (I '
(JJI uJ- ') ~d.dJ:kdf} ') (Phone)
f1IA~/@ ~.6.F, .Q~ ~/.. '-rIv::
(P~ !Y1'e or print and Slltl1 at botto m)
ADDRESS
OWNEo/J _ ~
(Name) ~
(Address) / It/i 1'"1
APPLICANT~ J . ~
(Name) ~ti:L~.J7) /111 JI}.(I )~a..
(Address) 1-~ {J-dXA..AJJ )('II 4, ~ J J-..
(Address) V J
(Contact Person) l1, J. ; J J )
I. Shoe Fik
l Gold c;.ly
I. Yellow l,pplie..1
I PER.."lIT NO.O!tJl31
ZONING (office usc)
PID
55:.. ':J,'1tLJ
DATE
~~ ':I). -4.7~ ()
....s:so68
(Zip Code)
~..3 . ~
I'/;~~
(phone) ~/.
qv)l/'l , / I I r \...tJ ;) .
(City)
) (phone)" b~J.
APPLICANT SIGNATURE
Quantity
I
I
I
_1
I
I
I
APPLICANT PLEASE COMP ETE BELOW
Type of Fi"(ture Quantity
Bath Tub with or without shower .... q
Dishwasher 'J
Floor Draip I ~
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
,L
I
Type of Fixture
Rou~h-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
I Sewage Ejector
Bac:kflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Other ~'5Uty'lf' pIJrf)P
FEE SCHEDULE
InduStrial, Commercial &. Multi-family 1% of job cost with a S39.50 minimum Residential, New One &. Two-Family S99.S0
Rcsid~ntial. Additions &. Alter.\llons $39.50
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE
I ST ATE SURCHARGE
TOTAL PERLmT .l'.LJ!.
$
$
$
(OffICe Use Only)
This Applic:a.tio~ Becomes Your Building Permit When Approved
Building OMcial
Dak
Paid
t : .,
~.S:; . '4<,./.-, ~... .~,-J
SO ~."....
_..~~~. d~'f.;;":;.
Receipt No.
DctiUV 1 a iUU4 By
1.~ hour notice for all inspections (952) 447-9asu..~~~1""245
,
-----;"....
CITY OF)
REA 111 ~,G/:AtmrCONDITlr
,;LAKE
IREP;LA~illPERMIT
Date Rec' d
~: ~w Ji~i~t.]:';~t&RMIT N0. If" I (~~ i
(PleasetvoeorDrint and simatbott()m)
ADDRESS
Y \) 4q Hef"tna~' LONe.
LEGAL DESCRIPTION (office use only)
ZONING (office use)
. Pr \ ()( late. ('(\ N
. J
LOT
BLOCK
ADDITION
PID
OWNER
(N ame)
(Address)
"R ark. C feet
'\o~\1 Oul u~\... Chr'e_ ~ t - \)('l(:~r L~
(Phone)
~;~~~ANT ~ u.P(\-(~~.(. \+<rne
(Address) I a C) t \ ~01 0.6 0 Of I \I'\>"
(Address)
(Contact Person) T \ fY\ 5" 1 M e~ .~
APPLICANT SIGNATURE 1" \1'(\ ~ h,f'n~k..
(Phone) Li-q d. q ;;;)'1lo
J Cfr\ 0\0 IY\ ,,\ 55 3.s J"
(City) J (Zip Code)
(Phone)
DATE
4Qd.Qa.,1C7
ltl aslo)
AtPLI.<p~rt'."r~:EASEC0~PLE'EE'...B:EL0W
DNEW CONSTRUCTION . DREP1A.CEMENT D.AL TERA nONS
FURNACE MAKE AND MODEL " f- It e. r\ nrl'"." FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWann AirPlants
o Gravity
~Mechanical
JAir Conditioning
OVent. System
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
Industrial, Commercial & Multi-Family
FEESCH
1% of job cost
$39.50mil1iinum
$99.50 ResI, s
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Permit #
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.~\c,J
l~A ~
Paid t;./ I Receipt No.
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
-
Date If/ ')1--- ~
--.
24 hour notice for allhlspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
~
{/
DEPARTMENT OF See Vlain File
BUILDING AND INSPECTION
PRIOR LAKE
INSPECTION RECORD
.
SITE ADDRESS '-IO'l~ HERJTH:,E t.A/JC
NATURE OF WORK '"
USE OF BUILDING . . , ..
PERMIT NO. tJ cf, 1/37 ..Q~1E JS~UED W'&$/IJI/ ~ .
CONTRACTOR ~ ~ ~ PHONE9S.Z.I/1f7-"'"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
r
INSPECTOR ... DATJ /
FOOTING fl'27/ . /c#/o/'
FOUNDATION (Prior to Backfill) tbV,Jj w~/6 H- I /$:;;;or'"
PLACE NO CONCRETt UNTIL ABOVE HAS BEEN'SIGNED
ROUGH - INS
.
SEWER I WATER I SEPTIC J41,/,f. , .
FRAMING~L~ A,-/l""............/4 ~ /~/'ay fj{ff
INSULATION ' '! j11/Y
ELECTRICAL
PLUMBING tI c;;: $/"_ //proy' /~jp~. . ~L
t:fEATING (if required) r
FlREPLACE (JI) //.
GAS LINE AIR TEST~/~I~/t/, CoL~f).(02\ t/ 4tIJ-
/ I / /;
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
/Arlie LtJ'USclAJllAll ~fiJ ~ /A6'/d:Y I kit q/5'~5"
'FINALS'"
GRADING (Prior to Sodding) ... . Jee ~/A ",L, / e . /
BUILDING?;"1#' C:qt/;t:;!/ /C1ftk-~?dAr~ .~ c?/..2?"/oc.,
ELECTRICAL ' : Jl V~~
PLUMBING }//i7r I c;/fff>/ oS'
HEATING . ~~ . ~~S-
DO NOT OCCUpy 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
" ,.
////.?/O~
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QItttifitaft lIf @ttupanty
CITY OF PRIOR LAKE
~rparftttrnf of ~uil~ing JJ nsprrfion
!iFinal Permitted D Conditional e.O. Expires
/
, This Certificate issued pursuant to the requirements of Section J J 0 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--1137
Use Classification
Bldg. Permit No.
Occupancy Type
R3
Type Construction
B2, HERITAGE LANDING
VN
Zoning District
RlSD
Legal Description
r ')
LJL..,
Owner of Building
Site Address
4049 HERITAGE LANE
Contractor's Name & Address
ROCK CREEK BLDRS., 16817 DULUTH AVE. S.E., PRIOR LAKE 55372
ROBERT D. HUTCHINS
/q"-
City Planner
JANE KANSIER
Date:
J . BJilding Official
-2 /..2 -V / ()(;>
/ /
Date:
,~
A'.w.:~." ...
h< 0 ~ ,-,,- '"""': ,-....... ........ " ....~ " nUll : ,',.... ".,...,
~-..
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.. .......
....J
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~q9
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
TIME
DA~//
SCHEDULED ~br;g~
dr,l-ye -LA.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
../'
~, (
Y1/7Ci' .
CJr-//J7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Cl/
C-/tL
~
" )
~-
~ ~~ f~/
(( /a\-e /-/. / e- /
~ATISF~CEED ~
o CORRECT ACTION AND PROCEED
o CORRECT WORK~~;L7R REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~rY k, ~~?e
-'
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
9 INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~CH FINAL
CONUJlENJS: . __ . /
/'l..a5r'~( ~k( ~
-.. -- ;
~-C-C/: ~--' /
/
c:/ /L
DATE TIME
#s-
&~E'-
6 s;:- //.Y7
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
~ r,,,EPLACE FINAL
o GASLlNE AIR TST
o
; /"
&/27/0('-
./. /' --' /.
r2 >>h #4'C~ h-k h &~
,
(37 .h.~ .M2 ...kJ. c;;,/ 7L:;-Mif'.
ff fi:fl'~~~~' 2.$>0" 6J
,
...-_./ ,7 / A /I r
pC8e....-t:,- ~~ ~y. L Lc ..4-~J ck~ .-.
(!~py ~ft/d.~4'/.r~F'J /~Xd
?2,,?d' CO; v..,;;?/ /~ft/b r
o WORK SATISFACTORY, PROCEED ~
~RECT ACTION AND PROCEED ~ C
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ Owner/Contr:
-'
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY!
INSNOTI
PHONE NO.
DATE TIME
b/~
~cJ~f &r, '7.-: ~
CONTR.
PERMIT NO. L:)~ -//j.7
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
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
~BING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
;/-/ I ~ / ..., /
&7f!'~".z~72:r- /~u/ C/t'c..
/._ A
(!:,) 'J("'~ // _/4hre~ r;}~f(7- ~JY7J""
~ .~/U /h.-.s~//~~~~--
/~ ,. .I'! "" J / /
(!:J /f/~?d I~k~ ~~~//C. 4,.~~~ /
~ h" y~"",, I- + c~~1 t .f-'-V' u ~
'- \ U~ (/;1 l.tl~/ ~ -e. .
, / '
h /- / /"'"') /~ I /,
C ~~t<:-- ~ fj(.J" '/d~
/'
~/C
ffk'/~
o WORK SATISFACTORY, PROCEED
~CT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~/Contr:
CALL 447-'850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
_orl