HomeMy WebLinkAboutBldg Permit 05-1033
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date R~
C\, (}~5
(Please type or print and si~ at bottom)
ADDRESS
I 41 ~D PDu"k..",:e.w LA . JJ y.J
~. ~i~~e ~:~y PERMIT NO. OS I 033
3 Yellow APifelicant .
~.
J.. Y.J.aJ...1J r. ZONING (office use)
PU5"D
A c.. C\. c.. ~ 0..
LEGAL DESCRIPTION (office use only)
LOT~S-BLOCK I
ADDITION 'Se.I.f-e.r<;. pl)~ F,"rst Ac:lJ~ f\L'\_
OWNER
(Name)
Bu: ,J~r
(Phone)
(Address)
BUILDER
(Company Name)-N~... <:. Mo.nn. Ht)-..e $
(Contact Name) j)e.I""':~ It ~~^~:/1P.r
(Address) RJ.4S lJu; \J..,MI. . J gq.s- PJ..."LCA {)r\lJe.. I Sv; k ,;),00
.J
TYPE OF WORK 1)1 New Construction _Deck OPorch ORe-Roofing ORe-Siding
DAddition OAlteration DUtility Connection
PID ~- 4 '7- o6S - ()
(Phone) &5"1- 406- 4liOO
(Phone) ~f ~ - ~6 9 - 79.} lof
E.d~",^- I MAl ~5 J ~~
'RJLower Level Finish .kI Fireplace
CODE: IiII.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
o Misc,
V
M
4
A
R
5
B
S U
PROJECT COST IV ALUE $ J , O. 001:lJ)1l
(excluding land)
I
E
II
F
I
III IV
H I
2 3
I hereby certifY that I have filrnished mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owner or authoJ'1zed 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
otf1cial 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 mspcctlons.
xS!J~lL Q~ 145"8 . - ~-~-O~
Signature - Contractor's License No. Date
I Permit Valuation i /"J.D. ~(){) , DD
I Permit Fee '$ //?3. S'O
I Plan Check Fee $ 7~ 2, 71'
I State Surcharge $ ~O, 00
I Penalty $
I Plumbing Permit Fee $ 100, () t!J
I Mechanical Permit Fee $ loa, 1:)0
I Sewer & Water Permit Fee $ 3'5.'>0
I Gas Fireplace Permit Fee $ L{O.Do
Park Support Fee
SAC
Water Meter Size 5/8'~
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~ ~ /6~/os
.,
rO'i(,.7(
"'If! /ir
Paid
Date
Building. Otlicial
Dale
# $
# $ 1'/$"<:).. 0 a
$ ~O,OO
$ 7'5: ,OD
# $ 1500,0 C)
# $ loot), Do
$ /'SOD, 00
I $
f) $ rO'l(,.'1r
Recei~o. .5l)J'2,...~
By // I .
d
I ThiS IS to certifY that the request in the above application and accompanying documents is m 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 construction to commence. Before occupancy, a Certificate of Occupancy must be
"~ ~.=~=<m /I)/I.,/. ~ Wo ~!"ci1.l:::C;~4J~:'r~ Jh~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 t.J ~ t:7Y'- ~ ~
16200 Eagle Creek Avenue Prior Lake, MN 55372 U
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
Reviewed by: ~ ~ Date: /07ftS
Building Permit # PID: Zoning:
Address: I
/t(/""J /1/1.2.,/'1/hrt)/ctlt.t- fJ~ ~ A).w.
Legal: LoP I Dl"j. 8 I Subdivision: 911./~ ?~ / r:..r
; 'I) :; r
Existing Structure? YES t@ Existing Nonconforming Structure? YES ~
CONFORMS TO ZONING
ORDINANCE
YES
NO
- .
Yard Setbacks: NA 1 F,A((SI CG'MPL[ESJ)
· F rant Yard (can be 20' if avg. w/in 150')
. Side Yards
j".;;,D.~-,"":~"
Standard
25'
10'1
25' if abutting a street
Proposed:-,<"j
2.5~'Z.' t
~._:- ~ ;
, .
IS.'-I 'i-e~'";;
I
· Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
· Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicating no deck wilr be Quirt in the future
. From 100 year flood elevation of Wetf~ndiNURP
pond . '.
· From OHW (Prior or Spring Lake)_
10' setback +
2"/1' over 50'
25' .
10' sidel
25' rear
30'
,.....J~..
'?.-3::?i_~~;lJ~ .
N A ~."..-
75' or setback average of
adjacent structures, but no
less than 50'
tJ A.,..-
, Floor Area Ratio: NA 1 FAILS I~OMPLlEs...))
Yard Encroachments~ NA 1 FAIL~PLlE:):
,Eaves and Gutters no. more than 2: feet' in width and: no
eraser tfian S feetto a lot line (Easements}.
AJC.amfothe~equipment cannot encroachonintetior .
side yards.
.30 Maximum
I ~.. c1!?I.i';' ~l/~'
Standard:
Tree p"reserv'ation(~l FAILS I COMPl!.JES'..
· TotaEcalipel"inches'
[. P'errnit25%i Removal
I. Calipec Inches Removed
I:. Caliper Inches Preserved
I., Replacement
Startdarcf
~'.
_ ;:...
'. Propose:d';1::~'I"~
%:1
~
~,.
- '
,
t
I~
L\TEl'fPLA TE\BLDGLlST.DOC
I Driveway: NA / FAILS (qJMPLjf.9
,
· Maximum width at property line
· Required setback
I. Maximum slope
· All parking areas to be paved including R-V or
spaces adjacent to the qaraqe
I. Location to match subdivision qradinq plan
I Building Height:C~FAILS
Shoreland District:~ tc'"~
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
I Bluff in Shoreland~ FAILS / COMPLIES'
· Setback from top of bluff
. Bluff impact zone
· Engineering certification submitted/approved
· Grading in bluff or bluff impact zone
I Floodplain~A'J FAILS / COMPLIES
. 100 year flood elevation
· Lowest floor elevation
· Proposed lowest floor elevation
· Elevations 15 feet from structure
· Road access must be no more than 2 feet below
Regulatory Flood Protection Elevation
.~,.'.,-~~.
-
Accessol"'f Structure~ FAilS/COMPLIES
., Size-
I. Notlocated in front yard (Materials)
I., Side yard and rear yard setbacks
,. Maximum height
I. Materials compatible with principle structure
L: 'TEivIPLA TE'BLDGLlST.DOC
.- .' .
""'<~ t. :;',' ',j~. ;~..~~: ......
Standard
24'
5' from side lot line or
30' from r-o-w on comer lots
10%
35' Maximum
Standard
7,500 Rip, 7,999 Non-rip
50' Rip, 57.3' Non-rip
30% Maximum
Standard
By planning dept.
20' From Top of Bluff
By City Engineer
No importing/expocting t
I Proposed ~.
I q ((i), I t. I b
~
r:?S, f1J.SJ IOk ~,,~%
~ ! ~i~': ,=-
frl-..
~
t
Proposed _ ~.. ~ _
I
iJ2 ".
I (7V(..;I ~i"i"i ~~.
~-I;u1.~
I Proposed'"
Standard
908.9' Prior Lake
914.4' Spring Lake
909.9' Prior Lake /
915.4' Spring Lake
Must be l' above flood
elevation for new and existing
structures. If existing
structure was. cc:msgucted
,9/19/9Q-tJI221Sltfiep,,::'.
additiortacfOottSnorreqUfrecf:~ ~.."'-o."
Must be trooder~~~trCln.;9~,
-'JJijfje(::-,,~:.::t:-:.-,., .'
907.91 for P'r'fol\ lake
913:4' for Sj:irfrij:tl.aRe
Stancfard' ..
832 sq.ft. or 25%. rear yard
10'
15'
r
Main File
White - Buildinq
<::... Ca"~rv - Enqineerin~
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
WENsMAN f\J
q .Z& . OS-
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 4/ (b 0 p/t1ZK- VI ~!/V L-tJ.
Accepted
Accepted With Corrections ~
Denied
~
~':'- ~
4~ de:;t;;,. -.) ~ ~ I
~~:<~ -b~ ~~
, v // '/ /
-H--- ~. ~ ,A.o ~
U J
~ ~ M ~~~:-12/;L.4r-
./
Reviewed By: ~
Comments: ~ a......R.-(
Date: I()/~ (oS"
~i~
))0 ~") 1
~ /'
~
~.
..
~
tn~ ~
~.
'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."
Main File
White - Building
Canary - Engineering
c-Pini\ - ..rianm~
.B..U.ILDING PERMIT APPLICATION DEPARTMENT CHj:CKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
, ,
I \IE' \~^ i i.-\!'; f' {
~v ,1\:---1'11 \ '\'J '. .I
Cf . Z (~ . ().::;-
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 4 I tL;. () ~Dj1 /~,K.' V't t:.:,- t\J' L./'--).
Accepted
Denied
Accepted With Corrections ~
Reviewed By: ~
Comments: ~ ~
("
~
~~I
~,
tJ
-'.A ) ,
~ ~ ~.- ......J I
,
~. Ala ~ p~ p~/
U ./ ".
~ ~,
r
Date:
It!) 4 /a s-
'Nt~
/
fA
~
-
~ tn t..-
#<
~
.
~ " ..J
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."
Main File
.-Whit- . Building
C~arv . E~glnee~
..,rUe: . Planning
,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT
APPLICATION RECEIVED
Wl;NSMAN to
q . z& . OS-
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/00 P/l~KV(cVV L;J.
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
. Date:
/O-6-Oj-
Comments: See Reverse Side for Additionallnfnrmationl
111'11''''' F.' ie.
AO--
See Attachments: 1) Grading Platl, 2) Erosion Control Me::t~lJTe~
"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."
11/17/2005 THU 9:02 FAX 952 767 1900 GENZ-RYAN
l4J 004/013
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
(Please type or print and sign at bottom)
ADDRESS
l41~O POlttlll ~VJ (J1 Nw.
~'~.;" ~I~ I PERMIT NO,~ M-"
J. Yellow AppliWlI .."..,. ~
ZONING (office
use)
LEGAL DESCRIPTION (office use only)
Lo!}f, BLOCK I ADDITION . JalLK Vi fAJJ
PID
OWNER
(Name)
~ }, j e\/I';\ry, n (II'!
- -
no\,'(tS
(Phone) Lo51- QOt-). 370'1
(Address) l gq5 1C)lo:ZCL- D~(', <;,\-(: ;)00
r::-Dt1Ctn I\J\ ~\I
_... '.;.1 - ..-
C-f51 ;);)-
, APPLICANT r..
(Name) c::renz.-. 12UflYi
./
(phone) qf::)~~7if7- fOOD
BVXI.Jsvi lie C:f/3~-7
. . (~~ess) (City) (Zip Code)
(Contact Person) rA~ ytI~ 11 12. ( ls ~ (phone) q0?"-] fJ71- (J;()O
APPLICANT SIGNATURE CUA~ DATE 1(. f1-0C;
APPLICANT PLEASE COMPLETE BELOW
. Jl!NEW CONSTRUCTION'. 0 REPLACEMENT 0 ALTERATIONS
PURNACE MAKE AND MODEL llVlnox - f:14D tAft ..~) FUEL Vlaf,..aas
FLUE SIZE RETURN OPENING~ l..( - INP~T '8~1 a:o oUTPur1.dr i/Oo
TYPE OF SYSTEM HEATING OR POWER PLANT
"gWarm Air Plants [J Steam
o Gravity 0 Hot Water
o Mechanical 0 Radiation
MAir Conditioning 0 Special Devices
'OVeot System 0 Other Devices
(Address) ;A;){f) \)J '
Hwv) 13
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
----- . _.
, . -,-
FEE SCHEDULE
Industrial, Commercial & Multi-Family 1% of job cost Residential, Gas Fireplace
$39.50 minimum
Residential, Heating & AlC (New Construction) $99.50 Residential, Additions & Alterations
Residential, Heating Only (New Construction) $64.50 Residential, AC Only
$39.50
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Pennit #
$
$
$
50 PA\OWlTH &IIT
. gu\l.D'NG PER""
(Office Use Only)
This Application Becomes Your Building Permit When Approvell
Buildinl! Official
Date
I Paid
~ 1 ./ 2005
Receipt No.
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
11/17/2005 THU 9:02 FAX 952 767 1900 GENZ-RYAN
l4J 003/013
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
~~~ ~!~ PERMITNO~. Me;
] Yellow API'li.... ~, '''.u
(Please type or print and sign at bottom)
ADDRESS
II L {{PO Patt(Lvi e tv U/l N vV
I
LEGAL DESCRIPTION (office use only)
LOT1tjBLOCK I ADDITION fh~kViM
OWNER I U: fJ K' (V:, n \ L.,
(Name) I l I J D VI If HIt I nf ;(V1CS
(Address) 1 x'qi) PI (A71^-.. Dv. 'i>+c 0UJ
~~~~ANT Ge-i1Z.- 2,"lC{Vl
. ) ,
(Address) 21-00 \N. l-h,'\;' L- L~
(4ddress) ~
(Contact Per.;on) O!l~ ~ 7' Fa I is A
'APPLICANTSIGNATURE _(lJ~
Quantity
\
\
I
1..-
l
\
I
t-
ZONING (ofliceuse)
PID
(phone) (rn 1--Cf(;6-- 37 Ci1
FO elf{ Yl rviN 55iJd-
....J ' ,
(phone) QC)2-,lPI ' i ODe)
F)IAJlJ1qrJ'(lf, MN ~J637
(City) (Zip Code)
(phone) q 02-1 ff7 - (000
DATE (( - (7-00
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower .3
I Dishwasher I
I Floor Drain ~-.c
I Lavatory (Bathroom Sink) I
I Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Type of Fixture
I1J-
Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
Backflow Assembly
Backflow Assembly Test
'I Lawn Sprinkler
I Other
FEE SL:J:I..EJJULE
Industrial, Commercial & Multi-family 1% of job cost with a $39,50 minimum Residential, New One & Two~FamiIy $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $
STAlE SURCHARGE $
TOTAL PERMIT FEE $
.5~D W~Mrr
~PEn
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid Receipt No.
15MOV' 1 ';--tOOS , 'By
L
Building Official
24 hour notice for all inspections (952) 447..9&50, fax (952) 447-4245
Date
11/17/2005 THU 9:02 FAX 952 767 1900 GENZ-RYAN
III 002/013
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and siltD at [.y........)
ADDRESS
I~((PD 'Ja~vievv L0 NW;
LEGAL DESCRlPTION (office Use only)
LOT lCjBLOCK I ADDIDON Pttltkv; e,^,
&=R t 1 )fY\~ \'YV\JWI Hunncs
(Address) I CA Q '5 PI OClJJv D ( , -S1c ,~l(X)
(Address)
APPLICANT (\, n
(Name) t:l (I~ 1,- Il-M t1f1l
(Address) 'L 11JU VV. I ~-h f\ f) j I.,~
(Addre~.n ~
(Contact Penon) CMItJISti . tt'1 ~~
"LICANT SIGNATURE U1
i: ~ ~~ I PERMIT NO~' IA.."
3, Gold APl'li....' U~ . ,.".~
ZONING (office use)
PID
(phone)
f~MOJ\ I'JIN
(City)
(05J- QCf5- ~-noC?
551 J?-
(Zip Code)
(phone) 1[/)1- 7 {fJ- (UOO
3u ffJl! S' Vi (k, MN q;~3l-
(City) (zip Code)
(phone) QV(L-1ft1-1000
__ DATE \I-17-ocS'
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC [J pve 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line cOlUlection $35.50 Industrial, Com') & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAfl:> WITH
BUtLO'NG PERMIT
(Office Use Only)
! This Application Becomes Your Building Permit When Approved f -- -J!ai4
Date
Date I/O\' 1 ? 2005
24 hour notice for all inspections (952) 447-985G, fax (952) 447-4245
Building Official
I Receipt No.
I By
DEPARTMENT OF Main File
BUILDING AND INSPECTION '
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS IJ/ / tJ~ I'Ml'vl'clcJ lANE N. W.
NATUREOFWORK /J.1tJ ~".~~ (W!~L. Fi~l"If")
USE OF BUILDING ~"F: A.
PERMIT NO. fJ5.10.33 DATE ISSUED !!!../1.11J S
CONTRACTOR tAJ~ IhJt..n PHONE-'r/Z .. !,,- "lJZ '(
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FOOTING 4 I" --1;A. I ~ b
I .
, FOUNDATION (Prior to Backfill) 4!~"~r ~4 /~./ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
,
,~
,/fOf
('\ A ~.
/1115 (/22A (,
, I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lATHe I /'left. IF AJItAP I I
.'. f)~,~.J. 8.tsuJ-F I N A L S
GRADIMG (Prior to Sodding) .Jt/I s. -a2 _ ~
BUILDING ----f.Iib -7/1"/.
ELECTRICAL ~ , '
PLUMBING "
HEATING
DO NOT OCCUpy
SEWER I WATER I SEPTIC
FRAMING
INSULATION I
ELECTRICA~.....11r. Pt;J Ht4.J
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~
(fib
1/'t1/J
/{f. JfJ
,
UNTIL ABOVE HAS
NOTICE
I D~TE
I ,oj c!:<) Id
I
.
/o/?//o.s
,~/~,4b
:s:- :])_~
/' ,
i .57~/~-b
, I "
?/I ~hJ
. ,
'.
/~ / J1k
7~,!.I~G
..
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 and additions
where no service cabinet is available, card shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
QIerfifirafe of @rrnpanrl!
CITY OF PRIOR LAKE
~eparfmenf nf ~uil~ing JI nsperfinn
~inal Permitted
D Conditional C.O. Expires.
This Certificate issued pursuant to the requirements of Section 110 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:
Use Classification --~ / /\/0 (. E F/II'/ I L V Bldg. Permit No. 0:':-, I C.3-3
,
/;.:~ I/^/
Type Constructio1? I V
Occupancy Type
Zoning District
;-)usD
Legal Description _
L 2::; I e I, -:Tc....FFE/<...:S f~(/1,jt..J / ~f
Site Address 14-/ (;;- 0 P r) r:: IC. V / E- J;V ~ N.
Owner of Building
COiactor's Name & Address I vE N-:-/!j!f;?/n ~ //,j /lC/~/&.S
I (tl,j1 +. \.udc~ LA~, ! ) City Planner
I. J" Buildmg Officia1'
Date: 1 /J:'/, /' ( / Date:
V i.~-' , - , POST IN CONSPICUOUS PLACE
-
..........
'..~.".
......
_i'
~'
~ TIME
CITY OF PRIOR LAKE 7 '
INSPECTION NOTICE 62 SCHEDULED
ADDRESS /1.../. ( (,0 '(Ukv,'~
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - Jo 1 r
o FOOTING o PLUMBING RI o EXIGRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
-1.
k~ S~O
, .
~~~ ~ I20C.~5
If) {J/
~\t'~:~ ~\V
o WORK SATISFACTORY, PROCEED
)(CORRECT ACTION AND PROCEED
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 & SAFETYI
lNSNon
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
S"..u~
ADDRESS
1'Ilto for KVlev' ll1.
PHONE NO.
PERMIT NO.
w(~
t>S,/oJ.)
~~LING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
OWNER
CONTR.
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:
(...".t..~~" IL
("",b &~ -()k
. ~
"WORK SATISFACTORY, PROCEED
~"'eORRECT ACTION AND PROCEED
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 & SAFETY!
IIiSIiOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-11~
ADDRESS
J4/~D
DCYJ j/1~ ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
..{'-- fJ3 3
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
~PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
ore~ Tl/lf?~b
o .~ SATISFACTORY, PROCEED
rORRECT ACTION AND PROCEED
o CORRECT W~K#OR REINSPECTION BEFORE COVERING
Inspector: V rr Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
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