The URL can be used to link to this page

Home My WebLink AboutBldg Permit 05-0945 CITY OF PRIOR LAKE BUILDING PERMIT, TEMPORARY CERTIFICATE OF ZONING COMPLIANCE AND UTILITY CONNECTION PERMIT (Please type or print and sip at bottom) ADDRESS '46% \...0\ \~ O\e.L~ LEGAL DESCRIPTION (office use only) I. White File 2. Pink City 3 Yellow Applicant Date Rec' d 1/9(~ PERMIT NO.~S~ 09~ LOT 1\ BLOCK C; ADDITION,h. lA.' Il~ ~(I'~-J c~di }..'l.ri\ OWNER .... (N ame) -r<- ~ (Address) 'l07_ . -~...n ,,' WI" !\.... . -- .~/ <;1\i...J..\$V / LA); lei. /..o":>e c.t- &cUl, fiN --' BUILDER (Company Name) .-rGrs. C"",'dn.tehl;:,,,", (Contact Name)""'- CM-ef~ ~'tr ~ I (Address) Q02 uh\l\ !4.t~ (~ ~Cll t11N ZONING (office use) POt) PID zs: 20/7.07/. 0 \ , , (Phone) Go":>l - 23 0 ~. q II.J ~s J '2...:) (Phone) _fSl'- 2. )().~C(J7 ~M.^~) (Phone) J;I " -- 24.5. ~ 72t.lu S5 f2.) TYPE OF WORK ~New Construction DDeck OPorch ORe-Roofing /[JAddition OAlteration OUtility Connection CODE: 'itiI.R.C. DI.B.c. D Misc. Type of &nstroction: I II III IV V A B Occupancy Group: A B E F HIM R S U Division: 1 2 3 4 5 ORe-Siding OLower Level Finish ~Fireplace ('2.) "'0 ]>Er-'.t-~ I No L,L, htJisH I PROJECT COST IV ALUE $ '500,000 (excluding land) x I hereby certify that I have fitrnished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authorIzcd agcnt for the abovc-mentlOned operty and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. 1. am aware that the building official can revo , '" : ,for Just cause Furthermore, I hereby agree that the City offICial or a designee may enter upon the property to perform necded I pection I / ----- 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 ------' ~e #' S~a, (JOO .Of) I $' y 3~.~. ~o 1 $ Z,2.&/l.{.73 I $ 2..'S;O. t) 0 I $ I $ /00. t!)O I $ /0 D . cO a I $ . 3 s.S"~ $ i/o .00 This Application Becomes Your Building Pennit When Approved ~~ Building Otlicial -ffi fllD S- Date. Contractor's License No. Park Support Fee SAC Water Meter Size 5/8t~ Pressure Reducer Sewer/Water Connection Fee # # # Water Tower Fee # . Builder's Deposit Other TOTALDUE ~ 1- t-(,,()S Paid Date .. /Z~ Btf' .1r J4.,..Jr J Re~ipi No. ByV. rf $ YSo,O'C $~~t>rOO $' ,~"O.Ot!J $ 75."0' $ ISao. lJ 0 $ ItJl'1n. 00 $ !Seo, 00 $ $/ZtBQ8.78 S(JJ6.1 ThiS IS to certify that the request in the above applical10n and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when signed by the City Planner constItutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be ~~ Planning Director 9.k-~~r . I Date 24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245 16200 Eagle Creek Avenue Prior Lake, MN 55372 Special Conditions, if any Residential Building Permit Checklist New Construction for Single or Two.family Dwellings in R.1 or R~2 Districts', ,... Reviewed by: ~ ,"..J ~ Date: '7/z~f;s- Building Permit # Address: I L( It:, '1 tf tJ ~ Legal: L 2-/ , B (p PIC: J~ Zoning: Subdivision: lu~ /Jf" ~ Existing Structure? YES @ Existing Nonconforming Structure? YES@j> CONFORMS TO ZONING ORDINANCE YES Yard Setbacks: NA 1 FAIL$f'COMPLlEs)) . Front Yard (can be 20' if avg. w/ln "150') . Side Yards Standard 25' 10'1 25' if abutting a street . Sidewall exceeding 50' requires additional side 2" setback for every l' over 50' in length I. Rear Yard . Patio Door. provide for minimum 10' deck or sign statement indicating no deck will be built in the future . From 100 year flood elevation of wetland/NURP pond . From OHW (Prior or Spring Lake) 10' setback + 2"/1' over 50' 25' 10' sidel 25' rear 30' 75' or setback average of adjacent structures, but no less than 50' I Floor Area Ratio: NA 1 FAILS t<llOMPLlES~ ,.- , Yard Encroachments: NAI FAIL(1.et>MPLI~ Eaves and Gutters no more than 2 feet in width and no closer than 5 feet to a lot line (Easements). Ale and other equipment cannot encroach on interior side yards. .30 Maximum Standard Tree Preservation: ~ FAILS 1 COMPLIES . Total caliper inches . Permit 25% Removal . Caliper Inches Removed . Caliper Inches Preserved . Replacement Standard %:1 L:\TE:rvIPLA TE\BLDGLIST.DOC NO Proposed \.~/f" ,.;. I ~- Zt{.f42 w -- 21'. '5?- ' 8"tXA 2. r' NA JJ~ tJA I. /d-~() Proposed AltnJl!F jt/ tJ ~ Proposed' I Driveway: NAI FAILs::z.c()MPLlE~ · Maximum width at property line · Required setback · Maximum slope · All parking areas to be paved including R-V or spaces adjacent to the garage · Location to match subdivision grading plan ~ Building Height: cC~PLI~~ FAILS 1 Shoreland Districf~A ~F AILS 1 COMPLIES Minimum lot area (square feet) Minimum lot width I Shoreland alterations I Impervious surface I Bluff in Shorelan~~ FAILS 1 COMPLIES · Setback from topof bluff · Bluff impact zone · Engineering certification submitted/approved I. Grading in bluff or bluff impact zone I Floodplai~NA) FAILS 1 COMPLIES · 1 00 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 ---. ~ I Accessory Structurt(. N;I FAILS 1 COMPLIES · Size · Not located in front yard (Materials) · Side yard and rear yard setbacks · Maximum height · Materials compatible with principle structure L:\TElVIPLA TE\BLDGLIST.DOC 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/exporting Standard 908.9' Prior Lake 914.4' Spring Lake 909.9' Prior Lake 1 915.4' Spring Lake Must be l' above flood elevation for new and existing structures. If existing structure was constructed 9/19/90-11/22/97 then . additional foot is not required. Must be flood elevation. or higher 907.9' for Prior Lake 913.4' for Spring Lake Standard 832 sq.ft. or 25% rear yard I I 10' I 15' I iii~\i ii_,:II-' -( i. _. _ I]8JIAJii.fi - Proposed 1 "'2...t.f ' b 25 .' S- ,'1'0/. . i Zq '~AJt'. l~ I "54' , Proposed Proposed Proposed Proposed ....,...,; I White . Building Canary . Engineering ~ . ~i8nnln9> BUILDING PERMIT APPLICATION D.EPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /65 COA/5TK. · 9. 1. uS The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4h9f3 ?V/L-j)S v/&/;V Accepted Denied Accepted With Corrections /' Reviewed By: ~ ~;p~ Comments: ~tJ-eI a.L-f ~".; ~ , ..... , Date: ~ft~ 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. II r- Whit, - BullJilna (~al')arv - Enqlneerlng,) 'Plnk - Planning BUII.DING PERMIT APPLICATION DEPARTMENT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED / C3 S C ONo' / Ie. . · tJ. 9. 05" The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4~9f3 WI'-OS V/E,W Accepted y Accepted With Corrections Denied Reviewed By: ~ Date: 'j - Zl) -oS- Comment~: See Re.yerse Side for Additional Information! See Attachments' 1) Grarline Plan, 2) Erosion~trol Measure~ "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 viqlation 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." I ~, "',' " , " C'lVhi~f[t - R~II~ Canary - ~liglneering Pink - Planning BUILDING PERMIT APPLICATION ~RTMeNT CHECKLIST NAME OF APPLICANT APPLICATION RECEIVED /'"qS C,ONb/'€'. · 9, 9, os- The Building, Engineering, and Planning Departments have reviewed the building permit application for construction activity which is proposed at: /4~9f3 f;1!/L-.oS V/6W Accepted Denied Accepted With Corrections / Reviewed By: - ~.~ , (t4Aah ~. ILKo-rJ ~-i) ~ , , Date: '9~4s , L~ o--.Q ~~. 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.1I DEC-15-2005 08:33 CITY OF PRIOR LAKE 9524474245 P.03 ell i OF PRIOR LAKE HEAJJl~G/AIR CONDITIONlNGIFIREPLACE PERMIT Date lUc'd (PIc.a"e lVPe or ~riD.11UId DIn at bomlt&1) ADDRESS 1~?3 ~~"'("" ~::.. ~ I PERMIT NO.~ tl!II..tJL~ J. v...... ANI:- w. ~ ZONING (e6.c ale;) LEGAL DESCRIPTION (o~ use oaty) LOT BLOCK ADDmON OWNER (Name) pm J r: t ~ $, ~J1 rl-rw /, ~r"J (PbODe) (Address) 11J7J .)A/'r 0~ ~A" . ~A/ " ,. , APPLICANT :) 4 . M"j ;." 4"../ ~4!;J k,U . (N4U!:lc) I , - J. (Phone) ?~j- 7~ /- ~JO "' CAdc1n:s.s) I J} Jt ..:;1,;(,.,- fj- #~ .A{,... ~ k 5J/~ (~) (Cftr) (Zip Code) (COD.taC1 Person) I~!-ry ~ / . , (Phone) f4-~ Ii./" e,,t"l' APPLlCANTSIGNATOltE ~k l ~ DATE b ale oJ:" APPUCANT PLEASE COMPLETE BELOW ~w CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS FURNACEMAKEANDMODEL ~~!}r"7 /l1:)J.?lip//zP2Pf) ,FUEL ~~.-.I I FLUEsrZE 3~"11/(. .RETURNOPE'NlNGS /3 INPUT //~.de1() OUTPUT /~~~~ TYPE OF SYSTEM H:EA'IlNG OR POWER.!'LANT OWIJm\ Air PIUl.I.! 0 Steam OOn...ily 0 Hot Willer ~MecbIllica1 0 lUdilllion I2JAir Omditioning 0 Special DeviGe.t OV~t. Synem 0 Other o.",ic:ca PLEASE NOTE: Air Condicioner Unit! Cannol Encroach into Requi~d Side Y:c'd . I SetbacJc:s FIREPLACE MAKE AND MODEL FEI: SCHEDULE Industrial, Commetcial4 Mulli-Family I Yo Ofjllb cost Rcsldcntit.J, au Fi~placc S39.~O minimum Rcsidcnlial, Hearing a. Ale (New Comrruction) $99.50 Rc:sidCAfial. Additions 4 AIb:f8tfOl1s ReJ:idC'JIliiU, Iiclllinj! Only (New COClSll\Jction) $64..50 Raidernial, AC Only SJ9.:S0 539.'0 $39.$0 EJtimated Cost S Building Permit 1# -./" (omCI tJKO"ly) T'hq AppUC8t1_ BecoQlo Your BuikU.C Permit When Approved HEATING PERMIT FEE STATE SURCRAAGE TOTAL PER.Ml1' FEE S $ s ~~ .\IU"IIC 0fIl".. DAre . irJ\~"'I:~ \"! \ I Receipt No. 'l .~, ! ! l 'II fafJEC 2 0 2005 ,I By L~ , 24 hour ho!ice for all 1nspcclloJl$ ('52) ~7. '8.50, IU (~2) 447-4245 16100 Eagle CAlItIl AftDllc, Prior I iJI,e, MN ~S:37.~ TOTAL P.03 Page 10f2 ~9ubj: CITY OF PRIOR LAKE S&W Date: 11/1412005 4:25:09 P.M. Central Standard Time From: ~le.l:l@CItyR~BIQ8LJ~$E..ctoJJ1 To: b.ftist.l.bmosulfvlfi)aol.com ~ vat' CITY OF PRIOR LAKE SEWER AND W AI ~R PERl\<u I II/50S- I. 0J0lift l'iJe ~VHS ~. y.. (:Ity PER.MIT NO J. 0ft1. AppliulIl :l'leqe ~ or llriar "... sia.l. . , . . J ADDRESS ZONING (ofticc:USt) L-f(Qqg (jJ;IdS V,'tw LEGAL DESCltlr .. .ON (ofIl.ce DR only) LOT BLOCK ADDmON PID OWNER. (N arne) 7G-S ({f~11 115 Q Slq fr;v Ci""r c (e. (Ad~~) (Phone) (P51. z.;o Lf/z ~ (Address) ~ .c, )' 1'1... Z, (zip Code) ArPLlCANT (Name) ~j <<I... ~UlRtlct'lII ... . 230 Basalt St. N.W. · Ramsay, MN 55303 (rbone) (Address) (Mdress) (Cil)') (Zip C~x1e) (Contact Person.) -1)1. J..fL - ~ , - - (Phone) 7ftJ3 -LfZ. 7.0/(;7 DATE I,IILfld 5 APPLICANT SlGNA 1URE APPLICANT PJJEASE COMPLETE BELOW Size of water service I inches. Location of any couplings from stru51J.1te feet. Type of sewer pipe. ABC (PVC) Cast Iron Estimated length of sewer line .' feet. Clean out (if required) located' at feet from structure. ~.I!...I!.. SCHEDULE Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 Monday, November 14,2005 America Online: HeidiHydroSully Date Rec'd CITY OF PRIOR LAKE PLUMBING PERMIT ~ee type or print and sian at bottom) ADDRESS l." 1"-& J ~ '(J 'f-P W;l J ~ ve~ ~ ~: ~~ I PERMIT NO. r'_q tA' 3. Ydknv Appticom ~ 1f!J ZONING (office U81!) LEGAL DESCL:r .lION (office use only) LOT BLOCK ADDmON PID OWNER (Name) (phone) (Address) APPLICANT ~nll nl ,..,- (Name)7Ll2::tl'l r/V\~~I71". -LYI( ~ V J (Address) :)S,13 kJ7 jf- 4vV" (Address) B 61 ~ Y) (phone) .2:-,,>> fYI. ~( tV) ~ Y1 (City) 7~}-- fY.(- 3~CJIJ S.J3...,~ (Zip Code) A1Vl (Contact Person) (Phone) Quantity I I I 5 1 I I DATE APPLICANT PLEASE COMPLETE BELOW Type of Fixture Quantiqr Bath Tub with or without shower .6 l/ Dishwasher , Floor Drain Lavatory (Bathroom Sink) Laundry Tray (1 or 2 compartment sink Shower Stall Sinks Bar Sink Water Closet (Toilet) ~4~- 11-( ~-rJ:J APPLICANT SIGNATURE Type of Fixture , FEE SCHEDULE. Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Lf Rough-ins Water Heater Water Softner Stand Pipe (Washing Machine) Sewage Ejector Backflow Assembly Backflow Assembly Test Lawn Sprinkler Other Residential, New One & Tw~Family $99.50 Residential, Additions & Alterations $39.50 BuI1dJaa OffIcial Estimated Cost $ Building Permit # PLUMBING PERMIT FEE $ STATE SURCHARGE $ TOTAL PERMIT FEE $ :~h-Q 14 hour DOtice for aD [c. ".," "ODS (952) 447-9850, fax (952) 447-4145 16280 Eqle Creek Ave., S.E.. Prior Lake, MN 55372-1714 (0fIIee Use Only) Tb.is AppUcation Becomes Your BuDding Permit When Approved Date PRIOR LAKE INSPECTION RECORD SITE ADDRESS '~R WiLDS ViN ~ NATURE OF WORK ~atJS'tP-uc210~ (~ &..c.. V;;MiHI- tJI ZWca..J USE OF BUILDING ~,P\t),' PERMIT NO. OS 09<fs DAlE ISSUED 91:a",,,s . CONTRACTOR Tdas- ~cr~ PHONE-'Il- r'I~-"ZOG NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW THE PERMIT IS BY SEPARATE DOCUMENT DEPARtMENT OF BUILDING AND INSPECTION INSPECTOR ; OATE I FOOTING fll;, I/"/~ 7/", / ' I FOUNDATION (Prior to Backfill) I 1/l../lI' I 11- 7-():; PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED ROUGH - INS SEWER I WATER I SEPTIP FRAMING \fV ({.- INSULATION ELECTRICAL ,I I PLUMBING Va. Rh '1;::( n /c.=-/~ I ctJ- HEATING (if required) vVv" / \ L - t..--L1' Ii\, FIREPLACE /~ '.>Pill ~k).j, GAS LINE AIR TEST~f~.';~.i:f!t,1I COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED . . 'f(~E.1 ..".S~ uJIlAf~, I .. FIN~ /J vvv/ 1('v{! }/~ 1L,)A~ t/J;?/o6 GR'ADING (Prior to Sodding) BUILDING ~~ vv.\" \ lO'l~ ELECTRICAL r>> PLUMBING~~ ~-\V HEATING DO NOT OCCUpy ~ 10~(k - th ,I vvy . 7-~-r~ UNTIL ABOVE HAS BEEN SIGNED NOTICE uc 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 ~g/r ~! ~,:t, \" , QI~rtifitat~ nf @ttupant\! CITY OF PRIOR LAKE ;!Eleparftttenf nf ~uil~ing JI nsperfinn ~inal Permitted o Conditional C.O. Expires This Certificate issued pursuant to the requirements of Section ii 0 of the 0 Residential / 0 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 ..:s I AI ~~ FrI M 1(..,'1 Bldg. Permit No. () 5. (; 945' ' Occupancy Type J;::.3 Type Construction. V 1\/ Zoning District. f/(/O Legal Description L. Z I I .8 G. /41/ /-OS / s;r Owner of Building. Contractor's Name & Address rr.::.,5 (!.(;N~., ~ IN/' ., Site Address /?(, 98 111/1I-D S V I e: W 9()ZWII..O.eoSc e7.. C./'fGFlN 5slz.3 City Planner Date: . Building Official S-, I('-of., Date: .~ ", :'.,; "; '~:~.L..'~'J..~";;,...;; 'U1(~....'~',},.,,,;~j.L' i>,;'l..:lii.< .li.; ~1Ii.~,~..:i,,;):,';',,-,,; "~'~~i.:~~"::~;"!ih..~" ~ ...:.. ,.".J~i..\.':" ,.;: '.ai.~:i \;11;'" II..... '.~~.i;._'.~,ilL.....\ .:~-~"~h~,iJ ,:" I ; ,...~. '''.. ".... CITY OF PRIOR LAKE INSPECTION NOTICE DATE TillE SCHEDULED ~,~~ fAAlJs ~ ADDRESS Il(r;~~ OWNER CONTR. PHONE NO. ~fV5 PERMIT NO. o FOOTING o FOUNDATION o FRAMING o INSULATION ~L o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP 11 PLUMBING FINAL o MECH FINAL o EXIGRADIFILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GAS LINE AIR TST o COMMENTS: p)!ht,f-a/( J1A r-U Lft1.~r ~ORK SATISFACTORY, PROCEED ~ORRECT ACTION AND PROCEED o CORRECT W~~K. ~~FOR REINSPECTION BEFORE COVERING Inspector: YW Owner/Contr: CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ /NSNOTl '''-..... CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED ADDRESS /4{,tftr lM/J5 0--vv 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: +1L.~() , , ~S!;lrl'cd ~+,! DATE TIME -7-~ S--qt1~ o EXIGRAD/FILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLINE AIR TST o IO"/-o{, ~ORK SATISFACTORY, PROCEED o CORRECT ACTION AND PROCEED o CORRECT WO~, ~~OR REINSPECTION BEFORE COVERING Inspector: t/W Owner/Contr: CALL 447~9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY! INSNOTI DATE TIME CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED 64M6 ADDRESS II.{ ''79 LJ,'tJs ~w PHONE NO. PERMIT NO. 7'66 ~1t&.J. ~S..~5 ~~ILLING o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o OWNER CONTR. o FOOTING o FOUNDATION o FRAMING o INSULATION ~INAL o SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL COMMENTS: '/~" CArl, ~ -DCL . ()( WORK SATISFACTORY, PROCEED o 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 & SAFETY! DATE TillE CITY OF PRIOR LAKE INSPECTION NOTICE SCHEDULED y-ytX:? ADDRESS 14~qfr wrlJ5 I/~ OWNER CONTR. PHONE NO. PERMIT NO. 05 "qt{s' o FOOTING o FOUNDATION o FRAMING o INSULATION O(FINAL P ~SITE INSPECTION o PLUMBING RI o MECH RI o WATER HOOKUP o SEWER HOOKUP o PLUMBING FINAL o MECH FINAL o EXIGRADIFILLlNG o COMPLAINT o FIREPLACE RI o FIREPLACE FINAL o GASLlNE AIR TST o COMMENTS: -.. PRK SATISFACTORY, PROCEED o CORRECT ACTION AN ROCEED o CORRECT WQ}tK. L FOR REINSPECTION BEFORE COVERING Inspector: 1/ Ii CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.. Owner/Contr: CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/ INSNOTl