HomeMy WebLinkAboutBldg Permits 05-1213 & 06-0057
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT J J _ ;2d - DS
I. White
2. Pink
J Yellow
File
City
Applicant
I PERMIT NO. 05'./2/3
(Please type or print and sign at bottom)
ADDRESS 2
-51&(~ WILO~ ~u-. ',"(1,IIL Jw4::. M~ $;S~'l?
"
ZONING (office use)
~p U. p
LEGAL DESCRIPTION (office use only)
LOTLl>BLOCK I ADDITION W~
~,U>~
;f.T 'r1JA /N/~K PID ;;JS'- 3'iTs-fj/o-O
OWNER
(N ame)
~~ 1\<;.
(Phone)
(Address)
BUILDER "'''''1" ,'l:i.t..~~~ '\W.~~S
_ _(Company Name) ~S""'tf'k,..tc. )wI D^-J
(ContactName.L ~\ /1I"'h'f!FL.S~6i:'r
~S~~).K ~rtPJ!!.s 7
(Address) "Jt-- ,J.....fJ - I - l)-' 6
FV ,~~ I.J ,,,.,,..,::::> .~
TYPE OF WORK 'WNew Construction ODeck OPorch ORe-Roofing
~ddition OAlteration OUtility Connection
CODE~. .R.C. DI.B.C. 0 Misc.
Type of onstruction: I II III IV V A B
Occup cy Group: A B E F HIM R S U
Division: I 2 3 4 5
G.s- t
(Phone) ~"2. 7...-1./ I~D J
~ --"S) - ~ '2-'2.. -"1""
F/+x
ORe-Siding OLower Level Finish 0 Fireplace
PROJECTCOST/VALUE $ ~
(excluding land)
certifY that I h lbmished information on this application which is to the best of my knowledge true and correct. I also eeltifY that I am the owner or authonzed agent for the
rty d 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 building
or J~t cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspectIOns.
~\I\#f~ jJ-;;)J-'UrDf:
Signature Contractor's License No. Date
I Permit Valuation LJLJ5,0tJO.- I Park Support Fee # $ ~5{), --
I Permit Fee $ 3/~3,50 I SAC # $ J ~ &j'/), -
I Plan Check Fee $ a.03D~~ I Water Meter SiZ~ $ , '5 W.-
/'.
I State Surcharge $ Q'):J,SD I Pressu~er $ 10.-
I Penalty $ I J-.SeWe"riWater Connection Fee # $ IS 06.-4
I Plumbing Permit Fee $ tOf) , -- I I Water Tower Fee # $ IOC(),-
I Mechanical Permit Fee $ /00, - I I Builder's Deposit $ /5no. -
I Sewer & Water Permit Fee $ , ?S.EiO I Other $
I Gas Fireplace Permit Fee $ 40.- I TOTAL DUE enu&:J /2~/~. OS' $ 12.32(,. 7fJ
/! .
This Application Becomes Your Building Permit When Approved I Paid '?t-1.U. "If:) Ii No. :r;ezy
~ ,. I Date ~ I , /.J OS
~ /.74/d.r'
Building Otlicial , Date
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 Cenificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~ _/.:2(/7,~ate(J::S ~~ "_L (~- +--~,
Planning Director ! iu speci~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERIUICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2. Pink City
J Yellow Applicant
I. z 1-. (),
fllk wI 5". 12./3
I PERMITNO~,,0057 I
(Please type or print and sign at bottom)
A11q~ f,.J } LPW1rOD 1M)"
LOT I D BLOCK I
LEGAL DESCRIPTION (office use only)
/1
, ~~{(4KL
ZONING (office use)
ADDITION '^Jf'tJIDS Ih- l\ie- ~ J I..,()>
OWNER
(Name)
(Address)
PID Zr. .3B:J. 0 I Q 0
(Phone)
BUILDER ~ _I
(Company Name) ~lPtE.PT~11tV-~
(Contact Name) ff/f;rE'~ ~D r
(Address) ~ ').0 , S;;, ~ ~ l;V'&~ I
;
~T1~ (Phone) ~~)... 1Z:1.-I{IVI
~ ,(Phone) ~""I -12"2- ""'I)?'J J
~~Tj Ib!tl ~~~ FA~
ORe-Siding ~ower Level Finish
9- "ePlf,
TYPE OF WORK 0 New Construction DDeck o Porch ORe-Roofing
OAddition o Alteration OUtility Connection
D Fireplace
CODE: DI.R.C. DI.B.C. o Misc.
Type of Construction: I II III IV V A B PROJECT COST /V ALUE $
Occupancy Group: A B E F H I M R S U (excluding land)
Division: I 2 3 4 5
-.
mformation on this application which is to the best of my knowledge true and correct. I also certifY that I am the owncr or authonzed agent for the
II tlsiruction wiJ) conform to all existing state and local laws and will proceed in accordance with submittcd plans. I am aware that the building
I'urthermore, I hereby aeee that the City offiCla1Zlgi V :;~on the property to perform ~i~n;c;;~ ~ ~
Signature Contractor's License No. Date
x
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
$
$
$
$
$
$
$
$
4; ()tJ O. Ot.J
e7.2.s-
z .00
-fo. ro
4tJ. I/O
This Application Becomes Your Building Permit When Approved
Building Ollicial
Date
Park Support Fee
SAC
# $
# $
$
$
# $
# $
$
$
$ /~ 9. ZS
/)
c!P'NO !:>(), C
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid
I Date
/6 tf~ZS-
/. 2.*' ~ &,
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 conslllutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
Planning Director
''',,- - //""
Date Special Conditions, if any
24 hour noticc for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Residential Building Permit CheckJist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Distrlcts
ReVieWedbY:~ ~ Date: I-y'i;;jds
Building Permit # PID: Zoning:
Address: 23 'f S uJll.J2~
Legal: L (d , B I
Subdivision:
Existing Structure? YES@!
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA I FAJl~MPLl~
. Front Yard (can be 20' if avg. w/in 150')
. Side Yards
. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length,
I - Rear Yard
. Patio Door: provide for ininimum fa; deck or sign
statement indicatinq no deck wilr be DUirt in the future
. From 100 year flood elevation of~~al1q/NURP
pond ..,"'-" '. ,.
. From OHW (Prior or Spring Lake): .
, Floor Area Ratio: NAI FAll(i cOM~
. :. -, Yard Encroachments~ NA I FAltS~MPUESY:
> ~~~l'Jel);~c;Gutters,t1amore thall2feetiri widtft a/:ldrno.
closer tfian 5" festfa a: ratlfne (EasememtsY..-'!' .:-;-;-.i;;':\~,) .:
~ AiCarrcfo.thet:eqfjipmefltcannot.etterOacfl:Oll:inteOot . ,
: sfde'lartfs;" , .' " ; , ,Y'L:',-3fi''':;' ,;'- '.:.
r Tre~_Ft~e::'~'Cll;blT~LFAJLS l COMPtlES;'=_._.
;.. Tbtakcalipe6rrches . ...- . ,q~
.. P'ennit25P!& Removal;
I .. _ Gallper.Jl':Tches: Removed,_
I; -.. - CalfperJhches: P:reserved
t. Replacement
L\TENIPLA TE\BLDGLlST.DOC
TIU.,
~ @ ~ tJ:Ul~.
Existing Nonconforming Structure? YE~____:.-__
YES
Standard
25'
10'1
25' if abutting a street
Proposed; ..c"~'Jf-'i .
d 5,5'
. :z.. ~ ,/~.~""Z~:t(J./
. "'-'-;-,. ~
10' setback +
2"/1' over 50'
25:'
10' sider
25' rear
30'
--"'-..CY',
";1~SJt~r'~r '
.. ~,_.tr,.~;-' .~, - ~
".-q:i':,.;/~/:;;;~ijr-'.":- :;-.
. .
"". .;':'~~'~:~~7JP.~ :-'
75' or setback average of
adjacent structures, but no
less than 50'
At. ..
'V"..-,.-;.,>"jfj:,. : .
.30 Maximum
I
. "3~~i.r~~!~~~~r;~~~~'.:. :
Standard:
I?...... . .p'.'o's'e' ~~~~#,,; l! .
F,"" Ui'~,~L{'~,~ '.:"i"::'.::L'~" -~;...:,~
,:};"....
f',.
t.";~
~~~
I'.;','
Staricfarct
P'::p'ropased'!i~~~ l}
,~'r.~-' ~.',\
~:,.'.;..
:""..'::
, ~
7t1'-
r.
Driveway: NA / FAILsr~LJE~~
· Maximum width at property line
· Required setback
I. Maximum slope
· All parking areas to be paved including R-Vor
spaces adjacent to the Qaraqe
I. Location to match subdivision grading plan
.. .
, Building Heigl"(:"" COMPLIES) FAILS
-
I Shoreland District{,QJ FAILS / COMPLJES
Minimum lot area (square feet)
I Minimum lot width
I Shoreland alterations
I Impervious surface
I Bluff in Shoreland{Q FAILS / COMPLJES
· Setback from tOpOf bluff
I. Bluff impact zone
I. Enqineerin~ certification submitted/approved
I. Grading in bluff or bluff impact zone
-,
I Floodplairf'N~ ~ FAILS / COMPLIES
· 1 00 ye~d 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
,'"-... ...-=:::...
.. AccessolY Structu~JFAllsrCOMPtIES.
., Size-
I. Notlocated in front yard (Materials)
.' Side yard and rearvard setbacks
· Maximum height
I. Materials compatible with principle structure
L 'TEwlPLA TE'BLDGLlST.DOC
20' From Top of Bluff " I f. '
By City Enqiheer I ,':{'."'f~t~::~~~~~'~:h ..'~.
.,
No importing/expocting I.. ,.;~'~'::;~ff~;~:;rJj~
. =- Pr.oposedr~BJ~-;.','~J
Standard
24'
5' from si"de 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.
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 wa~~9Q~tructed
'911919(H}/22j,gitfie~r;;:;' .'
.. . addiffon~roo'f\SnorreqlireecfD~ .':.'":::~'~"
Must be flood; tior]:o~' ..,
.. ._--,:1tiijff...,.=~et'5.~:L.'.~ ..\~.
907.S' for P'rior; lake.
9 t3A~ for S~ftfrij:n.aKe: .
Standard;:":"
832 sq. ft. or 25% rear yard;
10'
15'
Proposed
2.'f' ,;
, I,
30 ~-~~'~I
~~ ""'(
trlt-
~
Ic)'-~.".-,
'-. ..~., I
.J .:.....~,;..."
:- ~
.
Proposed: . ,.. ''''' ~;
" ::~~:'.:;:~.1
J
{i',,:f
Proposed ,"
!
~:"-i
~L
~-.;~.:
I;
~"
r."
r;.i;
~,'j
I
. ~~1:'
t~~:.
~~"f- .
'..;:f~;~.grit;~l~~~,~g~;
If'"' :O'...,....,-,."~~~,,.,.<"1;!,"'.,~
....fi. . dopOSeur~;;<i..,,* :-,
.' ~';~:~=!l*
~ . '~~'.... ~~.'~-~""';:-.-~"""'-''''-' ~..,
- ,';:~:;:~'::-)i~~::..~~~)~!;i;t:'-~;.~~..'
,-. ....7.~.....~:':j~:Ti~t~~~.~~. .'
.." -, ".."-------.
White M Bulldlnv
('"'t;anarv M'i"{Ilneerln"iD
Pink M Planning
BUILDING PERMIT APPIJ.C.ATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
m /-jfelsf~edl-
1/- ;JCJ, -05'
IS rOS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
331/5 tui/dilJ()od 7rL
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
~-_.._-
l.h\\~:
I ,.~ ~ -6) j---
Comments: See Reverse Side for Additlonallnformatlonl .
See Attachments: 1) Grading 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."
/White - BUlldl-i)
\...:i:ClIIClry - cuyu.Hring
Pink - Planning
BUILDING PERMIT APPLICATION D.fP.ARTMfNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
m ,WelsfCL-edl-
//- :J~-05'
IS re,S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
331-(5 wi/d/~)(l)od Irl-
~
Accepted
Accepted With Corrections
Denied
,
Reviewed By: ~~ :f~ . Date: lah~s;-
. I '
Comments: ~~. ~~_ ~
~ ~fht2" ~~ 4..o~ ..v ~ ~
" 0
'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."
White - Building
~ - I:"gin~g
~k - Planning
BUILDING PERMIT APPUCATION D..EfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
If) ,-+feI51-(L~edf
//--JJ -/)1:)
Br'os
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,33L/ L) !>>i/dlt))()d fly l
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
Comments:
~
~ d..R
~
Date:
/-1-/ fa fa ~
, .
Air Conditioner 1'..nd Other Meehanical
UniTS CaaJ10t Eneroad1 into Required
Side Yard Setba.eks
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
12115/05 THU 16:30 FAX 952 890 2753
STOCKER EXCAVATING
141001
Date Rec'd
CITY OF PRJOR LAKE
SE\VER AND \V A TER PERMIT
S-/~13
I Cr..,n ..t. I PERMIT NO
2. Y(.lIo'" CilY . .
J. Colrj Appliellnl .
05-1213
(Pleas": LY.pe or prim and ~il"J\.ll botton')
ADDRESS
3345 W11d1Jood Court
ZO NIN G (oRi', ~$')
LEGAL DESCRIPTlON (oflkc use: only)
LOT:1D BLOCK 1 ADDITION The Woods at the Wilds
PID
OWN'ER
(Namc:)_
(Phone)
2520 1515t: CouLt W., Suite 100. l~osemount. MN 55068
(Addn:::ss) _
Mittlestaedt Brothers
651-322-4140
(Adc.lrc:ss)
(City)
(~!P Cooc)
. ..
APpLICANT
(Narne)_ STOCKER EXCAVATING COMI'AlfI. INC.
(Phone) _ 952/890-4241
(Address) _, 12336 Boone Avenue Savage I MN 5537 S
(Addre~~) (Cicy) (Zip Co.Jt:)
Curt: same
(Contact Person) _... ." ,.- (Phone)
APPLlCANTS1GNATURE -_..~J.~+- _ DATE _.12-15-05
APPLICANT PLEASE COMPLETE BELO'vV
.... .
Size of water service inches.
Location of any couplings from structure feel.
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.
Residenrial sewer and warer line connection
Sewer coonection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
$17.50 Water connection only $17,S0
F..sri m ared COS[ $
Building Permit #
SEWER AND WATER PERMIT FEE
STATESURCHARGS
TOTAL PERMIT FEE
$
$
:I:
.50 /1UIl.~I/)~
<J/~ .
~))~
7;>41/)'-
(OfTice Us. Only)
Building Official
Paler n 7"~ .-y. ceipt No.
, . Ill'
Dare I:.
,..'1 i DEe ~ ~ 20D~ L.
..JU .J.
~4 \10\!r notice for all in,pections (952) 447-9f50, fax (952) 447-l245
P~\l
I" ,
D31t
This Application Become$ Your Building Permit When Approved
CITY OF PRIOR LAKE
tlEATING/AIR CONDITIONING/~'lKEPLACE PERMIT
Date Rec'd
I. Pink File ..r- ,'., l' ;ill
i ~:'w ~~icanl PERMIT NO~. If,. ~
(Please type or print and sip at bottom)
ADDRESS
3345 WILDWOOD TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
OWNER
(Name MITTLESTAEDT HOMES
(Address)
(Phone)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE HEARTH & HOME (Phone)
2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PID
651-633-
55113
(Zip Code)
1/9/06
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
HEATN GLO SL-750TR
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Industrial, Commercial & Multi-Family
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAII)W1TH
u.O'NG PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved
-
Buildinl! Official
Date
Da~ If () (,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
:J#t
..
.
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS J3!IS tAJlLtJ IUdOD 71tA,'tt .
NATURE OF WORK /EId ~c17~ (}h:J ...... ':;NirN \
USE OF BUILDING . ~ # '
PERMIT NO. qS. /2/3 . ~ATE ISSUED I&(,/,r
CONTRACTOR~A''''' (;SIal. ~-~HON~S'-3ztZ"YltffJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
fff- I /2;l~:~
FOUNDATION (Prior to Backfill) I I .\~ i~---u$
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH~NS ~
. SEWER/WATERLSEPTIC J J (riP '1'i?/,~
FRAMINGr)~'f~qb Izc//-t; -; ! I
INSULATIOtfl J j f 1'; I /'27/~ ~
ELECTRICAL ~. , ;' , .'
PLUMBING /pc. 'n / /?;>k I ,
HEATING (if required) ] ....'l . /I~ I I ) Ie (Jdf
- FIREPLACE vt\Q..U.vID \ /2.cIJ I I . I .
u- U GAS LINE AIR TEST (U..~ ~)
Pj6.1. COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
:t 7/~ ItA't'HE./ Mo"SelJJ~jfJ I //W I J-~
t .
'6q~ sWkYi,NALS u...
GRADING (Prior to Spdding)
BUILOING~-'-1 J.; 3+c~
ELECT~RICAL
PLUMBING
HEATING
I FOOTING
w (.... I
. f
't~~
~
1!
'tJ
~ 'I Ie.
BEE SIGNED
DO NOT OCCUpy UNTIL ABOVE HAS
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 INSPECTIO.NS (952) 447-9850
<tt~rfifitaf~ lIf <IDttUpaUt\!
CITY OF PRIOR LAKE
~tpatfmtnf nf ~uil~ing JI nspttfinn
'E..Final Permitted
D Conditional C.O. Expires.
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
Building Code certifying that at yh~ .time of issuance this structure was in compliance with the various
ordinances of the City of Prior/A'kt{regulating building construction or use. For the following: I
Use Classification S/NG~ F/"II'v/IL~V Bldg. Permit No. OS.IZ I:?~
pt/O
Occupancy Type
R.3
Type Construction
VAl
Wd tPS /"'IT 7?-1{:. Wll.- f,).5#"''''''
Site Address 33+5 W/t,OWOOD
Zoning District
Legal Description .
L /01
6/,
Owner of Building
Contractor's Name & Address 1"//77 t; L..5P7 G D /.
,e.{) Lfc 1<:::7 fl. H {.17M / NS 0 ~ . City Planner
\ Building Official ~
Date: 1\ II \01, Date:
~OST IN CONSPICUOUS PLACE
2520 /5/ff CT.! A:!;()JZI'1(;VN'"ISSu.e
:T1I#6 KAtJ~/6~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .~-S4':J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
DATE TillE
SCHEDULED 4N~
Wi\~W~ 't/1;"~
\
CONTR.
PERMIT NO. 1) - I ~ r3
o PLUMBING RI
o MECH RI
o WATER HOOKUP
; J SEWER HOOKUP
, ';PLUMBING FINAL
~ECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
V-~il( ~ ~cM..
~
( , 6t;L
-\.
~
~J~ ~.L,
o WORK SATISFACTORY, PROCEED
ZCORREC ACTION AND PROCEED
/ 0 COR ECT K, CALL FOR REINSPECTION BEFORE COVERING
Inspect! I . Owner/Contr.
CA ... -~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.......
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
l1tS/WTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-('~ai
ADDRESS 33'15 W,J/~ 1',1
OWNER CONTR. n1,'He/,~rlf
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IJ FOOTING
C FOUNDATION
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IJ SEWER HOOKUP
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IJ MECH FINAL
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IJ COMPLAINT
C FIREPLACE RI
C FIREPLACE FINAL
IJ GASLINE AIR TST
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