HomeMy WebLinkAboutBuilding Permit 99-0014
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.-..
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bollom)
2. SITE ADDRESS '
LIt2..b ~ 6:> I'>> ) Yf.ld <;/1 V / -- J4... J2J~
3. LEGAL DESCRIPTION
1. DATE
}- 4- 9'1
K\ '31")
LOT
~ BLOCK
UJ J ld../Jvi/,.-<;<
,
7_
}:J/1 Jt) cL
PID 2S'-3 39-~-o
ADDITION
4. OWNER
(Name)
(Address)
(Tel. No.)
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER
(Name)
(Tel. No.) 447067-'
/ /;; 6 ~8 ;$L-JI?'aI L)J.j~ 11. i ')
(Address)
2:0 fHvj()4cJ CtJ/(..~f-
7. TYPE OF WORK Fireplace 0
New Construction ~ Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.FI.
Septic 0
Addition 0
Deck 0
Finish Allic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. i1 - 00 1<-(
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
C-
13. TYPE OF CONSTRUCTION
h./..f> '1./
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COST~
'2000 '
17. COMPLETION DATE
(9- '19'
I hereby certify that I have fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owne{ or authorized 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 submilled plans. I am aware that the
building offi"1 ca,..,voke thij permit for just cause. Furthermore, I hereby agree that the city official or a deSigneil~nter upon the property to perform neededjnspe;l!9ns.
X ~"fa-. 10!~ ~ 11 '-f l- Cj-~y
, 11" I Signature Licensl No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Sida
Side
Front
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMiT VALUATION ~aC7C>
USE OF BUILDING
Sf7t:>
TYPE OF CONSTRUCTION: I II III IV (J)
Occupancy Group A B E F ~ I M (51 S U
Division 1 2 (iJ 4 S-
Permit Fee ................................... $ t,0"l7. "2
"767. '11
70 . c::;o
MATERIAL WITH APPLICATION
SOIL TESTS 0 ENE 0
PILING LOGS 0 PERCOLATIO STS CL
""-
PLANS & SPECS 0 SETS
SURVEY 0 COPIES ~~
PLOT PLAN 0
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
~,~o. Oc:::l
I D~ . <9~
Collective Street Fee ....................... $
Sewer Tap ................................... $
~.c .( $
Pressure Reducer ..1lJ.................... $
Meter Horn ................................... $
.,;. t.
Water Meter ...76'-.......................... $ I 25 . ef)
Sewer & Water Connection Fee ........... $-!, L~CJ . ~~
Water Tower Fee ........................... $ 70 () - ~
Water Tap ... ..... ....... .................... $
., / S-Ot:) ~
BUllder'~t ......n.................. $ .. .
Other ....:\LeL..ti.~...... $ ,~
Total Due .............................. $ e, 111; , 7-'1--
Paid Jf II A 7.-'2- Receipt No. "3 1- ~q ~
Date zJ B /11 By M If.
the above application and accompanying documents is in accordance with the City Zoning OrdinJnce ~nd may proceed as requested. This document when
tes a tem rary Certificate of Zoning comPli~s constru 'on to commence. Before occupancy, a ~cuJ?llncy mus~ti ed.
l ,/'~ ~ ~ .. tE /y).'1 ' .
Dale Sial Conditions n any {, Z. ~ I. J
24 hour notice for all inspections 447-9850 ~ L, ~ L-
Plan Check Fee ............................. $
c.~ ,\<1-
(' 1,
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing perinit Fee .. ~~....~I~........ $ lOO - I') D--
Mechanical Permit Fee .'1,:".~~~.... $ t f"\(\ .OV
Sewer & Water Permit ..~~..-;()O.c.r... $ 3h .00
Gas Fireplace Permit ..,~~~l~... $ 40-00
This ~9l1iJf1 Be~ Your Building Permit When Approve,g"
BY~/"h Date 1-7-~
Certificate of Occupancy
Issued
lib , o-a
From JECHEEXC
PHONE No.
612 8926396
Mar. 12 1999 6:46AM P01
OflIU. . PlLR
ULLO" . ."L1C;:"..T
QO~" . en,
-
CIT't 01" PRIon L2\l<E
~EWER AND WATER PERMIT
Noqq --t~L...
NOTE;
Sewer and Water
~ontractors m~st
be registered
with the city.
APPT IT CAN'!': J e ~.JJ._~.~.~~. i::::..X (~;...-..-- ow
:~~:::::p.:1~~~~~ri~-_LL~ h L
SITE AJ)l)l(J:;SS; 1-~J/(I [3'" l.....J ~ V\ C' t<; r1...k:...UyLJ.....
PHONE: '7 ~ b ,(:J~r-(" .
_L>A'fF.: ~1l; ~r (Z-../7~qcJ
BT.,ne. PEl~Ml;l' #29 "DD I I.J.
PI D# de; -3=S ~-.0/3 -D
1.
E$timnted longth of water sorvioe
Fl'].!.. IN 'l'UE BLANKS
L-tO
feet.
2. size of WQter sorvioA
\
1nch(es).
J. LocQtion of any couplings from structure
feet.
4 .
Type of ~cwor pipe. ASS PVC ~
Eotimatod 1 engt.h of $eWQr 1 i l'lt;!_..__ q Ll
Cast Iron
feet.
ro"
:=>.
6. Clenn out (if requirod) I
",t. rueture.
located at.
feet
frOln
_~~__~__/U~--;__~-~~--~--~----~--------------------===___u
This a~1 " ,our permit whe" approvod.
BY.....~ DATE; 3-/S -<? 9.--
~~~~~~~~~====~~=~~~===~~=~=~=;~~~===~_._.~..~~====~~~~~==~~~~-~~~~=~~~==
FEES~
$
e
$
35.C)O
.50
J5.50
S~w~r ana WZ1ter l.ill~ oonnection permi t-.
Surcnar99
TOTl\L
.. Fee for either sewer or wa~er indivi~u~lly is $20.00 plu~
$ .50 surcharge.
..
Sewer and water permi.ts iS~ll~J lor new constructiun 111l1E>t:. be
recorded on the building purmit card at the ti~e of issuance
to insure that no duplicate sower and water permits nre
I
~ssued. q
[)A'l'E PAIlJ 31(;- q
lU:C)U prr '#
.---
PAID WITH
BUILDING PERMlfMouN'l' PAIr' __.. ~'" "'.
llEC'O OY~~,
16200 Eagle Creek Av. S.E., Priot' Lake, Minnesota 553721 Ph. (612) 447-42:iO I fAX (612) 4,4.7-4245
^I~ Bqlllll OI'lml1uhily Hml,lnyol"
CITY OF PRIOR LAKE o/) -(f /
16200 Eagle Creek Av. S.E. Perml1 No.7 '1 '1
Prior Laker MN 55372 I
..-l
Q..
IS)
N
t'-
o
Z
Rue Size
Supply Openings .
\ S-
~
~tl~
Retllrn Openings .
~ Input ~ , ~ ()~ . Output
H
cr
o
~
I-
W
E
Edr.
Cfm_
)~ ~ S-
TYPE OF STRUCTURE
1. Piak - file
2.. Gna - Oty
3. Ycllw - Calltra.clilll
Single Family, X
Commercial
Two. Family
I ndustrial_
Fee Schedule
Industrial, Commercial & Multi- Family
,Residential, Heating & AC
Residential, Heating Only
Residentlal, GBS Fireplace
Residential, Adallions & Alterations
Residential, AC Only
Public
Muni-Famify
Other
1% 01 job cost ($39.50 minimum)
$99.50
$64.50
~.5()
$39.50
$39.50
Remember to add Ihe State Surcharge on the bottom of this application.
TYPE Of SYSTEf.( i'
Warm Air Plants ..J(
Gravtty
Mechanical ~
Air Conditioning
Vent. System
HEAnNG OR POWER PLANT
Steam
Hot Waler
Radiation c
SpedaIDevic&s.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections wOI be billed a1 $35.00 each.
HolJS8 Heating Tesl Record mll8f be submitted with ""ilrli~C' Demit number before bund-
ing certifieate of occupancy wlll be issued.
HEATCAI CUI ATlON!; Rl=nIIlRFl') with number of SLlppIy and return openings listed per
room with CFM's pel opening. New structures or acidillons send floor plan with supply
and relum locations .shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPL!CATlONS MAY BE MAILED TO THE CllY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PAIOR LAKE, MN 55372-
City Hall business hours are B a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
447-4230
Other Devices.
IT: Ah&rations
If)
..-l
TYPE OF WORK
Replacement _ New ConsaruCllon .X.
Est. cOmpo Dati .
R . .
N ..,~1
...:. .,..;;'1. I ~ ~
1IJ\ CITY OF PRIOR LAKE
~~3. 't, 16200 Eagle CreekAv. S.E. Permit No. qq {b (t.{
~ Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date ~ - d ~ . '\ ~
Site Address '\n ~ 5 \., \-\ ~ ~ ~->(\t- \ ru.\ L
Lot C; Block L. . Addition JtJlJm ~~ ds
Owner's Name \~"\ \~{ V\ r) ~. h
Address \ \o~ S ~ - 6 \ ~.J. G, k:~ \";~S~,
Heating Contractor \\\ \t-\- r("J -{\ ~ r ..;::; -i. n (
\ \0 '-\~(\ \;~ \\' ~.(J~ f\vc (((\Ur-\ i.t\\L
-" ,~, --'
Telephone # ~ \,\ 1- <6 \ d. \.\
PID# dS-3~'t-O r~-o
(( [~~
?0fJ ~~
Address
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
Fuel
Supply Openings
Flue Size
Retum Openings
Input
Edr.
. Output
Cfm.
Other Devices ~ \ Y"'o _ r \u ~
TYPE OF WORK
Alterations
Replacement
x
New Construction
Repair
Est. Comp. Date S - \ - q q
Building Permit # C\ ~ - \ '-\
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50 (PAID WITH .
I BUILDING PERMIT
Receipt #
TYPE OF STRUCTURE
'1, PiJJk
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
x
Two-Family
Industrial
Public
Multi-Family
. Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildinq permit number before build-
ing certificate of occupancy will be issued.
!:ifAI CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and retum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) . CALL CITY HALL
447.0\230
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which reauires review and approval of plans.
V\\C!vvvV1.-
~j;. .
BuirdlnQOfflcal'S :Slgnature--
~~ )~.q q
Date
S'-2b-9cr
Date
00
White - Building
Canary - Engineering
Pink - Planning
Tht ('"nlef of 'he Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L. S. He,^vw\n Qr'M~ \ .
APPLICATION RECEIVED
I/~) ~i
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IlnloSl.c. (..J " l.\tso I L", .
Accepted
Accepted With Corrections /<
Denied rr})
Reviewed By: IV';: 0 ~"'-J. /1
Comments:
Date: (- 7-7~
1 - S o.,Q ". --e +- f1u.JJ FJ- ~ QAJ.d 0 rIA . -{- P ( c.-c-.__
~. VV\o...~'-^-\~~ -'ljo~t~ W~
3. ~a.&. ~ ~~Llo.J ~ ~
"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."
c.
99- tH>/<f
":t.
Th. C.nt.r of th. l.k. Country
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT L. S. \.l'f \.\ \II ~\;'\ Q (~"1~. \ ,
APPLICATION RECEIVED
IJt./) '17
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IL\c..5(" t.J,~&r:,OI lll\,
Accepted'/ Accepted With Corrections
Denied
Reviewed By:WA(.."'~te. Ewl{€.SAf,qNrJ
Date: I J IS J q-y
, .
Comments: i<d,uoFF 1V1\J(r 'Ee CONv€.yED 10
ANC!. Al..<JNu Da.r"lrNAGtc.
ANt:) UTILI 1'1" EASE.M6".....rr<:.
AS MIlc../oI ,q<:.. +>1l'llc..ttc..J4c.... .
SEe.. IN~ M.~TIO^, OAJ RFJeltst:. SlOt;.
SEE ~C.HMf'&liS: J F;AlAL. CJn.4C>/AJG. IAJ~i10N /NF..,z~.;J -Z.
~M\ N &. 'FLA IU
3. tI{OS'ION CcWTRoL. R4N
'l EAoSION e~tVm..o'- t'1EII~III?&S
"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
Canary - Engineering
Pink - Planning
Thr ('tnler of the- Lakr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I.
APPLICATION RECEIVED
'''" '.... l.. f. ,-'" , ..
, I'I ; "
! !'I i I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IlL t "_"-'1 L
Accepted V Accepted With Corrections
Denied
Reviewed By:
~IJ~
?~ ~-
Date:
;,- ( L( -L1~
Comments:
CD ~ /~ <,y~ I---J.\lc
<{~~ ~ou~ <I7 -e.e...-~~
~) ~,-)ev q7-ce- _~LY~ \fO Q~
~V Pe-v~~~cJ(~(D
fD/~ ,Qvt,~-
v
eo ~ ~ ~\k4~ -W.eJP < I.k /J
.f{~(}qQ ~ ~k/'qJt~
p-e-.-- C..J>i.c~ 4/~"
"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."
"kl!"':"'lJi'h."'.;t."K' . 'E' ,
",,~ .""""""""'~ ...., ....
, _~~~~.~ .::,: (:~' , l~. ,":~~' "\~,,,,>
Ylt~~~i!\~~t~iY..,€i~ .
~
.Permit..
- - ~ -,... ---- --- ----~:.:=- -,--
q 1 - DO t.
.JobAdclress J lob, t:; to Ui....-td
.Heating Contractor METRO liR
..\ ~ f-l'.
.
~T\S:~~Jure
\'l ;~~
.Gas Une
Pressuriied
Inspected
Q!!!
Time
Ot
PERFORMANCE TEST I
'''~",co,..Jp. 3 ~o .""-co ~1~~
1tJ. -; ~u V
.Percent O2 .Stack Temp.
Final Inspection
_. _..-..........A
\
Date
t-
o.
t.
,
(1..;', " "
iIt._.... .
/
"
1>\",'" '<
~._~-"'~:-"',,-.:,,\,,,.,':;IJ.
,,(" '01: '.'_: 1 \;<"":-t.~:-,.:',"'. ".; ,
c ~~
!iiJtS.~'.:j -".7";: t-:~.-:--- ~,7 ~\\>' \"-;- .If,,..... X~r -.:- - .= -'? ~~-'~-"~ . III -;(~ 11\ -;~~ ~
" .':.) "",. ,., .~~.~.~.~~.~'."~.'I."~._.'~',.Y,.,,Jr..~._, ~d:'.,.*.'~'",-
/,.. _~, _ I~""" A...... .~..... ,.A~~ I A"'" ' ......... '~~~~,'~,~_."~V""",~.~,,....r."",ft>io'~'.'~""~,~ '.i"!~,~,", ..(
I, '/1' -..- -" "............".......'.. ... 1 ,."" 1 J 1.:''''''K
;.- ~~ [I fLtrtifiratf at (!Drrnpanry 11<
~',':.~ CITY OF PRIOR LAKE ,J:.,:-~
~ ~~
I '>: ~tpartmtnt of Jiuilbing 3Jn~ptction ~ r'l
~~: 0 Final Permitted 0 Conditional C.O. Expires . ,y~"- .
I ~!~ This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code . ~. (
I . "1:' I certifying that at the time of issuance this structure was in compliance with the various ordinances of the ,I ~,'"
); _ I City of Prior Lake regulating building construction or use. For the following: ' , )~
:lij, , u~aU"""",,, R3 SINGLE FAMILY VN :',/~"""":". 99-001\150 ~ '
-.; . Occupancy Type Type Construcl1on . Fire Zone Zoning Ditmct
;tl == L5 02 WILDERNESS POND~Add='
(;"":..' Contractor's Name&Address. LS HENNEN CONST 16658 BLIND LAKE TR.PRIO~ LAKE MN
(~,' ROBERT D. HUTCHINS~~f JENNI TOVAR
~;:ji~ Building Official , City Planner
)~_ (?- "'Sf - 99 Date:
\~.,; ..: Date: _
( ."
(~ . ........ .....'"""',.;y...".,~;t,"1loi"l;:;WjI';~t:--'iof;;.:::;;...., ~";'d': ~
~~~~"..~ ~=,...,,~::;;;~:t;;;;t'.,
..._,,__":";';'~L~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS --110 b 5 ro
uJ, ~.DS~R-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATIONW l'
J8l FINAL ~
o SITE INSPE
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
() 1__
COMMENTS: r "1'60 : I YLt.:-c: S'
(J -
d-M doA"~~ 04ti::
,.-;- ?~,I( t'rt ~ ~
t.
~ I
-
DATE TIME
15-3(-9, A, T;
I-NI s.s;
19 -6CJlif
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W?!~J CALL FOR REINSPECTION BEFORE COVERING
Inspector: Vt-, Owner/Contr:
\
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNor/
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~-ll-qq
q:tb
ADDRESS I ~(qSb W ih&Sor L.fl.Kl-t..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
9'l- 14--
o FOOTING
o FRAMING
~SULATIOiI^-
FINAL ""
o FOUNDATI
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SewER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
WMMENTS:
W f-Y\i\~ O<A E;"<A/'v\UN~ ~ .
(zJ ~~ cJ-cl ~(..~ _ ~ ~19 ~
Q &USfOV\ ~o-lL l~~~ ~ y-~
~ ~'~ &xM..~ ~ ~R.-L ~
~f.S~ ~ \) ~A~
W~ ~~ ~~ tJl- U~C
'1 ~"'TLA,~ V-rl2Af? A-c~>S
({?) ~ -lq,r ~ c.,+ ~~
r;;~ ,
\CV ~O"'" ~ ~ ~Oll\^-~
'.h ~ro ~ s~u.k {...-~ ~
(\0 T \~b~ 't'<A~t-
....
~
f ~ r 1', L-;- ~ .~
\. ""~ ?\'~;U~.'fT' f--t' ", '7
~ v
-------
l--~
~1S"
CTION BEFORE COVERING
Inspector: / Owner/Contr:
CALL 44t-423~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE RE~TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-7-q9
10: 30
ADDRESS 10&~ t? W;ndS6r
L~
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
COMMENTS:
t>\~
CONTR.
PERMIT NO.
qq - 14
I\. 0 PLUMBING RI
~ '!iTMECHANICAL Si-J l-
.......0 WATER HOOKUP
o SEWER HOOKUP
... ~~EPTIC INSTALL
"~. PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
tv ~ FIREPLACE +0 CO
\~ -.O'A-S" ~.
Ii, )1'_'-"
~T
\-k)L.JJ
~e,YyY\~
~.C~NPJ (](~v:t
'Z.S ro.
W,V t h.cv
-t rO
e~f
-
..... -nAe-V"M(;)S~
~~
~
f. f.
<..::> K---
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
5-/3 -qq
10: 00
ADDRESS \ t, ~ 5 Go
W,vvisa--
LN
OWNER
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
COMMENTS:
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CONTR.
PERMIT NO.
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o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
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Inspector: Owner/Contr:
CAL~ 447k230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE \JUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFET~!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
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ADDRESS II n in 5 b W ('n. tiJ6,..
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OWNER
PHONE NO.
o FOOTING
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o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
CONTR.
PERMIT NO.
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o PLUMBING RI
~ECHANICAL
~ ~ATER HOOKUP
SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
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Inspector: Owner/Contr:
CALl 447-4":30 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!