HomeMy WebLinkAboutBuilding 02-1578
..,
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
1-ILj-o.1y
ADDRESS
/5'-1/9 Wax) D1)(., t<.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()2-157~
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
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
b'~d-f-O Jt
(_ ..lIb Bo)C r 6' K_/
, ')(WORK SATISFACTORY, PROCEED
~ 0 ~RECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
InSpecto~~ ~ ew'ner/Contr:
,CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR :'\-HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 15t{ If::>
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o ..JNSULA TION
~ FINAL
o SITE INSPECTION
COMMENTS:
f"\
l(I-BU\&t no..: \
}.
DATE TIME
SCHEDULED
(,.7J--otf
1.\-4 006L
CONTR.
PERMIT NO.
2-/6?V
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
I \\
\ 1 '0, L
"a1
a.~
~
\
.....~4.
.. A A
t-(1~~
,
o ~K~AT FACTORY, PROCEED
YCORREC TI AND PROCEED
o CaRRE T :r.lALUOR REINSPECTION BEFORE COVERING
Inspector: !.. r L / Owner/Contr:
CAL ~ 'f4~850 F6 THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~E(I~ENT.S ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/ INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 6--IZ-e--r 2:'31
ADDRESS 1.t:)4 (P, lD6t<Y~ Oud,. Dr-
.
OWNER CONTR.
PHONE NO. PERMIT NO. <' Z- 1 t:::; /e'
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
JiI FINAL ) PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION MECH FINAL 0
COMMENTS:
/ I . l?e.~. C1r,^-c..~(ll~ \k.~s
R-O\Jf~ ~~ ~ ~ 0.~ ~ o,tWOt-
h~..o G:> ~ j I A. SIL2.0 c-ht-M.....t - Co..J) q ~.'" ~ "'-put'; ~ ~ t
~/ Lf.. I-b.)-& s:..l\~~ Jh.u.or.LI.~. 2\..t \V'\WC. U ~ i5t-<)O. \i ~
) ~\O~S a.\- ~~ +.a C\d~L /b,
. 1 ~~r')-Dr*- SlI\AA'f ~~l'\~J7~ +~ dtQi\A.f!(ju;~
o ....HA~ Q Aorl.s. \.or\~z,- ~ iMI \^ 4~ \\"5 ~r-
Li\A. .r~. .
.g .MJ r,~ MTU lJV7-?f;ff!:> t\~
~ . .
~'~A41DLI ~U~~"AAt ~'_'~ 14
..#T. C~I~..,.n'( n -b:~ 4 \:".AA'l7 A \ '})...ru, J". L , n.M
~I L!.. 01 . .. --- - ^
_~/. ~~_J \.tJ~ W':L~ J _ 'S4.,c; C. \ \~ ~C).Q.....LI
( 2. gdef ~~.o lL-~
L.
'3.
SFACTORY, PROCEED
o COR~ECT 1fTION AND PROCEED
)<90R~EC/f-RK' CALL FOR REINSPECTION BEFORE COVERING
Inspector~, ~ Owner/Contr:
/ ~
CALL 7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL TH & SAFETY!
INSNOTl
DATE
TIME
400
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED 5 -5-o~
ADDRESS ISt{IY3 lJtx')&OJ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
2 -/577)
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 EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: _ ^
l.~.~~
2, D~ a f)O ~'J(tr~<..,1
:5- 0n~Q ~~ MTt)
cJ<(7- CJBer~
t../
{l ~K SATISFACTORY, PROCEED
./l><~ORRECT ~O~ AND PROCEED
o CORREC{wdRl CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/Z-z-oZ-
I. White File
2_ Pink City
3 Yellow Applicant
PERMIT NO. 02 - /57fLJ
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
/5Lj/B
IJ tI c) 0 ..f) t/ c- K'
~,
7RL
LEGAL DESCRIPTION (office use only)
LOT5o BLOCK:) ADDITION l../lff,- p5 .s ().,)j ~
A--tJ~i ;-;: c,'.-.J
PID ;{.!J....... ,3 K.-J. - J 0 q -0
OWNER
(Name) jYJ ,/(~
t ,IVl, (; /.., /1 # ,Nt 4v.....
is,,'.'oJ (j'ttt!./~ Ar.f ;4-..I
?S'-l- 1 Y 2 -J -; 1.s- ~O'lA.
(Phone)
.fTlly
t4 ,,"...,;-,
jl]1"i
(Address)
BUILDER \ / /
(Name) lOf.- uJ A y L vJ To^,-
(Contact Name) /S1IE'7" T.J!\1
(Address)
IIfJ,.... 'f" J
9r~ -l. U .Jy?..,.
,KifirI/ 1n. - Z,/Z - 6117
(Phone)
(Phone)
;:;, .!), LAIt' ~ ,If '\J C17 J 2
It II ,,'I I'11-ZN /fv~ I1I1
,BfNew Construction
TYPE OF WORK.
ODeck
o Porch
ORe-Roofing
ORe-Siding
ISitFireplace
o Lower Level Finish
DAddition
DAlteration
DUtility Connection
PROJECT COST IV ALUE (excluding land) $ ;)74/ () () 0 - M/
o Mise,
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
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
submitted plans, I am aware that the building official 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 inspections,
---...-. ~/ .;::::~.
~~-'--
c:.-- - Signature
LO)LI 2..},)- '--;
Contractor's License No,
/2-2-,IL
Date
x
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
Park Support Fee
SAC
Water Meter Size 5/8"@
Pressure Reducer
I City SAC and WAC #
I Water Tower Fee #
I Builder's Deposit
I Other
I TOTAL DUE ~ iZdLfl-
I $
I $
I $
I $
I $
I $
I $
I $ I
I~q 2.3&7 . 4:5'" I
#
caS-a. de
rzoo. () f!)
300 t O~
7o,()o
12..00,60
700,00
l50() , 00
#
/00. tOo
I (J O. 00
3S, so
40, () a
/l -"
ReceiptLN o. 4-3 ff r
By ;:1-.
(/
This Application Becomes Your Building Permit When Approved
Paid Cf'? Jf..2. ~
Date /z, -'l r~t1 Z-
~ :fui2~
/,}-h~&-
Building Official
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 Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certificate of Occupancy must be
i~ ~p ~A;0z--. ~~ ~ ~
Planning Director ' . Date 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
, .', "r-"".~~"
.'''r} ~.."",-.....:.,.
White - Building
Canary - Engineering
Pink - Planning
Tht ("tn'tr of Iht I.akt Counlry
i)
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT )lOYIIJr; I{ a{,{~fDIi1 Nom e ~
APPLICATION RECEIVED; /;:} - ,::) - 0.) '"
, The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5 'II F /-1 J() G dOL{ c ~ ! 1_
Accepted
y
Accepted With Corrections
!
Denied
Reviewed By:
/i7fJ3
,Date: 1:< -'-1-0:2..
Comments: See Reverse Side for Additional Information!
Drivewav Must Have A Concrete ADDroach
See Attachments:l) Grading Plan, 2) Erosion (;nntrol Me~l;:l1rp8
"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
The Cf'nln of the L.kr ('ounll)"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
i
}
"
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
~
Denied
..
Reviewed By: ~ ~~ Date: 1a-;/9.hz-
Comments: A.r', ~ (l~ ~ ::.....:ro
~~ 4d-/~, L'II bY! ,/ ~ ~~
t/ '7 - ~
"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."
mR/0ly
~~
~~
White - Building
Canary - Engineering
Pink - Planning
Thl' Cf'nlt'r or 'hr I.lkt ('ounu):
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT }lOYIAJaI( aUSfvrh Nome~
APPLICATION RECEIVED I;}-- ;;, -O~
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-
/5L//f Id.)oO d DGlCC {,-
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~~ ::I~P Date: I~AI'<?L---
Comments: iiJ~ aJ?f ~.hJJ ~ -o-z;:t;:;,
"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."
03: 0,1: 03
22:14 FAX 7635530887
GUIERS BUILDERS SUPPLY
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
~
~003
Date Rcc'd
~,~:~n ~~~. I PERMIT NO'--:J_/'c 1K'1
). Yell""'" ^pphCltlt ( "':)( c::I
(please type or prine and sir;c. Ole bottom)
. ADDRESS
j s-~ 18 i..oJO&d \) u (., k T \'-0...",- \
LEGAl. DESCRIPTION (office U!~ oaly)
LOT
BLOCK
ADDITION
OWNER
(Name) Y ('\ t-- ) I. ) ('.A... 'i
(Address)
CO()~\:
(phone)
APPLICANA
(Name) G t) -..j (J \'.~ 1="' If' -e.. ~ l 0... c.. ~
r
(Address) /:, C; ~ i 5-tJ... A u e...
/ (Address)
(Contact Person) t\~ ^
APPLICAl'.'T SIGNATUM \:)?---~. ~r-'
'\ ---;tY"
ZONlNG (officcm<:)
PID
(phone) 7/"", 3 '.. 10 9Si - 'S/';'; ~..3
(City) (Zip Code)
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENTNGS INPUT OUTIUT
TYPE OF SYSTEM
DW::um Air Plants
o Gravity
o Mechan ieal
OAir Conditioning
oYen!~
F'l:R:E'PtAC~E AND MODEL ~~
/
REA TING OR POWER PLANT
o Stenm
o Hot Water
o Radiation
o Special Devices
o 0t."ler De.vices
{:)T ItJ00
Industr~ql, Commercial & Multi-family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alter.llions
$64,50 ResidentiaJ, AC Only
Rcsidenti:1l, HC:J.ting & Ale (New Construction)
Rcsidentinl. Heating Only (New Constrocrion)
Estimated Cost $ /00)00
Building Pennit #
HEATING PER.J.'vHT fEE
STATE SURCHARGE
TOTAL PERJ.'\fll' FE:E
$
$
$
.50
(Office Llje Only)
This Applkarion Becomes Your Building Permit When ApproveL._..eaid__--:-____,.;-..'"_~=--
~ ~ ~a~ U ~ r'
Building Offlcin( D~le \1< I - 0 it ~. --
. MA~ U LlhfJ J
24 hour notice for all inspections (952 ~7-9850, fax (952) 4.47-4~
By
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
539.50
$39.50
$39,50
PAID 1Nn-..
aUILDING. "",.,
PERMr,.
Receipt No,
By q''--
J
i~~~~~i
\~
'.... to
~l\"a'o'1
2: 03Pt" t'1ETRO AICITY OF PRIOR LAKE NO.515
HEA TING/AIH. CONDITIONING/FIREPLACE PERMIT
P.1
Vale Rcc'cJ
(PI~a~e tvoc or crint and sim <\t bOllom)
AI;>DRESS \
\ S~ \ ~ \--! D ~ ~ ~\..\~ \'~.l'-v
I, rj11\r.
1. C':'~C:!l
J, YfSUt"W'
fir" I PERMIT NO.
C,ly _
"p,l.e.... '" "d. - \ \. ) ~
ZONING (,,lmeC use)
LaGAL DESClUPTION (otnce use only)
LOT
BLOCK
ADDITION
PlD
OWNER
(Nllmc)
"J O'v' W 4\../ \\ () ifI..-J...).
/
\ ~ \,' 0 ~'''''' ~\ ~
p... ," \)....
t, '"' \\_\
, (Phone:) ~ \ ~ . ~ 0 X 5" - \ \A \) 1\
C) \"3, ~
(A~dress)
AFPLICANT \f\. \ ~
(Name) \<\~~f\.l ~,r- -L't\ (..,
(AMress) \ ~ <; ~ CJ \.j ~ \ L<Y"\..t ft V "'-
<Address)
(Cl,Inlact Person) N L\ V\ ~ \/ S, L,~ ~ '- \ \..
AFlPLICANT SIGNATURE -~.~:.&--l:::hl.~
, (Phone) ~ S :~, l, ~ l- ~ \ ~ Y
(l i"\ ~J- \.~ \ ~ \\\;; .s s ~'I d-
(C:ity) (Zip Cock)
,(Phone) C);" ~ - '-'\ VI t. ~ \ I) \-\
DATE
APPLICANT PLEASE COMI'LETE BELOW
~NEW CONSTRUCTION 0 REPL^CEMENT 0 ^LTERATIONS
FUf\NACE MAKE AND MODEL C ~ ........-r... \. - \\ ~ \f\ - \ ~ () , FUEL N c..IT
FqJE SIZE P V C RETURN OPENINGS '\ INPU.r\~\J, ~~~ OUTPUT \,~. () (J\)
TYPE OF SYSTEM HEATING OR POWER PLANT
, . ~Warrn Air I'IC\nts
OGravily
gJ Me('honlcn(
:&lAir Condilioning
OVen!. Sy~tcm
o SIClllII
o HOI Water
o RarJinlion
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioller UllilS
C:lnnOL Encruach inlo
Required Sid,: Y<lrd
Selbacks
FIP.EPLACE MAKE AND MODEL
-.. -- ~ -". -'~---_..,-
. - ._- - -- ..~ ...... .~.
Inl.lllstrial. COll1mercial & MU!lj.rall1ily
FEE SCHEDULE
,% of job cost Residential, Ons Fircplnce
$39.50 minimum
$99.50 Residential, Additions & Alteraliolls
$64.50 Residential, ^C Ollly
$H50
Re~jde/lti:ll. J lealil1g & Ale (New Construction)
RC$idcntial. llcaling Only (New COllstruction)
.$J9,50
$J~,50
E.!ilimalccJ Cost.$ \ ~ I Q \)\)
UuilcJillg Perlnil 1/ (\ ~- \ <;'1 'is
(O/~ie( lIse Only) ,
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL I)ERMI1' IeEE
$
$
.$
.50
'"'
~ ,: j ~""' t, ",
~, ,.) ,,"-.. ,--.
...... 1iW.. ~ ;/"'.//'."':...._~.., _ .'
"...., ,.... r.;;.- '...
" ' ,.".
J~II' ,
"
This Applic3lioll Jlecornes Your Dulltllng rermit When Approved Paid
Uuildlng OfficiAl
IJ sll e
Dal~/Iq/;,
I Receipl No.
l!k,--
:J
24 hour nOlice fOl' nil inslJtdion, (95Z) "47-9850, fAll (952) 447-U.IS
Feb 12 03 10:02a
Jef'f' Scherer
952-447-6735
po. 1
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERl\tUl'
""1 () \" W (\'1
~.:i~ ~~~ I PERMIT NO. J /' /~. 1 (/
3. yell.... Applianl "i\ d 0
(please tv{lc: or print and sign at bottllm)
ADDRESS \ 51 \\Q . A \
.~ ~ W00duu.~"\ \0.\
ZONING (office: use)
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
~~~~ANT S~\\Q.re\ ~ tli\'\\\")~\'5
(Address) l.\.~co \=i c:h- \0.(\ C- \"c. \e. J ~ ? \" \ a \"
(Address)
(Contact Person) "]Q..\', 'Sc.'0Qx-w
, APPLICANT SIGNATURE ~~ J~
APPLICANT PLEASE COMPLJ!..lE BELOW
OWNER
(Name)
(Address)
Quantity
\
\
l
~
l
\
.1
BLOCK
PID
(phone)
(phone)
lCA~
(City)
~5d -L\L\t-1013Y
"5'531;),
(Zip Code)
Co\~-/Ljl- 30~3
]j 1;;Llo 3
(phone)
DATE
Type of Fixture
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry 'fray (lor 2 compartritent sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
I
I
I
/
I
- '1
I
I
Quantity
~3
I
I Type of Fixture
I Rough-ins
I Water Heater
I Water Softner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I BackfIow Assembly
I Baddlow Assembly TesC .
I Lawn Sprinkler
I Other '.-.
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum
$
$ .50
TOTAL Pi!. FEE $
(Orner Use Only) / rnI R -
, Th;s App...tio. B<<om.. Yo.. B.',d"", Pe'mn When Approved t D{ ~ [.f D ill Ii: In i
..;1',.. 00;"., .Ok Ii V ff/!8 1 8 2003 I U /1
24 hour notice lor .11 j..po<oons ('/5Z~ f'Il9521447~
Residential ew One &. Two-family $99.50
Ial., Additions & Alterations $39.50
Estimated Cost $
i
~~'_.
Receipt No.
By ( "
f
-... 00 . .._
Property Address
crTY OF PRIOR LAKE
Impervious Surface Calculations" - - "
. . .c:r:o. be- :Submitte,d ~ith B.~ilding Permit AppIiCltion)'" " . .
For All Properties Located in the Shoreland District (SD).
The Maximum Irnp"ervious surface Coverage'Peniiitted ii130 Percent
/54/8 x/tJt)1J l)a ~L.. hi Jt:('
Lot Area /?:, I /J 1 . Sq. Feet x 30% -' ......,...;... 3'13s-. 7. .
*****~****************************************~*************************
LENGTH
VlIDm . SQ. .t'.tJ:.l
x _
HOUSE '
AITACHED GARA.GE
x
x
I
.00 ,
=
TOTAL PRlNClPLE STRUc llJRE..............
, PETACht:.u BLDGS
(Garage!Shed)
~.'
x
2/5~
UNC(..l.l()I,v~ ~.r CAN'T.~
cfRlVEW~.A VED 'AREAS
(Drive~paved or not)
@idew~arkjng .A~)'
.
TOTAL D ETACBED B UILDIN GS.......................
. ,
N4
('2 '1 x 1;~ - ~o'
'. . x.
=
/tl43
=
21. X 4- = ItJf5
TOT.AL P A YEn AREAS...._..................................
...
P ATIOS/PORCHES/DECKS
(Open Decb ~.. min. 'opening- betwe::n
boards., with a pervious surra.:: below,
are not considered'to be. i~Per:vi~~~.
//5""/
x..
=
, ,
.x
=
x
TOT.AL DECKS......_
.............
Nil
OTHER
X
X.
=
=
TOTAL OTHER......_.__.
;vI!
33o? .
I h 2-9 I 7
Date 1/- / .;L -.::J'L. .
. .
TOTAL IlYIPERVIOUS SURFAcE
~~ j
Prepared By -. { ~ /~
Company I/VOL ;::'~~7 c;.-
Phone #: 4~1.. - SOOD
Ke({l
PRIOR LAKE
INSPECTION RECORD
LS!ILR k//J<<) lJllt:Jt
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK .
USE OF BUILDING S. F: I) , ,
PERMIT NO. 02 - /578 DATE ISSUED Jl[gj~...
CONTRACTOR yottWAV r~..~"" ~MrSPHO~r.-UC..3"J~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IN~E~R
(f~ .
I FOUNDATION (Prior to Backfill) I /LJ / - / (J I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
?/f /-?~
f/;
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
f\^' ,
GAS LINE AIR TEST (fpl -r-2..~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
3TM(t.A/~/tlltTlNU/)~, I
FINALS
I FOOTING
-
n rIJJ~.;;:;1
GRADING (Prior to Sodding)
BUILDING 'j- C 0 uNr; L. 81 ~3 R. )j.
ELECTRICAL
PLUMBING
HEATING
DO NOT
(fy~
P/3
OCCUpy UNTIL ABOVE HAS
, NOTICE
DATE
I /2 -/7- l5(>
, "5 -r:- __
. 5~ - )(3
5-6
1j
, '/t4k&
. /I
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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