HomeMy WebLinkAboutBuilding Permit 99-0252
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DATE TIME
CITY OF PRIOR LAKE ~..4-'t'\ /:/5
INSPECTION NOTICE SCHEDULED
ADDRESS tJ410 Pond Il ;fA.,l '11c-
OWNER CONTR.
PHONE NO. PERMIT NO. Gt't. ' 262-
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~SULA TION 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL ~UMBING FINAL 0 GASLlNE AIR TST
SITE INSPECTION CH FINAL 0
COMMENTS: ~to ~,.. . ~ C5JA......
r () 'li..-~~ ~ .
&xt. . a..-ci". ~Y('}; · ~\?~ ~~~
GroS'~ ~crf / ~ ~.vu.t-
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---- :t 1 I
t ~ co_ 1t 1,~/99
/
iRK SATISFACTORY, PROCEED
CORRECT A TION AND PROCEED
RRECT 0 ., FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ~7-985 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE kllUnJ.,ENTS ARE FOR YOUR PERSONAL REALm & SAFETYI
V INSNOTI
.._....._._.___~________~.._......~_M"..____..._'_'_~"_
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4410
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING Q
o SULA TIO 1
FINAL ~
'iE'E INSP C 'r' .
COMMENTS: ~
~
,;.
SCHEDULED
p~q'rtw T/(.,
DATE TIME
~-~;t..q'J q ~ &J
CONTR.
PERMIT NO. '1'1... Z5Z.
j'II'\-.. '..J -,/,;Ou'.J
~ ~,
4
II I I ----
Y;/p"
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
(!k.C
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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YJ~
I
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~l
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
.-....'1
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
II 1900
Permit No. LR -:)5;)..
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
\,,'-'.\0 ~c__A.-..;)-"--"'""- \.
3. LEGAL DESCRIPTION
1. DATE
........., \ I c... "\.
BUILDING INFORMATION
11. SIZE OF STRUCTURE
~~t) 5~dth) ~~)
12. NO. OF STORIES
d
13. TYPE OF CONSTRUCTION
~c:.<.o>~ \..-<;"-,,,-,-
14. FLOOR AREA APPORTIONMENT USE
~ (::)~O
LOT
\
BLOCK
\
PID ~~ - ~~\c.- ~(:)\- 0
ADDITION \..0,~~".,.C'
4. OWNER (Name)
\\....:...:...-.....-~~t...."'-"-~
,~~~
(Address)
t.~._
(Address)
(Tel. No.)
\.oS \ - ~(.)"" - "'-'-,-~a
(Tel. No.)
5. ARCHITECT
(Name)
~ I/>.... v...- -c:.
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS -
6. BUILDER
~ ~ \J'V-... '\:::.
7. TYPE OF WORK Firep1ace'P Septic 0 Deck 0 Re-roofing 0 Porch 0
New construction' Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. 5. ~OO..~O <:)
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLE'rION DATE
Sq. Ft. \\0 \ \, \0 Width ~\O Depth \ ~O Yes' 1;~ V\\.>~Ol'- ., - \'S - C\. "'-
I hereby certify ~at I have fumished infonnation 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 confonn 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 pennit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perfonn needed inspections.
X \. 'I .,. '" "'- ~ . - '-- ~ cS \ ~ -s. 'i!;'", '--\.1" I ~ ~
Signature License No. Date
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN 2Q "t ClC:> c> _c::> 0 SURVEY 0 COPIES
PERMIT VALUATION -L~ PLOT PLAN 0
_A
USE OF BUILDING -...5 /-1.:)
TYPE OF CONSTRUCTION: I II III IV (E:)
Occupancy Group A B E F HIM (!3) S U
. Division 104 '3 ~ '2 -- r
Pennlt Fee ................................... $ II <0 . s
q() 1.1'"t .
IDO.CO
City:
Amount Brought Forward .... .. ... ......... $
Pari< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
,. $
Pressure Reducer .. t...................... $
Meter Hom .................... .......... ..... $
Water Meter .....I..I.~....................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
est) ~OO
I (')5(')6(')
,~
Plan Check Fee ............................. $
,:1">
State Surcharge ............................. $
Penalty. .................... .......... .... .... $
-xJ .tn
IDo .00'
I ()C .00'
~ - S '
Sewer & Water Pennlt ...................... $ .. ~. 0
GaS~Fi ac.' ..~..... .............. $ 40.00
This A . mes our Building Penni! ~~~PfEl.VIlQ.
By "'. -" Date 'f . /->[y
Certificate of ~cup~ -
Plumbing Pennit Fee ....................... $
2 S(').~
J, ;;Z DO .dlY
. -, C)O. ([)5
'.
Mechanical Pennit Fee ..................... $
Issued
Water Tap ................................... $
Builder's Deposit ............................ $ J . C:;OV . c9C>
I
Other ......................................... $
Total Due .............................. $ 82.44. 40
Paid 82-4'+-.4& Receipt No. 2,S-O.,c;,~
Date 4- /1'.,;-fqPJ By 14-e--
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning' Ordinlnce and may proceed as ~uested. This document when
signed by the City Plan~e constitutes a temporary Certificate of Zoninjl compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
"-~ .. 14 .._ ~K'-4~
'----' C' P ner - Date Special Conditions K any
24 hour notice for all inspections 447-9850
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permil No. Qq-;1iC\7
Prior Lake, MN 55372
JlJN -a~
TYPE OF STRUCTURE
I. Pink
2. Gnrn
J. Yell_
HEATING APPLICATION I PERMIT
Dale 1/).,3. c;9 PID~2S-.33"- 001-0
Site Address Llt/ID fly,JU/f..uJ --r7l ~ li!-I
Lol I Block I Addition N/NOST1'tJ12- t'tDON.
Owner's Name IJr.Jt.r,lIUlln ~
Single Family
Commercial
Two-Family
Industrial
Fee Schedule
IndUSlrial, Commercial & Mulli-Family
Residenlial. Heating & AC
Residenlial, Healing Only
Residenlial, Gas Fireplace
Residenlial, Addilions & Alleralions
Residenlial, AC Only
Address
HealingConlraclor ALLIED FIRESIDE dba FIRESIDE CORNER
Address. 2700 N. FAIRVIEW. ROSEVILLE. MN 55113
Telephone' 651-633-2561
FIREPLACE
~p Make & Model ~ d AJ G, t....
Model Siz~ "(0) ~
Conn. Load
Fuel rJ. (t.;U!;. .Flue Size
Supply Openings
Relurn Openings
Inpul Output ~ I (p)
Edr.
Clm.
Public
Mulli-Family
Olher
1 % of job cosl ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember 10 add Ihe Slale Surcharge on Ihe bollom of Ihis applicalion.
The price ot your healing permil includes one rough-in and one final inspeclion.
Addilionallnspecliolls will be billed at $35.00 each.
House Heating Tesl Record must be sub milled wilh buildino Flf!",,~ number belore buile
ing certilicate 01 occupancy will be issued.
HEAT CALCULATIONS RFOlJlRFn wilh number 01 supply and relurn openings listed J
room with CFM's per opening. New structures or additions send lloor plan with supply
and relurn locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND m
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE I-l
CREEK AVE. S.E. PRIOR LAKE. MN 55372_ N
TYPE OF SYSTEM
Warm Air Plants
Gravily
Mechanical
Air Condilioning
Venl. System
HEAliNG OR POWER PLANT
Sleam
HOI Waler
Radiation
Special Devices
Cily Hall business hours are 8 a.m. - 4:30 p.m.
L
c:
File :J
Cily I
Canine/a 0
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ID
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ID
"1
OIh9r Devices
.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAL) . CALL CITY HALL
447-4230
m
w
w
00
00
00
I hereby apply for a mechanical systems permit and I acknowledge Ihalthe ~
inlormalion above is complete and accurale; that Ihe work will be in conformance
wilh Ihe ordinances and codes of the cily and with the slale building/mechanlcl
codes; Ihal Ihis lorm does not become a permit until signed by the BUILDIN(.
OFFICIAL; thai the work will be in accordance with the approved plan in the
case 01 all work which requires review and approval 01 plans.
Alterations
Replacement
TYPE OF WORK
New Conslruclion
)(
Repair
Esl. Comp. Dale U it tj(j
. ,
J }(Y).l.}i) . Building Permn # qr - 252-
Est. Cosl $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
PAID WITH Z:ii 1/;1.1/99 \l
, '1- 1,/ .
.50 l BUILDING PERMIT, ' pli ~ Si . I . Dale 0
~/$/9q I-l
Receipl ft. Building Officai's gnalure Dale
qq-22
White - Building
Canary - Engineering
Pink - Planning
The Crnler or thr L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \^ fehSfvUVlt1.
4 -{-qq
~s
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
LJ4l0 Pov1dvi~ -rl(.
Accepted
Accepted With Corrections )<-
Denied
Date:
t;-?-??
Reviewed By:
vv-~
Comments:
~
I. ~o c:t d- I \l.QQ..D ;{h..J(
L. kJLcYX- v~ c-A
~
.
"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/o - 2S'2
Th. c..... of .11. Lab Co...ry
White - Building
Canary -Engineering
Pink - Planning
NAME OF APPLICANT t \ 1(~l(.j{ ~.t{((A.V\
L}-I-qq
BUILDING PERMIT ,APPLICATION DEPARTMENT CHECKLIST
HclL<_t S
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building pennit
application for construction activity which is proposed at:
'iLl (0 P oi0 V(.~ uJ --rt< .
".
Accepted
/
Accepted With Corrections
Denied
Reviewed By: JJA~T€1t EHnESlWA-AN\J
Comments: Rc.J,.}oFF ~vsr & (}o~oJE:'f'€/:)
Date: 'i/7h9
I 1
T'fJ "'All) ru.o,J~ ~t9IAJI/(,e:..
4JJo c.Jr,urV €A~E"I'fE....rr5 tJ.~ MtJl.H 14,S 1'1fAc.nc,,,,,
.5~~ }Alhf\MA-1"ION <')oj REvEA.~f!.
SEE. ..... ..,('.HME'^,r~: LF,,,uh_ ~"'CE 1.v.sPI!CT,o", !d..Fotf.ttr".T.o,J z. an"l'1u:!.f.. R.~
3. f~OStO^-l (}ONTRO\... ~~4.svItC!....
1/. f";(" S ION t3ollJrftoL.. -?LAAl
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a pennit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Pennits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
T
--------
The ("rntrr of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, j/ , '. t. ;
\ . ; ( ~ . '. . ~
i
f:, ~-l~ (/
/'- r
/./ I, /(1
<"'f r' I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ \.
:,"! t i ({.. " l
\/ i (' ';
i 1,/
\ ..'-. ,
Accepted
v
Accepted With Corrections
Denied
~~ ~.LA...
Date:
0- S""-?jq
Reviewed By:
Comments:
"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."
~ CITY OF PIlIOR LAKE
G ~ 16200 Eagle C...... Av. S.E. PelTllll No. q q - 252-
~ Prior La.k.1 MN 55372 .
n '
~ HEAnNG APPUCATlON I PERMIT
"':Date I-+-1?J Iqq PIO" :?S -3"3 Co - () 0 I -0
1)S~a~r8SS ...ULJ.JO ~CrdVlllll.} ~
~ Lol l Block \ Addition W', n ds 1- o..h..
J .
~ownl!r'$Nam8. LL)-en5 m ann Horne...5
I ~q5 ~f~(L-"~R~'
Haatlng Contractor A 1/J.1'1 D -....... R\...I o....n
. ...) I
Address, I L..l.7 4- ~ S. ~a her+- T r )
T elQphane It. L.j.. ~ 3 - I '4 4-
Furnace Malts & Mcdel klltJtoJJ<.
Model Size o,~3Q?~LJ-1 ~5'
Address
Conn. Load
FUeINJl.t. Aa!? Flue SiZS&:;l,
Supply Open~gs I (
Aetum Openings ~
1 ~5 .txl'butput 1m ,oCT)
. ,
/"
I Input
.-
~
.~ Edr.
/"
:J
.9 cr m.
TYPE Of SVSTEM
Warm Air Plants
Gravity .
Mecbanlcal I.;""'""'
All CondRioning ~ TO n
Vent. System.
HElnNGORPOWERPUUff
Stearn
Hol Water
RadiatkJn
Spedal Devices
Other Devlcas .
l .
]'I AlteratIOns
'7
\J
-l
Rtplacement
TYPE OF WOAK
New Constructkln
\/"'"
]'I Est Com 0
~ EsI. Coot $ t-J I q.'5' p. a'.
RepaIr
Building Permit. .
PAIL) WITH
BUILDING PERMIT
HEATlNG PERMIT FEE $
]) ,
~ STAlE SURCHARGE $.
l
I
.50
TOTAL PERMIT FEES $
Re<:eJpt -0 .
TYPE OF STRUCTURE
I. 1'iAIo.
2. (jn,
J. Yd....
F\k
City
Cada:1llr
Single Family
Commercial,
v/'
Two-Family
Multi-Family
Other
Industrial
Public
Fee Schedule
Indus1rial, Commercial & Multi-Family
ResidenliaJ. Healing & AC
._ __ R~identi~~~!!.~jJOoJV .
Residential, Gas FIreplace
Ae5idenlial, Adliilions & Aheralions
Residential, AC Only
t % 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember \0 add the Slale SU~h81g& on the bottom clthis application.
The.price af your heating permit Includes one rough-m and one linallnspecllon.
Additional inspedions will be biUed at $35.00 each.
House Healing Test Record must be submitted with bljildinll Dermtt number b&fcre build-
iog certiricate or occupancy will be I~ued.
HEAT CAI ClJLATIONS RFOUIREO wilh number of suW1y andrelum openings fISted per
loom with CFM', per opening. New slructures 01 additions send floor plan with supply
and rarum locations shown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPUCATIONS MAY BE MAl LED TO THE CITY OF PRIOR LAKE, 162.00 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 5-5372.
City Hall business hours are B a.m. .4:30 p.m.
ALL WORK MUST BE INSPECTED (AOUGH-lN AND FINAL). CALL CITY.HALL
447-4230
I hereby apply for a mechanical sysfems permit and I acknowledge that the
inlo'mallon above Is complete and accurate; 'hat1he work will be In conformanoe
wilh the oldll\snces and codes of the city and with the slate building/mechanical
codes; lhat thi6 101m does not become a permit unIH signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans,
\... ()
C-..1'~~
J
4/8/qq
'Dale
.,
Building OlficaJ's Slgnalure
Dal&
RPR. 8.1999 12:49PM
GENZ-RYRN
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t. . .I., -'
QIID. - ra..
ftU.CJW . APNeA'"
aaJ.II . Cln
CITY OF PRIOR LAKE NO. q~ -2.52.....
SEWER AND WATER PERMIT
NOTE: Sewer ana Water
contractors must
be registered
wit.h the city.
APPLICANT: G,~- ~n
ADDRESS: J474? S. ~ober+ -rrl
.sIGNATtJRE:_ ~ ~
SITE ADDRESS: L-lLJ Jf) 1/ondvuw ~ t
PHONE: 4~3- / ILJ~
DATE: 4/~/qq
BLDG. PERMlT # G\9 -2.$2-
PID# ?-5 - 33<0 - 0 0 I - 0
FILL IN THE BLANKS.
I
40
feet.
1.
Estimated length of water service
J If
Size of water service inch(es) .
2.
4 .
Type of sewer pipe.
ASS
from structure feet.
PV~ ~ Cast Iran_
fI
~ () feet.
J .
Location of any couplings
5.
Estimated length of sewer line
6. Clean out (if req~ired), located at
structure.
feet
from
===~~~========a=====~i1~~=======================~=============
This app~e~per~it when approved.
BY D~TE:
====~~=========~==========:==============~================~=======
FEES:
~
S
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individuallY is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE P2\ID
RECEIPT *
4-1,.z.f q OJ
AMOUNT PAID
REC'O BY
m,u v\ftl H
BUILDING PERMIT
. 4629 Dakota 51. S.E., Prior Lake. Mlnnesot~ 55372 I Ph. (6121 4474230 Fa" (6121 4474245
AN EQU~L OPPORTUNITY EMPlOYER
H~~. 8.1999 12:49~M
GENZ-RYRN
NU.1'73
P.3/9
TIlt C.n'..- ar Ih" L.Il. C.OR.".
CITY OF PRIOR LAKE
, PL;UMBING PERMIT
Applicant: ~ - ~ Cl.,.r""l
Address: 14 -, L(~ c:: ~e..r+ T r I
Signature: C:::1~..-u-"I ~
Legal Description; lot 1 Block'
Site Address:~ ~Ond..ul 0 UJ ~
BUilding Permit # PID #~- 3% -Cfl.) (- (!)
NOTE: This permit ~ill not be processed without complete information.
FIXTURE UNITS
I. JIIII.
2.. C1ald
3. Ycllll"
Ale
qty
AppUCIDC
# q C) - 2.5z..
Phone: '-\.";;\0-) \ L.\ 4
. I 1<$ Yr\.. t'"
sUb~ui.~dj~t~
QuantIty Type of Fi~ure Quantity Type of Fixture
1 Bath Tub with or without shower Lf RougtHns
I Dishwasher / Water Heater
, Floor Drain IZ-/ Water Softner
4- Lavatory (bathroom sink) / Stand Pipe (washing machine)
,. Laundry Tray (1 or 2 compartment sink) Sewage Ejector
J Shower Stall Backflow ~ssembly (RPz, Double Check, PV8)
I Sinlcs Backflow Assembly Test
Bar Sink Lawn Sprinkler
2> Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1"10 of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State S~rcharge
$89.50
$39.50
$
$ qq, 50
$
$
.50
GRAND TOTAL
$ JDO,OO
This permit is Granted upon the e:tpress condition thilt said
cOTltrnctofi shiUI comply in all respects wi~h [he ordinl1nces
of the Slate Plumbing Cade omd the ;unC9dmenls thereof,
~9~~NO.. -fIlZ.(t1'1 DATE
~ ATi'EST
Call for aU inspections 24 hours in advance.
PAID WlrH
BUILDING PERMIT
16200 Eagle Creek Av. S,E., Prior Lake, Minnesota 55372/ Ph. (61'2) 447-4230 I FAX (612) 447-42~5
An EqJ.l:ll Opportunity Employer
PRIOR LAKE
;INSPECTION RECORD
tJerw- - ~2/J r-~7 d- ~
-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 4L\lO 9on:QUt'eLJ /;,
NATURE OF WORK r\Pl" QOMS~Jc~~
USE OF BUILDING SFi")
PERMIT NO. 91- :2-52- DATE ISSUED 4-7-CJ1
CONTRACTO R t ^ \~ kA. c:, \.V\.LL.A,,-- ~ _ ~ ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO MENT
I FOOTING I
, FOUNDATION (Prior to Backfill) I J.~.
PLACE NO CONCRETE UNTIL ABOV
ROUGH - INS
DATE
I '-, ..:~ - q ~ I
I S- - (. .. c;~ -S- _ Ie:. -'\. ~
HAS BEEN SIGNED
SEWER I WATER I SEPTIC J:dL s- -/3,c;;a.
FRAMING n ~-ID- 4,
INSULATION 0 ) ~/14/ 'f 1 \. .
ELECTRICAL if ~
PLUMBING l( J L .lo-, ~
HEATING (if required) Ih l j
FIREPLACE ~~P. ~11 (p~?,q1 ({i)" 111"/'41
GAS LINE AIR TEST ff!f0 f9{ ~ {" -'l- 9"1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
! \Ok_~~ I I
FINALS
GRADING (Prior to Sodding) (N \U. ~.
BUILDING ~ :h~ 0.0. ~I
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~-~-q9
~- 12-9C) 1',c.o. ~.<:l 8-~-1'
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UNTIL ABOVE H~ BEEN SIGNED
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 addition$
'''where no service cabinet Is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850