HomeMy WebLinkAboutBuilding Permit 99-0964
',"";lJ~~ _c., ,'~-,~t~ ", ";"'~,~~. ;"';"'.,-"e~j:">-~<"'T~"'?p ~,j_ ofl'E"~"""~f;:~ ~\_, , ~ M,'J #:i;t,~~---~_,_, ,'.......,$"'.,..'~-_1'1l~.''!W<,f'-i1!l
, ,
~trtifi(au at (@rmpancy
CITY OF PRIOR LAKE
j!lepartment of ~uilbing 3Jn~pettion
AQFinal Permitted 0 Condi1ional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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:
Single Family
Use CJassific3Ciol'
Bldg. Permit No
99-964
Type Construction
Legal Description Metes and Bounds
Occupancy Type
R3
VN
Fire Zone
N/A
Zoning District
RISD
Owner of Building
~ite Address
3374 Sycamore Trail
Contraclor'sName&Addr... Lake Countrv Builders, 139
Robert D. Hutchins PfJ r~ --
Building Official - lty Planner
Dare: " 2<': - 7r',.-,r>
2nd Street, Excelsior, MN
Dare:
Jenni Tovar
I '-. ;>OoD
Pfl;
POST IN A CONSPICUOUS PLACE
)- 7-00
3:311( ~ 1".-.1 S.ff.
CONTR. '1 'I - q~ '-I
9 9- ~1 ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
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:
~Ifi
./Ju, ~
DATE TIME
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
g GAJJ;,I:~:R TST
)(WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTlON BEFORE COVERING
/V\..O\ Owner/Contr:
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
#3:U;,
ADDRESS
32;74
,
OWNER
CONTR.
PHONE NO,
PERMIT NO.
9f-1~
COMMENTS:
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
'"fl ~d~.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
"J1( FINAL
/0' SITE INSPECTION
,
, I /1
1. 7J)~_ ./k~"-~
o I' G
----
/"1 11
J-VV"Y
{J
r J /..'S2-0 ~ (C;c.,~
~............-
o WORK SATISFACTORY. PROCEED
o CORRECT :nON AND PROCEED
1- CORR T W7~ CALL FOR REINSPECTION BEFORE COVERING
Inspect: 1/> Owner/Contr:
CIll L-11/.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
I r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~:2,7A
r::: "C AtM,tlP.
J
OWNER
CONTR.
PHONE NO,
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~D RHOOKUP
o FINAL r UMBING FINAL
o SITE INSPECTI MECH FINAL
~OMMENTS:
J.l-l r~~ )It-~
( "4 Vo..DJJJ~_ W/~
." lftJ-:- W(tTVL
( j 72 Siv-/i...O em ~
k.l~/1L-- ' ~~IL
11
f V J.A/LJ
u t7
~~ (A IUwt~
/")
YL.&Q
~
\Wlrf
f
fr
TIME
tt..~
cp., - qf:ll
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~
/2eL-tAf ,
L.N>
--h)
<::-) ~C
-----'
~ORK SATI ACTORY, PROCEED
CORRECT AC ON AND PROCEED
o CORRECT WOR ,CALL FOR REINSPECTION BEFORE COVERING
Inspector: P-.'1 Owner/Contr:
CA~ FOf/THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUlREMEJ.TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
. r
ADDRESS
:::3':<)74-
DATE
SCHEDULED ~
-
SYM 1'10!eb
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
2.:30
OWNER
CONTR.
PHONE NO.
PERMIT NO.
9CJ- 91A-
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
COMMENTS:
67bt. ()~\- ~-\- ~,
~ -z, Ad:" ~ \f 01",=,...9-.-, \r,(to;:.o.....J- <;'"Q('A'l<.lQ" e...dcoi
~ . ~ ....J?....:.'.:.~...H~. ~. ,,?,~,...(::t. <:;J (l'--
*' tJ i6,iun.r-..J ~ '-b:J. z--'-~ \;,.., ~a..U
, \Sr.c.p---:;k .S\-r.;rc;
"* I): ~O(" mop ~~"""'^?, \..,.,\
-1- i", ROlMro.dl ~ Th'v1n'<;,p
'7. C,,.,A nll -:&ru> c;.,,-I fi~
& ~ L{ f..{l] - Lt 2.l.lS
o WORK SATISFACTORY, PROCEED
o CORRECT A TION AND PROCEED
'v;I CORRE CAll FOR REINSPECTION BEFORE COVERING
~spector I Owner/Contr:
44f..ts'o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
I r
~1
DATE RECEIVED
B/G/en
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
~~~c,4-
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
3374 SyC-Arlo.e.6 T,e
';/(. /11
,<e I so
BUILDING INFORMATION
11, SIZE OF STRUCTURE
(Height) (Width) (Depth)
3. LEGAL DESCRIPTION
12, NO, OF STORIES
LOT
BLOCK
/'16'7ES ,l9A/a ~O{//I/a5
PID ?5-2/e-I'Yl/- 0
13. TYPE OF CONSTRUCTION
ADDITION
4, OWNER
A'v A-n
(Name)
~ -/vI""
(Address)
537-1 5'UA..,...,o".... 7h<",",L.- ~vJ
.. (Address) 65.33/
!5.,,1d,...J ,.I!4'('~/suJ/l, /?1n
IP (Address)
359 2,",0 sr.
~N7"~ IJ(/l1~4f'.. &~.",*'-,
~ireplace [j S'eptic 0 Deck L1
Alterations 0 Addition [j Finish Attic Cl
(Tel. No,)
14, FLOOR AREA APPORTIONMENT USE
L~
(Tel. No.)
~/;J---174- 7/drj
(Tel, No,)
eeu....- ",e:5'Z~7S
Fr7.... (Id-.n?-/F'~
Re-roofing 0 Porch 0
Ae-siding 0 Finish Basement 0
15, NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
5. ARCHITECT (Name)
t 4~C- c;",...,r"!r
6, BUILDER (Namt)
7, TYPE OF WORK
SEAT~
16, PROJECT COSTNALUE
New Construction 0
Chimney 0 Misc.
B. PROPERTY AREA OR ACRES
Sq,Ft.
.............
19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Width Depth Yes No
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 fr
at all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that tl
it for just cause. Furthermore, 1 hereby agree that the c~fficial or a designee may enter upon the property to perfo~flJ~d inspections"
_ .~ ,.;tot 51&. 8/"1.'77
S~"'. AN n(,ll /l/At':;!iP-I.-- L<on", No, D"e
FOR ADMINISTRATIVE USE
17. COMPLETION DATE
'A
Front
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS Cl ENERGY DATA Cl
OFF STREET PARKING PILING LOGS Cl PERCOLATION TESTS Cl
SPACES REO, PLANS & SPECS Cl SETS
SPACES ON PLAN SURVEY Cl COPIES
PERMIT VALUATION ~: l'l0"l ~ r'0 j>) PLOT PLAN Cl
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING _ !5;j::" 0
TYPE OF CON$lRUCTlON: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .................,....................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.. $
Pressure Reducer .1......................... $
Meter Horn .................... ............... $
Water Meter ....,.~~......................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
-fl"
Division 1 2 3 4
Permit Fee ................................... .It.
II 'S<ll'J ~ '2c)
P, l'J.S."1/
'1~ .00
- ,.,,-
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... ,It.
Plumbing Permit Fee ....11::f!..tf:....., .
Mechanical Permit Fee ..t{9.~.f...... $
If' 1r' f....
Sewer & Water Permit ..(.!I...L.':...'t..... $
Gas Fireplace Permit ...1.q.-:M... $
'10.00
Issued
Water Tap ................................... $
Builders Deposn ...............,.,.....,..., $_/ ,,,!"1!lOo 00
,..,.., -.....
OIhe, ,.........!r.-c.e...~!fau....., $ <;"I'lI'),.6i:)
Tolal Due .............................. L,~.J 4. 'j~
Paid 4cr I a.. . q~ Receipt ~o 3/C 0 Co S-
Date q/2-/99 By tfJIL
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin'g Ord"inance and may proceed ~ requested. This document wilen
Si~ ~h~~co~u:es<La~porary Certifica1~comPliance and allows co~mmence. re occupancY'if Certificate of Occupancy must be issued.
, q-?-...D . r /' ~ ~ r ~'YV".JJ~6 (P
c.-- City Planner Dale -.- Special ondilions if any v
lo(').t:l'O
{no-or.
."7,c:.~
Llo .06
~~\~q
'd.61' . ("}-?\
-0
- (')
Th~
By
ding Permit ~hen !'Pprov~d.
Date ~ -1'8 --r'l'
24 hour notice lor all inspections 447.9850
"," 'I" 11I""'"1 'flll"l _~__"..,.. _--.. ..,.1.,'~llpl~I~~'I'~fl"III'I:-""II~."",,__ __,""",,~
...."
.'III'Ul"I\' 11'1'
~
,
\~\
.,.-> /1
. ".t-.-~
White - Building
Canary - Engineering
Pink - Planning
Thf' Cf'nln of thf' Lab Coontry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~.
"
/
!
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Denied
Reviewed By: qu.:~ Date: ~ - J-S- C'?J
Comments: 'f..A~ IAM.MI\ f)..".~ hQ.,~ .sen/..../ J< (jO
J-y~\~ rt~85.e.1J SVOC-,~~_ - ,
~
Accepted With Corrections
~' ,.[) ~ 6D
'j V~_____ jr>.(e..~u~ /~tJ.9;rr-(~ ,160 -., ')
;;LL.( ~ JJv~~ !N~~_L>>i~ 4-P..o-Lu.
S,...~",,<1Vee- {4u~ VJ~"
-----------
"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;9~qrA-
Thll' Cl!'nll!'r of lhl!' L.kt CO\lnlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~AK6 C!-OUII./ne..y BL-OR...5
APPLICATION RECEIVED f3 / (p / q CJ
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3374 S(/c,4 MOie.G -ne..
i
svl
Accepted
Accepted With Corrections Q<
Denied /l; f)
Reviewed BUY~~
L /
Date:
E!J ~(f3 ~ '757
Comments:
\, ~ all t'~ So;- L t/.nQ 9-3
'2, H""IAf..t.-V\... ?N'R.'ri'v-.. ~-I)IA+I'\\ -Jr)t~ l'S'e')4\O(,~
"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."
. r
99- Yv4-
Th. c.",., ..i' ,hIP 1..1.,. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~,/l K E C C ('tV TI:::'- V BL D 1<":5
I
APPLICATION RECEIVED 8// rc / c; c:;
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3374 _5VC/'1/L-1CKC 7):::" 5lV
)
Accepted
,/
Accepted With Corrections
Denied
Reviewed By: WAt.Tt:/"{ Eun,.-"r'W AAlAJ
Date: __ 9/'/99
Comments: "h.I~ t:no;1'l.oJk -;:'ovAJCMloAl IS COI.-.J(, -ro
BE. usED Folt //.-JI!. Htol'o<iEU).
Run.DIAlC'...
"]';,f'Jf F - fiR.
I1.a.AOI.AJ\
ON
-r;.,,~ P/t.. POl T'1' -':J../DrJL.1\
BE J'I1'AI(,f(AL,
AAJrJ
7ilE:
~-
/ Dwl!:"!.-r-
FL.o<)l.- lEL..l!oJ4TIDN
IS
7Ht>
S14Mt: .0
rX'<"T"l1>J1..
S~WF"-A
:se:I:\JIe.-l!.
~Hf'JLJ'-b. )/14uE 4 DE:tOI)MTF <'foPE f EL.E..,A-r,oN.
f~l)("IO"" f.,...,":"n.o,
o:;..-fOuc..()..J tL-..RE:.
N€r_f':\.-.h4tl...V
SINCe:
E:\f.15rl...Jf_ t.:A1A-QE<;;
r\D..J" BE: r,JA^,(..f:.D
J..loo~F:..)E.Q..
IF
EA....tJs,o~ Oe>E".s ._,~cc""'-E A
PnnBLt:"'N\.
<IL-r f""ENU,
WIl.,.L- NEED "/0 at:
FIZEc.rELl AR.o"^,,, T...lC
j)'Siv C\.\M:.~ 5.'oll.. _
_<:t:~ IAJF..n>M,4TIO...' OJ TKr:. i?E:,,~nJ-f: <:::;:1b.F"
SE:t=: AnAr"'M~.rr, L FINAL ~QA1l.~ L'J.SP~c.notU IAlFDf.l.tKt1rlnA1
2. f"Ra:5.lo~ CIlNrltlll-
I1~Af:,.Jltt::.o:.,
=? R.E'-"'ININ(. w,qt..l.. LerfQl... Pi",..., .40.rAC.E....rr LoT"" o.':;Wf"A-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,"
I r
".
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. q9 -9'(,4-
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date /O'-dl /7''ft1 PID# z,S-z./8-oor-C)
Sfte Address ~ S '7'-1 S J( Cq z,...,..M -I-.r ~....v K.f5~
/
Lot Block Add~ion ",":;::rF:.<:: ANO EOUA/fJ..-S
Owne(s Name
Address
\->..('q <:. +,1 (,~. /
Address ( l.[d).?' A/:., A ,
Telephone # a t? - f.( 'P1l - :J:ir'::J 6
Heating Contractor
~ '" ")"0-, y
()r- ~ A/..J ~~Jd'S
~)r
Furnace Make & Model
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Cond~ioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Model Size
Conn. Load
Fuel
_Flue Size
Supply Openings
Return Openings
Input
Edr.
Output
Other Devices
Cfm,
TYPE OF WORK
Atteratlons
Replacement
New Construction
Repair
Est. Comp. Date
Building Perm~ #
CfCj - r re4-:-
_'O'J'il,. ,\
, ~p..\ ,G'?\....'
~ ).}\\..O\i'<
I\?
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES ~
.50
Receipt #
1. Pink
2. Green
3. Yellow
File
City
Contractor
TYPE OF STRUCTURE
Single Family
Commerci~1
Two,Family
Industrial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential. Heating Only
Residential, Gas Fireplace
Residential. Additions & Alterations
Residential, AC Only
Public
Multi,Family
Other
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 buildin9 ~ o"m"p' before build,
ing certificate of occupancy will be issued.
HEAT 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 return 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
447-9850
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 wor hich requires review and approval of plans,
'8 ' Q:5! 0
JA~ ....,,,.,
J ~ ApptcI ,n ~r.,!p~yure
/ 1.fJ/ ~
, Bl1I1rOffical's Signature
I--
)CJ-)/,tj'q
. Date'
IO/z../jqq
Date'
I::
, I
'{.u~ ~
\l3J,:,hu11J AI/)6 'it!) I
~~oO
S~??6etJ c~Nnl~
THERA.lOSTiT.~~1 Ph..,_
Valu Wv ~t9
Li "",II .-l....,k- -
Li.,il S.tti~. - I fr<;"o F
d .~ ~
Fo" 5.ni..,. ~~ f-.
PH., T,..-Wt-l...
PIl., Mo..
,
Pilol Mcul.1
P'j T" I~ ~t.r..J. f
10' '....ng _ ~__.
L.W.elltO" ~
Pr...". ~.. C .P.rc.", C:02J~1!J
In,,,,, CFH~ P...Oft' O2- l.~
S",d. T......--~~.ot=.. p.,...", CO -&'
"AU
Mo4.I
AOOllES11''Z~ 'S~~""""'r.~L -+.- ~ '''T._l'LoO~ QTY~~~"~lla.
OCCUPANT ~.....::J k:__ I.. '_ . OWNER ~
MEAT LOSS "l4TEHTC.'NST. l-?CJ . CAS CD I4flER~"'ilC t
SOLO BY ---\)r~' ~J._ 1 So ."I~ "Y INST41.:L1!D BY ;--' +-'f~J ") }S.....~,
El'<~icol W..k BT ,.,.tL. ~ Cu L.lfto I, (',~.. ..J,,,,~ ";
TYPE OF HEAT C4,----..F4~W-STEA"'-SPACEHTll._UN'THTIt._DfHEll
-,
C41 DESICN '\ CONVEll!lON
,AlAI\'E OF IURNER .,.---
. Mo:,"BTtlllO"ftl /' .>;. .,
,AlAn OF FURN4CE _ _ _
Mo~ol
y-
5_i.1
'''PUT
l, .,
_ V.nt $1.. -,
, KIND OF LINER -' SIZF -":NO~
. Dr.h H..J -ca~ R..ul.,., ~_~
. Flit.,. $1.. I Jiu..w-r ~~ LI r:ra.~
' . ~ -..,- ,/
, Ch,.".,. Lf!l'Cau." J....,...'" oX: _ Ovt.ltI.
- Co ~ -.t>, , /Z "
. IloJII..n_" ",.",ct'." ....t"'~...... \P
r'\
c.: _L
-'
{L
F.-.2]5
. S....... B.,.~ . Wlrln,
. Dr." -- .T.., T.-"
0.. Pr.......""'- .lllh'in, In_I. /'
D... T....~ I ~~ - /?VYI
c...,.., T O~'I.I~~. ~-flI. In ::. rl....::l.-- '5"
H..... .r T..,., . ~ ~ II ( ,<*
'"
/'
,-
E'd
SSBIEESZlS
swa~s~s l~Ot~o~~d
~SE:BO 00 lZ U~r
II
PR-IOR LAKE
.
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
~
SITE ADDRESS :l-.<-t,4 Syc.Ct~ k
NATURE OF WORK I\k.....~ ~<: -/.. .-'"r>A. ~v'''''.(.'J ~.Dt\l
USE OF BUILDING ..sf' l.\)
PERMIT NO_ ~Cj a t. ~( DATE ISSUED .9 --fp, -9'7
CONTRACTO,R L,,-~ (" _ KIJ v-c; ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
, FOUNDATION (Prior to Backfill) ~ 0S"~"\ I' I
PLACE NO CONCRETE iU'NTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC I
FRAMING I ~
INSULATION I ?,P II '1"
ELECTRICAL I tt:;V
PLUMBING 0J',h/f'd 'ro/zz/n I
HEATING (if required) ~ U I ,--/-"/ ' / I )0- z/- '1,}
FIREPLACE I I
GAS LINE AIR TEST @ If\., I If) - 'C.} _ cH
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ I I
FINALS
Nt"): C0~'~ D~\",L~ (' '""-^<t-
I _
I VJ) / /; Jl/uu
IV
TOR
I
,..~ fj'
j
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS 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 additions
whi;>re 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
II I
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 33 7it
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-c!I=INAL
o SITE INSPECTION
COMMENTS:
#11 rYK..
DATI ~
SCHEDULED
11-1J;-03
6vc.c;/YJIirf:.-T". J
. CONTR. L-c, K (". (f9(/J" lry B kk>
PERMIT NO. It '1- 9{,'f
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~WNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
J~
..JJY
(\~
~WORK SATISFACTORY. PROCEED
"0 \ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In.pector.~-. Owner/Contr.
CALL "7-ll850 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE,
CODE RBQUlREMENTS ARE FOR YOUR PERSONAL REALTIl & SAFETYI
-.