HomeMy WebLinkAboutBuilding Permit 94-0214 DATE TIME
CITY OF PRIOR LAKE CAILED-IN
INSPECTION NO !CE SCHEDULED �_
PERMIT NO. � — z�� COMPLETED C �'�l ��-. 3 �
ADDRESS T �_��3 � �
OWNER CONTR.
� TELEPHONE NO.
lL ❑ FOOTING ❑PLUMBING RI ❑SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ iNSULATION ❑ WATER HOOKUP ❑ LAKESHORENVETLANDS
0 G WALL BD. � METER SET/TURN ON ❑ COMPLAINT
2 �*fINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q C FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2 � DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FIN �
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;� CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
J STOP ORDER POSTED. CALL INSPECTOR.
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call for the next ins ion 24 hours in advance.
Owner/Contr. on
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERM No. G - �f 4 COMPLETED '`- �'T 2 '��
AD�RE5�5 4 5�6 v� ?`�U'C_
OWNER CONTR.
� TELEPHONE NO.
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�RAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
y❑ INSULATION O WATER HOOKUP ❑ LAKESHO�'ElWe � iAA:�S
0 u WALL BD. C METER SET/TURN ON ❑ COMPLAINT
2❑ FINAL � SEWER HOOKUP ❑ FOLLOW-UP
Q � FOUNDATION C SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J C� FIRE PREV. ❑ PLUMBING FINAL �
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Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . _ 44 — ZL �' COMPLETED �--ti4 �. W
ADDRESS 4 S�n j a,.,�„� �„ �
OWNER CONTR.
TELEPHONE NO.
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W ❑ FOOTING �PLUMBING RI
� O FRAMING TE INSPECTION
Q O MECHANICAL EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LqKESHORE/WETLANDS
�❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
2❑ FINAL � SEWER HOOKUP p FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTiC INSTALL. ❑ SEPTIC FINAL
� 2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
❑ FIRE PREV. ,�PLUMBING FINAL �
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V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the ne in ction 24 hours in advance.
Owner/Contr o s� e
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . � � COMPLETED �"�� (�'°°
ADDRESS 4 S 4 O �l o,e� �--
OWNER CONTR.
� TELEPHONE NO.
lL O FOOTING �PLUMBING RI ITE INSPECTION
� ❑ FRAMING O MECHANICAL ❑ EXCAV./GRADING/FIILING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
�❑ WALI BD. ❑ METER SET(TURN ON ❑ COMPLAINT
2❑ FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q O FOUNDATION � SEPTIC INSTAL�. ❑ SEPTIC FINAL
_ ❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL p
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❑ STOP ORDEfi POSTED. CALL INSPECTOR.
❑ INSPECTION REOUIRED. CALL TO AFiRANGE ACCESS.
call for the next insp c' hours in advance.
Owner/Contr. on s'
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �' Zt COMPLETED g��44 Z:c�'
ADDRESS � S�v ��� /'�'VL
OWNER CONTR.
� TELEPMONE NO.
lL ❑ FOOTING ❑PLUMBING RI ❑SITE INSPECTION
� C FHAMING C MECHANICAL ❑ EXCAV./GRADING/FILLING
�❑ INSULATION r WATER HObKUP G LAKESHOpE/Wt i �A`:�S
0❑ WALL 8D. ❑ METER SETfTURN ON ❑ COMPLAINT
2❑ FINAL � SEWER HOOKUP O FOLLOW-UP
Q � FOUNDATION C SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. G� SEPTIC MAINT. ❑ FIREPLACE
J❑ FIFiE PREV. ❑ PLUMBING FINAL �
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❑ STOP ORDEFI POSTED. CALL INSPECTOR.
❑ INSPECTIO REQUIRED. CALL TO ARRANGE ACCESS.
call for the e inspection 24 hours in advance.
Owner/Co r. s e
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Inspector 447-4230
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AT TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ? 3l 2�/
ADDRESS �S`7 C,� � (��C/�/ ��
OWNER CONTR.
PHONE NO. PERMIT NO. �� �/
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❑ FOOTiNG ❑ PLUMBING RI � EX/GRAD/FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ I�ISULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
�B'�FINAL ❑ PLUMBING FINAL �❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
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Inspector: �' < O ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY!
(NSNOTI
DATE TIME
CITY OF PRIOR LAKE CALLE0.IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. q ' Z� COMPLETED ��4 -R4 2:-�
ADDRESS �I2 �0 / d/�^� �
OWNER CONTR.
� TELEPHONE NO.
W❑ FOOTING PLUMBING RI SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL O EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
�❑ WALL BD. � METER SET/TURN ON ❑ COMPLAINT
2❑ FINAI O SEWER HOOKUP O FOLLOW-UP
Q � FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. � SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMB�NG FINAL p
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❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRE LL TO ARRANGE ACCESS.
call for the next i 4 hours in advance.
Owner/Contr. te
Inspector 447-4230
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/ DATE TIME
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CITY OF PRIOR L CALLED-IN
INSPECTI NOTICE SCHEDULED
PERMIT �Q ' � �� COMPLETED �� �¢ Z'�
ADDRESS �I SQO �o w�� S f'
OWNER CONTR.
� TELEPMONE NO.
lL Cl FOOTING �UMBING RI ❑SITE INSPECTION
� C! FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ ►NSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
� C; WALL BD. ❑ METER SET/TURN ON O COMPLAINT
2[�] FINAL ❑ SEWER HOOKUP ❑ FOILOW-UP
Q C7 FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
_ ❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
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call for the nex in e t' n 4 hours in advance.
Owner/Contr. ite
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION SCHEDUIED /
PERMI R - �- � 4 COMPLETED �O�'�� � ' �
ADDRESS �� ( � S r
OWNER CONTR.
� TELEPHONE NO.
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Q O FRAMING �❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
y❑ INSULATION O WATER HOOKUP ❑ LAKESHORE/WETIANDS
� O WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
2❑ FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q!� FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL �
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❑ STOP ORDER POSTED. CALL INSPECTOR.
O INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the ne ins io 24 hours in advance.
Owner/Contr o it
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. " � 4 COMPLETED �- �`�� � 2 � , �°
ADDRESS 4 ��� ' G � S �
OWNER CONTR.
� TELEPHONE NO.
tL ❑ FOOTING ❑PLUMBING RI ❑SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� O INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
�❑ WALL BD. ❑ METER SETlTURN ON ❑ COMPLAINT
2❑ FINAL O SEWER HOOKUP 0 FOLLOW-UP
Q C FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
_❑ DEMOL. 0 S TIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. MBING FINAL p
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V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
O INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next � c�on 24 hours in advance.
OwneNCon : sit
Inspector 447-4230
YMbw Copy/Srts Notice WAite Copy/Intpscror's Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . `� � � � 4 COMPLETED �� 2 � °"
ADDRESS 45 � t ��� �-
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING RI DSITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
�❑ INSULATION � WATER HOOKUP O LAKESHORElWETLANDS
0 0 WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
2❑ FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL �
= COMMENTS:
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U ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POST D. CALL INSPECTOR.
❑ INSPECTION REQ R . CALL TO ARFlANGE ACCESS.
call for the next i spe hours in advance.
Owner/Contr. o s� e
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. � " � 4 COMPLETED �� �� � - �Q � • �
ADDRESS a S � ���►..�v�, ��•
OWNER CONTR.
TELEPHONE NO.
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� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORElWETLANDS
�❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
Z❑ FINAL ❑ SEWER HOOKUP O FOLLOW-UP
Q O FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL �
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❑ INSPECTION RE�UIRED. CALL TO ARRANGE ACCESS.
call for the n ' pection 24 hours in advance.
Owner/Co r n ite
Inspector 447-4230
Y�� �py/�e /yp NTite C.apy/InspecRx's Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . -`� - Z� � COMPLETED / � �`�' ��' p �
ADDRESS ��� � ��
OWNER CONTR.
�. TELEPHONE NO.
l j❑ FOOTING ❑PLUMBING RI ❑SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GFIADING/FILLING
�❑ INSULATION O WATER HOOKUP ❑ LAKESHORE/WETLANOS
�❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
Z❑ FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
_❑ DEMOL. ❑ SEPTIC MAINT. I�EPLACE/1 �
J❑ FIRE PREV. ❑ PLUMBING FINAL �-SY� x-Si(,�„
= COMMENTS:
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❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO AARANGE ACCESS.
call for the n ection 24 hours in advance.
Owner/ on r. e
Inspect r 447-4230
ys�aw coPyisrts wnns coPyn��scn,r•s F�b
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PEHMIT NO . �� ���� COMPLETED 0"3� �4 z`�b
ADDRESS Q 5 AO � a o�0 7T ve
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING RI ITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORENVETLANDS
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2❑ FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q C FOUNDATION O SEPTIC INSTALL. ❑ SEPTIC FINAL
_ ❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J � FIRE PREV. ❑ PLUMBING FINAL �
= COMMENTS:
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❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector 447-4230
rs�a»� covrisirs Nonce wnms coayn��cra �s F�b
TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . 9 ' ¢ � COMPLETED ��� U ��'
ADDRESS �S� ' v�o�b �
OWNER CONTR.
� TELEPHONE NO.
l� ❑ FOOTING ❑PLUMBING RI ITE INSPECTION
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y❑ INSULATION O WATER HOOKUP O LAKESHORE/WETLANOS
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2 � FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
_❑ DEMOL. ❑ SEPTIC MAINT. � FIREPLACE
J❑ FIRE PREV. � PLUMBI�L ❑
= C MMENTS: � �
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V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
� INSPECTION RE UIRED. CALL TO ARRANGE ACCESS.
call for the spection 24 hours in advance.
Owner/C r. site �
Inspector 447-4230
Ye/bw Copy/Sits No " NTite Copy/Inapsctar's Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �� � 2 i 4 COMPLETED � ^3f - -Fi4 :�
ADDRESS 4� � o�on�b (T��—
OWNER CONTR.
�. TELEPHONE NO.
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� ❑ FRAMING O MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATEFi HOOKUP ❑ LAKESHORE/WETLANDS
�❑ WALL BD. O METER SET/TURN ON ❑ COMPLAINT
Z❑ FINAL ❑ SEWER HOOKUP O FOLLOW-UP
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= CO MENTS:
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❑ STOP ORDER PO ED. A L INSPECTOR.
0 INSPECTION RE UIR L TO ARRANGE ACCESS.
call for the next � s ecti n 2 hours in advance.
Owner/Contr. o ite
Inspector 447-4230
vs�aw copyrsirs nance wnns caPyn��ecra�s F�b
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTtCE SCHEDULED � `�� 1�yS
PERMIT NO . /'T' �`� COMPLETED
ADDRESS �T s�� �,r ��
OWNER ��'�-w ��.2�✓u�.,.�. Vaw�c� CONTR.
TELEPHONE NO. � - Cf ; FG
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�❑ INSULATION ❑ WATER HOOKUP C LAKESHORE/WETLANDS
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2 L FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q J FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. O PLUMBING FINAL �
= COMMENTS:
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�� CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
C� STOP ORDER POSTED. CALL INSPECTOR.
C� INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. ' e
Inspector 447-4230
r�a»- copyrsrt. nance wnxs coPyn„�.cra s Frb
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTlCE SCHEDULEO 9�( �-`� � Z:oo
PERMIT NO. � � 'Z1� COMPLETED
ADDRESS �I _S �I O � �CSV�� Ptc�e
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� [� INSULATION ❑ WATER HOOKUP ❑ LAKESHOfaENVETLANDS
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Q❑ FOUNDATION ❑ SEPTIC INSTALL. C] SEPTIC FINAL
= C DEMOL. O SEPTIC MAINT. ❑ FIREPLACE 1
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= COMMENTS:
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� STOP ORDER POSTE�. CALL INSPECTOR.
❑ INSPECTION REOUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
OwnerlContr. or,�si �
J
Inspector � 447-4230
r�a»� coPyism nar� wnrte coPyn�ap.cror•a F�b
\
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . � � 4 COMPLETED �� �a � 4 Z �� �
ADDRESS 4 S 4"O i�"J�' �cfb,Jlb
OWNER CONTR.
TELEPHONE NO.
l�j,� ❑ FOOTING OPLUMBING RI ❑Frl'I'EfRSPECTION
� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV.lGRADING/FILLING
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�❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
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Q❑ FOUNDATION O SEPTIC INSTALL. ❑ SEPTIC FINAL
2 O DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL p
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= ENTS:
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❑ STOP ORDER P . CA IN ECTO
❑ INSPECTION �UIRED. ALL T A NGE ACCESS.
call for the n xt inspe urs in advance.
Owner/Co tr. on ite
Inspector 447-4230
rs�a». coPy� ra wnne c�ynnapscra s F�b
DATE TIME
CITY OF PRtOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . q4 � Zt4 COMPLETED ����� �`
ADDRESS � S� 0 ( oro� (�v�-
OWNER CONTR.
� TELEPHONE NO.
lL ❑ FOOTING ❑PLUMBING RI ITE INSPECTION
� ❑ FRAMING G� MECHANICAL ❑ EXCAV./GRADING/FILLING
�❑ INSULATION O WATER HOOKUP ❑ LAKESHORFJWETLANDS
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2 C FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. O SEPTIC FINAL
_ � DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
� O FIRE PREV. ❑ PLUMBING FINAL �
Q
= MMENTS:
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❑ STOP ORDER E. CALL INSPECTOR.
❑ INSPECTIO REQUI D. LL TO ARRANGE ACCESS.
call for th next i e ion 24 ours in advance.
Owner/ ntr. site
Inspector 447-4230
rs�aw copyisns rvonce White Copy/Inapsctor'a Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. q a " L 14 COMPLETED F'' ��� ��' `�'
ADDRESS Q'S �ro►� �vL
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING RI SITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL EXCAV./GRADING/FILLING
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0❑ WALL BD. � METER SET/TURN ON ❑ COMPLAINT
Z❑ FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL �
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= OMMENTS:
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❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REDUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspector 447-4230
re+aw coPyisrts nan� wnms copyn��crw •s F�b
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. Q� " 2 � a COMPLETED $�� "�4 Z�C�
ADDRESS 454e � Orpr�WZ� � VL
OWNER CONTR.
TELEPHONE NO.
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� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
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Z G FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
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J❑ FIRE PREV. ❑ PLUMBING FINAL ❑
= C MENTS:
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❑ STOP ORDE STED. CALL INSPECTOR.
❑ INSPECTIO fiE IRED. CALL TO ARRANGE ACCESS.
call for the e i pe tion 24 hours in advance.
Owner/C n r. o it
Inspector 447-4230
vM�owcopy/Si1s oce wnine copynnapecror�sFik
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . G�I � ZIQ COMPLETED 8 '�S"q 4 �
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ADDRESS �S �o ororv� 'A-v�G
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING RI ❑SITE INSPECTION
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�❑ INSULATION � WATER HOOKUP ❑ LAKESHORENVETLANOS
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Q❑ FOUNDATION ❑ SEPTIC INSTALL. O SEPTIC FINAL
_ � DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J O FIRE PREV. ❑ PLUMBING FINAL �
= COMMENTS:
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❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIf1ED. CALL TO ARRANGE ACCESS.
call for the next � c on 24 hours in advance.
Owner/Contr. n
Inspector 447-4230
YMlow Copy/Sits Notics NTits Copy/Inapscror's Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. ��' 2 COMPLETED S'�o"44 Z=ov
ADDRESS a5�0 o�on 1 b � VG
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTINCa ❑PLUMBING RI NSPECTION
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� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORENVETLANDS
0❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
Z❑ FINAL ❑ SEWER HOOKUP ❑ FOILOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL �
Q
= MMENTS:
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V ❑ CORRECT UNSAFE C NDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER P T . CALL INSPECTOR.
❑ INSPECTION D. CALL TO ARRANGE ACCESS.
call for the n in pe ti n 24 hours in advance.
Owner/Con . on ite
Inspector 447-4230
Yelbw Copy/Sits No " White Copy/Inapscror's Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . G � 2 " �� COMPLETED a�) ��14 I O��
ADDRESS 4 S Q O o�or�'o 7�
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING RI ❑SITE INSPECTION
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� ❑ �NSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
�❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
Z❑ FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. � SEPTIC MAINT. ❑ FIREPLA� E
J❑ FIRE PREV. ❑ PLUMBING FINAL � M�Gi`�!�
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= COMMENTS:
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❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUIFIED. CALL TO AFIRANGE ACCESS.
call for the n t� p ction 24 hours in advance.
Owner/Con r. on it
Inspector 447-4230
r�aw coPy�rs ra wnns coPyn��r« �s F+b
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULEO
PERMIT NO qQ'Zi COMPLETED 8 � - `r 4 Z'`�
ADDRESS 4 S 40 0� �
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING RI INSPECTION
� ❑ FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORENVETLANOS
� U WALL BD. � METER SET/TURN ON u COMPLAINT
2❑ FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION O SEPTIC INSTALL. ❑ SEPTIC FINAL
2 � DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. � PLUMBING FINAL �
i C ENTS:
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V ❑ CORRECT UNSAFE COND TION WITHIN HOURS. INSPECTOR WI�L RETURN.
❑ STOP ORD TED. C L INSPECTOR.
rJ INSPECTI REQU L TO ARRANGE ACCESS.
call for th next � sp ti n 2 ours in advance.
Owner/C ntr on site
Inspector 447-4230
r�aW coPy�ro ra wmro coPyn�apecra�s F�b
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �' - Z � 4 COMPLETED �� �� �'�
ADDRESS �SQo ` � o�+.� �VL
OWNER CONTR.
TELEPHONE NO.
W ❑ F TING �PLUMBING RI ❑SITE INSPECTION
Q RAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
INSULATION O WATER HOOKUP ❑ LAKESHORENVETLANDS
�❑ WALL BD. ❑ METER SET/TURN ON � COMPLAINT
Z C FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION � SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL �
Q
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V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
O INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next i pection 24 hours in advance.
OwneNContr. on i
Inspector 447-4230
re�aw coPyisrte rvonce wnme coPyn�apsc�a �s F�b
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. q 4 " z '� � COMPLETED �"Z� "94 �Q: �
ADDRESS � SQD � oronJ� � �f�
OWNER CONTR.
TELEPHONE NO.
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� � FRAMING �AAECHANICAL 2 � ❑ EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
0❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
2❑ FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION O SEPTIC INSTALL. ❑ SEPTIC FINAL
_ ❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. � PLUMBING FINAL �
= COMMENTS:
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call for the next 'nspec 4 hours in advance.
Owner/Contr. n si
Inspector 447-4230
re�aW coPyis;rs nance wn�ro coPyn��ecra•s F�b
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION T CE SCHEDULED
PERMIT NO. � � "`� COMPLETED ' r � • ��
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Q❑ FOUNDA710N ❑ SEPTIC INSTALL. O SEPTIC FiNAL
2❑ DEMOL. � SEPTIC MAINT. ❑ FIREPLACE
J❑ FIAE PREV. O PLUMBINCa FINAL p
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call for the next i 24 hours in advance.
Owner/Contr. on '
Inspector 447-4230
rsaow copy/Sfrs Noncs wlNts copynnap.c�or�s FNs
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �Q ' Z� COMPLETED g'3-Q4 60 : o
ADDRESS �� � Of O � � �C
OWNER CONTR.
� TELEPHONE NO.
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2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
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= COMMENTS:
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call for the next inspect' n o rs i advance.
Owner/Contr. on site
Inspector 447-4230
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INSPECTION NOTICE SCHEDULED
PERMIT NO . �'t4 " 2 �� COMPLETED V���� Z' v0
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OWNER CONTR.
� TELEPHONE NO.
lL � FOOTING ❑PLUMBING RI ❑SITE INSPECTION
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�❑ INSULATION ❑ WATER HOOKUP C UIKESHOAEfVve i L.1hQS
0❑ WALL BD. ❑ METER SET/TURN ON ❑ COMPLAINT
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Q � FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL �
= COMMENTS:
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G STOP ORDEFi POSTED. CALL INSPECTOR.
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cail for the ne i e tion 24 hours in advance.
Owner/Contr o i
Inspector 447-4230
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CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. q�" Zi COMPLETED 6'Z"� �' �O
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❑ STOP ORDER POSTED. CAIL INSPECTOR.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next inspection 24 hours in advance.
Owner/Contr. on site
I nspector 447-4230
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INSPECTION NOTtCE I / SCHEDULED �' u 2;
PERMIT NO. q 4 — �
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ADDRESS ` OR�V1T�
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING �PLUMBING RI ❑SITE INSPECTION
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� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
0 C WALL BD. C� METER SET/TURN ON ❑ COMPLAINT
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Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. � SEPTIC MAINT. O FIREPLACE
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= COMMENTS:
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call for the next inspection 24 hours in advance.
OwnerlCo r site
Inspector 447-4230
YMlow Copy/Sifs WAite Copy/Inapsctor's Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTlCE SCNEDULED
PERMIT NO. Q 4 � Zj ¢ COMPLETEO �' 2 ` 30
ADDRESS a� � ���� �-"�
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TELEPHONE NO.
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Q❑ FOUNDA710N ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2 C DEMOL. ❑ SEPTIC MAINT. ❑ FiREPLACE
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i CO MENTS:
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call for the next i sp ti 24 hours in advance.
Owner/Contr. o te
Inspector 447-4230
Yelbw Capy/Srfs Nofice wn�ne coPyn��scror �s Fee
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. Q4- Z� 4 COMPLETED �-ZS�44 �: �
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ADDRESS 45¢O icx ��-
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TELEPHONE NO.
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❑ STOP ORDE STED. CALL INSPECTOR.
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cali for the next ' ectio 24 hours in advance.
Owner/C ntr on s e
Inspector 447-4230
rs�aW coPyrs�rs No wn�ro coPyn�aPsc�a �s F�b
/ DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO G 4 " Z 14 COMPLETED 7"2g "q4 Z: o0
ADDRESS QS4p o�or�b �`�-
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� FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORENVETLANDS
Q O WALL BD. ❑ METER SETlfURN ON ❑ COMPLAINT
2❑ FINAL ❑ SEWER HOOKUP � FOLLOW-UP
Q C FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL �
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❑ STOP ORDER POSTED. CALL INSPECTOR.
O INSPECTI RE UIRED. CALL TO ARRANGE ACCESS.
call for th ne ection 24 hours in advance.
Owner/Co t . o sit
Inspector 447-4230
Yelbw Copy/Sits No ' White Copy/In�psctw's Fib
DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 4Q �L � 4 COMPLETED 8 " Z '�� 1 �` ° a
ADDRESS �546 oro� Tr�lr�
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� TELEPHONE NO.
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Q C FOUNDATION C SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOI. � SEPTIC MAINT. ❑ FIREPLACE
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❑ STOP ORDER POSTED. CALL INSPECTOR.
� INSPECTION RE IRED. L TO ARRANGE ACCESS.
call for the ne insp ' n 24 hours in advance.
Owner/Contr. n si
Inspector 447-4230
rNa»-copyisns nance wnms copynnap.cra�s Fxe
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. qQ' 2l4 COMPLETED g' �`�
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�. TELEPHONE NO.
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2❑ DEMOL. ❑ SEPTiC MAINT. ❑ FIREPLACE
J❑ FIRE PREV. ❑ PLUMBING FINAL �
= COMMENTS:
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V ❑ CORRECT UN FE ONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORD PO D. CALL INSPECTOA.
❑ INSPECTI N REQ ED. CALL TO ARRANGE ACCESS.
call for th next � pe tio 24 hours in advance.
Owner/Contr. on 'te
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. 4 ' z COMPLETED ��� Z' °°
ADDRESS �� �� ��
OWNER CONTR.
TELEPHONE NO.
t�j� ❑ FOOTING ❑PIUMBING RI pSfTE INSPECTION
� C FRAMING ❑ MECHANICAL ❑ EXCAV./GRADING/FILLING
�❑ INSULATION � WATER HOOKUP ❑ LAKESHORE/WETLANDS
� C WALL BD. ❑ METER SET/TURN ON O COMPLAINT
2❑ FINAL O SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAL
2❑ DEMOL. � SEPTIC MAINT. ❑ FIREPLACE
J❑ FIRE PAEV. ❑ PLUMBING FINAL �
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❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION RE UIRED. CALL TO ARRANGE ACCESS.
call for the n t in ection 24 hours in advance.
Owner/Co r.
Inspector 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMITNO. 44 ' Z� COMPLETED �'"�"�" Z
ADDRESS Q s Q b - �o�x� �tv�
OWNER CONTR.
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Q❑ WALL BD. ❑ METER SET/TUHN ON ❑ COMPLAINT
2❑ FINAL O SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDA710N ❑ SEPTIC INSTALL. O SEPTIC FINAL
2❑ DEMOL. � SEPTIC MAINT. O FIREPLACE
J❑ FIRE PREV. � PLUMBING FINAI �
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� STOP ORDER POSTED. CALL INSPECTOFi.
❑ INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
call for the next ' ion 24 hours in advance.
/
Owner/Contr. n/si
Inspector ' 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLED-IN
INSPECTION NOTICE SCHEDULED
PERMIT NO . G� " �� COMPLETED ����* 'z '�
ADDRESS � ��� � ��'� �
OWNER CONTR.
TELEPHONE NO.
W ❑ FOOTING ❑PLUMBING Ri [757��JSPECTION
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0❑ WALL BD. ❑ METER SETlfURN ON ❑ COMPLAINT
Z❑ FINAL ❑ SEWER HOOKUP ❑ FOLLOW-UP
Q❑ FOUNDATION ❑ SEPTIC INSTALL. ❑ SEPTIC FINAI
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J❑ FIRE PREV. O PLUMBING FINAL p
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V O CORRECT .UAISAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDEFi P CALL INSPECTOR.
❑ INSPEC�ION REC�UIRED. CALL TO ARRANGE ACCESS.
call for the next inspectioh 24 hours in advance.
Owner/Contr. on site ��;,
Inspector � � 447-4230
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DATE TIME
CITY OF PRIOR LAKE CALLE0.IN
INSPECTION NOTICE SCHEDULED
PERMIT NO. �d' �Z COMPLETED 8 '�Q '� Z�'�
ADDRESS � � � �
OWNER CONTR.
� TELEPHONE NO.
ly� ❑ FOOTING ❑PLUMBING RI ITE INSPECTION
� ❑ FRAMING ❑ MECHANICAL EXCAV./GRADING/FILLING
� ❑ INSULATION ❑ WATER HOOKUP ❑ LAKESHORE/WETLANDS
�❑ WALL BD. ❑ METER SETlfURN ON ❑ COMPLAINT
2 O FINAL O SEWER HOOKUP O FOLLOW-UP
Q❑ FOUNDATION O SEPTIC INSTALL. O SEPTiC FINAL
_ ❑ DEMOL. ❑ SEPTIC MAINT. ❑ FIREPLACE
� O FIRE PREV. ❑ PLUMBING FINAL p
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O❑ ORRECT WORK AND PROCEED
�❑ CORRECT WORK. CALL FOR P,EINSPECTION BEFORE COVERING
V ❑ CORRECT UNSAFE CONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
❑ STOP ORDER POSTED. CALL INSPECTOR.
❑ INSPECTION REQUI D. ALL TO ARRANGE ACCESS.
call for the next in p ion 24 hours in advance.
Owner/Contr. o it
Inspector 447-4230
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� �' CITY OF PRIOR LAKE �. Wh��e File
i 2. Pink City
� s BUILDING PERMIT 3. Yellow Applicant
�' - TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
�,, AND UTILITY CONNECTION PERMIT ��_ z � 1�
Permit No.
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) BUILDING INFORMATION
2. SITE ADDRESS 11. SIZE OF STRUCTURE
- �_ (Height) (Width) (Depth)
�� �, � � '-��� '�' � ���
3. LEGAL DESCRIPTION 12. NO. OF STORIES
LOTL � � ��-� � � BLOCK PID ,---� ' ��'��— C �� ��
� �, ,/ 13. TYPE OF CONSTRUCTION
ADDITION L 15�0��'K�/�/�=_ �y''1i�'� �-"�
4. OWNEFi (Name) (Address) (fel. N. 14. FLOOR AREA APPORTIONMENT USE
� C�,�4 � _� -� ��..- ��_` ._ J
5. ARCHITE� T�� (Name) ` (Address) ��1 c�_ (fel. No.) M
�� �-,@ � ��"�s- , ��-�sr �� ���-� .'��> I �-��� � � � [ �- 7 � ���-
6. B ILDER (Name) (Address) (Tel. No.) t 5. NUMBER OF OCCUPANTS OR SEATS
� �� � �� � �. J �t`�" �. � � ! �� � OCCUPANTS
7. TYPE OF WORK Fireplace p Septic p Heating p Plumbing p Reroofing p �Porch p �EATS
New Construction O Alterations� Addition p Finish Attic p Residing p Finish Basement p i 6. E TIMATED VALUE
Chimney p Misc. � J~ L � <�c�•"=
B. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETI DATE
Sq. Ft. Width Depth Yes No
I hereby certity that I have furnish rmation 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 pro eRy a all con tion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building re e t's pe it f j use. Furthermore, I hereby agree that the ciry officiai or a de$�ee may enter upon the property to perform needed inspections.
x �� � �1��.��'
gnature Lice�se No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required MATERIAL FILED WITH APPLICATION
Actual SOILTESTS p ENERGYDATA -�
Front Back Side Side
PROPOSED GRADE FOUNDATION OFF STREET PARKING PILING LOGS p PERCOLATION TESTS O
IN RELATION TO CURB OR CROWN PIANS & SPECS SETS
OF STREET SPACES REQ. �
USE OF BUILDING �_•�\ — '- :1_ SPACES ON PLAN 11 i SURVEY � COPIES Z
��� 7� p�-�� PLOT PLAN �
PERMIT VALUATION
TYPE OF CONSTRUCTION: I�fl'�II IV V � Amount Brought Forvvard .................. $�z-�� - �_
Occupancy Group A B�l H R M ..Pp ........ � . Q........ �......... $ `o U �p _ ��
Park Su ort Fee ..R....�a.�....
Z J Y C� ........ $ I 3
oivisi�r s a ZO ��� SAC � � oba - v e
J � � V � � k ° Collective Street Fee ��.'.4Z o $ � �, �, v _ �, �
Permit Fee ................................... $ � �°1 � - I --
. � �---�
Plan Checkin Fee $ � , � j I � `' t� � Sewer Tap ................................... $
g.........................
- — License Check Fee
.........................
State Surcharge ............................. $ -� � � � ���
Pressure Reducer .......................... $
Penalty....................................... $ Meter Horn ................................... $
Septic System ............................... $ Water Meter ....... .................... $
...
`�`� x �
Check if O Sewer 8 Water Connection Fee ........... $� B�Oo� -�h
Other......................................... $
• �,-� . � � Deferred O �NaterTowerFeeG:':�'.x.z. $ � � v� , on
Subtotal.. ........................... $ ��{ �-��_ Water Tap ................................... $
This Aplica'o ecom Your Building Permit When Approved. Builder's Deposit ............................ $
�. �-�-�-� �
y .,__ .............................. $
B � \ �. Date ^ � Other ...........
_ Total Due .............................. $ c l � Z Co -� 3
Certificate of Occupancy .7 � �
Paid �• � J Recei t No. .��3
Issued /'
Date �/ B �� �
This is to certify the request i above application and accompanying documents is in accordance with the Ciry Zoning Ordinance and may proceed as equested. This document when
si By the Planner cons � es temporary Cert�cate of Zonin compliance and allows construction to commence. Before occupancy, a Certrficate o Occupancy must be issued.
' � -7-��
City Planner Date Special Conditions if any
24 Hour notice for all inspections 447-4230 9:00 a.m. • 10:00 a.m.
9�-� 1 �
CITY OF PRIOR LAKE '. B'°` F"`
2. co�a ac
�j7 JC(� 3. Yellow Applicant
!
PLUMB/NG PERMIT # �,�-���
O � PRI Applicant: t�-�t �(.�7 �' Phone: `f �(-O -- 7
�, Address: `'� �c; � �
� y Signature: !�..._
V � Legal Description: Lot Block Sub:
Site Address: � � . �
Building Pe it # � ��� PID # ��G�a,�, - Dd,.� `0
M �NNESO�� NOTE: This per i wi not be processed without complete information.
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
Bath Tub with or without shower $ 6.00
Dishwasher $ 6.00
� Floor Drain ,� $ 6.00
( . Lavatory (bathroom sink) $ 6.00
Laundry Tray (1 or 2 compartment sin ) ' $ 6.00
Shower Stall $ 6.00
; - Sinks: $ 6.00
Bar Sink $ 6.00
j (�,; water Closet (toilet) =; � � $ 6.00
Rough-ins � � ��`�� $ 6.00
' , 6.00 "
; ater Heater � a $
ater Softner � $ 6.00
Stand Pipe (washing machine) $ 6.00
Sewage Ejector $ 6.00
Backflow Assembly (RPZ, Double Check, PVB) $25.00
Backflow Assembly Test $10.00
Lawn Sprinkler $25.00
� Other ��� �� $ 6.00
` MiR1RRt��eB l` C �r.._ d-�;�.,,� $25.00
� 5 � � � � �� � � BJ�, �S(p . (pE; SURCHARGE f � d7 � 5.��.
a ��� RG AN TD O AT L$ 5���3
� � `t ':'� 3
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
� � RECEIPT NO. / !�/�� DATE
— G� � � ' ATTEST
Call for all inspe i ns 24 hours in advance.
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLAYER
1. Pink - File
�� PR'OR CITY OF PRIOR LAKE TYPE OF STRUCTURE
3. Yellow - C ntractor
� 9 ��_I��
� ,��, 4629 DAKOTA STREET S.E. permit No. � Single Family Two-Family Multi-Family
PRIOR LAKE, MN 55372
Commercial � Industrial Public Other
HEATING APPLICATION / PERMIT
Date
�I7I � `f PID # � --C��C,Z - L� a� "n JOB VALUATION FEE
n � $0 -$1,000 2% of job value, min. $20.00
/� ite Address �/� � C� �gt,� o-p11 �`. �.�
;'..p _ � » $1,001 -$10,000 $20.00 for the first $1,000 plus $1.25 for each additional
Lot � Block � Addition �-;-,�1��,�, �/ (-� ��� .� � —
$100.00 or fraction thereof to and including $10,000.
Owner's Name
$10,001 -$50,000 $132.50 for the first $10,000 plus $1.00 for each addi-
Address tional $100.00 or fraction thereof, to and including
Heating Contractor ��IGI/]� . ( �'�! $50,000.
Address ��� � � l�..u�(yirl�Ac,� ��l/ ����h� ��37�. $50,001 and over $532.50 for the first $50,000 plus $7.50 for each addi-
tional $1,000 or fraction thereof.
Telephone # ��-O - �7 � c l
The price of your heating permit includes one rough-in and one final inspection.
Furnace Make & Model TYPE OF SYSTEM Addftional inspections will be billed at $25.00 each.
Warm Air Plants
Model Size Gravity House Heating Test Record must be submitted with building �ermit number before build-
Conn. Load Mechanical ing certificate of occupancy will be issued.
Air Conditioning
Fuel Flue Size Vent. System HEAT CALCULATIONS REQUIRED with number of supply and return openings listed
HEATING OR POWER PLANT per room with CFM's per opening. New structures or additions send floor plan with sup-
Supply Openings ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
Steam
Return Openings Hot Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St.
Radiation S.E. Prior Lake, MN. 55372.
Input Output Special Devices
City Hall business hours are 8 a.m. - 4:30 p.m.
Edr.
Other Devices ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Cf �"�- 447-4230.
ti'l ���' `` \ �TYP�� WD i I hereby apply for mechanical systems permit and I acknowledge that the information
v above is complete and accurate; that the work will be in conformance with the ordi-
Afte FVew Construction
- nances and codes of the city and with the state building/mechanical codes; that this form
Repair Est. Comp. Date does not become a permit until signed by the BUILDING OFFICIAL; that the work will be
/ry � in accordance with the approved plan in the case of all work which requires review and
Est. Cost $ �q , � ��• �O Building Permit # `17 ' �-� � approval of plans.
HEATING PERMIT FEE $ r /57• SO � �J,
STATE SURCHARGE $ .50 pplicanYs Signature D'ate
TOTAL PERMIT FEES $ � 5g. 00 Receipt # .
Building Official's Signature � D te
� C_ �.�1.. �%Z_ � �, c , ( . ,..,��'�:{1 ��� � tS� �� � �(�'-
r � z �,� � �����.�- 1 -�; C ���,��P-�-�
�
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,, ,
° �GC/t � �(.t,''71-,��<a. '..c y t �� .��'�.� ' ,c� ��. t_ c l`i�v-
� ,� � �
NAME° OF APPLIC�T �" .— � -y�i�
APPLICATION RECEIVE'D �1����� '
�C��t �CZ�� � - c �d7�ti,C ��C�t=�E �L� � ��
The City of`�Prior ke ENGINEERING Department has reviewed the
building p�rmit application for construction activity located at
,
��-��' ,J���.�� �% -��; -�1 ��
Accepted V Denied Accepted With Corrections
Reviewed by: I/, Date S /
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."