HomeMy WebLinkAboutBuilding Permit #00-0021
DATE R~ CITY OF PRIOR LAKE
/ 11+-/:2 000 BUILDING PERMIT,
I j TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1.;/~ ~/ ()O
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ALl:;' ~ q
3. LEGAL DESC'RIPTION .
LOT -.3
ADDITION J J1~
//tt1J1 h/1rl J ," yr L .7 .-~, \)
(
b
:2 Ad Add..
IZI
BLOCK
II ~ /,/
PID
25 - 3?/j- 040 - 0
4. OWNER (Name)
D I'd..... ~ g~SJ'\""'s.c:.
5. ARCHITECT (Name)
Ifle V /q I-.- t/ Is 6~
6. BUILDER (Name)
(Address)
'/ t1 t? ~ " IA. Ll;JtJOJ..
(Address)
I??~ t;;' ~ i'V'-4!.-d.1:
(Address)
(Tel. No.)
~.P.:l...1
(Tel. No.) b j z.. -
S" 2.. V~ ., tp 7~/- /<; ~
(Tel. No.)
l/1e {/trl- O),>"p~-/J,}. ~> ) >~~~.- E~;;) t"tiL.
7. TYPE OF WORK Fireplace 0 Septic 0
New Construction ~ Alterations 0 Addition 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. C'i'flf SIZE 17. COMPLETION DATE
Sq.FI. Width Depth Yes'JI~o M d 4 ~OJ~t!)
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 owi\er or authorized agent for
the above mentioned property and tha~~tru' . I conform to all existing state and local laws and will proceed in accordance with submilled plans. I am aware that the
buildin~ ~n reV/1B this permit f r jus ca ermore, I hereby agree that the city official or a designee may enter upon the property to pertorm7e ed in~~ns.
X '/A~ ~_ </~ / /9'9~
. . "Signatu# V - - . license No. . I Date" ,
SETBACKS: Required
Actual
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SP.D
Deck 0
Finish Allie 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I (3JI'll'Y") . L""\O
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
City:
Plan Check Fee ............................. $
q ~2 .::2~
CPI$ . 'U.
6lD.SO
State Surcharge............................. $
Penalty ....................................... $
t 00 ' ~ 0
(00 .60
3S'. SO
40.00
Plumbing Permit Fee ....................... $
~
-,,\
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Thi~li~o~ecom1"'our Building Permit When Approved.
By ~r-- Date /- Z~-c:t::)
Certificate of Occupancy
Issued
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 00. -06 Z /
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(H9ig~? (Wi~4 ( (D9Pth)J/;1
12. NO. OF ST07S
13. TY~tr~~CTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Parl< Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
;,1" $
Pressure Reducer .....~................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $~ct' .00
Other ......................................... $
Total Due .............................. $~ ~z...3- 2/
,
Paid ~3. 1.,/ Receipt,.:3(' 'J Is-'
Date . ~114/00
24 hour notice for all inspections 447-9850
85:0.0-0
l { (") 0 . 6)6
46 . CJ1'l
I ~ 5'.00
I. 200 . 06
. 100 .OlJ
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proce s requested. This document when
sign . lanner const~utes a temporary Certificate of Zoning complia~n<:.al~ws co trucllon 0 comm n e. Befor occu a ~te_ of Occupancy must be issued.
t-~(-CO ~- ~_~~
C' Planner \ Date Special Conditions ~ any ,
Tho Conlo' of Iho L.... Counlry
0(;-002 /
White - Building
Canary - Engineering
Pink - Planning
.BUILDING PERMIT APPLICATION DefARTNlENT CHECKLIST
NAME OF APPLICANT Iv/~'/;:;JL vrJ (JL'::6N if()tl65
,
APPLICATION RECEIVED I / J 4 / Z 0 (; 0
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
41704-- III Ivl/'/I N(513//2D -lie... /v/E
I
Accepted ~
Accepted With Corrections
Denied
Reviewed By: ~-r;p~-", Date: 1- ;:{- eo
Comments:
:2-'1 f\ ~\MwNo ~ f/IIy~ tl)t ~ .
W~1 (~'r~U J:J_-t9-lAl "1'; u.w!1,
"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."
00-002 /
The Cenler of Ihe Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Ht;RLVN {)L-SON Hol16S
I
I I / ~/ ZooD
I ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4 '704-
H{}/'1I1/NQ13//2D'IK-
f
N6
Accepted
Accepted With Corrections )Z
Denied I
Reviewed By: 9...Q ~. * Date: I - 2 <; - 2t!JOCl
Comments:
,~ ea.J. a.U Q~~ -UJ~
'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."
/'
/;
Thf Cfnlf'r of thl' l..h Country
~ ( (," ') /
Of,j - V:( "L-
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
f/(;.kJL LI/V' CL~O,1\/
l
, ;' I ' I -. .,
.I 4-/ L.-OOC
I f" ," ,- .-
-- -/;,- I- <-
G.! ! l-/~'
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4 i7(} 4-- Ifr.. til'! / Iv' (jl..3/ Ie:!.) -/Z
I
1\: C'
'< "---
Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~rE'A ~MAN~I
Daie:
I I
//ZK/tJO
., .
Comments: S~E jtJFottrttr'tnON ON II-IE- i?cllCll SC SJJJe.
Sff. ~TTIKHr"IE","S: J. nAlAL. GtlAoE. /~SP€.Cr/(Mj l""ron."'1I'i1tJAJ
z.. arfd/Jw/~ !tAN
~. ERo~ f..o/JrR.oL. MEA.su/C"F-S
</. ~o.$~,.J CONT1{"c... RAAJ
"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."
~
,.
Job Address . :;70 .~-I /I""1AAf L"'/
Heating Contractor ~~
Name of Tester ~.I'-
Date --z:- b-od
f:{,/()16
()%
7.9%
...2.&<;0
Percent O2
Percent CO
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606 / ~ '"
Input ~Ja:tJ
/
",
I PIal<
2. Greco
] y.u_
'F,k
LH}
CuolnJ:t.:)1
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E.
Prior Lake. MN 55372
00"002/
_ .-.JHEAllNG APPlICAT10N I PERMIT
Date )1f~3// /YO PID . 25 - 33q - ()4() - CJ
,. . -
stoll Addre~. J/ ?~~ /l-U/71/n/n'r t;'r-oI /t~;,~L,d~
v
l..DI 3 BIod\ to _ A.doi\ion t::/IIo/3 HIl.A_ 2 ~
.lnf.. r u / n ~ /5 trn- #~~n~..5'
r ~U~ /rU~.han.-,~-'.
1~:5/S' 0c""n~ ~YW Sc
/;/~-L-/~CJ-:?~ 3/
~-rroA!..
- .
Model Size ---J.I (. ~ .6 nL
Ownllr's Name
v
Address .
Hea1ing Conll a::'D1
Addless
Telephone'
Furl'\allll Mike & Model
Conn. LOla
Fuel
.FlUB Size
Supply Openil\gs
Returr, Openings
Input
Output
Edl.
elm.
TYPE OF WORK
Alteralions
Replacemem
Repair_
ESI :Orrp Oal'
Bu~dil'\g Pe,m~ .
()O -002-1
Est CosI S .
HEATING PERMIT FEE $_
STArE SURCHARGE $
TOTAl PERMIT FEES $
,50
MC
Permli No,
TYPE OF STRUCTURE
Siflgle Famdy
Commercial
Two-Family
Mulfl.Famlly
Induslrial
~ubltc
Olher
Fee Schedule
1% 01 iobf~osI1S39.S0 minimum)
$99.5)
$64.50
$39.50
$39.50
539.50
Industrial. CDmmerciaJ & Mullr.Family
Residential Heating & AC
Residential, Healing Only
Residential. Gas Fireplace
Residenlial, Addilions &. Aheralions
/.J Residenual. ~C Only
J1;7ff/-V,,: .
~emember 10 add Ihe Stale Surcharge 01\ the bonom ollhis apptica1ion.
a232Wl
TYPf OF SYSTEM
Warm Air Plal'\ls
G'aviry .
Mechanical
Air Cond~ioning
Vent. SyS1em
The price 01 your healing permll,nctudes one lOugr,.jn and one flfulnspec1ior1.
Additional inspeC\lof'1s wilt be billed OIl S3!l.OO each
House Healing Test Record f"'usl be submrl\ed Wllh t>u,ldmo oermil f'1umb!t! [)elore bu.ld-
.l1g certificale 01 oceupancy wiq be ISSloed.
c.----
o
HfAT C:ALCUl.ATION~ REQuiRED wilh number 01 supply anI:: return oper,I'9s lisled per ...,
room wilh CF....s per opening. New S1I\JclureS or adcliliof'1s sel\C floor plan wllh sllpply
and return localions shOVln. HE~T lOSS CALCUlATIONS. PAYMENT AND
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE. 16;lOO EAGLE
CREEK AVE S.E PRIOR LAKE. MN 55372. .
HEATlNG OR POWER PLANT
Slearn
'tiol Water
Radiallon
Special Devices
Cify Hall business hours ale 8 a.m. . 4 JO pm
OIhe, Devices
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
U7-9SS0
~ew ConS1ruC1ion
I hereby apply lor a mecharllcal syslems permll and I aCk"owledge that lhe
il\lormalion above is complete and acculale; Ihal Ihe work Will be in conlormance
wilh Ihe ordinances and codes 01 the cily and wilh Ihe slale bUlfdi"g/mechanical
codes; thai this form does 1'01 beoome a permil UI'lil signed )y Ihe BUilDING
OF~ICtAL: Ihallhe work. will be i'1 accordar:e w,th Ihe approved plan in Ihe
case 01 all work which requires review and approval 01 plans
/lz. xA~ ~~
. . 'PP"<>. ..- 3;:-: /a Cl-
Building oyat.s Sigl'alvre Dale
- .
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( t'r ",'G r~\:;l"\\\
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Ronald Joseph Schlink
612-440-8618
p. 1
05:06/99 THt' J1:01 F.o\X 612HH2~5
~
(' ITY OF PR I OR L:\KE
I?: (J 0:
CITY OF PRIOR LAKE
PLUMBING PERMIT
I Blue
Z Oo,t]
.\ Yellow
F'il,
\.:.!;
^pplJU/H
tI ()() - 002-1
Applicanl:_-._~""A..J-i... /rlu;..~IE.>c.../t::.~...L Phone: .y~CJ -J4-3/
Address: /k5/,.? LJ,'e ~r~'~ &"".r""c .sC
Signature: ./";7~~:,~ ~~.~__ ______.
Legal Descrlptiorr lot 3 Block _.J2 sUb_K#Oa~lfi~ ..1--II!..i?
Site Address, ~7t' ~ #/L./nlH;YJ C'~ ~/L"h- ~p //,(A..
Building Permil /I fJO - ()() 21 - PID If 2~,.,~g-f14Q.-O
NOTE: This perml' will nOI be process~1:l wl1hout complele Inlormalion
1..... ( ,,,.,, .., Ih. I.", .'......."
Quantity
.:;J.
I
I
Y
/
I
/
.3
I!?. I
FIXTURE UNITS
Type 01 Fixture
Qualltity
Type 01 Fixlure
Balh Tub wilh or without shower
I
.I
Rough-Ins
Water Healer
Dishwasher
Floor Drain
Water Sonner
lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
/
Stand Pipe (waShing machine)
Sewage EJsctor
Back1low Assembly (RPZ, Double Ch~ck. PVB)
Backtlow Assembly TesJ
lawn Sprinkler
Qlher
Sinks
Bar Sink
Waler Closet (toilel)
FEE SCHEDULE
.. 23 aQJ
IndUSlrial, Commercial & Mulli-Famlly
(1% of job cost. S39.50 minimum)
Residential, New One & Two Family
ReSIdential, Addlllons & AllorallOns
Slate Surcharge
$!:I9 ~O
539.50
$
$
$
$ .50
/PA',.R:~~M\T
$ r OU\lO ''4
GAANDTOT At
'I'll.. permll H Il'~nlcd upon Illc Clprc~. (UndlIICl/l Ihll uid
cnnUlCIOI, .\hDII comply in I le< ,,,,< Wllh Ihe "'Ulna/lC"
nl .he 51;11\: PlumbIng C d
a'i~~lolo'hcr~: re
I
AT'TnST
t-
Call for all imp 'lions 24 hours III i1dVilnCC
16200 Eagle Creek Av. S.E., Prior Lake, MinnC'iOlil 55372 / Ph. (612) 447-41.3U I FAX (612) 4-<11 LI2<15
An Equal Orronllnirv Employer
~
FROM : KLINGBERG COMPANY PHONE NO.
M 'AAillt/J: ~
h '7, PR~~ <:\
5/\E
~NE~~
~..O .... NQTE: Sewer a'nd Water
~..., 0", . ~.. . .... "',.,. ....,:::~..:.. ~~n.tra~';~I:t:~:~
~ ..w'it.Il.: the city.
)j; ()~";; A~PLICANT: hf!j . .... - . ~> .~~: 4frJ. ;657
~1'Y6 ADDRESS: fb~1o .' ",.t?A'rE: 3-~7-(JO
SIGNATURE: ~.: '-.J .. &LDG. PERMIT * (P!X>(;l/
R:;t'~ SITE ADDRESS: 4'liJJ/ '~~i~ prD~ 'ZS-33?-lJ4<;"O
JI1+{)/~ ~ <~~ FILL -4 THE BLANKS ."....
1. Estimated length of water service ~
2. Size of water service In inch(.s).
Mar. 28 2000 09:21AM P1
...... . ....e
ftiLL.ft - APPUC..l'
lIOU) .. CIT Y
.... ::''''..'dfAj .:" .., .:~'t~'" : ~11~ 'u;-';':-':". ','
" H'1-- ;;:'1~".., .("T~ .: :",'.' ..
CITY OF PRI.OR LAKE
SEWER AND WA~R PERMrT
. No~1JO-0021
.feet.
ll'.oo A~
f,.J~~ S/23:'
3. Location of any couplings from structure
4. Type of sewer pipe. ABS PVC~. Cast Iron
5. Estimated length of sewer line ~ feet.
6. Clean out (if required), located at
structure.
feet.
feet
from
This
___==========*~=~_~_~~~~=~~~~~__~w==~==:=====
. BY
mes your permit when 'approve.;d/ /
DATE: 4/3/di
I
-----------
-----------
-~~~~===~==-=-===-==-====-~-=-~=-**=~*======~-~~=-~==~
\u:.t:'S : $
L~$
Sewer and water line
Surcharge
TOTAL
*
Fee for either sew
$ .50 surcharge.
$20.00 plus
...
must be
are
DATE PAID
RECEIY
REC'O' BY
4629 DDkotZl St. S.E., Prior Lake, Minnesote 55372 I Ph. (612) 4474230 I Fax (612) 4474245
. AN EQU....L ...;.~ ...RTUNITV EMPLOVER
Date.
Sile Address
Lol 3
OWner's Name
Furnace Make & Model
Model Size .
Conn. Load.
Fuel
Supply Openings
Return Openings
Input
Edr.
Crm.,
Alterations
Repair
Est Cos1 $
-i
~ HEATING PERMIT FEE $
D
r
."
~
,...
STATE SURCHARGE $
TOTAL PERMIT FEES' ~
CITY OF PRIOR LAKE Me
16200 E.agle.Creek Av. S.E. Permit No. ()() -()n;{ J
Prior Lake, MN 55372
PID# dS-- '!>3Q-CflO ~O
Flue Size
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Condilion ing .
Vent System
HEAnNG OR POWER PLANT
Steam .
Hot'Water
Radiation
Special Devices
, Output
OIherDevlces hW'~
a.1"M
.
TYPE OF WORK
New ConstrudLon '-i
v
Replacement
Est. Comp. Date .
Bulding Permll'. 0(') - c)('") a \
.50
Receipt tI
,TVPE OF STRUCTURE
3. 'icUOYI \.oDIn.....
Single Family \1
Di
.,,1
;;0'
I
,...
~
I
I\J
~
~
~
I '"
Two-Family
Industrial
Multi-Famlly
Public , Other
Commercial.
Fee Schedule
Industrial, Commercial & MIJti-Family
Residential, Heating & AC
Residential. Heating Only
Residential, Gas Fireptace
Residential. Additions & Alterations
Residential, AC Only
1 % of job cosl ($39.50 minimum)
$99.50
$64.50
$39.60
$39.50
$39.59
,... .
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Ul
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....
93
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n
^
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....
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House Heating Test Record must be subrrilted with "'.1!ril.."p "f'I'ITlit"" ~rMf\r before build- ~
ing certificate 01 occupancy will be issued. . ~
HFAT rolll r,l" ATlnN~ RFnl HJ:lFn with number of supply and return openings ll&ted 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 ~RIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
Remember 10 add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Addtlonal inspections wiU be billed at $35.00 each.
Cily Hall business hours are B a.m. -.4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CaTV HALL
447-4230
I hereby apply for a mechanical systems permit and I acJmowledge that the
Information above is complete and accurate; that the work will be In ~onformance
with the ordinances and codes of tRe city and with the state buildingfmechanlcal
codes; that this form does nol become a petmit until signed by the BUiLDING ffi
OFFICIAL; that the work will be in accordance with the approved plan in the ,...
case 01 all work which requires review and approval of plans. ~
...a,hl JI~h<-V-L '1')r!dV il1
. AppliC+nt's s~ur~ .~ _ . Dale
U (J~{) -t /1) d O/1!,I)Ai.4J 4' /;4 Irm
(). lluIdng 0tliciI's ~.. I D'oI.
."
~
,...
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS i.l7Ct( Hu~wd~ Ie",-&. ti-.
NATURE OF WORK ~, ~lJc.kav\..
USE OF BUILDING S'FL\
PERMIT NO. 00 -co"' DATE ISSUED 1-'2,5- 2..000
CONTRACTOR ~. a(~
NOTE: THIS IS NOT APER-MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING _.' _, _ f'hA. I ~"1'1.oc
FOUNDATION (Prior to Backfill) I (< ')) 51; )~b I
PLACE NO CONCRETE UNTIL{j/BOVE HAS BEEN SIGNED
ROUGH gs
SEWER I WATER I SEPTIC 317 Q hfl
FRAMING S ,r/-/ ~ I;i /00
INSULATION .. f }7/;1)
ELECTRICAL / I
PLUMBING ~ LI- ~-- (50
~ ~
HEATING (if required) \ 0>\ r- '3--fJ{)
FIREPLACE ' \I) t.-\ - 1 ~ CO
GAS LINE AIR TEST Vff} t-) -"1' ft..)
COVER NO WORK UNTIL ABO~E HAS BEEN SIGNED
I I
FINALS
G ! -' g: 2 c; ,,(/T-J
. ~
LtJ/4F. 8r-'
,. : ~ _co::~:-. - - - _ ~.
GRADING (Prior to Sodding)
BUILDINGle.o T~ B/I/()() ~fpllL{IDO
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
fj( f/U 01>
t,18/!xJ
~lls/ tfb
I
6//t/lt/O
BEEN SIGNED
CM.
~
Thi~ card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildingsahd additions
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
',' '\
SCHEDULED 1/2 z/O'tI A.T;
f( ttlfA. "^-I NJ h (M r Te ,
CONTR.
VI' I \Jr ,..nl\.In. Ll'\I\C
INSPECTION NOTICE
ADDRESS
1 ?/J '-I
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
It FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ~ oJ.
/
\.
~,
at=' B
(.4-cI
~ -l)Z(
o EX/GRAD/FILLING
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o CORRECT ACTION AND PROCEED
:.::~CT wo~; FOR REINS::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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Inspector: l.-- Owner/Contr:
CAll 44~-9850 VOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
4704
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
.tf\.. 0 PLUMBING RI
~ ~ECH RI
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o MECH FINAL
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CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS Lf7()4
PHONE NO.
PERMIT NO. CJ7) -0 () ;)}
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACERI
o INSULAl'ION 0 SEWER HOOKUP 0 FIREPLACE FINAL
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VO' SITE INSPEC ON \.QJ ^ MECH FINAL 0
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NSNOTI
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4704- H()/1/"1/NGL!//eZ)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
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
A 0 SEWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
DATE TIME
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Inspector: Owner/Contr:
CAl. 447.9850 JOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD~EQUIRIMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTI
ADDRESS
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M#1J12'!J-1/d J;. AE
CONTR. M"1m Oh- 6" 1b111~
PERMIT NO. tZ' -d:h;l J' ___
o PLUMBING RI ~D/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~RA
DILATION
FINAL
o SITE INSPECTION
COMMENTS:
6ra~ '5 Of:..
(~Ybbd.)( "';$ o!:-
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/
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o CORRECT ACTION AND PROCEED
REINSPECTION BEFORE COVERING
Inspector:
wner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOT'