HomeMy WebLinkAboutBldg Permit 00-0024, FP 00-0425
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
. i8 2000
Permit No.
oo-oo~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
l\c~~U.
3. LEGAL DESCRIPTION
_~ BLOCK ---...--< PID ;J:~ 3.3"5ffi3t>
('\ ,~~ ~.~_ ~'\'r--. MdJ~~.
4. OWNER (Name) (Address) (Tel. No.)
~\\ ~~W \~\d..~~ ~.~ ~'~QUj. l'\lf~fn,,~re
5. ARCHITECT (Name) ..(A\:ldress) ~. No.)
~ ~ s:\\~ ~""'(Lv'h PL ~\.\1-4QJD
6. BUILDER (Name) (Address) (Tel. No.)
.Je, Wttn~~ "'\ ~~SOL.Ll.L
\~J ~,CUr\ ~ ~€ ~h.l(L
7. TYPE OF WO~~ Fireplace 0 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 COST~LUE
Chimney 0 Misc. \ (pi) c) 0
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETIO'N DATE
Sq. Ft.::t.' f J . (Lo;:( WidthC\ \ Depth \ '-\ <h Yes @ t\.s. As \> ~ \ to
I hereby certify tha\ I ha fumished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or ~uthOri~~ agent for
the abov e roperty and tha II nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware lhatthe
bull . vo~e this permi . st cause. Furthermore, I hereby ag~~~!\Y~Signee may enter upon the property to perform feh~dti"oOo
/ Signature License No ~(
.f/' FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
\ ,\~().
tWl~~
1. DATE
\ \ \<t\ cu
puD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
? ,. ) "'<..\
12. NO. OF STORIES?
le~
LOT
ADDITION
13. TYPE OF CONSTRUCTION
WOX\ \=(- "-"'t,.- 'n. \;)~
14. FLOOR AREA APPORTIONMENT USE
L\47-D~~
15. NUMBER OF OCCUPANTS OR SEATS
~
OCCUPANTS
SEATS
~
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o
ENERGY DATA
o
USE OF BUILDING
.!6":]J
-"'-
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
I ~l') 1 (;I"JO . ~)
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ R~c) .C!C;L
SAC ......................................... $~ 00 . (!)7')
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Plan Check Fee ............................. $_
l, ' A'1 . 25"'
'l!:1L:1l
sa . 00
Permit Fee ................................... $
State Surcharge ............................. $
Penally ....................................... $
Plumbing Permit Fee O'O'.~..24:..... $_
Mechanical Permit FeeQ.Q~...z.+... $
Sewer&Waterpermit.O'P..~...~.. $
-Gss ,"iJlillillllu Pel'tftit .O'Q.:....~4::. $
This ~~e~ur Bulldina P.Jlrmit When Nlj>roved.
By ~.)/ ~ _ ~ate ~/- '2 (cr N::J
Certificate of Occup ncy
100 . ()O
too . ~n
35". ,0
~
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $---.l25;;, ~
Sewer & Water Connection Fee ........... $ I. '2 t) t) . to a
. ,
WaterTowerFee ........................... $ I) no. ad
.
qC;;oO
Water Tap ................................... $
/,gOO ~ ~eJ
Issued
24 hour notice for all inspections 447-9850
",,-
...:: ,.,
co - 002-4-
The Cenler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'-.) f3 t V 0 00 r::-/ J / Efi:!-
II je/200C
The Buildif,lg, Engineering, and Planning Departments have reviewed the building permit
applicati~rifor construction activity which is proposed at:
/fr:374- Vie/OR/A CL/i2VE; ,S~b
Accepted
./
Accepted With Corrections
Denied
...
Reviewed By: JJAl.rEA. EUIlE:.~M~AlN
Date: "UJ/ 00
Comments: SE'~ I t.JF..,n......d1J.QbI ~.o -r1::LE RErlOl.s~ ~1..Qf"-
'.,
6!i....':
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,
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SEE.. 4.rr4(.~: 1. F"/\If+L a(MD~ INSP~cnON //I.1FDt't.-'1t4-r'ON Z. adA/}IAl~ RAAl
~ _EfloSIOlU CO~L- M~<.uaf.S
tf. ER.oSloN LOlllrROL. PIJIAl
'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."
,;f
(/0 - 002-4-
The Center of the L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
o B WooD PI I I 6F?-
/ / jg/ZO()O
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/0374- Vle/OK-If1 C-UJ€V6 66
Accepted
Accepted With Corrections i----
Denied
/(J It -A
Reviewed By: (_/~ l~/""
Date:
1-2fa-OO
Comments:
1. k1~ cJ1 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."
~"-'l ( '. (' (' ::.~~ 4--
The Cen.er of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I i.~' ; l i~.L) fe ,I -7--i'EI<..
/ ,
;'
. ;
/ /. / / / /:
.' r_" .~ ~.. Co' \...-
l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. ./ . ..--; // ' ,;,' ..' . i) J ..-
/ " ! j J I'" . r.., (..~ (.... .,k:.._ \ / (--,~._. "
'_.j '~r--- '" I ',' -- I I. . ... v __.-
1.....
. .J l.......
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
c.~ _0t/~
a -
Date:
l v~ ( - 60
Comments:
J-L-{ ~~ ~~lMMM ~~ wi&xi\
fY'~1 U~ ~~_ w y(l L () ,.LJ
le/L tvvYl ~ ~ ~~~~
~ \iJA//IJ~ ~~e,~ ~idk i.l1J(1~ .
cl \2./ av&-
\0 tPvlo~
"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."
~
,.
"Permit#
~ .J.-'1
'-
~/
'--
"Job Addr_ 11,'{}f.../ VI("tz;<~ I:", C.:...;"-v.&
"Healing C." .10( ,A~.u:gL'^ I~pj~ r",,"
.TestelW/Signature P"......
Date
Pounds
Pressure
IJ!!!!
.Gas Une
Pressurized
Inspected
PERFORMANCE TEST
~}c .::.
"Percent CO2 .Percent CO . ('J ,'" c.-
/e., ~..., )0
. Percent 02 ~ "c. .Stack Temp. ~...>-;"
Final Inspection Date
,
'\
CITY OF PRIOR LAKE ~ i. E.-
I'I.UIIIIINtI ,.",," PP No. (jO~ O() Ol'-L
Sc..~t"ef" ~\\U'I\\' N1 ~hON:.q~z~44'-la,34
~J- ~ \
~.I1 I ~"(\O ~ 4r\lU'\ c:.}CY..1't- '\)\"'\0(" l,g.\<..t.
"f<~ 1-; ~.... q. ~ n" ._, ^^ , 'I>,,,,l/"V7 .
LAIIIID 1 \s....; l.cI ~ ..~:C; lufJ~ K.~
_~. J J. \In'!tf'l''' V~"\O("\~\.~\I.&- p~)p 0+t\ MU\1
............, ~() - \) <) Q L..f PIC ,-a" - ;5~- ()~-n _
~ ,................. ~ a II r1..... COI'ItII'IeIe informaUor\.
....... U~..
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Ty" fJf ,..,.
QA..-
.... 'Nt ... or .._~ ......
1M. 11I"*
...., .....
3
t
Rough-'na
Wate' Hee,.,
w.... 80....'
"tIlII p," cw.....inQ macPli".)
_.. IlKtor
, ~I.."'nll~ (APz."",oa, PYS)
IeddIow AaMmbly T..t
1.&1&" II If..... ..
"'-WNIWJ T.., (' or I ~J 1/"lWn .Iftk)
.....1<J ...
....
... ..
, ... c... (I*IJ
,
1
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I
Lawn Spf"oidder
o..r
.... lLU
PHOW\1H M\1
eu\\.DlNG ~ER
"r 1 We Cl. rt~l_ . ...... ,__
(,..,....... ... _4.....
l'J .... ad'. ...0.6,.. ~
~Tl'" 1 . .. r~1J _. _ ~....
...~~
.50
.kUID . w, AI..
.
..... ...... ..... .... .. ...... ...... .. Mill
~4:__. .... ....1 51 III _ __ ... --. ..
....,.- - -1DI4J .. -.-.
DATI
MAY232fXD
16200 ..... C,.ac Av. .....
ua-'1f- J n~ "312 I Pfl. (112) ""...&230 I F.,u (6t 2) ...1...a.~,
.......~. ~~;r-
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. Oe,., OO~LJ
Prior Lake, MN 55372
HEATING APPLICATION J PERMIT
Date r;., -, - 00 PID , ~ 5" - 23S -O~3-0
/ "3 7l{ VI. ct"of(,'''' Cc.. lito e.
~ock 3 Addition (' os.AelJ r'e4.J g.-t-d...L'>..<u ~
Owne'" Nam. :r l {3, {)Jeod{, &-.J..~ "\. cO
Site Address
LoI3
Address .
Healing Conlractor 1411 d~ 11.. So v..J At K
Address S'~3 Jfi'.1..,lfl~ I/.c~ H /(d
,
Telephone' 'f S-';" - -1 }t'{-7' J f
FlI'nace Make' Model ---.$ "'-I/M r
,
ModelSlze 313X~\Jol.I.f 1"
COnn.I....'.. I~D
Fuel 11-.1-
SupplV Openings
Return Openings
ro.put I (OdPO
,
Edr, .
Cfm.,
Alterations
Flue Size St.{
I.~
8
Output. 1i~(JOO
,
...--
.LVLt..
J'(~ IN -' IJf lID
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Av Cond~ioning
Vent. System
HEAT1NG OR POWER PLANT
Steam
Hot Water
p.,,('..r"n
Special Dev1ces
Other Devices
TYPE OF WORK
. Replacement
Eat. Comp, Date
Reparr _
Est. Cost .
HEATING PERMIT FEE'
New Construction
v
Building Perm~ 11
/
/.50
/
(il] - (JC'l& Lt
,.
~O ""~~~
~ ~ Y""
Receipt' ~
STATE SURCHARGE $
TOTAL PERMIT FEES $
/
L Pmk
2.G""",
J. yeJt"... -
File
aly
Conlractor
TYPE OF STRUCTURE
Single Family
Commercial
L/
Two-Family
Industria~ Commercial & Mull.Family
Residential, Heating S. AC
Residenlial. Heating Only
Residential, Gas Firepfaoe
Resldentia~ Additions & Alterations
Residential, AC Only
SS3J"?
Remember 10 add the Stale Surcharge on the bottom of this appro, ~: '" n.
Industrial
Fee Schedule
Public
Mufti-Family .
Other
"
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3:
"
D
X
Z
o
The price of your heating permit includes one rot9l-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildiog nermit number befGl'e build-
ing certificate of oc:cupancv will be issued,
HEAT CALCULATIONS REOOIREQ. with number of supply and retum openings listed per
room with CFM's per opening. Ne\'/ structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATlONS MAY BE MAILED m 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 FrNAL) . CALL CITY HALL
4474230
1% of job cost ($3S.50 minimum)
S99.50
$64.50
539.50
$39.50
$39.50
, ltJN ~.J 2000
t:I
111
P
I hereby apply for a mechanical systems permll and I acknowledge thai the
information above is cGmplete ~nd accurate; that the work will be in conformance
with the ordinances and codes 01 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 work which requires review and approval of plans.
'D- A~
U- Applicanr~alure
f'lIM" '-1 /ojf'J'Ai~ I )
o _ng 0Ifica!" SiQnaIunl
, -1- ~
Date
~ /1 /170
/ pate
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lSl
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lSl
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3:
'"0
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fp:o~~ p~ CITY OF PRIOR LAKE Me '" -
lut ..~ynl 16200 Eagle CreekAv. S.E. Permit No. 0.0 ~ Q Lf ~ S-
\ ~') Prior Lake, MN 55372 .
~ HEATING APPLICATION I PERMIT
,-
Date. ..) ..... ,...] C7. 0 0
SI\e Addr9ss. / & 1-JV' f)/r 10(7..1 ~c.-.. &1.o1'~'
lot.5 Blocl\ ? Addition r Ii rf'1 J (\.pI !
- - .
rr.( /{I, ,,1'
Qwn9J'S r~ame . ....J 1/) IJuDDJ7'\. ...rtK:_
LJ
PIO If ~5- 33/~ - cr:J<.,- 0
P '/~ nL. ,~AfJ)tJ
<\
Address _
Heating Conlfaclor ALLIED FIRESIDE dba FIRESIDE CORNER
ROSEVILLE, MN 55113
Address 2700 1\. rAIRVI Eo\!.
Telephone' . 651- 633 - 2 5 6 1
FIRE?LACE
~ Make & Model p, L" -t .J (; (.;J
SL 7Sm-u.
Model Size. .
Conn. Load.
Fuel ~ _Flue Size
Supply Openings .
Return Openi(liJs
Inplll.
Edr.
Oulpul, ,.l'~^~
- { ~
elm..
TYPE OF WORK
^Ieralions
Replacement.
TYPE OF SYSTEM
Warm Air Plants
Grawy .
Mechanical
,... Condilion:ng .
Vent. System.
HEATING OR pOWER PLANT
Steam.
Hot W~er
Radialion
Special Devices.
Other Devices
New Construction )(
Repair.
Est. Comp. Date ..5,D.,f.:n
1/{n.:lJ Buildirlf' ~rmiU. ()O..:- OL.f a;:-)
Est. Cosl $
HE" TING PERMIT FEE $
STATE SURCHARGE $
TOTALPEF\MITFEE" i
...
?P,.5J)
.50
'10. at>
Receipt'. 07 bO a
I Pb.k
1. Gnlr~ -
l. Veil"" -
Air
OIl
C..nbIdOl
en
m
:J
ri-
CD
, '<
I ..
T1
i .....
,
m
illl
. .....
a.
im
TYPE OF STRUCTURE
Single Family
Two-Family
Induslrlal_
Mulli-Famfty
Olher
Commercial
Public
Fee Schedule
(")
o
,
:J
.m
"
Industrial, Commercial & Muli-Family
Residential, Healing & AC
Aesidenlial, Healing Only
Res;dentkll, Gas HrepLace
nesldential, Addilions & Alterations
flesidenlial, ^C Only
1 % of job cost. ($39.50 minimum)
$99.50
$64.50
$39.50 MAY 2 6 2W)
$39.50
139.50
Remember to add the Stale Surcharge oolhe bottom arlhis application.
CD
01
....
The price 01 yo~ healing permillncludes one rough-in and one 1k181Inspection.
CD
Co)
Co)
Addilionallnspeaions will be biled at $35.00 each.
CID
CID
House Heating Tesl ~cord must be submitted with ~!I"rin... ",I'\m'ij 1'l"IW1A' berme build- ~
ing cerlificale of occupancy wll b9 issued.
HFAT GAlClllAT10NS RFOUIREO wilh llUIDoor 01 suwtY and re1urn openings listed pe
room with CFM's per opening- New slructures or additions send Iloorplan with supply
and retum locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAll EO TO THE CITY OF PRIOR lAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR tAKE. MN 5537Z.
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Cily Hal busin&ss hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) .. CALL ctTY HALL
441-4230
....
....
..
~
I hereby apply for A. mechanieal systems permil and' acknowledge thal the ::
inlornuo,lion aoove is complete and accurate; thallhe work wil be in conformance y~
.,.,I\h lhe ordinances and <lades of the city and with the state buildingfmectlanlca
codes: that Ihls rorm does not become a permit until signed by the BUILDING
OFFICI^L; that tile worK will be in accofdance wilh the approved planm lhe
case 01 all ","ork which requires review and approval of plans.
&d~'-' .
f- Appli fs .gnature
V ru~, :~~ 11111.1 h~ ~
o 1lUkin!/~' SlgnoItn -
f~>>rJ
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....
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS --.lk ~'lY V~ (\,t-~ ~ k
NATU RE OF WORK 1.} p",-, ~~ c~\' rT"V'
USE OF BUILDING S FD
PERMIT NO. 00 - DO 'l.. '--( DATE ISSUED I-?J (J - 2CJOCJ
CONTRACTOR ....1 b Woo&. F,-l \~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
\ _ \ ~NSPECTOR DATE
'FOOTING___ \~, ")\y\~(NA_ I :l-/~-OO
, FOUNDATION (Prior to Backfill) I ii-b Fi/51(/) !r--ti I J - ~ s- oD
PLACE NO CONCRETE UNTijBdvE HAS BEEN SIGNED
ROUGH - INS
~I- ....1ft _J
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL 0.,
PLUMBING ~ '. I J'12 \ Hr\
HEATING (ifrequired) \ ~. I ~4j;I'W'
FIREPLACE ~../ l (5/1// tJD
GAS LINE AIR TEST 'I "(.. /
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
f6;;- ·
If'.et J"'~?t- 00
-5"/3/ ~o
! (
/
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/O/;O/;J1)
I f
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
ih e!~
(/_ ~ ~q/V.
This card must be posted near an electrical service cabinet prior to !~l:Igh.in inspections
and maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
"""1iiliiMliII
'}
.~
?~,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
q.'2,1
TIME
ADDRESS J ~ 5 0:i (j i C- ~ re., tu..J..
OWNER CONTR. .T 13 wc;ocl (1'fIv'
PHONE NO. PERMIT NO. CX3 ADD"?.C(
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXI~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Cu/h 13~7- -of'
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
~~~~T~~~O:o':~i SCHEDULED jl-"/O-'() I ~ /~
ADDRESS ~3-;L( 0/6/01"'/0. (]tLr~
OWNER CONTR.
PHONE NO.
PERMIT NO.
()- ~ ~
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 g. GASLINE AIR TST ;= P
.>XMECH FINAL 0
COMMENTS: I ~ B C~ - ~ ~ don.... - LJ" H
~=~o.,~~~~,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~ pl)~!~ v-J]
~ tQJo-- h'P~,~
r-+f- ~
o WORK SATISFACTORY, PROCEED _.....1
~ CORRECT ACTION AND PROCEED '('l\..LAV\.j'--<
'CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ( Owner/Contr:
.<6, A;5 T~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I Co 51 LI \} 'I c..:t-o---r\ (\
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
1\ ,~E~RHOOKUP
1""' ~ ~LUMBING FINAL
o MECH FINAL
DATE TIME
~ d:30
ty)~ (') ~ L.j
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ l?~~~~:});:r:ck~\~~
(~) nS~O ~JJ~ ~
~~
Po...,/) iWtf
~~~
(~1--/
~.
/
./
SPECTION BEFORE COVERING
Inspector:
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
CALL
INSNOTI
TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
lfo37t/
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED 2J::J1~
V;cAr,tl ~
TIME
1l:(X)
CONTR.
PERMIT NO.
0- Z4
o PLUMBING RI
o MECH RI
~WATER HOOKUP
.~ ~EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
/ // ~ Jr
~'I(J
so II
./M-~
,A41) ~
3' ~;toOt
/2..WJ? at ~ ~ .~
~~/
)r(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl