HomeMy WebLinkAboutBuilding Permit #00-0037
QATF R~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
OEC 2 8 19~jC
1. White
2. Pink
3. Yellow
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
33o~ Q. ['-\ V\\.O~ l t-o-i l
3. LEGAL DESCRIPTION
LOT / 0 BLOCK
ADDITION G 1).dV ",.hlt.-7rr
4. OWNER (Name)
5. ARCHITECT
(Name)
6. BUILDER (Name)
W ( NJ rn~' /V /V
/.JO m f' J
7. TYPE OF WORK Fireplace 0
New Construction ~ Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
File
City
Applicant
SEE. n;JlAI F1l.-6#.dtJ:5l"
Permit No.1J!)-- tJ1J3]
1. DATE
/,;J.-.;15-77
R~SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
:2
:l /\/ P/
PID Q5""- 3~-6l ~-O
q ~d/t/o.JV
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Address)
I B '1 S 1'/<< 2 '" 0 I'
[ ~ l' a {'J11J /V
~PtiC 0 Deck 0
Addition 0 Finish Attic 0
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
(,51- <Jot -~Y()f)
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
I hereby certify that I have 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 authorized agent for
the above mentioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building off~' can revoke this Pjrmit fo~st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X / ~7 (. ~. -.,-.-- / y r;-tf' /.2-.;7tF - <J 7
o' '" /7 Signature . License No. Date
100 . CJ(2_
/b(!).ro
35.5"0
Gas Fireplace Permit ....................... $ t.I 0 .c)o
Thi~eco~ding Permit When Approved.
BY~ Date
Certificate of Occupancy
Water Meter ................................. $ L ~S. (!) t:S
Sewer & Water Connection Fee ........... $~O~ . (!) /"')
WaterTowerFee ........................... $ '1Da . €J6_
Water Tap ................................... $
Builder's Deposit ............................ $ I J . c:> -
Other ......................................... $
Total Due .............................. $ 51'133.. 71i..
P.. r:;1;P1A R~No 3(,1Q 0 '
Issued _' 1.O
This is to certify that the request in the above application and accompanying documents IS in accordance with the c~:~on-::: !,din nce ~d may pr~d as ~~t This document when
sign~y the City Pia er const~utes a temporary Certificate of Zoning comPlian~ allows c nstruction to commence. efore occupa~ Certificate of Occupancy must be issued.
\......; _ ~ ~ - eo . () _ '" r;;>V' ~1rt-z9,1..{.
- rt lanner Date Special Conditions rt any
"
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.sFA
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
FOR ADMINISTRATIVE USE
Back
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Side
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION Cf ~. (90
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ R.~. 19n
SAC ......................................... $_' I bf). tS){")
Collective Street Fee ....................... $
Sewer Tap ................................... $
5/t>" $
Pressure Reducer .......................... $
Meter Hom ........... ........................ $
~4 '3 .5'6
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24 hour notice for all inspections 447-9850
Th~ C~nlu of Ihe Laike Counlry
2 o;=:. 4-
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
IF E Iv'S 1'-//) N;v'
I L /7.. AI qq
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-.....
3308' ~LYfJ,^.h4, t.&
L /0/ !32 J GLVNI1//i1t::.1Je..
Accepted With Corrections .
Accepted
./
Denied
Reviewed By: NALTEfl.. [;t<4(l!E.SMIfIlAJ
) ~(-f' L
ZtJO
~ I I
uaie: /I ZB IIJ{)
, .,
Comments: SEE -rtfE. l..)It.bl,lt;, PEIl""rr FoR ~~ I 0 (;L..'iAJwrAT~ ~AJ L- FoR.,
Il\Jl=en.,'''V\TIO~ Co.t\""E'1oJTS IhJ!) ,q""'Ac~Me.,JTS .
'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."
2 (
....J.._
,
The eenler or Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i
l ,.
/,
, ~ /. . , I,' /
/(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,~3t0~ (~YlW~~~ 4W
/.:.:, /( ;....." V~. .,"'. / /, L)
Accepted V
Accepted With Corrections
Denied
Reviewed By:
~~
Date:
l-z:{ -~
Comments:
~e.e-, LA~T~~
~
~ tr~ ~Lif{
'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."
z oP 4-
The Cenler of the Lake Counlry
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J1/ 6NS'M /l N /\/
/Z/Zp> /qq
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~;o8 ~\~w~ ~
L /01 !3Z I G'L'!NW/Tf(:'::::-Je.. ZtJ.o
Accepted Accepted With Corrections
Reviewed By:
~J--.
- ",
Date:
[-28 - 2oa:J
Denied
Comments:
SP~ ~.p -U-:
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s~s. Sor-cuu()- V~.
"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."
FEB. 3.2000 10:34AM
GENZ RYAN 6513226147
NO. 485
P.3/5
2.
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CITY OF plUOR LAlCE NO. 00 -003.7
SEWER AND WATER PERMIT
NOTE: Sewer and Water
. contractors must
be re~istered
with the city.
APPLICANT: (')..'~.fYL ~ ~ ('l _PHONE: it;A.c, ( .... t.J..2~,...J /44-
ADDRESS: \~lU~ ~ ~ "-1'7.1- j~~fiATE: z'~Jr()
SIGNATURE: ~a- . BLDG. PERMIT'f 00 -0037'
SITE ADDRE~'X r:..\~....... -ri2-L,- PrDt 2h<~(oPi -013-0
FILL IN THE BLANKS
1. Estimated lengt.h of water service LiD I feet.
I'
Size of water service
inch(es) .
Location of any couplings from s~ructure feet.
Type of sewer pipe. ABS PVC ~ Cast Iron
Estimated lenqth of sewer lin~ Lj(~f feet.
clean out (if r~quired), l'ocated at
struct.ure.
feet
from
====-------~-
This
----- --.---
----
BY
,"
permit ~hen approved. .;1
~TE: -:?-?c;J () 6
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---- ,
.- ~__--=--- .___===__~...'f___.
FE~S:
$
$
$
Seyer and water line connection permit.
Surcharge
TOTAL
35.00
.50
35.50
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must pe
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
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AMOUNT PAID ~~'O (:lX;:\'"'\"
~~c.
REC' 0 BY ~u\~\)
\
DATE PAID
RECEIPT ~
, 4629 Dakota St. S.E.. Prior Lake, Minnesota 55372' I Ph. (612) 4474230 I Fax (612) 4474245
AN EQUAL OPPOfmJN1TY EMPI.C'I'al
CITY OF PRIOR LAKE
. PLUMBING PERM"
Applicant: _~Z-~
Address: _' Ll1i!~e.,...fL!?_.....
Signature; l.lJa ~~!- .-
Legal Description: L~~ Block Sub
SIte Address: 3~~ r~/ 1"'l 'T" f? TI2..L
Building Permit t - ()~7 PIC #25 - 3&5 -0 13 -(j
Nv I c::: This permit v.:i\1 not be proc:essed withoJ complete information.
FIXTURE UNITS
MRR.14.2000 4:40PM
GENZ RYRN 6513226147
TIM CcIllCl' " Ib ~. c.....,.
. .
QLlantity Type of FIXture
2- Bath Tub with or without shower
I Dishwasher
, Floor Drain
'2- Lavatory (bathroom sink)
\ laundry Tray <1 or 2 compartment sink)
Shower Stall
\ Sinks
Bar Sink
. ! '),...... Water Closet (toilet)
Quantity
~
I
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
State Surcharge
$99.50
$39.50
NO.7?7
P.12/12
I. 8lue PD.
2. ClaId ~
3. y,.q_ ~CIIII
# (J7J- (J() ~
Phone:~?~ -II J Li
Tie- L- te.s.", I I
Type of FIXture
Rough..ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
8aclcflow Assembly (RPz, Cauble Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
.50
GRAND TOTAL $ L
This permit is gIWltDd upon the ell;p1'C$S condition that said
CQnttaCtar. shall comply in respects with the ordinances
of the: Stare Plumbin e ~8J1~ezs rhen:cf.
. ~/~'(J 0 DA'm
, ^ll~l
Call for allffspec;ons 24 hours in advlUlce.
--'
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-42~5
An Equal OPV'ortUnity Employe'!'
1. Pia ,.- .. Ale
2. 0rD. I aI,
l. YellL' , Call1rK'''
CITY OF PRIOR LAKE' '. 'J
. 16200 Elgie Creek Av. S.E. perml1 NO..oO - 003'
Prior ....ke, MN 55372
~EAnNG APPLICATION' PERMIT
oJ'L/ftrr"\ P\D'~- 3(P~ - 01.3- 0
S~. Addr.as B'Or)~ ~~ I .1 n.,..en..- "--~A-q_
Lot Block AddltTon
0W01~. Nams_llJ( UIfVY'l"' V\ '" ~~.
Add,.1I tt<15;" P'~2.A- [)iL ~ 'ZQ() E~
Helling Conlractor G ~"Z.. -QJJt"J.,.V"'\
-U
Address J!d:lU<;:"~-r-. ~-r ...f.Z-L ~'1 ~
Telepllone" -1.251- w. z ~ - , , t/ t1
Fmnace Make I Model ~
ModalSlz8 ~2.bG'2-1 ~-1~
Dati
Conn. Load
Fue' tJ~. ~Ftue Slze tl..bJvrrr
SupplV Oplnlngs t 1
I,{
Relum Openings
Inpul 1C;(~ oulput
Edr.
\DOp
'Cfm.
TYPE OF SYSTEM
WaTm Air Plants t
Gravity
MechanIcal
Air Conditlonfng ~ 2 '/7- m~
Vent. System
HEAnNO on POWER PLANT
Steam
Hol Wale'
Radlallon
Special Devices
Other Devices
AlteTatlon9
TYPE OF WORK
New Conslruction
~
Repair
Esl. Cost $
Replacement
Eat. Comp. Dale
BuildIng Permh #I
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES -$
.50
(J()--()(j 37
,
TYPE OF STRl.1CTURl=..
Slng4e Family
Commen:la\
)(
3
D
- ;u
. MulU-Famlly
Public . Other.
1\w.Famlly
Industrial
......
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Faa Schedula
Indusklal, Commercia.' , Multl.Famlly
Residential, HealIng' AC
Residential, HeaUng Only,
Resldenllal, Ga. FlreplaQB
ResidentIal, Additions & AlteTsUona
Re.sldenflal, AC Only
1% of Job cost (tag.50 mInimum)
$99.60
$64.50
'39.60
$39.60
$39.50
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AddlUonlll Inspec1lons will be billed at $35.00 each. ~
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House Heating Test Record must be submItted wClh building RIID1ll rlUmbel before bulet- ......
J:>.
Ing cer1llicale 01 occupancy wfll be Issued. "'\J
I:lfAI ~AlCUl.J\TiONS. ftEaU1RED wJlh number oj supply and ralum openings listed per
room wtlft CFM's per openIng. New 61RlcWre8 or additIonS send floor plan with lupplV
and rslllrn loca.ons shown. HEAT LOSS CALCUlATIONS, PAVMENT AND
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE- S.E. PAlOR LAKE, UN 56372.
Remember to add lhlt State Surcharge on lhe bottom or lhis appllca~lon.
The,prlce d. your healing permit Includes one rough-In and one finallnspecllon.
CitV Hall busln6Ss hours aTe 8 8.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUIlH.1N AND FINAL) - CAU CITY HALL
447-4230
I hereby apply for a machanica( systems permlland I acknowledge IhBllhe
InfoTmaUo(l above Is comple'e and RccuTale; that the work will be In conformance
I
with the ordInances end codss of the city and wllh 'he slete bulldlng/mechanlca'z
codel; thai \hls form doe. nol become. permit until algnad by 'he BUILDING?
OFFICIAL; thai the work will be In accordance wllh the approved ptBn In the ::j
case of all work which requIres review and IIpprDval or plans. "'\J
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CITY OF PRrOR LAKE Me
162DO Eagle Creek Av. S.E. Perml1 No. (X) -()n:5 7
Prior Lake, MN 55372
HEATING APPUCATlON I PERMIT
Date 4'-13-00 PIJ, JS--:?~0-0rS-O
Sile Address . ? ?('.f r;;(.M't./.1r. 1-... rA.
lot 10 Block 8 - Addll~ c:'{VniA~ drol A-D\)N
Owner's Name Ii )O~" .~
Address
Healing Contractor ALL rED FIKES IDR d ba P IRES IDE CORNER
Addr9ss _ 2 7 00 N. FA I R. V I E\T .
Tolephooe" , 6 5 L ~ 63 J - 2561
FIREPLACE . J
~lIJ Make & Model i.lDtd- 1) cDu
Modal SizlI_ Sl_ i.sJ:J,.,
ROSEVILLE. MN 55113
TYPE OF SYSTEM
Warm Air Plants
G ravily
~echanical .
Air Conditioning
VOlll. Syst9m
HEATING OR POWER PLANT
Sleam
HoI Waler
Radiallon
Sp9ciaIDevices
Conn. Load
Fuel lfYJJ
Flue Size
Svpp Iy Openi ngs .
Relurn Openings
Input
Edr.
Output ri3. c.1)
Other Oevices
Clm.
TYPE OF WORK
Alteration s
Replacement
';Q}J
New Const ructioo
Repair
Est, Cosl $
Est Comp. Date 4-1 ~
Ill"/) 11> BuUding Permil' 01y.J ex )7,'7
HEATI~~G PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipl'
..
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~
I hereby apply lor a me1:hanical systems permit and I acknowledge that the ;;g
information aoove is complele and accurate; that 'he wo.k wUl be i" con1ormance w.
w;lh Ihe ordinances and codes of the cily and wilh the slate building/mechanic.
codes; that this form does no1 become a permit until signed by the BUILOJN(
OFFICIAL; thaI the work will be in accordance with lhe approved plan In the
~work Wh",uires leview and approval of plan..
/ ,l;),/la...JJ_ r II~ Y!J3/w
I f-' Applicanl.. Sig~ . I ' Dale
- ( ~ rt ; /\ tv,. '"/ b -' rL~_;:;:;;; Lj j/L/ /c;r7
- (/ Il<JlJcIng OlfiCar~.... / 6"',
TYPE OF STRUCTURE
rn
CD
I. Pilll . Fik ;;
2. (i_" . Oty
). Ycl'- . C_'!f
811\91e Family
T1
1-"
..,
CD
tIl
1-"
a.
CD
Two-FBmily
Indusl1lal
Mufti-Family
PLtlic . Other
Commercial
Fee Schedule
o
o
..,
:J
CD
..,
Industrial. Commercial & Multi-Family
Residential, Healing & AC
Residential, Healing Only
Resldilnlial. Gas Fireplace
Residential, Additions & Alterations
Residenlial. AC Only
1% 0' lob cold ($39.50 minlmum~
$99.50
$64.50
$39.50
$39.50 APR I 3 200)
$39.5<l
Remember to add the State Surcharge on the bo"om o11his application.
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~
The price 01 your healing pemlil includes {JOe rough-in and one Onal inspection.
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Additional fn........llons will be blled It $35.00 each. III
. III
House l~eaUng Test Record musl be submitled with bulJdin~ "1I1~i~ nmnl-lfllr before bujl. :
ing certificate o( occupancy will ba issued. . w.
HEAT CALCUlATIONS RFOt tlRFn wlh number of supply aod return openings isled J
room with CFM's per opening. New structures or additions send IIoor plan with suppty
and relum locations shown. HEAT LOSS CAlCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CtTY OF PRIOR LAKE, 162.00 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
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City Hall business hours are 8 B.m. . 4:30 p.m.
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ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) . CALL CITY HALL
447-4230
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Job Address 33?~6/~w-f.(/
" Heating Contractor ~ Z j(~c..rt
.. Name of Tester J{.. L..
Date ~-II- t>C
Percent O2 '/
Percent CO n
'\ Percent CO2 ct
Stack Temp. :555'
Combustion air is adequately supplied per
UMC Sec. 606
Input
~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~<OA G {'-f~ wo.!qJ\. \ \
NATURE OF WORK- t\.'-p\ '. i Qc~cJ.
USE OF BUILDING ~t=" A-
PERMIT NO. ()o- 003'7 DATE ISSUED
CONTRACTOR lJ~Wl.W\.Q~l ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I ~ INSPECTOR
FOOTING _.' t}".Jt 0 ~/3/itM I (If z./IO
J FOUNDATION (Prior t~ckfill) I tJ z-/J4 ~ tz-;J7
PLACE NO CONCRETE UNTI~'ABOV'E HAS BEEN SIGNED
ROUGHa INS.. _
SEWER I WATER I SEPTIC I air,! ( ~ )
FRAMING .. ~ + \~ rv
INSULATION ~ ' ~ I J (j; a~
'/ / '
ELECTRICAL I 11
PLUMBING V/2 Lf/fht VP 1~7)~~
HEATING (if required) I / ~ qP?!lm VI") I
FIREPLACE . -stV Jb C; /a~ldJ 1 L--,A ~J.-<?
GAS LINE AIR TEST \ q l~ fff) C Ir-P Lj lx/en
COVER NO WORK UNTIL A OVE H~S B~ SIGNED
I I
FINALS
,
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~ ' / /~~(,It?tJ
I-'"J,.~-~
DATE
J WMl_~lttl'
GRADING (Prior to Sodding)
BUILDING f/.Nl4' h, ~/~I ~
ELECTRICAL
PLUMBING
HEATING
DO NOT
/1
(~ ,0 ;/IY'IaJ
!//:f;n dlS'~
.
OCCUpy UNTIL ABOVE HAS BEEN
NOTICE
SIGNED
. ... ..
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
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
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDREss3~ g
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
1 { -A -
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~~At
~~~
SCHEDULED
PERMIT NO.
0- 37
o PLUMBING RI
o MECH RI
o WATER HOOKUP
A 0 ~RHOOKUP
~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Ace e ,<; S 01t?7
t Ii
brJ()f d.vZt: ~
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- BEFORE COVERiN'G----
Owner/Contr:
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
DATE
WdV
~f) GLl/NW~
f
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
TIME
l:.3eJ
tJi) -1i()3 7
- /
o EX/GRAD/FILLING
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
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I! CORRECT ACTION AND PROCEED
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I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
53o~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
KFINAL
fa SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
A.'T:
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASJ,.INE AIR TST
o S'('TI
COMMENTS(j) ~~ ~- ~j I
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
J41 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 6;;- I Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
33tJK
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRA G
o I ULA TION
FINAL
o SITE INSPECTION
COMMENTS:
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SCHEDULED
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CONTR.
PERMIT NO.
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o MECH RI
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o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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o CORRECTW~~,CALLFOR
Inspector: . ~
DATE TIME
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~RAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
'SCHEDtlLED
/4p.~1ov A.if
ADDRESS
.:330g ~~
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J-37
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ 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 GASLINE AIR TST
o
COMMENTS:
~
III,,~.
~ORK 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