HomeMy WebLinkAboutBuilding Permit #00-0038
DATE RECEIVe:!.
DtL 2 8 1999
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
q.- ,. ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
$66 MAl/V Ft~6 11= h..cro.3h
Permit No. OO-oO.3f;
1. DATE
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 ~
d~~~TI09>ljV\wcc ~
LOT I / BLOCK
ADDITION . c: Iv A/ t..JIC.1rr
; -
(Name)
4. OWNER
5. ARCHITECT
(Name)
6. BUILDER (Name)
iJtNJm~lYj\/
)Jom ff
7. TYPE OF WORK Fireplace 0
New Construction V Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
I~l
t\lLJ
/,;)-..2i -? 7
R~3D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
:2
d- wV
PID ~5'- 3CoS- OlCof-o
~ t1// t/~ IJ/V
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Address)
/ f f 5' P /d: Z e:-
CtA ,t;' IV /7) /V
(teptic 0 Deck 0
Addition CI Finish Attic 0
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Dr
(,,)1- Y'O~""7'Y(){)
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
10. CULVERT SIZE
Yes No
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 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 0~1 can revokl!)1is perTJ1! for j~ cause. Furthermore, I hereby agree that the city official or a deSignee. may enter upon the property to perform needed inspections.
X /I~~ I~ JYstf J;J-;:JI-Jl9
- / .!?"ignature . License No. Date
Collective Street Fee ....................... $
Sewer Tap ................................... $
~7e $
Pressure Reducer .......................... $
Meter Horn ................................... $
Water Meter ................................. $ 12S'. (9 C2....
Sewer & Water Connection Fee ........... $~C)tl) . DO
Water Tower Fee ........................... $ '! 00 . ~
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $ 5~ ~Z2.. 9("
Issued Paid 5,Br:z.~fo Receipt No. ic,1'~
Date ~ By W Il-
This is to oertify that the request in the above application and accompanying documents is In accordance with the City Zoning Ordinance and may proceed as reque:e~. This document when
sig~y. the Citvmla ner constitutes a temporary Certijcate of Zoning compliance and a.llows construction to commfilnce. Ei'fo!e occupanc~ ~ertificate of Occupancy must be issued.
~ ~ ..-J-~~fP(/ ~~ ~C~~.~C~-<!~
. Planner Date Special Conditions ff any
loo . DO
I () f!) . D~
'35.,':)0
Ga~se ~it;J" ................. $ 'fo .00
Thi i 0 ecome Your ~ Permit When ~ppveQ.. _ __
By Date , _....z..e - L1X{)
Certificate of Occup~
f
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.s~A
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 ...................... :t
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back
Side
Side
SOIL TESTS
o
o ENERGY DATA
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PILING LOGS CI PERCOLATION TESTS LI
PLANS & SPECS 0
SURVEY CI
SETS
COPIES
PERMIT VALUATION
1"1 .,,~. 6){'")
,
o
PLOT PLAN
S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ ASO. (90
SAC ......................................... $---L1--.fJO~ ~
93'1 .'2 $"'
54l./ .2.1
~fD. 00
'is .De
-' t!) -
24 hour notice for all inspections 447-9850
Th. C.n'.. 01 'h. Lake Counll')'
3 of +
White . - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'. I
VV e IVS l'? /1 ;Vf'J
12-/Z6/QQ
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-w' .3'30(,... (; LY,.JvJ4T~ -rR,q I L.-
LI/, i3Z, GJLVNVVI1Ic.~ 2ND
Accepted./ Accepted With Corrections
Denied
Reviewed By: UHLn.K C:lo4n~:~r'tAtJ,.,.i
I I
1/2.11/00
I .
Date:
Comments: SEE ""'f &'1t.01,.)(,\ ~...,r Fait 3310 ~L.YMWATF'.A. ~4'L. Fait.
1&F..ilM~r'D"'. G""Me:""r.s A,.)~u.ff'lf&JT5_
liThe 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."
-3 (, F
I
ir
The Ctnler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i "
t' II
r .~,-
;' ,/ ,.' /
/
" " ...... .-,.....
;' .', ',~:.".- //;'/ { I
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicatio303~~UC(:i~t~~~~4't:UW,
/ / /7' (I L \,t. // ii rJ iE:~ L~_ ?: I', L;
--- I -/ . I
Accepted t.-/' Accepted With Corrections
Denied
Reviewed By: ~\ ~~
Comments:
Date:
I ,.,*l ' fiD
~~
r AYI.&-t~tevtJ
()I\;
1f\-v~ ~~ IhAi~.
"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 'S'3;{) (;; Gk", wef.., /
Heating contracto~"".P - {J(~ ~
Name of Tester ;/1 ~. ('.
Date 5/,CJo
Percent O2 7
Percent co (5
Percent C02 <g
Stack Temp. .360
Combustion air is adequately supplied per
UMC Sec. 606
Input
',<:
3 of '-/-
The Center of 'hr Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
weNS /'1/lN'rJ
/2-/Z6/QQ
. ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"53o~ G:.~~~
'- I II 13 Z / G,L'INW '1/ t:::1e_
Accepted <- Accepted With Corrections
Denied .-- /J J ~
Reviewed By: (Ill ~ .
- /
~~
2ND
Date:
{-28 - 2000
Comments:
~. j;.,1W.,'c> \Yerw-;\ -t4: 00-
Spe-c-~. SOi~/ Uc:.,
~r ~l~
"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.2/5
_..... '
'I'II.LDW . APIlI.lCUIT
fIOLD . aT,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
NO. 00 -0038
A~PLICANT: p-::f!JYl." ~
ADDRESS: \U.,u.~ ~ ~~ lf7 -r 'o.J.....
SIGNATURE: \k ~ -
UTE ADDRESS: ~"P~r-.\~1
FILL IN THE BLANKS
I
1. Estimated length of wa.ter service ~
I "
2. Size or water service inchCes) .
PHONE:1a$\-Ln...?.....\l4'4
DATE: "2-\~\oC>
BLDG.. PERMI'!' # 00 - 0038
.PIDit ~-.3lo5 - 014-0
feet.
. (~)
3. Location of any couplings
4. Type o~ sewer pipe. ABS
5. . Estimated length of sewer
from s~ructure feet.
PVC ~ Cast Iron
lin~ 4/1)' feet.
6. Clean out (if required), l'ocated at
structure.
feet
froln
-----------------~--------
This
permit,when approved.
DATE: Z// % ()
. / I"
BY
;=""""--;:-----_ ---- _~"""'iiiiiiiiiiiiiiiiT"
------=---~---======~=--
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit-
Surcharge
'l'OT~L
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
(i)"':
. "1'
~
DATE PAID
RECEIPT .,
AMOUN~ PAID
REC'O BY
~~Fn~" "i'
f'~\ G pS'('\l'Il\
leU \ \..0 \t'-l
FlJX (612) 4474245
, 4629 Dakota St S.E., Pnor Lake., Minnesota 55372 I Ph. (612) 4474230 I
AN EQfJt\L. OPPoImlNITY ~
MAR. 14.2000 4:38PM
GENZ RYAN 6513226147
NO. 777
P.5/12
TJI&o Ctalcr ul' .IM L-- C_Il,.
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Applicant & f17,- ~ Phone:..!dSI-U:~- IILJU
Address: .....1..Y:JJlc;- .~:,. a7 '"W- ~~
Signature: tkj(\ ~ () ~
legal Description: 2c~ Block Sub_
Site Address: ~~ t,..... r-.....I ~J I ~., tP -riLL-
Building Permit # 00 >J UtJ.3 B PIO # 2..5- ~6 - 6/4 -0
NOTE: This pennit ~i11 not be processed without complete information.
AXTURE UNITS
J. BIlle R1c
1. (jaJd Ci"
). l'cJlaw AppliQll
# ()O - oo3PJ
- ,
Quantity Type of Fixture Quantity Type of Fixture
2- Bath Tub with or without shower ,~ Rough~ins
, Dishwasher \ Water Heater
f Floor Drain Water Softner
.2- Lavatory (bathroom sink) \ Stand Pipe (washing machine)
, Laundry Tray (1 or 2 compartment sink) Sewage Ejector
Shower Stall Backflaw ~mbly (RPl, Couble Check, PVB)
\ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
. I 2- Water Closet (toilet) Other
FEE SCHEDULE
Industrial, Commeroial & Multi-Family
(1 % of job cost. $39.50 minimum)
Residential, New One & Two Family
Re&idential, Additions &. Alterations
State Surcharge
599.50
$39.50
s
$
$
$
.50
'" :")
r (
; I
GRAND TOTAL
t' "\' '.'.. i '-
. I
This permit is a-.....wJ upon the ~pl'C$S condition thllt said
contractor. shall comply in all respects with tile ardirmnccs
of the State Plumbing C d .~am dm~ thereof.
-- . . '/6/00 DATE
,
ATTEST
Call for all ins ctions 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-42~5
An Equal Op~onunil)' Employer
CITY OF PRIOR LAKE' '... )
16200 ElgJe Creek Av. S.E. Permit No. 0-0 -On.Q?
Prior Lab, UN 55372
Oat.
~A{Io...\
l. l'IU" '\
l.GIe,~
1. Yell. '
n...
CIty
OJ,.. ".
TYPE OF STRUCTUR5.
Single Famltv
Commerdal.
x
MulU-FamllV
Pub4lc Other
:3
D
;:u
Two-FamUy
Induslllal
....
~
I\J
~
~
~
Fee Schedule
Industrtal, CommercIal & MultI-Family
Residential, Heating & AC
ResldanUat Healing OnlY.
Resrden\lal, Gae FIreplace
Residential, Additions & Allerallona
Ruldsnlla', AC Only
1 % of Job cost ($39.50 mlnlmum)
$99.60
$64.50
$39.60
$39.50
139.60
G)
(Tl
:z
N
;:u
-<
D
:z
0'1
rJl
....
W
I\J
I\J
0'1
....
~
""'-l
~
W
ID
"'U
:3
~
Remember to add the State SurchaTg4I Oil the bottom of this appllca~ion.
CoM. Load
FUIlIIUM". (3o..~lue Size 6" ~VO"1T
TYPEOPSYo.~
Warm All Planla. ~
Gravity
Mtchantcal
A"r Oondlllonlng ,It '2. " 'L '"1h~
Venl. SVst1m
HEAliNG OR POWER PLANT
Sleam
Hot Wale'
Radlallon
Spadal Devices
Supplv OpenIngs
Relurn Openings
tnpu1 ~
Edr.
-elm.
"
4
OuIpul ~ mD
OtheJ Devlcea
TYPE OF WORK
'^
Alterations
Repair
EsI. Cos1 .
Replacement
New Construction
Est Comp. Date
Building Permit. -.-01) - (l?3 B
HEATING PERMIT fEE'
STATE SURCHARGE $
TOTAL PERMIT FEES S
.50
,,_/~- PAlO W\TH
(:1.J\LD\NG PERM\T
Recelpl ,. .
The,price 01 your heating perml Includas one rough-In and OM flnellnspectlon.
Additional inspections will be b\lled al $35.00 each.
House Heati"9 Teal Rscotd must be submitted wlth.lBJlklilg IWIDB IlUIDbH before bUft(i.
Ing certificate of occupancy wiD be Issued.
I::IEAI ~ALCUL.ATIONS f\EOUIREQ with number 01 supplvand relurn openings listed per
room wilh CFM's per opening, New s1ructure8 or addltlOI15 send Roor plan wlth S1JPPlV
and rellUR locations shown. HEAT LOSS CALCULATIONS, PAVMENT AND
APPLICATIONS MAY BE MAILED TO THE CITV OF PRIOR ~KE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 56372.
Clly Hall business houra 118 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH"'N AND FINAL) . CALL CITY HALL
447-4230
I hereby apply for a mechanical systems permit and' acknowledge that Ihs
lnlormallon above Is complete and accurale: Ihat Ihe work will be In conformance
with the ordinances and codel ot tne ctly and with Ihe state bulldlnglmac.h8nlc.' :z
codel: that this form d085 no' become 8 permit until 81gned by Ihe BUILDING ~
OFFICIAL; thallhe work wlll be In accordance wUh Ihe approved plan In the ~
nn woll< which r.qu~O$ review .nd .pprovel 01 plen.. -oJ
~ ' ~~~t
8U~g"Uftlcal'8 SignalU.re Dale
"'U
0'1
"-
....
I\J
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Pemllt No. 00 -0038
Prior Lake, MN 55372
Owner's Name
"
iL~U"'t:..i!"
GL IIj'1WAT(!;,t<.
~A/
...
2ND
Address
Healing Contraclor ALLIED FIRESIDE dba l<~IRESIDE CORNE~
Address 2700 N, FAIRVIEW. ROSEVILLE. MN 55113
Telepllonlt# 651-633-2561
FIREPLACE
~ Make & Model J.iuv JJ <au.
Moder Siz" S<-'/So
Conn. Load
Fuel ~h
Flue Sizl!
Supply Openings
ReM" Openings
Input, . OUlput~.I"lro
Ed,.
Cfm.
TYPE OF SYSTEM
Warm Air Plants.
GriMly
Mechanical
Air Conditioning
Vent System
HEAllNG OR POWER PLANT
Sleam
Hot Wate r
Radial.on
Spadal Devices
Olhl!r Devic&s
Allerations
R9fllacement
TYPE OF WORK
New Conslruclion )C ~
Repair
Esl. Cosl $ I J (X) .:I)
" .
Esl. Comp. Dat& ~'j,
BUUdingPermij#' , 00-0036
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT fEES $
.50
(/ PAlO W~ . ....
\ 6U\\..O\\~G f'-.:.. ...,11
Receipt "
tf)
I. I'lnk Fdc lD
1. (jrl't~ - Cny ;;.
l, Vdl_ - CDIlIn"'''' OJ
'<
TYPE OF STRUCTURE
Single Family
Commercial
Two-FamRy
. InduslriaJ
HEATING APPLICATION I PERMIT
Dale 3 ~ .J~-Q) PIO. 25 - 3/Q5- 0/4 - 0
SI\e Address 3300 .G~~.l.n'-'1!J;"A,,/f},A.~l I!ZSO
fj
Lot II Bleck 2.. Add"'diotl
Fee Schedule
Indus\rlal, Commercial & Mulli-Familv
nesidenUal, HeaUng & AC
Residential. Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residentia~ AC Only
Mulli.Family
Public Other
"'Tl
~.
,
lD
III
~.
a.
lD
n
o
,
::J
lD
,
1 % of job cost ($39.50 minlnl1Jlll~
$99.50
564_50
$39.50
$39.50
$39.50
Remember 10 add the Stale Surcharge 00 the bottom 01 this application.
CD
t11
The price 01 your healing permIt Includes one rough-In and OM final inspection.
CD
w
Additional itspeclions wil be blled at $35,00 each. W
tJl
House Healing Test Reeord must be submilted with t!u.iIJIing P&Imil mmJ.Ilt1 belOfe bulld- ::
ing certilicale 01 occupallCY witl be issued. }~
l:lEAI CALCULATIONS REQUIRED with number of supply and ratum 01'.' .IIi"" lisled pE
room with CFM's per opening. New structures Of addilions serod noor plan with auwly
and r~turn localions shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATlONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, '6200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hal business hours are 8 a.m. - 4:30 p.m.
;;::
IlJ
,
,
I\)
I\)
,
o
o
t
ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAL) . CAll CITY HALL
447-4130
..
~
I hereby apply for a mechanical systems permit and I acknowledge that the ~
Inf(trmation abQve is complete and accurate; lhalthe wOlk will be in conrormance Y'::
with Ihe ordinances and codes or the city and wilh the stale buUding/mechanlce
codes; lhallhis form does not become a permit until signed by the BUILDING
OFFICIAL; lhat the work will be in accordance wilh the approved plan in the
case of all work which requires review and approval of plans.
/J /"J i
D~~ ft~
AP"~
BUilt*'g Orfical's Signature
tJl
~)/~
3/Z,;?;; 0
Date
-0
IlJ
lQ
lD
.....
I\)
,
P'RIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3~ Co Gkllf",u..)a..-\-~ \ \"0..\ \ ~\ W
NATU RE OF WORK ~J e.u '\ C<r-t)A ~ ~rf] c-\- ."&"\A
USE OF BUILDING S~A
PERMIT NO. 00 - (J().36 DATE ISSUED I - ~e - aooO
CONTRACTOR .W.Q\A~ I/V\.Cl~ l-\rnN\-e>s.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING -~. l1..eN, \~~ ;jq6fJO ~
FOUNDATION (Prior tUacklill) I
, ~
PLACE NO CONCRETE UNTI BOVE HAS BEEN SIGNED
ROUGI:l-; INS
SEWER I WATER I SEPTIC ( ! ~//l)
FRAMING r'"',~ 4(H (rib j,1l,. ~,~'-Z/-{)1)
INSULATION '~-9J Lf,/ijif) t... L.. tq-. f - Zl-iltJ
ELECTRICAL
PLUMBING \. Li/ql(fD v.[,,' r?fll Jf~U/11)
HEATING (if required) ~ t11L-f /01) /.... L-, ~, l{ -Urtl(}
FIREPLACE " ~ \l ~
GAS LINE AIR TEST \!? y r l--\-111)
COVER NO WORK UNTIL AB~VE I-!A~ BEEN SIGNED
I I
FINALS ,
~ 'D/,-~ lOb
- ~ I lo/~u/P7)
/J
/~_;I;(j)o
~lJ StJJI~
OCCUpy UNTIL ~VE' HAS BEEN SIGNED
NOTICE
I
Ii-- +11:1
INSPECTOR
DATE
I, ""/';~_ ~", ....f1
GRADING (Prior to Sodding)
BUILDING ~-flJ Y;;/tJV ..,
ELECTRICAL
PLUMBING
HEATING
DO NOT
Thi~ 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
~t-"'~ ':.*' ~_,
"'-'<.\C"~,(i.J'
I Jltpartmtnt of Jiuilbing Jnsptction
- ~ Final Pennitted 0 Conditional C.O. Expires. .
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior lAke regulating building construction or use. For the following:
Use Classification
Sin!t!:le Familv
Bldg. Permit No.
Occupancy Type _ R3 Type Construction . VN Fire Zone N I A
L11, B2, Glynwater Second Addition
Legal Description
Zoning District
00-0038
R2SD
Owner of Building
. Site Address 3306 Glvnwater Trail
Contractor'sName&AddressWensmann Homes, 1895 Plaza Dr., Eagan, MN
. Robert D. Hutch:i.ns ~, CityPlanncr _ Jenni Tovar
Date: IIJ ~i?nZ;Cial , Date:
f f
POST IN A CONSPICUOUS PLACE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o F ING
o I ULA TION
FINAL
o SITE INSPECTION
COMMENTS:
~~;y ;~
[It~x /5
SCHEDULED
a/l///~r
/.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
())(
11~
f;~
h//
ttlM57Jt~~
--'.TJ - (J~
- ~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
TIME
Inspector: .
-.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
360~ ~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
D.....NSULATIO~ IA
'iZl FINAL N n
o SITE INSPECTION
o PLUMBING RI
o MECH RI
AD WATER HOOKUP
o SEWER HOOKUP
i. A ~MBING FINAL
I'f ~ECH FINAL
_ }~AT1 -A TIME
~' Il:1o
().38
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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Inspector: uwner ontr:
CALL 44/.9850 FtIR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE 2UIRE~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
U- lNSNOTl
CITY OF PRIOR LAKE ;/i8~ ~~
INSPECTION NOTICE SCHEDULED
ADDRESS 3$0(, ~"-I.v~ Th-
OWNER CONTR.
PHONE NO. PERMIT NO. (J-35"
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~ INSULA TIO~ P\ o SEWER HOOKUP o FIREPLACE FINAL
FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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/
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Inspector:
'- '"
CALL 417-9850 :OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
w SCHEpULED
If:; t.Io-o A ."(1
ADDRESS
,3 3() ec,
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CJTR.
OWNER
PHONE NO.
PERMIT NO.
C-3R
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
[1 FINAL
TI SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
M'l-/
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~
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( / A!~ ~!Jd2~
tLf~ ~:
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....----
------
~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!
lNSNOTl