HomeMy WebLinkAboutBuilding Permit #00-0043
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
/?~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 ADOR7 ~fJ
3. LEGAL DESCRIPTION
LOT ~ BLOCK
~lJob
J (Address)
~.:'" ktJ/.dSK1
3kL:hl~J ~
?
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00...0043
1. DATE
/-27-00
,€ lED
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
ADDITION
I-L tt-C-
/!:.7"'
PID Z5 -310 - 02.8 -0
13. TYPE OF CONSTRUCTION
4. OWNE~ (Name)
~/.f!:-t;J~.
5. ARCHITECT (Name)
,~ (Tel. No.)
~7-00/2..
(Tel. No.)
(Address)
.e;8UILDER
(Address)
(Name)
/l/~/Z.cJ &~/C /~m~
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
Septic 0
Addition 0
Deck 0
Finish Attic 0
-7"k~/ C/O
SEATS
16. PROJECT COSTNALUE
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
7. TYPE OF WORK Fireplace 0
New constructio~ Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes No
17. COMPLETION DATE
In 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
nstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
.Gause. 'RIrt.. hermore, I hereby agree that the city official or a d~nee may enter upon the property to perform needed ins. peelions.
- ~ 7..322 /-27-00
License No. IliII8
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION I tJ~.. Q'T).OD PLOT PLAN 0
Water Tap ................................... $
Builder's Deposit ............................ $----1.$0" . (!)I'
Other ......................................... $
Total Due .............................. $ ~~" /. '1'"
Paid '7l/G, / 9" . ~()fJ
Issued ~.
Date Z () 0 By
lis is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordin nee and may proceed requested. This document when
ijle City ner const~utes a temporary Certificate of Zoning comPIi~~ allows c truction to com ence. ef~re occupanc~ Certificate of Occupancy must be issued.
M~ 2-?'-~ Q\_~ \,"W"~~~~.
Planner Date Specl Conditions ff any \r- ,
Front
Back
Side
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SF.D
TYPE OF CONSTRUCTION: I /I /II IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Permit Fee ................................... $
99~ .~~
~ If.~ .'GI
(, I . f"JI?
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
100. C)O
10(').00
sS.S~
~~
Sewer & Water Permit ...................... $
..... $
Thi
By
Your Building Permit When Approved.
Date ?... 7..:- ? QrV'\
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
Amount Brought Forward .................. $
Park Support Fee ........................... $ ~ $"0.0-0
SAC ......................................... $-U 6a. 00_
Collective Street Fee ....................... $
Sewer Tap ................................... $
~/~' $
Pressure Reducer .......................... $
Meter Horn ................................... $ ~
Water Meter.................................il'
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
4.5".06-
I 2~. DO
I) 20Q . Q:3 _
1.0..0 . C) 6
24 hour notice for all inspections 447-9850
/'
o 0 L'~ 3
Thr ernlrr or th~ l.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/I/E TkO (!.L/-IS.5,'/ L/ HC)/IC0-
//- .127//( ()
, I I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1// r:-I. Q. .I;"~)' II ~ /;7 , U /- ') / j~
/ '-f --/ to U ,. ~-' L L t::/--f-.-I 1'- -!..-/ ,...:.. .
/
Accepted
./
Accepted With Corrections
Denied
Reviewed By:
JJ"'L~ E..,RtSr1AtVN
r-"<Io,.. _.
Uate:
, - I . .
- ZI 'Z I 00
.
Comments: -.-"'~ PttoPosQ. HllvSE: S'T'l't..E. ~s ,joT' MATe." ntE: ~40IAl(;. n.AN.
.
HJtvjEu~ I,.. App(.Aa.o;, rHAi I~E Pllofo"i.(.l) ~T"'LE ~ ~ItAOf:S WILt.. Wo(lK w,'n.1
I
1""HE: CJ.~n^,(" BUI..t)ING.'I ~ G.t\AOE~ OI\J r~E. AO:rAl.!'tJT" L..OT~_
A ,Jon: ""'''1
-..-IE MAYI,,",uM
5t..o~E AUDwU,,\ IS 3 To I_
1M ac. ME. A ~f".".1 AR.fA<:..
O,.J IH I';' Lo7" APf',.toAo.fIJII~HIS tI1Ax:Ir'tu..... SL..4:J~ AnO CAllE M.uS'" BE
"11\KEtJ "'10 M.At...rf'l"I'\Al dl MINI Mt'IL -rMESE. '\1.At1CS "'-0 "1a::t r~F.... I'"./n'S
C~I"E/l.IA .
SE~ I"'Foft,MA"I'ot.J o^-~ -rw~
~s::.\~ ~,
.5E.E. ArmCHMEN'TS: L hAlAL ~(lll~pccno.v /A.JFofl.."",,,,-r~1 2., t:.IIAO'N(~ RAN
..3- Enos IaN C~JJT(l..:>L MCASI.Jfl..€ S
c.f F~os ION CONTrl..DL R..../'.J
"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."
~
00f3
The Crntrr of the L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT /'16 /120 &...ASS / C-, Hof16S
APPLICATION RECEIVED /(/ 27/ 0 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/-S0f> f5t.-UGI3IIfeD /12-1
Accepted
Accepted With Corrections ~
::::::ed ByQPJ:&p~
Comments:
Date:
2~2-2o~
~c&t~~~
"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."
)OL)
The' Center of the LIke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. ;f~.
I '
'~V L. .,.~.":
. , - ..~~,......,-
/ I' i ...,J'e", '(
'''--''' ! r i f _,. '..~
/,/
".-;1 ;'
//
/
"
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-,"
- "
I. ...'..
(.", .,.' /:,.-." -.L_w'>
Accepted
v-
Accepted With Corrections
Denied
Reviewed By:
~
~~
~. --- .
Date:
Zr SrGO
Comments:
2- t.{ ~ ~ ~ iV,WI ~ fA 9 rJ.:tt d:fJ-u?
~~ Pr~'t1 ~ -<t-~ ~-{)-W fOUw0,
/
A/L (~C~ J/IAp~~ ,~'l.~
~ ~/I[v(JDIt.. ~iLo a.-- W-L9.t-t:( 1CVcQ<,.-
"The issuance or granting of a p,ermit 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."
~~~ ~. CITY QF PRIOR LAKE
~:: ~ 16200 Eagle CreekAv. S.E. PennilNa. 00 '0043
Prior Lake, MN 55372
. HEATING APPLICATION I PERMIT
~ate '3- ~\- ~ P[H: 25-310 - CJZ-'O-O
cD~iteAddress~ ,~S\o~- ()\~~~~,..~\("'~,~ IZ/S0
If)
~.Dl B 8bck 3 Addition KNOB !flu."
o '
ZOwn8;'S Name. ,~-\ -n <.. \ (.d ~ ; ( ,
A~rBSS ~\ rl ~ ). \.;;:) , '\ \ ~ s\. S C~\f ~\ <.. .l(
H6a1mg ~rnradOr ,\~ -{ ~ ~\,... ~_ \, \ .
Address, \ \" (1\ ~ t"\ ~ ,..\ l Or""" ~ V l V.~; V""' ~ 4 Kc
Tllephone # . '--\ "\1- ~ \ ~~
Furnace MakI fa Mode,'-n", tlX
Mod_I Sw. ~ ~ "'" \\(,. *'.JA~. '\)~
Conn. Load, So ~~ ~
rutl ~\
Supply Opening!
Flue Size
\'1
1
5 tJ
i=altUm Openings
~ Input \ ~. iDO Output ~:l. Q \\ 0
~ Edr.,
I-
~ ctm. '''' \ ,
.
TYPE OF SYS'TEM
Warm Air Plants. \t1
Gravily,
Mechanical
Air Conditioning .)(.
VenL System
HEAnNGORPO~puurr
Staam ,
Hot Waler
RaGlltian .
Special Devices .
Other Owi::es .
TYPE OF STRUCTURE
I, PiM . ;::a
2. C'.=a . City
J. VtJIaw . c:-.:-
Single Famlt( ,X
Commen:ial
Tw~rami!y
Industrial
Mi&Fa1'T\l~ _. '__
?ubfic.
Other
Fee S:hedul!
Industrial, Commen::ial & Multi-Family
Residential, Heati ng fa AC
R~ntial. Haating Only
i1esidential, Gas Rreplace
Residential, Additinns & A1te:alions
Residential, AC OnLy
, %. of job CO$1 (S39.5D minimum)
Se~LSO
S64.50
539.50 . 2 I am
S39.5D
S39.50
r\emember tD add Ih1l Slat~ SurdlBr91! on the ~m of 1his application.
The price of your healing pennit includes Oha rou"t,.in IlId one final inspe=tion.
Ad~itional inspections wID be billed at $35.00 each..
H.Duse Heating Test Record n'IJSI ~ submitted wfth hullrlintl nP!rTM nllmbe" befo.. buiI~
ing certiiica1e aI V""'~""lcy "''I be issued.
HCIi:T ~.., ~IJlItTIONf:; ~1:l"liI11~::r'\ witt! runber of supply and return. openings &!tea per
room wnn CFM'~per opening. New strudUreS or adclltions sand 1l00r plan wiD'rsupply
and rftIrn locations shown. HEAT LOSS CAl..CULAnONS. PAYM9IT AND
APPUCIJIONS MAY BE MAIlED 10 THE CITY OF PRIOR LAKE, 16200 EAGlE
CREEK AVE. S.E.. PRIOR LAICE, MN 55372-
City HaD l?uJiness hours ii1I e iLftl. . 4:30 p.rn.
ALl WORK MUST BE INSPECTED (ROUGH-IN AND FlNALl. CAll ClTY HAll
447-4Z3D
~~~'~ .
E . ! hereby apply for I. ~chanJcaf systems parmI! and I acknowledge 1h1d the
5!S AlIaratlons Repla=emenl. New Cons.1rucliDn '. ,ln~nnation above iI complele and accurate; 1haf the work Wlll-ba in confomanct .
:: . . . . with th. onfinances ana codes of th. city IUId with Ita, state buildinglmlChallical
~. Repair. -. . Est. Comp. DI2t _ . . codes; that this fom'I does not become . petlJlh unUllipd by the BUILDING
.... " r r""'i'V_ t--t'V ~ ~ A,- . OffiCiAl; lhat lb. work wRl be in accordance with the Bpprvve~ plan in the
~ :~ ~ $. 'O~7 ~~iLding P.rmil~ . ~ - ~.. ~\j-) .J ~. ell w.a~ ~i~. ~iru review and app~ of plllrll.. . .
<'-! .HEA~GPERM",FEES. . _ '~';. - Y>'_ l\. . .-, :~ ~,-,~.
C\1,.-. ..., .. ~PA'DW\TH~. ',. . \.~. . ....
'.. ~ATESURCHARGE ., .50 \to\NG PER.'-J\\T . .;: I ~1-' ::
I:t:: ....,. '. 'aU -::> 0'0'
~',: iCTAL PSu.lrT FEES $ RICI~ . '. , ,.j z, 3 ..
-;."\""..;. ::. -.: . . .' & Olfical'. ~ om.
~_.~1':;~::',~,: ~J.~~.::~:~. ..... ~", -.'"a.:'.:":..:;~.~.~.:..: _:':':vj,~ . ;,.~.:'",: '__:'" : .-:.' ~<._... . .:. '. _ _. ."". ':".:.. ~'.. . .(.. .' "..,. v:'~.., \:. ." ~ ..::.'~.. . :... _ _ :.' _ . .... ~ :_. ~:.::". :.~. . ..... . _
~~:.::....' . "~""-"ic;'-\:.'i~~~..."i;.;~~j..i-"'_,:-,~~.L-...:~t~~~'~:'t.~ ,'";.-"'.-; .:'~:~~~li:~'1i;~1~'l~;'~~~~:{:~;o",~~.:c~:-' ~ h~~:'J::.:.!l~..:.::s'~io~"!f{S:~:,;~ '
...." - ._. ....... ... ... .. ...... .. "':".. !'~~. '-'..~;e--: -':~.'-._f~"!.';..""~." .. . ~:: :_'lr,;;;;. _.."...,. _':w' . .......:..~ .......__... .... ___..
GREEN . fILE
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w. No. _d 0 -{)ed 3-
NOTE:
Sewer and Water
contractors must
be registered
with the city.
J~
bs PC--.
APPLICANT:
~, 8 5/ j E:JS/ eo
PHONE:
DATE: ~/+
BLDG. PERMIT #-'of/-ou(--3
PID# 2~-3/0 -tJZ8-0
1.
Estimated length of water service
)
FILL IN THE BLANKS
-~~-
feet.
2 .
Size of water service
inch(es) .
4 .
Type of sewer pipe.
Location of any couplings from structure
PVC V"'" _ Cast
<'),-S
Estimated length of sewer line L/
feet.
3.
ABS
Iron
5.
feet.
6. Clean out (if required), located at
structure.
feet
from
BY
-------------- ---------------------------------------------------
-------------- ---------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $j'.~ 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.
DATE PAID
RECEIPT #
AMOUNT PAID
REC'O BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
1. Blue
2. Gold
J. Yellow
RIo
Cicy
AppIlCIIIC
CITY OF PRIOR LAKE
PLUMBING PERMIT pp No. 00..{)04-3
Applicant: '7>4ftJ I J""?> ~:, i~ I '-JJu.>. Phone: (6~ 1 "i'.:2.3 - ..a'1.3tJ
Address: /5'O.....~ ()./2HH.A.JJ llUO. ~ ~.kl.J rH 11 LJ; "-I'L.iJ S~/,.,X'
Signature: ~.JH~W.~lJ LJ..JJ..t"t~
Legal De~cription: VLot 'e 8loc~ 3 Sub~ L.L..-
Site Address:-L~9 &J) J~lt,r;") JA; L
8uilding Permit # 0.0 - () CJ 4-~ PID # 2.5- ~l 0 - o2..6-D
NOTE: This permit will not be processed without complete information.
n.. Cn.... 01 .. Lak. Coun,,,
Quantity
~
I
I
.;
J
I
/
--3
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
8acl<tlow Assembly (RPZ, Double Check, PV81
8ackflow Assembly Test
Lawn Sprinkler
Other
$
$ 99.SZJ
$
$ .50
$4t~.
r::' rr~.
ill! ~)) .~[~
~ ': I fEB' 0 2000
.-. '."-,
8ath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
..J'
I
/
/
This permit is granted upon the e1J/l,Jltion that said
conlr.lCUlr. sh~1 comply ;n.u res' ~ ordinances
of the State Plumbing Code and th,: a rj~ ts thereof.
- -~rlNO'i . DATE
V ATIEST
I
Call for all inspections 24 hours in advance.
r .". PAl D WITH
l BUILDING PEi-l;',HT
16200 Eagle Creek Av. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal OpportUnity Employer
Sinks
8ar Sink
Water Closet (toilet)
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
GRAND TOTAL
""
.Permit#
.Job Address J %~ ~ f5lu ~ h/ 'd /r-
.Heating Contraclor METRO AIR
.Testers/Signature 1)..--
C/
,.
Date
ill!!!
Pounds
Pressure
.Gas Une
Pressurized
Inspected
. Percent 02
PER~9RMANCETEST ell
t l q CZ" 'Percent CO () 7 <?)
7~Or() *SlaCkTemp.d,.;)(s,O
. Percent CO2
Final Inspection
Date
/
'",<
PRIO'R LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /4 ~ (n8 ''1-,( Uf' b't-d 0l-
NATURE OF WORK }..'wl.,,) ~* ~
USE OF BUILDING -.SF D
PERMIT NO. D. 0 O~ 004-3 DATE ISSUED .2 - 2.. - :2 oa:r
CONTRACTOR a\'(-e) Q tQ'S.'31C.. (-l~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'NSPEC/~)
I
I FOOTING
I ~lt;tv
I FOUNDATION (Prior to Backfill) I {}1Jv zh p)J) I "
PLACE NO CONCRETE UNTIL ABOVElHAS BEEN SIGNED
ROUGH/itNS
SEWER I WATER I SEPTIC L!// 3/d-'1 / ~ .
FRAMING t6( ((*J_ ?/3t/o()
INSULATION I A, :'=S t?t'J1AJ '
ELECTRICAL (I..... ;'
PLUMBING UD !f'J&L))pp
HEATING (if required) Ill/)...J 3 )07.
FIREPLACE
GAS LINE AIR TEST (;1 5 );;)J
COVER NO WORK UNTIL AMOVE HAS BEEN SIGNED
I I
FINALS
_ l,N{; r; Iii ~ ~
<5//tJ,!tJ6 .. ~
, I
,yRif~
-------
GRADING (Prior to Sodding)
BUILDING (,C,o I ~ I[/t/(Ji ffJ-r(
ELECTRICAL
PLUMBING
HEATING
DO NOT
~.
~I
0/;;- r!1:Jo
51 ?/11J7J
61z-/rP
t!;//h/a ttJ
I f
BEEN SIGNED
OCCUpy UNTIL ABOVE HAS
NOTICE
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
,("r'~~:",;, .,{:-'vl'< ':' 1\'>';,:..,.,; J'-..-'<,of.' ,,4.'_"~: ,> ;".! 't:' . ,"' :,"';...
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
_ ,~AT' _.I TIME
~ ( 1:00
ADDRESS lLj.~,,#') BluLbcvJ (;
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-43
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
AD MECH RI
r;;;i5;wA TER HOOKUP
A - .tl 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
C~~,ME7:k~ ~ f(C/. .
I h 70:l1t /L- (17/1!-' - I ~ .
L~Vl2d{M-~ ~L~7
51JP- ~ 01<-
~ d-
v~~ 1-
~
1
Sir-ui- Ole,.,t lv)
~ Cv..J, / 1,0,<: ~
~
~O!!K SATISFACTORY, PROCEED
~~ECT CTIO D PROCEED
o CORRECT RK, C L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALJ~7_9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE Q fJREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED s:-j2./f!12 3'36
81 vwr rrJ \ feLl )
ADDRESS /4 5~ Y
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(' J() - (YJ '-/ 3;
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
@ .0 SEWER HOOKUP
~PLUMBING FINAL
r d'MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:(1J ~ 7 ~ 0 ~
(~ ~ -ftn ~~~
~ (O?~ ~;L ~ Ut?~, ~
m ~ ~u.~.rJ~A~r
"---'" J ' I .
~~-~
I))id~~~~
?-~
o WORK SATISFACTORY, PROCEED
J.!' CORRECT ACTION AND PROCEED
o CORRECT WO?JK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~\ Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CI1Y OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 14S~8
Bku.,LnJ n
OWNER
CONTR.
PHONE NO.
PERMIT NO.
_' .:Ar.... TIME
~ 10:30
D-43
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
~NSULATIO ~ I fJ.-- . 0 SEWER HOOKUP
INAL f\I r I, 0 PLUMBING FI~
o SITE INSPEC IV.... ~ECH FINAL C!J
COMMENTS:1J ~ .r, ) ,;~ ~ ~
~ ,..J..-, ~. ~
;::fY~ (l~~
(9r-/~ ~/J-/~<-' ~ ~
(1)) ~ ~ '--11 I~ .~ ~ ~ 1-fJAJ
($!J ~ .; ~ Cl-4 .~ ~r
rt1.~ ~~.
(fJ ~ I~.
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
r:~rtJ, ~ ?1/I~
, 'I
/l/luA - ~ ,. A~. ~ A-d-,
~~
~ %-. u..tcA....F~. {3d-d I 5-L(-~
o WORKSATlSFAC;ORy.PROCE~ ~~~
~CORRECT ACTION AND PROCEED ~ ~ ~
I;; CORRECT W~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: r~( OwnerlCDntr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS \ 4~~ f>
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
tESULATION ~
FINAL Il.!::5:/
SITE INSPECTION
COMMENTS: SJ.
~ el2
~
~
SCHEDULED
~JG)~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
- ,l . - , h:c)
J;;-~
TIME
k
6-43
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY, PROCEED
10' CORRECT ACTION AND PROCEED
o CORRECT WORK~L FOR REINSPECTION BEFORE COVERING
Inspector: ,6. v..:r-.. Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI