HomeMy WebLinkAboutBuilding Permit #00-0053
A> b-tRi rl" IJ <,q /Z. # 'C. '/
7. TYPE OF WORK /' Fireplace 0
New Construction CY' Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVE~lfE
Sq. Ft. /.s; ~7 ? Width//) J. I Depth)-}- ~ Yes c:Y
I hereby certffy 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
~Uilding o~# t~~~s~;::: :hermore, I hereby agree that the city official Or;'gi'r;e:;may enter upon the property to p~ rie;, ~spections.
Signature /' License No. ' Date
~
DATE RECEIVED
I/Z 5/tJO
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
, DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SJITLE/A~R;SS7
~,r ~ /(),~b/i<c:L i 12 L--
3. LEGAL DESCRIPTION
LOT ~ BLOCK
KNo}; ;-/'!!
4. OWNER/1 (Name) (Address)
11 0 b C.l2/ JL-l c.. ,j ~ If /l.1J~" f? I;:~() X J (p (, LA l ""II 1/",,-
5. ARCHITECT (Name) , (Address)
J1J1lt.. 1< f{ V J< ) 1-17 K~vl1/~
6. BUILDER (Nam~ (Address)
1. DATE
'-/J~/ 0 ()
r<./
ADDITION
y
4rJ. Add.
25-3(p2.-02-3-Q
PID
(Tel. No.)
3 tt,-7 it' i
(Tel. No.)
(Tel. No.)
U-~
;1~-7rJo~
/1.81)\ J? ~ LA k <i!VIIIc
Septic 0 Deck 0 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
. Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION --' (,~ .. c:>c::>
USE OF BUILDING ~t::.D
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee.............. .... ................. $
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. -'1D - 005.3
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height)) (, (Width) ~S!.c, (Depth).s- 0
12. NO. OF STORIES
1-
13. TY.s: OF CONSTRUCTION
~P.
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICA nON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0
PLANS & SPEc1 0
SURVEY 0
PERCOLATION TESTS 0
SETS
COPIES
PLOT PLAN 0
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . .. . . . . . . . . . . . .. . . .. . . .. . . . . . . . . . . . . . .... $
~ ,Q'") · CY')
'iMn -.. os
Collective Street Fee ....................... $
Sewer Tap ................................... $
to. $
Pressure Reducer ......... ~a........... $
Meter Horn ................................... $
Water Meter ................................. $---'-2 c)"' ~
Sewer & Water Connection Fee ........... $~O~ _<5) tSt
Water Tower Fee ........................... $ ?OO . OC
Water Tap ................................... $
Builder's Deposit ............................ $-./ M 5"00 .~""
,
Other ......................................... $
Paid T1i~3.j;r...~:~l!!it 2. L
Date 0 By !
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni Ordi nce and may proceed ,s requested. This document when
sig~e ( Planner constitutes a temporary Ce~te of Zoning comPlian~.e . nd allows construction to co mence. Befo~ occ~p~ a Ce~a!Of 01f~ ~us~ oo..issued.
~ ~ ~~...~ "p~.- ~~~...
'-" City Planner Date ""--" Spe a on itions if any -
Plan Check Fee............................. $
, ,"2 ~~ .2S-
~ao.~(,
etl.S-O
State Surcharge ............................. $
Penalty ....................................... $
l bO .. oc)
I 00 · O~
::I5". Sl:>
it . ..~. ............. $ tlo . ()6
es Y Bu" 9 Permit when~pro2d.
B Date 2... - t:JOO
Certificate of Occupanl
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
24 hour notice for all inspections 447-9850
<Is 0..J2-
White - Building
Canary - Engineering
Pink - Planning
Thr Crnlrr or thr Lakr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,/ ,
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..,........-....,...,.,
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n ' ,:.::' ,. I' I,; .It f-"j /
,:../ l....../...' f ""'- f ,I ~.t ~i"
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~) ---7
.'.... '7'- ,~, ...__ ,;;~.- /
i.,,, 0
L--. ! i< L_-/
j"'l / L_...
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~.~
v
Date:
7-q-6D
Comments:
--Al~lt~ TO ~6~\1 (9y~'6Md2 Copv~. ~")
rfi( Ow~, ~N1J~ ~ 2- ~ ~ -60 pt"iev
"CD ~ T~~uavv-e...1 .
2- L-( ,;:, Mt-.J0 ~ &-l\JeWUj tJ1dl't L, Ai .f?{'eva-
Pr~~ [;~ ~ ~ (l-{) -tV 10 uvfJ,
lr/L ~ ~ V~~ ~,vl'-A~ ~
~ ~~ M'1Q ~..1x~~~ ~,
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."
/"
White - Building
Canary - Engineering
Pink - Planning
Th~ Cr"trr of .hf Lab COU"try
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
,J~~,{,t3e:,k!. -r l'l L.,N'Cfl 12/V 6V"
I /.25 /00 I
/ I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4327
.
BLL>681 K 0
ik)rl/L
Accepted
Denied
/
Accepted With Corrections
Reviewed By: :Jr1L:fEl~ E.......t<..~Sr.,ArJtV
Daie:
I I
'}./IO/OO
Comments: DRhJE:"uA'i MVSI C>€.. JI\lS71lL.L/i:..() Af"Tm 'HE:
PRo Pc:lJ$ EO FVTvf'lE:..
<, D(WALk' 15
IN'>'" II LL i.l> _
MA"1"WM QR'tJ(wl-h' lAllt)IH 81 rrl~ moNI
PRoP(RT'( t...Jf\1f: IS Z,4 FeEr _ <U 'NFoI'tMAI'"'ON 0,..,) "-HE RE.I~
~'(:)E .'
SEE A" ,..,CHMUJT~ : LF",,,,,qL GftAOi: JNSPt:C.""'o~ rlt='o(( ~'''trl!2.cJ
.?.. GaAOIIJ{... ?t.,l\N
3. &O~IO,.j COI\IT"~c(.. rtlA~u(le:s
'-I. CA.os t.OAJ ~T~o(.. RAN
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. II
Wh~O_:U~)
Canary - Engineering
Pink - Planning
Thf Crnlfr or lhf lib Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J2foa::f Me ^,(2o.rn.~\.
C-
APPLICATION RECEIVED /.. ~S- - C) 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is p'roposed at:
r- ~
/43Q? '/Slue .o(\~ J t-Ol~
Accepted
Accepted With Corrections
/'
Denied I~ (Y;;) 0 ______
Reviewed By(j;i...)(CL~~ Date:
Comments:
rYf2kJ# ~ cd'kcl~.e/( ~~
~-:2 -200cY
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. II
----..
~
- Job Address /'tJJ7, 73/~ 61 ~,~
Heating ContractorGt'.4~ AytA'(
Name of Tester /' ;;{ ,," ( ~
S-- Ie:," O::J
7
D
1;"
~~CJ
~
"
Date
Percent O2
Percent CO
Percent C02
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
.
Q.
V
N
OJ
\D
l\-
V
V
N
P4
\D
LaI
Addr8SS
Helling an...... ~ll.~ J ~'IU P J fA. S
48~ln lufJtlot S t-
o ()
T....... . ~ Ir! ,;}iA- fn;}.~
fumaca Mike &.... JJ,nt -11-"1" TYPE OF SYSlbII
~jrf plo.<Jl Co lTUO Warm Ai, PlI_
Model Size Gnrwily
Mechanical
Ail CondIi1ning
v.... Sptem
HEAllNG OR POWER PlANT
S1aam "
Hal WrIM
Redildion .
Special Devices
Addrees
P. L ~
lA
:J
Q.
.
C
.J
VI
d
U
CoM. load
Fuel ,Jof ~ Ale SiD
Supply Openings
R81vm OpInings
q.ut 7.'1 m..~
, 6TIA 5
Ed,.
Olher Devices
am.
E
Q.
M
M
II
TYPE OF WORK
/
AIlaraliDM
_B.~ent
_.~Cg~
Repair.
Ell. ('.~ .
. &I. CoqL 0.
:).. tnnJ ..-' Buiding Permit. 00- (j053
M
~
~
~
I
\D
~
I
~
Q.
([
HEATING PERMIT FEE I
STATE SURCHARGE I
TOTAL PERMIT FEES S
.50
Raceipl' .
..~.:"2;.~..~.'" ~- . . -".:...~~"'._ .... )Cl!' .-"''Ii' ..- . ':'" - ..,; ~. ... ~,:-. "_.!'-:-;-'( . -": .
TYPE OF STAUClURE
1_ Pill . File
2. c;.. - GIJ
:3. Y'dID. - CGnnI:...
Sinp Fanilr
Comllt8n:i81,
/
Muti-Family
Other
Two-FamIy
InGIsIriaI
Public
Fee Scheel..
tncUlrill. CommeICial & MWti-FamiIy
ResidenIiaI, Heating & M;
Residential, HeaIng Ofty
Rellidential, Gas Fireplace
ResidenIaI, AdcIIions & Altendions
R8IidentiIJ, AC Only
I era 01 job coli ($39.50 miIinun)
$~- .
sM.50"\
$39.SQ. i . , ~
$39.50 - fI/IIIJ
$31.50
Rtmnbe, to add lIIe Stale Surcharge on tee bonum oflh. appicalioa
The price of your heeting perinil includes one rough-i\ Md one finat hpection.
Additional hspedions wi be biled at $35.00 each..
HcuIe Heeling Test Record must be IlDritIed VIIiIh IIddiDa ~ 0YIltIIl before build-
ing certlicale of occupancy will be issued.
.,,-=AT ~~I n.. ATln~l~ ~J:n "~FJl witt number ofs..,ty and relUm qBlinga listeel per
room with CfVs per opening. New s1rudur8s or adcIIion& send tIoor .. wlh suppl~
..l'8kIm kaIions shown_ HER" lOSS CALCULA110N5. PAYMENT AND
APPUCRlONS MAY BE MAil R\ 10 THE crrv OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 56372.
CIy Hall bulir.ss hauls are 8 am. - 4:30 p.m.
ALL WORK MUST BE INSPEC1ED (AOIJGK.tN AND FlNALt - CALL arv HALL
447-4230
I hereby apptv for a mechanical systems permit and I acknowledge that the
informalion above is complete 9nd accurate; that the work will be in conformance
- .- with the ordinancea Iud cod.., uf .Ie ,1t, ."d ..,.... "It: we. buildnghnuc:hanlcal- --..-
codes; that this form does no' become a pennit unti. signed by the BUILDING
OfFICIAL; that the work wilt be in accordance with the approved ptan in the
case of aU work which requires review and approval of plans.
~H~IJ f~~. tul o//r,ldO
l/i1nJ=:n~;) q 11'rT7l
(J ~'onarsr-'P8 / o/'-~-
, t1,0~A~,P~~Q~
r .... '.~,;~.r;.(~~.;f...t,\~'. A~,'..'."."'.""i..'. ~
f ,..lj:/." ';. \.,
, .. }~," .. ....
~' "'. ~
," " ~+ 11IM
i.i.,.,.,......,....,., ,'~.,... ~.c"3 ,..
'i'\~ 'l;;~..i
".~NESO...~ .
1.
2 .
3.
,'Ii . ~
4.
5.
6.
APPLICANT: ~~
ADDRESS: ~
SIGNATURE: ,
SITE ADORES
Estimated length of water service ~
II
size of water service / inch(es) .
,
Location of any couplings from structure
Type of sewer pi~e. ABS
Estimated length of sewer line
PVC ><
u=o
feet.
Cast Iron
Clean out (if required), located at
structure.
rt
". ===~.============
This
BY
=============
FEES:
$
$
$
35.00
.50
35.50
Sewer and water
Surcharge
TOTAL
* Fee for either sewer or water individually
$ .50 'surcharge.
*
DATE PAID
RECEIPT #
AMOUNT
CITY OF PRIOR LAKE' ..... - _)
. 16200 Eagle Creek Av. S.E I Pe.mIt No.1J () - ()() .&::) ~
P,lor Lake. MN 55372
TYPE OF STRUCTUR~
I. ".. --'. All:
2. Ore . i alJ
J. Yc'~1' CaDlrxe.
Sire Address J 4-3'2 7 Bl1.UJI~ \Itl:> T ~
ri '
~ Let 'I Block -;2.. Addition -KnrAl-t\ u..- 4 ~
o
z: Owner'sName ~rJ~ Me~f\.\c-\J ('I.J~
Addle. . Po fx:>",- 6Lo l.n
Healing Contractor &-n7 _- ~
Addless, 1 ~1L\~ ~ &b 9~ Tt2_l-
Telephone>>. llJ ~ \ - Lrz.. ~ - "4 Ll
Furnace Make & Model j .~){\f'Q '{
MocIslSfze ,W~L-\ S-\-u)
ri
ri
"
N
cL Date,
, Conn. load
f"- I". , \
'<;f Fuel'" fit'r. \ ...x'l ~ Flue Size f:, e:,v~'--
ri
l.D
Rl SuPPtv OpenIngs
(T)
ri
~ Return Openrngs
12.0, aoo
~ Input IlZrlJ;lQpcp Ou1plll
)-
a:: .
N Edr.
z:
~ Cfm,.
19
q
lfl, t,J cv
TYPE OF WORK
E
[?j AII.ratlons
ri
r-: Repal,
Replaeement
, Esl. Comp. Dala
lSI Est_ Cost .
lSI
~ HEATiNG PERMIT FEE .
'<;f
~ STATE SURCHARGE $
z: .
8; TOTAl PERMIT FEES $
PIO' 25 - 3loZ - 02,3-0
g,
~~,
Qo;.c..rrm .....nl
lVPE OF SYSTEM
Warm Alt Planls ~
Gravtty
Mecm:lnk=al
AI, Condhlonlnglt 3 '17_ 11) ~
V8nt.S~em
HEA'DHG OR POWER PLANT
Sleam
Hot Wafer
Radiation
Spedal Devtces
Ot her Devtces
New Construction 'I.-
Buifding Permit.
no -n05~3
.50
: ~IDWITH
. BUILDING PERi'vll:r
Aecerpt" -
Single family
Commercial
'A'
Muhi.Famlly
Other
Two-FamUv
Indusmal
Pubic
Fe e Schedule
Industrial, Comme fcfal & Mu2tt-Fam ilV
Resldenlial~ Heatfng & AC
ResldenOal1 Heating Only.
Resldenlla'J Gas Fireplace
Resktenlia'j Adc1iUm& & Alleralione
Residential. AC Only
I % of Job coSt ($39.60 mmlmum)
'99.60
$M.50
$39.60
139.60
'39.50
Remember to add the Slale Surcharge on the bo"om 01 this 8ppnca~ion.
The,prlce 01 your heartllg permit Inetudes ooe rough-In and one final rnspec1lo11_
Addillonallnspeclions will be bllred at $35.00 each.
House H&aUng Test Record must be submitted wtth I:wJI~I""l DSrmrt numbA' belore build-
Ing certlficale 0' occupancy will be I~ued.
J..4F.T ~AI nllI ATIn.N~ ,~~(\I U~.FI) WUB nwnber 0' auppty and return openings Ilsled per
room w[th CFM'a per opening. New sllUGturea or addiUons send II00r pran with &UPPIv
and fetum locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CnY OF PRiOR LAKE, 16200 EAOlE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
Citv Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) · CALL cnv HALL
447-4.230
I hereby apply fOI a mechanical systems pel mIl end I acknowledge 1hal (he
Inlormalion above Is complete and 8Gourale; Ihat the work wfJI be In con'ormance
wI1h lhe ordinances and codel 0' the clrV Bnd with the st81e building/mechanical
codes; thai this form does not become 8 permit unUl slgnad bV Ihe BU.LDING
OFFICIAL; Challhe work wnJ be In accordance with Ihe app/oved plan In the
case of all ''fork which requIres review and approval of plana.
tklD ~
Appu&u.rWlSkJnalure
\ \ \ L \CfD
, Oale
:z/( 4-100
Oat..
CITY OF PRIOR -LAKE
. PLUMBING PERMIT
Applicant r. -:xf!f)?_ - rt..
Address: ./~/U.C ~.
Signature: ----
Legal Description: Bloc:k 2- Sub K~'L.L- "'-I T"",b
SiteAddress;~Z.7 Bl~,2.D T~ l<. I
BuildingPermitft . aD' -OU52 PIO# 2.5-3/#Z-oZ3-0
NOTE: This permit ~m not be processed without complete information.
FIXTURE UNITS
JAN.12.2000 11:43AM
GENZ RYAN 6513226147
TJko CIINer oIlk Lan c..~"
-.' J
Quantity Type of FiX'!ure
Z- Bath Tub with or without shower
1 Dishwasher
\ Floc r Drain
t-+ Lavatory (bathroom sink)
\ Laundry Tray <1 or 2 compartment sink)
{ Shower Stall
1 Sinks
,,' - . Bar Sink
, ~ Water Closet (teilet)
Quantity
t-l
,
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1 Ok of jOb cost. $39.50 minimum)
Residential. New One & Two Family
Residential. Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
NO. 861
P. 3/3-'
#
I. B1ue fi]e
2. G* Cilf
3. YcDow AppDQat
0lJ ..J() Q53
Phone:...,.VF' ) - U.,Z?~ - f' '-I LI
Type of FIXtUre
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector I
Backflow As$embly (RPZ, Double Check, PVB)
BackfJow Assembly Test
Lawn Sprinkler
Other C"" n
- ~ (Y\.{J Yu..1r'V'P
$,
$
$
$
.50
$
.' wrrH
~ PAlO G PERf\I\\T
\ 6U1LO~N
This permit is pled upon the express condition tha.t said
contractOr. shall comply in all resfJC'Ct'S with !:he ordinanc:es
or the State PlUmb.'ng rhe a~1:~mlnts th_ .,..,f.
- --. . \ZlJJ::tOO DATE
,. All~l
Call for all injections 24 hours in advance.
.~.
I'
.-
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-42~S
An Equal Op~ort.Unity Employer
PRIOR LAKE DEPARTMENT OF
' , BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~~:;211 Elv~\o~t-ci. +t-.
NATURE OF WORK N",-, ~b~_
USE OF BUILDING SF\:J
PERMIT NO. 00- 005 ~ DATE ISSUED "2 -2-2A::>C)
CONTRACTOR l\t..h)e~/
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING ~,~ .2.../1-'0'0
FOUNDATION (Prior to Backfill) \"'~~lVT rv;J) 2!-.b-b (AJ 2/23
PLACE NO CONCRETE UNTiL AstPvE HAS B$'EN SIGNED
ROUGH ~NS
SEWER I WATER I SEPTIC . I{~,f z/t%/uo
~NRsAU~~~ON vJL- [! 1J~~/n
ELECTRICAL (j) I'
PLUMBING lID yld-II~
HEATING (if required) 17' g~.
FIREPLACE
GAS LINE AIR TEST /lJ) 3/u/tfZJ
COVER NO WORK UNTIL~BOVE HAS BEEN SIGNED
~.~. ~ 4-ZZ-tJt;
FINALS
GRADING (Prior to Sodding) GV /~ .z.oo
BUILDING I.L.O.~ <((l(,O(/J1 5/11(00 I ~ 1N/OJ.
ELECTRICAL '"1" .. I ),
PLUMBING f\ 10 \~~' \ ,/_!
HEATING l ( ) \' ~ L1t I )8(1
DO NOT OCCUpy UNTIL ABOVE I-'fs BEEN \ SYdNED
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.
/~-29
7< ,..,~9
. . . "
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
\-
-':',~:?"':~"tf(~:. ',;~i" :s~<};..,?
J
~
./
I'CC~
R RE~ECTION BEFORE COVERING
Inspector: . Owner/Contr:
CALL 447-9'50 FOR_-kE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQU~TS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
I/VS/VOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J q ~O? 7 ~; r-c!
OWNER CONTR.
DATE TIME
?jJ'tfm 3:.3 0
PHONE NO.
PERMIT NO. rf{)- (1 () t~~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ., t\ 0 SEWER HOOKUP
l2(FINAL 15\ etA'" M IX, PLUMBING FINAL A
o SITE INSPECTiON l)( MECH FINAL A
COMMENTS: ~
~~ sr~
0)~ culo~ ~'l)~ f6Y\d
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'\
'\
ClALA_\
L~~~ ~_ ~
r. WYv.U ~ -al,. (c I
(i) ~ Y---,fv-p~ VJ r~Jy~)
tY AU\Qf/ I
~OV) -ot- o"^-- _ _ I
4i ~JA- GtM UnL ~
o WORKSATISFACTORY,P~~~
C RRECT AC I NAND PR\c:c:D
ORRECT WO / ~AL~~ECTION BEFORE COVE
Inspector: / ~wner/Contr:
CALL ~7-9850 FJR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE kQUIREAi~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
V INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DA TE TIME
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~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
ADDRESS ILf3c2 7 /!/ttelu.c/
OWNER CONTR.
PHONE NO. PERMIT NO.
o FOOTING
o FOU DA TION
o F MING
o SULA TION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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IS
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~', CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~~tr:
9ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 0/ ~ ~ I
ADDRESS / L/ . <);;J 7 - If Lc-.J ~ T/Z.. ~
A.7',
OWNER
CONTR.
PHONE NO.
PERMIT NO.
oa - S3
o FOOTING
o FOUNDATION
o FRAMING (g)
o INSULATION
19 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 GASLlNE AIR TST
o
(-
COMMENTS: S~( l(
A eA ~
~~~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOT/