HomeMy WebLinkAboutBuilding Permit #00-0107
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~
DATE RECEIVED,
FEB 11 2(Il)
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
/..~2:5~
3. LEGAL DESCRIPTION
LOT }-
ADDITION Jj, C.
lA/Lids fJA~J(W~t
BLOCK
tAl / ids
I
~ '!:-~
4. OWNER
/kh
5. ARCHITECT
(Name) . / (Address)
/71<; Ai .<..A~ ~ -e";
').Name) I (Address)
::> A /'Y1 -<-_
(Name) (Address)
6. BUILDER
..5'/4 ~ ~
7. TYPE OF WORK./ Fireplace 0 Septic 0 Deck 0
New Construction V Alterations 0 Addition 0 Finish Attic 0
1. DATE
~.
;,' /~.. 00
PUD
1. White
2. Pink
3. Yellow
File
City
Applicant
PID .25-3~-()02-0
(Tel. No.)
W.3~'.71()'
(Tel. No.)
(Tel. No.)
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Permit NoW - 01 07
I
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height)~' (Width) 11 (Depth!:j <:f
12. NO. OF STORIES
.J-
13. TYPE OF CONSTRUCTION
5. ~ D.
14. FLOOR AREA APPORTIONMENT USE
~ I~ 0
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. / I 7 5' (J Width I tJ () Depth }. 1 .2--- Y es f~
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
bU;~~ th;s pe"';1 for jusI cause. Furthe,.,ore,; hereby agree thaI the c;ty off;dal or a des;gnee may enler upon the property fo perto,., needed ;nspections.
X /T} ... ~,- ~ ~ i.{'f --J- - u., tH
s'ignature License No. Date
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
Side
Side
USE OF BUILDING
..sP.D
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION J'l2/~,(!) ~
Water Tap ................................... $
Builder's Deposit ............................ $ It S-CJO . ("t"r1
Other ......................................... $
Total Due .............................. $ ~Zk;4-. 4ft:L
Paid A z,.(p 4 t; 4-{, . 4 q (,.4-
Date 3/13/ tID By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~ Ordin&nce and may proceed requested. This document when
sig . I ner constitutes a temporary Ce~:.2:~: ~liance lnd allows c nstruction t~ co~~~ ~f~~:r_ op.m~~
C' Planner Dale ~ Special Conditions if any
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.................. ............. .... $
134'). 2.s-
816-. 7 t
qfr.~
Plan Check Fee............................. $
State Su rcharge ............................. $
Penalty ....................................... $
I oC; .oe>
{pO.o ()
~S6
GaS~ire Pe........................ $ q 0 .. (!)O
This' CO......., LUIIUlng Permit ~enAP~~d~
~ ~ ~~~~-~
./
Certificate of Occupancy
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . . . . . . . . . . .. . .. . . .. . . .. . . .. . . .. . . . .. . . .. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
It $
Pressure Reducer ...1...................... $ 70 .. 00
Meter Horn ..........lc....................... $ 0 G
Water Meter ..../............ ..... .... ...... $ ::2/5l:).
Sewer & Water Connection Fee ........... $~ .. (!)O
Water Tower Fee ..................... ...... $ 7(J() · 00
City:
~
])
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
~. CJ::}
I ( Ori .00
~
00 - 0 ' 0;
The ("enler of lhe L.ke Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;V!cNcrJR.IV6V
2-//7/00 /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15? ~Cj
WIL-DS Pt::wL/ NW
I
Accepted
Accepted With Corrections
~
..........
Denied
Reviewed By: -cIi?e ~~ ~
Comments:
JkJ a1& a:iJa~_ !/-~-€~ -
~;t *0 \1.30~ iIA t"lcfAot r,,)'""Q ~Ul~ ~r c::::.Ot\o QtJ}-~
Date:
2.. - 2s--2oos
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."
fCO J 7 ry.[C"
QJ diJ:
.",:!",
00 ~ D O(
Th.. C..nl.., of Ih.. I_ak.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/ ," .II I~" ,,:.. i / ,;
.' (_. ! \.- G./ l I .'....
Ey/
"""7" /"7/".-"
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,',.r'- -; .-''''f'')
/-j ?.':"'j
1 \ / ; L L '. ,""'"
t " . .~.---
) ,-- I . 'I I ;\....; j \ ,/
l': f:.-.. ., iJ '-i - y -..,
/
Accepted
~
Accepted With Corrections
Denied
Reviewed By: S~ I)..:z:#-{.._~ Date: Z - Z---.{. t9()
Comments:
J-c.{ 'PI> ~VWJ.A Wk~ I/'J frQ1 "" tci
V~ . 'PI' ~ t--' l!Me...l- <flAMO v.z · C) <L-01D G1,-r ~ ,
Me (~~~~. ~~~
~bU ~. ~~^-~<f'e./i~ 5~ t.?tvu...,
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 tht3fJ;tJ1 i~i~&-.. PqrM'~,:". I
presuming to give authority to violate or cancel the provisions ofr-"t~S code" or dthet ! '\'
ordinances of the jurisdiction shall not be valid.1I · ,
FEB J 1
Th~ ("~nl~r or th~ L.h Country
APPROVED . 00.0(0 7
ENlrDN~ERING OePT 'vJ1 0bv-Gl.~ov-- ';
c\\.' .vv '"\---.Q d b.cL.-~ '-...-J
Signed ~~.:~r)k----...-/-l Date.4JI. 6U
White - Building
Canary - Engineering
Pink - Planning
.-' '-'-<;&PRI~
~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
.J) ~ 11/ r I};,') . IE. \ I
/. .I C / V L:,-/- ,/v _ y
I I /
2- / 7,/1 () ~)
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/.5 L..!5Cj ~v fL. DS P t::.. W V Iv VV
I
Accepted
Accepted With Corrections
v
Denied
n~~_. ~ I '"'\ 1.....-..
ual~. ~ I I ILl LJ
I I
Comments: b.-pp.("oved Wi' ,~ { nV\. (:1 ~ .h {fV'..S ", r-d. ~ G:Lh'. dJ
(j \"- 0.... +hc~ J P e v V'\n, ; ,+ - '() W 0 (' \c. I \'"\ +H>
r j' C\.. . \ \,"-* () P W~.. ~ Q ~ v--e -JL v: i <:.: h -.0 c: LA..r t>
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(~. ~ q <.(' f lcu:JI. w ~ B 1.0 18 ~~.-k eu...r b.f ~ ~
(0 p~ c:~ b ;,tu_/Y~--4--V'-.S ~.O- 5 ~ G r~
tl\ ~\Vv--\QQJ (j) ~,+ ~ &u~c.-, /0 ~
~v-e. JU{i <A. ~ of ~v-.{.b\ *- ..A.-<&?l~ w ~ +l--- '
~~ B~\8 ~~ ~
D,...";,....,.,,...,...... Q".
I \CVICYYCU uy.
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NVWa"7\AA-t><;' _ 4:')-OJ.:Q~(~ ~ 5) r-'i# (
WO'6~
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 provisiopc of. this ~ct~--O-tl}er-
ordinances of the jurisdiction shall not be valid." .f~\ [[ 1; ,IT~ _ I,~ .~
i'L);- '" -
/1
. \: F EB 1 7 2000
i......./
APR. 5.2000 8:58AM
GENZ RYAN 6513226147
NO. 540
P.16/16
CITY OF PRIOR LAKE ~ a S-
o PLUMBING PERMIT # JXJ"-O 107
Applicant: ~"2..-(U~)r\ Phone: ~c:; \",U"'Z:=>-l\ 4 '-4
"T"L-'-_ Address: 'U1 \J, ~ ~ '-f"...,.\d ~ ~ "f uu.- &u rl)J1 , .nr
. - _II' ., ... ~ c:....",
Signature: ~ it'~'
~ Legal Description: ~ ~ B1ock-l SUb.1'V\ \~ 1/ t-fi tM.rHv
\ s-as-Gf ~ Site Addr8ss:~ \ ~,~"'t
~ ~ BundlngPermit..QS:J-O(07 PID#~-~4l-.J-Oo;;-O
NOTE: This permit ~iII not be processed without complete information.
FIXTURE UNITS
. .
Quantity Type of FIXtUre Quantity Type of FtxbJre
? Bath Tub with or without shower 5 Rough-ins
\ Dishwasher , Water Heater
, Reor Drain Water Softner
~ Lavatory (bathroom sink) J Stand Pipe (Washing machine)
, Laundry Tray <1 or 2 compartment sink) Sewage Ejector 0
t Shower StaJI Baclcflow Assembly (RPZ. Double Check, PVB)
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
,# -
.1? Water Closet (toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1.~ of job cost, 139.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
599.50
$39.50
$
$
$
$
.50
GRAND TOTAL
s
DU/I ~~/I~ ,
"' ;('t/~;~ i.1l.~
'. . (. .', Il/.,."
I "I
, -.,.
f I
This pennit is pted upon the e~prea candition that said
conttactor. sball comply in III .....t"........ with the ordinances
of !he Star. ~"ll CacIe and tho ~ thcRof.
~ · ~ ) NO. tit) DATE
~ 2i / '<.-/C t) .llt:..) 1
for all inspecnp6s 24 hours in advance.
APR.- 5 200J
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) 447-42~5
An ~ual Opponunity Employer
Job Address 10J)7 W; )cJ) P)'v
Heating Contractor ~H.;c - X y~
;?" l. - ~
~- r.3CJ - 06
7
o
1,7"
e
Name of Tester
Date
Percent 02
Percent CO
Stack Temp.
Percent C02
~' . ,-;. . ,-r-.
.~ oft p~ '...:) . CITY OF PRIOR LAKE I (~J
~~- - 18200 Eagre Cr.ekAv. SIE. Permit No. ()() -0 107
_ .. Prior Lake, UN 55372
~ ~ t - HEATING APPLICATION I PERMIT SIngle Family
. I I 't!-.. ~ Cammen:laJ
0.. Dale ...., ':..1. r JL/ P1D. 25- 344 - 0 () z, -0
SI.Addrees . I ;SZsq W, I()~ O'Lwt? PUO
IJ) . .
~L.al ~ _ Block I Addillon. _ W/~DS +71-1 AOON.
a
zOWnefaName, ((t>&'Lf ~NtIfl.r" f\X,'f .
Address Ch fhcx.. ~Dl n Lf't ~ " vii \~
Heat"'a Contractor ~ 'L - p~ .f\
Address \U'1.UC:::;- ~ ~t:'"\~r U""_L-
Talephone'. l.o5\ - 42 ~- I ( L{ Lj
Furnace Make l Model J)Y\ fJV"\'<< TYPE OF SVSTEM
o _^^" ......~ \ I ( r ~ Warm Air Plant. )i
Model Size. n. Jl1 1.."':)r~ ~~\.o\"-\ '"Lt J Gravity. .
Mechanleal
Air Condllonlng c
Vent. SVSlem
HEAlING OR POWER PLANT
Steam
Hot Water
Qn. Radlallon
UU\ooO SpIeIal Devices.
CoM_ Load .
~ Fuel~\Qr(". f1tJ ~FJUI Size flu f,\ltk\r
..-t -
~ Supptl Openings . ~
(T)
@ Retum OpIning- I 0
~ InpUI '''2G 600 Output
)- .
0::
N Edr.
Z
~ elm.
Other Devices .
TYPE OF WORK
y
E
~ Alteratlonl
..-t .
. Replacem sill
New Construction
en Repair . Eal. Comp. Date .
cg Est. Cost , . Bulldrng Pe,mh .
cg
cg
~ HEATING PERMIT FEE'
..-t
~ STATESURCHARGE . .50
0:: - .
0..'
<I TOTAL PERMIT FEES . Rec8~' .
O() Ji.-QI07
.
f~ .fJ1
~. .
TYPE OF STRUCTURE
I. Pi... ---, Pile
2. G..-, -; 0.,
J. YdIL ..,' CaMr8daI
)('
Two-Farn1IV
Industrial
Public
tAunt-family
Olher
FeG Schedule
Induslria', Commercial & Muhl-Famly
Residential, Heating & AC
ResldenU8I. Heating Only.
ResldenllaJ. Ges Areplace
Re.ldenUaJ. Additions. AlteraUona
Resldenllal. AC Only
1% of lob cost ('39.60 minimum)
$99.50
$64.60
$39.50
$89.50
$89.60
.,1.
Remember to add Ihe State Surcharge on 1he bottom allhls 8ppllca~lon.
The.prlce of your heating permit Inclu"'. OM rough-In and one tr.allnspeclton.
AddUlonallnspecllona wll be billed at $35.00 eech.
House Heating Teat Record musl be submitted with buirdlog RIDIlIIWIdIIl before build-
Ing cer1Ulcate 01 occupanoy wiG be tssUld_
..n=.... n.'.~' ,. _Tln~l~ pFnt URf=n with nwnber ollupPy and felum openfn9l1slecl per
room with C FM'. per opening. New structures o. eddItJOfll send ftoor plan with auppIy
and relUm locations shown. HEAT lOSS CAlCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE ctTY OF PRIOR LAKE. 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 66372.
City Hall buslns68 hours are 8 a.m. .. 4:30 p. m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I herebv applv lor a mechanical systeMs permit and I acknowledge- thai the
tnformatlon above Is complel& and accurale; Ihat Ihe wOlk will be In conlormance
wt1h the ordlnanC86 and codes of Ihe city and wilt. Ihe .Iate bulldlngfmechanlcer
codes; tha1lhls form does no' become a permit unlll signed by the BUILDING
OFFICJAL: that the work will be In acco,dance wllh Ihe approved plan In the
ta~Oh 7iiiit r8VI~ and ~pproval 01 p'a.n~h J~
(. ~- 4lii16o
I D4ts
GREEN - FILE
YELLOW - APPLICANT
GOLD - CIT"
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: ~ U ~ PHONE: g'tr - ff J 'I?
ADDRESS: /tJ If ,. ~ DATE: S--?~ 00
SIGNATURE:~. tI BLDG. PERMIT #
SITE ADDRE~ ,/.0 6-7 /JlJJJv~ PID#
FILL IN TH~N~
6tJ
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
MAY - 8 2000
0-/ 0 7
S.W.No.
1.
Estimated length of water service
III
Size of water service inch(es).
feet.
2 .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS PVC ~ Cast Iron
5. Estimated length of sewer line ~ t? feet.
6. Clean out (if required), located at feet from
structure.
::::=::~~~:::::=~:::=::::::=::::~:::::~~=========
v / (
===============================================~==================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $~.~ 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 tha~o duplicate sewer and water permits are
issued.
DATE PAID ? () CA/I {/61411 (q- AMOUNT PAID
I
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
'<= -~ .. --- - ....-....~Wi'"o;......~.. 'r :-;.:.-.. .,~. "".CJ,,.~:. ~- A'f '''::I..1d _. ~ ~_:v ],. IJ.~ W._~~..--.~:~~~..: '. -~:<:'-_...-..... .~.: ..-..... ,........ .~.- . ..i:<.~;...;,f~"t..:-.. .'.
N
~
CRY OF PRIOR LAKE 4J(1"~~~
1aoo Eagle CrMIr Av. S.E. Permit No.. ()O - (] It) 7
PIt.. La", .. 5U72
Add,..
H8tIIing Con1radDr 0, dS. L I\.J.. P u 5
Add_ qgO(" iul-l ,d~ Sf"
Tllephone' . ,,~~- ,,') ~O
Fwnaae ... & Madel f t4 t ~ N ~6/d
Model SiD 'coo J.ri e5
.
Il.
0.
ot
N
CD
\D
t-
ot
ot
N
1"'4
\D
tht.... Name
~
J
Il.
.
C
.J
~
d
'-'
Com.loed
Fuel JlttI: ~f AMC1~"
SUAIIY Operinp
R81um Openings ,
""'" ?1;dn ~
Edr.
Cfm..
I
rtor ltJ'n .
lYIIE OF SYS1EII
Warm IJI PIanIs
GnMIy
Mecharical
AJ, Condiianing
Vent. s,saem
HEAlING OR PCMER PLANT
SIIam
Hal We,
R8diidion .
Special Devices
OIh1r o.w.
MandiDns
1YPE OF WORK
, Repl8cam.~
_ NeW-~
/'
E:
Il.
CD
ot
Repair.
ElL Colt $
HEATWG PERMIT FEE '_
. Ell. Comp. 0...
1"'4
~
~
~
I
CD
1"'4
I
ct
Il.
<<
: .
Hulling Permit. R I 8 200l
f:fJ~ 00 - 0 \ 0'7
STAle SURCHARGE . .50
TOTAl. PERMIT FEES S
--
R8ce.,..-
----
J. Ii5* - Fk
1. a.. - OIJ
3. __ - ea....r
S..e Famtl
Commercill
TYPE OF STRUCTURE
~ . Two-nmIy _ 1otuII;.Fwnr, _
Ind.Istrial PWlli: Oller
Fee SchecUe
Indul1rial. CommefCiat & Mull-Family
ResidenIiaI. Heating & AC
Relidenlial. Heating arty
Re8idenlaJ. Gas Fi.ace
Reeidential Additions & Aleralions
Residentia~ Ie Ontt
,.. 01 jab COSI ($39..50 miJimwn)
'99.50
164..50
139.50
$38.50
139.50
R8I1Iember to add the SI8Ie Surchl!lrge on lie boIIorn of this applcalioa.
The price of YOU' he8lilg pennit incllctes one rough-in and one final inrpection.
Additional in8pections will be tiled .. '':II; 00 each.
H~ Heeling Test Record nut be submited wiIh 1U1d~ RIODl JlIIDbI[ before build-
ag certifiad8 of occupency wi. be illsued..
H~.l' r;"Ir.. fl ~'nn~.~ ,,~ '~qFr) wilh number 01 supply and rwun IpIfIk1gs IIted per
JaCm with CFM's per ope.... New slructunas or adcIIions aend tIooJ plan with .~
and _um locatio.. shown. HEAr LOSS CAlCUlATIONS. PAYMENT AM>
APPLICATIONS MAY BE MAl' I:'n 10 THE CITY OF PArOR LAKE. 1621JO EAt:I ~
CREEK AVE. S.E. PRIOR LAKE. MN 55372..
City Hall buIiness houlS aM 8 a.11\. - 4:30 p.ft'l.
ALL WORK MUST BE l'tS'ECTED (ROUGtNN AND FINAL) - CALL crTY HALL
447-4231
I hereby apply for a mechanical systems permit and I adcnowledge that the
inlonn8lion above is complete VId accurate; that the work wi. be it conformance
with the o.d.....~.. ....d ""db. uI thll' cltJ and Wlm Ine stale bUI~echa.nical .----
cod..; Chat 1his Iorm does not become. permit until signed by the BUILDING
OFFICIAl; 'hat the work will be in accordance with the approved plan in the
C~~J::[_!;~ approwJ of P~;-/r -07}
V. ~S~ ~
>1'r1'~/l4. 7 J.>,Jfllh~LJf0 ~;;q7:.v
\ ~/ IIuIdng OIlicatiift I Bale
/
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -1Sab"9 tJ; \~ P~kU)Ow"'\
NATURE OF WORK --^lPlLJ 0.o-vt~t 0
USE OF BUILDING SF ()
PERMIT NO. 00-0107 DATE ISSUED ~ -"2s--?,ooa
CONTRACTOR Bob M~ Ne.GSV\.Q..}.-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THEJERMIT IS BY SEPARATE DOCUMENT
FOOTI;J\ l~o~~ ~wr'6/~IDD ~NSPECTOR ~!lt/ :;~
FOUNDATION (Prior to Backfill) fJ) 7JdJ/W.. J
PLACE NO CONCRETE UNTIL Aj{OVE. H/AS BEEN SIGNED
SEWER I WATER I SEPTIC R 0 UGH - ~..Nj.~7. "._.771 :>7/41
FRAMING WV /) -f/ f/-i>
INSULATION U (~~O
ELECTRICAL / f v
,------
PLUMBING - J 1 4lM~~
HEATING (if required) (/' .0~ f/{> 6:
FIREPLACE tr:/) '2.,"
GAS LINE AIR TEST ffj ~ s;4a)k ~
COVER NO WORK UNTIL ABOVE HgBEEN SIGNED
WALLBOA~~
3}uCCD -;;.frb sJ,q 100 FIN A L S
GRADING(Prior to Sodding) \'\j t ~ J P.c "
BUILDING (h-t./ap, JF--d
ELECTRICAL I ! 1 Vi
PLUMBING [/ ~I\-- . /
HEATING V \ \) ~ · 16 fI,
DO NOT OCCUpy UNTIL ABOVE ~S BEEN SI~NeD
NOTICE \
This card must be posted near an electrical service cabine prior to rough-in inspections
and maintained until all inspections have .bEten ~pproved. 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
"....;,,\.<',""~\o'l<,'
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
/ ~).!"'{ fA}flJs
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.5d / l' Nt: '5
( .
DATE TIME
jJ-tO
rptlA. '-I
(
0- 107
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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/- / ~5-c..- F/~
~\..L/
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: /JIft {- 11,- tfLOwner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
% 3:c/l)
PHONE NO.
/Sr9S9 lAJ~rJ! (J~
CONTR. C1
PERMIT NO. 60 ..- QJ.iJ 7
ADDRESS
OWNER
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION tJp, 0 SEWER HOOKUP 0 FIREPLACE FINAL
~INAL"R L{)\:;, ~ PLUMBING FIN~ /\ 0 GASLlNE AIR TST
VO- SITE INSPECTION t.AMECH FINAL ~ 0
?OMMENTS: [~ - \ N.,")e..~
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INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
'Ja.9jIm C}: on
ADDRESS
\S ~~~
L\)~\c\~ P~LUl
o
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
~SEWER HOOKUP
f"'.. PLUMBING FINAL
N MECH FINAL
OIl - 0.. .().!l
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~
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o WORK SATISFACTORY, PROCEED
o RRECTffjAND PROCEED
ORRECT', K, A~COVERlNG
Inspector: \, Owner/Contr:
CALL 4H7-9 ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
ISZ5~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
Lf 1101 () I
W.&.-CS ?A~k.'WAY
CONTR. MeJJEAlWE,(
PERMIT NO.
00- 107
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
X EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~fl.AcEs AttF., ~~€...
)if. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
G''''''''''r~ntr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI