HomeMy WebLinkAboutPermits 00-0114 & 00-0664
DATE RECEIVED
Z/25/00
CITYOFPRIORLAKE sae Mt\IN 1. White
BUILDING PERMIT, Pj,6 -#--00 - 0 "z]: ~:.~ow
TEMPORARY CERTIFICATE b_~
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
File
City
Applicant
Permit No. no - 0 I LA-
, 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
33;'1' G'/ yNw~7 fr Trtl; / /\1 W
3. LEGAL DESCRIPTION
LOT
ADDITION
4. OWNER
:J-. BLOCK
6~N bJ~1er
(Name)
5. ARCHITECT
(Name)
1. DATE
:J- - ~S-- 00
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
1<.250
12. NO. OF STORIES
)..
JNP
PID ~j-- j"S- - o OS"- 0
6tel tll '1,' a/V
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
6. BUILDER (Name)
W('NJ ml(NN
. ;Jom f.r
7. TYPE OF WORK
New Construction ~
(~ddress) I'
li'5" 1"/42'" (7 r." f
t'~-'I/V /7//V 5SI;J~
Fireplace 0 fl Septic 0 Deck 0 Re-roofing 0 Porch 0
Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
~~\
~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
~.s-I- ~(J' .- Y.y6 ,,'>
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 offici can revoke t . permi r just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X / 'Y..s-fI
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
S-r~
License No.
Date
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 REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
I 00,; 000 . t:9 C>
PLOT PLAN
o
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 ................................... $
lOO.OO
L 00 . ~o
$5.5"0
· · ~ .""J:..:~~"".". $ 4 0 · 00
ecom . ding Permit When ~roved.
Date ~-..s-~
i -
Plan Check Fee............................. $
State Su rcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Thi
By
Issued
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ ~lj.. (9 6
SAC ......... .... ............................ $-L)tDD · 00
Collective Street Fee ....................... $
Sewer Tap ................................... $
~ cr $
Pressure Reducer ......... ~.............. $
Meter Horn ... .... ............................ $
ee'tf. as-
5 ry (0 .'1l
5"'D .C90
45 . 00
Water Meter .............. .... ......... ...... $ I 2$ . CJQ
Sewer & Water Connection Fee ........... $~ "2 0 f!) . Ot>
Water Tower Fee ........................... $ J Q 0 . (5)e,
Water Tap ................................... $
Builder's Deposit ............................ $ - 0 - C
Other...................... ................... $
Total Due .........7................. $4-(1;09. If(P
Paid ~1XI1. ~ Receipt ~9t 36 966
Date 3/1 t/ I io
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proc
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certifi
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
OJ -0 ( /4--
Thr ("rntrr of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
W 6NS MIlNN
2-/Z6 / 00
I I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3.::SZB 6L-l/NN/fl E~ 7P
I
Accepted
Accepted With Corrections "----('
Denied /l () ~__
Reviewed By: + P ~I] y~ Date:
comt~@lliU'o G~ ~.
~- S-~
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."
f..~.~.PR~
~
c~~ ( (~
Thf Cfntfr of thf Lah Country
White -Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. . . I
kV: E.N 5 I~.'i ;:}/vI/V
2-/2~- j 00
I . I
. ,
The, Building, Engineering, and Planning Departments have reviewed the building permit
, application for construction activity which is proposed at:
~-::S3'2B '6L-L/N.lt/A-/El:3_~.
/
Accepted
./.
Accepted YVith Corrections
Denied
R~":.,,.......~,J D,.~ " A.._..._..a c::-~. _#Ja... ....A.... I
t;V It;VVt;U uy. .L!!!UIc..l uc... L-H'<~"''''''UV
~_..._. ~/AJ__
Udlt:::., :> r-r ! CJO
Comments: ~ td.f: Buu_oI AJ(... Pm..-t,-r &It.. 3J 2 '-f. GL .,.,~,., I r:....... "Mtfll....
, Felt
IN FOIl .....14 r I OI\J
,
C.O.MtvlCAJT'!;..' ArrA(.H""~
liThe issuance .orgranting 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. n
67) -0 { A L''/
White - Building
Canary - Engineering
Pink - Planning
Thr Crntrr of thr L.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
1
i'
",...,...... ...-- q , ;
t>. j" l" I"L II I J' /\ ./ l\.., I
..,.. .._ I! \.... J
2/ZC:/OO
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"J /,,--- ,.... .'. ". .._,_.}"-, '''7U.
__.~:...~/ L:. ?::. {-I L. V /\./' i Ii jJ / C.- k.~~
I
Accepted
r/'
Accepted With Corrections
Denied
Reviewed By: ~ ~~
t..o'
Date:
s-& -f90
com~~ ~ -5-?~~g- ~ ~ ~_RF~ tf~
c,.L)~\~ ~ ~ovecD ~ ~
CY~1I\~ ~ i~t-c9Yl.
\:}D ~~~ ~~QL"\t.X€- ~ ~ LV\'1~JV\
I ~'i ~l9t>"c!evk-<:, ~ VVtee-'l.. :k\~
~".v-f>~. -
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.1I
'Job Address 33";'6 an waf,/
Heating ContractorW~~ "Rv~ ~
/~~(~
~A 7-CCJ
7
CP
360
~
Name of Tester
Date
Percent 02
Percent CO
Stack Temp.
Percent C02
t~~~~ CITY OF PRIOR LAKE MC
(s( ~ ')1;.1 16200 Eagle Creek Av. S.E. Permit No.(Jl) - 61lY
\ \~ ~ I Prior Lake, MN 55372
""" ,~ HEATJNG APPLICATION I PERMIT
57~s1(X}
, I
S;Ce Address 3, r ...lP 6/~d.vt,.1;~
lot -l Block ~ AddlCion GI\~J\~ C)N:i. ~
- l jeJ1.(LYJ1L4 ~." ~J.. ,J'
Dale
Owner's Name
Address
PIO'~ ~- 2/...'5'- (T'S- n
Healing Cont,actor ALLIED F IRES IDE db a P IRE SIDE CORN.ER
M~e~ 2700 N. FAIRVIEW. ROSEVILLE. MN 55113
Tefephone' 65 1- 6 33 - 2 5 61
FIREPT...ACE J L
~ Maka & Mooel !yp 01- JJ (;; In
Model Size. ~. L 7 SlJ~
Corm. Load
F \lei
r~
FJU8 Size
Supply OP4lni"9$
Relurn Openings
lnput c
Oulpul ~3.l~
Edr. .
Cfm.
TYPE OF SYSTEM
Warm Ai, Planls
Gravity
Moehanical
Air Condi1 io nlng
Vent Syslem
HEATlNG OR POWER PLANT
Steam
Hot Water
Radialion
Special Devices
OIhiJr Devices
TYPE OF WORK
x
Repair
Aepfaeem em New Consl ructton
Esl. Compo Oal8 t:,11 /~,
f I
/ I ()().~ BuDding Permk' a) - 6' I L.{
t .
Alteration II
ESI. Co 51 $
HEATJNG PERMIT FEE $ /
STATE SURCHARGE $ /50
TOTAL PERMIT FEES $ /
/
-
Recelpl If.
,,~o ~~~""~
~\~\w. T -=--
CIJ
(1)
:J
I. P$,,1l Hit. r+
1. (~It - 0" OJ
), Yellow - CoDtnlc!or '<
TYPE OF STRUCTURE
Single FamUy
Two-Family
Industrfal
Commercial,
Fe1! Schedule
Industrial. Commercial &. MulU-Famfly
Aesiden[ial. Heating & AC
Resjdential. H&aljng Only
Residential. Gas Fireplace
Residential. Addtlions & Alterations
Resid9nlJal. AC Only
_ Multi-Family _
Pu" . 01h8f
,
"
.....
""l
(1)
(J)
.....
a..
(1)
n
o
""l
:J
(1)
""l
1 % of lob CO$t ($39.50 minlrnYIDL
~!J9.50
$64.50
$39.50 ~ 25 2llXJ
S39.50
$39.50 . - --.'
Remember to add Ehe Slale Surcharge on Ihe boUom or this application.
CD
U'1
Addititmal Inspeclions \\'~~ be billed at IJ5.00 each.
The price 01 your healing permil incPudes one rough-in and one (Joe' inspection.
CD
U)
U)
CI)
CI)
CI)
HOl/se Heating Test Record must be submitled with buildioo I')fI!..,.,i~ rmamp.~ belore build. ..~
[ng certificale 01 occ~cy v.ill be issued.
l:1fAI CALCUlATIONS REQU'Rl;o. with number of suppty and return openings lisled 1M
room wilh CFM'r; per opening. New structures or additions send froor plan with IUPP'Y
and relurn locations shown. HEAT lOSS CAlCULATIONS, PAYMENT AND
APPUCATtONS MAY BE MAilED TO THE CITY OF PRJOR lAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAI<E. MN 55372.
Cily Hair busIness hours are 8 8.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND RNAL) . CALL CllV HAll
447 -4 'l3O
-...J
I hereby apply for a mechanical systems permit and.1 acttnowiedve that the ~
intormation above is complRte and accurate; that the work win be in conformanc~". I
wHh the ordinances and codes 0' the cUy and with the slate building/mech8ntcal
codes; that Ihis rarm does not become a permit until signed by Ihe BU'LOING
OFFICIAL; lhat the work ,,'ill be In accordance with the approved plan In the
case 0' all work whh:;h requites review and approval of plan..
&A<A .1h/a'TA-
- j Applican~natur8 r
L/ ,j.,.,~N.i c../J /D ~ t-JJ. A~~ )
G 8uildir'lg Cl SllJnalufO
:!:
l>>
'<
I
I\)
U'1
I
o
o
I\)
. .
-"
S-};) do:.
f ' Dale
o1~trft,/l)
I 0-..,.....
."
l>>
10
(1)
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MAR.14.2000 11:51AM
4:P~
.-~~7.~~
~NE:;-9
1.
2.
3.
- 4 .
\.
,
5.
6.
GENZ RYAN 6513226147
NO. 763
P.4/5
-- . ....
YELLow. ~
GOLD - CIT'
CITY OF PRIOR LAKE NO. 0 () - 0 1/4-
SEWER AND WATER ~~RMIT
NOTE: Sewer and Water
contractors must
be reqistered
with the C::ity.
PHONE: LoS'"' 4 '1.:~ - { , 4 "-\
~~ I
e~.,.. DATE: ~ IU ~
SIGNATURE: -- BLDG. PERMIT #.Q(J -()/I4-
SITE ADDRESS: ~~\..I.~,g.. ~LL... MID# 25-3"'5- 005-0
FILL IN THE BLANKS
40,
Estimated length of water service feet.
, " (
size of water service inch(es).
Location of any couplings from s~ructure
Type of se~er pipe. ABS PVc X Cast Iron
Estimated length of sewer lin~_~1 feet.
Clean cut (if required), lccated at feet from
structure..
feet.
....... .-
==-
-=-~~---...........----------=====
This
ur permit when approved.
DATE: 3//4-100
. I
BY
=====-~----~-~~-=~~~-----~~-~-====
--=====...-.__=c
-- ---~--
-- --...
FEES:
$
$
$
Sewer and water line connection permit.
Surcharge
TOTAL
35.00
.50
35.50
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharqe.
* Sewer and water permi~s issued for new construction must be
recorded on the buildinq permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
RECEIPT #
AMpUNT PAID ,,- - \0 \~rtf';-\ C\
REe' 0 BY (e\ \\to\NG "..;.. .... .
. 4629 Dakota Sl S.E., Prior Lake, Mbvlesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
AN ~QUAL OPPOR'T1JNrTY EMPLOYER
. CITY OF PRIOR LAKE (~)
- 16200 ElgIe Creek Av. S.E. Permlt No. 00 -0 I /4-
Prlo, Lake, MN 55372
IYPE;jJF STRUCTURE
J. ~1Ik'~ J1k
I. 0..... " atr
J. Yf:lf.._~) o..c....
~
~
~ ~ HEAllNG APPLICAnON I PERMIT
a.: D,tl U )BtCC) PID' 2s-3f#5- 005-0
~ S..Addr- ~3a ~~ "'-<<-.AII. .ezsO
ci Lot z.. Block Z Acfd1l~ GLV/IIWrJ I e;,A!!- 2 N &>
z '
OWnl"INeml \J~"" ""VV""f'.. Vli"\ ~~
Addr-~a O\~"ZA~ ~~ ~f.\~ S:Sl?2-
H.IIJngCanlraclor ~'L- ~
Add,... ~ U -, u ~ ~ ~ ~ -Te..Pr I\....
Telephone' JJ~\- ~- \\U~
Furnt1C8 Make & Mod" J .L ..n..no l
Model SIze ~ 2. ~~; ~-rs-
Conn. Load
~ "
~ FUlf~~T.('~~eSJzl u,~
~ ~
~ SuppIv Opening. , l I
~ .
~ Retum Openrngs Lf
z
~ Input 1s; 000 OUlpulJ.pD\ 0.00
a:::
~ Ed,. ,
w
U) e'm.
E
a..
lR Art.fatlrm.
(T)
nepal,
TYPE OFWORK
Single FlmIy 't..
lWo-Famllv
, Induallt at
Mufti-Family
, OCher
Commerdal
PliJUo
Fee Schedule
.
1% of Job coal (189.60 IIIlnfmurn)
$99.60
184.50
'39.50
'39.60 APR J 9 am
$39.60
Indullrfal, Commeldal . Multi-Family
Res1cfen"l, H&.t~g & AC
Realcfentlat, Heatilg On".
Rllldenltal, Oas AI.place
A BaldI ntral, Adflltlons & Alerations .
Residential, AC Only
'-"~
Remember to add Ute Sllte Surcharge on the bottom of Ihls ."pIfca~[on.
TYPE OF SYSTEM
Warm Air Plants
Oravlly
Mechanical
At Conditioning ~ 2... \ I 'Z... '1b~'
Venl. Systlm
HEAnNQ OR POWER PLANT
Sllam ,
Hot Wale,
Radlallon
SpedaJ Devices
Other Devlc..
'l
Replacement New ConstrUCllon
E....COmp. Data
.
~ E.r. eoll ,
CSl .
~ HEATING PERMrr FEE $
OJ
~
~ STATE SURCHARGE f.
a.. .
([ TOTAL PERMIT fEES .
Bulldrng Perml'
I
00.. 01/4-
.50
PA'D WITH
BUILDI~G PERr\!HT
ReceJpt'
The.price ot your heating p&lInlllnclude8 one rough-.. end one llnet inspection.
1
AddltIon,1 tnspecliona wtI be billed al t35.00 .ach. .
House Hea11ng Test Record must be .ubmltted wllh ~ I3IIJ1lII DUIdJII before buRd-
Ing clr1IlIca1. 01 occupancy ~I be laued.
I::IEA1 CALCULATIONS REQUIRED wllh number of IUPPIy end ,&twn openlnlJllsted per
room wIIh C~M'. per ope"'g. New alroctur.. or addittons lend ftoor plan with IUpplV
. and relurn locations thown. HEAT LOSS CAlCUL\lIONS. PAVMENT AND
APPLICATIONS MAY BE MAILED TO THE CITV OF PAIOR L\KE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Cnv Hall business houri a.8 8 a.m. . 4:30 p.m.
. ~ ".. I
ALL WORK MUST BE INSPECTED IROUGH.rN AND FINAL) - CALL CITY HALL
441-4230
I hereby apply lor 8 mechanlc:alsyatama permit end I acknowfedge Ihallhe
Information aboyels complete and accurste; thai the work wll' bl In conformance
wflh Ihe old1nancea end cod.. of the ollV and with Ihe .Iata bulldlnglmachanlca1
Clodel; Ihat this form does not become a permit until ergned by tha BUILDING
OfFICIALi Ihat the work will be In accordance with the approved plan In the
caS8 of aN rork whfch requIre. ,evlew and approval 01 plans.
..~ · Lf~
4-1;;/ a-tJ
f Dattf'
APR. 18.2000 3:58PM
GENZ RYAN 6513226147
NO.013
P.3/11
. .-
,
CITY OF PRIOR LAKE
"-
. PLUMBING PERMIT
Appl~ ~~,.n 2. - ~ Phone:
Address: lU ,,~ ~ ~ (.a..,~ "'Tl(;' ~, .
SignBiure:.uJo ~ "
Legal Description: Lot Z Block Z. Sub GLIIN W/(I t;:;,-.I!?- 2ND
Site Address:. 3~"2.~3 IL "A-'-' If' ' (If ~Il ,
Suilding Permit' ... - 01/4-- PIO # 2-~ -3~' 005-D
NOTE: This permit "!,ill not be processed without complete information.
:':." FIXTURE UNITS \\..
I. 11_ .. '
1&11I CilJ
3. y.uow Alp'"
# DO -01/4-
tDSI-LJ-z.~II~U
~"r
4PRJ~
~~
3~
TII. c-.... '" .11I ..... c....."
Quantity Type of Fixture Quantity Type of FIXture
l Bath Tub with or Without shower ~ Rough-ins
Dishwasher , 1 Water Heater
\
\ Floor Crain iLl, Water Softner
2: Lavatory (bathroom sink) , Stand Pipe (washing machine)
\ LaundryTray (1 or 2 compartment sink) Sewage Ejector.
\ Shower Stan Baclcflow Assembly (RPZ. Double Check. PVB)
\ Sinks Backftow Assembly Test
~\ Bar Sink Lawn Sprinkler
{O;/ ~ Water Closet (tonet) Other
r-~c SCHEDULE .
,.. Ind~l.;...I, Co.... ..ercial & Multi-Family
(1 % of job cost, $39.50 minimum) $
Residential. New One & Two Family $9S1.5O $
Residentiar, Additions & Alterations $39.SO S
State Surcharge $ .50
\D Wrn-\ .
r P~\NG PEP,\ft\1
GRANO TOTAL $ eU\U
.. .
~
(0
~
This ~","..it is pmtcd upon me: GpraIS condition lhat said
COntractor. slllll comply ill 111. . ~r<<tl .nm the ordirumca
_of~ Stata_Plumbilll ~Ift. mcreof. .
. 4-f-z.,o / ~ 0 DA 1"2
I I
.... Al ,dT
nODS 24 hours in advance.
.:J
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
., An Equal Op,onunity Employer . _ .
Tht' Ct'ntt'r of tht' Lakt Country
CITY OF PRIOR LAKE
PLUMBING PERMIT PPNo. C U-Db~4
Applicant: ~b ..f' (jvhu ~fh. k Pho~ Ane:ftl ;) ~3 ~ if
Address: 5'J l/ ~ ~ r+re I1j, /l1W t' r .d11J. CSV/-f
Signature: ~l~..
Legal Description: Lot Ol. Block ~ ~ub c:'L~ ~
Site Address: 3~ ~ . C-" I ~ lAl'N. k.r I (1::.L.& ! cl A{)fN
Building Permit # ---t)J-) - ()hh'tf PID #
NOTE: This permit will not be processed without complete information.
I. Blue
2. Gold
3. Yellow
File
City
Applicant
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
J
,
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Sinks
Bar 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
$
$
$ 3~, OD
$ .50
e
V tl'-
$
16200 Eagle Creek Av. S.E. or Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5S;t8 (0117 wctJe.r- \J
NATURE OF WORK ~\etV ~~.~
USE OF BUILDING CS r:= A
PERMIT NO. 00 - D II L1 DATE ISSUED 3-s-2Coo
CONTRACTOR W~ ~\M.~\A-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
./11"\ INSPECTOR
ti< ~/~!m
FOUNDATION (Prior to Backfill) ~ (>7) -?,2Z-
PLACE NO CONCRETE UNTltfABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER/WATE~/SEPTIC rJJ >/;r;-/tv , I,
FRAMING w/c up(~.l~ l~LI' RI-) ~/Jb~LJ
INSULATION 0-. ) flJ1-O/00 n,.... {2.( · 0zt./.~
ELECTRICAL (I" Il ~ . ,
PLUMBING ~" 6/:3I/tfP
HEATING (if required) t2# ' ~ /~ /G'O
FIREPLACE ~ I I ~hl 6' /J~ /~
GAS LINE AIR TEST ~ ~ ~p \4f 10/' Iou "
COVER NO WORK UNTIL ABq'YE HAS BEEN SIGNED
~~.~
DATE
FOOTING
GRADING (Prior to Sodding)
BUILDING 1~~~ l~\I.' cpo ~"/db
ELECTRICAL I
PLUMBING
HEATING
FINALS
~
I cf~\{loO
DO NOT
.
{j;J, WI J I / p:t>
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OCCUpy UNTIL ABO';E HAS BEEN SIGNED
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
. ~.____._::=nt::I::.."._.,._.....'_.~.~.~.__~,~___,_"....._~-..:..____.__--~._.._...-.._._~'"_.._.._-~--,_~_.._~~_..u.._...._."'~",."._.__~_
DATE
3/;:;/co
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GL.- V /V f1/ /T7 t:;;,/? .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
332B
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ECH RI
(~ WATER HOOKUP
~EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
CONJMENTS:n
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OV\-
TIME
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
rife
CEED
FOR REINSPECTION BEFORE COVERING
Inspector:
CALL
INSNOTl
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS .332-6 G--tvrz ~
,
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
i FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~UMBING FINAL
~CH FINAL
'A TEJ /" TIME
8~ -k'co
0- Ii'!
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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ORK SA
~REC AND PROCEED
RRE WO K, ALL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL\447-98tO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
tJ.v~~ \
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If'.( ...l.u. I\Y'
INSNOTl
AN l~ ~d2
1
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J
CITY' OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 3.3e2R
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
(}~r~ IS
/JK
SCHEDULED
6/y" u/aftr-
I
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,
DATE
#
TIME
I~
I i# AS /I1tlK P1...-
o:;-,,~
~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
INSPECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
03~?
SCHEDULED jcY301 fh;) A-::r:
} ,
71-.
o
CONTR.
OWNER
PHONE NO.
PERMIT NO.
(J-/I'f
o FOOTING
o FOUNDATION
o FRAMING
. ] 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 GASLlNE AIR TST
o
COMMENTS:
~
.:~
!
NO
I .:,.L~, "_IJII.I!. .,~J.l.I...I~I....:...~
~WORK 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