HomeMy WebLinkAboutBuilding Permit #00-0119
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
QA TE RepEIVEQ
MAR 6
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
Itf~>'7 L
3. LEGAL DESCRIPTION
q
LOT
~O{G~COD
I
,(0+0
I. White
2. Pink
3. Yellow
File
City
Applicant
1. DATE
Permit No.fjO -OJ /7
t
7/"
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
Il../
BLOCK
PID 25-.3/0- 009-0
12. NO. OF STORIES
ADDITION
4. OWNER
r~ ~/V _
(Name)
(Address)
5. ARCHITECT
(Name)
(Address)
6. BUILDER
(Name)
(Address)
(Tel. No.)
13;:;::; C05~TJON
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
1'f~11 CWI,IV(...4-J~ ~ ~:5~ - rr;;-3C/z.G,
dvlf/t/~e;~ 5!?5o(... 995 -e'll./e
Septic 0 Deck 0 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
7. TYPE OF WORK
New construction~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. Z 3S~71 Width&?~8:bePth 5~ !-- 8;' 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~ffic' an revoke ~ permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ins,pections.
X . ^~~~ 2-197 ~/Z- /~
,b - -- .ftiflnature - License No. Dafe
tvl;t)&:>W~ fIp~
Fireplace 0
Alterations 0
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
I ~ 0 I' 00-0
17. COMPLETION DATE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
SOIL TESTS
o
o ENERGY DATA
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
sE:CJ
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 1El.).:~. 0.-,
Total Due .............................. $ ~ 7 4~ ....,9 €:J
Paid ~ 79~:9~ 992-
Date :;f z- zI ctV By
, / r
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee s requested. This document when
s' the City I ner constitutes a temporary Certificate of Zoning complia~ and allo~ c:>n~tion to commencEf Before occupancy, a C~icate of Occup~ncy must be issued.
~-1~ ~'{~~.. (.w..P.J2~~('-/~.'~~
C' Planner Date I 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
City:
Permit Fee................................... $
I,LS!).25'
7?~ct.::<'{
,~.c:>O
Plan Check Fee ............................. $
State Surcharge ............................. $
~o
-2 t.;,
ding Permit ~n ~pr~e<!- _ _
Date -.5-~
Issued
PLANS & SPECS 0
SETS
SURVEY 0
COPIES
PLOT PLAN
o
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . .. .. .. .. .. .. .. .. .. .. . . .. . . . .. . .. .. .. .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .?~f.~................ :
Meter Horn ......l$l..'+................... $
Water Meter .... .tt:;........................ $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
~.~
I/l~..~
46.06
I ?5'" (JO
II ;l~ .elJ
r'1m~eO
/~50tJ.OO
24 hour notice for all inspections 447-9850
.
'f/
"
.Permit#
.Job Address I ~ 7 cJ R cJv ~w.aaI RtL
.Heating Contractor. METRO AIR
~
*TesterslSignature I J/
Date
Pounds
Pressure
Time
*Gas Une
Pressurized
.
tnspected
PERFORMANCE TEST
*Percent CO2 -.!Pc ~ .Percent CO 0 %-
*Percent 02 Zr tJ olf, .Stack Temp. .,:J~ ()
Final Inspection
Date
r.
\"
()1)-O.\C'
The Center of the Lake Country
,
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WINDVVOOD H0f1B5
3/(0/00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4577. ;<OS6WOOD ~D
Accepted Accepted With Corrections >L
Denied
Reviewed By: {2,(Jg
Comments:
/. ~ all Q..tac~ ~(J.M.cl. ou~
~
/
Date: S - &J - 2o::c>
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."
/'
Thf ("nlfr or Ihf t.kf Counl!"}'
CD,o'/U
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
l V / /\,.: 0 kVI C'; C.- 0 I-I (J/~/ E5
,'~~ / (f: / [/ 0
-; -. /
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I) 4577 /<:C:SE ~/V C)OlJ I<-D
Accepted
Denied
/
Accepted With Corrections
Reviewed By: NAl-TEi< E,.,t1E:SrtUtN,.j
n_Ae- ~ 1.- ,_-
Udl . ~/IUIUU
, .
Comments: -.SLE 'NFOQ.MAT'o~ oN TwE KE.VatsE Sti)r::'
SE..f. ATT~t4"'E,JrS: I. htJAL Ga.40E. lIJSt'EcrloAJ j/\/Foa.MI1i10N 2. a~DIi\Sl.. PLAN
3. ERos IO~ CO,,",T'lloOl.,. ~"Rl:~
t.f: &os IO^, CONrIl..oL- RIIN
"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."
00 / 0 l r (jJ
White - Building
Canary - Engineering
Pink - Planning
Tht' Ct'ntt'r of tht' Lakt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
{
I
APPLICATION RECEIVED
/
/'
I
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,-.~,_jl
--I
,/
L_-
~:,'~-' E: ~ \ ('
-L_,'
I:. I ;
'-..' ....
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
/"~-~
Date:
3 - l "3 -eo
Comments:
J-L-( -r;::, ~\v..uM.. ~~ l",hclTlA t0t fif~J-
\!V~~ ~ -l- ~L.J Q,C)-t.J ([Q ~v'J"L
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."
GaEEN - FILE
YELLOW - APPLICAII.
GOLD - CIT Y
CITY OF PRIOR LAKE S.W. No. 00-1'1
SEWER AND WATER PERMIT
APPLICANT: DI- i-1 i4-~ '= X-.C .
ADDRESS: } C. 119 .1 bf>L ~ W/,+-'( (L It iJL . )
SIGNATURE: ~ {J~
SITE ADDRESS: I <Is 72.. (1. oSi: \AJ 0 C;rJ f () .
FILL IN THE BLANKS
1. Estimated length of water service
\<
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure
4. Type of sewer pipe. ABS
PVC X
5. Estimated length of sewer line
LJo
6. Clean out (if required), located at
structure.
NOTE: Sewer and Water
contractors must
be registered
with the City.
PHONE: V~.2 - G. Cf I) (.
DA TE : ~ /~ '1 J () I)
BLDG. PE~I; # 00 -117
PID#
l.}o
feet.
'l'o-
feet.
Cast Iron
feet.
-
feet
from
::::=:::~~:z= =-=u==:::=~:=::::~:::::::~~~=====
r '---/ I f!
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
~o insur7'.-'t~()l\~t;":dup~icate sewer and water permits are
lssued. BUlLOli'<c. ~-~. .. di l
DATE PAID
RECEIPT #
REC'D BY
AMOUNT PAID
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
~~~~ CITY QF PRIOR LAKE
ia ~ 16200 Eagle Creek Av. S.E, i'ermi! n", ~ \:) _ \ \ ~
\' PriDr Lake, MN 55372 .
'..---~ HEATING APPLICAnON J PERMIT
!)~. '-\-~S-~t> PID,Q.~-,31O-OV9-0
I " I
~)i;eAddress. \"'~'d 1\o~4ht7;\ '-.%.
~ ~ BI:::k \ AlIdia:"," ~ Q ~ ~,"/l 1'--,
~:lwl1~sna."lI8 \.1 ~ ",\ W (1 ~~ 't\ O~j
. -
2Adclress I G :H \ ~""~"\,\ 1\ "'-' (Y, ",.. ...,.W ~. \ \.f .
Healing Colllra:l:lr . \ ~ -I.. ~ \\,..... ~ \'\ \ ,
Adciess. \ \" ~ i..t' "\..1 L \ l Or"", \ ~ lV,,,; V" ~ ~ l<.{ ,
'1Ieph:1ne # _ ~ ~-, ... ~ \ ~"'"
Fumz:. Make & Model . C ~_ ~~ \.......
M:de1 Siza ,C t\ \J - ~~"
Conn. LDad, ~ \ :l' '\
Fuel. N '1\","" Flu. St%e. S"
SuPP'Y ~~. \ \n
Retum O;:tenin;s . ~
anpa; ~~ . <<1\\ Output t \ trlG
~Edr.
<I
oCfm.
a:: .
I-
W
E
\
\ '" \,\ .~
"
:TYPE OF STRUCTURE
I. ~ . r&l&
1. r- . 0.,
3.YdI_ _ ~
Sini'le Famlly ,X
Commertiat,
. TWl>rmlfly
Industrial
Muli-:=arniy _'.. e~
?ubfle
~er_
Fee S:hedute
an:r~trial, Comrner:jal & MuJi.Family
ReskientialJ Heating & AC
rt~iOenti~ Heating Only
Hesidentiel. G2S :=irepIa=e
ResiOential, Additions & AIt!~ons
Residential. AC Only
,~. ot job =st (S39.50 minimum)
S~!3.50
S~.50
S39_S0
saS.50
~9.50
ne:nemb!r Ie add Che Statt SUrchayge on "e b*m of this appIi....'...,n.
lYPE OF SY:a I eM
Warm Ai: p...
Gravity
Mechani:aJ ,
/lJr Condition in; ,
Vent. SystEm.
H-=...A11NG OR POWER PlAKT
St821J\ .
HOl Was.,
RacrlBtian ,
Spe::ial Oavi:es .
The price of yaw heaIiIll """'* il:IucIes _ lllUpI>-in IIId _ fNI NP8dion.
Ad:lional ir.spa:tions will be blld a\ ~~ .00 eacn.
HD'olSe Hadng Test Rec:anlmust be submlaecI willi ~oIHm_.._"'t behn builcl-
ing =e~'- of o:::u;tan:y wi be issued.
H='" l" .iH rou lJ1l'lN!ll'l=nlllR=T1 wIb runber as SlIp;IIy and Ietum. "l*1il;s IimcI por
roam wliI Ci'M'" per IlpeninlJ. New slru::Iures ar 8lldIkm 8Ifld IIca _ IlIiIIrIUpply
and -.,. tocations shown. H~ LOSS CALCULATIONS. PAYM-:NT AND
APi'lICAnoNs MAY BE /MILa) TO THE cny OF i'FlIOR lAKE. K200 EAGLE
CR5K A.VE. s.:. PAIOR lAKE. MN 553n.
City Hal ~ bOlm ... 8 LnL. (:30 p.rn.
AU. WORK MUST BE INSPECrED (ROUGH-IN AND F1NAl.J . CALL. CITY HAU.
4Q-4Z3D
Other Deva.s
- TYPE OFWORK \./ I her." apply iDr a mecbanical systems JIeImll and I a.cIcnowledve lhld the
AllllraIions Re,~""~-ln... N.... CoIlllnl:iDn ~ - . .1"!DImdoA IIIIaw it CDmpl8I....lI r -~ 'lIIIa: IhalIha 'WOIIl: wlII.. in canlom.noo .
. .' '... . . . . Wilh 1he DI'\!in_ and _as of lbe ally ~il willi lb. state builcIn~Q1
fiWpU .. Est. ~ b.a. . . COdes; lblll1h1s ~ d_ IICII beCODla . PeIlJllt umnlliinad by lhe BUILDING
~ ,.... ' . .s(i . ~ . . OFFICIAL; lballba worIlwll be In ._~ lOilb ... ~ p" iIIlba
;.:, ~ ~ $, '\ c;:; () l;:\ 7" ~ ........ f , "", - \\'\ ,...... .01 all. WD~ ~~~, ~ review ami ~ Df p1l1lc. . ~ .
HEA.11NaPEFlMlrfES ~ ..' .~.. _'. ~ ~ \ ..:, e ~
~ . ,", '- ~ \ "'. 1 \0. . - . . '\ c:::J....;y 'JV
IS) . · . , . ,.'" ~
~STA1ESuRcHARGE $ ,50 , . ~. S." ~. :. D8!B..., ,_ :
~l~~PERulTf=I> S' . R_",. - -'--- rl;~" .:. ..~ ~ . ij /..s>ci/J?)
.... .... . ... -. ~ 8'~""'" / "'....../
. .,..,. , --... -- . .
oe:.'C, . . , . . _ . . '.
n.~ - - :.~. ....;,: . . ..' .j . _. ; ... ~. . . :.: ",: . ..' . -' ':. ~ . ...... '.. '. . " : . .. :' .'. :: .'. . . . . . . '. :.. :: :':' ;", . _' .
-~.."'...,.:.::.~.., ..... . .-':,....:~.:'~,~...~~""..,.e:~.!..~;.:!:~...,. .......,.~....- ...':;' .,..':-' -.' ~l'"..f -.,! ,.-_..:....-'-.I...~""i~'..1L:~"\.~.,..:,.~"'....~:~..I~~ ~_~..... "'~fi'G5f' ~.~
""'~":.. .... . ." .e~_' . - ...~-.. .. - . ".- W::" I. \ .... ~ ._e......... ,,- - . ~. ~~~. r ~ ~ ...~~..., _'II" . ~"""__~ 1.'...- _ ...::r-".
-.... :. ., . '. ',- ~~ . \ ....-~--.: '(l.~~..;f.~!O.,. ,.",. .""--,,, , oo!.., '. .' .... .. N' · -... ..~ '''~. .. ._...:.. <" . . "-"'fN:. =_, _ .
..... . _ "'" ... . '. . . .... . ..., r.....,.. -... '" = ...... "- .....~. .;~ . .~. ,,' .,. -.. '.... '~: . ,. ~:'''''''''. _ _-=.......,.~..___ !-=o: , .' _ , _
... ..... .
lO/21/99u1U 13: 14 FAX 6124474245
CITY OF PRIOR UUCE
~OOl
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant/~ t1' / / ~lU ;07L64<
Address: ~ () f7 >':<'1/'.1' /41/
Signature: /M~ >>7/'/7 /( ,,;)
legal Description: lot q Block I Sub ~y\'l) '0 \+J I
Site Address:_1 ~/ ~ ~ 0 M/J1/ / l..1LJCi/'l' A CY
Building Permit # GQ - OJ rq PIO# ;JS-3JO-Ooct-(}
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
I. Blue:-
2. Cold
3. Yellow
file
City
^rrliCMI
# _~.> - cu.1.9
Phone:
'II,. ("rfll'" It' 'lie' J ....r CflU"lr~
///L
Quantity ... Type of Fixture Quantity Type of Fixture
.~ Bath Tub with or without shower I Rough-ins
I Dishwasher Water Heater
J Floor Drain Water Softner
~ Lavatory (bathroom sink) I Stand Pipe (washing machine)
J Laundry Tray (1 or 2 compartment sink) Sewage Ejector
J Shower Stall BackfJow Assembly (APZ, Double Check, PV8)
'; Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
q Water Closet (toilet) Other
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
$
$
$
$
.50
{' . /
~'J~~\ "),.~
\ ~/,&^
GRAND TOTAL
$
16200 Eagle Creek Av. S.E.
MAY 5 2000
ake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
~~J
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1t./5'7'a Rc>se.wo;xQ.
NATURE OF WORK f\e.w ~~'t-oc.t~~
USE OF BUILDING ~f t::::>
PERMIT NO. 00 - OJ.-!!( DATE ISSUED J:,-'=j -;;b:n
CONTRACTOR .LJ i~lJ.3oa~ ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO:~~NT _ \ I~TE
FOOTING ^ YJ; 3 .1A~
FOUNDATION (Prior to Backfill) l.~\ . ':< to /w
PLACE NO CONCRETE UNTIL AE(9Vo/HAS BEEN S~G~.[ D? 1".1)<P
ROUGH - INS p~ ~I J \jLJ T!lr{))
SEWER I WATER I SEPTIC \X! - ~ -.'
FRAMING~, ~/z.r/~~
INSULATION ~ G'/I~1l
ELECTRICAL I /
PLUMBING . f/2 W ~6
HEATING (if required) " 0/>$/"0
FIREPLACE ~~. .~~;:7D
GAS LINE AIR TEST l 61i:4 j
COVER NO WORK UNTIL BolE 'HAS BEEN SIGNED
- - " "
. ~
GRADING (Prior to Sodding)
BUILDING.,.,~o. ~ <1fi !DI ~. lZ!'5!~
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
/j/J
~
" (
I), V,
h
OC)CUpy UNTIL ABOVE
NOTICE
I}. J<./.. () J
JI~I~",D'
/I jrJo
I ilFi!fJl
I ,
HAS BEEN SIGNED
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
QLtnfuate of ~)(rn: taney
CITY OF PRIOR LAKE
~tpartmtnt of .uilbing lnsptttion
o Final Permitted 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
Sin2le Familv
Bldg. Permit No. 00-0119
Occupancy Type RJ Type Construction VN
L9 Bl KnobB!!1
Legal Description ' ·
_ Fire Zone
N/A
Zoning District R1
Owner of Building
14572 Rosewood Road
Site Address
Contractor'sName&AddressWindvood Homes, 14311 Ewing Ave. S., Burnsvil1e, MN 55372
Jenni Tovar
Robert D. Hutchins
rq.ng Official
L ' f!Lj) , . Date:
POST IN A CONSPICUOUS PLACE
City Planner
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS \4 ~i 2.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
~.~~
(0j
CONTR.
PERMIT NO.
o PLUMBING RI
A 0 MECH RI
F ~WATER HOOKUP
(4 ~EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:/\
Sf l ~ ~
11\:rV \L,
10/ 'X!r G-vJo
&\1~h.r-
~
1.1') /?r.v. --;(
6v~clJ
(2)
40 '(lVe.-
~~
~
olA.-
...f
"^~
kJ,
~. ~VUJt
/'
/
JWOR'" "ATI FACTORY, PROCEED
~T A 0 ROCEED
Inspector:
o CORRECT
DAT~ TIME
3 "3. tc ~ 4S-
---J
0- lIe;
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
\ ~'a-
l"
'1.>
<I-~<?k~
OR REINSPECTION BEFORE COVERING
CALLIU7-9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~QUlREM;NTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
\J INSNOTl
Owner/Contr:
ADDRESS
/'-/5~~
DATE TIME
SCHEDULED I!J .s:/ ~ / / :.30
J? t).5 C-Wo t) CJ e, 1\;-0
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0- ( I r
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
.E PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: "' . . \
:)1\1\ € teA .5ea ro
MCtv\qMitev OK
- v\o lto,elder-
- 1'\0 acces.~ Mat", oa~ +vap
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORf<' CALL FOR REINSPECTION BEFORE COVERING
Inspector:.-g .\ ~ Owner/Contr:
CALL 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
\'2;-S.. 0()
I: \S
ADDRESS
4-b72..
RoSS V\loOD
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-\ \ 9
o FOOTING
o FRAMING @
~NSULATION ~ \L
~~INAL Nr-.
o FOUNDA TIO
o DEMOLITION
o FIRE PREVo
@
o PLUMBING RI
D( MECHANICAL -t=l N .
tJ WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMME~0 ~--- ~ -~ ......... ~
~' J.A.LC.tI f.1&.'\ ~,
~~~~.
~ K~~ .~lTJt ~~
~.~,
.,~..,d::=::;-~:'':~~~3';:,,".l' .!'
~
o WORK SATIS ORY, PROCEED
)(1cORRECT ACTION AND PROCEED
o CORRECT WORK'LL FOR REINSPECTION BEFORE COVERING
Inspector: 171 f Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1'-I5"7:l. R ()~f wcxr1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Ifll (') r:-
5 d-7
DATE TIME
11-1'1-0/
IfIVl
Rd.
IlJi,dv()<JoI Ho,ntS
trx) - //9
~EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)fCwORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~K -- OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/457 ?
SCHEDULED Il..lJj- 0 I 4- vrOl
R-OS~ lAJOOD RD.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
no-l\q
..,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o 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 GASLINE AIR TST
o
COMMENTS:
GGOSfJ ?(Gb
~~ 11 ) t2J\J D f--~ ~rn I /
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL ~~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI