HomeMy WebLinkAboutBuilding Permit #00-0191
DATE RECEIVED
.23 2000
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. i){> "ll1!lJ
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
/.StJ() /
3. LEGAL DESCRIPTION
~ BLOCK
ADDITION Th., "r.d 4rld~
1. DATE
.Djl If;( J OO~~
3-rl3-~
Jj, G ie/5L)
LOT
4. OWNER
(Name)
5.ARCHITf?~~e) :J::""
6. BUILDER (Name)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
4e~ I r;2h), ,p~) I
12. NO. OF STORIES
13. TY:JE Of CONSTRUCTIO, N
()JOQi rTa ;0- ~
14. FLOOR AREA APPORTIONMENT USE
'1-d
,
TrCl I )
I PID 25-3'-1-2- oof;~
,~ f/J :/;-IJ //'y M~ ~
(Address) (Tel. No.)
(AddreSs~ (Tel. No.)
w.'I.(~~:Js) r; hujlA4A Cf!.,~~f;-C7JIj
15. NUMBER OF OCCUPANTS OR SEATS
.y) tL , I I / OCCUPANTS
f\.()/J$Y(f LC/~ ~f l,/ftJ6)1t"kJfrllfl ?.o-Wl-G!9tJ SEATS
7. TYPE OF WORK Fireplace~ Septic 0 Deck 0 Re-roofing 0 Porch 0
New Constructio~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMP~ETION DATE
Sq. Ft. II W _ Width <? (, Depth I if 0 Yes ~'7 - J 1- OJ OtJC)
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
building off~an ~ke th~~it ~~au,. Furthermore, I hereby agree that the city official or a designee m" enter upon the property to perform n~eded inspections.
X ,'C~- ~ C~- / ( ?O 7-r?3-cJtJt:J~
, Signature License No. d8te
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
s;:::;z:,;
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back
SOIL TESTS
o
o ENERGY DATA
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I~~.~
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Division 1 2 3 4
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ ~ .~
SAC ......................................... $-+t-l 00 .cS:>Q.
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ...~.................. :
Meter Hom ... .... ............................ $
Water Tap ................................... $
Builder's Deposit ............................ $-1,
Other......................................... $
Total Due .............................. $
Paid 7" S 3 (,. 0/ t, Receipt No.
Date ~1I4rh (; By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdinan6e and may proceed requested. This cIocument when
~>>-~e C lanner constitutes a temporary Certificate of Zoning compliance and allows cons ction to commence. Befor6fC~upancy. a Certifica of Occupancy must be issued.
~ _ ?,...~l..(!XJ ~ - I.. c..~~~~~~~
City Planner Date Special Conditions ff any
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Ga
l,o~'7.'"2.~
fot"JV. -zt
~~. dO
C/5.c>o
II) IJ ~. c90
(,~,oo
'"3~. S"{)
l{CJ. 0t:J
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
I~~.DO
J. ?~O.~
,
7f;o A~
500 .()G
53b.1-k
.)
~\~U
Thi;
By
uilding Permit..vth~ ~
Date ~ _
Issued
24 hour notice for all inspections 447-9850
-.I
Job Address /5()~~! . ,
Heating Contractor '/ tI Ji
Name of Tester .. )-1
.- Date Cf/:2t /CJt!/
Percent 0 0/ 1~
Percent CO2 E:tI
Percent CO 0
Stack Temp. > S :L. it)
'",
/
O()- I 'i I
"r"
The Center or the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
If. 08612 / - C.LI-1I2K-
3/23/Qf)
"".-,
The Building,' Enginee-ring, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/500/ /lP;:?r}L-OOSA Tf2-
N'C
Accepted
/
Accepted With Corrections
Denied
Reviewed By: lJ&- TEll.. E~t1.(SMI4NN
Date: 3/3//00
Comments: ~ --
s.. t'\ P PuMP ~ S'1'" at:. CON N Ec..re:o T~ i"'H~ E:' ')(.15 T. ~c.
nll~hA.l 11 L( l.'^' ~ .
..
$(E:. Ii\JFoItMAT".ol\J ON REu02sE: SIC€.
.~~,.....-r"
~Aw-rAcH""~: /. hAJAL GnAOE:' JAJs.~c:nDaJ IAJF()(l~A-rltJA1 Z~I2ROIAJ(.. RAAI
.,3. E~OS'D~ CCI>-I-rao c- M EA5LJ{l/:'~
lJ... &0 ~IDA~ Co.AoJrIlD~ RAAJ
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
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/C0!36R-'/ - (;,LARr
3/ 23,/f1n
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/500/ /lPi/I1L-CJosA '/72- NC
><'
Accepted Accepted With Corrections
Denied ~/1/? 2s
Reviewed BL~ / -
/
Date:
l(.- 3 -?QOC)
Comments:
,. ~ a fl 4-tf-~e.~
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
The Cenler of Ihe Lake Counlry
'"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,; /c j C' } ____4 , .. ' . je J j,,./
I..:." v L) vi::: I ('.: L 1-7 /<. ~
"-.- /. Z' .' -:;;.'. If /.' ..'\
..-t'; .iI'. .
....""__ j J ........-1'/ ( .. (
! l
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./ ,~:;."CI C) / /';'/ 1_) ~/j L (/ {j <~'A -/- ~
.-----
" .' .
'II' 1--
I "I '"-,....
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~-r~"~~
(/- "" ,-
Date:
'3 .- 3G)~C90
Comments:
A/e- J.- 19'{~ 'AA~~uld
~A ~, P.-v\t'..-:V'ec. viA.
~Ul~~
~~~etPV4lP~ck.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."
1. Blue
2. Gold
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLUMBING PERMIT # C1l1 - 0 , q )
Applicant: () I- 51rJ P L '^ mitt ~ t Phone: ( }.l ~ q 0 1 Cf-
A~dress: ..6Jf .6~ J3 1$1', ~ --r V( ,A 'P"f' L t V ~( t Y}'l'v.~ 4-
Signature: \. ~ ./' <..JL-.,--- _
Legal DescriPtion: Lot ~ Block I Sub ~ ~ . grd ~~
Site Address: /5 rJO J A-f {! -{J t Irb S i\ 1 R.~
Building Permit # --.071 - 01 q , PID #~ ,~- 3lfd- 001r-<J
NOTE: This permit will not be processed without complete information.
The Center of the Lake Country
Quantity
~
,
1
J
I
J
3
Type of Fixture
FIXTURE UNITS
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
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 , ~
{( ~~ ~~\V
Quantity
3
\
1
)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$ /
$99.50 $ /
$39.50 $ /
$/ .50
GRAND TOTAL )
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing codF d the amen ment thereof.
~ ~ REC -11-1 p. .. ATE
-e. \ Ai bST
a for all inspecti, s 24 hours in advance.
16200 Eagle Creek Av. S.
JJN , 9 2000
Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
MAY
3 2'1("(\
~'V'..J'"
'-
GREEN - FLE
YELLOW - APPLICANT
GOLD - cn y
CITY OF PRIOR LAKE S.W. No. 1)0 -Dlq I
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT:Mr<.t,,/()uAL tit '-",
AD DRES S : I r 0 ':'r; r1\' (<:"j" ff{/C.
SIGNATURE: ~
SITE ADDRES / /lPPA(.,.OOS~ /1<-.
PHONE: L/- if 7-5 d87
DATE: 5/<3/00
BLDG. PERMIT # 00 -olq J
PID# z5-atfz.-008-0
FILL IN THE BLANKS
1. Estimated length of water service
feet.
2. Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This applicat' ~~J.1bJes your permit when approve~l /
BY zfJJI.JL - DATE: 5/3/00
~ I I
------------ ----------------------------------------------------
------------ ----------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $t~.~ 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 insure that no duplicate sewer and water permits 1hr ~
lssued. I'
DATE PAID
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
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. Ol)-O\q l
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date "7/I"J.).oo PID # ~5 - 3Lf~ -OO<f- 0
Site Address \ ST) () , An'()~ ie") 0 ~ CA. ..,- r--ll ~ ,
Lot <:( Block l Addition' \ Q..p ~hl) AfYl ~ ~ ~ ('A '-'
Owne~s Name R'o ~f L-- r1 ~ J(" .?~.4 ~fI.J
Address J4c:eo{, #L,~~ Rd.
Heating Contractor C ~ U t:t t~ ~.h ~
I I
TYPE OF STRUCTURE
I. Pink File
2. Green City
3. Yellow Contractor
Single Family
Commercial
./
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
3 rd. ~ Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
Address
Telephone #
Furnace Make & Model j/ea.I-:ItJ '''C/fr
Model Size C 000
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
Conn. Load
Fuel J/&I.~ S Flue Size
TYPE OF SYSTEM
Warm Air Plants
O 1 jfravity
I ~ V.a..JMechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Supply Openings
Return Openings
Input
Edr.
Cfm.
Output
TYPE OF WORK
/
Alterations
Replacement New Construction
Repair
Est. Cost $
Est. Comp. Date
Building Permit #
(rr) '-0 \ q J
~
/'
Ao
TOTAL PERMIT FEES $ ./
/'
HEATING PERMIT FEE $
STATE SURCHARGE $
Receipt # -
---
1 % of job cost ($39.50, minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
JUL 11m
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with "'llilrlinq oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS 8~()llIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone: (952) 447-9850
Fax: (952)447-4245
I hereby apply for a mechanical systems permit and I acknowledge that the
. information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
cas~a:~and approval of PI;i ~/ 00
fl.' 11, .. APp~icarJrsig;atur~ ('. '\ ' D'ate
. /II~ '7/ L'~) rjls.fcm
(/ BUilding-Off7s Signature ' Ooite ~
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. tJ '() ...{) /9 /
Prior Lake, MN 55372
HEAnNG APPLICATION I PERMIT
Date {p' If} 'N.) PID# 2...5-34Z-tJ08-{)
S~eAddress IS CO I flp(YY)./l11/.)("_ LvaLl &StJ
Lot ~ Block I Addition eA.{' P ,left) t!iG 3/Y?
Owner's Name (J ~ () f) J( t ht1fJ-I-r ( .4 ~1t~1J
Address ) L) q DlrL fY) r:l h L 1- fY..X _ RdL. ! rp 1- .
Heating Contractor (1 /) rh y 11 (?J.l) j ~ ut-o. <L Jq..t' Ir
Address qwO 1 ~t~)/~<:y)n TJ[? I A ~ -' /6 H
Telephone# Il2s/- ddJ 'xl .oj ,~(. 0_ -
Furnace Make & Model ~ TYPE OF SYSTEM ./
O G ) I ? Sr Warm Air Plants l./'
Model Size g U. rr - - 3 Gravity
Jr "" O?D Mechanical
Conn. Load I.. ""J..& ~ / A' Co d" .
. ,. Ir n itlonlng
Fuel AId .Flue Size '- ~ /, Vent. System
Supply Openings
q
'-/
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Return Openings
Input 7.5: ()I (J (/ Output & ? 0 () tI
Edr.
Cfm.
Other Devices
/200
TYPE OF WORK
Alterations
. Replacement
New Construction
V"
Repair
Est. Cost $
. Est. Comp. Date
Building Permit #
00 -0/9/
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt #
TYPE OF STRUCTURE
I. Pink File
2. Green City
3. Yellow Contractor
Single Family
Commercial
~ Two-Family
Industrial
Public
Multi-Family
Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50 \ 5
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildinq oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of a.1_1__v.vork which equ.~es review and approval of plans.
/2'1;;~ S //;;1/66
Applic eture ~ ;:Z~()
I Da~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
ISUILDING AND INSPECTION
SITE ADDRESS JS-OO~ Llf2pa1~G>~ J':-.
NATURE OF WORK N~.v CCJY\~ (0 V'-.
USE OF BUILDING ~FD
PERMIT NO. tJO -() /!JJ
CONTRACTOR ~.. (ll~
.. .
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOClfMENT
INS4ECJ~ JATE
FOOTING ^ \{ r ~JfJ I'~ .
FOUNDATION (Prior to Backfill) ~.. 6h~~ - 5/#011 e
PLACE NO CONCRETE UNTIL ABOV'E HAS BEE'N SIGNED
ROUGH - INS
~l 6/1 In
I~' 7i;"~t>
Jj -7 !i-dob' .
C. ~~
~ ~f.f, '~. I 7!t()/~
I I
DATE ISSUED
t!-3 ~d9C-O
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE,AIR TEST
. /
1/13/ 81
:A;1j'p/(J1)
7/i1/#tJ
{
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~ ~.-..
GRADING (Prior to Sodding)
BUILDINGio,o, W 8 it/Ol fa:p AJ.(,/oJ
I .
ELECTRICAL ~ !
PLUMBING I/J 7 Sjq.
HEATING V I I
DO NOT OCCUpy
FINALS
A~ 1 1/.tJ J
flr 7~/2{~)
/J
~/ ,{)./~3~1
.... I r
UNTIL ABOVE 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, ~d stt.all be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Q!:tr'inrau at (Orm~tanry
CITY O~l PRIOR LAKE
1Bepartment of .uilbing 3Jnspection
~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
SINGLE FAMILY
Bldg. Permit No. 00-0191
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
. Zoning District ~l SD
Legal Description ~.. lll.. 11:lJ.RD ADm1 TO RUPBEDY R.l~
Owner of Building
Site Address 15001 APPATnoSA TRAIL HE
Contractor's Name & Address Robert Claf)t, 14906 Manitou Rd.. Prior Lake, MN
Robert D. Hutchins \1:) CityPlanner Jenni Tovar
55372
Date: .
Date:
,r
DATE
SCHEDULED / - ( ).. -a
Ilofw / u05 a./
-;1'
CONTR.
TIME
;/li
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J ~{)CJ/
OWNER
PHONE NO.
PERMIT NO.
0- 17/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~f-7INAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/J (' it~ --., . -" _'~ -....
(p~ ~~~ f6J{-tA:JJ)
~ . '
~\".:~-:'~"'--::
Y WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~~
Inspector: '\ ~~ A Owner/Contr:
~-J .
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/5(X) I f) ppc, I C!'o~~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;@(fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(~&/<C>f:-
6
DATE TIME
I r I
~O&;,+- C(c,//:::"
Q.Q - {tj/
~EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
KWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE ~ Ll 1m
INSPECTION NOTICE SCHEDULED '-1 ~~
ADDRESS \$0 I ~~ h {\...,Pl~
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ECH RI
~ ~TER HOOKUP
SEWER HOOKUP
o LUMBING FINAL
o MECH FINAL
TIME
f:JS
(Jo-()(Cfl
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COM~ENTS:(l) !(~ ~ ~ ~ ~
~~ ~ . ~ ~ r?.AAlt ~ J
~-~ ~ ~,
~. ~. ~ /)-<3 ~6<J~'
./ (~~LI
Y.J1 r=--.l
-~
Li~ tf.51 - 5~ A~T( ~
; ;~~) ,If Tt .p l'Kd ~ L(Si~
/IJI r~ \.0 r<;;:.:Jl... 9P .~ ( ,. ~ -
~ ~~ (~ ~ ~~
"'7 I~ ~ f~'
~ 1.rJ
"
fee. - J/"
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
b CORRECT WORK, CALL FORBEINSPECTION BEFORE COVERING
WI
... I
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Z,23.0 t
Z:O(L
ADDRESS
15001 APPA~oOSA ,R..~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()() -/Cf I
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
tf\'p PLUMBING FINAL
v:sJ' MECH FINAL
COMMENTsfI)) Ke.t4:/ ~ ~ crt! ~
~ ~ ~dJ~ ~~),
~~//~.J~
4J) ~~ ~! 11 'r>- ~~
~ 5:h~. ~
(5) ~ i'~ 40 ILUh. ~~ ~
(fJ~,~ ~~ ~ ~~
~~
(1) ~ ~ A.<<-. ~ ~ ,.A- ~
~ ~~ ~~ r
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULA TIO Nl
J!!. FINAL
o SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
~,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
." CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ ( Owner/Contr:
.. I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS jSOOI
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~OMMENTS:
lJ O~
(V GaD
~
SCHEDULED
A tri!; LflUs~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
^ 0 SEWER HOOKUP
I ~LUMBING FINAL
/' 0 MECH FINAL
Wt;-~
bor
~;~
TIME
It =u)
w
(J~
( "-
()--Iq(
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
"
~~
01).
lldl~h
/
/
/
o ~RKSATI
l~.~~RECT
o CORRECT L FOR REINSPECTION BEFORE COVERING
.... ..
(' )
~
Inspector: Owner/Contr:
CALLij7_989Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE QUI 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
2'~.OI ~
ADDRESS
/$00/ /:fpPA I,J}()JI't J I~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'd FINAL
to SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
()O-o~! /
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
,/'
COMMENTS: r'fJ 4 ~ ~ 11 ~
~~~,(~~~)
(;J] ~~~~ flY'.- ~ ~tD
~ . (51) 4>r5Z ~ ~ (XJ ~ ~,
@~'.I~~~~
tP~1 ~A",(~ ~~~
t'P- ~l,~~ w/o-J- ~
I
81 { / 0 I
I (
o WORK SATISFACTORY, PROCEED
14 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.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETYI