HomeMy WebLinkAboutBuilding Permit #00-0171
~
DATE R~EIVED
3/21 00
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. 1J1) - 0 I 1-1
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
~
3. LEGAL DESCRIPTION
LOT (;J BLOCK
ADDITION _ ~ I n~. soulf>
4. OWNER (Name) . (AddreVh~A-' tU. W (Tel. No.)
~ Am ~ t'tf -K ~ Q'l'1 V () "'\ 1a.J . .:v..tJIJ
"RpPHITECT (Name) - (Address) ( '. '\. ) t,Tel. NO.). . J
_Y 1M?L:j) ~ ~J ) c...rt=)7; () q~ '-f
6. BUILDER (Name) {Addres~ _ ... S.J.. j I j." (Tel. No.) ...
3WD mcun. F.. IV.W
MkJ (lAP{ ()~ 55~-3.JDQ.
Septic 0 Deck 0 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
1. DATE
li) 11M
i./~
B,t3J,IJO
PtJo
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID 25-307- OO&",Q
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
~~ Pidr;
7. PE 0 WORK//, Fireplace 0
New ConstructionAf Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
17. COMPLETION DATE
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 official c n revo is p it for just cause. Furthermore, I hereby agree that the city official or a de~~ee ~y enter upon the property to perform need'~s~Jl'rS.
X _'fYl_ I~:).~ ~ -a tJu
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
5PP
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION J C)~c.?c9 . 00
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
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 ................................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ fifS-~~
SAC ......................................... $ ./I}' ~ r ~
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .... ~%.~............... :
Meter Horn................ .... .... .... ....... $
L{~02
Plan Check Fee............................. $
It I ~2 .'2..5'""
I ~. t!-L--
1)'1. S-O
State Surcharge ............................. $
Penalty ....................................... $
too .00
(60 .0 0
Sewer & Water Permit ...................... $ 35 , 50
e P 7h... .................. $ 40.00
Be IVVI ~vjlding Permit When.Approved.
Date '3 -"2...., - 2 t:)t:f)O
"
Plumbing Permit Fee ....................... $
Issued
Water Tap ................................... $
Builder's Deposit ............................ $ /. 50 C> , e:>O
Other ......................................... $
Total Due .............................. $ ~ 825. 7L.
Paid 7e2C- 7/ 3-7/4,~
Date '~/t / rill By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin(Ordi~'nce and may proc d as requested. This document when
sig anner constitutes a temporary Certificate of Zonil!ll~mpliance nd allows co struction to commence. Before occupancy, a Certificate of Occupancy must be issued.
5'- 2.~_- @;O . C l A LJ.I' 1<:' I ~ c::~ L\aA..J ~ .. :.,.. u.
fanner Date - ~jfany \} J ~..
~
Water Meter ................................. $ / .:2.S-Q5?
Sewer & Water Connection Fee ........... $ { . 2. 0 0 , 90
I~ ,. c!!Jl!J
Mechanical Permit Fee ..................... $
Water Tower Fee ........................... $
Certificate of Occupancy
24 hour notice for all inspections 447-9850
/.
White - Building
Canary - Engineering
Pink - Planning
Tht (tnltr of Iht takf Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
5/-/f}/~lfCGCt:::- Sf- D;;2.5 .
3/21/00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
, application for construction activity which is proposed at:
'2-SQO I.V,' LDS L-ANe
,
Accepted,
Denied
v
Accepted With Corrections
Reviewed By: JJA\.T€'Jt E~AJ:.SMA tVN
Date: 3/t.,/oc.J
Comments: SEE. ItJFottMATION ON RfvUlSE: SlOE..
~ Am\~: I. hNAl.. btlAO(' J~OAJ JAlrott"1!tr.JON z. aj'~Al\W(; PI.A,N
3. ('It. 0 S \ t) N r.oNT"Ill eLM (A S vilE' .s.
<I. r~OSlorJ COJoJ,ttDL. PLAN
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
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
5f1;:)MI<OC;::::' B '-' D/~5 ·
3/2..1/00
. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2-6QO W ILOS L-/1N6
,
Accepted
Accepted With Corrections ~
Denied
Reviewed By: G2(J ~~
,
Date: "? 2"7 - '2.0C!> 0
Comments:
~ ~l{ Qffac~ ~~~
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."
The Cenler of lhe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
5f-!I-I/L-I/<CC):::.:' B L- D/<.S .
3/21 JOG;
. .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ZCCJ9{)
1,1/// /)~
"V '_ '-" --->
L-rI N 6
Accepted
~
Accepted With Corrections
Denied
Reviewed By: /~ I~
Comments:
2-.'1 J::., /f/I..p.J<..J~ ~~ ~)1~ \fYwv
~,t!J,W Id (' ~b rfI
Date: 3" 2- q *' t.9<D
"
~~_ to F,
~~.~!
JV\~%~ t6\}~d~
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."
Sent By: PLYMOUTH PLUMBING AND HEATING; 612 5331121; May-16-00 2:51PM;
05/16/00 TUB 10~42 FAX 81244742.. CITY DF PRIOR LAKE
Page 1/2
li002
-.. . .,...
'ILLOW . "NlUaAIIT
8Ol.D . caT"
~-) I""~-""'-~'~
. I /'~, OP PRIOR LAXE
~ ISEWliR . AND WATER PERMIT
!.'tAY I
' 6 2000 NOTE :
S.W. No. J]O- 0\1'
Sewer and Water
contractors must
be r_9ist_recJ
\11th the City.
APPLICANT: ~ ~ 'Ph.Jrf\~i"B
ADDRESS:~ Wr 1tu.J\~, fiY~rk.
SIGNATU~O~ r ,
SITE ADO-;;'j;:, - ~';' q 0 'N; LQ.r.c. ~
FILL IN THE BLANKS
1. Estimated length of water serviee .~
PHONE(?ti9)5?> 3-1?lo /
DATE:~OO
BLDG. PERMIT f ~O- 0'''' I
Plot as-i>07..(JY,-Q
feet.
2. size of water service
inch(es) .
4.
Location of any couplings from structure feet.
~ I f(
Type of sewer pipe. . ASS pvc~ Cast Iron
Estimated length of SQwer line ~ feet.
J.
5.
6. Clean out (it r.equired), located at
struct.ure.
f..t
ft'Oln
-~~---~------~~~~======~======~~~-~--~---------~~--~--~~-------~--
::1jPPl1_Ca~in~~~rnit ::::: .~~:JC/t1
:::~=::~~===~==:::::-:::-:::::-::::-::::::::::-::::::~---
$ .50 Surcharqa
$ J5.50 TOTAL
* FOQ for either gawer or water individually is ~~J5D plus
s .50 surcharge.
* Sewer and water parmits issued tor new construction must be
recorded on the buildihg permit card at the ti~e of issuance
~o insure ~hat no duplicate seWer and wa~er permits are
issued. ~~~~~~
DATE PAID ~O G ~~ AMOUNT PAID
.. . t..\.\5)~ REC' D 'DV
REC'EI PT " ~ .., 10
16200 Ealle Creek Av. S.E., Prior Lake, Minnesota 55312/ Ph. (612) 447-42.30 I FAX (612) 447-4245
Aft P..qUill Opl'nrtunity Employer
/~~, CITY OF PRIOR LAKE
'~~~~'-P\ Me
~__ t.) 16200 Eagle Creek Av. S.Er Permit No. 071-("')\ ~ I
/ Prior Lake, MN 55372
/ HEATING APPLICATION I PERMIT
Date S7/1 I ():j
S:18 Address. ~ Cio {"J iftL:Y !..w-tJ-
Lot c... Block I Addition ~ \ I (\(J1
. . J
SAtttLVWcN, JffJdlA)
Own fir's Name
Address _
PJD',d,)- 301-0Ob-o
TYPE OF STRUCTURE
I P1ftk:
l_(~
J. Yc'hM
en
(l)
::J
r+
rue
ell, tD
C~"""ctor '<
Single Family
Two-Family
Industrial
MuIU-Fam.~
Other
"T1
.......
""]
CD
(J)
.......
a.
CD
(')
o
""]
::J
CD
""]
Commercial
Publ;c
Fee Schedule
~n A-~ \ 5:) h II i ~ Indus' ria I, Commeteial & Multi-Family
Residenlial. Heating & AC
Ae&idential. Heating Oflly
Aesidenlial, Gas Fireplace
A eside n.ialr Addilions & Aile rations
Residential. AC Only
Healing Co nt rador ALLIED FIRESIDE dba FIRESIDE CORNllt
Add~ess _ 2700 ~, FAIRVIRVi - B:OSBVILLE ~ Ml'l 55113
Telephone' , 65 1... 63 3 - 2 5 6 1
FIREPLACE
~ Makg & }'1odel ~n r,J ~ W
" .. --
~ot~1 Siz,- . :iL ~SV 1A;
~Conn. load.
Fuer -fr"Q.
supply Opsllings
Return Openings
Input _
Edr. .
elm.
AiteraHons
Re paii
Est. Co&l $
FluB Size
TYPE OF SYSTEM
Warm Air Plants
Graviry .
Mechanical
AI r Cond i\io ning .
Vent. System .
HEA TING OR POWER PLANT
S\eam
Hol Water
Radiation
Spacial Devices .
Olt'pul d-3;cXD
~.m
HEAriNG PERMIT FEE $
STATE SUP"YARGE $
TOTAL p\ FEES $
Olhe r Devic9s .
TYPE OF WORK
Asplacemenl .
New Canst ruclion
x~
~7iO)
.. Z'~.)Jb- 0 n I
~O
Est. Comp. Date
Recslplll .
~
1% of Jell oost{S39.50 mimmum)
$99.50 5:',
$64.50 ,..c..
--
$39.50
$39.50
$39.50
cP
~
B
Remember to add the State SUfcharge on the boltom of 1his application.
0)
111
~
The price of your heating perm" fncJudes one fD ugh-fn and OI1e final tnspeclton.
0)
w
w
AdditionallnspecUons mU be b~led at $35.00 each.
(J)
(J)
(J)
House Healing lesl Record musl be submn\ed with buildino ~rrnl' 11,,~u~r berole buUd- ..~
if19 certtlicate of occupancy will be issued.
HEAT ~ALC\~~nO~ REOUIRED with number 01 supply and return openings Ns1ed p.
room with CfM's per openil19. New structures or additions send floorp1an with supply
anrl return localions shown. HEAT lOSS CALCUlATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PA10R LAKE, '6200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
C"y HaQ business hoUls are 8 8,m.. ~:30 p.m.
.
All WORK MUST BE JNSPECTED (ROUGH-IN AND FINAL).. CAlL CITY HAll
447.., 2.30
~
lD
'<
,
~
......
I
o
o
w
w
~
"1J
~
I hereb)' apply for a mechanical systmns permit and ~ ac'<nowtedge that the
intorma1ion above is comple1e and aC'cu'ale~ thai the work wUl be in conformancB
wilh tile ordinances and codes 01 the cily and with the slallt build InglmechaniC8 I
codes: 'hat this form does not become a permU until s;gned hy the 8UIlD1NG
o FFtC IAl: thai Ihe work will be fn accordance wfth lhe approved plan In the
case 01 aU work which requires revrew and approvat of pial'S.
Lt~ '?i~ 57/7/<0
'( . _ AppRcant~nature ( .. . ,. , Da',
/1{~ -f/ t id'A,LA--:J~/a tIT)
J Buiking onrl's-Signal,,", 4 '
"1J
lD
lC
CD
-
~
. Signat .
Legal Descrip on: Lot' 0.". I .1tBlock I
Site Address:_& ~ ~ ~ L ~
Building Permit # (TO - ()l] \ ,PID * a s -~() ,.- 00&-0
NOTE: This permit will not be processed without complete information.
(MOUTH PLUMBING AND HEATING; 612 5331121;
May-16-00 2:51PM;
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: Pi l& 1I4.Q.O~ ~ L, ..... ,It, i .
Address: , ~I
tD'~t at the Lab r.:Clu"lrr
MAY I 6 2000
FIXTURE UNITS
Quantity Type of Fixture
?- Bath Tub with or without shower
\ Dishwasher
I Floor Drain
;t' 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 '0/0 of job cost, $39.50 minimum)
Residential, New C?ne & Two Family
Residential, Additions & Alterations
State Surcharge
Quantity
,
\
(
Rough-Ins
Water Heater
Water Softner
Page 2/2
J. BI\w. . Fi1~
2. Ogld en,
:J. Yc1lg.., AppUcut
PNo~OO - 0 tl/
Phon ~~. -4 ~ 7
~ 'V ,'P4J6
Sub
~ d..i.LP j ~ r<tb...
Type of Fixtu re
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Ched<. PVB)
Back1low Assembly Test
Lawn Sprinkler
/
/
$. /50
LJ
I.
Other
$99_50
$39.50
$
$
$-
GRAND TOTAL
This permit is granted upon the ~~prcss conditiora that said
contractor. shall c(ln1ply in all resp~tJ with the ordinances
of the Stat. ~I"mbing and Ih. ~Q.reof.
/ R CBJ NO.,:-) DAlE
(../ - '~Alu~.ST
6200 Eagle Creek Av. S.B.,
~; J ~C,o(L
~~~~~
~~Q 0- ~~
~(\~
~V'
Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal OpPQnuoity Employer
oe/l~/OO ~D 09:11 PAl 'lZ"'4Z~a
CITY OF PRIOR LAKE
llIao2
! ! ii J I ~~! f I ~ f Iff f I f I i f r ~~o ~
i 21 ~ . ,? J f t i Ii' I -c:: i f ~ f -:t. ~1
=i B I ~ .. t ~ ".. '" ~ I · r. ~ ~~
All,. i;- ~I;- (A ~
'" m If :., · ~ :r-- __~o 3
.. - !'.. m f ~ I . S I~ ..( Ir > ' .....t 0 a: ^
" · ...., w ~ ~ ~ 0 ::I _~
r l:) J L -' II: Z - ....
~ a . < ~ ~ ~ r Q 11<
. ~ ~ ~ --c: ~ _. r-.j r ~. ~ t" 0
I r iL ;w ~ ... f.I t tJ ~ 3 -,:- t,P -. .. ~I'."
I t P y ~:+-. it ~ ",'f."
~ -I i l ~.. -8 y~ [;P ~ !"f;l
, I - ,II I " t r I!I I Iii ~. '- tI' VJ 1 .
. ,-~" ~-II' :3 0 In
~ I ~ ;~~ 1 III ~ ;:1 ~
" !i ~' ~ ~ 2) ~ cr
J r ~ 0 ~
1"" . e:. --
a~ ill!l! ; i !llll if I! 11111.11 . (i
jtl~!lii!; I ! I i~Jl jil) i it i'! [ \
r~. !!ilil) I J ~;JJIJI: r i.i/;.. ~
lct~!!!lll ~ ~ i~~i i!!} I I I. Ijt ~
~ f'! i ~ i I i If! ; ~ II . I ~ I i I ~ .
~. t!lirllll j~ll& ,. J f! 1..": i ~
V I ". ~ riB I ili il . 1 i Iii l!ll!l II!: J ~ i
t~ i~ i~fii ~ ~II' f \. I I ,~:)II: I
~ 0 iill f ~ Iii II r. i I ,'" I:,'.r.~! I
p G1!,. 1'. i . J
,:::j
f
I'
..
. ,
f ;; i
ii'
I
! I
I \~_.
'- ----
2:0 39~d
N~H:J3~ ~I~
669tPEP2:t9 62::60 02:02:/Pt/90
~ ~ I i II ' 'Jt II ~ W ! I f~ II f t~. i ~CI'fg;:
i C:;a- il 'r i i t i I I ,-C:: f f I ~ ~j
~ ~ ill . .; i i ~ (j)~"..c: . r - 1.
i!ll~ -' - -1-= ~. ~
"'=.-;. ll'1 I ~.;~~; f~ f ~g~ -~~
f1 "t' U .... · -C to. - I ; 1:< \
J .~..c: ~ ~ t- ~ f ~ ; -' t ~ I 0
~" r il ! ~ . ~ ~ J ~ ~ 3 :~ ~ ti J! i
..,
~
-
.1
f i 1 ~~ r-". ~ 6 .. pit
" .1 !II: I. - ....~ ~ "\'" - 1 SI I" ~
ill "t rl ~ i a" ~....... ,_'f~. ~ i ·
" -;J-f' ~ I II' .~ J n
~ ~tt..~ 1= ~ 't- ,.~ ,
! ~r~i ~ il ~ ~ ~ ~ ~
,J r ,. ~ 0 ~ ;
r ~ -.J 1
Q.. i~i'ir ~ialll'llr r 111'11-. ['
. ~' ~a-. i,!l I i ~ II. i 'i." t
~ &~ i ~.. ~ !. If. I. . . . J ~ . J: '. i
\ 8' i, I 1 I i ~ · ! J ! I \.
fqJ i;~U'i J ; ! lilJI Jf ,I i ~~i3~-
lN~ill!!111 i !!~il I! i I f ,- I. If .~
'r]~!Liii I f ~~nl. (i i I ; I' J ~,
~ ~ : -11-"1 i I! ~ ~ ~ IL I J i I !
,. :J I I.. i . J t. ." i I I .L' fA. t! M I It ~ \t ~
\.. I ! i ~ h ; J I . :. II. II ill !II. 11 ~ ~ ~
iSo-iii! '! i a i. J I!ll!ll!lll!:l ~
{\\ G' li!!!1 · q ~lli I . l I "{,'1 l ,...,..
itit i!fii ! ~ill' j.? ~ it , j ~!~
~ ,0 i i I ! i F= ~ I f I I I f R I
06/16/2020 09:29 612434169~
08/14/00 lED 08:ZI FAl '124~'~Z'1
AIR MEeHAN
CIT~ 0' PRIOR LAD
PAGE 01
liIIooz
I
..
.' f II' :~
~ -J
~~ - '\
3:
\,r .
..--
.
'<
S\
-
14
:II
$)
..
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS :28 ["'0 1.0,'(k ~
NATURE OF WORK AJ.12k) (lO'X-~l.J..vd-I'~
USE OF BUILDING Sf=:-0
PERMIT NO. Ou- t1Ll-I DATE ISSUED 3 -:>J1- ~
CONTRACTOR ~~ ~~~ JS(~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DATEf
FOOTING 10 I 24 tJ/)
. FOUNDATION (Prior to Backfill) /?A-. \ . 6/I/tJo:
PLACE NO CONCRETE UNTIL A'BOVEvHAS BEEN SIGNED
ROUGH -~S, ,
. if f'/fffl
INSULATION (L '- //11/11 ',y
ELECTRICAL 'rOt f; v
PLUMBING I (1. s-/;,q / ~ a J.lvko
HEATING (if required) trb f) J~/(,IO 1/ f7f, · ~/tlbf)
FIREPLACE ~ ~,~/'lit)1 {/'. I .
GAS L1NE,AIR TEST~f1:t. MZ./'D . f}r, ~/r,,/~ v;iJt'~.~j ~, ~(I'/~()
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~- 1lr-
SEWER I WATER I SEPTIC
FRAMING
\
~ l~~~
J
GRADING (Prior to Sodding)
BUILDING ~ TO ".,. i~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
-1115
d. - j--o~
(/ft~~
UNTIL ABOVE HAS
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 ~ear main entrance.
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
-~"
~?
~PPLIANCE
PERFORMANCE TEST
Locate near the furnace manual
LP Gas Natural Gas 'X.
d / -
Job Address f)....~q 0 W, \/ C;
Heating Contractor fl. (~'" f\ 1 -t!.' C ~
Name of Tester 9 #:~.
Date //~,f1~ I,oc> RM.
" /
Percent O2 7.3
Percent co. (!) t 0
'-TlO
Percent cO2 I.
Stack Temp. 3 cA. q
Pressure ~,~
White - City Copy Tag - Site Copy
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
II-lO
ADDRESS
75CfO w;/~s ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
CO-/7 I
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
Sod Ir/"c.~ 's /M
, fir)
\:..Y
I
/ 10c,,- f:-(Gt,
L-,./t - -
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: If;!? / 1- J-, J- r>>- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTl
DATE
#
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Q ~ 0 ()J ,Jol..!
OWNER
CONTR.
TIME
~ :60
PHONE NO.
PERMIT NO. ~ ().- 0 1 7...J
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ^ Jta
"i' FINAL 'B L D~ (v"
/0' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~SE R HOOKUP
DUMBING FINAL
CH FINAL A
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~
C-.().
tv q-
Inspectc.r:
--..
----------
~)
INSNOTI
REQ lREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
-
~ -0' -Ol- fJ 1'1.
ADDRESS
;)890 W('l~
__I/J'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OO-()/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
o PLUMBING FINAL
o MECH FINAL
ifEXI~/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~ul\.~ &~-t9K.
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~wner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~
IJ.J J ,:,t/5 La Y}L,-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ 1I.ECH RI
o FRAMING Dr ~V!..A TER HOOKUP
o INSULATION . t\ ~SEWER HOOKUP
o FINAL tJA -l;L PLUMBING FINAL
o SITE INSPECTION ,2I'.MECH FINAL ~
COMME~T~ _
1-0 ( ~ ~ 40 Y'lf(.",
tL~ lU()(f- ~ CL~ - t'lo
)'Jo u ~ J'
J l~7 (JtI'
i r
TIME
Jt ; to
0-/7 f
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~11
-Yc..J. \"' ~ _
~ ~ \. -avL ~.o bl< "I~ Gv-t:ttk.
~ &1v~ .r 11
&o~ (~er-e * ~ CA..0U
bNWJO ~1fe v~
~~ ~~,f~
( U ~ --trW f-o
~ 1~~~cJ ~
~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PR~ ~
~ WORK, CALL FO~NSPECTION ~ORE COVERING
Inspector: ~ Owner/Contr:
CALL 44/9850 ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~ENTS ARE FOR YOUR PEU HEALTH & SAFEn:! I
U<<NOTJ w:- .;1LYl-117
C C<.A- ;{
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -? f?Y ~ /J
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
Zl2S~ re/(){)
WI L LJ..5
CONTR.
PERMIT NO.
00 po Of 7/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)( MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: J CY-SItr-
{ .
Je51
o 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.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE II I 1._
INSPECTION NOTICE SCHEDULED '1t 6l1,l1lJJ Lt j 00
ADDRESS ~g90 W~ L~
OWNER CONTR.
PHONE NO.
PERMIT NO.
rro - O\~ )
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
AJ' 0 WATER HOOKUP
....1 0 SEWERHOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
AOMMENTS: \ ... r /'\
&j, T'1\.7>\,J) V)i<'l~) +CwJJlf-
~ ~ +I\Y~~A<, --l~
'()~ ~~~ f}(w: cONCuI'Y\ (.M'~ ~
\L ,# \.J~~
S.)~~Wtf~ S"-C\
,
N~
v
(; A i1J r1
u~~
6},.-1 .-/
~
V iT
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
8 ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI