HomeMy WebLinkAboutBuilding Permit #00-0182
CITY OF PRIOR LAKE 566 1'1'11 Ai
BUILDING PERMIT, F/{,& a. t:t:L
. 22 'lnnn TEMPORARY CERTIFICATE 01=~ #- - -
QJUJ ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE RECEIVED
Permit No.
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
3.3..3/
6/YNlVaT~r
3. LEGAL DESCRIPTION'
LOT / 3 BLOCK
b /V,v ~ 1{1f'r
ADDITION
,
4. OWNER
(Name)
5. ARCHITECT
(Name)
6. BUILDER (Name)
W ~/VJIn qJV/V
)J om (JJ'
7. TYPE OF WORK Fireplace 0
New Construction V Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
1. DATE
3 - .:1:1- ;lotJu
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
,Tra ;/
Alw
1. White
2. Pink
3. Yellow
File
City
Applicant
12. NO. OF STORIES
3.
,J N'
PID;;5 -3'5 - O:lC)- 0
q//i f;or/
(Jl)-I i Z--
13. TYPE OF CONSTRUCTION
FOR ADMINISTRATIVE USE
Back
Side
Side
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Add~sJ)
I f95 r/A2.~ I>r
C~ flf/V /J1N
~ptic 0 Deck 0
Additi~ 0 Finish Attic 0
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
SURVEY
PLOT PLAN
o COPIES
1~,0C0 .C)c
o
6,5/- fD6 0" I./'ro ()
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
9. PROPERTY DIMENSIONS
Width Depth
17. COMPLETION DATE
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 con truction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building officjaf can revoke this pejit for jus use. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X .AJ ~ - /'Y5r 3-,;J;J.-.20D(")
/ / f fignature License No. Date
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ t 1 '. f Ii..... ~
Other......................................... $
Total Due, .............................. $ 5;~. 'Ik
Paid Receipt No. (
Issued ~ . .. -
Date. r\ L.f...-..llD By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning rdinan~ay proceed a 'f e . This document when
Si~: C ty I1la_nner constitutes a temporary Certificate of Zoning complian~nd allows co struction to commence. Before occupancy, a Certificate f 0 upancy must be issued.
. ~~AA. ~-2.-'t-l9tJ ~ ~ ~
City Planner' Date""- - Special Conditi~s n lny ~- -
v
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
10. CULVERT SIZE
Yes No
R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. . .. . .. . . .. . . . . . . . . . . . . . . . . . . . . . .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
~ .. $
Pressure Reducer .....ft................... $
Meter Horn... .... .... ......... ............... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
~s-.
9?(~
50.00
100.00
I Of) .06
"3~ ..bO
~~
3\"3 ,
Thirt!Pcp;n BecoJ; Your Building Permit Wh:'A~~roved.
By r ~ Date '3 'IJl7" ~oeo
Certificate of Occupancy
24 hour notice for all inspections 447-9850
FiSt;) .co
,( , no eC:Jf'\
't~. D6-
1 2~ . t!:>~
~ 1 ~(!)O .00
'100.~f'\
(]ZI-I f c-
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WEN61111Ntl
3/22/ 00
/ I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
333/ GLVNWA'ie/C 7lC
I
Accepted
Y-
Accepted With Corrections
Denied -)
Reviewed By: elf! L ~
/'
Date: 3,,2-4:[ -2.ac5Jo
Comments:
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."
tflJ - ('1 L-
Tht Ctnltr or tht laktCountry
White, - Building
Canary - Engineering
Pink - Planning'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
ttV'bN6 Ii ANN
3/2/>/00
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application forconstructionactivity which is proposed at:
..333/ GLyNMlfJ /6R- 7lC
Accepted
. Denied
./
Accepted With Corrections
Reviewed By: ,JJ&.~ ~fl~~MN
Date: '3/Z'/OD
. ,
Comments: ~ -r;. e: RtJU_OIAJS .p€A~tr Fr:Jfl 33zs &YJ'olk.l47Ol ~ hit..
.
(!OMME',..sTS: JNFDt\.MA.,ON f ~. ,qri,::JC....MEJJiS.
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 nat bevalid.1I
--"
{JU -/~Z-
The ('enter of the Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
;'
r\! [;. ~~ IV; if /\j /\)
'"7/' -''j . .... /e'" /.
...) /' ",/ / i ( )
~ G-. ,,-,. J......j
I /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'''/'>/'''7/.
~?;~5 / G'L ~//\/l Vii /l~~"/~ '-.
I
Accepted
i/
Accepted With Corrections
Denied
Reviewed By: ~. V:\~
Date:
'3 .2-~ 00
Comme ,ts:
.,~ ' . "VeJL ~~l~l~ '\ . <fD 1ltlL (,~ft~iMs tI'-
~ CA tJ. P. 1 (JAA-J .Jo/rvwd ~~;;V
~V\.~ lit ~., ~ ~
fJr0{.k9:\-ed 0VLJ-r"'0/~ ~ Y1.~ W t\ V\M
."~~ ~ 'v\Ae.p~ ~~/ k
~We!N'.~ c
V
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 ~31 G kruA t'tJ h ~
Healing conlraClo~t"'I1;t.. .;;?'t'~
Name of Tester it-< .... ( ,
Date /1- /'1 -C/o
'7
o
~
850
....
Percent 02
Percent CO
Percent C02
Stack Temp.
Combustion air is adequ~~eJ supplied per
UMC Sec. 606 Y ttr. ~
IV--~
Input
'\
APR. 5.2000 8:55AM
GENZ RYAN 6513226147
NO. 540
P.5/16
n. C"'Nr ar .... 1...... C, " ,
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Applicant:. ~"Z..- ~
Address: Ic..li~ ~ ~ -re.L-
Signature: -
legal Description: Lot l"l.. Block;'
Site Address' S~i (;'~ ~ r? , <l1.J't I \
Building Permit #I ~ 'or P1D 12 ~:.. ~all:a.
NOTE: This pennit ~ill nat be proc:essed without complete information.
FIXTURE UNITS
I. ._ File
2.GaW Qy
1. YcIJpw ~
, CO-6(~
Phone:.J.fSl - 4 "Z ~-, I \.I"-t
~"
Sub a,f\.et &2l)
.. 'J
Quantity Type of Fixture
a Bath Tub wtth or without shower
\ Dishwasher
, Floor Drain
2 Lavatory (bathroom sink)
\ Laundry Tray (1 or 2 compartment sink)
, Shower Stall
\ Sinks
'" - Bar Sink
t '.' 2- Water Closet (toilet)
Quantity
Type of Fixture
3
,
Rough-ins
Water Heater
Water Softner
\ Stand Pipe (washing machine)
Sewage Ejector.
Baddlow Assembly (API, Double Check. PVS)
Backflow Assembly Test
Lawn Sprinkler
Other
rcc SCHEDULE .
~ Industrial, Commercial & Multi..Family
(1 % of job cost. S39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
S39.50
$
$
S
$
.50
"' -:-e....
.. "":~
GRAND TOTAL
$ .
I3u /:JA./ D
~1..01'u ~/'"
IVG P I~'
~J.:.l'
. '11ltil,
.-
.". '\
i . .'
-
'This pcnnit is gnna:d UpclD the eilprcss condition that said
contractor. sbalI comply in all IUpI!C!-S with the ordirnmees
oCme StltC Plumbing Codc and the am e Di tb_~Df.
~ ~ _ RE".'I q.
APR - 5 2(XJJ
16200 Eagle CreekAv. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
AA Equal Opp~nunity Employer -
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. "
P,ior Lake, MN 55312
TYPE OF STRUCTURE
1. Pillk - Ak
t Gru. . 01,
1. Ydlow . o.ec. ~
rn
CD
:J
r+
00 'OI6~
Single Family
Commercial
Two-Femity
InduslrlaJ
MQtI-Famfty
OIl1.r
HEATING APPLICATION I PERMIT
{J- ~IJJ
Sk.Address . 333/ 61t11 t-lt:4iJ" ~
Lot BtocJ< Addilion,
Owos(sName--/!J/AVHJ"t3AII ~
Address
HeaUnoConlrador ALLIED FIRESIDE dba FIR,ESIDE CORNEl.
~d~~, 2700 N. FAIRVIEW. ROSEVILLt. MN 55113
T eleDhone' . 6 5 1 .. 633 - 2 5 6 [
P1REPLACE J I
&nIP Make 8. Mode~ ,/f/d jJ (; fA>
Model Size., ~ 750 11:.
Dale,
Com. load.
Fuel 6~
Five Size
Supply Openings ~
Aelurn Openings
Input.
Edr.,
elm.
Qulpul :J ~ tnJ
AdditiOftal inspections will be b4lled &1135.00 each. CI)
CI)
House Haa1ing Test Record musl be submitted with building ~~~ 1MlizIl before ~ ~
ing cer1ificale G' occupancy wl1l be issued. ... .
HEAT r;A,~ r,. n ATJnN~ ~F04 flRF.n with runbet' of supply .nd ..turn openlng&listed I
room with CFM's per opening. New slructures or additions Mnd ftoor plan with suppty
and relurn loca1lons ehown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY Of PRIOR lAKE. 18200 ElI:'I,r:
CREEK AVE. S.E. PRIOR LAKE, MN 5S312.
. .
U1
(])
"'U
I hereby apply lor a me ch ani eal systems permlt and I acknawledoe lhallhe 3::
lnlormalion above 1s complele and accurate; that the worll wilt be in conformanc
wlth the ordinances and codes 01 1he city and with the sl.'. building/mechanic
codes; that this form does not become a permit unlit signed by the BUtlDINI
OFFICIAL~ lhallhe work wm be in accordance with the approved plan in the
case of all worl< which requires review and approval 0' plans_'
~
.. Appll
P\iJlie
PI[) .. ,
Fee Sehedule
Industrial. Commercial & Multi-Family
Residential, Healing & AC
Residential. Healing Onty
ResldenUal. Gas FireplacB
Residential, Additions &. AJteJalions
Resldential. AC Only
Sfp'8~
A emember to add she State Surcharge on the bol1om of Ihis appica'50ri.
TYPE OF SYSTEM
Warm "'r Plants
Gravity
Mechanical
Air Conditioning c
V.n1. Sys,am <
HEATING OR POWER PLANT
Steam
Hol Waler
Radiallon
Special Devicll S
The price of your heating permit indudes one rough-in end one 'N' inspecUon.
City HaD business hours are 8 8.f1\. . 4:30 p.m.
Other O.vices
t
ALL WORK MUST DE IHSPECTED (ROUGH-IN AND FINA4 · CALL CITY HALL
TYPE OF WORK
~47-t230
Aeplacement, New Construction >rt
Repair, Esl Comp. Oatil _ 9f1fOJ
Est Cas1 $ ) 1M m Building Permit' r ()O. 0 I ~z"
, , PAlO WltFik a
HEAlING PERMIT fEE $, . BUILDiNG ,~~~r
Alerations
STA TE SURCHARGE $
TOTAl PERMIT FEES $
.50
~~(ao Dele
q ./S-. eN
Dale
Receipt'" ,
'T1
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-
....A.
MAR. 30.2000 4:59PM
GENZ RYAN 6513226147
NO. 357
P.5/7
-- .....
........ ~
~ . ..... .
CITY OF PRIOR LAKE
SEWER AND WATJ:.A PElUaT
NOm-o k:1
NOTE: Sewer and Water
contraQ~ors must
:be req1stered
with the City.
APPLICANT: &07_- ~ PHONE:J.p~I- lf2..~II~LJ
ADDRESS: lU'I U c:::; % &~'\ ,J (l.L. · DATE: 3;"?,Q I (J U
SIGNATtJRE:~ kl ~O- · BLDG. PERMIT #ao-(jl~c?
SITE ADDRESS: -C.~-~301 G.l,!,,^u.lQ.:lp~PIO# c9s"-S6S-(~q:-o
FILL IN THE BUNKS
40,
1. Estimated length of water service
I ' C
2. Size of wa~er service incb(es).
feet.
.312Wl
3_ Location ot any ccuplin;s from s~ructure
.-..,'
,feet.
;.l~__
4. Type of sewer pipe. A5S PVC X Cast Iron
5. Estimated length of sewer lin~ ~' .feet.
6. Clean out (if required), located at feet from
structure.
Thi~ aJPli:ation becomes your permit when approved. .
B~ ~. -I? I;r-~~ D~TE: ~
-~' - (-, ....
FEES:
$
$
$
35.00
..50
35.50
Sewer and water line connection permit.
Surchar'qe
TOTAL
*
Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water permits issued far new ccnstruction must be
recorded on the buildinq permit card at the ~ime ot issuance
~o insure that no duplicate sewer ~d water PAP~~I~~ are
lssued. . B.'UILO'.N'0 I:.J';~ .. ;"'T
Ii U i l-i ,;,11
*
:<.._ .,L_
DATE PAIO .
RECEIPT #
AMOUNT PAID
REC'O BY
. 4629 Dakota Sl S.E.. Prior l.aks. MInnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
AN EOUAL oPPOtri'uNI'TV F.tt4PJ rJtr'FR -
\....
o CITY OF PRIOR LAKE' to,. .)
. 16200 EsgI. Creek Av. S.E. Permit No.c6 -( ~ ~ .
PrIor uke, UN 55372
TYPE OF STRUCTURE
I. Plo '0__\ Pile
1. Grc-. ; or,
J. Y~I'" ~r C.......IIII
I.D
..-t
~ ~ . ~EATlNG APPUCAll0N I PERMIT
cL Dale A...I ~,~ PIO' ~~ ~(t; -oOR-o
~ SII8Addreu 3?>"bl G'Vl\n~O'L \/LAlL
~ L.oI I ~ Block 3 Addblon'--> - ~ AD 0
z OwntttNama ~rroJ'~ ~
Add,4lU , ,~<\ ~ ?, A~o... \J/2... ST~..20D r51o.AN ~". lL'l..
H.&IInea Conbaclor (' ~'l.- P l,lA rf"\
Adduw 'U1Uc; ~ ~~r?"l 1'""~ I.
lo~\ -4'2...~ -\\4~
TYPE OF SYSTEM
Warm AT, Plan18 'i..
Gravfty
MechanIcal
Atr Conditioning ~
Vent. S~sl.m
HCA11Na OR POWER PLANT
St.am
Hot Waler
RadIation
Spede' Device.
Tef.phone'
Furnace Make I Mod.' \ ..R-X'\~"""
MadalSlzl r??~,2. ~-~
.
Conn. Load
II
Fuel k\ Pfr r ~~u. Size 4 1!Jvt.A'fT
SuPPIr Openings I \
L-}
t'-
'V
..-t
I.D
N
N
(T)
..-t
l:2 Relum Op8ftql
~ Input"~, nno
)-
0:: .
N Edr.,
z
~ elm.
OU1put t"o.(Y"rl
OIher Devices
TYPE OF WORK
E
~ A_I ratlonl
If)
CD Repelt
~ Est. Cost'
~
~ HEATING PERMIT FEE'
If)
. STATE' SURCHARGE $
0:: .
8: TOTAtPERMITFEES $
Repiacem.nt
New Construction
Esl. Comp. Dale
Building PermM ,
Single Family
Comm erels'
)(
MuJtI-Famny
Olher
Two-Family
InduslrJal
pubnc
Fee Schbdure
1% of Job ~at ('3JiJw~.o..., ,Vi!.." , "
$89.&0 ~, ..! ';.'
.>=.i.::r;:,- --::
164.60 ~<-. ,~g. <~'.:.~
'39.&0 ~,. ,.! . i i
$39.50 ~ -
$39.50
Induslnal. Commercial & Multl-Farnllv
RuldenUal, Healing & AC
Resldentfal, Heating Only.
RuIdentlal, Ga& RrepJace
R IIldlnt'at, Adtilrons & Arterallons
AesklenllaJ. AC Onlv
R^c.c~,
- ~tt Remember 10 add Ihe State Surcharge on Ihe boItom 0' lhis appllca~lon.
APR_5-
([
The,prlce of your heating permlllncludN one rough-In end on, final tn8pecUon.
AddlllonallnspecUona wll be bled al $35.00 each.
House Healing Teal Record must be submHted wUh buirdlng IUWDI n'1rnM~ before buJId-
I"g cer1JOcale 01 occupancv win be luued.
J.t-=.T n,u ~"I .Tan~I,~ ~-=A IIR'::" wJth nWllber of IUPPIy and return openings lilted per
loom willi CFM'Ii per opening. New lllUcturee or sddJtr0l18 .end floor plan with supply
end ,elum locallons shown. HEAT lOSS CAlCULATlONS, PAYMENT AND
APPLICATIONS MAV BE MAILED TO THE cnv OF PRIOR LAKE, 16200 EAGLE
CREEK AVE_ S-E. PA'OR LAKE. MN 55372.
CIIy Hall busrneal hour. 81e B a.m.. 4:30 pm.
ALL WORK MUST BE INSPECTED (ROUGH-rN AND FINAL) · CALL can HALL
447-4230
t hal.by applv lor a mechanical syateme permit and I acknowledge Ihat "'.
InfolmaUon above Is complete Ind acculate; tha' the work wlU b. In con'ormance
with the o.dJnancel and codea of the city and w(lh Ihe alate buildIng/mechanical
codes; that Ihl. form doe. not become a permit until algned by the BUILDING
OFFICIAL: that Ihe work will be In accordance with the epproved plan In the
e8sa olaU work which requIres review and approval of plane.
Ol__ · '-lIs ~
App~ant'~ SlgnaIure ~ , . ~ . 1a1e
.. ~ -rJ; ~j,/.IL~ ~ /6ft;aJ
Bulding 0"16"'.~", I Date
()O-Ol}(~
.50
ReCfiJpl' ~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 33~ I C::l~ l ;'-a.t\
NATURE OF WORK N~ ~\..hJ)C~\~
USE OF BUILDING Sf:A
PERMIT NO. 'IJV--Of8 Z- DATE ISSUED -:s - 20( - 2.~o
CONTRACTOR W~IL&__'d'-,^- ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I~CTOR DATE
FOOTING~16'}((O'1b:. t,1/~/60. W' /1 . LJ/IJ!tfl)
. FOUNDATION (Prior to Backfill) ~~ ~ J.t-(l(~~ \th .tI1} Jj--b!l
PLACE NO CONCRETE UNTIL ABOVEMAS BEEN SIGNED
ROUGH - INS
SEWER IWAWR I SEPTIC, r;b. 'f/A:/t(J
FRAMING IIJ 9>/(P~ "'L I lfhi 1!.)S!tftJ
INSULATIOrt' a q 17/ ~ I:..,!-, jh.,' 9/~5'1~
ELECTRICAL /7 I I
PLUMBING /Z()# ~/lIl/VV
HEATING (if required) t ' L,a 6:r. '1 /?5Ic ~
FIREPLACE '" J$;:h J QP4 dZ7
GAS LINE AIR TEST M(.p. f0..' ~1!5~"
. .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-
GRADING (Prior to Sodding)
BUILDING-('c.t!.~ ~ ~ Izj~/n
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
/1/8
5'- q - 0 J
1".< \
.,J...; v QJ./J-I
~t
OCCUpy 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 approveo. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
! f/-?o} 00
1~7 /m;
BEEN 'SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS :3 33)
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULA TION
P ~INAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED :l-;;l:7 -O~
~ VI tAJak · \ (',
CONTR.
PERMIT NO.
SJO -~_
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
I~~U ~ C. 0..
d()~ -e +~ e
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ - VllMtJ Owner/Contr:
CALL 447-9850 FOR\THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSlVOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'r'2.,1. 00
Z~3<J
ADDRESS
333/ GLYNW/t'lt;;:-~ Ire.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
() - /ez-
o FOOTING A=\\ 0 PLUMBIN. G RI r--I Il
o FRAMING f):::5::) )( MECHANICAL ~
~NSULATION LO WATER HOOKUP
FINAL B c.-0{4 0 SEWER HOOKUP
o OUNDATION ,4 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo 0 SITE INSPECTION
COMMENTS: ft) ~~ ~-rl.A' ~ ~AA-IJCI
~ ~ -~ ~ c/n ,~~-'(/~, y----.-
~ ( , "
//
o EXC/GRAD/FILLlNG
o LKSHOREANETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
,~.~"
",~' T: C. 0,
"""'- ,,,, "I.
, IIIiII ,~~~; ,_' I 21JII_ ,
~/~
o WORK SATISFACTORY, PROCEED
jdCORRECT ACTION AND PROCEED
o CORRECTWOR~EINSPECTION BEFORE COVERING
Inspector: / Owner/Contr:
/
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1I-~.oDIO:3C)
OWNER
3331 9L-YN V\1A \ t:.-tZ
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
o -,6162-
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@
~ PLUMBING FINAL rT/
/0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION fND PROCEED
o CORRECT ~K\ CtLL ,FOR REINSPECTION BEFORE COVERING
Inspector: cfJ <, \ _ ~)J)) Owner/Contc
CALL 447-9850 FOR THE NElXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5 -9 -()J
ADDRESS 33 S I 61 v t1 \-lit:? It r Tr.
OWNER CONTR. Wt1?Sh1~I7t)
PHONE NO. PERMIT NO. CJO -I B L.
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
K..EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Cf/rb ,f:? (!;>;< _ - 0 K
&rt:telt'rJ c, - 6) t
J
Tree!))" AiD 5(J)d,
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /J1 ~ - Own er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI