HomeMy WebLinkAboutBuilding Permit #00-0204
CITV OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PER"-"I'r
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all.
OIREC'fIONS
SPAces NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSU50 (~Iefi!le Print or Type and sign at bottom)
~. SITE ADDRESS
/~~/'l
lv, / DJ
~. LEGAL DESCRIPTION
~
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P~~A W.!!.::1
/
LOT
BLOCK
ci2 n tJ.
ADDITION
4. OWNER
(Name)
(Address)
1. DATE
34~_._
PUO
PID 25-3Z3-{)O(P~-O
(leI. No.)
5. \J;\elll I !,'" (Name) , I _.~ ~AddreSQ}~~:--; (iet No.)
c.oN~..jC)~ (tPr,,,,. '" O~D" '1.')"40
b. BUILDER (N:.'lme) (AddrlilSs) (Tel No.)
7~LOR~~;[;::; ~-;f!:*' ~~ E:!.~ o~?S-/f1
New Construction 0 AlteratIonS rI Addition 0 FInish Attic 0 Re.$idin~ CJ ~Inlsh Basement d
Chlmne~' Cl MIsc.
~White
2. Pink
3. Y~.l\ow
I';"~
City
^ppli~Mt
Permit No.1JO ,c!Z(4-
BUILDING INFORMATION
11. size o~ STRUCTURE
(HeIQht) (Width) (OvPth)
1? f',lO.OFS~S
13. 1YPE OF CONSTRUCTION
rr~,t( 4:-
, 1. FLOOR AREA APPORTIONMENi USE
15. NUMBE~ OF OCCUP~ OR SEATS
OCCUPANTS_~ .-
SEATS
16. ~OJ!;CT COSTNALUE
o!~ (JVV
B. PROPERiY AREA OR ACRes 9. PROPERTY DIMENSIONS 10. CULVERT S.IZE V ii, COMPLETION DATE
SQ. Ft Width Depth Yes No ^ 7- :J 1- 0-0
I herebY certIfy thet I have ~'~hBd' IOtmratl n. this application which is to the best of my knowledge Irue .and correct.. I also -;-rti~th~t 1 am the ow;;;r aUlhOrlZEl.d ag~nl JOt -
the ebO\'13 :nentioMd prop . nd ~t II ction wiil conform to all existing state and lo~llaws and will procBl!}d In accorlj~nco wl1h submitted plans. I am ,aware that the
bulld1fi9 official can f!?voka' I ~ J use. Furthermore, I hereby agree that 1M Clly offIcial o~a desl n e m?LY ter upon the property to perform needed inSPQctions.
X/'/ r 3 ~/-v v
( ,I ij . --- -- L7;~':;;'CJ N~-__d -..-- -- D~19
.~
,-/ FOR ADM1NISTRATIVE USE
SETBACKS: R~quired
Actufl!
Front
B~ek
aUILOING DEPARTMENT VALUATION
Side
S,dQ
USE OF BUILDING
~[~
OFF STREeT ~AI=lKING
SPACES REO.
SPACES ON PLAN
P~RM1T VALUATION
TYPE OF CONSTPUCTICN: I II III IV V
OCCl.lpancyGrour A B. E F HIM R S U
Oill'slQn I :2 3 4
Perrnil Fe\;) ....... ...... ............. ......... $--Li S I z... ~ S-
Plan Check FM ............................. $ _jB2 .9 ~
State SurCharge ............................. $ U2. ~Q
Penalty ....................................... $
Plumbing F'em'lt F'ee ....................... $
Mechanical Permit Fe/;) ..................... $
} (;e> . crt>
(, 1)0 - ec>
~S. ty6 .
q () ,oiL
Sewer & Water F'sl'TT1lt ....................., $
g Permll Wh.fiIP~~
Dele 8"~-~
~_~~CZQ_=-ro~_-.-
MATERIAL FILED WITH APPLICATION
SOIL TESTS
Cl ENERGY DATA
I:)
PILING LOGS " PERCOLATION TESTS 0
PlANS & SPECS 0 SETS
SURVEY
Fl.OT PLAN
;:J
(j
COPIES
Am0unt ~rou-:;h~ FrvV:8rd ..."............. S
F<lt1l' ~lIrwor1. F"r;e ........................... $ as-C. c::::c:J
SAC ................... .--. ....... ........... $-J..,.L.L:>O "OD
Collecfl\ie S\fPl=lt res ....................... C;;,
City:
$Av/grl;:\P .... ............................. $
" $
Pressure ReouGsr ./....... .........., .... :)
MeIer Horn ................................... $
1~
\J 1 00
tt \
"V .00
Water M'3ter ..............._..........,...... $...." 2 $'"'0. 00
Sewer & Wettj( conn~)Ctlon Fl'le ........... $ " :l C2 Fl ...t:J{j
I Of) ,t!)O
WatN Tower Fee ........................... $
,A. 'hr:\ur rv11ir:.o i,.,.,.. ~H .~-'Ir;;r:t-,...l;~'11''; I\J\.7.1:.\~)C'
Water Tap ................................... $
Builders Deposit ..........................., $J: ~OO · ~
Olher ......................................... $
Cef1lflc:ale of Occupancy paf ~')D~fS37j r~~~~;~;~o$ Ar:;.~ I
~sl)e(.~ . A -
Oat~ L-l Y L ^~t;50 By
, Is to c~rofy tl',~t ~t;e request in lM above application al'Id accompanying doeuments j~ in accordance with Ihe City ZOr'l/;t~rd-::t~p. and may pr~~eo 8$
the 1 Pla1'\i":~r con~ltutes a \~mporary Certifl9:e ~ z~o~comp\lance and allows CO~lruct!on t~ CO~Y'jnce. B1c:.81.0 OCCCClJlJ.~ 03n~c.y. a Certifltato 010
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t..ilV ?\8n"~r - - 'Da\~ SP"C'~I i_ ('"d'l,']"" " fl. l
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White - Building
Canary - Engineering
Pink - Planning
The Centef of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Jill!
I
Jof/NS()/\/ (;LiSTZ~/V; fIo;v/6S
3/22/00
/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
C application for construction activity which is proposed at:
/52/9"
PK t;VL/
I
? V / t.-.D 5
Accepted
Accepted With Corrections
./
Denied
Reviewed By: J,J141-'I'ttt b.,1IF-",...AAlAJ
Date: '-lIs/of)
Comments: CONS-rIt\J(Tl0N "(J.w.~~(S S~o~Lh ~AJrE:A. -rt:IlS ,"~r ..c-Il.o..... -r...lE
cJc..... DF-- SAC. AN~ N"r 1AJ1&.~ PtctR.~\A.1A't'.
SEE 'N~A.M.A"'I)N ON -r,.(E"
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x:
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~i:. .4rMc.H-"bIT~ ; I hAlt'lL ~-A..,q~ /AlsP€c"1it!u..J_JA1F"a~tfOoAJ 2 ~.qouut. RI4A.1
3- f:'A,s,oAl CO,.,J'-AOL.. ri1U1s.v~ ~
'I-. €ItD1.'O A..J C. />.JT/to '- RM I
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."
~
DJ -0 lDLY
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lab Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST.
NAME OF APPLICANT
APPLICATION RECEIVED
JAv JoflrJ.50N Cu-s/O/"1 1/01'165
I 3/ZVOO
/ /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/57/9
W/~05 PKWv'
I
Accepted
Accepted With Corrections X
Denied _
Reviewed By: ~~
Comments:
J. Rea& a.\ \ OJtd~~ ~~c1ou~~
2, Maf'vJu~V\. O~ Q",^-\to {
.1. p.
"3. (2-) 2~ 1-re.-e.....;IA ~ ~~teJ(.~ Si~j~
Z~l' 4e~~ L'-^w ~ +~~u.nQ r;~ ~
\oJ
Date:
3-~8-~
OM-cJl ( c)
'- ~
C\.p~ro~ l.'s-t \
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. II
.~
Db - aZl)}
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I
\./
('
\-a.-....
.-/ /
.I
APPLICATION RECEIVED
. (';
(
,
The Building, Engineering, and Planning Depgff~ents have reviewed the building permit
application for construction activity which is proposed at:
-....... .....( .'.;:.;,.;/.....~.
Ii ie, ..,/ 1/ (;. /'
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Accepted
Accepted With Corrections
,/
Denied
Reviewed BY:~'~~
(/
Date:
LJ-5-~
Comments:
2-t..-{ Fr ~~ <1~~ uJ~~ ft~
.JJr~~ Jv\e...- J- ~v ~I D -W Th CAvv6.
I.
f~~w<..- ~ W\IA ~ ~v~ee\ ~O
~e>yJ~ .~.~" ~ep.v-. ~ (\lvte..~f P~iQ .
~ 0LM 'til ~4b--.J_ ~()'" .2b~<P
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."
r
Date. lOb 00
Site Address 15CJ \ 9
Lot
Block
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. 00 I 0 z,o~
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
PID # 2,<:- 32,3 - (OCo-O
w; \d~ ~Awa...
f
Addition
Owner's Name Je'1 0u\"~ 5tl~ C(........to~ Ha ~~
Address
Heating Contractor . 1Lt. f;Y~Q c~ ~~-r
Address \d'-\(n Q ua, -u.k f3 (",.I~
Telephone # -f1:+-Sl-J6"') 7e,'7
Furnace Make & Model MQ\e~'~ 3lOf>QVAAtJ AIR CONDITIONER' UNITS CANNOT
- ENCROACH INTO SIDEYARD SETBACKS.
Model Size 3 G ~r
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
Alterations
Repair
TYPE OF SYSTEM
Warm Air Plants
J Gravity
J..{"' 1" Chce,f,rv'...'rMechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
TYPE OF WORK
Replacement New Construction
^
Est. Comp. Date
J 000 ~
Building Permit #
00. o~4--
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
PAID VV1TH
BUILDING PERMIT
Receipt #
TYPE OF STRUCTURE
1. Pink File
2. Green City
3. Yellow Contractor
Single Family
Commercial
v-
Multi-Family
Other
Two-Family _
Industrial
Public
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
$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 buildina 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
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
OFFICfJ. . ;., hat the work will be in accorda..nce with the approved plan in the
case of all or which requires review and approval of plans.
--.
. -:.---,-;; ) I r.
- ~~ o~\vO
ApplicJl s/.)i re . Date
lb. (p.()(J
Date
06/29/00 THlT 13:14 FAX 6124474245
filII' (:...111'I' "I 1,", ukII' CD.nll')'
Quantity
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CITY OF PRIOR LAKE
r4I 004
. .. ... CITY OF PFUOR LAKE .. ~;.. .. E.....
, . ' PLUMBING PERMIT; PPNo. 02J.,Oz'O~
. APPllcant:.&..I.uM-<-r ~~. Phone:~- ~-~7
:~~~t:%~/~'JtJ'i .. . .... -
L~gal Des~~t~. ~. .B~~ 1 A / _, f';UP..a ~j.dI!J- ~ M /?
Site Address: /~/9 b~ ~L~ ~.~
:,::',.Building Permit # . z;o,~ ' I PID *,,' at;J- .Jl;.3 -00' --0
:' NOTE: This pe~it will not b~ processed without complete information. '.
FIXTURE UNITS
"H":: Quantity .
3
I
. .,' /
"
'. Sinks.j '::'"
. Bar Sink
Water ,Closet (toilet) .'
, Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
. lavatorY (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall .,.'
.., I ' :. I';':,' . ~'
FEI: SCHEDULE
I I' ,',
" .
I"
. .
'" . Ir,dustriall. C~mmercjal & Multi-Family
(1 % of job cost,' .$39.50 minimum)
. Residenti~l, New One & Two Family
Reside~tl~~J, ~d~.~ions ~ Alterations
$99.50
$39.50 .
',. I . I'.
'. I .'::.:....., State Surc:;harg~ ..., ,
. ' . .. I. I " .
I. . . , '" '
',' this permit is gr . ed ,up ri the express eondilion that said.: '.
conlt'aeto. r, sha ly. all te5pec. ts, Wi~e ordinances"
of the Stale P . i .. . and the it'1 . hIS then:of.
'. . .' . NO. ~,~ATE. ",,'.
16200 Eagl~ O~k Av. S.E. :::~t~~::::7: Ih;:~~: :::~~::o IFAX (61:) .~:4J5.
" . . An Equal Opport~nity Employer ' r J. . "1 ,", . ' : 1 :' ., . .'
'j! ',.
. "',I.. '
GRAND TOTAL
. , .
, , " .' ,\
; ',(' ;": ,",'
Type of Fixture'.,",
Rough.ins . .. .
Water Heater
Water Softner ,.,
, Stand Pipe (washing machine)
Sewage Ejector
, Bac;kftow Assembly (APZ, Double' Check, PVB)
Backflow, Assembly Test "~
Lawn Sptinkler ' .
Other
I':.':!"
'$
$
$
$. .. '. .50:'.,':,.,: '''', :'';::,'.
'. . PAJDWITH' 't,
eIm.oiNG hnMrr .,
$.
. .
, ,.
'... ..
, ""~,
,06/29/00 THU 13:19 FAX 6124474245
CITY OF PRIOR LAKE
~001
&~
~Nf.~
QUU . '...~
YELLOW. AP....tcA..,.
GOI.D-CIT~
CITY OF PRIOR LAKE NO. 00- 204---
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICAN~:~~' PHONE: ~-7~-#!(J7
ADDRESS:/54' ~ ~ ~. DATE: ~~
SIGNATUR~ ~ I(L:'. ,,~1DG. PERMIT # zc4-
SITE ADDRESS: O~'l fj4,a~tM.D# 2~ -37.-l_-f)Vb-D
FILL IN THE B
~ ""
1. Estimated length of water service ~' feet.
II'
2. Size of water service_ inch(es).
3. Location of any couplings from structure p~
4. Type of sewer pipe. ABS pvc-l< Cast Iron
5. Estimated length of sewer line ~;; feet.
6. Clean out (if required); located at ~
structure.
feet.
feet
from
Thisapplicati
BY
--~~~~~~~~~======~-~=~~~~====~--;;=
permit when appro~.e . /
DATE: /fIV"_
I
=~~~~~~~~~==~ ~==~==============w~_==~~~~~~======_~~=~~~======;;~=
FEES:
$
S
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
. )
I
*
Fee for either sewer or water individually is $tl.5o plus
$ .50 surcharge.
* Sewer and water permits issued for ne~ construction must be
recorded on the buildin~ permit card at the time of issuance
to insure that no dupllcate sewer and water permits are
issued.
DATE PAID
RECEIPT #
AMOUNT PAID
REC~D BY PAlDWITM-
BUILDING PERMIT
4629 Dakota St. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 .. I Fax (612) 447-4245
f\N EQUAt OPPORTUNITY ~(VfPI..c)YF.R
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J.C;a\9 W ,\cl.~ -R..tk~~
NATURE OF WORK- ~ ~f;~~ud,~\J
USE OF BUILDING -S_F..(J
PERMIT NO. '{JQ ~- 02-04-- DATE ISSUED ... (' - ;(B-:2CO<3
CONTRACTOR ~~ -:\r\~~ Q\.L<:;.~ l~~
NOTE: THIS IS NOT"APERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~~R 4 ~ A/ r~~ /'
FOOTING (1"\ f/6( Aft)
FOUNDATION (Prior to Backfill) /.~. \, 6~';)~a
PLACE NO CONCRETE UNTil ABOVE HAS BEe'N SIGNED
ROUGH - INS
tit~ 7/7/N
,~ ~~~on' l~
~ ~!'~oU
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR rEST
~\~~
~ 'ff/l/Ufib
, .
~\/'\w
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~MiD
GRADING (Prior to Sodding)
BUilDING
ELECTRICAL
PLUMBING
HEATING
FINALS
;}.~
1>- ~: \1 r1 '11:-.0 \
DO NOT
h
~\.
OCCUpy UNTil ABOVE
NOTICE
I
/ I /g/ rn
It ',1 v no
HAS BEEN SIGNED
7-3/-0/
This card must be posted near an er~ctri:c~J 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
)0-/-1 /4,;/
/IJdi& /p~
- /
o-~'I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ti ;< 19
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
S V-r
COMMENTS:
:::t:~u e.-- C-"O l
C- O~-e.- r;te,
DATE TIME
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~' C ,LL FOR REINSPECTION BEFORE COVERING
Inspector: _ t ~ Owner/Contr:
CALL 447-9850 FOR THE JeXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
IS 7/u]
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
15~/q WJIJJ~
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:
&,rqd/~ C) K.
~ 13A.X' - 01<,
DATE
TIME
7-3/-DI I11YJ
P IL VY
~ ,II J;, hn-5(,'9 4 Lv.<f-QLL.I-b~
&0 -~o'i
~E~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
:i( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
'nspecto$~k uwner/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 SCHEDULED r.~()O /:/5
ADDRESS 152-/9 WILDS p/C wv
/
OWNER CONTR.
PHONE NO. PERMIT NO. - 204-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:(}:) f11J11/lr:; ~ .t1 ~ ~A__~
~'" ~ ~ r-'--'
Pt?- ~ ~ th-- ,~I
.e~ ~ ~ <;a~
(f}).-fJ~[~ ~ ~ ~~
.:/;D ~ ;Pta "
@K~~~ ;
o FOOTING ~ 0 PLUMBING RI
o FOUNDATION ~ECH RI
o FRAMING WA TER HOOKUP
o INSULATION EWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
IT L1 '\1 L ~ ."A...,'
ctr ~J ,t' "" If '"
... T'J1U ~ I ~,,~.. - ~
t1V :t ~ ~ f~- trL
~l "qdr ~'~ I'(/~ - 5~
1. ~ ~ tfi.--
o WORK SATISFACTORY, PROCEED
'J!1CORRECT ACTION AND PROCEED
/ 0 CORREC~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 & SAFETYI
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I 5 ~/ t'::}
tV ILtJ S
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
o MECH FINAL
COMMENTS@ ~
fCo-7f/
u
DATE TIME
~~ ?/5'6
y:Jj~VJ ((
J
(J-~CJ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
}f CORRECT ACTION AND PROCEED p~ ~ · ,,- ~
o CORRECT WOf)' CALL FOR REINSP;CTlON ;EFdle COVERING
Inspector: r;r:n Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
OAr TIME
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00-;2.D4
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/ 5~ J CJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
j((FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Ji(MECH FINAL
COMME, N.!S:+o
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1"'\ ., (/<. L~' \
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IC V\\r , C, {j, ~V\h
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- boa. (-tll\
,....
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
c;~~j-Dl
~.;; ,~~ '
- ,~f;,rJ''''
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, eALL FOR REINSPECTION BEFORE COVERING
/'7 " .
Inspector: b J ClAM Owner/Contr:
CALL 447-9850 FOR ThE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl