HomeMy WebLinkAboutBuilding Permit #00-0214
.---'
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DATE RECEIVED 1_ ' \ \
_.- !
..
CITY OF PRIOR LAK~, .
BUILDING PERMIT, I, ; ., _'=..
tEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
j".,....
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
lb
1. DATE
1-- 3- {Jf}
LOT
ADDITION
4. OWNER~ (N",)
<. V ~ c.... "" cia: - i:-&...
5. ARCHITECT (Name) C) ..
~ I jf;"rt~ ~ 7;)e-f,' ."r
6. BUILDER
el. No.)
(,/:;.. il II
(Tel. No.)
9'1 'l~1 0
(Tel. No.)
(Na,:/\ tddreSS)
(' add;j€rl Uf/6.,. 1!a)/V-.J :::J;&"
l ~/;.) ];J..3 ~R.Jt.
7. TYPE OF WORK
New Construction )(
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. / 'f-t)(> fI
Septic 0
Addition 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Fireplace 0
Alterations 0
Deck 0
Finish Attic 0
9. PROPERTY DIMENSIONS
Width ~ Depth / 6 d
1 O. CULVERT SIZE
Yes No
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
Cfl-o ?"/4--
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
. I .!
12. NO. OF STORIES
2
13. TYPj: OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS I
SEATS
16. PROJECT COSTNALUE
..3 (J (J ~ ()-f)
17. COMP[ETION DATE
9-1- 00
ished 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
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
s permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
/3tr ~-3-ad
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side.
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
.6r'O
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
MATERIAL FILED WITH APPLICA nON
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
85"0.08
'f' l)" .t!) 0
Collective Street Fee ....................... $
Sewer Tap ..................... .............. $
Pressure Reducer ...fll..~~.......... : 70tjJJij
Meter Hom ................................... $ f&
Water Meter ................................. ~z;;l)., (!t!\ ~~
Sewer & Water Connection Fee ........... $ I t 200 · 00
7tJO .o~
Permit Fee ................................... $
1,8a~.~
't 2. ;l(". 1/
I SO.(JQ
Plan Check Fee.... ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
I 00 . C> 0
100.06
3S.~
C{ 0 .C)C)
totf;v
4')111
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
. . g perm~en APPro~d.
Date -/0.. ~
Issued
24 hour notice for all inspections 447-9850
I, ~O{) .00
(fU ,~( ~
ThE' CE'ntE'r of thE' LakE' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CAJDDI GI1A.!
4-/3/00
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlic/5/ hn;ruct;V ~t~tDhicDS U~;: at:7E- AI 0J
Accepted
Accepted With Corrections ~
Denied -A7i
Reviewed BY:~t~ Date: 1'-/a- 2a:::o
Comments:
'1 ~ all a~~ h~~
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."
- -- ---~-- ._~---._--._-----_._-_._._--~
'"
()o -0 Z /4-
White - Building
Canary - Engineering
Pink - Planning
The Center of Ihe Lake Counlry
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/:. ( ! / ) J . i f~ f.'J. N1
'../ '.-' L- .U I ,...,
4[3/0()
I I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicati~~~o~ constructi,on acti~itY ~hiCh is proposed at: IV ;.J
/ :J / (;. I l' \J (: L; U Lj (j (: K::-- !'1:::',.. l'vi V
Accepted V"
Accepted With Corrections
Denied
Reviewed By:
Comments:
_fNAL(V\AMM. ~ f~ u ~ t;J k!'ll-t (4 2- t-{ F'\ ~
-fY~ A-~11 ~V\e ~ 1Jvwvt v:t, () · w 10 Cuvb,
Date:
~-{Ort9V
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
~~'=~.
.~~
~-
(7(J -()2/4-
if l "U'f' ~,t tf'\< t ....'C" '" 'iI..,.~"",
. White - BUilding
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLIGA_UUN Utf'AH l"'[NT CHECKLIST'
(..(/OL)/ G~JJ
/ L
4-/3 ()O
I I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .." 'J
/5/6/ rvoOO [)U~t::- rr Nt;
Accepted
./
Accepted With Corrections
Denied
Reviewed By: JJAc..TE./l Et-4ft.ESMAIJN
Date: Y./'O/()()
I .-
Comments: SEE. WF()~Arlo,.J ~AJ J....E Rr:JEASE .5, nE
se:E. ArrAlt-\MUJU: I; r:;~AL, CttIJDf:.. lAJs'I'E:.crloN IAlF'ottttfrttnOAJ 2
~AQ"J6 R.4A1
'3 .&0$ Ib~ CoNrn. oc... MOlsuctt:s
'f. &'oS,DI\J CQJJTltot.- Pi./f"-'
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."
--------------
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- --~.....---~ --
---~----
-- -....------------
Job Address ./576',/ ~
Heating Contractor /I~
'" Name of Tester I/~~
Date % ; pl, ..c>o
Percent O2 ~/
Percent CO2 ?01
.... /~~.
Stack Tamp.
..
/
CITY OF PRIOR LAKE
PLUMBING PERMIT
e...
I. Blue
2. Gold
3. Yellow
File
City
Applicant
JUN"'6.
Signature: ~
Legal Descripti : Lot ~~ Sub (A) " \J~ ~ . At1'li
Site Address: ,-~/u,IWrJ~d Jr~ .
Building Permit # 00 - OaL4 PID # tQS- - 337-03~~
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
PPNO.~
Phone: M-f2.QQj
.e- .
Thr Crnlrr or Ihr Lakr Counlry
Applicant:
Address:
Quantity Type of Fixture Quantity Type of Fixture
~ Bath Tub with or without shower / Rough-ins
I Dishwasher I Water Heater
/ Floor Drain Water Softner
S- Lavatory (bathroom sink) Stand Pipe (washing machine)
/ Laundry Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
/ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
-~ Water Closet (toilet) Other
FEE SCHEDULE
GRAND TOTAL
~~
---
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
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code an e ame . me ts thereof.
ECEI N.
16200 Eagle Creek Av. S.E. Prtet Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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Alel.ions
Repair _
Est. Cost. ~
HEATING PEP.MrT FEE I
STATE SURCHARGE 1
TOTAL PERMIT FEES .
Receipt .
TYPE OF WORK
Rephlcemem New Construdion
Est. Comp. Oat.
- P,rma .
00- O~l
pr.JO \N'1H
6\)\\J)\tolG f'ERNI\i
I ~reby apply 'or a mechanical systems permit and I acknowledge tha' the
in1onnation above is complet. and accurat.; that the work wnr be in conformance
weth the ordinances and cod.s of thl city and with the state buifding/mechanrcaJ
codes; that th;s form does not become a permit untiJ signed by the BUILDING
OFFICIAL; that the wor. wit in accordance w.fh the approved plan in the
case of work which, review and approvat of plans.
Date
SIa Addreu
LaI 3;l BJod( -L. Addition
OwnefaN8ma ~ I~
Addr_ -+ __ . ,;
H.ltlng Cont,actor ~
Addrell~
Telephone t Cflf-l) 31
Furnace Mak, & Mocf..linOo~
Model Size JDO I O(){)
Conn. load
Fuel ~Aue S-IZI 51/
Supply Openings I r
Ret\Im Openinp q
InpUl }OOlJlXJ Output
Ed,.
am.
TYPE OF SVmM
Warm AJr Pia,. _
G,.w,
Mechanicar
~ CondiUoning I.t.
V./II. Spa.m _
HEA11NG OR POWER PLANT
Steam _
Hot Water _
Radialion _
Special Devices
Other Devices
/
cay Hili businasa hours .,. . a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (AOUGH-JN AND ANAL) . CALL CfTY HALL
"7.1150
The pric. 01 YO" heating permit includes one ~in Ind one final inspection.
Additional inspections will be bihd at 135.00 each.
House Heating Tesl Record mull be aubmilted wfth IIi1diJg RID!iS ~ before build-
ing certificate 0' occupancy will be issued.
J:IE6t CAlCULATIONS REQUIRED wlh number 01 supply MIl 18Iurn openings listed per
room with CFM'. per opening. New structures or adcIIions send floor plan with IUppiv
and return locations shown. HEAT lOSS CALCULATIONS, PAYMeNT AND
APPlICATIONS MAY BE MAILED TO THE erTY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE. MN 55372.
Remember to add the Slate SUlCharge on 1he bottom 01 tie eppficatiGn.
HEAnNG APPUCAnON I PERMIT
ao PIO. Ot533?Q
i , .
,
Singe Famitv
CanmerciaJ_
Fee Schedule
mdultrial. Commerciaj & MtJIti-Femity
Residential. Healing & AC
R lIidentiaI. HeMing Only
Residential, Gas Fireprace
A_iden_l, Additions & AJlerationa
Residentill, At; om,
/' Two-FarrJIy
tndusl1ial
1 % ot job cosQS39.50mBmurn)
$19.50
$64.50
539.50 JUL
$39.50
139.50
Public
Multi-Family
Other
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CITY OF PRIOR LAKE Me
11200 E.gle CrHk Av. S.E. Permit No. rrD - 0 ~
Prior Lake, MN 55372
Ll
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L Gn.a
}. Yellow
FLJe
Olr
~
TOTAL PERMlT FEES
HEA TlHG PERMIT FEE S
STATE SURCHARGE
s
RSC81pl J
-0 \
1',,\0 \NrfH
6U\\J)\NG PERWtrr
-0
01
co
(I)
....
-
....
Repair
Est. Cost $
A1t8fations
elm.
~
n.placement
~s\.
TYPE OF WORK
Comp.
Bulkling Permit'
Date
New Construction
kJ
CitY Hall business hours are 8 am. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL).
447-4230
N
N
I hereby apply for a rnechanica1 systems permit and' acknow4edge lhat \he ,;
inrormation above is complete and accurale: lhat ,he work will be in conform.nel..:::
with 'he ordinances and codes of the any and with \he state building/mechanic.
codes; lhat 'his form does n01 become a permit until signed by the BUIL01N(
OFFIClAL; that the wolk will be in accordance with the approved plan in the
case or aU work which requires review and approval of plans.
Inp\lt Output
Edf.
Olher
Oevices
2700 N FAIRVIEW
Talephonel 651- 6 33 - 2561
FIREPLACE ~jl
IMnIIP Makg & Model ~
Model Slz~ hf1JCJlj
CoM. Load
Fuel ~ ~ Fluo 511.e
SUPPlv Open;ngs
Return OpenLngs
HEATING OR POWEn PLAt~T
Steam
Hol Water _
Radia&ion _
Special Devices
CALL em HALL
l:iEAI ! REOOIRED wih number of suppty and return openings listed pE
loom wiCh CfM's per opening. New structures or additions send Roof' p'an with tuppiy
and Illurn locations shown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPUCATIONS MAY BE MALEO TO THE C1TY OF PAIOR lAKE. 16200 EAGLE
CREEK AVE. S.E. PRrOR LAKE. MN 55372.
L
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TYPE OF SYSTEM
Warm Air Plants
Grmy _
Mechanical _
Air CondllmnWlg
Ven\. Sys&em
House Heanng Test Record must be submitted wi'"
109 certificate 0. occupancy wi b6 issued.
tv
bWkbI RAIJDil wduH befofe bul1d-
The price of your heatmg permU Includes one rough-in and one Inallnspeclion.
^~tional inspections will be billed al 535.00 ~ach_
m
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....
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ClD
ClD
ClD
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...
AddrBss
ROSEVILLE
MN
551
3
Remember to add the Stale Surcharge on thi! bottom ot this eppIication.
HeatingComraclor ALLIED FIRESIDE dba FIRESIDE CORN!R
OWner's Name
Address
L
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Industrial. Commercia' & MulU-Farmly
Residentiat. Heating & AC
Residenlial. Healng Onty
RBsld9nUa'. Gas fireplace
Resldenlial, Additions &. Alterations
Residential. AC Only
1 % of Job cost (139.50 minimum)
$99.50 "
$64.Sn '
S39.~, ,(
$39. SO
$39.50
.})... ~ 1SiS\
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CITY OF PRIOR LAKE Me
162DO Elgie Creek Av. S.E. P.rmil No. 00 - Oc;)
Prior Lake, MH 5537i
HEAT1NG APPLICATION I PERMIT
331-0~- 0
\L.J
Fee Schedule
Single Family
comrnerciai
Two-Family
Industrial
Public
Multi-Family
Olher
1. rid
1.{~
J. Y~l"
Ak
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CODn"<<
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10/12/99 TUE 11:22 FAX 81244742~5
CITY OF PRIOR LAKE
iJ 001
..... . No'
YlL'-OW. 'M.teUT
... . 01'.
CITY OF PRIOR LAKE NO. 00 "oZ-lf
SEwER AND WATER PERMIT
NOT~: sew.~ and Water
contJ'actors must
be r~istered
with the City.
APPLICANT:_~~~ Ef: L'" Uc~~ PHONE:S'.:17-7~(/ -,'S$~ S'
ADDRESS: ~ 7 ~ LJ '7 d -<---11 JY-- DATE: 6.- 7 <:::) D .
SIGNATURE: - 1./ ~.~ --=- BLDG. PERMIT t CJ.Q -02..1 +
SITE ADDRESS: I S-/ '" I 6J~ ~cJC ~bD' UL <r~a -0.3 2.--0
FlLL IN THE BLAN~S
~,
I.../U fo@t.
1 .
Estimated length of water service
i'
Size of water service i inch'..).
-,
Location of any couplin9s from structure~ feet.
Type 0' sewer pipe. ABS____ pvc~cast lro"____
Estimated length of sewer line ~\ teet.
2.
j .
4 .
5.
6. Clean out (if req\11red), locat.ed at
structure.
o
feet
from
=.----..====~_._-
~-==:===..._..a..._..-..~D=~~===============.
This application
BY
your permit when approvldo J
DATE: ~ Z,I av
I
..._~;====.._.._.__w..._.=.===========;=.=======c
FEES:
$
$
$
35.00
.50
35~50
Sewer and water line connection permit.
surcharqe
TOTAL
. Pee tor either sewer or water individually is $t'.60 plus
$ .50 surcharge.
..
Sewer and water permits issued for new eonstruction must be
recorded on the buildin9 permit car~ at the time of i88uance
to insure that no duplicate sewer and water permit. are
i.sued.
REC'O BY
;
DATE PAID
RECEIPT .
AMOUNT PAID
4629 Dakota St. S.E'l Prior Like, M\nnt$ota 55372 I Ph. (612l 447.4230 I Fax (612) 447.4245
AN [QUAI. OflPORTUNrC'r EMPI.OVCn
JUN I 4 2000
DATE
ji/tt'
/~/b/ Uh~/ f)l(~/< 7/: ,A/f1/'
CONTR. (!" /~~
PERMIT NO. ~~/Y
o PLUMBING RI X1GRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
TIME
SCHEDULED
PHONE NO.
o FOOTING
o FOUNDATION
o FRA G
o I ULA TION
FINAL
o SITE INSPECTION
COMMENTS:
{~,6b~y /5
Gc~<1
15
c?<
~Z
NO
~~(
\
~
/
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR SECTION BEFORE COVERING
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
'.z-f1!5
ADDRESS _\ f; 1 G:, I Wocd ~ Tit-
SCHEDULED
q :.30
OWNER
CONTR. ~ ~
PERMIT NO. - ._~ O~ I ~
o PLUMBING RI 0 EX/GRAD/FILLING
~ ~ECH RI 0 COMPLAINT
WATER HOOKUP 0 FIREPLACE RI
SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
Inspector:
Owner/Contr:
7 -9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
QU 'REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
ADDRESS 15/ " I W t'J(') d ~.k ./
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
~LUMBING FINAL A
/' 0 MECH FINAL
COMMENTS: ~
VJ~
~
TIME
/0 ."" ~
,,- 21'-1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
oK-
utJM..
~
0) ~cJJ
~
W f v1J}
4
rAf
L.0~
RK SA TISF TORY, PROCEED
CORREC 10 NO PROCEED
FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CAL
FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
SCHEDULED
_ , DjTE
~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
'1 :- 'b
ADDRESS t 5 , <.e, I
WOod. Ou.vk. ,- ~
OWNER
CONTR.
PHONE NO.
2'4
PERMIT NO.
o PLUMBING RI
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~\>. -ttL.
~L - ~ 6<-~ 'i~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)(1 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Conic.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI
wocd lJuc/c /) ~
b-Z-(1~'
O'-7o~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 15 / ~ /
.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: a v-T
DATE TIME
!()-q-oO ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~-"-o ~ d- /D's- ~
~~~~kd~_ ?~~~~.
~~t
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, LL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J5J1a.\ W~ Du.c.~ ~o.., "
NATURE OF WORK t.1e.w c.CJY\stt'U~~(OY\
USE OF BUILDING S~D
PERMIT NO. 00- 0 Z/4--- DATE ISSUED l../- /o.zooc
CONTRACTO R Q.oc\.&~o.v-.. Quli\o-.. 'Kuild..u-c;
NOTE: THIS IS NOT A ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU NT
FOOTING
FOUNDATION (Prior to Backfill) w/~
PLACE NO CONCRETE UNTIL ABOVE
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
-1 l6 f(J
COVER NO WORK UNTIL
1- I
FINALS
QC-
S BEEN SIGNED
I
GRADING (Prior to Sodding)
BUILDING1",t;.o ~o/(Jo · , 'J rJD
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN
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 b~ placed near main entrance.
.. "
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850