HomeMy WebLinkAboutBuilding Permit #00-0221
i?,e.;:- ~ Ji",M- 3'to'l ~ ST. ~..J. fL
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. j'2:S97 Widthfllt,9'1 Depth l~dS Yes No /-/S--DO
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
buil. fficial can I for st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
Zol ~ -Z3" 7- '3 .:"'.}O -OD
Amount Brought Forward .................. $
Park Support Fee ........................... $ ~S-O . tj ()
SAC ......................................... $-4JD 0 ,~
Collective Street Fee ....................... $
Sewer Tap ................................... $
~ " $
Pressure Reducer .....~.................. $
Meter Horn................................... $
3i~B;70d
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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 /4- .3:3 Z-
~ ~ ~t.\tIJ litO lllA-l L.
3. LEGAL DESCRIPTION
1. DATE
:j'-V}-OD
~/
LOT
/2-
~/)4 /1,'//
- ,
BLOCK I
t(f1f 1-()OIT7tJA!
PID 25-3IPZ-{)/2--0
ADDITION
4. OWNER (Name)
c,1I!.6'1 ~ ~ L..1N'N
5. ARCHITECT (Name)
'Sf"$y/5.. UW1/'~
6. BUILDER (Name)
(Address)
(Tel. No.)
(Address)
(Tel. No.)
(Address)
(Tel. No.)
(,/ ],..LJ'I 7-1 t:jsr-
License No.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ t/41OCJ". c9 0
USE OF BUILDING
~"/L
,
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:
Plan Check Fee ............................. $
I J sarz · 2C;-
II 0 31 .ll
t;lO.~
State Su rcharge ............................. $
Penalty ....................................... $
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 00-022,1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Hei9ht'.!Z- (Widh (Depthl'fi
12. NO. OF STORIES
7-
13. TYPE OF CONSTRUCTION
lIew Qw.57tluCl7fW-~Fj)
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. P?OJECT COSTNALUE
. z tt", 0 tiT>
Date
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
- PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
LIS .fr)
Plumbing Permit Fee ....................... $ J DO. ctJ
Mechanical Permit Fee ..................... $ , 00 .00 !Jf Water Meter ................................. $ 1 ~S .00
~C" sO ~I Sewer & Water Connection Fee ........... $ 1120Cj ~
Sewer & Water Permit ...................... $ ....J..) · -. , , f/",} W t T F $ - t-, ~. .AD
4 ~ V a er ower ee ........................... . f ~ =~-
~:~jiJi~~i:I;~;~ ~ /v 0 :~::~~~~:~:::::::::::::::::::::::::::::: J I ~OO.~
Certificate of Occupa cy T~' Due .....4.......0(,............. $-~ ~~ 'fb
Paid K , b j 7 Receipt No. . 111 a
Issued , ·
Date l; I J LJ / I'T"r\ By ( )
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~n~ ~ay proceed as r ue ed. This document when
y~~ t~ity. P P~laannnneerr c coonnststitituuttes a temporary Certifi.cate of Zoning comPlian~.w. s co truction to commence. fore. occupancy, a Certificate of ancy must be issued.
<----i(~ '-t-I;2..rel) . , r. ~C~~
City Planner Date Special Conditions if any
24 hour notice for all inspections 447-9850
{j7J - 2Z, (
The ("enler or Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
RO cr ClZe6t::- HoM 6S>
3/31 Ion
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4337 t)L-U6 B/-/2D /!<-
Accepted ~ _
Accepted With Corrections
Denied (,) ()f(
Reviewed By: ~~ - Date: <-I-Go - 2a::::> (;:)
Comments:
t. ~~ affc:..c~ /1~J~
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
.' ~
(jD~~ G I
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/ ,1/'''" I .toO_/'
j:.,'/ . ,
f- /=- i:'_ (,,-..f/'..'/\..
'00. " '-,.....,... ~ / \.... t
APPLICATION RECEIVED
/'), /1 /' I /'
~-::';, -~.! (
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J/4' . :;;) L- (~~; / ;"O".U'-'T?~
"'---"'.....-- ~.............. ---.
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~~ -64r~
v
Comments:
A,-/C ~~ ~~ ~oAlA~ .
~dNJl ~ ~O{t94C t /\ t~e:foY ~ ~d
~W-kS..
Date:
L( -I 2- .. t90
t-Y ~~ ~'VIAJ.JM. {J.r,,~ tv rei<[\, ~ r;~
~~'\1 UVlf>. d.-~lJ \Q...l0.L-J1O ~b,
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."
&~
~NE::V
GREEN - FILE
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
S.W. No. 00 -02- z., )
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: hA)fJ1- r;"f(lJfJ& :IAJ c-
ADDRESS :j$J5 fY)11~1Js 51 #/ J 5HII}([JiJEe
SIGNATURE:~./~td~
SITE ADDRESS: /133t:5l 8J..VE BJ~O 7.1!1J)~
PHONE: 9frJ.; ~33 -)/100
DATE: ;/t15j 00
BLDG. PERMIT # (YO -(/2-2-,,/
PID#-25" 30 2- - 0/2--0
FILL IN THE BLANKS
1. Estimated length of water service
t,5J
feet.
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure
4. Type of sewer pipe. ABS PVC)( Cast Iron
5. Estimated length of sewer line ~ I feet.
feet.
6. Clean out (if required), located at
structure.
t1
feet
from
------------------------------------------------------------------
----------------- ~-----------------------------------------------
This
BY
s your permit when approvedj I
o __ DATE: 4~OO
I /
----------------------------------------------------
----------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
*
Fee for either sewer or water individually is $)Y.~ plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
C
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
DATE PAID
-,'--
AMOUNT PAID,""'-;:-:--
RECEIPT #
REC/D BY
/.
(JlJ~ZL I
Tht Crnlrr or Ihr l.kt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
kuCr:- CI2Ef/l~ HO/~/ES
3/3110()
The Building, Engineering, and Planning Departments have.reviewed the building permit
application for construction activity which is proposed at:
/4 '2-:>~ (QLI1C /~I '-).[)'---
~..::;;. (' .'..-) v v L' Ie:...-
IP-
Accepted
./
Accepted With Corrections
Denied
Reviewed By: JJALTE.~ EI-lIt€.S1tA~N,.J
Date: '1/3 JtJO
. I
Comments: ~E. JNPo^f\oW\no~ ~ "-H~ .RE:~E:. S//;}€.
SeE. ATIAc.H~~~ I. F.~~tl.At.)E:. JIJsuc..r'ON JNFo~-r;~,.J
7. t:aA (J IAJ1, I?.&J
3. EItO~IOfU ~1)L. ~
t/. E~OSltltV C tJ.vI(l..OL. fittttu
"'The 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
*Permit#
*Job Address LfJ3.2 lY~rJ ,..
*Heating Contractor Mt: I RO AIR
~/;
~
*T esters/Signature
*Gas Une
Pressurized
Inspected
* Percent C02
* Percent O2
Final Inspection
.
Date
Time
PERFORMANCE TEST
7.~
4 . g<>4
*Percent co
.Stack Temp.
'bate
Pounds
Pressure
a{
q7"
/
""
,..11II
.,
..~..-....-
,... "..
CITY OF PRIOR LAKE ~ =- ~_
I'I.IM.. ,.",," F1PNo.a:D-Q~
~_ - f!e Sc..nu-tl..\ p\ Uffi~\(\~ ~tIone: qSa-~Nl-1o ,31.J
.. r II ~~OO A<;1.\ \ o...~ 0. ,rc;..\4L ~ ~ \'r\ 0, LCA \<...it
1<~ -.: ~ '1- ~~ Sub V,,, --'. \.k', h .Li t' \ llJ'{l&
LeIII D i ~k..: lei \ 0\ . IIoeIl \ ~ 1 \;f 1 ru,' ~,,", ,...W'
- art II. \\.\:>~~ \-\\~ 'W.\ \ r . _. ,
....1'......... CO - 0~~ ..CD8 ~S-~~- OJol-()
NCrIW: .............. fill .. DO II t ........ ....,. Information.
..",.. U.--..
~,Q.,or
~ -rCL~
~ ~'b"~
~ t 'We ., ........ T~" of ,~,.
I ~ Aoug"-ine
~ 11Ift TuI.. . ...~... .....
, ~- .A. t W..r .....'.r
- ,.., a..... 1 w._ So",*
I
~ '---.1)' ....AII\... ( .aftd "151. C"'."'i"8 .....cPti".)
. .
1 ... .... T.., (1 -a '*~ _I.... 8IftI&) j ..-... Elector
~ .
~ ...... ... A""Ww ~.1~ c"'z. ao...a--. PVB,
, ... 1 IeddIow 4....'y Tnt
.... ..'
Lawrt Iprtnlder
'^ J WIIIIr 0.. (IIMM) ~
"111 L U
...
....
/
/
,/
. /.so
I
.
.
.
.. r I lad. ~.J_.~ 1"11 a ~ .....11';
('" fI..... ".II JNlIl~
.Llr~ .. ....o.a,.
1'1 ". ~... .... T
-L~~
c~.:.... n== fr'
I' - ".- .,,' , .
, i' .' .-:;] "_ ,.. .-
. \ \ :::.-.. .--
I
I
. i . I\"?1lJ)
......, ""AI.
I 82CID "'1. C:.-k Av. .....
"'"
q~~\ CITY OF PRIOR LAKE Me .
~ 16200 E8gle Creek Av. S.E. Psrmll ND. 00 - t\8P?1
~ I Prior Lake, MN 55372
HEATING APPLICATION I PERMrr
!/J/q /(1)0 PuJ' d~- ,~6- ala-o
., I
, II./~?~ &n:,,~t /f}J
. -
Date
S.e Metess
Lot Brock Addition
Owns(s Nam~cJz. {;tafl ~~
Address
Heating Contractor ALLIED FIR.ES IDE dba FIRES IDE CORNE.R
Add.ess 2700 N. FAIRVIEY. ROSEVILLE. MW 55113
Telephone'. 651-633-2.561
FIRE?LACE
hW.1b Make & Medel ./J (),~ AJ (;, 6,
Model Sil~
1/'JI"'1i';:) '1"P
COM. load
Fuel ~ Flue Size
SuppJy Oponings
Return Openings
lllput
Edt.
Output .JI O~')
Cfm.
TYPE OF SYSTB'
Warm Ai, Planls
GravMv
Mechanica2
Air Conditioning
Venl. Syslem
HEATING OR POWER PLAUT
51eam
Hot WilCer
Radiation
Spedal OQvk:es ,
Othtll IJ evices
Atterations
TYPE OF YlORK
New Conslroc1to n
x
Building P ermi I
/
/50
$/
,/
Repair
Rlplacemenl
,
.Est Comp. Date .
Est Cost $
I IOu. 0)
HEATING PERMIT FEE $,
STATE SURCHARGE $
TOTAL PERMIT FEES
6 - Ill- {)J
00- OAdl
PAID WITH
BUILDING PERMIT
Rece;plll --
TYPE OF STRUCTURE
t. Pink . F\I~ ~
1. Gmm - CHy :::J
J. Yd'_ - Coalr.clOC r+
IlJ
'<
Single Family
Two-Femlly
lndustfial
Mutu-Family
P ubAc . Other
'T1
1-'.
"'1
CD
en
1-"
a.
CD
o
o
"'1
:::J
CD
"'1
Commercial
Fee Schedule
lndustrJa'. Commercial & Mtili-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Ao:I.!" Fireplace
Residential, Additions & AU8Iations
Re51dential, AC Onfy
1"0 of '00 co~t ($39.50 m1nimtm)
$99.50
$64.50
$3~.50
$39.50
$39.50
~ :-:~ am
Remember to add Ihe Slale Surcharge on Ihe bottom of this application.
The price of your healing permit Includes one rough-In and one Hnal ;nspection,
CD
U1
...A.
CD
Addilionallnsped;ons wiD be biUed al 135.00 each. ~
House Healing Tesl Record must be submitled wilh "'.~~N1 "p.~.;' ~,,~~ belor8 buid. :
lng eel tUicale of occupancy wit b'8 issued. . - ..;
HEAT CALCULATIONS RFnl ~RFn with number ot supply and return openings isted pe
room with CFM's per opening_ New structures or additions send floor plan wila aupply
and return (ocalions shown. HEAT lOSS CAlCUlAnONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
Cily Hall business hours art 8 a.m. . 4:30 p.m.
L
c::
:::J
I
U)
I
a
a
I
ALL WORK MUST BE INSPECTED (AOUGH..IN AND FINAL) · CALL CllY HALL
447-4230
-...I
I\)
I hereby apply ror a rnechanicaJ systems permit and I acknowledge that the ;:
inrormation above is complete and Bc.cufale; lha' lhe work will be in COOrOrm81lCe ~
wllh lhe ordinances and co~es 01 lhe city and with Ihe slale building/mechanical
codes; that this rorm does not become a permit until signed by 1he BUfLDING
OFFICIAL; that 'he work will be in accordance wjth the approved plan in the
case or aU work which (equires review and approval or plans.
f!;o...a ~~_. - - ~/;/b~
- Appfanl.s. ure I ' .'" Dale
"'I~j,.n. n:nJdlAi~) ~/97tJtJ
o BuUcing 'll'1I'''iignaIUle I Jhls
"'lJ
m
u:l
CD
-
...A.
~~~r.; CITY OF PRIOR LAKE .
!8(" · 'F.i 16200 Eag~ Creek Av. S.E. PtlImi1 Na. dO - O~
\ \ P riar Lake, UN 55372 -
'<., HEAnNG APPUCA.1l0N J PERMIT
Dat. '\-::tK ~ PIO: as- ~(,Ol-Ol~-{)
;;:;ite Address, \ "':, ~). . ~ hAt. '0 :' "IA \ Y-c...'- \ ~.
L.:t. ).J- Bbdl \ Addition ~V\ \) b \-\; \ \ l.\-Th
m:lwnofS Nam. . ~O'" \L <.. ru.\\' \\\\~\
~ss ~~'" 'y..~\(,,\~\, 'fr,'\)_ \~,~,
Hsa1m51 Comr:-""~r ,\"\ {~~ \.\, r- ~ \, \
A:idress \ \" to, ~ t\ ~ I... \ lOr"",- \ t' l V.~; v'" ~ ~ k{,
Telephone # .. ~ \\ -, - ~ \:l '\
FumBCI NakI & Mod., , l (,rr'. p V-
M:xIeI Size , ~ '(\ V... C,) ~ '\
Cann.lDad t, \ :..\ 0 ~
Full ~ FLroS"1Z8 'S ,~
Supply Openings _ \ J
Return Openings. ~
Inpue ~~.. ~ Output 1\ . ~
\.
\\~\)
1. PiM - rik
:l Gn::;, - CiIJ
3. YcIhw . r, '.. .".
,TYPE OF S~UCTURE
Sinpie Family ,X
Commercial
TW~Tarniy ,
~ndustrial.
MuIf";:a1Tl~ __. ___
~e;
?ubJi:
i=ee S:hedule
Indl.'S1riaJ. Commercial &. Mutti.ramily
Resi:ientia,J. Heating &. ~
Mesi:lential. Heating Only
Resjden1ia1. G2S Mfe;:.ta:e
Resitien6al. Additions l A1t~rations
Resid-~. AC Only
~-=- of job ~~ t~':l~,~P minimum}
C::lQ 50 ' 'r- r
,..--- )
S64.5D I
S39.50
APR Z 8 3D)
S39.5D
~e.5D
"e:n~ to am tat Stat! SUdlarpe on the bott:n allhis zppIieation.
TYPE OF SV!, I =M
Wann Air Plants _ X
Gravity ,
Mecbarbl,
,. Condftionin; ,~
Vent. Systlm ,
HEAnNa OR POWER PlANT
Steam ,
H:Il Water
RId_an,
Spe:iaJDev;.........
The pri=e c: )'OUr beating pernt la:ludes one tougtMn znd one finallns;>>eetion.
Ad:litionallnspectio", wi be bled at $35.00 !'II""""\.
H~tSe Heating 7es1 Raean:t must be S~rnIIed withharKlIl~ I':lf!onn~ npmr..i before buJto.
ing =ertifi::aIe of o-':"~'h."Y wi be issue:1.
}ole AT ,C'.A.l ~ n ~l~ .rt=nt "Fr.=n wJI1 number of $UPpJy and return. openings isteD per
room will CRh- per opening. N_ structUres Dr udl60rs send ft:x>>r plan wItt~
and mwn locations shown. HER LOSS CAlCULATIONS. PAYMENT AND
APPUCRlONS MAY S: W-. ~ iO iHE crrv OF ;tRIOR LAKEr 16200 S,AI':I ~
CR53< AVe. s..E. p;uon l.AKE. MN 55372.
Clty Hal ~ hDUrl ale 8 a..rn.. ~:3D pm.
ALL WORK MUST BE msPEC1'ED fROUG~ AND FINAl.) . CALL crrr HAU.
4C7-4Z30
'. TYPE OF WORK \.1 I hereby BppIJ tar a. mechlUllc:al SJstema pel'llllt and I adcnowIl. lhd th,
" . ~ . .lnlarmdDn abave is CDIlIpIft IIld aCl:Wlile; 1IIaI1h.....rk willie ill CDnID_ .
~ - R~ - Nw; ConsIru:lian. . , with lb, Dnlinences IlI\!I __ III iho city I/Id Wl1h 1hII sl!da ~
E i... . . ~.. Co \-0. . . codes; lIa1lhlS h!1'IIl dau IlCII b_ a)le~ UIIllIIisl~ by Ihto BUI..DING
1!i jIU, . IIlp. - . OFFlClAL; "at lhe -Ill Will be in · -'nlwlDe wIlb Ibe ~ plan in lhe
~.~~I,toO\)-C'l~ ~clbvP_U. OO-()do.l .-~.u""rkwt:!~~~~_anct~.af.p/anI.. .'':.'
HEA.'l!GPEfMTfEEl, . ~;D t~~~. . .~,~ ~'.:~
~.'. "'. - 50 . t'" AppIir:anrs~ k-?)' '. . om. -" ..
ISI STA'IC SI.IRCHARG.E S . '. . _. . ._'. .. . . . . ~ : '__.
~."-. .... -. . ) u'AA..h,: :'~:J., n ~ ;c-. c"y-IrR /rm.
N'IOT~~ERN!!FI"::" I R~., - 8u1ding:Z~, UI I DJb . .
~ ~~: ~'" .,... '.. ',: . :.'. : ' . '. '. . '. . .: '.. .":' " - :; '. . '. .... . '.:- : :':;: ;.... . . . . .
. .., '. . .... . "'. .. .... - ... '". .. '... . ....".. ..~ ...... .......".. .
g.,:;~, ....~ .... , ., .. . . ~'-' .,. .',- ......~............ .... . ...' . ,.. ..". ...... '.' .1'e. ~.- ,.-..........1 .':...........~..."e't... ':.-":'..'_--...1:.. ._~. ~"".t.t~.. ~~
~. """." ... , ........ ::'<""" ~ ...~,,"'"- ,., ,., . '. "t;j, .......," - . ~ ~.,.,~.. '!'If' .~. =""" -w ,-_ ~~~., . .~ ~~ ~~
!lit:l'..." :'~'.., . '.; .........,. .(~~-a:.>-..~:l-.~..;~-.~;.~ "'.~"." : ...~. " "= ,. ,-r~'k.' pO' ::;'..;..~. -~"U$ei,""~:i~.' ~. ,:,;;=-., . "
.. ,_a .. ". '..,00 .. ....._... '" .. ": .'._ ~_ ._... _ .' .~., '._ -:-_ _. . ..... _-_.~.. .~ .,,'~ .
.-J'\.III, ...
""- .,
~:Gr. .
a:
octm..
Il: '
~
W
E
0Ihe, Devi:8s ,
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS '~33a '5\Ue.\t)--L1:d +t'a; l
NATURE OF WORK ~ ~Stt-lAC-\-\C\V'\
USE OF BUILDING S~D
PERMIT NO. 00.- ()22 J DATE ISSUED L( -7-::2tXiQ
CONTRACTOR kc.k ()s~Q.k. i-\.~W\P~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING WIt . /~ :NSPECTOR 1~a~~
FOUNDATION (Prior to Backfill) ..~. ~/ 1/ tJO
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING 720 ?/ - /. 0 U
ELECTRICAL
PLUMBING
HEATING
fo/I ~/t}~
FINALS
t//f ~
9"'/ ~-;o I
'1 b-K1/{J;
';/1f 1ktf) ')y \ ~ /
. ; f \' ~ L
\ ; f\J
DO NOT OCCUpy UNTIL ABOVE HAS\ ~EEN I NED
NOTICE \)
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections hav~ 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
, O.E TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED S 3 , Of!:) Jo -. ~
"1 (
ADDRESS 14~332 ~~~!o,'v-t1 Tit,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
"~CH RI
KATER HOOKUP
SEWER HOOKUP
A 0 PLUMBING FINAL
o MECH FINAL
COMMEN1S:!\
~O' ~
)f' (!Xl' U-
f'J (j \J Leev ~
_Aw
_ r
[~ rr~<<t,
(9Y-~ 6-r ~
j,) fus,)iv> l~~ U
40
eJ-^-
o - 22.1
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~G. ~.
. ~
~
Inspector: Owner/Contr:
CAJ ~ DR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO+ REQUlREtENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
V msNOn
DATE TIME
CITY OF PRIOR LAKE 76sj{J)
INSPECTION NOTICE SCHEDULED .5 :cJ11
I
ADDRESS , l{J~ ~ B '\J~.bf f'lJl Trrl' J
OWNER CONTR.
PHONE NO. PERMIT NO. CJ1)-oa~ j
o PLUMBING RI
o MECH RI
o WATER HOOKUP
"J SEWER HOOKUP
fA PLUMBING F~
v pt..MECH FINAL N
COMMENTS: I ! J1/(1,/!(Y ~~
fL~ ~ ~~
1---l5(Ub ~ f~
0./ "- rJ- ~~ 4 r ~~ (9.eJ/11 ~~r.&-
. I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o 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
~~ORRECT ACTION~ AD ROCEED
o CORRECT WO~ FOR REINSPECTION BEFORE COVERING
Inspector: t::-/ \ Owner/Contr:
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
ADDRESS
, 4-;>3"2-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
EJjNSULA TION
~FINAL
o SITE INSPECTION
SCHEDULED
~~\:'Nd
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
f:lPLUMBING FINAL
\l MECH FINAL
DATE TIME
~
~
~
b I 22. (
,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~ 'rV' _ ~lYlu}{ ,\'Ie ~AO_,
(~~ ~ ~\rc.RS I f^- ()t.e.A~f' ~
(1J) ~Yl ~~v..c~ ~c.
'GJ ~ O~ ~~ o'~ ~
b -
\I.W~
f)rSa:J-
OK,
-----
~
(",--rr~
-----
----
~
Q-\-;s6 ~
-- ---
(_0_
o WORK'TIS CTaRY, PROCEED
o CORlE~~ ACTI PROCEED
o CORF~T CA FOR REINSPECTION BEFORE COVERING
\
Inspector: Owner/Contr:
'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-o( PlY?
ADDRESS B 3~ Nude; /,4 T;
OWNER CONTR. ~ OC t.. c. fe. c:, t:.. Hf!)(fJe5
PHONE NO. PERMIT NO. Or..:; --~;J I
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~FINAL
- 0 ~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
tS:..E~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
6~ q/t...
, -
)( WORK SATISFACTORY, PROCEED
I D\cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~~ --nvmer/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI