HomeMy WebLinkAboutBuilding Permit #00-0248
7. TYPE OF WORK
New ConstructlonA
Chimney CJ Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. / 5" 5 & L Width 57 ' Depth <i~ I 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 abo~e m . ned prope. rtyand 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 0 a n revok,.",s permit for just cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needeg..ins~ons.
X . ^.A..,-ft'/\'- . (;1(9? i//5"/CV
' r:""'-7' Signature License No. . ( 'Dere
L, , ".
FOR ADMINISTRATIVE USE
Amount Brought Forward ..... .. ... .. . ..... $
Park Support Fee ........................... $ Of:::{\ . t:::I1
I. '31]. 2 S- SAC ......................................... $ ~ I nO _ ~
73<t . 21 Collective Street Fee .. .. .. .. .. ....... .. .... $
"1 S. 00 Sewer Tap ................................... $
State Surcharge ............................. $ $
Penalty ....................................... $ Pressure Reducer ~................... $
Plumbing Permit Fee ....................... $ '1:9(1) ..l)(5 \ ) Meter Horn ................................... $
$ / (JO -~ ~ Water Meter ................................. $
Mechanical Permit Fee ..................... ~ ~
Sewer & Water Connection Fee ........... $
Sewer & Water Permit ...................... $ . 7 -t;;~ 5:e b(\ ~ ~ \P W T F $
4 I\V ater ower ee ...........................
Ga~ LJLf1r.~ ....l...~.......... $ 0 · 00 Water Tap ................................... $
:~~ =.~tT'~O,. ::~~~~~.:::::::::::::::::::::::::::::--l t ?;iO. Od
Certificate of OccuL Total Due .............................. $~7 ~
Issued . Paid <71 14 ~ I <t 6. Receipt No. _~ 74 J I
This Is to certify that the reques1 in the above application and accom. pan~ ~ments ~,,~ _ Ole c:~ ~,;i~ "'".Y p. ~ _ ~I_
s /: by _coostilutBsa ~~.ot~,ng~ and alows.~ ~occ~ a ~I tot ~ roost be issued
~ l{ '/jJ/:.6f1) '. ~, .Il.k~ t:- {j
City Planner Date '--' · - Spec I Con Itions if any'
47;700
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
~/S-/~
12../5.0
2. SITE ADDRESS r:7
l<flCfCf oLG(€6i((O
3. LEGAL DESCRIPTION
L(
7i2+JL-
"2 .PID 25-3&2-- 0/9-0
L/ TII /JUt" n Vi"'"
LOT
BLOCK
ADDITION
4. OWNER
rA/Pt; I!/(L
(Name)
(Address)
(Tel. No.)
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER (Name)
{AJlilIt)~O ~d?
(Address) (Tel. No.) 9:7 a..
1'11' II eV/l,v(; Av~ S l?t?.... g.-qqS"
~~'v'uG- S~30c..
Septic CJ Deck CJ Re-roofing CJ Porch CJ
Addition CJ Finish Attic CJ Re-siding CJ Finish Basement a
Fireplace CJ
Alterations CJ
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN.$" J S-O, 0 CJ 0 . 0<>
PERMIT VALUATION
USE OF BUILDING
5?O
E _-
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 ............................. $
24 hour notice for all inspections 447-9850
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.lJ1J -/) 248
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
NeW S-rl,)
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
/"50 /. ~
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS CJ ENERGY DATA. CJ
j PILING LOGS 0 PERCOLATION TESTS CJ
PLANS & SPECS CJ
SURVEY CJ
PLOT PLAN CJ
SETS
COPIES
q~-~
I?"~. cJ1j
I ! "( no . 0lY
7M · Oft.
o 0 vo~4'{
Thf (:"nlfr 0' .hf lakf Counlr)'
White - Building .
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J . l , 1\ ! U....\ . 1';:\ - U..........
i-V / / "vI . to' V U (J
, ;"
// /7/'/.C';
?-t~.. i .. c/o' /
I .
/
1-1 0/-/ t/S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//4'3 qq. 73[ uiE-B / 120 / k~l / L,.
Accepted
./
Accepted With Corrections
Denied
Reviewed By: W~~ f~R.E:s~AN~
Date: ~JIIJOO
Comments: --=rttE ~ SEa.\J\cf" srvB ELLurrnON SHo~,J ON TRf:
As - g (,)1 c...\" ?L AkJ So
I.S
9t.J7. ()
WH ICI-I
..sH ovc...O I-lt c o~ II!>ATE. Ji.I E:
PRO po'SE.C LowEs-r F'"LooA. ~
How~ ,. IS. 'n.4~ !uILOW ~ESPoNSIi3'(..i ry
-rQ \1ER\F-r TU,s.
'fifE
j)t1.\V €"" A '(
M.1lS I
~~
I.vS~L.4.....E:l> A~
-ra.lt Ptto POj ED S'.Q..f:wA1..~ JS IN5T(.\u...~.
SEE INf~tl..M.AT'ON oAJ
"'Hf:
~v F-R. s~
.s I t)f' .
5~fE. flT'TA{"'\~ '. 1. htJAt- GRoo~ ltJSPE.moN l^,fofOto\~ 2. ~1t,qQIN(P -Pi..dN
-3. ti-.s '~I\J Ca,N "["(taL.. M.{A:)vn..!:s
1. fit" S I () ^-J Co .AJr1l 0(... R,4/\/
"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."
6o~ovj{
The ('I'nll'r or lhl' take Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
WINDWOOD HOH6S
4/ 7 /00
I /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4-3qq BLU6B/!20 /t€/1/1 ~
Accepted
Accepted With correctionA
Denied /~/7I. I
Reviewed B~fJ... it.A --
Comments:
1.~;JcJLQ.CL~ H~~
Date:
t./-/2"~
,
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
o~ "6UV
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lake Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I'. L' i I " /", { L" j
I . \ J ~ \ <." ~.. . .,,'
II 11 ;-c-
"-r {'-/ I 1-..,
f I L. -...-i
APPLICATION RECEIVED
,e.:/
I
/
I
I
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
q" <j'(;
L.
(_ J //~:/Lj
'~.) /L
/ I ...
Accepted V
Accepted With Corrections
Denied
Reviewed By:
Date: L{ - I ?, QU
Comments:
I-..:/c- ?vw;l ~ 1/ ~~ ~~~ .
~M.~~ ~-~~~-~<:"
s~ 4~J. G.A btuh....< 9f~.JA. ~_fJ<PL"t~
~ pepeJed. fD,b7t +- JL,-S/~
~ ~~v-r-e-- ~LK/~~ftkP-t1~ ~
~~ 0~ r~ ill\. <;t~c-vL2 $,
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."
.Permit#
.Job fvJdress j.!LR9 13/'-1 dJ{ ;41',,-
.Heating Co . '. ~lor _ METRO AIR
-<< .Tes,.<S/Signolu'. J y
Date
Time
Pounds
Pressure
.Gas Une
Pressurized
Inspected
PERFORMANCE TEST
.Percent CO2 ~ ' ~<:{o .Percent CO ~ CJb-
.Percent 02 7./~ .Stack Temp. ~tj(/
Final Inspection
Date
.
/
I.'CJJ\ CITY QF PRIOR LAKE
~ :r ... ~ ~ 16200 Eagle Cr.ekAv. S.E.. rermft No. () 0 - ()d?{ </
,~ Prior lake. MN 55372
".~ HEATING APPL.ICAnoN/PERMIT
:lEie S - J~... ro PiO:, 6<5- <~h3 - 0 1<1. -- 00
~ Address. \ lr~ q ~ 'f) · \II (. 10; r .J. ''''t l
~ ". B~~ck ~ Addhion. \(f\ () \0 \" \ \\ \.\ \- ~
~WJ19i's Name. \J ~ '\ ~ W l\ ('\ ^ \\ u(\'\ II ~
o _
~ci'ess , ,~
.~ \ I' , .
Hsc.tinw ConlrL-1:lr,' '" 1,.., t'\\ r- -l.. \""\ \. ,
Address \ \~ ~ ~ ('", ~ L \ l Or.-v, \ V \ 1-> {': lr' \. ~ _ ~ 1
18~8phon. # '-\ \\ -, - ~ \ ~ "'\
I
=um_ t.&ake & Model ( r ./'r, t"'" TYPE OF SV!iI:M The pd..-e III yaur beaIing permit in=IucIes _ ",u~ 11IIII one IineI ~
I , Warm Air Plants Y
Ikldlll b. ~f\" ~ a ~~ Gtwily . A.wa;'nal inspedicas....~ bihcllIIS35.00 eacb.
Conn.lDad lo \ ? \ ~ ~ : lIlIllSe HBalingiesl Flec:an:l1lLlSl buubmllled with twillfnc"~rmhllllhor belcIe bliId-
~ "M Canlfllion1na>.{. ~ =er1iik:aIo 01 O"""~CJ wlI ba Issuecl
Fuel N Cri. HUe Size. S "8ft1. System H= Ill: r "" r.I R .I:TION-'lll=nll1!l:Fl wiIh IIIImbeIIIIIII;l;llr lIJId 1Bbn. DlJOIlin!;s fslod per
S I ~ . \ \< HEA llNtl OR POWER PlANT ItlDIn willi Ct-iA'sper ~ Hew stn.Icbft$ at &ddIons selld tIoar pIIIn willtsappIJ
upp '1....,...nmgs . SlIlBlll . and Je!lml1o::lIIicfts sa-n. H""~ LOSS CI\1..CUlATIONS, PAYM-::NT AND
RBIum ~ ~ Hal WaIeJ . APPUCAnoNs NAY iI: ~n ='11'0 THE CITY or PRIOR LAE, 16200:N:a ..
',1 - RadiImI Cl'lE3t AVE.. S.:. PRIOR I.AIa MN S5372.
Inp</l ~ "'. Oti Output. '\ \ . ~ Spr.ial ~..... . Clty HalI:!uoinea hlllllS ... 8 a.m. . ~:30 p.m.
~ :Gr. , \ \. \ o. 0Ihw ow- AU.. W01'IK MUST BE IlCSPEcIED (ROUGH-IN AND ~. CALl crrv HAU.
o em.. '\ VJ a .. . 4C7oCZ:10
0::: I _ .
~ \. TYPE OFWORK \.1 1 hereby apply tor a mechaIIicaJ SYS!ems pemUt and 1 acknowlttclge ... the
- '. . ~ . JaIormldlon above Is llDIIIpI.1e IIId -.rille: 1h1111he_rk will_ 1I11l1111lo_ '
A!I8~ Rep",-:!_ N8W CDIIstr........,.. . . wllb th. 0I\linanca and codet oIlhe chy am! wiIh the ~ ~
E' .' -' ..... Co me '. ... COdes; thai Chis fl!rm IIDa IlDI becoma a pen;.II unlIl .~ by the BlIJLDJNG
& i'ItIpIIir. - ... A . .,' OFFICIAL; lbm ... WDIlr will be In .'-nIanoe _ ... appI-.l pIu in the
~.~ ~'.~$\o~t'\ ~ ~IIIgP.IIIIU~~- O~. . -~aRw,ork~~I8Vi.nnd~.a1.p1__ : .':;
~'HEAn.mPaWlrFeI / ~tlGPE~tA\" ~Z:'i~jij,\1', '. ".S--1;:;~.~;.d)_
(SI,.', .' I, . /..50 .M,\\D~ . 'I"~ AppIiCianIII ~) 4'~ 0....., '
re. ~A'TE s~.. I , . V" . " . ._ :: -, :, .; '.' I . .. . . '. . . r. _, . .
N ~.-:, '.' . / ...... ,. ',( 01 A.M ;;t;?
N., lDTALPERMlTr-, I. ~ipt.. . lliIIlI . .
~. ~~::;. :~.~ .,.'. /. '.: ':." : . '.. '. . . '.' ,: '.. .': - " - :; '. . . . ..'. . ":.. : .:;.- ~ . ..' . .
~~n-::.~, . ... .. ~u, "'. -,.,' -.. ... .... -.. ". , ,. ,...._ ..' .....~. ..~~.. ",. -Il ......"""., ........ . . . _ .., _"~....
~,," -". .'... , '., , '. ,.. '-" ',"", \. s' ,,-,.. ..",... '" ;:";. .~. · . · <>,'" .. ,,' :: .,'~ '''; . - ."....' J...,.. ,:..~ -:' ~!.ti.; f::f :v,.... ~. ;x, .., =-. · ......,.u:. ,,_
.. ~4'~~ ,.f', -: . :.: "':'~;'~'\"':-~~'<i'-"'~~~~~-":".it\~''>,:i{:;;;':. ;. : ....:. .:,. ....~ .~""'-~;: ,~.. ~';'~.(1'~~:~~~~~ ~
-"".~~'... ..... ....-. ........ '. --. ." '-- ~ -..~ ....
..-~ ..-
,. .
TYPE OF STRUCTURE
1. PiaL . M
:!. G...= - c.,
3. y~.... ~""....
Single Family X
1'wo- Family
Muft~ram~ _...
C~-nercial
lndl..'Sbia1
~u!:Jri::
Oth.r,
reE S:nedule
~ndl.'5triaJ. Commerdat & Mutti-i=ernity ,.~ 01 lob ~ (SS~.50 minimum)
~i:Jenti2l. Heating & ~ S~2.5D .
Fle&identia!, Hea&\g O~ S64.5D
~esid8nti2l. Ge.s Firej)laot S39.so
nesiQen~ AdditiDns & A1te:a!iDns S39.50
Residential. AC Only S3!.so
i'lemember to add the SIaIe SUIdlarge on !he boIIXIl oj j ~..
]@fEOWE .~
.22.
(pi
CITY OF PRIOR LAKE
PLUMBpJG PERMIT # OO-~4 r
APPlicsnt:J:onrt ~ tiJ, Phone: -19;). ';;>>:J-I
Address: jJafLt ~ (' /trJ1'iA/j ({}11 ~e::;:+
Signature: ~' ~?.G /1'71/7 ~
Legal Description: Lot 4 81~'k Q Sub.b rtr1:LI+t f I 6) <Tf)
Site Address: VI:r<?;? ~// / / //"/7~/ i?/'/ /'1' /7.:::-,
Building Permit # ..f:I.D - 0;2 L4 0' PID #~... , ~~~ - nB..:iL
NOTE: This permit will not be processed without complete information.
lUI ~l/~~ 'U1U 1J: 14 FAX 6124474245
CITY OF PRIOR LAKE
;5>
'3~?J
t II, ("ltl"r It' l~ J ...., Cnu.ur,.
FIXTURE UNITS
... .
Quantity Type of Fixture Quantity
~ Bath Tub with or without shower 3
\ Dishwasher I
\ Floor Drain
3 lavatory (bathroom sink) I
\ Laundry Tray (1 or 2 compartment sink)
\ Shower Stall
\ Sinks
Bar Sink
3 Water Closet (toilet)
FEE SCHEDULE
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
o~~~~~
~~~G~
~\\))~
GRAND TOTAL
I4l 001
I. Blu~ rile
2. Gold City
3. Yellow . ^(lrlic:anl
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (APZ, Double Check, PVB)
8ackflow Assembly Test
Lawn Sprinkler
Other
$
$
$
/
$ /50
/--
/ ~~
'\,~
~~
~.
This permit is granted upon the express condition that said
contrnctor. shaU comPIY~." all r peets With, the ordin:mccs
of the ~t~tc P, Jumbing Code. ~COf.
/ RECEI N" DATE
L v~~)\/J. '<4 . 1\ Ir.ST
Crall inspectjo~ 24 hours in advance.
16200 Eagle Creek Av. S.E., Pri rake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (6) 2) 447-4245
An Equal Opportunity Employer
&~
~NEiJ
GMfl . fl.E
YELLOW - APPLICANT
GOLD - elT Y
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
s.w. No. oo-6~'-/~
Sewer and Water
contractors must
be registered
with the City.
APPLICANT: .DILlS JlU t- X C.
ADDRESS: " II ~ j Ot>L:z:J wrt-/
SIGNATURE: (' ~ ~~
SITE ADDRESS: Jif19 Cf IiL i.{,t;.aZd-~
PHONE:
LtL t.JL . I..JC4~ATE:
J>9.2-' 90'
fh7/'" 6
- .
BLDG. PERMIT #
ra . PID#. cxS" 3,a- o,q-O
FILL IN THE BLANKS
1. Estimated length of water service ~o
, (
feet.
2. Size of water service
/
inch(es).
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
pvcx
Cast Iron
5. Estimated length of sewer line S-o
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
ThiSCPlication b~~S YO~:~t when appro7ed.
BY . f j,~' DATE: 0 rz/cro
======- ===========I==========================~===================
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
*
Fee for either sewer or water individually is $i1~ 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 sew~~ a~ water permits are
issued. ~\ ~~~
~Q ~ ~-""
to\~'-AMOUNT PAID
-eU~ REC' D BY
DATE PAID
RECEIPT #
16200 Eagle Creek Av. S.E" Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /431i 15Iveht~ ~,
NATUREOFWORK -A9r.~ ~(~_
USE OF BUILDING SFD
PERMIT NO. 00 - 02-4B DATE ISSUED 4- I a - ;2.OCJCJ
CONTRACTOR lJ,'~tU~ l46tM.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO:~ft~NT ,DATE
FOOTING . _ ~ ~ 11 JD
FOUNDATION (Prior to Backfill) . a~.M,~J<v' ~ .. ~~hc:l
PLACE NO CONCRETE UNTftABOv\& HAS BEE-N SiGNED
ROUGH - INS
~ t ^ ?~fV Ib,'
'fl t ~1Jtf
~.~~~ ~h1;t! ~ \
~'7 b ' J.'d.\IQ) '! \). & ~ ~~ ~
\ r I 'f \ lf2 6 1-1 ...~. ~~r"
\ I ~~, ,?l"' '.-? ,
~ ~. 7a/1f> i-(j F.'. 1Jr, 71/~//f)
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE ·
GAS LINE AIR TEST
, ,
t - ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-~
GRADING (Prior to Sodding)
BUILDING 11JJ 17J 1_ .t-C)o
ELECTRICAL
PLUMBING
HEATING
FINALS
Lt.
J f) /'!)J / tJf
,If I;. '7 /0-0
I I
DO NOT
~ (\ ,8llbl~
V 'N ~~ JA1
OCCUpy UNTIL ABOVE HA!\) BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been a~p'j>r6ved. 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!(] FINAL
~ 0" SITE INSPECTION
COMMENTS:
SCttEDULEO
,U39Q &U6$/k20
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH ?AL
:50J.:;J 1--1 /GOb'
I
DATE TIME
[1-1".00 A.T"
0-0 .0V18
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
-~
C..
~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: . n I Owner/Contr:
I -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
TIME
PHONE NO.
/0- 3i:J1:)
/4-399 &j,[oi qr~/
CONTR. MtJwooA JltiP/1?- 5
PERMIT NO. L2f)- :z~
SCHEDULED
ADDR.ESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)t-FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)( EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
./" I /'
t1>;;;
. /
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspect~ ~~ ') Owner/Contr:
CALL 447-98; FO~NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE 58//80
INSPECTION NOTICE SCHEDULED It): 30
f
ADDRESS /~.3 9 9 &l.( ~ ~/~ Ta,
OWNER CONTR.
PHONE NO. PERMIT NO. ~ - ,;;JL/?
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING ~ WATER HOOKUP o FIREPLACE RI
o INSULATION ~SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
CO~MENTS:1iJ ~ ~. ~ k~-~
,(2) f~ ~-H~' 4VI- +u ~r,
, ~ ~,~.(J
~ ~_/ r-
~~-~
~ ~a~--e~~ ~ cf-e .~,
~ ~ Jp~~~'- r V
\
-.J
~
'\
t}
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o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT wo~ ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: 7 ...; ( 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
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~D SULATION
FINALBL.DC::>
o SITE INSPECTION
DATE TIME
SCHEDULED
CONTR.
PERMIT NO.
UQ'-OQ.L{1(
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~EWER HOOKUP
P MBING FINAL
ECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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~ OK
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/
/
Inspector: ~ ' Owner/Contr:
CALL 4J7-9850 ~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~QUIRJENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
V INSNOTl