HomeMy WebLinkAboutBuilding Permit #00-0261
16. PROJECT COSTNALUE
/3 8; 07)--J
17. COM~LE;rON DtTE
V 118/ O?J
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 above. me . ed pro rty and thEanstruction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 0 . lal can re~ thi"e~t r 'us cause. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perfoljl ne~d inspections.
X ~.'/I ~ .3 //6 / o-v
Ctignature ( / License No. ' / Date
.,-
/t
;~
DATE RECEIVED
3/1 1/ 00
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.Sli2D~Rgy LJ~ rf~
3. LEGAL DESCRIPTION
LOT I BL~K J.
ADDITION '1,J~ !J~ ~
1. DATE
3-/Lf-otJ
~/.SD
PID
iN I () -1 -~
,- w
Z6-33~- O/5-()
4.0W~m~
5. ARCHITECT (Name)
(Address)
9 ~ f!,7 t,3--J..WN.- ~
(Address)
(Tel. No.)
7&0'" bol-97/'(
(Tel. No.)
6. BUILDER
(Name)
(Tel. No.)
(Address)
~~
9b2, "3 ~ tw.
'7 h 3 - J3( -07) Y
Fireplace ~
Alterations 0
7. TYPE OF WORK
New ConstructiOr\lC(
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
1 O. CULVERT SIZE
Width
Depth
Yes
No
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I~J OC!)O. OC>
USE OF BUILDING
SFD
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 ................................... $
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. 00 -OZln /
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) {WIdth) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
~D r~C-
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
COPIES
SURVEY 0
PLOT PLAN
o
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. .. .. .. . .. .. .. .. .. .. .. .. . .. .. . .. . .. .. ... $
as'Q.l)O
I f 1 00 · 00
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer . '!l."-................... :
Meter Horn ... .... ................. .... ....... $
Water Meter ................................. $ , 2&":" a
Sewer & Water Connection Fee ........... $J ~ 2 00 . C)~
Water Tower Fee ........................... $ · 700. cD e>
Water Tap ................................... $
Builde~:~it .:rs;;;.,~........... $ 1,500" 00
Other ..\Y.'.~.~:.}........... $ ~~
Pakj T~~ Di4T..f6""....~:~;~o$ ~t-/ :tJ 096
Date ) BY~)
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 0 inanc and may proceed a r uested. This document when
s~ I nerconstitutesa temporaryC37.2!)~mPIi~II~~tof.~~\:0~pan~iCat~ed.
ity lanner Date Special' Conditions if any "-3
Plan Check Fee ............................. $
'~.2S
~. '2.,l
c.3 ~ lXL
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
L 00 ft (:;)0
fC>O.oo
35' . s-c;)
1.(0 . t!> C>
I
J
'\ : 1JJ:
{\1AOO
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Issued
24 hour notice for all inspections 447-9850
q 5'.00
....
/ " '7 (. I
U (, ,.v !
Thf' Cf'ntf'r of thf' Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~...~ 1./' Ii , ,/~ [" ;. I.' /" . t- ("'~-
~".~f F\/ /' C>. I , .--: 'D, 'I .~~. ~
3/J7/CO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction acti,Vi~Y ~~ ~s ~OPOS~d at: . .,'
J {- t,. f,4 J V 1/,) /J v(iK L fll~. t:
Accepted
/
Accepted With Corrections
Denied
~ - tl _
Reviewed By: )lAM. ~
Date:
Comments:
"'~t90~ "-\/~ (#e-~V~ ~i\1 -~~eJ..
qC)t;Q ~~ ~S ~ 1fC; tj ) .3 k~ ~,!/ee-~T
,,",~, "to 1V'e.P S W-p, G>~1,o k)~ ~e>
2-~~ ~1MMM. ~~~ 1A)tzl,'ih M- FV~
l ....- . -
.~/),,^A.~I I~ 4-~~ Q~19~LJ <TO ~v'Jf
1 UY l1 c;PVV{)
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
,/.
/
;///
61-0 1~
Th~ ('~nt~r of th~ l.k~ Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
..- (jN' /" 1:: I I / ,,..-' ~
~ > v' / I-f(/ ~/ C~
3/ /7 /00
I I
The Building, Engine,ering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/rc:fr; 84 .FV / /'J 0 50R- . Lfl/V'6
(
Accepted
./
Accepted With Corrections
Denied
Reviewed By: IJALTffi. EHI.L'\rtt~A1A1'
Date: -#10/00
Comments: -.S,:-~ '....Foa..M.~,1 ON {),.J. ~E"vWE. ~.
Sa ~~.vtf"AJT~ ~ ,. htJA-t... ~~M)E l.uspcc.:1"I01J '^,Foft~TIO^-, Z. ~ItAO,tJ~ PLA-IJ
3 - ~ o~,~~ L!o^-.J.lln L- M f}lSva.E:~
t/. fA. 0 s, 0 I\J ,a, tJI7t 0(.;., Pc.. ~A.J
"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 ot of any other ordinance of the jurisdiction. Permits
presLiming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
~
(jJ -() 7k I
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
.s(/AJ~b I HoH6S
3/ /7/00
I I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/hh84 WINDSoR- L;:/N~
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
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."
.
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....
Job Address .
Heating Contractor
Name of Tester
Date
Percent 0
Percent CO2
Percent CO
Stack Temp.
lbbi4f W,NDSoR.
1L~~
1)AN Sr~
'O-l~-~
1.5070
,.OJo
D,o
325()
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CITY OF PRIOR LAKE
162.00 Ea9ls Creek Av. S.E. Permit No.D 0 -OW r
Prior Lake, MN 55372
HEATING APPLICAll0N I PERMll
Dal8 z; 1...,00 PID.Jl7 -338 - Oi5 - 0
Sfte Address J f.t,ln g 4. \tV } f\l" S' e t2- ,
lol '1 1IIoCk. '2- . Add.lon W fL-O@'.ll/55 s p(JAi o.s 2fi.J2 .
Owruu'a Name.. SuN 5 e."-'--
~ Add,ea
tIJ
a .MHIIlII Contrador 0u lil!"e s OlJ I t.O €I!-S ~)I. Piei" .s-S
~1l>1 Add".. .JPYO< /e;W /tV" )/.
~Ij ~ne.-1{.t,.; ~L;:~ II/~~
:; Ill; a jt..u. .
",II g ~'RJU IJ~Moclal lJ'/JPEk!lIJ.t!.- T'lPE OF SystEM
~ I f Mod D 1/0'/ _ "U II ~c Wa"~ Air P~anls ~
I>: I u. at Slia _ V ""- ~ V rl'V J Gravity -
~ 10 Conn. load Mecllanital .
" It.. I . " All Condllomnll .
u Fuel Ai. If r F1ue Slzl _ 'l Vsn\. System .
Supply OpIn11'G1. / HEATING OR POWER PLANT
Steam
Relum Openlng.. I . Hal Waie,
I '1 }eOiJ Radladon
nput ~ . OUtput, Sp&c\a' D~vk:&S -
l"-
CIO
CIO
0
CO) IA
It) ..
It) N
'It'
N I-
.-t ~
= 'I!fl
N
~ .-4
CD
tI.4
)041
CIO <
~ u.
..
0) t-
o 0
..
~ ca
~ 004
0 ~
0
"-
N aO
0 l~
"-
CIO lag
0
I~
10
Edr.
Clm.,
Other D Ivlces
nPEOFWORK
AI1eTallons , R9p'e.cemenl I New Cona\RJc1ion - X
I\llpelI _ EsI. Comp- Dale. fl 31 ~ 1)
Ell. Cool. . )MO o! _ Building peri.' rm - 0 Z (p /
HEATING PERMIT FEE $, 1Jvr1
STATESURCHARGE s. .50 -flv. (;
TOTAL PERMIT FEES $. l\llce!pl . "MO j;
V
). 'Yltl~ . Conlndor
rvPE OF STRUCTURI;
S ing~B FamilV '
Commercial,
0(
Two--Famt'Y _ Mul1\.FamUy -
'ndus\lial. _ Publ'c _ Other.
Fee Schedu's
1% 01 lob cost ($39.50 mnimum)
$99.50
$64.50
S39.50
$39.50
$39.50
'ndus~flal, Comma ,cia' & MutU-Family
RestdentiBl. Heating & AC
ResidentNll, Hlla'ing Only
Residentta'. Gas Fbep'ac8
ReB.denUaI. AddiUons & AlleraUons
ReaklenUal, AC OrJV
Remember \0 add 'he Stale surcharge on \he bottom of 'h~ applkia\kJn.
Th!, pric! ,01 your h8lll11ng permltl~!Ud~ one lOUgh-in ond ane Ilnal inapecUon,
AdditIonal inspectlons will be bUled at $36.00 each.
House Healing T8S1 Record musl be subml\ted wllh bYiIlIIIlU ""rrnl ~,,"'''Ar belole buil~
Ing cerUncale 01 ocr.up8nc~ win be IS$ued.
>>1'1rr CALCUlATIONS flFf'1 t1PI',Q wRh number 01 supply and relu," openings lisled pe
room with CFM's per opening. New alfllCwres or addillons sond Door plan wilh supply
and ilium IOC81101\& shown. HEI'J" LOSS CALCULATIONS. PAVMENT AND
APPLICATIONS MAV BE MAILED TO THE CITY OF PRIOA lAKE. 16200 EAGLE
CREEK AVE. 5.E. PRiOR LAKE, MN 55372.
City Hall b~ness hOUf' are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-m AND FINAL) · CALL CITY HALL
447-4230 (rll Ijlf? L/t</!)
I hereby apply lor a mechlllllcal syalsms permil and I acknowledge thai the
lnlormalion above Ie complele and accural.; Ih81 Ihe work will be In conkl.mance
with 1M ordinance.. and codes 01 Ihe clly.end wilh ,he stalo building/mechanical
codes: Ihal 'hi.. lorm does not become a permil unUl signed by Ihe BUILDING
OFFICIAL; thel Ihe work will be in accordantG wllh Ihe approved plan In Ihe
75:;;~/);:;;:;; 8~d approval of Pfk~
AflP~'fJlure I , Dale
/JIlfP!:. g.3.00
9Ullio O~lcal's Sigl\8IUle . Oale
- - -
- -
Sent By: PLYMOUTH PLUMBING AND HEATING; 612 5331121;
Jul-19-00 1 :34PM;
Page 2/4
II 2 0 2000
CITY OF PRIOR LAKE
, PLUMBING PERMI,T PPNo., UO ~OO1 b}
Applicant: P \ lAM00:h P \ I,lXI/\. ~ ~ r\ . :v lA..c. Ph~n.:~?))S ~?> -4 ~
Address: .L8~~\~.:a ~ x.\ 8,..r R ~) 55
~ ./
, Signature:
Legal Dascripti ,,: Lot '! '... Block ~ - Sub~~
Site Address: ll~ ~ 'tJ, ""d 50 ( l- ~ ~ ~J~ AOO1J.' -
Building Permit # ~7j - ()~~, I _ PID # C;;S --. j 3~ ...Ol),.. ()
NOTE: This permit will not be processed without complete informatfon.
FIXTURE UNITS
I. Blue: . Pile
2. Gold oay
J. Yellow Applic::ut
1'11. ("'.."Ipr or Ihl': L.II. ,"ounl".
Quantity Type of Fixture
.~ Bath Tub with or without shower
1 Dishwasher
\ Floor Drain
~ Lavatory (bathroom sink)
\ Laundry Tray (1 or 2 compartment sink)
\ Shower Stall
\ Sinks
Bar Sink
~ Water Closet (toilet)
Quantity
Type of Fix1ure
\
\
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
8ackflow Assembly (RPZ. Double Check. PVB)
Backflow AS$embly Test
Lawn Sprinkler
~
Other
. .
a 'j, l~C.O~
\ ~u.~ ~CL.~
FEe SCHEDULE
.~
Industrial. Commercial & Multi~Family
(1 % of job cost. $39.50 minimum)
Residential, New C?ne & TwO Family
Residential. Additions & AlterationS
State Surcharge
$99.50
$39.50
/
,j'
$ j
$ / .50
;:
$
$
~~~~~~
~~O G ~~
\\P\~
~~,
GRANO TOTAL
DATE-
A TrEST
for all inspJ,tions 24 hQurs in advance.
Lake, MinneSOta 55.372/ Ph. (612) 447-4230 I fAX (612) 447-4245
An Equal Opportunity Employer
HEATING APPUCATION I PERMIT
Dati "7-lQ-rJO PID. 0.5"- 3~-O);\-0-
Sfte Address \ ( D Co~ L- ~; 1/\ r -l ~r L'O LV. , ,FiHI Schedule
lot '1 fJlor:k 6) Addition \ JJ', ~lt A r\.D ~ ~(N\~ Industrial. Commercial l Multi-Family 1 % 0' iob oosl(S3g.50-nlirliilun)
'f ' 1_ ~ L ~^ hl\.I\'\ R..dentia~ Healing lAC 199.50
Own.r's Name ,:::>1 A ~.~ e ~ T. _ W\Q ~ a. ~J1-1I '-J Residential. Headng Onty 164.50 , n''.,
Address Q).a.$ ry iJl ?-J ~~ _ ~ ~ 't {Q fO't ~ ...'is?Jt, q Resldential, Gas Rre~ac8 $39.50 I JUL 2 0 2uuO
()\ _ l J _ () \ _, ' , I. \ l Residential. Additioos & Alt.mUons $39.50
HeallngContractor r ~t.AJ')t1~ '( ,Uw.YlI ~ ,J-~~ ReskJenltat.ACOoly $39.50
Addr.. l(}q~ W'\V\~k~ hr-,))1d.~.P~~. Ml'h~4~
)'r\ J _ ~,~' _ L( ~ ",'" Remember to add Che Slate Surcharge on ,he bottom of this appficaUon.
Telephon&" u.. \Jl I 1 . r) ~ C) I 0 ~. \-\...... . - ~~.O
:/l-tt '^ ~. m.oe-u ~ ' 'V"~~
Furnace Make 8. Model (... ~..~ 4 -( t'O TYPE~EM The price of your heating pelmillncludes one rough-in and one finallrtspectlon.
WaJm Atf Planls
Gravity Additional inspections will be bmed at $35.00 each.
Mechanical House Heating Test Record must be submttted with ~"lrtin"'l'p.rmjJ "~,,mpr before build-
AIf Conditioning ,..~ I{)W.""" cl~ng cerlificate of occupancy will be issued. .
Vent. System :)..~~ \t)f'cU~ .
, . U . HFAT r.AJ r" fI A"JON~ AFn~ UAFO wiltt number 01 s'4JPIy and relurn openings lISted per
HEATING OR POWER PLANT room Wtth CFM's per opening. New struc1ures or additions send Iloor p8n with supply
Steam and rlturn Iocalioos shown. HEAT LOSS CAlCULAT10NS. PAYMENT AND
Hot Watef APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
Radiation CREEK AVE. S.E. PRIOR lAKEt MN 55372-
Special Oevices ,
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CITY OF PRIOR LAKE Me
16200 Eagle Creek Av_ S.E. Permit No. OO-~b I
PrIor lake, MN 55372
c;j
(Y)
III
N
...-
co
Conn. Load
FuellJ~.{g~Aue Size
\S
q
Supply Openings
Return Openings
CJ
Z
H
l-
e:(
w
::c
o
z
e:(
CJ
Z
H
m
:::!:
::J
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a..
::c
I-
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a
:::!:
>-
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a..
Edr.
Input 1 r() ;OD n Output Q,D_" DOl)
AepBir Est. Comp. Dale ~ ... ~ \ -0 0
EsL Cos1 $ 107 f'D · (){J BuiJding Permit. Cfb - D a -b I
/~,
/So
TOTAL PERMIT FEES S ./
/
Cfm.
Alle,al1ons
Olher Devices
TYPE OF WORK
I
Replacement New Construction
HEATING PERMIT FEE $
r
PAID WITH
IUILDING PERMiT
. .
>-
m
STATE SURCHARGE .
Receipt'
+-'
C
Q)
CJ)
TYPE OF STRUCTURE
I. I'!ilk. . file.
2. Ona - aty
3. Yell.. . CennetII
Single Family
x
Two. Family
IndustrLal
Pubic
Muni.Famity
Other,
Commeraal
City HaU business hours Ire B a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230
I hereby apply for a mechanical svstsma permit and I Bcknowl&dge that the
in'ormation above is complete and accurat&: that the work will be in conformance
with lhe ordinances and code& of 1he city and with Ihe state bulldingJmechan~cat
codes; that this form does not become a permit until aigned by the BUILDING
OFFICIAL: that the work win be In accordance with the approved plan in the
case of all work which requires review and appfoval of plans.
....
'1- \q-OJ
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I Da1~
Sent By: PLYMOUTH PLUMBING AND HEATINGj 6125331121j
May-22-00 9:00AMj
Page 2/2
_. - FR..
"ILLDW . APPUCAIIT .
GOLD . c.....
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
s.w. No.CJ71-tJ8.b
Sewer and Water
contractors .must
be registered
with the city.
~
APPLICANT: 'Y \ ~ D\-OU#. Plu (fLb / ^ ~ PHONE; S -3 3- L-(35"" 7
ADDRESS: L. f1 0 it W.vV~~c.. ~ DATE: c;7 d-;;}-/ DO
SIGNATURE: ~u.... '1S~. BLDG. PERMIT .-DO-~b
SITE ADORES;: 'iP ~ 0 L1 lAJ/n.d 5DT ~PID# gs- 33i)-OIc5""" -()
FILL IN THE BLANKS
Estimated length of watQr servicQ LJ[)
"1
1 +
feet.
-23~
2.
size of water service
\ .
inchces) .
J .
Location of any couplings from structure
l.,} 0 feet.
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line l4 () feet.
6_ Clean out (if required), located at ~~ feet
structure.
from
==~~S=D_____~~~~=====~~_=======~_P~_====~~~~~=====S====._~=~==w_==
This. applicatio comes vo~r permit when apP2Jcro~ed.
BY 0~ ,,' . DATE:. 6Ja~] .
. t! - I. / v
....--- --- - ------ -..... ------~- ~------------- .-..--- --
~::-: ---;===::.::------::::~.::~=:::::-~:::-::::::::::-::::::~---
$ .50 SUrcharge
$ 35.50 TOTAL
* Fee for either sewer .or water individually is $20.00 plus
$ .50 surcharge.
Sewer and water pe~~its issued for new construction must be
recorded on the builain~ permit card at the time of issuance
to insure that no dup11cate sewer and water permits are
issued. ~ ~~~~~
DATE PAID ~ ~~~~~ AMOUNT PAID ~
//. ~~~ REC'O B//
16200 Eagle Creek'Av. S.B.. Prioe Lake, Minnesota 55372/ ~~ 447-4230 I FAX (612) 447-424S
An Equal OpportUnity Employer
*
RECEIPT #
. --...-.-.'. ','.
..,.......-. .....," ...:;.....~.-....:--... ::~,.,..:": ..:.....,..~,#...;
~"." . : -, . .' '....~ .. -:-,..:,- ." ...... .. . .,.. 7."'-.~":"''','',,, .. . ~" ~ ."-~':\'~":"';-.'.' .' ~:.: -; -: -:-:::." . ..:..;....~ ;-:-':";.~. ;';'~~. "..
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .J~(o.B~ l~i\Ad.~eJ- L ~ ,
NATURE OF WORK ~ ~~,
USE OF BUILDING SF 0
PER'MIT NO. O()- 020/ DATE ISSUED 3Y?-'?oex:;
CONTRACTOR .-Sv'^-~ Ll~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
FOOTING lJ1/e -~. SI17 loa -
FOUNDATION (Prior to Backfill) {hI ~/2~/Pf)
PLACE NO CONCRETE UNTil Af30VE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~
FRAMING rpq.
INSULATION (;0 t. ~r.(/t.J
ELECTRICAL ~
PLUMBING C2D fi 2/-(JV
HEATING (if required) (/i i!?:r\ tf/V'f/p
FIREPLACE b 8! ~/t#>
GAS LINE AIR TEST ~t~/V'" (;6i ~ · ~a ~~
,
COVER NO WORK UNTil AB~E HAS BEEN SIGNED
~ S-~,Jtf VI) g.}.. 0 b
FINA~
GRADING (Prior to Soddi9g) ,11/0'
BUllDING'(~~ V\\ 10\ fJ;r. I () I ~'l/e"
ELECTRICAL
PLUMBING
HEATING
Q/:;5-DQ
Y(~/pJ>
/f)./~.o/
fhx." /;, · z,~ I (JO
fb1, ~. kJ/~O lIP
DO NOT OCCUpy UNTIL ABOVE HAS BEE"N( SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections.~av-e been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
vl{~
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
.. DATE TIME
CITY OF PRIOR LAKE I!/CIJ.0
INSPECTION NOTICE SCHEDULED Id: tJtJ
ADDRESS /b~ ~tf uJ /!J(Jrat?- t.~IlI~
OWNER CONTR.
PHONE NO. ux.L ~-- g-~--o PERMIT NO. D - d~ I
o FOOTING 0 0 PLUMBING RI
o FOUNDATION ' . 0 MECH RI
o FRAMING. 0 WATER HOOKUP
o INSULATION \ 0 SEWER HOOKUP
~ FINAL - ~NG FINAA
o SITE INSPECTION )irMECH FINAL (KJ
COMMENTS: !;/dj ,(j'J) ~~ or..-
~~ ~~~~::::r~~
~ .-2- .;)-1Lz-Lt ~ ~0w6 AY'- ..Jf1~~tf~
fj.J .111l~~.., ~ ~r ~~
/)., ~ @ 9u.J ~__ 01('/5'1
~. ~, tZJ) ~~ ~-f.-:J
~ ~<V ~. '
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
'P CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeclor: ~ . 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
1(P~9r Wl1tc15ol' t.n
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:
r)K
DATE TIME
I(J{~-o( Hr7
SUfJs<A'- H&tl'JeJ
r?o -~r,1
XEXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ vvvllcr/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE '7/2..~/~O 1/ ,. 5 (j
INSPECTION NOTICE SCHEDULED
ADDRESS I & ~ 'l~ lUl N DS'oA... LAN~
OWNER CONTR.
PHONE NO. PERMIT NO. C) - ~~ I
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
If] MECH FINAL
COMME'NTS: (f) fJ- ~ ~ ~ O?-
, ,
11 .Q.I'~ W ,
~ u.;a,Fe.<\ 1Vt.8d L,~. - ~
J~~~-~~~~
~. ~ ~, i r
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 GASLINE AIR TST
o
~
J II lJJ. Co-f, --~
vJtf~ ~ 4 ~~ ~ttfj ,
o WORK SATISFACTORY, PROCEED
'f\ CORRECT ACTION AND PROCEED
o CORRECT WOR)1 CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ f Owner/Contr:
- I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED tj.z.s. cJ() 2; 3<'J /
IbC??;4- /!VrtJDS6!2- t-N. J
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o F NAL
o S.TE INSPECTION
CJMMENTS: ___
I rt Se:::-
L
o PLUMBING RI
o MECH RI
~ATERHOOKU~
EWER HOOKU
o PLUMBING FIN ^
o MECH FINAL
-
r;~~
\
/
ll~ ~ f /
'/0/
/
(Y'
~~cJ-
J.~. I
Vi r!1lJ
O~ZtoI
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
\
/
/
IWORKSATISFAC 0 Y, PROCEED
o CORRECT AC IOi~ A D PROCEED
o CORRECT W R REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
\
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI