HomeMy WebLinkAboutBuilding Permit #00-0283
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Address) (Tel. No.)
J {j- ~/ 0 ;(/.~('/').// c:;T ~~. '-t...t/{-~r 7%"7
(Address) (Tel. No.)
q'l? ~ e /3 ,.0 r 0/96 -;2t;79 3- ..
.5)fQ~t.?/?ee C{ltt"7t?// M.
Fireplace 0 Septic 0 Deck 0
Alterations 0 Addition 0 Finish Attic 0
~
DATI; RECEIVED
APR I 4 2IlIl
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 ~
fif~rJ~
'-f<JO Co~;'l i~
3. LEGAL DESCRIPTION '4 q "26 IV ,~\,.. ~ <a.~ C. "" .
LOT . ~ BLOCK 3
ADDITIONk.~/I'7~ 1/:,/1 Four ~L .4o{/,
4. OWNER
(Name)
(Address)
5. ARCHITECT (Name)
. k,. -e-h S
6. BUILDER (Name)
-';141 ~/u,e_
7. TYPE OF WORK
New Construction ~'
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
1. DATE
4114!oV
e.l'
J
PID . ;JlC) - 3&1-0~-0
T',/O;-1
f
(Tel. No.)
Rle-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
10. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. ~O - D z,g3
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
1~ROJECT COSTNALUE
~ ~car
17. COMPLETioN DATE
'7-;1-$ - oc:f
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
building ~an revo~/ermyor just cause. Furthermore, I hereby agree that the Ci~y official or a designee may enter upon the property to perform needed inspections.
X . ~ -? 'rJ'~"~ q{J 9<1 t.;-lq...Ocf
oJ -. "I Signature . - License No. Date
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
FOR ADMINISTRATIVE USE
Side
Side
USE OF BUILDING
2[':,\
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
1118'1. J5
ero J .1'
I/')O .00
Permit Fee................................... $
Plan Check Fee............................. $
State Surcharge............................. $
Penalty.................... .'. ................. $
/oo.(Y)
/00- ~
Sewer & Water Permit ...................... $ ~S .. SO
Ga~F'~ ae P it....................... $ tJ..D - 00
Th' . A I~ ~comeL-r Building Permit When Approved.
By ~I Date q.Z1.?tx:v,.
v. 'V
Certificate of Occupancy
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
~e:' $
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
~D:>J fYr"j - CO
City:
~tb
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
Bt)O .CJ3
( I I ~O .~
45.00
~,,-()O
It ~~ ..e>?J
t-zD (} - 00
Water Tap ................................... $
Builder's Deposit ............................ $ J { ? ()t). t9 0
Other ......................................... $
Total Due .............................. $--A.iM.4:i2
Paid Receipt No. 31n:J
Date ~_I By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
sig~! lh~ C~ tanner constitutes a temporary Certificate of Zoning complianc;,rn~ a~ows (~~o commence. Before occupancy, a Certificate of ~ccupancy must be issued.
~ l(-~?-&X)~.-W C.Y\e~I.<~ fOr c..e~\'\ \'~S
City Planner Date SpeCial Conditions if any
24 hour notice for all inspections 447-9850
Issued
66~zJl~
Tht Ctnltr of Iht Lakt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT - \ 0 m
APPLICATION RECEIVED ----Apr-\ \
\-6' m L_
) L\) ;lOl)O
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J LJ.-a.CS Ro b', f\ed \l t /4470 IV/GIf77NGR~6.
Accepted
Accepted With Corrections
~
Denied /}/1 (J 1_
Reviewed BY(~ lJ;J.....y~
Comments: ()
~~a.~~~
Date:
" - 27*' 2~d
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 Gancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
4:"'
00 -Ot8}
The ('enler of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'\' =)(n
\)Cj'h')'l e_
\ Li ') /'\ ('\0
"\) Cy l/ Ci >
APPLICATION RECEIVED
i\ .~
1-\ .~"~", v' \ \
I \ r-" I '
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J 4}$ 'iJ:D ~l\~~~~~ C- ~c..LG~E
Accepted ~
. Accepted With Corrections
Denied
Reviewed By:
~ iJ.~
,
Date:
[.,l. -U~BD
Comments:
tJ1 pr- ~~ ~ t-J~Al t,.. ~ -7~~
L.~ -L- ~ Vvwv QICJ f1~U ~ ~iJ/
",luWV\UAN\ ~\-\- ~e-~,< ~~ ~C ~
W~\1 LM.e.." 'c ,
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- Z 83
The Center of the Lake Country
White .. Building
Canary .. Engineering
Pink .. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
-GM H OU\1Er
A p({I(..
14 Z..OOO
}
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IY-Y1D
,JI (; H T I ,.jG V-\ l E.. Cute. L E:
Accepted
./
Acc~pted With Corrections
Denied
Reviewed By: I,..)AI.J:.EA.. 611.!lE$/fI1ft+/1J
Date: c}/tu/ ()O
Comments: ~ JAJFOltMr4rlo,J ON ",.E. RllJ~ S,oE.
~ AT'iA ,to( I!lfI.JT S: J. h ~ Ac.. G'RAOE. J AlSPF- er 1tM.J I AI FollM-..n ON 2. ~t40 ,'" t. Pc.AtJ
.3. fao S 10 ,..) Co I\JTlt eiC. rV1 EA~ C\
Lf. EAD1. 'ON COAJrlttJt.- A."N
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."
.
Job Address /W7D W~ t;ke./ t
Heating conlract~ e- .. y~....
Name of Tester . ;;{ v (_ V'
7'~S-:-~
"7
o
<g
(3b5~
..."
Date
Percent O2
Percent CO
Percent C02
...
Stack Temp.
:::b~::~::: Is adja~y~d per
Input Yb/
v
"
""
Date
Site Address
Lot Block
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
(JO .OZi3
PID#
1\1: 0. \1\4- ~ .J Q tli
- . J- d-
Addition
Q "An J.
( Y' in) Ie..... Llf-1lJL
Owner's Name 10 "" ~..., I ~
(~
Address
Heating Contractor
Address
~V\:C
Model Size
Conn. Load
Fuel Flue Size
Supply Openings
Return Openings
Input Output
Edr.
Cfm.
Alterations
Repair
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
" ( et..&W
DtJF36 AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical .
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
Building Permit #
00 -o~8 3
.50
Receipt # Jt
TYPE OF STRUCTURE
I, Pink File
2, Green City
3, Yellow Contractor
Single Family
Commercial
}<.-
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 bui!dinq oermit !"lumber before bui!d-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS R~nIIIRED 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
OFFICIAL; that the work will be in accorgance with the approved plan in the
case of all work which requires review...4hd approval of plans.
~1S
Applg,.r;r, ~
/- 5-D 0
~/CJ~
. ~ ..
. ~"'.} . CITY OF PRIOR LAKE · 0
li r... ~ . 18200 Elgie Cnlek Av. S.E. Perm. Noon - 0 ~~.3
~ Prior 1.81ce. UN 55372
IJ)
~ . \ ~~nNG APPLICATION I PERMIT. Sirlglf Famlly
o..Dale to \ ~ \ClC..J Pill. .R. S- - "30- 03 f- ("") Cammerdal
CD1le Address I UU '10 A '\-(~\1 u~A l,.,€... Ci f2-
(J'l .
ciLal .1; Black _,,:<, AddIIon I( Y1~ J.h{.L LJ~
z r
Qrm....Nam.. ~rl"\ ~..11 rf)A.}~:rra-lC-.J7"o~
· Address, U U'"1 "'^ LW '1>r '~A-1I i'r1i Q ,
Helling CDnlr&tor . P->f. .JA 7 - 1l..l11A. Y"\ ·
Ad~ . \ U"1U ~ .~ e i-v.!.t ~ -r -r fl._L
T.I.phana,- ~ \ - ~ 1... ~ - \ l L\.U
Furnace Make l Model ('/.l vvi, If... TYPE OF SYSTEM
" Warm AI' Plants l('
Model Slza , m y~\..\ f)D..() - \ \ "" Gravity .
Conn. Load Mechan1ce1 ,
['-' . . Air Condlbnlng )l 2. " -, -
~ Fuel lJA.'1'" ~ Flue Size f) *"v(J/\T VenL SVl1em .
~ SuppIr Op8/Ilngs . \lL> .' HEAI1NG OR POWER p~
~ ~~ I
ea Re1urn Openlnos . --, Hot Water '
Z d:l Radlalion
~ Input. l} 0,000 Output"', COO Special ~vfcel ,
~ E~r. .
w
l!)
elm_,
Other Davfc;el
E
CI
'i;f
l() A1Ieratlons
.. .
CD'
TYPE OF WORK
Reptacema'" New ConslNdion .
x
Repel' , Eat. Comp. Dale ,
~ .
~ Est. Cost S . IIIIlldlng permlll . ()() - () ~ ~ ~
N
~ HEATINGPERMrrFEE'./ PAlDWlTH
~ ST~TE SURCHARGE' /.50 ' BUR..QNG .~Mrr
.., _/ . ~'
TOTAL PERMIT FEES r R'ecelpt " , - -
TYPE OF STRUCTURE
J. PIal ~ RII
1. 0.. ; a,
3. Yd~ COIIIIKIar
."
.
Two-FamHv
Industrial
. Public
Muhl-FamHy
Other
Fee Schedule
Indue'rIa'. CommelCJal & Muki-FunKy
, I
R8Ild&f\tfal. Healng & AC
Rlllklanllal. Healng Only.
ResWenltaJ. Gal Fireplace
Resldenllal. AdrliIIona' & Aller.ttans
Resldenlial, AC Only
1% of JOb:~~~~uwJ.~ r ~
$99.60 . , tI ""-.:. L ;,; A_.:;,
t84.60 .
'39.60
139.60
139.50
JM 1!8 3IJ)
Remember 10 add Ihe Stale Surd1arge an the bottom 0' Ihls 8I>>Pka~lon.
The.prIce 01 your heating pennll Includes one rough-In end one tlnalll\lfMlCllan.
AdcltJonal ~lp8ctlona will be bIDed 81$35.00 88ch.
,
'. HOUle Heating Teat R8C)ord ".,st be aubmlned wlth bulking PIIIIlIt numbs. before wid-
Ing 4:erltlcal. 0' occupIncy wll belausd.
I
IrIJ=AT r.... ~. ,. .T~rw,q, RFn '-lFn with number of aupply and filum openings III'ed ptW
. room with PFM'8 per opanlng. New structures or adcfitIona lend ftoor plan wIIh .",~
and relum Ioce1Iona shown, HEAT LOSS CALCULATIONS. PAYMENT AND
APPl1C~TIONS MAY BE MAILED TO THE crrv OF PRJOR LAKE, t8200 EAGLE
CREEK AVE. S.E. PR10R LAKE. MN 66372.
City Hall hullne.sl hoUrs are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HIli
t I
447-4230
I hereby applv for a me&hamcal systems permit and I acknowledge 1hat Ihe
(n'ormatlon above 1$ com prete and accurale; Ihat 'he work wHl be in conformanlle
with Ihe ordinances and cod.. 01 the clly and wllh Ihe afa1a bulldlnglmeehanlcal
Ciode.; thai lhle form doe. not become & permit unUI algned by the BUILDING
. OF FICIAl,k thai the wOlk wUl *1e In accordance with Ibe approved plan In the
cas. of a l\work whtchrequllel review and approval of plans.
l..Q' I~ '50
Date /
~ 0/1 t., frt1]
I DJe
.
\,
CITY OF PRIOR LAKE
1. Blue
2. Gold
3. Yellow
File
City
Applicant
~LJJMBIN~~PERMIT PPNo.aO- O~~3
Applicant: ;-t~H.A/V1 .t"'e.um~;V"'7 ,Phone~~ r;/~-.9J67
A~dress: l-:t-X. . , ~~,_ ',~ {t0d5~-1# ,4V1.L-' ~5 ~
-Signature: ~ ~~ - ,
Legal Description: L~ S;- ~v ~ Sub ~(\..C)b tt, 1 \ LI'tf1Affi(
Site Address: I '-J 4 '7 () N " Q.bH I\.f!fJJ..L-
Building Permit # 0-0 - iO~~ PID # Q S- - 3..b.2 -0"3 \-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Thl' ('l'nll'r of Ihl' Lakl' Counlry
1'"2' (~,i="i~Y~~-r;-~--.
) 'r.: C.. r,' ' 5" "
..~"...J -_' l:...:2."- ~__i a~_
.SI.
Quantity
)--
/
J
~
J
/
Y
I
9
'J
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Dishwasher
/
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1)r 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
/
I
$ /.50
I
$99.50
$39.50
$
$
$
GRAND TOTAL
~~~~
~
16200 Eagle Creek Av. S.E.
r Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
PHONE NO.
May. 08 2000 08:12AM P1
):;i~l,~:!~~ii~:,'~;~;,~:~:;:ii~~;~~,{ :" ..,~ . .. . ,
.: ,,:'.'...,:, ';. .'J' .~:",.~'~~Q~~:i~~""" ;', : ',:~'C?.09,-()~-S,
:' 'EWE'R, ,~~'1,':.~..:.~,p~WlI'T 'A"!;':"~t' ~iIiis *73'7" it
" /;:(:;~~::T~-~>rr J;,\,;.> NOTE: S ewe jP:;JJ' Water '?3!'
. '. ":....~,::;lr'~' .':::::':': ': ',:-;, :'.;. \ contractors 1t1ust
_, , ,::>~~~~';:~S;~i: ':'fr~~~:' '~tt:.~~k~~,i)~'i\i..~:, ',;;..,~ '. ,7!~~-.", t;: ~S~ii;~
11tJfIJ': '. ,f >~"~:::!''::''''':'~'^' ~"':,:;~~:. , $"n~::;":\"':'~:f.""~";>"':'~'''''':''~~,t''f:: !";:;~''?;''''fJi.5~
APPLIC~T:~',.,;:~7,}~ ,~..., ~., ;.":~~:"J~~~~~~;;~;;~l.'5} ;:::~~' .
ADDRESS. fib ~ 1,,' "fl,,~ J"," 'Pi::". {,r. .:~"'1;>::,>,,:,::~~""J"''::-~P~'4J:~;,. Y8/~
S IGNATURE' . ~,~.i :::.,.:>:~~;: ':>/":~'i}i*~~i1~~~~~~\~;'::~!~(~;:":~;',:;:::,: :::~?~J'i~><;:~:,~~:~::: :'~" :'p" E~u'Tm -II I"Q, ()""\ V'Z' ,
. . ~': . r- \ ". ';". ,',,'I"",:':.~l.Y'::~:I'''''~,~:';',1:'':~'''\:~''''>'';,:;:li.'l.:i,:.i",:~"':GLiuwr~",.:' ,: ~'"l...;:a;, 'If' I J\I'- O\Q0 : '
SITE ADDRESS: 'l!1!I!/!J" ~~~ :::':.,<~'~~ ~ ~ ~~l~ ~~
-- . PILI
yet-LOW. UPLw;qT
..... - en'''
1. Estimated len9th of water ,s,ervice .30
teet.
2. Size or water service JH
J.
inch(es).
4.
Location of any couplin;s from structure
Type of sewer pipe. ABS PVC)< Cast Iron
Esti~ated length of sewer line ~()
feet.
6.
Clean out
structure.
(if
required) ,
locate4
at
feet.
~IA-
feet
from
5.
====___*=_==-====a------~-----:~:~wa----=------=====--------..-----
. ~.
This ~pplication ames y~rmit when approved. '
BY l / .A'~ AA~ ') DATE: r; ! 04 j.I} c,) .
::::~~:-~~::~:o==ua~-:::::-:::~:::::-::::=::::::::::-::::::~-=~
$ .50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer ana water permi~s i..ue~ for ne~ ~ons~r~cti~n ~ust be
recorded on the buil~.1.nCj perm:a. t card at the tl.1'l\e ~'f :'!-ssuance
to insure 'that no duplicate sewer a~d w~ter pe,rmlts are
issued.
, ~~: >~:~
DATE PAID
RECEIPT #
AMQ~;n'1' PAl))
~C "'0 'Bl
4629 Dakota St. S.E., Prior ,La'ke, Minnesota '55372 I Ph. (612) 447-4230 I Fe" (612) 447.4245
, AN EQUAl. OPPORTUNITY EMPLOYER
PRIOR LAKE · DEPARTMENT OF
· BUILDING AND INSPECTION
INSPECTION RECORD
G--
SITE ADDRESS 1l..f(/l)6 b1j"'\~
NATURE OF WORK NDW (j
USE OF BUILDING S~ ~
PERMIT NO. (}J - OZ83
CONTRACTOR f-\()\~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
IJATE ISSUED
'-l ~ 2.i-?~
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
. ELECTRICAL
.--
PLUMBING L.. '-C-J t~/ov
. I l'
v~._ . I / /.
HEATING (if required) I V--1" 1t'?/~7 /'t'D
FIREPLACE fj, . b' - ;),7-(X)
GAS LINE AIR TEST MNN t a FPA ~l, Lbi1/dJ I
COVER NO WORK UNTI~ HAS BEEN SIGNED
FOOTING . . ~ 5/SlocJ
~ I
FOUNDATION (Prior to BaCkfill}P.~~wJ~k, (!i/ /7h~
PLACE NO CONCRETE UNTIL ABbvE HAS BEEN SIGNED
ROUGH nNS .
/ hd~')
ltt/~ I~~~' / ~..
~H Lr~' f;;r
t,/~7/t)i)
J u!a-7(h;
~
GRADING (Prior to Sodding)
BUILDING /flP ~ 1.1(.00
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
GJ(1~ IO'/~'fID
IL~
I I
/o/zc; /tJo
I
. .
~h?hr,J?_ ~
lfJ "1~
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.bgen~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
ADDRESS
/Ll1f70
DATE TIME
SCHEDULED /0'-;1.00() /l-r
/1) iqlic~&-Je
CONTR.
PERMIT NO. 0 - d-~_3
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WA TEIR HOOKUP
o SEWER HOOKUP
o PLUMBING FI
o MECH FINA
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
COMMENTS: ~ V-/
~ORK SATISFACTORY, PROCEED
o CORRECT A~TIO ~PROCEED
o CORRECT WO ! L FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
IJVSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /~7t?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~ING
o ULA TION
FINAL
o SITE INSPECTION
COMMENTS:
~,r~ is C5K
DATE TIME
SCHEDULED ~
AI~ Crd~
C'6NTR. ?;n1 ~~J"_
PERMIT NO.
O!J-J.~
~GRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
...,.
,
\ /.
?I'~\
I f
/
/"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
,nspector:IIM4~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INS/VOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS \4 4- 7 ()
OWNER
PHONE NO.
DATE TIME
~~/AJ 3:3()
N'C1'n:h'~O&-.
CJ'NTR. ~
PERMIT NO. ()ll ,- o.a. y s
SCHEDULED
o FOOTING 0 PLUMBING RI
o FOUNDATION \^ 0 MECH RJ
o FRAMING l \ r 0 WATER HOOKUP
~SULAI!.ON r 0 SEWER HOOKUP
FINAL tSLDG 0 PLUMBING FINAL
o ITE INSPECTION ~ tJ( MECH FINAL
COMMENTS:
G) f,,^cJ F
(,,) ~ti G.A-&
(!; ee.wtO V e.
~
5~. C-O.
~ ,..., t '\.
~ UtA-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~;nUr\Y\'\ ~.
.f-0us "'OCy ~~r:;rY\ex:!\
Col\S+r ~c;\--)oh d. <lJ y);'
'---"
I __________
--0 g J~/ot< ~
,~ )
------
-==--
o WORK SATISFACTORY, PROCEED
o CORRECT A ON AND PROCEED
o CORRECT W LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL -9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
,," 0 FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
SCHEDULED
t~
OJ TE /
?fL.! low
TIME
~(' 3 0
NJhJ-!r&J6/11-C
~
CONTR.
PERMIT NO.
Cb-L8~
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RII 0 COMPLAINT
o WATER IHOOKUP 0 FIREPLACE RI
D.SEWERH~OKUP 0 FIRE.PLA. CEFINAL
13LUMBING FI 0 GASLlNE AIR TST
MECH FINA, It 0
'.W j) , W/}S~
COMMENTS: I..
'f-It6 j\} ~
l ' I ~/flov-~ cb^'*:\5fL~,
~::;{!1~W;/' ~~ fi.N_
I
,-
()~ --
I
~~ ~IUA..l~)u~
o WORK SA TISFACTOR~ PROCEED
CORRECT ACTION AN PROCEED
~CORRECT W07~AL FOR REINSPECTION BEFORE COVERING
<~-
Inspector: ~,\.' Owner/Contr:
CALL 447-9850 k,R~THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INS1VOTI
SCHEDULED #C<:::> :iE,. Do
1 r ((
! 4- L,:( C) IV Ib(fr&J0/tLc-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
AD PLUMBING RI
o MECH RI
~ATER HOOKUP
KksEWER HOOKUP
rT[] ~PLUMBING FINAL
o MECH FINAL
CD . Z-B3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTSf ~
33' ~)AJ rWo 4u VJl/C_
It ~ ~l · VL CN~/'-:- . .Nu l ~ "
o · ~ cr~J ~ 4<A Cx-e-rJ
t:"vV.-' r~, l,IT0f~- n~t1$
-~ w,~ ~
Rcu-~ l' VV\wl ^-. ~
lYv~
^t rb K"
( '1 ~'(jIY~
-~
Inspector:
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
"
/.?C:#--o
INS/VOTI
ENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!