HomeMy WebLinkAboutBuilding Permit #00-0298
~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
.,2m
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
q77o/rr{)
2. SITE ADDRESS I L-/ Q q h
3. LEGAL DESCRIPTION
I 4 BLOCK
\((\J:1X1 \-\1 \ ,
A\ u tJoirrJ Irn~ I
I PIDd!S-3Q-QJt[-O
4 H\A bmJ
LOT
ADDITION
4. OWNER
(Name)
(Address)
(Tel. No.)
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER
(Name)
(Address) . (Tel. No.) 9G;;1-
\^ I ~\ __~, LL. 14 211 2::.-.w1 Y'~ A\[~. <g-qS'~8'1q~
V \J I (\U WUUCA lIO ~ Bv r r\) vi llL S-~-:< 0 C.
FirePlaceA Septic 0 Deck 0 Re-roofing 0 - Porch 0
Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
7. TYPE OF WORK
New constructiOrp(
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
Width Depth
10. CULVERT SIZE
Yes
No
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
OO-O~9;
f
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WlClth) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
tv tAN S~ 0
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ~}ZTD~S()7Jb
17. COMPLETION DATE
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 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 o~ial can revoke this permi~us~cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pert07eeded inspections.
X' (~...... \ -- 0-/ . 11 I?/~
c:::::J Signature { License No. ' Date
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . .. . .. . . . . . . . . .. . . .. . . . .. . .. . . . . . . . .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
~.. $
Pressure Reducer ... .1.................... $
Meter Horn ....... ".i!:fI. ow................... $
Water Meter .......'Z.. .... ..... .... ...... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Gas Fireplace Permit ............... ........ $ Water Tap ................................... $
This~on Bacom uilding permit't!/'=.nf'T~OVJid:..__ Builder's Deposit ............................ $-L-SO 0 . CJO
By Date ~ Other ................. ......... ........ ....... $
Certificate of Occupancy Paid ~a)1 ~.1irii 0..... ~;;;,I~~O$--} 7~ ~
Issued !,;,
Date ~ I Olc:ll ( b By
This is to certify that the request in the above application and accompanying documents is in accordance with the City ZOning'Ordinan!e and may proceed r uested. This document when
sign b he C' P nner constitutes a temporary Certificate of ZOrJ!.nJl compliance and allOWS. ~struction to ~~.m meennCEj~ ~ Bee~fore occup~y, a Certifca of 0
~~-6U ~_. _.. ~~ t~
Planner Date Special Conditions if any
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I (.(), OCO. ec;)
USE OF BUILDING
~FD
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................................... $--4-18 '7 . ~
t"ft? f . '7(
~.en
City:
Plan Check Fee ............................. $
State Su rcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $
I 00. f) 0
106. 0 D
35.5D
LJ() .00
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
eSt}. c.>~
1,1 ~O. o...tL-
LIS · 00-
t ~S . ~l!:J
11~~.oJ:L
~o.o.....oo
OfJ-ozcrj
Tht' Ct'nlt'f of Iht' Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 'J.\"~ '&'mr" _~ fY\eS~
APPLICATION RECEIVED Apn \ \ \ d, \ dCJOO
The Building, Engineering, and Planning DE~partments have reviewed the building permit
application for construction activity which is proposed at:
(Lj d.Cfb ~~b',rcJ TrciI \
Accepted
Accepted With Corrections ~
Denied
Reviewed B :
Date: 4"''') -'2.oc>o
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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00- z 9 B
The Center of the Lakt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPCitA118NDEPARTMENT CHECKLIST
NAME OF APPLICANT vJ I f\C\ \[\J Ol.'\d \+n ll\ (: (,
APPLICATION RECEIVED /\[)\l \ . \ ~ \ d OOD
\ '
r ...
T~e'Bultdi~g,'Erlgif1e~1;ng, and Planning DE!partments have reviewed the building permit
application for construction activity which is proposed at:
/'-/ (;;/.q 6 L J l) ~ ~-=) I rc1 -, v" CA_ I \
Accepted
./
Accepted With Corrections
Denied
Reviewed By: JJ&-re.a. Etiaf:SrttANN
Date: ",Iz., /00
I I
Comments: SEE JAJ'F~ttt'1lrrIOAJ Q.!J ~ s,tlE..
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5<<. ~: I. F:1J14~ {jR.A{JF IN~P'~I\J /NFoR.""A110tJ z. BRt.ltJ.JJ(, +1.AA.J
3. E:a.oSIO~ C, oNm.OL. t11 ~ua..a
" . EA 0 S tr!),.J C'MJnt.D i..- f1...1W
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 jurisdicti~n shall not be valid. II
00 .611 i
The Center of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATI10N DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~.
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Accepted
Accepted With Corrections l /'
Denied
Reviewed By: ~-1iv.. ~
Comments:
J-c.{ (1-r ~~ -tx~ ~ ~ ~~\ ..p,.~'
LW., 4--~u. ~LDLW '1063.rb,
Date:
~ 2.~eo
.,^~ 3D If:, ~.fl!J~e ~~, tJ"O
/S{) ~ ,~~~_ w^-\ev- I~ ~ t[Zto, 1 .
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
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.
*Permit#
*Job Address I 'Ie). 'tfp .B{ u c:}; . rd 7;1'
*Heating Contractor Mt: I RO AIR
*Teslers/Signature r y
u
*Gas Une
Pressurized
Inspected
* Percent C02
* Percent O2
Final Inspection
Date
~zrfJ.=.
PERFQRMANCE TEST
" '16ft)
1~ t '(0
*Percent co ~
I~t~
*Stack Temp. r'
Date
/
;1:'.
'~
~~
~NEl/
GREEN - FILE
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WA.TER PERMIT
s.w. No. (5{J --00AJ'
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT:6R is Hl/l 6 xc .
ADDRESS: I 4 I ( ~ -S oil Lr..-J W A7 L tL U[ .
SIGNATURE: ~*---- ctJ~
SITE ADDRESS: JLfJ q I. <<Lv...U.l:A.. () Ta,
PHONE: 81J -tS> 'if) {,
DATE: Sh7/CO
BLDG. PERMIT # Q)-Odq~
PID# 8ZJ- - 3{;'d -0 IL-f -0
FILL IN THE BLANKS
1. Estimated length of water service l/ ()
(
feet.
2. Size of water service
I r
I inch(es).
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC )(
Cast Iron
5. Estimated length of sewer line
Llo
feet.
6. Clean out (if required), located at
structure.
feet
from
---------------------------------.---------------------------------
---------------------------------.---------------------------------
::is( j~~~7:vtO::LZermit ::::: app;j'ioo
====:~========~================================================
FEES:(/ $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $j?~ 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. ~~y.. ~~
DATE PAID ~I~Q "-~~NT PAID
'" ~\~GT.-
RECEIPT # ~~~~v REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
10/21/99 THU 13:14 FAX 6124474245
CrTY OF PRIOR LAKE
14J 001
'II, ("'ftl'f '" l~ I...., CftU"lf~
CITY OF PRIOR LAKE ~. ~~t~~'i,,"1
PLUM~/NG P~RMIT # QD -C&<tr
APPlicant:/~~~~&'NJi~ . Phone: 4q;)-;:)/~/
Address: ___~_L~_.~ ~'(/r. Jt'J1(iflf) {(If) 5~35~
Signature: Wtv,-...... ~
Legal Descriptionj ~~. \ L.J BI.ock , _ Sub K ~ J;lill L( tn
SiteAddress:~CjJp J!J.u1Ih'rd Y/l ~ ~\
Building Permit # ~ - 0 q:>Q2" PIO #.a~- 3(,~ -()14::O
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Quantity "
Type of Fixture Quantity
;;2 Bath Tub with or without shower .3
I Dishwasher I
I Floor Drain
r~ lavatory (bathroom sink) I
-
/ Laundry Tray (1 or 2 compartment sink)
I Shower Stall
/ Sinks
Bar Sink
.3 Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PV8)
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industriar. Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$
$
$ .50
$ ------
$99.50
$39.50
16200 Eagle Creek A v.
"-....1. -.. @ lli~. IG,.c.\.....-.i..'..t'
. ra ~ 1'.\ ....,.
\S c: U "-:/.
This permit is gran red upon Ihe ""press cnndirion Iha ~ I . _ ~-
conlractor. shall cnmply in all rc.'p<ets wilh the Ordil. ~.. ;
~ St:tte PIUmbi~lg C Dn the t\mQJ~r;n~ thereof; \.'\ \
_. -.. E 1FT O. ~ ~n DATE-
./ .i . I 1 cST
all for all insp#ons 24 hours in advance.
., B ior Lake, Min~ 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
8tJ~AID Wf7j
~NG PE~Mtr
Q)
Cl
<<I
a..
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permit No. OD - ()~ r
Prior Lake, MN 55372
TYPE OF STRUCTURE
1. "Ill . RIe
1. Grem . Oty
l Y~1ow . o.ac..
HEATING APPLICATION J PERMIT
rdrf-OO PIO' 62~-r~E;q -O-lL/-()
Site Address /l(:Jq b ~(,L"."iA /)/1J14d
lei J Lj Block I Addlion \, ~ l-t' \ \ LJ 't'h MOO
Own&r's Name !J);A-lA.H:J"f) ~/)~.
Dale
~
a..
o
(9)
. .
N
o
o
I
Address
Heatlrtg Contractor ~LLIED FIRES IDE db a FIRES I DE CORNEll
co
N
I
Cl
::]
<t
Addreu. 2700 N. FAIRVIRW.
T4Jlephone #. 651... 633 - 2 5 61
FIREPLACE II.
~p Maka & ModQ~ ~ j.} ~
"I:t
co
co Model Size..
co
(9) Conn. Load
(9)
(0
LO Fuel t/;AS
(0
Supply Openings .
Return Openings
Input
Edr.
ctm.
- -
\.v-- 'TU.,
Flu. SilO
0u1put 40. IL'D
ROSBVILLR. MN 55113
TYPEOFSVSTEM
Warm Air Plants
Gravity.
Mechanical
Air Conditioning c
V.nt System
HEATING OR POWER PLANT
Sleam
Hot Water
Radialion
Special Devices .
OIh&r Devices
Meralions
Aeplacem e n1
TYPE OF WORK
New Construction
l'
Est Cost S / 11JlJ~J) Building Permit ,
f -
HEATING PERMIT FEE S /
STATE SURCHARGE $ / .50
TOTAL PERMIT FEES ~/
a:
w
:z
a:
o
U
w
C
H
C/J
W
a:
H
LL
Aepalr.
Est. Comp. Date
. .
>-
CD
+-'
C
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C/J
~/o,
, "
cr, -..~~ - &,-1'
- yJl\\~":-p~.-
eU\\..O\~G
Rece ipl 1#
Singre Famify
Commercial
Two-Family
Induslrial
Multi-Family
Other
p\JJ4ic
Fee Schedule
Induslrial, Comme lcial & Mullf-FarlUly
Aesidenlial, Heating & AC
Resident;al. Heating Only
R es~denti.atl Gas Fireplace
R eslden1ia., Addilions & Alterations
Residential, AC Only
~np.
Remember 10 add Ihe State Surcharll9 on Ihe bon.
The price of your healing permi1 includes one rough-in and one DnaJ inspection.
Addiliona' inspections w~1 be biled at $35.00 each.
House Heating Test Record must be submitted with h";t,t.,,. pili"". ",~~r belorl!llMld-
ing certifica1e of occupancy will be tssued.
HEAT CAlCULAT10NS REOUfREO watt number of supp4y and relurn openings Isled pe
room with C FM"s per opening. New structures Of additions send IIoof plan wih IUpply
and return IO"'''~ ,."nns shown. HEAT LOSS CALCULATIONS. MYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGlE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
Ci~y Hall business hours sre B lI.m. ..4:30 p.m.
t
ALL WORK MUST BE INSPECTED (ROUGH-IN AND RNAL) · CALL CITY HALL
441~230
I hereby app~y for a mechanical systems permit and'l acknowledge ,hat the
inlormation above Is complete and accurate; that the wo,)c win be in conformance
with the ordinances and codes of lhe cily and with the slate buildingfmectlsnical
codes; thal (his form does not become a permit unlit signed by the BUILDING
OfFICIAL; that the work will be in accordance with lhe approved plan in the
case 01 all work which rsquires review and approval Df plans.
~A4 ~~
/ . ~~fJ~alUr8
(~~ '-I . /. ; rI uJA:::::J
C/ 8{jldng ()tri~S Signature
Flu/OJ
, , Date
sr fa. C(h)
/ DaW
~
CITY OF PRIOR LAKE
l"?n~ ="~Ie Creek Av. S.E. ?""t NQ. ,OO-2.'IS
Prior Lake., MN 55372
1.P'Jd. - :u.
It:-- _ ~
.l. Yt:!)_. C.
TYPE OF STRUCTIJRE
Si.'lgJe FamUy r
D
C
G1
HEkilNG AP?LlCATION I PE.RMIT'
lae ~-O~-OO
i;e Address, /l./2QiP 1/;,1 ()t;hi ~d It"" I. IJ ~
~ JL- Bb:il J Addhb:\, KNa6 Kt<.l./ 4'11t
:Nmets Name '\r1 ; (\ r\ '^' 11 n I ~ +\ () N S.
:.:!dress, \,,) \\ ~ d: f\ \ . t\ v t. .~ - ,1 i V ;' fu
'~ \ ":\
H;aing Comra-""bJ,' <.., ~ ,"" r- ~ \,\ \.
Addl1l$S, \ \" ~ 'I. t, '\..! I... \ t Or -v.. \" l iJ ,-; iF' \ L, Kc
.e'B?h:ane # . ~ "'\ --, - ~ \ ~ '\
Fumz:a Make 1 ~d&1 (~r' -r ~ \ v'"
~.:dlt' Size ,S ~ 'M V fJ ~ \)
Conn. L=ad , \. n \ ~ \ 9
rueJ "I ~ ~ Flue Slla f V l.
S~y Opanln;s. \ ~ .
neWm O;Rmi~ . ~
lnptn, ~ " li)() OLl2pUl,"\ ~. ~
\
TWO-rarnny ,
11\dusiJiat
. MuJtj.:=ami~ _""
~
~
N
~
~
~
CommBrcial.
PIn #.-
hbi: ,
oa~heJ ,
:=~ S:hedu~
lradL!StriaJ. Commer:ial & llAutfi..Famity
i1~ id-o-1'lii2l, Heating & A.C
~~i~nii!1, Heating Only
~~si:Sen~ Ga :=i~a:!
r\~idential, Adaiticns &. Alei2.tions
rlemdentia1. ~ On~'
N
fJJ
fJJ
-0
3:
,% of jQ=> t::lS: (S:::.5D minirtl1r.'n)
Se~.50
S5-1.50
ta2.50
S39.:iO
U2.50
3:
fTl
-f
:::0
o
D
I-t
:::0
nem!!mDer to add h Sta1e SUdla~ on the bo:2:lm of this ~ti--=D~
TYP>>E Or SYST:M
Warm Ai: PlaTa. ,)0
Graviry ,
M.cr.ani::aJ
Air Con~.I.'ning :oX
Van-~ Syst8tn,\(l..
H'=..A llNG OR POWER 1'lANT
Staam ,
H::n W;t8f .
po:."""~'On.
Spe:ill Devi--. .
The tui:e 01 your hAting p-...rmn in::tucies one FDU~ 2nd eme inal ~e:tlan.
- Ad:iltional ir..spe:tions will be biJk!d at ~.oO each.
Ho:.:se. Heating iest Re.::om mus1 be submttted vril:h h1111ti"mo "'mt~ n'nn~r before t..i'~;,j.
in~ ~,i& uf o-"'~"Y wi1I be ==uecl.
H=IJ ,C'"A,\ ~. n mnN~~:n1 nr:l::t) with number 01 ~ and 1eIum. openinps iisteO P!I'
room vd1n CrMs-per opening. New sDu:lU7es or id.ns send fi=r plan wllh'SUtJpIy
and retmn locations ~own. HER'LOSS CALC\J1-AilONS. PAYMENT AND
APPU0010NS MAY 3: MAl' ~ TO THE CITY or Pr\IOR ~ '6200 EAGLE
cre:t< AVE.. S.E. FFtlon LAKE. MN 5S:UL
City Hanl?usiness hCIUB are I B.JrL . ~:30 p..m.
0Ih8t Dove. AU. Yr.IRIC MUST BE INspa...,D (RO~ AND FINAL). C., I CliY HAU.
.~. 447-cz.1O
\ TYPE Of WORK \J I hereby apply !Dr .. m.cllanical systems pennjt IIId I aci=wJ.d~ lhat!he
' . ~ . .inlDrmdon ~ is ClIIIlpIeIe UIll r-o'fale; lI>allhe _rIc wUI_ in CCIIlfonnanI:B .
AIl8I111b~ ' ........\BIII. . Now Cansln.ci1Ml. . , with .... onlinln_ IIId COdes of lb. city Illld wiIll1hi ~ III buiIdlD~
~ .. . - CDmp. 'nata '. " ...des; !hat 1hi5 k!nn does IIlll ~comw a Pen,pIt untllligne~ by !be BU!U1ING
.. u ' . ~ c . . ^' A qa : . OFMcw.; Iud the wrk will be m .'-rdaftCII wiIh the apprwed plan m the
.~ ~.~ S. ~ C'\ro:::-' ~~Illll PermillJ ,U ~- Z; lJ . . ,... ,., .~"\ :~ ~~ ~~ review IIJId app~. of. plans. . .'.,.
..~~"'=GIlTn=$ \'t~ ~J I. , ,'.".;. .. . .'6-,... \ 0,..;..<:::0
,,~~~~HARGE s, "5~. ~. ~ ~~\'t ",.. ~ ' , . .' ,: . : 6 ' ~ "'O"i=;. .
:,.!':'I~~F='" $, Rooo",.~-- · ~;<..- :. (J . :
~\'::t'::.:'_ . -:. ' ::.: .... ~ :. : .:' ... : _' '" . " '. .. ". " .:'. . ..?. ";, " " :;..... . ~. . ".-.. : ........ :.., . ..' . .
~~~=:;.. ~ '-'" ';. .. ..~Ih..:..: ~-!-~::::.. ;.~...~~..,...:~ ;;":. .< "..,,". ';" ;;~:~ .,...,.. '.. <'J:-':::S;k:~'~ ~'<':1;.,~,,:,,;; ~~ . !::V.~..~- t~~~
. ~"':'.~... . -..., .. ~..~ -"- .",.. .. '" ~~',- .-_. -~- ~,~~. ..,. ..-_. '0"" _ ..... __ .-' ~
~-", :;. ; J. . . 'c. ~.: ..... \ <<".= '" i~~ ~~~ ......:...:~' ~ ':: ,':, >I"':' ," : ..:: " ~.~, -:~ .~ """......., ':'_"'" tff...:< ~ ft. . 1';. ".:::- iIi '" ' . , .
. ....... .:... ~ .. .' . . ... '''' ..,.... '. ..... . . " ~:.' -'.:. . :., -:::: .~ ~.-. :::..-~: ...:..::" .' --.:; ~:..~ ..,.., . " - _..
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PRIOR LAKE D,EPARTMENTOF
- BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS I'-I~ (., .. !Sloe ~.t'~ :ik:t., l
NATURE OF WORK ~ ~S~'0(.J,~
USE OF BUILDING S~D
PERMIT NO. 00 - oz,q 8 D)\TE ISSUED 4- 1'1- 2cx:x::;)
,
CONTRACTOR Wl~LL'<?~r() ~~
NOTE: THIS IS NOT A PERMIT FOR A.NY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING r;;~r:roR?1 dim
FOUNDATION (Prior to Backfill)~;i. -:*. 7M/tv .Jzr. 7j.~fbv
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
R 0 UGH -/11 N S, /
/h;r~ 7//. 7/tfrJ
. fn-. . ~)~!(XJ
(/)) g.3/.W
t/J
('
I , I # )ij2ij/~
:, . '~/tJlJ I
~~\ . ?/P4~ fR~. ~/;;?/~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
8.ZS.(JO
I~
v
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~
FINALS
~.~rn
~;.. .
GRADING (Prior to sO.ddin~)1
BUILDING 'i.GO ,~tO fJ, \ 0\
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
. 11 '1/131j))
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HAS BEEN SIGNED
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 be placed near main entrance.
Call between 8:00 and 9:DO' A.rr'l. for all inspections
FOR ALL INSPECTIOt~S (612) 447-9850
I
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--'"
DATE TIME
SCHEDULED /-/~-CJJ frf
~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ij~90
--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()-d9~ '
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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 IMECH FINAL
COMMENTS: S +, -/ - .~
~ ~ fNu:,~~ ~ ~ C-L
...
~ ~ ' 7L& ~.,
. l.<? . ~~... ,i::f- . K;~'
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')C WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL 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 & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
7-/3-01 Iffl1
/4 ~96 B/t/d:;/rd 1t"4,'/
CONTR. W, nd VfG(:)d WofYJ6
PERMIT NO. 60 .-d9g
SCHEDULED
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)l:(,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:
Curh i3a~"'-c; fL
&rCfJ//f5 () (~~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeclor:~ ~r/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
/L/ t:X 9~
13/ueb,1'4( ttt I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o 'MECH RI
o 'WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
pi" MECH FINAL
COMMENTS: e l~q ·
( ~- ;I; ~~ 15L.J~ -
2~ ~- q-~ OF:'~
z" S~ e!~ V~
DATE TIME
lobi; I tfI
I
/0; ctc.
D-a.-9g
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r/~c::: ~ .s~
"'
~ c
o WORK SATISFACTORY, PROCEED
~RRECT ACTIOro~.' N PROCEED
o CORRECT ~.'~ FOR REINSPECTION BEFORE COVERING
Inspector: P J. /. Owner/Contr:
I
CALL 447-985) FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE
CITY OF PRIOR LAKE , Jn7\
INSPECTION NOTICE SCHEDULED '1jci ~
ADDRESS I 4 Q q Co ~ll t 1) ~ r-el \ rr. \ \
OWNER
PHONE NO.
TIME
~IS.
CONTR.
PERMIT NO. -0Tl- () 6)Q C)(
o FOOTING ~ D. PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING ~WATER HOOKUP 0 FIREPLACE RI
o INSULATION SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL 0 'PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
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o WORK SATISFACTORY, PROCIEED
~ CORRECT ACTION AND PROCEED ,
o CORRECT WORK, CALL FOR RlEINSPECTION BEFORE COVERING
Inspector: ~ ,
/
CALL 447-9850 FOR THE NIEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE' FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI