HomeMy WebLinkAboutBuilding Permit #00-0306
hPRI~
~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING C'OMPLIANCE
AND UTILITY CONNECTION PERMIT
.,32000
Permit No.
DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN -
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) -V -- ~-- 0
2.SIT~ ~_ 'TY(hll srS</ LJcll.~_ ~~
3. LEGAL DESCRIPTION
LOT.d- BLOCK $
ADDITION W ~.j?:d!~?t/I. 4r<j p~, #" C/1,_
,
4. O~R (Name) (Address) (Tel. No,)
(O,;Lt!'*.5' C/?~L ~.J-/ ZE!" ~~-Z- ~~/..,:J- ~?-~:;)- /6
5. "'. .,:;., IITEC I (Name) / (Address) ..j.t' (Tel. No.)
~3:5~5- Ct-h ./'V~ ~/;14Nti-~" 5 'St:J::L.c/
6. BUILDER (Name) (Address) (Tel. No.)
1. White
2. Pink
3. Yellow
File
City
Applicant
00-030(,
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
7 PID ,,~r~,_ ~
~&/ ndl~/ 25, 3~~ -O"l.l -0
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
$/9 #j-e.-
7, TYPE OF WORK Fireplace LJ
New ConstructV- Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
Septic LJ
Addition 0
REi-roofing LJ Porch LJ
Re-siding 0 Finish Basement 0
SEATS
16. PROJECT COSTNALUE
Deck LJ
Finish Attic 0
10, CULVERT SIZE
Yes No
17. COMPLETION DATE
9, PROPERTY DIMENSIONS
Width Depth
I hereby certify that I have furnished info a' n 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 p. ro~rty. and tha. t a ~structi will conform to all existing state and local laws and. will proceed in accordance with submitted plans. I am aware that the
building o~'..Si~ev~is p~it fo s._ u Furthermore, I hereby agree that the city official o~ a d~sign~~ay enter upon the property to pe'Y')P needJ~spections.
X //.//~<// " /%~c/ y-~-v
r r ,. " sfgna~ L1cense No. r Date
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 14~~.oo PLOT PLAN 0
Water Tap ................................... $
Builde~eposit RS,:....:.....:.:.::.....:.......... $~DO ' Od
Other ..t~..~i.f:......... $ 1 5"QC.OC
Total Due .............................. $ .tf5,Z.~. 71=-
Paid q/o?<QO~ 7 J Receipt No, , ?- ~1-. 11
Issued ':!l I, r1"\ -- "3 ~ 0
. ., . . . . . . . ~ate. ~ 4 f-W-) By .
ThIS IS to certify that the request In the above application and accompanymg documents IS In accordance With the City ZOning rdmance and may procee as equested. ThiS document when
signe . ner constitutes a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a Certifica ~~t be issued.
\. -H.r2$,~ ~~ (}a~~ ('~I(tr<<- ~ r ~
C' Planner Date Special Conditions if any
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
$~D
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . . .. . . . . . . . . . . . .. . . . .. . .. . . . .. . .. . . .. . . .. $
Collective Street Fee ....................... $
Sewer Tap ................................... $
~,. $
Pressure Reducer . ..I..................... $
Meter Horn... .... .. ffI ~ .,..... .... .... ....... $
Water Meter ....... .~.. .... ..... .... ...... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Permit Fee ................................... $
l,\2:Z. ~5"
~ . C{~
'l3) :x..;
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
If)CJ.t:J()
~/:'~O
(, I
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $--'..1> 0 .00
"3S.S0
lace perm~it ...................... $ q" . 06
I I1n Be our Building Permi~ 't'hen Approved.
Date ~ - " -2f)OO
Sewer & Water Permit ...................... $
Thi
By
24 hour notice for all inspections 447-9850
BSO . 00
',( 00 .c)O
1.15.ob
, ~5 . ~
J(~OO.OO
~.6"b
/
)0 ~030Co
The Cenler of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT c:" e ~~ 9 Y\~'O n ~ ~
APPLICATION RECEIVED (\:)\ i \ \ S l d-.U u-o
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
b ld~ 'K ~~ ..JLCO__~ \ fell \
--
Accepted
Accepted With Corrections -r-
Denied /fJ;9 j
Reviewed B~~ ~.....
Date: cJ -1;-2eco
Comments:
,. f(e~ ~ t1.~ ~
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
00 - 30v
Thr Crntrr of thr Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT h,l.E:.S E Nlt:~ rf< rz.E- <) I N( .
APPLICATION RECEIVED Ap(~\l 13 J 2000
The Building, Engineering, and Planning Departments have reviewed the building permit
;ppplication for construction activity'which is proposed at:
~ .
,.5r.:?~ " WCt..\ll~G, JO" tCDu(CI
Accepted
~
Accepted With Corrections
Denied
Reviewed By: IJI4L:rF..It [Hnc.s~"'tJtJ
Date: C//z"/~tJ
Comments: C/(ilbE..S ~FF Tii€- &AC.tC: f1JF -ruE J.k)()~ MdSr C!.ttJAJJEoyI
f(u~F "TOwfCtA.l)S "lMf: jAc.IC:."F' 1'.U~ (..D"I.
~~s MUS-r A1~r c.xcEEl:}
3: l SLoPE.
s(~ lI\JfotCtt1.A,'ON O,t.,) ~~EJlsF.i: s,t)€_
r
),
If~ \
'"':;':"~';'-::~,,:~
~. ,,-" '-~"~..'~_A
.. S~l:.: .dI:r&~~E~!.'~...l.':.EI"';I4c- .t;.RA~E: lNSPlc.IKW,: /~~MA-rIOAJ t. "ttAl)l'\J6 RIfAL-
3~' &OSlO N .C.o....1l'l.OL- ~EASu't.l! ~.
t/. E~~s(~ C',N'Ttto'- :RI4N
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."
)0 ;030&;
The Cenler of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATllDN DEPARTMENT CHECKLIST
NAME OF APPLICANT
i~ ".
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~Yl/ ~l~~ (.~,~\'\
V
(p-q-({)V
Date: ~
Accepted With Corrections
Accepted
Denied
Reviewed By:
~~
Comments:
%~~G..~~.~t 5..1~."' .~.~. '.... (
" . <@e&elv~~ Jftw1~ ~~(e..
~cfifw YV~0~ ~[e~IIIlfW\/~)
*l$:\2S~~>Ik-~ ~~ ~~o &P
D71IJI Fr 0~ ~~. WIt{ ~~}Ve-
~ ~ L'u/ev'"A.-M 0-1.. V~II\.~ ~
&'1., C.~ ~ ck. ~c...L blc,<-,,<. p,r~ G-~~ Aw.~J.l6?ef),
~ 1, \o2,lIfJ~
. 5.~ ~ 4~"~ kk (to ~~..
JL_1r'r~ ~~ A14ltf~ q-^,v'LJ~'-O'W'
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# . OO~ 0) 0&
*Job Address 3-/ } l.( Cv-(/k,; ^jJ-tJ It.. Gr
.Heating Contractor Me I RO AIR
... "Testers/Signature ~
Date
Time
Pounds
Pressure
*Gas Une
Pressuriled
Inspected
PERFORMANCE TEST
*Percent CO2
--.lP ~ ( 7CJ
Co,'? ~
*Percent CO 0 0
*Stack Temp...2:2 <f (~
* Percent 02
Final Inspection
Date
..
"
/
'"
~
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permh No. /) - 3() ~
Prior Lake, MN 55372 '
".-i
~ate
Q')
ffi at :l.
0- v
P f"' 1 ~ '" \.(., J ~
Tetephone #
Furnace Make & Model ( fAv-r J' \ ~
Model SlZ8 ~ ~ V ~-- ~ q ~
I \'"'\CJ\
\.0 \ 0"\ \. \
Flue Size S r,
TYPE OF SYSTE~
Warm Air Plants
Gravity
Mechan!ca!
Air Ccl ndtttoning X
Vent. Syst&m
HEA11NG OR POWER PLANT
Steam
Ho1 Water
Radlal1cn
Special Devices
Conn. Loac:i
Fuel ~.Jv
Supply Openlngs
\l
,
Output I"; 1K\ \~
Return ppenings
e:ilnp~ ~ J ~u b
a: .
~Edr.
~
w
ECfrn.
Other Devices
\lYa
E
a:.._ .
fD An,wfattons
If)
fD Repair
TYPE OF WORK
Replacem ent , New cO n~ruction ;><J
Est Comp. Date
~ Est. Cost $ <..0 Q C) \\ ~ BuOding Permit #
lSI
f'-! HEA TlNG PERMIT FEE $
If)
r: STA IE SURCHARGE $
u .
o TOT At PERMIT FEES ,
PAID WITH
BUILDING PERMIT
_50
Receipt II
TYPE OF STRUCTURE
J. IWl
2. Cir=tJ -
:3. Y1:fiaw -
File
OtJ
Conncr.or
Sinllle FamilY~
Commercial
Two-FamiJy
Industrial
Public
MutU-Family
Other
Fee Sch&dule
Jndustrial. Commercial &. Mutti-FamiJy
Residential. Heating & AC
Residential. Heating On 1y
Residential. Gas Fireplace
Residential. Additions & Ane raUons
Residential. AC Only
1%-01 fob cost ($39.50 minimum)
$99.50 PLEASE NOTE:
$64.50 Air Conditioner Units Canne
$39.50 Encroach Into Required Side
$39.5C Yard Setbacks.
$39.5C
Remember to add lhe Slate Surcharge on lhe bottom of this applicaUon.
The price of your heating perm~ i ncJudes one TOugh-in and one final inspection,
Additional inspections wnl be billed at $35.00 each.
House Healing Test Record must be submitted with buiidiMO Dermlt number belore buifd-
ing certificate 01 occupancy wiD be issued
HEAT CALCULATIONS REOlHRFO with number of supply and return openings listed per
room m\h CFMJs per opening. New structures or additionE send floor plan with supply
and return locations shown. HEAT lOSS CALCULATIONS. PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CAEEKAVE. S.E PRIOR LAKE, MN 55372. .
City Hall business hours are e a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447.9850 FA)( "it!7 - a.+2J.l-S-
I hereby apply for a mechanical systems permit and I acknowledge that the
Informalion above is comple'e and accurate: thai the work wiJI be in conformance
with the ordinances and ,codes of the city and with the state buildlng/mechanrcal
codes; tnat this form does not become a permit unlil signed bV the BUILDING
OFFtC1AL; thai the work win be in accordance wtth the approved plan in the
case of aU work which requires review and approval of pJans.
~~_\ (k~
~.Ap~
fJ Buitdlng Otfical's SlgnaWre
\ ~ - s- 00
Date
(0 -Lf-<D c)
Dale
.1
N
IS)
"-
..-I
IS)
(L
A.t+~ ~t Nrle-
CItY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Permil No. D ~ ~ () {p
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
PID It ~ 5 - ~ ~ 'b..... 0 ~ , - 0
~ S~e Address 5 \ :, 1..\ W e..I} L- ~ (" -...,-
Lot :J.- Block. 3 Addilion .II)~ ? tJ'Yl d4 &lJd
v v
Ownef's Narne c,.. \\ n t- e tJ ~ (> r 'I V4--
Addless . ;2 3> '1 S ~ fJn)
Healing C<lnlradOf. V 1 u tac.-.IL =. f N../" \----
Address_. /ht'Sl ~.~
Telapllone If . I..\. '-\ 0 5 b ;L.., -
Furnace MaIu> UAodel F--:t. DvF AlI\ CONDITIONER' UNItS CANNOT
_ ' ENCROACH tNTO SIDEYARO SETBACKS.
1..0
lJ)
~ Dalal D--- ~ - 00
~ r~ UA-
~.
p.t.-
w Model Size
u
S
fu
a::
......
u..
~
u
w
ffi
......
::>
TYPE OF SYSTEM
Warm Air Plants.
Gravity.
MeGhanical _
Air Conditioning.
Vent System .
HEA1"NG OR POWER PLANT
Steam _
- Hot Water .
Radiation,
Special Devices,
Other Devices,
Conn. Load,
Fuel ,N~J Flue SizQ
Supply Openings -
Retum Openings .
Input _
_ Output,
Edr. ,
efm.,
t'1
If)
t'1
..-I
TYPE OF WORK
~
Replacem ent. New Construction
Alterations
lOr- (';). - U-o
~
~ R .
IS) epa"
N .
I
(J\
IS)
I
I-
U
o
Est. Compo Date
15So
Est. Cost $ ,
. Building Permit # ,
HEAliNG PERMIT FEE $
.50
STA1E SURCHARGE $
TOT AL PERMIT FEES $.
Receipt # ,
\. PiA\.
2. GRlCO
). Yel10w
File.
- {Sty
CoalractOJ
TYPE OF STRUCTURE
Single Family .
Commen:ial
p(
Two-Family
'ndustrial .
Public.
Other
M lAti-Faro ily
Fee Schedule
IN'''
\ndustrial. Commercial & Multi-family
Residentia~, Heating 8. AC
ResIdential. Heating Only
Residential. Gas Fireplace
Residential, Additions & Alterations
Residential. AC Only
1 % of iob cost ($39.50 minimum)
S99.50
$64.50
$39.50
$39.50
$39.50
Remember '0 add 1he State Surcharge on the bottom of thls application.
The price 01 your healing permit inCludes one rough-in and one lictal inspection.
Additional inspections will be billed at 535.00 each.
House Healing Tesl Record must be submilted with I>uildioo pemUt [lUmber before bu~d-
ing certificate of occupancy will be issued.
HE"T CALCULATIONS REQUIRED w~h number 01 supply and return openings fisled per
room wfth CFM's per opening. New slruclUres or addilioRS send Roor plan wilh supply
and return locations shown. HEAT lOSS CALCULATiONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S,E. PRIOR LAKE. MN 55372.
City Hall business h ours are 8 a.m. - 4:30 p.rn.
ALL WORK MUST BE INSPECTED {ROUGH-IN AND FINAL} - CALL CITY HALL
phone: (9S2) 447-9950
fax: (952) 447-4245
,I hereby apply lor a mechanical syslemS permil and I acknowledge Ihat lhe
. intormalion ab()ve is comple1e and accurate; that the work will be in conformance
with lI1e ordinances and codes 01 the cily and will1lhe state buildinglmechanical
codes; lI1at this lorm does not become a permit until signed by Ihe BU ILDtNG
OFFICIAL; that the work will be in accordance wilh Ihe approved plan in the
case r all work which requires review $lid approval 01 plans.
~ e.u-. oJ ffi ;-C}-dD
Appticanfs gnature Date
a it", . jO) /0)0'0
(/ Buil1lin9 OIIlcal's Signalure' I . Dille
i
. I
!
\
~~
~NE~
GREEN - FILE
YELLOW . APPLICANT
GOLD - CaT 1
CITY OF P:RIOR LAKE S.W. No. 6 (). o30~
SEWER AND WA.TER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
~ ~
APPLI CANT: ""') .e t.,.Al _ b: ~
ADDRESS : ~J \01 _J V l
SIGNATURE:J1~- I
i 11 AA-\ l.\~ <2..,
FILL IN THE BLANKS
\4)D
SITE ADDRESS:
PHONE: -MJ ) .1 0 7'-L5-.~
DATE: ~/~ ~
BLDG. PERMIT # g~
PID# Z5 .338 'Oz,r . d
1.
Estimated length of water service
feet.
2. Size of water service
inch(es) .
3 .
'7
Location of any couplings from structure , feet.
Type of sewer pipe. ABS PVC ~ Cast Iron
,,-1)
Estimated length of sewer line V feet.
4 .
5.
6. Clean out (if required), located at
structure.
feet
from
BY
------------------------------------------
------------------------------------------
This applicatio
s your permit when approved.
/- z,(,. c/U
DATE:
-------------
--------------
----------------------------------------------------
----------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
SurchargE~
TOTAL
* Fee for either sewer or water individually is ~9.5TJ 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. 6i
DATE PAID AMOUNT PAID flAl J/ jt ~
()I~
RECEIPT # REC'D BY 1?~V
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
If
~~
CITY OF P'RIOR LAKE
PLUMBIIVG PERMIT
Applicant:. ('~ _-(e::-;:\-Y"LA Q -t-v/ -Pl174 H-17I
Address: I~ Wh..~. ~~d~
Signature:. . 'a.J <f~"
Legal Description: Lot ~ Block.....~
Site Address: h IZ,l./ Wcll/yhm {'~
Building Permit #
NOTE: This permit will not be processed without complete information.
1. Blue File
2. Gold City
3. Yellow Applicant
/Jr30~
---
PPNo.
Phone: 447-'~9"~(}
1Y7-0Y L~
su~~~ i?n00
;;)-fl.A.::P
PID # ~~ - 33~- Odl-()
The ('enter of the Lab Counlry
Quantity
:A
I
I
'-I
J
~
~
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
.3
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
/
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
$
$
$
$
.50
GRAND TOTAL $
PAID WITH
BU.LDING PERMIT
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments ~here .
. RECEI}'NO /0 -~
r1-rJ~/ ~A ~ ItST
Call for all ~ctions 24 hours in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
~EPARTMENT OF
13UILDING AND INSPECTION
SITE ADDRESS -.51'34. \kll,'~~v- Q.\- .
NATURE OF WORK NeuJ ~~~ .
USE OF BUILDING ~~-D
PERMIT NO. OO-O~ C~ATE ISSUED c.f-ICf-~oo
CONTRACTOR ~\l..Q<; ~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
FOOTING ~ 7 /~/~
- , ,
FOUNDATION (Prior to Backfill) Lj:Y Fy.(jl)
PLACE NO CONCRETE UNTll~OVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC ~ '"J..,~ 1~~ ..
FRAMING .~. ,- 7 1/ il3/(I'd
INSULATION <,g'Al 11[ ~ I
ELECTRICAL /J, /
PLUMBING &:r~ /~/3d/tJ-I
HEATING (ifrequired) ~) . . 101, DIet>
FIREPLACE : ~~ 1~\\r9tl .,
GAS LINE AIR TEST ~ ~, t b ({ 0 f 81) -\t' fJ.\OO l3.~
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
n~~ C;;~ ~~ ~w. t~!L)
- -GRAbING (Prior to Sodding)
BUILDING 7.c.o .-tJJ 'if/, (Of ~. sfd.li1/
ELECTRICAL I fill
PLUMBING 0,
HEATING ~ ..
/
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
FINALS
I J
.t{ ~ .. BI B/o1-
ICzy B!9/oi,
.
j /2.!/f) I
- ()/d-iI/c; (
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have bt!en approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
"'-
Cali between 8:00 and 9:00 "A:M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS .!) [3 ~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHE:OULEO lo/4el
LAjdAt~12M ~k~
CONl'R.
PERMIT NO.
-1)0--0300
o PLUMBING, RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~1A}-~/./A- '1 V"~
'. Ye~p-,rr~~ .~&IJA~~; /.
/ Jrru r~
d:~: 'L"
j~.Jl
- '-...
I
(' ~VU
J
I
"
C' J
,U \
f ,U l !~ Ij
-.k l./
v'
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. / * Owne riCo ntr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
I/'iSNOTI
ADDRESS
S13L(
DATE TIME
SCHEDULED WO'-- A<-~
uJ~~ U.
CONTR. ~
PER.MIT NO. t)(j - !3CJ<O
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
iI FINAL ~
] SITE INSPECTION \
COMMENTS:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
0>- ~ ~~,
g~ ~ /&~,
~ ;te~' -~~#
I~ ~ ~ ~~
o PLUMBIN'G RI
o MECH RI
o WATER HOOKUP
o SEWER HIOOKUP
o PLUMBING FINAL
o MECH FI~iAL
~ '\-~ ~ '-K. ~ ~ o-p~~
~ ~ ~% 0 ~ ~ f~
~ 6f1 ()Y- .J0... r-' A ~ ../-<.
#JL ALU-o~. ~ / olIS/ tJ "Z- ~ ~
~~ ~ f~~ . . ~
~ ~r ~ ~ Il_~_-~-'
M ~. LoU,..I ~ ~~ 0
v.0./k ~.~~~~~
o WORK SATISFACTORY, PROCEED t<. ~,
~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEC1"ION BEFORE COVERING
Inspector: ~. Owner/Contc
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/VSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
, -f-tJl--
ADDRESS S-13<( WGII,~fot1 C T
OWNER CONTR. ~/'I ~ I:-'"./..
PHONE NO. PERMIT NO. ~ - 3:::?>
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FIINAL
COMMENTS:
&,.U</ 11"I,t(/cL ~
nu ., iN v~ -Ie, K't.II1
,
~X1~LLlNG
oco~
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Slc!fJ ~~
A6u l7o.j.,yuA c,'~vl- ~Vl"lI ~ ~fU,.t
c,r(&I f:uv ~~ cu..'t.
~RK 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 &: SAFETY!
DATE; TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
f>>CHEDULED
~0l(~1 .3~~
PHONE NO.
WP_ I; v\q1111
F'ERMIT NO. (J (J - 30 b
CONTR.
ADDRESS .5"/34
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMiBING RI
o MECH RI
o WATER HOOKUP
~o SEWER HOOKUP
. ~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR 1ST
o
COMMENTS{/) ~~. ~ ~
,;) ~ J~ ~ I
.J.Jd-/~ <h<-/,. ~ ~
>> ~ ~ ~~ ~ m- .Il.1Cfr
j' f'~ p~.'~,
/'( tU,f. --~ I ~
~ ~~(j
o WORK SATISFACTORY, PROCEED
"t.. CORRECT ACTION AND PROCEED
:S:~:ECT WO~OR REINS::::::::FORE COVERING
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INS/fOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5/3~
~SCHEDULED 7/z,pJ fJ tJ II : DC)
uJe-,-,- I ,J ~ TtJ ~ ff,
OWNER
CONTR.
PHONE NO.
F)ERMIT NO.
(jp.30~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
J! WA TE:R HOOKUP
~ SEWE:R HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENT~ ~ }~~ ,'~ ~ ~ ~
~ ~ ~-I),. 1/
~~~ .
~A-,~...~ ~~~ ~~
([!iJ I!~ / ~.,' P: f!, ~ ?,-~~,
.~~ V-o ~ ~~~.
~
, \\ 1 r &.f<fL'
\" --- 73'~- dll~lI ~
~O'~ ~ 'NJil~~T~
-1':;' ,\, '(J -. -,
7~.1 L.{ f/ ~fv"tl-- ~~~ ~ <::!"LAA- ~~
.~ Af 7 . ~') ~ ~ ~~
- .. ~ ~t ~ A ^ u~~ 00,.
o WORK SATISFACTORY, PROCEED v 0 ------ ----- -. -.-J
~CORRECT ACTION AND PROCEED
o CORRECT ~CALL FOR REINSPECTION BEFORE COVERING
Inspector: L ~, Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~, t~~~ Ll-~
t
CONTR.
FtERMITNO. q9-w~
o FOOTING 0 PLUMBING RI
o FOUNDATIO(@NOMECHRI
o FRAMING 0 WATER HOOKUP
o INSULA TIO t-l 0 SEWER HOOKUP
;i FINAL An 0 PLUMBING FINAL
o SITE INSPECTION ~ rI MECH FINAL
COMMENTS(/) (/"t1~~ ~
f?J ~ 'c-v~ ~ ~ ~ -fo s:-d! flfl~J-~_~
~~,~~_~ ~i!--'-'
ro5~-~, ~ ~ AQ~
~1~~~1Wte~/~~
~~~""I~/H-K;-
.~p>'? 0
L#'~v
,:' -
F""'.:::~"'''"'-
, Blllol ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
S""/34
OWNER
PHONE NO.
"'~~~ ,,-~..--...~~
~
"
, DATE
TIME
~~24-O' -'f:(JD
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o WORK SA TISF ORY, PROCEED
Ii CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ · Owner/Contr:
J
CALL 447.9850 FOR THE NEXT INSI'ECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!