HomeMy WebLinkAboutBuilding Permit 00-0371
MAY . 2000
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
SEE MA N
F H.~E
1. White
2. Pink
3. Yellow
File
City
Applicant
. Pb'l!= ~ECEIVED
,. 'l ;.r'
Permit No. JJ{) - 37)
DIRECTIONS
SPACES NUMBERE[tl THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
331,} C'/vNI..J.p1",- 7/"4'; /
3. LEGAL DESCRIPTI6N
LOT 5' BLOCK .3
ADDITION --.G..../ V N W I( t", r ,;J IV P
,
1. DATE
~Y-~tJ(J<J
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
/Vbv'
12. NO. OF STORIES
PID -25 - 3iP5"- ():J../- ()
ad/lo7/ AN
13. TYPE OF CONSTRUCTION
4. OWNER
(Name)
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER (Name)
W(#/vJ/nqA/N'
J-l/J hJ ~J
7. TYPE OF WORK Fireplace 0
New Construction ~ Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
(Address)
/J',5 1/<<2~
C~f"/V
()Septic 0
Addition 0
Dr-
/1J JV
Deck 0
Finish Attic 0
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
CSI- ~()6 - ~yoo
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
17. COMPLETION DATE
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 ~ial can revoke this pe t for jus use. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X /..:.J ~ " /YSJ'-' f- Y-:~U'loJ
/' 0 Signatu e License No. Date
1/
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o
ENERGY DATA
o
~J;'A
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
/00.1 ~O .0 ()
,
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee 00.............0................... $
R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ....0......0.0........................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ...~"..:...........:
Meter Hom ... .. .. .... . 0...0...0....... ....... $
Water Meter ................... 0............. $ /2S' ,t!:) c)
Sewer & Water Connection Fee ........... $/i "0Cl } . ac)
Water Tower Fee ........................... $ )0 0 . r1 'l)
Water Tap ................................... $
as() -OIL
/ - U/'J .00
o , -
Plan Check Fee....................... 0..... $
8812~
5 ?C" ?J
$0. ~(!)
State Surcharge ............................. $
Penalty ................... 0 . . . .. . . . . .. .. . . . . .. $
Plumbing Permit Fee ....................... $
f/ cj-.. f!)(;;
Mechanical Permit Fee ..................... $
100,,,0
100 .00
Sewer & Water Permit ...................... $ 3~ , ~
Permit i . ..~... .......... $ '/.0 .~
e Yo Building Permit~e~~e2'
Date ) ../.:::>'" (,pO tr
~I
Builder's Deposit ............................ $ .
Other......................................... $
~-
Certificate of Occupancy
Total Due ........Ll.................. $ 5'. f1d(. 'fb
Paid S~ 6 Receipt No... 'J 47")
Date S)~ By
This is to certify that the request in the above application and accompanying documents is in accordance with the City ZOni~g rdinance and may proceed
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate
Issued
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
t>
DO ,037/
The Center of the Lake Country
White -Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W ~f\~j'-f\().. ('\'0 \i.t)Cf\U
APPLICATION RECEIVED S I (J 1.-1 ! (J1)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
))~) (" " C\(\/'''' \, \
,):> \..::;::> \ I r \ \ i\,) ,'-.1 '-j \ { '( (,,/\ I, .
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
~Ah.J~
t/
Date:
.~': Ll.. t9.O
Comments:
I
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,lI
00 -0311
Tht' Ct'ntt'r of tht' Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '^' ~ yl'\0J\ () \\-c,Yl\e'
APPLICATION RECEIVED s.+n '-41 m
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"3.313 ~ 'I r'I\AJo.:kx . \ ~ \
Accepted >< Accepted With Corrections
Denied
Reviewed By:
Comments:
.C;Pe..
-20~A
Date:
~ -/~ -~C>
ssC:O-
~
w~
--
~~/
.'
~
t;
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."
...~
Th~ ('tnt~r Oflh~ Lakt Countr)'
J 0 -0 3 11
White .. Building
Canary - Engineering
Pink - Planning ,
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLICANT ~ ~~rnn.Y\()
APPLICATION RECEIVED S I ()Lj I uf)
{r .
\ .
\+-D ('(\ U
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3,313 Skjr\\AJCLkx- \((:\, \
Accepted
Denied
-/
Accepted With Corrections
Reviewed By:JJAL.TEn. [~M4,.w
Date: .5/IU/OO
Comments: S(~ ~~I'" roll 3305 ~L.'flJkJtaTE/l. -raA,L. FoR. CDMtt1E:N1"'5.
j.tJf"oQ.M.A-n 1)~ t1Aro A. . ,..WMEJJTS _
J
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 33..iUt{,r/ w-c.,f, t/ ;
Heating Contractor -.d~",~ Jl7~
Name of Tester Il (-
Date IO-b-oa
7
a
Percent O2
Percent CO
....
~
366
Percent CO2
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
-{~iT\' Ct APPLE \J~
!
CITY OF PRIOR lAKE Me
15200 Eagle Creek Av. S.E. Parmil No.
Prior Lake. MN 55372
00-031 /
Oat9
PIO'
Sils Address
Lot Brock .. .--...-.. ~
Owner's Name II )/h;l'l""'''''' 'd~
Address
Heating Conlrac101 ALLIED FIRESIDE dba FIRESIDE CORNER
Addrer.s 2 70 0 N, F A I R V I Ell. R 0 S E V ILL E. M N 5 5 1 L.3
T elephomJ f 6 5 1 - 6 3 3 - 2 5 61
FIREPLACE I J
~ Make & Model . /JPJ JJ tOtN
Model Size ~""l>1 11Z-
Com. load
Fuel -6.1:r
Supply Openings
Return Openings
TYPE OF SYSTEM
Warm Air Plants
Gravity .
Mechanical
Air CondJlioning
Vent. System
HEA TlNG OR POWER PLANT
Steam
Hot Water
Radialfon
Special Devices
Flue Size
Input
Edr. ,
Output ,:;~. (j}{)
OCher Devices
CJm.
TYPE Of WORK
Atteralions
'-" -- --.. ~
E~t. Camp. Dala 'J- R,fju
BuldingPermU 00 -() 37 /
~' PAID WITH
IIJII)\lNG PERMIT
~
Replacemenl
New Cond rnr.-Jinn
Repair,
Est Cost S 1102 ro
HEA liNG PERMIT FEE S
STATE SURCHARGE ,
TOTAL PERMIT FEES $
.50
Receipl II-
TYPE OF STRUCTURE
en
CD
t pt"k - Fm ;;.
1. taMI! - air tD
l. YdO" . CetItr-K' '<
Single Family
Com mercial
"Tl
H
:0
m
en
H
o
m
(')
o
:0
z
m
:0
Tw&-FamNy
Industriar
Multr-Famify
Public Other
Fee Schedule
lnduslrial. Commerciaf & MuI1r.Family
Residenlial, HeaUng & AC
AesidenUal, Heating Only
Residential, Gu Fireplace
ResidenliaJ. AddiUons & Allarations
ResidenUa~ AC Only
1% of fob oos1 (S31.50 minfroom)
-~S9lL50 . e , -1
.,,$'<4150' - ., / Ii, \, i
i' 'i' Jr~50 '-- . - :. j I I
II' .~ -6 2ml .
11.50 · iLl
IL. - ---JV
I
Remember lo add Ihe State Surcharge on the 6oftom o. tl1fS 8pp~Ubll. _
0)
111
The price of your heating P1!fmil inclUdes one rough-in and one final mspectloo.
0)
U)
U)
Addilional inspecUons wig be billed al $35.00 each. ~
(J)
House Healing Test A ecoid must be swmitled wilh .buitdinQ RtUIDiI n, ~~ bekJfe bu....~
ing certificate of occupancy wi. bu issued.
HEAT CALCULATIONS REQUIRED wiCh nurrber of supply and return operings Hsted I
room wilh CFM's per openfng. New structures Df addtions send Roor plan wIIh supply
and return Jocations Mown. HEAT lOSS CAlCULATIONS, PAYMENT AND
APPLICATIONS MAY 8E MAfLEO TO THE CITY OF PRIOR lAKE, 16200 EAGlE
CREEK AVE. S,E. PRIOR lAKE. MN 55372.
en
CD
'U
I
City Hal business hours are B a.m. . _ 4:30 p.m.
0)
I
o
o
I
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
(J)
f hereby apply for II mechanl~al systems permit aod -t acknowted98 thai 'he
inlormalfon above is complete and a~curate; lhai 'he work wlU be tn conformanc.
with Ihe ordinances and codes or the cHy Ind with the stale buildfng/mechanic4
codes; thai this 'orm does not become a permit unUl signed by '''e BUflDIN(
OFFlCfAl; lhat the work will be in accordance wilh the approved plan In the
case of aU work which requires review and approval ot plans.
~,,*a liJ;ir:.
I App7M!/!lL
Bulding (f~:ii9:mll1r.
l>
3:
OJ Va)
---i'; 0.'. # \
q.(5'~du
. Dat.
"U
CD
lC
CD
N
-
~
JUL. 26. 2000 4:18PM
GENZ RYAN 6513226147
CITY OF PRIOR LAKE
. PLUMBING PERMIT
AJ)plicant: ~e J/1 L - fLWJI'
Address: t4,~, ~ ~ TI(J.-
.Signalllre: u..1. 0- ~ 0
Lsgal.Description: Lot '. BIOCI<:3 Sub (.6(.1 Af\\ llf\ ~ r
Site Address: ~~\ ~ - ('":'~~,. ff I t2 l~ 94fJ.n
Building Permit # 0r1- f\~ . _PIC # QS -3{dS - ~, -c
NOTE: This permit ~1I not be precessed without complete information.
FIXTURE UNITS
not C~'" Dr ... ~ C:-ncI'J
~ .,.=
Quantity
\
,
1
2-
1
,
. l
~
-~-
27
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)
Quantity
t~
I
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(10,4 of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alt~rations
State Surcharge
$99.50
$39.50
GRAND TOTAL
NO. 994
P.2/13
1- Blue:
2.GaId
3. YeIIa-
File
City
App6cw
# gx) - Ck.3/j
Phone: ~\ -~ ~ -( \ '-t\..(
ec~~e.h. ~ ~~~
Type of Fixture
Roug~ins
Water Heater
Water S~{L.er
Stand Pipe (wash;ng machine)
Sewage Ejector
Backflow Assembly (RPZ. Couble Cheekw PVS)
Backflow Assembly Test
Lawn SprinkJer
Other
I
L
s /
s / .50
I
$_
$-
~~\"\ ~~
,,' ''0 c~~
0l""Y
,\4;
"-
This permit is snmt~c1 upon the express condition that said
conrmc:tar, shall comply in all respects with the: ordilW1ees
of the Sruce Plumbing and tbe~n the:reof.
--r , CE NO. DATE
. .. IlleST
ticns 24 hours in advance.
~
16200 Eagle c;reek Ay. S.
r L61k~, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 44742~5
An Equal Op~ortUnity Employer
~C_i: CITY OF PRIOR LAKE
~} . tB20D eeg'e Creek Av. S.E. Permll No.tJn ~ (')~~l J -
(T)" Prior Lake. UN 55312
~ iiEATING ~PPLI~ATlON I PERMIT . ., Single Fimfly
~ Date ., . 2..<.0 \cD PIO. as - (~~s: - ('lEX 1- ()
t -
"" 8ft.Addr.u ~,~ C;\l.~\1"\A-TR(L ~O L-
fJ'I r- -
~o Lot <...~ BJock <3 AddhJon nL# A m\ l}Pi kr ~'f(l CLdA..n
z 1-~ V..
OWner'eNam.. Ll.~~ ~O~
Add'8". JPJ} 8 ()'A~A ()p _ ,'r~ 2CCJ fuC~AN
Heating Conlractor &.J'1 2 - f!.. \ -.M .1'l
Add,ess IU1US: So e')~ I (L L-
Telephone' l~~- U./~- \( Lt-y
...- ,
Furnace Make & Model l ~~ TYPE OF SYSTEM
C (Warm Air pjants '"
ModelSJZl, ~L?1~2-. ~-1, Gravity c
Mechanlcal
Conn. La ad 'f Air Conditlonklg ~ '2. I 17.._ '1n ~
Fuel ~ C?:o.<':frue Size J..j ~, Vent S,stem
HEAnNO OR POWER PLANT
Steam,
Hot Wale.
Radiation
Output l.t()~ OO"Q) Spedal Dwlcas ,
TYPE OF STRUCTURE
I. PI_
t. G~
J. YI!'a.
Fik
. ClI}
, o...rldllr
\(
lWo-Famlly,
. Induelnal
Public
Multl-FamUv
O'''e r
I Comme.clal
Fee Schedule
1 % of Job cost ($39.60 minImum)
$99.50
$84.50
$39.50 'r . Ii Ii 2 ..
$39.60 .....'1
$39.60 I
Industrial. CommercTaI & Multi-Family
R 8sldlnllal, Heating & AC
Residential. Healing Only,
R~sldenllal, Gas FTrepface
Aesldenlla'J AdrliU~s & Alterations
Resldenlla'J AC Only
~(AtlY'"Ylu..Y\r
SCOlo ~ . . Remember 10 add the Slale SUR:harge on the OOtiom of 1hls Bppllca~ion.
['-
""
..-t
I..D
N
~ Supply Oplnlngs, .
..-t
If)
I..D Return OpenIngs ,
z
3!: Input......~ aoo
0::
~ Ed,.
w
l!) elm,
,~
L\
.
OIhe, Devices
J.
TYPE OF WORK
E
0...
~ A~lr811onl
""
Repal,
~ Est. Cost ,
IS}
~ HEATING PERMff FEE $
N
j STATE SURCHARGE ,
~ TO~ALPERMITFEES' /
/
RepUw:em 8 nt
New Construction V.
Est Comp. Dal. "
nu, Psnn" II
/50
C-" " - (\31 I
,,,'".
~~~ .
f/OU \\,0-'
R&Celpl It , -
---
The,prica of you, healing permit Includes one rough-In and one 'fnallnspecUon,
AddiUonallnspecUons will be bllted at $35.00 each,
House Heating Test Record mus1 be lSubmilted whh ~,.Irlinq pit..,," ~U""hfU be'ore build.
Ing certUicale of occupancy will be'asued.
I-II=AT r... n u AT~rw~ .u:o, URFO with number 0' 8uppl~ and Je'urn opentngs Ils1ed per
room with CFM's per opening. New slruclurel or addmons send floor p'an wf1h euppl~
and relum locaUon,.s shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONs MAY BE MAILeo TO THE CITV OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
l
City Hall buslneos hCKJr8 afe 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) · CALL CJTY HALL
.
447--41230
, ,
I hereby apprV for a mechanical sY$lems permit and lacknowladga that Iha
'n'ormaUon above r5 complele and ac::cuiate; Ihal1he wo.k wlJl b& In conlo.manea
with the o.drnance. and codes of the cUv and wl1h the stale bulldl"glmechanlcal
codes: that thfs form does n~1 beco~e 8 pe~mJ' ~UI signed by the BUILD1NG
OFFrCIAL; that the wOlk will be rn accordance with the approved pfan In the
casa of -o;ork which '" Irss rSllls: a'nd ~ppr()Val 01 Pia; f 2L,/CX")
~, . pi ansS nsure ~ ,." Dalsj. '
Villi JAl'dJAJ1A^-,~' 7.,8.1/{J1J
o BuHding Ollie!;' Slgnalure . I oat.
MRY.18.2000 6: 04RM
GENZ RYRN 6513226147
NO. 127
P.2/6
<jS-1/~E
~
_..... '
1'1IU.DW . oUIIUCaIIT
..... . --. "
CiTY OF PRJ:OR LAN:. NO. 00 - 0 3 7 J
SEW~ AND WATER PElUaT
NOTE: Sewer and Water
contractors must
be reqistered
with the city.
APPLICANT: & 1'1z-- flu:vn PHONE:.1d;J -Lf:..'(;~.lLLt-(
ADDRESS: Lt1J.6: sP f~ -r'J Rd~';;: d 112. /~).
SIGNATURE: ~ n Il ~O ~ ,BLDG. PERMIT . CJ7,)-Q?:.lj
SITE ADDRESS: ~~ ~jU/lIL~.eJe- -r~PIDt ~S--Jb01 ()9.I-Q
----;Q"L IN THE BLANlCS .
401
1. Estimated length of water service
, ,c
2. Size of water service inch(es).
reet.
MAY ) 8 2000
.~
l ' : , J
. . .
3. Location of any couplinqs from s~ructure feet.
4. Type of sewer pip~. ABS PVC X Cast Iron
5. Estimated length of sewer lin, ~' feet.
6. Clean cut (if r~quirea), located at feet
structure.
from
_____--.....A&____~______._~___I
..... -."
( '-J
.~,~
Thi~ applicatio~comes your permit when approved.
B~! ~~ f ~!!:~ D~TE: ~~ ..
---~------------ ------ ----- ------
FEES: $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water 'individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recQrded on the buildinq permit card at the time af issuance
~o insure that no duplicate sewer and water 7ermit are
l.ssued" ~~ ~
DATE PAID . / ~Q 't,.~((;.~ AMOUNT PAID _ .
RECEIPT # / ~~ REC'D BY /
/ ~ /
. 4629 D~kota St c: J:', Pliot Lake, Minnesota 55372 I Ph. (612) 4474230 J Fax (612) 4474245
AN EQUAl OPPORTUNrrY EMPl.O'I'eR
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS5.<;\~ (_I~_ \t.t
NATURE OF WORK ~ 1
USE OF BUILDING S~A
PERMIT NO. (20.,037 / DATE ISSUED ~"'5-LOOC:l
CONTRACTOR W~ ~~ '4~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
. FOOTING M. th. ?~.,,(,. ~51'311~
J - .
FOUNDATION {Prior to Backfill).f1JI~ I~. ~/!llo~ b, ~//~//7"D
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH-~S
· SEWER' WATf-l' SEpTJC . . r.. / ~ft ~/(j"V
FRAMING _ 'f/{3/1f7 ,~~. /k.. Cf/?1M
INSULATION J I - ~ . tj/l(/A' , ~ t.l-, I!fr. 'V""z!'iJ
ELECTRICAL t I .
PLUMBING )? '1//1 16" I (1/J i'.S4~ ul)
HEATING (if reqMiired) ~t1a t I I __ V
FIREPLACE J1 / '1/ Jlb<<
GAS LINE AIR TEST U "~iJr r-/WtJ7J
I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
$~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FIN A L S J .J')
~J)
r~~1'() I
12.--1+ ;ldJ-ICfjo t1
f{f-} /1) J/1/bi?O
OCCUPY UNTIL ABOVE HAS BEEN SIG'NED
NOTICE
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~OO A.iv'l. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
. ''J;'" 4"1 .._J...""" ,-- '"
I.""'" -'o;,\.".i..
~:".".-,j,'..1"o& > ~,.".,"'"''
,,--
COMMENTS:
~tiuJt
~;( -~cJ0U- ~
.~
(L~
K~ of '^~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS~~~(AS),
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
$~ tJO
, C~/\.ln'JI JC~-
c R. .~
ERMIT NO. (1) - 6~~ 7, Q568'. Q36 9)
0370A'fl/~ ~
A 0 PLUMCfll.'-~ '0 exJbRADlFlLLlNG
~D ECH RI ~ 0 COMPLAINT
WATER f:lOOKUP u ..1REPt.Jt....1: RI
EWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0 ~
M~
~
4r)
f Vc-
&Y~
~
/
/
-W-s
~+~A
b-lv
&'~
.~ rf7AJ ·
fr~c-4
(W?
~
o S/,TISFACTORY, PROCEED
REc.rrePROCEED
CORREC' R, CAL FOR REINSPECTION BEFORE COVERING
Inspector: ,~ Owner/Contr:
CALL 44~-9~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~MENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETYI
lNSNOTl
I/i~
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:
DA TE TIME
SCHEDULED //)-/9--00 d:oO
C;)V A) V.Xl.. -re..;J-.,
I
CONTR,
PERMIT NO.
/)- 3'11
o PLUMBING RI
o MECH RI
o WATER HOO~KUP.
o SEWER HOOKUP
XPLUMBING FI
If MECH FINA
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
. 0 FIREPLACE FINAL
o GASLlNE AIR TST
o
/
, WORKSATISFACTORY'iPED
o CORRECT ACTION A D P ED
o CORRECT WORK'~M . INSPECTION BEFORE COVERING
Inspector. f1- Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
ADDRESS
~ 3-/3
DATE TIME
SCHEDULED 10- ;2.3'~ 3;' 9()
G! l/Il/ I L;a- fc,r--
/
CONTR,
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO,
PERMIT NO,
o -(3 r;/
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING -~ 0 WATER HOOKUP
o INSULATIO~ 0 SEWER HOOKUP
~ FINAL /1\ 0 PLUMBING FINAL
o SITE INSPECTION ft.Jj) J( MEcH FINAL
COMMENTS:~ ~ ~. ~~ ~
~
@ p~ ~-fj~
~ ~~ /1 d~ ;;.-~.:'F;
~~'.
~~
o EX/GRAD/FILLING
o COMPLAINT
A11 0 FIREPLACE RI
(tfJ)iJ FIREPlACE FINAL
o GASLlNE AIR TST
o
~
~-
.~''',.,''
~
r- /#'~' '
C :. /f:C ,(J ·
r'
~
,
lJ4
I
~/()l /0/
I I
~l, 1,'" "..... I '
'~'."
-'
o WORK SATISFACTORY, PROCEED
jlCORRECT 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3~'"S 6- Y'" ula+a
CONTR,
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
...
, S$U e
c,o,
-C'~ t fJ
c.. () t..P
, DATE
\
,~ fa OJ
(
TIME'
1 (
o EXIGRAD/FILLlNG
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: ::R. \ )n, J., Owner/Contr:
CALL447-98~::::t.HE NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
12~1-c{
PHONE NO.
331:3 blvn ,^,crl-cr -r; I
t -
CONTR. W ll1JJI1t;I1 "
PERMIT NO. ~,3 7/
,
ADDRESS
OWNER
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 FINAL
.x.'EXlGRAD/FILLlNG
r 0 COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
6~- C/K
CvI~)L"'oK-
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector :-ewner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSlVOTJ