HomeMy WebLinkAboutBuilding Permit 00-0385
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
NO UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
MAY 112m)
permi; No. Jill {)3?)~
DIRECTlO:\j "~C
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.SITEADDR~, 1<1 PA'2.\(~c:x;:)\) De..\\JE.
3. LEGAL DESCRIPTION
LOT 1.-. BLOCK ~
ADDITION ~n~~(,)G::.r1? E6TA--ns.~
4. OWNER (Name) (Address)
1. DATE
~ -5- DO
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) I Widjh)
"l.~ ~I
12. NO. OF STORIES J
13. TYPE OF CONSTRUCTION
~-3 Lvc:x>o F~l?
14. FLOOR AREA APPORTIONMENT USE
~),
PID as- 5\1-0\)-Q
-r~'12..D
(Tel. No.)
~18-eSl3()
(Tel. No.)
5. ARCHITECT
(Name)
(Address)
6. BUILDER (Name)
~E-yLA(\J> t-\-OM~
(Address) (Tel. No.)
\iD"Z-\ FiSH-?T. ~:L:>.~
P~lae- LA-"-''E 44044-00
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New construction)l Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. \ 49 9 10
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVE~ZE 17. COMPLETiON DATE
Sq. Ft. I 0, ~C() Width ~C> Depth J~ Yes ( NO) 4 - '~-OO
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 prope d 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 off~fJ.revok p rmi' se. Furthermore, I hereby agree that the city ~ffi~1 or a designee may enter upon the property to perform needed inspections.
X q~ L -. \~5~ G"'~-DD
........ Signature License No. Date
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
.~.~ '.1"'
....~ ~',
{~ IJ
f
.
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
...
MATERIAL FILED WITH APPLICA nON
SOIL TESTS
o ENERGY DATA
o
Front
Back
Side
Side
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING
to
SURVEY
COPIES
o
/
/
Park Support Fee ........................... $ 85"0,~ cO
SAC ......................................... $--1-,..1 00 .00.
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ..~~.................. :
Meter Horn................................... $
Water Meter................................. $
ISD.fXY). ~
, --
PLOT PLAN
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Amount Brought Forward .................. $
City:
Division 1 2 3 4
'~l~'\ .2~
1)31. 2l
7S". 00
Permit Fee ................................... $
Plan Check Fee............................. $
State Surcharge............................. $
Penalty ....................................... $
4s2P
/00.00
le;o · 00
35' .SO
Plumbing Permit Fee ....................... $
1\ ()v~~L
\; " ) 00
1,V,
fJ
I ~!>- 00\
J 2 DO ..J2!l..
"' ?oO~
Mechanical Permit Fee ..................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Sewer & Water Permit ...................... $
lace Permit ....................... $
eco-L Your Building PermitjYhen Apg,roved.
~ Date ~, 1.8- t::.0t::J0
I"ooo~
,
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
I
!
OQ-3gS
~
Thl' Cl'nll'r of lhl' Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .< ~ ~ 1(\\1 d -t QJ~
APPLICATION RECEIVED l"\ ~ 5 YI-. \ d OQD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~5'7q Yrk.,rKWoorJ Dr~v~
Accepted
Accepted With Corrections
/
Denied
Reviewed By:
Comments: -='J-l
1w fv\LO~'
Date:
5 /:;2;)/00
/
LJ\011-\ A..
~OT I..A. A X,.' f'J'tJaW\
o rz. \ V t"WA'i
~ r0l 0 l-},- 0 ~ \~ A. 'I ylJe -
<5 e~ I t..J@ ~ M. AD 0 N 0 f\J et\l az.se; <:> ( 0 b
'5~ 4l\Ac'~~T~; 'l)l="cNAL (f~ J~P~nCtJ il\JrC:>fZMAcnoJ\..J
A'-'" . ~ JJ ~ (2:t(2..-A01f'J Gt. PU\ -JJ ~) t1l-O C) l 0 ~ CDrJ ~ l
~) e1U>~\o,.J CON<T<Z.o L PLAk)
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."
,/1
)
Thr Crntrr of thr takr Country
(j) ~~J5~ S
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT < ~ ~ Q.n d ~'O fY\ ~
APPLICATION RECEIVED M 0-."t 5 H\ I d OQO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~5'7q Ycv-KWOQ('l D~v~
Reviewed By: ..? Date: .5-.72- ~
Comments: 'y ~ -
'UJO Jj~~
~ C -- v-
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."
.
OD -0 3 ~~/
Th~ ('nl~r of Ih~ L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ke~ L\n \ HCJiY\Q
APPLICATION RECEIVED \\\f\ ()..\J :=) ~-h) d ()()()
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.Li ~,_ "?,\ r \.r_ ~,~ () cl D (\ \1 ~
Accepted
Accepted With Corrections
v-
Denied
Reviewed By: ~ ~
Date: 5-1!L..'~
"
Comments:
A~\l~/~ t~ <\..~I~.v~~ 1D (JlWI: tS(
~ '-1 ~~ ~c.e-v1~ F, ,'-\ ~ -
AltYv>) ~BWARt-Q ~ ~ t3i9~v~o ~~ A<>
fiy~ ,U{~ 2-l-{ fl /Yk.d 1Jf.U.tM cl1: lY&Ut -
fV ~t./ ~ .J- \flMv tJl ,{0. L-J '~O &v h ce
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."
.
..t
.Permit#
.JobAddress 4I?'& ~~~"d.
.Heating Contractor Me I : )pRO AIR
.T esters/Signature ~:k--
Date
Pounds
Pressure
Time
-Gas Une
Pressurized
Inspected
PERFORMANCE TEST
.Percent CO? ~ '7 .Percent CO tJ
.Percent O2' _." /A ,r a /.' / -?
"--v"/ .Stack Temp.. ,/. /
Final Inspection _ Date
/
\,
FILE No.233 06/21 '00 PM 12:15 ID:D & D MECHANICAL
FAX:6128904650
PAGE 1
J. J_ "Ie
1. OoId atr
3. Yellow AppUc.t
# (m-O~5>~S-
Applicant:, D~' [) fYJ f:{! HPrN ,'C../'9 L Phone:... ll9.. 0 - g~ 88
Add,...: 7/' I W I I ~ 'Q.,. 'tII "-T" t.-!.S' A-LJ,. ':1 t:. .5 5.~ .~ t
Signature: _ P"'-7~~ ~ .,,......; .)
Legal Description: Lot. .iil.. Block ..3 SUb...J:JOI'.JD (1:..( do, E..-.3I!D ,
Site Add,...: ~.5' 7 ? ,P 19~J::. W OQ D D t:. " v t::. ./
BulldtngPermlt. -'UJ - CJ3 a-S PID,...aS~I'l -Dl' ~Q
NOTE: Thl, permit will not be proces8ed without complete Informlktlon.
FIXTURE UNITS
CITY OF PRIOR LAKE
PLUMS/NG PERMIT
n. ,~,."t n' ,'- ..." C...lff
Quanlfty
J
I
I
J
I
I
~
~,
Type of Fixture
Bath TUb with or without shower
Olshwalher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment .Ink)
Shower Stan
Sink.
Bar Sink
Water Closet (toilet)
FEE ICHEDULE
Indultrlal, Commercial & Multi-Family
(1 % of job cost. $39.50 minimum)
Re.ldentlal. New One & Two Family
Re.ldentlal, Addition. 6 Alteratlona
Stale Surcharge
~o ~~t~~
f f'\\"G ~
9U\~
Quantity
T"pe of Fixture
E
I
Rough-Ins
Water Heater
Water Softner
Stand Pipe (\'IIli'shlnll machine)
Sewage EJectI)r
a.ckflow AeMrr t~ (RPZ. Double Cheak, PVB)
Backflow A".'lnbly '-..t
Lawn Sprinkle r
Other
I
$99.60
$39.50
S
$ 3~.!~d
$-
$
eI\,
f"
.HO
GRANO TOTAL
$ J(Jd...~()
Thi. permit ill a'HlIlcd upon the eXIJfC85 cundilion thot "Ili~
cont'HcLur. ,hall comply In .11 ralpectll with lhe unllnancel JJN 2 I 2000
of the State Plurnbina Codo the .rtl~mont reo(.
, elF' a RBCBl ,,6 QI ATB
", &:S'f
all r all inspeC::lio s 24 hou~ in advance.
16200 Eagle Creek Av. S.E., P . ake, Minnesol8 55372 I Ph. (612) 447-4230 I FAX (612) 447..4245
An Bq\11l1 Opponunity Employer
/ri~- CITY QF PRIOR LAKE
la r ... ~ ~ 16200 Eagle Creek Av. S.E. ?ermtt N~.. rm -0'3 ){ S-
n... Prior Lake, MN 55372 X
\; __. HEAilNG APPLICATION J PERMIT Single Family
r'\-Ie \.0- ~:\ - (0 PIO :: a5" - 3l1.- () \\ - 0
4l r:J... ~ - C
~&tB Address ~ <;. ~ r 'l-\"'\C ~ood' r
~m ~ Bbck ~ Addnion~ (1 ~ ~ '(" 1 ~"R... -c..r 1,
~)wn8ts Name v... " ~~"\ ~ \\C ~ n ~ .
o '<' "\ n (J" \
ZAddrass \-\()~\ +,..)~ ft, "~ CI ~~ \" ~I
'~\ l\ .
Hsmmg Comra:1Dr,' '" '1~ r,,\,.... ~ \, \.,
Address \ \" ~ ~ t\ ~ L \ l Or~ "\ Y ~ '\J,~~ v~ \. ~ ~ I
\....1 \.. 1 ~ 0 \~ '\.1 Remember 10 add the Staas Surcharge on h bott:xn of INs application,
.alephone t \ ~ 1 - b 01.-'
Furr"'- Make ~ Mode' (.\.\"t',' \'" TYPE Or SYSTEM" The pr=e of your healing permit Includes one rougt..in and ane fmal jnspe:fion.
~ Q Warm Nr Plams ~ -
Mod.l~"" . '("\ X n .. 0 ~ G,ravity Adtlilianal inspections Will be bIDed a' ~r:.oo eacb.
Conn. Load S ~ ~ \ \0 M.BChani~ ~ House HeatingTest Record must be submftted wnh """Irfmo np.nnjll nl1m~r betme build-
D Air Condltlon1n; ;:) \f ~ ~~ ing =er1ffi'~ 01 gccupancy will be issued.
- I (\\ h" FI ... ~'-. \IV c.. Vent System :;)('\0 0:",
ruB ".).." U... ~ }-t== AT r.At r.t n J:T"LnN.~ R~N trFFTl wfth number of supp~ and mum_ openln~ ftsftci per
S I Openin , ~ HEA T1NG OR POWER PLANT rgom YriIh CFM's- pl!If" opening. New structures Of adci60ns send floor phm wIEh'supply
up? y ;S . Steam and return 1oc:ations shown. HE4T LOSS CALCUUTJONS. PAYMENT AND
"fIlUm Oi*in;s 5' Hot Waist APPUCATlONS MAY B: W 11 ~ 1t) THE CITY OF PRIOR LAKE. 16200 EAGLE
~ t) {iD ut --, ~ . "\ 00 R~~on. CREEK AVE. S.~ PR10R LAKE. MN 55372-
Input . 0uIp\ SpllClal Dsv'-- City HaIIl!usiness llolM _ 8 a.m. . (:30 p.1I\.
,. \.:"""' \ Olhlif Dtv~o:o" AU. WORK MUST BE rNSPECTED (ROUGH4N AND FI~ .,.A" CITY HALL
\ c.; ~ .:> .. 447-4230
~E OF WORK \. J I hereby apply for a. mechanical systems permit and I acknowJed9e. that lb.
~ ' ~ . .intormation above 1s campl_ and accurate~ thlllhe-work wlll-be in cDnformant)! _
E ~r.di:t~ ,Rep .-.. enl . New. Conmudian. . . wilh the ordinances and codes of lbe dIy and wtth the sl!l.\e tJuitd"lOglmecbanir::aI
~ R. .. ~ri Comp.: a1e . .' c:ocIe,s; lbal1his ~nn dDes not become a penph until ~g~ by the BUILDING
'>t.. BpaII' . '" A. -:. OFFJCw..; tballhe wolle win be in accordance with the ~nrved plan In lie
:=. .f ~".~ $ · . ~Dding PRmlllt 'U i\- ~S . ~... ~ aN ..o~ ~i~~ 7-.~~~res 11M'" and ap~. Ill. plBl1L : . '.; _ '
~~~PERMrrFEU / _~~ ~~'"....,' . .\o:'"~\ ~ .
ISl .. . /I . . /!..SO .........- . L Appn~c:ant'a [ ~ . . DIlle;, .
<\!. STAiESURCHARGE $ /.5 . ..... '... '._: . . ,: .... . :.'::....
f\j..;.:.... ..' / /I. . AI'1,.a.),iA.. .' :;,'-"..../,... ,,,. chI kh1J'" .
. ..: iCTAl. pEFU.lrr p:s:eo $ Reca4Jl' a &dIcing 0ffic:a1'a " IJm
~,'~J';C=:,:.. " ... . . '. ; _ '. >:'.: ' " . -' ". . " . . .' . '. :~:.. ';, '. _ :~"..' .:. . ":.. ',:"..;::. _ ....
~. .:.;..:.;~ .-!, ,. .' . ...!l.-.......J..; ::. :...~.....:..~:~.:~...a'..... .... '..-" 0 ',' :_~o_.. .0.':: ._.... 0 - .=.~ ~ ..~.I1'.".-..~i...{.:. ...~.~~_.._.::II_. v:-....,1~I__...\: '.,:', ;...:-.-:... ~...::~.t~...~~~~~~.- f.',.
~ ',..- .0. .-... ... ...... ......--. ~ ~.. ...- :",-. .. ~... .t. .... _ .... J.... 6... . I. " ,.,....",.,-....r-t,... "'....,~i";~ -.J'. ..... :'~'-..........: I ~ l~. .
. :-.;~-z: : .,"0 .~. . :.~ ..... ._~, ':. ."?,~~.:~=;.r'~~~'~.aii.....~...~\-:';'::;~i.} ~ .<.:. ~~, ':;:"_'-:"'.4'~:~~~~~~~.JL_ ~~~~"i~~--..:;..~'"'S(t~~~,~ .~~-:~~'..' ~
. ....,~ .. . ....... ....~_.. ......... ....- .10 .0 -.--,... e-' ... I.. .-. ....- - ".~~-,-_..-....-~--~."",,=,,-..,__,...~-i:\il.....-...~:~_~............... .-.... r':'\."~.. .....-...."
.~:'~r_ ..~_
0::
<I Edr.
o
~ctm.
~
TYPE OF STRUCTURE
'l c.-- . Or,
1. YeD. . CGaIn=-
Two-ram"y
Mum-Family _ _'_
Commerda'.
lndu-.-tria'
. ?ubTr:
Oth~r
ree S:heclule
lnd~ Commertial &. Mufti-Family
Res;oenli2J, Heating 8L AC
Resi~ential, H&ating Only
Residential. Gas Rreptace
Residential, Adcfltions & Ale rations
Residential, AC Only
\ % 01 jon cost lS39.SO minimum)
coo -0 ~ ,_m, ~ r-."."'. ~ -"\..'7. ~..
-...~ ..'~ '(- ,E~'.. ."; )5-,
S04.50
S39.50
sa9..5D
S3g .50
d
I!
JJN 2 I 2000
L/
'~/OO IttU 09:21 FAX 8128902753
\ r,\ c'" (2 CT..' ~, .. --e
: i) ~,5' "" '
~PR~ ':<: .'5- :)
Iif7>~\\~\ ,-"':-~
u ~ J ~ -----
\ '<e .)I;
~'H~
_, S~OCKER EXCAVATING
I4J 001
a.o . "'K
'l'Eu.aw . ~
.. GOLD. CITy
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO .GO'" 03~S-
NOTE:
Sewer ana Water
contractors must
be rQg'istered.
\lith the City.
APPLI CANT: DC Mechanical/Stocker Excavacing
SITE ADDRESS:
~ t 1251:h Sc:.. ~~,5378
V
Parkwood Drive
PHONE: 890-4241
DATE: S !;;J.d,1O
BLDG - PERMIT #1Jl) "'()3~S-
.PID#aS-- 3J7- OJl- cJ
ADDRESS:
SIGNATURE:
FILL IN THE BLANKS
I. Estimated length of water service
teet'.
2. Size of water $ervice
inch(as) .
J. Location of any couplinqs ~rom structure
feet.
4. Type of sewer pipe. ABS
PVC X
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at feet from
===~::::::~~~~_JJ____EJ.~L_____f.~~JhIJ~__~ MtJIlJ
This p :cati~ecomes.vour permit wheTl approved.
BY '-II / ~ ). DATE:: ..sirJ\ ,/rnJ
= ~s=~~=~~___--~___= '_~~~=~=__=========~==~=~~33___--_
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
F
* Fee tor either sewer Or water individually is $20.00 plus
S .50 surcharge.
Sewer and water pe~its issued for new construction must be
recorded on the buildi~v~it card at the time of issuance
to insure that no ,dup)>ca~e sewer and ~at.r permi~$ are
DATEi::::d. ~ ~; AMOUNT PAID ~
RECEIPT i / .,
.//
*
'--
16200 Eagle Creek Av. S.E.w Prior lakew Minnesota 553 2/ Ph. (612) 447-4230 I FAX (612) 447-4245
All Equal Opponunity Employer
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~5 79 Pa.tk~ Or-.
NATURE OF WORK N.eL l
USE OF BUILDING ~i=l-}
PERMIT NO. GO- 03~~ DATE ISSUED ~-I8-2tJcJO
CONTRACTOR ~~ ""^~ ~H&'''' 44 0- ~ l.( 0 0
NOTE: THIS IS NOT 1i. PERMIT FOR ANY F THE INSPE
THE PERMIT IS BY SEPARATE D ENT
DEPARTMENT OF
BUILDING AND INSPECTION
FOOTING
IV
. t( /, /f/i)
HAS BEEN SIGNED
R
!J-.rl
\J
,rl~ I?r - ~ 11"';cn>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
If
FOUNDATION (Prior to Backfill) br
PLACE NO CONCRETE UNTIL ABO
ROUGH - INS
~J r\
6::r, l[ 1
t;)
~//vp/)
'1 'Pi JJt>
7~/,-o
. / 1(/~ot)
1//Z1~
FINALS
GRADING (Prior to Sodding) ~.... e-'L,d' Al
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
8--1 ---
~r) f '\~;/~M
OCCUPY UNTIL ABOVE HASJ BEEN SIGf'.-ED
NOTI'CE
This card l11ust 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 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
QLtrtiftcau nf (l)crnpanry
CITY O~' PRIOR LAKE
11lepartment of .utlbing Jnspettil1n
o Final Permitted 'lsyConditional C, O. Expires ~ 10 ,<; I ~
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of issuance this structure was in compliance with the various ordinances. of the
City of Prior Lake regulating building construction or use. For the following:
Use Classification.. S I Y\~\e FcV\-\'r \ \/ Bldg. PennitNo. bO - 3B S
Occupancy Type f2... ~ Type Construction \ V _ Fire Zone N ~ . Zoning District . 12 (
') .
Legal Description, L 0 + z. rs l be ~ 1 Wcu& v ,di ~ e f c;.. ~G..-,l:-~ ~ \ ~ I vet
Owner of Building teU.\C,vt,f ~lc^"'e~ Site Address 4Sj0 PrvlCl.A->ooG Ov
u 1 r \),. Q c.\ P \
Contractor's Name & Address \ U 2.1 ^'x i "--, H (" , vy L c-" u..
~)( \ Ji + J-\ 0,-1 c ~\ ' \r'Ic.. C ) City Planner ~ N \Z ...., E
Date:
! I
Ii
Date:
~) \ '(, U0
. .......
.'. ,", ~.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED cr -~O -(j (
ADDRESS +s7CJ -G)l::vJ~~J( D \
OWNER
CONTR.
PHONE NO,
PERMIT NO,
rJO ~.O~S
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
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
S.J-,
- ~
ok -1-0 ctn<SJL- ~~ Le
.,/
~KSATISFACTORY, PROCEED
o COR?t;RCTION AND PROCEED
o COR ~ WORK, CALL FOR REINSPECTION BEFORE COVERING
I nspecte Ir: Owner/Contr:
\ __ LI
CA'tL-447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
f? '/-01
f-frJ
ADDRESS
1.{579
M~D-
IC.~Y~'ld WOIYld
{yO -3~ S-
CONTR,
OWNER
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~)f1"GR4~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Cu /10 Bel!'- - ~ /{..
&rG(~ -(9{c....
Srf"'/
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ 6wftef/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE e IbtsP G'.!o.-
INSPECTION NOTICE SCHEDULED
?a\l"~L.UO~ ...
ADDRESS 4519 ~~
OWNER CONTR,
PHONE NO, PERMIT NO. 0-3eS
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING ~ WATER HOOKUP o FIREPLACE RI
o INSU~/l; SEWER HOOKUP o FIREPLACE FINAL
INAL ~LUMBING FINAL o GASLlNE AIR TST
~ITE IN PECTION ~ECH FINAL 0
COMMENTS:
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K, A I I=~ REINSPECTION BEFORE COVERING
Inspector: ) Owner/Contr:
CALJ447-9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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COD1' REQUIREME TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
\
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 4S1Q
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DA TEl TIME
SCHEDULED ~ 111 fl1
p~ ~~
'l~
CONTR.
PERMIT NO.
o.,..3e5
o PLUMBING RI
~ECH RI
~ TER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS@Q<'~ ~ ~ AdA ~~:" t1 JJ {-o k
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o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~(
~
Inspector:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI