HomeMy WebLinkAboutBuilding Permit 00-0437
6. BUILDER . (NameL _ (Ad.P res~L 'J/1"'Y/. V (Tel. No.)
M/T76L57At7JT g/t'{)$. (1IJ/~Tk./~ ,~~~ I I Ali!/
:J,;~.s- 9W- -S7: 6. )AJ;I~C<:;'~II6- As"") /rI,J b..O/.5~-"-/711
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Construction r Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTN ALUE
Chimney 0 Misc. I 'f:!,- tJ 76 .~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. I#~ ~ Width III Depth / l/",{ Yes ~ 7/31/0 ()
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
buildi official can rQvoke t 's permitJor just cause. Furthermore, I hereby agree that the city official or a des.i?~:~ay enter upon the property to perform need~ in~ections.
X (_;~3 5//1 /tJ~
S' ature License No. ' Date
QA TE REC&IVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
MAY I I 2(XI)
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
1t/179 BLlI6&'XJ~ ''T;{H)L Ale"'
1. DATE
~~O
3. LEGAL DES~PTION
LOT '(
BLOCK
PID O<~- 33Cf-(WS-o
/;'
f(AJ{)6 ):..) ILL- c2.ALP AD"
4. OWNER (Name) (AddreSs)/llJll.6qJf)dJ "'IV
S6-rH+-- 7/AlR ~AI~~I\I' 3dOt, ~~~A1l) Rl).
5. ARCHITECT (Name) (Address)
ADDITION
(Tel. No.) &:-, S-;-
7/J'7 -.57'~
(Tel. No.)
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~/J fY}I'iJ .~~
USE OF BUILDING
~m
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 ?f"1 ~
Permit Fee ................................... $~I !..~ r;-
Plan Check Fee ............................. $ ~. U-
'1!1.5lJ
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit NO.JlO -04-37
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Hei9.:2?t>' (Wi~ J I (DePlhVt I
12. NO. OF STOY'ES
13. TYPE OF CONSTRUCTION
.:$/416''''' ri9'J/JU,.v ~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0 -.
PILING LOGS 0 PERCOLATION TESTS )
0
PLANS & SPECS 0 SETS
SURVEY 0 COPIES
PLOT PLAN 0
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. .. .. .. .. .. .. . .. .. .. .. .. .. .. .. .. .. '" $
.flSO .~
I ~ , ()~ er.!)tJ
, ,
Collective Street Fee ....................... $
Sewer Tap .... ................. ..... .... ..... $
cL " $
Pressure Reducer ........... f/!)......... $
Meter Horn................................... $
Water Meter................................. $ J 2-~. 1'/ D
Sewer & Water Connection Fee ........... $lt 'i..oo .00
Water Tower Fee ........................... $ ?~ .~~
Water Tap ................................... $ ,
Builder's Deposit ............................ $~ f;"OO.~
Other......................................... $
Total Due .............................. $~ ,,98.. 2.L
Paid 7 ~ '1&. 2.-/ Receipt }lI9. .3 -7 (, .3 ()
Issued /"1 ~
Date t;, / 5/d2 By "
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning OrJnance and may procee s'requested. This document when
~ y th C' Planner constitutes a temporary ces~ettl:~mPlian~low~ to comme e. Before oc~ a r~c: must be issued.
- City Planner - Date Special onditlons if any -
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ...... .. . .. . .. .. .. .. ... $
IfJO. 0lL
rOO .f98
"3S.~"
T
}J
~/oO
(p
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
ecom Your Building Permi!)Al~'1~Q.ved._
Date () -~y.. 'ceJCCJ
24 hour notice for all inspections 447-9850
t/~ JJO
Tht' Ct'ntt'r of tht' l.ab Country
WhJP ~ ~~~J
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
tJ\\\ ,~\s.~ ~
~ \\<W\
~~ (_o~t-.
~()O
\ f\,C
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! 4/7 ~ 01 rJ ~ bi'fY'J 1fai I NIF
Accepted Accepted With Corrections .~
,_,<); () 0_____
Reviewed By: . p..Jc' ~~
Comments:
~ G2Q a~L
Denied
Date: 52t/-?ac:>!J
h~4
~
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."
~~.~
00-- 4-37
~o'f Q 1
1: i.-r,~
The Cenler of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
N\\+:~\s ~CA(l "
~~ \ \ V\
~o~,~ (d(\,~t. \{\C
'.-'''''''} C 'y--7\r\
cr-\..;: i ) V
APPLICATION RECEIVED
the BuildihQ, ~ngineeflng, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i /4/7"Y RJ u ~ b,'(('J {; 0 II Nt'
Accepted
./
Accepted With Corrections
Denied
Reviewed By: ~"L1"E1t E' HIt~Sl'tfC\NN
Date: l.I./z./oo
Comments: .sE~ 'NfMM~T'O""" ou 7'HI! R(JEltSE SIDE.
~.-
;"~~:r_
~E A~...""e.,.JTS: I. F'NA.I- GnA~[. JAl~p~e"-/aAJ IAJF.a..tt1tAT,oAJ L.B4AQ.~& Put~
J. ~. ou C oNTt1..OL M FAs.uR.(S
cf. &o~.Oto.l C .N'i~Q'- 'P.....^-'
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
fl'-'
06-0L3-',
The Center of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~"+r<:J \ Cv\ ~
APPLICATION RECEIVED r;v\(~} \ \
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ LI / Y /2;/ c) .t:- .l:)J (('J "71' (I I J JV E
.""::> 1 I
\ -':':r C)t- Y'\-l~
CY 1.1"0
( ,I ~ ~.
\(\C
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
~~
,
Date:
s: 2- t{-6iCJ
Comments:
~~'V\ :SO 1=, fA.lvt,;~ OV!J~ ~~
\[; <Z- D, W G~P ~ ;s~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.1I
TYPE OF SYSTEM
Warm Air PlaJlls
Gravity Additional inspections wil be billed at $35.00 each.
Mechanicat - House Heating Test Record must be submi1ted with buirf1inv. pAfmrt n~Fl1'hjlllr before build-
Air Conditioning ,x ~,.~ 5'iIIl ~02tl ing certificate of occupancy wiU be issued.
V8III. Syst8l1l Y 11JI) HF.Kr GAl CIII All ON!! REOLJIRFD wilh IUIIber of 8UJIP1V lIIld return _in!llS listed De,
HEA nNG OR POWER PLANT ... -----
Steam
Hot Water
Radiation
Special Davices
~ CITY OF PRIOR LAKE Me
v~ ~~ 11200 ElIg'e Creek Av. S.E. Perm. No. (fD- D437
~ Prior Lake, MN 55372
= HEATING APPLICATION I PERMIT
at Dale '1/<../0.0 PIO' BS:- 339-6qS-O
. ; ,
~ Site Address. tl4il, ~, ~ll" .b,.rn c:v \ \) . F _
n: Lot )( Brock " Addition, ~/~ 1h7/ ;;)M /J.{J{)AJ
CII)
2 OWnefsName M",.\+p\,~~n n.clA ~"C~o~
Addless
Heallng Contractor ~.". (\ C)(\ l\ \,l Q... ell f.} h"'V\(' *' +- 1'\-1 C-
Address f QLllf ( '"R. 'nOd 0 l ~ lr.lflCL A) _ S_
~ -
i Telephone'. (C\ 6J ~ ~tt .0005'"
CD
; Furnace Make & Model ~f( JaM
+ r
Model Srze ,?m7J IYI tt'O'~1I OlRO
Conn. load i ~O ,006
Fuel rU .'A.1-_
Flue Size
Supply Openlng$
Return Openings
1:2
:2
~ Input /Dr>. tf/71J . Output
t- '
-<
!I! Edr.
1&1
~ Cfm.
:>
en
z::
DC:
~
m
I
~ Alte ratio ns
LL
Other Devices
TYPE OF WORK
Repafr
Replacement
Est. Comp. Date
, New Construction
~
~ Est. Cos1 $
00- OLi37
t ~wrrH
II&JIi.DlNG PERM\T
Building Permit #
~ HEATING PERMrr FEE $ ?1. ~
~ STATE SURCHARGE $ ,/ .50
UI
~ TOTAL PERMIT FEES $ MO. ~b Receipt #I
TYPE OF STRUCTURE
l. AoIr - Fife
1. f''''' ' . Clty
J. Yeltil'A' . CoDlr1CllJr
Single Farnify
Commercial
K
M urti.FamlJy
Other
Two. Family
Industrial
Public
Fee Schedule
lndustriaf. Commercia' & Multi-Family
Resident]!ll, Healing & Ae
Residential, HeaUng Only
Residential, r,.v~ Fireplace
Residential, Additions & Alterations
Residentiat. AC Only
1 % of job cost ($39.50 minimum}
S99.~O
$64~.-. ., j-:::< f-'" 'r"':'-'-~-
_ \ 1 1~ f r ,L
$39150 i .i;:S _ u~ I c_
$39.50/_/
$39.50 t. ... 6 2{JOG
Remember 10 add the State Surcharge on the bottom of this application.
The prfce of your heating permit includes one rough.in and one final inspection.
City Hall business MUM are 8 a.m.. 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) · CALL CITY HALL
447-9~O
I hereby apply for a mechanical systems permit and I acknowJedge thai the
information above is comptete and accurate; thai (he work win be in conformance
with the ordjnances a nd codes of the city and with fhe state building/mechanicar
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work wiU be in accordance with the approved plan In 1he
ca,se of all work which requires review and approval of plans.
~' ~L~.. ~
Applicanfs at re - "
/1(J~ 71Ad.."" ~
o BulklngOfli1'" Siilnawre
~hfao
, ~t;
"lA%n
/ /Date
10/21/99 THU 13:14 FAX 6124474245
J I4J 001
UlgJ~/OD
CITY OF PRIOR LAKE i ~~~ ~~
3. Yellow ,^rrlic.anc
CITY OF PRIOR LAKE
1/11 (""'ff '" ,~ J ...., COU"'f~
PLUMBING PERMIT # Of) - f14t17
APPlican,t,' vE1f:fJ I};lIJ1hitn / t1&. Phone:. 4Qf)' d I ;L I
r 4rydr9~C:', ~__l_r]J/I ~. \)~cr{rl1J IfltJ ,t:)Q?L5.;;L
~nature: _) ,
LegaiOescriptio,n: Lot ~. Block (3 Sub ~ NJ b L1i I' d N.4
Site Address: J417X" <P1ulJ?/Ad ~. .An..f.)N
Building Permit # m - 0 '-I. ~ 7 PID # ';:>5- 33Cf - ()'fS-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
"
Quantity
~
l..;
I
I
3
Type of Fixture
Bath Tub with or without shower
Dishwasher
Quantity
Type of Fixture
3
f
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Check, PV8)
Backflow Assembly Test
Lawn Sprinkler
Other
I
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
3
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
GRAND TOTAL
$ /
: /- ~~
$ / .~
1-
Industria'. Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
JUL 2 5 2000
This permit is granted upon the express condition that said
contractor. shall comply in all rc~pccts wilh the ordin~nccs
of t~ St:lte Plumbing ~ and the am dmcn s thereof.
~ _ RE,EnTNO DATE
. V \ ,.
\ I leST
16200 Eagle Creek Av. S.., ior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447~4245
An Equal Opportunity Employer
C I for alJ inspections 24 hours in advance.
05/30/00 Tl~ 10:45 FAX 6128902753
STOCKER EXCAVATING
14I 001
i ...~
'I Lt.,
. I
, .SO.
CDUII . ....
nu.o. . ~
GOLD . err 'f
CITY OF PR~OR LAKE
SEWER AND WATER PERMIT
NOTE:
No.OO-04l:J'7
Sewer and Water
contra.ctors must
be raqistered
with the city..
APPLICANT: DC Kechanir::.al/St<<:,cker Excavating
SITE ADDRESS;
Lat:J
g,o~: {)
FILL IN THE
PHONE; 890-4241
DATE:. 'i /g/(){)
I
BLDG. PERMIT #-.OO-()l/37
,PID~ ilO - 33q -OLf&-Q
BLAN1<S.~.. \< f\O\e H-; l\ af\d. ,,~~
SIGNATURE:
t 12S~h ~t.~ ,~a~~.S5378
"~
4178 ~luebird Trail
ADDRESS:
1. Estimated length of water service
feet..
2. Size of water service
.inch (as) .
~. Location of any couplinqs from structure
:feet.
4. Type of sewer pipe. ABS
PVCJ
Ca:5it Iron
5. Estimated length of sewer line
feet.
6. clean out (if required), located at
structure.
feet
from
~=~=~~~~~~~=~_~~~=m_=_~~~~___~=~-==~_~_==_~_=~_~a=~~-~==__~~=~_=~
This
ermit :::::app~~i'~
BY
-g ."'="";:~="'''' "'=,..
F 5 : ~ ~ gg . ~~~~~a~~~
$ 35.~ TOTAL
Fee tor either sewer or water
S .50 surcharge.
~~~-w~~--~__=_~~~=_~__=~_~_m=_~~=--~_~~-~
water line connection permit.
*
individually
is
$20.00
plus
* 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 parmits are
DATEi::::d. ..~~~AMOUNT PAID
RECEIPT # ~~ REC'D BY
16200 Eagle Creek Av. S.E." Prior Lake,. Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS B.28 LS\l~\t1i~ \~l\\
NATURE OF WORK t\)eW
USE OF BUILDING ~~~
PERMIT NO. 06,,04-3 -, DATE ISSUED 5.2.c./..'2ooo
CONTRACTOR t\;'"~\~~~, ~r~. Pt\CtJitt. G2..J.. ?S~ -f7V
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO MENT
~ATE
FOOTING , ~ \ I. t ' 'JI AQ
FOUNDATION (Prior to Backfill) p,vui> 'f.} ~;~ ,/1' ~.\ t,~J4/tJ~
PLACE NO CONCRETE UNTIL~BO HAS BEEN S~~D
ROUG~ - INS
SEWER I WATER I SEPTIC VY:J'kI/,/fl 1
FRAMING f?~
INSULATION s,){e.. ~
ELECTRICAL
,~
PLUMBING fPn
HEATING (if required) 9 "111~ 11f\ $
FIREPLACE
GAS LINE AIR TEST Q '-,{Ii.j <ll
COVER NO WORK UNTIIC,1:eOVE HAS BEEN SIGNED
~
FINALS
GRADING (Prior to Sodding) .. ;e AI ~ \~. ~$. I J
BUILDING-t,Cj..{j..t Ibh'^" b. ()fuF'~ 11 7b'S/O)
ELECTRICAL i ~~ /\ I , I ~
PLUMBING YO 1 j ~ ~ ~
HEATING L/ t\) ~~~\(~
DO NOT OCCUpy UNTIL ABOVE HA~ BEEN sid 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.
712//110
1/~~/6D
ffJ:to
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Use Classification
SINGLE FAMILY
VN
00-0437
Rl
_ Bldg. Permit No.
B/A
.:'1 ,1'.:
t;,.'
: i,";
( ..,,'
~~~.~: I
<<~..
( -"-~\
}!:\"
( ;:,.- -
Occupancy Type
R3
Fire Zone
Zoning District
_ Type Construction
Legal Description
LS, B6, Knob Hill 2nd Addition
Owner of Building
. Site Address 14178 Bluebird ,Trail NE
\ -
96th St., Inv4r Grove Bts., MN
Jenni Tovar
y.., ~ .
Date: _
,t
......,.,..... ,. ,.........
BVRNS".LLE
Heating & Air Conditioning, Inc.
Ct. 12481 RhotiG Island Ave. So., Savage, MN 55378 · 894-0005
.'
Or&1at. Test R~port for JoW ~ ~3
Nf\. ~
Address/f//?1 ~(A;bf/* /Jc; City rr';OrLCl~'t:.
Occupant/)? , 1/-;;' /S +Ct' Jr ,,,:{ (,_"~2" ;2 i d ~-
Date of Install ?;/f ~ ~
Type of HT. F/A -- HW
----
Other -/--'--
/~-
/~~lIIe B';"-/ 7b~
:( Model 3~GJI??IL(/~6"
"'.-----serial. 31~o ;(0 c.J &", 7
Input ZZ?~;;,----------.- ----.------ ---
_~p~ HT
Unit HT
j
'l
\'1
\,;
H
/j
.-' "i
Pilot Type ~c~/~,.,-/:::':
Pressure 3V' cot' ~r
Input CFHr(~ 02 c: r-
Stack Temp ...l/Ilf!J y~ 11 ,CO 6<-.
DateTested~~O
Company~{".Afi-/4-/~,.,,~ /t, firGn~""r;;:"..:....,.,
Name of Tester /,..~-Cu ./ /
,
7p.:jtJJ
/'-I( 7? ~ IlL,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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
o PLUMBING FINAL
o MECH FINAL
DATE
TIME
~ "rr;
Do - L(3 '7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
;-7 L_J;
;---.-?~:/j
M1WORK SATISFACTORY, PROCEED
I; CORRECT ACTION AND PROCEED
o CORRECT WOR~L FOR REINSPECTION BEFORE COVERING
Inspector: W( Owner/Contr:
J
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
SCHEDULED
~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
q ..e' Po
ADDRESS \ 4118 B.e.u..t..~fVtl
OWNER
CONTR.
PHONE NO.
PERMIT NO.
-L/37
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
H~AULLA TIQN, A 0 SEWER HOOKUP 0 FIREPLACE FINAL
~~'" ^...tJ.I PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION fq~ECH FINAL 0
COMMENTS: P~b ~ ~ c) Jt-,
~G)~~ ~r1vU~t)~:y,~~y ~
~~ v. d l!re(s Y1 LA:::) ~ ~
4)~~AI ~ ~
~ ., -- \J - ~
~ \
(\.~. C.o. h,.- IO-"SI-cp
------- /
~f.V' Or_~ <<t-
o WORKSATt"AC ORY, PROCEED
f pORRECT C;~IO AND PROCEED
~ORRECT ~RK LL F~ REINSPECTION BEFORE COVERING
Inspector: / Owner/Contr:
CALL 44tt~860 ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE I 'MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE
CITY OF PRIOR LAKE r J
INSPECTION NOTICE SCHEDULED ~a.., /aD
ADDRESS / LJ /7 ~ ~ ue-brm ~ I
TIME
;S:(JO
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Cro- 0 4~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
A ~ECH RI
f'\ A TER HOOKUP
SEWER HOOKUP
11 0 PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
b 3' ~ w., 40 PVC-
\1\ T,,:>~ ~ ~~ _ ~~ ~~IVy-p
Nl:> I Le.u-b \ , U
CD ~<i-'- ~~
CtJ t> a-c1
~ bril -k, ~~rG. ~
(3)\6./\
f .pe.
<;+r!Ol-
~Lea.n
/
/'
ORK SATISFACTORY, PROCEED
RE CTION AND PROCEED
Inspector: Owner/Contr:
CAL~7-S~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE EQ 1REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1411 &
~_J~~~ A
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
\ 0 WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
COMMENTS:
&1~
dAJ~
~;~
--rL-
TIME
LO:30
o - ~37
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
V1-..
S,f rv.l..L
!.
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Inspector:
Owner/Contr:
CALL
INSNOTI
FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
5" -25 -cI .41'1
ADDRESS /'] J 7R Blue-b) rei 'Tt'L III r
OWNER CONTR. /Il,' I-Ieli:bYj f- l31"~LollSf.
PHONE NO. PERMIT NO. ()(I) -4 3 7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(FINAL
o SITE INSPECTION
)(EXlGRAD/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
COMMENTS:
Lv,1o BDJ<. - ~
6 n nG ''I'' - f2.J'
J
.ORK 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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
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