HomeMy WebLinkAboutBuilding Permit 00-0438
7. TYPE OF WORK
New Construction &(
Chimney LJ Mise,
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE
Sq. Ft. a q" I Width 10/ ~lD It Depth SO '- 0 If Yes No
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 ioned 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
buildin ffici can re e this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perlorm n8J<ied i~pections.
X :2197 1)'/7 I Co
Signature License No, Date
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . .. . . .. . . . . . . . . .. . .. . . . . .. . . .. . . . . . . .. ... $
Collective Street Fee ...........,........... $
Sewer Tap ..............................,.... $
Pressure Reducer ,~Ia.................... :
Meter Hom ............. ,.............,..,.... $
Water Meter ................................. $
Sewer & Water Connection Fee ....,...... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $-1. 50fl .~
Other......................................... $
pairl)~7~...CtT.....'...~~~~i~;~~$ J: E57~. Z I
Issued . ,
Date L It.. / Ii7 / By ( ).
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning ~d may proceed a re luested. This document when
sign b the lanner constitutes a temporary Certificate of Zoning compliance and allows c nstruction to co ence. fore occupancy, a Certificate f cupancy must be issued.
E 2A~t:X) ~ c:1A/'" ~ ~
ity Planner Date Specia Con Itions ~
QATE RE;CEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
MAY 11m TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~7~ I t>o
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
j <./ "I (0,
3. LEGAL DESCRIPTION
,
K AJO g \.{llL,
LOT
AllbMTUJM 1 r;' (f iV~
BLOCK 3
41~ t1J&LtIO~'t
PID ~J- 3b~ -Oci7-0
ADDITION
4, OWNER
(Address)
(Tel. No.)
(Name)
5. ARCHITECT
(Name)
(Address)
(Tel. No,)
6. BUILDER
(Address)
(Tel. No.)
ars~ - gqs
- ~<t" 9'
(Name)
'l '1 ~ II Et.,U 'N~ ~O ~ s:.
g\1~\J~ lLtr S-~~3C>~
Fi replace 'J( Septic LJ Deck LJ Re-roofing LJ Porch LJ
Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
WiJ<)l)wOOb ~~~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION !" S; OOD.Oc)
USE OF BUILDING
~~f'\
.-
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... $
R S U
City:
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Lf2'2. .~
181.'l~
8Z.so
ll9O.eO
,06.SCJ
3~.~u
Cfo .DO
~
Sewer & Water Permit...................... $
Thi
By
Building Permit ~~~. ~ _ A
Date n.. C"",'j".{1!iJe) 0
24 hour notice for all inspections 447-9850
1. White
2, Pink
3. Yellow
File
City
Applicant
Permit No.
00-043P>
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
JlA;w S'"rP
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
IS~ J 000
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA LJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS LJ SETS
SURVEY
PLOT PLAN
o COPIES
o
A5;0. CC)O
I ( t ()r"l t~
qba (X)
l 210 ~ O/L.
(( ~~ <JJt'
7f!J1) , f.9.lL
/tf~
.~
tl-Ct-3t
Th~ C~nler of lh~ Lak~ Counlry
White - Building
Canary. - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \~-' r\ r\ \J}J1ll,d '~herv\f ~
APPLICATION RECEIVED fv~~ \ 'S +h ) ::::J u <J.O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/44 6 T7 V\/ ;jhh~(:-i(o_ . ern )rf
106
Accepted
./
Accepted With Corrections
.....~"
Denied
Reviewed By: UAL'f"Ol &n.~~I'<f..,.......s
Date: lRlt./o 0
Comments: ..5E.E '~4T'l)l\I ON "HE 1?~ SlAt.
COAlSTI1.~c:rIOA.J vE.~,~ L-&5....
Mu$ 't'" Ac.c..EC; S TH IS
? It 0" Q. T"'( F 1t 01'0{
Nt<r...tT"I/oJC'.4~ ~ f'..ult., ~L..'r'.
SfE ArTAt:HMft.Jr1: I. fi"""L bltw4Ct:. It.Jspcc..1ior.,J liVFon.'It1I1T10tJ Z. t:ai4tl.AJ(. PIJfN
.3. ~Q. o's.o.v C .tJ'i'1tOL- Mt~Q.€"S
cl CIt~IO,J C o~1"7l.0L- A..A~
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to bea 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. II
.---
~/'
00 -oL~3 g
,/,
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CI-tECKLISI
NAME OF APPLICANT ' \\tJ \ {\ t\ \J~f(1 {'"Jet \ t'ro'\JI~
APPLICATION RECEIVED iV'\c\..-j \ S-\-h i ~ oa.O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/44 I;; '7 1\/ '61/111/'0't"- (Q.,.. L((1Jr-l
Accepted /' '-~ Acc;;ed With Corrections
NG
Denied
Reviewed By: ~ ~ Date: ,0 Zc..{.&;c>
Comments:
J-qf.2\ ~V\r~ W~"b~ ~f2I"~
Pt~1 -_~ ct-qu,yU {l...e.LJ'1o Cvvb.
~O~, ~~ Y;Y~~.:tiY~_"~ "S'V~ ·
r ~Vlt€Y 0D\1.0,/oV'q>M1 L~ '
J~/C- ~f)~~. ~~~
~~ .~ ~~~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."
-.i
*Permit# . ~
*JObAddreSS~ 1j)f:~/.rRA~e (c'r
*Heating Contractor METRO Af'R
"re,'e",S;gnelu.. r
Date
Time
Pounds
Pressure
*Gas Une
Pressurized
Inspected
* Percent CO2
PER ORMANCE TEST ~/
.-& c 0 *Percent CO () ~ 0
/, / dlo *Stack Templ//O
· Percent 02
Final Inspection
Date
.
',,<
GREEII - FILE
YELLOW - APItLICANT
GOLD - CIT'I
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
APPLICANT :fJfL6--Sl-/u f XC.
ADDRESS: 1 Co. 119 .:r 0 (It:f..,..J wl+7 LIt UL-.
SIGNATURE: t:' J... ~ tJ~
SITE ADDRESS: 1'14' 7 tV I' I{ r~c JlfI/o6 C-"
FILL IN THE BLANKS
1. Estimated length of water service ~
~ (
2. Size of water service
J
inch(es) .
3 .
Location of any couplings from structure
4. Type of sewer pipe. ABS
PVC X
5. Estimated length of sewer line ~6
6. Clean out (if required), located at
structure.
s.w.No.C5C -043~
NOTE:
Sewer and Water
contractors must
be registered
with the city.
PHONE: 8"~ -, ? t> Go
DATE: b /J':J.-JtJ 0
, .
BLDG. PERMIT # c.D - 0 'i3 <6
PID# Q~"'36d. -()3..7-0
feet.
-
feet.
Cast Iron
feet.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
en approved.
~'; /:, TE: hP?/-LJ()
-============;r============================================
$ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $)~~ plus
$ .50 surcharge.
BY
F
* Sewer and water permits issued for new construction must be
recorded on the building permit~ crd the time of issuance
to insure that no duplicate sewer and water permit~are
DATEi::::d · / ~.'If · ~ aUNT PAID /
RECEIPT # / ;<J ~~r~U RECto BY ./
/' I /\(1)'0/
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
L ftaIr .. ..
1. Gna . CI,
1. leD.... ,..."".., -".
l-L~~' vii 1 ~I'"" r-MIUI1 LAIU: '..
~5' ~ , 6200 Eagle Creek Av. ~ ~ Pemlt Na. 07)....0 ~ 3 ~
\ , Prior L.ake, MN 55372
"..... HEkTlNG APPUCATlON J PERMIT
om. '-I- ).~.. ~ , P1D: ~S- - 3 b~-O~- 0
~ si.~reS5\ ~~ to 1 (\), ~h-\.1l'\~ c; \~ l; r t.\.t
L:t. \ Bb:k ~ ,Adalian, ~rw1? rh\' qM1 ADD N
~ OwnI:'s~.. \rl : f\ ,\ \J Cl \'\ J t\ () N ~
~ ~dt8SS. ,~~ \\ .._,~: ,,~_, (\~\. ~-~ l.V~' '" .
Hulm; Canara=tor ,\"\ 't\ ~~ ~''"' -~ V\ \
A:iclress \ \~ ~ \ ~"' ~ '- \ l Of"~ \ y ~ V,~; (J"' \ lot t{,
Teieph:Jne# ,~~, - ~ \:l'\
?.Jm2C8 Maka & Mod.l C,. ~r.". ~ ,~
M:x5.1 Size . (\'\ ~ r - t <.'i)
Com.Lad ~ -, ~\D~
Fuel rv ~ ~ -:Au. Slza ~ V c..
Supply Opmn;s ~n
r\tIIum e;.n~ _ \ (""\
tnput \,,~ ~ 0utpt.Jl ~ ~ " r:J:b
Edr. \
0::: .
~ elm. \ ~.SQ
o .
0:::
~
W
E:
rYPE OF STRUCTURE
Sing" miy X
.
Multj..~~ _..
Two-ratnDy ..
'ndustria,
Commercial
?ubi:
~~.
ree S:n.dute
lnQo~aI, Cornme~.al1a y~
R~ential. Heating 1 N:,
rtesi:ien6al, Haaling Only
~esidenli21. Gu ::in;da:a
Residential. Aiitidions & AIte:aions
nesidenti., At Only
, % Gf job cos;.t rS3a.5Q~~~)
S9!!30 ~ I .
/! ,
. \ ~ ftm : :
' , I'
' ,_.U
. 554.50
S39.so
139.50
oe.so
~
~emernber CO add Ib, s:a S&Z:harge on Ite bOl:)m of this ~r.--'.ML
TYPE OF SY!:a I :At
Warm Air Plates ~
Gravity ,
Mec:bani:al
IW Co~ditioninW ~ '~U""
~;. Varil Systlrn~ nn (~r'L.
HgTINGOR POWER PlANT
Staarn,
Hen Wall'
AacIiaicln .
SpedaJ o-v--... .
The pri:e of yaw beating pennl in:Judes one rouph.illnd one finBI ins;>>edion..
A~ 1nspedions will be bled lid S3S.OQ MCb.
Hcusa HeatingTest Record must be S1.IbmiIed win "'~~l"' rtllmKl TI~, before bu~
ing ~.~ Gf o-~"..:y wi be ............
H'=(j .t'AI r:t" J:ilrw.e; ~:nt RR:n wfth number of Sll;)pty and 1'Btum. opemgs 6sttICi per
I'DOm. CFM'r- per cpering. New stru..-tures or ~ nnd lDor plan willtstr,Jply
and 1e1IDft ~IS shown. Jr'::AT LOSS CALCl14a'ONS. PAYMSNT AND
APPUCAl'lONs YAY BE MAP ~ 'TO THE CITY OF PRIOR LAIG, 1B200 ~r.:, ~
~==tAv:. S.E.. rRlOR LAKE, MN 55:tn.
C11:y Hal ~.- hCM$ aN . LIIl. . ~:30 pm..
AU. WORK MUST BE INSPECTED {ROUGH-IN AND RNALJ . CAU. ern ... III 1
Cthc Devi=ls
\.
\ TYPE OF WORK \.1 I hereby apply lIlT. -nml:al sysIams I*1IIil ancIl adlzlowIedga that \he
... ~ - Jntlllllldon .... Is CGIIIpIaIe .... 1lCI:III1IIe: Ibat Ih. WIlfIl will.... In conlermence .
~ R..-~ New Conslr""""'n. . . wiIIl... ~ and CDdM of !be dly and willi... SbIIa ~1caI
" . . r:.t Co "om '. .' codes; .... lhis ~ doa IIDI become & P81\D- unlIIl!Ill8!' bJ !he ilUlUllNG
~ . ~ . . mp. ft . " OFFICIAI.: a.t th. IIoDIIl wJl be in ac::anlAJlce willi the appMed plan in th.
~ '.~~s q(\K'\~ ~1Ig~.~\\-b4J~ .-~\;!~~~~and~.alplaM... "":;
~~PSIMIT1.....1 / PAI,~)i I~' '.:. '.' \J.-'~~,~
~ ....si-AiE~ I / .50'. !:JUIL{;)/~"Yf!H " r A, ,~~. .( :._____. ,;: 9"!-f ~/~. .-
N .;.:.:.. .,' . /'. ':::~Mli VlnJ~. . N''''..t 't.~/!..::. <-.J _ (, Ii:?r? /OZ)
N :. 10TAL PERMl'TF=Cq $ R..ipl', . Q BuidIng ~Sfgnc&n / DID" .
N '-,..." . ., . , . .- . , .
' -~.. - . '. . ., ~ . - ". '. ...
z " - l~ J - '.. _,' . "":. " _ . . ..' _ . . . . '. .; " . .:. .., . . .. .-.. ...:. :.'.... .
:J~ '. ,- - -...-..... .....- -. ". ~--~...~.._"'..~.t ... --~.-t ....... ... ............Pfi..~
. o;.:..~.... .. .."".,.,..:....;..,..~~t.~..~..... .... ...- .-..'....... ..'~_.., ~......~.. t.~"'~..~..,..&......_~. .~"_."'."'.'I'.~~~~.....,...... ~;,;:;j.
.., . · t<:.=..~ ,'.. · , ~~..' ',+~"_. - ....~~ ~..,. . 'Q~". .~- '.. _. ...r ~.: '~'!!(~ ,.m ~ _" _ 1::lOC:'" '._"_ '~' _~
. ~~'. ,:t.; -: . :::.:~.:-:.,.: ~~~jit#l,,~~~io~~_..,~:!; ~ .,..:.... ; ...:. ..';.s.,~~~T,.!.;~S, ~'''' ~~~~~~il't::".!(~_.."'" '. .:,;.~ ~ . .. ..:;
447."...."
. -:-", ... 'I. _ .
~.. -. . ..--~~ I.. ... r- I _ ,_. i._~---..........5". ~ ...-
CITY OF PRIOR LAKE
PLUMBING PERMIT # au -<::J'13~
APPlicant:..iliJ ~ Q..,LA, Plum'aO-v ~j) . Phone: 41-;;>- d.-\ d \
Address: ~() ~ r (~ ~
Signature: /~ /;7Y? /?' ~
Legal Description: Lot ~ Block ~
Site Address: 144-ta} ~ Q "- ..
Building Permit # rro -~ii3~. PID# ~S-- _?'~-O~7-o
NOTE: This permit will not be processed without complete information.
10/21/99 THU 13:14 FAX 6124474245
CITY OF PRIOR UU\E
I II, ("..tl'~r "t .~ I...... Cetu"."
FIXTURE UNITS
Quantity ,,'
Type of Fixture Quantity
~ Bath TUb with or without shower 3
1 Dishwasher l
\ Floor Drain
6 Lavatory (bathroom sink) \
\ Laundry Tray (1 or 2 compartment sink)
l Shower Stall
\ Sinks
Bar Sink
3 Water Closet (toilet)
FEE SCHEDULE
IndustriaJ. Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
\.. LLfU. Zl J CD
I. Blue-
2. Gold
3. Yellow
file
City
^rrlicanc
Sub Kf'<So \-111\ 4tf1M&
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
$ .
$
$
$ .50
$ ~
JUN 2 6 2000
16200 Eagle Creek Av. S.E., Pr
ake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
N
o
o
~
CIT'Y OF PRIOR LAKE
16200 Eagre Creek Av. S.E. Permit No.
Prior Lake, UN 55312
0o-o43fJ
DaLe
Acldrosa .
-IMs1lnlCon\lector _~VY'~-5 &.J)L/}~P-S- F~ReE~
AddrNS/~V05 ,1 ~~ /i-J/I No I
Telephone t ,'1~.3 _5'53 IWi,/
rI"~~ 8. Model r 0/~R..I~
Medel SizI /) Vr tp b-t' N S
III
III
~
~
~
~
:~
ffij
:l~
.-40
p~
~~
~
III
- ~
~o
~~
~l-I
.U
I
Conn. Load,
Fuel. }/ I'fr Flue Sl18
Supply Openlnga ,
Re\UIIl Oplnings .
Input..~C>O Ou\PUt.
Edt.
elm.,
p'JI
t-
oo
~ Iln
~
C';)'N
IQ ..,
IQ t-
..
N-..,
?-t C'\1
CD r-t
CD
~ ~
tI.
?-t
~ l"-
.. 0
t- ..
o CD
...c
.-4
~ 1
-4
o
o 110
..... en
00 "-
N I It)
..... '0
t- "-
o N
o
TYPE Of SYSTEM
Warm Air Plan's.
Grav.ty
Mechanlcal ,
Air Conditioning ,
V&nt. System,
HEAllNG OR POWER PLANT
Steam,
Hot Waler
Radla1ion ,
Special Devices
Other Devices
Aller alians .
, Replacemenl
TYPE OF WORK
NBW Consl ruclion
K
Repair. _ Es&. Comp. Dale
Est. Cos1 ,~J ~ ~ Building Pelm~ II .
HEATING PERM\T FEE $,
STATE SURCHARGE $.
TOTAL PERMIT FEES S.
.50
00 - 0436
yJ(i;.
.8
RBc&iplll .
JYPE OF STRUCTUR~
I. ~"'l"
1. 0nlU - City
). Yelhw . CotIblChIf
Single Family .
Commercial.
11
lW~Family .
I' ....
Industrial
Fee Schedule
InduslrIB', Commercial & Multi-FamUy
Residential. Heating & AC
ResidenUal, Heallng Ontv
Residentia'. Gas Fireptace
Resldenlialt Add;Uons 8. Allela\ions
Residential, AC Only
MulU.FamlIV
PubUc O\heT
\ % 01 lob cost ($39.50 minimum)
$99.50
164.50
S39.50
$39.50
$39.50
Remember to add lhe Slale Su rcharge on Ihe b o\tom 01 "'is appiicalion.
The price 01 VOUr healing p4!lmil includes one rough-in and one Una' inspec'~n.
AddUlonallnlpecUons w~1 be blUed al 135.00 each.
House Healing Tes' Record must be submit1ed with L1uiIWng f'prr1'1t n,,~,.,"~~ beloTe bu~ld.
lng certKicale o' occupancy win be issued.
"'FAT CALCIU ATfn~l~ AFntURF'n w~h nymbtlT 0' supply and retum openings listed p.
room with CFM's per opening. New structures or add;Uons send ftoor p1an with supplV
and relum lacatlons shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE~ 16LOO EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372-
Ci'y Hall busIness hourI are 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CA~L CITY HALL
441-4230
I hereby apply for a mechanlcat syslems permil and I ac.knowtedge lhat Ihe
inlormation above is complete .nd ac~urall; that 'he work will be in conlormance
wi\h Ihe Dfdlnances and codea of the cUy and wUh the slale bUild'ng/mechantcal
codes: thai this form does not become Ii permit until signed by 'he BUILD'NG
OFFICIAL; Ihat the work will be in accordance with the approved plan in \he
~:o:;; 2u~a$ re~aw end epproval of PlanLjJl~
ApPll"1'!H"fl~i. ~ Dele
iJIJ}/J1J~ ~. :3 . () 0
. BUikftjl!ftrS Slgnalure 'Dale
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS It/lilt, 1 ~1'~t~"dec.L. Li- .
NATURE OF WORK kJel.c-] v
USE OF BUILDING BF)l
PERMIT NO. On -n43B DATE ISSUED S~-2~
CONTRACTOR L-j;-vcP- w~J.- .\ (~c; p~~E. '~2..- @c;{" -~c{qt!J J
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCU ENT
FOOTING
FOUNDATION (Prior to BaCkfill}(d)",,e. t /00
PLACE NO CONCRETE UNTIVABOVE AS BEEN SIGNED
ROUGHt1- INS
f/r:h .. / (p / / ~.( ()-D
*,t~. 1/;f'~
~- IN:>\' r ~.' ~/"1lK) , I
,fJtt~/;.p .
HEATING (if reqUired)~ L~ Jfdoo d
FIREPLACE ' ~ 2h~ A J
GAS LINE AIR TEST V U'7 ~-) f" ~ ~. y/~(IJ
COVER NO WORK UNTIL ((;OVE HAS BEEN S"IGNED
~~l...b
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
, .
GRADING (Prior to Sodding)
BUILDING -r~;. ~t1O ~,'~
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
A4-
~'.
~~ -rJ'~tP\
f-/J14- 711 ~ 114
~.
, ,lj!J.fr
BEEN SIGNED
I (
OCCUpy UNTIL ABOVE HAS
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 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
,"
,
~~~,~;:~'..~i'~~~~'ll"~ ,:1 ",:.i'~::~'~~ ~ :~~~ ":h~"~i:'~~'I,~~'~w{~ 11r':'.L:'~"
I' ,.I
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS
/.l./Lf0 7
SCHEDULED /gI~~ A, 'VI
Mj"-i-i^J ~'<. ~~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
f) -~3?
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: Sb& i (,rOD" O. (<.
JU 6:tO (6N(t? SiQI'J Otrr
Zi- G~ J,~ ~ c..J. t-c/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o WORK SATISFACTORY. PROCEED
/CORRECT ACT~~~~~C D /
II ';"RRECT woK; REiNfECTION BEFORE COVERING
Inspector: <\ / ~er/Contr:
CALL 447-9850 FO.{:;HE ~XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS } L.j '-16 Zl LfJ ~ ~ c, ! "(
OWNER CONTR.
PHONE NO. PERMIT NO. () t.L3...i
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.:jiLfINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
L 0 PLUMBING FINAL
o MECH FINAL
::P! EX/GRAD/FILLING
- 0 ~OMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(:., rG. ~r C9 t:.-
j
(.v/I-:J 1?u".,L~? t<
~ '" '- 011..1+
/)~
/-) ^ I;'
~// I /1 ~/_
/ '\ U/T
k /
/ ,
7 /P;;;/J /
/'- / I
(
)( WORK SATISFACTORY, PROCEED
, 0 ~RECT 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
INSNOTl
I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Woo
I.'!=:-
ADDRESS
14+iP7 NI6JHTlN6I~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J7) -()4-.3B
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~- g :'E~~B~~G RI
l' ~ ~A TER HOOKUP
, EWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:r1) ~ ~ ~ ~ ..{....
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. I~ ~.A-~ (,wJrlt/..c~ oltbY-~(
- f
\.\
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/ /\~~ .
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.~ ) ~,:;;~..
rr ' 81' /" ~~ ".l-./' ~~~
~.~~~ / J;:4---~0>--
/~ jJ~~,30/~~
I g71 ~ 4lJ If" ~
f ~ - 5t:J=~ /r11 V
~,~~ ~~ 8("~
~~
o WORK SATISFACTORY. PROCEED
)! CORRECT ACTION AND PROCEED
o CORRECT WO~:ALL FOR REINSPECTION BEFORE COVERING
Inspector: W -f I Owner/Contr:
V
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE
TIME S r
Z:Oo
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
!:Jj. D 0
ADDRESS
/44h1 N/tfH7lNGAiA:5
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
_ 4~-' L/_~>f
o FOOTING 0 PLUMBING RI
o FOUNDATION 1< 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATION }('1\ 0 SEWER HOOKUP
o FINAL ~~ PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS@ ~ ~ ~
::2) ~ ~ V'
. ~ ~~f:--.;~'" .t.
~ tA~I_~ ~~ ~ -<W/-.
~-~'~,
~ _~,,~ .Ac;.. A....o -- ~-fd:).
---rr- ' , ~ ."
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~~~~~~~rJ
~~ ~ -".0
~ f+-i IT! 77<f. o. ~::;r,
I/J~ ~~~ ~ ~--r'
o WORK SATISFACTORY, PROCEEQ
~ORRECT ACTION AND PROCEEO-
/0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeelor: ~ Owner/Contr:
,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
PHONE NO. PERMIT NO.
D FOOTING (;']\...nLUMBING RI
D FOUNDATION ~ECH RI
D FRAMING ( D WATER HOOKUP
o INSULATI~ \co SEWER HOOKUP
~INAL J:1l> PLUMBING FINAL
D SITE INSP TION f:!5,1' MECH FINAL
COMMENTSa2) ~ ,A.~ - ~ ~
-tD I4 1- .L pt...... ~ tA ..: +-"
(;E) ~~~ _~~It~
~~;:y.~~~,
~ ~~~/....d~~
._ -"-PA ~. .L-/4r ~ fA V
'~ T___ ~ I~ k ~-4.x~~ . # ..tV
61 ~ :l-tPtIl~Ci- ~~
@~ /'4 ~Qlb-' ~~
~ ~~
.~ ~~ C.
_ ,,0, lofl-S/~o
M4L. ~ ' .
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
\ 6r4-~{
OWNER
CONTR.
CJDA TE r 1.TI~E:> .
_ r k Wi:) · ~ Q
I
N \0t-t TIN~t-b
0- t~
D EX/GRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLlNE AIR TST
D
D WORK SA TISFA , PROCEED
~ CORRECT ACTIO NO PROCEED
:.::CT q;~L FOR REINS:::::EFORE COVE~NG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /'1i.{(;; LAJ~MiI'1Jc;/c C T
OWNER CONTR. \I\J; ",d 1,/'0001
PHONE NO. PERMIT NO. I')t) -J{3 'K
o FOOTING
a FOUNDATION
a FRAMING
a INSULATION
~INAL
. 0 SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
1i~ILUNG
hCOMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASUNE AIR TST
o
COMMENTS:
hruh.- R1L
(nrlb ~.t- c9k
r-
!}-rJ
~ WORK SATISFACTORY, PROCEED
D CORRECT ACTION ANP PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpedOr.~ OWner/Contr:
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN APVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SA.FETY/
..."""