HomeMy WebLinkAboutBuilding Permit 00-0513
~
DATE RECEIVED
b/q/oo
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
~O-0513
Permit No.
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
~ 7-00
r20sE-f/.J~ t2i) P.
PID ;;)5'-6/ fJ - 00, ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) 20 '(Width) t, '3 (Depth) 4 ,
12. NO. OF STORIES 2-
13. TYPE O~ONSTRU"pTION
'~f I c.
14. FLOOR AREA APPORTIONMENT USE
91ft;
2. SITE ADDRESS / cfS <./ f1
3. LEGAL DESCRIPTION
t.p BLOCK . I
l<NGJb {-f,I'-"-
LOT
/U"
(Tel. No.) Ws:-~'OP
9ZrJ2 IC/lft-sr
~AVA-5".&-(Tel. No.)j-P 7l!J I
q~7-4()~
. tb4~~SZL
ADDITION
4. OWNER (Name) /J~ ~ress)
/77(LT/Zo ('~~ /r-" ZJn7~
./1/7 (Address)
/,/,4//Z.-C
(Address)
5. ARCHITEC').-: (Name)
/~/Z-L.o
6. BUILDER (Name)
15. NUMBER OF OCCUPANTS OR SEATS
Z.
a~c ~d'S"
Fireplace a Septic a Deck a
Alterations a Addition a Finish Attic a
~JJ1a' t./UJ
7. TYPE OF WORK
New construCtiO~
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
OCCUPANTS
SEATS
Re-roofing a Porch a
Re-siding a Finish Basement a
16. PROJECT COSTNALUE
/7e;~/OO
9. PROPERTY DIMENSIONS 10. CULVER~ 17. COMP~~N DATE
Width/ Depth Yes ( No ) /1t) #~
nformati on thi .lication which is to the best of my knowledge true and correct. I also certify that I am the o-lner or authorized agent for
ction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~rmore, I hereby agree that the city officiaI7...2~.z:.v enter upon the property to perfb:~ ~O
License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS a PERCOLATION TESTS a
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PLANS & SPECS a
SURVEY a
PLOT PLAN a
SETS
COPIES
USE OF BUILDING 3 f D
1'1',~ .00
TYPE OF CONSTRUCTION: I /I III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
Amount Brought Forward .. .. .. .. .. .... .... $
Park Support Fee ........................... $
SAC ......................................... $
City:
850.00
L..LDO .00-
,.2a2.. 2S:-
833.'1(.
B1. S'o
Collective Street Fee .. .. .. .. .. ... .. .. .. .... $
Sewer Tap ................................... $
Pressure Reducer ...'i.~~............... : ~ot::t!
Meter Hom ................................... $
Water Meter ................................. $ t:J.eS'. DO
Sewer & Water Connection Fee ........... $~.e6
Water Tower Fee ........................... $ 7.f:Jf>.~
Water Tap ............................ ....... $
Builder's Deposit ............................ $ ',S~. CJt:)
Other......................................... $
~I Due ...,.111\.1.\............. $~O. 7.L
Paid 1 t ~' Receipt No. " fS(,f.t
Date 116 J/O By .
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 0 ::Iina oC9 and may proceed as requested. This document when
signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before OCcupancy. a Certificate of Occupancy must be issued.
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
'DO"t:JO
roo .c!>6
3~. ~o
40.00
1 t\N1.k
Y..1'O
~~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
This
By
mes our Building Permit When ~roved.
Date ~Z...~
City Planner
Date
Special Conditions if any
24 hour notice for all inspections 447-9850
:i
...
..
~ Of-
j\).os'3
Th~ ("~nl~r or f"'~ l.Ilb Counlry
White - Building
Canary, - Engineering
Pink ' - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST '
NAME OF APPLlCANTM (:.;\ \ ('\ C.J\ 0 0~\ (, fumf' ~
APPLICATION RECEIVED JJfl"\-L, .. <:::t.+f\ ,~O(ll)
,. .
The Building, Engineering, and Planning .Departments have reviewed the building permit
., application for construction activity which is' proposed at:. , .
. ..ILJh~18 ~crnrJ . ~OO oJ
Accepted. ~
Accepted With Corrections
Denied
Rev;ewed By: ~"~Jlf a~Ud~
, ,
.Comments: S~ 1;'~"'1If1fj l-iOH
. Date:
~,;/~ lIP .
'()It -fir ;?vure S" /(/". '
't
5ee . 4~/,,.tJlls : 'f. hit..!. GrJe JA$Pt'~~1f Ph",...I/1Pt ~ Grd,ittJ Rbi
, , ~
.3. :G-oS',~;;.' ~lIh/ 1f0l5Wr~$. if ,ffff1o". {{,,.!roI#An.
."The 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 oraf any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of th,is code or other
. ordinances of the jurisdiction shall not be valid." '.,
V--~
"
~
OO~D5')
The Center of the bke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT M e.,\ \l) C_~lo.~l c .:iom~
APPLICATION RECEIVED ~ q 'H'\ \ ~OOO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Ljl)~/8 JZoo oj
Accepted
Accepted With Corrections
Denied
Reviewed By:
Date:
Comments:
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."
''--
)O-05()
Thr Crnlrr or lhr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
~.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Y\ ~ m) CJ (12)~\ (_ ,in me.)
APPLICATION RECEIVED J t r~ Cfil'\ \ aO()()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I Lj 6 L-j 8 ~~ LV aor.1 .'2 (ill.d
~
Accepted With Corrections
Accepted
iI,>~"
Denied
Reviewed By: ~/J..~
Date: ~ ~ IC; ~
Comments:
~L{Pr ~~ 0Y~ Wt&f1-J d .
W~~JJ{~~ ~ ~ 'ih~ 0-..{)--c.U Q dwb."
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. II
,....-_.,..,..~":.
-
'fI,
*Permit#
*JobMdr...1 <f5vr ~cJs.ecP~ ~
*Heating Contractor' M. I nO AIR
.,.-'
OT es'...r.lIgnatur. 1)- ./
*Ges Une
PreSsurized
Inspected
...
* Percent C02
*Percent 02
Final Inspection
'\
Date
Time
PERFORMANCE TEST
~,9"/t'
~ 00/0
.Percent CO
*Slack Temp.
Pounds
Pressure
0%
/11) II
Date
.I
'"
~'~
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MATTHEW DANIELS~INC.
423 3017 P.01
08-04-2000 12:53PM
'nit C..- *' .... a.-Jc~'
Qua. "'':.lj
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CITY OF PRIOR LAKE
PLUMBING PERMIT PP No.
Apptic:ant: hll1#hpl~J Th.njI!J~. Inn. __ Phone:~S/~
Acldre$S: I.6'Zl!JO (J ~ ~rDL.L#:jIll!!.) W4f. ! ,i/!J.~";""'~ n-!:.. NN
Signature: ~J ./I 'tf' J '-n/. ~/.AI ~ ~ i&l&A-> ; .
Legal Oe~Ption. lot '-- Block 0 : Sub
Site Address: 1..J5"#-Jl ~QLf12t~,1 i ~.
Building Permit # .__ =- _ ~ I ; , PtO #
NOTE: This permit will not be precessed without eom~.t. information.
FIXTURE UNrrs i
I..... i=iIc
1.Ga14 Ckr
3. y..., 'AppIic:Ia&
aD -()6.0
~.2~ - ~~
..G.."!t~ ~
Type of Fixture
~th Tub with or without shower
Dishwasher
Floor Drain
~vatory (bathroom sink)
L8undry Tray (1 or 2 compartment sink)
Shower Stan
Sinks
ear Sink
w.ater Closet (toilet)
Quantity
TyJ)e of FiXture
I
I
I
RQ~gh-fns
w~er Heater
W~ter Sohnsr
St~nd Pipe (washing ma.chin..~
Se~a,ge EjeCtor
Ba~ldIow Assembly (RPZ. Double Chedc, PVS':
B8fkflow Assembly Test
Lawn Sprinkler
I
Ot,er
FEE SCHEDUU!
Industrial, Commercial & Multi-Family
(1% ~1 job cost, $39.50 minimum)
Resic;1ential, New One & Two Family
Resic;!ential, Additions. & Alteratians
State Surcharge
$99.50
539.50
$
'" .
s -99~~
s
$ .50
GRANO TOTAL
$ /iJd'.44~ ~
PAlO W\TH
BU\\..D\NG PERM\T
This pennit is panted u~ the apras condition that said
contrKcot, shall comply f ._ =s with the ordiDaDci=s
of me: State Pli,ambUii- thereof.!
.... - _ItS\.. . P; " ()fJ DATE
, III: j. u:.$T
Call for all inspec. 1\8 24 hours in ad....ance.
16200 Eagle'Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-423'0 I F.A\X (612) 447~245
An Equal Opponunity Employer !
I
I
i
,
TOTRL P.01
....;..._....'"'Tri;"._-.........~
:. ~ .,,', '
- .....
"P . ,...
y.u _ . A.....ICA....
.OLD . Clory
" ..... '.,
'. <I . '"" .
s.w. No. CXJ -os-t3
JJI
SeWar ~nd Water
Oon~raO~Qrs musL
bR :t"Arjiotered
wi.th the c.i ty.
.1'.
] .
C>6h-fJI PHONE:, 'I/. 'UIJ!lj6"6
F,\O~;YVf~DATE: ~/25fll/b
I BLDG. PERMI'; ,F13
~WIJ/J J J?J. PID'..G?~~~.lO- OOG-:Q
FILL IN TUE BLANKS
-- ----
E~tilni.lted lell9th ol water service -{l5.. _feat..
Size of Welter :service I inc'h(eS)..
APPLICmtJ. :
ADDRBSS:
.-:.A '" .." ~ v zu:. ;
2 .
) .
Locat.ion or any cuuplings from structure ~
Typo of sewer pipe. ABS PVC,J Cast Iron
..-. c: "-
USiitimClted lOhgth 01" sewer line ~._ v feet.
,
feet.
4 .
,..
:..'1-
b. Cl~~n ouL (if required), located at
structure..
fe<<:lt
from
~ '-/ ,.:...:::. _~C:Z_::t:':-:- ~ ~ = :==:=.z:a.... _== _==.. ;...:. ~===F ;;;..===-=;;:==__;;;::==-_ c:====:! ==== === :'!I:::=:=...C =::-= = == c= =!:
'l'hi.rs oppl ication
flY, ( )~,
--' "E!' "-- "----....--=-.:.:.~.
.., -.O' .,. _. _., .- -....
l;>J~;E~ $ 35.. 00
$ II fiO
$ -. 3 5 . so
(.! on\es your p~rmi t when approve~ ~L
.'r1.,~fj;..;) DATE: 15 /p?Jj'r/TJ ...
~~~~~~~~_._==____=___~_=2~=~~==~=~====~~~~===~=~
Sewer and ~ater line connection pormit.
Surcharge
TOTAl.
1
Pee for either ~~wer or water
$ .50 surcharge.
inc11vic1ually
is
$/.f/.!RJ plUS
f
l.) .
* Sewor and water pe:t"nd.ts issued for new cbnstruction must be
recorded on the buildin~ permit card ~t ~he time of issuance
to insure that no duplIcate sewer and water' permits are
issued. / ~~~ /
D^'I'T~ PAID ^~~<e,~ AMOUN'J.' PAID
'.' ~" ~ ' ....
m:CI':IM' # / ___ P REC'O BY -/ ....-.....--
"..............~ ,.. . ..., - ':". _.... ^... co J:i 1')..; -.... ....",,;,II!'"
1.~~lI:.:J:n'~.'~..."'I.~I/.. "1 .L
CITY OF PRIOR LAKE
16200 eB,'. Creek Av. S.E. Permil No. CO - 0S}3
Prior Lake. UN 55372 c
Addl... ,
, ,
4t.Ilft.~ Conltactol ('V~c,e 8ULbI:A!.J' b~
Addr...!3t.(O~ )~ A-V g" . J=l~dtQ~ ~5g-,4;1l-
Telephone' ,1~.3 69~ o/"'~
F~~t!" (:11
FHrnac. Malt. I Madej &.JUPF~(J~..
Model Size ,D- Uo
Com. Load
F"~ ' JI ".,- Flue SIz.
SuppJy OpenJnv" I
RI1vrn Openings .J
rr,p~ Output.
Edt.
elm..
TYPE OF SYSTEM
Walm Ail P'.nis .
Gravity ,
Mechanical _
Nr Condlianing ,
Vent S"'.m .
HEAllNa OR POWER PLANT
Steam.
Hot Wattt
Rad;alion .
SpeciaJ Devices.
79"
OtI1.r Devrc8S
TYPE OF WORK
Allelationa R.placement New ConslrucUon IX..
RepaIr-' . EsLComp.Dale .~r/dtJ
".. r '(~
Ell. CoaI,I (!)t;O - Bu~ Parrill , () (') - OS? ~~
tEArING PEIWlT FEE . 31 F "'AID WITH T
/ r, G PERM\
STATE SURCHARGE I, .50 BU\LD\N
TOTAl PERMiT~I:~ I, $t2af. Receipt , ~ .
/ - .
.
TYPE OF STRUCTURE
t. PlIlIl - '=ilc
L Gnlen - 0,
J. Yc..... . CaIlErK1Cll
Single Famly
Commercia.
~
Muhl.F&mIy
Pubic . Other i?P:!\.
0
OD
"-
N
en
"-
0
0
~
1-4
to-
~
..
0
Ql)
~
CD
to-
N
en
I en
CoI
,
.!/ 0
OD
OD
....
Two-FemiJy
Jndustrial
Fee Scl1edtie
Industrial, Commercia' & MuHi-FamUy
Reaidenlia~ Healing & AC
Residentral. Healing OnJy
Residential. Gas Fireplace
R 8sidennaJ. Additions & Alteralions
ReskJenUal, AC Only
-.an E''' "n'~'Il!I~
~J~ ~
Remember to add the Slate Surdlatge on the boctom of this appicaUon.
Th.8 pric~ .01 your heattng pellhi! mcJud.- one rough-in and one fJnar inlpeclion.
AddflfonaJ Inapecllons wir~ be bled at $35.00 each.
House Healing Test Record musl be aubmitled with buikting IWlDIl DmBr betor. buIll-
lniJ certHicate of occupancy Will be JasuecL
HFAT ~AI,G". ATtCW,~ ~F'" 'IR-=n wNI number 01 aupp1v and relUfA openings Usled pe
loom with CFM's pel opening. New slructurea or additions send floor plan will IUPPIr
and refurn Joeallon. shown. HEAT lOSS CALCULATIONS. PAVMeNT AND
APPUCATJONS MAY BE MAr' t=n TO THE CJTY OF PRIOR LAKE, 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
eRr Hal business houra .re 8 a.m.. 4;30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447"'J3~Jl tl95.2 -W'I-ft '1&
I hereby apply lor a mechanicaf sY~leml permit and ~ acknowledge thai the
in'ormaUon above ;1 complete gnd accurate; Ihallh. work will be rn conlormance
wUh Ine ordinances and code. of the city. and with the state building/mechanical
codes: 1hal thfs form does nol become a permU un1l1 signed by lhe BUilDING
OFFICIAL: 'hat the work will be in accordance with the approved plan In 'he
0~he ~~nd ~prom OIPfan"zsk
/ Appfc~n1'- Ji~U18 , ~ J 081,
LIJ(>~_I ;/^'/---r-.hA/1~ <rld2#(//)
0- Building Olflcar ignaM. . I I1aIe
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CITY OF PRIOR LAKE oS\3
16200 Eagle CraekAv. S.E. permilNQ~C-
Prior Lake. MN 55372.
,TYPE OF STRUCruRE
I. lWt . fW
2..~ . o~
1. Ydgw . c:::..:na..
~
~ Om. ~ - 3- ()t) PID #I. d(C::;--- 310- Ci)6 - 0
Site Address ,\ '"' S \\ ~ ~o ~ ~ 'rl () 0 ~ ~ Y'"'"
~ ~ lD BkJck , Addbion, k:,rvr., Hi, J
~ o.mer-sName, ~,-\~ (. \~~ ~; ( .
Address ~ ~ 9 ), W, '"\ \ ~ S\- r S ~\\i ~ ~ -'t,
\""\. \ 1\ \.. I
Heating Comf"lt""'" , ~,''=:. "" r""- ~ Y'\ \
AddreS1 \ \n ~ ~(, ~ \... \ t O('~ \ Y l 'O,~: t.r \ ~ l(~.
TaI.phana' , "\~1- ~ \~\\
Fumacl Mw & Model k Y\ n \:)}{)
M:xIal SiD G.. ~ \0 Q. ;/v. - \ ()\)
Conn.l.Dad ~ \ a \ "
Fuet '" ~ _Flue Size ~ '" L
HEATING APPUCATION/PERMIT
Suppty ot-Ungs.. ,~
Return Openin;s.. -,
~ Input' ~ \\ I ~ OUtput ~ \ u (i\
a:
o
a:::
~
w
E
Edr.
ctm.,
\~5D
Single Famly ,X
Commercial
Two-Famiy
, Industrial
Muft).Fa",~ _ .'_
?ubf~ , Other
,:;
Fee Schedule
lnduslriaJ, Commeraal & Mufti-Family
Aes;derdial. Heating 1 AC
Resiclenill. Heating Only
Residential. Gas Fnplace
ResidenIaJ. Adcrmons & Alterations
Residlnlal. AC Only
Remember to add 1he SIm SUldtarge on the botbm of ctts appUCation.
TYPE OF SY~ I c:M
Warm ft.Jr Aants X
GraviIy ,
Mechanical
Ail Condition;ng JI
Vent. System )t1
HEATING OR POWER PLANT
Steam,
Hal Wzw .
Raallltion ,
SpKjaI OW""" .
-
, .
The price of your h.~ '.'9 permI inc1udea one raugtt.in and one inal inspedion.
Additional inspections wi be bled lit $35.QO each.
House Haating Test Recold must be submlUed wfth "'~;Jm" n~nnit numhoFtr befDre bullS-
ing certifi:::ma of oc:upancy wi be issued.
H=AT~A. ~" A11nl.l~ R~ rrR~, with number of suwly and reIUm. openings isteQ peT
morn ~ CFM'$' per opening. New stNctJIU or additions lend !ocr plan wiftt supply
and relUm locations shown. HEAT LOSS CALC\JVJlONS, PAYMENT AND
APPUcAlJONs MAY BE MAJ1 =n TO THE crrv OF PRIOR LAKE. 16200 EAG!.!
CREK A.VE. S.E. PRIOR lAKE. MN 55372-
CIty Hili ~i..~ houn; are 8 Lm.. 4:30 p.m.
AU. WORK MUST BE INSPECTED (ROUQH-IN AND Fltl ~ I ) . CAU. em HALL
447-4230
OIher Dev~"''''p
~~~"~ -
E . . ! her~ apply tor. a mechanical systems permtt and 1 acknow1~dge that 1h.
a.. AIWdans Reph"'O:Oim8rd New Construc:liDn . J~ormation ~DVe . complete and 8CCUrate~ Chat \he work wID.be 1ft conlonnance .
(R. . - . Wlth the ordinances and cDdes of II. city and whh the stat. tIuIkfinglmlCbaniCIJ
~ . Repair . . Est. Comp. 0111 · . codeS; that tis form dOQ nOl become . penpft until saned by the BUIL.OING
. ..... . - . l'l ~ 0 . OFFICIAl; tnallb. work wlIl be in accoraanC8 with the apPnwed plan in the
I . ~ ".o~ $ - ~dlrVermlI' '<1\:1 - S 13 - ~ all ~~ ~ ~~ rwi..und app~o Of. plans. . . . ~ .
~ ,.~~~FEU / gll\c!\\<<A. "i\f.\~~ . I .~-.3.: @ ".
<9 ...._~~~ SURCHARGe $ /~ ~\1f'l\ a~ '. (0 /I AePI! 'o~ . o. .... ~ _ ;: I DII!B { ,.-;:.. .
~ ..~~~.~I-~ $ / R-flr. /" II Y~-:i/P !f]lu JIl./l)pA ) ~/tJi/i.~:
_' ..'C'",I.....; _l . . /. '. ", . gp'atDni . ."
~\: .--'[ r ~.. . . ". ~ . . _ . ,../ . . ..
~~;.,~.. ,.... .. ~ . 0 ..".::.:~~i..:.:." ;.'"-y....~,~" i.<;':.: '..: .~....: :..-:- :. ~..,:. 0.:". 0.' "'.... "i'- ~:::.; -,.: . ..,i,.. .-"'0.; o:.,e., .::; r~~" . :... o. ... _ . .:~ ::.. .;,.: ~..;,. ''''.. .
~~ :-:.' ". ,,- . '.: ....:.:c.,. -, :"::":~'::;;~i:o~\-: ;"~~~:a;-;.a1."~ :~~, ~-;':-::.-;o;.;' ':;::-' I '1'- ~.- .:. "~I~':~ ~ _ ~ ~:.t.:~.J:.. -'!U"~&'~~ ~ ~ ~~~==:;: ~ :'~. ~~'~l.~'.:..~~~trl:;~"~
.-. -.. .. ... ....... . ..:..~~.--.......'..- ,..t .. ~"""'::""~..;:..:-.. ...:~.-.J,_. ..~~_..:..,;~ ~,~-:,".......~.~_...o ....__ _~.... __...__
&"'-':.~ -....
PRIOR LAKE DEPARTMENT OF -...
. .' BUILDING AND INSPECTION
...,
INSPECTION RECORD
SITE ADDRESS J.!::J5"'l8 f20se~ Rcn.cf(
NATURE OF WORK JJaJ
USE OF BUILDING SJ:"n
PERMIT NO. tfl) "0;>/3 DATE ISSUED ~'"21-~
CONTRACTOR r'\~ ~t'e CJC4q~~C- ~~.... 1't\OtJlll ~,,- _' qys--(, 100
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO:~NT
,
FOOTING
,\J~ATE
FOUNDATION (Prior to Backfill) tn- t . 7 /z-); I (j()
PLACE NO CONCRETE UNTIL ABOV AS BEEN SIGNED
ROUGH - ~
SEWER I WATER I SEPTIC ! y" IfJ.OD
FRAMING h ffd-6/~
INSULATION . ,/7:1, ?/M/t77J
ELECTRICAL
PLUMBING ~
HEATING (if requirec;tt 1,/ wt ~
FIREPLACE · IV 9,/,,/,
GAS LINE AiR TESt ~ I' I !.fIl~ 14. 8115 In
COVER Nii<</4~ UNTIL ABOVE HAS BEEN SIGNED
f! I ~t(fO
f!15//!Il)
~
FINALS
GRADING (Prior to Sodding) {.., /.; &
BUILDING.-r.~.,.., lDI,-sf.. ~'1ll1t/1Ji. ~
ELECTRICAL. .th I
PLUMBING f/J C1/J2I1i.f
HEATING V I / {fJ;~ 1//~(~
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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, c:ud ~hall be placed near main entrance.
.
/ J- 7. va
l.1./AIPI
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TillE
CITY OF PRIOR LAKE
INSPECnON NOTICE
SCHEDULED
U:J3.ao
ADDRESS
./4-54.8 eosenLOoD
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OD- ()5/3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
~ FINAL \ c....w
tJ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASlINE AIR TST
o
COMMENTS:
r) 'cfl V
10
J
P~e /Up/V
p6 PuS i-/
)1(. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~~
Inspector:
Owner/Contr:
, r
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
"./z.,,() 3:0 0
ADDRESS
OWNER
145~ ~OSE,WOOD
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 t:lOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
. 0 MECH FINAL
COMMENTS:
~ .>9$"
\J
~
f. ?
V\~
(J ('~ ~~p
'- -
-513
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
-t- ~IREPLACE FINAL
-r~ASLINE AIR TST
o
C)k
Inspector: Owner/Contr:
CALL HE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE TS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
;TE~ TIME
CITY OF PRIOR LAKE .,.~ '
INSPECTION NOTICE .SCHEDYL~'. -~~ ~ 14- i:J ~ =s: 30
- l
\L54~ ~~ RD
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o --~.L~
~
~
o FOOTING
o FOUNDATION
o FRAMING
o INSULA~
INAL
~ITE IN ION
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
t:{/
V~
"Y ':L~'~'
~OO~~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
l" 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!
INSNOTl
U54~ Qo"cwoon Ro
CONTR. II1e:!ro CId~Z.I!t, n1d
PERMIT NO. ()O - 5/ ~
\.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)(FINAL
o SITE INSPECTION
COMMENTS:
11
l/
DATE TIME
SCHEDULED
//-9-(1)
o PLUMBINq RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
i
(/\
9 Sil2J.,Jft.1.J~ fJrJJt/e2S )-/AI/~ A,cR) ~eP~
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspecto~ Owner/Contr
CALL 447-9850 FOR ~EXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl