HomeMy WebLinkAboutBuilding Permit 00-0525
DATE RECEIVED
(o/d/OO
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECll0NS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
/~337
3. LEGAL DESCRIPTION
LOT ~ BLOCK
ctd,~d/~ ~/
1/
'~d,v:2
..... ~ress)
41f ~#5P .
5. ARCHITEct W (Name) /' ,/ (~~> k:? /
/~ 'L r:~rff{ n~
(Name) J1? / t / (Address)
/0 2/11/~~S-3?7
ADDITION
4. OWNER
~ J (Name.>
Htt2H~.5
6. BUILDER
1. White
2. Pink
3. Yellow
~
Applicalit
Permit No. JJ(!i05'L6 .
x"" r
16i;;;Joo
r<I5D
~!;-~:i'
BUILDI'~ ' ," RMA nON
11. SIZE OF STR~ ". RE
(Height) (Width) (Depth)
12. NO. OF STORIES
1---.
13. TYPE OF CO~UCTION
~~
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
/
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New ~onstructi~ Alterations CJ Addition CJ Finish Attic CJ Re-siding CJ Finish Basement CJ 16. PR~E9T COSTNALUE
Chi~ney 0 Misc. / 6~ ~
8. PROPERTY AJ1l OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. CaMP, Lt: IIUN ,DATE,
Sq. Ft. ~ Width Depth Yes No 0 .~ <\
I h. certify that I have furnl~ 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 men~ned porty and lha. all co~ confonn to .11 alCisIing slat. .nd local laws and ..II procaad in accordance with submittad pIaM. I am aware that the
building official ev e this p~ just ,se. rthermore. I hereby agree that the city official or a desig"e may e~ upon the property to perfo~eded inspections.
~ _ ~ /.A. - /(b/'r U-/-CD
, Signature -- , license Net" Date
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~t:f)
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee.............. ..................... $
Plan Check Fee ................. ............ $
State Surcharge ............................. $
Penalty ....................... ................ $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
FOR ADMINISTRATIVE USE
Back
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
Side
MATERIAL FILED WITH APPLlCAnON
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS CJ
SURVEY 0
PLOT PLAN 0
SETS
COPIES
PERMIT VALUATION
/(.( ,Qtn,~
R S U
City:
Amount Brought Forward ..... .. ........... $
Park Support Fee ........................... $ 8 S-t) . ~ ~
SAC ......................................... $ I J J ~C ..~
Collective Street Fee .. .. .. . .. .. .. . .. . .. .... $
Sewer Tap ................................... $
%,'t $
Pressure Reducer .......................... $
Meter Horn......... ..tt.................... $
Water Meter .........'1ea................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee .... .. .. .. .... . .. ....... ... $
Water Tap ........................ ........... $
Builder's Deposit ............................ $ it !;{)~.~
Other......................................... $
Pakl T; 7~~.i/......~:;.. $~2. L
Issued .
Date lj hA/@ By A ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City zon~nce and may proceed s requested. This document when
~~~\en1XJI8IY~coq>iaool<:=~~('.1K>l Baklre~:~~~_
City Planner Date rr ~... ~ if ant c;;nr
24 hour notice for all inspections 447-4230
'11'~.~
W.~
~O.SD
100.00
(P~.oO
$~~
'*
~
lP v V
this
By
. rmit "1hen ~v~ __ __
Date --'eL:J 1 - ~
------'
c/5.ad
\ ~5 .00
1'1 ~OO .Q.Q
'1o..o.o~
to - 05~~
Th~ Cnt~r of th~ L.k~ Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
· \~mf>~ 'r\,-/_ C~
APPLICATION RECEIVED U U Y'\ ~ B. rod...! 'd (J() 0
NAME OF APPLICANT
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
(lo -S::,'"'] \1 :c...~~l'c.. Cu.
Accepted
Accepted With Corrections
<
"'
Denied /) 1J!/2 _
Reviewed B~J;{'Y~-J..
Comments:
Date: ~.. (~....~
I, 2~ Cl U_ o.#a.cY
~~
~
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-,'\S,..~' '~".,,~<~::, ~~',:~: ~~~t: \~::. ,< ." ~
'<~.~.;li..,.,......,.....r.,;~.~....'.,...." "~.'.,'.....'~~.~. .
~-,~~
\.~
}. ..)..' '.,
DD'(JJt~
Th~ C~nt~r of th~ L.k~ Country
White ..Building
Canary .. Engln....lng
Pink" ;", Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT · \ff f'..' \\\ J ( ,J"G ~
APP UCATI ON ReCEtvEo :. j~ 9,'(\d. -I 'dJ 000
The Building. Engineering, and. Planning. Depa. ~nents,have revi~edthe building permit
application for construction activity which is proposed at: ~.
. .
Accepted
Accepted With Corrections
~
Date:
h -U'COO
Comments:
2'-( F1 ~~~ ~Yrw..~ Wttln, J-F~
~,;., L'N ~~vu vt.t.9.tJ ~ ~..
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."
Vf)-S25
Th~ C~nlu of lh~ Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
APPLICATION RECEIVED
. \
1~~~\\~J-l~OOO
(,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
III 3rJ riJ C1b({,A C Ult.vF:.-
NAME OF APPLICANT
Accepted
Accepted With Corrections
/
Denied
Reviewed By: artJlI f fJu.!SOI1.
Comments::.JM r(r"~~lAIr """St- 6",
. IJr,./)ulv /dg.
7 I /
- 5 &~ In f,r,.,.hiJn ~It. Ik re1'trfe s,;/e.
~/O /~
{ /
~t1I~~, /~~ q/ &
Date:
s-<< ~.: /. hilal Gntlle ;Lj,~;1a _ ~h,"1fIRJ,iJ" <. 6""~~ ?~
3. G-,$/iJ" t,,,In/ #'A~IV~f ~ ~ ~..!J'4/ ek
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,' 0
1;> .
I
,
.
ORSAT TEST
Job Address..Jb 3 3 7 ~ (JIG f") 1'1t/. Gvwe
Heating Contractor S' A ~f!.:t5
DateJ!)~ tj - ()O Pressure 3> ~ ~
Percent 02 7 % PercentCO d l:fJ!1
Percent CO2 21..J Stock Temp It, 0 tf"
"
/
t.....
i~." ~
-f
'",
d;P~
.... - PIU
YELLOW - APPLICAIIT
GOLD - CITY
CITY OF PRIOR LAKE S.W. No.1X) --OS-~~
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT:
,
ere ~ .:s
PHONE:
SITE ADDRESS:
~sr. W.~HIJeT}{F/kJn DATE: "? b.1JgtJ
(A t-- < BLDG. PERMIT # on -O~ ~~
'-'. V\~~Ne.PIDiI ~~,~a~-03.;rQ
FILL IN THE BLANKS
~ 14 ~'"
" ~1~ ~ . ~h~j< ~ ~. - . ~ ~
ADDRESS: -.2/50
':. .'!If
1. Estimated length of water service
feet.
2. Size of water service
inch(es).
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
e your permit when approved.
l4:r-t...It;;~ATE: 7p_/1/tJ
============~============================================
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $J?~ plus
$ .50 surcharge.
*
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
issued.
./ j
AMOUNT PAID
DATE PAID
RECEIPT #
REC'D BY
/
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
10/21/99 !UU 13:14 FAX 6124474245
lh. (.""...,., .~ 1..1a, COte"'f)
Quantity ....
~
,
L~
I
~
CITY OF PRIOR LAKE
~/( f1.fo 0 I1JI
I. Blue:-
2. OoJd
3. YcUow
rile
City
^J'1'IiCU(
CITY OF PRIOR LAKE
PLUMBING PERMIT # .~QA~4:~-:-
APpli~nt: ~~o~9 · Phone:.&ot~i.I\
Address: 1 J ~0:1d.L1.t\ mo ~F)635,; ./
Signature: /1/2#,,--:, ~ ...
L~a1 Description: Lot CI. .,~. .IOCk ....~ sft;;;;;NA11~';'~;i~AOON
SlteAddress:~ 'iiCUD1Q.. -.liLAltJJ'; l' ..t -.cLXiL!Z.
Building Permit # OO-~Ol5 PIO# ~ -3 .. D;s;;J-O
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
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)
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
Quantity
Type of Fixture
3
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check. PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
-,
$99.50
$39.50
/
/
/
.50
.,
~~NDTOTAL
S\ R rc:. rs r' "'..11 --
I " ,~~. '-:--~>' _:S'i ::- '
1)/;
\ ~212000
This permit is granted upon the express condition that said
contractor. shaJJ comply in aU fapccts wilh the ordinances
ofthc,SblcPlumbingC eonda~._f. .
/.. k]N . DATE
U C Allc.ST
Cal for all jnsp~jons 24 hours in advance.
16200 Eagle Creek Av. S.E., 'Of Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
,.4'
~
~
13
~
~
~
d
z
~;..--;. load
----= - -; 141-
.
~...~':' OplnlnVI
ClrR,
~ All.. .Ikana
(J\
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Rlpelr
Ell. Co'l'
~
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CD
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HEATING PEAMlT FEe.
STAlE SURCHARGE
TOTAl PEAMITFEES
prD' &5"-(~-(J(~-()
8lngle Famly
Commerd8t
TYPE OF STBWURE
/ 1\vo.F.mly
Indu.lrl.l
L 0.. · 'Olr
J. Mw. ....
. P'"
MvII.femly
0-.
F., Schedull
.l/ H1 AlJDN 1ndus1rt.'. Commlfd81 & M"'U.FamI,
nel1deRtllI. H.... . AC
n,lIdtfttle1. H..... On"
........nII... 0.. Are,l..
Relld...... AM10nI , AI.,.Uo,.
ReIhIe"". AC 0nIr
1/
Flue Sill ,7? I' PUG
/7
R'
".
Othlr Device.
lYPI Of WORK
~
n.ptacemlm N.w Conslruclon
E.., Comp. Da.e
(}f\ - ()..~ N ~
~""'"
. 7" P_U .
, /. .50 .
I / Rtwrpl' r
/
t% 01 fob ... (tal.H.......
"1.&0 -r~~ rc ~ re ] \\n "5 . ~\.
'14.10 '. ~ ~ LS \:J..5 I I
'.1.10 (~.,. I
131.10 j
'31.&0 .. /
A.m.....' 10 .dd IhI Stili Sunil... en lhe boUDm of o.IpPID11Dft.
Th. prlel 01 JOUr hHUng permtt Include. en. rough.1ft end ant filII fIt&.AI~.
AddlUonalln8pt... wi be bI,d alI35.00 each.
HouI. He.tfng Ttsl RI08n1l1lw1 be lubmAI.d wRh huB..., JIIIIIb ..............
Ing clltne.,. 01 eocuplncy wll be IlluecL
HE6t CAlC\!l6T1ON8 BfOUIRED wi" ""...be, oIlupp1, .,.d ntlurn ..... ..... ,.r
fOam with CFM'I ,,, openlng. New allUdurU or IICI.IDfD ..nd Boor '1M... ....,
and ..tv," 1oc81_lhown. HEAT lOSS CAlCULATIONS, PAVMENT AlII
APPUCATIONS MAY IE MAILED TO THE em' OF PRIOR LAKE. 1 II. fM111
CREEK AVE. I.E. PRIOR LAKE. MN 11371.
en, HII ..... hOUI. ar. . 1.11I. · 4:10 p....
All wonK MUIT BE IN.PECTED (ROUQH-IN AND "NAL) · CAll. arflULL
447"2~'
, hlreby apply lor a mechlnlcal .'.1..... p.nntl and' .cknowl.....IIt.. lie
InlOfmaUon '''Dvel. campi.,. Ind lcourate; thallhe work will'" "'.........
wMIl the ordlnanc.. _II cod...r .h. ony and wllh the .1.,. b"Rd~d.,*1I
. cod.,; "'., thl. rorm do.. nol bloom. I p.,mll unl" "un.d br .. "10_8
OFFtdlAl; Ih., '11. wo,k wlJ b, In accordance with lhe .pprove..... II..
. C.I;~. II work which requl.., review end .pproval of planl.
/:~ 2. ,~~ g,-,;)/-~
( . APpI~".JII"'fV"~. ~ .....
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S9S~Lvcl9 : 'ON 3NOHd
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PRIOR LAKE
..,
INSPECTION RECORD
DEPARTMENT OF -...
BUILDING AND INSPECTION
SITE ADDRESS J lo33!J V,'cJI'\'"tn.. r I \~
NATURE OF WORK ~
USE OF BUILDING ~f:D
PERMIT NO. ao.. OS2~ DATE ISSUED C, - l C). 2000
CONTRACTOR ~~dt' \q; Q~ PHOtJE" ~.5:2- B'1~-5.?31
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FOOTING ti . :?//ef/~
FOUNDATION (Prior to Backfill) ~. 7//7ib1
PLACE NO CONCRETE UNTIL ABOvEHAS BEEN SIGNED
ROUGH - IN~S
.
, 7/2IJ/t?O j
~ W~~
P/1/18fJ
I .
DATE .
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
---
PLUMBING LL/ f7~~
HEATING (ifrequlred) (jJ Y/:;5!dl> ~ 1'/:>rJ~
FIREPLACE' . A' . / '
. GAS LINE AIR TEST~'" - /113 7~ ~c?~
COVER N9 WORK UNTIL ABOVE HAS BEEN SIGNED
....,., v
GRADING (Prior to Sodding)
BUILDING-r:c:D'~ Win fR. 1!frJ.~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
~ /O./7,d:)
ff
-~~.
j~/J-rt: l-
\
I /6/.>/n
~/~/6f
BEEN SIGNED
f)J Ie,
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 INSPECllONS (612) 447-9850
Itrtiftrau of ([)cmpanqJ'.!
CITY Olf PRIOR LAKE
J)tpartmtnt of .uilbing Jn~ptttion
ilFinal Permitted 0 Conditional C.O. Expires
(
1}Jis Certificate is'$ued pursuant .to the requirements of Section 307 of the Uniform Building Code
c~rtifying that at the time of issU/Ulce this structure was in compliance with the various ordinances of the
Ci~ of Prior Lake regulating building construction or use. For the following:
Legal Description
SINGLE F.AMILY Bldg. Permit No. 00-0525
R3 Type Construction VB Fire Zone III A _ Zoning District tl SD
L9, B4, CAlDIlW. I.IDGE 'POURTH ADDITION
Use Classification
Occupancy Type
Owner of Building Site Address 16337 VICTORIA ~UAt~
Contractor's Namc & Address IIOMBS BY CBAS~, 1668 B. CLIFF ID., BURBSVILLB, MB
ROBERT D. DUA.\#ULRS J A // DOR A.....t..
{/ VI" . City Planner .
Building Official
If)''l-5o ~ () 2-
55337
Date:
Date:
POST IN A CONSPICUOUS PLACE
~.\ ,,;, -'J:~';)r.
CITY OF .,.pRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/ (YI./-dJ/f . r:
ADDRESS I t.3B~/cf[)f'/~ ~J,t4'Jf)~
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
o WATER HOOKUP
o SEWER HOOKUP
It ...PLUMBING FINAL
J1C MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: CD ~
~.
~~~:;;.'~~'
#-fLU ~ 4&A- ~
,
o-c;..... ~
,
~~ cdp
~~t
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
:S::CT~~~ FOR REINS::::EFORE COVE~NG
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS -&33.7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~MING
o ULA TION
FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
#
Ii/!' h rio Cu.ae
CONTR. ~ 4" f!~
PERMIT NO. -OJ... ~~
o PLUMBING RI ~GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
COMMENTS:
-.O.ir+ ~ hall' heM eleqpeJ "f
~ Jw.~ J,,'n rQJwi .flu~ ,dh IIJI ~4/ 4/'IH-
J
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector..#~ d/~rlContr
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &; SAFETY!
INSNOTl
SCHEDULED
~14~
~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
it ~t7D
ADDRESS , Co 337
\I rdv"t 7A-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~- t;zr
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ECH RI
o FRAMING 'A TER HOOKUP
o INSULATION SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTSVJ~ J aJ~ ~ F:(J, 4-.t~~'';~"
~~ ' / ~
~~~ s-Zt. A ~ r 01"- ~ ~
~ '4cJ.-R ~
~~, ~ r-2J~~ ~~,
~ ~~rd.L- ~~ o.t~~_ ~ ~(
~~~ ~ ~ liL~jrze ~
, {f)v~ ~ ~r
'~I ~p<,..,) )
lfi \'*~ ! I:' T~ "tt:."~ ~ ~
J "'~.-<.1 1 ~ '-~ . ~ Jlt ~ I
tilt fl,;~ ~ ~rJ-~
~ ~ Yl- ~/~/~
o WORK SATISFACTORY PROCEED $(l..l~ $' . t;' (~q U I
'111 CORRECT ACTION AN~ PROCEED ~3~ ~"f~ ~
I;; CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
4,
Inspector:
Owner/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
INSPECnON NOTICE
1.D ... ;) -00 d-;era
lG,g31- ~110tor/~ a~yUe,
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ "':5d S--
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION (P) 0 SEWER HOOKUP
o FINAL ."J! PLUMSING FINAL
o SITE INSPECTION 0 ~F1NAL
COMMENTS: CD ~ ~ ~, ~ H ,
I
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
fAlM.9-v
I " uI · (l"
~~.
~-~,-
o WORK SATISFACTORY, PROCEED
,ocORRECT ACTION AND PROCEED
o CORRECT~, CALL FOR REINSPE.CTION BEFORE COVERING
Inspector: f~ I Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
ADDRESS
/~53?
DATE TIME
SCHEDULED I~~' /l1,Jra
,
;/1C-/()/2.../A CU ~'(/E-
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0-5z.S-
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING rffJ 0 WATER HOOKUP
o INSULATION tJ 0 SEWER HOOKUP
[X"FINAL 0 PLUMBING ~~
f:J' SITE INSPECTION }ll MECH FINA~
~OMMENTS: fa. - ~,
~U)~.~~X~1/~.~~. r
~ ~ ~ '"tX..tuz.c, tr:1 ~ ~
:3) ~r.~~~/~
~/~ ~~~.
---'~-
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
PH! At!..- - ~
lJ~ ~ ~ ~ 2.t!J-d C, ~~ ·
o WORK SATISFACTORY, PROCEED
pd 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 &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE nMe
IO-Lr-
4.t.
ADDRESS
/G 33? ufc.h",r< c.~v-t:..
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
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ME7ClNAL
5' oed 'lr~'?"')~
COMMENTS:
c.'-Jos<-
F-(r ~
o-~~S-
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f1))
\.L/
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ftfllO- Ur-t)L OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I1GIIOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!