HomeMy WebLinkAboutBuilding Permit 00-0542
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
6 ~c1CJ{) TEMPORARY CERTIFICATE OF
i I":;> ~l ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
LOT
4. OWNER
(Name)
(Address)
5. ARCHITECT
(Name)
(Address)
6. BUILDER (Name)
/A.J.enSTYnrn
~~
7. TYPE OF WORK./ Fireplace LJ
New Construction V"" Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft.
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
17. COMPLETION DATE
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.1JO 4J~
V
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
1. DATE
Id- /S--CJ{)
BUILDING INfORMATION
11. SIZE OF STRUCTURE
(Height) (WIcItl) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
fDS7- J.{IJ' -'-/'1&>
SEATS
16. PROJECT COSTNALUE
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 I construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:~ildi~evoke thi ermit f just cause. Furthermore, I hereby agree that the city officia/%g~e may enter upon the property to pertoh n::'i~oo
/ Signature License No. Date
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2.SrrEADDRESS loS-6;; gr~;sldL ~ /'(tU
3. LEGAL DESCRIPTION
.5 BLOCK I PID -.J~- it, 7-~-O
ADDITION &\l~ ~ ~l4c.,,\
(Address)
18QS- P!tLUL Dr,
.c;u l~ O}.O()
Septic LJ Deck LJ Re-roofing LJ Porch LJ
Addition 0 Finish Attic LJ Re-siding 0 Finish Basement 0
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
USE OF BUILDING ~1 A
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION q~~e:'
PILING LOGS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
DMsion 1 2 3 4 Q,-t
Permit Fee................................... $~ lD . tX'
Plan Check Fee ............................. $~ '=- · t{ 0
State Surcharge ............................. $ l.[J - SO
City:
Amount Brought Forward .. .. .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC .........................................$
Collective Street Fee .. .. .. .. .. .. .. ... .. .... $
Sewer Tap ................................... $
$
PERCOLATION TESTS 0
SETS
COPIES
~~
~ I ~tJ .OC)
, fI5, (!)6
U~tHJ
l/~~ c&Q...
( .7.flt) ~~L
f
Penalty....................................... $ Pressure Reducer .......................... $
Plumbing Permit Fee ....................... $ ~ (f) , ~ Meter Horn ................................... $
$ I ." . --.JJ Water Meter ................................. $
Mechanical Permit Fee ..................... J..-..lL..V fTV
.., L' t:!:/) Sewer & Water Connection Fee ........... $
Sewer & Water Pennlt ...................... $ ~ W t T F $
~ a er ower ee ...........................
Ga~p1 e~ ... .............. $ IV .. (!i!') Water Tap ................................... $
Th' ca on e r Building Permit W~n~liN}.__..lo. Builder's Deposit ............................ $
By - . ' , Date ~ Other ......................................... $
:rn;tem~~OOY :: T~(ji.....:::t~;:~1/{)
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni rdi;ran~ and may proceed 'huested. This document when
s~:=a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
-1# -"Lf> 'C!O
City Planner Date Special Conditions if any
24 hour notice for all inspections (952) 447-9850
. -....
Thf ('fnttr of thf Lakf Country
LlJ w o5"tYV
-~-:=:~
Pink - Planning
. NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
t). \
\)' q l\~~ YWA..Alr~ . !~
..j VV\ 1.... \ s;- f-iI \ 0.<17J-O
. "
. APPLICATION RECEIVED
The 'Building, Engineering, and Planning Departments have reviewed the building permit
appHcation for construction. activity Which. is proposed at: ....
55 6 Q l3yr.:n")k~ )ct~_ Lc^-,r'U- N I./\-
/
Accepted With Corrections
. Accepted
Denied
Reviewed By: Gr4.lff ~r~~n."
Comments: See /,,'.(;r;"p~~~ ~" lit!..
Date: -41.z.r'a?
r~Y~"'S"~ s-/~.
. 5f~ a.1f~/"M!s ,;/. ,t:i;'Alb'r../ot: i;;~,,,,~.M .LAh.,_../,,,,,, .w? ~nr.c'=y ,0/"",
3. EI"4~"M'I' ~~/r~LH~4"lL/"~$" .~. E;IJ~ {',~In/ &"
"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 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',
~
~,
Thr Crntrr of thr Lakr Country
(jb ~O5'4-1-
White - Building
Canary-,Engineering
Pink-Planning
BUILDING PERMIT APPLICATION. DEPARTMENT.CHECKLISI
NAME OF APPLICANT
APPLICATION RECEIVED
W'~~lfi ~i\~
J~ \,~~. &fJrJJ!J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.~ ~~~;> =p~ f:JjJ
Accepted ~
Accepted With Corrections
Denied
Reviewed By: c;f~ Date: h ~ 2b -GO
COA~ ~6J'e-~ <t 0 ~ ~~<
~ ~ rv_ _ L lJ fi ~ /Jt;..,K>> .R ~
6-1- tAfA~ yet ~~.
~
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."
OO~OC;t~~
White - Building
Canary - Engineering
Pink - Planning
The Center of the Lalit Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~~r\'i~~
0,^^. ~tn-Y\~
,-,y \A-I \ ~ ~ j ~ JU---(d
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~
- SS6Q 13~1'0_'_ ~ fJlA~
~
Accepted
Accepted With Corrections
Denied ~ ~
Reviewed BY:~
Date:
{;, - 2C.,-2cJe;
Comments:
~ /SS-CsO B~~
~(7f~/5,,~~ ~.
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."
-.
Job Address J 'ff r.{/)r_K,r, <),
Heating COritracto~~~ A?.~~
Name of Tester ~ ~, .
~
Date 10 ~ ,1)' dO
P~rcent O2 7
Percent CO ~
Percent CO2 ~
.:J~ ()
....
Stack Temp.
Combustion air is adequately supplied per
UMC Sec. 606
Input
,I
f.
"\..
~:~.,. .CITY QF PRIOR LAKE' ()
~ ~..~ tf1 - 18200eegr. CreellAv. I.E. PermING. C'5l)~ ~
~ ~~Ior LIIuI, MN 55372 )(
~ HEAnNG APPLIC~TJON , PERMIT Single Famlti
~ Dele .., \ 2to \00 t' . Pl~' Q. ei- ~~ ~ _ m.e:::: -()
0.. . -
SM. Addr... 'EJ6\J'J., ~~ ~ L~
~ LoI ~ Bb:k , ~!Dn r -./ ~^ ~ kr 0 rei. I' O\hA J
2 Owner'aName. lJ..)q~ ~ ~s.
AdMen !~qf) Ph711 I).,... ~SIE', _ 2lJO E' Ar~~~ ,
Heating Contraclol r,-q.n~ f. ~ .AI")
c." _ /J_ tJ -,n I "
Addresa 'u..,U~ . ~ I<..Dlat If~ -,.-" I _ ~r~~t l V1r
Tlt.phone', ttE1 - Ll2~- 114 U
Furnace Make & Model ~f('\O ').
ModeISJz. .~?_~Q? J?>-1b
ConA.Load
Jilt
['-Fuel l\JK. Q;ar,ftle SJze. -r ftNf..K)t
v
~Supply Openings ,
N
~Re1U1n OpenInGs Ll
If)
IJ)lnput .,~. nno Output loO.. toO
z .
C[
~:dr. ,
N
~~'m.
l!)
lYPE OF WORK
I I
I
~\ft.r81Ion.
IJ)
~t8parr
['- .
&1., Coal , .
lSI
~IEATlNG PERMIT FEE I
N
~~ATESURCHARQE .
N . ./
::lOTALPERMlTfEES t ./
~. ~ .~
I
ReptllOlmlnl
TYPE OF SYSTEM
Warm AIr Planti It
Gr a.vI~
MachanIcaJ
AlrConditlonlng V 7_ '17. ~....:)
Vant. System, .
HEAnNQ OR POWER PLANr
Steam
Ho1 Wale, I '
Radla110n
Spedal Devices
Othlf Devlc..
New Coftslrudlon
~
Elt. Camp. Dale
,
" BuBdfng Permh', C7::J-
// ~O~'
/' .50. v>>~~-
ReceJpt, .
TYPE OF STRUCTURE
I. HM -, file
I. Orc' . . a.,
J. Yea. ' c..1CI~
CommlIClal
lWo-Fam1ly
Industrial
OSher
IlUti-Famltf '
Pubic -
"
Fe. Schedule
Inoo.trlal. Convnertlal & Mulll-FamUV 1% 0' Job c9&l (139.60 minimum)
nelldenllaJ, Healfng &. AC $99.60 ..
. Resldanllat, Healing Only '8t.60 ...
RMldenttal, Gas Areplac8 139.Sp ~ .., JOL 2. 6 2.000
Residential. Adtltlonl & AII.ratlons '39.6Q v
Residential. AC Only $39.50 . t~ __ __ ___ __~~.,. .._. ....../
~SO lo~ j---- . .._.~ >~--'
~ .rr"'_~~~"'"~"-'-'
Remember to add Ihe 51ale Surcharge on 111. boUom 0' IJiiSppllcatlon.
The. pi Ie. of your tteatlng perml1 rndudea one tough-In and one ftnllln5peCllon.
. Addillonal I~tlons will be biUad 81 '35.00 each.
HOUle He.lilg Tesl Recoed mUll be .ammUled wlh bultdl.1WIDIt numbIr before build-
Inl cettifk:ate of occupancy will be Issued.
H-=Ar n.4'~'" 'T.nM,~ ~I='" 't~1=1l wilh l1l.Inber of auppfy and rehJrn openings listed per
room wllh CFM" per openlng. New struclure. 0' additions .end 0001 plan wllh aupplV
And ralum 'oealions ahOVln. HEAT LOSS CALCUlATJONSa PAYMENT AND
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S,E. PRKlR LAKE, MN 66372.
CIIy Hell buslness hour. Ire 8 a.m. . '4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FJNAL) - CALL CITY HALL
447-4230
I hereby eppJv for a mechanical svstema permit end I acknowledge thelthe
Information above Is complete and acculafej thai the wOlk will be In conformance
I wllh Ihe oldtnances and codl' of the city and with the Itate bulldlng/mechanrcal
cod..; Iha' Ihle farm doe. not become .. permit until algned by the BUilDING
OFfiCIAL: 'hal the wOlk wm be In accordanoa with the approved plan In the
" ca.. 01 ai' work which requlr.. ~8vlaw and approval of plana.
~~ fA. _ · , --J/2&:J/OO
'Appnc . gnatur. I D Ie
(Wi \1A , ra t ul.L. ;h~ / ry ~~ IUD
IlUIdlIg 0111- 81gnaiu_ . I - lfale
JUL. 26. 2000 7:48AM
GENZ RYAN 6513226147
T'II. c....... .. ... ..... c......,
--..-.....-"""-..,...--. ..,..-.--...,
rC:
~ . ~.
JUL 2 6 2000
;.-..... ...~y.,.., .....-........... ...,...............
Quantity
2-
\
\
z..
1
\
?-,
- --NO. 939- P. 9/11
CITY OF PRIOR LAKE
,PLUMBING PERM" 4# ~
Applicant: ~~2.-f ~ PhQne:~-42~ -I J~l.J
.~dress: J~~ ,~ ~~ ~~ ~u.J"\1" ~S:-OlD~
SI,....ture: . ~ - r 0. ~ 'J 0_
.,' .- l.egal Description: Lot ~ Block ISub~ ~.,.q
Site~dr&SS: tE6lp'2- ~~l~ L~ . A-~
Building Permit' CO -a<:::'-l(). PIC #I ~ - 3~ 7~-:O
NOTE: This permit ~ll not be prccesaed Without complete info~ation..
FIXTURE UNITS
.. .
Type at F~re
Bath Tub with or without shower
Dishwasher
Floor Drain
LavalOry (bathroom sink)
Laundry Tray' C1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Quantity
3
I
. r-cc SCHEDULI .
~ Industrial, Commercial & Multi-Family
(1% of job cost. 139..50 minimum) .
Residential, New One & Two Family
.. Residential, Additions & AlteratiorlS-_
. ..
State Surcharge
$99.50
139.50
GRAND TOTAL
,. IJII8 RIa
'-Gold 0,
J. VlIIIaw Appli_
Type of FIXture
Rough-ins
Water Heater
Wa.ter Softner
Srand Pipe (washing mac:hine)
Sewage Ejector
Bac.kflow Assembly (RPZ, Doubfe ~ PVB)
Backffow Assembly Test
laYm Sprinkler
Other -
I
1-
$ - /
$/ .50
i
$
$
~
~
~\O ~~~W\( \ ~
t.U\\S>~ _.
.,..
16200 Eagle.CrcekAv. S ,Pri r Lake. Minnesota 55372/ Ph.. (612) 447-4230 I FAX (612) 447-4-245
An Equal OpportUnity Employer
JLI'I. 30. 2000 8: 34AM
GENZ RYFlN 6513226147
NO.~((
P.3/9
AK.. PR~
--477JV\~
\~~
~Nt~..
JUL - 3 2000
_. fIUl
ftU.DW . .....1U.'ft'
-... . '.. .,
CITY or PRIOR IJ\KE
SE".t.A AND WA.&.~.K ~~T
NOTE:
NO. CO-05'-fa
Sewer and Water
con~ractors must
be reqistered
wit.h ~h. city.
2.
3.
'-' 4.
\
5.
6.
APPLICANT: ~.v'\~ - ~ Pb."a~:ok:)'~ lJpn""'.u~ PHONE:~J-LJ.~~-"~
ADDRESS: 1~'LlIO~_ ~"UlJ "-~dLI",r Sl"CllolLDATEI ud?'f)/tr0
SIGNATURE:~ _ ' BLDG. PERMIT '-fJO -0s4~
SITE ADDRESS:'~ \~k..S.'~ L~ PIO' 6lS- 5b7-~..O
FILL IN THE BLANKS
- ,
1.. Est.imat.ed lenqth of water service 40 feet.
I ,~
Size of vate~ service inch(es).
Location of any couplings trom s~ructUr. teet.
Type of sewer pipe. ABS PVe: X Cast Iron
Estimated length of sewer 11n~ ~' feet.
Clean out (if required), located at feet from
struct.ure.
..".- ....-----~._--_.~...... --.-..
---..-..-
...r- ~._........
Thi.s J1~l.icatl
BY U
.... ...H-____
when approved.
~TE: "'1/00/ Q (;
I I
_. - .. ~._.__..'IIlf _____-=--z:--
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
'l'OTAL
:
I
" ..
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharqe.
* Sewer and vater permits issued for new construction must be
recorded on the ~uildin9 permit card at the time of issuance
to insure that 70 au licat. sewer and water permi~s are
issued. . ./
DATE PAI:D AMOUN'l' PAID / .
RECEXP'1' t / (t.\O~_rtmC'D BY ./
/ f}J~\t4G ~ /
. 4629Da1cota Sl ~ ~ r .1... Lake, MInnesota 55372 I Ph. (612) 447-4230 I Fax (612) 4474245
AN !QUAL I.o'i i ..^ I JNlY EMPLC't!R
CITY OF PRIOR LAKE Me
16200 eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION' PERMIT
Dale '..1(/110 PD'.2S-3{q,-()Ors;-o
Sle Address /ejq.,j ~h.. J;(oAL/
lot Btock Addlion .
Owr1ur"s Nam. , fA )''''NJI A~ ~hJ
Addless
00 pO ~2-
TYPE OF STRUCTURE
en
m
I. Ptnl - RIr. ~
1. (Iren - 0,
J. Y" - c..1CtDI ~
Healing Cordraclor ~lL lED 'IRES IDE dba FIRESIDE CORNEl.
Addr8$S. 2700 Nt' FAIRVIE\' ~ ROSEVILLE I !IN 55113
TelgphoM' 651- 6 33-25 61
FillEPLACE J J I. i
&ca.. Make 8. Model ~ ~ ~
Model Size ...sl. ""l(lJ'h1_
COM. load
Fue~ ~
Flue Siz8
Supply Openings
Relurn Openings
Input
Edr.
,0u1ptt d..3. f.h-)
elm.
TYPE OF WORK
A1tera1ions
A9p1aeemenl
TYPE OF SYSTEM
Warm Air Plants.
Gravity
MechanrcaJ
Ail Condllioning
VenL System
HEATING OR POWER PLANT
Steam
Hal Waler .
RadiaUon
SpecialD.vic8. .
OIher Devices
New Construction
~
Est. Cost .. ! I N10J
HEATING PERMIT FEE $
Est. Comp. Dale qj 5'/0)
-, I
. Buldlng Pennit fI . 00 - 0542-
Repajr,
STATE SURCHARGE $,
TOTAL PERMIT FEES $
,50
PA'D W'TH
BULD'NG PERM\l
Receipt.
SWIgIe Famly
T~FIImiIy
Industrial
MtAti-FamHy
"
H
:D
m
en
H
o
m
o
o
:D
z
m
:D
Pubic
Oht,
CommerciaJ
Felt Schedule
Jnduslriar, Commercial & Multi-Family
Residenlal. Heating & At;
R esidenlial. Healing On;r
Aesidenli8I. Gas Fkeplace
Residential. Addltions 6 Merations
ResidenUal. AC Onty
1 % 01 job cost {$39.50 rni1Inun}
199.50
184.50
$39.50
$39.50
$J9.5O
Remember 10 add the Slate SUreharge on the bottom of ihis appIceIion.
0)
U1
....
0)
t.)
t.)
Addlional inspections wi be hiRed a' $35.00 each. CD
CD
House H9ating Test R8COId must be submilted with b.wiIdiog RIUDI LUdIIf: before buIt :
ing certificate of occupancy wi be isaUtKl ...
HEAT CALCUL ATIONS REOUIREn wIIh runber of supply and retwn openi\Qs Isted .
room with C~5 per opering. New structutes 01 ~ .end 'Iaor pl8l1 wIIl.upply
and return Iac.lions shown. HEAT lOSS CAlCULATION~ PAYMENT AND
APPUCATIONS MAY BE MAtlED 10 THE CITY OF PRIOR LAKE. 16200 EAGlE ~
CREEK AVE. S.E. PRIOR LAKE, MN 55312. ~
~
The price 01 your heating pennf11nc1udes one rough-in and one 1k\aI1nspedion.
C~ty Hall business hours are B Lm. - 4:30 p.m.
I
o
o
.
ALL WORK MUST BE INSPECTED (ROUGH"N AND FINAL) · CAll CITY HALL
447-4Z3G
t.)
o
""
1 hereby apply for a mechanical systems permit and ~ acknowledge that the ~ I
in'ormation above Is complelB and accurate; Ihallh8 work will be in conlormanc". I
with'the ordinances a"d codes of the city and wUh the stat. bulldlnglm~antc
codes; thal this form does not become a permit until $igned by the BUllOIN
OfFICIAl; that the work wn~ be in accordance with the approved ptan in the
cas~,: whlcll require. review and approval of ~.
~~ . ~~
9.5.d()
Dale
"0
D)
co
m
-
.....
BUi~ Offal's SignallH
PRIOR LAKE
..,
INSPECTION RECORD
SITE ADDRESS J5:~ilu2 .,-. ~k:.~~_ ~_
NATURE OF WORK tJ~.
USE OF BUILDING ~ F'J!+
PER'MIT NO. /JIJ -0542-- DATE ISSUED l.,-2f.p..2CJt!5'e
CONTRACTOR W~~~t.M._.__~ ~ 'R('~E* ~/..~(J"- qqoo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF - ....
BUILDING AND INSPECTION
,., INSPECTOR DATE
FOOTING ~ .; ?!IN'D
FOUNDATION (Prior to Backfill~~(V _ ~/' 7l1i/tJ J ~ .' ") /2/J /fJd
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG'NED
ROUGH,.~ - S
SEWER I WATER I SEPTIC 'ty tlt).CO
FRAMING n ~,rt' 1/ / filM
INSULATION p,... tp 11(.i]1vo f/?? ~/~d1& $/2~"
ELECTRICAL /J
PLUMBING 'fitJ., I 7/ /f?11J-t::J
HEATING (if required) . It, ti ' I '11 , ~ /~
FIREPLACE ~. 9/ /z.;/ r10
GAS LINE AI'R TEST ~~,P/ ~ 9/) )/~ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
FINALS
GRADING (Prior to Sodding)
BUILDING'\~O~ \\\ \\'" ~ \ O{I t.(0b
ELECTRICAL
PLUMBING
HEATING
DO NOT
\
~~(VAV
~\o/
I!PrL /b/lt/I/?
~ ;t;//~/~
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, card shall be placed near main entrance.
Call between 8:00 and 9:aO A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
.... .
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED /0"'/ d. -od 73 6
15~~J. f>f17{)R~/de:- LJ-J
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULAT~ 0 SEWERHOOKU~
~FINAL . - ~PLUMBING FINAL
o SITE INS ION' - Cl(MECH FINAL
COMMENTS: ~,..../ - IiJ'o ~
~-~
~.~~,
~ ~ ~<r#
~~~~ ~
~~
~....
~<(. ~.
............-.----- --
{)-5'Lj'(f
.-/
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~,
~~
o WORK SATISFACTORY, PROC
i4 CORRECT ACTION AND PR
o CORRECT WORK, CALL F INSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL ....7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I/VSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
~kl
16ol>~ ~(t'~btJe, LV\.
TIME
SCHEDULED
ADDRESS
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 W~ TER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADlFlLlING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
-'-~S\'\e- CO
GJose ~ e
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK CALL FOR REINSPECTION BEFORE COVERING
Inspector: 13., ./~ Owner/Contr:
CALL 447-9850 FoJTHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
II'ISNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
l> DATE
~
TIME
ADDRESS /5 56~
PHONE NO.
g/,oOt.s/~ Lt;il-
CONTR. LtI~~~
PERMIT NO. ~-Sl{Z
OWNER
o FOOTING
o FOUNDA rlON
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
~ EXIGRADIFILLlNG
'(]'COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
br,,~- oK..
6.J 110 &";Jf, /'') "-
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTI