HomeMy WebLinkAboutBuilding Permit 00-0556
~
0/5/ao
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
- DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADORES' /, ~ ~'ll
/~~ ~ V/~/a;e//9--Cv~~
3. LEGAL DESCRIPTION
BLOCK ""3 PID 95-335- 00/-0
CaJqchh .J" L /If? ~ ~ 5" /--1.
DATE RECEIVED
LOT
I
ADDITION
4. OWNER, ' ~ / ,(Name) .... (Acl,ess)
NA7?/~S t1Pv ~ ~#.~ ~
5. ARCHITECT ./ ~p ~ / c.L....:t:?> K -/
6. BUILDER . (Name) (Address)
g~~
1. White
2. PiDk
3. Yellow
File
Oty
AppIicIdt
Permit No. .JJ1lJl55b
1. DATE
~~-OO
pop
BUILDINClWORMATlON
11. SIZE OF STRUCTURE
(Height) (WIe) (Depth)
(Tel. No.)
12. NO. OF STORIES
1
13. TYP~ CONSTRUCTION
t+-#IH'ULJ::--'
14. A:ObR AREA APPORTIONMENT USE
(Tel. No.)
;r9;~"'7~ 3 7
(Tel. No.) .
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 f" Re-rooflng 0 Porch 0
New construction~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
ChimneyO Misc. ,/~/' ~
8. PROPER~TY OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 1/. lIuMPLt: IluN DATE
Sq. Ft. .("~~ Width Depth Yes No ()( ~O ~V 1
I h~ that I have fumist}id Information on this application which Is to the best of my knowledge true and correct. I also certify that I am the owrwl or authorized agent for
the above m~tio roperty and that a,l constructlo .n oonfonn In .. existing state end IoceJ laws and wi. proceed In eccordence with submitted plans. I em ewal81het the
~ng ofIlciaJ ... ~ just rthennoIe, I hereby agree thet the city clficiel or a ~7 't? upon the propartyln pe~~-:;is.
~re License N6. Oate
;"C I aACKS: Required
Actual
FOR ADMINISTRATIVE USE
Collective Street Fee . ... . ........ .. .. ... ... $
Sewer Tap ................................... $
~-" $
Pressure Reducer ...:18.................. $
Meter Hom ................................... $
Water Meter .................... ....... ...... $
Sewer & Water Connection Fee ........... $
Water Tower Fee .. .. .. .. .. . .. .... .. .. ...... $
Water Tap ........................ ........... $
Bullder'~~.:^:.:^~..... $ ~..<2:)
Other .... .1~~.:\....... $ - ~.--tlIIO
Total Due .............................. $~ ,:(4~ _ 2./
Paid fI,~~3. Z,I Receipt ~
) /. .
Date "7 "/() 0 By
This is to certify that the request In the above application and accompanying documents is in accordance with the City Zonl' odnance and may p~
~e":~a~te..~~\~ryb~w..~~=:~~r~upa~~:e
~ City Planner - Date .. - Special Condition~
24 hour notice for all inspections 447-4230,
\\
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN -
PERMIT VALUATION ~
USE OF BUILDING
~o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 J I ~ " !)Q"'
Permit Fee ................................... $~
Plan Check Fee ............................. $ tt!llf. 'I ~
ao-~a
City:
State Surcharge ............................. $
Penalty ................... .................... $
~
Plumbing Permit Fee ....................... $
IDO.QlL
, 00. 00
35. SO
LfrJ J)tJ
Mechanical Permit Fee ..................... $
Sewer & Water Ptrmit ...................... $
This
By
ng Permit ~~ tfIlro~~ ~.....
Date~"'~' ~
Issued
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA CJ
PILING LOGS LJ PERCOLATION TESTS LJ
PlANS & SPECS LJ SETS
SURVEY
PLOT PLAN
o COPIES
o
Amount Brought Forward ... . ..... . ... ..... $
Park Support Fee ........................... $
SAC ......................................... $
~. 00.
'II OO.~
~~
I ~S.OO
',-'2.0D ,Cd
'700.~
DO-o5t;ft;
White - Building
Canary - Engineering
Pink . Planning
Thr Crnlrr or lhr L.kr Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -' omeS 'By Ch~
APPLICATION RECEIVED b - 5 - 0 {\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 6 32{} Vi c::..o r La c..u.r\le
Accepted
Accepted With Corrections
~
Denied _
Reviewed By: \t2...Q~
Comments:
(. ~ O-t~ Gt-H~W
A
Date: jp"'lC{-Zro:)
.-b-.cQ~
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."
~)l!" .'",f>,:+:f.;IIW..,,,~!....~ ,;f~'i~,,~~?"~ " '~ " ,>
f-'"
~,~
"\\
O{)- 55 (,
,
White -Building
Canary - Engineering
Pink - Planning
The Cenler or Ihe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
It'
'NAME OF ApPLICANT 4 oro.es'&y Chrde
APPLICATION RECEIVED ~. --5 - 0(\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction · activity which is proposed at:
/632liJ Vi C/ 0 r La Co rve.
Accepted /
Accepted With Corrections
Denied
l"
Reviewed By: --.hCQ.i\f d"ls()'l
Comments: (P~,.. I/,i$ hI- ;;'~/11
~).
~~~e -hit: i".{;rMQ+it!)" "" -/Ae r~YO"se IS ,&le_
Date: ~~A,;
~l/-tJ~/4.. Cu,J/e 1M! h"$h P-I
See ~n~~,' I. ,c;;,~/r;r~ .z;,~~.z;W;7~.1rd.. .Y. ~-1'1P(q~
..3- Er~c'~11. C~nlr-~ I JII-t!A.$/Jl'e.$ ~ L=-t7JS'liJ'1. {7,,,:I~ / ~
f
f
I
J
liThe issuance or grantingofa 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
~
_ . .r---..rI'
;:,JB. '~):~":~~~~'~'~~r:f:~,~;?:' ~'?' J~1~~~ .v~~\p:::"~,~, "~~:,,~:~' :~i ,,-:r~';~'-~:~:;~?t:,:,'. ,"):.~ ':': ',;
'::';j~,~~_,.ct<,"PR~,.~", .~. .
" ...': ft:,U0.,." .<;. .~~ ..
..,I'....~~.~. .
v ". : ., ',:'." '" ..,,:,::.. ..
" . :tItt,("q...,.f.........t:~..h'Y"
\.:"',"':!'::;~.(~";;~~)'_~"'(/~~~'?~: .,',-, -" ,0" ,I , ...J -... " .
:'."::IJO.,~~~,C;":: :
,/.}::;~{ .:.,',~ ,;,i :,~';~:
~ . . l. .,; .
~. ,\,: '.'
; ;:,' -:'~~-, "j ~.; ~
~" -"
", - - .. '" ", ,- - .':' - ',"
:'w~... i.....,"~.',.......I~{.,'
'~IlI~~j" ~..lt~~... '
~k~~~~';.nii;~
NAME()fAPPLlCAN't~i~y C~
APPLICATION ,RECEIVED ~. .. 5 "...00 '
The Building, Engineering, and Planning Departments, have reviewed the building permit
application ,for'constructionactivity which is proposed at: '
/63210 Vi t2.DrillCurve
Accepted
Accepted With Corrections
v-
Denied
Reviewed By: ~'~
Date:
b"J-~ ~
'..1-
Comments:
~&o'!D ~1{"u- ,~~ "r~''1';~ (),~.
~ ttC leS-.I~ ~I~ld6e
~~ ~ ~Vdf)~ l-(bU 6l~_.p
11 1 ---j?- If ~"i \" v"~ .
liThe issuance or granting of a permit or approval of plans, specifjcations 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.
.....
Job Address ..~ I ~-Mo u~..JIIt aJ"~
Heating Contractor ~,4-
Name of Tester ~
Date ~ ~/")
Percent 0 '5;/
Percent CO2 7
Percent co 0
Stad< Terf1). I / t;
'\
/
.1/.
'\
~~
~NE~
-- . PILI
YELLOW. APPUCAIIT
GOLD . CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
S.W.No.00.550
Sewer and Water
contractors must
be registered
with the city.
APPLICANT:
ate~ S
PHONE:
ADDRESS: ~~ _ DATE: 7- /9,00
~(.
::::A::::~~ ~ V / (u:Z? cVR. :~:. Z:;~I;;S .02-1 - 0
FILL IN THE BLANKS
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
This applicatio
permit when approved.
BY
DATE:
'-7 (q.OO
--------------------------------------------------
--------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
Fee for either sewer or water individually is $)?6D plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must
recorded on the building permit card at the time of issuan
to insure that no duplicate sewer and water permlts are
DATEi::::d. AMOUNT PAID.it. ~
RECEIPT # REC'O BY ~~
/f?/
*
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
-'
~
~
CITY OF PRtOR LAKE Me
11200 E.._e C,..k Av. S.E. ',rmft No.. ,r')(') ... O,~Sb
P,Io, Lake. MH 1&372
U1
'\:t
-'
ci
z
PIO' ~5-33~-OQ>\-O
lo'
0~'J <~
U1
'\:t
N
'\:t
r-.
'\:t
'\:t
N
-'
1.0
t
U
I
([
Q
Z
([
(!J
z
-
I-
([
UJ
I Suppl,.Ope"',,1
Ct:
-
([
Q
UJ
...J
d
Ct:
I-
Z
o
u
~ll .~;;;l~
"PE OF SYSTEM
Warm Air Plul.
Gravhr .
Mec~anlc8I V-
AIr ConclllctnJna. V
Venl. SY'I.m , V
MEATtlG OR POWER PLANT
St..... ,
Hal W.'"
".dWon
Spidel Devlc..
Colin. lead,
FUll ^ lA-I
Flue Sill ~'I ~(Jc.
/S"
7
RIlum OpIning.
Inp'"
OuIput
EM. ,
0Ihtr Devlc..
am..
llPE Of WORK
/
U1
f'1
Q'I
~
Mllltan.
Replace... tn1 . NI\Y Conslfucllon
Ea'. Comp. D." ,
BuldJng Plunl. , 00 - a~C::;-~
/ ~~O'H~
/ .-....'fti_ pERtA\1
,/ ..50 .,........
I. /
./
Repair
Ell. Cot, . ,
"EATiNG PERMIT FEE'
~
"-
U1
-'
"-
CD
~
STATE SURCHARGE I
TOTAL PERMIT FEES
Receipt' , .
1.... · o_
J. Nt.. oa.-
Sing" Feml, -
Cam",ercfll.
TYPE OF RTRUCTURE
~ 'IinI-F"'" . Mulll-FentIIJ
'ndueltt.l.. Public 0IIw..
F., 8c:htdule
100""'-', eo..merdll & MuUI..famft,
A,*"nd.~ ....an, l AC
"1...111. He." Ont,
A.teII". Gu At...
R...,,,. Ad.onl & AlI..11on1
R....nU... II; 0nIr
1% .1 lob cot\(S38.1O......
:,~!@m JY ~
I3I.&~K' .,.
131,1
---..
'\ \ -"
~
R_ember '0 add Ih. .,... Surcha,gl on the botlom of .. .,;Gillon..
The pra 01 ~ur "..tlng permllnctude. OM rough..1n and on. Anal anlrAl
Add!tlonallnlp.clona wi be bled at '35.00 ....
Hou.. lieaUng Till Aecord mUlt "I l\AJmtUld with IBdIdJDI UDIJI............
Ing c.rHlIc.,. 01 occ:upancr wi'" lHutd. ·
UFa" CALc.\&6t1ONS ~DU"ED wllIt tunblr oI.upply and fI'urn ~...IIIId..'
room wnh CFM', per op."" New Ibucl\nl Of addlllonl ..nd Reo, pl.'" .....,
end Ilun IacIUont .hown. HfAT lOSI CALCULATIONS, PAVMENT Nt)
^PPUCATIONS MAV BEMAILl:DlOTHECITYOFPRlORlAKE.Ia.EAIB\E
CREEK AVE. ~ C PNOR lAKE, MN &&311.
en, HIl.a"'., hour. ar. . ..m.. 4:30 p.",.
All. WORK MUIT BE INIPECTED tROUaH"" AND FlHAlI · CAU- an'....
44'''DI
I hereby .ppl, lor . machanlg" Iy,'.nt. p.,mll and I .cknow..........
In'oflnlUon above" complete and .cevr.": thai the work wll b.Ift__....
wI", Ih. D.dlnance. and code. of thl cIt, end with 'hi lie.. bul~..a.""1
cud e.; thallh" lerm do.. not blcom. a 'tim" unll' IfUned by ..IIUI.D-O
OFFla'Al: Ill' the walk will bl In aacordance w"h the .pprov..........
ca., of .11 wo,k which r'qulr.. revllw and app.ovaJ of plane.
~ .2~~_-.
, ,1... AppU_nl' ,tu., (_
( / rl1 iJvL ~"L' ; nRJ. 1:Jr." "- ~
cJ SuItIng 0IIIcII,?8Ign."""
5? -/I-An
C(( / /.-;;0/)
I ..
10/21/99 THU 13:14 FAX 6124414245
CITY OF PRIOR LAKE
IaJ 001
CITY OF PRIOR LAKE
I. Bille-
2. Gold
3. Yellow
flle
City
^rrliClllll
u. ('C'.l~r or llle' ...., COUll",
IJLUMB~G PERMIT # OQ"'~~
Applicant: v'a.lf,'1J ~~ ~. Phone:!l6~-~Z-g/2I
Address: .J71~ _, ~ " r' at:2/! ~ Lq;:;B6 -, )
Signature: t ~AJJ- --
legal Description: lot I - BI~k S Sub Wrl...i ~
Site Address: /I(??J~O V/(!,f:tJi1tJJ {~.p " l2..i'~.:s ~
Building Permit # (')(l - ~ Cc. PIC # ~~-D~n - Q
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
'J :g~] =wr~ ~
_'K . I O.
~ -P
Quantity .... Type of Fixture
Quantity Type of Fixture
~ Bath Tub with or without shower J Rough-ins
V)
I Dishwasher / Water Heater
J Floor Drain Water Softner
6 lavatory (bathroom sink) / Stand Pipe (washing machine)
/ Laundry Tray (1 or 2 compartment sink) Sewage Ejector
/ Shower Stall Backflow Assembly (RPZ. Double Check, PVB)
f Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
,~ Water Closet (toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1 % of job cost. $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
GRAND TOTAL
$
$ D ~\,.'" rt
$ ""~G pEf\tA'\
$ .50~_
$/
$99.50
$39.50
This permit is granted upon lhe express condition that said .
contractor. shall comply in all re.\pccts with the ordinances
or the Sbtc Plumbing Code and the amr.dm..~ls thereof.
----- RECEIPT NO. ~ f1 () f11JJ D^ nf
^ I 1 cST
Call for all inspections 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
v
',-,
..-i
~
~
CITY OF PRIOR LAKE Me ~ ,
'1200 E..tl ere.kAv. S.E. p..mllNo.~- DSsb
Prior laB. UN 55312
v
v
lD
~
oHEAnNG APPUCAnON I PERMIT
DU. \ D-lI--c:t) .': flD' ~S - 3&5 - D:'i). \-0
Sh AlllIII_ \ 1a?PC \j I t\ :to'I" \ C. (\.-U. '( V ~
lilt . t. IlIIlck '3 ~ lS)...'{~\ 'l\o. \ ~\ t\~ €...- 5 9 .
~nN8m.. ~e.-':. ~u 0~~-L.>
AddI- ~ to "f--.u \ \
HH1111g~1IIllar(\~-lCO\ \.p ~ \\\ r-
Ad*- ~D E'CA...~ ~\l-Q.- ~C\V-
\::b MloO -fd) d '2... ~
;.\ ~.~~ 'Mu ~ \ TVPE OF SYSTEM
tIed,,- S ./ n \.\ r-rv '\ W_ NI PllIJlII
\~ ''----/'/ t\ ~.--:.l. )..J GrW4lly. '-
ec;m. un Mec........ ~......
, Hr Condilktnq v'"
FUI', ~ l\.l Aue Sa. . Venl. Syslem , ~
HEAliNG OR POWER PLANT
Sle.m .
Hat Wale.
R8dllYon .
SpecMI Device. .
If}
v
N
v
['-
v
v
N
~
1..0
t
U
I
([
Q
Z
([
l!J
Z
......
~
([
UJ
I
0::
......
([
Q
UJ
--I
--I
a
0::
~
Z
a
u
Suppl, Op....ng. ,
Relurn Optnlngl ,
lnput .
OUtput .
Edt.
Clm.,
oahll Owlets
~
M
If)
~
"PE OF WORK
AtpIKem.n NIW ContIruclclllV
Aft" a\lonl
Rlpa" ,
Eat. Comp. Data ,
BuDding Perml' ,E:D - 0 SS(o .
tSl
tSl'
"':
~.
~
'"
tSl
~-
Est. Cost' ,
HEAlING PERMIT FEE S,
STAlE SURCHARGE S.
TOTAl pERMIT FEES S
. .50
PAID WITH
~PERMIT
RK8~ . ,
j
rVPE OF STRUCTURE
1...... · 011
J. YdMr - .~
SIRglt FamRr .
Commetdal
x'
. Two.F"'"
Indus1rial
MuIII.faJnIy,
. Pubic. 01.-
fee Schldule
Indult.lIl, CommltCil' .. Muli.F....,
Re.kt.n'I.~ HII.Ung & AC
Ae.lden.aI. He.lng Only
ResWenU.'. Gas Fire"ace
Reeictlnftll. AddliOft.i An.rattans
RI"dln\.~ N:; Onl,
1% 01 Job GII' (SIt. ........
11I460
184.50
$31.&0
S31.&9
1.'.10
Remambe,lutidlheSl ':\\~ \\A.__\:. t'n\ "-
'\ Sa ~,O~Y- '\=""\ \~
~ ~~S ~.'\
~-e- (yh X'-- ~~ '---
~"\ ~\ ~~p. ~u
\\--- ~ ~\ D S--Q.)
~Se. \D--13-W
'\~S
1 her.by Ippl, lor. n .
Inlorm.'lon above II c. dCl./v-
with 'he ordinance. .1 .,
codes; tha\ lhls torm n - ~ J \ \ { ,^ ..
OFFICIAL: the\ the w \.:JtSY"\"1:::::.r 0 e~ 1\ \ ~
cas. 01 all w~lk ~lIch ,.quI,.. revIeW and .""onrDIP''''''
~...~ _ /()-(/-oo
'AppUcan\'. Slgnalure , ....
t /D/jJ1(J1) er&.IAA/Ji/>- ro/I ri-(()IJ
~dirl\l otbl', Slvna Ij' l . ...
,
The price of your he.tine
AddiUonal inspedione wl
House He.tRlg 1811 Rec
ing ce,'~JicIIl. .1 oecup.'
HEAT r:A' ~ULATlONS ~
room wilh CFM'. per ope
8nd rewm toeation. aho
APPUCATIONS MAY 81
CREEK AVE. S.E. PRtO
CRy HI.'I bain... hour.
ALL WORK MUS' IE I
P RI.O R LA KE ~~rtD~~:~NrJD~~S~.~CTION
.."
INSPECTION RECORD
SITE ADDRESS ~BO ~ QutlJ.-f..
NATURE OF WORK )Ja, \
USE OF BUILDING S~~
PERMIT NO. 00 "065(p DATE ISSUED ~- LCf .-'2000
CONTRACTOR Ho'^"-e..~ "=!'\ Q~ PHDNE'- Aq~ - ~'7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (If required)
ff/,?tho
9ftlln
~..d *' 0 -.". ...~~.
Ibr, /,,11 z./ ~
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 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKI!
INSPECTION NOTICE
{'
SCHEDULED
ADDRESS
OWNER
/~3?O
. J · /"
/;/~
PHONE NO.
CONTR.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULA TIO
FINAL
~ SITE INSPECTI
COMMENTS: ~i ~
o PLUMBING RI
o MECH RI
"'W'iP 1100KUP
~OOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
~ A:li
~
8 - SSG,
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
....,.., , , ," ,;, ~ ': ", ";:,,'
r" (1jl~ ~A
t.::J .
-- , .............-
-.'............... """
1M-, ~~ ~ rfh
td WORK SATISFACTORY, PROCEED
!; CORRECT ACTION AND PROCEED
:S::CT ~ FOR REINS:::::~ORE COVE~NG
. J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
.J I,. IJTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
DATE TIME
CITY OF PRIOR LAKE .. --^.
INSPECTION NOTICE SCHEDULED 1()- ~ <'0 ~:ou
ADDRESS --'f,ilf'O U/6t-or-;c' ~ aU-rV~
OWNER CONTR.
PHONE NO.
PERMIT NO.
0- S5'~
o FOOTING
D FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~,)(' PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I.R~;- ~ ..
1 t ~ C-ndlttf.~
'3_ ~-\o..LL ~\-er t u l,
4 ." r;~~ t'-~ ~_ ~~. ~lV\\< l'^- ~ ~~
MJI.~-e.L <~,
o WORK SATISFACTORY, PROCEED
'"lzH:ORRECT ACTION AND PROCEED
o CORR~RK. CALL FOR REINSPECTION BEFORE COVERING
InSpeclotl( ,'7 Owner/Contr:
CALL 44t-'850~FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
f!1CJ -<; 33?
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
SCHEDULED I Cll-z./ 00 II " 0 0
J I C,tTCJ ILl ~ GA. re;t//E
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1~ 38"0
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
o - Sscp
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING~ 0 WATER HOOKUP
o INSULA TIO 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FINAL
o SITE INSP ION 0 MECH FINAL
COMMENTS: & - I ~ S p,
@_~ ~- P"Y'-~~
~~~~~r~
· -'" -A--" U ,... J
1-0 ~~~.I.~
~~.~ ~.~
,
""",~ ' ....r-:---- ., ,
o WORK SA TISFACTOR ROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~I
,
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 2.. HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
c;lrr 0,. "KIOK LAK~
INSPECTION NOTICE
l"
~_.$..
SCHEDULED
DATE TIME
10 .((-() 0 .3 j uU
ADDRESS
,- /~38() VI(!A u,lZt /t iuJlb./6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O.55{o
o FOOTING D PLUMBING RI D EXIGRADIFILLlNG
D FOUNDATION D MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP D FIREPLACERI
o INSULATION f>i D SEWER HOOKUP1Rj D FIREPLACE FINAL
~ FINAL :5L..O . 0 PLUMBING FINA 0 GASLlNE AIR TST
01 :~~~;:~:~ -1, GC:::L~1fi;!;O p,.v, ~,
DtJP~~ o-F ~~
~ ~.~'4.r:) ~-~~ ~
bo ~ tl ,- - TJ
~~,~ tn-~~~~'
Vl;J~_ ~,~' Ip~~ ~I
~~ ~ du.A-;..o ~.sV NDN ef!R~lle.
)~~~~~.
~, .
~\ ~-~
~(2.- - tf r L-( - Lf 7 J-(o ~1
~~'~
~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ , Owner/Contr.
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
. ern OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~~~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~D FRAMING
o ULATION
FINAL
o SITE INSPECTION
COMMENTS:
t~/J~
~/S ~
DA TE TIME
SCHEDULED
~
Vi~/prt, &rY~
CONTR. /I()/I1~.s
PERMIT NO.
f,v C'~
/
--L2'-5Y6
~GRADIFILLING
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
/"~
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: .Lr~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTl