HomeMy WebLinkAboutBuilding Permit 00-0602
DATE RECEIVED.
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
b J!1 tf / 01J
I. White
2. Pink
3. Yellow
File
City
Applicant
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
1. DATE
Permit No. 1)0. Ov; 02-
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigh~ 4 I ~)9 I 4 ..(Depth) 4 8 I
12. NO. OF STORIES ASoVIE
story and a half-~~
13. TYPE OF CONSTRUCTION
stick built
(Tel. No.) 14. FLOOR AREA APPORTIONMEN"'~
651-699-
7th st. (st. P.T 1J7- Main fl. ~1~0?
(Tel. Na.,l '" J..J Lower lev. (a 838 / II
\/)\'1---" \oax.v '_A OJ\.. Total: 2345 /1
...1.. (Tel. No.) "vr '.- 15. NUMBER OF OCCUPANTS OR SEATS
7 th st. 651- )CCUPANTS
55116 699-1393 ~~\-11~ -"''l-~
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
16. PROJECT COSTNALUE
134,000.00
17. COMPLETION DATE
December 2000
6-26-2000
N~
R/
/445/
otJ 1/6
c'ouE!..1
3. LEGAL DESCRIPTION
LOT 1 BLOCK
~DmON Knob Hill - 5th Edition
D~Z-O
25368~
3
PID
4. OWNER
Init.
5. ARCHITECT
(Name)
Invest.
(Name)
(Address)
2284 W.
(Address)
I. LLC
6. BUILDER
(Name)
(Address)
Kuckler Construe.
in behalf of Init. Invest.
7. TYPE OF WORK
New Construction IX
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft.
2284 West
st. Paul,
Deck 0
Finish Attic 0
Fireplace 0
Alterations 0
Septic 0
Addition 0
9. PROPERTY DIMENSIONS
10. CULVERT SIZE
YEiS
No
Width
Depth
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 mentioned 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
bwt1d1n9 officia an revol<e th,n' e~aahermore, I hereby agree that the city official or a designee may enter upon the property to perform ;/~nspections.
X A_ ~ "7L~j--<, ~0077~/~ &'A "
Signatu~ License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due.............................. $
Paid n .st 6 9" Receipt No. 3~ Ol> ~
Issued f 1 'I. -
Date ~ I, C[!(Jf) By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning drdinance and may proceed as rested. This document when
sign b the . Planner constitutes a temporary Certi~te of Zoning compliance an9Jtllmws constr tion to commence. Before o~cupancy, a Certificate of 0 cupancy must be issued.
7--i 4"'BO <-- L4 __ F~ ~~
City Planner Date'- Specia Conditions if any
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN J ~if,.ocJo - 00
PERMIT VALUATION ~ .~
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
USE OF BUILDING ,..... ..
~~~
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
cl. " $
Pressure Reducer ..:to................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Division 1 2 3 4
Permit Fee ................................... $
fAo.c;'1 · 2. S-
f
fs,97 .2/
~? .00
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
/ "0 . OlS
lOt). 00
3'S f 5"0
\ )')-
:JY"a'(P
1" u
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Th~~ BemL.YOUr Building Permi~~e9 ~~O
BY~~ Date I lD
Certificate of Occupancy
24 hour notice for all inspections (952) 447-9850
SETS
COPIES
~ S-f.b.OQ
4-J 00 · C20
46" .(.X)
I ~s- ,~
I, :a. 00 · ~
'10f) .00
lpOO .0"0
~ 6t1(,...f(,
...,
10
II;;f/~P
t/f/- ~r J r
((-;I- f7)
f~2- f{
~rw
,
I
I
.j
. " ,;'1 '15"( .DJi/fi<?-'
/
''\
The Center of the L.ke Country
c:ZJ-6t?~
White - Building
Canary - Engineering
Pink - Planning ~or fl.p(
t )-/...t71-a$G~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT Y\lJC\c\er ~(\s+r\_) (1 CP(\
APPLICATION RECEIVED .....\ ~J(\fL., c3. ~ ) (3 () (JO
The Building, Engin~~.ring, an,d Planning Departments have reviewed the building permit
application for con9fr~tion activity which is proposed at:
/44;1:) J D (jy €-" C__.frl/Y-~- N P
/
Accepted
Denied
Reviewed By:
Comments:
x
Accepted With Corrections
(.; r'QJ1 t Ca.,.. / s.OIL.
5e.~ IA~ r~ver.se
Date: ~Ji ~
;;;, t?//-h~n 4/ //1~4.I'''~nll
Side
See tlll:~('4 P1~hI-S: l h/ia I G r~~Jt' r;,~'f!t! h~" .-e;, .,4~A/~~ c:V'.. Crad,"J ,P/~
3. Gps/~ {};",lrlll ~1lJ'1(,t's ~ ht?f,d?t CJ,,:h/ /Y(}~
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.1I
v
)l} . U (Po z"
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \t\l)c.k.\ e..r Cof\St-rU cl (Ff\
APPLICATION RECEIVED "~ J(\/L, a 5S' ) a t)( m
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 4l{iC) J .) (jy' ~ Ct.nir~'- N E
Accepted
Accepted With Corrections ><
Denied _
Reviewed By: (;;l.{J ~
Comments:
Date: 7- ~ ... ;2ood
1. f2rco.J. all t:lHt:(c~ h~~
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."
00 ~D&Ov
The Cenler of lhe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLICANT ~\)( k_\e...,r CcL(\s\-rl_}c"~~ (Ir\
APPLICATION RECEIVED '3 ,,}(~ N fK \j ;;j C, (\0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/Lj4S;
Accepted ~
e ("" i- 1\\) E
Accepted With Corrections
Denied
Reviewed By: ~~ ~
Date: ?-I,-!-6{)
Comments:
;2t{ J=, ~ ~~ Wt&P-, A\ ~
b-evtb .p/~ '1 -.+ \/hvu <lv.e.- I{, () L L,) YO Cvlb.
30F\ MM~~ CX/~ ~l<. lb
tBvww- ~,t9 \ W G~ ~
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
GREEN - FILE
YELLOW. APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE S.W.No.QO-()~O~
SEWER AND WA.TER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
Af't-' L.l cAi'iI' :
.se.~ ~ PHONE:{9S.;~) L!7()-tj9b(,
rnW~ WOJ-er"DATE: ><' I~LllrD1
SS~~4 ~~.
BLDG. PERMIT # 00::..060 ~
'o,ye., (fn..AtJYI3PID# GlS--3~~-O~-o
ADDRESS:"-
,
FILL IN THE BLANKS
1. Estimated length of water service
feet.
--oli
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
-------------------------------------------------------------------
-------------------------------------------------------------------
ThY' s p~lication b~CO s our permit when approv~dl
BY /' (f J~ > '. .)/' --....... E: (!5 /cQ4/r./lJ
tJ - / ~ //
==- === =============~============================================
FE S: $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 TOTAL
*
Fee for either sewer or water individually is $/."'.- 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 and water permits are
issued.
DATE PAID~' AMOUNT PAID /
~ ~rrH
RECEI PT # /' pp...\O G f'Ef\N\\'REC' D BY _
/' e\J\\..O\N /
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal OppOltunity Employer
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: PCI\ ~4.--&.J.v- //h
Address: - I.J {;,' >~ ~
Signature: ~ 1:?}/ ~_
Legal Descri Lot J Block -:j
Site Address: J'-l4'*LJ Qg~ c.+
Building Permit #
NOTE: This permit will not be processed without complete information.
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PP No. -120 - ~O 'J ·
Phone: h5l...<{~o.... 8!/ 1.2.-
Fu--..-7A-
SUb.t/JO b ~!litW
PID #~S". 3bi-I1~J -V
The Center of the Lake Country
Quantity
~
I
,
3
,
,
2
FIXTURE UNITS
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
3
(
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
Other
Sv;-p pv"..,p
I
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
$
$
$
$
.50
GRAND TOTAL
$
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof.
-- :;; RECEIPT NO. 10 -Ol. -oD DATE
;{4- ~~ AUhST
6lG for all inspections 24 hours in advance.
~WITH
..-.. PERMIT
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
'_ L( tf'1 -' i..' J-3D
~iJHtO~ CITY OF PRIOR LAIC:E Ale _ -,. L.().I(_S
~\~ .8200 Eagle Creek Ilw. S.E~~ P8'm~1 ~.(> & b ~
E PrJor lake, MN 55372 - .
~ \:,- IIUTlNG APPliCATION /PERMIT ~FoM, _u_:i-- __ f.....F8JI\1y ~~ _ _ Ml~I.""".'1lY. ..___..
~ D818_.__ q._~" - CJc:) PIO.. ~5- 2> b8... u 3~-D C<<IlM&taal__. ---- ~du51/iaC.. Pli,Uc ___ . j.,lher._____ _ ___
C!iJ i ,I. I "-,,....,,, / __
~ SJraAl _ _ _ .' _ _. ., _
~ La! I IIlldI 3 . AddIIan. J< N 0 b t:U) \ b~J1cJJ(J
. Oftit'. Name ( t\ t fT AI..- f I'V e>..fm~~
c
I'tI
...,
Adltesa .
t1_iIg C.ontrBCtor ..S ( uJ lSuJ A, l- E'N .-t L-H
310 l((""'12f~eev.. .~ ('\<)
(d~- 5J.J- 8V.7~
I hereby ilJ)p1y for a medlanigal systems parmit and I acknowledge 11&11"8
inlDrlMtion abo.ve is comple'e and aocurate; thai the warh win be in confomlane~
\vittl the DrtBnal1C1J8 artd code. 0' the ctly aBd whh the state buJldlngJrnechanlcal
~ . Est. codSII; tha1lhi$ form doe. not b8C(jrne a permit untilllgned by the BUILDING
- IpBlr Coqa. Date --- .~- -,. j \ j, ~~~I~~';: "a~ t~~ .w.or1\ wi~ be ill ~cco'd~ncu with 1he approved ptan In the
::::.PaMT~E' · "" -- - J! ~ ~\_Lf;: ;;:(i~ (f0:;Y~~ -"'-- ~-r'---. ._~~ -OV
. ,. 50 PAl D WI I H (- f k-zlf AJJJlFfI. Sigr.alure D...
'T~lE..tJRCH_E · . . BUll nlNG PERMIT . (~ -CZ/ ,;)-) / ()~
U TAL PERMIT FEES I Receipt. -.. . .. .__ V Bu'dlng OIIIoar. slQlts.hn 7 ea.te7
~ fJ'( l)ull-V)E:R-
.....t
a..
- idrese
.~r.SfIi
r er.pholl8 ..
.~umaa Malia I Madel /'A" i+eo L
Mod.J Size b M()" b % >0
. 'I
GorW'L I ~..,..
.. FuaI tJ b nO. Sn ~ I --
d -SUPPI1 Openings . t 0
~ fl&tUffl Openings " ~
fE Ir.pu/a o. 000 OUfput , * DlnU
r . -,_. -- . -. -
E:fr.
Cfm.
\ Q 0 CJ
T1fIE Of WOIIJ(
"leratiol'8
__ Repiacsm&1lt
E
a
0::
IJ..
n"E OF S'rnu(;TURE.
I I\u
'1. c.....
J. Yclkw
f-j'-;
nl,
Contr,x1lW
Fe. Schedlla
I rlduslrial. Ctlnnte~lat & Mulfi.Farmv
R"idential, H..ttngl AC
Resikllliat Healing Odt
AftidM'Jlat. Gas f1reptaoa
~nti.., AddIiorl. 6 Afteralions
Residential, AC Onty
,,...Df ,nIJ cost (139,50 minimlln)
$99.50 PL-UASE NOTE~
'&4.50 Air Conditioner Unils CIUlJIO
$39.51 F.ncmach Into RCtluired Side
$39.50 Yard Setbacks.
~19, 5C
J\emeotber ro add the 51_ Sorcnarga Ii.. IhQ OO1Iom of flit. apptcalioo.
TYPEOf RSJEM
WImI Air lPtafrls
Gravity .____
=':~rk'g-'-- .- ----.~
Vttnl ~'em ~
v,_. j
HEAYIHO OR POWEll JIl..AN1'
SteaIt ____. _....__
HoI Wa,. . ______
Aaclalion _
Special D. viQl,s
'f~e price of your hN1ing parmit i~uilu:s ant! mugh-ft and 008 I1naIlnspec.ilon.
A.ctiUonal fn~ection8 w.. ~ bilPad lit '35.00 each.
Hcuae Helling T_l Ratcurd must be ~LJtmi1Iftd wlltl Wildi"Qllenntt RwnM;r bcff11YJ bUld-.
;"g cartlfCllfy of occuparq wil bo Issueo.d.
~FAT .r..1 nt' Kfw)~~ .RFnl 'I=IR) with""'r ot IltJpt', and ntlwn oplrings I=,ted psi
room wfth CfM"I per openrng. ~ SlnIdurel 0' &mjltions sind floOf' plan with s.~y
and reltM'll IDeRtfonl shown. HEAT lOSS CALCU.RJOflS, PAYMENT At~O
APPUCATIONS MAY BE MAilE.D 10 THl: CITY OF PRIOR LAKE, 16200 EAGLE
CREEl< AVE. S.E PMOA LAKE, MN 56372. '
CIty Htdl bws~1 hOlJ~ aro II a.IlI, - ~:30 p.m.
ALL WORK MUST 8E INSPECTED (ROUQ....N AND FINAL) . CALl. CnY MAtt
441..851 FAX~"" - 402J..1.5
Other DGVFeH
N8w DeJn1'ructkln
)('
PRIOR LAKE DEPARTMENT OF
.. .' BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~5L (},ve- Ch.n-'" N E-
NATURE OF WORK A1~w
USE OF BUILDING ~FD
PERMIT NO. ()n .O(Q{)z" DATE ISSUED -'-~-~t:r)o
CONTRACTOR ~~\-er ~.\... ?\-\O~~.... ~Sl- ~;'-13q3
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT ~ \
FOOTING ,~crOR 1J 23 1,~1
FOUNDATION (Prior to Backfill) W ~"" d u .
PLACE NO CONCRETE UNTI~AB~E HAS BEEN SIGNED
ROUGHlJ?S
SEWER I WATER I SEPTIC (,L ~ S.2., i. fA)
FRAMING "J/~ / IJ I' ~ ( tn
INSULATION I ~r /~ 1/9/tm
ELECTRICAL I
PLUMBING ~' ~ ( ~ /Ift
HEATING (if required) hl I /fTltd-'!~
FIREPLACE I I'
\ GAS LINE AIR TEST ..-~. tz/ 61 Jot)
. I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
"r . /" r--1
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an elect~cQI se-:vice 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.
~
#
/~/5Itr1
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
.r..; . '~I~. ','~=' .~~= . .~ .~'. .~,..... ,..,:.
. -'~ I ~, , A~ t'A~p--A~'~.I'A~, ~
- J.. . ',' .. .
.r~~~1'~~'!"~"..J;"'t"G..'\~?",~ .~~~:~
- _.~.~."""",;:::: ~ .. 1':-~
~trtiJcatt at q)CCUlanry · It- ;
)~ ~
CITY OF PRIOR LAIili :~:-<i~
J)epartment of .uilbing Inspection I ~J'~
~ Final Permitted 0 Conditional C.O. Expires - " 'F~""~
This, Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code ~
certifying that at the time of issuance this structure was in compliance with the various ordinances of the
City of Prior Lake regulating building construction or use. For the following:
Use ClassificatioD
SINGLE FAMILY
. Bldg. Permit No.
00-0602
R1
Occupancy Type . R3 Type Construction VN Fire Zone N / A
at De .. L1, B3, KNOB HILL FIFTH ADDITION
Leg scnptlon _
Zoning District
Owner of Building
14451 DOVE COURT NORTHEAST
_ Site Address
,.
./'
Contractor'sName&AddressKUCKLER ~STR., 2284 W. 7TH ST., ST. PAUL 55116
ROBERT D. HUTCHINS '-1? C' PI DON RYE
. t Ity anner
~~'ldi O(ffiCial -
Date:
Date:
POST IN A CONSPICUOUS PLACE
. .j; .1.'",>.. .L.., ,., ".' ... ~. ;..; ~.~,: ,d"", "A"'~ ...,,';;:;[,...: '''''''''.",~,':;'o:,;:,,;;;i.lJ;:'.i.:.,:.,~~,,,',,..j ,...i>.1...."';. .~"':;:..j ,"" 'm.~.~;:,,;,.;:,; ~;;:;~ .:.~"'";~..:l.&;, ..~.,'_""'.I ",; 'i,.~' '..c..... ., ~.".. , I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
8/~/tJl A.T;
ADDRESS
/'1 L/ .5/
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/)0 - ~ a z.--
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JID FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
,I /)~.J1:::: P HL~_~~'~
\ O--r~
QdWORK SATISFACTORY, PROCEED
6 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 & SAFETYl
INSNOTI
~'-o{
/ '-I'I~ / DOl/r c- r
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
D FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
D MECH RI
D WATER HOOKUP
o SEWER HOOKUP
D PLUMBING FINAL
o MECH FINAL
COMMENTS:
C~J'h Bo;<'- Ot:-
DATE
TIME
P/11
00 -~ "t
J8CEXI~L1NG
o COMPLAINT
D FIREPLACE RI
o FIREPLACE FINAL
D GASLlNE AIR TST
o
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
D CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
InSpector:~ _ -.cllIater/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
SCHEDULED ~J 8[0\
Uc fls t..r-.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I ~L{ S {
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
~:\,
EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION /f:1 0 SEWER HOOKUP
~ FINAL ~ 0 PLUMBING FINAL
o SITE INSPECTION ~ECH FINAL
COMMENTS: ~
@~~~~~ cj ~~
(fJ l/~" -- ~ I~ ",-U ~~.
l.o ~o1ft-{) (~- ';rJ", rJ A ~. , -:-:::. ~-. blJ
@), ~ _ ~~ (1) zl!i-!r;;~ ~I
.(J\fJ ~ ~ ~ ~~
~- ~---==-
~ ------- _._--~-.-.-;
/C!c,O: -t:
~~
:::::::.::::..---
1/ I()/ ~)
/'/ ~
~~-----
o WORK SA TISF ORY, PROCEED
~ CORRECT ACTION AND PROCEED
I ~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
Inspector:
Owner/Contr:
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE 3~~
INSPECTION NOTICE SCHEDULED lZ.' S- 4 cfO
ADDRESS !~5( DOVb V,
OWNER CONTR.
PHONE NO. PERMIT NO. 0-002-
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
(g 0 SEWER HOOKUP
~~EPTlC INSTALL
~LUMBING FINAL
o SITE: INSPECTION
MENTS: (jJ ~ R<>-o-1' ~
, ~--.~ ~/ ~
_~A~ ~
f M-l, _
\>)~ IUd ~,.p7 Ie k.f~
o FOOTING
o FRAMING
o INSULATION
o FINAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o EXC/GRAD/FILLlNG
o LKSHORE~ETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
('
\
\
,1
,. 1tJ~ ~
~
.~~
o WORK SATISFACTORY, PROCEED
"i)l1CORRECT ACTION AND PROCEED
o CORRECT WORK, aLL FOR REINSPECT~ON BEFORE COVERING
Inspector: r f1}- ~ Owner/Contr:
,
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE TIME
CITY OF PRIOR LAKE C'J J 1 ; (/'11"\
INSPECTION NOTICE SCHEDULED 4;:)-1ft.U J :__<,()
ADDRESS ~ f!:1S \ Dc)-~ ~ rr- \-
OWNER CONTR.
PHONE NO.
PERMIT NO. (JO - (}~n 0\
o FOOTING ~. 0 PLUMBING RI
o FOUNDA liON II 0 MECH RI
o FRAMING ~WATER HOOKUP
o INSULA liON SEWER HOOKUP
o FINAL 0 PL.UMBING FINAL
~;.::ti~ 0 !FINAL ~ UC
\L G w^ -!'ill' ~
/'
l::fy ~ ~
SK J:f /n, OIA-~
~ + ~ C~
~ S~~
I~~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
". T~
h byCick...
/
o kORK SATISFACTORY I PROCEED
ff ~.ORRECT. 'A JION AND PROCEED
o CORREC LL FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44 r -98JO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE'QukEMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI