HomeMy WebLinkAboutBuilding Permit 00-0672
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DATE RECEIVED CITY OF PRIOR LAKE
) BUILDING PERMIT,
1 QOjOO TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
NO 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 ADDRESS
144 -;).. f Utv~ rJ c., T f'Jt
1. DATE
I/QfJ!oO
~.--\
3. LEGAL DESCRIPTION
~~
tt!.D6
PID
Qs -~ ,. O~l5-o
ADDITION
BLOCK f
ij1L.L '-1' If
LOT
4. OWNER
(Address)
(Tel. No.)
(Name)
( (
5. ARCHITECT
(Address)
(Name)
(Tel. No.)
6. BUILDER (Name)
Wl~D~ ti?~<
(Address)
~JMJ~f;
(Tel. No.)
q7~ ~~ ~4t.6~
7. TYPE OF WORK Fireplace a
New construction)i( Alterations CJ
Chimney a Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. t4l{ ()..
Septic a Deck a
Addition CJ Finish Attic CJ
Re-roofing a Porch a
Re-sldlng CJ Finish Basement CJ
9. PROPERTY DIMENSIONS
Width Depth
1 O. CULVERT SIZE
Yes No
1. White
2. Pink
3. Yellow
File
City
AppU41111
X~~':;;
:t~";f;"
Permit No. 0 b:..4112-
, "
i
BUILDI~nOtl
11. SIZE OF STR......... .... ....... . E
(Height) /./.::.' '3 (Depth)~,
12. NO.OFS.S
,,,,.~
13. TYPE OF CONSTRUCTION
N~(.v ~rD
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
1'30, cro-o
17. COMPLETION DATE
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 all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building Offici~l . ,YOke 6; for just cause. Furthennore, I hereby egree lhet the city official ole designee may enter upon 1I1e property to pertonn n~i~.
X Cr- .. ::J I 9 7 '7.t.L!L/ OC>
- sture ~ License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I ~ ~l'!)
USEOFBUILDING ~F\)
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee................................... $
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA CJ
PILING LOGS a PERCOLATION TESTS a
PLANS & SPECS CJ SETS
SURVEY
PLOT PLAN
a COPIES
a
City:
Amount Brought Forward .. .. ... .. .. . .. .... $
Park Support Fee ........................... $
SAC .. . .. . .. . .. .. .. .. .. . .. . .. . .. .. .. .. .. .. ... $
B5~_
!;IDO.Od
Collective Street Fee ....................... $
Sewer Tap ................................... $
.#\1.. I, $
Pressure Reducer ... ~................. $
Meter Horn ................................... $
Water Meter ................................. $.1..?? tJJO
Sewer & Water Connection Fee ........... $~ · O~
Water Tower Fee . ... .. .. .. .. .. ... .. .. . ..... $ ""2.tJ.t:) · ~
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due.............................. $
Paid ~ S"l' ~ " Receipt No.
Issued .
Oete ~jt\~of'
This is to ,,,~.J!J that the request in the above application and accompanying documents is in accordance with the City Zoning rdina and may pr s
~. y the. anner constitutes a temporary Certificate of Zoning compliance and allows struction to commence. Before occupancy Fa Certificate
'. ?-~ ~
ity Planner Date - pecial onditions if Y
Plan Check Fee ............................. $
J,O"3~ .z~
(JY.~,
((t~. CO
State Su rcharge ............................. $
Penalty....................................... $
Thi
By
J 00 · eX>
I {}CJ . ~O
3S. bU
QO.60
ePe k ~:J:~~i:'~:"kWh'$j~.
Date 1.. '1'" 2.~
6~"'.
t>~60
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
24 hour notice for all inspections (952) 447-9850
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wtttte ;:~
Canary -'E~
Pink' -Planntng
BUILDINGPEaM,TAPP
RIMENT'CHECKLIST
NAME OF APPLICANT (l) \ f'\cM.n.o{)rl. ). ~~
APPLICATION RECEIVED .......\)It''' <9r\"'~ I ~('\(')'()
U
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ L.j LId / r:p;J\ A.f) (0 l1.l:rf. AJ ~
Accepted /"
1 .
Reviewed By: ~.L ~
,:)"
Accepted With Corrections
Denied
~
Date:
?- 2-~..~
'I
".
Comments:
~.
f) .2v(~~MM o;~ ~ ~ .~~ .
~~ ~ 1---'( /.t6J R~{)'~lD- ~
2-) r<(')rr-~ &~ ~~~ .
~ Q ~ C) I t-t) ~-CAr~ ~ I r1vo~ e-aed.
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."
/
<
Th~ C~nt~r of th~ Lak~ Country
White - Building
Canary - Engineering
Pink - Planning
B.UlI,.DING PERMIT APPLICATION DEPARTMENT CHECKLISI
NAME OF APPLICANT l [) \ f'\d. LOGnrL )...~
APPLICATION RECEIVED 00L. k. ~~, rl~
U J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L/4d J %~ CQilJ'Yf- iJh
Accepted
Accepted With Corrections
Reviewed By:
Date: 7-J/-?6CJO
Denied
Comnnts: ~
J. ~a"~o::to..C~ ~~
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."
-W-b~aL
Thr Crntrr of thr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ([) \ f\d. t f)CDrLJ-.~
APPLICATION RECEIVED 00 u.. ^ @) ~. &rrr;()
~' ~ f
Thl~uite6ng, Engineering, and Planning Departments have reviewed the building permit
, application for construction activity which is proposed at:
.. IL/'-I~ I ~ ('ON::rt- tJF;
Accepted ~
Accepted With Corrections
,
Denied
Reviewe,dBY: . Grant CarlS1>rt . Date: Jhf!tJb
....Comments: .Ce,e -lite. (ever5e S/~ /r I ~c/ttI-0P"-'8./
/1/1, rlln !riJ/!.
,
,IN'
See (l-ffpre/,II7I'/1Is-,,' tJ=;brA! Gm~- AJ:pe;hOJ ::%/k:t"h4-A-
d_ ~1^.5 PtCM'l ~ ~r;.u,n (O~ MeQ5"w(Js ~~" {k~1
;%~
liThe issuance or granting of a permit or approval of plans, specifications and
computations shall "01 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
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*Permit#
*Job Address J..:j 4 ';}. I Aa \/ aJ.f
M~ I tiO AIR
A:?f
.Heating ContrllCtor
.T ..t....,$;gnoIur. f ""-
Date
.Gas Une
Pressurized
Inspected
Time
tiE
Pounds
Pressure
, PERFORMANCE TEST
.Percent CO2 (11_ ~'?o .Percent CO -1) ~
.Percent~ 7. I ...,() .StackTemp.13(oo
-
Final Inspection
Date
/
:;'
'-
'-
10/21/99 TBU 13:14 FAX 6124474245
CITY OF PRIOR LAKE
~001
~
CITY OF PRIOR LAKE
l. B IIlC"
2. Gokt
3. Yellow
flle
City
^rrlic:anl
1~. ('.."..., at lite' J.dt C_'F)
ifLUM ING PERMIT # ..ao-OGf~
Applicant: ' & . Phone: L/t:( 2'" 2/2- /
Address: ' )" -. - ~/ndt1/) ,fl!t; fit=);-:;,~...)
Signature: (
. Legal Description: Lot c;;) K Block I
Site Address:/#J ) /!avf!/) l.c~
Building Permit # Ql)-tl~'t1~ PID#~'-,~~-~-O
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
SUb~~
Quantity ....
Type of Fixture Quantity Type of Fixture
~ Bath TUb with or without shower 3 Rough-ins
/ Dishwasher I Water Heater
/ Floor Drain Water Softner
,3 lavatory (bathroom sink) / Stand Pipe (washing maChine)
I laundry Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
/ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
3 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
$99.50
$39.50
$
$
$
$
GRAND TOTAL
~-$
.50 / ~~~~-
/ ~~~~~
/ ~~
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447..4245
An Equal Opportunity Employer
y~;;~ ""II 1 ,-!r r-ruUI1 LAII.C
il J ~ '6200 Eagle Creek Av. c: ~ ~Irmit N:l 0\- \0 l ~
c Prior Lake. MN 55372
'\..~ V HEJ.TING APPUCA.ilON I P=nM/i'
lEle ~-::t J.- ID PElC, QS - 3 ~ <6" -Q.Xx-O
~i Address. \ ~~d, \ ~ (A \J q ~ C.~-\ 1\ ~
-= :;M Bt:=:k \ Adct"b:\. K \f)\ c;b \-\-l \ (. ~ 'f--h Ana\)
~.n8I'S Nam. \ri ~ l\ ~ \.J' II ~ t\ () N ~
~dress \ ~~\\ ~~:~\_ (\-I~ .~-'l i\.J~'\\A
'~ \ {\
Hasiin; Comr-+""f,' \ \ ~,~ l\~,..... ~~ ;, \
A:idle~ '\ \~ ~ ~ t\ ~ L \ t Or.-v. ~ ~ l 1J.~; V"' \ lot It,
leklpn:,na # , '-\ '\"1 - ~ \ "";;l '\
Fuma::8 MaD & Mode' (~r~ ~ ,,~
~.:xJeI SIzI . \"\ ~ \" ~ & 0
Conn. ' ~">>... SO" Sit
rueS t\) tf~ Hut Si1. f V '-
The pn:a DI )'OUr healing pemillndudes Dne mu;h-i\ 2nd one fmI ~ ..
Ad:i1ianaJ Npe::fions wII be b1hd III ~ DO ..~;.
Ho::. Heating Tes: Record must be s~ wi2h 1,,*f1nrl ~ nsm~:.tall !Iui~
ina :~ of o::=Jj)an:y wi be lssued..
i"'=4T~.Al ~ .. mnN,~ ,R:nll~, with rumber of .l~ and fDDn. ~ listed per
mom. c,.-V.. per opening. NIM stnJ:ans or a"''-';''''rB send br plan WltrsUiJply
and 1ftD\ ~cns shorm. HE1\T LOSS 'CALCUumoNst MYMENT AND
APPlJCATloHs MAY B: W. :::r\ 10 ne CTTY OF PilaR LAK:. 1SZDO =AGL:
Cr==t A.VE. ~ e PRJOR LAKE. MN 5S372.
City Hall ~.-... hours are lUlL. C:30 ):Un.
Other Dave. . AU. WORK MUST BE lNSPLal:O (ROUQ1HN AND ~ . CALL crTY fW.l
'. 447~
' .
\ TYPE OF WORK \.1 I hlR8b1 apply tor . m8Clwlical ~ms penDII and 1 ~ lhat...
~' -.. ~. .inlDrmdanlollclnis~lIIII__hlllle_lllwi1_iIl~.
R NMr CcIns1r II.. . . wIIh ... Dnan.- alii ..... fit lbt c1Ir W wlIh lie ... ~
.' .... - cocIIoa; 1hId1hia fl:tm .. JlDl MCDill.. PlCl}lllIIIIlII!IM!' by 111. BUILDINe
~ il8;lIII1r - . ~ Comp: A " OFFICW.; lbaI \he WIIrII: vii lie in --nMnae wIIh lh8 appJDnd plan i111h1
~'.~~:;/ 7P_~'~:~;rT;:T. ~\-r;:t~~~~.~~~~:.&:
(S).- -..' . /50 AI III nlNG PE (A ~111i _A~ . '(; DIIII 0' . _
~. STATESUActIAJGE $, ~ . - DV...... t)' - r ~ ;.. ..:~; . \ /. J'-. ,~, C/ Cj$. \ .l~.
N..", '.' - /" ,^ 1\1). . .' ,,(PA~ I1JI1<P ,>f , ..,. / H (
~~!.~I~rERl1F" s~ . . ~~ '~""~""" / ." .
<9~~--:-,~. '. : . ::. ': ~ ....:,.::... : ' '" . -' ':. ~ ", ._.... ' ..- _.' :. ~_. :~. :.: " . :::;..' ,..~ :., _ . :. :~.;".:"..:::.-.;,. . ",. '
,\;I, ....~"... ,.. ..-. ...,..It.' ":."~~_~.h;~"~_"'.. ...:' _ ... '_.': ........ ..' J ..' I.~.' "t~.,.;.n;!o~..~_.....~~~.._
....:'iOY-..-~ ,'" · · --.. - -::,>,'" . - ..,.;:;.....sr 'e..... . '<"~' ... .. _. """'...: '" . . ,>p ~...... _ ..~ . _ _ __ .....
~~":"':" . :"~':":.3~'(~:"~~"~~"'~~~"';;":;~:;;;".:'i~' '<~~. .. .,~. ~'''=':'. ~;\..~C1:::i'<l!.t._ ." ,~:: . ':
..... ~ . ~ - .' .. .- '. .'- .'. ,." ..~:.,. o,-,:! ,:~ '-';: '.' .,. ~.,'; ".-.- ~" '.'" .... _". . ..
$uppiy Op.ninga. \ ~
~m O?enin;s . \0
lnpu1. ~~ . --Q\t) OLlpUl S:l, o-~"
. L
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a:: Edt. ,
H
<I
~ ctm.,
to-
~
Atarmbns
TYPE OF SY!I.:M
Warm Ai: p~ Jd
Grady,
....chIni::aI
AD Concrli:3~~
VenL SyIlern .. ~
tF.AnNG OR PO\Y:R PLANT
Stum _
H:d WZI1p~,
Speda1 DIVic:es,
JVPE OF STRUCTURE
1...... . i1Ja
~ IiIID - CD,
). YcDCIW . ,.-
_ s. ran.1y ?t
Two-ramOy
M\ji-r:~ _....
Ct".
CDmmer;ial,
k\~slrial
?-=I:
:::ee S:he.dule
ln~ '"iaI, ComrMrtiall MuJi;.Famiy
M-..stiential. Hating & AC
?esidential. Heiltin~ Only
ResidenRJ. Gas :=-Ere;Jla:e
n~sidential, AdQiti~ & Alerztions
?esidential, N:, Onty
, %, eta job C:S.{O~.50 minimJ:T\}
::: r1 ~@ g J\Y7] ~
1_"( U2i2lm
J
S39.5D
S39.50
s.~.50
~I
J
Me."nember to Idd the &me Sur::barge an VIe b~ of tis Ipf'_r."n.
- .-
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&llEE. - FILE
YELLOW - APPLICAIfT
GOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
s.w. No.LlQ-- 077
Sewer and Water
contractors must
be registered
with the City.
APPLI CANT: 0 fL ~~ 14&1.. E xC.
ADDRESS: J ~ I L ~ .\ ofL ~ w..+ ~.I
SIGNATURE: C Y.....6r- ~~
SITE ADDRESS: ) L/ if:L I /l A (),6y.J e-r.
FILL IN THE BLANKS
PHONE: 8 1:2 -" 9 () l,
DATE: a/~/{)O
, ,
BLDG. PERMIT #
PID# 2~-~~ -O~~-o
1. Estimated length of water service ,-/0
C(
feet.
2. Size of water service
I
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 "0 feet.
6. Clean out (if required), located at
structure.
-
feet
from
===================...=~============================--=z===========
This apPI~tt<~~3 your permit when approved
BY K J /\..\ DATE: (3 ~ 'CfJ
- - 1 -
===================================================-==============
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $~9~ 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
DATEi::::d"-f!p CAJ / ~ lV' AMOUNT 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
PRIOR LAKE
· INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 44~\ RQ~ Q,\-.
NATURE OF WORK ~~
USE OF BUILDING PiED
PERMIT NO. oO-~"2- DATE ISSUED ~--:s.'-"Uoo
.CONTRACTOR ..wl~~c1. Ucr- .JL~ Pt\ONE'\\ 89 '-S-~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT"
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE .
GAS LINE AIR TEST ~ ~ Vi, 1m
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
INSPECTOR DATE
FOOTING /J:;.. elll/ jb'lJ
FOUNDATION (Prior to Backfill>t:e;. ~:W;t,f~ rj ~in
PLACE NO CONCRETE UNTIL ABOVE HAS ~"'SIGNED
ROUGH - INS
~,
~
ib1
116/tn
'i!~~/to
1//5/tro
. .
~.
, /Y IPlJ
"/~/1n 't/.il/dI h
~t,
GRADING (Prior to Sodding)
BUILDING/(~ ~ fIr\"'~\.~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
FINALS
~
~ if,
-111
UNTIL ABOVE
NOTICE
- 7~;~~tJ/
1~ '
/~{;'l /tn
_ /I/~?'/ff
, c
BEEN SIGNED
HAS
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.
4 .
.. ."
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
.. . .
~.~~~y;~; :~..~"
(t7.: . . ..
~~!, QLtrfifirau of (Ocmpatu:y
( ~.: CITY OF PRIOR LAKE
J)epartment of .uilbtng In'pettion
~inal Permitted 0 Conditional C.O. Expires
This Certificate issued PUTSUlJllt to the requirements of Section 307 of the Uniform Building Code
certifying that at the time of iSSUlJllce this structure was in compliance with the various ordi1lQ1JCes. of the
City of Prior Lake regulating building construction or use. For the following:
Use Classificatiofl
SINGLE FAMILY
00-0672
Rl
Bldg. Permit No.
N/A
Occupancy Type R9
VN
_ Fire Zone
Zoning District
Type Construction
. Legal Des..a:..uon L28. BI. KNOB HILL FIFTH ADDN_
Owner of Building
Contractor's Name at Address WINDWOOD .JIOME S
ROBERT D. HUTCHINS ~.
Site Address
14421 RAVEN COURT NORTHEAST
Date:
City Planner
Date:
DON RYE
l,~-';~'\~ -~!..:.. ':~l:... !","r. ,"~'~', ,L-;:...J~./'.,..i.L.'i;",>,,,, ...;; '~'l"""~;;l:L;:' '_~~,1~",,,,~'" :'l"~':<-L,>.'~\i\~ J......:i:.'.'/~,'. a--'~;:'~ '".~.~....;>, .~;'j'~;~I{"l..!~:,i'",~'.....";--,,',;.;.~..;.\: ",oW '
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7-d.~()' A. T.
ADDRESS
/#?/ RAVbJV CA
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
'INSULATION
FINAL
SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
~ O~(p 72-
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
rASLlNE AIR TST
~. .
/ -H
1
.
ltwORK SATISFACTORY, PROCEED
/D"CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~i
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS /o/LI:2/ ~I/('" cr A/E
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)&lFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
G ;"4.d( - r.2.../L
DATE TIME
(jC:;-~ 7 :/
)8(.~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
)(WORK SATISFACTORY, PROCEED
, 0 "cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ _~
l-'~er/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &I SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
/L/t/d-/
3~
RaJ..Jp .AJG..J
SCHEDULED
/~I Fj{f ()
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0"07;)-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,.B:;fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I. ~.1 .l.. \t'Uc" ~t- ,QtUUO~~~_~ ~
"'2., ~~l'- ~~~ af:f- ~. ~~ ~,
}. Q.~ r\l~ +,)-5ir v
T -e...-P
I
Q .J Cl -10 Y ~ I Zo::"
~ ~ ~,,~
o WORK SATISFACTORY, PROCEED
o CORREC TI AND PROCEED
)( COR CT K, CALL FOR REINSPECTION BEFORE COVERING
Inspe or: . ). Owner/Contr:
C L~50 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ~/ 5,/017 10: <f S
~ C!Jf-,
ADDRESS /447 I
OWNER
CONTR.
PHONE NO.
PERMIT NO. -.f) - /0 7 7
o FOOTING 0 PLUMBING RI
o FOUNDATION ~MECH RI
o FRAMING WATER HOOKUP
o INSULATION l' ~ SEWER HOOKUP
o FINAL . V[i'PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT ~AL,L FOR REINSPECTION BEFORE COVERING
Inspector: -- '/'1' Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED! () , ~'7 - 0 1./; C>o
ADDRESS ,Llf1..I-rl.-/ R a.. u oJ Ct-
OWNER CONTR.
PHONE NO.
PERMIT NO.
o-ro'ld--
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ "] SEWER HOOKUP
~ ,{PLUMBING FINAL
~~ 0 MECH FIN"AL
C~MMENTS(l) .~ ~ ('~aA.
(JJ) ~; '.~-~ tr1 ~ ~J
(g) ~~ ~,~LLu~~~+v
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXlGRAp/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
\ l( \AJ L,. - J;k u ~,
~~~C
o WORK SATISFACTORY, PROCEED
" CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~1
I
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl