HomeMy WebLinkAboutBuilding Permit 00-0661
~ !,a/crD
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 ADDRESS
/!df{LJ
3. LEGAL DESC~17TION
LOT '7 ~ BLOCK
ADDITION (
4. OWNER (Name)V ~ " J _ (Address) (Tel. ~o.{ t./2-'l-
~~ Yn(. Y ~ A _11 ?d'rJ ll3lu,., ~ f\J UJ , ~ /1Ji)
5.~H;~(NamO) <_,oss) ~~ '-l2iz.r:oOo?-;.4
6. BUILDER (Name) ~UsD ~ St- (Tel.:ji?(7fL3)
~ 6dr. SopticCl Doc Cl Ro-roofingCl ~o~n
New constructiorj)( Alterations a Addition a Finish Attic a Re-siding a Finish Basement a
Chimney LJ Misc.
DATE RECEIVED
~/.l'VJfhJ- (' JCdt'
1. White
2. Pink
3. Yellow
File
CitJ.
AJIIl*cant
1. DATE
Permit No.
7-lt-o()
ALLJ ·
(Depth)
12. NO. OF STORI~
PID 6>S - 307- tJ?l/-(J
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. ~ Width Depth Yes No
I hereby certify that I have furnished infonnation on this application which is to the best of my knowledge true and correct. I also certify that t am the owner or authorized agent for
the above mentioned property and that all construction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
:uil~n ~ j~ore. I hereby agree that the city Offici/l,'2:~e may enter upon the property to pe~ na:i~M
(l Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS LJ PERCOLATION TESTS LJ
Side
USE OF BUILDING
(\ .....!\
...1'/1 ,
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
SETS
COPIES
I ~~, 000 .fS)D
PLANS & SPECS a
SURVEY a
PLOT PLAN LJ
PERMIT VALUATION
I
Pressure Reducer .......................... $ q5:' tP(7
Meter Horn ................ .. .. .... .. .. .. .. ... $ -{--I ~.C!J CJ
Water Meter ................................. $
Sewer & Water Connection Fee ........... $~ DO ..t:!J a
Water Tower Fee ... .. .. .. .. .. .. .. .. .. .. .... $ 7 (!) 0 . t!Jt"
Water Tap ................................... $
Builder's Deposit ............................ $ J I ~O(!) .. (!) 0
Other ......................................... $
~:_ Tyii....iib.......~:~;~$~tL
~~~ '1.s<tg..:;l1 By ,50..rI
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed a ed. This document when
~ ca< P ner ~ olomporafy ConlficoIo of Zcnilg compl~;ows ~ 10 commence. Boforo ~Certificalo 0 poncy must be Issued.
~ ?2.A~ ' , A~C~...~ ' _
~ -' C Planner Date - Special Conditions any
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Penn it Fee ................................... $--4(>5"2.2.~
Plan Check Fee ............................. $ (, [j J · Cj (,
U (, .. !:>-o
State Surcharge ............................. $
Penalty....................................... $
Plumbing Pennit Fee .. .. .. .. .. .. .. .. .. ..... $
I ~ ~ .. t!)t>
100 't1 c)
~~ ,50
iM ,.t)l)
Mechanical Pennit Fee ..................... $
Sewer & Water Pennit ...................... $
mes ur Building Pennit wtten ~~ved.""')
Date / - .t.O - -cOJcrJ
Issued
City:
Amount Brought Forward .. .. .. .. ... .. .. ... $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee . .. .. . .. .. .. .. .. .. .. ... $
Sewer Tap .... ................. .............. $
B~-o..dX2
~ I oc:J rCll:L
~
~,~
/~
,
$
1lS':
24 hour notice for all inspections (952) 447-9850
- ......
"; .
,",
aJ-6t/
"?"
White .. Building
Canary ... Engineering
Pink .. Planning
The Cenler of lhe L.ke Counlry
.,t:"
BUILDING PERMIT APPCI~CAf{t1ti'D~PARTMENT CHECKLIST
>,/ <~
NAM'E OF APPLICANT ~1()X1'\rnr 1L. ~
APPLICATION RECEIVED ~} \'j \ d. \ c9- [[1)
t;~. ) The .Building, En,Qineeri~g, an~ ~Iann~ng .Departments have reviewed the building permit
,- ~apphcaflon ,~dr c6nstfUCtlon actiYgy,~,/lIct:J J~ ptop@$eff at:
I I . 11 U~Cj I' \) a' I'
{. >~~I,,~U;/rf--!J; ~~.t~rtM,+. I<~Uir,/(~' AJiyJ
.(, t;l:~,r',()'. {<.....
Accepted /
Accepted With Corrections
Denied
Comments:
Reviewed By: Grat)",- (JaJsl'll1 Date: _7 /~/a1
GrqleJ t'7I!M/lpC e)'~eevl (g:'l.
<Jee & retffs-e ]?/'c(f; .;;;, a/~Y;~./ ":pf.,t}.~.rb~ ~
.~
J(
.~ /,/
/ / - .,.., ~~~,-
, , oS... ~;;'~
~ o,fq....A/1IMI>~ L ;::;;,,,/ ~".k .:zn-fP~C.fr~ 7h~A'4*~ .?- 6',,,,,&1%,,
..L J;;O$'//H1 ~/~t:?5"i~ 1(' bhSO/dh ~"h/ ~J'(
liThe issuance. or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
00 .O~~ "
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
f.:~~",~, '.;;:f'~~:"~c'~"{"~'~A~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~\1cU1'trT\iC"'- ~ ll\ (i11':S
APPLICATION RECEIVED :t )"!j \ C~ \ ;;) t\Il7)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I ~/991 )l,.1 ,,"yy-riJ 1- (../ I r (c~ IJ oJ
Accepted
Accepted With Corrections ~
Denied
Reviewed BY:~;:;~~~~
Date: 7 - :J- f> .. ~
~-
1>1.,
~ ~,.;\ 1b ~i\~$ J-DZ- p. ( ry"vj
0ev!~ ~y,A ~ Vhe- ~J;'~ I
liThe issuance or granting of a permit or approval of pl~ns, specifications and
computations shall not be construed to be a permit for, or an apwoval 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
~
()O {)(g~ \
Thr Crntrr of thr Lakr Country
White .. Building
Canary .. Engineering
Pink .. Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~hcl,mrodL~..r:s
APPLICATION RECEIVED ~ \ci \ bl..fiJ1)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/499) ~n.. ." l- QJ r-rh-J> !J()J
Accepted
Accepted With Corrections <
Denied ~ 1__________
Reviewed BY(.-t:!..[J ~ ~
.. -- 0
Date: I ,..ls:J- ~
Comments:
1.~.a.U Q.~t.~ f-k.-oQ _ ~
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."
CITY OF PRIOR LAKE Me OTL /"'\, _1_ f
. - 16200 Elgie Creek Av. S.E. Parmit No. . ~
Prior Lake. MN 55372
HEATING APPLICATION I PERMIT
Dati if S'OJ PiO ,
Site Addless 1</941 _~ ~
Lot Bbck Addlion
Own8f'S Name ~~A~'~'
Adclra 5S
Healing Contractor ALLIED FIRESIDE dba FIRESIDE CORNEl.
Address 2700 N~ FAIRVIEV.. 1l0SEVILL'R. MN 55113
Telephone' 651..633-2561
FIllEPLACE rib. JJ
~ Make & Uodel ~ ~~
J7-~
ModeJ Sizl_
TYPE OF SYSTEM
Warm Air Plan's
Gravity
Mechanical
Air Concr41onif19
Vent Syll.m
HEAnNO OR POWER PLANT
Steam
Hot Waler
Radiation
Special De~8s
Conn. Load
Fuel ~
S~ Openlrvs
Return Openings
Input
Edr. ,
elm.
,Flue S~.z8
. Output 4t? Cl,t\
OCher Dmces
TYPE OF WORK
o
Alteration s
R."tacemenl
New Consbucl1on
R&piIir ,
Est Cost S
. Eat Comp. Dala (l'll, 00
/IDo..()) BuldingPemU CO - 0 ~(p I
HEATING PERMIT FEE ..
STArE SURCHARGE .,
TOTAL PERMIT FEES $,
.50
f_.m&r'TH
\~PERM'T
Receipt'
TYPE OF $ I H\,JCTURE
en
(I)
I. Plftk - Ale ~
1. lira!. - Oly
3. Ycftotr . c._. ~
Single Family
Commerotal
"
H
:D
m
-en
H
o
,m
"
o
:D
z
m
::0
Two-FamHy
Indvstrtal
Mufti-Family
. P\.tJtic . Other
Fe& SchedtAe
Industrial, CommereJaI & Mulli-Famly
Residential, Hea1ing &. N;
Residential. Heating Only
Residential, Gas Fireplace
Resktenttal. AdcM;mw & Alterations
Residentia~ AC Only
(J)
U1
..A.
Remember to add 1M Slate Surcharge on Ihe bolt
The price 01 your healing permil todudes one rough-in and one rlflallnlpedion.
(J)
U)
U)
Addilional inspedions wi be billed at 135.00 each. CI)
CI)
House Healing Tesl Record must be stbmi1led with IwikIog IlIDDit DIIID&lIr before buI ~
ing cenHk:81e 0'..... ..JPa1CJ will be Issued. .. .
HEAI CALCUlATIONS REQUIRED wiIh number of supply and ,eun operinlllsted t
room with CFM', per opening. New IlndJres or addllons aend Hoar pian willa euppIy
and return Iocalions shown. HEAT LOSS CALCUlATIONS, FAYNENT AND
APPUCATtONS MAY BE MALEO 10 THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S_E_ PRIOR lAKE, MN 55372.
efty HaY busrness houn are 8 a.m. - 4:30 p.m.
en
(I)
'U
I
U1
I
o
o
r
ALL WORK MUST BE INSPECTED (ROUGK-IN AND FlNA4 · CAlL ClTV HALL
447-4230
U)
CI)
."
I hereby apply for a mechanical systems permtt and I aclcnawCedge that ,he s:
fnJormalK>>n almve is comple1e and accurale; that the work wll b. in ~on'ormMc
with ,he ordinances and codes of the city and with the state buikling/mectlanlc
codes; thal this form does not become a permit unUI siVned by the BUllDINt
OFFICIAL; that the work will- be in accordance with 1he approved plan in the
case of art work whIch requires review and approval of plans.
k~
."
Q)
(Q
(I)
~o.t.
9"15""00
OatIl
-
..A.
~\ CITY OF PRIOR LAKE
/~ ~. Me
l01 r ... '\ rn IUOO Eagle Creek Av. S.E. Permit No. 00 . OftJIl (
\ ,.. . Prior Lake, MN 55372
~~ HEATING APPUCAnON J PERMIT
Date \2~l~ CO PIO' $6'3fJ1, 01.f""D
Site Address . niClCU ~"i.A.n\.n~ct' c'-l rell.
Adcfition_ ~
SY'oJ)\V'VC~ 'Ou..&c\()~
3~D \l\(uh st.
Heating Contractor. t\ \",'~ \\W'J\.a JU.oo.,Q --~~.r\ C.,
~ V.L., ~Ab.A(iQ.QI\.S1-' tbJ)\ l[l,~ . .
llc 3 -- Lr.~4 -' r'll u~') ~"".;:,
f\ frY'....~ , t :x"
Furnace Make . Model ;::>)~. TYPE OF SYSTEM
. /\ \ ~C\ d.. r\ U C J'-"'ii'lJ L I Warm Alf Plants
Model Sll.e<.!..L.l..U- ~ -:J ~ ~ {Sravity
Conn. Load Mechanical
. Air Conditxming
Fuel.~C.c~/..Flue Size .3'. Vent System
"->
Supply Openings
La.
Block
Owner.s Name
Address
Address
Telephone ,
l:~
L--"""""
Return Openings
Input !J...t.J;l) lJ
Edr.
IL-
V:'
OlltPut~3 7c.c
I
~~NGORPOWERPUUIT
Steam
Hot Warter
Radiation
Special Devas
Other Devices
Cfm.
TYPE OF WORK
New Construction ~
\ 2. Z q\ "
(6 -0(0&('
PAlO WrrH
8U\\J)\NG pE.iUftlT_
Alterations
Replacement
Est. Comp. Oat.
Repair
Est. Cost $
5.lt;Cl)
- Building Permit .
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERM1T FEES $
.50
Receipt ,
qv\if: /
\ l-\l.1
"'l'-S
L o~ .
- TYPE OF STRUCTURE
- F~1e
City
CoDlr3C1Or
]. Pi_
1. Gm:n.
3. Yellow
~
I\J
......
~
LD
......
I\J
~
I\J
~
Single Family
Commercial
Two. Famity
tndusbial
Multi.Family ~.
Public Other
Fee Schedu4e
~
LD
J:lo.
J:lo.
IndustriaJ. Commerdal & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Res1dentia~ Additions & Alterations
Residential, AC Only
1 % of job cost
$99.5,. rs I',::c. ;2 ~)
$64 SO' \. \ \ LS.:::::7 LS ...: .-'
$39:50\ )< ~o'_'.P------
",.5~' 1\, I, _, , i9ll
S39_50 ' ' \ \,
\....
0"1
~
I\J
J:lo.
W
J:lo.
~
'0"1
LD
LD
>-
Remember to add the State Surcharge on the bottom of t~cation.
1
The price 01 your heating permit includes one rough-in and one fina1 inspection.
Additional inspections will be billed at $35.00 each.
House Heating res1 Record must be submitted with twikUDg ~ num1Hu before boUd-
ing certificate of occupancy wil1 be issued.
!ifAI CALCULATIONS. REOUIRED will number of supply and return openings listed per
room with CFM's per opening. New structures or additions send Cloor plan with supply
and return rocations shown. HEAT LOSS CAlCULATIONS. PAYMENT AND
A.PPUCATlONS MAY BE MAILED TO THE C1TV OF PR10R LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
City Hal business hours are 8 a.m. - 4:30 p.m.
All. WORK MUST BE INSPE~ I ~D (ROUGH-IN AND FINAL) . CALL CiTY HAll
4-17004230
J>
H
:;0
ffl
(")
I
J>
Z
t hereby apply for a mechanical systems permit and I acknowledge that the
intormation above is complete and accurate; thatlhe work wm be in conformance
wit" the ordinances and codes of the city and with the state build.nglmechan1cal
codes; that this form doe no come a perm" until signed by lhe BU'LDING
OFFICIAL; that thl'. work . b in accordance with the approved plan tn the
case of all work y hic-tl r quir~s rev;ew and approval of plans.
, i'l-f, <6/D 0
Date
Iv. Z1. 00
Date
'1J
J>
G)
fTl
~
~
612 5331121;
Sep-8-00 1:14PM; Page 2/3
-... . .....
fiLLOW' . ......ICM't'
80LD - aTY
CITY OF PRIOR LAXB
S~~~~ AND WATER pERMIT
s.w. NO..-D{) -0 ,,'=' I
APPLICANT:j'
ADDRESS :l".'(0
NOTE: Sewer and Water
contractors must
be registered
wit:h the 'city.
~ 12b~ PfiONE:~~~-L/35-7
;~+~; 'PJ~bf~DATE: q-~-Oo
BLDG. PERMIT # OO-cx;," I
_fLl9'i - ~m tMi -J.. c.Lrt,I..f ~tD#
SIGNATU
1.
FILL IN THE BLAN~S
Estimatecl length of water servi ce 5.0
2 .
Size of water service
I
inch (es) . .
3 .
Location of any couplings from structure
j;
4 .
J I .,
Type of _ewer pipe. ABS, PVC ~
Estimate.d length of sewer line 5D
Cast Tron
5.
feet. .
6. Clean out (if required), located at
structur*.
. feet
from
==___.____==::=====-====================_______~_~----__==========m
~~~~========::= ===========~==~===========~~~_~--~~-~-~z===~===~_-
This applica~io your permit when approved.
BY DATE: '1-/5 ~ tJiJ
FEES:
$
$
$.
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
Fcc for ,ithor sewer or water individually
$ .50 sutcharge.
... Sewer an< l water permits issued tor new conGtruction must be
reoorded on the building permit card at the time of issuance
to insura that no duplicate sewer and wator permits are
issued.' 'l'l~ &1
DATE PAID AMOUNT PAI~~~
RECEIPT # REC'O BY Ie _ . _
*
is
$20.00 plus
16200 Eagle Creek A\,. S.E.1 Prior Lake. Minnesota 55372/ Ph. (612) 447.4230 I FAX (612) 447-424S
An Equal OpponunilY Employer .
Sent By: PLYMOUTH PLUMBING AND HEATING;
1
1
612 5331121;
Aug-30-00 10:24AM;
Page 2/3
Quantity Type of Fixture auantity
^ Bath TU~ with or without shower I
1 Dishwaster I
I Floor Drsn ,
~ lavatory (bathroom sink) I
I Laundry -ray <1 or 2 compartment sink)
\ Shower ,tall
I Sinks
Bar Sink
~ Water CI( set (toilet)
'rill! Crn'" .t la, La\1 COUll'",
1
I
~ I
i
I
FEE SCHEDULE
f
j
I'
I
I
CITY OF PRIOR LAKE
PLUMBING PERMIT
~~
1. Slu. . File
2. ~ld : 0'1
,. Y.now AppUCIIlt
PPNo. 00. O(P~ I
~)~33-~
rt.' 654~,~
Applicant:
Address:
Signatur .
Legal Oeseri iO~: Lot 14:'. Block 1 Sub .sl t":;~LJ No S.
Site Address: ,'L( q 'LI ~ W\i.+ (\ ia,,( ~ .
Sunding Permit it 00. D ~(Pl PIO #-25 - 307- 07+ - 0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ. Double Check. PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
6; \ l c.oL(
Industrial, ctmmerClal & Multi..Family
(1 % of job c t, $39.50 minimum)
Residential, ew One & Two Family
Residential. fdditions & Alterations
state Surcharge
$99.50
$39.50
$
$
$
$ t .50
PAID WITH
~8UJLD'NG PERMIT
$
GRAND TOTAL
'nus permit is granted upon the elpress condition thal said
contractor. shaU compl in all respects with the otdinan"5
of the State Plumb; In, the amendments thereof.
O. '9' ~ . tru DATE
AII.t:.ST
) m@[gD\Y7[g ~
.ao. I
.0)
16200 Eagle Creek 1v. S.E., Prior Lake, Minnesota 55,372 J Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opponl.lnity Employer
PRIOR LAKE
~
INSPECTION RECORD
DEPARTMENT OF .. ...
BUILDING AND INSPECTION
SITEADDRESS It.lq'il c;U!MtAA;~ nl'rc.(~
NATURE OF WORK JJ~
USE OF BUILDING, ~\=D.
PERMIT NO. Of) w 0 ~ (, I DATE ISSUED 7 -d:> - ZddCl
CONTRACTOR s.~~c.kL ~tI~'\AJ-s PtlDNE~. - 42-7-1100
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING Ij:;Ec:rort r/.Jr/~ATE
FOUNDATION (Prior to Backfill) IJ9:1- · 1 ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~~ r~~i!)
~ \. ;!:if ~~
/ .
/R.. 9//5'/.~
I ~('~~
. Wti ~ 111J1~'
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL, I
PLUMBING tM"lfJ 7'/ ~/t@;-
HEATING (if requi",d)
FIREPLACE ·
GAS LlfJ'E AiR TEST
.t: COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
JIJM'- ft - ~
FINALS
~t!{
~~ t'J..,~ ro
_ IJ~ n:.J!OiJ
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... c~rd shall be placed near main entrance.
..
GRADING' (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Itrtifirau of (Jaupanry
CITY O~' PRIOR LAKE
/ Jlepartment of .uilbbtll Jn~ptttion
)If Final Permitted 0 Conditional C. O. Expires
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 Classiticatioll
SINGLE FAMILY
Bldg. Pennit No. 00-0661
Fire Zone N / A . Zoning District , R 1
Occupancy Type R3 Type Construction VN
'_gal "--_" L 74, Bl, STERLING SOUTH
~ ...-nption .
Owner of Building SiteAddress 14991 SUMMIT CIRCLE NW
Contractor's Name "Address SHAMROCK BLDRS., 3200 MAIN ST., COON RAPIDS, MN
ReBERT D. HUTCHINS~\' CityPlarmer DON RYE
aJildin ~ Offi<:ial ~ ~
Date: i R,P; 0 Date:
; {" f POST IN A .CONSPICUOUS PLACE
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED .
ADDRESS /4 qet, 5 ~mwl If-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
P FINAL ~. ~ PLUMBING FINAL
o SITE INSPECTION 'f\. MECH FINAL
COMM.ENTS~ L ,
- 1"1~ f'~io~
EtA'{ """..l".r ~ '..b ,
J:k~'~w~ ~ ~
S~~ ~& t""
12j:;W
TillE
/()!()O
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~;t:~
~~ c....' '1
~t0r&f'~
co. <UJ,( i-ct (
\ I
SflJ 0 I
o JJPRK SATISFACTORY. PROCEED
,I'f CORRECT ACTION AND PROCEED
o CORRECT WORf' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ . .~ Owner/Conlr.
CALL 447-9850 FOR(THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
DATE TIME
SCHEDULED ~ AS",
~ ~1'-'. $- ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
11-j9g /
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
OS
o
COMMENTS:
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
,
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpectOr.S \~ OwnerlContr.
CALL 447.9850 FOR THi NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TillE .
SCHEDULED 9jZ~. LJ: tlO
0U ~ M..,'t- (JL.
ADDRESS
/~9'1
OWNER
CONTR.
PHONE NO.
() - '-"!
PERMIT NO.
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION ~ 0 MECH RI 0 COMPLAINT
o FRAMING ~ WATER HOOKUP 0 FIREPLACE RI
o INSULATION Z.SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL -] PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS:@ .(J,..: .....0..-- ~ 11...... of ~
~ ~~ j4-<JI?<' ,
i~ ~~~.~.
~A- 4 ~,.t ....~ ./
tI
~~J t!"~~+O tl( ~K."
~. ~~~O~
~ \ ~ ~ wcJ2..... Q.e... rL{}o PJ C, ~ ~
~ I b 5-- A;i-, ~
~" /" -
I ~ w 1",.- [)i.~ ..
o WORK SATISFACTORY, PROCEED
)! CORRECT ACTION AND PROCEED
o CORRECT ~ALL FOR REINSPECTlON BEFORE COVERING
Inspector: ' ~ I Owner/Contr:
I
CALL 447-9860 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 /c?/9' /0 a
7 .
ADDRESS /~ 9 q / r JZht~/t- 0~
1130
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J-(,to/
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
lil PLUMBING FINAL (I!)
/"0- MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: r
Mt4t0 ~ e- Te.r- OK
/'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE(;?, ~LL FOR REINSPECTlON BEFORE COVERING
Inspector: ~ ~ \; {}A.A.(j Owner/Contr:
CALL 447-9860 FOR THJ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I LJ ?9/ 5 U fYI fYJ J f 4-- f 'r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00, a/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
VJku/J .c,/lj r;~lf.- o,r~ /,c,{~ cP--r
p, /(t,/ ol'rf- IJ frL, .IIAf j; rc;(,;,;,\ 0,-.4
50~ It/+.
o WORK SATISFACTORY, PROCEED
;( CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: p;;1~ Owner/Contr:
"'
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
ILfW
SCHEDULED (,"';)~4 4/J1
5{~tnm J 'f Lv IV w
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 MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
( ( ) r ,h Boy .. (!;)~
G/a~.- R()"",~p R:)(r~~,~ o/,~-I--
(J,~ 5f9~<+ I~M
l, _" e.....
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~-
Inspecto. ,~~-OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl