HomeMy WebLinkAboutBuilding Permit 00-0617
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Permit No. 0 otfIJ'7
JI
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;h I t;()
fl
DATE RECEIVED
'II 0/00
, DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
BUILDING INFcfMA TION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
2. SITE ADDRESS <j)
1L/46t> V~ CT Ne.
3. LEGAL DESCRIPTION
12. NO. OF STORIES
l PID .dO - 3b8 - Om- 0
~ ~Od l1lO1\J
~ BLOCK
\(~ ~'L.L.
LOT
ADDITION
4. OWNER
13. TYPE OF CONSTRUCTION
I\J{;~ ~r'1?
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Address)
(Name)
(Tel. No.)
(Address)
(Name)
5. ARCHITECT
(Tel. No.)
"Sl ~s ~4-<(-
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Address)
1$vI'lMVl LL~
6. BUILDER (Name)
lvLAJDW()OQ Ifo~s
~
7. TYPE OF WORK WFireplace~ Septic LJ
New Construction 1< Alterations LJ Addition LJ
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. I' ~ If d-- <6
SEATS
16. ~OJECT COSTNALUE
<tr (5"0 {OOO
17. COMPLETION DATE
Re-roofing LJ Porch LJ
Re-siding LJ Finish Basement LJ
Deck LJ
Finish Attic LJ
1 O. CULVERT SIZE
Yes No
9. PROPERTY DIMENSIONS
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 m~n' ned 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. 'T'i1.rmll for just caus.. FUrff1.rmora, I hereby .gree that th. city offici.1 or a dasignaa may .ntar upon the property 10 p.rto"" n"'1"d lna~.
X . ~ ~('.., "//"?/O"D
Signature License No. , Dafe
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS LJ ENERGY DATA LJ
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS ,& SPECS LJ SETS
SETBACKS: Required
Actual
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
3.~
USE OF BUILDING
SURVEY
PLOT PLAN
COPIES
LJ
LJ
I~,~QHI
~
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 ....
Pennit Fee ................................... $~ S
Plan Check Fee ............................. $ 7 ~
?S:{)O
Amount Brought Forward ... . .. .. .. .. .. .... $
Park Support Fee ........................... $
SAC ......... ........ ..... .... ......... ...... $
City:
~.CJtS
(~(tJOdl'
,
Collective Street Fee . .. .. . .. .. .. .. .. . ... ... $
SewerTap ................................... $
~ff $
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $ l25. ~ t:)
Sewer & Water Connection Fee ........... $~ 0 " d"8
Water Tower Fee .. .. ... .. .. .. .. . ... ... .. ... $ ? (J CJ · (!)(J
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due.............................. $
Paid ry I 1 <J c,. J q ~ Receipt No.
Date "J ~ , I;". By
e request in the above application and accompanying documents is in accordance with the City zonin";irdina:;;J;;;~ may proceed as
ner~.""-"'Y~~~~~~eluNs~~~~~ teol
C' lanner Date '-7 ~ b Special Con . s' a~
State Surcharge............................. $_
46.00
~~.~
/.1)
P~nalty ....................................... $_
Lbo ,00
Mechanical Permit Fee ..................... $ I tX) . f!) rJ
~St S"()
ce Permit ....... ......... ....... $ . ~O
nmL Your Building Permit."When ~PJ'Qved..
~. Date '1-111-~
Plumbing Permit Fee .... . .. ... . .. .. .. .. .... $_
Sewer & Water Pennit ...................... $
JP()f) .fH)
~ ?~(,
3g-0 c.(O
This
By
Issued
24 hour notice for all inspections (952) 447-9850
*Permit#
.Job Addr..1 '19 0 QL):;v ~ C/ ~
.Heeting Contnlctor MI: I nO AIR
*TesttQ/Signelure ~
*Ges Une
Pressurized
Inspected
*Percent c~
*Percent O2
Final Inspection
-
Dat.
Pounds
Pressure
rime
PERFORMANCE TEST .I
G, c r~ .Percent CO .1) "k?
7 /'f)1I1 ()
..f..L.J,') .Stack Temp. I/O
Date
/
.~
~i~~~'b~t;'<~fi~ .
~
()1)<()(O11
White - Building
Canary - Engineering
Pink - Planning
Thr Crntrr of thr Lakr Country
.B.U.lLDING PERMIT APPLICATION D~RTMENT CHECKLISI
NAME OF APPLICANT
APPLICATION RECEIVED
'vi, N Dwood \-\OM~
(lu1. y \ 0 ~ ann"
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14lt 00 )OV~ c'OllR.T
Accepted
Accepted With Corrections '>'-
Reviewed By:
Date:
7- (~.. 2Dc::>ci
Denied
Comments:
_~rJ dQ) . a:f!~ ~cr~
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
-
. {)b. 010 '1
ne Cellcer o't_ ,lAke Co.....,.
White - Building .
Canary, - Engineering .
Pink - Planning
, BUILDING. peRMIT APPLICATION 'DEPARTMEN~'. CHECKLI~
NAME OF APPLICANT
APPLICATION. RECEIVED
,. . ,
'vVINDW'ood \-\OMr;s
tlu+V...\O} aooo,
. 'The Building, Engineering, and Planning.Departments have reviewed the building permit
application for ~onstruction activity whi.ch is proposed at: ' .
. Accepted
"141.. DO
/
,)oVF CO~)~T'
Accepted, With Corr~tions
Denied
Reviewed B, y: G f'O,#(f {1 r I Soil Date: JI/J.}' I~
Comments: See.. ...-IJJe reVir5e. Sld'~../jr. ..~~;P/h'l/ /;,4r~iYl.
See alllltjme~: /, r;:,,U .h'r~.1Qy~A. ~h__ e? ~ Pk..
.3 Er4tirJ!t (J"In! &Uvt'1!5" 11 FroSid/l /'L,fd,P~
."The issuance or gra.nting . 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 toe jurisdiction shall not be valid. II
l'; -
, t:.\./,'-'
\ ""~I
vv'
./;~~
Th~ C~nt~r of th~ Lak~ Country
61> -0(0 I ~
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 'WI MES
APPLICATION RECEIVED ( ) Ul. Y \ 0 \ aooo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14-4 00 )oVp:' Cal)~T
Accepted
Accepted With Corrections V
Denied
Reviewed By: ~CaL.~
Comments:
;L"v/e....~k:.. ~ ~~ ~$ wltl ~~
~i7D "-Lt)F\~~~~l_
~ ~&w\ L#( ~_ .~~~ ~
~ hh.,k:~
Date:
/c.t? -d:b
4/L + (~ ~'~ ~'Y1~ M--
~~~,'.vU~~~ ~~
J t1. ~\ ~~ ~ VJ~.~p-~
pr~1 ~ +~ \1No {.t~&J "(0 Cvv'<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. II
GllEE. - PILE
YELLOW - AltPLICAIIT
GOlD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
APPLICANT: O1L6S'lIbl ~XC.
ADDRESS: liD IIJ J DPl z-l WV+-~
SIGNATURE: ~*'-' t)~
SITE ADDRESS: 1'1 L/ 0 () tJtrVC: Ci.
FILL IN THE BLANKS
1. Estimated length of water service .\0
I C
2. Size of water service
I
inch(es).
3. Location of any couplings from structure
4. Type of sewer pipe. ABS
PVC X
5. Estimated length of sewer line S-o
6. Clean out (if required), located at
structure.
S.W.No. tX)-,~/7
NOTE:
Sewer and Water
contractors must
be registered
with the City.
PHONE: i91- ~'O~
DATE: )t.! '3 /lrb
"
BLDG. PERMIT # ex:> -~ ( 7
PID# ? ~ - ~~8 -0::> l..-o
feet.
feet.
Cast Iron
feet.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This app~' .~~ becomes your permit when approved/ J
BY UfI'J DATE: f3/~/Cfb
, I
FEES:
------------------------------------------------------------------
------------------------------------------------------------------
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
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 JPlicate sewer and water permits are
issued.
DATE PAID fJlllO tv. p~ N AMOUNT PAID
I
*
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
Thr Crntrr of thr Lakr Country
Quantity
I. Blue
2. Gold
3. Yellow
File
City
Applicant
CITY OF PRIOR LAKE
PLU!'NG PERMIT
..... t/Hlt!.l/~. I~O
&'6 b &vfLrl-r/-c.
:~
Legal Description: Lot;J.- Block fI, I Sub ~ 1 . · 9 "'., Jt!A/lJJP.lltu.."
Site Address: J A--~a.o -Q(J vi E3 f.!.A .
Building Permit # r - l?O.,. 0 ~ /7 PIO # 25., ~ · DO?, -0
NOTE: This permit will not be processed Jthout complete information.
FIXTURE UNITS
PPNo. 06. OfD 17
,
~92- -2l2 (
~N ' ~N\ S'5] i c..-
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
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
$
$
$
$ .50'
~\"'(\"\ ~~
(~~~~
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply 'n res . with the ordinances
of the State Plumbing C t endments thereof.
- RE
Call for all ins
AJ Jr.ST
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372/ Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
'.-------
'Y ~~ vii 1 ~... ~HIOR LAKE .
5(.4 ~ 'S20~ Eagle Creek Av. S.E. Par.nt Na9<-) - \0 \ l
. r Prior Lake, MN 55372 '
\: ~ HEATING AP?UCATION I PERMIT Si!gle FamlIyX
JEIe. A-cR''"'OO PIO= ~.
n'PE OF b I AUCTURE
LPiIat. . iik
1__ . C4
3. 'Y" . A'___
~ile Address J ULlOf) O()\1f_ f" .fo. l ~ ~
a.. , ~ "-'
L::: Z-. BI::2:5c J Addhi:m. ~N013 HIt,(" 57J1
~'Wtlo:'s Name \A ~ 1\ ~ I.J IJ" ,\ t\ ON ~
2:id1ass. \,,")\\ ~,~:,,~ l\v'\. ~
.~ \ f\
H&a1ing Comn..-bl,' "\. ~~ l"'\,,.... ~ Y\ \
A..:Ili1ess _ \ \" 1\ ~ C"\ '\,4 L \ l Or"" \ ~ t Vr: LJ" \ 4K.t .
T elej)bone' . ~ ~~ - ~ \ -::>. '\
::1.1111- tJakI & MoOel (~... yo ~ \~
~~sez., '3'l f"\ V '(J ~\)
CDm.l--ad, ~, ~\ ~
Fu.l C\) c.tt
"~;:amrty ,
lndlstriaf ,
Multi-Famly _. _ '__
?u:.a:
0-..191,
Fee S:hedule
l:dustrial. Comm~iaI &. Muftj-;=a:nBy
Resi~..ni2l. HaatinV & AC
~esi:ienhl. Heating Only
;:\~ Ges Fp~'h~e
~ A.daitions & Aftel'2.tions
nesidential. /II:, Only
~.~ ~ jab :::1st (S3 ~.50 minimum)
599.50
554.50
S39.50
$39.50
L't!.5D
TYPE OF SY~ I ::M v
Warm Ai: P1arD. ~
caw, I
Mec:hani:al
Air Concitb~ 'IX
Flue Slza 'f '( L Vem. $yIIeIIl · X, ~llT ,....., " . 5lXH..a:gt h;:l--n wIIh Nanber oIl11;1;l1r n111U11. operin;s IsIId per
.-a.. "'- .." 1'= · lING 0l'I POWER PLAHT mom wiIh CM- per ~ NIW 1InI:QIIa or-.. -'Id flaarJllln lIiItlll;lplJi
s..,..,.... -....run;s - Slum . 8Ild IMl8IIlacaticlns ~ teAT lOSS ~ II\YN3(T AND
,,~, ~ '1 H:It Was.r ~ WAY 3E hIAD.SD 'It) ne: CITY or ;>;uoR LAK:, 1121IO E.IG' =
rwlUJll -.....otn;s, '. ~ _ """" ..."" .... ~
Rac:rlltbn ~ AVE.. P - P.-uvn ~ MnI ~"
· ...~\;) ~ ClIIou.".\ ~OO SjIe:iII ~ - Clay !WI ~ '*- am . LIII. . C:30 p.m. .
0:::'" , \ Oo.t D.vi:a AU. WORK INn R INSPECml (IlOlJGK.IN AND FINAl.J . f:IoU CITY !tAU
~oClm., \ ~ V. <:I. ... " . 4CioQ!D
\ .
~ \ T\'PE OF WORK \.1 IIIerRy ~ !Dr al1lKhanical systems JlMnil UtIli uIcnowI'.1haI1IIe
:E: . \ ~ . .inlDl1IIaIIan abDv. . ClIIIpIaIa UIll -.....1IlII... -lie IIiIlba ill ~CI .
~ Rar-"\Il. N.w CDnsIru:Iian '. .' , wIIh ... ~ _ CDda ~... cIIJ ;utd. lie ~. ~
'. · . Est. """-- 'na .'. " CDd-.; ".this ~1111 .... 1Illl1I'-."lI_ . I*lJdt unlIli!QM!I by 1h. BUll..DINi .-
~ iIIpa. . . . -....... th · - OFFIC:IAL; IIiat .. MIl wlllllln · -nIBnct wiIIl lie ~ IWVItd pia in ...
:~;$;~~~ ~~'Ut\- '/7~. . ~\~~~:~Dd~.~:~: \~~>~~
lSI STA1E SuRCHARGE $- .so , ~ \HpE.f\tA\1 . . .. . '. . \ io."'1' .
~ '<.. -.' , '\ -_..:~. 8 '/I.Of:). '
,g '1tIrAL PEFIMIr PZ" '. ~ I. ......-: . _ .. ~"
~~~-"." · " .:- ..,.; -.:- ..: ',-. ,....'. ,... :. ....: ,,::. ':: ". ,::,~..' -... . ::'., .':~.:........:;":;::. 'r$.'.
:::J .... -~:--. ..,. . ,. .".:...'.J,..:. -.:....L-..~~. ~~.'\.. ....' , ..~_.' ~_.':: ...... ..' &.".11:; ..~~..~ .s"'t'i..4ari_~.~~,_~__.__. ..;..~,~, ~~~~S'~
...... "p.o"-' , '.. '. .-, .='?..:.... - ...... ,..c: ~.... . -.,.... - - .. -. ....:-... ~ .. _ or . ~ __ ~ ...." ._ ~~ .
~~,~':" . :.: ~.:-..:;: .(~~,;,,~ ~~""~:~'Ei~ :i:-t:.,;' .. ...~ -<...c;.'~....:;l.;, .~-..; .;....~'...,. ...~';t.~ _.' . , ~'iti'~ , ~:
-- ,- '-.. ',. . , ,"
. .-.... ~ '. .' : .,' . . .... ..-:- : i- : ,.-.', ..' ,-.. ... , ',. , . . '"' .".'
ne:nember to add h s:aa SlI:itBrge an the bo:l=m Dt tis zppi--="n.
The pri:e of }'IV beating p.mt in..... ,~..... one Jl)ugt',.in and DRI ina1 ins;>>ediDl\.
Ad:iliDnal ir.spe:tions wi be bled III ""'= 00 ~....-\
Ho-.sI Htdng 7est Re::ord I1'Ut b& a'LIbmibed WiI\ "1iirrm~ MrmII TIItrn~ betole buBtL
ing :ertii:ata 05 ~ wiI be ,...,. ..ff.
!"'~h~i.'- ~~1II...T2..~_'ll.L' _._..~_.., __
tr lp 1'1
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TYPE OF STRUCTURE
I.PIe' . Fl1I:
J. 0... - 0,
]. Yelaw CDftII...
Th.! prie! ,01 your heating peRm! ~ one lough-in and one final inlpeclon.
Addhionallnspectlons will be billed .. 136.00 each.
House Heating Test Record must be aubmilled wilt mdfiDg JHmit DYIduIl bekne buld-
Ing cerUficlte 01 occupancy Wi. be 1esued.
~I="'T r,A' f:. ~ _-n",.lc; AFn, flF'Fn with number of a"pplV and return openings liIIed pe
100m with CFM". per opening. New etructUfea or additions send toor plan wilh .uppIy
and ralum IocatIGnI shown. HEAT LOSS CAlCULATIONS. PAVMENT AND
APPLICATIONS MAY BE MALEO TO THE CllY OF PRIOR l..AKE. 1aOO EAGLE
CP~ AVE. S.E. PRIOR LAKE. MN 5537~.
Cit1 Hal business hours 118 . a.m. . 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) · CALL CITY HALL
447-4230
I hereby apply 'Of a mechanical syatema p8fmtt and , acknowledge thai 'he
informatiOlt above is complele and aoc:urat.; that Ihe work wiD be In conform.nee
whh Ita, onlnancea and code. or the ci.y. and with the at.,. building/mechanical
codea; tha' thi& form does not become a p8fmh until signed by the BUILDING
OFFICIAL: that the work will be in accordance wUh the approved plan in \he
caae 0' an work which require. review and approval or planl.
....._ ~~ ., -11- 2~...
/ aau~ 9 ~';j,-()1)
J i!uitJing Olicafa Signalure Dale
" ..
Slngle Family . X
_ lWo-Femiy
Induslrial
Ccmmerdal
Fee Schedule
Induslrial. Commerdal & Muli-Famiy
Reaidenlia~ HeaUng & AC
ResLdenUar, Heati\g Only
ResMien", Gas Fireplace
AesIdentW, Addtions & Aft.rations
Residential, AC Only
Lot
I'"'
Ownef. Naill
AdiJe. .
H.1Ung ConUador (; ~ fA in 'R ~ I" 1,/ er, E 1C"rt.K
Ad.... I?Y,,~- ,tff4. A.uL- Ai -- f
Tlllpbone' S" ~1 - 114'1 f . ()
FIK~C8 MakI. Model 5c,AI^~r D-,J \ TYPE OF SYSTEM
F; .... f)' '.. ~ Wllm Ai, Plants.
Me~4I SJ~. , lL!'trl tfr V T t;. (1 tntv-;";ravlty
Conn. load P t... Mec;hanical
Air CondM1onlng
FuellIIJJ. QAi Flue SR' ,.~ Vent. Syst.m
I
StJPPJr Openings HEATlCO OR POWER PLANT
Steam
R,tuln Opentngs Hot Wale(
Radiation
Input Output Special [)evEN
Remember 10 add the Slate Surcharge on the
Edr.
Clm.
Other O,vIcn
TYPE OF WORK
Aler.'...
y
Replacement
&1. Comp. Date
New Conslruction
fI-/'t - ~-D
Repair .
Ell Coil'
HEATING PERMIT FEE I
STATE SURCHARGE $
TOTAL PERMIT FEES $
Buiklfng Permit .
-
.50
PAID WITH
BUILDING PERMIT
Receipl .
MutI-FemiIy
Pubk Other
1% of lob cost ($39.60 minimum)
$99.60
-----:-1
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OD
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PRIOR LAKE' ~~rtD~~~~NTD~:SPECTION
INSPECTION RECORD
SITE ADDRESS 144CO ~"\Ie (1,1-..
NATURE OF WORK ~,~+.
USE OF BUILDING SFD
PERMIT NO. 12.0 · 0 ~ 1'7 DATE ISSUED 7 -/8 -2CQ)
CONTRACTOR JAlI'JWd~ ~ PR6N€" ecr~-8" ,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING INSP~r <6 '1\;;
FOUNDATION {Prior to Backfill)f~ ~. ~JJm ~ ~ fJ:, '8'/1/ ue
PLACE NO CONCRETE UNTIL ABO~'%.- HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC -I (VJ & .34. do c. .
FRAMING / J.
I INSULATION L..(.,' /??c ,(;( ~ ~.. ~#
ELECTRICAL
PLUMBING .';4 7' / .r ~ .
HEATING (if required) ~~ ~ ~. 1.L 71", 0 i~ w~ 1fJ~ 5YI'/~
FIREPLACE · .~, 9/11/1c1
GAS LINE AIR TEST ~ ~. "/7/~ .
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
FINALS
~/j/) S./~ Of
fr;r
~,
~J
OCCUpy UNTIL ABOVE HAS
NOTICE
GRADING (Prior to Sodding)
BUILDINGGc.t>J-J) ~..LjQ.l ~
ELECTRICAL
PLUMBING
HEATING
DO NOT
~J ~
f!/~/II t..'" ~ ~1'fr.
I I
i
7 /~ I () I
, \
I~/~(n
ID/ :; 7/fft)
BEEN SIGNED
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
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 1 L4 400
Qc~ Gt-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ECH RI
~ TER HOOKUP
A EWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TillE
~.~ ll~30
(J - ~ 17
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENT,: !1
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RK IS FACTORY, PROCEED
RECT A ON AND PROCEED
FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CAL
INSNOTI
'NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE /~i::r?4 9 ; ?'-'
INSPECTION NOTICE SCHEDULED
, .
ADDRESS l't%t) [)~ (ij-;
OWNER CONTR.
PHONE NO. PERMIT NoD - tJ 17
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATION ~ 0 SEWER HOOKUP
~ FINAL 0 PLUMBING FI~
o SITE INSPECTION F- MECH FINAL ~
COMMENTS:(fJJ ~~, B~J
9> ~:~~. -..J ~-1'; ~~+o
~
rJ}~r~ LJM ~,
(4J.~~~~~
t0fex, ~~.
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
o WORK SATISFACTORY, PROCEED
)OCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ..,......... ~ OwnerlCo~
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
- .
DATE TIME
SCHEDULED /0 ~~06 C;Z:V
Dc; U~ C;-l
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
ILfL{OO
',-
OwNER
CONTR.
PHON'E NO.
PERMIT NO.
o~~/?
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULAT~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
j;;i("FINAL ~LUMBING FINAL 0 GASLINE AIR TST
o SITE INSP TION ~ ~ECH FINAL~ 0 /'
COMMENTS,;(j) ~ _li~~ - ~ ~ ~ ~
A)'~~~~~~
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~ ~ a..L.{ tr - ~~ ~~ S~ QQ-/
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f2}p~~~~.~~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
}( CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ 'Pyiner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECnON NOTICE
ADDRESS
~,./t/L/?J IJ
SCJEDULE~ 7 - :1. -t) I
OtJl/L:-~'
It} ~
/f~ I ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O-C:,I?
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: S O/--r
~~~,:'J..-_,'>
)i WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~LL FOR REINSPECTION BEFORE COVERING
Inspector: ~_~ Owner/Contr:
CALL 447-9850' Fait THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY/
INSNOTJ