HomeMy WebLinkAboutBuilding Permit 99-1373
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
2. 1 ,
tv t v'::> S>
3. LEGAL DESCRIPTION
(3
ADDITION tv { &..-0 <;
LOT
1. DATE
l I - 2. '3 -'19
?t} .0
?\CWI
BLOCK
q'Y' /h::>i':> t n oM
I
PID ~~ 5* ,J L/Lf- 0 OB '-0
4. OWNER
(Name)
5. ARCHITECT
(Name)
6. BUILDER
(Name)
f11 c..bev 11r
~wU:;~
7. TYPE OF WORK
New Construction K
Fireplace 0
Alterations 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. -z.. q be)
(Address)
(Tel. No.) D C1 Or \ t\
L,l2..-. -d (-( l \
(Tel. No.) ,/ (('")/.7
(P l 2. LP~':) -lg l--?J
(Tel. No.) 0. rI:lO
A__ "!Z-g....,t"~ 1.,7
/tyrfY t/Ucf At J./
1. White
2. Pink
3. Yellow
File
City
Applicant
(Address)
(Address)
Il.{oLt'l ~1-/T>IJt;J Avr:
Septic 0
Addition 0
Deck 0
Finish Attic 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Permit No.
q 9- / __3--7 ~
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
MJ,J
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
?
,
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
, fOOl 000
17. COMPLETION DATE
~f'jll,J~ 2000
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.5F".Q
9. PROPERTY DIMENSIONS
Width t ~ Depth <f S-
10. CULVERT SIZE
YE~S No
>(
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I 80, ~ .t'c) 0
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee............................... .... $
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee . .q1.:: 1573 $
Mechanical Permit Fee 11. -:.1.3:73 $
Sewer & Water Permit 9..1.~ I~ $
- 1':)9.. 1:2~2
ermi .7...... '...d..J,;:J. $
MATERIAL FILED WITH APPLICAnON
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SETS
SURVEY 0
COPIES
PLOT PLAN
o
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC . .. . . . . . . . . . . . . . . . . . . . . . . . .. .. .. .. . .. .... $
IJ~
.5V.
',2 Pl'1 /2.'5""
8'3 (p. , I
qfJ ,DO
'-~""'Jrti"Q .treet ree ....................... $
Sewer Tap ................................... $
(h $
Pressure Reducer .......................... $
Meter Horn... .... ................. .... ....... $
"
Water Meter .... .t.. .. .... ......... .... ...... $
Sewer & Water Connection Fee ........... $
J c> c::> . c:> e
I 00 .00
:1S,O'O
'to .06
This
By
., ~:tr;i1!~ ~f~e~ ,
".} ~~ . cXJ
J. 2t)t:) .~
r
~ Water Tower Fee ........................... $ rz 00.00
\tf\ :~:;:~;~~. ::::: :::: :::::::: :::: :::::::: /1 6" ()(J · "d
\~~\~~o ::r~~.;~~~i.$(t~!~o~ ~1i ~
\ Datel ~ BY~
uest in the above application and accompanying documents is in accordance with the City Zoning 0 inance and may proceed as requested. ThIS document when
constitutes a temporary Ce1;J11:f~omPliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be issued.
City Planner Uif;;;t-I- Special Conditions if any
Issued
24 hour notice for all inspections 447-9850
?eJ.OO
'79- /3 73
White - Building
Canary . Engineering
Pink - Planning
Tbe Cenler of lbe Lake Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
r . .
NAME OF APPLICANT
APPLICATION RECEIVED
/'"'/(3D 6 P" / IT If c) 1-1 E ..:s
II /~;7 ~::a> / C7C)
<C,_ -/ '/ /
.J I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/-S27/
tV'/L05
PIC. ~V Y
Accepted
\/
~
Denied ~
Reviewed By: IJJ . J~
Comments: ~C Un .:1 ~()nn()-r
Accepted With Corrections
Date:
I;:))~
J 0' S .'"d<Vanis .
'1'
l-Ylcrou ~
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."
qq-/373
Thr Crnlrr of Ihr Lab Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~e- D6V/TT HOHE::5
1/ /23/99
, I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
15271
/IV ii-OS P/::::JAJ y
Accepted With Corrections <
Accepted
Denied A7J/J A_________
Reviewed By: ~~
Comments:
I. ~ o1Q Q.ffc.c~ ~ ~
Date: /1..2 i-77
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."
;.~: .
/
/
/
I
99-/373
White - Building
Canary - Engineering
Pink - Planning
Thf Cfnlu of lhf L.kf COunll'J
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/t.-/e 06v"/TT HO~IE5
/1 /~3/'9CJ
, ,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
/::.;27/
t'V / L-OS
Pt::. ~V Y
Accepted
.,/
Accepted With Corrections
Denied
n_..:_..._J ~... ., ",...
n~v It:: VV t::U oy: VVAL r8f. J:.I.It?f.~""AA1N
. , -
Date: 12./8"/"
Comments: A ?E'a""'l "To kJotlK Wrrl-4IAl c.. TY f?tGHI- oF" - UA \" W I L.L N ~Eh
Th
BE:
tOLL.ro gy "THE:
BtJI'-oElt.
10
REMDvE: rHE E'l.,~r,~
CoR u Cu'"r
f
,
TO
INSTAL.L
II
N E: \A..)
Cc....>RB
c~,.
SEE. I^,F~A.Mf\"oN
GW THE' . i?e:vots~ $,0 E .
USE.
c.. AoTlo.v "'-.l11E.U CD~^\JC."ol'.J
ALT""T"t oc.cvn..s.
ArEA tl
-rHf
,
Ex l~rIN(. t<\1r'tN HoLe: f (;~r€ V,e:h..\lE...
,
IHERt Wi\S Ak:> APP~EA1r D.4M.AGf:" ro TH~ MA,JHD t.-E of MTE. VAt.JIE
As 6F To DA-(
SE.E.. A-rmcHME~ ~ ,. h#>JtIr'- 6'MOf: II\JSPEc:r10N IrlFottMrJtTIOrJ Z. Qt,4l~IN (. R..~AJ
~. mo~u:)A..) t'?DJ>,..JTIl..O,- MfflSc..JllE~
tf. &.os. I DIU C. ONTttPc.... ft.", N
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."
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-l or R-2
BY: 9-0.J~
Building Permit # cf~ - j '3, ~ PID: dS-- 3\,,/ y-ou8' -<..) zoning:~uD
Site Address j<( d-I ( L(j ,\ck? PJl.uJ~
~B~
Date:
'J.J-/&/7/
Legal: L
Subdivision:
W,-\cLs: Ljfh,)cldY1
Existing Strncture: YES o~
I. CONFORMS TO ZONING
. ORDINANCE
Existing Nonconforming Structure? YES~
CYESj
NO
I
Yard Setbacks: ~LE Requirement Proposed
~MEETS CO
. Front Yarcr- 25' ()SJ
(or setback average if in-fill lot)
. Side Yard 10' 10 I
(25' if abutting a. street)
. Side Yard 10' 10, (pC! ,
. Rear Yard 25' dS-i'j
. Sidewall exceeding 40 feet required additional Wall over 40'? AJI+ ((vi)
side setback of 2" for every foot over 40' long
From 100 year flood elevation of Wetland 30' .
. N(11
. From OHW (Prior or Spring Lake) I 75' or setback average of adjacent ;J)Ir
structures no less than 50"
Yard Encroachments: NOT A CABLE
ETS COD~
Eaves and Gutters no more than 2 feet in width and
no closer than 5 feet to a lot line.
AlC and other equipment cannot encroach on
interior side yards.
Lot Coverage (Structures Only)
:;2 f--c) J C
/fl,lJ-fc 0 ^ fJ2t
30% Maximum
- bl <..
SignificantTre~ Requirement Proposed
T CODE
. Total Caliper Inches
. Can remove 25% ofT.C.!.
. Caliper Inches Removed
. Caliper Inches Preserved
. Replacement ~:1
L:\TEMPLA TE\BLDGLIST.DOC
-Permit#
.JobAddr... /S"';'7 ( ~/( D5 PIDIlt.bYJ1
-HeatingConnctor AN~~ Al f2. 1;,.,)(...
.
..t -T esters/Signature ~
Date
Ii!!!!!
Pounds
~
-Gas Une
Pressurized
Inspected
'"
- Percent CO2
PERFORMANCE TEST
70/0
8%
.Percent co 0%
.Stack Temp. ~ J. '). b
- Percent 02
Final Inspection
Date
..
'"
_~~___~:'. I..' '_J i l. L 1,)... i I ,'1., II i.~ '*.. I ..... <\ ..J
\_' J 11 I J J' i h, J U1>. LAI\L
~ t,,'lIl
f.1RIU." - J'fU
UUQW . ,...'ll'\,'t,"l'tf
GOLU . efT.,
CITY OF PRIOR tAKE
SEl.JER AND WATER PERHI'I'
NO. qCf- /373
NOTE: Sewer and Water
con't.rac~tc:r9 must
be. reg isterr.~d
with the Citl"
APPLICAIIT: -'l-'.1--cA--E:~{)-ctt ,"@._____ PHON!! : :JS2 --=_'-1_91 b-:
ADDRESS &-~ B-"...K_ _LL_~ <2;~L~_S:::..,_.._.______,DAtJ'E ': -_._L:'..d~LL=_Q__O _
<::
S r(;NATORF.: .~ . . ..1..___... ~_..___.______BLDG. PEi.:u-1IT ~ __ qq.-- /373
SITE ADDRESS: ~_L___~~~j&s:~k""'~__-]lDC~6_~~"=- 0 0 €2-~O
If ?tJ6VfTr /'IOH E:S
.4UA CD -....reFF- 97 f3 -3..3~ 7
1. Estimat(~d l0fV;}'t::.h (If \oJat'?r sel'vice__':.S:=~~__...._fep.t.
2. Size of i....dLer sl(;!;::vi.~::e__l._.__inc.h{es).
F I LJLlli_TH ~__ a LANJi~_
3. Location of any couplings ft'om st.ructure_.~._____._fr~et.
4. Type (;If s{=.~'..Jer pipe. J.\BS PVC.4_ Cast- Iron
5. Estimated len9th of s~'?w~n' line__. 5 i) __..~feet.
6. Clerln f)ut (i f r~gu.ired),
str1...tct.u.re.
loc3ted at f~ot
f:corn
. your per mi t. l.v~en approved. I"
BY . _________ ._.__ DATE:____17Z:~o ____
~~w~~========~.====~c~=====~=:=:=====:===m~~===~~~~~===~=====--=~
==========~====,==_..--~=====:===~:=~===:~==~=~;~~~~~~:=:==~~~=:=~==~==~~~~~
fEBS:
$ '35.00
$ .50
$ ----TS-:-!)o..
Se\ver and water 1 ine connect ion permi t .
Surcharge
TO'l'l\L
It Fee for eithe~r S6I,H?r o:c. watl;!r individ;Jally is $t~.5o plus
$ .50 s,urch,)rge. -
'k
DAT}~ PAID
Sewer and water permit~ issued for new construction must be
recorded on the building permit card at the time of issuance
tl) insure that tIo duplicate sewer and \N,~tE!rr;e.rmi ts ~r~..!
issued. \~
'l'l\"\ p~ ~'\ \~
AMOUN'X PAID~"_~~~G~~".
Rf.:C ~ D BY . f"J..U\\"O \
'---, ~----_._...._-_.._-
J - ~ ~--.QD
R E .: E I P'I' #
4629 Dakot3 St. S.E. Frior LaKe. 1\1lnm~sota 5:S3i'2 ! pt', (617) 4474230 . j FtD; {612} 447 ~2(~S
AN EQ').ar OPP01ITllN1T'{ F)'.~FI.i:rI1:"
._.!!.:!-..::.1?/OO 'I'VE 13:...& FAX 61244i4.245
CITY OF PRIOR LAKE
llJ IHI 1
OIIII! I." . ",U
'UUOW . A'll'l,CAIH
GOLO . ell 'f
CI'rY OF l:>RIOR tAKE
SEWER AND WATER PERMll'
NOTE: Sewer and Wat~r
contractors must
be registered
with the City.
NO. qq-/3]3
APPLICA!lT: -i}JL~"'-LXJ:&u41 c <l@. PHONE: ~":i5l1 0.-
ADDRESS 1- B Y._t: Q. U~._.__DATE:__l_=-.ff12_=-Q O_
s Ir';NATOR.E: .1..__ __.___BLDG. PERJ.1IT # __ qq - /373
S !TE ADDRESS: _____L.__._d:J_{)J;JJs~k~ __PID# __~6__-:_~~ 00 f2.:,O
l'1?tJ6Vrrr/'lOHE$ FILL IN rLIHE BLJ\N~S
~UA6[)-J5FF- 978 -..3'..%7
1. EST: imated 1.0.ngth elf ''later sel~vice.5 Q__~_feet.
2. Size of \'lidter' ser-vic;e_L__inCh(es).
j. Location of any coupl ings from st.ructure_..__feet.
4. Type of seWer pipe. ABS PVC~_ Cast Iron
5. Estimated 1en9th of s~:""Jer 1 ine._. 5 c) ___feet.
6. C1Qan out (if required) t located at
str1Jct.ure.
feet
from
BY
. approved ,I I ^ 1)
< _ ___ DATE: .;17~__
====~=~=====~==~===~==~=;~~~-=--~=~=======--=~
===============;== -~==============~:=~==;~~~~~~~=======:==~;;;~=~==
This
.ii:WiU;a:C: === =====~;:!.
?'EES~
$ 35.00
$ .50
$---35.50-"
Se\-ler and water 1 ine connect ion perrni t .
Surcharge
TO'rA L
I>: Fee for e i the::=- sewet- oX- watGr indi v id~all y is $t'J .60 pI us
$ .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 ho duplicate sewer and water permits are
issued.
DATE PAID
J - d 0 - OD
~\~~ ~\\~
AMOUNT PAro~. ~t~ ~~~\-
Rf:C ~ 0 BY 'aU\~
,.- -.... -----
RECEIP1' #
4629 Dakota St. S,E.. Prior L<)ke, J\1innesota 5:>372 ! Ph. (612) 4474230 ,i Fax (612) 4474~4S
N~ EQu.ar. nprO~TUNTTY FJVlF-t(),(I~fl
a'1
c....ntblI O:J
'<
"
.....
,
(I)
en
.....
a.
(I)
(')
o
,
~
(I)
,
...
I. PI..
1. (mil
3. '"en"",
~~ iNJU
Me
Permil No.
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E.
Prior Lake, MN 55372
NuIIJ-Famlty
Other
Public
Two-Family
Industrial
Single Famtly
Commercial
HEATING APPLICATION I PERMIT .
f1Lf- d()~-
1 % of Job cost (139.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
~
Fee Schsdule
I nd uslrial, Commercial & Multi -Family
ResidenUal, Healing & AC
Residenlial, Healing Only
Reslderaliaf, Gas Flfeplace
Residential, AddJtions & AtteralFons
Resldenliar, AC Only
lJtJ
Date
Site Address
LoC LI
Owner's Name
Arldr9ss
2700]of FAIRVIEll
Telephone" 6 5 1- 6 3 3 - 2 5 6 1
FiREPLACE
~. Make & Model
Model Sil.~ fpCPOIl(..
3
\
APR
CORNER
55113
FIRESIDE
MN
ROSET{ILLE
dba
ALLIED FIRESIDE
Heat ing Contraclol
Address
Remember lo
CD
U1
-
The price 01 your healing permit Includes one rough-in and one fjoal ilspecUon. CD
U)
Additional inspections win be billed al $35.00 eBdl. U)
CD
CD
House ~leatin9 Test Record musl be submitted with lMlmmI Pmmil DWIJbJI before bulk ~
ing cerlilicate of occupancy wil be isslJed. ...
add the SlBle Surcharge on Ihe boIlom of this application.
TYPE OF SYSTEM
Warm Air Plants
Gravlly _
Mechanical
A~ Condilioning
Vent Sys&em
;0
Sc
s
Conn. load
Fuel W Flue Size
Supply
)>
"'tJ
,
I
-
U)
I
o
o
l:!W LATI RECUIRED wilh number of supply .nd retum openIAgS listed J:
room with CFMs per opening. New structures Of additlon& send Door plan with suppty
and return locaUons shown. HEAT lOSS CALCUlAT10NS, PAVMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hat! business hOOfS 8fe 8 a.m. - 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-~N AND ANAL) -
CAlL CITY HALL
HEA l1NG OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devicas
Ou1put
Opetings
Openings
Return
Inpvl
Edr
elm.
N
N
I hereby apply lor a mechanical systems permilllnd I acknowhtdge lha' the ~
Inrormatitm above Is complele and accurale; lhat the work wiN be in conformanC'1 ~
wilh tne ordinances and codes o1lhe city and with the sta1e burld~ng/meC'hanic.
codes; lhal this rorm does not become a permit untU signed by the BUtlOIN(
OFFICIAL; that the work will be in accordance with the approved plan in the
case 01 wcrk which requIres review and approval of plan,.
~"7~Z30
xv
. ,
Other D9vk:9s
t~ ow Construction
TYPE OF WORK
Replacement
Aler aliGn s
q-~
Comp. Date
Est
Repair
"U
D)
(Q
(I)
-
-
N
Building Perm~ .
Recslpl fI.
50
CostS
HEA Tl~IG P EAMIT FEE $
TOTAL PEAMJT FEES ,
$
Esl.
STATE SURCHARGE
Hie
Oty
O:ldBCUlr
I. Pia'l
1.. Greco
l. Yt:Ibw
Single Faml1y ----.1/- Two-Family _____- Muhi-Family
Commeroial_-___ 'nduatrial.___ PubRc ___._ Other -----
qq:; 1373
No.
CITV OF PRIOR LAKE
18200 Eagle Creek Av. S.E. Permit
Prior lalca. MN 55372
f PERMIT
1% of fob cost ($39.50 minimum)
$99.50
$64.50
$39.50 NIl
$39.50
$39.50
......... ._.~~ ..-"'~-' .-. - ^"~
on the boUom of this applicatiol.
21m
6
I
Fee Schedute
Induatrlal. Commeraa1 8l Mutli-Family
Residentlat. Heating & AC
Resadenlll. Heeling Only
R~~ Gas Fireplace
Residential, Additions & Alterations
ResXlentlBl, AC On~
/~< ~'lH(.b"""',
. 1\/..-....1 '\
.~.-.../~......./_;\
'-' 'F'
(:: ( )';1\
\....., ~//
...-...... .../ HEATING APPLICATION
D~~e 3.~{ )-00
-
fAn tvfu i I LI
~J}J
to add 1he State Sureharge
The price of your healing permit includes one tough-in and one finaf
Addltionalll8pections win bo billed a' 135.00 each,
House. Heating Tefit ~Jd must be Sybmitted with b.Wtdog RfH]Dil ~ before wild-
ing certificate of occupancv VIii be issued.
inspection.
Remember
Hf&. CAlCUlAll..oNS. REQUIRED wlU\ number of supply and return Dpenings laled per
room with CFM1s per opening. New ftuctures Gf additions eend Door plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATiONS MAY BE MAILED TO THE CITY OF PRIOR LAKEr 16200 EAGLE
CREEK AVE. S.E. PRtOR LAKE, MN 55372.
City HaU busanoss hours are 8 a.M. . 4;00 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAL) - CALL errv HALL
447-4130
-
TYPE Of SYSTEM
Warm ~r Plants _
GYavity -
Mechanlcal -
A;r Condllionlng _
VIM.Sy.em _
HEAlING OR POWER PLANT
Steam _--
Hot Water _
Radiatlon _-
Special Devices
Other Devices
~
Q..
E
<I
lJ)
f'1
~
~
lJ)
lJ)
lJ)
~
I..D
CSl
+:l
tJ
o
Model Size
Conn. Load _
F us, 11 ~~ ~ Five Size
Sito Ad dress
L01 ~ _ BkJck
ORner's Name
Addr&ss __
Haal ing Con1
Address S
T eleJ=oone ,
Supp1y Openings __
Return Openings ~__
Ir.put ~/PQQ._ 0. <J 6,200
Edr.
C1m.
. .
o
z
X
<I
~
3::1-5 - dO
-::> / fiats
~_Zl QiL
Oat
I hereby apply for a mechanical systems perml\ and' acknowledge 1hat tha
information above Is complete and accurate; that the work wUl be in conformance
with the ordinances and codes of the city and with the stale buUdlnglmechanicel
codes; that thts form does not become B petmit untit Gigned by the 8UILDiNG
OFFICIAL; thallhe work mil be in acroraance with the approved plan in the
case of all work which requires revjew and approval 01 plans.
-1b-t1
APPU..
------
re
__ New ConstnM,'1ion _ V_
373
qq.;
Receipt #
-~
~--
TYPE Of WORK
__ Repracament
_ Est Comp. Date
Bulding Perml J
HEAliNG PERMIT FEE S
STATE SURCHARGE S
TOTAl PERMIT FEES $_
50
Akerations
Ftepair ~
Est. Cost $ _
..
E
o
Ll::
~
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS. J 52 II t.J :\&..s. ~t:::~
NATURE OF WORK JJ~l-l' ~cJ.NJc&,---=-v
USE OF BUILDING SFD
PERMIT NO. 1'1 -13t() DATE ISSUED ---'-1- 2.' -77
CONTRACTOR ~~\.}(\r ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING ,M'/ 4- /-/y
FOUNDATION (Prior to Backfill) e.
PLACE NO CONCRETE UNT
ROUG
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~7 _J_h.. I I
FINALS
GRADING (Prior to Sodding)
BUILDING t1 .-
ELECTRICAL
PLUMBING J%3.tJU
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to roygl1-;n .inspections
8!1d maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed nea~ main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ -L~ -()I
ADDRESS J t) 2 "} I
OWNER
\)k
( eJ, I ~~:NTR.I LV!
PHONE NO.
PERMIT NO.
~7 - (]71'
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,..[]" 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 GASLINE AIR TST
o
COMMENTS:
c::' ,-1- .----/
__j \.T-
~~ORK SATISFACTORY, PROCEED
o CORREC ION AND PROCEED
o CORR~CT RK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: :
I
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
~4i...,.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
'is{03/u{) d: 30
W \ \Lt~ P~j
CONTR.
PERMIT NO. 99 - /37.3
SCHEDULED
ADDRESS \ 5 a f1 )
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
,,0 ",sEWER HOOKUP
~PLUMBING FINAL A
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
(-\J~~
cek~/
~9-{573
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J 5;l. ') I
W t\A~
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
COMMENTS~
6'- - COr-
DATE TIME
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
% _J;'uaD Gn.,.~
~SATlSFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9~~-(){) .3:uO
PHONE NO.
/5271 WILDS Povy
CONTR. .
PERMIT NO. 99 -1373
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
;i!:NSULA TION
FINAL
SITE INSPECTION
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
IZl MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE.RI
o FIREPLACE FINAL
o GASLlNE .AI~TST
o
f~o
~
'Wz
CrO.. Ju to/3t
,
o WORK TISFACTORY, ROCEED
o RECT ACTION AND OCEED
ORRECT WORK, C ~ R EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
INSNOTI