HomeMy WebLinkAboutBuilding Permit 00-1056
DATE RECEBlEQ. ~ - CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
111 2 1 . ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I (
I. White
2. Pink
3. Yellow
File
City
Applicant
DIRECTIONS_ ~ '.
SPACES NUMBERED 1 THRU 17 MUS.! BF FII I J:n IN
BEFORE PERMIT IS ltiSUED TPI~se Print or Type and sign at bottom)
2. SITE ADDRESS
3/qj
3. LEGAL DESCRIPTION
LOT c:E..B BLOCK
eJ,({1 OtId)/17Jh
1. DATE
Permit NO.-.!JO' I05fo
lffIutlw ~. ~~,
7. TYPE OF ~cffi.K Fireplace 0 Septic 0 Deck 0 v Re-roofing 0 Porch 0
New construction~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
ChimneyO Misc. ~OD 000
--. ._~ .
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. L;UM~lErION DATE
Sq. Ft. 001~ V Width Depth Yes No 100 W-ts ~6t 'tx:.t:~.
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 aut~zed 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,o~~1 can revok"his ~it_for jUjt cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X -,PLt(j(/"\ \U IIICf/JJI/ J..4I-; ~CYY5 t../~:;.. 7 W do Lao
Signature "} . License No. Date
:'ah-
1 ~ -dO-on
~ CVd.v 8)5D
I PID -d5- 31/- cJ~g-o
lJorfflJJnd o~ 6s.Ja+~
ADDITION
4. OWNER
(Name)
(Address)
(Tel. No.)
5. ARCHITEp' . (Name)
/fln!/)
6. BUILDER (Name)
341>S /))aJ;~~))r_ (atJan &S;:e~6l1-07;)V
(Adctr.Jss)' - U (Tel. No.)
10118 1f'f;~Y\ ~:!6H ;5//t./~<l1?3
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
1~. TYPE OF CONSTRUCTION
AjlW/-{6/h/L
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
,I $
Pressure Reducer .~.................... $
Meter Horn ................................... $
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~l2:)lI'~ · 00
USE OF BUILDING AS F -"D
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
l,ag'7.~
J . ~ 2~ .11
150.00
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
I 00.00
I oc .CJ("'")
3S t St2
~O"0C2
Water Meter..... ...................... ...... $ I 25.00
Sewer & Water Connection Fee ........... $-1, ~OO .CJC)
Water Tower Fee ........................... $ ~ . et::l
I. SOo.~
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
This ~t:;ftour Building Pennit 'fIhen Approved.
By Date JJ-~-"~
Certificate of Occupancy
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
~s-o.c:P
! ,L 00 . 00
4s.00
Water Tap ................................... $
Builder's Deposit............................ $
Other......................................... $
Total Due .............................. $ 'I/) 5",/- t.f-.b
Paid q O~, ,j ~ Rece~.p o. Srw
~ , ~.
Date l'b'" 7/Jj,; uz,J By 'P "-
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 s requested. This document when
Si99ti!. by the C' Planner constitutes a temporary Certificate <:>f Zoning cOmplian?d allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
( A "' --lJ2/'UYa7 ~ _ ~ {' J --- - 4 I.,r.... ~ t C"'-~ ~< .
, ity Planner Dafe ~'ons if any --
24 hour notice for all inspections 447-9850
DOl (051p
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'/)1 /
NAME OF APPLICANT / /' / .,( /j / \ /
I
APPLICATION RECEIVED / l-- J - () ()
"
"
,~)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'2 ) ,".... I ./ /
~7;) I (I L- / l- \..!~. / /" ( I c.....
Accepted
Accepted With Corrections
v--
Comments:
Denied
Reviewed By: ~~
V
J-'-{ ~ ~ ~~,~ ~~ aU-
~ Ar~ /.)M.e -4-Wv:J A~f)'f.AJ ~ CtA64>
4--> ,.~~\ <;Xivc-~.j,r~ ~~_~ ~
h :d> q ~\ J t&.-1h> -,<' ~ ~ ~
~\O 1\1 LL-~_~,,_
Date:
/ 2-~/&D
ier't/2. (' ~./'~.L~ -s> ~<:. fcY~ "\.;;
'~1 ~<~,\.~
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."
(JD- 'O~
The Cenler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT m aM ley 13 roS
APPLICATION RECEIVED / 1- ~) -00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ I q 1 Wee- 13) IL -F' F' (l i rc/ Ie-
Accepted
Accepted With Corrections -:>t..
Denied /~/1fJ . /
Reviewed By: t.J;;;::,f/ ~~ ~
Comments:
J. f.earl qjJ ()#acW ~ or..ls.
Date: /1- *8;) -~aoo
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
~
OO-/O~0
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT m elM / e \.1 i3 rO,S
/ .
APPLICATION RECEIVED J 1- ~) -00
The 8uilding,Enginee(ing, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~ J q. f [;d/(e B) u.,F F (l.j Ire Ie-,
/
Accepted With Corrections
~ LI-'-'
Accepted
Denied
Reviewed By: L L L
Date:
12/7 /00
,
Comments: ~E REV~.sE ~O€ F~ Aoolno/LJf:lG CoPJ/J1,E.If../r>-
*' /lJor~ / ffobYl9C -1\ Rc.-'i/.5ilJ ~ r iJll/c.H1Ji/)ML5 "TJlc E;7J~V
t2..JLe'I2FLaJ ElE1/l1TJoAJ If 9'& /[[) IJN 171~ AJtJR[JI f'RLJPc.-klY LINE:
~TIII~ ELElLLlZ1W; 9~~0: IS 71) B~771E ~ IlLO~ rilE
#~ '<--L.IL1ff'.) t.J ,U Q/G"ckUT FtIJ//JL- 6~ 4
.s6tf 1J1llICHDJE/III3.: J) t9ftV/N6 PL/JA) ~E"E!t2Y/JA/ Ck/T1<a:. //l~,eE5
3) nQSd;jAI ~ fi&/
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,lI
..t
:_ Job Address
Heating Contractor
\.
Name of Test~: ':
Date
Percent O2
Percent CO
Stack Temp:
Percent CO2
.
~/~'l /./r-i
.G._,or
G' ;>'-01
7~
. "
,rt;
//wJ6
00
\
I. l'inl. ~ File
1. <lran - 01,
1- 'idlOlf - Co,*K:Im
CITY OF PRIOR LAKE Me .--/
162.00 Eagle Creek Av. S.E. PermilNo. ()o- / tJ,:,~
Prior Lake, MN 55372 .
TYPE OF S I HUCTURE
\Q
Cl
Cl
-........
N
Cl
Cl
Single Famil)'
TwD-FarnUy
MulU-Famly
Othar
HEATING APPlICATION I PERMIT
,$/.HOJ PID It :J 5" - 311- Qiff-O
, , ~....,
~~ ~ &. .
~ sne Addl8SS bH91 /7\t1.J!L. elL, . Fe Schedule
~ Lot 0 <{- Block I AddiliDn -:7J. woai (l)o~~-r-:;: ~Ir\al. Commercial & MulU-Family
I ~ ~ Residential. HeaUhg 8L AC
OWner s Name R ~.,I t'aJ H I~.... 0 ty
,- eSlUsn I . eauHg n
Addres~ Residential. Gas Rfeptace
RestdenUa1, AddiliQns & Altstat]cms
ResidenUaJ. AC Only
<Almmercial
Industrial
Public
Oats
P-l
1 ~a or job ClOsl ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
~ Heating Contractor ALLIED FIRES IDK dba FIRES IDE CORNER.
Address. 2700 N. FAIRVIEW. ROSEVILLE ~ MN 55113
TrdephDr1S' 651- 6 33-2561
FIREPLACE L
fMnID Mako & Model " or JJ ~ (;,
. ..
fdJro '1j1
Remember lQ add the Slate Surcharge on Ihs. bottom 01 this appficalion.
et:
rLI
~
o
u
TYPE OF SYSTEM
Wat [1\ Air Plan\s
Gravity
Mtfchanical
Air Conditionlng
VenL System
HEATING OR POY/ER PLANT
Steam
Hat Water
A adialion
Special Devices
The price oJ your heating parmll ;nc/ud9S one fough-in and one 'inallnspec1ion.
Additional Inspeclions will be bllled at 135.00 each.
House Heating Tesl Record musl be submmed wiOl buildinq HOllilD!lDtm befOfe buld-
ing CC!rliflcale of ...'.......upancy wiD be Issued.
I:::J.EAI CAlCWJ\T10NS REOU1RED wilh numbel ot supplyan<t return openings listed p8
room wilh CfM's per opening. New slJuclwes Of additions send 11001 plan with Bupply
and retum locations showFl. HEAT' lOSS CALCULAllONS. PAYMENT AND
APPUCATIONS MAY BE MAILED "TO THE CITY OF PRIOR 1..AKE. 162.00 FAGLE
CREEk AVE S~E. PRIOR LAKE. MN 55372..
Cily Hall business hours are 8 a.m, - 4:30 p. m.
Mod el Sil.~
rLI
o
H
U)
rLI
et:
H
~
Conn. load
Fuel ~
flUB Size
SuPP'Y OpGnings
Ae1um Op~nlAg s
[npul
Ed!.
Output .::J{,ro~
~
OJ
OJ
OJ
t
ALL WORK MUST BE INSPECTED (ROUGH-IN AND RNAl) · CALL CITY HALL
441-4230
0\h91 Devices
Cfm.
c-<)
c-<)
\Q
TYPE Of WORK
I hereby apply for a mechanical systems permit and I acknowled98 thal the
info,mation above. is eomptele and accurate: thal Ihe work will be in contofmanoe
with th.e onlinances and codes ot lhe city and wllh (he state buIlding/mec....anical
codes; (hat lhis 10rm does not become a permit \Jnlil signed by the BUllDlNG
OFFICIAL.; Lha.llhe work wilJ be in aceordWlcswith lhe approved plan in the
~as.e.. D,. all work w~t requires review llnd approval or plans.
. ~~ ~.M>
, ~. - rij~C&n. ".1'$ Signature ' . Da18
Yfl.--. t/ - J- - I
B~og OUlcars Signature Dale
~
M
U)
\Q
A splacemeot New ConslJuction
Alterations
U)
Cl
'f.f/-() j
. Est Comp~ Dale
Repair
c-<)
M
Est. Cost $ II DO OJ
HEA TlNG PERMiT FEE $,
STATE SURCHARGE $,
TOTAL PERMIT FEES $
BuUdlng Permit 1/
M
Cl
Cl
N
r PAID WIT:
BUILDING I-'i::;- loCo i .
~
Cl
c-<)
.50
et:
~
Recoip\ #
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. J)O ., I ClS b
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date ~-}4-0! PID# 25-37/-02.8-0
SneAddress 3/91 >/Jo _'/1)fj rJjt
lot Block Addition
Owne~s Name ~~I1.!2ffiD
Address . 7 .
Healing Contractor -):/ ~ Yi.D ~ fl.Jt:- .
Address ;)O)()f) ~D/0Z'4.1; FVAMJ-'~
T eJephone # .b..,5) - LJ MCL ?i: ~ "3 .
Furnace Make & M~O~dl '/n...Q AIR CONDITIONER' UNITS CANNOT
cJ ENCROACH INTO SIDEYARD SETBACKS.
Model Size J /") TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Conn. load
Fuel
Flue Size -3 II
Supply Openings
J~
9'
Return Openings
Input
Output
Edr.
Cfm.
TYPE OF WORK
Alterations
V
f
Replacement
New Construction
Repair
. Est. Comp. Date
, Building Permit #
OO-I05&;
PA\OW"'"
BUILDING PERM"
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt #
TYPE OF STRUCTURE,
I. Pink File
2, Green - City
3. Yellow - Contractor
Single Family -'iL
Commercial
Two-Family
Industrial
Multi-Family
Public Other
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with building permit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REQUIREQ with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone: (952) 447-9850
Fax: (952) 447-4245
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
/l;~k Wh~UA7/ approval of PI;_-JL/-q/
I tl A - anfs ~~ Date
, ~ . 3-/'1-01
( ; ai' O~"s Ignature Date
01/03/01 WED 12:53 FAX 6128902753
STOCKER EXCAVATING
141 002
~ . I"1U:
YEUOW - AIIPI.IC&IIT
GOl.J>> . CITY
CITY OF PRIOR LAKE No..fj)-I05b
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registGred
with the city.
APPLICANT: DC Mechanical/ScC?cker Excavat:ing
ADDRESS: 82r7Wesr. 125t:h it~. JgI
SIGNATURE; ~~~ .
SITE ADORES': ~l Q~'" 'A1.u..U-~1~g,.k.
FILL IN THE BLANKS
,PHONE:
890-4241
1/03/01
-;5..llLDATE:::
BLDG. PERMIT #~
PID~2,C)-31J ,., QZB..O
I. Estimated length of vater service__
feet'.
2. size of water service
inch(es) .
J. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVCJ
cast Iron
5. Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure.
feet
from
~~====~~~==~=====~~~==________~~__~==~~~~~~=:~===~==w~~_~=~~---~~~
~===~--~-~-~~==~
your permit when approver- /
. DATE: I 4- 0 ,
, I
~--~----~-~=~~~~~~:===:~~~~~~~--=~~~---
This application
BY
FEES:
$
S
$
35.00
.50
35.50
Se~er and water line connection permit-
Surcharge
TOTAL
* Fee for either sewer or vater individually is $20.00 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 ~at&r permits are
issued. . ~ '. I ~
DATE PAID AMOUNT PAID ~~ 'f~-6
RECEIPT #
REC'D BY
-/
16200 Eagle Creek Av_ S.E., Prior Lake, Minnesota 55372 J Ph. (612) 447-4230 I FAX (612) 447-4245
All Equal Opportunity Employer
.."
n. c_ ., .. .... c...,
CITY OF PRIOR LAKE
I'LU".'NG PERM"
~... -wt.5~QY "\~~\>\nC\
, rlln It: l\~oo ~ cl.t' <Q,c"\ C. ~r-l\", S~
......-n: ~ q~
LeIIII elf = ~ I. Lac Block
.. AddtI.: 3 \ q \ ~ f'"'~ \~ ~Q. \~
.. -11. PMftIe 00- rJ) 5~ PIC.
NOTE: "........... naI _pia [ I ITN wtIftout comp.... information.
IIIXftJM UNITS
I...... ....
1. cw. ~
t "... .,.,.....
pp No. ..1lf) - 'I () 50 ,
PAO".~ q~~_\.-l4.""'-~;134
\..J \ \ or L ~ \<...Q
.Sub
~
~~\\r>?;}~ .
Q~ TWe 01 FIIIan QUM_ Tvp. of Fill1ur.
;;. ~ Tub ... or.... ...., 3 Rough-in.
l DllhL\.... , W.., H..lllr
\ Floor ~ Water Softner
y Laa10Iy (llMftraotft link) Stand Pip. (wash.ng machiM)
l ~TIay (1 or 2 ~ sink) Sewag. EiectOt
:+- "'bMI .... ~ Auambllt (RPZ. Oow. C"eck. PVB'
t ..... 8ackftow A...mb.y Te.,
~ .
.. .",. Lawn SpMkJar
..
3 W..r c.... ~ Other
,. ---DULa
.. I~t CoIM_ aIM & ~,~
C'" flljoO .... ".10 rnInImunt) s
"...fl...., New er. I ,.. '-""Y s
...... ~IW, .&oIa.. . s_
S .50
GRAND TOTAL ~~gt~-rRMrr
"... .... Ia ..- .... ... .... CCHldlIian daM laid
*~ 1 . IIIIIIIU ....., Iia .. ...-u .tdl .. CIni&-ea
0'" - ~. CallI_ .... - r ...... die..,.
'~ 3-1--0/ DA"r!!
.A..~
Call lot... :-,- ('IL. 24 houn ia ""'Me..
16200 &ale CreetAv. J.E.. Prior Lab. ~ 55312/ Ph. (612) 447-4230 I F.a\X (612) 447~424S
All.... ~...l__lmplD'.r
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS :?ILJ ~ 6/u~ Q"r~
NATURE OF WORK ~
USE OF BUILDING S F~
PERMIT NO. ()O . /6sb DATE ISSUED (l - ~ - '2t...-O
CONTRACTOR ("1~ 'Ktm:.. (l4llLu. PHONE ~b/-t{S!i:!/J3-S
NOTE: THIS IS NOT A PeRMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
FOOTING ~~~. llogjOJ
FOUNDATION (Prior to Backfill) _ 1). \hi, ;),;) 0 J
PLACE NO CONCRETE UNTIL ABOV~ HAS BEEN SiGN'ED
ROUGH - INS
SEWER I WATER I SEPTIC 'B. VM
FRAMING I ~ ..V4tU,
INSULATION ~ <-\)fiJ~
ELECTRICAL \
PLUMBING 15..~ 4 li}'\
HEATING (if required) : ~ -~.~ 4. ..'Q.... O(
FIREPLACE : '1>'~~ A'l~rDt
GAS LINE AIR TEST ,.. \ 4 '.:If\
~. A..c.. ~ pI
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
l ) q, 0\
'1.1 .to! Ol
~ I~ O(
l ~
II
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING I/JC-~~\~-,:. ,~~.\.~Jf'
DO NOT OCCUpy UNTIL ABOVE
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, card s~.aJl be placed near main entrance.
'%.~ewJt ~ (3 )01
t
,
~~ I' I" -
~ 11s 61
~ I
HAS BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
....".
" '~tSIllll I'''' 1
IltIIiiMiII
, ,; ,;,:,' --.... c"
-
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (,-2J-c;c.J
ADDRESS 3/11 LCf~ fl>>/rP C,V
OWNER CONTR. /fJ4~ '~." [!vO.$ ..
PHONE NO. PERMIT NO. no-{ 0 S~
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
~E)(J(#u.D~LLlNG
"Doo11i5tAiN,.
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: _
Gf~- (9'-
1'~~/6
8.,~ ' c;r
1)(' WORK SATISFACTORY, PROCEED
~ 0 ~RRECT 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 &; SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~ -) S -b l 1'M
t
ADDRESS ZICl/ La~ El.R- G'r(,'~
DA TE TIME
OWNER CONTR.
PHONE NO. . PERMIT NO. "t> -I () 5h
o FOOTING
o FOUNDATION
o FRAMING
o )NSULA TION
pr FINAL
o SITE INSPECTION
-" n WlM
o PLUMBING RI
o MECH RI
o WATER HOOKUP
q SEWER HOOKUP
~ PLUMBING FIN
o MECH IN -
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~
. - I
\Je.- r~ k~
&- O~ Cl~ ~~e-v-
~PA
~od.- affi- trees. fer cbIvflMeu 1-
-
~t='l -~f ('~().
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: :t).l~ Owner/Contr.
CALL 447-9850 FOrJTHE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3f9(
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
QJN&ULA TION
;1] FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 0-Z1 -a1
~ cplc^}}L .
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-';;J +--- ~ }
bo I 0 5\0
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GA~~ TST
M
./
~RK SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
o CORREC W R ,CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CAL 447- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
/NSNOTl