HomeMy WebLinkAboutBuilding Permit 00-1067
QAIf RECEIVED
IZ-S-OO
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Permit No.
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
2. SITE ADDRESS :f)3,
3. LEGAL DESCRIPTION
LOT ~ BLOCK
ADDITION -1J(}r:~.b!,! IDyl
4. OWNER (Nal1le)'H
Larn)r f ~[a
5. ARCHI"1J I anwe)
6. BUILDER (Name)
t~l~ fuU01 C+,
I
~
/~/lIoo
J2..ISD
BUILD INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
~
PID 2S-..::>tJ- 008-0
J _ J (Address)
,ft1}a:etson
c (Address)
.yU12UJ.fl
(,kAddress)
(Tel. No.)
13. TYPE OF CONSTRUCTION
~~
14. FLOOR AREA APPORTIONMENT USE
J (Tel. No.) t j
UJ..sI-4S;;-07d7
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
MiIJL{ tlf bros. Cilb f
OCCUPANTS
1017!; IH/sm.- /JO-<J-ff51H 6~/-f/sV-'f~33
7. TYPE OF W~ Fireplace 0 Septic 0 Deck 0 V Re-roofing 0 Porch 0
New Constructio Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
ChimneyO Misc. ;;?5C)\~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
S~~~y ce~:!~2ru",ShOO Infoona:::n Ihls apPI~:~hwhlch Is 10 ~e besl ::Y knOWled: true and corred I a~~~~:: ~~t ~~
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
~Uilding O~~k~ permit for just cause. Furthermore, I hereby agree tha~ y)5~ 3 ~7gnee may enter upon the property to perfo/~t;;)nspections.
~ License No. Date
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
5Ff)
....
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~. CJC)
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 J h t'"'\ c::.-
Permit Fee ................................... $ I 1iI3, · ol.--L-
Plan Check Fee ............................. $ I, tJ (g ct. ::2../
State Surcharge 0" 0........ 0................ $ I I 2. ~ tV
Penalty ....................................... $
City:
Amount Brought Forward .................. $
Park Support Fee ..................... 0" 0" $
SAC .. .. .. .. .. .. .. .. . .. . .. .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
c;-l " $
Pressure Reducer ..7.8............... o. 0 0 $
Meter Horn.. . .... 0... ................. ....... $
Water Meter 0........ 0.... .... ......... ...... $
Sewer & Water Connection Fee ........... $
~
/. I rJ(j. ct'
.
k20 · t)O
({)O · en
Sewer & Water Permit...................... $ J'S: )' ()
Permit ......;p..... ......... $ 46 · oc)
mes Y .. 9 Permit w~n Airved.
Date I - - ?,v}O
~~~
(,jl}l
tfstrJ
I ~a aD
II~gg .o~)
..(90
Plumbing Permit Fee ........ 0.............. $
Mechanical Permit Fee ..................... $
Water Tower Fee ........................... $
Water Tap .........00..000.. 0...........0000. $
Builder's Deposit ............................ $~O t);,1Jt::2
Other............................ 0............ $
PakJ TO;;Z"U: ";r~""'"'' '~:i~'" $-f'tfj:?
Issued Y l
Date IZ,.... Zq ,()tJ By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordi~ay proc s requested. This document when
sign y I Cil)i'I ner constitutes a tempooey Certificate of Zoni~"""liance a~ con~on :p;rnenc. fore aceu ancy, aCe' icate of cncy m~~ 1:"00.
l2pn~ ~.. _--. ~ ~~ A4
lanner Date " pecial Conditions if ny
24 hour notice for all inspections (952) 447-9850
GO-IOw7
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
HAN(;6L/
/2- - ~
BR06.
00
The B,wlding, Engini)ering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
303/ :"L;At:..6 flAVf-~ AI ~/
V
Accepted With Corrections
Accepted
Denied
Reviewed By: L J.... t.-. Date: /2 / /2. / 00
Comments: ~tE:t RelIG7?<c ..5;~ ~R.. f-}12I21l1/J/'J/Jt.. INEl1Rm~.
~\(~
~ltbc: : tAeJe- ~ el/J e/l?~wo4f t>ver!Jf)1AI.5{~ ~ d<!!- nrHt:A
PIOfdt</ li7e- th4/lJtI.5-C be m4.il:J...ta/M~ cd tM ~~
" I )
0.;' 9 b (g, 0 ((I//JX/lfltllYJ ,
,
'<>~""" .
~eb ~/f)e:JV5: iJ Gf2t:vI/lJt? MN 2)L~5/t2;J C:Yr~/7llZl9.9~_
3) f::.t:!tJ7/()/J) ~.~'- p~
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."
)0- 001
Thr Crntrr of thr t.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
~/AN~6l/ 8k06.
12--- k - 00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
303 / LAK-6 J/1-1V~N (2,./
/
Accepted
Accepted With Corrections
Denied J II
Reviewed By:/-:j AA- ~~
Date:
1"2-/~ 7~
com;;t~ U\wu~. ~~ ~_~ at~
~~ t~ <1-~ f<~OlvJ\V:> C.v./'6.
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
~
)0 - 0 {j 1
Thr Crnlrr or Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/VI AwN [,;6 V
/2.. - ~
BR-06 .
00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
303 / LAJ::-6 HAV~N ~I
Accepted
Accepted With Corrections ~
Denied /
ReVieWedBy:G7t1~^ Date: fl-II-7.ooo
Comments:
J. ~ all ~ h()A..J ou/:s
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
CITY OF PRIOR LAKE MC
16200 Eagle CreekAv. S.E. Permit No. oo-o/Ow7
Prior Lake, MN 55372
TYPE OF STRUCTURE,
1. Pink File
2. Green City
3. Yellow Contractor
HEATING APPLICATION I PERMIT
3 - J'1-0J PID# 25-'611- 008,..0
1-:W~7 cdoh -ilD/)LP/YJ U
- - /
Date
Site Address
Lot Block Addition
Ownefs Name ~/}l/7 A /U'JJ)
Address
Heating Contractor .~
Address -J r1lJJ.Jf
Telephone # ~ .1 ) -1{t,() -
Furnace Make & Model \
Model Size
Conn. Load
Fuel
Flue Size ~} I
Supply Openings
)~
9
Return Openings
Input
Edr.
Output
Cfm.
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Alterations
Replacement
TYPE OF WORK
New Construction
x
Repair
Est. Comp. Date
Building Permit #
00./0(,,7
- I
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
\,[>.\0 \J'I\\~.,,-
eU\\J)\~G 'r'-=-p.'" \
Receipt #
Single Family .
Commercial
'A
Multi-Family
Other
Two-Family
Industrial
Public
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.
tiEAT CALCULATIONS REQUIRED 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
Ca" work WhiC71~7 approval of Pla;_J7' -() /
- ( -~nt'S Si~t?J /J /J - Date .
--- /1 (~ ~ -3-/9 ~ 0 I
" ~ ing o.Ji6ars Signature --- Date
CITY OF PRIOR LAKE Me
1620D Eagle Creek Av. S~E. Plumll No. 00- / ()(y 1
Prior lake. MN 55311
\0
o
o
~ ~ HEATING APPLICATION I PER~
: Dala. -f~/OJ PID,25-dl)l-'{)()~-O
~ S~e Address . .J.iJv j(ab. :J~Ut.. ('~ .
~ lot <6 Block I AddiUon 'l/mt!tlLCrx1 (f)~
~t~
Ownel'S Name
TYPE OF STRUCTURE
1_ l'itlk. - Ale.
. J. Gn:ttn . Cit,
J. YEU.,.. . COllIII:Ktal
Sing1e Fanilly .
rwo~Famfly
tndustrial
Public
MulU.Famifr '
OJner
Commercial
~~ Schedu1e
(;{).,f d~USUiaL Commercial & Mu1fi-Family
ResidenUaJ. Heating ~ AC
Residentrat, Heating Onty
ResidenUa.I. Gas R I eplace
Residential, Additions & Alterations
Residential. AC On1y
Address.
Healing Contractor A.LL lED FIRES IDE d ba FIRES IDE COllNER
Address. 2700 N L FAIRVIE'" I ROSEVILLE J MN 55113
T ele-phone , 6 5 1- 6 3 3 - 2. 5 61
FIREPLACE JL_,
IlR1fD Make & Moder ~ JJ ~b
Model5;zlt boo;) '1Jl
~
~
~
o
l)
~
Q
H
Ul
~
~
H
rx..
Conn. Load
~ill ~
Ru.e Size
~
OJ
OJ
OJ
suppry Openings
Return Openlng~
Input
Edr.
. OUlput..JJ,txx>
'"
'"
\0
crm.
r-l
U)
\0
TYPE OFWORK
U)
o
^lte rations
Replacement
'"
r-l
Repair
Est. Comp. Oatil
r-l
o
o
N
Est Cost $ l/1J()-~
HEA TlNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
BuDding Pelmrl f
o
'"
~
~
TYPEOF SY~I~
Warm Ail Planl!
Gravity
MachanicaJ
Air CondiUoning
Vent Syslem
HEATING OR POWER PlAN.T
Sloam
Hol Water
Radialioo
Spedal 0 evices
Other Devices _
New Conslruction .
~.
t;- Y'=- () I
PAID WITH
BUILDING PERr"aT
R~CQlpl ,
1 % of Job cost (S3B~SO mintmum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add Ihe Slate Surd1arge on th e botlom 01 thrs application.
The price of your hs.ting permil inctudes one rough-in and one finaJ insp9ctfon.
Additional if1spectio~ wl1l be bAled at $35.00 eachL
House Healing Test Record must be submilled with bwldinq R!UIDi1 pumbIL before build-
ing certJlicale or occupancy will be issuad..
tlEAT CAlCULATIONS JlEQUIRfD.. wilh number of supply Bnd return openings listed pe
room with CFM's per opening. New structures or adc:liOOns _and floor plan with suppf,
and relwn locations shown. HEAT LOSS CALCUlAllONS, PAYMENT AND
APPUCATIONS MAY BE MAlLED TO THE CITY OF PRIOR LAKE. 16100 EAGLE
CREEK AVE. S.E PRIOR lAKE. MN 55372.
C liy HaD buslnesl hour; lYe 8 am. .. . 4~3Q p.m.
t
ALL WORK MUST BE INSPECTED (ROUGH-IN AND ANAL) - CAll crrv HALL
441-4230
I hereby apply for a mechanica1 s.ystems permit and t acknowledge thatlhe
information above is complete and accurate; Lhat the wOIk win be in confarmanee
with the ordinances and codes of lhe cUy and wiLh the slale buildingImllchantcal
codes; thallhis form does not become a permit until signed by the BUIlDING
Ot-r-ICIAL; that the work will be in accordance with the approved plan in the
case ;tfl work ~hi'::h requires review and approva.! 01 plan".
~ 1I~ . .a'#Qi
, Ap~icBnl's Stgnatur8 ' , Data
. OL
Buildin{l cpfHcafs Signalure
I./-;x- /
Dale
01/03/01 WED 12:53 FAX 6128902753
STOCKER EXCAVATING
f4l 001
fall.. - PlIL&
...u.ow - ~
GOUI . CIT~
CITY OF PRIOR LAlCE NO. DO -I 0 (p 7
SEWER AND WATER PERMIT
NOTE: Sewer and Water
con~ractors must
be registered
~ith the City.
APPLICANT: DC Hechan1cal/Sct?cker Exc.avat1.na
PHONE:
890-4241
1/03/01
ADDRESS: 8Z47)'4SC 125~ :'t~~J.~
SIGNATURE: ^'~ ~~L
SITE ADDRESS: 3037 Lake Haven Court
~5.J1L.DATt: .
BLOG . PERMIT # 1 Q6]
PIO; 2.5-371- ()QfJ-O
FILL IN THE BLANKS
1. Estimated 1en9th of water serviee
feet".
2. Size of water service
inch(es) .
J. Location of any couplinqs frQ. structure
feet.
4. Type of seYer pipe. ABS
PVC ~
cast Iron
5- Estimated length of sewer line
feet.
6. Clean out (if required), located at
structure_
teet
from
------~-------------
~-~~----------~--~-----
===~~~~~-----~;=~~~~~==~~=~~---===---
This applicati/J~mes
BY ~/~.
=============:;c;___-~-.,,'" ._~...
FEES: $ 35.00
5 .50
$ 35.50
your permit when approVrd-r
. DATE: I 4 0 (
I ,
...-~
~~~-=~==~:~~=====~-~-
Sew~r and water line connection permit.
Surcharqe
TPTAL
* Fee for either sewer or water individually is $20.00 plus
S .50 surcharge.
* Sewer and water permits issued for neY construction must be
recorded on the builain9 per.it card at the ti~e of issuance
to insure that no .dupl~cate sewer and ~ater permits are
issued. -
REC'O BY
DATE PAID
"RECEIPT #
AMOUNT PAID
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opp,onunity" Employee
.. .'
I.... ~..
1. d.W Oet
l. ".u.. ."-
PPNo. 00 - Lf)Q
~"one: "'-S~, '44')-b,3Y
t' r \'0("' l.. Q. k:.Q
CITY OF PRIOR LAKE
PLUIISING PEII""
AII_" ~-wt~~QY Q\umb\~.
Mil : 4~ Pr~ CJ~ s~
.llf__"; ~ 0. ~
...... ~~'!.ot' I IIock
_ a~dfl": 3C3" L~ UCL\iG.f"' ~'"
.~...""'" ()0 - I ()(IJ 7 PIC"
.
NOTE: ..,.. permit.. not '- pra~T.ttd wtIhouI complet. Informalton.
PlXTURI ......
a..NItt
on. c... III _ ~ c-."
Sub
\\\(}\\\~ .
~
QUII'IIIy
'J-
l
\
\.{
l
J-
\
3
..... fJI FbLtu..
Type of Fiat'lyre
... T.. ... or ...1.1I......
,3
t
Aough-ift'
w.., .....r
Water Softn.,
Stand Pipe (w.sning machine)
".ge Ejector
EIIdcftow Auetnbly (RPZ. Double Check. 1'V8)
s.ckftow Aaaembly Test
Lawn Sprinkl.r
Ot".r
DIIt A'"
IIIaor DrIIn
~ ....raom aInk)
~~T~Y('o'2~.~~
.... ....
{
.....
.. 8InIc
w..., ao.r (101-.0
... --.DU'--
IfMMttllll. c.onwn..* I MuII-'~
(1" at jib ... -.10 .........)
~"lll f...... New one a ". ~
...'.1..... M.a... & AIIIf8IIon.
.... ......
....50
131.50
.
I
S
I, .50
. p~\O W~ff',M\i
~\\..D\NG .
GRAND TOTAL
". ...... .. ..-. ~ die ....... ....Iion rAal u64
~ w. .a.u ...., .. III .... ... .... .tllUlCCI
.,............. e...... _ III' -"- _...,.
. . L..4:t6}~. 3. Z "0/ DATE
~ - .AT'I'BST
c.u fer.u .:-/~ tlo~ 24 ..... ia "vane..
16200 l!aaJe Creek Av. S.E.. Prior Lake" MinulOla "3721 PIl. (612) 447-4230 I F."'" (612) 447.424'
Aa .... '~or ~ _I. ""o,.r
PRIOR LAKE' DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS -.3031) Lo.'-Q.. (-f.o~ CA
NATURE OF WORK ~~
USE OF BUILDING SF\)
PERMIT NO. ()(). jQJ()7 DATE ISSUED J2 -11-2~,
CONTRACTOR ~\~~ ~h5& ~~. PHONE~ ~'I?'5~f)'721
NOTE: THIS IS NOT A PeRMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT ?~~
IN~ECTOR
h.
FOUNDATION (Prior to Backfill) ~ tbr. 1IIlt/ltJI
PLACE NO CONCRETE UNTil ABOVE'fHA'S BEEN SIGNED
ROUGH - INS
~6.~
~~M
~.~
l
'1> -\[~ I
--g, ~a.u.- 3 (q\ c> (
-"t\l l r t
.. i t ().UIf f f
GAS LINE AIR TEST ~('E> ~{t~ \ ~ It. O(
COVER NO WORK UNTil ABOVE HAS BEEN SIGNED
FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
FINALS
\J ~
~~,,~
'--
~~J~
1-, , )(1 .
OCCUpy UNTIL ABOVE ~s
NOTICE
GRADING (Prior to Sodding)
BUilDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
~ATE
I~/?/~l
I I
11 ~~O)
~a. 01
~1(q{ l) 1
" l
4: 1'\, ~ I
\. '
Jt , ~ 01
I. L
I
U .al.:D LV
.
f'o ;78-, 0 {
~ ,
bl~OLJ'\
- I~ ?/?-..10}
BEEN SIGN'ED
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 (952) 447-9850
,.-
-
M~64
.!l.~:'__-,_.~~_____._-,
'-...-
SCHEDULED
t)'Jq;OJ
Ct~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
I~/S-
ADDRESS
3,037 Loh HaveVl
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00- JOb7
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING jiK'WA TER HOOKUP ~ 0 FIREPLACE RI
o INSULATION ~SEWER HOOKUP f"r 0 FIREPLACE FINAL
o FINAL 0 PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL . 0
COMMENTS: wOvter- ~~~~""Vt evJ
S "'\At -O~ Oc.J-ti,,,, ~OW r.\
~
lc:. \~ ,
-- ~R fA
i~ ~/-'
, I V'
,1 ~
'~ .
^ \I~
~/\
-~!-l J- /
.t.. . l' ---
-
~ORK SATISFACTORY, PROCEED
o CORRECT 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 & SAFETYI
INSNOTl
.~~~&J. / I : 30
/-AILe, ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
, 3c> 3 7
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
~SEWER HOOKUP
_ LUMBING FINAL
o MECH FINAL
DATE TIME
01 - (J t, 7
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~tN\Ju- ~
COMMENTS:
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~L FOR REINSPECTION BEFORE COVERING
Inspector. ~ . \ ,tJttJef Owner/Contr:
CALL 447-9850 ;OR THE N~XT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
;,,/:?-1P1 / ;,a2J
c3t~ 1 '>IcL/(p (t" A:~
l VI ' -
CONTR.
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
/-G r;
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
{} e-FlNAL
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 GASLlNE AIR TST
o
COMMENTS: t
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/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR :<:, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1> - ,()A.)JJ Owner/Contc
CALL 447-9850 FOR [HE NEXT INSPECTION 24 HOURS IN ADVANCE.
\
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE nilE
CITY OF PRIOR LAKE /
INSPECTION NOTICE SCHEDULED ,,-.2..5 .Or
ADDRESS 3037 1-~4 ~'" c.-r
OWNER CONTR. _/l'hd~rt>J.
PHONE NO. PERMIT NO. ~ -- I 00 7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
){ EXliSEJlFlLLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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f ~Io &, ~ . 0 (.
IA:!!ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ __ Owne rICo ntr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI