HomeMy WebLinkAboutBuilding Permit 00-0717
7. TYPE OF WORK
New constructionllf'
Chimney CJ MiS{
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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 authorized agent for
the above mentioned property and that all construction will conform to all existing state and locallaw$ and will proceed in accordance with submitted plans. I am aware that the
building ~~~ ~ Furthermore, I hereby agree that the c!~ official or a designee may enter upon the property to pertorm needed inspections.
X ~~'--L-~~C'1. '....l_ '-\3\...~ el-\~C>O
- Signature' License No. Date
Amount Brought Forward .................. $ _
Park Support Fee ........................... $ p..9"J=
SAC ......................................... $-4J ~ '!!
Collective Street Fee ........ ............... $
Sewer Tap ................................... $
Pressure Reducer ..%~................. :
Meter Horn ... .... .... ........................ $
..I.~~X PR/0", <' I. rn (~~:J1!~~~X'-;\\i CITY OF PRIOR LAKE
& ~ ' . BUILDING PERMIT,
o . .. J EMPORARY CERTIFICATE OF
· ZONING COMPLIANCE
) UTILITY CONNECTION PERMIT
DIRECTIONS L-
SPACES NUMBERED 1 THRU 17 MUST BE FillED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
'8-\-00
e1.
2 SITE A\D!:\4 \ '\
3. LEGAL DESCRIPTION
~~
Nt;
~\f-Q......
LOT
2-0
~
PID 615~.~b'j(-~
\
BLOCK
\-.l-. \ \
~Lk
ADDITION
(Address)
t+A-'v~
(Tel. No.)
C-f"tb-~
(Tel. No.)
L{. 'S'L - "Z-C) 4lf
(Tel. No.)
4. OWNER (Name)
A\~ "\t-- k A--~--t" I'- 'f ........
5. ARCHITECT (Name;....
~h,\\, t\ $ TI-'\~'^-\v..Q
6. BLJlLDER I (Name) , (Address)
C-' tl-, p~~\ ~ €.- \ \- ..~
(Address)
'f'f'l-\ '0" b
Fireplace 0
Alterations 0
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Septic 0
Addition LI
Deck 0
Finish Attic 0
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Side
Back:
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN ii
PERMIT VALUATION 130,000.00
USE OF BUILDING
51=D
TYPE OF CONSTRUCTION: I II III IV @
OccupancyGroup A B E F HIM ~ S U
Pennit Fee ..........~~~~~~~...1...~.~.~... $ 10 3712..-5'"
C,?4.'l..1
t"S.oo
City:
Plan Check Fee ............................. $
State Surcharge ............................. ot
Penalty.......................... ..... .... .... ot
Plumbing Permit Fee ....................... $
~oO
~. \
Mechanical Permit Fee ..................... $
J ()(L o{'l
fno,oo
~5 .5'0
40.00
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
J ';2<,- ~
, I ~ 00..sSi
~ nl'1!2
Water Tap ................................... $
Builder's Deposit ............................ $~
Other ......................................... $
Total Due .............................. $
Paid 71 s'7 ,} 'i (, Receipt No.
Date g--.4. ?'/m By
the request in the above application and accompanying documents is in accordance with the City Zoning hrdinan~ and may proceed - s r
lanner constitutes a temporary Certificate of Zoning compliance an allows const ctian to commenc~. Beforr ~upancy, a~icatl of
"oHA- _~-<1C'60 " ~ I~ ~
ity Planner Date Special Conditions if any
Sewer & Water Permit ...................... l/:'
.
UI ding Permit ~hen Approved.
Date /1-./4:;. '200?
- ~
Certificate of Occu
Issued
24 hour notice for all inspections (952) 447.9850
I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
DO'D1It
BUilDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FilED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
CJ
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
qsASl
Soo~
7. 5.J4.:ltb
.Yo
----
~~
OD'01il
ThO' Cultr or Ih", L_h COllnl..,.
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKL!SI
NAME OF APPLICANT ('.. ~. '\=ndnd ~0 1+r,'.(Y\J 1\
APPLICATION RECEIVED 011 'd'Ubv+ \) rl-tnn")
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I LI Lj I q T'>c-""""'" _' r r n r-r+-
Accepted
/
f-ccepted With Corrections
Denied
Reviewed By: Gron+ ~/L Date: g}ok
Comments: See ..fie r~v~rS'e $/e4 41" Qcd~;'~d/ titk-"'~;'/r.
Co"J'"IrVr'hd/1 f/k Pfvrl- ~t' ~/U'(-1/ .,t;",.., f)"Vl' i:v/'6.
s;.;.... a..JI..f{t!i.m~,,/s: I. h"Aa.( r;,..,/e L;~D"'~~:"" ::zhI:".ftTP-h4-,,~ c;,.'/':J P/..,
3.Eri"JS'~A c:?Mfn/ &u~/'s- r( EnJ~,__ tlnd-tlL.f%,A--
"The 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 ofr 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' ()111
Tht' Ct'nlt'r of lht' I,.k.. Country
White - Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT r.. R... ~r+r\d ~u \+r'N"YVA
APPLICATION RECEIVED ( 11_ r l \ ;::~-o-rrr")
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ Lj ~ I q DrN--€ _ (' jI n r-r4-
Accepted
Accepted With Corrections /
Denied (~/l
Reviewed By:\li:Y L~
,
Date: 8-15-.:2000
Comments:
RecJ. all atb:l~ls
"The 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."
~~
00-07l1
Th. ('.ntrr of lhr I.akr eounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ('.. ~. Thrh--':'~lJ ~D ~
APPLICATION RECEIVED O~ \) ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1LUl-!q ~ ('.~
Accepted
Accepted With Corrections
~
Denied
/~A',. [^
Reviewed By: V' - ~
Date:
~-q-6D
Comments:
2Lfl=J ~~ ~
~/~~ -d-~/
3D trr .Mi\M'\A.t.u-~ ,^VJV.eJA~ ~.btu1<
TV I9tAt\ VJ... () ,t-J L V\.c1 ~ .. r"., L:.-5YWW- Ld"fS ..
(5.~{Jy~ ~ ')
l ~
!LJ, DeW ~ ~~
"The 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."
FILE No.739 10/04 '00 AM 09:22 ID:D & D MECHANICAL
CITY OF PRIOR LAKE ~: :;::L ~::u'""'
PLUMBING PERMIT 1112- r; I r;
Applll)ant: D +- j) rn~(!..HA^j,uL _Phone:...:i...9() --._'8~81
~ross: ~_.UJ. ~14J1 Leo I tc:" ~ - ~I.~~I" s5 ~ 7.3'
~:~::~::cnPllon: Lol _ ;};' .. ~BI~k L_sub-t;:ir;LIi~1 .5 ~
Sit. Addr.ss: /0/1/19 IJd V€ 6,-':&L___ .._._
aulldlng Permit /I 00 - 07...L? _PID 1f~=-3 To ~ -I) d:Q- 0
NOTE: This permll will nol b. Pl'O(:oss.d without compl.,. I"'ormatloll.,
FIXTURE UNITS
,.... (;..1" .1 IlN .... C"QI"
-,
Ouanlll)' Type 01 Fixture
.:;... Bath Tl,lb wllh or wllhout shower
J Dishwasher
/ Floor Drain
.:3 J Lavalory (bathroom sink)
-
I I Laundry Tray (lor 2 compartmsnl sink)
I , Shower Slall
0< I Sinks
I Bar Sink
-\.? I Waler Cloaal (tollat)
FIE! SCHEDULE!
Industrial, Commsrclal ,', Mulll-Famlly
(1% of job cosl, $39.5l1 Inlnlmum)
Reeldenllal, New One ,~ Two Family
Residential, Addlllons t'. Allarallons
Stato Surcharge
_.
FAX:6128904650
PAGE 1
Quanllly
Type (II Flld'Jro
.3
I
Rougll-Ins
Wille, Haaler
Wale! Sollner
I Stand Pipe (washng l'Il&~hlne)
SeWltIle EJeolor
Backllcw Auembty (I~Pz. O,uble Check, PYB)
Back" PW AlIlIembl~I' rSal
Lawn Sprinkler
~ Othar rtt.~mlf'!::~ /S,,","'PP"-rdJ
$99.50
$39.50
$
$ q'7.~ J.. 6'3'
$ P lJ..r.
$ .50 ~~
$ ItJb.OO
GRAND TOTAL
1"111 JlCrrnU is granted upon lhc cAprcs8 conLlilion lhalllsilJ
\ lllllracml". shall cum))ly 111 illl reapect. with Lhe ordinances
(11 jhc SLale Plumbing Code Gild lhe amendmentl thereof.
.~. ICBIPT NO, 10-' L/-C)~ PAl'll
~. (C/-tAA~ AlTBST
I -... -
elll r 011 inspections 24 hours in IIt/Vllnce.
, PAID WITH
BUILDING PERMIT
16200 Eagle Creek Av, S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4210 / FAX (612) 4<::/.4245
An Equal OpponunilY Employer
I
CITY Or: PRIOR lAKE MC
16200 Eagle Creek Av. S.E. Pe,mil No.
PrIor l.8ke, MN 55372
l'IUO"-
~r.
. / -~
HEATINGAPPUCATlON/P~_~ riC\!7-~.'."
_ ~ . "')..l~ leI
Date \D-5-00 PID8..2~:~ , )U7r (1'\\ , i',
SfteAdd,ns IL\-Lt\t1 ffiJe..., ('ror-t- \1(: ~~Ii\.\ \,
v' //;4'JJ\\~ II)!
lo! ~ Block -L- Addition f..-./)1.(rb f.J..U.,1J1W V
OWner's NIII1l1l G- . V-. th-vtnl1 0.1) \1:w1,<:;
AddreSl.l4VA\d l (\C\{k\jL1..a.Jro~lt)(" I aJLe...
. J
Helltlng Contraclor f\()..(f'.. ~ <f- f\{ , .
-..J .
Address q~():>, ~\.\mt~ \Q-1Jt J.J , ~ VbJtLu59-fZ.-1
I -
Telephone' ',\o'l.,-Btl-\l\,,\n
Furnace Make 8. Model wrUJ .
SS~l'JSOll \tI
~7- 0/1
Model Size
TYPE OF SYSTEM
Warm Air Plants )(
GraYily
Mechanical
Air Conditionf"Q
Venl. Syatem
Conn.LDad
Fuel Not. lo..c:; r-lue Slz 0
-~\
Supply Ope nlngs
Retum Opanings
Inpul 8Q ,000
Edr.
n
l1
HEATING on POWER PLANT
Sloam
Hol Waler
Radiallon _
Special Day lc.s
Oulpu II LI . \.lOO
Olh., O.ylc.s
elm.
(~
TYPE OF WORK
Merallo"s
RoplaCllmanl
Est. Camp. Datt>
N.w Conslruclion
x
Rt>palr
-<
o
-<
D
r
-0
IS)
,...
Est. Co!ll $ 1500. G::) Building PelTllK .
HEATINGPERMITFEH l.uLt.9J
PAID Wli',
BUILDING PERMI r
,50
Ln~, 00
STATE SURCHARGE $
TOTAL PERMIT FEES $
ReceIpt. .
.
~::.
. ~~~).. r~.l-
TYPE OF STRUCTURE
1.l;1l:"f'11
I. YdlilM
Lil)'
C'on'ln~lor
Single Family
Cmnme,cial
x
Two-F.m~y
Indust,l.1
Muft~F.mlly
Public OIhe/
o
n
-<
,
IS)
Ul
,
!\J
IS)
IS)
IS)
Fee Sclledl1io
Induslrlal, C"",merciel 8. Mulll.Famlly
Aesldenlilll, HealIng & AC
Residenllal, Healing Only
R esldentllll, Gas Fkeplace
Residential, Additions & Altsralions
Aesldenlllll, AC Only
1% 01 Job cost ($39,60 minimum)
$99.50
$&4.50
S39.50
$39.50
$39.50
,...
iT>
IS)
IS)
."
r
Remember to add IIle Slale Surcharge on the bol\om ollhls eppllcetlon. ~
m
I
The price 01 your healing pe,millncludeo onto rough-In end on. finel inspection. !l)
-<
Addilionallnspeclions w~1 be blUt>d at $35.00 e""". Z
'"
House Heating Test Record musl be submiUed wilh Ill!iIlIiIIllIWDlilIlllDJlW: be/ore build po
illg c..U1icale of occupancy win be Issued.' ;S
;0
!iE1\I C.ALC.l.JJATlONS BE.W.IflE1l wllh numbe, of supply end relurn openings listed p
toOll' with CFM's por "l,sIllIlY. Now sl,uctures or IlddiliOllO send floor plan with supply
elld !elum localions s'.own. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAII.ED TO THE CITY OF PRIOR LAKE, t6200 EAGLE
CREEK AVE. SE PRIOR LAKE, MN 55372.
City Hail bumne.1lS hours ara 8 a.m. - 4:30 p.m.
ALL WORK MUST BE H-lSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-42.30
I hereby opply IDr a mochanlcal svalem. permit Ilnd I acknowledve lhal 'ha
Information eboV<lls complela and accurele; Ihal Ihe wor~ will bo In conlormanc,
will. Ih. ordinances end codes of Ihe clly and with the slalt> building/mechanic 'i:'
codes; Ihollllls lo,m does not become a pelmll unlll signed by 'he BUILDINI!\J
OFI'ICI^L; Ihat lIle WOI~ will bt> In accordenct> with the epproved plen In Ihe ~
case 01 all work which requires revi6V/ and approvalDf plans. 8
~,\..I ~ 6 J,WJf'l\ ~
~pll~slgnalurt>
a. (lL/ //1~
/ / ) Building Ol1loal's SlgnallKt>
[0'5-0)
Dele
10 -f-Ob
Oat.
-0
IS)
,...
"-
IS)
,...
~~,
I
CITY OF PRIOR LAKE MC "I
16200 Eagle CreekAv. S.E. PB,miINo. {I-
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
II- :UXJ PfHc-)5 -3 ~~ - ()v~ 0-0
S~B Addross !f.;lI/t:j ~e.. &-
Lot AO BIOC~ . I Add~ion Kflv 0 b /--I; / (
OWrlor'sNarne (1/[ ,/Ja.fA','!:f"-
Oat.
'i! '1
cr:A;;-
C/
Address
Healing Contractor ALL lED FIRESIDE dba FIRRSIDE CORNER
Address 2700 N. ~AIRVI EW.
TeIgp/lonB' 651- 633-2 5 61
FIREPLACE IJ.
IlIJ1mp Make & Mod~1 'q- ;..J c:; (;.
,
Model Si le _ 0 c,7;[j 1J? .
Conn. load
FUBI ~
Flue Sizo
Supply OpBnings
Relurn Openings
k1pul
Ed,.
Output ..JO rYD
Clm.
TYPE OF WORK
ROSEVILLE, MN 55113
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air eondilloning
Vent. Syslem
HEAllHG OR POWER PLAUT
Sloam
Hal Water
Radiation
SP'lcialOevic8ll
Olhal Devices
16
Replacement NeVI Construction
/i- f .011
Morations
Est. CoIl1l. OalB
Repail _
Est. Cosl $ / !f)),~
HEATING PERMIT FEE'
STATE SURCHARGE $
TOTAL PERMIT FEES $
Buftdirtg Pe'm~ #
.50
PAID WITH
BUILDING PERMIT
Aecelpt .
TYPE OF STRUCTURE
I. Pink
1. fPfttTI
1. Ydktw
'"
Fi.lc ~
CiIJ' r+
Cunncl OJ
'"
Single Family
."
f-'.
.,
"
rJ>
f-'.
C.
"
Two.Family
Induslrlal
Mulli-FsmIy
Public O1her
Commercial,
Fee Schedule
o
o
.,
:J
"
.,
Indu~trial, Comme,oial & Mull~Famity
Rr.sidenlial, Healing & AC
Residential, Healing Only
Residenlial, Gas Fireplaoe
Residenlial, AddlIions & Alterations
Residential, hC Only
1% of job c:osl ($39.50 minimum)
$99_50
$64.50
$39.5Q
$39.50
539.50
Remember 10 add the Slale Surcharga on the bollom' of this applicalion.
'"
'"
~
The price 01 your heating permit includes one rough-in and one final inSl'eclion.
'"
'"
AdditionallnSl'eclions wi! be btlled al $35.00 e""h. '"
CJl
HO'''SB Healing Tesl Recoro must be submiUed with IIlIilliog I1II!lIilIlll!llllll: belore bill ::
mg certificale 01 occupancy will be issued. ....
I:!W CALCULATIONS REOUIREO wijh nlJmber 01 supply Brtd relurn openings Isled
100m with CFM's per opening. New .Iruet.... Of additions send floo' plan wilh suppl)
and relum locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E, PRIOR LAKE, MN &5372.
z
o
"
'"
,
o
o
City Hall business hours ara 6 a.m. -.4:30 p.m,
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY "ALL
447-4 Z30
'"
'"
I hereby apply for a mechanical systems permit and,' acknowledge Ihat Ihe ~
irt'ormalion aoove is complele and accufale; Ihal1he work wiN b. irt conlo,ma",-'
wilh the ordinances and codes of Ihe cily and wilh Ihe slate lJuildinglmechanil
codes; Ihallhis 'orm does nol oecome a permil unli' signed by lhe BUflOlN
OFFICIAL; Ihal the wo,k will be in accordance wllh Ihe approved plan In tha
caSd.1 all work/:]h;ch requi/as review and al'Proval 01 plans.
--J2L4L ~ //ld'D
Applicants ~ / / Dal. . '"
{Jf( '" ...-' 1/- :.;-ob ;:;;
Building Offica/ySignature Dale
"
"
<0
"
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1411 \ '1 Dt'l\le. Q \-.
NATURE OF WORK ~'l Q"""d.
USE OF BUILDING SFD.
PERMIT NO. 00. 01/7 DATE ISSUED 8 -t6~'i:1Xxi
CONTRACTOR r.R .~tht~R. ~c:, f>~~e:IL- '-/l..{'7-/8.J{ln
NOTE: THIS IS NOT A PERMfr FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT ~ .. .
I FOOTING . "firr b :;;-F
I FOUNDATION (Prior to Backfill) . y..qv 9 /lJ ()
PLACE NO CONCRETE UNTIL ~O HAS BEEN SIGNED
ROUGH/!- IN~ 1
SEWER I WATER I SEPTIC /' '1'1 sllfJ
FRAMING I .IIL~_~ tllJ
INSULATION v\1e. I /~,' . J / It" !/ID
ELECTRICAL I I ,
PLUMBING I @n. I$;/'~/tn'
HEATING (ifrequired) Ilk I ~ I jt; /Y!trI
FIREPLACE . I ~ I//~'
GAS LINE AIR TEST ~.~. ~ ~~. 111/b!t1'1J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, YMlin,-- at I I
FINALS
GRADING (Prior to Sodding) I ifJ (j
BUILDING \.u.M ~IIIDl 6.v, 1~ILl~61&:n
" .
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
j
<2-3-01
/o/J/!r, J
. ,
A
~,
6.V
12/2-11/J()
1 i/ i-z/lJl
BEEN I 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 "e.placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~trtifirau of (lDrmpanry
CIT y OF PRIOR LAKE
~epartment of lllhiilbing Jn~ptdion
~Fina1 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 Laice regulaling building construction or use. For the following:
Occupancy Type
R3
SINGLE FAMILY
VN
Bldg. Pennit N'"
F. Zo N1A 7 . D" R1
Ire ne ...omog IStrict
00-0717
Use CJassificatior
_ Type Constroction
LcgallJescription L20. B1. KNOB HILL ';th ADDITION
Owner of Building _
Contractor',Name&Addrer" C.R. Partridge
/
Robert D. Hutchins ()::) ,
Bu/nfi~ I
(jite Address
14419 DOVE COURT NE
Homes, 14696 Landau, Prior Lake, MN
Don Rye
55372
City Planner
Dare:
Date:
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
<;? -3 -cr I't-frJ
ADDRESS
/'1 L.f 19 D, we (~..,-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00 - 7/7
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'bI(FINAL
'0 'sITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
y(.. EXI~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
Dr/vl"vc.,., 'n
c., A J3u)l - (.) t..
&r",th _ - 0 I(
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~A~ - ~ --owner/Cortlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
''''SNOrl
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
{Z.Z-\.OCl 4',60
ADDRESS
J44-/0 DOJ 16 CI
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O-llj
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
tt:::>.. 0 SEWER HOOKUP 0 FIREPLACE FINAL
~~PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
e::r X~~
I
COMMENTSm ,p~k>~
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o WORK 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 & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/44Jq Dove.. d.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J'I' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
)if MECH FINAL
I;)J;~OO ;~M~
(){) -1l1L7
o EX/GRAD/FllLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~
~ - ~ke:._,v'r- 4z;,.a;.f'- f.Lt..?:.. -+.Aal CFH
- ~ue.. 'f"CI{QlAJ in QUGW~.:\-.-m..+- . er
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- 5" """,j.. 4JlfCedeA. &)IIJ <~oAfl ~~
~priilJ \ I-t
, J 'P1"l VlI~U~e.1Ci~e/ U.-1tl/ aJf'O-fe-t.JCtI/
'-,,>Taft"A" I
-- tAofer- h~:llA/)t- ~ -tc>f'LJ\'&~
o WORK ~ATISFACTORY. 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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!