HomeMy WebLinkAboutBuilding Permit 00-0718
~1
MF\\ N F\ Lc
i ' I CITY OF PRIOR LAKE
j ',i BUILDING PERMIT,
.' . I :~PORARY CERTIFICATE OF
-.a am i I ZONING COMPLIANCE
At J'AlTILlTY CONNECTION PERMIT
-I
I....n::1'n- ~/r'
't::1 IS v:!J L_)
DIRECTIONS
SPACES NUMBERED J-; __!!tI.;;~
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bonom)
2. SITE ADDRESS
/5':55.;l...
t'riJc j- ec/,.,
L;/'xH
3. LEGAL DESCRIPTION
LOT / D BLOCK
ADDITION h'/YA-~.., aTer-
4. OWNER (Name)
1. White
2. Pink
], Yellow
File
City
Applicant
Permit NO._()O, 07/PJ
1. DATE
6' -/- OJ
~~~D
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF StORIES
/
?~c/
;;, ;;5-31:>7-0/0-0
ad
13. TYPE OF CONSTRUCTION
6. BUILDER (Name)
LJ f /Y 5,." "Iv /V
J-J 0 /n('S
7. TYPE OF WORK Fireplace 0
New Construction V Alterations 0
Chimney 0 Misc.
B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that [ have furnished information on this application which is to the best 01 my knowledge true and correct. I also certify that I am the owner or authorized agent for
the above mentioned property and that I construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
building 9l!iIial can revoke thi~ermit Just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm needed inspections.
X /.J a.-t.; K ~ /7>r,F. /
I / / S~ature - License No. Date
V
(Address) (Tel. No.)
/cT'7f jl/42t:- Dr.-v" (ps/- yot.-Yl-'OlJ
S.,;T( .).O() t'&1t1MhlN
Septic 0 DeCC'f Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Ae-siding 0 Finish Basement 0
(Address)
5. ARCHITECT
(Name)
(Address)
(Tel. No.1
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEAT~
16. PROJECT COSTNALUE
17. COMPLETION OA TE
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT VALUATION 4'5;c:r"">o I'V'l PLOT PLAN 0
Meter Horn ................................... $
Water Meter ................................. $ 12.:;"'8 C'JD
Sewer & Water Connection Fee ........... $--1.~ 7 Of) .00
WaterTowerFee ........................... $~0l!'J .at:l..-
Water Tap ................................... $
Builders Deposit ..............",....",.... L I SO O. 0 0
I
Other ......................................... $
Total Due ...........:............,,,,,, $ 7, Z55.4-0
Paid 2t, c:;z./ ,&;0 RaceiptNo. ~Q.AI'Z...-
Issued . ~
Date qL-vI- By ~
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin~d may proceed as requestSd. This document when
si Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
. _ ~-I19-B9
. city Planner Dale Special Conditions ij any
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
SE:A
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City:
Division 1 2 3 4
Permit Fee ................................... $
8srft,/'){"')
5'51".40
q'l ..;0
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... q:
too.oo
Mechanical Permit Fee ...................... I ()().()t)
Sewer & Water Permit ...................... $ 3t; .SO
GaS$'r ac ~....... ...uu",.m. l./I').ex)
This .. ur Building Permit }'Vhen APproved.
By Date 5 -1S"-2<IioD
Certificate of Occupan/
Plumbing Permit Fee ....................... $
p~~lO
~ \\Q.(5b
/1..-
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC .uuuuuuuu.u.........."uuu", $
Collective Street Fee .... ............ ....... $
Sewer Tap ................................... $
Ao;'I'l.t')~
1,(0/").01'-,.
cJ t. $
Pressure Reducer ..1tJ................... $
~c;-.oo
24 hour notice for all inspections (952) 447.9850
00 I 01l (
Thr Crlllu or lhr l.kr COUIII!')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
LA)~ )('\ "" (1\[1 K'\ Y\
OJ..). l )C01fJ1t-
\\rrY\2 J'.
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\G~5a ~ QHmk-Gld.c. \AJ\Q....
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
(; 1"<<''1+ (!O f' ( s (m
,")pe +h... rPl/p("<:.p.
. Date:#
S, Jt'- ~.- 4.t/di..-I-,'n.. Q"I i'nlorl1Ul.f-"".
Comments;
~ee ".A+o.cl,,~.f.tt-/-s; L FiftDt.1 C,.ttt1t. Insp~~'+iol1 :::t::h+or""a}i'HI R 0'.-.u(i:j PI....
..3. Erosion (!onf."tJ! MeA.~ur"'-L-'1. ErosJ1:J.'" {!olf+n,! PI-VOL
"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 jlJrisdiclion. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
/.
, /;5"/-
~,?
..~~
~O'Ol(1
Thr('.,nlrrof lhr LabCounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
I 1 \. '''')'' \\
V\..A iI ".... \ \t i ,f\Y'\
(1'\1\
APPLICATION RECEIVED
,~
(,l.\ \ (\(i", ,+
~)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ ~ - -. /-/
I-,C"" !--,. _'J ( -..' \, l '
'-- )L '--k~),-~'l "'-:,.': r." (\ ( \ ()~I\l J
Accepted
~
Accepted With Corrections
Denied
~A _. III.
Reviewed By: r"" ~
Comments:
~O ~",,\~ ~~ ~~I~~~ tat-~
~.L9IA. _~ve,,1 v<JUj-~ ~V1~
.3~ ~~w
Date:
~-q~6?O
~C>/VJ~jO~ m~e.. ~ ~ ~)t'fit~l.1A ~. ~
~~~ .A-vl ~ ~__~4J,/~S<,
"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."
~
>
aJ- 7/J'
The C..nl... of the L.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
w~ X'\ 'K 11\[1 K\f\
O~ J. l )~fJ1f-
Mmru 1\
\
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\OcI::)Sa ~ Q [Z)}oIC'L, ~
/
Accepted
Accepted With Corrections
Denied
. Date;~
S~f.I'iUI AI i"'~rlff41.fI"",
Reviewed By:
Comments:
~ ('/t"+ (!11 r I s ')11
5ee +hJ' rel/pr<:.p.
x
~e fA. -l+a.d'NP.l1h: I. FiliAl C,.aJ~ Ii'll.p.tl'fiorJ L+'or.....+i ,,'" i) t:::' nuti:j Pi.......
.3. Ero~;C!l r'I (!tJllf.,.." I Mt!.a.~ul"e-t; 'I Eros iD.... (!",,-I-ri'J/ PliZA..
"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."
0~
CITY OF PRIOR LAKE
16200 ElIgle Creek Av. S.E. PelmltNo..on -l)'li~
P,lor Lake. UN 55372
en
.-<
J, '------/ HEATING APPLICATION J PERMJT
;;: Dala 9..\?~ PID.8::5- ]h'7-t1I(\-n
SbAddress '~2- ~!-.\~ I ~
~ Lot lQ.. Block I Addklon (-.,IIkt\\A In. M;' 3rc{ NO~
o <..J
z OwnefaNamal ~ '^ '^ ~"^ 0 "-
Addrass \ 't~~ P\ALo.. ~ ~~ (t:.~....:::,.
Heating Coni/actor fh9 IFY) - (11 (f ~
Addrass .lY:1U ~ ~er-1rJ> IK -r- -nLL- ~ ~.Io&
Telephonal 1 o~l- U'2."br- \\L\.U
Furnace Make & Model L~..... TYPE OF SYSTEM
/I . I Warm Air Planl. '{
MDdelSlzel::;;J.?_~"L. ~.,~ Gravity ,
Mechanical
Air Condklonlng '{ L' I... Th \loo:J
41' &v~ Vent. System
HEATING DR POWER PLANT
Slum
Hot Water
Radiation
Special Devices
CoM. Load
Fuel Nil-I r -tl-~Iua SIze
SUJlflly OpenlllQS II
t-f
t'-
"
.-<
lD
N
N
(T)
.-<
If) Return Openllllls
lD
a: Input IS.OOO Output
>-
C>:
N Edr.
z
bl Clm.
u.o. rn-rf)
OIher Davlces
TYPE OF WORK
E
as AMerallons
"
iSi Repair
.-<
ISl Eat. Cost $
ISl
13 HEATING PERMIT FEE'
If)
"! STATE SURCHARGE $
l'J '
ff TOTALPERMfTFEES
v.
Repr~menl
New Conellucllon
Esl. Comp. Date
Bu.dlng Permk' S,;l)- C") 'l \ k:-'"
/ f p~\O \f'JX~tJ\\\
Ao 9U\\J>\NG
$ / Recelpl . '
/
TYPE OF STRUCTUBE
I. flU.
1. Ole-
1 YelIo.
Rle
01,
CIIIlrracDtll
Single Famllv
Commercial
Y-.
Two-Family
rnwstrlal
Faa Schadule
Induslrfal, Commercial & Mulll-Famlly
Realdenllal, Healing & AC
Residential, Healing On~
Resldenll.I, Gas Fireplace
R88idential, Adtlllions & Alterations
Raaldential, AG Only
PubUc
Multi-Family .
I
Other '
1 % 01 Job cosl 1$39.60 mInimum}
$99.60 r r, G ";;:;;" fI~ -"!7-~n
$64.60 !, i !! g, .c:-~2 L LJ __
'i""
$39.50 . I l-? I
$39.50 iii \, i AUG 28m
,"I'
$39.60 ' ; \ I
r U iJ
il! i,
IlYJ
Remember '0 add the State Su rcharge on the hollom 01 this ap","ca,.ui1.
The,price 01 your healing palmillooludl<l one rough-h and one linallnspecUon.
Additlon.llnspeclions will be blllad at $35.00 each.
House Heating Tesl Record must be subrollled wilh IlWI!IIog IWIDI1l1Yl1l1lm bafore bund-
Ing cartlllcala 01 occupancy wfdl be Issuad.
I:IEAI CAlCULATIONS REOUIAED wilh IUOber of supply and relurn openings Ilsled per
loom wllh CFM's per opening. N_ alruclures or addllons send IIDOr plan with supply
end relurn looatloll$ shown. HEAT lOSS CALCUlATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PAIOR LAKE, MN 55372.
City Hall business houls are 8 a.m, - 4:30 p.m,
ALL WORK MUST BE INSPECTED CROUGH-IN AND fiNAL). CALL CITY HALL
447-4230
I hereby apply lor a mechanical systems permit and I acknowledge lhallhB
inlormallon above is complete and accurale; IlIalllle work will be In conformence
wllh Ihe ordinances and codes 0' Ihe clly and with Ihe slala bulJdinglmachanlcal
codes; Ihalthls 'orm does nol become e permit unlll elgned bV Ihe BUILDING
OFFICIA ; that the work will be In accordance wllh the apprllved plan In the
case 01 e work which require. review and approval 01 plan..
\A Qp.. ~hs ~""J
( A . I~e
V' :,,::J xD&/rrn
C"' / Da'e-
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av.S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Dale J-/{J,'OI PID'
SheAddress /SQ;J- ~~b~_
lot alock Addilion
Owner's Name t_)~~ ~
00 -01)5
Address
HealingContraclo, ALLIED FIRESIDE dba FIRESIDE CORNER
Add,.ss 2700 N, FAIRVIEW. ROSEVILLE, MN 55113
Telephone' _ 651-633-2561
FIREPLACE /}
1lmIl!!l Mako & Model ~...J '-te...
rSL. $)1rL.
Model Size
Conn, load
Fuol (Q,H
Supply Openings
Return Openings
Hre Slzo
Input
Edr.
OulpIJl-dO tJ.'J)
Crm,
TYPE OF SYSTEM
Warm Air Plallls
Gravity
M9Ch""ical
Air Conditioning
Vent Systom
HEATING OR POWER PLAh'T
Sloam
"o'Water
Radiation
Speclal Devices
OIhOl Oovic.s
TYPE OF WORK
\t
Meralions
Roplacomenl N.... Conslrllction
Repair
1-0- 01
00-0710
PAlO ~'r1'
BLn\J)lNG ~.
, Esl. Comp. Dale
J! t{J.J) BuDding Permit 1/
Est Cost $
,.
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Recoipl ,
I rn
ro
"
rl-
TYPE OF STRUCTURE
J.P:in.
1. Gift'..
1. Y'~now-
FlO
at'"
.,<
0...
Sillgle Family
Comm",cial
"
H
"
m
rn
Ml.iIlf.Famlly 8
m
Olller_o
o
"
z
m
"
Two-Family _
InduslrlaJ
PLtJlle
Fee Schedule
Indu"Iria/, Commercial & Mulli-Family
R""idenlial, Heating & AC
Residenlat, Heating Only
Resloonll.a~ Gas Fi,eplace
Residenlial, Addllions & AII"raUons
Residential, AC Only
1% of job cosl ($39.50 mlnlmOOl)
$99.50
$64,50
$39,50
539.50
S39 ,50
Remember lo add the Slata Sun:harge on the lJoItom 01 lhis sppIication.
'"
U1
~
Tile price 01 )'Ollr healing pennil Includes one rough-in and one nhallnspecllon,
'"
'"
'"
lJ)
Mdillonal illspt!(:lions wiK be billed at $35.00 each, lJ)
lJ)
-'"
HO\Jse Healing Tesl Record must be "lIbmilled with I!uillIimIIWIDiI ~ belO(e bl ..
in9 cenificale or occl1j)ancy will be iSSUed.
J:!fA[ ~ULArrONS REQUlREO willi flllmber oIslJ!lPly ond r"tum openings Il5lec
room wlIh CFM's per "I*1ing, New slructures or addllicno< &end floor plan wilh _uppl
and return locations _hown. HEAT LOSS CAlCULATIONS, PAYfoAENT AND ~
APPLICATIONS MAY BE MAilED TO THE CITY OF PAIOR LAKE, 18200 EAGLE '7
CREEK AVE S,E. PRIOR lAKE, MN 55372, c;
C~y HaU buslnes" hours are 8 am. - 4:30 p.m.
o
ALL WORK MUST BE INSPECTED CROUGH-IN AND P'lHALJ _ CALL CITY HALL
447..g30
N
o
'U
0::
I hereby apply ror a mechanical syslems permit and I -cknowledge '''allhe
inlormaUon above is complele and acelf,.le: l/talthe work will be in conformene
wilh Ihe o,dinance. and codes or lhe elly and wilh lIIe Slale bulldlngfmechanlc
codes; (hall"i. form does nol become a permit unlil slgnod by the BUllOIN,
OFFICIAL: Ihallhe work will be In accordance wilh Ihe app'oved plan In the
case or all work which raqlflres review and approval of plans. 'J?
<0
..
i/r..h
-Lf'!Ik DOli.
1-11-01
081.
'"
-
'"
AUG, 8,2000 11:12AM
GENZ RYAN 6513226147
NO,483
P,2/9
_......
ftLLOW - UPI.IC:AIIT
__. an
NO. 00-0'1\8'
~, j
APPLICANT: p."Jr\~Lf ,~~I~ U.r3>TI.U(,~ PHONE;J.?51-4'2:~-II4LJ
ADDRESS: 14"U~~ fbAnZ:r -r"" f:?...~,'-"""'....f'" ~C-c<.lil DATE: R'~ \ ("IT)
SIGNATURE:J ~ ~ BLDG. PERMIT iI()()-0'118'
SITE ADDRESS;_'~~ ~.i;V<'lr.L ~ PIDiI.s:;2s"-<~'/1-01()-0
FILL IN THE BLANKS
, ,
40
,~,
,
Sewer and Water
contractors must
be registered
with the City.
1.
Estimated length of water service
I ,<
Size of water service inch(es).
feet.
2.
3. Location of any couplings from s~ructure
4. Type of sewer pipe. ABS PVC X Cast Iron
5. Estimated lenqth of sewer line~' feet.
6. Clean out (if required), located at
structure.
feet.
feet
from
====;;;.--------~====-----====--======-:;;;;;=~~::IIII " _~,. ="~_._~_______~===
Thi~~Pfl~cati~comes yo~r. permit when appro~i:' J~'
B": ( 10J.1J.0.~'(d.,hM. ') Di\TE: ~~()
~=-~ -:~:~g------;;~~~a;~~ wat:r l:::-:nn:::io~=:emi:~---
$ 35.50 TOTAL
% Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
· Sewer and water permits issued for new construction must be
recorded on the buildin~ permit card at the time of issuance
to insure that n/d pl~cate sewer and water permits are
issued.
DATE PAID - ~/l.\O 'l4\'t?\#.\AMOtJNT PAID /
RECEIPT 11 /' ?>>\\J)\~G~ RECtO BY /'
/'" /"
, 4629 Dakota SI. S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 Fax (612) 447-4245
Nl EQUI\L OPPOFrlUNrT"\' EMPt.O't'l;R
AUG.25.2000 10:48AM
GENZ RYAN 6513226147
NO. 138
P.17/19
~. ......1 ~..-
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant:_ P-:P cf'o7 - (2t1? Y'")
Addrass: l~'uc:.... ,~ (?...I", >11 -r .,-12-L..
Signature: 9--' t"l .. W 0
",', Legal Description: Lot '-1 0 BlOCk' SUb~~t ^ r) l,v (t -k r
\IU"I' SlteAddress:~';2- p'-"'t-.-lI c;:"l~ J.. ~ ,Z;' J~
II I \' Building Permit # (')0 - h'1l Y PID it ,~S -3(, '7-010- n
I:J NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
L Diu.
2.. Gold
3. YeUOOIr"
I'lIo
C..
Applil3lll
# Ob- O'7lY
Phone:_u,5I- ~'Z~-I 14U
Tll! Uott'w., 111I. LIIW C~l"
,;
<<I ~28.
U\\\
Quantity Type of Fixture Quantity Type of Fixture
I a Bath Tub with or without shower .~ Rough-ins
\ Dishwasher I Water Heater
\ Floor Drain (<./ r Water Softner
2- Lavatory (bathroom sink) I Stand Pipe (washing machine)
\ Laundry Tray (1 or 2 compartment sink) Sewage Ejector
\ Shower Stall BackflDW Assembly (RPZ, Double Check, PVB)
\ Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
"2- Water Closet (toilet) other
FEE SCHEDULE
Industrial, Commercial & MUlti-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
599,50
539,50
$
$
I
I
$ /
$ / .50
j
$
fl;..\?cf~~M\T
BUILOI".
GRAND TOTAL
This permit is gr:mrc=d upon the express condition that said
contrllctor, shall comply in oJ] "'pee" ."jlh the ordinanecs
of the Stale Plumbing Code d the orne dme !he..of.
F RE ;;),
16200 Eagle CreekAv, S.E.. Prior Lake. Minnesota 55372 / Ph, (612) 4474230 / FAX (612) 44742~5
All Equal OpponunilY Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS I e:;c:::-'f"? ~f"lk<:::'itQo :r,A.
NATURE OF WORK ~1
USE OF BUILDING ,~i='.4-
PERMIT NO. Qf) - 07/6 DATE ISSUED 8 - 1'5' ~C!>...
CONTRACTOR l;.)plI'\"=<IMG.I^"" PMor\\E tt ~-S-I -C/L(." - '1'100
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING ~. 'l//.p/~ I l
'FOUNDATION (Prior to Backfill) I ~, 7/~//00 I Or, ~~Lf/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG/NED "
ROUGH - INS
e;. 1//S/rJ:"" I
~ -VfWt! . , , I q 01
'3.\)(!~ rj\V~~lci4Ibl
I I .
I tg,.~ J;)..\':<::)iP
: 1, Vcu.., \ IJ~b} OJ
I~V\. I~ ~r[n
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,.~ I I
FINALS "
(n {7
1411
bV
(fJJ
OCCUpy UNTIL ABOVE HAS
NOTICE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/6 '~)."'b.
~ 3'2,.0/
I
I
BEEN
?
.> ' 'l _tJ (
~ - c. -cJ c
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
~
-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/1,,4.-0/
ADDRESS
15552 BROOKSIDE LANE
PERMIT #00- 718
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
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-. ~WO/ c..O,
c:lo.sP~ -\=:; le-
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~,VI'1AN{ Owner/Contr:
CALL 447-9850 Fck THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH 01 SAFETY/
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/~-12-ol
A1'1
ADDRESS I!;SS2...-I~~f:() 8ra')K <I'll' Lt?
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
J5[;S z... ~ () te-
I)~c:'-I '- oft:--
I C))S-? - C9IL
IS-) 5 ~ - rd-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
11/I'''l{JI1(,J1f1
('Y) - 7/r
K~FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
,'1:T
."")\r
1< 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!
lNSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~~/61
Btt-o-o K s;-', t7 E
!t): <:fa
ADDRESS
/555Z-
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULAI10N
1il' FINAL tr"
o SITE INSPECTION
COMMENTS:
bu
I
-0
I
CONTR.
PERMIT ~. tJ - 7 I P'
j!"PLUMBI" Pr 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
~LUMBING.F.IN~.I; L .. 0 GASLlNE AIR TST
;JJ MECH FINALr' 0
loCi!''''''' v1AaM(j~e...-\e...r oK.
~ l
ffOvtl ~t l---t'tt 0Afi~tA eer
WAd. tree.s fer ~Je or 1M. et-\,-\-'
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~'K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: JS. \J~ Owner/Contr:
CALL 447-9850 FdR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTI