HomeMy WebLinkAboutBldg Permits 00-0587 & 01-0920
I DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSU~D Ple!'lse Print or~~pe..inW9n at bottom)
2. SITE DRESS 'U 't,,'rv..::;J ,
W\ l:t> 6<W.s- ( -O-\",d,. Co{
~~
&7;J;~2
3. LEGAL DESCRIPTION
LOT 'to""
WIl...b
BLOCK
oM.5
ADDITION
14. OWNER (Name)
\-Idlc."<.~r ~>:t:IJG.
15. ARCHITECT (Name)
6. BUILDER (Name)
S~
7. TYPE OF WORK
Fireplace LI
Alterations tJ
New Construction ilJo"""
Chimney LI MiS"
I B PROPERTY AREA OR ACRES
Sq. FI /I
1 hereby certlft 'is a lu
the above men' ned 0
building offici can r 0
X
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
LP- s- 0&
R/SO
\
P'D 2S-3'd - (J2D-Q
/11,'JIN
rll-6
1. White
2. Pink
3. Yellow
File
City
Applicant
(Address)
r. o. 'gOIC
(Tel. No.)
9'SZ. '593- 7~"3
Permit No.
00.05g?
I{~&,
(Address)
(Tel. No.)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth}
12. NO. OF STORIES
\
13. TYPE OF COl>lSIEU.!CTION
W€>el~ +7~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. P.flpJECT COST/yALUE
:w. LeaO lL-
17. COMPLETION DATE
19 PROPERTY DIMENSIONS 110 CULVERT SIZE
W'd~ Depth Yes No""----
Ished Inf on 0 this application which IS to the best of my knowledge true and correct I also certify that I am the owner or authonzed agent for
d th const lion Will conform to all eXisting state and local laws and Will proceed In accordance With submltled plans I am aware that the
e or Just cau Furthermore, I hereby agree that the city offiCial or a deSignee may enter upon the property to perfof!11 needed Inspections
'ZOO3&,SLLq Cr5-00
Date
Signature
SETBACKS: Required
Actual
Front
- BUILDING DEPARTMENT VALUATION
USE OF BUILDING
..--r-/,.
- /,
TYPE OF CONSlRUCTlON: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Pennit Fee ................................... $
Plan Check Fee .... ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing PennitFee ....................... $
Mechanical Permit Fee ..................... $
Sewer & WaterPennit ...................... $
~~
(Address)
(Tel. No.)
SepticLl
Addition (J
Deck LI
Finish Atlic 0
Re-roofing LI Porch 0
Ae-siding 0 Finish Basement 0
license No.
FOR ADMINISTRATIVE USE
Back
Side
Side
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION IM,.1lO1"'l
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS LI
PLANS & SPECS D
SURVEY LI
SETS
COPIES
PLOT PLAN
o
1.2BT1.~
-~~
Cfo.oc>
Amount Brought Forward .................. $
Park Suppon Fee ........................... . R Sl:>. ~
SAC ......................................... $-4' 00 . sa
Collective Street Fee ....................... tf:
Sewer Tap ................................... <I'
-<:t'l !t
Pressure Reducer :11..................... $
S U
City:
100.00
100.(';)()
35" . S C:>
40. ()/f
95.<<J
Meter Horn ....... .ct..,f............. ....... $
Water Meter .....1fJ....................... $ I ~5'.OC>
Sewer & Water Connection Fee ........... $~DO ,(!)Q
WaterTowerFee ........................... $ '1CJD .f'!)()
Gas Fire ace Permit ....................... $
This tl eSYOUr~nnl&e~"...ep,..,,__O
By ~ 't'/ ~;te .. -0>>
Certificate of Occupancy
Issued
Water Tap ................................... $
Builder's Deposit ............................ $1-1 .c:-tJCJ"aQ
Other ..........................;.............. ~
Tota' Due .............................. L~' 00'1. 'fh
Paid Ii ')(> 'I. .; ~ Receipt .:1 '7
Date :'-'.,t/.rn;
By
'lis is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed requested. This document when
~;: :::.sti~u~~ temporary Ce'l!!.cate 01 Zoning compliance ,.d allows co~truction to commence. Bel.ore occupancy. ,a Certifiea f Occupancy must be issued.
/-1-2-&4 ~e.o_ r~~.q:-. (' ~/j,t.Lr- ~" CAlAcJ~~
City Planner Date ~s~ar4--'
24 hour notice for all inspections 447-9850
CITY OF PRIOR LAKE. BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
~ AND UTILITY CONNECTION PERMIT
RU3W
;111/11I IW $00- 05<07 1 Wh;" F;J,
2_ Pink City
3_ Yellow AppJiclIIlt
(Please.!VDe or mint and sign at bottom)
AD~SS
(P'fdS
LUllD
eA,\($ -
LEGAL DESCRIPTION (office use only)
LOTZ-ttLOCK / ADDITION
OWNERI L II
(Name) H\ C re..ST
(Address~ D. ~K'
BUILDER
(Name)
(Contact Name)
(Address)
TYPE OF WORK
o Misc.
Date Rec' d
I e.1"Y'A Ce.
Ie/SO
/NIU) 0/7;:::5
PIDZ5-3b4-,OZO-o
$
$
$
$
$
$
$
$
q~....,..,
"11 . '2...S"""
~e..s 'DJ C-
,
~S& ~,()" L~
l-Hu C-u.sT" ~,w ~ J::-tJ (
CJ.fI2.I:5,
o New Constroction
~wer Level Finish
UA)
(Phone) 9S'2-8J~~ 7&(05
553'-12.
(Phone)
(Phone1,
9~;l- &9&--7&:;'$
ODeck
OPorch
ORe.Roofing
OAlteration
ORe.Siding
OUtility Connection
o Fireplace
OAddition
PROJECT COST IV ALUE (excluding land) $
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
2.oC)
qo.~O
40.00
es Your Building Permit When Approved
B.;} 'S-?-{
Date
Contractor's License No.
I Park Support Fee # $ I
I SAC # $ I
I Watee Meter Size 5/8"; I"; $ I
I Pressure Reducer $ I
I Sewer/Water Connection Fee # $ I
I Water Tower Fee # $ I
1 Builder's Deposit $ I
lather ~'\ $ ~7c;1
I TOTAL DUE $ ~1
I Paid
I Date
/2...0/. Z-';--
f( ."'17-0 I
eipl/iAJ 4IJ
I ~~c~ st?7
/
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 as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
s~~
While "Building
Canary - Engineering
Pink - Planning
ThE' ('f'nl..r of lh.. t.kf Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\_ikt//lA/d; '_~/.L--'"
f!;. 23:. () /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(;; 4-0.5 ~d O~ (~A/7A1e. ~
I'
Accepted -/ Accepted With Corrections
Denied /7 /) //")
Reviewed By: V~ Date: ~V
p -
Comments: _-jf7Ld~ ~/ ~ ~.AHL
.~ 4Okf.
c!-Z5-'- WI
"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."
6~\
.'"
bO~6 St01
White . Building
Canary - Engineering
Pink . Planning
The ("..nIProf lhe L.k.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
. )///! /'. / r" .
.' L ," Ie C , /
, /
/.' I ~.. 1(' i.
i.,", "
" j ,. \...../
/
','
._--,
The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ "-
( 4 ( ,r . ! I J. (II r I I I).' / i/..' t-
(, .,..J i ( '-- /.-..) ~: . ;.::. :;' ! L ,,- \. .
Accepted
v
Accepted With Corrections
Denied
Reviewed By: 4. <t4~ ~~ _. -. '
Date: ? -l '}...-(90
Comments: -
~~ ~C"~~ <if> r~~ '*~
(' ~~Q I 9~€- ~~~r (JM.d ~~J
fjtp\ ~ IA)fLr:J ~( .. - .
J0~ ~t~1Zl! j,.,w.o~l'A/P
~~"^A L~;t;;.,
~ JJ,"'rY'r ~ ~
.
~t~
,
~,-k AQJ,\~6 ~ P/;;j,
~
"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."
~~
ODvOfk1
White - Building
Canary - Engineering
Pink - Planning
ThO' ("('nl.-rol Ih.. L..... Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
11/1.-1_ (l.R[;5i
&/s-/()o
/
The Building. Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(040S W(~D ()11~ /t;x:e/fCE
Accepted
Accepted With Corrections
Denied /)71 ()____
Reviewed By:~r--
/
Date: a "'-25' -?~
Comments:
R~ "f\ Gf+~rL.ul ~~~
"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,"
..
Th~ ('ul~r {If chr l.kt Counlry
D 0 j0~~1
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
111/ ' '7.-Jr .
/'llf~ /. / A:.., 0,':) (
//_ 1(; /,
(c ,'..)./ J L./
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(o4()S I V (C V () 17 ~s Tt-:)eY2'/1C 6
Accepted
/'
Accepted With Corrections
/
Denied
Reviewed By:
GrAA-t eM/SDIl
Date:
,6/WaJ
. J
5i,Je.
Comments:
See. i"f'orMQ.bM on. flu
rt!ver"jI
tlrt/.
pi-
f, l1/1V(
115 d.
~
MAlL
3:/
ihfe - - rt. fa i 11 i'!J
IAl,,11
t.o14td
See dff,u~,.,vtt5: I.' hitll/(;t'4~~..z;,~p_e/;;I11A,t;r",~lil1t '-l. Cnt.~p~
3. E""f~IIIr,/ ./lkll rNt't!5 of. G~fl"" ~ItIYt)/ 1%.11
"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."
(/?
,~
\
..
CITY OF PRIOR LAKE
HEA TING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
t/ Jij-O /
(Please.!V1J~ or urint and sim at bottom)
ADDRESS
La L\ 0 S '->J, \ \:) 0 ~ '<- s
l~ ~::" I PERMIT NO. O~6'o'1
:J. VeI'-' ApphlWll <-/ 0
ZONING (omce' use)
. \ 'L:t ("" f'\ c:..-c:::.......
C:{(5f)
LEGAL DESCRIP110N (office n.. only)
LOT ~OBLOCK ( ADDITION
W,drP ()O t <;
PID:<C;-- 6(.,{l-Oa:ro
OWNER _
(Name) \\,\\c....\-t:...~~ \c\~~~
\
(Address) ~ . D . 5D '/.. ~ 'S~
I\J C-.
(Phone) QS"J..-X'"9i"-7'-G,.3
APPLICANT ,
(Name1 1\, 1~~+;(" , C-.\f\(",~e..- ''''IT:lC (Phone) l(.;::~,- 3\..$'" - I SOD
(Address)3.~ \1'-> l, ')un"",..Jq A.,~ _ "-.\. ~~:.\_ \{ ",,("\( .ss-'-f<-t s
, \ (Addren) (~lty) (Zi'p Cod.)
(Contact Person) \ r\~,-\ (l. 11\r-- ~ "'i::....1..<t..."'" (Phone) -, (. ~ --3 l.s:: - 7::s If-
APPLICANT SIGNATURE ~ -1cv... ,~ rlf00", ,,,- , DATE
APpEICANT PLEASE CO~LETE BELOW
@lQ'EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
oWann Air Plants 0 Steam
oGravity 0 Hot Water
o Mechanical 0 Radiallon
oAir Conditioning 0 Special Devices
OVent. System o Other Devices
FIREPLACE MAKE AND MODEL "" :r D'-I 31. t'. ll... ~ rJ
PLEASE NOTE:
Air Conditioner Units
Clhnot Encroach into
Required Side Yard
Setbacks
Industrial. Commercial & Multi.Family
FEE SCHEDULE
1% of job cost Residential. Gas Fireplace
$39.S0 minimum
S99.S0 Residential, AdditiDns &. AlteratiDhs
S6UO Residential, AC Only 1
$39,50
S39,50
S39,50
Residential. Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
s
eUIU5iWG 1!TH
ERMrr
.50
(Ornce Use Only)
This Application Becomes Your Building Permit When Approved
Paid
-
Receipt No.
-
DulldinlOffici.1
Olte
Date .f-JJ ljv I
Brv
24 hour notice for an inspections (952) 447-9850, r.. (952) 447-4245
ZOO/ZOO ~
X~OIHd H~VHV~ ~I~VWO~nv
ZOLOSl~Z19 XVd lZ:ll 10/~Z/SO
Hi1
l.'PlnJ.
,,-Go...
J. "tclWw'
~~,_ [!ERMIT NO. () - 5"dJ
lZ~~~'~
PID ;/s> '3b<./-Oau~
""""" _'<OJ. - k 9'" 7 (,. (.' \
(Please ~ ~r'DrD:tuu1si'i!D atbaUDtn)
\ ADDRESS
La.l\.Oc:, \,0\\0-. O~ -r eJ ( .
. --- ~
~LEGAL DESCtUr au,"" (olIice US< ot>ly) - 1/)
LOTdOBLOCK I ADDlTlON WAd! ~
rOWNEll...L.l: ,\
(Name) ..-0."",1 \ \ w"'\- CI)I.O~~
~ddIessl P. O. 'Box u"SJ" ~,,,,.,.; /n J/Q"
-
H,J
-,
-
\ AFPucAN1<-:l ~\. \
(Namel. ~'M~ ~Qn4-L')~~'P. C
(Address) \.')1.\. ';/\ ~'nn..u._" \ 'j,.\rA~r~ f\. ""I. 'S.
(Addm')
I
(ContaCt person) , '
APPLICANT SIGNATURE _ W fill / ,,; ~]
(phone) ~~_5?9'1- DOr6"
(City)
(Zip Code)
(Phone)
DATE
7/3 h I
'" _ _" ~~~}~ANT PLEASE CO~LETE BELOW
I j3NEW CONS I Rut- 1101'1 0 REpLACEM!;1'< 1 U AL TEllAuONS
FURNACE MAKE AND MODEL FllEL
-
FLlJE sIZE RETURN OPENINGS ' tNpUT OUTPUT
n'l'B OF SYSTEM HEATING OR POWEll. PLANT
owarrn Air plants 0 Steam
DOra~ity 0 Hot Wa1Jlr
o Mechanioal 0 Rodiation
o.o.lr Conditioning 0 Special Pc";cos
OVcnL Sys,"", 0 Other Dovices -
PLEASE NOn:
Air Conditioner Units
Cannot Encroach into
Required Sid. y..d
Setbacks
FIR.EpLACE MAKE AND MODEL ,
Residential, Heating 8< AlC (New ConstrUction)
Residential. Heating Only eN"'" Construction)
FEE SCHEDTJLE
1% gf job cost Resid.ential Gas Fireplace
$39.50 minimum
$99.50 'Residential. AddiriollS 8< Alterations
$64,50 Residential, .o.C Only
$39.50
$39,50
$39.50
In~ustrial. Commercial &. Multi.Family
Estimated Cost $
Building Permit 11
(011I" Us. Only)
Tbis Applieation )leeollles ~our Building Pennit When Approved Paid
e(J, A
'1I.D :<fID
'11\'0 ~/7
'" j:J . It
(S'/:'.
. 'IV'.!-_
\~;~ ~ <
HEATING PERMIT FEE
STATE SUR.CHA,RGE
TOTAL pERMIT FEE
s q9.~
S .50
!'L..Ln~. 00 -
-Pate '{- r; ---01
Building (Jlutl.I
14 hour notice ror .11 inspections (951) 447-9850, r.s (951) 447-4145
Dill
. -.- _. .
._ - __ .n
08/23/2000 15:5G
G12-89479n
LAKESIDE PLBG
PAGE 01
.j'f'"
tt:~:::.
I ~:~~{/tl '.
IWi
. .' .
CITY OF PRIOR LAKE
" ' PLUMBING PERMIT
APpli~ant: ~.AOA///,-P.A-'-~
A, ddreBS: '~:d/k" ~.YL
signature: "-' f?VA
Legal DBsc~plIon: Lot ' ';:J t) , Bloek----.l_Sub----W...ili.i'r.t.k
Site Ijddres6' IPl(tJ'f U liJr4 ~ l.Q.frCU)J
, Building Pilrmlt/t (':"{)-(\5\lz<(<+ ,PID II 6JS- <~(... 4-GiiilJ- 0
NOTE: Thl6pilrrn~,wlll not tisprOe&ssed without complete InfDrmatlDn.
FI,XTURE UNITS
I. BI\W
'1. 00\4
3. "td)ow
Flh:
CI<,
AppU~t
# .D0-O""";"~ 9
Phone: 9h.2 -~W- :?hr)(J
~,aHj
il-t.lkA.~d ,. , ,
Type 01 Fbrture"
',Quantity
Type of Fixture
.:.;-.\
Rough-Ins
Water Heatar
Walar Softner
Stand Pipe (washing machina)
Sewage Ejector
Backllow Assembly (APZ, Double Check, PVE
Backflow Assembly Test
Lawn Sprinkler
Olher
Bath Tub wilh or without shower
. ,.,'.
Dishwasher
Floor Drain ' '
Lavatory (bathroom sInk) " '
Laundry Tray (1 or ~ compartmenislnk)
Shower Slall' \!o\,'.
Sinks
Bar Sink
Water Closel (Iollet)
FEE SCHEDULE
'..,' ',~~\,\ ~~' "
, ~p.\O G ~~~ ',,' ,
-oU\\S)\~ ,',' "
,,' GRAND TOTAL
$ /
$ "7910
S I-
S I .50
!J}j{).>
Industrial, Commercial ~MUltl.Famlly
('0;. of job cost, S39.50'i'nIr;lmun\) ,
Residential, NeW One & TWO Family:"
Residential, Addlllol)lI &Alterallonll
Slale Surcharge
$99.50
" $39.50
, ..'
11>1. jiermll j, Pailled upon th.,..pr... condition ,hat ,!lid
,con~'or~ ,hall comply In all ~p"ts with the ordlnance.
of "S..' Plumbin. Cod..nd tho 811I0 dmo 5 thereof,
'ROC N. A.TE
,
T
."alloui1in5Pec;iols'i4 hours in advance,
16200 Eagle Creek AvoS,E.. Po Lw!Minnesota S537Z I Ph. (612) 447-4230 I FAX (612) 447-4245
An E.qual Opponunity'Employ.r
~
~ FR(()~
O~:.f>
t/'/\\~
u I I r>7')
. . CITY OF PRIOR L1\Kf:
~~~ r@[gO 'M ~ ,'~~"I'~d..... ANn W/I,TER PERMIT
I! i I NOTE: Gower and WnteL-
~ NJ; 2 8 2000 I!: Ii contrilctors ml>st
1\ ,'I I be registe"ecl
APPI'~~~'L:,~~J~~ PHONE~i~g; ~;;~
ADDRESS,_./tJ/? ',. ~~a.v. DATE: R-:2O'-oo
SIGNATURE: ~ _ BLDG. PERMIT # Oo-Cf)i57
SITE ADDRESt.;';....J.tjt:JeS ~~Tn#dS -3f,cj:- 0010 -:0
..... . r..r.
"felLo- - """LlC::.",
GOLD. C::I'"
S.W.Nu.O') -o..~7
FILL IN '1'IlE DLANlCS
1. F...timatgd l.ength of wilte" service
~d feet.
2.
uize of water 8ervlue
/t/
inOh(e,,) .
3 .
Location of any couplings !n'lII "tructure
feet.
4. Type of s"wer pipe. ADS PVC~ case Iron
5. Estimtlted length of sewe.. llne~d feet.
6. C1Qan out
structu..e.
(,if requlred).
loc..ted at
re~L
rr()m
-..,.,====..,._...._______.....~ ..._____==:O'>;_o=l;;;;:;I'WII===lIII:c===;;;;=;::=:::::==::::.:~t:I'l :::::=';";;:::::=::::.========::..:: ~":,':',,,,".:"!
0'[
..",.,c me.. yol>r .pe"lIIi t when ..pproveCl.)
, Ai>.. ) DATE: 'is" I ~ ?J, bV
..".". I
.. _. __~-'''':'===l''''''lO==_ ;:.:.!l.l:i===:O;==::::2:1SBl!!!I__el.=___==a:2=:":: ~~~0.Ill_"",,___1II!;.-:l~"1:I':III:=:'::~':::=
$
$-..-.-
$
~5.00
.50
"'F5~
Sewer and
surcharge
'rOTAI,
water line connection permit.
* Fe" fot" either ....wer or water individl>ally 1s $~?1SfJJ P],\lS
$ .50 surcharge. --
* Sowar nnd water permits iseued.for new const~uction must be
recorded on the buildin~ permit card at the time of ~ssuanco
to incure that no dupl~cate sewer and water perm~ts are
iS9uod. ~~ ~ /
DATE PALO ~ ~~\~~~~~AM6UNT PAID
"'C,,,"'" . -~~7 ~\Vi' ",C'O BY /
16200 Eugle Creek Av. S.B" Prior Luke, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 441-4245
All Equal Oppomllllly Em\'loycr
.0d Wd~c:~ 000c Sc'6n~
96~gc6B c.g
'ON 3NOHd
JX33HJ3f : WO..!eJ
PRIOR LAKE
..
INSPECTION RECORD
DEPARTMENT OF -..
BUILDING AND INSPECTION
SITE ADDRESS j,'<-fn'" LJ:IJ OakS I~rtc('c.e
NATURE OF WORK f\J,v...J
USE OF BUILDING SFA
PERMIT NO. fJO -0567 DATE ISSUED 0-2J ~
CONTRACTOR _/.I..ltr"",J ~ ?t\o~E" 'i'Q -~'f8 -7/(. ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~, 1711t/to
.. ..
'FOUNDATION (Prior to Backfill)~ I ~. 7/'l1/C'b I f;A-. 7/8&/f)D
PLACE, NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH INS
SEWER I WATER I SEPTIC, ' 12 4:t'
FRAMING ,4wl-,~lolbl~f?1. ili{/ol ' Prr
INSULATION LAr'~n,..d fi" 3'kolol r eN- L f:h" [z- h IIi! I
ELECTRICAL
PLUMBING 6:r ,-I/)-/btt~ e~.. 1.0 i i rJo
HEATING (ifreau!red). , If;;; ?;/(J,?flol I P:n. ~~()~,
FIREPLACE l d.'l ' IJ~ '?'it .;dlo I k-. ~ /}C (rJi
GAS LINE AIR TEST ~1,-r.'~ ~.. 7(,,7(01 \ /"-0fP 6r *1vt
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
.. ..
I~. 9/~~
o
FINALS
GRADING (Prior to Sodding) /II.[) 12. Co "7
BUILDING \.t.o, tJ,t ~1/6t.'A-. }2/'JIO/ ~
ELECTRICAL 12..
PLUMBING /f?':r
HEATING ~
I
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
INSPECTOR
'FOOTING dt.ck ~ h\vto\
l~~
DATE
q~)11-CO
?ff)rrfDI L,~' e.r, '?j:JfIj)1
, h. f/Z,(ol
7~~Y'
[Z/z.'f/o J
/Z-/31/0 I
,
BEEN 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
'':> ..'" ,~-,
'.;'... "'"." "':, ....i..;, '~"riA':,,"~; .',..';i'';'''~i'':,,'.,~~,' - .' -r.:';.:....);" :~~:" '"'' -{;,;,-iiIIiliiM
. <if"~:":>..i';:';.i<, ',;~i-' ,'; "" ,',." ,I'..... >~"";.:;;;;;;.;-.;i,,..;-'~;..,::..:'<-.;<.:.,_. .....- : :'-' :,'", " .,
,"j"\, ,';--'
',", -
DATE TIME
? fio.47
, .
6~S- C0,/j 67"s
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
COMMENTS:
----
<//c: es
SCHEDULED
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
7~.........r
c::JC) - SJ>7
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
--- / /'/ /
~,nl"'- :T-z / (e d
------ --------------
~/ ~ ~\
(( ~'i6'S--e )-'/ ~ J
~~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor: ~ I Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN""'"
SCHEDULED IV?I/~1 1~'1p;
t:JdiJ &J... ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
(Pyas
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OA TE TIME
no - S'j 7
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @) 0 WATER HOOKUP
o INSULATIO 0 SEWER HOOKUP
1m FINAL 0 PLUMBING:~
ti SITE INSPECTION 1. MECH FINAl{ c:t:9
COMMENTS: 1Ze.-~,
(/~ r ARA.... .u... ~
fm ~t-- or-dJ1, -- ~'L
("5) p4 f:: ~ . .. I~ ~
i.//~.- f' ..' "~._:,,.__v~-I-.~,
a U J . Ii
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
T..C.f), -ri.fljJ 8/1/07-
t '
r!/~ t, L, :;J.o, Ol-'za
~~~.
o WORK SATISFACTORY, PROCEED
1'CORRECT ACTION AND PROCEED
o CORRECT WO~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
CALL 447.9MO FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lliSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/:3lJ
1'L.Ual
ADDRESS ~4rJS- WI W o;r/tC.S ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~o -587
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
j!:NSULATION 0 SEWER HOOKUP~ 0 FIREPLACE FINAL
FINAL llL PLUMBING FINAL 0 GASLlNE AIR TST
SITE INSPECTION JKI MECH FINAL 'Nit 0
~)M~tW t:;::-<,.... ~ dilf ~~
~~ ~ tJ..rv--b. 4-~.
~~....~. . CW'
(@) I~ """- ~~ '-. I ~ /~ -
t'\.01.<.l :J-.. ~ ~ ..4Jfi~. Jo...s... ~ 6-
~.k _ , -L ~ ~ L/!...t!::/:
.c~~~
;J.4R R.~- .':....- . ~
r V ~t/'3t~
'---- ' ~
~
~h--1--=>;~ ~/~-/
~ ~ ~,.- - .( '------'
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
", 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 of SAFETY/
INSNQTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/2-2?!J3
PHONE NO.
011(:)~ W,!d ()c, ts ..,.~~("~
CONTR. i-I, , I ( t", ,t'S I-
PERMIT NO. Ari - tY;->? 7
ADDRESS
OWNER
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
-JiC~ILLING
~ OCcMPi:AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(.yudr ~- /? Ie.
Cv rt., i?,/) /- _ t9K
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!
"""""
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(?-24<of 9:00
ADDRESS ~ 0<) (1) : \ t).. I)~<;' Tz,~
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
~PLUMBING FINAL
/" MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-1J2I12Ul~. LO. Rm-J........ (J "iO<3
In 11'1 rcs&.
Ii
/"'. \
6V\. '> I tc
o ~ SATISFACTORY, PROCEED
rORREC I AND PROCEED
o CORRE TWO , CALL FOR REINSPECTION BEFORE COVERING
Inspector
Owner/Contr:
~o FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CA
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
Ifl/SlIOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
to~05"
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
il
~
o
DATE TIME
SCHEDULED 1jl.71IJIJ! I: ~O
f'~.1~ WILDS (JAiLs.
CONTR,
PERMIT NO. (j- ~7 . () -~8
o PLUMBING RI
o MECHRI ~
~WATERHOOKU
JS. SEWER HOOKU
o PLUMBING FINA
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r'
\.::7 \
\f
f
#rwORK SA TISFACTfR ,PROCEED
o CORRECT ACTION" PROCEED
o CORRECT WcfJ., C"AL FO~ REINSPECTION BEFORE COVERING
Inspector: rfL-\ Owner/Contr:
I
CALL 447-9850 F THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTI
DVRNSVILLE
Heating & Air rn;;;;itioning,1,..L.c.
12481 Rhode Island Are s.1JJ.a"'{:,' MN 5S378~})52-894-0005
Orslat Test Report for Job# (};) ')7)
Addres.'l (o~OS G)hf oJ s lel/,
Occupant I-h \ Ie I( ~-I
Dale of I nslall I 0 ' 2-0- () (
Type of HT. F/A v HW Space HT'
Other
City fr'or ~k
),
, '
"
:UnitHl
Make ( G VlI10Y
Model G lkQ 3- 7 (~ G:.
Serial ~G/ 6- I ( 2- ')()
Input (') ICOO~l.JI(
Pilot Type HOT SURFACE IGNITOR
Pressure '?- <'; C02 Lj "5
Input CFH I .; 02 10 7
S1ackTemp 'I L co D
DateTested /0 10' 0/
Company
Technician
BURNSVILLE HEATING & AIR CONDITIONING
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