HomeMy WebLinkAboutBuilding Permit 00-0724
'01 CITY OF PRIOR LAKE
, BUILDING PERMIT,
:'Tl;MPORARY CERTIFICATE OF
. - 2 am Ii: i;1 ZONING COMPLIANCE
.. _ A~())~TILlTY CONNECTION PERMIT
DIRECTIONS ~ i 1. DATE
SPACES NUMBEREll...1--T......' -,-' '1"OT &h rill ~n IN .__1
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
/S-S-/,,/ /fr~Alrr;dr ldN'i'
rn ~~ rn~D'~:7 ~,""
LOT / J BLOCK
ADDITION ...J:../v/vlt<Je:; 7 (r'
)
14. OWNER (Name)
15. ARCHITECT (Name)
6. BUILDER (Name)
W('Nfm~,^,/V
(--.JO J?1 " S
~. TYPE OF WORK Fireplace CI
New constl\Jctlon~ Alterations Cl
i himney 0 Misc.
18. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify that I have furnished infonnation 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 local laws and will proceed in accordance with submitted plans. I am aware that the
building 0"1 can revoke this pe~ for just use. Furthermore, I hereby agree that the city official or a desi9~ee may ~er upon the property to perform needed inspections.
I X /..J ~ (/ /7> 0- tY-';:>-Ou
I / / /ignature' License No. Date
6~~
3. LEGAL DESCRIPTION
v
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
f'JIA1N FI LEi
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit NO.-DO. 0124-
,f-e?'
ou
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
12. NO. oJ STORIES
"~~D
(Depth)
/
?I'~
PID 2r, .?tf,7. 6/S- 0
add
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Address)
/,r15//0#O. Dr
f't::: I7..ti/V /1Z/v
Se~ 0 Deck 0
Addition d' Finish Attic 0
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
(;51-')"0'.' '/'1'00
OCCUPANTS
SEATS
Re-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
16. PROJECT COSTNALUE
17. COMPL~TION DATE
FOR ADMINISTRATIVE USE
Back
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA LI
Side
Side
OFF STREET PARKING PILING LOGS " PERCOLATION TESTS "
SPACES REQ. PLANS & SPECS " SETS
SPACES ON PLAN SURVEY " COPIES
PERMIT VALUATION ~,.,.." .O~ PLOT PLAN "
Division 1 2 3 4
Permit Fee .................. ................. $
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
~.=
~/~.~
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
City:
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
Meter Horn ............................ ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $J_.
Water Tower Fee ........................... $
I &.....-.()C)
2.0 ~ .~..,
-:>-'It''l . <!)CL...
8Sf~. {) 0
(,,-<;,_. 40
~
'I7.S-O
~<: en.
Water Tap ................................... $
Bu;lders Depos;! ............................ $_' ,,e;('J~ . tQ;J
Other ......................................... $
pald7a~~>ki.......~~~,~;.. $i#~% 4Q
Issued ~ -,
Date g'H~,lJ() By
ThiS IS to certify that the request In the above application and accompanYing documents IS 11"1 accordance with the City Zomng Ordinance and may proceed requested ThiS document when
sign b the C laoner constitutes a temporary CerAi{icatp_ o~ Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
_ 15 '1l9- ~
Planner - &. Date Special Conditions if any
24 hour notice for all inspections (952) 447-9850
~1
GO -012-4
Th~ ('..nl..r of lh.. I.a"''' Country
White - Building
Canary - Engineering
Pink ' - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ljl.,J '
APPLICATION RECEIVED
.'-\ (\ ',,-{\.{\ (\
~~7 n\fi-0
, . ~
CAl..\i.\ , ',::i- r-J
:)1,- n-,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,--_-~' r!
/:,,"-)G/ .::IS, - (f:',iCle-! (( I\C _
Accepted
v--
Accepted With Corrections
Denied
Reviewed By: ~~~
Date:
~ ~tt9-~
Comments:
_r~~~,~v~. ~ft-~.
J. ~ -{I )z- ~,4> ~ r:bo ~
~)-P5:. ~r vt1t,fl ~1tJ~s;
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,"
~1
00.0124
Th., C..nt..r of Ih..I..k.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT l JJ 0 K\~ f'\ }.h NY\ L0
APPLICATION RECEIVED . ~d ~ :::J. ;:) rJ7"?/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/55(;;/ ~, ()(l~-f'cJ.L Lo. ^o J
Accepted
Accepted With Corrections
x.
Denied
r21~
,
Date: 8-/~-2t:o~
Reviewed By:
Comments:
,. ~ ill. c:Ji-e.c~ ./I......dL~.
"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."
~1
oo..01zk
Tht ClI'ntll'r of Ch~ yilt Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT. l U 0
APPLICATION RECEIVED
nJ:.. ri'iA.K"\ r\
(Aid (\ ( Ao*-
.0
t-t, NYU0
;:) . ;:) IT7"'Y"J
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/~/ r;jSf i,iJ~ioL~ La f\O ~
/
Accepted With Corrections
Date:
st'oI~ -1'0;
ilto/(()
I ,
tldr/,'I/(?na /
~~ a.#tl~l,gelfh: I. &m.1 ~r4l"~ .:z:;,;~dt~hJj,';;_~/.:- ,7. b;-ut, f'/~
3. . Erost'on. ~"fr"/ N"d~((r'J f'. G~.f/(p, /!,,/nl .I'~
"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."
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"- Dale
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permll No. r].:'.-o '7/;{'j
Prior Lake, MN 55312
PID' _6t)'- ~h 7-()iS-()
o
Z Owner's Name \ \ 'vi .r+:-~-rv\ '" V\
Address \ ~o,t::> \=>\I>,Ll'.. ~ ~. '7f'<r-.. c;:.......~"'"~
HaaU/IQ Conlractar (J-" 11'17 - ({ J """ 1A
()
Addrass ill:JU <;' ~ &.In J1'''- -r,;Ll- e.....<:.r <IY1Gu.Y1. ~
I ot')l- U'Z."O- l\4L.\
Telepllona 1#
Furnace Maka I Model L~,~
Model SilO ('..., 'LY-,x 2' '<,. 'I~
Conn. Load
FuelNI'I-I r -tl-~Iue SIze
Supply Opanlngs II
y
TYPE OF SYSTEM
Warm Air Plants '(
Gravity
Mach anlcal
AlrColld~lonlng)( L'h ThL'
&vt..vtr Venl. System
HEATING OR POWER PLANT
Sleam
Hal Water
R adlallon
Spadal Devices
"-
v
..;
cD
N
N
(I)
..;
Lfl
cD
. Z
, ([
>-
I:t:
N Edr.
Z
w
'" Clm.
l..\"
Relmn Openings
InpUllS,1IDD OI.IlpUI
~.tn"ItJ
Other Devlees
TYPE OF WORK
:E
ffi MeraUons
v
;g Repair
'I..
Replecemanl
Esl. Comp. Dale
Now Conslructlon
~ Est. eo51 $
~
re HEATING PI"RMIT FEE $
. ,
Lfl .
"! STATE SURCHARGE
'"
::J
([ TOTAL PERMIT FEES
riTJ ~ () ry :;) LJ
r p~\O WI1~- .
6\l\\.on..\G p; .
. Building Parmh .
J
$ / .50
$/
Recelpl n
TYPE OF STRUCTURE
Single Famlly
Comm.lcrel
'/...
Two-Family
I nduslrla I
Public.
Fee Schedule
IndllSlrlal, Commercial & Mull~Family
Residantial, Healing & AC
Residential, Healing Only
Resld.nllal, Gaa Fireplace
Residanlial, AdolUions & Alleralians
Residential, AC Only
J.l"in.
2. (l~
). Ydl.
File
ell,
Culttrlll:IQf
Mulli-Family
Olher
1% at job c051($39.50 minimum)
$99.50
$54_50
$39.50
$39.50
$39.50
D)~@rnD\W~
.28_ I:
I
Ii
Remember 10 add the Slate Suroharge an Ihe baltom of 11,-. "ppli~alkw.
The_price 01 your healing permit Includes One lough-In and onallnal InspecUon.
AddiUanal ..spacUaos will ba billed el $35.00 each_
House Heating Tes' Record must be aubmilled wllh bIllI!!lrJg lWIDJI ~ b.lara build-
Ing certificate 01 occupancy win be Issued.
IifA[ CALCUlATIONS REQUIRED wllh number 01 supply and llIlurn openings listed per
room with CFM's per opening. New alructures Or additions send floor plan wah supply
and relurn lacalions shown. HEAT lOSS CALCULATIONS, PAVMENT AND
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PAIOR lAKE, MN 55372.
.
City Hall blJslne.. haUlS are 0 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINALI. CALL CITY HALL
441-4230
I hereby epply for a mechanical systems permit and J acknowledge Ihallhe
InlormaUan above is camplela and accurele; lhallhe work wiN be In conformance
wilh Ih. ald/nances and code. of lhe clly and wilh Ihe alate building/mechanical
codes; thai Ihls larm does nol becoms a permit unlll sIgned by Ihe BUllOING
OFFICIA ; lhallhe work will be In accordance wflh Iha apprpved plan in the
casa 01 a work which requiras review and approval 01 plans.
\A GA ~LS Cil"J
- ~ l,.";jm
/ Dat8
AJi~
~~7
~
I
I
CITY OF PRIOR LAKE MC
16200 Eagle C,eek Av. S.E. Porm" No.
Prior Lake, IIlN 55372
[) ~ 7.;!!.j
HEATING APPLICATION I PERMIT
oal. I/-~-nu PID.~.s:3L.1- ()(5- 6
SlloA<kl,oss I..~J br.urlfL I~
Lot Ie:;' Block ~ AddlHon (:)IJNi,(./)./i-;'/ i3 rCJ
4--L- I /
/~ b~"
J
Owner's Name
Add,o.s .
Hoa1IngConI,aclot ALL lED FIRBSIDE dba FIRESIDE CORNER
Mdress. 2700 N. FAIRVI!!W. ROSEVILLE. MN 55113
Toleph""o'. 651-633-2561
FIREPLACR IJ
IlInIllll Make & Modo' I'd IJ ~
ModEl Sizo .5L. 7 sa 1)?
Co nn. Load
Fuol (;A5
Fklo Sizo
Supply Oponings
Return Openings
Input
Edr.
. Output ;21000
Clm.
lYPE OF WORK
AlImation.
noplacemont
Repair
_ Es\. Comp. oato
Building Permh ,
Esl. Cosl $ J / (}J _,ry7
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
TYPE OF SYSTEM
Wa,m Ai, Plants
GravMy
Mechanical
Air Condhioning
VBnl. Syst.m
HEATING OR pOWER PLANT
Sloam
Hot Walo,
Radialion
Special Dovicos
01 iJB' Devicos
New Consltuction
y
Ii ~ fJ- (JJ
Rac.~I.
PAID WIT;
BUILDING PEFi,. .
...
TYPE OF STRUCTURI;
1. l'in\:
1. Gntrl
]. Yell"
(J>
'"
"
rt
Fik
011
CUltOC
'"
'<
Singlo Family
."
....
.,
'"
en
....
c.
'"
Two-Family
Industrial
Pubiic
MlIlt~Famlly
Olher
Commercial.
Fee Schedule
n
o
.,
"
'"
.,
1l1du~lrial, Comm..rcial & Mulli-Family
Residenna~ Healing & AC
Residenlial, Healing Only
Residanlial, Gas Fireplace
Residenlial, Additions & Merations
Residential, AC Only
1% of job cost ($:l9.50 mininumj
$99.50
$64. SO
$39.50
$39_SO
$39_SO
Remember 10 add lhe Sial. Surcharge on the bollom oIlhis a~plication.
OJ
'"
The price 01 yo", healing permil incllldes "M rough-in and one final inspection.
OJ
'"
Additional Inspections win be biled.t $35.00 each_ '"
III
Hoose Ilea ling Test Record mus' be suDmilled wilh Il!Iikirul JmIIIliIIlIlIIl!w: beloro buil g:
ing cerlineaLe of occupancy will be issued_ ...
tlfM CALCUI&lQtlS. REQUIRED wUh numbe, of supply and raturn openings Ilsled
room wilh CFM's par opening. New struclures or add~ions send lloor plan wMiJ supply
and relum locations shlJWT1_ HEAT LOSS CALCULATIONS, AAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE, MN 55372_
z
o
<
I\)
o
o
City Hall business hours are 8 a.m. - 4:30 p.m.
AU WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
447-4230
'"
I\)
I hereby apply lor a mechanical syslems permit and' acknowledge thatlhe ;g
inlormation above is complete and accurale: lhallhe work will be in conformano.'
wit" Ihe ordinances and codes 01 the cily and wllh lhe slale buildhlgJmochanic
codes: Ihal Ihis 101m does not become a permit until signed by the BUILDIN
OFFICIAL; thatllle work will be In acco,dance willl the approved plan In the
case of aU work which requir.s review and appro.al 01 plans.
"
III
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Dale
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,licanl's SignalUre
00
BuUdin(9'flCars Signalure
RUG. 8.2000 11:13RM
GENZ RYRN 6513226147
NO. 483
P.6/9
- -....
~. "'PUca1ll'
eoLD . CITy
PRIOR LAKE
WATER PERMIT
NOTE:
NO. 00- Cl 1(;),1../
)1
. i
,
I
APPLICANT:.WJn~t1 "" Pt~l~ ldec:u:lllr_ PHONE:J.;.51-42:~-' IL..I-l.l
ADDRESS: 1L.l,Il'E:.Sn ~'T' "r~1 €....."~'",r S"~c.cJi! DATE: R l~ \rn~
SIGNATURE: '-^ .j~ ~ BLDG. PERMIT LOO-01 a4
SITE ADDRESS: I~J""'\) ~..,-lr<'Ir.:L W PID1! dE?-{>':>'7- 01.5- ()
Sewer and Water
contractors must
be registered
with the City.
1.
2.
Estimated length of water service
,"
Size of water service inch(es).
FILL IN THE BLANKS
40'
feet.
. 3.
Location of any cOlp1ings from s~ructure
feet.
4 .
Type of sewer pipe. ASS PVC X
Estimated length oE sewer line ~'
Clean out (if required), located
structure.
Cast Iron
-
5.
6.
feet.
at
feet
from
-==- ....:-____., .,.__== or.;;::;t=====-~_..
Thi.s (PPli,cation b
BY .
omas you~ :ermit when appr~j~:_ /.~
~h. ^: .;')D~TE: ~{ J
. -", .._==~---~=== =====---......-.-~--
'----
~
S
S
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sew-r or water individually is $20.00 plus
~ .50 surcharge. --
* Sewer and water pe~uits issued for new construction must be
recorded on the buildin~ permi~_~~ at the time of issuance
to insure that no dupllcate ~o~r and water permits are
issued. / ~Q0~
DATE PAID. . / ~~~ AMOUNT PAID / /
RECEIPT # REC I D BY
/ I /
I
. 4629 Dakota St S.E.. Prier Uice,fMinnesor.a 55372 I Ph. (612) 4474230 I Fax (612) 4474245
: ~ EQUAL OPPoRTtJNrTV ~MPf nYI:Q
AUG.25.2000 10:45AM
GENZ RYAN 5513225147
NO. 138
P.8/19
n.. C.IlIn- 0' II.. Lab C.lol"l'"
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: f':!-:p ,("\ 7 - f2.l YI .Y")
Address: \\..I"~'" ~. ji:)~I'" ,17 or ~n_,--
. Signature: U ("\ . * 0
1 ~-
~~~~:'Dir.L.__, . Legal Description: Lot Ie:;- Block I Su~ (,...,lljl\l~ 3rclAro1J
! Site Address: 1'5E::to1 ~iI.s.1 DL l r-J
i Building Permit' C1J - (1'1,:) lJ PIO it~-3( 7- () /,,-6
}) NOTE: This permit w.i11 not be processed without complete information.
FIXTURE UNITS
T. Blu~ File
:z.. GokI Ciry
J. YOIl... A",,_
# CO -0 7;)C(
Phone: l.d5l1 ~ t..( 'Z 3. - 1/4 LJ
AUG 2 8 21m
Quantity Type of Fixtu re Quantity Type of Fixture j
I . Bath Tub with or Without shower :~ Rough-ins J
I Dishwasher r Water Heater j
\ Floor Drain (<./ r Water Sollner j
2- lavatory (bathroom sink) J Stand Pipe (washing machine) I
\ Laundry Tray (1 or 2 compartment sink) Sewage Ejector !
\ Shower Stall Backflow Assembly (RPZ. Double Check, PYa) I
\ Sinks Back/low 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
$99.50
$39.50
/
/
/ -
$ / .50 ..A\o\ ~
/ ?~O ~~'i?-~
$ . p,\j\\.O\~
I
s
L
$
GRAND TOTAL
16200 Eagle Creek Av. S.E.,
Thl.!! permit is granted UpOI'1 me =xpress conditfon that smd
ccntructor, shall camply in all rc:spccu with the ardil"lAnCl:S
of Ill. SIO.. Plumbing e one! the llm me thorllllf.
DATE
TTEST
r Lake, Minnesoca 55372 / Ph_ (612) 447-4230/ FA.,X (612) 447-4245
An Equ:J! Opportunity Employer
./
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 1SS'(~1 t?i L..& t::_._.....
NATURE OF WORKS~A Ne.<-./
USE OF BUILDING . SPA
PERMIT NO. 00- ntlA- DATE ISSUED e. -{, -"2-Coo.
CONTRACTOR ~AA~lMe..ou.. ~~ Pt\o~~~ (/.;1- c.(oc.~L('I06
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~NSPE. CTOR
I FOOTING twJV ~ I () / f 71 (h_ If;T.; I ?Id.#/~
I FOUNDATION (Prior to Backfill) r~ I tJ.l., y;y 20t /db I~. ~ 151180
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I &.
\J(~ br .
1Z t-.. ~
.l?ATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING .,;/~ 6-:r, L':.. uk ftJlJ
~I~~T~~~~: required) ~'j~%f';
~ ~'" <,
GAS LINE AIR TEST IIY\ "\ .f r P If-J i () - ;1.//0 J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINALS
7'/ (;
~ J)fLWj
"F> 1v./.ll / ;:] . ~l . (!)()
~,\)~ 1~.;ZI"f)O
OCCUPY UNTIL ABOVE HASt BEEN SIGNED
NOTICE
gl-z- 'Z I th
11/9 Jbd
I(lri 190
,
GRADING (Prior to Sodding)
BUILDING "flD -rtJ e'/.D/
ELECTRICAL
PLUMBING
HEATING
DO NOT
/0.;),)--0 (
/;1.,;2/.00
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 ano"9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
CA TE TIME
<4~~ Q~(]O
ADDRESS l S<:; " I
~rCll'l ~lr!~
I f'l, J'.. 0 _
OWNER
CONTR.
PHONE NO.
PERMIT NO. Cirl - a'7 01 u
o FOOTING ~D PLUMBING RI 0 EXlGRAD/FILLING
o FOUNDATION .11 MECH RI 0 COMPLAINT
o FRAMING ~ATER HOOKUP 0 FIREPLACE RI
o INSULATION SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL ./] LUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTSf7J) ~ ~~-r~
6>> ~ ~ ~ n.A~ ~
~ / Sl.u.-.- ~ ~ d .'RJ, -
)
I
II .
/1 J.f5' 45' ~ 40
1/ ~ ~ IN
o I 7"~ fh...-.- _ ~
Pic -S--A ,f,
~ 7.Z;;/Q.-& J::.
~4/~
I (.)
o WORK SATISFACTORY, PROCEED
~ORRECT 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 1,'55 (p r
~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL@
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FI~ ~
~ MECH FINAL OJ
DATE TIME
Iz./ z.t!oa 9: Be
,
fj -7z..""
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: D ~ '
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o WOR TISFACTORY. PROCEED
o CO CT ACTION AND PROCEED
o CORRECT WO~~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: <t) -'J~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
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INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ICl-U-u( Iif'l1
ADDRESS /'!:J~ful-IS~f.!7 l3rm/(y;/( LYI.
SCHEDULED
OWNER
CONTR.
W(~S/l1..,t1Y1
PHONE NO.
PERMIT NO.
----CP - 7J Lf
~~ILLING
o CO~NT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
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XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ ,~_ Uwner!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
.-o\J~:El
l~
TIME
ADDRESS
15561 BROOKSIDE LANE
- PERMIT #00-724
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
""1'"", s.~8.- f _, f) <
C.L?&t"_ ~'Ie
x'WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~l CALL FOR REINSPECTION BEFORE COVERING
Inspector: "5 - J;rl AA1 Owner/Contr
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUJREMENTS ARE FOR YOUR PERSONAL HEALTH.l SAFETY/
lNSNOTl