HomeMy WebLinkAboutBuilding Permit 00-0727
DIRECTIONS I
SPACES NUMBER"" "_,..",,I '.-.
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
12. SITE ADDRESS
/~5'/-? LJr"oJrS;dl'
3. LEGAL DESCRIPTION
LOT J P BLOCK
C/yl\l to &/ 7' fr
r (Name)
ADDITION
4. OWNER
15. ARCHITECT (Name)
6. BUILDER (Name)
tJ~
).J~
7. TYPE OF WORK Fireplace 0
New constructionV- Alterations 0
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
i i .. ZONING COMPLIANCE
.~ UTILITY CONNECTION PERMIT
I
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. -on ~ () 727
1. DATE
laAd
J-<2- 00
Qrl..~j)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (WkIh) (Depth)
12. NO. OF STORIES
)
3rcl
PID dS -.Jf, }-
q"vlc/
tJlt?'-O
13. TYPE OF CONSTRUCTION
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Address)
(Tel. No.)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
I J- ~fes." ~ I.)..
rC~-,"", ~
Septif"L)' Deck 0 Ae-roofing 0 Porch 0
Addition 0 V Finish Attic 0 Rs-siding 0 Finish Basement 0
/'SI-YolrY'1"<JiJ
SEATS
16. PROJECT COSTNALUE
Chimney 0 Misc.
18. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yas No
I hereby certify that I 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 th all constru ion will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
~Uildi:/1ial can revoke this permi or just ca ~ hereby agree that the city official or a d/9y 5 e~ upon the property to perform ~_~n':9C3n&.
~ /' nature ' License No. Date
1/
SETBACKS: Required
Actual
Front
- BUILDING DEPARTMENT VALUATION
USE OF BUILDINr
~I-'"
TYPE OF CONSTRUCTION: I II III IV
Occupancy Group A B E F HIM
Division 1 2 3 4
Permit Fee ................................... ,'to
Plan Check Fee ............................. $_
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer&WaterPermit...................... $
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
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 _~o. C!> ., PLOT PLAN 0
V
R S U
City:
Amount Brought Forward .................. $
Paok SuppM Fee ........................... $ P.50.oo
SAC ......................................... $ 11'00.00
Collective Street Fee ....................... $
Sewer Tap ................................... $
BSTa. ('98
S-S(, . </0
'tT7 . ~
$
qS": (j 0
(,M .r')()
IOO.tPO
~'" . ~O
<{O . o&>
Pressure Reducer .......................... $
Meter Horn ................................... $
Wate' Mete, ................................. $ 17...S. () 0
Sewer & Water Connection Fee ........... $ I~ z. 00.00
Wate,Towe,Fee ........................... $ . 7 OD. 00
Ilding Permit W!lin Approved.
Date 8-1{..- '?~
o
Total Due ..............................
Pa;d .5", "15'5:. 4-t:J
Date jR" IY-c/V By
uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed iJ. requested. This document when
onstitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificat~f Occupancy must be issued.
~~~ .
ner Date Special Conditions ff any
This
By
Issued
24 hour notice for all inspections (952) 447-9850
~~
06. 01&7
..
Thfl' C""I..rof IhIPl,.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT .\ j(~ K~' I,"' (I ~\ '" t~7\YY\ 0 ,~
APPLICATION RECEIVED ~,U)(~\ 1.b,+ ~ ~ (.\(10
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
\ L.."C:::; (...,'} 13 (nc:\eai d L Ln (\fLJ
Accepted
Denied
~
Accepted With Corrections
Reviewed By:
~~~
Date:
~ - t<.9~ &::0
Comments:
"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."
~o - 072--7
ThrCt'ntrroflh.. LabCounlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHJ;:CKLlST
NAME OF APPLICANT (A. Jo_ ~ f"\...CI r.. ~ 0 .-\
APPLICATION RECEIVED ~t 1. M cQ . ri(}rJn
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L~r:::;.{,.,'7 15, ()(l~irD_q~ LnJIL/
Accepted
'>c
Accepted With Corrections
Date: ; - /c. ~-z,...c::
Comments:
'Sa. (~S~6._I...~'..A........ -r::...... fa... n...........
.~~ ~~-
"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."
DO ,o7~7
Tbt (tnlrr or Ihr ultt Counlf)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (^- )0_ AJ:...m 0...D t'""\ +-trlYY\ 0 ~
APPLICATION RECEIVED ClJvJC(;- Ll:,.,+ Q . ;::) ryrJn
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~n:ro~,dL L-CH'LJ
Accepted
I.~ c:, Cc, '7
/
Accepted With Corrections
Denied
Reviewed By:
Comments: Set'.
in hr/lf 4 ht?H.
CT"~ &~t7K
-!hi' I?"J/I'/s-e
Date:
~/~ ~/
f#d/a1
~h~-e'
~... d IId~MUk: I. hiNr/ Gr../.. .:z;y~b;~ ..z,,/;,.,,,,.,,I,__ ~~ ~
3. h/K/AII. r1Ah/ ~dr~ ~ _E~$/~ ~~/ft~
"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
16200 Eagle Creek Av, S.E. Permll No_ 00 - ~7
PrIor Lake, UN 55372 .
en
~ ~ HEATING APPLICATION / PERMIT
a: Dale 9-.\?c:....,k,CI PlD"a,"\-<~'l-(,)\~-/)
CD SneAd"'e.. \~, '?v;.rHt~'Drl LN
~ lol ~ Block I Add~ion (....,11 AIIIA.Xl.kr z::r,et ~
z: Owne". Name \ l 'flort:..vr.r\ t.(\,.'^ \!l.~ 0 "
Address \ 't~~ \=>\A. 'L00. ~_ ,,,,,,- -;1~ ":::'lU"~a:""::'
Heallng Conlractor t--9 Vl"} - III If V'\
Address ~c- <:.... 2r-.1rt> W''''- -r1lLL-- ('''''-f~'
Telephone' lnnl- u-'l.-o~ l\4U
FurnMll Make & Model L~ TVPEOFSYSTEM
/I .~...... I Warm Air Planls '(
ModelSlu b.'L:--A. ~"L. ~-/~ Grevlly .
Mechanical
Air CondMlonlng)( L' h.
" -
4 &vl.v1T Vonl. System
HEATlNG OR POWER PLANT
Steam
Hol Wa'er
Radlatlcn
Spacial DlIVice.
~
Conn. Load
~ Fual Nl'rf r ~~Jue Size
<1l
~ Supply Openings _ 1\
.... LI
l:2 D^I..~,
z:
([
>-
tt:
N
z:
W
l!l
Tru.::\
,,_.w... Oponlngs
InpUI ""1S.lIDO Oulpul I rf).""'-.u.
Ed,.
OIher D ovlce.
Clm.
rtPE OF WORK
'I..
:E
([ .
~ Afteral""'s
IS)
....
Roplacemenl
New Const,ucl!an
E.1. Comp. Date
, BuDding Pormlt" ~ - (')'7 d '7
/ PAID Wlil-\ \1
/50 BUU.OING PERM
/ Recolp'" -
Repair
~ Esl. Cost $
IS)
N
If)
N
l!l
::>
([
HEATING PJ:RMIT FEE $
I
STATE SURCHARGE $
TOTALPERMrTFEES $
TYPE OF STRUCTUR~
1_l'iAk F'tte
1. Gre Cily
1. Yen, C"'-1iI::1aI
Single Femily
Commarclal
'I...
Two.FamHy
Induslrial.
Public
Mulli-Famlly
Olher !
Fea Schedule
Indu.lrlal, Comman:ial & Mulll.Femlly
Rosktenlial, Haaling & AC
Residenlial, Heating Only
Resktonlial, Gas Fireplace
Reaidenlial, AdrllUons &. Alleretions
Residenllel, AC Only
I 'Yo 01 ~ 1139.50 minimum)
.$99.5( D rn@rn 0 'V7'~"'.
$64.5( \::J_~.
:::::~'~I .'28 am }I'I
$39.5 J\ I
--"
Remember 10 add Ihe Stala Surcharge on Ihe bollom 01 Ihis appllcalian,
Ths.prica 01 your haallng pB",ullncludes ona lough.ln and one llnallnspecllon.
Addillonal inspacllons will be bin..d al $35.00 aach.
House Hoa!lnll Tesl Record mus' be .ubmfRed wllh I!ul!!llng IWIIJilIllUIl!l!!r belora build-
Ing cerllllcala 01 OCCUpat1Cy will be issued.
I:ffAI CALCULATIONS REOUIRED wfth numbar of supply and ralu", openings lisled per
loom wilh CFM's por opening. NIlW .truclures or addiUons .and floor plan w~h supply
end lolum locallon. shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED ro THE CITY OF PRIOR LAKE 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Clly Hall buslne.. hOU15 ara 8 am. - 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CAll Clrt HALL
447-4230
J hereby apply for a mochanical syslams perml! and I acknowledge 'hallhe
inlormatlon above I. complele and eccurale; Ihalthe work will be In conlo, mance
wllh !he onHnance. and codas ollhe city end with the slala building/mechanical
codes; lhallhls form does nol become a parmI! until signed by Ihe BUILDING
OFFICIAl: Ihallha work will be in eccordanca wllh Ihe appr(lvad plan In Iho
case 01 a, I work which requiTes ravlew and epproval 01 plans.
\A / C1.r-. S\\lS ~
( ) - _ 71fPlican s naJ;B., . I ,Ie_
~ Arln.iJ;/U ;) g/A.;"/UlJ
G ''''''"'' 0..... -~ --'J"4'I:..
I
CITY OF PRIOR lAKE
MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
([)--i;)-1
HEATING APPLICATION f PERMIT
Oala LQ/IJ-/ ~J PID. 07S' - ~ (fZ::j)! 9- 6
Sae .....dress /51i7" 7 ~A 1/2A.-
Lot l!L Block I Addlion t-J/vt<;'Ilj(fex-- fJ vd-
, J '\) ,
OwnefsNam. (I 'JA.....r-. ~)
Address
HeatillgContraclor ALLIED FIRESIDE dba FIRESIDE CORNU.
AddIess 2700 N. FAIRVIEW, ROSEVILLE, MN 55113
Telephone' 651-633-2561
FIREPLACE ,/
IlIiJnMIt Make & Model fJllif AJ C;t..
, -
Model Sill!. ,.-\f _ '7 :('0 1]1-
CoM. Load
Fuel ~~ Flue Silt
SUWJy Openings
Return Openings
lnpU!
Quip"' ~ 000
Edr.
Clm.
TYPE OF WORK
Al.ralions
R.piacamenl
Esl. Comp. Dale
Repair
Esl.Cosl$ //6D[).)
HEATING PERMiT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Perm~ M
.50
TYPE OF SYSTEM
Warm Ail Planls
Gravity
Machanlcal
Air Condlionlng
V.nl. Syslem
HEATING OR POWER PLANT
Sleam
Hal Waler
Aadiadon
Special Olvicas
Other Devices .
New Consl Juelion
X'
/t\/~/6}
R.cslpI .
PAiL.
BUILDING PEr..." .
TYPE OF STRUCTURE
I.Pi..k
1..{~
1. YellDYt'
en
'"
f'11r. ::l
CiIJ r+
CoM" ro
'<
Singls Family
-n
H
:D
m
en
H
o
m
o
o
:D
z
m
:D
Two.Family
Induslrial
Public
MlJ\I~Family
Olher
Commen::ial.
Fes Schedule
Inoo".lrial, Commercial & Multi- Fomly
Residen~a~ Healing & AC
Residential, Healing Only
Residenllal. Gas Fireplace
R esidenllal, AddItions & Alteralions
Residential, PI:; Only
1 % of job cost {S39.50 min!mtml
$99.50
.64.50
$3l!.50
'39.50
$]9.50
Remember 10 add Ihe Stale Sun:har9" on Ihs oollom ollhis eppr...l\on.
CIl
'"
The price 01 your heatin9 permillncludes OIlS rough-in and ons onal inspecliorL CIl
'"
Additional jns~eclions win be baled al $35.00 each. '"
...
...
House Healing Tesl RecoJd musl be submilled wilh IlIIiIlIiDg ImIIIIiIIIlIlIIllIn boIor. bul 'f
lng certilicale 01 occupancy wil be issued. - .
I:lfAI kA\.CULATIONS REQUIRED wllh number 01 supply and I8lurn openings IIllled
100m wilh CFM's p.r opening. New slruclunl. or addillons Bend Ioor plen willi supply
and relurn locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAIlED 10 WE CITY OF PRKlR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE. MN 55372.
o
n
r+
City Hall buslnes. hD\J1S are B 1I.m.- 4:30 p.m.
~
~
.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL)- CAll CITY HALL
447-4230
o
o
N
....
I hereby apply lor a mechanical syslems permil and I acknowled.". lhallhe :;;
Inlormation above is com~lele and aeculale; lhallhe work wtll be in eonlolmanc!':
with the ordinance. and codes ollhe city and wllh Ihe slale buildio1g1mecltaalc
codes; Ihallhls form does nol become a permi! unl;1 signed by Ine BUILOINI
OFFICIAL; Ihallhe work will be in accordance with the epproved plan In Ihe
case oJ. all work which requires r..IIlew and ap~roval of plans.
./1Jff{hn
/ , Date
!G//(,,/UD
'Dahl
'll
'"
<D
'"
N
N
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant:S'C? ,n7 - J:2.t:f.' Y"")
Address: lU.,u.c:... ~~~I"'" jAr' .-0_'-
Signature: IJ... ~ r. . ...., n
"\\ - - '--' _'I
Legal Description: lot \ 'f.. elock I Sub ('~ A (l'"\l M(~~
Site Address:~ '7 ~\ t:::.L l N ~ ~ -
BuildingPermlU 00- a'"1a~ PID#_ &"':;--,'?67-cJ!{-O
;; NOTE: This perm~ w.iII not be processed without complete information.
FIXTURE UNITS
RUG.25.2000 10:44RM
GENZ RYRN 6513226147
:
T1I~ C",ln .r '"I' Laft eo_",.,.
@ @ [g.D~rn:
.28.
Cuantity Type of Fixture Quantity
I . Bath Tub with or without shower L~
1 Dishwasher I
\ Roar Drain (<../ r
2- Lavatory (bathroom sink) I
\ Laundry Tray (1 or 2 compartment sink)
\ Shower Stall
\ Sinks
Bar Sink
'2- Water Closet (toilet)
FEE SCHEDULE
Industrial. Commercial & Multi-Family
(1 or. of job cost, $39.50 minimum)
Residential. New Cne & Two Family
Residential. Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
NO. 138
P.3/19
1.2.
2. lJold
J. Ydlow
RI.
Clly
Appu....
# I> tl -('yt"Jd'l
Phone: ~H.l '2:!:> -1/4 U
Type of Fixture
Rough-ins
Water Heater
Water Soltner
Stand Pipe (washing machine)
Sewage Ejector
Baclc!low Assembly (RPZ. Oouble Check, PV8)
8ackflow Assembly Test
Lawn Sprinkler
Other
I
/
$ ):50 PAlO \J'J\~rr
/ aU\\.D\NG P . ~
$
$
$
$
,
This pc:rmit is grontcd upon the cxp..... condition th~t ,aid
contrilC~Qr. 5hilll comply in ill] respel:lS with the ordir'!Ol,ne:es
ofjhc s,... Plijmbing C Id the ~l'dm .. the",of.
_ . RE l"I' ~~. cy,0l~ DAre
1 A
16200 Eagle Creek Av. S.E., Prior Lake, Minneso[J. 553721 Ph. (612) 4474230 1 FA..'{ (6 \2) 447-4245
I An Equnl OPFonunity Employer
RUG. 8.2000 11:14RM
GENZ RYPN 6513226147
NO. 483
P.9/9
_......
'rII.LIIW. -.cur
IIDLD . CITy
LAKE NO ..f!O - 0'1 d.. '7
PERMIT
NOTE: Sewer. and Water
contractors must
be reqistel:'ed
vith the City.
APPLICANT:. WII"I$._ etf J'"'l PII'Yrl'c:ll~V'_ Uof1l"-,. 'f'_ PHONE:..ll2.51-1.J.7_~-, 1LlJ.J
.ADDRESS: 141~'='~ ~""iT" ""PL ~""f~.",r S",oc.lll DATE:""&") 9- \(}T""'I
SIGNA'l'URE: (A 1~~ .BLDG. PERMIT # ()()-Q'7-;).7
SITE ADDRESS: l~~ 1..:..; ,'IX.. W PlDt d.S--~Z,h '7- tllX"'::o
*
1. Estimated lenqth c.~ water servicli
"
2. Size of watel:' serv..ce I inch(esl.
3. Location of any CO~Plings from s~ructure
. I ~ I
4. Type of sewer p1.pe JABS PVC A. I Cast ron
5_ Estimated length Or sewer line~ feet.
6. Clean out (if r quiredl, located at
structure.
==~~---~=-----~--~~-~~~ - -~~----~~~
Thi:"(PPlic_ation~Ill~s your pe~it when appr=ied. .
BY: . A~7jr-&t~ D~TE: 0/$
~-~-;:-~= :;W'~'Cti:::"t~
$ .50 Surcharge
$ 35.50 I TOTAL
Fee for either sewJr or water individually is ~20.00 plus
$ .50 surcharge. --
FILL IN THE BLANKS
40'
feet.
feet.
feet
from
*
RECEIPT #
,,1>-\0 ~\\.~ttrr
e\)\\'p\~G " REC' D BY
. 4629 Dakota Sl S.E., Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
IAN FDlfAI nPQncrn'MrTV c'UDt'.....~
J
PRIOR LAKE
INSPECTION RECORD
~.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /C;~Cn 7 ~o~ S.~
NATURE OF WORK !UP.... I
USE OF BUILDING SFA
PERMIT NO. Of) .072:J DATE ISSUED 'IL 8-IL'c.OdaJ
CONTRACTOR ( , ...........sI...."'-1~ .1+...-..._ _ pt\o~e (.57 - 'Far,! - t..{l{(;c)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING~ ~, \D!I{!ce
b--,
I fj':y! /6"b
, ,
I FOUNDATION (Prior to Backfill)~~ I~, gjP"l/1ft I ~/~I/(1t)
1 ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - JNS
SEWER I WATER I SEPTIC ~ " 5?fZZ/tnJ
FRAMING 1,.,. L" f:;:r jl/1 / ~ ff+;, 1(, fh ) II/I / /!b
INSULATION qo.,ot,. ~\-\- \ I-\"-o !':Jr. / {P;iw 1....1.-. tJrf~
ELECTRICAL
PLUMBING II< H II-(-OD
HEATING (ifrequired) ;<, /ih II ~ J "- (J7) L./... ~ /l/1/06
FIREPLACE P-. 1+ 11- I-dO
GAS LINE AIR TEST~. F:f. ~~, 1~/8I!b()
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,~r,f#. I I
FINALStl
I" \J/
1Z_ J IUMJ
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
lh.d') v() \
II,;... 'k> -Q:.)
\.
r6 _ U~.
1- , \J~
OCCUPY UNTIL ABOVE IItAS
NOTICE
If ~ ~().....oo
J(- aO-6O
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
DATE TIME
~d"Ub
ADDRESS ISt:)'- ~ )2,rr:JC1).- c<;; ('~tp. ~_ ).D, "" n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO. CJD - 0 '7;:) 7
o FOOTING 0 PLUMBING RI
o FOUNDATION ~ECH RI
o FRAMING ATER HOOKUP
o INSULATION SEWER HOOKUP
o FINAL 0 LUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: t[j) ~ rj;, J-;/-sr
;@ ~ /'-"'-. ".() ./!L-..-,
(J)~-~ ~ ~ e,~
@ ~.LA!? ~d~ ~,
, ,
\
bS' /'-uU"t!-n ~~-
M ~ I'\.() _(}n_'p~_,
U
'-5' IVc- ~ 40 ~
tJ~-.' ~ A:-r, ~,)
'- ...-
1 \ ~ ~~
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
:S:::O~ECT WO~~OR REINS:~::/::~:FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
\ I'.':'{}("~ z: c..r-o
ADDRESS
Is~c.ol BR.oO~"S\D5
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6-72-7
o FOOTING
o FRAMING
~D INSU~ fib.
FINAL IV
o OUN ON
o DEMOLITION
o FIRE PREVo
o PLUMBING RI fA:>..
.)r:'MECHANICAL t:='1 \Il1\L.- l(Y
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL /'S::\
PLUMBING FINAL V
~ SITE INSPECTION .
o EXC/GRAD/FILLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
-r-e-w: D L'(), IMAj, I
I
f-j-I- ~()Ol
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, C~L FOR REINSPECT10N BEFORE COVERING
-? II
Inspector: D ./\J~ Owner/Contr:
CALL 447-4230 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/#
TIME
ADDRESS 15567 BROOKSIDE LANE
- PERMIT #00-727
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
D)NSULATION
~ FINAL
o SITE INSPECTION
COMMENTS:
--r""Sl,\,.o,
cJo~,.. _
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
t"'''''''f
~Je.-
CJJ.
l\. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ::K _ \\I1.MJ1 Owner/Contr:
l!AI)c 447-9R~O FOJ THF. NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IHSNOTl