HomeMy WebLinkAboutBuilding Permit 00-0825
~~
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. While
2. Pink
3. Yellow
File
City
Applicant
b~/fX)
Permit No.
00.0'06
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bollom)
2. SITE ADDRESS I
12. NO. OF STORIEZ
13. TYPE OF CONSTRUCTION
OJO<J(} j92.IJ1VlZ/)
14. FLOOR AREA APPORTIONMENT USE
LOT
AJ.f.... IZ I
Z~'):3fo! OZ3o
ADDITION
4. OWNER
(~ameJ _
EMVv2...
(Address)
r; t::;J::. .
5. ARCHITECT (Name) (Address)
aJ
6. BUILDER (Name) (Address)
!~:JiIC. ;a/x;X/J/tj ~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New constructio~
Chimney LI Misc.
8. PROPERTY AREA OR ACRES 9. PROPi,RTY DIMENSIONS/S-2 ~lfo 17. C MPLETIO
Sq. FI. IS- OIJ (p Width 7 . .~~ Depth ';--/~ 3~ f:. . - IJZ-G. 2-000
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 a 10 pro arty an at nstruction will confonn to all existing state and local laws and will proceed in accordance with submitted plans. am are that the
building revoke this it f . st cause. Furthennore, I hereby agree that the city official or a de~9~e2 ma~nter upon the property 10 perto ed ;n.tPoctions.
X 5. ZOO'l'lf'L8..:5 ~ uO
License No. Date
Fireplace
Alterations 0
Septic 0
Addition 0
Deck 0
Re-roofing 0 Porch (j
Re-siding 0 Finish Basement 0
SEATS
Finish Attic 0
Signature
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
:SFD
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION
COPIES
TYPE OF CONSTRUCTION, I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 234 I ~\t'J ~
Permit Fee ................................... $~
Plan Check Fee ............................. $ 8<:fD. 2.L
93.W
PLANS & SPECS 0
SURVEY 0
SETS
o
PLOT PLAN
o
City:
Amount Brought Forward .................. $
Pa"'SupportFee ........................... $ RSO. C!::>t')
SAC ......................................... $ J./ 00. 00
. ,
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $~ DD .OD
305.5'0
46 . DO
100.00
~
q.IYoV
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer .~/t;.~~................ :
Meter Horn ... .... ..;t.+I............ ....... $
Wate' Mete' .....'7/:)..:.................... $~~..D~
Sewer & Water Connection Fee ........... $ An.(9
WaterTowerFee ........................... $ t-zOD. 00
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Paid {; (; (, f _ ~ Receipt
t/5.0D
State Surcharge ............................. $
Penalty ....................................... $
Sewer & WaterParmit ...................... $
Date
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zonin Ordinance and may proceed requested. This document when
s~ the CfY flanner constitutes a temporary Certi~" of Zoning compliance and allows cOflstruction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~ta.d'e'&'~"'~ q/8t~
Cny Planner Dale Special Conditions ~ any
1,.erqi.C)o
e. 0&:'1. 9(P
''{-:5 c;"
ur BUl ding ~:r:rtr:~~~a.:r7
Certificate of Occupancy
Issued
24 hour notice for all inspections 447-9850
~
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor ,CPIDK/( k$",;./
Name of Tester rJ7:,
Date 1-7'01
.
Job Address
RAII(# U/.'
Heating Contractor PRE illY, KoSo'" f>{'fI\.
en-
/-7- 01
t,e;-
o
';;,0
Stack T enip. II .2
Combustion air is adequately supplied per
UMC Sec. 606
Name of Tester
Date
Percent 0,
Percent CO
Percent CO,
~o. <lOO
Input
."
~~
00 -- 0 I{;&~
Th", ('tnl... of lhl' L.kf Counll'}'
White . Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
Vl'5\ /;C.
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections ~
Denied ~~~
Reviewed By: { . ~
P'
Aomments:
~~ ~ aJ-kLJ._ ~kJ-4
Date:
/-/3-2.tx9cv
(
,
'-
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
00 ' ()$ (;~
Tht' ("..nit'. of lh., L8k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
/-Jc__
~\
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
v
Accepted With Corrections
Denied
Reviewed BY:~~ ;~
Date:
q /~/ &:)
Comments:
fly h- ~M-1 ~(vW~ ~J~
-1Jv ~\O-lAj \fD~ ('~~ II
"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."
--=-
00-06&~
Th~ CrnlH of Ih! L.kt CO~U1lry
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I
Nc..,
~~r
a -, co
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicat7i3g0struction;r~; ;hiCh iSn:;; at: ;11 r
/
Accepted
Accepted With Corrections
Denied
Reviewed By:
Grll..l'\t CaY/SOh
5a -!hI rf'i/l'/5e
Date: 00/0}
sick hI" p//:hC:-Aa/ i;,h/;??-Ull/'~n~
Comments:
(; .-"J;
a H-a.p.h1'Y! fJrfs: ,. Final Gra.d-f .:Ii,c;P-ed-io-n r;.,for""o1i......;). plq'
Eros'Cln C6vJr()L..J).1-ea$~lt'e<;i hO$/b-n a1r6/ I'M,.,
5~e
1.
"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
presumir:19 to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
.~
--.-. .---------..---- .~~-~,-----,..__...-
L
01/19/1995 21:37
512-8947972
LAKESIDE PLBG
PAGE 01
,
g~'ii
..CITYOF PRIOR LAKE
PLUMBING PERMIT
1, B\\lG Fil~
:l. Gold Cil)'
3. )'~UQW APPli~/
# /)0 - () <3J. J
Rs-.;>. "Iir,V-7(..t./U
NOV I 3 200J
App.IICllnl:
., " Address:
SIgnature:
Legal basc plion: Lot J..:. .. .. alock I Sub 1< /tJU
Slte Address: /.1{3 VO t) tLU~ '" (I rJ"'-r k /I). 'Z.-
H ,'>Bulldlng PliIrmltll .. PIO It ,27" 3fog'- 0)'3 - 0
_____ NoTe:; Thill permit will not be processed without complete Inlormatlon,
Phone:
r.~.':OI Ibn.~.~:\I:;~- r-
AH ~ ..) J/ _ ~- FIXTURE UNITS
Quantity Type o(FilCture QuantIty Type of Fixture
2 Bath Tub with orwllhf)ut.shcwer -3 Rough-Iris
/ Oishwesher I Water Heater
I Floor Drain Water Softner
It) Lavetory (bethtoom sink) ... ! Stand Pipe (washing maohlne)
. .' .,
i Laundry Tnly(1 or,:! QO.mplirtment sink) Sewage Ejector
I Shower Stall \"', - .:; .. ., Backflow Assembly (RPZ, Double Check, PV
I Sinks . . Bacldlow Assembly Test
Bar Sink . Lawn Sprinkler
.
-3 Water Closet (toilet). :l- ather oc.A.;T5,;,L< ~6,b);(
FEE SCHEDULE
Industrial, Commercial.! Multi-Family..
(1% of jOb cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Addltlol)" & Alteralfon.s.
State surcharge . .
GRAND TOTAL
$
$
$
$ ,50
$ IOOc,U
$99.50
$39.$0
. 'Thil Permit is granted upDn the' CllpruJ.l;Qndition lhat said
contnl,,,gt, shall Ollmply In all r..pccto with the .<<Ilnance;
. :ol'ho.Stal. Plumbing Cede IIIld tho amondments lheroof,
.-. RECB/l'TNO. I/-IL/-OQDATB
. .. ~. ArrEsT
. Call for all in pecliona 24 hours in advance.
PAID WITH
BUILDING PERMIT
16200 Eagle Creek Av. S,E., Prior Lalc.e, Minnesota 55372/ PI1. (612) 447-4230 I FAX (612) 447-4245
. An Equal Opportunity Employer
.....
\
ORf.E. . filE
YELLOW . APPUCA.T
GOLD. CIT.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W. No. 00 oSz.5"
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: FJNItLG~f}f)E :ENe
.
ADDRESS: Lql[J ~ ST~~}J~~E
SIGNATURE: ~ q( _tJ.___
SITE ADDRESS: J1~{) ;(flllJAJ COl/~ T
PHONE: 7~-;?33 -)O/[)O
DATE: ~c;o;16-/ "t>
BLDG. P RMI: # DO. 032.5
PID# ZS-3bB- 023-0
FILL IN THE BLANKS
1. Estimated length of water service C7~
feet.
2. Size of water service
/ II
~ inch(es).
3 .
Location of any couplings from structure
-
feet.
4. Type of sewer pipe. ABS pvc~ Cast Iron
5. Estimated length of sewer line .2)t] feet.
6. Clean out (if required), located at
structure.
--
feet
from
---------------
---------------
------------------------------------------------
------------------------------------------------
BY
your permit when approved.
DATE: q. 26.c5)
This applicati
------------- ----------------------------------------------------
------------- ----------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is ~V.~ plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
AMOUNT PAID
..f\1 ~ :\
$'O~' ~B.~\
~ \~GP
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
1'I1t
""
0000_
I."'"
1._.
3. yd....
I
00-027$
CITY OF PRIOR LAKE MC
16200 ':'gle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
-
-
~
Ql
c>
III
CL
MufIl.F9miy
CUle,
Public
Two-FllTolIy
lndustl1a1
Single Family
Commercial.
PERMIT
~ ~3bfro23-0
HEATING APPLICATION I
1% 10. . ~~~. minllOOm)
$99 .. 0 ic, ..
. U', ,t. /
S64.W .L-7..-/ .LC
$39.~.\: .
S39.jiq\ '\ I
.\\1
$39.ll:!l uL..
8.
I
Induslrial, Commercial & Mufti-family
Residential, Healing 8. /IC
ResidenUaJ, Healing Only
Residantial, Gas Rreplace
Aaldenlial, Addillons & AlleraUOl1S
Residential, AC Only
Fee Schedule
5fH
Pin.
SilB Addllss
LoI
OWners Name
Addfes~
~_c>
L. ---,
bolIom olll1i. application.
FIRESIDE CORNIlR
55113
MN
ROSEVILLIl
dba
FIRESIDE
::;;
<(
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~
o
~
o
o
co
~
,
>
o
z
Remember 10 add Ihe Sla\e Surcharge on Ihe
The prica of your healing ""rmil include. one rough.in and one U..... inspecUon.
Addmonal inspections will be billed at $35.00 eacI\.
House Heating Tast Record mus! be sWm~1Bd wilh bIIillIillIllIDIliI mmDt beIoIe buM
Ing cerlitlCtl.le 01 llCCUp...CY wi. be i8Sued.
t!fAI REQUIRED wilh I1UInber 01 supply and IeIum Oflenings Iisled p
room wMh CFM's per opening. New struclUl8S or additions stmd Itoor plan wiIh l\lflIIIy
and return locations shown. HEAT LOSS CALCUlATIONS, PAYMENT AND
APPUCAIlONS MAY BE MAl LED TO THE CllY OF PRIOR LAKE, IUOO EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55312.
Clly Hall business hours B/8 8 a.n\. - 4:30 p.rn.
. '
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FlNAL)- CALL CITY HALL
441-4230
HEATING OR POWER PLANT
S\eam
Hot WalIr _
Radiali~n _
Special Devices
TYPE OF SYSTEM
Warm NT Planls
Gravily _
Mechanical _
Air Condilloni1g
Venl. System
Sizo.
Conn. Load
Fuel tltr Flue Size
Su""'y OpGflings
OutPUL~'"
Healing COnlrac\Of ALL I ED
Address 2700 N. FAIlI.VIRW
Tme~ooe' 651-633-2561
FtREPLACE
~p Make & Model
Model
R8Iurn Opening.
ll"flul
Edr.
..
...
III
III
III
'"
'"
co
~
on
co
I hereby epply for a mechanical systems permit and'l acknowledge lhallhe
In(ormalion above is complel. and accurate; lhalthe work will be in conlorm&ncl
wUIl Ihe ordinances and codes oIlh. clly and wllh Ihe slele bulldlng/mechanlcl
codes; Ihat Ihi. lorm does not become a perm;! unUl lIillned by the BU1LDIN<
OFFICIAL; lhal the wDrk will be In accordance with the approved plan in lI1e
case 01 all work which requires review and approval 0\ ptans.
A
0eIle
!.It, .O{)
0lii8
lIicafs SlgnaluI\I
)
Building
'<'
Other Device.
New ConsllUclIon
I~
Bl1ik1ing P ermk I
.50
Receipt.
lYPE OF WORK
Replacement
Esl. Comp. Date
())
$
$
HEATING PERMIT FEE $
STATE SURCHARGE
TOTAL PE~MIT FEES
elm.
Me ra~ons
Repall
Es" Cost $
..
0:
W
Z
0:
o
U
w
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H
(IJ
W
0:
H
LL
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m
+-'
c
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(IJ
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.
.
.
F;Je
Ocy
Contral;1pr
l'iok
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2-
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Me
Permit No.
CITY OF PRIOR LAKE
16200 Eagle ereekAv. S-E.
Prior Lake, MN 5.5372
BE
Multi-Family
Other.
Two-Famiy
Indusltial
v
Single Family
Commercial
HEATING APPLICATION! PERMIT
_ p'Dtl25-~bg-- LiJ.?-O
o.Ve.n Q-t
.
o
"
.
.
.
1% of job cast (S39.50minimum) c
$99.50 PLEASE NOTE: ~
$64.50 Air Conditioner Units Cannl c
$39.50 Encroach Into Required Side ~
$39.5C Yard Setbacks. ~
$39.5C ~
.
.
Pubic
lace
& A1teratiOllS
Fee Schedule
Remember to
550
mAJ 66/~.;L
~
~
~
~
c
~
.,
:.
~
c
:.
..
..
:>
"
this application.
The price of your heating permit inc:ludes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
1llIiIdiml1lmmil!!J.!t!!l!gr before build-
House Healing Tesl Record must be submitted with
ing certilicale of occupancy wili be issued.
~Ji!I~
c!-
TYPE OF SYSTEM
Warm Air Plants
Gravity _
Mechanical _
Ail Cancfllioning
Venl. System
AddrllSS
bottom of
!he
add the Slate Surcharge on
Furnace Make &
Model Size 'aO. DO() ~Tl1i
Conn. load
HEAT REOlJIREQ with number of supply and rellm openings fisted per
rOOm with CFM's per opening. New structures or addilions send floor plan with supply
and return locations shawn. HEAT lOSS CALCULATIONS, PAVMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOfllAKE, MN 55372. .
CUy HaR business hours are S a.m. - 4:30 p.m. '
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CAU CITY HALL
447_
HEATING OR POWEll PLANT
Steam __
Hat Water _
Radialian _
Special Devices
Othe,De"ices
7~(p
Fuel!JA T i.... Utt$Flue Size
,.
Supply Openings +
Return Openings
Input r,O ~ Output
Edr.
Clm.
I hereby apply for a mechanical systems permit and I acknowledge that the
infoll11ation above is complete an<! accurate; that the work win be in conformance
with the ordinances and codes of the city and with the state buildinglmechanicai
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the wolk will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
New Construction X
I
PAID WITH
BUILDING PERMIT
TYPE OF WORK
Replacemant
Esl. Camp. Date
d!;
c::
c::
...
flv/60
Dale
Q -).. 7-(} C)
Dale
4243"
FA>! 447-
PL
Receipt /I
.50
A~eralions
Repair _
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS l!:l:5E\n RnI/eN\ (I,'lllt1-
NATURE OF WORKt-.,lpl.)
USE OF BUILDING SFD
PERMIT NO. (JO.OBzt:;;' DATEISSUED '1-/"3-~O
CONTRACTOR 0n-lfIflPl- 0(J\1l..d-.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
FOOTING
FOUNDATION (Prior to Backfill) WI- ;;zl 'tn '()
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) IJ.
FIREPLACE I OD
GAS LINE AIR TEST ~ to
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINALS
GRAOING (Prior to Sodding)
r
BUILDING \,C-D, W M
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
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, car~ shall be placed near main entrance.
I
/
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
... '\
~trtifirau of OOrmpanry
CITY OF PRIOR LAKE
i\epartment of ~uilbinll 3Jn~ptdion
~Fina! Permitted D.Conditiona! 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 Lake regu/aJing building construction or use. For the following:
Occupancy Type
R3
Type Construction
SINGLE FA.'iILY
VN
Fire Zone
Bldg. Permit No.
N/A Zo' D"~ Rl
DIng IS....cl
00-0825
Use Classification
LcgalDescription 1.23. HI. KNOB HTT.1. FIFTH ADDITION
Contractor',Name & Address BRENNER CONSTR.. P.O. BOX 1314, LAKEVILLE, MN
ROBERT D. HUTCHINS/0~. City Planner
Al'l~ding ~cial T
'1 !? 7 ((: ( Dale:
POST IN A CONSPICUOUS PLACE
SileAddress 14380 RAVEN COURT NORTHEAST
55044
Owner of Building
DON RYE
Dale:
'1'/27101
~cr.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULEO
ADDRESS
/ '-I3?tJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.!l FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: S":' ~
DATE TIME
A:\,
()- Z; z....S"
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
r
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
:S:~~:ECT W~C~LL FOR REINS::::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED .:z./r,,/Ol / I.' 3CJ
rC IrJ67V <2T
.
CONTR.
PERMIT NO. O-f,;lS
ADDRESS
/L.( 3YO
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: (/)
o PLUMBING RI 0 EXIGRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
~ PLUMBING FINAL 0 GASLINE AIR TST
o MECH FINAL 0
~ ~ ~~)
~
Iu..qpA ~
~-
II' v-l,C
~,
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~L FOR REINSPECTION BEFORE COVERING
Inspector: I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
Nit-fa 0 '1 : 56
h.-Jt=>J c,r,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS / '-/ 3? ()
OWNER
CONTR.
DATE TIME
PHONE NO.
PERMIT NO.
o FOOTING m
)lr FOUNDATION tl$/
o FRAMING
o INSULATION
o FINAL
" SITE INSPECTION
o PLUMBING RI
o MECH RI
~)!!l WATER HOOKUP
)! SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
0-82.."5
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: tJAT~ r'/l.4F i J.S)~(B".:k
Hp~~~~~
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o WORK SATISFACTORY, PROCEED
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o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
ADDRESS
143go
SCHEDULED 7-/3-01 PlY?
RC1VCr') L.rNF
CONTR. f2,ftfl()Cf' CoY/sf.
PERMIT NO. 00 - g:<.5"
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
XfINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)3(EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(7f'c..de -(9 ~
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~~ p.'1_ Owner/Conlr:
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
DATE TIME
SCHEDULED 2~~~-Dl :(!Oo
ADDRESS
/4380 Ro.~ c.~.
V CONTR.
OWNER
PERMIT NO. 00- 682<;-
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATIO 0 SEWER HOOKUP
)(.FINAl (A:1P. PLUMBING FINAL
o SITE INSPECTION ~MECH FINAL Rct. t.-~I"
COMMENTS~-"tJ,:,-..__ 7-11 ~ ~~
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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_.:.~.",
WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
D:r
Inspector:
Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
lNSNOTJ