HomeMy WebLinkAboutBuilding Permit 03-0410
(Please.!VDe or print and sism. at bottom)
ADDRESS
JS33~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
;R Oo..J L ~
fJ..J~",-
LEGAL DESCRIPTION (office use only)
LOTj'OBLOCK ~ ADDITION ""'J...~
OWNER
(Name)
(YI , f) ~ "'ClwU
""Of J L./.:rr-1..
(Address)
Date Rec'd
3-J.-O-0.5
I. While
2. Pink
3. Yellow
I PERMIT NO.O 3 -tJ 4-/0
File
City
Applicant
ALu~
ZONING (office ""')
RI
r. . -,Uc S,.,u--t&....
PID;:,)S- 3f?;;(-f)g'f-Q
Cc!:J,.,(J.
~1' CJ....ct.
BUILDER
(Name) lh #.. f).,.~)tJ (? r<>-"-": -r .
(Contact Name) J... ~~ ()c4J.sr...........
(Address) ?"O( !u::,-Tj., ST4I<_S:7r
TYPE OF WORK
~ New Construction
DLower Level Finish
DDeck DPorch ORe-Roofing ORe-Siding
~ireplace DAddition DAlteration ~tility Connection
PROJECT COST/VALUE (exc1udingland) $ ~ t- ~ 3 tJc:/ -
o Misc.
(Phone) ~.2' ~,.r:z~? '0/
(Phone)~~-4J.;l.'lG.01
(PhoneJle/~.?"( - ,.6 '4'1
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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 tha.t I am the owner or
authorized agent for the above-mentioned Y.....Y..:....J 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 official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or 'a'designee may
// enter up n e pro elty to perform needed inspections.
x
I Permit Valuation
J Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
j Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
Signature
:;'81. 0c:10, 00 I
$ Z. 007, 85..
$ J 301.{. 7~'
$ No, 56.
$
$
$
$
$
/"",oc)
IOO,nO
35. So
.i/o,() 0
This,Application Becomes Your Building Permit When Approved
zL, 7'~ 34-CV~3
Building Official
Date
il r: -!).~?{,
.3-~o-oj-
Contractor's License No.
Date
Park Support Fee
SAC
#
#
$ <9'5"0.00
$ 1'2...7<;;:,80
$ '300. D e
$ 70 . '0 0
$ 1'2.00.00
$ '700.00
$ l-s::.o("),OO
$
I Water Meter Size 5/8~
I Pressure Reducer
I City SAC and WAC
I '\Tater Tower Fee
I Builder's Deposit
lather
I TOTAL DUE (IiJiuL -1/q-1J3 $9 IPz3. 13
1
~")(.,.' '+3- /3 I Receipt No_'IYUb ~
, / -// -("D By (j( ~ ./
#
#
Paid
Date
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
"'~ningY~ 3~9~; ~-~iw6t:~;~ q-~)
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenu<, Prior Lake. MN 55372
'-r-.'-'~'_.-.'-'--'-_._._-_._----
~~
c... White - B'Jildinv
Canary - Engineering
Pink - Planning
The C.enlerof lhf 1..hC.ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED <~- ~o-;3
.1lJ(II~2frL ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: :L) '~.' .
//).~?>:J- e.a4ko 1'\1
, I
Accepted
Accepted With Corrections ......---
Denied
Reviewed By:
~~r
Date: 36"J~3
Comments:
~~ a-U'~~-~
"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."
~~
ue~
White . Building
Canary . En9ineering
<!::!nK . Plannil'lq>
Till' {.fnl.., of Ill.. t.1It <."ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
';'f .'
/.'(
I
f
\
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-:2 ~.
,:'...+-
l
., ,I '-'
- . '/ I
! I /'
Accepted
Accepted With Corrections
----
Denied
Reviewed By:
r
~... :. -'L ':(~~ Date: ..3/.;;"1/a:s
A,c, 1'.- ,:to ~ ~
~/,
Comments:
~p
"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."
While - Building _
" ~_a'liJ!"-\f .. "'lIytoreerll'Q.....J
Pink - I'lanriiiig
Tht' C.t'nlt'r of Iht' I.a." ('Ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'I LC 0,,.,.., ,_~~-fl
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~-'---?.-, ?;"~~ _)~'..3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at__." I ,.
/- ::< 3 ' /-~~ /1 d ;;,-:: .:- i6..\'1 ,j-'!,j"--_/
i -) / - -+- ~__J 7' ...> . , -f
, I
v
x
Accepted With Corrections
Accepted
Denied
Reviewed By:
M48
Date:
L/ -9--03
Comments: See Reverse Side for Arlrlitinn::ol l'lformiiltic~!
~p.e Attachments: I) Grading Plan, 2) Erosion Control Measures
"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."
..." -,----,-..-..-- -.- -- --,._."._.._-_..._~--~._-""_.__...---_____."_ _. __ __ _ _._u,__.___m..__._.._.._.,...___
_ ______._ __ _--'..:::...::-....... r.l'.~U.K LAKE
I4i 001
CITY OF PRIOR LAKE
REA TING/ AlR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
i:.:. ~:~ .rPERMITNO'3 -//(0
J. Y.IlO'4' Appll;ll.lu I '-1
(pIa" tvoe OT mint and. su.:n ~ bctb:lm)
ADDREsS
/~::<;hlb~/~<: ;i?>c01P
LEGAL DESCRIPTION (offie, 0," only)
jJ,/...') ,
LOT
ADDmON
BLOCK
OWNER
(Name) J'??/'~An;()
(' "',,$../ .
(phone)
(Addiess)
APPUCANT /' ->-- A/). 11
(Name) L.~)
(AddToss)cY(fj)!() e:fil........,.,
(Adrlre.ss)
,
CLtA
(L., )-f?
I
ZONING (015= ,><)
PIP
4&:>> .: 7~ n f
(phone)
~~
U (City)
dro - bO~ d- .'
. s'5f,;;1..L/
(Zj~ Code)
(Contac[ p=on)
APPLICANT SIGNATURE 7f:{;-rJ,
(Phone)
DATE
--;2 ~WJ{}
-'1- ~ -('l"S
____ APPLICANT PLEASE COMPLETE BELOW
.A:lNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL t1-,.-, p-.O(lI-n?~ c'9M?C:l/M FUEL..ilo..l-.
PWE SIZE ~"f"u (... RETURN OPENINGS . q INPUT /Cl:).MO. OUTPUT -.-9~"""1'l
TYPE OF SYSTEM HEATING OR POWER PLANT .
OW..-rn Air Plants 0 Stearn
o Gn>vit)' OHotW.tor
~echanical .' 0 J\adhlt.lcn
J31a~Qnditionln8 0 Special DC'licc:s
.el'I"',m. System 0 .Othor Dovieos
FlREPLA CE MAKE AND MODEL
FEE Sc:s:EDULE
InduSU'lal. Commercial &. Multi~Pa.mHy 1 % of job ~~t Rcidcntie.!. Gas Fireplaee
$39.50 minimum
Residorttisl.. Ht:attn.: &. Ale (New Consmlction) . ,li9$l.SO Resi,dentiaL, Additions &. Alt<:;rations
Residential. Hcatbg Cnly (NeW" Construction) .$54.5Q Resid'mti:.(AC Only
Estimated Cost S Bu.ilding Permit '#
REA TING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ .
(Ofiie~ U$~ Only)
~f]~ [E 0 \Ii [1
~
]! %t~ - 5 2003
Tbis Ap'plication Becomes Ynur Building Permit When Approved
Building OmdaJ
DlIte
'14 hour notlce for &11 in.spadibn~ (.952.) 4 2..9850, fa:'( ('9S1) 447-4:145
t:j\l
lOO~
1IlV mrTIOlLLNW
9LZ909~lS9 XVd ~O:ll Gal ~OOZ/IO/SO
PLEASE NOT)!::
Air Conditioner Units
Ca'llnot Encroach into
Required Side Yord
Setback,
$39.50
S39.50
$39.50
elJll.~-4lo kh....
Y.vG:'" Ii
_ J:)~~
. ~I?"
I
11 Receipt No.
rl By
I
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I
'J
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or Print and silm at bottom)
ADDRESS
; :;,~ ~::y I PERMIT NO. ::;> ~ tI!~ D
3, Yellow Applicant ....::>- II
15332 EAGLES RIDGE NW
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) MCDONALD CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name) AT.T .TED FTRRSTDF. DBA FTRFSTDE BFA RTH & HOME
(Address)
2700 NORTH F AIRVIEW AVENUE
(Addiess)
(Phone)
ROSEVILLE
(City)
651-6,3-2561
';5113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE _.BRENDA HUSTON
DATE
5/2/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
DGravity
o Mechanical
DAir Conditioning
DVent System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK X 2
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
PAID ~
stJlLDING 71'H
PERMit
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved . fC ~~ @1E-U ~ l'I,:ceiPt No.
Buildi,. Official Date ----MM' 6 26Jj- JJ
24 hour nutiee for all in'peetinns (952) 447- . 5 I. fax (952) 447-4245
By
({'/
CITY OF PRIOR LAKE PLUMBING PER1~1rr
!)ate Ret'd
fP".eau ~ tar PJtat 112)d, $ijltn It.~ bonom)
i ADDRESS 1':;::1.] d..__ECl,q )e~__Bidq e
! LEGAL DESCRIPTION (01110< u,. only) 11
, LOT30SLOCK 0,] ADDITION / h ~
JUi Id-J:
; ~ ~:~ ['PERMIT NO. ~ _UI 011
) Y",IIo. A.ppl:';IM <-J -{I
N,W
---..'~..'._"'- ..-
,
\
-~
: ZONING (olti.., "') i
l i
PID
~=~t1G !1/J.!./d Cnn.sff4C'lr Ok4.;J-IlC.
(Add=) /C,OI / YS'f;, ~T..Jj;-M+; Ap;d1.
~;~fANT 'PI ve ~io r PIUin h/~'.)g-.t.~C
(Address) ~y rfe W~ / Ai) ~. -S;o_:r-Co tio.J P
fJ (A4dres~)
. (Contact PelSon) Q V P ~ A f~' h, 1'1 t. ~ ,j'
i APPLICANT SIGNATURE ?1y.~, ~~~.::a
Quantity
r-J,
1
()l
J
(
/
/
":1"
--- (Phone) _!l{~- K?J-7{O( i
[J a &Y-f-M..n---s::.~f)Y :
(Pho::e) (;4- yn- <P/<;;j9()
~rov'e !1;-,_--r.J7J/!;
/ (Cny) (Zip Code)
(Phone) h:...r/- y.s-9....f?/rfO
~-cf>~ O-S'
____ DATE
i
I
,
.1
APPLICA~T PLEASE COMPLETE BELOW
I Type of future
i Bath Tub with or without &bower
I Dishwesher
I Floor Drain
Lavatory (Balhroom Sink)
'Laundry Tray (lor 2 compartrnen, sink
Sbower Stall
I Sinks
J Bar Sink
I Water Closet (Toilet)
Quautity
J
I
I
I 'IYpe of Fixt,na
. ROllgh-ins
I Waler Heater
. Wlller Somer
i Stand Pipe (Washing Machine)
'I Sewage Ejector
BacldTowAssembly
I BackJ'low Asslln,l>ly relit
I Lawn SprinkJ~! .
I Other
FEE SCHEDULE
1ndustrial. Commercial &. Mclri~famil)' 1 % vfjob cost ""jth a 539,'0 minimurt'. R.esidenti~. New One &. Two-Famil)' S99S0
__ Rcsid-ual. AddltiurlS &: /\lttratlonll $39,50
Estimated COlt $ /( oS ()O, 00 BuHJ!ing FermJt # C)..J' -C>) It
(OIl1t.. U.. 0.1)')
PLUMBING PERMIT FEE
STATE SL'RCHARGE
TOTAL PERMIT FEE
Tbi. Application Becom., V OIlT Building Permit When Approved
JluUdJ,1lI1l Otl1daJ
llo..
U Ito\rr notlc. for :l1I1MJ>c'C'tlcQ, (9S2) U7.985f1. 11I11. (95%) 44'4211$
1d "Jd81 :(.'0 [00(.' 80 '6n"
--~;-- ---
S
$ ,.50
$ rf Cl4ihJJ...JJ~
,- ,(\ 1/11 '\. )
I i Paid .fjt;ffjILY~ i RecelprNo.
J ; Dare 6' /(r651 By
I
l
: 'OI.~ X".:I
: "JOd.:l
From ; JECHEE><C
PHONE tb.
612 8926396
A'.lg. 12 212103 6; 29At., POl
. "'I:
" II
~.
Dllte Re~~
CITY .OF PRIOR LAI.
~mWEHANI)WATEH \'! '~iT
~~e~~ b VI cJl
(Pltll.se~tOrntlntkDdtl~~?~I()m) .____0_0" ..._..___....,
ADD){ESS r) I
IS 3 ,<?a-.~~~lrl':J~ 0-1:-). w,
LEGAL DBSCRlPTION (otnc. un only)
LOT30BLOC:i,3 ._A DDl1'ION.__MJJs s.;;OJLi~
..._-----. ..--.'+;..
(1 )~Vt~L--
, '\'
'.111",,',1
r-pF.RMIT NO. 3 -ijIO--'
ZONINO(ol1lc.1IIoI)
1,~,~,:
PID
(I'I,on,,)
(Ad~$')
(Addrc:~~)
(Zip Code)
Yo...,.
~
,'"
APPLICANl--:- r . C""--"
(Name) . Je.e..l\.e./ -c:...y\" "_"._. (I'.""",)
(AddreSs).d;3lf) J /l.hgC P I.Q('J L .__ ..__8IfXll1JIlfy /rU1
( (Add.rcss) (( ,1\')
fliJ ');:7D 7LJ.no .
f'1.IJ,l 1;,7""4 .~/
(Zip Code)
(J'II'''')__~.1l. '7/) /J '7t.f.f7.,
1J^II,__~,..C3' ~ fl-fJ '2
/.
(Contact Person)
APPLICANT SIGNATURE
API'LICANT PLEASE COMI'U:T[ BELOW
Size OfWalcr service l inches.
LOCO-lion of any coupliugs from slrucl\~l'e/"'_u 10,:1.
Type:: of sewer pipe. 0 ABC ~ PVC ) Cast Iron
Estimated length of sewer line.J$.. feoL
Clean emt (lfn:yui.:cd) I?Cilled at .__... Icet 1j'OJfl :In:t:t~.I::~._...
Rc&idominl sewer and watt/ lilll:: COllllCClion
Sewer connection only
FEE SCIIED\ILE
:1;,l).::'O Ind\lslrinl, Cnm'l & M\lIII..Llll1ily J % of job cost with 8.$.39.50 minirl1um
$17.50 Water clJlmection only $17.50
<? ,"'.
E:ltim...tccJ CU!.t j: _._D ~'L.{_:_._.._. HU!ldlllJ:! PI'i'I ,'1 f:
SEWI;l, ANI) WATI:i\ 1'1.'i\~1I1 I!.I
STAT!' SlJRUI/\I,(i!'.
TOTAl.l'EHl\1lT FEJo'
50
Bulldlnc OIl'J(!I.i--'''--..'
"01 It
&'
i,lJ:~A' 'UG i~2E []'I1i"[E ,
U~ i}003= lllBY
(/r~
7 .
(Omu v.. 0111)')
'rbit AppJiclIlIon Becomes Your JJuildi,.,r, J'erlllil When Apl)I.uv('"t1
---..,.--.- .,_.....~.._,---,.
24 hour IH,licc: fur ull iIHlJCt~lltln!i ("57,) .J.11l'N~l:. ':1', f'l'<t) 4.17-01245
.By
-..1.---.-.....--...-
t'RIOR LAKE
INSPECTION RECORD
SITE ADDRESS I~ 1 tel ~ tol.~.
NATURE OF WORK ' ~ Sa ~~
USE OF BUILDING ~ .
PERMIT NO. _-'- g.3 '()4/0 DATE ISSUED '3 2
CONTRACTOR ~N~T. PHON . If
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
p'!?
, FOUNDATION (Prior to Backfill) I Y8 C/ I .~ ~ _
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
4A
~fi
SEWER I WATER I SEPTIC
FRAMING t'kd< /<ed~,- IV c...
INSULATION .-
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~t"f:,z..
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
. .
'~7Zt<<C //ATH~ I ~g; ~.~ I
~
FINALS
); lJ. /& '7. 0 p
fllJ
GRADING (Prior to Sodding)
BUILDING ~CD tV )01 03 ~
ELECTRICAL f'CftL.
PLUMBING
HEATING W / c..-
OO NOT OCCUPY UNTIL ABOVE HAS BEEN SIGNED
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, card shall be placed near main entrance.
I FOOTING
DEPAftTMEN-TOF
BUILDING AND INSPECTION
.
DATE
tJ --( \)
.
V /2--. ~
is"" - )"L
f/6 5"_ <';;:-
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FOR ALL INSPECTIONS (952) 447-9850
-_.."_._'...'-,.-
.
-..........
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f ~~71, 4A~~ v1.1{.~
PERMIT NO. 3 --'-I( 0
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
17' FINAL
kI SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
I"'MECH FINAL
DATE nilE
o EXIGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL /"
o GASLlNE AIR TST
o
COMMENTS: ~.
Jt S,A~ 'F"t.y,...~~--<o +- ~~ ~
LL.f-. 1JW~ /41'.W~. .
L~' c~O, ~ r~- ~~+('~
3r{4-_C ~~~
~. ('~ l,vL-4~-j-~..
./CI, '1M..v'v\t;.<p I)~::ct~e.~'$:&,\~
-V ~/ VV\.-AM.IJ~. X-~./~ ~r\O""'6....
-Ii, f~~~ J-. 7-<::\#p~.
Job Address /SJt;;J '~'J& f.">,<-
Heating Contractor _ Controlled Air ;.</~
9;1l
7-.1) - .)S
I -
;?
'f.,f 1
a _1
} 0 C;-''(----
Name of Tester
? ~RK SATISFACTORY. PROCE
tyf:ORRECT ACTION AND PROCE
:s:::ECT~L FOR RI
Date
Percent O2
Percent CO2
Percent CO
CALL 447-9850 FOR THE NE
Stack Temp.
CODE REQUIREMENTS ARE .
-".'-r-'.--'
"
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
IS~2
SCHEDULED ~;'$ / - 0 '(
~k ~ (lJ.
OWNER
PHONE NO.
CONTR.
PERMIT NO. '4- I') tJ 10
o FOOTING
o FOUNDATION
o FRAMING
o J.llSULATION
;<rFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
ok~ G(OWl~o ~~
~K SATISFACTORY. PROCEED
o CORRE AC 0 NO PROCEED
o COR CT WO (jALL FOR REINSPECTION BEFORE COVERING
Insped r: /) Owner/Contr:
C LL 7.9850 Fat THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~~ENTS ARE FOR YOUR PERSONAL HEALTH & SAFE;;!
IN.fNOn
OATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'7-?-2.-67 1(13cJ
ADDRESS 1$ 3 3~
t4.j\6
R:~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'3-410
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
.)l:,PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMM~NTS: _ _ _
l. ~f~'~"'7
/'
/'
~RK SATISFACTORY, PROCEED
o CORRECT ION AND PROCEED
o CORREC WO K; rr'J-L FOR REINSPECTION BEFORE COVERING
Inspector: _ I ~ Owner/Contr:
CALL.7 sle. FOak'HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~U~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
DATE
CITY OF PRIOR LAKE 1/1.., n. / t;
INSPECTION NOTICE SCHEDULED ttJ:!Ql.:_roJ
~
t5:~'f3 ~ 0"VO~F
.~ -'i~
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH RI
!WATER HOOKUP
SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~~-
-----
-(
~
01\
TIME
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ST
,....~^
~,,--
"-
~.
I\(
~ORK 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!
_._-'~--"'----------_.'_..._'_._-'._.-r
INSHOTl
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
10 -9--rJ.3
ADDRESS /535).. E,qkJ l'".,i""
v vir
OWNER CONTR. Ifllc.1)r)w.,lcI C&Y1~l
PHONE NO. PERMIT NO. 6Z, -.LJ I 0
[] FOOTING
[] FOUNDATION
[] FRAMING
[] INSULATION
,;&.EINAL
[] SITE INSPECTION
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
~ILUNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASLlNE AIR TST
[]
COMMENTS:
C v, t.., 13()-.L. -1//<.
VWORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: #"1~ OWner/Contr:
CALL "7.9950 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN""'"
-1---