HomeMy WebLinkAboutBuilding Permit 03-1444
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White File
2. Pink City
3. Yellow Applicant
/ trct/3
I PERMIT NO. {)3 - /444-1
(Please.!VD~ or orint and sien at bottom)
ADDRESS
.<.()/ ~ I<,,...,A/I,;;\ Tr2u...')
ZONING (office use)
t:/
~ -
LEGAL DESCRIPTION (office use only)
LO'ROBLOCK I ADDITION ,.. J... -L Lu "./ J 5
pm z:5. 3fJZ,. 036. 0
OWNER
(Name)
)f1I'!lo",..J)
('c" ,.., R 'j ,
(Phone)~~' '-; J~- 7'- 01
(Address)
BUILDER 11 lJ (Y
(Name) 111.. l l!J-..,/ t Cl~<;.1'<
(Contact Name) .\J~ C.....41~........... ~/j..7ol~trf".44
(Address)
. (Phone)lfsd..-43':;l- ?(.<::>f
a~ (Phone) 9s.;l- ~ 94...~ J bG., ~
J"::~.el-' HoIJ<€-"'L-
, TYPE OF WORK
li1..New Construction
DLower Level Finish
DDeck
DPorch
ORe. Roofing
DRe.Siding
~Utility Connection
4!D() ev .
\
o Misc.
a.Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ It LI ~
,,-
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 above-mentioned property and that all construction will conform to all existing state and 10ca1laws 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
:ter ul1beJ'J.:r:;::..needed inspections. Be, fJ. ~ I [,., 10 _ ~ -0 .J
~.. Signature Contractor's License No. Date
1 Permit Valuation J..L.f?, (JOO 1 1 Park Support Fee # $ 5?S() qz
I Permit Fee $ I 7 q 1../ f}- -I 1 SAC _ # $ J 2. 7 S' <7g
I Plan Check Fee $ 1./ ~ (. "-'lip -I 1 Water Meter Size 5/8"uY $ '] 00 op
I State Surcharge $ J). I t:7J J 1 Pressure Reducer $ 7 tJ o.P
I Penalty $ I 1 City SAC and WAC # $ I 2. 00 '!!
I Plumbing Permit Fee $ 100 qp I 1 Water Tower Fee # $ ,. TDO o:g
1 Mechanical Permit Fee $ 10 () '1:' 1 1 Builder's Deposit $ I. S- O() ~
1 Sewer & Water Permit Fee $ 3 :;- ~() I Other $
1 Gas Fireplace Permit Fee $ 4D OP I TOTALDUE ~ IO.u.o3 . $q 2.53. OJ
This APfJ~yn~ePf:;; Your Building Permit When Approved
IIlM ?~ I O-(]-O ~
Buildmg 0 clal Date
I Paid q2bfJJ(
I Date / O. :3/. f)"J
I ~~c1~ "rUf/( v
This is to certify that the re uest in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when Signi/i1d .th City er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued. .
' to,(j tJ -Z R-r'Cid "'lll fld+o 4 1-I-a....,JAu'h
, Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Job Address $OI? /J>>j.,~I-./-.r;
Heating Contractor Controlled Air
.. Name of Tester Po
Date 1/9/~_
Percent O2 c..'1~
Percent CO2 rzfoz.
~ Percent CO 0%
Stack Temp. /:?l5cy::::-
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(.White - 8uild~
canary - Engineering
Pink - Planning
Thf ('Pnlrrof thr I,.b('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPL,ICANT
APPLICATION RECEIVED
t,) c OD NA L,O
/0. g. 03
1 I/"ll:)
i C)' t, ! '--. <--
V _ \J-.../ .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
-= r I j' C':;' .. ,';:> ..-,' "~"~,,) L-
.,,' r. .,'f I - I I "
"-~, 1../ iy Li L. t..J Co'/-\ I I' I
Accepted X
Denied
Accepted With Corrections
Reviewed By:
/YJ1-f2>
Date:
/0-,;1 7-03
Comments: -.See Reverse Side for Addition::lllnfnrm::ltinnl
Orivewav Must HRVP. A Concrete Approach
Spp Att:wnti1pnt",. I) nr,,<1ing Phtn, ?) F'rn",inn rnntrol MPH"'llTP'"
"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."
s'il'J,
~e - BUil~~
Canary - engIneering
Pink - Planning
Th~ Crnlrr nf thO' I..k.. Count.,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
M L, DONA L-O 60N STf2- .
/0. g. 03
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30/0 BOBCA I TfZ.A1L-
~
Accepted
Accepted With Corrections
Denied
Reviewed By:
1M ilL
. .
~.l a/I J1111~",
Date: '7 / ()- 1'1-/')5
Comments:
cI-- /"h. .. ,J"" -I-- s
0NAt
a&uueJ.
~ lo+- ~
~f-
I);.
t1"N
~e,
/.5
0,0
~jc;
~
f'-+ i IJ
No Dfl~~ or I
eN+- a..//tJ wed ·
"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."
The Center of the 1.8ke Count.,.-
White .. - Building
C;'""'Y . E....: n_ri!!ll
(pink - Plannin~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tJ ' 1)( !\j flt.A)
i /. r: I '7
I' . r;, 0J
I "I' I/"-r-, :
(~/( '{-\l :_/ ( rL
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'--...~ (i f \, 1,( L c/.~ Tt..l \ I L-
Accepted
Accepted With Corrections
~
Denied
M /J'/;;
. .
. . .
I i.' /
;.. /11. k1, L-
Date:
'7 / (). ILl /)?
Reviewed By:
Comments:
r2 7""1\"/
'I If 11r'1.,....
cJ.
/-1".:", c)/)/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."
. ;;:~:{~~:;::~
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~ Q'leue~ororlntand'I"!.tboltOm'
ADDRESS,' ' " ~ '
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;i....~~~.t;\Q" t'1~' V lA'
I~\~. ...1."~4.~"'~.~,' I, " - ,
: ,~,~~p.~~<?m'n)-~ ON(Officeus.onIY)~ \ \ J
"'~~-"~~''''-fl '...., r' 'I
("L'o1hawlitocK\: ADDITION JAJ\.S
l'l...",:',,.i;il.,~~,:~'.i::~',:!:i:;;l,~~:t:el..:~~\":. ~ -" - --
11,~V:C~~ IA.. Q,Oli&-t
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I(c::tiD'@:t'~~griF" 01~.
AA~\\,(M,.~,:i4l,:';;;#"C;'-""!-d S
'A!>PLICAmSIGNATI1RE 1 0 j
.... u
APPLICANT PLEASE COMPLETE BELOW
,,>SiZeofwater service l" inches..'"
'.,~', l,ocation of any couplings from structure _ f) feet.
... . Type of sewer pipe. 0 ABC IZJ PVC 0 Cast Iron
Estimated length of sewer line ~l) feet.
Clean out (if required) located at feet from structure.
,"
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CITY OF PRIOR LAKE
SEWER AND WATER PERMIT .
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',,<:r~:~~~~,;;: \:::~.;,~ :.;
H;'J):~td~lCtcJ
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_.- ....
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I. 0"., "I, I PERMlTNO~'
!. 'Yellow City . .... '
l. Gold. AppllC&llI . . .
. ZONlNG ("'UIC) 1
I
PID
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(phone) Y..r:; LJ ~ 2.171n6 I
LL'i'\ 11 L~I fjt,;Mlsl.~~i."'~i",;~'~:;' . ..
'-Lff ICily) "', ~~Code) . ":i,I<;!'
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... (Photic) c./ iJ "J;JtJ'74,ffJg . .
eLDfJrrl1'11it~J\Al'/ !;l;-4:? (
(c'ity) (Zlpcodi)
(Phone) 611 '7~ 0 7'1.rt..
DATE~4. ,,',."
f' ."
!:;':.,.,..,......, ,"
-;'Rcsldentlalllower and wat.er line comection
(, Se~er col)llection only
!
t
$35.50
$17.50
Estimated Cost $::l!L1)
FEE SCHEDULE
Industrial, Com" & Multi~family
Water connection only
1 % of job cost with a $39.50 ntinlmwn
$17.50
Building Permit /I
',"
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SEWER AND WATER PERMIT fEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
~...:! '.;'::"::'?i::~.;':t.
\ (Om..1i.. 0.11)
cll,
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~,,,~a.Appll.atIoD B~~ome. Your Building Perm II When Approved
~,' ::::.~C?:~,\~.!" ,:,.,,:....~ -,
t"AIUlWITH " ,.
.~ ---mJlIO'Nf.: P!:RM!T
$
Paid
. Receipt No.
Balldlll. omclll
Ihle
.~~ftB 1 2 2004
By
24 hour no tic. lor all inspections (9521 ,j47.9R50, [IIX (952) 447-4245
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jOJ.:l~..I1- UOSI...lB:J~v.J'<iFf:;LL~170-ZL-Z
FIRESIDE GORNER #6717 P.002/002
CITY OF PRIOR LAKE Date Rec'd
REA TING/AIR CONDITIONING/FIREPLACE PERMIT
(Please ~ pr mnt And den at &ar.h)m)
I ADDRESS
3016 BOBCATTR
l ~:~ ~~,'''' I PERMIT NO. .3 - /r.JL/0/ ]
I ZONING (om<< ""J
tEGM. DESCRIPTION (office use only)
WT
BLOCK
ADDITION
PID
OWNER
(Name)
MCDONAr.n rONSTRUCTrQ,N
{phone) _952.292-106';
(Address)
APPUCANT
(Na.mc) AU.IF.IUJW~DE DBA rTUS1:QEJ;1J',,6RTH & Hm.";
(Phone) _651-633-'':;111
(Address)
'700NORTHFAIRVTEW AVENUE
(Addrc,,)
(Contact Person)
1'lRENDA HUSTON
ROSEVILLE
(Clly)
(Phone) _651-633-2561
55JI,3_
(ZIp Code)
. APPUCANT SIGNATURE
BRENDA HV$Tf2N.
DATE
5.27./13
APPLICANT PLEASE COMPLETE BELOW
XD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEl. FUEl.
FLuE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plo~.ts
DGroyity
o Mechanical
DAir Conditioning
DVent System
DStrom
o HOI WOf,or
o RAdlAlion
o SpeeiRI Devieo.<
o Ol,her Dovices
PLEASE NOTE:
Air CondiTjoncr Units
Cannol Encroach inlo
Required Side Ya.rd
SetbAcks
FIREPLACE MAKE AND MODEL
HEAT N GtO 6000TR-OA"
Indusb'i.J, CommerciRI &. Multi-Family
FEE SCHEDULE
1% ofjo;, C09l. ResIdential, Ga~ FIreplace
S39.50 minimum
S99.50 Residenll.l. Add;,ions & Alteralions
$64,50 Residenllal, AC Only
S39,50
Residen'ial, Hear,jng &. NC (New Con<truerjon)
Residential, r-reo,ing Only (New ConstnJctlon)
S39, SO
$39.50
(Omer, 1.1.. Only)
This Application Becomcs Your Building Pcrml! When Approved
Estimat.ed Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAl. PERMlT FEE
Building Permit #.
$
$
S
50
8{J1L.~-'4ID W/h ,
tNG p .,.,
'l2FiMrr
Paid
I Receipt No.
2 20031 By
o
Uuihfine: Ornel.1
Date
Date DEe
24 IInur nOlle. for aUln.pcotlon. (')52) 447-9850, ra. (951) 4474245
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Rec'd
q>leaae I\'I1e or PtiDt aud.i.... at bottom)
ADDRllSS
-30/b /johvaf
t, Blue Fit,
Z Uoid Cil"
J. Yehow ApplJcant
lPERMIT NO. ~. -IL/L/L{j
/
ZONlNc..; 'omce",,)
LEGAL DESCRIPTION (office use only)
LOT]O BLOCK 0 J ADDITION TA e
Jral)
Iv'-; d:i
PID
I
I
&V::eff1f'JJono Jd GHff'uc'h'ahI2hC. (Phc.ne) tJriY-Y]()-7{;oL_
(Address) 160/ /Yf'fA sL)j;(~t/ApfJP- ~/~VI &S--Dd'X
. APPLICANT F' C---+- {) i / < r /7- )(/M? 1").!IYi
(Name) /1It:.,)19!' l'/iJ,""fJ1h8Jrc... (Phone)_ fJ0 -u7-d/\JV
(Address) 'J.::;/l,-~_ rlp;())p) At/e. ",<0. Ca#adP {;{I()VP ~ ~\()/,o
f) 'l.ddless) / V(City) / (Zip Code)
,"- """" . 0>1 P '2:!1 ' . <y_, .k:J/c yr,9.. .f'(f'O
APPLICANT SIGNATURE _~. ~~ DATE //L 92::J~(}..J
APPLICANT PLEASE COMPLETE BELOW
I Type orFixture Quantity I Typt orFlxOlre
I Bath Tub with or without shower ..::. ~ I Rough-ins
I Dishwasher / I Water Heater
_I Floor Drain Water Softner
I Lavatory (Bathroom Sink) / I Stand Pipe (Washing Machine)
I Laundry Tray (lor 2 compartment sink I Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) I Other
Quantity
f'J..
/
i
s
/
/ I
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FEE SCHEDULE
Indu.trial. Commercial & Multi.family 1% of job cost with a $39.$0 minimum
-1 /, / <"QO 0(\
Estimated Cost $ / J ~ L ,
Bulldlna Otrlclal
Residenlial, New On. & Two-Family $99.$0
Residential. Additions & AltOralion. $39.$0
BuildingPennit# n3.-/ YYV
$ jQ J ..~~;,..
$V. .50
$ ^"
S..rt~
I,.paid ~. I . ~
.. jJ,
~~ateDEC 2 200Ji'~Y
Date L. ,
I -- ,.-
24 hoor notiee ror allln.peellon. (952) 447-9~ rox (9S2) 447-4245
".~---~...-.--.---.:
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(OllIe. Use Only)
. This Application BeeomO$ Your Building Permit When Approved
~---
_____,__---=-..::..:.......... ,/;Z\,.l.vtt L..A.KE
~OOl
Date Rec'd
CITY OF PRIOR LAKE
HEATING/AIR CONDITlONINGIFIREPLACE PERMIT
L. ,I~..
:. Or~,,'
1. YD~O>O'
~':,. I PERMIT NO.;;> - /L/LJL/ I
....."'nul'll J _
(P~c:: tvo! or"l7liDt ~dWm;a[bctulm'
ADDRESS
(~/h ~dJ('.(1I-.
7/';;'/
LEGAL DESCRIPTION (ofike... only)
LOT
BLOCK
ADDITION
OWNER l\ A1
(Name) f'117r.Nr'I/\ y\( r\J
. (Ad.dI=)
(.f)J.~+- ~
(<'hone) _"';;~-' 7Go I
Al'PUCANT / 11 n
(Name) ~"\/~,,,,~ J (1) (l
(Address) dt02/C'I t!';J./-rVJ tl:J..I f>. . .
(A6<l=')
(phone) _ ,.1/ c; (') -
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f4/J...) .
(CitY)
I
ZOl'.'lNG (ome, UOe)
PID
?iC'l;:J ~
..r;;:~~ .L/
(ZIp Code)
(Contact Pason)
APPLICA.."'nSIGNATURE L"'-r-h 7--r.-:: J/
. (phone)
DATE _ //- 6JR ~~
.""/ MPLlCANT PLEASE CO:MPLETE BELOW
~coNsTRucnON 0 REPLACEMENT 0 ALTERATIONS
FlJRNACEMAKEANDMODSL (;,.w~k~ /':9M'eJ2./OO FUEL I)/?,I-
PLUE SIZE .~ /I PIJe.. R.ETU1lN OPnm<GS R INPUT ,lDO,,1Y'r> OUTPUT _9~1V('\
TYPB OF SYSTEM REA-TING OR POWER PLANT
OW"1l1 Air FllllllS 0 St=
OGruvi.y 0 Hot Wotcr
~ech..k.l .' 0 Rodl.tion
~ CollClitioning 0 Specl.l Do-liec:s
~Systc:m O.OthcrDevjQcs:
FIREPLACE MAKE AND MODEL
lndusuial. Cornrncr,ial8i. Multi.?amily
FEESCREDULlI:
1% orjob co~t R.esidentit.l. Ge.s fiiCplaoc.
S39.50 minimum
S99.:S0 R~~deci:rlaL Add.itions Be. AIt~Clns
$6'.50 P,..idorM,.(AC Only
Res\dooti>!, I'!oilln~ 8i. AlC (New Con$1lUetion)
Residential. Hoa'tlng Only ~e.." Conltruc::tion)
Estim.~.d Cost $
Building Po=it Ii
HEATING PERMIT FEE
STATE SURCHARGE
TOTM- PERMIT FEE
S
$
$.
50
(Ome: 1.1$~ Only)
Tn!> AP.pLjoatlon aecornes Your Bollding permit When Approved
r Paic1
I D~OV 2 6 Z003
Boil.ing oma,'
t),Ut
2.4 hoLlr notict for all inspt.efio1'l$ (.9Sl.) 447.:.3SS0, t.all: (;lSl) 447-4:2.45
PLEASE NOT;E:
AU- Cotlditioner Units
Cannot Encroach into
R~quired Sid. Yarc1
So'lcacl:s
S39.50
.39.50
.3950
~A:i) "i"ill"" -
r'D\''''G 'PI=RWii I
o0iL \" .-
'I Receipt N 0_
18Y ~r
100~
lIIV <I3110lilNO~
9H909t1S9 XV.:! H: n <I::L" COOo/9Un
PRIOR LAKE
INSPECTION RECORD
I. ~~~+~.I'
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING . ·
PERMIT NO. _ -Q3-/4fC DATE ISSUED
CONTRACTOR ~ ~C!!U.,.. PHONE .z~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
INSPECTO~
j/L/Y/
I FOUNDATION (Prior to Backfill) evIct- ~ I tllt~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
.f/~
~ /.?.c~
DATE
//-'3-~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ -/~
11-)
rft;.
1b
rz. - /0
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I G.CI'7IJ~ I ~ / y" 31--
FINALS
J
GRADING (Prior to SOdding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
_ flIV5
#/()
"
1 t3~'I
8~Y
we
-
(dJ
1-21
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.
FOR ALL INSPECTIONS (952) 447-9850
--~------ --" --- - - --- - ---
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~()Jc,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.;.l!!<EJNAL
o SITE INSPECTION
DA. TE TIllE
SCHEDULED ~-f-P'l
&hCt; f TY'c,; (
CONTR. /'/l/)I')t')?rtl C.O..1S l
PERMIT NO. n~ -1'/'-/1(
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS.:
L V (~ f3o;:- cP t:....
6,rc,~~ -" K.
rx WORK SATISFACTORY, PROCEED
"~~ORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
lnspector:~ ~ Owner/Conlr:
CALL 447.9~~n FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INMOn
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIllE
SCHEDULED
S-2.1/
ADDRESS
-:?OUD J.<.cbrc Q.. .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
:s -jqqcf
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
17 FINAL
/tJ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I I ^ .'\
Ok::1-a clo~
J&t: ~
/
~ORK SATISFACTORY, PROCEED
o CORRECT AND PROCEED
we CALL FOR RElNSPECTlON BEFORE COVERING
In_peelor' OwnerlContr.
CA LMsD FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
V V
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~rPf Of'PRIOR LAKE
INSPECTION NOTICE
ADDRESS
,'if) (t.,
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
III FINAL
'0 SITE INSPECTION
SCHEDULED
MCA1- W I
CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ MECH FINAL
DATE TIME
~/l2./a q J Z'rYO
<!J > - I 44 '-f
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
!lit FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
/hrJ'i~\'~V~ ~~~
~~ ,... ~ ~~-- .
_6L8kr~~ ,~fl.- ~ ~
D-U...>d ~1J't]-f~O 71<]' ..;,~.
, T,('J) , -t.J.P ~<l. V~ u~
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,
o WORK SATISFACTORY, PROCEED
I!. CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
lnspeclor: ~(' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
,""","
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
\-2'1-0"/
ADDRESS _~ () \~ lS.bCJ.- ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'( -llltL~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
'J( PLUMBING FINAL
o MECH FINAL
o EX/GRADIFILUNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
I. ~l!CU I-t.. ~\JIM/) (k.....,....,
'Z. ~""l/:) ...b.. '~),:to~"
3. /(.,...:.".. u (j;..1S
,
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRErrORK, CALL FOR RElNSPECTION BEFORE COVERING
lnspeclor: \j' ~ OWner/Conlr: -
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH ol SAFETYI
"""""
ii~'"
~te . BUi~~
Canary . I=...gllleerin9
Pink - Planning
Th~ C~nlu of th~ ('.k~ ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
Me., DorJAGO 60NSTrL.
/0. g. 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30/0 SOBCAI T12-A1L-
~
Accepted
Accepted With Corrections
Denied
1M. IlL
. .
(2..,.ad all Mil'/""'"
Date: "'7 1 ()-11I-t?7
d-- /--1-,... cl/UL+- S
Reviewed By:
Comments:
QALh( ~ ON g.t4d.e.
!.s alllJlUeJ. 0,0 ~it:::"
~ /O+- ~ p~+i()
~(- No ~r~ Or /
~ eN+- O-II~ wed ·
"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."