HomeMy WebLinkAboutBuilding Permit 00-0876
(Name) "7bO\ -1~)S l- lAY /' ~\ (Tel. No.)
A f> P\.u.roJ,~ I MN ~/"V L/ ~ - '7 b 0 J
tJ\C \::lcmQlrl (PDcl:ruc:.f1(/0 ~ /;;)(.(
7. TYPE OF WORK Fireplace Cl Septic LI Deck 0 Re-roofing 0 Porch 0
New constructi~~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Mit?'
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
I hereby certify938 I have furnished information on this application which is to the besl of my knowledge true and correct. I also certify that I am the owner or authorized agent for
th~ a.bove~ntio ~rope1 and t~at a," construction will conform to all exisli . ,~I ~aws and ~i11 proceed in accordance with submitted plans. I am aware ,that the
bUilding off J c r ke permit for Just cause. Furt ,e y agree that the city official or a deSignee may enter upon the property to perform needed inspections.
X A.---1 ~
r7 rI /I ~ License No. Oate
Amount Brought Forward .................. <t
Perk Support Fee ........................... $ 85b.fl:l
SAC ......................................... $--1..1 "0 ./1 (i
Collective Street Fee ............. .......... <t
Sewer Tap ...................................4:
Pressure Reducer ...~.~.l.............. :
Meter Horn .......... ...... .... .... ........... $
~\
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
<g J().J.j }o-o
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
@'tOlf \.Jilrls.. Ln f\e N\1\1
1. DATE
(< Ia.y JuJ
pup
3. LEGAL DESCRIPTION
LOT ~ '1- BLOCK I PID OJS - ~()
ADDITION ~\-p {' Ii ~\ ~ ,,J.-h @~.... l AJ; II"lJ.. I
4. OWNER (Neme) ~ (Address) (Tel No.) I
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
6. BUILDER
1/ !/,
SETBACKS: A"equired
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION ~
USE OF BUILDING
~Ff\
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H r M R
Division , 2 3 4
Permit Fee .................. ................. .'1:
S U
City:
Plan Check Fee ............................. $
'-11 '2. 2C;-
''l2a.fI(P
'1, q,
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
INl.a>
1M .rY'l
3'5". c..""O
1./0. ()C)
~
~.1i
Water Meter ................................. $
Sewer & Water Connection Fee ........... $-----/..,'
WaterTowerFee ........................... $
l'-5. ()O
J ntJ.06
twn .00
Water Tap ................................... $
Builder's Deposit ............................ $ 1,.t;ZJIJ ~.L'Jt:J
Other ......................................... <t
Pa,d T~11;i3.;.~r..~~~~,~;~o$7i7 Jfl"L
Issued ,
Data fO};l, //J() By fA-- / ~
ThIS IS to certify that the request In the above application and accompanYing documents IS In accordance WIth the City ZOOlng brd;nJnce and may proceed ~equested ThIS document when
Uv..thec. nnerconstilutesatemporaryC:wljo~lian~cons c'ontoco nc Beoeoccup cy a Certifi fOCCUfj.~
Planner Date ~
Mechanical Permit Fee ..... ................ $
Sewer & Water Permit ...................... $
Thi
By
Building PermilllYhen Ap.,Eroved..:...
Data ~ - I . U'JOO
Certificate of Occupancy
24 hour notice for all inspections (952) 447-9850
13. TYPE OF CONSTRUCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS a
PLANS & SPECS a SETS
SURVEY
PLOT PLAN
o COPIES
o
'15.00
~~
60- Or{U
Thll'(:..nluaflh..l,.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING P~RMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT _M (' ,\j0rv~d r.(\ {\~ +nl~O (\
APPLICATION RECEIVED (\1 )d'~~ \- rit...t; ;:)()()O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
8'1 (Y1- W'\ \ri~ lI'J. l'.i.- N u J
Accepted
Accepted With Corrections X
Denied f) /1 I
Reviewed By: lKU~"""'-"-A./"" ~
~;' -
Date:
Cj - / - ?I'?:Z:)
.
Comments:
~f'ei.&... a II 6. ~r1 ~Ll\-. ~
"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."
D~ 'O~l'b
ThO' C:..nl..r of lhe L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
i i"-
NAME OF APPLICANT l" C, Ur-tV\. \C~\ ( ("d"\~"h\)(-t-,n,'\
APPLICATION RECEIVED \. _ ;! -, (,~ 1-~,kl,n(10
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
':) "_.'~;, '-... i ! \ ..\ j. i ; j ,
. "'1 l \. r, ,,: I \i \ ~;, ' l \ ( i ! ~ \J\ I
Accepted
Accepted With Corrections
v
Denied
Reviewed By:
L:/t;;:!.L,-,~
y v, - -
Date:
~/t-~/eo
If) r::-'\ U\JW VLIMM ~th L~
f
~~~){O-VJ
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"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."
--.......
Tht Ct"ltr (If lht Lakt COY"I!')'
00 ,u~1&
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT tJ\CG0r\()...1~ r (,\"S,,1-nlcJ'hnY)
APPLICATION RECEIVED 0.., )(>..\ 1S--. \- f:~h\. ;::)n()0
U~ - .. , .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
81- ()1- W'\ \A ~ lO...l'-L N It )
Accepted /
Accepted With Corrections
Denied
Reviewed By: ~f ~r/sl)r1
Comments: Set' I-Ae r,y~l!:..
s/d~
Date: S7~!?/d>
1. '
AI'" /"d't!t'l'd /dh/PCAI,nt.
See oJkd'f1/e"i: /, n'na/ (;rd~ 1fl!f((!h;11 .1fik/Mdlint t? Cnt/:J ~
.1 b/JSitHI Ikh/ JlttdSI//"e'f! Lj Eo5'/m c;,-hl /1~
. . .
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to be a permit for, or an approval of, any violation of
any of the provisions of this code or of any other ordinance of the jurisdiction. Permits
presuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
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--~_..- ...-
~~
CITY OF PRIOR LAKE
1. Blue
2. Gold
3. Yellow
File
City
Applicant
PLUMBlfiG PERMIT PPNo.~O -()?J71L
Applicant. 0 I--.S hJ . (J ~ \it iY\:B $ iV (.. Phone: 4-3.J. - ~ tll q
Address: ~() 13) )1 ;<;} 0T f.4?4?U -J-A U ~ ') fh)/ S\)-.JL)
Signature: ~ LL--- 7
Legal Description: Lot 1.."1 Block I _s}'br':1/pA11J1 swn-l @ NlvU$
Site Address: ;!~OJ ,WXW~ I. Av'f5 UY W
Building Permit # () 0 - 9J 1!J PID # 25- 307 - 027 - ()
,
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Thr ("t'ntrr of lh.. L.kt' Countl")'
Quantity
j
I
,
<
r
d
I
l.
Type of Fixture
Quantity
Type of Fixtu re
Bath Tub with or without shower
Dishwasher
.1
I
l
I
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Rough-ins
Water Heater
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
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
f ~O ~~~\J\\i
\~"""
~
GRAND TOTAL
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbm.n~~and the amendments thereof.
- o. Jl:2Er 00 DATE
I
. ATTEST
Call for all in~~ctions 24 hour~ in advance.
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
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CITY OF PRIOR LAKE MC
16200 EIIIII Cr..k Av, I.E. Parmh No{)O- O?J1"
PIlar like, M N &&372
TYPE OF STRUCTURE
La.- . .011
1._'_
H.lllng Conlr.a1ar C~A!)fl'cfe U
Mtfr.....J/Ol/o ~ h-.v Aue.
T.lephan. . (j;,.~ ') ~ -
FurnlCl MIlle l tIrad.~/6,."1'
7<'coO
['-
~ '-=/HEATING APPLICATION J PERMIT
o
Z DII. // -/7-rt::'. pQ..[).5-3..CJ1- 0;)1)-0 Comm.rdol.
SII. Addrl.. ;;}7CJ7 ~ Mt..J . F.. Sch.dula
lal 21- Blaek ( Add.~-': A1;.A 1 ~,'>r07i1,t ~fu UJJl&fr(rNllrl.~ C, ,..,.. Muhl.FamR,
.m-Q t() /' ,.:ll.+ R8IId.nllel, HalllntlAC
OWnl". Neml ,.., k)a l...o. RIlld.nll.~ HeaUng Onl,
Add,l.. AJl Rllldlnlll~ BII FII'PIICI
"'lldlnlll~ AddRlan1 l Alllrlllonl
"1.ldenlle1. AC Dnl,
Madel Sill _.
Conn. Load
Fuel1Jltt..1-
Suppl, Op.nlnlll
Aal,"n Op.nl"lll
Inplll
Edl.
elm.
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Alllrlllianl
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Flul Sill .r~ If PVC
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Oulplll
TYPE OF WORK
Slngre FlIm1lr
v'" lIvo.Fllmllr
Induel..l.
Pubha
MulHamllr
0...
0..11"0
1 % ol fob coil ('3UO ........
SII.&O
S84.&0
S31.&0
S3'.5O
S31.5O
Remlmber 10 IlId Ibl Stale Burchlrgl on 1Il1 bollam .'lhll eppflcallan.
TYPE OF SYSTEM
Wlrm All Plenll
GI.wll, /
Mechanlcll V_
Air Con.monlng t,.;""
Van!. S,.lam V
HEA "NO OR POWEll PLANT
51eem
Hal Walar
Redl.llan
Spedal Oevlc..
The prlel 01 raur "1'1nQ pllmlllncludl' ani !Gugll-In end onl rlnal In ." "".
Addlllonellnaplc\lolll wll bl ~llld II $3&.00 'Ieh.
HOIl!l1l HeeHnv Tlsl R_d IIN.I bl .""mlned wllh IIIilIdkIIIIIIIIDA ~"""IIuId'
lng cellllleall 01 aceupl!lll}' will blllaued. .
HW I;AlGUlATlQNS ~QUIRED wAil number olluppl, and laMn ." ,......per
loom wlllt CFM'I pll ....nlng. Naw 1',ucl.'.1 Dr 8ddlllone ..nd nIDr pl.....~'
811d '1lurn loclllan. .how"- HEAT lOSS CALCUlATIONS, PAYMENT AlIJ
APPLICATIONS MAY DE MAILED 10 THE CITY OF PRIOR lAKE, 16201EMSLE
CREEK AVE. S.E. PRIOR LAKE, MN &&372.
CII, Hln bullne.. ltaura I" . I.m. . 4:30 p,m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINALI-CAU ClIY'.ML
447-4230
Other Duwle..
Aepl.cem.nl New Con!\rucllon
~
I hi rib, .1'1'1, 101 I mlchlnlcll "II.me permll and I .cknawl.....IIh.....
Inlonlllllan .bovl It camplel. and aceulale; lhl' Ih1l work will be In ...--
wllh Ih. oldlntlncl. and cadll 01 thl cllr and wllh Ih. IIIII bund~."11
code.; Ihallhll 101m dO'1 not blcoma a permll unlll IIgnld by .. DJfU)tIIQ
OFFICIAL: l"lllhl Walk will b. In .ccaldance wllh Ihl .pprov......... ....
01'. 0' .U Walk which rlqulr.1 Ilvlew and appJova' 01 pllnl.
. -~{..;;j()
. Appl(;t6 ~Ignalurl
IIUIldlnllJllH1aaI'1 slgnllura
Ell. Com". 0.11
Buldlng Pllmlt.
STAlE SURCHARGE $
TOTAL PEAMIT FEES $
.50
Rlpalr
Ell, Cltl .
HEAlING PERMIT FEE $
PAID WITH
all! t)lNG PERMIT
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CITY OF PRIOR lAKE' Me
16200 Eagle Creek Av. S.E. PermllNo. 00.(f61(P
Prior Lake, MN 55372
HEATING APPLICATION {PERMIT
~,fb PID. Z!5-'!D1- Oz,1-0
::2?iJ/ I,J;y" (f''''' ~CJ . .
Oa~
SKe Addr ess
Lot _ Block. Addaioo
Owner'sN.me~-
Addr..s
Heating C4lnlfllClOl ALLIED FIRES IDE db. FlRESIDE CORNER
Addr..s 2700 N. FAIR VIEW . ROSEVILLE,
Telephone' 651-633-2561
FIREPLACE .11
~ Make & Model ~r J &..:,
Model Size. (rfllYtyL
Conn. Load.
Fuel ~s
Flue Size
Supply Op<Inings
Relum Openings
Input
Edr.
OuIpUI d 7 [)D.)
ClIO.
HN
55113
TYPE OF SYSTEM
Wllfm Air Plants
Gravily
Mechanlcai
Air Conditioning
V9IIL System.
HEATING OR POWER PLANT
Steam
Hot Waler
Radlalion
Special Dwice,
Olhel Oovices
TYPE OF WORl<
New Construclion
y
Allorations
Replacemenl
EsL Comp. Date
Ropair
Est. eosl , J /CDO:>
HEATING PERMIT FEE '.
STATE SURCHARGE $
TOTAL PERMIT fEES ,
Building PermK'
.50
PAID WITH
BUILD'NG PERMIT
---
Roceipt .
I.YEF OF STRUCTURE
l."nl
1. Gnr..
l.\'ellow
Flk
Ctr
C-...
Single Famlly
Comme",laJ
Two-Family _
Industrial
Mu...FemiIy
Oll1er
POOlic
Fee Schedule
industrial, C<lmmerclal & Mulll-Family
Residential, Healing & AC
Residential, Healing Only
r.~o-: ~~ctial, Gas Fireplace
Resklenllal, Addltions & Alteralions
Resldential, AC Only
1% 01 j<lb cost ($3t.5O mirimc.mJ
$99.50
$64.50
$39.50
$39.50
SJ9.5O
Remember 10 add the Slate Surcharge on lhe bottom 01 Ihls applicalion.
The price 01 your heating ~.millnctudes one rough-in and one lInaIlnopeclion.
^dd~ionallnspeclions will be biKed al $35.00 each.
House Healing Tes' flecord must be submitled with!!l!illliDlllltlllil 0lIlIIIIIl before build-
ing cerlillcete 01 occupancy wil be issued.
li~ CALCULATIONS REQUIRED wIlh number 01 supply 1M return openil1lJlllislad po
room wilh CFM's per opening. New slrucll/res d' ad<Mions send noo. plan wilh supply
and relurn !aeaUons ohown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATlONS MAY BE MAILED TO THE CIlY OF PRIOR LAKE, 162.00 EAGLE
CREEK AVE. S.E. PAIOR LAKE. MN 5537Z.
C'~y Hall business hours are 8 a.m. . 4:30 pm.
ALL WORK MUST BE INSPECTED (ROUGH.IN ANO FINAL) . CALL CITY HALL
441-4:tJO
I hereby apply lor a mechanical systems permil and.1 acknowledge lhal the
In!ormalion above is complete and acclI.ate; lhat the work will be in conlormancE
wUh lhe ordinances and codes or lhe city and withlhe slato building/mechanic'
codes; lhalthis lorm does not become a permll until signed by Ihe BUILDIN{
OFFICIAL; lhal Ihe work will be In accordance with Ihe approved plan In lhe
case of all work which requires review and approval of plans.
AUf.:
Building ff"tcal'S Signalure
/I!r,/cp
~ ( Dele
II. (.(;0
Dale
6 PHkiA
.:... /[\\~\
\0 1---~7E
11, ,\,.
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'l'1&:1.'OW . ...II.K:..,
GOLD. C....Y
CT~Y OF PRIoR LA~E
SEWER AND WATER PERMIT
S.W, No,
o - fJfO
----'- I -' BOB JECHE
APPI,ICANT'~" .^D _ ~c-:"_ 2310 JONES PLACE PHoNE,J2jJ. -7,) 0 7tj s-j.)
/}~. K"~~ ........ u.1, MN ::>>::>>""1.2834 ~/:;, 0--- ---.-
ADDRESS: #I. DATE' ()
, --
- .
SIGNATURE:. . ~ _n.__... BLOG _ PERMIT II
SIn ADDRESS: l~lJ.s.L{/ko fJCJJ PJ:D# 0< 5-30.1- o;;J-7-0
NOTE: Sewer and Wate~
contractors must
be re9'iste~ecl
with the City_
FILL IN 'l'tlE DUNKS
1. Est imated lenqth of "Mt."J:" ..ervic.. '711.
--
2. Si"", or "'<lte..- service ) inCh(es).
I
J. Location of any couplings from structure
feet_
r)
feet.
5.
Type of sewer pipe.
Estimated length of
1\65
PVC ./
line ~C
C;"I~l;:. "'[con
4 _
Sewel.-
c.... t .
6_ CIQan out:
stt"l,lcturc.
(i f roquired),
located at: feet
ft'om
..; ...-.----"'''''''''==.;;;:;=. :;;;=======':':=='=;::;:;1;;='::;;;;;=::::;:::===~===:!!I==~=.!e~=~~~:::::':z:.';!::O:!m:===== ==.::0::===-..:.,....,.,.......,., -::....
Thiv application becomes your permit: when approved.
BY
DATE'
~~===~"~=======~__===~======~=~~~~~~=~=~__~=====~~~=~~====="~=='U=~~=
f"f=1ES:
$ 35.00
$ . 50
$ -- - ""j?r. 50
Gower and water line connection permit.
S U.t'"<.;hClcge
'fOTAL
..
Fee for either ~CYlcr or water individually is $~..J!IfJ pIll:">
$ .50 sur.charge. -
. Sower and Yater pe~m{ts issued for new construct{on must be
recorded on the buildin~ permit cQrd Qt the time of issuance
to in:5ure that: no Qupll.cate sewer and water pePA!O:WI-, are
issued. BUILDING PEr"
OI\'1'E PAID .__..(Q__=j~--UO
RP.CF.IPT #
~
AMOVN'l' PAl D ...__
REC' 0 BY a 7J - ~
'(7........~
-
16200 Dagle Creek Av. S.E., Prior L"ke, Minnesota 55372/ Ph. (612) 4474230/ FAX (612) 117 '1215
An F.~u.1 Opp'lrtUnllY IJmploy.,
c0d W~!!:S 000c c!'+~O
96L9c68 c!9 : 'oN 3NOHd
:JX33H:J3.r : wO-'"
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS QIf{)1[ I ~ \ " \cQ.,,- ~~
NATURE OF WORK ~eL. ')
USE OF BUILDING SED
PERMIT NO. ()O' 0 Y7r;. DALE ISSl,/ED c.,' - I - ~o 00
CONTRACTOR ---& c>>, lA'~~U ~. -- C.fn -7bO (
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
, FOOTING I 1//:;. I/O/s-A~ I
'FOUNDATION (Prior to Backfill)~ I ~ Jljo;/()1 I &. I~/(?/IJ'C I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS I .
SEWER I WATER I SEPTIC Pr Ie;' ~~~ ..:....
FRAMING h\l.uA<> l;jtoJoO ~, 1t. h~lllD
INSULATION ~,....LUA ~ 11-1,'.J{JO
ELECTRICAL . (
PLUMBING 12j(li',1~ II J sg ,'lJ
HEATING (if required) ~ 1M! /(ftJ
FIREPLACE :B'J~If1)'4)OO
GASLINEAIRTEST~*(.f. O~. IZ/rlm
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,~ I I
FINALS
Nt>
1Z.~~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/()-or - C(
d':Sllol
I
o
'i\:~
"6-~
OCCUpy UNTIL ABOVE )HAS
NOTICE
If f-:5' l!>'
tlJ'3it (11)
BEEN ISIC1mED
This card must be posted near an electrlca,1 ~ervice 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
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
d 70 '7
t.JtLI?S
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~
o PLUMBING RI
o MECH RI
)itWATER HOOKUP
J8. SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
DATE TIME
1~/;z/t'O /tJ:dO
LAr-J~
()- g>'7'-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:,1)) I?~ o-.....fJ ~ "'.M--<-I~
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o WORK SATISFACTORY, PROCEED
)f 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.
IIVSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
I ~ .2S-o(
I'.\h
ADDRESS J I 0'1
WI' \!<:!, LV"!,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(') - (') ~ ,e.
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
~ PLUMBING FINAL A
o MECH FINAL
o EX/GRAD/FilliNG
D COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS liNE AIR TST
o
COMMENTS: r
/MUM{)!I1A flYe.r OK
YlApJer- .seaSecL
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR:\ CALL FOR REINSPECTION BEFORE COVERING
Inspector: b .t )~J Owner/Conlr:
CAll 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
1-31-01
3~~)
ADDRESS
2 fO 7 \rJ Il os L.-r-.J
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o - SI (p
o FOOTING
o FOUNDATION
o FRAMING
o INSULA T10N
\ri. FINAL M-
ID' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOK
o PLUMBING
K CH
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI .
~FIREPLACE FINAL/\--
o GASLlNE AIR TST
o
COMMENTS: 0 ,
I
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if
/ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR}' CALL FOR REINSPECTION BEFORE COVERING
Inspector: ID D.Jv..If Owner/Contr:
CALL 447-9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
/NSNOTJ
\{~.
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ((}4"2.-ot /J-M
ADDRESS ? 7 D rr
W,'\&
PHONE NO.
PERMIT NO.
Il1c Do... U'L&-,..< f.
o-oca7~
OWNER
CONTR.
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
o PLUMBING FINAL
o MECH FINAL
If E~/FILLlNG
o CO INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
C.'~/h l5a~- Ot::..
r; rr-,./... - c9 tC
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:.4~ _ Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl