HomeMy WebLinkAboutBuilding Permit 00-0937
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
nATl= Rl=C':l=IVl=.Q.
I.
2.
3.
/0- '3-of)
1. DATE
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
\\O+O~.
\0- 2.-00
t2.1'-SD
PID d!J- 33~- D83-{)
A J li;'-n<1Y"\
11. SIZE OF S
;s.~ll (D~~ 9. I
12. NO. OF STORIES d-
13. TYPE OF CONSTRUCTION
S i n...sZa- ~~ \"\OYNJ
14. FLdb'R AREA APPO~NMENT USE
>
WindSor ~-'l..:
BLOCK ~
Po 1"'\ &.'; ;::) ",J..
3. LEGAL DESCRIPTION
LOT \ 4
ADDITION _uJi In f'rne<:;s
(Tel. No.)
(Address)
4. OWNER (Name)
Soec- \\omE',
( -
5. ARCHITECT (Name)
~~u.~lz.. Gutlrl
6. BUILDER (Name)
jf ~ rta-mes!n(...
,
CJ <.I;)..) (A~~Sh &.o...to I\I.x So (Tel. No.) '1'52. -
"'lO~,n.~~ g8'j-~"59
. (Address) w fi) j.j.,(Tel. No.) (0 I 2. -
, 100510 'lIJ..rrn/S't'..'t ,1lT'1 .
kkevlll-el.. An qg7-,}OSb
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS '- (
r
!
16. PROJECT COSTNAL}lE
\ a5 000 lID 10 t.ct-Mrl
17. CO~PLETION DATE
SEATS
Re-roofing LI Porch 0
Ae-siding LI finish Basement 0
Septic 0
Addition 0
Deck 0
Finish Attic 0
Fireplace 0
Alterations 0
7. TYPE OF WORK
New constructio~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19.rf'gP~1f,l\I~SIONS)"'KK 1'0. CULVE~
Sq. Ft ~dlh, '-/(J !i.;p'h Ii:).. Ve' ( NO'; 0 2. - () \
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 local laws and will proceed in accordance with submitted plans. I am aware that the
bul'ldi g officjal cant re'fkefiS permit for just cause. Furthermore, I hereby agree that the city official or a design~ may enter upon the property to perform needed inspections.
X 7'II.L r:J. hlll/""q(J Q~ _ 3D1 :~O~I'~ _IO-~-()n
- (' Signature b License No. - Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
Side
Side
Back
Front
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEV 0 COPIES
PERMIT V ALUA TION r2.~.~ PLOT PLAN 0
BUILDING DEPARTMENT V ALUA liON
" j::: .f)
USE OF BUILDING
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4 ,
Permit Fee ...................,............... $~(')I., . 2. c::-
{,"').9~
(j,?SV
Amount Brought Forward .................. $
Park Support Fee ............................ A'i1.OG
SAC ,..,..............,....................., $--1,...' nn .co..
Collective Street Fee ....................... It
City:
Plan Check Fee ......................... .... $
Sewer Tap ................................... It
Pressure Reducer ....%~................ :
Meter Horn... .... ......... ................... $
Wa.erMe.er .............................,... $ l;t S~
Sewer & Water Connection Fee ........... $-,+-"a~ .!!!...
Water Tower Fee ........................... $ ?c:l::> OIJ
Water Tap ................................... $
Builders Deposit ............................ $ /1 S-,,".oe
Other ......................................... $
Total Due .............................. $ '7 ",>33.ZL
-~
Paid 7-S,~. 2.../ Reeeip~ ~(;,f13
Dele /0. 1'1-00 By W-
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/s requested. This document when
signed the City I ner constitutes a temporary Certificate " Zonin~o~pliance and allows coostruction to commence. Before occupancy, a Certificate of Occupancy must be issued.
lD/n/&D
C~y lanner Date Special Conditions ~ any
State Surcharge ............................. $
L
Q6'i!!!
~
Penalty .................. ..................... $
.co. a q
It'JO_~O
TS- scJ
'1>lJ, 00.
Plumbing Pennit Fee ....................... $
Mechanical Permit Fee ..................... $
..,............. $
.ding~:t:ni~~(je~~
Certificate of Occupancy
Issued
24 hour notice for all inspections (952) 447-9850
4
.. .
BP..fiIBI'lCE PEREQRMfIPlCE TEST
Heating Contractor: HOME H V
. _ .A.C. INC
Job Address:
Percent C02"j: ~
P ".. '! Percent CO" <--,
ercent 02: . 0 Stack Temp;
. . .
I I
APPLJANCE I"'IloI'CFDRIJMIC'=' '~'", j'
Heating contractor: HOME HVA.C. INC.
Job Address: / /~ -;!J 3 NJ/II/.5 tJ R.
percent C02: fo. <{
Plrcent 02:_/7 .0
Plrcent 00:-17-
stacUemD: /0/
,
,
'"
~~
06 -oQ31
Th~ C..nler of thr L.h Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
.-
NAME OF APPLICANT -J
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APPLICATION RECEIVED i) .' -' .> ()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
I /,. '}~: ii, I
./
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--:-.-' /-----
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Accepted
/
Accepted With Corrections
Denied
Reviewed By: ~~a..r: r'-~ ..._
Date:
70117~
Comments:
l~ ~ }.J\MJl~ ~~ U;:,~ ~
(Z'{)'W'k3 /I~_
"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."
HEATING APPLICATION I PERMIT
\ ...... _ -, ---. - (l (') -; ,:: .',3 y -ui ~)'~~._ t) Commtlrcial Industrial
Date c;;I-... C7' I ""./ _ PID# ~---" /.. ->./ L
S~e Add,ess \ l.;"-7 ()::::>, \j_) \1'\(\:::" ()1) t.o.../'f\ 9- Fee Schedule
It \ '-, , \.. I . .~') '. (\
lot .l.l Block ~S Add~ion \r\) \ \ 00 ()",L'.,c"C) 'OJ- (jr-,cQ.() d-():)4ndustrial, Commercial & Multi-Family
.,- V \."-G'"-rv--." _ -r ,)-
Owner's Name ......,J l'?' 1-..-- \ I . ,....-:.-:' - \ _ l_~_ If C.
Address \ b u C:"=; \..:) t---\ 0,1{ '{'(', cSY\ ---1 I \~ ~
-te~ingcontract~r <~~~\;-O'-JC E: )\.:::.~ <Ie;'" \;~C ~ Ga..I,\::-:,/r-.'1
Address \~lP (~+,..A l-<eJ l-\"i.- -(JW7,rft~01'~
Telephone # % (:-f ::;..). - \i '8 Cj 'K' - 1/7LJ
f {j \l\O~' e~;. \-H.~...-"
;Cu, i id;'" Make & Model r, b V 3(,) AIR CONDITIONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
CITY OF PRIOR LAKE MC ,
16200 Eagle Creek Av, S.E. Pe,mit No. ocr 3/
Prior Lake, MN 55372
\. Model Size -.0:, C i
TYPE OF SYSTEM
Warm Air Plants
Gravi~,
Mechanical
Air Conditioninn
Vent. System
HEATING OR POWER PLANT
Steam
Hot Wate,
Radiation
Special Device.
Other Devices
Conn. load
Fuel
Flue Size
Supply Openings
Return Openings
Input
Edr.
, Output
Clm.
TYPE OF WORK
j
Alte,ations
Replacement New Construction
Repair
Est. Compo Date
Building Perm~ #
co- 137
'/'
, t /;.,/<'
..V 1)(J/ I' fliJ
rC' ). t, .p
-J ,I ( )-/
/i/:.lr{}
1/ .
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT F- $
.50
Receipt #
TYPE OF STRUCTURE
I. Pink
2. Green
3 Yellow
File
Cily
Contractor
Single Family
Two.Family
Multi,Family .
Other
Public
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fi,eplace
Residential, Additions & Altetations
Residential, AC Only
1 % 01 job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price 01 your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each,
House Heating Test Record must be submitted with puildino Dermit number belure build.
ing certilicate 01 occupancy will be issued.
HEAT .QAI.CULATIONl'; BfOIIlRf'D with number 01 supply and return openin~'istedl
room with CFM's per opening. New structu,es or additions send floor p~n WilhS,.ppl\
and retum locations shown, HEAT lOSS CALCULATIONS, PAYMENT AND .
APPLICATIONS MAY BE MAilED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE, S.E. PRIOR lAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
Phone: (952) 447-9850
Fax: (952) 447-4245
,I hereby apply lor a mechanical systems permit and I acknowledge that the
. information above is complete and accu,ate; that the work will be in conlorl'11a~Ce I
with the ordinances and codes 01 the city and with the state building/m,cl1an1ca
codes; that this lo,m does not become a permit until signed by the au ILDING
OFFICIAL that the work will be in accordance with the approve~Jlan in i~e
c~all W7hiqUireS ,eview and approval of plans. /. :031C=> ~ .
\ />--",,_IJ.. '7'., I ;7/;'1)rJ
/ //APPIi1."WV ~i ? ,ure .D. at, ,
(-.---' /1, ,. - /-O[-O{
,j ~ ~
BUildinrOffiCal'S Signature
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Perm~ No. Q9.ll
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date \ ~ - \ A - 06 PID #
S~e Address \ In I () ?, \. U_"J'\ d. s.. /')y- ~ n .p _
Lot H Block ~ Add~ion Wdd.on ROj)^0?crn.&.f'\~nJ
Owne(sName .... \ C;; ~ ~C""c::;. \ '"",C
Address 1(00 Sf:" JJU" m (N\ '-..{ , r~~
Heating Contractor - ~ p ~ I AX-
. - - ,. -.
Address _ ,.;7~ 7 /) 7/ so/- sr' "7: ?.d /?/;<oJ
Telephone # (/",/;z.) 7/,$1 -.s-;;J$'fj'"
Furnace Make ~ Model '~S',p~ ~ri.~1jI6J. CONDmONERUNITS CANNOT
t1QCROACH INTO SIDEYARD SETBACKS,
Model Size /~ h'1.:> .v U
Conn. Load
Fuel ft/ flit
..3 '''/1195'
Supply Openings
Flue Size
IC/
r
Return Openings
Input /~.t.dJ Output. 9~. ~
, ,
Edr.
Cfm,
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Cond~ioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
'x
l(
Atterations
TYPE OF WORK
. Replacement New Construction X
Repair
Est. Comp. Date
Building Perm~ #
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt #
TYPE OF STRUCTURE.
l. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
x
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Addilions & Atterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64.50 PLEASE NOTE:
$39.50 Air Conditioner Units Cannot
$39.50 Encroach Into Required
$39.50 Side Yard Set-Backs
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted wilh buildin" ~ numbAr before build-
ing certificate of occupancy will be issued,
!:!fAI CALCULATIONH REQUIRED w~h number of supply and return openings listed per
room with CFM's per opening. New structures or add~ions send floor plan with supply
and retum locations shown, HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S,E. PRIOR LAKE, MN 55372,
City Hall business hours are 8 a.m. - 4:30 p,m,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone:(952)447~
Fax: (952) 447-4245
I hereby apply for a mechanical systems permit and I acknowledge that the
. information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case ~7.:;review and approval of p,an;c9 .- /<t'-t:}l:)
A!1pliJanfs Signature Date
Building Offical's Signature
Date
GREEN - FM..E
YELLOW . APPLICANT
GOLD - en.,
r.:; "..... ~ r- -:--."-.- -- _
"-- " 1 s::~,\ /"7' ,-. .-
~::J -"7 t.~::';' I ;'",/ i;:, ;_
. "crTY OF
. "3~ER AND
PRIOR LAKE
WATER PERMIT
NO.ot),(Yi37
Vr~~'/\ &--t-t,rl'-~ PHONE: b _\:? "i-C;-cP"J'fC' 0
r /// ~
ADDRESS: /or.f(:J.!" i~ v,{ ..vcc~-y I.f-?/ DATE: /0- -;? 0 - V<)
J1 ~ ---r ~,4 //.17 ~<:C'"/-;:7
SIGNATURE: _ , ----f- W ./' .,. BLDG. PERMIT # ~ 9~~ 7
~ ij ...~~.-
SITE ADDRESS: /6 /'Os &<-.~L..v..s:-..cPID#-,'-)5-3'31?-0:33-()
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT:
FILL IN THE BLANKS
1. Estimated length of water service
~t1
feet.
2.
Size of water service
/,'
/ r inch(es).
from structure /J'Yt/-f\-l-.feet.
PVC V'~ast Iron
3 .
Location of any couplings
Type of sewer pipe. ABS
4.
5. Estimated length of sewer line ~o / feet.
.,
6. Clean out (if required), located at ~ _ feet from
structure. ~
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
~o insure that no duplicate sewer and water pe~~\v1~4e
lssued. BUILDING PERMIT
DATE PAID i 1- /~ --('''C) AMOUNT PAID
RECEIPT # ' ~ REC'D BY pt:_
16200 Eagle Creek Av, S,E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
~~
CITY OF PRIOR LAKE
Applicant: ~~frMS+~~;:pM
Address:
Signature:
Legal Description: Lot Block Sub
Site Address: / .5 7/J? W ,vvlscr< ~ Me _
Building Permit # -00 - i3; PID# Z5-330-f1'~--()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Th~ ("f'ntt'rof lht' L.kf Counlrl
Quantity
Q
I
I
Lf
I
I
I
-3
Type of Fixture
Quantity
I. Blue Pile
2. Gold City
3. Yellow Applicant
# 00 - 137
1>>/-77s-!f?/
Bath Tub with or without shower
.3
f
UfO j;, ~one:
Type of Fixture
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
.50
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
I
$
"Jlo.\O \J\J\\~.~N\\ ~
~\)\\J)\~O ?
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
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbin~c :' ~d., e mendments thereof.
- RE' ');2---(,-00 DATE
. ATTEST
Call for all ins~ons 24 hours in advance.
16200 Eagle Creek Av, S,E" Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
GRAND TOTAL
PRIOR LAKE DEPARTMENT OF
. . BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS lill 0 ~ W i wi~\ Lv-.. .
NATURE OF WORK N~
USE OF BUILDING SFD
PERMIT NO. ()().Ot/37 DATE ISSUED 10 -II-?Aoo
CONTRACTOR -:T 0- \<, K"~~ ~ ( z.. - ~f)? - 20 So
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING &1. I JI b-5"/ be)
, FOUNDATION (Prior to Backfill) I \2.,. \\ I \ b F?:> \. D8
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC R t\- ll/"' \ - cD
~NRS:~~T~ON ~: /~f:/:
ELECTRICAL ;1
PLUMBING tI{a. ~~~~ ~ ~ Iv,r/tr/l l);~, ~A..-r\ f:1.h '''~I
HEATING (if required) .
FIREPLACE / m, /2//9/ ffV
GAS LINE AIR TeeT ~ /_?/19/6'tJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I W1..a._ _ILRD I I
FINALS
(lIIYJ~
INSPECTOR
OATE
GRADING (Prior to Sodding)
BUILDING "f.c..o..ttQ gr( \ '101 &. lIZb( 0/
ELECTRICAL
PLUMBING
HEATING
DO NOT
c.?/rll~
Cj//~/tJ/
I '
I
1Z - ~n A^'l ~.J~, I e1
~ 4M~1 I V
OCCUpy UNTIL ABOVE ~AS BEEN SIGNED
NOTICE
I
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
i
j
J
. ,
.
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~ji-Ol .7-: SA)
ADDRESS
/~7()3 W/N0-50R-
OWNER
CONTR.
PERMIT NO. D 0 ~95 7
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WA TEIHIOOKUP
~D INSULATIO~A 0 SEWER HOOKUP
FINAL . N 1 0 PLUMBING FINAL
o SITE INSPEC ION ~MECH FINAL
COMMENTS: R - 't<!~ .
CDP~\",~_~~~~
~. (}j ~. ~hffL/~ i-z, ~
~~v -,@)~.f~ '-n-I~
I. ,~.. (f)Un (\ ,~ ov.
',1-1) ~""'- ~ :J ~ q t/"lQk-, n><J <2.e/t-
. " -. -
&PJWj!~~aPA-~~' ~'c--',+'..1
:YiYJ. '..~ ~ ItJ ~ po.J:io.- ~
~~~~~GftP~~)
(j,) ~ ~ ~nn~ ~ f~~ - hOnJL h
k -t..,-.D "-0 ~t,.x:.p "t ,-~ ~ ~
JJ. L . I f 0 I ( .. -J ~ I
~~ CTl, ~ cJ-o "" I~... ~."': _.
r~_~::tou V~ -lr...0-&A 1(,2 C-FIV'- ~,
- v
Im.O-""',p -- ~ ~ - M~ :;t- 'JJ>--]
~ . ~,' aX.-d-, ruW-~ ~.
I!Y\~ Rn"'o,,..,() - tr- ~-~6->--
~I
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
r CORRECT WOa,CALL FOR REINSPECTION BEFORE COVERING
Inspector: M-- ( Owner/Contr:
v
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/& '1d3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION@
o FRAMING
o INSULATION
FINAL
~ SITE INSPECT N
COMMENTS: 5'~rr.-
(I J'..
~
-
'"
F
DATE TIME
SCHEDULED 1/1~~/
tJ~~,
A,{;
CONTR.
PERMIT NO.
rJo - 9.17
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o ME FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
k
#!1t~/
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~LL 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!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1~7(J3
1(&>/61 II; 0 0
WI r-JDS01€ t..1IJ I
SCHEDULED
OWNER
CONTR.
PHONE NO.
PERMIT NO. ()() - 93 '7
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FilLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING @ 0 WATER HOOKUP 0 FIREPLACERI
o INSULA TIO.... 0 SEWER HOOKUP 0 FIREPLACE FINAL
'J!I- FINAL l' ,P,.\E PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPE <y-MECH FINAL 0
COMMENTS: ~1&J;Cf?J ~ ~ ,{)~ . V'
I~ ..if"."-""S · ~'"-- ..~'
~f1j=,,::.;7~~?t '7 ~~ ~-+-c
(~~oi ~ r~'
@ ~ ./J"" ~ ~..-e v-XY --I-M ;" .r;...~
@ ("Lf" fJ~ ~. M~ udJ ~~ ~
~C~~:I~~')
(f!l~,p~:::t-.. r> d~- ), d
...~ -
(;.~~,() . :~;~::~.~-
- ~
S\\~O~
-
J:\.._...
o WORK SATISFACTORY, PROCEED
;0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
Inspector: ~.
Owner/Contr:
CALL 447-9850 FOR THE Nf.1CT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
TIME
CITY OF PRIOR LAKE ,
INSPECTION NOTICE _ _ ~ &eAEDULED '- CB t I ' f.:S"
ADDRESS 'fT ~~ WI rJ P>D/2-
OWNER A / CONTR, )
PHONE NO, ~ PERMIT NO,
-- .--- ------
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI fJ 0 COMPLAINT
~WATER HOOKU~ 0 FIREPLACE RI
-'l:!I(sEWER HOOKUP'2S) 0 FIREPLACE FINAL
/0 'PLUMBING FINA~ 0 GASLINE AIR TST
o MECH FINAL 0
Mw .c:=:; 0/ /l:J&n tV
. S/~'--~
, ~-- ------ "
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
J
.I
H''::>b'
I
I
\
l
I
'II'
(o-
f
p
<.. ~ ------
~ORK SATISFACTORY, PROCEED
o CORRECT ACT~~N ~ND PROCEED
o cORRECT'I, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: 1 ~ l Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
f)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
2/'1-0 ( 3: 00
ADDRESS
/fp703 I1rrJDsofL LANe;
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
o WATER HOOKUP
o SEWER HOOKUP a..
:g,PLUMBING FINAL f/
~MECH FINAL .
COMMENTS:
~~ VY\thltO VV\p-}er (K
t: vV1Jer ~\~
~~'QlMh tFi-<\\;'
a a6 +es'~ () (" .
~
00 -q37
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~ GAS LINE AIR TST ~ p.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO't. CALL FOR REINSPECTION BEFORE COVERING
Inspector: bJ.JM-t/ Owner/Contr:
CALL 447-9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
f! -2 (-", /9-",.,
ADDRESS
1(, 7o~ tA//ndS?.' Ln
CONTR. r:r -tJ(ht911V..<
PERMIT NO. r'Y1 - 93/
OWNER
PHONE NO,
o FOOTING
o FRAMING
o INSULA liON
'XfINAL
o FOUNDATION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTAll
o PLUMBING FINAL
o SITE INSPECTION
)l(EX~ILLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
5Io/u. - <> l(
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:~~ "'pwner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-