HomeMy WebLinkAboutBuilding Permit 00-0940
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I DIRECTIONS 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN 11 'I
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) ..........1 - I 0<. --00
12S1TE~~~ (~>A., ~ W
3. LEGAL DESCjllfTlON
LOT Lf BLOCK
A/6NhiAJ/'od
QA n= RFr.I=IVFn..
'I. /3. 00
ADDITION
LAKy- 14~
I
~5
I<! 1$0
1. White
2. Pink
3. Yellow
11.SIZEOF
(Height)
(Depth)
PID 25-37/-00'1-0
r7Yi OlldlhoK...
12. NO. O~TORtES
13. TYPE OF CONSTRUCTION
140 OW~ER, c4N,~e). f) ((Address)
lr>r I " "V ()f' lStCX0l.U /1)
15ARp'mnw (Nam.)~35 W(}~:flln (Addr.shr. 61o,O/J 1/J~r-NLJ5;) -07J.1
6. BUILDER (Nam.) ~SS) v (T.L No.)
rYlClf/leu ffl-~{Sal6+. iO?f6 FtfIS6f\r~1DH w'5I491-W3~
7. TYPEOFWOI'(K Fireplace 0 SaptieO Deck 0 Re-roofingD Porch 0 SEATS
NewConstructionV Alterations 0 Addition 0 Finish Attic 0 Re-sidingO Finish Basement 0 16. PROJ?9! TCOSTNALUE
Chlmn.y D MISC."- .2 'i(J (fJfJ
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. cgrv\PLEfioN DATE
Sq.Ft 438'3) Width D.pth Y.s No /5Dda4s ~cf;f{jdale..
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
~Uilding offic~pem.;~use. Furthermore, t hereby agree th~(~~~i'nee may enter upon the property to perfo(j:i! ~ections.
Signature a License No. -Date
(T.1. No.1
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
USE OF BUILDING
Sf'l/
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION 2'1o~. l!!)d
SETS
COPIES
Wat.rM.t.r ................................. $ 12S".~
Sewer & Water Connection Fee ........... $~~. D l>
Wat.rTow.r F.. ........................... . {12Il. 0 D
Water Tap ................................... <t
Build.rsD.poslt ............................ $ /,5"00.00
Other ......................................... _<t.
Total Due .............................. $1::- /,?3t./.. 5"0
Paid <? (non......-- Rec.lpt NQ.q Rh a If
l~~ - /A~ .
Dat.{()-',?J;-O{) By '-;'~/
This is to certify that the request in the above a~lication and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as (.,JQuested. This document when
signed the City P ner constitutes a temporary Ce~lDtA ~~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
C~y lanner Date Special Conditions it any
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
City'
Division 1 2 3 4
Permit Fee ................................... $
I \se~. '2S'
'1'31 .71.---
l2.0 ./')0
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
~oo
\D.1-I
Thi
By
loo.CJD
100.00
!~.SV
~~.~It~.n~~:~
Oat. -I - "'"""
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Certificate of Occupancy
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
Amount Brought Forward .................. $
Pari< Support Fee ............................ BS!::>.OC!)
SAC ......................................... $---t' 00 .00
Collective Street Fee ....................... <t
Sewer Tap ...................................!to
d" $
Pressure Reducer .....7t1................. $
Meter Horn ................................... <I:
Q5.CJ7J
24 hour notice lor aU inspections 447.9850
~~
DO .OQ4D
Th..Cenl..rofth..l..k..CoUnll'}'
White - Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
/'//1/[ i.. E I L/:
,,' ,
/., ./, ( .
.._ . ( 'J
,.. .
1_ _"./'.
APPLICATION RECEIVED
/.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ / ~~ ~ l~ lHM, ('~ J4 L-J
.' i.- / i c, ,/) I /'/ /./ / i.
L /
,
I i
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~. t~
Comments:
Date: l.o/rLI (!K)
~c.-f~Yv..u~ W~~ Wk1~ 4" R-~
~~ L:Mt +-~Lwu ~Lc9/~)'V3 {'->>All
"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."
(jl) . 0 QkO
Th", Cl'nlll'r of lhr L.kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1'1/J /II&{3, V Be 05 .
Q./3.()O
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lq /3/
/V(h~.7/I 1'1000
Accepted
01fCS 2f'/fJ /11JON.
Accepted With Corrections ~
Denied l)/J/;(
Reviewed By:b;(?-~A..k
Comments:
pq-~ cJl.Q ~().{lW ~~ -
Date: ?-/5-~6
"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
oJ ordinances of the jurisdiction shall not be valid."
i' PR/O
.~~
00 - ?40
,;a,.'X,,,,. ..
~'
"
'I
Thf ('..nl..r of Ih.. Lak.. Country
White - Building
Canary - Engineering
Pink - Planning
I . .
NAME OF APPLICANT
r, ._
BUILDING PERMIT APPLlcAtlbtiDEPARTMENT CHECKLIST
~1ob.lt if- (A?. -'-15' - '672"2
~~41), ~,
c.u bk... ':3'-()()/1TJ
Jt!/-J/vL-6 V' I3K OS.
I
q. /:;. () 0
/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
LrJ d /
Ac~Pt::~ 771 ;; (. V
( r / j<:: -::
2 /v V I-jVU/V.
Accepted With Corrections
Denied
Reviewed By: LLL-
Comments: :S~fJt? S "> 3:: I
5ee.. the- r?~et:5e- ~;;)f?
Date: /0 -20-00
f,)i/l [equ.JY"'_ r"tn...\o iYlq "Ja.ilc..
I u
W ar11"6/M--I )rr~i7,1,n.
-..;
See.. lt1tachme/fts: I) FFnal (SraJ.eJ:n5pxtiMIrk-IY1~. t.)G~ PiM
'3') E r{')~tt1Y\ c... irn J /fIe/J4lAff:s 41~:fO<:ftJn Cr, fu J f/IWI
"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."
CITY OF PRIOR LAKE MC i\(J.A 1\
16200 Eagle Creek Av. S.E. Permit No. . C()-U. 't-<.J
Prior Lake, MN 55372
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
HEATING APPLICATION I PERMIT
Date JI-;).q-nO PID# Z5-3"!I-OOQ-O
S~eAddress ,~D,"5h >lQhj/.f1~ r -j-, '
Lot Block Ad~ion
Owne(s Name m-/YJ 0 ,d
( ,7
Address
Heating Contractor
f{ f) /';..})
Single Family .
Commercial
_ Two-Family Multi-Family
Industrial Public Other
Fee Schedule
Industrial, Commercial & Multi-Family 1 % of job cost ($39.50 minimum)
Residential, Heating & AC $99.50
Residential, Heating Only $64.50
Residential, Gas Fireplace $39.50
Residential, Additions & Alterations $39.50
, Residential, AC Only $39.50
.,-a, /}~jp/YJ
. 550z.~emember to add the State Surcharge on the bottom of this application.
Address d. () I () 9,'
Telephone # 6<) -;y hd/- 5(',.
Furnace Make & Model Pfl 1 1M ~.
Model Size xO. /)~)
,
Conn. Load
Fuel ...2lr.J)
Supply Openings
Return Openings
Input
Edr.
Cfm.
Merations
_Flue Size
9o%-t
.11/
TYPE OF SYSTEM
Warm Air Plants House Heating Test Record must be submitted with buildino Dermit number before build-
Gravity ing certificate of occupancy will be issued.
Mechanical. W. :>, f07\ IO.~ HEAT CALCULATIONS RFOLJIRF'1 with number of supply and return openings listed per
Air Condltlllnlng ym 0 room with CFM's per opening. New structures or addilions send floor plan with supply
Vent. System and return locations shown. HEAT LOSS CALCULATIONS. PAYMENT AND
HEATING OR POWER PLANT APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
Steam CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Hot Water
Radiation
Special Devices
Other Devices
AIR CONDI1l0NERUNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
. Replacement
TYPE OF WORK
New Construction
x
-/
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
1'7
5S
Output
.50
Repair . Est. Comp. Date
Est. Cost $ <..; O() . 00 Building Permil #
00 -OC/40
Receipt #
,.....
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
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) 447-9B50
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 oilllll work which !ejJ,uirel review ,and )j'proval of plans.
Y;/J1~(~jJJ~ J/-rE-oD
A I '4 ,ttfl1 ~ , - Date
.f 1: II. .~O . ()()
Date
BUildingrCal'S Signature
CITY OF PRIOR LAKE Me
1621111 Eagle Creek Av. S.E. P.,mit No.
Prior Lake, MN 55J72
HEATING APPLICATION f PERMIT
Dato 1- /0 -OJ PIO.
Sko Address ..J'.o 5/} / l1iiAruK~ l'......
LOI _ BIocl< _ Addlion
Owno(s Namo j?7iJ,III.; U~.J
OO-OQ4Q
Address
Healing Conlraclor ALLIED FIRESIDE dba FIRESIDE CORNER
Address 2700 N. FAIRVIEiI. ROSEVILLE. MN 55113
Telephone' _ 651-633-2561
FiREPLACE L I . ,I
~ao Mako & Modol ..J,:iI.Jt/ IV (" (;,
("nOO1't' _
Madej Size
Conn. load
Fuol~
Fluo Size
Supply Oponings _
Relurn Openings
lnpo1
Output .J"") r'llJ
Edr.
elm.
TYPE OF SYSTEM
Warm Air Planls
Gravity
M..manical
Air Condkioning .
Vent. System
HEAllNG OR POWER PLANT
Steam
Hot Watllr
Radiation
Special Device.
Other Devices
TYPE OF WORK
x
Repair
Esl. Comp. Date
Replacemont New Conslruction
Aile ralio ns
Est. CostS J JODo,
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
/-Il.-OI
nO'Dq~O
p(t.\O wl1!iurr
~G~'.~
Building P..m~'
.50
Roceipl . .
.TYPE OF STHUCTURf;
L Pha}:
~ """"
3_ Y~ILW
rn
"
"
Frlc r+
Cil1 OJ
c...<<
Single Family
"
H
::c
m
MulJl..F8mlly rn
H
o
Public Olher_ m
n
o
::c
z
m
::c
1% of job cos\[S3lI.SO minlmumj -.
$99.50
$64.50
139.50
$39.50
$J9.50
c... ,..~.,"':al.
Two-FamI1y
Induslrlal
Fee S<:hedule
Industrial, Commerdal & MuJtj-FlllIlily
Residenlial, Healing & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential. Addilion6 & Allerallons
Residential, AC Only
Remember 10 add Ihe S lale Surcharge on !he boltom of lhis IIf>plicallon.
OJ
lit
~
The price 01 your healing per mil Includes """ rough.ln alld one "'allnspeclion. ~
'"
MditionallJl1lpection. will be billed at $35.00 eaclL Ql
Ql
Ql
House Healing Tesl """on! must be submiUed will1lM1l:1iDg III!mil DIIIIIlllI: before bIJ .": '
ing cerUlical" 01 occupancy wiD be issued.
I:1EA! CA1J;UIATIO~ REQUIRED with number 01 supply lmd relum openings ft91eQ
room wilh CFM's per opening. New st,UCUes or additions eend Iloor p"n wih suppt
and return Iocalions shown. HEAT LOSS CAlCUlATIONS, PAYMENT AND
APPLICATIONS MAY BE MAlLED TO THE CITY OF PRIOR lAKE, 16200 EAGlE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
~
L
OJ
"
City Hall business hours IIt8 8 a.m. ".4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGK-IN AND FINAL). CALL CITY HALL
447-4230
o
,
o
~
'"
o
I hereby apply lor a mechanical syslems permit and I acknowledge Iilalthe ;g
[nformallon above is complete and accurale; lhalth. work will be in conlormam.'
will, Ihe ordinances and cod"s of Ih" city and wllh the ,'alll buAdinV'mechanir
codes; lhatlhis lorm does nol become a permit unlil siqned by the BUILDIN
OFFICIAL; that the work will be in eccotdance with lhe approved plan In Ihe
case 01 all work Ivhic" "quires revie.. and epproval 01 plaJU.
0.1}
~. , 1/10/0.
'1~\r:OI
Dale
..
OJ
<C
"
'"
'"
10/25/00 WED 10:08 FAX 8128902753
STOCKER EXCAVATING
Ii
~"
--......~
"'IILL.OW-~
GOLD - CIT'f
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NOTE:
NO.O-1!:{O
Sewer and Wa~er
contractors must
be registered
with the city.
APPLICANT: DC Mechanical/Stocker Excavating
,PHONE:
890-4241
-.",-
ADDRESS: 8247/llest 12Sthy$"J:~
SIGNATURE: ~ J~ .
SITE ADORE~Lake Haven Court (L9/Bl)
~~'HR
DATE: /O-~j~~
BLDG. E'ERMIT :I CD -09If'()
PICi ~q'- 311- LX? 9-Q
FILL IN THE BLANKS
1. Estimated length of ",ater service
feet'.
2. Size of water service
inch(es).
J. Location of any couplings from structure
feet.
4. Type or sewer pipe. ABS
PVC y
Cast Iron
5. Estimated length of sewer line
feet.
o. Clean out (if required), located at
structure.
feet
frolD
~=====____~~===~___=~====~======~~=====~===~~=~===a~~======~~====
This application becomes your permit when approved.
._-<<
BY
DATE:
_===========____ =======____~__.==:;;;_:S_____,_ ===:;;r___======iii=::::;:=-===----..-
FEES:
$
$
5
35.00
.50
35.50
Sewer and water line connection permit_
Surcharge
TOTAL
...
Fee for either sewer or water individually ~s $20.00 plus
$ .50 surcharge.
DATE. PAID
Sewer and water permits issued for neW construction must be
recorded on the buildin~ permit card at the time of issuance
to insure that no dupl:l.cate sewer and \later """Wi'rH are
issu@d. -
/ tJ - () '3 - 00 ~M nING PERMIT
fAlfJV\,11 n
BUILDING PEBMIT
AMOUNT PAID
REC'D BY Ot(O./
U
*
RECEIPT #
-,
16200 Eagle: Creek Av. S.E.. Prior Lake. Minne:SOla 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
Nt Equal Opportunity Employer
CITY OF PRIOR LAKE
PLUMBING PERMIT
'\ppbnl; 5e.nC2..rec ?\~bi(\Q
Add,..&: ~f' (l'-~...I 5F
S!gnatulW: ~ T ~
~ 0... ,., ; Lot Block
BltaAdcl.....: ~~'SO LQ.~ ~C\.v~, c..-t.
BulldlnllPMI'IIl' .PIOl/ 2.5-371- 009-0
NOTE: TtIIII permit WIll not be P/"ll. ." .1 wIltIolll complete informarion.
..... I ~"E UNITS
I. 1100
:L ""'"
J. T.U...
III.
co,.
....-.
pp No. 00 -O'1!l::Q.
Phone; Q"'5 ~ - 4Y7-ic 731.(
Pr'/Or la~ -
n. e..... .t.. I.-. e_...
r<\c\\\ \oJ?
\ \ ~fDS-
QllaIllIly
!l
/
I
<..j
I I
_:A.
J
.)
Sub
Type of FlatulW QIIMIIly Type 01 Fixture
Bath TUb with or wllrlout Ih_r ...J Roullh-lns
~ L Waler He.ter
Floor Drain Warer Softner
.
Lavatory I."'room link) 1. Stand Pipe (washin; "'achi"e)
Laundry Tray I' or 2 compartmem .link) Sews;_ Ejector
-.
$ho_r _II :" - ,,'. -" AssBmIlly (Ato',
SinD 8ackflow A.I"_mbly r.
Be, Sink Lawn Sprinkler
War.r Closet Itoiler) Other
Double Check, PVB)
..r
IIU 8CHRDUU!
11ld~*. Commercial. MUIll-FamBy
I'''' of job -.138.50 minimum)
R"IdemIaJ, New One & Twa Family
Re8ldentlaJ, AddIllone . Altel1ldon.
.... 8l.m:hlI1Ve
$
$
GFlANO TOTAL
T1Iia pIIlIli. I. __ ....... IIIe ...... _I.ion lIlA, ,"id
co.--. ..... co.)' Iii III ...... wldr tIIc ....U_.
orlheS- P11111l1li~i: ,.. , " r lbawl.
. . . //4- 01 DATE
,
. .AT11tsT
CaD liw all do"LrJoa. Z4 baurs i11l1dvance.
16200 !&ale Creek A.v. S.E.. Prior Late. Minnaota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
All !qual ~I)' Emple)'er
~ ~._._---_.__.-
PRIOR LAKE
INSPECTION RECORD
La.h,. Hay---. Q\-.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 365"0
NATURE OF WORK .tJe.1
USE OF BUILDING s~C)
PERMIT NO. (j(). 0940 DATE ISSUED CJ-IS.2boo
CONTRACTOR ~_ ~.L ('S"/-4s-r1-q"13..3
NOTE: THIS IS NOT A ~ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I~
I FOUNDATION {Prior to Backfill)t'Pf~ I en- ID/;n /fJ"rJ I~ 'R)l II /;/~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH-)NS
SEWER I WATER I SEPTIC J . 'tp I
FRAMING 01( ~~~ 01 "'1J,\k
INSULATION 0' ~ _ \1:~
ELECTRICAL 1
PLUMBING i:J .\;aJ.J4 g.. rJ-i 01
HEATING (if required) (' IIIQ~A. / '1>\/~V 1,~/iJ(j I
FIREPLACE tr(", w:.-i... '~ \~JOI '8 ~ I
GAS LINE AIR TEST u>
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
- I I
FINALS
~_J1 'YJ ,/
\
DATE
, FOOTING
1/0/d ~/17b
I - ///J~A
vU{r J 1) " OL
v .
~ il1 tJl
1-
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
Il~ I~-ol
4/ s7 ~( \\~ \DC \
~ .Vr.w-4
-g-Va.vJt
OCCUPY UNTIL ABOVE 1 HAS
NOTICE
. L .
. f
4i AI jbI
I oJ4ltJ1
BEEN SllhNED
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 s.h~1I be. placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
QLtrti!ic8u of (0ccupanry
CITY OF PRIOR LAKE
ilBtpartmtnt of .uilbing 3Jn~ptttion
~inal Permitted 0 Conditional C.O. Expires
This Certificate issued PUTSU/J/It to the requirements of Section 307 of the Uniform Building Code
certifying that at the time ofissU/J/Ice this structure was in compliance with the various ordi1UUlCes of the
City of Prior Lake regulating building construction or use. For the following:
Use Classificatkn
SINGLE FAMILY
Bldg. Permit No 00-0940
F" Zo N 1 A Z . D"" R 1 SD
Ire lie onmg IStriet
SECOND ADDITION
Occupancy Type
VN
Type Construction
L9, Bl, NORTHWOOD OAKS
Legal Description
R3
Owner of Building ~iteAddress 3050 LAKE HAVEN COURT N.W.
Contractor'sNamc&Addres' MANLEY BROS., 10778 ALISON WAY, INVER GROVE HTS., MN
ROBERT D. HUTCHINS~\",,,^ DON RYE
OVUM'" City Planner
Building Official ,
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTIC!!
SCHEDULEO
ADDRESS
, S'O,s ()
[cl-16!
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
o PLUMBING FINAL
o MECH FINAL
DATE TIME
//- I~-( It.f-
1J()/I,e~
() --9 Lie)
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: -3 '-/- {
~h~M.~", QF~rov'el ~
- ls.~W"_ C. tD L
r1se ~l'i.l>~
-
)""WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~~aM.tJ Owner/Contr:
CALL 447-9850 FOR +HE NEXT INSPECTION 24 HOURS IN ADVANCE
INSJiOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
SCHEDULED I ~ L/.' "3 (J
LAdLE~oN Cr,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
,%SCl
OWNER
CONTR.
.pHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~D PLUMBING RI
o MECH RI
~ WATER HOOKUP
It. SEWER HOOKUP
. J PLUMBING FINAL
o MECH FINAL
DATE TIME
(J-9'-!o
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~~
COMMENTS:aD
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Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
lNSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~osv L<J~ f+alflM d
OWNER
CONTR.
PERMIT NO. /')f) -~4D
PHONE NO.
o FOOTING 0 PLUMBING RI
o FOUNDA nON f>(fi MECH RI
o FRAMING 0 WATER HOOKUP
o ~SULATION 0 yEWER HOOKUP
IV )'l'FINAL ,%"PLUMBING FINAL
n 0 SITE INSPECTION " MECH FINAL
(,{'COMME;NTS: ~~IU1~
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DATE TIME
4 -4..{) ( '3 -..c:>C>
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
f 01
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o "'M'1;~ ~~".""'" ..-~~"
Inspector: _ Owner/Contr:
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Sob"O
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
')(FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~I flYl
/J-/fr(!)(
1-0. K.~ Hc.1I(rJ C T
CONTR. JY')c,"'/-<.y &615'
PERMIT NO. 00 - 9~O
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)(E~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
fD r,., d... - b K-
C;J;/
"";II( WORK 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!
INSNOTl