HomeMy WebLinkAboutBuilding Permit 00-0962
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please'!vpe or orint and sign at bottom)
ADDRESS' ~ /
1524-7 4tJi/f/f/l- 0Lk':R
LEGAL DESCRIPTION (ollice use only)
LOT5BLOCK I ADDITION
]. White File
2 Pink City
J, Yellow Applicant
;ba/ !/Jlf
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Date Rec'd
.&2
PID 25-3c.,I-005-Q
Akd5'tf:;1
&f~ I ?,,1~/I cJ; ti/bA-.41 (Phone) 657-~6-b 577
h 39/ ~/"u/arI 1M" 1///# L/fb" /#///' ~/4/
BUILDER ,nt''/ / II I /1_ Joe - c.<-; ~:.:; : // -)
(Name) Ff 11////1/1/711 pt)5'~ (Phone) Z5M~ S1,/:3
(Address) /ctlf 70 h/#;~ ;/w ~327 4?) Ji;/{y SYJ2t/
Dporch DRe-Roofmg
OWNER
(Name)
(Address)
~Deck
TYPE OF WORK ~ New Construction
DLower Level Finish
DMisc.
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
D Fireplace
I()O.OO
IDO.Of:>
~.so
ecomes Your Building Permit When Approved
~,. 25"- ~
DRe-Siding
DAddition DAlteration DUtility Connection
PROJECT COST/VALUE (exc1udingland) $ 5'Z?a::?O
/
I Park Support Fee
I SAC
I Water Meter
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
Builder's Deposit
Si~
Other
I TOTAL DUE ~%
I'd Q{g00 ,9 &,
#
#
#
#
$
$
$
$
$
$
$
$
950 .00 I
1.100 .001
45' .00
1-7,,> 00
I . ~oo .e>O
.100 ./!:)()
l J '!it)() .Ol>
1 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 y~~y';"HJ and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plan~ I am aware ..mat ~e ~~ing o~cial can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
:te7~~M~ons _ ~~7Z J~~/2~a;
/" ""Signature Contractor's License No. Date
/' 1I~ S 3SO,~.OO
$ 2.13'l.2.S-
$ I , '38'. "2.'
$ "
11~.oD
$
$
$
$
$
$~(,or,.9&
11- (-00
Th~ ~ to::: :~:ec:::uest m ilie above application ~:::compmYmg dorum~~ ~c::e~~e Ci~ Zonmg llidffi~ce ~d =Y Zeer::reqUested This dorument
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
issued.
lanning Director
~~/&O
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
.
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Job Address / f'2. '17.,(lwftM {,,.
Heating Contractor 1z~11 Ai//.
Name of Tester A aI'/:. FIt~i;'!fL/'
Date 1t/1/t'l1
Percent 0 7. 'I
Percent CO2 1. .2
Percent co t9
S 10 r 0
tack Temp. ?
00/9 & ~
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D~. o~(p~
ThO' e..nlerol lh.. l..k.. Counlry
While - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
///;/ !i/leil/lll/e--
/. , ,. c' .. __
/ . /2- . ( (
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/:524-7 /v/-/u7lCrl c/)::'ccC
,
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~ ~
Comments:
Date:
teh6'~
J.v! pr ~\AAJJM ~u~;e,~f::&..hJ.;{A
f){~ ~ ~\fl,vw, ~<t) (4) Y:b
3D\-~~ 43v~ ~l<'
$i91NI, ~\f ",-S;/\, ,Q~ t<) · t.. ) {~
~,
A-<r'B~
Wi/h,
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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,"
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00 ~ o~G2----
Thf C..nt... of th.. L8k.. Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 11e. L),II,'fMM.<;
APPLICATION RECEIVED I () - 1'- -'boo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5';).'/1 l1aut(c""- 0,
Accepted
Accepted With Corrections )<.
::::ed By C}UJ-/-
Comments:
~ ~\ \ a.mc.kd1. kJ..J.s
Date: 10 - 25- '2J>t>O
"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."
/
__L._____
CITY OF PRIOR lAKE Me
16200 Ellgle Creek Av. S.E. Permll No. () n. nQv'/2-
Prior Lake, MN 55372 . /-
_ HEATING APPLICATION I PERMIT
Dato 1- ;;lQ. 0/ PIO'
S~eAdd",&S IS).v-, N/.1-.f;c& ~
Lot _ Black Add~ion
Ownor-sName /hL u)//i/b." .; t1sJU(_
Adelre.s
Healing Conlracl'1I ALLIED FIRESIDB dba FIRESIDE CORllEIl
Adclress_ 2700 N. FAIRVIEW, ROSEVILLE, Mll 55113
rokprnme' 651-633-2561
FIREPLACE )( J.. ~
~ "'eke & Model l' /J c,t;,
EM. (/1
ModolSilll
Conn. Load
FUlIl~FlueSlze
Supply Openings
ReWIn Openings
Input
Edr.
elm.
OUlpul
TYPE OF SYSTEM
Warm Atr Plants
G,avIly
Mocna.ital
A'I Condllanlng _
Vent Syslem
HEATING OR POWER PLAtn'
Sleam
Hal Waler
Radlalion
Special Devices
Other OaYic9s
TYPE OF WORK
~
Mera1ions _ Replacement N... Construction
Repair Est Comp. Dale JfJPJ 1
Est CostS ~)I)9.(D BuRdilgPllf1l1U 00 - OCfCpZ
HEATING PERMIT FEE S PAID WITH
~fJILDING P~
STATE SURCHARGE S
.50
TOTAl PERMIT FEES $
Recolpl ,
TYPE OF STRUCTURE
I. n...
1.-"
3. Yellow
rn
~
"
rt
Rio
ai,
CoIIIrKlOJ
'<
Sfngle Fanily
Commerclol
Twit-family
Induslrial
MuaJ-Famly
PWlic Other
,.,
H
:Il
In
-rn
H
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In
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Fee Schedule
Indrnllr.... Comlll1lreial & Multi.Famly
Residential, Healing & /lit;;
Residential, Healing Onlr
Residential, Gu F"1f8p1aca
Raoidantiel. Additions & Merations
. Residential, N;; Only
1 % 01 job ensl ($39.50 mlntlllml
199.50
164.50
139.50
$39_50
$39.50
Remember 10 add lhe SlaIa Surch8Ige on Ihe boIIom of this eppIIcaIion.
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The price of your _...g perm;1 includeo ona rough-In end Oflll Unal inepeellon.
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Additional ilspactions wil be biIed.. $35.00 each. CJl
CJl
House Hesting Tesl Reeord must be 5IlbmiltBll wIIh Ill.i.IIlinlllllDDl 0ImIIIr be""a lluI ~
ing c8flifieale 01 occupancy wi. be IllSIUed_
I:I..EAI CALCUlATIONS REQUIRED wiIh I8Imbef of aupply and llltlll'n . . , .,"' lislBll
room wllh CFM's per opening. Naw lIlJuelure8 or IIddilions aond 1loof plow1 with euppIJ
and ",Iurn localions shown. HE,t;T LOSS CALCULATIONS. PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR lAKE, 16iOO EAlllE
CREEK AVE. S.E. PRIOR lAKE, MN 55312.
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City HalllIllslnass ""IlfS are 8 ..m. - 4:30 p.m.
.
,
ALL WORK MUST BE IHSPEClED (ROUGH-IN AND FINAL). CALL CITY HALL
447-42.30
o
...
...
I hereby apply lor a machanlcal .y.lems permit and I acknowledga thallha 1:
Information above is COml'lela and accurale; lhallhe work wlii be In conform_.'
wilh Iha ordinances and codes oJ!ha clly and with lhe Blala bulldlnllfmechanlt
codes; Ihat \hIs form does not become a parmil onlll slllned by Ihe BUILDIN
OFFICIAL: Ihallha wor wHI be in accordanca wilh \he approV1Od plan In \ha
ca~z< :Ork whle aquims ra...... and approval of plans.
A~. S/~g~
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1-2t~~OJ
Oal.
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BulI<i7.JlflCil's Signature
I ....
,. (hcs
J Yea.
Fi~
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Co~''''-
CITY OF PRIOR LAKE Me
162M Eag!oo C..... /IN. s.E. p- -
Prior Lake, ... 55312
o 0 ~oq<oz.. TYPE OF STRUCTURE
-- ------ Single ~ _/ lWo.Family ----
G~....,,".':'" __._ 1n<t.JSlda1__._ _ ____ Ptblic
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,___/ tlEATlNG APPuc.AnlON I PERMIT
Datu.I-/7-Q.f.:J_ ...,-_- z5:__3~--f\OC;~-<d..
Slle Add<- L~7 /V/1~.d, ~,LLCJ /,<:~.e_<_,
lDl_~ Block -.!_ Addliofl 'o,.,.-,,-ff$<:;,"!/ </1"- Xidc;/l /'
0\m6(sNameJ?1",,_,d' //,~-P .!<!.<:-oCc__________ . --------
~ .-L!f5iZa. t"'>/c,..Acl'". .KJ~ ~4"'KJlk/
. _ _ /1 ...,. ,;::: U
K;aI1t1lJc......__. A/Jbet/ -/';1 12-,:;;..--
!\ddrlt$.. / ~J.</<:" /1/, ./.cAlf X}P't!/ < C/ _-E.Y.
ToIopllon'" 95'-;2- ?.;,/.-;;_S.;l.OO Cr:;:..J_2:j:2.:]'i'6>&,..;;o;7-
"",,,ace Make '" Uodel --EL:;IgL--. __ TYPE OF SYSTEM".-
WarmMrrams~",d/
,Jccl91 Si2D gS-O!XLt!p.:>s;o/ad -- Gr..iIy - ---- - - -
con~. Load '1,;;,> t:1&7d Na<:I1ani:a1 -
. . __._.-'----- ",irCondllonil!9 .t'lwl,.J 1'11~
fuel _ /1/ fir _fl... SiZe ..:;L1!-. (/, ""' V..." JyoIttI1I ~J!5I'#-
Suf4111 Q..,,;,,~~ _ ~ 6_ ___ sfEAnllG 011 POWEfl PLAIlT
\I>~m
r..'~mOpen;na~ / :3 Hr-t~-.-
.. -- - ,,---..--
fladiation
Special ~:;;.- . -----
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v-
-
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I ...
, -,
..
kip"' .(~ <lac) oUlplc9_~Cl.-
-' ...--"-----'-
-.-------
OIlter~ __.__---...
[dr, ____ __._..
GIlT\- .;loOO
------.-
~
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TYPEOFWOfiK /"
RelJlaCelll8111 _____ lMI CunSlrvctiCl1 //
rl
~'-1
.:
'L
~""
RBpaO _
(J 0 :J29&; z.,
~
-,
. Est Comp. Date
_ Buldklg Pent'
..
~
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"
Ul. Cool $ _
HEATING PERIIT FEE S.
.50 PAID WITH
F"","", .BUIL.DING PERMIT
...---~-
-".-
"
STATE SUflCtWlGE S_
TOTAL pEJUl" FEES S
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~
~
__ Mu.~Famiv __
0II1er__ _ --'
Fee Schedde
Industri", C_.....".:...I& ......Famiiy
ReskIonliIII, Healilg & AC
R__:J,.nIlaI. Hmtiny Only
l1esidential. Gull Fi~
flesidentiaI. I\dlIlionS & AII8talJonS
R<~:~_.:'.J. AC ant...
'"''''Job''''''' is:\!I_!JD mrimUml
$519.50 PLEASE NOTE:
$64.50 Air Conditioner Umls Can",:.
139,50 Encroach Into Required Side
$3950 Yard Setbacks_
$3!l.5!
F ,',," "' to add 1he 5Iale SUrcharge on the bottom of 'his """'_.
Th" pi"'" <>l your heoIin9 1*mi1 .ne\Udes one r<mgh'''' anrt one final i""""","",
,,_a1.._..,. .::."'" will be toiled at $:;!i.{1l each-
<Iou".. Healing Teol _old '1ItlSI be subrriIIed _ !!!.i!!lI!Jlg l!!ll!l!lI !lW!!lIl! be""e build-
W1Q., :-~,Je of ~ willIe~.
~C~"FOIHRW willi no_r <>f.14'I'IlI andmlurn -, ,,, - .", ieIBd 1*
"""" _ CfM's..... opening. New _ arlldOlllonS !l9'lIf loot pian.... 5UjIpIy
.,00 m_ .~,.'.., -.. HEAT lOSS CALGlltlmONS. p,o.YMENr AND
APPLICJ\fIONS MJ(( BE MAILED TO .HE CITY Of PRIOR U\KE. \6200 EAGLE
CHEEK AVE S.E. PRlOfllAKE. MN 553i2-
CI1y Hal business ......JIS are 8 ano. ' 4.<10 p.m-
AU. WOIll( MUST BE I..~" ~~...,O (fIOtIGII-" /IBD FINAL) - CALL Cl1'IIIAU
~4l'_ F'M 1f.4/- "ZJ-H:.
/
I hereby appl~ for a medlaN"al systems permit auti I acknowledge that 100
informa.... aboVe is compte." and accu"de; thai \Ilo work wiN be In conI<l .....,
willi the ordi..- ",Id codes elf 1ho cIIy and with \he slale bulldlnoIm, .: ... ..&1
codes; \hat lI1is form doea nol becOfn<J a permit unlil aig- by the B\JILDlNG
OFFICIAl: that the _rt will be In 1ICCOfrJam;e wiU1\he appr<JYlld p..... '" ,he
C~wh~" ond"~rOValell::::"/7~/'
-- c::/~ - --1- U,~O_L
--~1iiR9 oale
~~.....
~
00 ,01&2/
Th~ C~nl~r of Ch~ Lakt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/1-1(1, ii;/{J! /-ljLiS
J (). /2 . (Ie
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1524-7 /vI-lUll C/1 e/,eccC
~
Accepted
Accepted With Corrections
Denied
Reviewed By: ILL.
Comments: Se,e, the.... \&fer-s"- side.
Date: 10 ~ 2-& -00
~ a-ll.tlMaJ.. 1(l~rnQb~.
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.k Il#ochI1JP-nfz.: ,) Gllal GtMk2J,~dr. .Tnktt?nnr, 2)W;,~ PI-.
3)E,o~;"" {'.fJf/tr,J /Ilea.(,j~4 4)...rrasiiln ClfI"tibl Pltxn
"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."
FROM Tupy Ins. Agency Inc.
TO
4474245 P.02
-"."J!',
.,...... . "''''''.Ir;:&'''
1IQI.!t~ 01'''
S.W.No_
o - Cf1(i~
C.l'r~ Or' 1'1UOR LAXE
SEWBR AND WA~E~ FERHIT
NO~' S~~er ~nd Weter
contractors must
be reqlatered
with the city.
. APP1.' ;'''l'IT: A\\;e.a. e."'CAVq,1:L~ l>HOIf~,..c,I~~q,B- 3au.l
AOOR1:;s;:M~ ~n~Y'Q r(\ee(i L~ DA'I:J!.:d-13-C1
jJ~ AIOtuc... -. ~("'I .1\ 0.,_...,
SIGN/'fUR , . U. ....B'l.!JC_ PERMIT lIlr.41t;1',.
SU'!!:, ill.OOREss:J.5Pl41 Nct\)1-iCA....C-;,c:..lt.PID. 25-3<;.1- ()05-0
,
FIr.!. .U~ '.l'W'; llUINKS
1.
1.tim_tad lenqth of water.
i. \
1,:I.:I:e of water ..rvica
I
I. Cloation of any couplinq",
'-it")
feet.
1!!A~ic('ll
:.!-
inch (es) . c.o'Pfe(
from structure J[J f.~et.
.4"
pve LID Cast Iron
(0$
3.
4.
5_
~ ype of sewer pip",_ ABS_
i.!Itiml!lted length of sewel:" lin~
feet.
.. .~feQt
from
Ii.
':. lean out
Iltruct:ure.
I
(if
..t
requirl!!c5l ,
locatad
I!l;~~~_ ~!U!':=~;;:;::-:=~~""!"'-.
., ....!IIII.. ........ _____..:...._~.~--,-~,;;,........; .. ... .'.-::O:==~='=.!!II,.
rlOit ::;:::P~~,~Z.l:J3- 0 I
-"- .
ThiRi application
Bli'_..._
=m:==!!!!.!!!!___~
='IOl:;;;;::2' :=="'*___=== ==-~.::lT~~~-_..,'==="":':'~'::":==:"'l''B'~_'''. ___c_~__
FEES; $ J~_ 00
_ $ -~O .
. $---:15: s{i"
Sewer Il.nl1 I.rater line connection s>erl!llt..
sureharge
TOTAL
,. i.~.e for either sewer cr water :LnCliv1duOl.lly is sI.V-5ilI plu,.
~ _50 eurcharqe. --
*
~,wer ana water permits issuRd ~or new construction must be
j-,ec:r;l1el1 Qn t.il.. buildin<jJ permit card at tne ti_ of issuance
~.) in5u~ that no dupli.cate sewer anc:l w.ter permits arOl
J 3sued.
DATE E'AID
AMOUNT PAX!)
RteE] PT # RBO'D BY
. p,..'O t~f\i."\"
Q,\l,\J)'~""
16200 F...C " C.....k Av_ S_R. Prior- Lake.. MinOcsota 5.5372 , Ph_ Ill! 1) 447-47'0 /:FAX (612) 447-4245
. An BqlIoJ OjIp()I:lunil:)' Enlplo~
TOTAL P.02
12-01-2000 02:51PM
MATTHEW DANIELS. INC.
423 3017 P.01
CITY OF PRIOR LAKE
PLUMBING PERMIT
I. a.. i'iIc
:L GoI4 l:ilJ
3. YcDnr ~1lc:uI
O()~6q~2-
-
-'1.23- ~~"t.~l>
,~L..i
on. c....,. oW 1M ~ C_Iry
PPNo.
Applicant: rJn#rll'u} J)"ni,,15. Inn. Phone:~SI)
Address: IftO ()nrrDo,,/!'.1 W.a;t.. f....c~"",,,,,,,1- M#
SignatIJre: A r ' '-nI .~" IJ , ," .,.~
Legal De~l'Iptien. Let '-'5. Sleek_V' Sub VIIftJDSON9 4-Tl-l
Site Address: 15"!L.4'1 "It..dO<f.? ~..I.IIII.v/. '
BuildingPermitlt no - r;x::;ftl~- .1"10. z.h-~I-oo[r:;-6
NOTE: This permit wlU net be processed witheut complete information.
FlXTURE UNITS
Quantity Type 01 Fixture
2- Bath Tub with er without shower
1 I Dishwasher
I I Fioor Drain
I .;. Lavatory (bathreom sink)
I I Laundry Tray (' or 2 compartment sink)
I I Shower Stall
I I Sinks
I Bar Sink
\ .3 Water Closet (teilet)
Quantity
Type of Fixture
I r.i..
I
Rough-ins
Water Heater
Water Soflner
Stand Pipe (washing machin~)
Sewage EjeCtor !
eacklJoW Assembly (FlPI, DoubleiChecl<, PilE'
Backflow A$$emblyTest
Lawn Sprinkler
Other
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FEe SCHEDULE
Industrial. Commercial & Multi-Family
<'%.01 job cost. $39.50 minimum)
Residential. New One & Two Family
Residential. Additions & Alterations
State Surcharge
$99.50
539.50
$
$ 99.~
$
$ .50
GRAND TOTAL
S JblJ I'JtJ !
~~ I
PAID WITH I
BUILDING PERMITI
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16200 Eagle Creek Av. S.E.. prior Lake. Minnesota 5537:2/ Ph. (612) 447-4230 / FAX (612) 447.4245
An E~ual OppoltWlicy Employer
Thi. pcmli' is ll"'l'1Cd upon lhe upnu c:owtion tha, said.
c:onmlClOr, .hall <omply in all nospe<tS widl die on:llaarn:es
of lhe swe Plum~.i ~1Jl""eIldmen," thercgf.. .
_ . 12. 1.00 DATE
~. ATI1!.ST
Call for all i~ctions 24 boUlS in advance.
I
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TOTAL P.01
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
.
SITEADDRESS ~5~4?~t"CA OJ_
NATURE OF WORK ~e.t..l
USE OF BUILDING S ~ D
PERMIT NO. () O. (YlfrJ7 DATE ISSUED 10 -::tS - '2000
CONTRACTOR fu\J;l\lc..-..o... o,a<tB-4l.G,3 Cl~ll-:u.I-::~8111
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING h~PECTOR I I/II'~/';;
, FOUNDATION (Prior to Backfill) I "R'. v'~ I Jl /~hb:
PLACE NO CONCRETE UNTIL ABOVE HAS BEE'N SIGNED
ROUGH - INS
(;J~tMl<./ Idso ~J "4I.J-.(" 1~1~1~ f-..
wli~, ]./ft/~ I kf)-. ;;117)01
w Ie- b:,., 01// dI; I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE .~ 15r:r. .7/J'/JI I
GAS LINE AIR TEST F.r. ~ ~
6:r~
~.
~.
;2/f!6I
,2/~/ol
1/slcl' i
~if/fJ7
I ,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I"B~.um d~ I~ d/~;?L/CJ/ I
, FINALS
GRADING (Prior to Sodding) kl.lS(l
BUILDING 1,lL..o, t1t ~I/DI~. '1~~"'d'r ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
'1' (;~ -0 I
J I /1~/t)1
(, i
d
I @;r, _ .
I D'V.
f/56/
tJ,~~\
BEEN SIGNED
"
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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
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OWNER
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PERMIT NO. /')..) - €J' ~ e--
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o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING W 0 WATER HOOKUP
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~FINAL T"< 0 PLUMBING FINAL
o SITE INSPECT 0 MECH FINAL
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o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~LL FOR REINSPECTION BEFORE COVERING
Inspector: ~J Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
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CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS J ') ZC{ 7
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
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DATE
TIME
SCHEDULED
'1..-2B-CJ(
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CONTR_
PERMIT NO,
0- 9J.~?
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
;s(.EXI~ILLlNG
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o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~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 & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED 1/5,/0 I
tJ!t-l{ T7 CA_
ADDRESS
/52<-(7
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
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o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
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o
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~~~
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:S:~~:ECT ~;~LL FOR REINS::::::::FORE COVERING
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
,
DATE
TIME
ADDRESS
(;4-151
If) ~ t/'i '-f1t':IL~~
SCHEDULED
Lj ):tJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO,
PERMIT NO.
OO-f)90A
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
..J\i1'INAL r1'ft:\ 0 PLUMBING FINAL 0 GAS LINE AIR TsT
o SITE INSPECTION '~XMECHFINAL 0
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b CORRECT ACTION AND PROCEED
., 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
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