HomeMy WebLinkAboutPermits 00-0971 & 01-63
(Please ~e or print and sign at bottom)
ADDRESS
14415 RAVEhl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
z;- 2-- () {
I.Wh;te
2 Pink
3. Yellow
[PERMIT NO. 0 1- O~Io3J
File
Cily
Applicanl
CouRT
I ZONING(Officeuse)'1
LEGAL DESCRIPTION (office use only)
LOT '2. BLOCK 4 ADDITION /<-t-JOP, l-hLL 5TH Avo.
BUILDER
(Name)A.V/>Lo..::.!-l-DM.E'S. [0('_
(Address) 643 \;J. 'BJ2.0AOWAV .~JlTEA
]
TYPE OF WORK 0 New Construction ODeck
~Lower Level Finish 0 Fireplace
o Misc. R-€ul'~ ~c.....- 46 0 -crt / t
OWNER
(Name)
(Address)
PID2S-3Ct;~.. 03Q-O
(Phone)
(Phone)
luSl- 4G,,4-~nA"'"
For<ES, LAKE. MI-J. S<;n7.C:
OPorch
ORe-Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
PROJECT COST /V ALUE (excluding land) $ 42.0n
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 building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
;teru??~;;:;?ltsr;o~~_ 41084 /2../5 1M
r /' Signator I (00 0 Contractor's License No. ' Date
$ ~ '7<: I Park Support Fee # $
$ I SAC # $
$ .50 I Water Meter Size 5/8"; I"; $
$ I Pressure Reducer $
$ I Sewer/Water Connection Fee # $
$ Water Tower Fee # $
$ Builder's Deposit $
$ ~cr $
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
r Building Permit When Approved
I
I TOTAL DUE
'2=- 2.5
$=->.
c:aa-.u:A--
z,-z-ol
7-2-Coo(
I Paid 36. 'L5
Date 2.-10 -0 I
I Receip~4J 3 90(1 ~
By /W\...--
I
Date
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 as requested. This document
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.
Planning Director
Date Special Conditions, irany
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
D rB~~~F~"~__.i 'L C~~~:~I~:R~~E
i .. ~. lPORARY CERTIFICATE OF
L\1 J ZONING COMPLIANCE
\ .::.; ILlTY CONNECTION PERMIT
DIRECTIONS I 1. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN / (
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) I 0 l'2... 0 0
2. SITE ADDRESS
1#75 .€AV6N COUR.T /2.ISD
3. LEGAL DESCRIPTION
LOT
ADDITION
14. OWNER
15. ARCHITECT
6. BUILDER
2
KN 0/3
4- PID .2.5-3fDf!J-D39-0
5TH AonAl,
BLOCK
HILL
(Name)
(Address)
(T.1. No.)
(Name)
t:x I - z!.1. No.)
(Add,.ss) /"I~O - c,~.U!ff,tj- '1cBD
~g,LqlJtLt.W~"O?5 ~S(-'18Z.2('37
Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
(Address)
AV/lU;# HOI'f8S,
(Name)
I.
2.
3.
BUILDl ORMATION
11. SIZE OF STRUCTURE
(Heightl27 (Width1S3 (Depthlso
12. NO. OF STORIES '2..
13. TYPE OF CONSTRUCTION
WOoD t=/{AI'I1E
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANT~
SEAT~
7. TYPE OF WORK
New constructiO~
Chimney 0 Misc.
la. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq.Ft. Width Depth Yes No 2ItS-/Cf
I hereby certify that I have furnished information on this application which is to the best 01 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
bui~ing ojcial can revoke ~rmit for.iu. st cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perlorm needed inspections.
X ~IA..-....~~ V L.. ,<- . - d.t,~ IDItZ/<>~
-- S"';al~re - -.- License No. . ale
SETBACKS: Required
Actual
16. PROJECTCOSTNALUE
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
Back Side Side SOIL TESTS 0 ENERGY DATA 0
OFF STREET PARKING PILING LOGS 0 PERCOLATION TESTS 0
SPACES REO. PLANS & SPECS 0 SETS
SPACES ON PLAN SURVEY 0 COPIES
PERMIT V ALUA TION 135:, 0t'Jr> _ c.", PLOT PLAN 0
Front
USE OF BUILDING
BUILDING DEPARTMENT VALUATION
SFD
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
I 0 Co'D. . 2..,-
~'O. 'Ie,
(.1.:;'0
Amount Brought Forward .................. CI:
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... <t:
S U
City:
B~ ,0<3
I I 00 .00
~.
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Sewer Tap ................................... $
,t <I:
Pressure Reducer .........~............ $
Meter Horn ............................ (t
1/5. CO
Mechanical Permit Fee ..................... ~
{"o. DO
It'JO .Dt:>
~v
11.1" II,q.,O
~.(b~
l'IlJ.uf
: LZ-5.. 0 0
Water Meter ................................._ "'-
Sewer & Water Connection Fee ........... $~ :;)DO . eo
Water Tower Fee ........................... $ '7Dt:J . Co't:>
Sewer& aterPermit ...................... $ 3$'. '=>>"
it ~...r-.:..:;,~I~~.~.:it ~he:::o:
~ Dete'O .~S'-~
Water Tap ................................... $
Builders Deposit ............................ $ 1..1i' ()O .00
Other ......................................... $ . _~
Total Due .............................. $~" b IS. 7 L
~5.17 R.c.iptNo. ~!:l~
Date III I ~I Db By i2-~ 14
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinahce and may proceed as requested. This document when
s~.g y e C tn:er constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
d'~"- \\/-'7/t0.")
. C~y Planner Date Special Conditioos n any
Certificate of Occupancy
Issued
~--
24 hour notice for all inspections (952) 447.9850
~\
f[) .6q11
Thp ("pnlrrof lhl' L.hCounlry
White - Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT II- V tt /0)..) II () rn c.S
APPLICATION RECEIVED II) - / t, ~O 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
)J)LP1C; R<Lue..A; 0+
, I '
Accepted
Accepted With Corrections /"'
Reviewed By:
CP~k Oal, /.:?-ZS.2=Jo
Denied
Comments:
~ a...01 al-kck. ~_~ ~
"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,"
Th~ C:~~nlft of lh~ L.k~ Counll'}'
)O,OQ1(
W lite . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ;4 J/ t.<. /:) I~) 1./ () Yi7 cS
APPLICATION RECEIVED //) - Il. - 0 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
hi LJI~}< j.:(;:1... U e.- AJ. ~+
... ! ,
Accepted
/
Accepted With Corrections
Denied
Reviewed By: Q~;. Date: lL/7/~
Comments:
2-i~(" ~~ /~~ /..J'vMA: 0t-v IfJ"t9,~
"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,"
~1
00-97/
Th..r..nl..roflh..L.k..Counlry
White . Building
Canary - Engineering
Pink - Planning
aUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT fr va / oN fj 0 I7J e,S
APPLICATION RECEIVED If) - / t, .-00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
hi LJI1C:: R a- U e../u C +
I fl'-
Accepted
Denied ---1..L J....
Accepted With Corrections
/
Reviewed By: Date:
Comments: 5tO.P... tip, re.Ver~, 4;-,)..., fx- aJJ.r-!::ibM) mfof7n~-
fY/aXi/l7ll1n rlnvP./AJfll w;J.th I'S 24feet at tb..e. ~ht-Jryl.}1e.
?ee. /llfacA/lJed:3: J) nfl4( (,;rUe-1n~r~ T~ 2) 6r,dtns Pbi
3);(r~,( 4)~f!)siIM ('NItro! p~
"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."
.~
CrrvOFPRIORLAKE IIIC Ob (Jl (
1521111 ~ CNek Av. S.E, """"il Na, ~'1
fIrior LA_, IlN 55J72
PID'
('CA>d. ..
,5"-
__ "'~7, AAJ.~...u ~....IAl<'"
J
HIIIiIJ Oonhdot ..fJ nL'THfif..AJ l-L~.ull
.,J
MiIlIa _l1'ol ....J......, 1/1 =::E.Jo& A--..ot.+ .~.U/")
I
T""""" JJz:. <I::n. </'170
f_UlM4MoH1 klkYL '-'1
IlodtiSi. (..'hN<>ILu_ 13
. .
Co/lft.LlIad 72, nLJi)
fUll IVA-T fl.. Sib .~J'
S,. Opetings
IIIItn (lprilg$
InpuI k>.ooO
Edr, '! 1_
~. Il.OC>
All. rIliDn.
Aaplir
Est Co6t '-.
HE^TING PERIIl FEEl
ST^TE SlR:HAAGE .
.
TOTAl PERMIT FEES
\~
q
o..tpuI 7s,,yl 0
AIR ClOIIIf1IllII!IfUlUl$ CAIIIar
ENCIICMCtl1ml5IIIaJUII_OI.
TVPE OF SYSTEM
Wa,"," l'Wl1o 'It L",...,,j.,
GnMlp
Mechlnlclll
Air~ing IlC Lv/A';"
'lent Swstem 'X. I/e.u........c...
HEAJIIG OR POWEll PLNf,.
Sleam
Hul~
R8didan _ _ __
Special Oe.'or.L.~___,__
0Iher I~&$
R..--nr
'T'tPE Of WORK
N.., ConSlfUCliGIl i.
fsl Camp, Ow
Buiding PermU -1)() ~ ()l1] -
p~\O ~~Rt/.\1'
9U\\.D\tt
Ro>c.... ,.
.50
TYPE OF Snw\i..J \IRE
1,....
Ui....
1_
""
a.,
r._
'"
w
-"
;:t-J
'....
~"
"....
'.cD
"cD
~'"
SilgIB F_v
CormMIdoI
x
Two,fanily
InduaiaI
Fee Sc'"llll_
1..o""ftol,C, ,:l;U,WIi~
R"',,-,,, He8lintlAC
r. ',,, ',tMliIgQdw
fl8.'ilmIII, CJu, "..
Fle...1lIoI, ^dlI.... I NlIfaIionJ
Fle~ AC Only
Uuti-FlIII1ily
NIle 0Ihar
..
"....
..... co
..w
"cD
..
,
, 'l[, '" jab _ ($3I.so mllllmum)
",5Q
....50
U!l.50
t..50
'319,50
"w
"t-J
"w
,,-J
..'"
"cD
..'"
..
,
..
"
..
..
~ '" odd the Stale SuR:l8go "" "" bolIum a1lhis 1fIPlIcalion,
The prioo <I' ,...., -.g permil indudellooe rough. in and one final iNl*tion.
_.. inopodons .1 be .11Id II ~,lIlI..ch.
Ho_HNWng Test RlICl)oU"'" be .......ad .., IIliIIliIlJ JIIIfd lIIIdlI! befo.e _
ing e,"calll ot oocupont)'.... be i__
l:IW CAl.CUlJiJlONS REQUIRED wlh ..._r 01 ~ and N1um apri!go....d pet
100III ... CAWs per apeI1it1g. New _ or __ .end Iloor pI8n ... IU(lIlIjI
ond _urn __ 0110.... HEAl LOSS CAlCUlATIONS. Rl\YME!IT AN\)
AI'PLlCATIO~ MAY BE MAIlED m 1llE mY OF PRIOR LN<E. 16200 EAGlE
CREEK AVE. &.E. PFIOR LAKE, MN 553n,
CiIy Hal buIi"...1louos ar.' ..m., 4:311 pm,
AU WORK MUST BE INSPECTED (ROUGH'" MD RN^lj - CALL an MAll
_: 1N2I ~7_ Fa: (tS2) "~MS
I hereby apply lor . meclMl1i".1 .yslem. pe,mit and I ..:knowledge that Ihe
infafmalltlll ....... is "....pl.la ond lKlC:Uf~.; 1lI.llne _ ~ be in tGnfG""ance
wilh 111. ordi. .,,', "'"" code. of Ih. cily and wllh the .late buUding/mldlanicel
eO<l..; lhat Hli. form deel not become . ,,,."',,, until .igl18<l bv'" BUILDING
OffICI^l; lIIa! 1IIe wOlk will be in aCCGnlanca with !he app,_ plM in lhe
ea... af all -11\ which reqlAires review and all1lR>Val of pl..,s,
~O\
llale
k (/-,0 I
Doll!
("
~
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c:Z
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"<-<
XI
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::.......
~
Date
S~e Address
CITY OF PRIOR LAKE MC q-1 I
16200 Eagle Creek Av. S.E. Permit No., .00 -0 I
Prior Lake, MN 55372
TYPE OF STRUCTURE
1. Pink
2. GRen
3. Yellow
File
City
Contractor
Address
Heating Contracter Ll'lndC'l.... +:;r.-n\nr.... l~,
Address_SC~~~Jhll"-- '~e+ .. \L pMff /.h-I-~
'7{IJ,~- 7}(u,-!).3'-11
Hl'I'-t- klGlo
Furnace Make & Medel tuOCOT12....
HEATING APPLICATION I PERMIT
h.gY.- 00 PID# 25-3loB-OYl-~
H ..J 'l:=; J),{tW'.V'I (\", wt
let Z- Block. 4- Add~ien J KNOtS J.ll u...- ~
Ownefs Name Allnl/"\t'\ \-\<:>mp<,
Telephene #
Medel Size
Cenn.lead
Fuel . ~
Suppiy Openings
tncoa
Flue Size
g"
Return Openings
Input JlI}/1OO.: Output_
OI,OV'-'
Edr,
Cfm,
A~erations
Repair
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Cond~iening
Vent System
HEATING OR POWER PLANT
Steam
Het Water
Radiatien
Special Devices
Other Devices
Replacement
TYPE OF WORK
New Constructien
x
Est Comp, Date
~- IS-C)I
OO-Cf17/
Building Perm~ #
Est Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
3q ,50
,50
LiD. CO
PAID WliH
6U\\.D\NG PERM"
Receipt #
Single Family .
Cemmercial
x'
Mu~i-Family
Other
. Twe-Family
Industrial
Public
Fee Schedule
Industrial, Cemmercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Add~iens & Alteratiens
Residential, AC Only
1 % ef jeb cest ($39.50 minimum)
$99,50
$64,50
~
$39.50
$39.50
Remember to. add the State Surcharge en the bettem ef this applicatien.
The price ef yeur heating permit includes ene rough-in and ene final inspectien,
Additienal inspectiens will be billed at $35.00 each.
Heuse Heating Test Recerd must be submitted with buildino llWlIlil IIl.IIIlllm befere build-
ing certificate ef eccupancy will be issued.
HEAT CALClJLATl()"'~ REQUIRED with number ef supply and return apenings listed per
raam with CFM's per epening. New structures ar add~iens send f1ear plan w~h supply
and return locatiens shawn. 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.
C~y Hall business haurs are 8 a.m. - 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-4230
I hereby apply fer a mechanical systems permit and I acknawledge that the
infermatien abave is camplete and accurate; that the wark will be in canfermance
with the erdinances and cedes af the city and with the state building/mechanical
cedes; that this farm daes nat beceme a permit until signed by the BUilDING
OFFICIAL; that the werk will be in accerdance with the appreved plan in the
case ef all wark which requires review and approval af plans.
Y-kf~"'~1 ~'UJ.vIO
. (Appli ture
.r--
BUilrffical's Signature
/ -~q -0/
Date
/- Z~-() /
ate
02/13/01 TUE 15:40 FAX 6127805338
02/13/01 TUE 16: 11 FiX 6UU1./,245
FAX from Plumbing Sery
CITY OF PRIOR LAKE
1ai002
1iiI00l
el' ( OF PRIOR LAKE ~ =.. :.-
PLUMBING PERIIIT PP No. I'? /- ()()Y73
AppIlcMl" .p/lhr..klr~ WIXUI G:...;t--{Y ,",-:7"'~-7Fll - '1()Cl/
~: ~-Ei /..At...G- A.J~ f2izl:.t~ ' ...J .,. 'Cj
Signature: ~)~
UIgaI o.eortplIon: \.at ' p... 8Ioclr 4 SI>>~I 5'~ #d
sne AddlUE 1t/'I7,<) ~1JGr. I"s"~
EIulIcIng PennU /) / - 60 C,3 PID .
NOTE: This pennlrwlll_ be " , ..", ,wilhaul... ," Ie info 'd'. r\.
FIXTURE UNITS
,...c.... .._......c.t,..,
Quantity
,
I
I
.~
I
...+-
.1
~
Type of FJxtu,.
\. 88th Tub wltI'l or wilhout shower
i DlaIlwasher
Floor Oran
Quantity
Type 01 FIxture
t
Rough-ina
Water Heat.
Wilier SOIlner
Stand Pipe <_11I"1} machlne)
Sewage Elecror
Bad1llaW ".--tJft (RPZ. DcQlIe Chedl. PW)
Sac/dlow Auembly T_
Lawn Sprinkler
Olher
-IY
~
i
I Lavatory (balllroom sink)
1.. Laundry Tray (' or 2 co~ment sink)
Sho_ l;.lBIl
Sinks
I Bar Sink
I Water Ck lset (tollel)
r:J! SCHEl:lULE
i .
II' duslrial, C:mImeralal & Muhi-FamHy
i' % 01 job 0:11I1, 539.50 minimum)
I' esldentlal. New One & Two Family
I, uidenllal, Additions & Aha " :.
f late Surch arge
$119.50
539,50
$_
S ~.SO
s
S .50
__~AIDWITH
S /o-DSOIlJ)ING PERMIT
~
1111. ponIlIlII ........ ... ..........- .. , " .- , , - aiel
.,." ,~IaIlIClOlllplJ';,..1l . ".."........, ,;",,,..,
or...._PItlIhIliIIlJc-....dle,"" " . . ......,.
. ~7--U-OI DAm
~~ . ATTBT
Call tbr all '"", ..'-IIDS Z4hoals ill, I, ."....
16101 Eas1e ez,oekAv. S.E. Prior Lake. MN 55372/ Ph (612) 447-9850 I FAX (612) 447-4245
An Equal C"" ., ,,,,'t)' EmploJ'er
QRANDTOTAL
11/29/2000 20:33
1&127887091
VIRGO CONT . INC.
PAGE 01
,
...~.. - FR..
"aLLOW . "'-...tCA.T
GOlD-CIT'
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. 00 .oCJ1/
NOTE:
Sewer and Water
contractors must
be registered
with the city.
/ ' .
APPLICANT: \; I Y' ,'1 () (lOf0}r (i.C/I,uO r.... (PHONE:
ADDRESS: 75 ":i 1 ,s,.{ tLue 6lJ" DATE: II-.:r eJ.- tJO
'" Po I i. ."V"JIYo-1 5 5 '-I' f( q11
SIGNATURE:~ I~ (!)...l,l"'E- BLDG. PERMIT # ()O. 0
SITE ADDRESS: /~/qlC:; RAVe-IV Cau",TpID# Z.e:::.-:7JA-tJ'2fl::..Q
f
FILL IN THE BLANKS
- {
1. EstimRted length of water service~()
2, Size of water service I h inch(es),
feet.
3 .
Location of any couplings
4 .
Type of sewer pipe.
ABS
from structure
""c.h
PVC~ Cast Iron
,5'0'
feet.
5.
Estimated length of sewer line
feet.
6. Clean out (i f required). located at
structure.
feet
from
::~:-::::~:::~:~~:::-::::~:-::::-::::::~~~-~::~---------
~~=~===========i==================================================
FEES: $
~
$
35,00
.50
35.50
Sewer and
Surcharge
TOTAL
water line connection permit.
*
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
to insure that no duplicat9 sewer and water permits are
issued.
AMOUNT PA~~
REC'D BY
DATE PAID
RF.CETPT #
16200 Eagle Creek Av, S,E., Prior Lake, Minnesota 553721 Ph, (612) 447-4230 1 FAX (612) 447-4245
An Equal Opportunity Employ.,
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ,~e/~ 1<____ ~
NATURE OF WORK !'Jew
USE OF BUILDING ~R f")v> A I
PERMIT NO, ~ DATE ISSUED 10- 2&i':z=,a
CONTRACTOR . A.A>.I_ 1-1......", . ~'>I-<j~-::z.~ u..3.~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I '8 .\J~
I FOUNDATION (Prior to Backfill) I · I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~ 1;)11 fin .
I ' ~ .ill/[)I 3~Mfc~/ol
I "lith l rJ.(14/bl e~ 6:" i/3/0/
Ji", ~ ~_ "V;, Il>l G~ A,f' ,p?-, a-/;;/Io'
I ., 6>, I ~// /~/ ?~ 1!1.,fJIN
I tJ:I.. 1/!J,(,lo1 .
I J. Il
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
, .......... I I
FINALS
I ~fi
I ~-fuMd
I '
I rg, ~\v..
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OCCUpy UNTIL ABO;;\ HAS
NOTICE
I FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING ~ It, ~
HEATING (if required)
. FIREPLACE
GAS LINE AIR TEST
"
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
INSPECTOR
1 DATE
Il//~J/~O
I
J
J
~ ~~ ~ 0 (
4 {3DIDI
'I \-
~ ~ 1~\10\
~l
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have b.~..m_aQproved, 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
SCHEDULED
ADDRESS
/44 75 'Ra ve.Y\, Ct.
OWNER
CONTR.
PHONE NO,
PERMIT NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
(1,J;J FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
4i;~O(
TIME
--
I: I::,
() -OQ7/
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
....-~l F') f 01 .0 I
--- ! ,. 'l
_-YPf""v'V\t.J.i\O,rAi- Ci('~ve..u.n1 ~ (riliJt::S;
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~ v....,.....v .-~
;I' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR RElNSPECTION BEFORE COVERING
Inspector: ~ _\\ C/J.NJ Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE,
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
AOORESS
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED jj-/f-f it. r
I'ILI?S- K~Q.-r--
CONTR,
PERMIT NO,
0- 97/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
SrI
I'~<;UP + T&l (_,0,
clo..s.e +'\P.
COMMENTS:
-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR ,CALL FOR REINSPECTlON BEFORE COVERING
Inspector: , ~~ Owner/Contr:
CALL 447-9850 FOIJTHE NEXT INSPECTION 24 HOURS IN AOVANCE,
,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
g-'''Ol
PP1
PHONE NO.
1'-1'175' R&'VUl c.. T
CONTR, A \t~\ /<:ill Hnf!'.l~{,
PERMIT NO, 0r> - q 7 I
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
1'.FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
Jlii( E~ILLlNG
o COMPi::AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(",b Bn'J< - 0 It..
6I'Cf/L'"r t''.Jk
J( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
lnspector:~~ --OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
ADDRESS
I t.lt! 75'
DATE
SCHEDULED ~-~~~I
ka.ue/J (L-r
TIME
3;30
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO,
PERMIT NO,
D-17/
o FOOTING 0 PLUMBING Rl 0 EX/GRAD/FILLING
o FOUNDATION ~ 0 MECH RI 0 COMPLAINT
o FRAMING ~ I'v 0 WATER HOOKUP 0 FIREPLACE Rl
o INSULA T~ r' 0 SEWER HOOKUP 0 FIREPLACE FINAL
If FINAL 0 L 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTIO ~ MECH FINAL 0
COMMENTS@ c.._1'~ o. ~ (~)AL r7'Y'--
_~7:-ce'v-- ()~L o..-.-.Q o.Jb, .-cr-
V~; l~ IMA-.-A:-'" J
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,
~~~ ~dJ.-
o WORK SATISFACTORY, PROCEEO
o CORRECT ACTION AND PROCEED
;rr CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector:~" Owner/Contr:
- /
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
4j;;)o/ TIME
CITY OF PRIOR LAKE J~3D
INSPECTION NOTICE SCHEOULEO
ADDRESS /447':5: 1< a ,),o.M d,
OWNER CONTR,
PHONE NO, PERMIT NO, 00 -47/
o FOOTING o PLUMBING Rl o EX/GRAD/FILLING
o FOUNDATION o MECH Rl o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL ;d' PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: 1
1M a,/A fJ loA D 1-e.r
,
V'lt\pj-e,r
Ok"
.se~R<t.
".-
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ _ V tiMA Owner/Contr:
CALL 447-9850 FOR fHE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
I"'SNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED l/Z.~&'[Jol I: Ie;"'
ADDRESS 144 '/'5 io~ (It,
OWNER CONTR, 1('/
PHONE NO, PERMIT NO, O.C~
o FOOTING
o FRAMING
o INSULA liON
o FINAL
o FOUNOA nON
o DEMOLITION
o FIRE PREV.
COMMENTS:(/.) (1.1, __
.ar:J (lh1.o..-/J~-t... ~~,n-- ~ f't~
~ - ',.:-t- J
_ h _ ,_ .J L' ~~ A..t> ., S---?o en.
()Jh~, ~ -f-~ ~ '
(!)~ J- ~"ruf-rz-~ F~~
/AJ.-tvJ) .1/ .,;, ~ '
(j ;
~ 0 PLUMBING RI
o MECHANICAL
)(WATER HOOKUP
)I. seWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXCJGRAOJF1LL1NG
o LKSHORENVETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
/l7;;'; . f
L I
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ill GI/." 1" Ti tH. "II.... M
\~\\j~J'\-t-J{J ~
p.j:, 1k1Jl, r/"
2'da--Q ,
-Jo
'r ~ ,S=- AT
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~.
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!