HomeMy WebLinkAboutBuilding Permit 00-0973
PRI . 1
CI.~~X 0", <" '~rn~T"il1''f'I~o/ ~ p! CITY OF PRIOR LAKE
o ~ r-- .. '. I' BUILDING PERMIT,
en \ I OCT 2 5 . ],. MPORARY CERTIFICATE OF
\\ I ZONING COMPLIANCE
. \:J JTILlTY CONNECTION PERMIT
1. DATE
ID/z.5~O
DIRECTIONS
SPACES NUMBEREt. I I nnu -, ( ~UST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2SIT~5;;;S ML-tj~ ~;;}J j./vJ
3. LEGAL DESCRIPTION
LOT IS'
ADDITION -rA,.. _ WIL.l1'S.
BLOCK
/
HrId N
UJIj
4. OWNER
(Name)
(Address)
5 ARCHITECT (NVIINDWOOD HOMetr)
6. BUILDER :~1J.ePNiI'lg A~e. C., ~~.3fJC
"t3urnsville, MN 55306
7. TYPE OF WORK
New construction)t
Chimney 0 Misc.
8. PROPERlY AREA OR ACRES
Sq. Ft. /1, 9..44.
Septic 0
Addition 0
Deck 0
Finish Attic 0
Fireplace 0
Alterations 0
x
I I
SETBACKS: Required' ./
Actual
puD
PIDf)-;'- ?J::J..?J-n/c:;-O
(Tel. No.)
~~ -B44&
(Tel. No.)
(Tel. No.)
Re-roofing 0 Porch 0
Re~slding 0 Finish Basement 0
FOR ADMINISTRATIVE USE
18.PROJECJ'p~STNALUE
//Af)~,
19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETI~A~
Width 1~ t> Depth f<f Ves No r.:jj /tJ/
this application which is 10 the best of my knowledge true and correct. ] also certify that I am the owner or authorized agent for
the above men ned prop and all con truet n will conform to all existing state and locallaw$ and will proceed in accordance with submitted plans. I am aware that the
building official ca yoke t 's permit 10 rthermore, I hereb agree that the city official or a designee may enter upon the property to perform needed inspections.
'Z-Iq 7
/\ ~;gnature ~ ./ license No. Date
Front
Back
BUILDING DEPARTMENT VALUATION
Side
Side
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION IC{~IY'Y":). If) 1'\
~FTJ
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F H r M R S U
Division 1 2 3 4
Permit Fee .................. ......... .... .... $
1.11 '2. :2""-
7'2.2,Cfe.
7,;;\.5'0
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ............................... ........ $
Plumbing Permit Fee ....................... $~t"J. rJC:)
Loo . C<\t"'J
'3.c; . 50
Mechanical Permit Fee ..................... $
Sewer & Water Permlt ...................... $
GaSH ace Permit ....................... $~ .t.'!'.JI"?
Tht I ~e YOUrBUlldlngpennltWhen~prove:.
By Date 10' "3/- '2.ClCC
Certificate of upancy
City:
~
II' 11.'\.00
~
Permit No.
12. NO. OF STORIES
13. TY~~UCTION
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGV DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEV 0 COPIES
PLOT PLAN 0
Amount Brought Forward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ........................'\',
Sewer Tap ................................... $
24 hour notice for all inspections 447-9850
R...")O ,f')f")
I rI 6(') ,on
~, rogg
Iii $-
Pressure Reducer ..... ,_ ........... $_
MeterHom...............ry................. $~_" '~''.::-i.-"t' '._;'
Water Meter .........J......::............. $_ Z-~"Ol),
Sewer & Water Connection Fee ........... $-1. ~~O . ~
WaterTowerFee ........................... $ . 70fJ. "tf
Water Tap ................................... $
Builder's Deposit ............................ $-1... 5 0dJ . ~
Other ......................................... $
Total Due .............................. $_ ~ B 53. 2-1
Paid Rece~. 0.:]A (,A 2..-
I~~ . .1
Date 1+-91 ~ BY~ '( ')
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may procee a;';quested. This document when
s~ ~n~nute~ a temporary CeJ,7~~omPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner Date Spemal Cond~lons K any
5~~
bO.oq1>
Thr("nlrrof Iht L.heounll'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT l/),'/lJd wocd 0//0 me:.S
APPLICATION RECEIVED. 10 - d5' -0 ()
The Building, Engineering, and Planning Departments have reviewed the building permit
apPlicatiOjf; ;~?ction/~j:: i1; is 73k::t~ A / W
. -. I .
Accepted
Accepted With Corrections Y
Denied _
RevieWedBY:~~~ Date: ftJ-?I-~
Cnm~nts: () fl.
(t4.~~. ^-~ /1C'l.-1f~
"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."
€~~
00 .()Q1 )
,
Th~ Ce-nl..r of thO' L.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
; j I
NAME OF APPLICANT V/ I //--l
,
/ / <. / >) '-..J
APPLICATION RECEIVED
/!. :
- ':y
/ .. ..J.
_: J,
-" .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
. - I \ /.
Ir., 'IS !)) I r
..., ( . I ,/)
Accepted
/
i li!/j
i//.1/
Accepted With Corrections
Denied
Reviewed By:
~/~~
Date:
LL/s~m
,
v'
Comments:
,~r-, M~ W~ ~#k G ~
C'<< /~~. h~ F'I iJ'Vu<.~ ~v~
,~ t-.&zt\ \flA.,v vJ vQ LV I t-J ~O Lvv-b If
- .
"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
16200 Eagle Creek Av. S.E. Permit No. 00. ()C(73
Prior Lake, MN 55372
HEATING APPUCATlON I PERMIT
....
o:.le \ \ - ~ t..'l - 6{) PID II. z.6 -32..3 ~ 0/5 -0
Srte Address \ OS -;) ""..;- "'..J~, \ ~ 5. f ~ ~v-.."
'<;f. I ;
~)j .l5:.. Bloc:ll L Addrtion \4, \ ~ !. R o....\.w V. "\I
~nets Name ~ ~ " ().. ~..co c-, ~ \\ Cl \ot&.~ '
Address \\..\'\\\ ~~".... {\",\. ~w-,,~~~ \\0
Healing Contraclor f\..~\-V"t\ A-~' - -1i1 L.
Address. \ \n ~ ~ () \...h.\ ( (W...., A-v l
Telephone # ~ ..;~- '^.l.\l- 'lS\~~
,. ,
Furnace Make & Model \.... <,'.... ,,-
Maciel Size "" \l f' - \ \) I.)
Conn. load "11 \'\ ...") ~
Fuel rJ~\- AueSize -fV l
:E
e,Alleralions ..
fT)
NRepeir Est Co1l'P- Dale
f) .
1S)Es!. Cost$ \ ~. t)~~ ~ BuDcltng Plrmilf
IS)
IS)
,,!HEATlNG PERMrr FEE $
IS)
"! STA"IC SURCHARGE S
> '. - ,. .
o ..
zTOTALPERMITFEES $
Supply Opening.
\,
~
Return Opening.
g;npul A~.\llit> O,.~. "1"). J\R)
a: ....-.
o:dr.
'"
f-
~~m.
\~~ S-
TYPE OF WORK
Replacement
'P"l::' - \.Ll./<l..
TYPE OF SYSTEM
Warm Air PIanIs ~
Gravity
Mechilllicll .1(
Ail Condilionlng ~
Vent System
HEAllNG OR POWER PLANT
Sleam
Hot Walel
Radialion .
Spllclal Dwices
OIher Davices
New Conslnlction
)(.
nn - bCf13
,50,.., .. ~~~"'\"t
R8C8"'~-- ' ,
TYPE OF STRUCTURE
.._
:I. Grooo
l. v.....
Fik
Cl~
~
Single Family
C..........;al
)(
Two-Family
Industrial
Public
Mufti-Family
Olher
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heeling & AC
Residential, Heating Only
Residential, Gas Fireplace
Residenlia~ Additions" Merations
Fles;clential, AC Only
I%ot job cost /S39.50 minimum)
199.50 PLEASE NOTE:
S6UO Air Conditioner Units Cannc
$39.50 Encroach Into Required Side
$39.5C Yard Setbacks.
S39.5C
Remember 10 add lI1e Stale Surcharge on !he bonom 01 1M applk:atlon.
The price 01 your heating pennil includes one rouglHn and one final inspection.
Adcllional inspections wll be blled al $35.00 each.
House Heating Test Record must be submitted wiIh blliIlll!lg Rl!IDil number belore buDd-
ing cerllfocale of ocropancy win be issued.
I:If!I CALCULAT~NS RECUt REO with number 01 supply and relum openings listecl per
room with CFM'. per opening, New structures or additions send lloor plan with supply
and reIIlm locations ehown. HEJU LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372. .
CiIy Hall business hours are 6 a.m. - 4:30 p.m.
AU WORK MUST BE INSPECTED (ROUGH-IN AND RNAL)- CALL cm HAlL
447-_ Ftt<< 44"'7- Lj.z.A.S'
I hareby apply lor a mechanical systems panni! and I acknowledge lhatll1e
inrorlllation above is complele and securale; Ihallhe work will be in. conformance
wilh Ihe orclinances.ancl cocles of Ih.. cl\y end with the slale bulldinglmecllanlcal
cbcles; lhallhis form does nol become a permll unliJ signed by the BUILDING
OFRC1AL; Ihalltle work will be In accordance wilh 11111 apprOll8t1 plan in Ihe
cue of all work which requlrea review and approval of plan...
.~
\\-~~(J:)
Dele.
..tt..;l.;...oO:
Dale.
~. .~
:~~.~,,;;~~~?,;~~"
.' '~i:ir'{ ;;,~;; :~.i~:~:::~;;~:,:;'~~~~.i:;:~i;>~,;;~5;~li,;,i.:i,;:;':;~i;r~1~i~J.~i~~::h;~i!.~~~}r~~~.:;;,.~~iit~;li,,\i~*.k~~~l!:~:J,::L~~~v~;~~~'~\
<
...:
0'
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CITV OF PRIOR LAKE 177 <-
18200 eagl. Creek Av. S.E. Pe,mll No. no ~ 0 J
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
I.Pi.k
l. .....
J. Ydloo
F~.
C14J
CoIIcr.t'l1ll'
TYPE OF STRllC_TURE
'X.
Single Family
Commeroial
Two-Family
'ndllllltlal
Mulll-FIlmfly
Olher
Dale / / /2.ta.l
SfteAdd,... L~5 U)/1L2.J"
LDI _ Blodt Adallioo
Owne''eNamB W/^,OW~.o
PID.
P/f1'U:W1f4.f
PUbtic
Fee Schedule
Induslrlol, Commercial & MlIlli-Femily
AeBIde""a', Hqfjng & AC
Assidenlial, H8Illing Only
Residential, Gas Fireplace
Aealaenlfal, Additions & Afle18lions
ResldenUal. AC Only
1% 01 lOb cos( ($39.50 minimum'
$99.50
$64.50
$39.50
$39.50
539.50
Adtbll
rIl /iqA."'&iI <Z: ,.. .& '
rIl L;Qnl1aclo, I/~~L...<; t///n"!P S
~ AddI_J3Vo< J'f"7d1. I9-V .-</'.0,
r.l
TelephonUl...zt,3 55~ Jt/I./<
nhfJl.vc.r ;:J~
r. MIlkI&Mod.I2>y;r'~ ~N'S
. -
E.Y~5
rIl
llI\
r.l
::l
....
::>
'"
rIl
llI\
~
Remember 10 &del tho Slale Surchalge on lhe bottom 01 this application.
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mochenical
All CondMloning
Vent. Syslem
Tha priee 01 your heanl\g parmtllncludes one rough.in and one/inallnspeclion.
AdcltlonaJ inspecllons will be baled al $35.00 ellCh.
House Heating T88I Record musl be submitted with IlIIillIrJg IWIIIilll.ll!llll!u before build-
Ing cerllllcale 01 occupal\CY wil be Issued.
.I:lfl.I CALCULATIONS REOUIRED wRh number 01 supply amI ,elurn openings Iisled pe
'oom with CFM's pe' opening. New slruclurea or addilions SlIIld lIeor plan wilh supply
and ,olurn localions shown. HEAT lOSS CALCULATIONS, PAVMENT AND
APPUCATlDNS MAV BE MAIlED TO THE CITY OF FRIOR LAKE, 16200 EAGLE
CREEl< AVE. S.E. PRIOR LAKE, MN 55.172.
Cfty Hall business hou/s ara 8 a,m. . 4:30 p.m.
ALL WOIIK MUST BE INSPECTED (1I0UGH.JN AND FINALJ . CALL CITY HALL
m'IlI~~Y1-~~
, hBreby apply lor a. mechanical systems parmI! and I acknowledge thallha
Inlormatlon above i. complele 91\d accUlale; Ihallhe work will be in conformance
wilh the ordlnancas ana codes 01 the clly and with the alale bulldinglmechenlcal
code.; thalllli. lorm does not become a permit ul\llI signed by the BUILDING
OFFiCiAL; thai the work will be in accordance wilh Ihe approved plan in Ihe
r;s:lfW;?;;:~:i~ and approval of P:k~
AplHmlUx::e /1-' l!!t~OI
BUildingl!"ical'S Signature Dala
Model SID
Conn.LDad.
Fuel #41'7W....... Flua Size J h-
SuppJv Opantnga /
/
HEATING OR POWER P1.AHT
Steam
Hot Water
AIKJlalion
SpecialOevlcll8
Relllrn Oponinga
Inpu~
Output.
0-
'"
'"
o
...
'"
'"
...
...
...
Ed,.
Clm..
OIher Davie""
TYPE OF WORK
><l
-< AlIerallona
~
~ Repaj(
Replacement
_ &1. Comp. Dale
. Bllitdlng Pelmi! .
New ConlllUclion
..
'"
... Ell. Coil .
C1(i..- Oq~(3
z
~ HEATING PERMIT FEE S
~
PAlO W\iH
BU\\.D\NG PERM\i
... STATE SURCHARGE 5
o
"-
~ IUI"I.f"'I:I....__
"-
...
o
.50
.---. hRMITFEES
Receipt .
01-05-200108:17AM
MATTHEW DANIELS. INC.
423 3017
P.01
1.-
l. c.l4
3. YcDIallr"
1;10
c:;.,
<\fP1i-
TaIt c...", .J ,... ww C:-..I"
CITY OF PRIOR LAKE
PLUMBING PERMIT PP No.
Applicant ,.,(tJ#h'''1 ":J)""i,I.",. In". Phcne:1?S/)
Address: _/~O t'AjOrDIL..../ ~r' .P",__~'n!- /tII#
Signatl.lr&; .IJAr" ~~,,il ,,,,,~..........
Legal Description. Lot Bloel< 0 Sub
Site Address: /sfJ:'k> .JY- .,,1 LJ) c.....u .1> III . , h"-i .1\1:
Building Permit # n () . ocn '3 ~ PIC #
NOTE: This pe!TTIit will not be pl'OcsS$8d without complete information.
FIXTURE UNITS
06.()'l13
'/.23- .3t'l-'ln
5.s-l!J~!I ,
Quantity Type of F"lXture Cua.,tity
"-' Bath Tub with or without shower ;;'
~ I
/ Dishwasher I
I Floor Drain I
~ Lavatory (bathroom sink) I
I Laundry Tray (1 or 2 compartment sink)
I Shower Stall
I Sinks
Bar Sink
~ Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water SoMer
Stand Pipe (washing machine)
Sewage EjeCtor
BacklIow Assembly (RPZ. Couble ChllCk. PVS.
Backflow Assembly Test
Law., Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-Family
<1 % of job cost. 539.50 minimum)
Residential. New One & Two Family
Residential. Additions & Alterations
State Surcharge
599.50
539.50
$
5 'PI-b-o
5
5 .50
GRANO TOTAL
$ /tJtJ,lj/J ~ ~
I
,
i
16200 Eagle Creek Av. S.E.. prior Lake. ~nesoGl. 55372/ Ph. (612) 447-4230 I FAX (612) 447f4245
An Equal Crr-.--.Ity I;mploycr ;
Tbis permil 15 :nan~ upon the d.PrDQ condition that said.
concrrx:ror. shall ~omply in all t1:li$pcct5 widl the ordinllllC:C
ot Ute s....l'lwt1b;{fft. 11 the ""ondmcn" lh""",r.
.' O. I-q,o I OA
ATll!ST
Call for all ~ctioas 24 hOlltS in advance.
i
I
i
TOTAL P.01
6 PR/~
5 It\ E
GREEN - fILE
YELLOW - APPLICANT
GOLD - ell.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
s.w. No. 00 -q13
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: O.Z ES:Utl E U..
ADDRESS: 1~lIg JCrlX,V v..JI'r'f L/{()L. ~SC4Li
SIGNATURE: ~ L~~ CU.--v>k
) ..1 '
SITE ADDRESS: .!, 'Is. ;,.VTLIJ<.: P/lw.N.W
PHONE: 11'1;).-(. ~l.'L
DATE: /J/;'.Jc,'
(
BLDG. PERMIT # ()()-q13
PID#_ ?"5" - ~2.3 - 0 I S-n
FILL IN THE BLANKS
1. Estimated length of water service
,. .)
."....
feet.
2. Size of water service
,.
J
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC X
Cast Iron
5. Estimated length of sewer line
,0
feet.
6. Clean out (if required), located at
structure.
-
feet
from
=============7rIi-=- ==-fjf-===-=========================================
This applicati your permit when approved.
BY _ _ . ---- DATE: 11.21'()O
============~==================================================
$
$
$
FEES:
35.00
.50
35.50
Sewer and
Surcharge
TOTAL
water line connection permit.
* Fee for either sewer or water individually is $J?~ 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 duplicate sewer and water permits are
issued. '
\I'll'. .
~p,.\~G ?~....., \
~\)\",et
AMOUNT PAID
DATE PAID
RECEIPT #
REC'O BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 i Ph. (612) 447-4230 i FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
~~k,.,~, tdt.J .
- - {
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -'5'd... </.S- 1..t..1.'\"Qs.
NATURE OF WORK NeUl (\......1-
USE OF BUILDING ~J:" f)
PERMIT NO. I?() . 0 q73 DATE ISSUED /0 ~ t::ll -"2.oco
CONTRACTOR W,'\ArJ l~_ ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
FOOTING
, FOUNDATION (Prior to Backfill) 1,. \ rJM4 I;L) b Of) 13 l ~ Ii 00
PLACE NO CONCRETE UNTIL ABdvE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC I I?J ra.J 00
FRAMING S"W\-r" LII./",tM. I /fir. I//t!.hl
INSULATION I wIIl:.../::J.o\.d- IN 11/7/1>1 I
ELECTRICAL I I I! I .
PLUMBING ~ t ~ QL p,V 1l14~, f5 I Y ( . \\1
HEATING (if require.:!) vI ~. '-\' 1
FIREPLACE ,I '1>...v~. . I
GAS L1N'E AIR TEST ('rJ><(lJ r\(O/cll ~,~ 14r) alM,lcH l~\j~ I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,~ I I
FINALS
I IItff t3
I 'E.Un~
I . \
I~_~
I ~JJ
OCCUpy UNTIL ABOVE HAS
NOTICE
DATE
J /Ill tOI
( IDIO)
, I
j
.,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
x - -1, -Of
~II or
I .
;;t);l.i.101
<-II I or
. \ .
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, ca~d shall be placed near main entrance.
..
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
. . .'
~r~z.~.w;~~~*l
.. '._t, Il'- ,
i.l~ / )BC~~ ~~s: J~~ Ii.:.:.:'
(ii....i: j1'Final PermItted 0 CondItIonal C.O. ExpIres 1 t .
(y,., \~.
,. f I _
(~.'., : This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code !i!i.'.
(J'-'. _..r: certifying that at the time of issuance this structure was in compliance with the various ordinances of the ",_.,
( . '" City of Prior Lake regulating building construction or use. For the following: ';f;
(~
~~
it:
(~
(~.
(~"':
(;<~.
(.-:
\ o#I
;~
(.,.
Use Classificatitn
SINGLE FA.'1ILY
Occupancy Type
R3
Type Construction . VN
Bl, THE WILDS SECOND
Fire Zone
Bldg. Permit No
N/A
00-0973
70ning District
PUD
Legal Descriptio"
LIS,
ADDITION
Owner of Building
_ Site Address
15245 WILDS PARKWAY
Contractor'sNamc&Addrcs' WINDWOOD HOMI'S,
ROBERT D. HUTCHINS"B.V.
~ I /5108/ Official
, (
14311 EWING AVENUE S., SUITE 200
I~ity Planner
DON RYE
Date:
Oal<:
POST IN A CONSPICUOUS PLACE
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
g -7-ol
/'lY)
PHONE NO.
/52'15 W,'/cfj P /( Wy
CONTR. w,-ndw"htl JlnM~,~
PERMIT NO. {YO -123
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
I:i( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
jl(~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
Curb
/30x - 1"Jt:...
c.ewu. L.JI'.C.~ nt/+-- rd'
~ORK 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
DATE TIME
CITY OF PRIOR LAKE 0 A-
INSPECTION NOTICE SCHEDULED (j -:./S -1J L - J.
ADDRESS 1-'7) L/C;- [fJ~ PK:.~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()-973
o FOOTING
o FOUNDATION
o FRAMING
O)NSULA TION
~ FINAL
K-o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SE HOOKUP
o P G FINAL
o FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-
~
G.U,
COMMENTS:
I>\(
II.
'i!(
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~K. CALL FOR REINSPECTION BEFORE COVERING
InspectOr:$,\'n..<.M OwnerlContr:
CALL 447.9850 FdR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
Z.~I 3'.3C)
ADDRESS
IS7..4-6 Wllj)S PK-WV
I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DO~ ~1 :3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
j(PLUMBING FINAL
(0 -MECH FINAL
o EXlGRADfFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: r. r /
,!vv1Mf-) M~ ~ f:-
iN\ekr ~~~
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 't) -\l ~ OWnerlContr:
CALL 447-9850 FO~THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN$NOTl
DATE TIME
ADDRESS
/5;).'I~
SCHEDULED ~
/<):14 ~~
/1,' 00
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0- 973
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
\ll)FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
fIlS MECH FINAL A-
o EXlGRAOIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: \ . 1
- f-e.l'\MQ tV:I.'" \- d/l\)~~/.'" ~ ~ -r I hi.}- 5:
- '1~(ft:-b\b,~ emt,,~er-.
&>Ctt avl +rPP~ fU cieudupWl t>.M t-
'~"Ub:~t~ ~V'A~-hl
I t
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~,~ALL FOR REINSPECTION BEFORE COVERING
Inspectar:~. \I ~ Owner/Cantr:
CALL 447-9850 FOR THk NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
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