HomeMy WebLinkAboutBuilding Permit 00-0979
~~
" -
~.:: )~~!E,.RE~IVED
-1
CITY OF PRIOR LAKE
BUILDING PERMIT,
TE MPORARY CERTIFICATE OF
ZONING COMPLIANCE
---Aillb UTILITY CONNECTION PERMIT
\\ I OCT! 5 2tXIJ
1\\,
J uL--
I 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
\4-:l.~R \J()( J? ~ (~,QI Ln-
3. LEGAL DESCRIPTION
\0
1. DATE
lev2-5-Ob
R~I
LOT
BLOCK \ PID :;5- 31.. ~- 010-0
c;+h .A.6.d,:\,."UYl
ADDITION
\<..nob I-t;\\
4. OWNER (Name)
SQe"C ,-t\O'fr.Q
5. ARcHitecT (Name)
ChI f l? _ (;.LL+'r.
6. BUILDER (Name)
.:r~ k !+on,.esl ]:n'-.
(Address)
(Tel, No,)
(Address) (Tel, No,) q S 7..-
q'id.1 J.~,ndo1DAui>.s~alY<miI\5Mn ~I-Rb.l)q
(Address) n_ : (Tel. No.) (, 11--
\ 10 D'5 b H c..rrYW'/\, '\ ~'it\ "I 87- ;l.o 5 b
L..:...k€\J; lie) XV} 5s (''-I~
1. White
2. Pink
3. Yellow
File
City
Applicanl
Permit No. j)f)-OqJft
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) {Width)
t.L/ i
12. NO. OF STORIES
:::L
(Depth) I
'-In
13. TYPE OF CONSTRUCTION
'Si,~ Cum;lw
14, Flf>ClR AREA APP9BTbNMENT USE
,/~
,/
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
"""
//
SEATS
./
7. TYPE OF WORK Fireplace 0 Septic 0 Deck LJ Rs-roofing 0 Porch 0
New construction~ Alterations 0 Addition 0 Finish Attic 0 Rs-siding 0 Finish Basement 0 16. PROJECT COST~UE
Chimney LI Mise, -;l \ 0 I CO O.
B. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS , A.~ 110. CULVERT Sl~~ 17. COMPLETION DATE
Sq, Ft. "7 Width Depth Y,s €J 0:2.. - 2.00 I
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
bUildjn~.OffiCial.can r~vt:j<e piS permit fo~ just ~~~urthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed ~nspections.
X ,,""-'-- d- ~~,/ ~I"ll.~ /").~ 1'1. //, -.::l:S - t<i/)
( , (Signature 0 license No. Date
FOR ADMINISTRATIVE USE
Amount Brought Forward .................. ot
Park Support Fee ........................... $ ~5'l).t"Y-'\
SAC """.""""""""",.,,,,,,,,,,,,,, $---41 flt'l ."'~
Collective Street Fee ....................... t
Sewer Tap ....................................ot
<
Pressure Reducer ...~t8.f.~.............. ot
Meter Horn ... .... ............................ $
SETBACKS: Required
Actual
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO,
SPACES ON PLAN
PERMIT VALUATION 210.coo. 00
USE OF BUILDING
5PO
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 I U"tt'7 _
Permit Fee ................................... $~ . 25
"I34.~1
lo5.on
City:
Plan Check Fee ............................. ~
State Surcharge ............................. $
.
~
\V I
Penalty .................. ..................... $
Plumbing Permit Fee ....................... $
IOO.llD
loo.n....
~.Oo
40.1")1">
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
1 ~5.ao
II~OO .I'JC>
~t'l1'I .OD-
Water Tap ................................... ot
Builder's Deposit ............................ $-4-5t:cJ - OCL
Other ......................................... It.
Paid ?<~u7i~''1I;,.,~~~,~;~0$ ~fZ ~r~
Issued ~
Date JI-q -0 () By V
ThiS IS to certify that the request In the above application and accompanYing documents IS In accordance With the City ZOning Ordmance and may proceed as re u ed ThiS document when
signed b PI er oonstitutes a temporary certi~OmPlian9l"'nd allows nstruction to c'J("~ertificate of Oc'J!!!.]. must be issued,
, y-- _' C' ... ~ aA~~
ity Planner ale Special Conditions ~ any
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
ur BUilding Permit When Airoved
Date to.?" -'7~
24 hour notice for all inspections (952) 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
1./5" ~
~
.
Job Address .l'JR....... cf. /'f?,JT'
Heating Contractor AIR MASTERS INC
N4~e of Tester 1'1.1tri ~ ~ I L..tslG../
Date 3'/1'01
lY
o
Percent CO, <:;;
Stack Temp, "1'.J
Combustion air is adequately supplied per
UMC See, 606 ; ~.s'
Input 1/'lD1 (100
Percent 0,
Percent CO
00 - 979
ThO' C..nlerof lhe L.k.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J ~ k 1-1 () me-s ."L rJG.
I
APPLICATION RECEIVED 10- .;;1 '" - 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1J..jJ.. S"~ no uc- (- +
Accepted
./
Accepted With Corrections
Denied
Reviewed By: LLL- Date: //-/-00
Comments: ,st':E Ilv~ ~pe Fle fW/77tJ/l//Jt.., J;vR'JR/17/9//0/!/.
feE:' IITIllclf/lleM:J.- J) r;tJPL~a};;~ecT}IJAJ.1#IPbh'!JjPAJ ~)Ge~/1/J71bw
3) EmIo;J CJ/V'll?Jf.- ~ 4-) E):o5;Il,z! ~/bQ,}
"The issuance or granting of a permit or approval of plans, specifications and
computations s~~1I not be ~onstrued to be a permit for: or an appr9v.~I, ?~I an'y 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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Thf ("rot.,. of thr Lax" Count!'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLl~T
NAME OF APPLICANT J r:t k I-I () /) 7 C S
APPLICATION RECEIVED 10 - ,;) (." - 0 0
-r t-lL,
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ I-/.~ '6 B'
/) 1/ C.
+
Accepted
~
Accepted With Corrections
Denied
Reviewed By: 9^""- ~J-z~ ..--
Comments:
2Lf ~\ fkxJ~ idv"uulJa~ //\JI~ AX t-7~
~~ ~~U-r<."lO~'HJ \fD ('~
Date:
/;v~/~
.~D ~I\ Mw\~1M.uM ~.r()~ ~k, \i2 ~
{.eo, !+r.~_lAJ[teJ [DA~ ~~~ Q24.6 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,"
~1
GO .OY1q
Th..r..lllrrofth..l..k..CoUnll'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PI;RMIT APPLICATION DEPARTMENT CHECKU~T
NAME OF APPLICANT J $ k I-{ () mc.-s T Jv'G.
I
APPLICATION RECEIVED 10- ;;1 b - 00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Ii-/J.. 8'~ nO 1Je.- {' +-
Accepted
Accepted With Corrections
-..(
Denied (J. v Q I
Reviewed By: (rid~,A.
Date: /6 - -:1-1- 'ZOdO
,
Comments:
~. a.ll a~ u.....J~!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,"
~~
CITY OF PRIOR LAKE ~. ~:~ ~\It~
3. Yellow Applicant
P1rfJ~NG P~MlT PPNo. OO-OQ7Cj
Applicant' ~r0tr\+eW~1n(/k1b/~one: 6s/~ 775"'-/93 J
;~::;u~~: /;'~p;~~ 65; I ~4ffJ.
Legal Description: Lot _ Block Sut>
Site Address: /'(:J.. <;;r; f)1J11f. (' J,
Building Permit # ()O -OQ7C? PID # ZS-3"~- (J/O- 0
NOTE: This permit will not be processed w~out complete information.
FIXTURE UNITS
Thfl' ('('nl... of Ihfl' l..kf Coonlry
Quantity
:l
I
i
11
I
i
I
.3
Type of Fixture
Quantity
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
(
I
Rough-ins
Water Heater
Water Sollner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
I
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
$
$
$
$
,50
GRAND TOTAL
\j\Jli\-\
$ p.o.lO PEf\~\"
~\~\~
This permit is granted upon the express condition that said
contractor, shall comply "n all respects with the ordinances
of the State Plumbin a e amendments thereof.
. /-17-0{ DATE
,/' ATTEST
Call for all i/spections 24 hours in advance,
16200 Eagle Creek Av. S.E. Prior Lake, MN 55372 / Ph (612) 447-9850/ FAX (612) 447-4245
An Equal Opportunity Employer
GREEN - FM.E
YELLOW - APPliCANT
GOLD. CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
No.D/?- ()Cf17
NOTE: Sewer and Water
contractors must
be registered
/,1 with the City.
APPLICANT: fJ,L ~"-'I PHONE: {Sf '/S-I rf'"tJ"/O
(JdPo~ ~\ N,,.H..... ~,.tJ ::rG-/&.:hfD77 II - R - "'"
- /
,~~ ~ - BLDG. PERMIT # () 9' 79
(;(-" "-:, '
SITE ADDRESS: /4.:2:JrR [) U'V-iI.- er- PID#,VS- 3 ~9- 0 10-0
ADDRESS:
SIGNATURE:
FILL IN
THE BLANKS
Lf-?
feet.
1.
Estimated length of water service
II
2. Size of water service
J
inch(es) .
3. Location of any couplings from structure 0 feet.
4. Type of sewer pipe. ABS PVC ~cast Iron
5. Estimated length of sewer line 7f~/ feet.
6. Clean out (if required), located at ./Yl.A)
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This app~catioj:2be omes your permit when approved.
BY /:/~ _, _ DATE: /(-..l /- ail
t/.
------------------------------------------------------------------
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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 ~~fA4 are
lssued.eUILOING PERMIT
DATE PAID 1/- ;;J-.:;;L-O{) AMOUNT PAID
RECEIPT #
--
REC'D BY
~
16200 Eagle Creek Av, SE, Prior Lake, Minnesota 55372 / Ph, (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
...
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Dale
S~e Addtess .
Owner's Name
Address
Heating Contractor
t~,S(
Address
L'I'IOLL
I fr ,
. CITY OF PRIOR lAKE ~ \ \\ ~.fl \ r-J S'+A-I~
16200 Eagle Creek Av. S.E. Po:, No 00 -Oq7a
Prior Lake, UN 55372 . r - I
PIO.
D(Y\,J l'
()'\:
\'\6-0\
TYPE QF STRUCTURE
,,-
2. ar...
1. Ye](OIII
...
FiIo ~
at, a..
CGIltrtaclor ..J
cr
f-
a
f-
, Two-Family _ Multi-Family
Industrial , Pubic. _ Other
Single FamUy
COIIImelcial
c
HEATING APPLICATION I PERMIT
1- '7-t)/
fl.{ ~8
...
::B LoI _ Block _ Addilion
.~ - Ie.
.I ~oS ~
V
Fee Schedulo
Industrial, Commercial & Multl-Fam~y
~, J', \ ckr S Residential, Healing & AC
I-f it-f ~ ~ , '=',$ olM Residential, Heating Only
. I""-a N.. \ "'- II}~'//l Residential, Gaa Fireplace
; ~-'.kJ.- F; c...t.Jd ("-~ ,~ Res~n~al. Add.iona & Alterations
~- Reaidental, A.C Only
V'tv."l- '/hI r 1_
Telep/l<lnell
Furnace Make & Model ""- ~"}~"':c:..
Model Size f.:> \J l. h" ~ hJ
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent System
HEATING OR POWER PLANT
Steam
Hot.Waler
Radiation
Special Devices
UJ Conn, Load
u
S Fuel N /"'--\-u rJ.. Flue Size
tl.
UJ
!:!:; Supply Opeldngo
LL
o RelUm Openings
UJ
~ InpUI Oulput
:>
5dr.
~rm.
...
1'1 .
iA iJIeratlOns
'"
lepair
...
re", Coat $ t 750
I
gj EATING PERMIT FEE $
I
Z
8i TATE SURCHARGE $
JTAL PERMITFEES $
Othar Oewces
TYPE Of WORK
Replacement
ilJ-.
New ConslrUClion
. Est. Compo Date
Bu.dingPerm~1I QO~
.~ _..pJflJ)
\. v../
t% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39,50
Remember to add llie State Sulct1arge on the bottom 01 Ihis application.
The price of your healing permit includes one rough-in and one linal inspection,
Additional inspeclions will be billed at $35.00 each,
House Healing Test Record must be submilled wilh 1!llili1lnll1!el1llilllWDl!m: belore OO"d-
ing certilicate of occuP8llcy wUl be issued,
I:IE& CALCUlATIONS REOUIREQ wilh number of supply and return openings lisled par
room wIIh CFM's per opening. Nf!N\/ structures or addilJolI6 sencllJoor plan w~h supply
and return 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 hoUls are 8 a.m. - 4:30 p,m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) _ CALL CITY HAU
447-4230
I hereIJy apply 101 a mechanical ayslems parmi! and I acknOWledge that the
Informalion above is complete and accurala; thallhe work wlII be in conformance
wilh lh& ordinances and ,codes 01 the city and with the atate building/mechanical
cOd&s; Ihat this lorm does nol become a permit until signed by th& BUILDIIIIG
OFFICIAL; that the work will be in accordance wflh the approved plan in the
case 01 all work which r&quil&s review and approval of plana.
--1:J~ &.~J.a.';'J _ i ~ 7 - 0 /
Applicall~ - Date
1- 9 r 0 I
na.t..
TYPE OF STRUCTURE
1. Pinl
1. Gr<<CI
J. YcIl10w
File
City
C""""""'
CITY OF PRIOR LAKE Me
16200 ,Eagle Creek Av; S.E. Permit No. 00 - (J III 1 ~
Prior Lake, MN 55372
HEAnNG APPLICATION I PERMIT
Date 1110/01
S.a Address /41.A.J Do n. e +-
Lcl _ Block _ Add.ion
Ownlll's Name J -t 'CO t(o~e r
Address IlIo')'" 'HAIl.vl\&1I4 I1A ~ LA- I<EIIILl5., WI,) <;"'SlJto.{
Heating Contractor _II It.. lYV\~i~ ItJ ~
Address I ~ \,q Cl fr'l(l..&Jf~ kllf _ ~ I oy lrt'pLE v4l1t~
Telephone' Gl S- L ~ lO 1- Jq 1 'l-
Furnace Make & Model J- W AI 0 "I-
Model SIze r.- 2- V Q?, / ~f fl1
Com. load
Fuel --1Jl.l.--
SUl'!lly Openings
Return Openings
Inpul/(}:>: tJlJ 0
Ed],
C1m. f6fJO
AJt.er&!lons
Flue Size ,..
/8'
q
Outpul 012.000
,
The price of )'Our healing permil includes one rough-in and one Iinal inspeclion,
Addilional inspedions wiD be Dilled al $35.00 each,
House Healing Test Record must be submitted wrth Illlilllnll JlI!ll!illllllllbtr before build-
ing certilicale 01 occupancy will be issued
j ~ /.,,,_!::!fAI ~ALCUlATlONS REQUIRED with number 01 supply and reMn openings listed per
-""room with CFM's per opening, New structures or additions 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.
PIO'
AIR CONDmONEIJUNlTS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
TYPE OF SYSTEM
Warm Air Planls
Gravity
Mechanical
Air Conditioning i LA II I t:
Vent. System
HEATING OR POWER PLANT
Steam
Hot Waler
Radlatkln
Special Devi.-
Othlll' Devices
Replacement
TYPE OF WORK
New Conslruclion
)(
Repair Est. Comp, Dale
EsI.Cos!s,wF
Building PellT1U ao - 0 q 1 'I
~
",,\0 "'""__
eU\\.D\NG " ~
Receipt.
HEATING PERMIT FEE S
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
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Single Family
Commercial
x
Two-Family
Industrial
Public .
OlMr
MuIli-Family
Fee Schedule
>-'
>-'
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1% 01 job cost ($39,50 minimum)
$99.50
$64.50
$39,50
$39,50
$39-50
Induslrial, Commercial & Mulli.Fam~y
Residential, Heating & AC
Resklential, Heating Onl\'
Residenlial. Gas Flrepl8lJll
Residential, Additions & Allerations
Residential, AC Only
~~ 'fS IC.:{
Remember 10 add the Slale Suroharge on the bollom of lhis application,
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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: (ts2) 44HI850 F..: (952) 447-4245
,I hereby apply lor a mecl1anical systems permit and I acknowledge tl1at the
, information above is complete and accurate; lhat the work win be in conformance
wi1h Ihe ordinances and codes of the city and with lhe slale buildingfmechenical
codes; thai this form does nal become a permit until signed by the BUILDING
OFFICIAL; that the work wUJ be in accordance with the approved plan in the
case 01 ail work which requites review and approval 01 plans.
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Appllean
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Dale
1-11-0 \
Dale
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Building Offi't' Signalure
PRIOR LAKE DEPARTMENT OF
.. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~~ lhrP (L\-.
NATURE OF WORK ()Pl1' S~C>
USE OF BUILDING S~f)
PERMIT NO. (J(). 0 f(7q DATE ISSUED (0-:')/ ~?CJOO
CONTRACTOR -.J II: \< I-\~ C.l-a- ,8'?-2aS'=>
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
~ DATE
I IlkJ8Io
I FOUNDATION (Prior to Backfill) l &n lIt/I / IJT>
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGHA INS . . /
SEWER/WATER/SEPTIC ~ 1'Z/~/tftJ
FRAMING ~. 1/;,;;-/0 I
INSULATION I 'JpSh/
ELECTRICAL I I
PLUMBING ~. ~ Ui.\ . ~ ~. II W:r (ff &' It.it ~ ~d-/ /a I
HEATING (if required) MJ{c... I~ I J/~-,;;;-r--'
FIREPLACE"'/~I ~. I J He, 10 ,
GAS LINE AIR TEST ~ q I ~. I / 1~/ol/' .
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I Wnud_,H" I I
.. FINALS
GRADING (Prior to Sodding) ~ /1/6' 7 - /r :2 J
BUILDING-r-.Q..f> ,iJ-J. ~1~1fl tan 't~tJl 1:2r'
ELECTRICAL I
PLUMBING 1_
HEATING I ~.
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
, FOOTING
I 16 11 {),Wj
~
1//3/0/
",---'
I ,~ ," j . I
I .,Pdtr /
.J
BEEN SIGNED
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have been 'aF/proved. 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
J
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/4~
.lX!//8 c:r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @J
o INSULA TIO
1i(FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
,560 /--m~
COMMENTS:
DATE TIME
t;'-/,'S-,)/
I.'!~
tf7J - '171
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
J
(If Ik--L- '-::?- ~ ~
~L' ,-) .AkA.u~~f- e ~
/ J
I' WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPECTION BEFORE COVERING
Inspector: 12 ( Owner/Contr:
1 .
CAll 447-9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1'-/;J-tf"/7 ~t/e
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: (!))
(2); ~
CONTR
PERMIT NO.
o PLUMBING RI
o MECH RI
K WATER HOOKUP
l!- SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
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Inspector: ~_ Owner/Contr:
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
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SCHEDULED "J/zr/o, /tJ:OD
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OWNER
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PHONE NO.
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o PLUMBING RI
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o MECH FINAL
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o GASLlNE AIR TST
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Inspector: ~ ' Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
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OWNER
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PHONE NO.
PERMIT NO.
DATE TIME
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Inspector: .~. OwnerlContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE
INSlVOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
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SCHEDULED Lh~5"-O)
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o CORRECT WORK, CALL FOR
Inspector: ~
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PECTION BEFORE COVERING
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 7 -/~-(Jl PlY)
INSPECTION NOTICE SCHEDULED
ADDRESS li{]8~ Dove LI
OWNER CONTR,
PHONE NO, PERMIT NO. n()-979
o FOOTING o PLUMBING RI 111:: EXIGRADfFlLLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)(.FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
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o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector#~~ Owner/Contr:
9ALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ