HomeMy WebLinkAboutBuilding Permit 00-0983
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CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
laL..- DwJf C-t rQj-e.;
BLOCK I
AJOf"lht, )l1Jti (()J)15
\ ~.',
DIRECTIONS
SPACES NUMBERE&+1'I11'lU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE AOORES3~o~
3. LEGAL DESCRIPTION
~CJ
ADDITION ~roc.
1. DATE
Il'do-ao
R/S])
LOT
PID~~~-; ~ '11- Od9- 0
~(-h2JeS
4. OWNER
(Address)
(Name)
5 ARCHITEC~ /{l;7e.D
6. BUILDER (Name)
-2. (Address)
...,4CfS u)2Sh,ncJm
(Addles'!
(Tel. No.)
6 (Tel. No.1
t ,,.., .(,J
'!>t.,)#. ,'t'qvS I . ". ~l...
(Tel. No.)
(J 7~V
~CUL~ !>m';:,- (blls4. )0'f113 fH;s~~J6(~ (PSI-4~..(,I'1?S?l
7. TYPE or WJ>RK Fireplace 0 Septic 0 Deck 0 iRs-roofing 0 Porch 0
New Construction X Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney a Misc.
1. White
2. Pink
3. Yellow
File
Citl
.........'
12. N03 STORIES
13. TYPE OF CONSTRUCTION
~f0 ~1)(l:lP
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
X:o ('jQ()
- I... .
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
S~h:~b~~a~e fumished informe:~:t~n thiS-:;1i Dt~:~hWhiCh is to the best :e~y knOWled:: true and correct. I also ~~t~~e ~r'; a~~~ ~t -
the abovn mentioned property and that all construction will co form to all existing state and Jocallaws and will proceed in accordance with submitted plans. I am aware that the
bUildin~ officia.L ca~oke this permit for just cause. Fu ore, I hereby agree that the city official or a designee may enter upon the property to perform neljlded in~pections.
X '-1'1 "><~ J.) ~Lj_ 1 C;!cy)") i.J~1 11/.JiJ./d"l
SlQllature f license No. Date
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
~ <, t= I)
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
~~OO/O=. 00
~_f.~.~
TYPE OF CONSTRUCTION: I II III IV V
OccupancyGroup A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $---1,6-P\ t-r. '2.<)
Plan Check Fee ............................. $ t, 'J ~(,. 7/
J s() .tJC>
State Surcharge ............................. $
Penalty .............. ......................... $
100.00
II) (}.dO
"SS". sO
GaSrPflrePI perm.. it ....................... $ 4-0.00
/")
This ppl" . ~n ~mes Y~r Building Permit i~ APrroved.
By. /- )---- . ~ Date - - :7~0-
Certificate of ~cupa~'
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... :or
City:
~o
\",,\
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
.
Pressure Reducer ...?b................. $
Meter Horn ................ .... .... .... ....... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................". $
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Rc;-~. Or)
l.roll.CJiJ
tfJ- ~o
l?-.~ 00
II ':l (')rJ (')0
It"lll ,~ ()
Water Tap ................................... $
Builders Deposit ............................ $ I. ~O() ~ Oct
Other .............................. .... ....... $
Total Oue .............................. $3. () 5q~
Paid t7 /} 5'1. 4 Receipt NJ/3 (R:f /
Issued A) /
Date. 'J2--IQ.rJ7j By /y~
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" requested. This OOcument when
signed b City er constitutes a temporary Certifica-.!.e 9' Zoni.9Q compliance Y'd allows ~o.?1ructi~ ~m,Q1ence. BeIO. re occu.pa~. U! CertifiS\lte~~~::t be issued.
~- ... I'Z/l~/"",, "G:?" ~<.:.k Jj ~ ~ G ""
Planner ,.. Date Special Conditions" any
24 hour notice for all inspections (952) 447-9850
Job Address J,;a 'f to. /( c I)lv~P
.. Heating Contractor .La..E~~/
Name of Tester 7?~ --'I
Date 'T"-.l'l-o/
Percent 0 ~%
Percent CO, 7';6
Percent co 0%
Stack Temp: //"lcr
,.
White . Building
Canary . Engineering
Pink - Planning
Th, ("C'nlfr of lh, lIkt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -'!1~. tf?//J2tJ _ I aw.d
/
APPLICATION RECEIVED 11- u- '20=>0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
"3~ ocf /JlurT Or.
Accepted
Accepted With Corrections X.
Denied /) ~ /IJ /
Reviewed By: ~ (~A.
Comments:
Date:
/2-1-2<<J~
I. e.....,1. a.{~ ~J ~~t<:J.
"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."
White - Building
Canary - Engineering
Pink - Planning
~
Th~ ('fnln of thf I..kf Count!'}'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
"l."
/1 (
. r l i
i ,._, I
,
/
1-
r
; / ,-,l''''''J
APPLICATION RECEIVED
" j-
,1 !
cO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
..-<'...':',J()<-/. ,I. k'j. f ' ,'~-
,~, )..(/ "=.,,./ ,
Accepted
'.
Accepted With Corrections
~
Denied
Reviewed By:
C/~~~~
Date:
t~ /Jl-5 / t)()
Comments:
c1-~ R- ~i VvuMA
~1 'fM
JD 0~~
V~~~),~~/;t--
~ \1M) /1) ~ 0 ( Lt)
"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."
oo.cfjBJ
Th~ C~nfu of Ih.. lab COIml!')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLlSr
NAME OF APPLICANT
APPLICATION RECEIVED
/jllr) 11/ Ie c/ 8 ro5.
I
IJ- ;}.. '/- 60
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2;;201/ LJe- B/~-rF cL;r
Accepted
Accepted With Corrections
v/
Denied
Reviewed By:
LLL
Date:
/ Z//t;//Jo
Comments: _.5~€ !<EvP7?<'J: ~()tz foe Aoomo;.}.AI- I';fDlZmAr/fl/IJ_
II) () -rz:;- 00
,) 1ItE J/:r:6H ~/"rr ALOIlY; 77Il;; ~urll' PteoPE/i!TY mL8rAJtJT
E'<:CEEO 9 ~ 7. Of) (rills 8 7lI~ h,CW-F./I.GV OreeRtlVI JUv~.
2) file /1l/W/lLfmJ thtlELJ/lt/ MP77II1T7JI~ R.atJ.. is '<1.../i- t
(OAl 'THe: 5bt1~~ // 5~~ Z~:;Frl
v
"
.5FF /k7Jc;(dJGiIJ75: J) be/70//lJm fbw 2).E~rN..fitymJL ///E7J.5VIC€3
3)CROSION ~17POc.. flAltJ
"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."
HEATING APPLICATION I PERMIT
Date 3-)J.j-0) PlD# ZS-371-0?-Cf-O
S~eAddress J,;:).()Lj Lc..b_ AJ.I!J Cj/l,
Block Add~ion
Ownefs Name ~/Y).lf) J L fl.J)..I'~
t1
Heating Contractor dcl!t/l Off) ,).!~ tf}--/C-
Address ~ () ?? ~Lhulru L rI1A ., Fo j)/tn.unl5t1JY?
Telephone # c.,c';) - JiM C1 [?,1fJ ~ J (/
Furnace Make & Model r;:e P - AIR CONDITIONER UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
Model Size / ()C~: () (") TYPE OF SYSTEM
Conn. Load Warm Air Plants
Gravity
Mechanical
Air Condition inn
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Lot
Address
Fuei
Supply Openings
Return Openings
Input
Edr. .
Cfm..
Anerations
Repair
Est. Cost $
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
On - OC/B3
Flue Size
:s II
)q
q
.output
TYPE OF WORK
Replacement
New Construction
'i.
Est. Comp. Date
Building Perm~ # .
()()-o9B3
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
pf>,\O wrn-\
eU\\J)\NG \,~p.i".rr
Receipt #
TYPE OF STRUCTURE
l. Pink
2. Green
3. Yellow
File
City
CODttaCtor
Single Family
i
. Two-Family
Industrial
Public
Multi-Family
Other
Commercial
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residentiai, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildino oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS RFOUIRED with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with 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 hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone: (952) 447-9850
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
caSIh;;~:lires reVieW), approval of PI;._; if -() L
, I -fl Ap~al'll's g OJ'!! /J . Date
.~~ ~ ____ .:3-/9-0/
~'Buildinyoffical's Signature Date
r:Ibr .l~
CITY OF PRIOR LAKE
PLU".ING PER,,"
A,. ." S~QY Q\um'o\~
:.:.r ::~~:drt~~kJ~~e S't
.~. -1
~ c .,... LaI Blaok Sub
.. & JJ h: ?\~Q~.l 2lJl \?~. Q....~
"--.."". nero ()4~ PIC_
. ~ ". pemIII" nat 1Mt. .. . wtltIoUl COIlIpIlll. inform.llon.
IIIXTU". 11I_..
QUMlay
-3
{
I..... ,,,.
L QoIoI at,
J. t'..... AfllIioIM.
PPNo, 00 -()403
.Phone: Ot"'S~-44)-{., 73L/ _
'r>r.or Lo.\<..Q
..... c....... .. ....-..,.
~
r\\f:f' ~.
\ '{:<(;/D
Quenllly
~
\
l
Y
\
d-
(
o
Type tI FIIdIn
Typ. of Fillluro
IeIh TutI we! or wIltIOUl
Rough.in.
Water H..tor
! Floor DIUl
IA..IDIY ~ ,Ink)
Wal.r Softn.r
Stelld Pip. (_atling mec:hin.)
Sewag. Ejector
I B,.., . _.mbly (~pZ. DOuble Check. PVlJ)
J "ckflow ....mbly r..,
I Lawtl Sprinlclor
j Othor
,
· "'"Or Tray (1 or Z CDInpa ,
, 8lnIc)
.1 1tJ.._.II 8IaI1
\
J
(
8InIla
.., .",11
-- CIGMI (tollM)
lIB ~ II>VU
lir. 'w.e.. .1 .~8IllIy
('" tI 1M eo.t. ".10 IIIInInlulft)
" . ,.....O".Two~
--. S! ..... .. f.,"~. III
s
s
s
S .50
. PAID WITH
~\\..D\NG pE.RMIT
..50
131.50
GIWID TOTAl.
TIIIa .... io __ .... doe...... _, , " " .... NllI
-.-....,.,11I ., _....__
"'..... """"- CollI... ... . , .. ,_.
I.. ~hhfJ4/ ~. 7.-01 DATE
~ AT'T'IST
4
c.u ronD.. . .1.. Z4..... ia-....-.
16200 Eqle CNllkAv. '.E.. Prior lAb. MiAnctoca 5'3721 Ph. (612) 447~230 I FAX (612) .a..17-.124'
-......c.," .." lor........,.... ~
~
12/19/00 TUE 12:16 FAX 6128902753
STOCKER EXCAVATING
~001
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c.
Q,lftU- "-II
YnLOW . APP't.JC.,q;r
GaLD - ern
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO. 00,0183
NOTE: Sewer and Water
contractors must
be registered
1Jith the City.
APPLICANT: DC l1eehlln1c:al/S~Deker Exeava~ing
PHONE: 890-4241
~~l7iLDATE: 12/19/00
BLDG. PE1<MIT * 983
PID# 25- 37/- t)Z-"I-O
ADDRESS: 82~ West: 125t:h ~~.. S~:"are. MI>1
SIGNATURE: 0 )~(41 J:j; V;~
SITE ADDRES~ 3204 Lak.. Bluff Cird..
FILL IN THE BLANKS
1. Estimated length of water service
feet-.
2_ size of 1Jater service
inch(es) .
J _
Location of any couplings from structure
feet_
4. Type of sewer pipe. ABS
PVC v
Cast Iron
5.
Estimated length of sewer line
feet.
6. Clean out
structure.
( if required),
located at
feet
from
==========;;;;;iiiiiiiiiiii _iii";;;;;..=;;;;;;;;;;;0iiiiiii'ii;i;;;;;;____-";;:;====_____...._.___ ...=--==~===!!:!!!-==:!!::._---......;
=~=~=====-=-=-=
This applicatio
BY DATE: /7/ Z f. 00
FEES:
$
s
s
35.00
_50
35.50
Sewer and watar line connection permit.
Surcharge
TOTAL
*
Fee for either sewer or water individually is $20.00 plus
S .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued _ "
RECEIPT #
REC'D BY
.rJ~~
~p..\c. G ~
'OJlP\~
DA.TE PAID
AMOUNT PAID
16200 Eagle Creek Av. S_E_. Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
-"--
07:1B 651 633 BBB4
FIRESIDE CORNER
CITY OF PlUOR LAKE
HEATING/AIR CONDITIONINGIFJREPLACE PERMIT
#3127 P.001/002
J~.U::~"'W
I. rink
.. ....
,,-
~I_I PERMIT NOOO- Of tJ !
(PleallC!"r gr mint an4 rD"t:D. atbor;tr;Jm)
ADDRESS //A
~';;O(j /f~ Mil
ZONING (0_.",,)
1?15D
LEGAL DESCRIPTION (olli"" use ""ly)
LOT;1- qBLOCK J ADDlTlONLj)rriJJuutXJd d)l,JuJ. Bf: ;},~
PID ),S- 37/- ():J9-!J
OWNER /n11""h..t< ~ ~
(Name) f ----;? '//FU
(Phon.e)
(Address)
APPLICAN!'
(Name) ALLIED FT.IU>SIDE DBA FIRESIDE CO!lNER
(Phone) 651-633-256J
. (Phone)
(City)
651-633-25&1
S~, "
(:Zip Code)
(AcWW$s) 2700 N. l"AIRVIEW AVEI!IUi
(Addtes'l
5RENDA HUSTON
(Contact PetSQn) _
APPLICANTS!GNATURE -4A 1J..r-,=--
,
APPLICANT PLEASE COMPLETE BELOW
Qi'lJ'lEW CONSTRUCTION 0 ImPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWann Air Plllnts ] St.:am
DOravU:Y J Hot W_
o M..,bOllfeal J Rodl./Jon
OAfr CDnditioning 0 Sp""loJ pevices_
DVonr. System 0 Other J)cv;.;..
'7nc:.'SO"WTT,T'.'" M1Io7
__ DATE
C/llr/~
,
)
PLEASE !'lOTE:
Air COllclitioner Unils
ClIlIDot Encroa<:h into
Required Side Yard
Setb~ko1
FIREPLACE MAKE AND MODEL
"lu. L) r; (.,
,..
&~
Ind"'b"iol. Commo:rcM &. Mulll-FlII1lily
FEE SCHEDULE
t % of job CD.t Residcndal, Ga!; l'in>ploe<:
$39.50 minimum
$99.50 ll...id""ti.l, Addition. & AIDmltion.
$64.50 R..idential. AC Only
$39.50
Rcsidonlial, H...ting & Ale (Now Constn~ctionl
Residentlal, Heating Only (N.'" Con~nn)
$39.50
$39.50
Estimated Cost S
BI~jJding Permit II
,
HEATINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
su PAID 1MITH
IWING i--ERM"
. "1
IOme. u.. Only)
This Application Be<<llll.' Your Bulldlnll Permit Wben Approved
Paid
Kcceipt No.
Boildlo, om".,
1).11:
Da!~Lj_(3-ol
By <;c.-
.0
14 IIodr noti"" for all insp""tlonsl1lS1l 447-985Q. ,... (95Zl ...,....245
PRIOR. LAKE
INSPECTION RECORD
'B/''v~ ~.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS -3 ~f') t../ ;L, 14
NATURE OF WORK 17". I
USE OF BUILDING .~ F'.p
PERMIT NO. ~- ()q~3 D~TE I.~SUED I? -1- ~
CONTRACTOR , ~ft1: (I...~ PHONE~-4'~?-o12'1
NOTE: THIS IS NOT A P MIT FOR ANY OF THE INSPECtiONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
I rfn.
I
, FOUNDATION (Prior to Backfill>P:::: I ~ t/1 /<11 I ffi:h / //2/ (j J I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIG/'JED .
ROUGH - INS
I JS,0M
I 1:') ~\f 00MIf
I ~_\i"-Va~
I I
I i5~M
I "8 _\J~
I l
~i"l ij -\J~ 3)&3)01
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
fQ5
, .
~.
I ~,JIM'~L, . C'~(}O(
I 1R\1 CW&1 <:; l:t~ t
OCCUpy UNTIL ABOVE HAS BEEN 'SIGNED
NOJ"I_CE
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.
, FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding) .
BUILDING /,-f'~ --\2? ~+~
ELECTRICAL ., .
PLUMBING
HEATING
DO NOT
DATE
I / .J"5'/t;}
~!t~ 101
.
~),OtlO(
I
~ to. 101
.
J
//-/~ .N
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
p~~lI.'-"'; .......
,.:.J...... ,.I,Y;t,:V;t.~..lt.~.t;;t'~t.......'t.,...~j'". ..j~..~t~ ~t...~t"'.."'t"".""j"..~i. i>>!':t. .'. .,
J',,,. ,,', -'-' ',"". ....mi'~~~.'""'~-..)ilI~',"1';--'.~. '. -. "'~.."'~" .~.~.~~....."....i.,.... 'l.~~'~
i., : I ww .. ,=s;:;",;., -.,. '=ar n~ 1
;i.! QLtrtiftrau at OOrmpanry 11-
~.i CITY OF PRIOR LAKE
ii ilepartment of jiuiU:rinll Inspection
?~: ~inal Permitted 0 Conditional C.O. Expires
f "'~.);;...." This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
. certifying that at the time of issuance this structure was in compliance with the various ordiNl1lCes of the
l .
'" City of Prior lAke regu/aJing building construction or use. For the following:
:Ir.....
I .,.,.
\ '"
It!
I~!
.
\\: I
I"; I
..~.
~
Use CJassificatiron
SINGLE FAMILY
Bldg. Permi. No 00-0983
N/ A Zonin D.. Rl SD
g ISlrict
R3
Occupancy Type
VN
Type ConstnJction
Fire Zone
Legal Description
L29, Bl, NORTHWOOD OAKS SECOND ADDN.
Owner of Building
3204 LAKE BLUFF CIRCLE
~ite Address
Cootraclor'sName&Addrcs.MANLEY BROS., 10778 ALISON WAY, INVER GROVE HTS., MN
ROBERT D. HUTCHINS C. PI
_ Ity anner
Dale: ~ 0(U:;i1di~g;2,1illk1 Dale:
[ , POST IN A CONSPICUOUS PLACE
DON RYE
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
-",~~o4
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED I~
Ltk ~1l.L ({' G'rJe
CONTR.
PERMIT NO.
00 -Q8"S
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~u,o~ c,..()[
clOSL ~'\e....
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, fALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ -V 0>>4 Own",!Contr:
CALL 447-9850 FOR T.k NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
- _.__._._,-,--------_.__...._._~--,.~._"~.
INSNon
(, (,.01 z.:w
3W4- t-rtt:.E ~~VrP UK-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
OA TE TIME
00 - 1%3
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
FINAL
o SITE INSPECTION
COMMENTS:
T~o.r-n,,:\ ,.,d a.ll:::
+a,rl.. .c:av~e- ,"., .
ill$~11' ~ 1j,J/ ~-+ef# c!ev(-cP.....
r.nlAlk. +tlC~..te.<.. - Ma..~ kJa:tI\. \
l'.t~oJl ~ ,1+ 4e... ,-eh ':..x'l'pft- ;2.4 \ 1i.("~Je,
od J u.$> t' b ~.,.\+ t'ie... ~Gr- v/
o WORK SATISFACTORY, PROCEED
o <;,9RRECT ACTION AND PROCEED
/CORRECT WOR~, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~,~~) Owner/Contr:
CALL 447.9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOT1
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~-2~l
PHONE NO.
S~(JI{ L-a, K e. R /u?.{. C;'I'
CONTR. ll1~n 1(." 8rtJS.
t
PERMIT NO. (9() - C; g 3
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~)Cor:lIlArilJILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
Go;"},,, - a.
Ldrb &v aIL.
)(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 INS~ECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INS!<'OTl
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.ff~3I-o I t7;~
B I t0rf'
ADDRESS
(-:; Jf)L/ MICe
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6-915
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~ SEWER HOOKUP
t1 ~LUMBING FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~RK, ~All FOR REINSPECTlON BEFORE COVERING
Inspector: . is, J)~ Owner/Contr:
CALL 447-9850 FOR ~E NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ