HomeMy WebLinkAboutBuilding Permit 00-1008
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Tr-.... r- -:;-"':":::--~,,; .~__
. ' \ Il~TFRFr.;;\fel' ., c'.'!~ OF PRIOR LAKE
'I BUILDING PERMIT,
'. ... 92!X.XJ TEMPORARY CERTIFICATE OF
. u[ ZONING COMPLIANCE
',AND UTILITY CONNECTION PERMIT
'-
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 i) '1't1
,~/ C?A .#"r-I/ \"'7?~
3. LEGAL DESCRIPTION
Ar+,,- k,
BLOCK ~ PID ~ ("- J..qq- O.J-/-O
OEU?du1d.L ~ ~~ ;.,4 yL, ArJliJ-
LOT
I
ADDITION
4. OWNER I / (Name)
~>>J/~ dv
5. ARCHITECT IName/ t';(.f'
6.7~INamel
(~dress)
~n~tC/
L 1Addze),/
7:' C / T:;I'-
yJ / ,(Add:e;s>
o ~ //L..
~..;
1. White
2. Pink
3. Yellow
1. DATE
PUD
ORMATION
11.SIZEOFS RE
IHe;~ (~I2-- lOe'hq
12. NO. OF STORIES
..,-
13.~bF CONSTRUCTION
.'P/'1-~~
14.1'LOOR AREA APPORTIONMENT USE
(Tel. No.1
(Tel. No.)
4"Y;:?~7
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
W r<....-.
9~;:z, -'fJ-9~~}~ J
SEATS
7. TYPE OF WORK / Fireplace Ij Septic 0 Deck 0 Re-roofing 0 Porch 0
New constructiO~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney" Misc. /7"1/ ;?-O 0
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. CO;;~TI~ D~-:j
Sq.Ft. ~-"~ Width Depth Yes No ~/..r-/"'"
I hereby certify that I have fumish~formation on this applicaUon 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 menf ad property and that a~1 const clion will conform to all existing state and locallaw$ and will proceed in accordance with submitted plans. I am aware that the
building affic' revoke' mil ~st sa. Furthermore, I hereby agree that the city official or a designee may enter upon the property to periorm needed inspections.
X . /<'.;6:" -_ / ~ / d)' J'/ -$j -t9iJ
~ License". Dale
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING C, F_n
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 ............................. $
State Surcharge ............................. ~
Penalty ....................................... $
Pluni:>ing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... :f
..ok
FOR ADMINISTRATIVE USE
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS [j ENERGY DATA [j
PILING LOGS [j PERCOLATION TESTS [j
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ ..~_
S U
, 1(') 9':1 :2,<,
'7 09. '1r '"
fJ{j. "5"0
City:
~o
24 hour notice for all inspections 447-4230
PLANS & SPECS "
SURVEY "
PLOT PLAN [j
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
. ~"'iO. OCJ
I. 11'lC"\ -(']0
.
<I,,>~
100. C!)O
{dO. ('),..,
3S'. .....-r\
:: :7~' it :1~~:~~;~;~~.;e~~"ihe:::o:
By ~"'~ Date U - lk. ~ 7~ other ......................................... $
:::cateofOccu ncy Paid Tf~'B....iJ........~~~~~.,~;~ $ ~t:t-7 ZL
Date / J. 2./1. () 0 By
This is to certify.. ~ request In the above epplk:ation and accompanying documents is in accordance with the City Zoning Ordi,(anee and may proceed requested. This document when
sigoe<j..bY ~ Citj P er constitutes a temporary Certificate f Zon" 9 compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
~-" ;.u~ '
V City Planner Da Special Conditions W any
Pressure Reducer .......................... $
Meter Hom ................................... $
J::S. ()O
Water Meter ................................. $
Sewer & Water Connection Fee ........... $~60 .d5
WaterTowerFee ........................... $ '1110 ,01:)
Water Tap ................................... $
Builders Depos. ............................ LL; f100. f'2:L
~
--------------
Job Address
Heating Contractor Controlled Air
..-
Name of Tester
Date -:I-Itf-Of
Percent O2 pi
Percent cO2 P';;
Percent CO 0
Stac~ Temp. / 3.5 (?
..
~~
o b.OlOoV
Th,. CiPnl... of lh,. L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
WILDING PERMIT APPLICATION DEPARTMENT CHECKLI!=;T
NAME OF APPLICANT MtJ/ne5 < t?U Cha.....S e....-
, () I
APPLICATION RECEIVED /1- q-o
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: (j) I
~-71J- C',a./rdJlJa../ k,'ric-e. I\-
I
Accepted
Accepted With Corrections
)Z.
Denied ~ Yv I
Reviewed By: (JttJ/~"" ~
Date: 11- 1(, . ?=t:)
Comments:
.f(pr.rlnll Q.~&uc1
u- JJ ~
"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
D~' IOO~
The r"nl..rof the I..klf Country
White - Building
Canary - Engineering
Pink - Planning
,.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT 110 ~. c, /) .J
APPLICATION RECEIVED II'" (i - CO
I~., (~
., )
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.S?'l/- (">)} dl;1j I
i.., J('~
!
I\--
Accepted
~
Accepted With Corrections
Denied
~l.' l~
Reviewed By: 2tA&'*r' ~~ ~ Date: j L/22-/ aJ
Comments:
;if~-'f_'. .~tr~:.~~~r5"
~-~. - ~
~~~~~.
2.L/ ~ ~vlAAMA W~vJr~ 1/1 'fl~ J4.)\
~~~ W~'1 /~ ~ ~ ~~ -4.LO~~.? .
"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."
~'t
oO_looi
Thr- Cr-nlt'r or lilt L.b CoUnt~
White . Building
Canary - Engineering
Pink - Planning
J;lUILDlNq PERMIT APPLICATION DEPARTMENTCHI;CKLlST
NAME OF APPLICANT -I--!r))JV'S ' K\, C.kv....S-e.--
. I () I
APPLICATION RECEIVED /1- q - 0
I
I
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for cons~ction activity which is proposed at: "7l, J
~ 7'1/ - lJt'2-Jr d /lJCZ / tc. I r:tG -€. I \-
Accepted
~
Accepted With Corrections
Denied
Reviewed By: L lL Date: / / - 2/-00
Comments: SFF. !<CYSC<;E 5LJ<: ~/TJDnll'1L Q:w.7/.?7~.
"
7EE 1l7TlKtfmaJ73:- I) r:; mo/If)':., fU:J~) Z) ER05J/J!tJ C/)jJ["kfJL/flE1.fUR/3
~)EROS1fJIlJ C()/l.J!RfJL ?U1:AJ
"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."
0- toO~
GllEE.. . flU
YELLOW . APPLtCAMT
QOLD - CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
s.w. No. f2.::1f:2Db
NOTE:
Sewer and Water
contractors must
be registered
with the city.
- ,
APPLICANT: ;::> //)?f i1n -< f F v ,5p/<,-.( e S
ADDRESS: cJ3:?-<J CI/7>7i1r.-<. ) (/J2J'"",""sM !?h~
SIGNATURE:~~~~~' 7
SITE ADDRESS: ~9'l/~,,( 1:.'/2.(
PHONE:M7-H'?, ;;2&;2 G
DATE: .f)~ e-I.J. :JI"tIO
BLDG. PERMIT # JOd'ir
Ji.t1:/PID# ZC; ~2Crl- tJ2-/:::...0
FILL IN THE BLANKS
1. Estimated length of water service 4' c:r
feet.
2. Size of water service
)
inch(es) .
3. Location of any couplings from structure I'cJ feet.
4. Type of sewer pipe. ABS' pvc)< Cast Iron
5. Estimated length of sewer 1 ine 50 feet.
6. Clean out (if required), located at
structure.
feet
from
=============~=====-=============================================
This applica},i mes your permit when approved.
BY I DATE: 12-13-00
----------- -----------------------------------------------------
----------- -----------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
*
Fee for either sewer or water individually is $~P~ 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.
DATE PAID
AMOUNT PAID _ ..,\r"\ \,\1\1\"\","\1'
rl"' - pt;. ..
REC'D BY ~\\.O\NG
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 / FAX (612) 447-4245
An Equal Opportunity Employer
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CITY OF PRIOR LAKE Me ^^tl..
16200 E.,I. Cruk Av. R.E. Po,mIlNo.. OtJ ~ I ~
P,lar uk., MN S{372
"
Adelr... Il" "'lO"n \/1 'II,..
_u u.load
/AI-
Suppl, Opening.
. Rilu," Open"Ig'
Input N'Q NY'I
Edr.
elm.
81 Alletallon.
ill
....
Repall
Eet. Coli $
v
~
t/
/16
'if
HEATING OR POWER PLANT
SIHm
HOiw.i1iir
f\tlIIlc.!Ian..
Spedal Devl.:..
CulPUI'?:!. t:6C.
Othe, Device.
TYPE Of WORK
R.pl.~m.nl
.
Ell. Comp. Dal.
BvDdlng PIlmM .
~
New !:Gnllmellon
no "I (1)9)
....
~ HEATING PERMIT FEE'
['-
....
::. STATe SURCHARGE .
ISI
TOTAl PERMIT FEES .
PAID wITH
BUILDING pERMIT
. .50
Roceipl .
.',,\veft
~ " .:.A....
TYPE OF STRUCTUBE
1_. ow
I.Y_. _
Slnol. FIII1lIjo
Commercl.l
;/?-
Fl. Sctlldul.
~ lmJ-FMlny
Ind.-lIta'
.::rivS 1;,/4, ;-~d ,.)
Indual/I.'. Cammen:tIll& Mulll.Famly
RBtld.nlla~ H..lInO .. AC
RBtId.nUal. H..IlnO Only
RBtldenUaI. 0.. Flleplacl
RBtld.nlla~ Add.luna & Aft".IIon.
R..Id.nUa~ AC Onl,
W11.Femlly
ObI
~q~ I'tj'('ep,,"ce
1%oIJob_I(l3UO~
$IUD
184.60
131.60
139.&0
139.&0
. Pubic.
DIJ.
Rememb., 10 .dd 1.1 Sial. Sun:harg. an lhB ballom ollhlt Ipplll:allon.
TIl. p'lcB 01 JOur h..Ung pIJmlllncludea onl "'1ID1Hn and anI "nlllm.. .
Addillonalln.plcllone will be bDled al $36.00 eac:h.
Houn Helling Teal Reco.d /IMl1 be eubtnllllld wllh IIIIIIdIog IlIIII1II bIIDII.-.......lIuId.
kill c8rllll""le 01 OCCllpllnc, wiD be IHued.
!:LeAl CAlquLA1IONS BEDUIRED wlllt number 01 'UPP" end .elUtn . . I .. IiIect per
loom willi CFM'. plr optInlng. New elrUclal.. or addlllo"ll8nd llooI pi..... ....,..,
.n~}~W{lJJ~~~, H~&.t!.Q$$..~WIQWi.-I'A'QWlJ.ML...
APPLICATIONS MAV BE MAILED TO THE CITY Of PRIOR lAKE, 162.8lISlE.
CREEK AYE. I.E. PRltlR LAKE. MN66~12..
ClI, Hell bUIInn. MU'O 8/e 8..m. . 4:30 p.m.
ALL WOnK MUST BE INSPa:TED (ROUGH.IN AND FINAL). CALL tm'IHAlL
447-42JD
I hereb, apply lor. meehlnleal a,.18m. P Ifmll and I ecknowledJ8I11..1he
lnlolmellon .bov. I. complel. and aoevrale; lhellhe wo,k will be In 1D/IlI1IIIII_'
willi Ihe o,dlnenc.. and cad.. 01 lhe oily and wllh Ihe .Iale bulld..........1
. code.; IlIallhl. larm doe. nal become a ..ermll unlllelgned by lIIIllllll.D.O
OFFIt:IAl; IIt.llhl work will be In Iceordence wlllt till .pp'ontl....... ...
call 01 .11 work which requl,e. revllw and approval 01 planl.
M
-Z~
Appl~
Building a,...r. lligAeltW
1- 4-01
UIIIe
I-UrOI
u..
""
CSl
E!l
CITV OF PRIOR LAKE Me
18200 EalJle C,..1l Av. R.E. 1'.11I111 No.
PrIor Lake, MN &5372
CD
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""
. -- .HEATlNG APPUCATlON 1 PERMIT
o
Z D... / - ...; - t"'1/ _ PID' _Z.'5-Zqq- ()Z/-O
Sn.Add,... b79 / G,..{J;IUf1! A,'Dje/n;z;/
Lot BIoclI Addllbn
Own:;;:"'1 ~~~ 8u eke' e
Add.... {j"J"I..:J.'tv,'/I", ~
H.llllngCon"..lar ~J,t,.(]J/,..() o:/'
Md..,. e?6;2/n .,c;;-'AJ4IY'" /' ~,.).. .JHd." _~;;) "f
Te"phan,' (Cst.. ) --ft:h - ~a
Fum_ M.ke. Madelj7A...L" "'lEy (111(\ TYPE OF SYSTEM
Warm AI, PI,"'e
Moda' Size ~.OOO G,..II,
Meche.lcal l/'
At, CanclMlonln(/ ...,...-.
Rue Sill';?" A/(. Venl, S,alem l/
. .
H1:AnNQ OR POWER PLANT
n:...$,~H
Hot WilD'
R1Idlaikm .
SpldalUevlees
III
o;t
N
o;t
C'-
o;t
o;t
N
""
! <.D
t
U
I
a:
Q
Z
a:
'" Conn. lud
Z
~ FUll ~J-
w
I Supply Openings /G
0::. ...
cr ReIU'~O;;'~,,;;,~c..5?'"
c . . . .
~ In",,1 .fq /"r'V\ 011I1'11I 7.3'. Q:SO
c .
f!: Ed,.
Z
o
u elm.
Othl/ D..Ie"
TYPE OF WORK
N
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IS)
""
N", Call.IMdan
~
AIII/allone
R.plllcemenl
Eel Comp. Oall
8uftdlll\l PllmB ,
""
IS)
"-
o;t
IS)
"-
.....
IS)
R.palr
Est. eoll$
HEATING PEflMIT FEE"
STATE SURClfARGE ..
.50
~~
TOTAl /!EIIWT """~ t
tyPE OF S1l\UCTURE
8lng1l Family
Commell:."
PubRc
Fel SCh.dule
Induslllal, Commetdlfl & Mulll.F8III1,
Aelfdenlla~ HeaUng & ~
R..1denl'.~ Hilling Only
Re"lIiInlIa~ Gu Flfaplace
Rlelden4lll. Addnlane 8. AlIl/allDnl
l'Ielldenllel, ~ Only
Lam.. . OW
J.YaIoo. _
Mun~Faml"
Ohr
I", at lob _1 {SlUO
$OUO
Sl4.60
hUll
SSUO
'311.60
I
Rem.mb.r ID add IhI SI.II Surchargl Olllhe boUom GllhIa appllcallDn.
Thl plica 01 you, hlallng pelmlllncludel aIll 'ouglt-In 8Ild _ Iinal' .", , , .,.
Addllonallnlpscllonl will... blllad 11$36.00 Bach.
Hou4e Hilling Till Rlco,d 111\IIII b. IlIIImllIl_ wllh IIldlJI/og UlIIIII ~"""'bulId-
Ing clIlntcall III oCCllpllnc, wIll b. IlIved. .
I:l!;AI lOIlLC..IlLATIONlI REOUIREO lYJlh nvrnblr oIlll1lPlp end ..turn ......... ....dlPlI
100m willi CFM'I per opelWl', New II,uclu"l 0' lIddlllone ..nd Aoor plM..... .....,
end ..Iurn locallonllho,,". HEAT LOSS CALCULATIONS, PAYMENT IllIJ
..^PPliCAfIONStt^Y1ImArCll11t).tk~i;;rY U~ PJlAmURt; '&:tlll~'c'c...
C-P.IiE~AVLS.E.PR!QAUKe. M!ll!l1!31!..
City H.I bullnel. houll ... B I.m. - 4:30p.m.
AU WORK MUST BE INSPECrED (ROUlUf-IN AND "IHALI- CAll c:n.,..fAll.
441-4230
I her.by appl, lor a mllJhanlolllYII.ml p.rmll and I .cllnowl.... ....,...
Inlormallon .bove II complele and accurata; lhallhe work wll be I"anI__
willi th. oldlnancel IIId cad.. ollh. ell)' and wllh Ihl el,11 bulldl .' ,:,.sl
codea; Ihlllhls 101m do.. nal b.com. . parmll unlll Ilgned by ..IIUIUJtIllO
OFFICIAL; lhlllhe work wIll ba In accordance wllh \he approve'",. U-
ca.. 01 811 WD,1l wlllch lequllaa ,evlaw and 8pproval 01 pl.n..
~ ~ /-";-01
4'
;.....
-'" .... ~ ......... ........-.-.. -.--....
v... V4 &A~V~ ~~
It:'J UUJ,
CITY OF PRIOR LAKE
PLUMBING PERMIT # Ob - (OO~
APPlicant:tlg//t~ 1'*-111 4..t.~ ,_Phone: f'-((.?;C(t)2' ~/cL
Address: .9. 0 ~g / r Ill/if ~ (10Jl"d/JII, dC.,Y15C._
Signature: r ~ \~
Legal Description: Lot / I . Block ,2. Sub tAr.{). ~C-
SiteAddress:5:?<{'/ l/l/'d/11./.1I Ie/dry 7r
Building Permit # nn - t l'JOYl PID # 25 -2.qq - Oz.r-O
NOTE: This permit will not be processed without complete information.
I. Blu~
1. Cold
J. Yc:lIow
file
0"
^rf'IiCMI
11l,. (""".rlO' ,"'" I.... C"YIUF)
) 2,tf/ 0 Q'
FIXTURE UNITS
Quantity ,. I
Type of Fixture Quantity Type of Fixture
~ Bath TUb with or without shower J I Rough-ins
f Dishwasher / I Water Heater
( Fioor Drain I Water Softner
-3 Lavatory (bathroom sink) / I Stand Pipe (washing machine)
( Laundry Tray (lor 2 compartment sink) I Sewage Ejector
/ Shower Stall I Backflow Assembly (RPZ, Double Check, PVB)
/ Sinks Backflow Assembly Test
Bar Sink I Lawn Sprinkler
.3 Water Closet (toilet) I Other
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
f PA\?t~'tRM\1
$ ~ \\\.Ob...
l
This permit is granted upon lhc express condition that said
contractor. shall comply i~ all rcspccts with the ordinonces
of the St.tc Plumbing C mcndmcnts thereof.
RF.C 17..- P.>-OO DAlE
^ lTEST
Call for all inspe ions 24 hours in advance.
)!
DEe - 6 2lnJ
16200 Eagle Creek Av. S.E., Prior Lake. Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS 5'l9~ CO-,/J.......j I2..t~ 'Tr-
NATURE OF WORK 4..J
USE OF BUILDING Sr:- D
PERMIT NO. t;fJ - /008, DATE ISSUED /I.!(j - 2'0...~ ~ \
CONTRACTOR 1It?WJL,~ "K.t.UJ4.fLU.. ~'S" - S"JJ? ;'
NOTE: THIS IS NOT A PE~MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~ INSPECTOR
~ '
. I FOUNDATION (Prior to Backfill) I fZ;t;, I / ~/II / ~
. .
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH_- INS
I FOOTING
j;.TE
1/2-/6 t7V
~
SEWER I WATER I SEPTIC ~li .J ~~
FRAMING Y?J:r1
-INSULATION W'\a;-...... "R~~ ~ "0 'l008
ELECTRICAL _ \ I
PLUMBING I/&?-. I III z..fC I
HEATING (if required) I bJ.-, I '/ i J t. !f) I
FIREPLACE I i~'~W'\ II /1 ~/fli
GAS LINE AIR TEST ~J ~ ~ ,I 6::n ~It~ (6 r I tv
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
" FINALS
GRADING (Prior to Sodding) . hJr1? _
BUILDINGT~O. W ell 10/ ~. 4ft~1 4-.
ELECTRICAL I.
PLUMBING I_f?:r
HEATING I fJ:n
I
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
lil7/M
u
,
rcf0 - 01
1a13111 I
I I
.
1111' /bl
~I J/e/t;-!
BEE~ 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 ~~d 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
. I DATi
~, L/~3D
(A rtl'>1n I "R,~ Trcu'/
TIME
SCHEDULED
ADDRESS S7 q I
OWNER
CONTR.
PHONE NO.
PERMIT NO. .f9 0 - / nt? P3
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
~FINAL ~ tIDI:;" PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION I.!::.T MECH FINAL 0
COMMENTStn) ~ /)hA.~.P d.~.
.~t7 ~n ~ q ~oJ/J)
~6~ P~[4}JfS.~I}~~
~.,{7L~~~ jJ) ~ ;;/.:;b;,- ~ ~ .
~~w~ (~~~IJu...)
~. 'I ~ - C-";j2 4,.... ~ .
"J.,,1- II. Ii, iD4-.
O~~-~ (t-y-rr~
~. I ? ho......... fLQ..., .p.
~~~
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o CORRECT WORK, CALL FOR
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NSPECTION 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/().8'Or 14.,
ADDRESS
579/ M;et:?/ /VA'!- er OBG
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION d70,
"lit, FINAL (lJ::!f)
ti' SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEC'j"INAL
.5 D '/ 77t-G6
,
COMMENTS:
00 -/001'-)
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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'-'7 I .,.,
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;J
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'1WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Zry.
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE 1"7 ,IJ "'"
INSPECTION NOTICE SCHEDULED 7 - 2t-.q r,. ,
ADDRESS 57Cf/ [c,,,,,,.j,n4f f.t',4'-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
,l('FINAL
. 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
wrb T3o)C~r') I::'
Gr",h ~.,:jt-
CJo -/6)6<;1
~~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-ll!..wORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector~h..d. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
Z-ffn.O[ 4-: 00
ADDRESS
57qj ~/f'/AL- Ie.I066"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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
~PLUMBING FINAL
o MECH FINAL
00 - IOOe:;
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:(;)) /~ 4 ~
rf2)J t&.r~ fl,---, j
~ III tJ. U.
JJk~ M.qj-1AJ ~
I
rfz..--
o WORK SATISFACTORY, PROCEED
j] CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, Owner/Contr:
CALL 447-9850 lOR TH'E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!