HomeMy WebLinkAboutBuilding Permit 00-1020
-'.~~x PRIOJj' ( D [I~~~W!1rrr \1... CITY OF PRIOR LAKE
t: ~ ----- ... BUILDING PERMIT
u ,,,., \ ..:. I~~EMPORARY CERTIFICATE OF
f I ZONING COMPLIANCE
. -l-~"" 11 UTILITY CONNECTION PERMIT
I
DIRECTIONS . .
SPACES NUMBERED 1 THRU 17 MUST BE FILL.ED 11\1
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
/44 S'4-
1 DATE I /
/I 17ft];'
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
fJoJE G:
~ I
PID_)5- 3(~,r6- 0;). q-O
3. LEGAL DESCRIPTION
/
12. NO. OF STORIES
LOT
BLOCK
13. TYPE OF CONSTRUCTION
I./fi;..J 5flJ
14. FLOOR AREA APPORTIONMENT USE
ADDITION
4.0M~~~
5. ARCHITECT (Name)
I} (Tel. No.)
'1'i?L-fJ9~-.ff+W
(Tel. No.)
(Address)
6. BUILDER
(Name)
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEAT~
16. PROJECT COSTNALUE
7. TYPE OF WORK
New Construction ~
Chimney 0 Misc.
Septic 0
Addition 0
Deck 0
Finish Attic 0
Fireplace 0
Alterations 0
Re-roofing 0 Porch 0
As-siding 0 Finish Basement CJ
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft....----. Width Depth Yes No
I hereby cerr that I hav n ormation on thl pplication 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 men ..~~ ....~ .~ and that all constructio will conform to all existing state and local laws and will p. roceed in accordance with submitted plans. l7jm ~a that the
building official can oke t ermit for ust cau . urthermore, I hereby agree that the city official or a designee may enter upon the property to pertorm need Ins tions.
X ----) - ~q, II 'I tv
~ / S~- License No. Dam
/ ./ L-----
17. COMP~YON JATE
3;3//0/
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS CJ PERCOLATION TESTS CJ
Front
Bad<
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMITVALUATIONB S...~.~
PLANS & SPECS CJ
SURVEY CJ
PLOT PLAN CJ
SETS
COPIES
USE OF BUILDING 5 PC
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM A S U
Amount Brought Forward .................. $
Park Support Fee ........................... $ g:;o.~
SAC ......................................... $--.L,-' I"ln . 00
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ~/'tJ.I..r................ :
Meter Horn ... .... ............................ $
City:
Division 1 2 3 4
Permit Fee .............. ..................... $
I.lcQ.?~
, '711o.i~
'11..50
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty .................. ..................... $
~o
\\' v\
4b.oo
'M.~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
I '2S. t'.ld
ft ?t')/)./I?I
iff" . dllJ
WalerMeter ................................. $
Sewer & Water Connection Fee ........... $
WaterTowerFee ........................... $
I Ill'). ,,,II
3s.<u
qn .(')(J
Sewer & Water Pennit ...................... $
Water Tap ................................... $
Builder's Deposit ............................ $#I9t!J.~
Other ......................................... $
Total Due .............................. $ '7, (p f?::.J. 7i
Paid ~ h 8.5: 7..) Raceipt ~Oj/ ,3~," 't'1
Date ~ I. () () BY-itC---
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning 6rdinance and may proceed fi. requested. This document when
sig~y the c~anner constitutes a temporary Certificate.of ZonilJP compliance JA8 allows C stru . n to c mence. fore occu.pancy. ,a Certifica~ of Occupa~ust be ~ued.
J~ -::'-:":?,,y ~~.60 ~_ ~_I""""A,'l~
o tityPlanner o;te - "" Spa COndjllonsif\n~--
24 hour notice for all inspections (952) 447-9850
ur Bui! . g permit.VYh~r~d.
Da'e#- - ~
Certificate of Occupancy
Issued
FP91oN~~llU.O~.~ "L?3.:.~ WI NDWOOD HOMES
(TUE) 11. 28' 00 13: 30/ST. 13: 29/1NO. 836131 OIP. 2) 2
, .
:": ....:.
...--.-
.",
".,
WIND\VOOD
H 0 M E S
The Wind"",*, Camp~ny. I"c.
"311 eW;"1 Awenue S., Suire 200
BU"'I"iIIe, Minnesola 5SJ06
952-895.1448 FAX 952-736-9174
November 22, 2000
To: City of Prior Lake
From; WiDdwood HomcsIMattin &. Lori H.lgestad
Jte: Puwre Deok. tor 14454 Dove Ct. N.E.. Prior Lake
To Whom It May Concem:
We the buyarB, Martin and Lori H.1gesta6, for r.or ..seel house located at
14454 Dove Court N.E.., Prior lAke, UDClerstaDd that if we decide to
conswc:t a cleek otftiom the main floor walkout of our house, the said deck
ClOftnOl encroach the side setbal;k, end that the width of said deck coulcl not
e~ approxilbately 7' wide.
~.....\ ~4Ld-d,J.:? IiJ~/b(;)
Lori Hela - (elate)
(j
.
..,
.Permit#
OJObMd,.e./'-IY.5Y 2JrJ Uf'.: ('1-
oHo.,;ng """"oct", METRO AIR
I /~
)
.r ttsltH'S/Signeture
.Gaa Un.
Pressurized
Inspected
~
.Per~nt C~
"Percent O2
Final Inspection
Dale
Ii!!!!
PERFORMANCE TEST
&. ((tY 0 oPe,conl CO
7.I.G/lJ ,
.Stack Temp.
Date
Pounds
Pressure
rJ%
/It'r, 0
'.
~1
\, 6U -lOW
I White - Building
Canary - Engineering
I Pink - Planning
!
!
The Cenl.-r of the L.b Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ttJiAdl-lLt:c/ !Ic..)~
APPLICATION RECEIVED /! - 7 - ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ItfL/'S,-/J)ove ct-{-
Accepted
Accepted With Corrections
Denied /] '//1/ /7
Reviewed BY:~ ~
~
Comments:
I. ~ a2.0 aH-eLC~-ILO~
. -
Date:
/1-/5-~
"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."
DO - \()~O
Th..Cenl..rof Ih..I..k..Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT I//I! of ' : I
, -,)t
'..... v
APPLICATION RECEIVED
)
)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
JI/L/") 1/
;
,
t."
,
r
Accepted
V'
Accepted With Corrections
Denied
Reviewed By:
Q,O/L ~--'~ h-
I -..
Date:
J/1/IV/dt?
Comments:
J-ti\=1 .Mt<-.dUMJM ~U.N.A-I~ l/t)L~~. ~
Y?-cW\,Fv~/~ +-~ VZlDtc:J~CNb(
Ar/L If\;\u~l?~Wtl\~ ~Q ~
~~ ';LV\~~~ ~~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."
File.
0',
c..bO<1<<
I. flak
1. ......
J. Yella.
....
o
o
~
CITY OF PRIOR LAKE
16200 EaOla Creek Av. S.E. Permn No. 00 - ( 02.0
Prlol Laka, MN 55J72
HEATING APPLICATION I PERMIT
IYfE OF STRUCTUBI;
IX
Singla Family
Commarclal
Two-Femlly
Industrial
Multi. Famiy
Ol11or_
Public
c!/:"
Fae Sdledule
LoI BIIlck AddiIlon
OWrIlIr'lNlml VVlN'O lIVtlb.D
Add"ss
He&llnllConllllclDr G/J<-f~,e;' 6ol~e"'5 t3KP&':5S
AddteuJ.34cJ'5 I<:::;~ 41/ 'A./fI
Telephone' . '7t" :'I '55 3 j L.J LJ c-
Induslrial, Commercial & Multi-FamUy
Reaidenlial, Healing & AC
ReaidenllaJ, Healillg Only
Reslden"e', Gas Fireplace
RlIlIldenlial, Additions & A1lerations
ResldenU,I, AC Only
1% ol job cost ($39.50 mini""",,)
$99.50
$64.50
$39.50
539.50
$39.50
tIl
tIl
ril
...
><l
'"
tIl
!ll
5
...
IP
I'"
ItIl
, -
1<>:
I~
lu
Ramember 10 II(jd the Sial, Suoeharll8 on lha bollom oIlhls appficallon.
FarnaceMalw&M0d81 ~'ClL
ModelSlze .0\('1(, ~J.1 N'S
TYPE OF SYSTEM
Warm Ai' Planls .
Gravity
Mechenical
Air Condftioning
Venl. Syslem
HEATING OR POWER PLANT
51eam
Hot W.ler
Radialion .
Special Dovices
Th.e pric~ .01 your healing permt\ !'!C1ud.8S ono lOUgh-in and one Unal inspeclion.
Additional Inspection, will be blled al $35.00 each.
House Heeting Teal Record musl ba submitted with IIuikIIng RmIliIlllIIIIbAL before buil.
ing cer1lllcate 01 occupancy will be 18sued.
l:lfAI CALCUlATIONS REOUIRED with number 01 supply and relUfn openings listed pe
ream with CFM', per '." .' New slrUClurBl or additions send Iloor plan with supply
end return localloll5 shown. HEAT LOSS CALCULATIONS. PAYMENT AND
APPLICATIONS MAY BE MAIlED TO THE CITY OF PRIOR lAKE, 18200 EAGLE
CREEK AVE. S.E. PRIOR lAKE, MN 55372-
City Hall busiI1ess houre are 8 a.m. . 4:30 p.rn.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
Ul UJlI9fb t./t/7 - t/~t$'
Conn. Load
Fuol 1\1.+,- Flue Size 9"
Supply Openl/lgl \
Relu,n Openlnvs ,
Inpul~ OUlpul
Ed,.
Clm.
....
oo
oo
o
'"
'"
'"
'"
...
....
~
o
..
....,
~I
Other Oovites
TYPE OF WORK
I hareby apply lor a mechanical systems permil and I ocknowledge Ihelthe
in/ormalion abovo rs complele end ACcurale; thallhe work wm be in conlormance
wl1h lhe ordinances and codes 01 the cily and wllh the slate bulldlng/mochanlcal
codes; lhallhls 10m, does not becoma a permil unUl signed by the BUILDING
OFFICIAL; Ihal the work will ba in accordance with lho approved plen in the
case 01 all work wlllch requires ,eview and approval 01 plans.
O~C-~ ,2~L
Applic~AJign"ure . . llme
/ ;? -(p '0/
Oato
New Construction !)('
AIIerallon.
Replacemenl
Aapel, Est Comp. Dale
~
Est. eosl $ \ ~ 9ulkHng Pormit .
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAl PERMIT FEES $
00 -/02.0
....
o
"-
...
o
"-
..
o
PAID WliH
ReceiPI,UU.D1NG PERMIT
.50
CITY OF PRIOR LAKE Me
16200 Eagle Creek Av. S.E. Pell'llit No. a "t)~' ~ '}.. ~
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
:Ile \\- ~~- 6\} PIC#.
Sfte Address \ \..N. 5 l.\ () t)\) \ ~
~~ --L Block '), Mdlion K "II\.:} ~,' \\
~wnets Name ~ ~ "~,,,l;. ~ {" ~ \\ ('-, t"&.'o.
Mdlus \\.\"',\\ ~~f\'" f\v'\.. ~---'\5~~\\O
Heating Contr.oclor r\..\ \-r" A; - \ () L
Address \ "" ~ 9, U ~ .... \ (.."...... ~,) ~ .
~ <; ~- \.\ \..\ 1- 'lS \ "). ~
<s-fu
P"l::'~ \..~\I~
Telephone ,
Furnlll:ll Make & Model LL..~<'I''''-
Model Size {'\ \J P ~ C,( \J
Conn. load It, \ -:::a" \ ~
Fuel N" \- Flue Size o(J \f L
TYPE OF SVSTEf>'I ..
Walm Air Plants )C
Gravity
Mechanical \0
Air Conclitlonlng~
Vent System
HEATING OR POWER PLANT
Sleam
Hct Water
Radiation
Special Devices
Supply OpenIngs
\"'1
l.o
Output '\ '-\ '^ I:ll:l
Rewrn Openlngs
~lnp\/~\ .. ~
IT .
o Edr.
I:t:
~Cim. \ C; d \"
()(her Deliices
TYPE OF WORK
E
fIj Alteralions .
'<t
ij, Repair E;sL Comp. Dale
.... Est. Cost $ .0.. t-.t\ I.) d'> / . Buftdlng Permk .
is)
re HEAl1NG PERMIT FEE $
N
"! STATE SURCHARGE $
z .
g TOTALPERMITFEES S
x.
Raplacemerd .
New Cclnslnrelion
.50
DO-lOW
p~\O ~\i,",
6U\\,.O\"'G PEf\t-A\i
Recelpl ,
.TYPE OF STRUCTURE
I. PlaIt
2.. Ure!D
1. YoI1ow
AlL
0"
c:..na...
Single Family .->4 .. I
Commercial
Twc.Family
Industrial
Multi-Family .
Public Other
Fee Sch<!dule
Industrial, Commercial 110 Multi.FamBy
Resid.ntia!, fiealin.. 110 AC
Residenlial, Heatlng Only
Residential, Gas Fireplace
Residential. Alkilions 110 Alterations
Residential. AC On Iy
1 'l'.. of jnb cost (1)39-50 minimtJm)
S99.5O PLEASE NOTE:
$64.50 Air Conditioner Units Canoe
539.50 Encroach Into Required Side
S39.5C Yani Setbacks.
S39.&
Remember to add the Slale Surcharge on the bottom of this application.
The price of your healing permit includes ene rough.ln end 0118 final inspeclion.
Addilional ins. . .:..~ wit be billed '" $35.00 each.
Housa Heming Tesl Record musl be submitted wkh blJIIsIlDg IWII!it number before bund-
ing certiflC8\8 of occupancy wi. ba issued.
fiEAI CALCUlATIONS REQUIRED wiIh number of supply and rewrn openinflS Deled per
100m with CFM's per opening. New strucluras or addilions send floor plan with supply
and ralum locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPUCATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16Zoo EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372. ..
CI1y Hall business hours are e a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL.
447-ea50 FA)( 'fo&+ i. *'*5"
I her.by apply 101 a mechanical system. parmll and I acknowledge lhat the
inlormaliGn above is complete and accurate; !hat the work wlU be in ccnlcrmance
wIth thlt crdlnances.and codes of the city and with the state building/mechanical
codes; tha11his form dces not become a permlt unlll signed by the BUILDING
OFFICIAL; lhallhlt work will bit In accordance with Ill. approved plan in 1he
~I=\h ~~:;:View and approvm oy~~_() \
Applic1ltll's jfi~ DalB
fflWfLL.. I - Z~ ~O I
BuDding ~ Slgnalu1'8 Dale
__. ...,.<..,~ _'.....,~...........'_"""'._..,,,..............-.-,_,~'-'....-:."""-"'.I-......"-...-...J1'.o:-......-_--;,.~..........".......r..:.r....."'-.....~-...'j:-_........;_...,.,'.....,.........t,."'-.:......:.:.:.......~..,,,.~..:t.<!:l..:.........:..~~_-m1.:~:r..;....~"""'....4:......~~........~.~~""'O~...................~.
-'~---....,.
Thr Crnlrr of Ihr L.kr Counln
o D'" un))
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT U/I;(Il.//.)/;td ,I)J//~S
APPLICATION RECEIVED /,/" 7 - OC)
)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/'/L/e:;L/ 1)ol/eo.+-
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
LLL
Date:
1/; ;? i-aJ
Comments: 5i::e: Re:l/E~ sIDE r~ IIClD/TlOttlIlL C"DmmetJrs.
"
5e'"E 1I"lTIICl-ln;&"///Ts: I)G/2/JD//I!0 fLfi;r} 2J~OJNlRf)t.JlJe:?;S(,a;B
3)ERf)yf)1J} C;;.!1lCQL fl./l/IJ
"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."
GREEN - flU.
YELLOW - A"PLlCANT
GOLD - cn"
CITY OF PRIOR LAKE S.W.No. O()-/OZO
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: O.2H/I6e ,s. XC .
ADDRESS: 1t.1I!.Jcfi:Z:N w.I9-Y LI,.Jl. JJC'/'I
SIGNATURE: C-.L......'t._. O..-4.AL
"
SITE ADDRESS: )'I'ISi/ /Jo~~ (,.
PHONE: :f' '1;) -C;' yO {,
DATE: /.:L/2oJu u
BLDG. PERMIT # OD - , D?.-O
PID# z';- -.3/06-0Z.Q-O
FILL IN THE BLANKS
r
1. Estimated length of water service ~u
feet.
"
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure -
feet.
4. Type of sewer pipe. ABS
PVC )(
Cast Iron
I
5. Estimated length of sewer line
If)
feet.
6. Clean out (if required), located at
structure.
feet
from
::::-:::::::::~---O":-::::::-::::::::::::~-~::::~~---
==============tf~=~==============================================
FEES: $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $l~.~ 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 P~~i s are
issued.
DATE PAID AMOUNT PAID if .
_ ~ V.
RECEIPT # REC'D BY n fj
1Ji1!t
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
01-16-2001 09:38AM
MATTHEW DANIELS. INC.
423 3017 P. 01
CITY OF PRIOR LAKE
PLUMBING PERMIT PP No.
Applicant lYfD++npI>1 7)",,;,/:5, lru>. Phone: U.S/l
Addre....: ISZdO (JLlN'OU"",/ J:Y"Yl-' RIfl._~-I-. /II^"
Signature; J-.IAtr" ~~~,.b ,~,,~;.~
Legal Description. Lot Block () Sub
Site Address: ,-I"'S'i ~6 fJ~ff
Building Permit ,. D - Ill) PID ,.
NOTE.: This permit will not b. pracllSMd witncut complete infoJTl'lation.
FIXTURE UNITS
1..... 1'iIo
:1.<1014 ~
3. Yea... Afpa_
O(J-I,DZO
T,:lI. c;:........ ,.# ..... LaM c_".
;
.,1':/"'1- .~'7-'l"
.s:~cJt.Ji,
auantity
Type of Fixture
Quantity
Type of Fixture
c2-
/
/
-I
{
J
/
Bath Tub with or without shower
Dishwasher
Floo r Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
J
/
J
J
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewa!;e EjeCtor
..3
Sinks
Bar Sink
Water Closet (toilet)
8acldlow Assembly (FlPZ. Double C1'Iedc, P'IS:
Backflow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDUL..E
Industrial, Commercial & Multi-Family
(1% of job cost. 539.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
Slate Surcharge
$99.50
539.50
5
$ -99..5lJ
$
5
.50
GRANO TOTAL
$ I~'J. (J/J ,
~r>-\O ~~~tt
eu\UJ\~G
ThI.o permit Is zrantod upon the up"'"" ..ndition thai said
c:antrllaor. .hall eamply in all .-r-.... with. the ordinances .
OfthCSlOlC.!!UIrlb~'n e the "l'''{'''l-~~r.
o.~nATE
ATT"EST
Call for all *titlns 24 hows in advance. i
i
16200 Eagle Creek Av_ S.E.. Prior Lake. Minnesoca 55372/ Ph. (612) 447-4230 I FAX (612) 4471245
An Equal Oppammlty Employer !
I
I
I
TOTAL P.01
PRIOR LAKE
INSPECTlpN RECORD
SITE ADDRESS ~ nl~ c..f..
NATURE OF WORK . A )4>W ~.
USE OF BUILDING Sr-D
PERMIT NO. oa - {O2.0 DATE ISSUED If - 15-"'2M>= }
CONTRACTOR (J...d..............O ~'l 89'S-e<fyZ; )
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
'FOOTING I ~J::O~cJJ~l;9rb DATE.
, FOUNDATION (Prior to Backfill) y~ f~, \ 1.J/14/7!:> I 'Bv I ".J~ !oo
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC tfh,.. IZ/t///JO
FRAMING .,)l~ b. . j)j41i ( 371;: 3/ f.j~ I
INSULATION k # /,. (tJ ~t7.r 3/ tc !~ (
ELECTRICAL
PLUMBING~il/MCo\~l..J~.~ ~~ 1!t.3/D/ @ ~-G~ J;..- r!T.r"V;;r~r
HEATING (if required),^,"",,.~ vI/t ....~.~ I/~"//()I f7;;., ~/~/oJ
FIREPLACE" . Y#1!' Jli:31 I'll
GASLlNEAIRTEST ~ /a... 1/;)4/()/ -6\ ~v~k,
/ i . '/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
"NA_.t~ I I
" FINALS
~.
/;;r
hr.
OCCUPY UNTIL ABOVE
NOTICE
GRADING (Prior to Sodding)
BUILDING\.c..D,til wli.!ll\ 0.t-, 51zdDI
ELECTRICAL
PLUMBING
HEATING
DO NOT
DEPARTMENT OF
BUILDING AND INSPECTION
L
I
1,13;0 (
't 7',-//fJ)
, -j
3/22/~J
3/~ro I
HAS'1BEE'N 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' shalll!le 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
DATE
TIME
A.;
t/-Ilj-(
, F) (~ct-r
SCHEDULED
ADDRESS
/Lj15~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
l! FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~
"
(1..i~
~.lJ~
COMMENTS:
a-(O,)()
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
I
;.. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK#LL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
J
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
/'1'751.( DDIIf CT
fA'/,'I'IJ wtJ{Jrl HOInt'->
I')() -/O;){)
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
LI.JIh K.?,L -/)/(
bl"c.(d'lJ10 - ok..
J
DATE TIME
7 -/3 -Of P IY7
J!("EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpeC!or:$~~ _ OwnerICon!r:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I L( '-( S L..(
~V6 C!-T
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: 111
(fj) I A-1~i() '-"~
-,
o PLUMBING RI
~D MECH RI
! ..J) }it WATER HOOKUP
. SEWER HOOKUP
o PLUMBING FINAL
. 0 MECH FINAL
~
fV'~ (l~fr
I
(,/\i2, n-.--J
~1
DATE TIME
/~ II/do
~-lo,;).CJ
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
'-.L >./) --b cr ,...M...-
" - t ()
ti'l ;}r1W, J(/) lit. .q=- /1./.
.----< .~ ..,/)' ~ ,
rl.--
f' I" ~\I[Ln~ _/~
~ ~tM><J ~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PR~C.EED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
~
Inspector:
OwnerICon!r:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN .A.DVA.NeE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~.2:z..ol z.~oO
ADDRESS
/4-454- oovE.- c;j
"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0.102.-0
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
"Of PLUMBING FINAL
/iJMECH FINAL
o EXIGRAD/FILLiNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLiNE AIR TST
o
COMMENTS(/) ~J< '!:-1 ~.
c1~,,~~-'-..r~ './()~ ~j.'n /L~
~ ~ ~ ~ I~ o-v--d ~.---.J
JCJ-"..... - ~.,rr-.. ~.JI- ('~ .
~(F~ vJirQ.A/~'" n;~<2 ~{~>\./
DU~ 'v
r",WCrW (I~J ~
I{(~.(~.-M-n-_. ~
-
~ {~. rJ&(-- ,L-e,JUJJ
o WORK SATISFACTORY, PROCEED
;q CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~.
Inspector:
Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
11'1SfrlOT/
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ADDRESS 1 ~ Lle5";
SCHEDULED 3/~folfl( 1:50
Cl:hJlG cr,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
f}O -/02-0
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATIO~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
,5 FINAL ~ 0 PLUMBING FINAL 0 GAS LINE AIR TST
o SITE INSPECTION <Wit MECH FINAL 0
COMMENTS:J}/J..?J: ~_ft:1~ ~)_;J} Ix {\f1oQ.f(
L.,., w~ ~(2JJ KQ..e.4> p~ ~ (~
U~ ~/Oo--..; '..-d ::,., ~ ",~O,'"O (' .40r"~
~ ')(:';.~ri!.,,@fiL~
,~ ~~ ~ /1.~ l~~ *'-' ~-
~~~~~
~~~~~+~
fL-'~.J- ~(4-~~'~~l
~--J. _.~- ~~
~~---- -- ~--
----c- 'ICo, --&gy
~ .
~ ~--;L-- - ~ ~
o WORKSATISFACTORY,
l CORRECT ACTION
o CORRECT WOR
CEED
FOR REINSPECTION BEFORE COVERING
Inspector:
OwnerIContr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl