HomeMy WebLinkAboutBuilding Permit 00-1060
~~
DATI=RI=r.l=I"I=.Q
11.13'00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
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
/7~~-3 ~~ >€''''f'/pC ~
3. LEGAL DESCRIPTION
LOT
ADDITION
4. OWNER
~ BLOCK
... ~-~~~II1G::-z:..~
(Name)
5. ARCHITECT
(Name)
6. BUILDER (Name)
.cl.-4f. .M9~~~
~
\
\
\ 1. White
\ 2. Pink
',3. Yellow
1. DATE
/~~/PO
)2.1
BUILDING I ORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
PID 25-:;:),72- tJ.'5/-{j
13. TYPE OF CONSTRUCTION
cR::!!!2.
(Address)
(Address)
(Tel. No.)
14. FLOOR AREA APPORTIONMENT USE
(Tel. No.)
(Address) (Tel. No.)
...s.y'~ ~4'~ ~ ~~O'JC
~ ~ ~..;:(~ 4&'-..<':!;t6-74 >
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
7. TYPE OF WORK
New constructjO~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE
Sq. Ft. Width Depth Yes No
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
building official ca~revOkt_th~ permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ......-;;~ ~""'-;'"-"", __~6?;c.:r?" //"/Z/#d
, Si"gnature License No. ' ~te
Fireplace 0
Alterations 0
SETBACKS: Required
Actual
Front
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
C;P1/
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM A
Division 1 2 3 4
Permit Fee ................................... $
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Gas Fireplace Permit ....................... $
Septic 0
Addition D
Deck 0
Finish Attic 0
Ae-roofing D Porch 0
Ae-siding D Finish Basement D
16. PROJECT COSTNALUE
6'5 L 9t?7"
17. COMPL~TION DATE
SEATS
FOR ADMINISTRATIVE USE
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS D PERCOLATION TESTS 0
OFF STAEET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~ .O~
S U
City:
'7 f3l'} .?. '"
,.L I'll
'f'l.ot)
100 .00
( O/:) ..t::Jt3
55"..0:;0
C/o.=
uilding Permit When Approved.
Date I' - '20 . '2beo
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC uu.uuuuuuuuuuuu............ $
Collective Street Fee ....................... $
Sewer Tap ................................... $
,. $
Pressure Reducer .....~................ $
Meter Horn ... ........ ........................ ot
~-n .0:>
If I 0(') . t"h
'i5 0,,"
/'21Cl.oo
Water Meter ................................. $
Sewer & Water Connection Fee ........... $-1.,.2 no .00
WaterTowerFee ........................... $~/')I"'J.. 00
Water Tap ................................... $__
Builder's Deposit ............................ 4:
. .
Other ......................................... ~
Total Due .......................umu $ ~ '3b. %
Paid 4~3:;..41, ReceiPt,Nq.3<<1Q
I~~ ;~
Date 1'7-~ 1 Ai' ....Qh By 111/0
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 rA requested. This document when
s~ theC p.annerconstitutesatemporaryCe"I~7~mPlian~~t~~':-cy8~~pa:~m;stbeissued
y Planner ate Special Conditions if any -
24 hour notice for aU inspections 447-9850
Th~ C~nl~r of lh~ I..ke Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D 1< )-f,0/~-T()IJ
//- /3 - (j()
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/? 2 5.3 c)(::; c.: /<- F /6 LV L; k:.. .
Accepted
Denied
/
Accepted With Corrections
Reviewed By:
~~
Date:
/)?-/ ~ / &t ':J
Comments:
S.e ~ ~0'VIT H~ J4J.dve~
172-:)) r0~~te1l V;:Y, Gv CbvlfJ1{i19vl-<
-(~.~~~ -
"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
White - Building
Canary - Engineering
Pink - Planning
Th~ C~"ln or Ih~ L.k~ Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. 1<..
//- 13 -
Hol2 / u/J
dO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/253 DebK.FlbL-D DI2.
V
Accepted
Accepted With Corrections
Denied
Reviewed By:
LLL-
Date: 11- 2 Z-CO
'/
/
Comments:
5~ /JJfJIJ;7//cc/ (1'7251 FMte(j a-Lffie fJm/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."
~~
White - Building
Canary - Engineering
Pink - Planning
Thr ("rntrr of lhr Laxr Count"..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
D. f<-.
//- /3 -
)-fore I utJ
6()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
//2 53
DeeteF/6/-D OR...
Accepted
>Z
Accepted With Corrections
Denied 2)/# - 0
Reviewed B{ 0_ Or~~
"- If
Date:
/ I - 20 - '1a::rl
Comments:
'PD 172~~ C-.... Pk ..~~ . tiG.
"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 Me .
16200 Eagle Creek Av. 5.E. Permit No. 00 ~ IDft;O
Prior Lake, MN 5.5372
HEATING APPLICATION! PERMIT
Date 2..\ 'L1 I b I PlDlI 7r;- ~72. - 0.5..1- 0
. , 1\"
SiIs Addrass /12..':5 31JtfX -h eJd0( s..E
lot -k Block L Adcfdion
Owne(s Name _J) jZ I-tDr +-t!V.
Address _ -::i.,L\J31 W ClS,h/LI1D\-Hn1}) r~DLI foc.Oi{l1t ryj 12.2.-
Heating Contractor 1:+ tlW...Ylt r\I\U'..rJ\)('u u:uJ ...
Address 3ij'SD KiAli rll2btcl)jr-1tj EaPitU\ WV\j 5'5iZ-c
'C/ lie" ~llc:-. J
Telephone # I L'.1 '-1"7 L/ i- :J
Furnace Make & Model nr0Cvnf TYPE O.F SYSTEM
. ..,C? ."1' I'\",~ I .. Wann Air Planls
Model Size ::)).) r-..n \. L.- L'-( 6 7/..' Gravity
Conn. Loadt1.. S~[l Mechan~l: r.. ,
I ' ,illClr, ,Q AIfCo.._..~..."g Z--rnn ~I-
Fuel tvil.*" Flue Size '1"' . itS'') U Vent. System z... "'iD CF. ''ifh
g HEATING OR POWER PLANT -fttn s
j 1 Steam
7 HatWaler
Radiation
Speclal Devices
Supply Openings
Return Openings
71' O\!, f.
Input :. U I.:L'
Output 51 ( !T[i:
,
Edr.
Ctm.
Cy r:l
:)UL:
0tI1eJ Del/ices
TYPE OF WORK
A~eralions
..--
Replacement
Ne", Construction
Repair
Est. Com p. Date
Est. Cost $
--J.
...,(.''1'
..../I..,.'L"L-' ,
()() ~ If) fc ()
L-Z Building Permft it
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
PAID WITH
BU\I.DING PERMIT
Receipt it
TYPE OF STRUCTURE
I.PiI1k
2. Grcell
J. YeUllw
,
,
,
.
.
.
1;"
C;ty
CC1ntmc1Dr
Single Family
Commercial
~
Two-Family
Industrial
Mu Iii. Family
Other
Public
,
<
"
~ Schedule
>-
>-
Industrial, Commell:ial & Multi-Family
Residential, Heating & AC
Residantla~ Healing Only
Residential, Gas Fireplace
Residential, Additions & Allerations
Residential, AC Only
.
e
l%'of job cost ($39,50 minimum)
$99.50 PLEASE NOTE: ~
$64.50 Air Condi lioner UniTs Carml e
$39.50 Encroach Into Required SidE ~
.
$39.5C Yard Setbacks. ~
$39.5C ~
.
.
Rememberto add the State Surcharge on !he bottom of this application.
The price of your healing perm~ includes one rough-in and one linal inspection.
Additional i. ,.....~~llf1S wm be billed af $35.00 each.
House Healing Test Record must be submitted with bui!mmlll!!I!IliI number before build-
ing certificate 01 occupancy will be issued.
~ CAI CLJLATION.~ REOUIRED with number 01 supply end retum openings listed per
room ",ilh CFM's per opening. New structures or addilions 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 S a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (F10UGH-1N AND FINAL) - CALL CITY HALL
447_
I hereby apply lor a mechanical systems permit and I acknowledge that the
inlormation above is complete and accurate; that the work will be In conformance
wilh 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 lhe BUILDING
OFFICIAL; thai the work will be in accordance with the approved plan in the
case of all work which requires rel/iew and approl/al of pians.
. .
i..fJiJ!.r"'''^-' fJ\1J!t.~ tiN It; I
ppli 'l!fL- 2,- ;;~e~ I
Bulidi1 OHiCat's SignalUre Date
c
~
~
~
c
~
~
~
~
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t"
>
~
"
JE;
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....
PL. FA;i 447- 4248"
FI RES IDE CORNER
CITY OF PRIOR LAKE
HEATING/All. CONDITIONlNGfFJREPLACE PERMIT
#5403 P.002/008
D~te 8ec'd
: ~ ~:~ I I 1l....:..UT NO. 0 - /t?{P 0 I
], Y..I1rnt I'''''''h:lant
(Pteaftl M:\II::_ or mint Md, sim lit bottDm)
ADDRESS
17,).53 ~t' Otwe
LEGAL DESClUPTION (olliee use Oll!yJ
LOT & aLOCK d- ADDITION' DOJkicR
/)
cr;l ML
OWNER.
(Name)
(Address)
~ L -IhfL4
(phone)
v
APPUCANT
(Name) lILT.XED FIRESIDE !lEA FIRESIDE COMER
I Zv%?u;O~~)
Pro ~C;--;)7d:-()S/-P
(Phone) 6.",1-6.'n-2~F;1
(Addxess) 27QO N. FAJ:l'lVIEW ~Yf.l'WR RO<:F.\1TLT.E MIJ ~~11"\
(Addres,) (City) (Zip Code)
I3RENDA HTJS'l'OO 651-633-256].
(Con,tacl Person) /7, (Phone)
APPLICANT SIGNATURE fi~fJ'" ~/.._~ - DATE
APPLICANT PLEASE COMPLETE BELOW
~WCONSTRUCTlON 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEJ. FlJEL
FLUE SJZE RETURN OPENINGS INPUT OUTPUT
mE OF SYSTEM
Ow."" Ai, PI."l.
OO".vl1)'
o Mech.nical
Dl\ir COlldltioning
OV en~ Sysl1:m
FIREPLACE MAKE AND MODEL ~
HEATING OR POWER PLANT
:J Sleom
:J Hot. We.ler
:J R4~iotlon
:J Speel", pevices
:J Other DevIces
,J t;G>, .,f:{_? ~ i1Z..
I"duminl. Comrn<rci1l1 &. M.ll.fti-Pomily
FEE SCHEDULE
1% of job eoS! R..,idential. Oas Firepl.ce
$39.50 minim\1lll
$99.50 R.esiden.li.'. Addition. &: A'terations
564.50 ksidcntl.', AC Only
Residen,i.l. Hr:ating '" NC (New Construction)
ResidentisJ. Hear~ng Onl~ (New Canstn":lion)
Estimaled CD~l $
Building Permit #,
REA TINO PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.so
fOffice u., Only)
Thl. AppUclltl"n Becomes Your Building Permit When ApPrQvod
I Paid
I Dote t-7-CJ /
lIulldlna omcl.1
D...
14 hall' notic. for n/l inspectinn. (95~) 447.9850, IllI (952) 4474245
PLEASE NOTE,
Air CDndirJonorlJnits
Cannot Encroach into
Required Side YanI
Setback.
539.50
539.50
$.9.50
Su PAID WI'"
'-- ILDING Pi:'
{'I,v..,
I Rloceipt No.
IBY~
----~-_..__._,._---
JAN. 9.2001 12: 40PM
GENZ RYAN 6513226147
NO. 225
P.21
CITY OF PRIOR LAKE i5ft 5-_
. PLUMBING PERMIT # '00 ~ /()fo 0
Applicant: ;C7 Jf17- - (/J p.f"'l ~hon~: l B c <.JZ~ ~f1t...ft.../ .
Address: ~ I 41U n ~ Ijj) ~ --J.f'l,L- 1I~~~rrYJI...L.nr <::J:::lJ( ,,~
Signature: --1A 1 0. H A I. .' .
~al.DeSllrlptiO; Lot F-, Block:2- Sub :ti..~YHd~o
Site Address: 1'17_~~ 'iY...../A-pJ~ lW~ ~
Building Permit 1# PIC II
NOTE: Ttlli permit will not be proc...ed withoat complete information. :
: . F1XTURI! UNITS' . .
~:...'
nr CftIwt ~.' .'11. 1.1. c.....17
I Quantity
I I
I. \.
., \
1 ' ?,;..
r .
\
I. I
'1:-.
,.
. i'
'2--
,.
''','";,
I
,......-I
Type at Fixture
Sath Tub with or w~hout 'shower
Dishwasher
Floor Crain
Lavatory (bllthrool)"llink)
Laundry Tray (1 o~ 2 oompartment sink)
Shower Stall
Sinkl
Bar Sink
Water Closet (toilet)
Quantity
I
e.lr
1
Type of Fixture
Flough-ins .
Water!"leater
Water,So""er
. Stand'Pipe: (washine'machlne)
5ewag'e cJ~ctor . '.
Backllow Assembly (RPZ, Double Check, PVB)
Sackllow ~mblyTest
L.awn ~prlnkler
Other.
$
$
$
$'
.i
.50
.
FEE SCHEDULE
_ Industrial, Comll1llrcial " Multi-Family
(1"" of job eOlt, S39.50 minimum)
Fleeidential, New One" Two FamIlY
Relidentiel, Additions" Alterations
.
Slate Surcharge
$99.50
$139.50
~
r PAID WITH .
lCW\~ING PERM~T'
J
GRANO TOTAl.
, .
Thi'!P"fnI!' is granted upan !lie exp..... .andili~n III.C .ald
conttactOf~ .hall comply in all ts with the ~rdinlnees I.
a~"'. SelIC Plumbin. 0 amondmcnlSilMroaf.
- :, -4,01: OATS
AT'l'IlST
nons 24 hDUrs in advan~a. .
16200 Bagle Creek Av. S.E...Prior Lake. MiMesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4215
. An Equal Oppart\lni!)' Employer
JAN. 29. 2001 12:31PM
GENZ RYAN 6513226147
NO. 037
P.8/13
_....
".uG..~T
110'" . an
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
NO.
()o- (000
NOTE: Sewer and water
contractors must
be registered
with the city.
APPLICANT: o.,Y"I~- ~Ptt.Jvr>'nI..:c_ u.nT"/.uC'~ PHONE:..J25I-(,J.2:~-IILjJ.J
ADDRESS:~.........:2." -rI2.L /C,....."W>r>t''O.T .s;"lO""Cl/Ji_DATE: '1 '2?rf('),
SIGNATURE:ll f~ 0 ./""'--. . BLDG. PERMIT ~ ()()-/r:Js;O
SITE ADDRESS: 1""7_,"", I .A "\ . PIO#
FILL IN
1.
2.
EstimatGd length of water servioe
I"
size of water service inch(es).
THE BLANKS
40'
feet.
3. Location of any couplings from s~ructure feet.
4. Type of sewer pipe. ABS PVC X Cast Iron
5. Estimated length of sewer line~' feet.
6. clean out (if required), located at feet from
structure.
~======~========
I.
==:l==:::!!!:!!lI!~==-__==_
, ,.-=-----""'-----==-==
This application b
our permit when approved.
BY . DATE: -Z---( 4-:-0 I
;;;:;~=_____......___=~...."'___ p~~~_ =-.~==== _____ -':"';;;;=--====-iE1
~~===::::===;;;;;;:==
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line conneotion 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 en the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
Il.ECEIPT #
\o\NII\-\-
AMOUNT PAID:; --2~ _ ,--oU. '
.nU'l1.:l1 -
REC' 0 BY eU~"""
. 4629 Dakota 51. 5.E.. Prior Lake, Minnesota 55372 I Ph. (612) 4474230 I Fax (6121 4474245
AN .QUAL OPPORTUNITY ~PlO'o'EIl
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /I)";t C;"< T).",L>t-Cp\A\ l"\....
NATURE OF WORk t\.\p:', -
USE OF BUILDING~~
PERMIT NO. ., DATE ISSUED ...lJ-?n-UxlQ.
CONTRACTOR D.: . ~k 6$1- "2~L. - 71 ~t;.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
-
I FOOTING I ~ 1//3/ /01
, FOUNDATION (Prior to Backfill)I'~....: I 6?ibr. d)/;3/{)/ I ff)r. ~/Jt1o I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION r?r, fo!~ J
ELECTRICAL
PLUMBING LU;- au Slr/o'
HEATING (if requiret't) (t t\-. f'P:\ jJb/" I
FIREPLACE' . U .'
GAS LINE AIR TEST (:",.P. ~. ~.
~,
&f~\\oo
(,P-~ /
~ fulil/o'
I&Y (,/'1 In/
j::h ,
~ /PI I 1/01
kJ/~)
(
GRADING (Prior to Sodding)
BUILDlNG~.c...o. ~ QI3C/;t
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
,
I N.{j I
~. 81p/ol &.
!IJ/7/o1
/6bs MI
I~
(
k<Yy _
fu f(j )J!/) j
. ..
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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.sha!1 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.."'. ...'~ i...,;... ,."
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........
ADDRESS \1')..5:) Oe~...~:~\J!
OCCUPANT.
HEAT LOSS.
SOLD BY
E lee.rical Work By
TYPE OF HEAT
HOUSE H EA TlNG TEST RECORD
Or;JL.
APT. _FLOOR
"WNER
DATE HTG. INST.
JOB#.
CITY _
SUBURB
INSTALLED BY A \ I.. ~ _.... 1"-"\. r\
Gas line By "
GA _ FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN
MAKE ~"''YQ..-"\'
Model ,,-"\-f\.VC)<...C7b
50';01 1<..0 I A.L ~t..~<::>
INPUT -----.k '" ....""J:)
MAKE OF BURNEP
Model.
Max. BTU Rating
MAKE OF FURNACE
Model.
CONTROLS
THERMOSTAT ~b-"'._lr\\ Heat Plug
Valve C//.,A
Vent Size
4"
KIND OF LINER.
Draft Hood _
Filters
Limit
d-:)..O
S;ze IL)(;)~ l(. I
Limit Setting
Fan Setting _
P;lot Type usE
Pilot Make
Pilot Model _
Pilot Timing
L. W. Cut Off
Pressure ~. '"
Input CFH
Stack Temp. --.3SS-
Chimney Location
Chimney Construction
Inside _
CONVERSION
\/
1\
SIZF NONF
RegulaTor f"C'.00.:ttL: ~
Number
Outside
Smoke Bomb
D,oft - t"./ po..
Door Pressurl"'
Pe,cent CO2 .. g.~_ Dote Tested >f -:1;1- 0'
Percent 02~. Sv Company Testing Frederickson Heating & A/C, 3650 Kennebec Dr., Eagan, MN 55122
Percent CO ~ 0 Name of Tester _ \L.(I \~ ,-A\L~_'
Form 235
Wiring _
Test Tog N / f\
Lighting Inst. I
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/? ~<"'~
SCHEDULED 1f{ zz./ (J I
!J12LA ~./[)
1/
CONTR.
/1l;6-0
OWNER
PHONE NO.
PERMIT NO.
tJo - /11 tn 0
o FOOTING
o FRAMING cf0
o INSULATION . I
I5lI FINAL ~
tJ FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBINGRI r=.~
!!- MECHANICAL .-,.
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
o EXC/GRAD/FILLING
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
(r;)t~ ~r-~" 'u ._~
(, T.Q.., f).
'''''''''''''''"-..
Cj If!, 0 In;
"
"~
_rS1f!i ~ ~~.
o WORK SATISFACTORY, PROCEED 0
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10" CORRECT WORK, CALL FOR REINSPECT10N BEFORE COVERING
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Inspector:
Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
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17J-S3- (o~
TIME
SCHEDULED
.,
I / C~"()
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()- lOG 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
..-e-PlUMBING FINAL
o MECH FINAL
o EXlGRADlFllLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASllNE AIR TST
o
COMMENTS:
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~w RKSATISFACTORY, PROCEED
RRECT T D PROCEED
o CORRE WO . lL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
C L 7- 0 ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
coM REQU:REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNQTl