HomeMy WebLinkAboutBuilding Permit 00-1065
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
I7dL/7 h~LN+..(./j J)y,V( s€
1. While
2 Pink
). Yellow
File
Cily
Applicant
I PERMIT NOC!()~
LEGAL DESCRIPTION (office use only)
LOT 3 BLOCK a ADDITION h..uI:tU ,J",./.
OWNER
(Name)
(Address)
BUlLDE~
(Name) D,R.. Uur-hV\ . ~I' _ - /U./
(Address) '?L/t;tj ",IriSh, kC.h",. bYl'lIl
;
s~. Jo'l
TYPE OF WORK
,tlifNew Construction
ODeck
o Misc.
OLower Level Finish
o Fireplace
I Permit Fee
Plan Check Fee
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
/60.00
IOO.DO
SS.~O
C(O. 00
es Your Building Permit When Approved
)'-'2.1-2000
Date
Date Rec'd
II'r~'
S72. - O~~ [)
PID ZS -2!ft4- - ~...
(Phone)
(Phone) Is/- 2<)/" - 71U~
t::L~C"
;;
Dporch
t'hJ .::;-SI;}.2
ORe.Roofing
ORe-Siding
OAddition
OAlteration
OUtility Connection
PROJECT COST IV ALUE (excluding land) $ f 3 9tJf
$
$
$
$
$
$
$
$
6Q:l.CD I
I, Im.(Jt!J I
. r~~.Q5 I
46.~ I
1, '2~ . Q"J I
'7co.ocJ I
o I
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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 y.~t'~..) 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 can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
:nterup~~.:;t/2rm~;d1/20;s 20MSbS7 ;/-~-.?O
~.L. Signature Contractor's License No. Date
I!!JC/,(!X!) f!)
tp}]. Q51
.t) I (-1/ I
4.?06 I
$ S. &;3~. 4(,
I ~~c1flJ~SnJ <J
Park Support Fee
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This is lO certify tiat the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and mly proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
i"U~ -'--- ( I _.
~~"~L
Planning Director
SAC
#
~ ~-r).~.J~.h~~....
Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850, fax (952) 447-4245
1;2 j"/6b
Water Meter
Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE
Paid
Date
6 (,$(. ,4-'6
!7....1i' -~/7)
~~
White - Building
Canary - Engineering
Pink - Planning
Thf Crrlltr of Ihr ukrCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
D 12- f-t<D(.G I 0 f\J
l(-t3'O()
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/77..47 De:- ~ R-F'I ELD 012-
I
Accepted
;(
Accepted With Corrections
Denied
g
Date: /(-Zt-7.ft---r>,
Reviewed By:
Comments:
~ IT:2~'T.. Oeu~~ OJ-. Cr PAc.. Q
c..fc_
S'c.Jt~
~c">.
"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."
Thto Ctonltor Ollht' L.h Count!')'
White - Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKIJ~T
NAME OF APPLICANT
APPLICATION RECEIVED
D 2- HOI2.. I or0
I( - f :3 .00
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
r7 7_ 47 DE F: I2-F/ ELf)
I
V
Accepted
Denied
Reviewed By:
Comments:
DJ2..
Accepted With Corrections
LLL
12/(9/00
Date:
3~ /7#;~J )deEr 07243 ~dlD'2. CntZlflJ_QffJ.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,"
l ~@~x PR10Jj> <."
,- .",
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Tht Cl'nlu or Ihl' ukI' Country
White . BUilding
Canary - Engineering
Pink - Planning
,eUlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/)
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3 ,C)()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/77_47 DEEk-FI ELI) 0/2-
I
Accepted Accepted With Corrections ~
Denied
Reviewed By:
-
~~~
Date:
J"2--/6/ ~
Comments:
~u~~ ,PeYiM;-rR'e ~eb<
. t72-U~ {)eex.g~J W' ~ (A'7vV.1J;{~~
(g.(l ~L/~__~ .-
"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,"
JAN, 9,?001 12: 35PM
GENZ RYAN 6513226147
NQ,225
P,4
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51'!'E
1.\
2.
3.
.- 4.
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6.
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No.OO-IO&f)
CITY or ,PRIOR LAD
SEWER' AND WATER PERMIT
NOTE: Sewar and Water
contractors must
Qe reqistered
with the city.
APPLICANT: .(.1",.",;,.- ~ trf1 Plumb, ~........ iJIonT"'''lt!. PHONE : Jt.~I- L.L'i3>- J I LW
ADDRESS: L4 T' ... ~DATE:'
SIGNATURE:
,
PERMIT *
\
ADDRESS: J.J..7...u
BLDG..
. 'Pr}\)~PID#
, '
lDW
IN -THE: BLANKS
.40'
feet.
Estimated lenqth of water service
<\ '
Siae of water service I inch(es).
Location of any couplings from' s~ructure
Type of sewer pipe. .ABS PVC X Cast Iron
. / ,,,,'
Estimated lenqth of sewer linl!!..s' I
, -
, ' ,
Clean out (if required),,' l,ocated, at
structure.
feet.
feet.
feet
from
::. 'P:::~ fiil~:::;';.:-;:E:::'~~~--;:-.
.{y , i'
- - -- ---- -- - --- --- ----
-=---~=.==--~ ----~---------~~--~----~--=~~-------~~---=----.-
-
FEES:
,
I
35.00
.50
35.50
Sewer and water:l!ne conne~tion permit.
Surcharqe
TOTAL . ,
$
$
$
~ Fee for either sewer 2! water indiv~dually is $20.00 plus
$ .. 50 surcharqe. .
.. Sewer and water permlts issued for n~w oonstruction must be
recorded on the build!nq permit card at the time of issuance
to insure that no duplicate sewer and wate~ permits are
illllIluec!. i' ,
, ,
DATE:PAID
RECEIPT II
t' oA\O \N~P"W\\\
, 6\,)\\.O\I'l,;l .
AMOUNT PAID
REC'O BY
.
, 4629 Oelcata St. S.E. PrIor Lalce, Mime50tB 5537:i ( Ph. (612) 4474230 ( FlIX (612) 1147-4245
fill, idilAL Ol'POlmIl'rT"I' E!otPlDI'iII
JAN. 9.2001 12:35PM
GENZ RYAN 6513226147
NO,225
P.5
"
.
CITY OF PRIOR LAKE ~ 5..,:-'
. PLUMBING PERMIT # oo~IO(p5
ApPlicant:j';'...r; In"Z. - ~ ,1\ '"boned of!;j-Llz.....~- f (44.
Address: :i"f/ U ~ ',~ /2.J.:J fI.:lo' d::r T~U If'h:'v MlTIl YJ..,.... c~2
Signature: __ ~ ~ 0------ I'
Leg.J Description: L.ot " o::z.., Block '2- Sub-':"l')ppy{'lfil~n 2n().
Site Addr...:..J.J..7 U'I 'I ~ ~....... I&.... ("F=
Building Permit II ' PI!;) II
NOTE: This permii w)1I not be procesaed without complete information.
, FIXTURE UNITS
. .......)
nl! CftAlCr..' ttle ...., Cnn..,
Quantity Type ot Fixture
\ B!ith Tub with or wittlout sl)ower
J . Dishwasher
I Floor Drain
1- Lavatory (bathroom sink) .
,( Laundry Tray (1 or.2 compartm~mt sillk)
\ Shower Stall .
I Sina
Bar Sink
c:':O-',
:"l:!."':,') 1- Water Closet (toilet)
r ",'
Quantity
Type of Fixture
\
12../1
I
Rough-Ins
Water Heater',
Water Softner, ~
stand Pipe (w!lshlng machir,eJ
Sewage Ejectllr .
Baclcftow Assembly (RPZ. Double Check, PVB)
Backflow Assembly Teet
Lawn Sprinkler
. .
other
" FEE SCHEDULE
. Industrial, Commercial & Multi-Family
(1'" of job cost, $3;,50 minimum) $ ,
.,
Residential, New One & Two Family S99.S0 $
Residential. Additions & Alt.r~tions $39.50 $
State SUIChll,l'ge $ .~ .
.' r ~\O \Nrn;l -
P PERM\ i
GRANO TOTAL. $ eU\\.D!NG > ,
.,
. ;
, '
This permit isi grllltod upon th. .~P"''' .ondition 1Iw Slid
, ' -
.ontractor, Ihlll oo!"ply In all rapoelJ with lIl.orelinlll...
. of dI. Stale.P1Umb~'~ C he IIIlcndmonu ,h.""', ;
- - .,' ,_I....~.6' DATE
ATI'5ST
Call {or.all insJ),ctions 24 hours in adVllnce.
"
....-:,
"
1-./
16200 Eagie Creek Av, S.E., Prior Lalce, Minnesota 553721 Ph, (612) 447-4230 1 PAX (612) 447-42~S
, An Equal OpportUnity Employer
-
FIRES rOE CORNER
#4549 P.OO2/00S
Date Rec:'d
MAY I 5 2001
5,,,,,, I PERMIT NO.O- J{)(P5
ZONING (Dffi"'-I
/<(
I,PI_
a,a-
3. .,..11....
(Please,EYPe or Print In.d.lIip;Jl at hal:D:Jm)
I ADDRESS
11:lft1 1Yu/1~dJ,Q.j..:lr
1/
LEGAT. OESCRIP'!10N (ollice lilt only)
LOT 3 BLOCK .^ ADDmON I Qfli) J.h orO .:J d
Ii
OWNER
(Name)
ro 12 'l~
(phone)
(AddJ:esa)
APPUCANT
(Name) lILLJ.ED FIBESmE DBA FIRESIDE COllNER
po:i::2S- g1;)- 0'--/6"/
(phone) ~-633-~F>l
(AddIess) 2700 N - FAIIllVl:EW AVENUE """""'''u.F- J!'1'l
(A~.) (Cky)
(ConCllCt PCl'Son) BRENDA HOSTb? I (phone) 651-633-2561
APPLICANr SIGNATURE ~ !l.l-~ DATE flJh~
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMEJl/T 0 AL TEM. nONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTI'UT
TYl'E OF .>I""I>..f HEATlNG OR POWER PLANT
:::JWIVTll Air PI""t:l 0 Steam
:J01'8vlty 0 Hal W_
:J Me""anical 0 Radiation
:J Air Conditioning 0 SpccloJ De.ie..
:JV.at Sy,,= 000... Devices
i.k~ /J t: ~
FIREPLACE MAKE AND MODEL
~/" '?@:17 _d!.
lndustrillJ. Commm:ial &. Multi-Family
FEE SCHEDULE
J % of job .011I R.,idcnlial, 0.. Flrcpl..e
$39.S0 minimum
$99.50 Residential, Additions It Allerudon.
564.50 Residential, AC Only
Residential. Heating'" AlC (New Construedon)
Reside~tial, Healing Only (N.... Con.lnJclio~)
Estimated CDS! S
Building Pemlit /I
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$
s
.50
(01110. V,. Only)
Thil Application BecDmes YDur Building Penn It When Appl"lved
p~
Date
5./5,0 (
B.i1dleg Ollld.1
DR..
:u hoar """,,'.r oil !IlSperuu.o ("%) 447-9850, r.. (95%) 44704%415
S~1' ~
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach inlXl
Required Side Yard
Set:becks
$39. SO
SJ9.50
$39,50
13lJ'l.6iJ,pGVJ,/. I.',
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CITY OF PRIOR LAKE Me
16200 Eagle CreekAv. S_E. Permit No. no -10&5
Prior Lake, MN 5,5372
HEATING APPLICATION! PERMIT
Date 1--\1 L' \ /) I PID /I
Site Address .1 '12).j.1 \)p .QJ~ f/i cluY
Lot -2 Biock ~ Addition
Owne~s Name l'JQ t-l-tV+Dn
Address 34:il \N Q~hj 1~\hln0r *u ~
Heating Contractor A IllCtflt- 'f{\f.UiLUlj riLl.
Address ~i-6D j(jjf)l1JfJ')f'(,urI:J::i UUlVUl ILl/\! 55/22-
, , C" , I ('~,.., ..., .....,..,c=; J '
Telephone , I;J I t-t J t- - ?- I I ,..)
Furn8Cll Make & Model f31~v\{1Ytf- TYPE OF SYSTEM
. 'A ([ ') In'h r lJ'l ,.J I I L")7 r . Worm Air Plants
Model Size ' ) OJ 1'...r1" L- "t v Gravity
/) 1 .'7. I/J Mechanical
Oonn, Load L. . ;,)~I .
i ' ' '4'l .' ..' Air Conditioning . bViAOY1:t '2dll!'i
\\) O'd-' Flue Size CA CLs')f, Vont System J. - '5u ('FM. ~,
O~'
Supply Openings b HEATING OR POWEE! PLANT ,~
LI Steam
'f Hat Waler
Radiation
Spacial Devices
r;: !'!I'
I-:I)J).(iJ: duV
J b":JIZL
Fuel
Relurn Openings
'-1r-,1'0{-:1'
InpUl I~. L'UI,
Output r:-;i- jr;r-t',
_..L{; :JUl-~
Edr.
elm,
"'n
auf;,
Other Devices
TYPE OF WORK
A~eralions
, NllW Construction
v
Replacement
Repair.
Est. Cost $
Est. Comp, Date
,'j "'''1-,',
''), I ) {} ~;'.
Building Permit /I
(J 0 - /0(;7 S-
rJ'.
~~
HEATING PERMlTFEE$
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
f f'JIo.\O \]\ill\:
Recaipl # BU\\,.O\NG 'r"-' ,,",' \
..
TVPE OF STRUCTURE
I. .Pink
2. Greell
3. YeUaw
"
.
"
.
0;10
<:;ty
CalltmcSDr
Single Family
Commercial
1..---""
.
.
Two-Family
Induslrial
Multi'Family ,
other
Public
.
c
"
Fee Schedule
"
"
industrial, Commercial & Multi-Family
Residential Healing & AC
;;"";";.,lIial Healing Only
Residential, Gas Fireplace
Residential, Additions & Allerations
Residential, AC Only
.
c
10/.01 job cost ($39.50 mnimum)
$99.50 PLEASE NOTE: ~
$64.50 Air Conditioner Units Canm c
$39,50 Encroach Into Required Side ~
$39.5C Yard Setbacks. ~
$39,5C ~
.
.
Remember to add the State Surcharge on !he bollom 01 this application,
The price of your heating perm~ includes one rough-in and one llnaI inspection.
A<ldilionat inspections will be billed al $35,00 each,
House Healing Test Record must be submitted with buildin[J Ilm!l!i! ~ before buitd-
ing certilicale of occupancy will be issued.
HfAT CAlCUI ATIONS REOUIREO with number of supply and relum openings lisled per
room with CFM's per opening. New structures or addilions send floor plan with supply
and relurn locations shown. HEAT LOSS CALCULATIONS, PAVMENT AND
APPLICATIONS MAY BE MAILED ro THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE, MN 55372, '
elty Hall business hours are S a,m, - 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
447-!la5ll
~
.
.
.
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I hereby apply for a mechanical systems permil and i acknowledge that the
information above is complF>le and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state buDding/mechanicai
codes; lllat this form does not become a permit until signed by the BUILDiNG
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans,
;{~tJ!JmthlM,,^ LPAIJ6\
1 ppll ~
I
/' J'~ 1\ Ii" I
1- LA."!" {i I
Date
BUilding 011CaJ's Signature
z.. 7-(,-0 I
Date
~
<:
<:
...
PL. FAY 447- 42..48'
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS tr'J2t/l'J ~C)J Dr-
NATURE OF WORK SF A- Nr.u..J
USE OF BUILDING ErA,_
PERMIT NO, DATE ISSUED 11-2/-2cx;,o
CONTRACTOR "'''^- G.s'/- )$(. -7/3("
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING
'2 INSPECTOR
I E2r/
, FOUNDATION (Prior to Backfill)r~;.., I en.. 1111.,/0 I I ~. 1/zj,I/ol
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
1//1/0/
,
SEWER 1 WATER 1 SEPTIC
FRAMING
INSULATION
ELECTRICAL 1-
PLUMBING'~ 4/)..3/1>1 ~ IJ. Z, J?:r ' ~1,;).J/()1
HEATING (if required)~ ~/6 I Ib=h JJl;J.-3/d I tr~ -:..t.) . &--,
FIREPLACE 'I.Z< (0//0 /o/{
GAS LINE AIR TEST N1~ F:f:~, ~/!R /0/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
'~"M.-Q~ ~~ I ~ I~~/~I
./ FINALS
GRADING (Prior to Sodding) v'V1 a, \1\
BUILDING 1C" -W 1h~ J f::J-r J /YI, ~ /
, ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
if',
ta! &, /4) t
~/~/t) /
. .
,{,Lf'"
I
~
.
7/11/01
7 le7'l!a I
/ I
BEEN SIGNED
This card must be posted near an electrical.servic", 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 and 9:00 A,M, for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~
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".-," -':~".;"L..._.'.-'"
".' ,':.- .--.~;:: co:-"__ ':<':;-,::: -:.?~; . .'. .....--,.....,., --"."::' :;.--::-~:<....--...:f,:.,-.:.~ -...-:..,.....-:~.
'..,,',-,
. ....... '-~ ,:',~"', ".~- "'1:~'- -~:~:.~-'.': -'-:.:':':<'~' :.-",':'-'_'-". . i '~':" .;"." - -
....-'~.....:.'...' .'~ .:.~ '.'~"'-'.
.'.-,.. ..
.-.' '_':-,:,,':".:~' "_:":~ --:::<...:~ c- _:.:~. :.' -0 -:~~7:'; -:c'_;: ~.:.: -;c.',:.:.. ~..: ".'<' ~.. .. - :,<., _:'
ADDRESS I "1 ) 4cl
OCCUPANT _
HEAT LOSS
SOLO BY
E lec.rical Work By
TYPE OF HEA T
{}.-u, (, I !J
HOUSE HEATING TEST RECORD
/) r C; f';
JOB #_
APT. _FLOOR
OWNER,
CITY
SUBURB
DATE HTG. INST. ?" /e.- ('j (
INSTALLED BY 41l.'~ _-4 (11",~ (
Ga. Line By pI I." ~ ,.rl rYJ"r /.-,
GA _ FA :i-HW _STEAM _SPACE HTR. _UNIT HTR.L-OTHER
GAS DESIGN CONVERSION
MAKE ..fl."",..., + MAKE OF BURNER
Model ~ ':;i-;: I .A It' 03 (,07(/ Model _
Seriol le/Q I A Jj 77~ tA Max. BTU Rating
INPUT _ L. ,/" 000 MAKE OF FURNA,-e
I
Model ~
THERMOSTAT.U ,~I I'
Valve \..U...I?
Limit
Limit Setting _
Fan Setting -r
Pilot Type
Pilot Make
Pilot Model ----1..- I
Pilot Timing. r f
L. W. Cut Of!
Pressure
2<-1' LA-- C
Input CFH
Stock Temp. '2 ""-..,
Form 235
CONTROLS
Heat Plug
Vent Size
'-\
,,-oJ
KIND OF LINER,
Draft Hood _
Fi Iters Size
Chimney Location
Chimney Construction _
I_~
SIZE
Regula,or YY1.,...",..
Numb.r
Inside Outside
rlc.c.c. rs
NONe
/
j
-r
:.--
-.
Test To."
lighting Inst
Wirin~
",,-I
Smoke Bomb
Draft _
"'-/
"
Percent CO2
Percent O2
Percent CO
iF" ~(
g-,(..1
o
Door Pressure
Dot. Tested -:J _lcJ-O /
Company T esting Frederick~n Heating & AIC, 3650 Kennebec Dr., Eagan, MN 55122
Name of Tester _ A. ~, ,.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
t7J-.~1
D-t'T'fh.r/d
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
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
Sdcf /fh,.,\
.......---
( c, (US-<
'-
----- -
DATE TIME
/J. /-)--0'-'1
~- aJ-rOv.>'
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RJ
o FIREPLACE FINAL
o GASLINE AIR TST
o
.::::---....
C'~)
IIG,/
-------
pWoRK SATISFACTORY, PROCEED
I!I"'C'ORRECT ACTION AND PROCEED
o CORRECT WO~K," FOR REINSPECTION BEFORE COVERING
Inspector: 0 I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNO"
CODE REQUIREMENTS Al/E FOR YOUR PERSONAL HEALTH .I SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
7t?Jt!-()/ ~' oV
~~/-
OWNER
/7d-"~ I/r;
CONTR.
ADDRESS
PHONE NO.
PERMIT NO. !'n-10(,5, ~~ ~
D FOOTING D PLUMBING RI D EX/GRAD/FILLING
D FOUNDATION D MECH RI 0 COMPLAINT
D FRAMING ([!!J 0 WATER HOOKUP 0 FIREPLACE RI
o INSULA TIO 0 SEWER HOOKUP ~IREPLACE FINAL
u( FINAL n.R\ 0 PLUMBING FINAL 10~ GASLINE AIR TST
is SITE INSPECTION rt;:J}irJ MECH FINAL _ 0__
COMMENTs(/) ~ ~ s,;.........,....;--rf1r1
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C,?J ~_ > -I~ ..
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0.- ,Cd,
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. "',...~
~ ~({<;:(CJI)
-------..,..
., --
~~~
o WORK SATISFACTORY. PROCEED
pd CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
l/VSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ '7;Pf7
~
SCHEDULED 7/ /9/0 ( I tJ ~ EO
f:j~Ji)
CONTR.
OWNER
PHONE NO.
PERMIT NO.
00 -10(,,5
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL ~ PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS:tr) ~ ~ &r,
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~'~~
~-"'~
o WORK SATISFACTORY. PROCEED
)l1CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl