HomeMy WebLinkAboutBuilding Permit 94-0278
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_ptftlRY
ITV OF PRIOR LAKE
BUILDING PERMIT,
TIFICATE OF ZONING COMPLIANCE
L1TV CONNECTION PERMIT C7:f, '77 (/
Permit No. 4 ~' 6
I. White
2. Pink
3. Yellow
File
City
Applicant
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
o
1. DATE
w;1J
!lome
7.TYPEOFWO K
New Construction 'rJf
Chimney 0 Mis/"
8. PROPERTY AREA OR ACRES
Sq. Ft. '
'7
O/S--O,v- O.<.L-
PID -t-::' j/ 1'1 ; III U! ,1,/ rI
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigh)) <t,~) (Depth) iY
12. NO. OF STORIES
LOT
ADDITION
4. OWNER
CJ~J'I,/1J iAJ..,orl
5. ARCHITECT
6. BUILDER
e
,
10. CULVERT SIZE
Yes No ~
ify that I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that am the owner r authorized agent for
ill nform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
rmore, I hereby agree that the city official Of a designee may enter upon the property to perform needed inspW'
1 ()(}(}- /t.!o7 '?-3/- 9-
Ucenae No. Date
x
FOR ADMINISTRATIVE USE
Front
Baok
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA fiI-
SETBACKS: Required
Actual
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING
/~,:../~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
PILING LOGS 0
PlANS & SPECS pi-
SURVEY ,i-
PERCOLATION TESTS 0
SETS
COPIES
L-
TYPE OF CONSTRUCTION: I II III IV ~
Occupancy Group A BEl ~
OMsion 1 ~
PLOT PLAN
o
C",,:
ZZC;7 9 L
13."", " '" ""
l~c>~ ~~
?oe. I '-~~
Permit Fee ................................... $
l:Sa4..~D
t!4'7."C,
/ .I.f..r. ~ 9
Amount Brought Forward .................. $
pa"'support~~~~.),<u?"uuu,u $
Gb'-'" SAC .uuuuu~.~u~ubu'uuwu'u $
C(ZL.~~ ~ COllectlveStreetFee~..:>:c>.~... $
"" _ q 4.- t>s, Sewer Tap uuwuuuu'uu'uuu.uuu. $
License Check Fee ......................... $
/,C- L..
Pressure Reducer .~..r................. $
....~
.g t:"lo, c"......
Plan Checking Fee ......................... $
State Surcharge ............................. $
Penalty ....................................... $
Septic System ............................... $
Other ,u,u,uuu,uwuuu,uuuwww $
ZZ'7 '7. "7 2.
Check if
Deferred
Meter Horn ....C............................ $
Water Meter ....1J;;.r:..~............. $
"I 00 ')c. '-
Sewer & Water Connection Fee ........... $
Water Tower Fee ~,\-;\i;):'6.,'kuuuu $
I C; '"
I. <1o<c:,
,
I . Z-.. ""
0",,"
.....
o
o
\ I:l,,~
By
m Your BuildIng Permit W'in Approved. ~
_/ -"l
Date c-
Water Tap ................................... $
Builder'~eposit ............................ $ I J S ~~ . ~ ~
Other ~,o,~,~,~.\~uuu, $-<'-. '1 ~" .. '" '"
'1"72-7.. q L
Certificate of Occupancy
Issued
Paid
Date /0 B
This is to certify that the request in the above application and accompanying documents is in aCCOfdance with the City Zoning Ordinance and may proceed as
signed By the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate
City Planner
Dote
Special Conditions if any
24 Hour notice for all Inspections 447.4230 9:00 a.m. . 10:00 a.m.
ep; -:< 71
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OCT 2 0 1994
GREEN - FR.!
YELLOW . APPLICANT
GOLD - CITY
I:' I:
ill!
CITY OF PRIOR LAKE NO.~
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
PHONE:
DATE:~ 0/20/'9 \(
BLDG. PERMIT # cry 'J ) g/
PID# Q.s-,OJ2 - 022 -0
\4 e Q\\r
FILL IN THE BLANKS
1, Estimated length of water service
feet.
2, Size of water service
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC
Cast Iron
5. Estimated length of sewer line
feet,
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY s9J~~/c....- DATE:_ID/2..\/'i\./
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
,50
35.50
Sewer and water line connection 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 on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued,
DATE PAID ,(') /2. \ IC;Lj
RECEIPT # ~~\..{ \,
AMOUNT PAID J:s..,~b
REC'O BY C-L LJ ~Q....
4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLDYER
OMEN - 'K.E
YELLOW - APPLICANT
GOLD . CITY
CITY OF PRIOR LAKE NO.gy-)8'S"
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
SIGNATURE:
.\1 C'
WIAt \\,'\
~
FILL IN THE BLANKS
PHONE: cg v. "?f{(p
DATE: J~ /q I tj y
BLDG. PE IT #~g'
PID#
APPLICANT:
ADDRESS:
SITE ADDRESS:
1. Estimated length of water service feet.
2. Size of water service---1---__inCh(eS),
3. 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 (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY JjOU jtJ~,-J'L~ DATE:~ bit 1/'1 "t
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection 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 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
315SCl
Q.0(~
DATE PAID
--1.l21J 'i I q l(
'1 ~1s' Y)
AMOUNT PAID
4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I Fax (612) 447-4245
AN EQUAL OPPOKrUNITY EMPlDYER
CITY OF PRIOR LAKE
PLUMBING PERMIT
5AlzRr PI...Mb;
. k
1_ Blue
2 Gold
3. Yellow
File
Cily
AppliClnl
Applicant:
Address:
Signature:
Legal Description: Lot
Site Address: 1ft> 71 W~ ~~~.
Building Pennit # '1'1 - 2-7 f PID # ,.<S - tJ.J2 -
NOTE: This permit will not be processed without complete infonnation_
'J
Sub:
02.1--0
FIXTURE UNITS
Unit
Quantity Type of Fixture Amount Total
J Bath Tub with or without shower $ 6.00 I;)... t>J
I Dishwasher $ 6_00 f,P,)
f Floor Drain $ 6.00 t,(It>
5 Lavatory (bathroom sink) $ 6.00 ~~'U
J Laundry Tray (lor 2 compartment sink) $ 6_00 j,. ,~
:2 Shower Stall $ 6_00 /)......
I Sinks: $ 6.00 /. ."';'
I~ Bar Sink $ 6_00 rn
Water Closet (toilet) $ 6.00 J~/, c;U
-a Rough-ins $ 6_00 tI
Water Heater $ 6.00 1.,'Pc
~ Water Softner $ 6_00 b
Stand Pipe (washing machine) $ 6.00 llJlj
t?t Sewage Ejector $ 6_00 / "
If, Backllow Assembly (RPZ. Double Check. PVB) $25_00 't/,
~ Backllow Assembly Test $10_00
fJ Lawn Sprinkler $25.00 l 'J
Other $ 6_00 \
Minimum Fee $25.00
SURCHARGE _50
GRAND TOTAL $ --1..J 4,50
This pennil is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the amendments thereof_
RECEIPT NO_ 1I/9/N DATE
. ATfEST
Call for aU ins ctions 24 hours in advance.
4629 Dakota SL S_E_. Prior Lake. Minnesota 55372 I Ph_ (612) 447-4230 I FAX (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ilb~: 'I.J!fJ.!:....rJ t,~(/ (j~,
NATURE OF WORK <>J '
USE OF BUILDING
PERMIT NO, 11/--) If DATE ISSUED 11J1,lf~
CONTRACTOR 1f, -' A. j,j~ ..-
NOTE: THIS IS N T A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING ~..I . ~oJ,/IY
I FOUNDATION (Prior to Backfill) ,/1 ~ 1/(;/0/4/1
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER / WATER / SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL A
I WALLBOARD I
FINALS
Z'f
OVE HAS BEEN SIGNED
I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT 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, card shall be placed near main entrance,
Call between 8:00 and 9:00 A.M, for all inspections
FOR ALL INSPECTIONS 447-4230
File
City
Contractor
1. Pink
2. Green
3. Yellow
x
Q4..33J
CITY OF PRIOR LAKE
4629 DAKOTA STREET S.E,
PRIOR LAKE. MN 55372
~~~
~' (0,..
Muni-Family
Other
Two-Family
Single Family
No,
Permit
Public
Industrial
FEE
Commercial
JOB VALUATION
HEATING APPLICATION / PERMIT
Date
2% of job value, min, $20.00
000
$1
$0
Sne Address
$20,00 for the first $1,000 plus $1.25 for each additional
$100,00 or fraction thereof to and including $10,000,
$10,000
$1.001
.00 for each add,-
to and including
$132,50 for the first $10,000 plus $1
tional $100,00 or fraction thereof,
$50,000,
$50,000
$10,001
p
each addi-
$532.50 for the first $50,000 plus $7,50 for
tional $1,000 or fraction thereof.
$50,001 and over
inspection
na
rough-in and one
ing permit includes one
be billed at $25,00 each.
The price of your heat
Addnional inspections wi
Addnion
Block
Lot
Address
Heating
Address
Telephone #
before build-
Record must be submitted wnh
wm be issued,
House Heating Test
ing certificate of occupancy
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Condnioning
Vent System
1;,<;:,
I
Furnace Make & Model
c.. :l,::, ~3>
(_C\ '"\ L
-- - - -..'""'"C
Model Size
wnh number of supply and return openings listed
per room WI CFM's per opening, New structures or addnions send floor plan with sup-
ply and return locations shown, HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St
S.E. Prior Lake, MN. 55372.
x
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
\
1
:5"
o
1"'___ I __.J
"-'VIlli. Luau
---
Fuel N... \ j""<"Flue Size
Supply Openings L~
\
\ C:t::> \ CO\:)Qutput
Return Openings
Input
Edr.
4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CALL CITY HALL
447-4230.
City Hall business hours are 8 a,m,
Other Devices
\.
I hereby apply for mechanical systems permn and I acknowledge that the information
2(, above is complete and accurate; that the work will be in conformance wnh the ordi-
nances and codes of the cny and wnh the state building/mechanical codes; that this form
;;'7( does not become a permit until signed by the BUILDING OFFICIAL; that the work will be
~ accordance with the approved plan in the case of all work which requires review and
approval of plans,
TYPE OF WORK
New Construction
~<--- ""\
Replacement
Est Comp, Date
~~,~O
~o
Cfm,
Anerations
Repair
Building Permit #
Cost $
Est
L.
Date
1/- 3'-'14
Date
fT
)"?s0
Receipt #
",\')...,'50
.50
00
q,'
HEATING PERMIT FEE $
$
$
STATE SURCHARGE
TOTAL PERMIT FEES
File
City
Contractor
1. Pink
2. Green
3. Yellow
Muni-Family
Other
Public
Two-Family
Industrial
x
Single Family
Commercial
q4.>~t
No.
Permit
ATION I PERMIT
\'.J1 t? ,."-
'V-OF PRIOR LAKE
55372
FEE
JOB VALUATION
'~-Ila). - tJ Z-2-0
2% of job value, min. $20.00
$20.00 for the first $1,000 plus $1.25 for each additional
$100.00 or fraction thereof to and including $10,000.
$1,000
$10,000
$0
$1,00
..,
Date
S~e Address
$132.50 for the first $10,000 plus $1.00 for each addi-
tional $100.00 or fraction thereof. to and including
$50,000.
$50,000
$10,001
L~
Lot
Owner's Name
$532.50 for the first $50,000 plus $7.50 for each addi-
tional $1,000 or fraction thereof.
and over
$50,001
Address
Heating
final inspection
The price of your heating permit includes one rough-In and one
Add~ional inspections will be billed at $25.00 each.
before build-
House Heating Test Record must be subm~ted w~h
ing certificale of occupancy will be issued.
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Cond~ioning
Vent System
Model Size
w~h number of supply and return openings listed
per room with CFM's per opening. New structures or add~ions send floor plan w~h sup-
ply and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 4629 Dakota St.
SE Prior Lake, MN. 55372.
x
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
\
.!;\
<...,."" '-.C
Flue Size
\~
Supply Openings
Openings
Conn. Lead
Fue
\0
Return
CAll CITY HAll
4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) -
447-4230.
City Hall business hours are 8 a.m.
Other Devices
I;)\:)~
\ t)lb. "01.:> Output
,
Input
Edr
I hereby apply for mechanical systems perm~ and I acknowledge that the information
above is complete and accurate; that the work will be in conformance w~h the ordi-
nances and codes of the c~y and w~h the state building/mechanical codes; that this form
does not become a perm~ 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.
x
(/11..2-71
New Construction
TYPE OF WORK
Comp. Date
Replacement
Est.
C>\:)
Cfm.
Anerations
Repair
Building Perm~ #
~.S0
Cost $
Est
'--,
Dale
il-g-q4-
Date
\
90S
Receipt #
50
~S.uO
HEATING PERMIT FEE $
$
$
STATE SURCHARGE
TOTAL PERMIT FEES
-------------------------~-
.P.,..... '1~
vJAr-"N ~"Iolc: _
IIIJobAdd,... '-2!.. ~~
-- "~i>"'>ilJ
-r..terwJSlgnatur. _ ~_
Q!!!
Poundo
f!!!!!!!!
II!!!!
.0.. Une
Preuurized
1--
PERFORMANCE TEST
.P.rconICo" 1").5' .p_CO (i)
.Percenl 02 ~ *StackTemp. -'l;1..O-
Finallnapection
DO")P~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PERMIT NO. ct4- 278
CALLED,IN
SCHEDULED
COMPLETED S -28 -cr!> 9::s-o
ADDRESS !jD 7 Z
OWNER
_ TELEPHONE NO.
~ 0 FOOTING DPLUMBING RI r-:-' /I
l.l. 0 FRAMING ~ECHANICAL"k.....l.(
C"i 0 INSULATION 0 WATER HOOKUP
Q 0 WALL BD. 0 METER SETfTURN ON
<: C FINAL 0 SEWER HOOKUP
<( 0 FOUNDATION 0 SEPTIC INSTALL.
:J:: C DEMOL. 0 SEPTIC MAINT.
:; 0 FIRE PREV. 0 PLUMBING FINAL
<(
~ COMMENTS:
-" I -* ~ ~-
:<( . J ~ 0 '
~ 2, LV ~lL ~ ~J- I/~ JJ
~
~
~
~
~
<(
~
~
~
:5
o
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a:
w.. lJ-WORK SATISFACTORY:PROCEED 0 PHOTO TAKEN
g~ORRECT WORK AND PROCEED
o 0 CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
I.) 0 CORRECT UNSAFE CONDITION WITHIN _HOURS. INSPECTOR WILL RETURN.
o STOP ORDER POSTED. CALL INSPECTOR.
o INSPECTION REOUIR D. CALL TO ARRANGE ACCESS.
L.)tl?
c.:..
DSITE INSPECTION
o EXCAV.lGRADINGIFILlING
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW-UP
o SEPTIC FINAL
o FIREPLACE
o
~~l.,,~~
K4.c::...~"'f. -
CL-~ r- dt Cc:-
~.d'l,
+e~
p clion 24 hours in advance.
Inspect
447-4230
Y&IJowQlpy
\
Whne CopyI1n.tpecIOr's File
CITY OF PRIOR LAKE
INSPECTION NPII~E
PERMIT NO. '-1Cf~
DATE TIME
CALLElJ.IN
SCHEDULED 1- J Lf-4!; J.. '16
,
COMPLETED
ADDRESS 4-0 7 d-
OWNER
~ TELEPHONE NO.
Lu 0 FOOTING
I.L. 0 FRAMING
;;!j 0 INSULATION
~ALL BD.
~ INAL
'C( OUNDATlON
;x: 0 DEMOL
:i 0 FIRE PREV.
~ COMMENTS:
-J
~
@
~
~
~
~
Lu
ll:
'C(
~
a1
~
:::l
fi1
ll:
Lu 0 WORK SATISFACTORY:PROCEED 0 PHOTO TAKEN
~ ).n:ORRECT WORK ~~~~~~~ ~
(f ;:;~ORRECT WORK. ALL FOR REINSPECTIO EFORE COVERING
o CORRECT UNSAFE I 0 '''In ~ HOURS. INSPECTOR WILL RETURN.
o STOP ORDER POSTED. CALL INSPECTOR
o INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
IA.) o.?j ry,
1!;;(;~ 0rd\
CO R.
DPLUMBING RI
o MECHANICAL
o WATER HOOKUP
o METER SETITURN ON
o SEWER HOOKUP
o SEPTIC INSTALL
o SEPTIC MAINT.
o PLUMBING FINAL
Deck-
DSITE INSPECTION
o EXCAV.lGRADINGlFILLlNG
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW,UP
o SEPTIC FINAL
o FIREPLACE
o
(/1/
call lor the next inspection 24 hours in advance.
Owner/C
Inspect r
'fellow Copy,sn. Nofjca
447-4230
lWIite Copyl/napec/of's File
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
7-~-02..
ADDRESS '-10 70 W~c.? Br/~..t..
OWNER CONTR. Bc,{(KDII HOllies
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
XEXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Lf() 70 - L'Jfb &,"-~/!..
'io-p.- LIP;' 7367<- CP/L
X' WORK SATISFACTORY, PROCEED
o CORRECT ACTiON AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:R~~ Owner/Contr:
CALL 447..9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
PERMIT NO, qLj- 2.7%
CALLED-IN
SCHEDULED
COMPLETED
ADDRESS 4072-
OWNER
~ TELEPHONE NO.
u.o 0 FOOTING
... 0 FRAMING
<:i 0 INSULATION
Q 0 WALL BD.
~ 0 FINAL
0( 0 FOUNDATION
;t 0 DEMOL.
:i 0 FIRE PREVo
~ COMMENTS:
.....
~
L
~'"
~
W~on
DATE TIME
12 -1o-Qt/
11;00
~G'
IZ...
CONTR.
DPLUMBING RI
o MECHANICAL
o WATER HOOKUP
o METER SETrrURN ON
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAINT.
~UMBING FINAL
DSITE INSPECTION
o EXCAV.lGRADINGIFILLlNG
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW-UP
o SEPTIC FINAL
o FIREPLACE
o
~
S
~
~D RK SATISFACTORY:PR EED
Q ORRECT WORK AND PR EED
o CORRECT WORK. CALL F REINSPECTION BEFORE COVERING
o CORRECT UNSAFE CON ION WITHIN _HOURS. INSPECTOR WILL RETURN.
o STOP ORDER POS D. A L INSPECTOR.
o INSPECTION RID C ARRANGE ACCESS.
OwnBr/Contr. 0
Inspector
Y-'#ow CopyISite Notice
""-
o PHOTO TAKEN
447-4230
WPIifw Copylln.specfl)r's File
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE 279
PERMIT NO, qy - ~
CALLED-IN
SCHEDULED
COMPLETED
l{-!-q~
10:00
ADDRESS '1070
OWNER
~ TELEPHONE NO.
Ll.I 0 FOOTING DPLUMBING RI
U. 0 FRAMING 0 MECHANICAL
c:i 0 INSULATION 0 WATER HOOKUP
Cl 0 WALL BD. 0 METER SETfTURN ON
:i!: 0 FINAL 0 SEWER HOOKUP
<( 0 FOUNDATION 0 SEPTIC INSTALL.
::t 0 DEMOL. ~EPTIC MAINT.
~ 0 FIRE PREV. /"""rLUMBING FINAL
3 C~OMMENTS: ..
~ ~ Ot
o
~
~
~
~
Ll.I
It:
<(
~
~
It:
S
o
Ll.I
It:
Ll.I WORK SATISFACTORY, ROCEED
Cl 0 CORRECT WORK AND ROCEED
o 0 CORRECT WORK. CA L FOR REINSPECTION BEFORE COVERING
() 0 CORRECT UNSAFE ONDITION WITHIN HOURS. INSPECTOR WILL RETURN.
o STOP ORD S. CALL INSPECTOR.
o INSPECTI IR. CALL TO ARRANGE ACCESS.
w o...r
~
L.
CONTR.
DSITE INSPECTION
o EXCAV.lGRADINGIFILLlNG
o LAKESHORE/WETLANDS
o COMPLAINT
o FOLLOW,UP
o SEPTIC FINAL
o FIREPLACE
o
=t\tA. ~
01/
-
o PHOTO TAKEN
Inspector
447-4230
WPtifeCopyIln.".ctrx'sFiIe
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OWNER CONTR.
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C}j 0 INSULATION
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() 0 CORRECT UNSAFE CONDITION WITHIN _HOURS. INSPECTOR WILL RETURN.
o STOP ORDER POSTED. CALL INSPECTOR.
o INSPECTION REQUIRED. CALL TO ARRANGE ACCESS.
CITY OF PRIOR LAKE
INSPECTION NOTICE
PERMIT NO. Q 1./-,-"2/ 7~
CALLED-IN
SCHEDULED
COMPLETED
DATE TIME
7-/LJ~5 /:30
DPLUMBING RI
o MECHANICAL
o WATER HOOKUP
o METER SETITURN ON
o SEWER HOOKUP
o SEPTIC INSTALL.
o SEPTIC MAINT.
o PLUMBING FINAL
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DSITE INSPECTION
o EXCAV./GRADINGIFILLlNG
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW-UP
o SEPTIC FINAL
o FIREPLACE
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Owner/Co
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447-4230
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOJICE
PERMIT NO. 9 -Z7~
CALLED-IN
#172
SCHEDULED ~
COMPLETED ~
u.)~ 13t2;~
CONTR.
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ADDRESS
OWNER
~ TELEPHONE NO.
... 0 FOOTING
U. 0 FRAMING
ell 0 INSULATION
Cl~ALL BD.
O!: INAL
'iII(i 0 FOUNDATION
:t: 0 DEMOL
':i 0 FIRE PREV.
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... 0 RK SATISFACTORY:PROCEED
Cl CORRECT WORK AND PROCEED
o 0 CORRECT WORK. CALL FOR P.EINSPECTION BEFORE COVERING
(,) 0 CORRECT UNSAFE CONDITION WITHIN _HOURS. INSPECTOR WILL RETURN.
o STOP ORDER POSTED. CALL INSPECTOR.
o INSPECTION RECUIRED. CALL TO ARRANGE ACCESS.
DPLUMBING RI
o MECHANICAL
o WATER HOOKUP
o METER sETrruRN ON
o SEWER HOOKUP
o SEPTIC INSTALL
o SEPTIC MAINT.
o PLUMBING FINAL
DSITE INSPECTION
o EXCAV./GRADINGlFILLlNG
o LAKESHORElWETLANDS
o COMPLAINT
o FOLLOW-UP
o SEPTIC FINAL
o FIREPLACE
o
o PHOTO TAKEN
call for the next inspection 24 hours in advance.
Owner/Contr. on site
Inspectoi17!
447-4230
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