HomeMy WebLinkAboutBuilding Permit 01-0035
~~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DATE R!;CEIVED
12.- 8-00
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
2.SITEADDRESS~{o.?l t..i;"Kf_ lliveJ\ ~-\-.
BLOCK )
MOr~II..IMrJ. f'v1Jts .:::;r.aL
3. LEGAL DESCRIPTION
10
I. White
2. Pink
3. Yellow
1. DATE
1(j.-4-aJ
~l-:D
Permit No.
BUILLNFORMATION
11. SIZE OF STRUCTURE
(Helghl) (W;dIh) (Dep\tl)
12. NO. OF STORIES
~
13.~C~~ON
14. FLOOR AREA APPORTIONMENT USE
PID
25-37(- 0/6-0
LOT
ADDITION
(Nameh I .
JOC ~ ~
5. ARCHITECT -p~ [)
6. BUILDER (Neme)
, .I (Address)
n&7f](Y2,
V (1\ddress)
vllfHj.YL
(l.ddress)
(Tel. No.)
t6/- 4:1')). -Di;:) 4
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
4. OWNER
\181.1'110.)
OCCUPANTF
. ((Itl./1.((14 &05. dsn-s-l. 1tJ?7! IHt'S6rl.~ MI-/ 6~1-1~-WJ3
7. TYPE OF w~k Fireplace (] Septic LI Deck () ., Re-rooflng (] Porch (]
New ConstructiO~ Alterations (] Addition (] Finish Attic C1 Re-slding (] Finish Basement LJ 16'ffOJECT COSTNALUE
Chimney CI Misc. ;l'::x:J ,ODO
8. PROPERTY AREA OR ACRES \9. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COMPLETION DATE
Sq.FI. /...f/,o,m Width Depth Ves No 150 bLusf1-orn 1,(\ tr:tJ.c.
I hereby certify that I have furnished "...............~.. 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 CJn revokeLthis pe"7"\for just cause. Fu ennore. I hereby agree that the city offigl~ or a designee may enter upon the property to perform need~ I~ons.
X 1l.JJ M1-.J (I.) '1t- ~C064?V1 12-<l;-<SD
Signature U Ucense No. Dele
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Be'"
S~e
F...,t
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION
USE OF BUILDING ~
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGV DATA CI
PILING LOGS LJ PERCOLATION TESTS LJ
PLANS & SPECS 0
SURVEY CI
PLOT PLAN LJ
SETS
COPIES
;250.000
Amount Brought Forward .................. $.
ParkSupportFee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... It
$
Pressure Reducer .%.................... $
MeterHom.....................-:~............. $
Water Meter .................................. $
Sewer & Water Connection Fee ...~...... $
WaterTowerFee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other ......................................... $
Total Due .............................. $
Peid ~~fn. t7 Receipt ~
Dete/'Z z... () I By /1'1
request In the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed requested. This document when
Mr~~\Ml~co~llanceand~kJwsCOOs1nJctiontoCOc.t:e. Bf~~~~'
Planner Dale ~ ~ ~~
24 hour notice for alt Inspections 447.9850
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U City:
PennttFee ..........~~.~...'...~..~..~... $~ ~ 833.75
Plen Check Fee ............................. $ 1~""~JJAlf III t?1.q4-
StateSuroherge ............................. $ 14it'5". Oc:':l
Penalty ....................................... ,
Plumbing PeRllit Fee ....................... $
IM.f!)O
IQ'J,I!)()
_~C;_~
$.~
Mechanical Permit Fee ..................... $
Sewer & Water PeRllit ...................... ~
.
Th
By
r Building Permit wtlen ~roved.
Dete I~ -II' z.,oo.
Issued
'l
R'!iO.de
I. IJIiL-J..,o
"f
I
"'L ~
..,n
/25', dlQ
I. .2.ClO. c:S1O
,
'7t:J11 . d 0
I (S~.d8
;>.
61--003S'
Th. Ct'nl'f 0' tbe Lake COIIDlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
,
NAME OF APPLICANT
APPLICATION RECEIVED
IJ/ANL-BV FSPa;,
I
/2- PJ- no
'I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30&;2- LAI<-S ~VEtJ c..-T
.
Accepted
Denied
II
Accepted With Corrections
Reviewed By:
LL/_
Date:
1/9/0()
. .
Comments:
~ Red~~,<;~A..=tiiJngl D>,m~ ~
~ ,fn/J0(/Z't:7V73: /> GRAo"J6 ~ Z)cR.?'YntI ~
5.)8<rnJM) ('.Pr7 or-PDt- ftAttJ
"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,"
.
() I ,,00 3f)
Th~ Clfftlll'r 0' the LIok-. Country
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERMIT APPLICATION OEPARTMENT CH.ECKLlSI
NAME OF APPLICANT
fJlAN L~V F5~o;.
f
12- ~- ()n
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
30(oL LAI<(f.. f-V-\I/F.f,J C-T:
. r
Accepted
I~
Accepted With Corrections
Denied
Reviewed By: q~P'-r:::' .;~..,
Comments:
1yC~ 1infie25i:ev\ F-....A(~ ~1J/.r~I~_
~~ J:drr~~~~ ('p i~d ~~
Date:
1 Ac;/t' I
~5'fl ~LUUM tv,,~ UcEPt ~
~,(J ~ I~~ -l- ~ y.:z ,-0 Il.J .
Mux!~ . ) V~
~1Z V\c'1"L9W --k ~V\-~ ~~- ~(
"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\ ~OD36
T.... C~nlu of lh~ Lak~ Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEiVED
I1ANv~.
I
12- p.,- nn
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
36&;2- LAI<'b f-JA.V60 6"""1:
.
Accepted
Accepted With Corrections
Denied
~
Date: /2 -II~ '2ct:::> e:>
Reviewed By:
Comments:
~ aJI IIIfQC~ .h" ) a-..: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."
01/24/01 WED 09:53 FAX 6128902753
STOCKER EXCAVATING
141002
....... . ".
'YIILI.OW . IU"*- tea.-r
GOLD . err.,
CITY OF PRIOR LAkE NO.~
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors lI11~St
be r"9istered
with the city.
APPLICANT: DIl Mechan1ca1/Scocker Excavating
.PHONE: :
890-4241
ADDRESS: 82~;1~:t ~"lht~;/ti7 n ~
SIGNATURE:~~~ _ ..,
SITE ADDRESS: '1n~' Tar. R''''~I''''_ ,",_n_'"
~~l7R_DATE: 1/18/01
BLDG. PERMIT # ~;l,.{'
PIDiI...2.5-"3"71- 010-0
FILL IN THE BLANKS
1. Estimated length of water service
feet..
2. Size of water service
ineh(es) .
3. Location of any couplings from structure
f..et.
4. Type of sewer pipe. ASS PVC-x-- Cast Iron
5. Estimated length of sawer line feet.
6. Clean out (if required), located at
structure.
feet
from
._n.;;::;=:=a=,..;==--_
r...__________..__________..====-Sl:...c=::!.---==:z---I::=~-
This
BY
$ your permit
wh..n approved.
I~Zlo-OI
DATE:
=:c:s___c==____:::c::::z
.,_=--___E::::lI___iI::I'=____==__~_~'SO_
FEES:
$
S
$
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 surcharqe.
..
sewer and water permits issued for new construction must be
recorded on the buildin~ permit card at the time of issuance
to insur.. th~t no dupl~eate sewer and water permits are
issued_ -
AMOUNT PAID(' pp.\f;~p,Nln
REC'O BY \~~
DATE: PAID
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake. Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
IUI EqUal OppoctunilY Employer
CITY OF PRIOR LAKE
PLUM8ING PeRM"
... . '. 'j~Qr Q\ \m\\)i(\.~
A.. ' 4'\.00 \"'leriC11' c.rrc:Ht s~
I.... NIl
:L 0olO Orr
I.T.. ...._
"P No, .Jl1- () () ~
~: q'Sd..4~/-c.,'34
, \"r,or L..a.~
1'atC--__...~
t'. 1--':
LallI OU_'_' .. L.cIl ... Sub
... "'1111III.: .3~"'';\ LcU<a ""iav,"-r\ ~.
to -'1 ~..",.. 0.1- no 35 PIC'
NOTE: TIIIiI......... 11III" p... r ..ut COmplMe irIfo""allon.
PfXTUM UIITI
0~
a...
;L
\
\
Y
\
';J...
I
3
,. fII.....
... T..... or ....1.111
Dill. .118I
Q~""
....3
I
Tyge of 1G.l.lrtI
Aollft\.iNl
W...r Hearer
Water Sollner
Srand Pipe (wu/'linll machiNl)
~ag. Ejector
- '&..1 _I'lltIP, (APZ. DNlle C/lKk M)
1K1dIo- AuamlllV T..t
1 Lawn Sprinkler
Otfter
.. IIllI. ca...... 1xI..... '.i"
(1' fl. -.... ."U.n.lIIt)
41 .~. .!IId. __ One . Tw I'ernIy
~ .- .I.....R.,..
-- Lcr-..
s
s
s
. .50
PAID W~"tRMI'f
~ING ~
". ...-....- ....... ,. , t....,. _ Slid
, ' '" .......... ., .........-
.,......v L. _c:...... " ......,.
~'..,'Z.-(J' DA.TE
011 "'''''- _ t. 24..... iII~. ."
16200 IafIc CaakAv. S.E., Prior....., ..ht-HlI~ 55372 ,PIa. (61Z) 447-4Z30 I F."-" (612) 447.414'
Aa,,-t, " ., .., ..,..,.
,...,. ~
L, ", ___8InIq
1_,,, T..y C' Ill' 2 -..' ' . ,1/llII)
Iha.- ...
.1
IIrIkI
... ..
W..... CIDIC (IIlIMJ
... III ....U
OIWID TOTAl..
CITY OF PRIOR LAKE MC 3-5
162.00 Eagle Creek Av. S.E. P.nn/H'D. CJ (- 00
Prior lake, MN. 55372
TYPE OF smUCTURI;
""Ill:
1._
l.T_ -
fIft
Cll,
'"
o
o
:;; ~ HEATING APPLICATION I PERMIT
o
: Dale V~;bl PIO..05- 2,1/'" 010-0
~ S~. Addrltss ~,~ Y wh.. .fkx", p/-
~ till J.L B~ I Ad';~:;::;:~H
/J]#J1
Address
HlIaOOg Conlraclol ALLIED FIRESIDE dba FIRESIDE Call1iER
Ad~~ 2700 N. FAIRVIBW. ROSEVILLE. KM 55113
TalllllboMt _ 651-633-2561
ytREPLACE ~
llPnII!t Malu> &. Mod<ll AI (; c.
,
Model Sizll ~7.E..:..fl
OWIlI"'S Namll
'"
.,
~
o
u
.,
C\
H
'"
.,
'"
H
[1,
Conn. Load
F.....~
Supply Ope.nings
Flu. SlUI
~lIfn(", ,
Ioput
.).~ .Dl
Output I
-
ID
ID
ID
Edr.
'"
'"
'"
Clm.
Single FamIly
Commercial
Twu-Family
Induslrtal
PUblic
MulII-F8mily
Olher
....fe.e SohildiAs
~ tirtJ-~uslrial, Commeu:lalll.. Mttli-Fmnly
- Reslden~al, He8~ng &. AC
ResidenllaJ. Healinv Only
Residenlial, Gas An.place
Residential, Addlliuns &. JIll.o.llllions
Reslth...lIal AC Only
1 'If. Dr Job cost ($31.50 1I1IOORum)
$99.50
$64.50
$39,5(1
$39.50
$39.50
Remembe.lo add !he Stale Surdlarg. un 111. bollom oIlhis l!pplicelioo.
TYPE OF SYSTEM
W8Im Ail Plan....
Gravily
Mechanlcal
Alt CondIIIoning
Venl System
HEAnNGQRPOWERP~T
Steam
HoI Wat.,
Radiation
Special Devie..
Th. prieto 01 your healing pennlllnc:ludes one lVuglHn and one Ilnallnspocllon.
AddiUanallnspedions will be blIIed at $35.00 eech.
House Healing Tesl Rsco.d must be Sltmulled wi1I\ ....""'v IlllDIIiIIlIIlDIm beIof" INIId.
ing cerlillcal8 of 0IlCIIp8IlCy wil be issued.
I:IEAT r.IIJ r.U1.MlONS REOUIRED wiIh number 01 supply end ',,'urn oplInings lieted pe
IC<lm wnh CFM'. per opening. New slructu.... orllddilions send floor pM Irilh &uppIy
and ,elwn localions &hown. HEAT LOSS CALCUlATIONS, PAYMENT AND
Af'l'UGATlONS MAY BE MAIl..EO TO THE CITY OF PRIOR WE:, IWllI EAGLE
CREEK AVE. S.E. PRIOR lAKE. MN 55372-
Cily Hell business haws Ill" a a.m. - .4;30 p.m.
ALL WORK MUST liE INSPECTED (ROUG.H-lH AND FVlAl). CAll CITY HAll.
447-4130
OthBl D.vtoes .
on
o
AlI.,alions
Raplacamenl
TYPE OF WORK
N".., ConsI1UcIion
}c
I he.eby app'y lor a mecltanlc:al lIystems perm;1 and I acknowlodlJlllhat 11M
Inlormation above is complste and aceU.8t..; thallhe work win be in tonlo.ment.
wllh ttle GI<//lIsnc:ec ami codes ollh.. c:lty and .1Ih Ihe 81al" bwldJnutmschanlcal
c:odes; Ihal this 101m does not become a permit unlil signed by thu BUILDING
OFFICIAL; Ihar Ihu wGrk wlU. be in aecordance wIth lh" approved plan In the
case 01 all wo.k which lequll". ."view a..d approval 01 plans.
Repair Eal Camp. DaIit
EsL Cos! $ --1L ()(). L\) BuBding Perml .
HEATlNG PERMIT FEE$
STATE SURCHARGE $
TOTAL PERMIT FEES $
....
on
'"
M
....
....
o
o
N
o
M
'"
;i
.50
~/(/fJ)
1 ,
r-
.JfNfl'
I. 0.1.
PAID WIT' .
BUILDING f-~, .
~licant'U;re
Building OIfie8l'S Slgnalure
Y- A - /
Dale
Reulpl #
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Perm~ No. 01- 0035'
Prior Lake, MN 55372
Address .
/{/)/)./'I-
Ownefs Name
HeatingC~..;._;~r Yr1i!j;;::f Hl-Jc1 , .
Address ::J.O)..nX' f) Fa /lJm/7bJ1
')
Telephone# (n/,)-J.jh() R,~
Furnace Make & Model ~ 0 - AIR CONDmONERUNITS CANNOT
s<n. I"'l ENCROACH INTO SIDEYARD SETBACKS
Model Size ~ .
Conn. Load
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Cond~ioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Fuel
Flue Size
::l"
Supply Openings
Return Openings
Input
Edr.
)t"-J
~
Output.
Clm.
TYPE OF WORK
Merations
)(
Replacement
New Construction
Repair
Est. Comp. Date
Building Perm~ #
01- 0035
,,~\O WIII-I -
eu\\.D\~G yEPJ~;H
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt #
--
TYPE OF STRUCTUR~
L Piok.
2. G=n
3. Yellow
File
City
Contractor
Single Family
Commercial
'i..
(
Multi-Family
Other
Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Mutti-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas FIreplace
Residential, Add~ions & Atterations
Residential, AC Only
1% of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with Iluill!i!!g ~ ~ before build-
ing certificate of occupancy will be issued.
I:!fAI J;;ALCULATIONS REOUIRED w~h number of supply and return openings listed per
room w~h CFM's per opening. New structures or addttions 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 8 a.m. - 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) . CAll CITY HAll
Phone: (952) 447-9850
FIX: (952) 447-4245
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with 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 the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case ofJall work which. r~quir~s review lIfId approval of plans.
,
3-)1)-oJ
Date'
3-/9-0/
Date
'l-
~B"Uildi~Offjcal's Signature
PRIOR LAKE . DEPARTMENT OF . .
. , BUILDING AND INSPECTION
INSPECTION RECORD
SITEADDRESS ~(,,?_ ~ nj.,
NATURE OF WORK kk\L3
USE OF BUILDING SFD
PERMIT NO. O/~ 0035 DATE ISSUED 1'2-t(.-z.-e
CONTRACTOR M.o...)....~ Gr.. Ai. PHONE ~/-"'S'l.'" '"I.!1.ll
NOTE: THIS IS NOT A ~ERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
,.
INSPECTOR
DATE
I FOOTING I <tS~.~... I /f(}.fJ }(!)f
I FOUNDATION (Prior to Backfill) I ~,~ PZJ8/t>t I
PLACE NO CONCRETE UNTIL ABbvE hAS BEEN SIGNED
ROUGH -JNS
SEWER I WATER I SEPTIC - <6, 04 ~1",J.o1
FRAMING ~. \frANJ 4 ];1./(.91
INSULATION ')2,. V/1.w I 4- 1 {dOl
ELECTRICAL I. .
PLUMBING I'K;d~. 4-' It\L(
HEATING (if required) ~ ~ g /~ 101 ~
FIREPLACE r~_f~ -4- .4101
GAS LINE AIR TEST ~~ ~ ~~ ~I~ 0/
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.Nl>
"'P.. \ h Md
l
<R ~J~
~\ Il
OCCUpy UNTIL ABOVE AS BEEN
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/}-,' 10 -(1 )
/ v~I/)1
( (
n
{\
SIGNED
This card must be posted neBr an electrical service cabinet prior to rough-in inspections
and maintained until all Inspections ha~",'beetll 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 (952) 447-9850
.
ri/it>~ -~ =~. . .... .. .
~. ;J,..,~.~'!~~'''''''''"i~~'ifi.I.;.:...~......,~~~'..i~'':''~... .
l .,.1 ." .,..1'-:.,
I.' I.,.
;~il QLtrtifuauiBt ~rmpanry
(~.~iCITY OF PRIOR LAKE
.~ J .J. Jltpartment of .uUlling In.pedion
Zl Final Permitted 0 Conditional C.O. Expires
This Certificate issrwJ purslUl1lt to tM require"u,,"" of Section 307 of tM Uniform BuiltUng Cotk
certifying that at the timt! of i~suance this structure was in complitmce with tM various ordifllJllCes of the
City of Prior LaIu regul4ting builtUng construction or use. For tM following:
Use Classifieatiol1'
SINGLE FAMILY
01-0035
R1SD
BIdJ. Permit Nr,
N/A
Occupancy Typo
R3
ZoniDg District
VN
TypoCo ,., ..:,."
L10, B1, NORTHWOOD OAKS
_ Fire Zone
SECOND ADDN.
Legal Description
Owner of Building
ContnclOr'sName&AddressMANLEY BROS.,
~iteAddross 3062 LAKE HAVEN COURT
10778 ALISON WAY, INVER GROVE HTS.
ROBERT D. HUTCHINS ro. m.____ DON RYE
~ _ _r__
"l) Building opo:iaIj
Date: _~. ~ /11;;2.1 ()I _ Date: .
I " POST IN A CONSPICUOUS PLACE
.
.~"' ','
"'"', ,', " "," ',,d. ..~. ,
, ,......." . ,
...,......;c...
,.;. " Ii. .;., ",.:.:., ..~.;. ..' , .... '" ,'~' ,'.~
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED II- -;;ll-O I
ADDRESS 3Of.c -z..... LA~ ~AVSN 0..,1.
OWNER
CONTR.
PHONE NO.
v/- 0035
PERMIT NO.
o FOOTING
lJ FOUNDATION
lJ FRAMING
o INSULATION
lJ FINAL
o SITE INSPECTION
COMMENTS:
o PLUMBING RI
lJ MECH RI
lJ WATER HOOKUP
lJ SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
50D /TT2-€CS
o EXIGRADIFILLING
lJ COMPLAINT
lJ FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
Is ~\) e CO.
C\~e r;\,o/
,a(WORKSATlSFACTORV, PROCEED
o CORRECT ACTION AND PROCEED
lJ CORRECT WO,K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \}rLlLl( OwnerlContr.
CALL 447.9850 FO~ THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn
.'
1
DATE nilE
CITY OF PRIOR LAKE ~/( 3/(j(
INSPECTION NOTICE SCHEDULED )1::;>0
ADDRESS qo to 2- LML. ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
tJl - L'?5
o FOOTING
o FOUNDATION
A;EF MING
SULATION
FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
M=RHOOKUP
. LUMBING FINAL
MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
M.....o ~EPLACE RI
,;;rrIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
, '!/7J{ "'1 ,iLpf(()\J~ k'1
~ ~~'A_~r-
~
s-,.,1 "WL -b~ fer- develf
l1t 1'1A....h:it'I\<'r'lf C""Arp--, UJAh-ls~
/'
~RK SATISFAC~Y. PROCEED
o CORRECT ACTlO~ ,.ND PROCEED
o CORREC~ .',. :ALL FOR REINSPECTION BEFORE COVERING
Inspector: if) ~ J w.u OWner/Cantr:
CALL "7.9850 FOR TIE NEXT INSPECTION 24 HOURS IN ADVANCE.
\-
"l(/O
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
ININOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
11-1?-o1 /?Y1
ADDRESS 3()t;2 Lq/(<..... he,ve", CoT
OWNER CONTR. /l'Jc,I'1I<v B~()f.
PHONE NO. PERMIT NO. () I - s.s-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Cl!!.FINAL
.0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
D. MEcH FINAL
()g( EXIGRADIFILLlNG
. 0 COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
(.,,.,.,,""- 0 ~
Lurf,., 8",~- (') K.
5 J-+-
X. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:#~~ --...... oWner!Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSlWTl