HomeMy WebLinkAboutBuilding Permit 01-0064
@~
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
"DIRECTIONS l' DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom) 0\ - , '1 - 0 \
2SITEADDRESS'4ql~ !\vDoJODOU lX-ai\ NE g/5D
3" LEGAL DESCRIPTION
10 BLOCK I PID ~-3A-2-0ID-O
R06pbu y '1 ?/Jo.~. tied A4:iLj/{)/'l
'.OWNER ,\o..rv\Are~IUYi \-\;(),{.at~ (Q6'L) 4~Do'~~101'l
5. ARCHITECT (Name) (Address) (Tel. No.)
t;lATF ~FC:FI\lEO.
I. White
2. Pink
3. Yellow
File
City
Applicant
[-17- 01
12" NO" OF STORIES ;:)..
'~~OFC STR~~IONddt1 r1
", FLO AREA APPORTlNMENT USE
~Il ,,\
LOT
ADDITION
6. BUILDER (Name)
fuxlilitt ~
l<6L\~Add\~.\-\..... ()t. W (Tel No)
?'(\O( ~I kN (q62)"\41-Lq2-~
15. NUMBER OF OCCUPANTS OR SEATS
I~I f\
OCCUPANTS
SEATS
7. TYPE OF WORK Fireplace LI Septic LI Deck Q Rs-roofing 0 Porch LJ
New construction)( Alterations LI Addition 0 Finish Attic LI Re-siding 0 Finish Basement 0 16. '2iOJECT COSTNALUE
ChlmneyO Misc" ;t' 1'151 OID, OV
:~P~~PERTY AREA OR ACRES I ~i::OPERTY DI~:p~:IONS I ~~s CULVERTN:IZE NIp. 17 COMPLE1~;d)
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 menti ned property and that all construction will conform to all existing state and local laws and will proceed in accordance with submiUed plans. I am aware that the
building offici n rev e this permit r just se. Furthermore, J hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
. ~ ~~..5 0/-/7-01
License No. Date
x
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS 0 PERCOLATION TESTS 0
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION I '15,f)=~
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
61=fJ
USE OF BUILDING
PLOT PLAN
Cl
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
DMsion 1 2 3 4 , t.l.? Ie-
Permit Fee.....................,........,.... $~
Plan Check Fee ............................. $~
~7.,o/)
Amount Brought Forward .................. ~
Pe"SupportFee ........mm"............ $ esn.a3_
SAC ..m.................................... $~I c;n ~"l~
Collective Street Fee .... ................... <t
Sewer Tap ................................... 't
Pressure Reducer .....%................. :
City:
State Surcharge ............................. $
~\
'[,,/ V
'{.~ . (')(')
Penalty .......,............................... $
I fV!J.fYr-J
Meter Hom ................................... It
Water Meter .........m..m................ $~ ~".OO
Sewer & Water Connection Fee ........... $~ f'J("J <')i5)
WaterTowerFee ........................... $ t{)Il.f7t!!)
Water Tap ................................... $
Builder's Deposit ............................ $ l.l'St.lC> ...&e>
,
Other ....................................,....4:
Totel Due .........................2.... $ ~ z.~.">- "'!-
Peid 8,2.(,5;;. h1 Receipt N I . 900/
Date.J.-3-01 By _
certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed ~ requested. This document when
he C' lanner constitutes a temporary Ce~fiV ~J/~mPliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be issued.
City Planner Date Special Conditions if any
Plumbing Permit Fee ....,.................. $
Mechanical Permit Fee ..................... $----l-OO-.I)~
Sewer & Water Permit ...................... $ ~.~
4D.00
uilding Permit When t'Pproved.
1ete I - '2'1- '<bel,
Issued
24 hour notice for all inspections 447-9850
--~
~~
01- 06<04'"
Th~ C~nlrr of lh~ Lal<~ Counjl')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CARABSC HOiVIES
1-1l-(){
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
!4q73
I
APPALOOSA TRAl L NE
Accepted
/
Accepted With Corrections
Denied
. Rev;", "",";-By; A..LL
Date: 1- 29~O/
Comments:
See Reverse Side for Additibnallnformation!
I/Jo-n:: ~ Be: .s"ce~ IV 6ICA{)~ IlIl Df2AwN"oe: SWtJLl3 WITH A
/J'J//JI/nJIJ/n 7. % _"LoPE" /!UJI1Iu, slOe Lor ?//lJe-5.1
See Attachments: 1) 'Grading Plan, 2) ErosionControl Measures
3) Erosion Control Plan
"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.-60(o~
Th., Cconluof lhe- L.k., Counl!'}'
While - Building
Canary - Engineering
Pink - Planning
,BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CARABEC HOMES
1-1l-(){
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14q73 APPAL005A \~f\\L Nt:
. I
Accepted
Accepted With Corrections
.x--
Denied k
Reviewed BY~
Comments:
~ d10 h~CGJ.. ,U~
Date: / - ::J.<I- 2a::> (
"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,"
,.
'~~
Th.. ('..nl"rof lh.. L.k.. CoUnll'}'
bl ~6()(OtV
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
CAkf\[:;E-C H~s
I-Il-nl
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i 4t]1?)
- I
;\Pf:JA LCO~:'A "TRA\ L N E
Accepted
Accepted With Corrections
~
Denied
Reviewed By: q AA-~_
Comments:
2-4 pr ~~~ WIJ'tJ-LU~ !/iJt;op:;
k-~ fV/9o/LT lJ4r~ I~ +-~vU ~.L9'4.J,.
Date:
I/:<:l/ b(
"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-'
l"a. c... .... LIII- c..l.,
CITY OF PRIOR LAKE
PLUMSING PERMIT
NlpUcam: ~~:'<""X' ~\\.l~'o\nc.
11.. ,: '\9.N'\ ~~ r'~..-I.,J c:,t;.
SlgnatuIW; ~ -:s-~ .1.A...~
~I 0... ,,'. : Lot Slack
.IteAdd_: \4Cr'r~ ~~\rY'--o::;,.. T.rr.:1
Building P<<mIt. n 1- ()()(n4-- PIC It '25. ~+z-() I 0 - 0
NOTE: Thl81lltrm/l Will ncJI be pftlCe"v' wtlhoul complele inlorTTIatlon.
PlXTURE UNITS
PPNo.
Ph'il('8: q" '1 - lD"1 ~ '-I
Y \' \'0.- I.Al::&
I..... "10
1. <<WIi a.,
J.y...... ~
(J 1- O(){n4-
(\r1~ ~S
\J ~\O
Sub
Cuandty Type of Fbaure QUlIIlIl\y Typ. 01 Fi"ur.
'J- Ben Tub wttI'I er \lIl(heUl shewer .:5 F1eugh-in,
\ ~ ( Water H..ter
\ Floor Oraln Waler Sellne'
~4 LaY8lClry (DIIltlrccm sink) { Sland Pipe (washing machine)
1 Laundry Tray (1 er 2 CC1rnpat1/n8nt sink' Sewage EjeCler
~ Shower Stall IBddIaw ASSembly (FlPl, Double Chac:k. PVBI
\ Sinks Bac:k1low A..emllly Tesl
.... SInk Lawn Sprinkle'
~ W.,.r Clgaet (toilet) Other
,..... '." JLI!
11Idunlal. CCI .. I & MuIlI.F.",ily
(1" of jclb c;oat. 138.50 minimum)
Flealdena.l. New One . Two Farftny
F1l111ldentlal, Acldlllona 6 A1teratfons
S1a. Sun::haIge
s
s
s
$38.50
GRANO TOTAl
.50
t'~\D \N\~.~..n
\ n\NG 'r~r-.\
S p.\}\\.o'"'
-.-
TIll. po:nIIi.l. ....- ....... lIIol ......... ODDalrlon l/Iat .lid
--. oIIalI JIlt-'ll"')' iit ','" willi die orllln_a
oflll. 5-. Pf" , '''', . ,.. '''' '" ""'-'-
. ------- . 7,.7-7.-.0 I DATE
ATnlST
Call for .u +tMJna 2A b-n in lIdYuIc:c.
16200 !aile Creek Av. S.E., Prior Lake. MiMcSCIIa 55372/ Ph. (612) 447-4230 I fAX (612) 447-424S
^" equl 0ppartwIi1)' Employer
;
_.......1
I
'f1lU.DW . ..., c..,
.... - ctT" !
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
-
() 1- 0 ~(04-
I
S.W.No.
NOTE: Sewer and Wa\ .l!!r
contractors m( ,st
be registe:,ed
APPLICANT: ~ ~ PHONE:i::; :::::':
ADDRESS: I r!f os:.!i -: ~~ ~ I...~ r..{,.... /::i; 1>7......0ATE: -< -I 2 - 0 I : ,; ,
SIGNATURE: -P.' -" .BLDG. PERMIT 1/ Ol.,,;ipb~
SITE ADDRESS: J -Y'17.3 ~A..rt-J~ PID# 25-34-'Z-- Of I~-O
FILL IN THE BLANKS
I
1.
Estimated length of water service ,~
_r .
size of water service / ~nch(es).
feet.
2.
3. Location of any couplings from structure 0 feet.
4. Type of sewer pipe. ASS ~ Cast Iron
5. Estimated length of sewer line ~ feet.
6. Clean out (if required), located at
structure-
feet
fr,~m
=========::IIi====::::
~===:===:=;~*___==~=~==~=c~~_~_~~m;_==~=s===
!:!:=-_2;E=:::::!C====""'''--
This applicati
BY
es your permit when approved.
. DATE: 2-~/4- -0 (
x;;;.~===~~~_..~==:===~_~====~~===~===~~~~=s==;;;~.=#~
FEES:
$
$
s
35.00
.50
35.50
Sewer and water line connection per~it.
Suroharge
TOTAL
* Fee for either sewer or water individually is $20.00 pius
$ .50 !!lurchar9""
. Sewer and water permits issued for new construction must be
recorded on the buildin~ permit card at the time of issuaoce
to insure that no dupl~cate sewer and water pennits ::Il.re
issued.
REC'D BY
,'fJ'"t'11. .
i'~\V \-'C.';:WJ\ ,I
a\;)I'.t'1\~G '.
OAT!:: PAID
RECEIPT 1/
AMOUNT PAID
f
16200 Eagle Creek Av, S.E., Prior Lake, Minnesota 553721 Ph, (612) 447-4230 I FAX (612) /lin.4245
An Eq~.1 Opportuni'y Employer
!0 39\1d
9NI1\lA\lJX3 NOSNHOr
092:2:1St>
02::12: 66;1/80/2:1
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E.. P.,mi1 No.
PrIor leke, MN 55372
HEATING APPLICATION 1 PERMIT
DaIe.aJ..- 2..l-l.,) \ PlOt 25.34-2---
sno Addr... ./4"1 'll..A"pl4lno..r;. I...-\. JJ6
lal .il-1Ib:k ~ Addlion ~p. lUotfrb 3/W
Qwnef5 Nam. -'do .....~ . "- t-t-~ ..........~
Addl.S! '1V"ff- I~O l-5r uJ
H.a1ing CoII~acloI ~ \ t.e..." A-.' ,.... !:~l
Addr.ss fJ ll\ W 11 c...""",,' s ~
T.lophoH' _ctt;"'1. ~o AX) \
Fu.......MabUtocl.I~" G.-'Z..c.. TtPEOFSYSTEM
Warm IW Plants
Gravty
IIoc:IIalIicaI
AWCa ::, . g
VonlSysl....
MocIolS"ll. 11;;/,.. or'
Com.l.a8d$"L i<'t'
, .
Fuol JJ~~ F\J. SIze
PUL
SIJA'IY Oporings
RlIIum Opocings
bpul '}C;-;1I"'>
Edr_
Clm. loOc)
IfO
~
Oulpul:(-.Q-CO)
I
o {- oCXo4-
010 -0
.,-.
IX.
~
HEAlltlG OR POWER PLANT
Sloam
Hal Wal111
R8dilllon
SpocialDwas
OIhor Devices
Allaralions
TYPE OF WORK
N.... CoAs\IuclilNl
Ropa1l' _
R8~""
, Est Caq>. DaI.
.50
01- 0010 4-
PAID WITH
BU\\.O\NG y~f\M\'f
Building Pennl' ,
Eo!. Casl J _
HEATING PERIA!T FEE S
STATE suACHARGE S,
TOTAL PERMIT FEES 1_
;/
\..
A-PI I
Si-lgIoFamily
CommelCial,
TYPE OF STRUCTURE
...x T_Famiy
.......slrial
l.J;In'llo
1 y.......
"
111
10
I
N
~
I
III
~
l..""..,
c-.-w
MuHi-Famiy
Public
Dill..
~
~
Fe. Schedule
..
1>4
(/>
J)
:3
Induslrial, Carnmen:iaI .. Mulli-Faml,
ResKl.,lal. Healng .. AI;
Residential, Healing Only
Resicfenlial, Gas fi...pIac.
Residenlial AddiIiClfIs .. AT . . ,:. ,"
Residential AC Only
1% 01 job cosl (139.50 mini-I
$99.50
J64.50
$39.50 .
$39.50
$39.50
<
J)
r
r
111
-<
J)
M
;\I
111
Remember to edd the SIal. Sun:haIge on !he bol\om allhis application.
The price aI "",r hll3lftg p..miIln:1rdes _ flI09Hn lWJd _ Jnal inspeclion.
Addilianal iI., .,.:. "" wiI be lIiIIIdal $35.00 each.
House Healing Tes! RlIClIflI must lito .......ed wIIh IlIIiIIIDlI BIIIIllllllDllll be.... buiIcl-
ing car1ilicela 01 oa:upenc, wiI be isoueeL
UfAI CAt CUI ATlONS REOUIRf:D IIiIh number allhIppIy and relum openIngos Isled ".,
room ..iIh Crva per .,. ..,: J. N.... SlNCllns or adli1ians send IIaor plan Mh supply
and return Iac:alianI sh....... HEIlJ'lOSS CAlCUlArIONS. PAYMeNT AND
APPlICATIONS MAY BE MAIlED TO TIlE CITY OF PRIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE, MN 55312.
CiI, Hall business hours ... . a.m. . 4:30 p.m.
AU WORK MUST BE INSPECTED IROUGH-1N AND ANAl). CAll CITY HAll
447-4230
oj)
UI
N
III
oj)
III
1>4
1>4
UI
M
I her" applr lor II. mechanical syslem. permil and I adulowledge thallha
In'',,,nallon above Is complele and accurale; !hel the _. will be In can'or_e
wilh Ihe Ofdinances and cod.. at tha cIIy and wilh lhe sle'a buIlding/Jnechanical
codes; thallhis ....m doe. not become a palmil unlil signed by the BUilDING
OF;:2f.l; thai \he work win bto In accordance wilh tha epprDVlId plan In the
ca7~ch raqulra. revle.. and applDvel 0' plans.
o ~ _ .u"1.-7..l-U \
A~ ........ DIle
/f/U) 2-2H:J I
""""9 0_' SIgnolun D."
11
III
~
Lol _ Block
O.....r"s Nam.
CITY OF PRIOR LAKE l\IC
16200 Eagle Creele Av. S.E. Perlllil No. () I - 00104-
Prior Lake, MN 55372
~
Address _
HeBlingConlraclOl ALLIED FIRESIDE dba FIRESIDE CORNl!R
Mdres$ 2700 N. FAtR'lIEI/. ROSEVILLE, MN 55113
Telephone' ~51-633-2S61
FrREPLACE 1
I5!J1ntpMake & Model A )(J.I
Model Sl~~ r:;~(lc.. 33
Conn. Load _
Fue...-&"s
SlIpply Openings
Aelum Openings
Input
Edr,
Chn.
AIleralions
A.pall
Est. Cas! S
Flue Size
TYPEOF........JI::.I-..
Warm Air Planls
Gravlly
MlIchanical
PJr Condlioning
Vent. SysI8m
HEAllNG OR POWER PUlNT
Sleam
Hol Water
Radla.lion
Special Dovlces
OUlpUI~ OM
Other OeW:811
rtPE OF WORl(
ReplaclUl1B111
Est. Comp. Dale
Nilw ConsllucIion .
.3./;).1101
\j
1 .,
J/OO=
Ould''''!! Permft ,
HEAllNG PERMIT FEE L
STATE SURCHARGE S.
TOTAL PERMIT FEES $.
pf:>,.\D \N,\~~....
eU\\,.O\NGr'o;;.r"'" I
.50
Receipl IJ
I. rink
1. Ortr"
1_
n-
Ot, ~
""-- '"
IYPE OF STRUCTURE;
Single Family ,
C_..........llll
Two- Family
Industrial
HEATING APPLlCATlON I PERMIT
Dote .3)/11/0) PlO' Z15 ~34-z..- 0 I 0 - 0
SloAddro" /l./ln:< ttrf"PNJfb --r~
f\dd~lon
(l~4bt,
Fee Schedule
Induslrial, Commen:ial & Muftj..Femily
Residanllal. Heeling & M;
'AesidanCial. Healing Only
Aesidenlial, Gas Fi .,:. '. ,
Residential, Addillons & Ma",UOM
Residential, AC Only
....
'"
-
to
a
Muftl-FBmilV
Public Olller
....
....
..
..
to
-.J
,% 01 Job ",,51 ($3t.60 rrinImlm)
$99_SO
164_SO
S39.50
$39.SO
$39.50
'"
'"
....
'"
w
w
ro
ro
ro
..
.
R9II1Qmbm 10 add lhe Slalo Sun:harge on lite bottom oIlhb."". :.",:". .
....
H
The price or your healing permillnctlldes one rnugl>-in llIld one It1aI iN., ,,-,'. f';:
'"
Additional' .,\. . ~~'.ons wi! b8 biIed 1.1 S35..oo each. ::;
'"
House Healing Tesl Record muslb8 submilled wiIh buIklina lWIDiI numb8r before b!JihC1
ing cerlilictlle 01 occupancy wlI be bsued. ~
I:ifM CALCULATIONS REQUIflEO willi 11IIl1Iber 01 supply and nllllm openIno.Ja IIsled I~
room wllh CFM's pet openklg. New nwbns or addilions aend l\oor plan wJh supply
and relum Iocaliuns shown. HEM LOSS CAlCUlMlONS, PAYMENT AND
APPlIC.IUlONS MAY BE MAILED 10 THE Clrt OF PRIOR lAKE. 18100 EAGlE
CREEK AVE. S.E. PRIOR lAKE. MN 55312.
Cay Hell business hours are B 8.m.. 4:30 p.m.
.
All WORK MUST BE INSPECTED (ROUGH-IN MD ANAl)- CAll em HALL
4U-'230
I hereby apply for a mechanical syslems permil and ,I acknow'edg9 Ihalllle ~
Inlormalion above is c:omplelo and ,",curale; Ihallhe work wHI be In confomNln(~
wilh Ihe orlllnanees end cod... of Ih" cily and wllh 1M slel" building1mechanl''''
codoe; Ihallhls 'orm does nol become a pennil untO signed by \he BUILOlN:u
OFFICIAL; Ihellhe work will be in accordance wllh the spproved plan In lhee
case 01 all work whlQll requlro. review and apPfoval 01 plan.. ~
a
a
....
:m8
,---
8uV.dl1onicaf'l Slgnalure
~()'Dale
MAR ') I ')'J'"
L. ... '. ,,;.!
Delli
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS J 4'll]~ AP(h I ,,~_ T r- '
NATURE OF WORK U"", 1
USE OF BUILDING 3Fb
PERMIT NO. 0 I ~ DO~~ DATE ISSUED j.-zq. 2Lx!.:> I
CONTRACTOR Catat.-.or ~ PHONE ,/d?1-?!,,/7
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
l FOOTING
wk.., ~ d/7/t11 I
, FOUNDATION (Prior to Backfill) wk...1 JlJr eJ/13/01 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH -/JINS
tr'
'1l \) (MH,
I
SEWER / WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~., E~, 6r. ,"S/;)-//O!
II
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.
q~1}15.n~
Wt
% 3/3cfo I
,-;i//~/~I
f30/() /
4)?-101
1)V /4bJo,
3/?4/ i;!
GRADING (Prior to Sodding)
BUILDING lea $-6/'I/GiJ...
ELECTRICAL
PLUMBING
HEATING
DO NOT
-g,\) ~
~ ,~~ sh)ol
j2J./. I S/;/OJ
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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 (952) 447-9850
CITY OF PRtOR LAKE
INSPECTION NOTICE
TIME
5,-/7-0) I;/$"
,..,--
1/j913 ~j/Ja /0050../ ) 'y-
DATE
SCHEDULED
ADDRESS
, I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/- &'1
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FI~
~ECH FINAl~
COMMENTS: Uvf!..(!.tJ.:hy" ~--y'- --'I ~
U /
ftJm.
{.~~~
'2 . &"'6>. ~ 'Slc.f\l d-f- Fete G~
3. 51......... ~c..6-. OJ-.l ~ y~ .
LL 4.d~ 0/2.. ~f\ll~ W~ ~
~ L.t~
o FOOTING
o FOUNDATION
o FRAM~N
o INSU N
~FINA P
o SITE SP ION
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
. I
Ok, 10 WW (,J
o WORK SATISFACTORY, PROCEED
~ORRECT ACTI ~"*ND PROCEED
o CORRECT"IJR <, L 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 & SAFETYI
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
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OWNER
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PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
:Il(,FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~EX~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
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nORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~~ A_~~
-l,lWi'\'erlGontr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
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CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1'1'173
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: S\:S T;
DATE TIME
0/- ~ 'I
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
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o CORRECT ACTION AND PROCEED
o CORRECT WO~~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ..:l>,\J('~ Owner/Contr:
CALL 447-9850 FOR lHE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS I~ 'J /3
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, .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
~ATER HOOKUP
SEWER HOOKUP
g: PLUMBING FINAL
o MECH FINAL
DATE TIME
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE
CITY OF PRIOR LAKE I
INSPECTION NOTICE SCHEDULED fx,"'-I-o
ADDRESS / t/ q7 3, ff..fJ,,fXl) 00.50.....)
TIME
/130
,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
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o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
~PLUMBING FINAL
, I -Q MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: I
1M aM.() ~ ic.y-
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~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ - <It>>\ Owner/Contr:
CALL 447-9850 FOR TJE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEOULEO
__r~Tj TIME
~ q~oo
ADDRESS
14Q73.
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CONTR.
OWNER
PHONE NO.
PERMIT NO.
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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
f1., 0 PLUMBING FINAL
VT :J!1' MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:,^",..", I - .tb./ J
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~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK'fALL FOR REINSPECTION BEFORE COVERING
Inspector: --g., -\ Y.t..u.o Owner/Contr:
CAL:~7-985~ FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNon
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