HomeMy WebLinkAboutBuilding Permit 01-0119
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE "i
:;2..... ~,...o (
-fra,L
QATI= RFCFIVFo.
2.-9-0/
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
--=5~~
3, LEGAL DESCRIPTION
/ BLOCK~ ~
ADDITION IDi I t:i4 C- ' "\
4. OWNER {I /~ l"LJocUiJ
5. ARCHITECT (Name)
:Fi:>x
+r'71- L
LOT
l. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
0(- (j "9
I?/
BUILDING INFORMATION
, ,. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
PID 7~-:?;75-0Ifo-O
~dress) . . 11-
I:::v rnS v' (p
(Address)
Jl(1f.)
13. TYPE OF CONSTRUCTION
(Tel. No.) 14, FLOOR AREA APPORTIONMENT USE
~ &'1..s::<6''/~ f"
(Tel. No,)
6. BUILDI/JER (' (N~e) /J II.,,,".LJ"- (Address) (Tel. NO.);;;;;..CO 15. :~~:~A:~~CCUPANTS OR SEATS
rd~ TftJ,.., -" Pf511 f:v,fSc' .-Iv s. s' St.M i
SEATS
7. TYPE OF WORK Fireplace [) Septic 0 Deck 0 0011ng 0 Porch [)
New constructiO~ Alterations 0 Addition [) Finish Attic 0 Re-siding [) Finish Basement 0
Chimney CI Misc.
B. PROPERTY AREA OR ACRES
Sq.Ft.
19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE
Width Depth Yes No
rti that' have furnis eel informatio n this application which is to the best of my knowledga true and correct. I also certify that I am the owner or authorized agent for
me 'oned prope tall truction will conform to all existing state and local laws and will proceed in accordance with submitted p~an . I~m aware that the
iei can revo it for j cause. Furthermore, I hereby agree that the city official or a desi9~e,!!!fy enter upon the property to pertor eede inspections.
___ ,:;11 Y I ,:;2. 9: 0 I
atute License No. 'Date
x
II
16. PROJECT COSTNALUE
lf5ia:>o
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
e,,,,
BUILDING DEPARTMENT VALUATION
Side
USE OF BUILDING
$~
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS Cl ENERGY DATA Cl
PILING LOGS C') PERCOLATION TESTS C')
PLANS & SPECS C')
SURVEY Cl
SETS
COPIES
PERMIT VALUATION /,/5':l"YJi'). ~ PLOT PLAN Cl
Other ...........................,............. ~.
Total Due .............................. $
~/J_c~~
Dat. 7.."2:1.nl By
request in the above application and accompanying documents is in accordance with the City Zoning Ordin~nce a~d may proceed requested. This document when
erconstitutes a te.;:raryCe1:r~~mPliance andall~S cc~ ~-=f~:ustbe issued.
ity Ia.nner ~ ~ Da.te ~ Special Conditi~ns ~ any
TYPE OF CONSTRUCTION, I \I \II IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 " '"'-
Permit Fee ................................... $..J., '2 s-. Q
Plan Check Fee ............................. $ BO'l .7t.f
'12. s-o
State Surcharge ............................. $
Penalty ....................................... ~
Plumbing Permit Fea ....................... $
( 00 .06
1&12 . (')()
0' ""0
/.to. 00
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
eco~s Your Building Permit When ~prov.ed.
I' Dete~-IZ..-?~L
Issued
,
City:
rid:.
1/'/1
AmountBroughtFotward .................. $
Park Support Fee .... .... ................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
~l" $
::,::::~~.~~~r..::::.......::::>e:::: : ,;}SCl .~
Water Meter ................................. $ 17 o. ~
Sewer & Water Connection Fee ........... $~ ~1"\...0:2
WaterTowerFee ........................... $ I) f'\')f) .t"ln
Water Tap ................................... $'
Builders Deposit ............................ Ll: 'S 0(') .l":l:t
B'=)(').n"CL
I fil'1 .~
.
24 hour notice for all inspections (952) 447-9850
~1
O(~Ollq
Tht Ctlllu of Ihf Lakf Country
White . Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\M1N 0 VY 00 Qllot1ES
2-q- 0/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3302 FOX TAIL... I/<Alv
Accepted
Accepted With Corrections
-Y.-
Denied ~
Reviewed~~ - Date: '2 -/2. -2:xJ1
Comments:
n
t.(eaJ a.lllJ~ ~ ~
"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."
o I ~ 0111
Tltt' Ctnlrt of lht' Lakt Counlry
White - Building
Canary - Engineering
Pink - Plann!ng
BUILDING PERIVlILAPPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED.
\A/I rvOWooo HnH~~)
2-q- () /
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3302 FOX TAIL II<AIl--
Accepted
v'
Accepted With Corrections
Denied
Reviewed By: L LL
Date: 2 -/2 -0 J
Comments:
See Reverse Side for Additional Information!
See Attachments: 1} Grading Plan, 2l Erosion Control 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."
2~~~X PR10--\,<"-;:.
(;) rn
.
DI-D"q
The Cl'nll'r Ilflhl' LlIlkl'Counl11'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
\ .' 11\' U \ \ ( ( / ) . - /"~
\ \: ' \'.,.. lJ n (('-1(-/, ~
2 -7 - (' I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,___ ~ Cz- r:: (X -rA I LTI< f\ I L...-
Accepted
,/,
Accepted With Corrections
Denied
Reviewed By: .~~
, .
Date:
z/.2--t/a;>-(
Comments:
2--'-1 ~ MP-KJ~ f:+y;~NA..rrU 1~;JlJ;[ liD
~ . I -
~M- tA-r ~ / Ahv ~ \.j VlAru v.l. ,e) .L-J
<T;: f7~h,
.
,4/L:- t . ~*~ ~
~~/ y~~ &::'V\."C'evrbv- ~1~ ~j ~~
~ /L) PTl,
"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."
GME. - "'E
YELLOW - APPLtC...,
GOLD - ClT'I
CITY OF PRIOR LAKE S.w.NO..O{;-Ollq
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLI CANT: D V. CJo iI M.. ~ XC 0
ADDRESS: j(,., IlR 161'1. ""~I 0./,4"1 L IL('/L
SIGNATURE: c.l...t~ ~ .
SITE ADDRESS: '310.;2 fOxrA7L
PHONEI'10)8i..2 -4'10("
tVlN..j.;"O'ft..{ DATE: :lb-I?!O/
BLOG. PERMIT # (:) 1- 0 It '(
112.
PID#
FILL IN THE BLANKS
(
1. Estimated length of water service
1)0
feet.
.'
2. Size of water service
f
inch(es) .
3 .
Location of any couplings from structure
~
feet.
4. Type of sewer pipe. ABS PVC X Cast Iron
o I
5. Estimated length of sewer line 40 feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
This application becomes your permit when approved.
BY
DATE:
------------------------------------------------------------------
------------------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
surcharge
TOTAL
* Fee for either sewer or water individually is $J.7..JSfj 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
RECEIPT #
AMOUNT PAID
RECtD BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
03-20-2001 12:59PM
MRTTHEW DRNIELS.INC.
4d..j ..:'.110.1.(
r ."-,....
'hor c:...- of .... LIII.. C:allnl1.,
CITY OF PRIOR LAKE ~:: ~
1. Y_ .."a-
PLUMBING PERMIT PPNo. 0/- OIN
Applicant NQ-JihPI~] '71:.n;,l"" IrJ". Phone: U,S/)
Address: l~l'I (1<t.rrQtL~el >t~. R"'-"'l2rnouni:.. /IIN'
Signature: .IJAr' '-1;{..:.~,.b "1'J(-AV->
Legal Oe~cription. Lot I Stock Cf-, 'J
Site AddreJlS: ... -i.~ ....._~ -...1ta4/) "-II-)V.
Building Permit# nl- 01/9 PIO # 2S - 37S - oll<>-O
NOTE: This permit will not be prcceSlled without complete information.
FIXTURE UNITS
4,2.'1- ."'7"0
~y
Sub ~.IL1....) -..5W> ~
Quantity Type of Fil<lure
I 8ath Tub with or without shower
I Dishwasher
I Floor Drain
..; Lavatory (bathroom sink)
/ Laundry Tray (lOr 2 compartment sink)
~ Shower Stall
I SinKs
Sar SinK
-3 Water Closet (toilet)
Quantity
Type ot FIXture
J
I
I
I
F1ough-ins
Water Heater
Waler Sollner
Stand Pipe (waShing machine)
Sewage EleCtor
/
Backtlow Assembly (RPI. DQuble Check, PVS'
Elac:ktlow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial &. Multi-Family
(1% of job cost. $39.50 minimum)
Residential, New One &. Two Family
Residential, Additions & Alteratiol'\S
State Surcharge
s
$99.50
$39.50
$ qq, stJ
l<S}~ 'l'l~~t-A\1 .
pJ.~~G
$/d/)./.JI)~~.
$
$
GRANO TOTAL
This permit is gr:&nted upon lhe u.prc:ss condition thilt said
ecfttractor. shall ~ompl)' ,n all ~~ wi~ the Qrdinanco$
o(mc StQ.u:l PlUmbift~C amc:ndmena t.!'lcteQ(.
RE . :::/27--0/ DATE:
... 'I"T1!ST
Call for all in~ctions 24 bours in advance:.
16200 Eagle: Creek Av. S.E.. Prior Lake:, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An. I'.'11lal Opponunity Employer
TOTRL P.01
D4/27/01 FRI 14:13 FAX 7635530887
GUYER'S BUILDERS EXPRESS
'if..I"'~'"
CITY OF PRIOR LAKE
REA TING(AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
1- ) 7-()!
(Please ~ or Drint md !t,itD at bottQm)
ADDRESS
33m- ~~-r/fll- -r4-fIL
n;,... E:l"" I PERMlTNO,()I_OI/91
ZRiG\O_u.C)
LEGAL DESCRIPTION (omce .se only)
LOT i BLOCK -.J ADDITION \...__1AI
OWNER I. /
(Name) VV I N~WO~
,
II )drf/J- fiR
P1D;)5 -3;5- D(/o-{;
(phone)
(AddtesS)
APPLICANT
(Name)(.jU4c:!"e.:'$ 3,,\L.~<;' ~l<. ?1l:ZS-<.
(Addressll~L.lI'\< I ~~ ~ V HrI
(A.w..s)
'~~;~::=:~::E~~k~~{:~, .
(Phone) 7~ 3 ~.!::L-{/t.4 '3
:;1 UIIt1^.o<rH- HYr. <5 '/v /
(City) (Zip Code)
(Phone)
7l.rJ3 c..Cl4 l../t",6;,3
J?~~/_
DATE
APPLICANT PLEASE COMPLETE BELOW
fi ~EW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
r"'RN~~~':'L:~.si]PIS'"tZ..J~ 't'>T In~ t'Ml....1 FUEL 't-jI/tT
FLUE SIZE R' · RETURN OPENINGS / INPUT ;:).>kJC>t!J OUTPUT
1YPE OF SYSTEM HEATING OR POWER PLANl'
OWIllTIl Air P\;lI\1S
DGravity
o Mechani<al
OAir Conditioning
OVen!. SY$lOm
o Ste.m
o Hot Water
o IUdi"'ion
o Spocial Dcviccs
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL . S ~ fI.~ lE
FEE SCHEDULE
Indusuial. Cammcrdal &. Multi-Family \% of job Cl)st bsidf;ntial, Gltl Fireplaca
$39.50 minim,.m
Residenli.., Heating & AlC (1'1.'" Construotion) $99.50 Rosidential. Additions &. Altmtion.
Rosidenlial. Heatina Only (1'1"", Construction) 564.30 Residential, AC Only
0'"
Estimated COSt S IctJrJ - Building Pennil #
$39,50
539.50
539.50
HEATING PERMIT FEE
STATE SURCHARGE .
TOTAL PltRMIT FEE
$
S
S
.so
PAID WITI'
BUILDING PE, ..... I
(Offitc Use: Ollly)
Thi. Application 8"0"'.. Y ouo' Buil/hng Per",it Wh.n Approved
Date
I P.,d
I Date Ii - ;;3 (J-L) I
Rocoipt No.
BuUdid& OfRd,,'
BY~
~
14 hour neti.. rnt .11 insp.,t1on. (951) 447.9850. rn (951) 447-4145
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. PellT1itNo.O \ _0 \ \~
Prior Lake, MN 55372 .
HEATING APPLICATION I PERMIT
';Iate \ \ - '-Sr,) -,~ . PIO # :J.t:)- C)"7t] -tJl(,.-{)
~ite Address ~ ~C:::l \= I.))c TrCl\.' I\., .
gj ot --L Block ... Addilioo ~.::J \ \ (\. ~ S .~
~ \ \. \ \\
~)w'nel's Nilme~' t"\ ~',4_ -'_~ r:-:_ r\ "(.Il~
Address \ ~'\ \ \ c:--.~' "" f\ V., ijq_" ) ~: \\0
Heating Contraelor ~\-Y"" A;- - ::::ID L
Address \ l.o ~ \I, (1 \...\ ~ ~ r ,."..... A-J t.
~S"d- ,-,\l.rl_~b'-\
rf'I;"~ \.../~
Telephone II
Furnace Make & Model ~"r L.r
Moder Size. ("\ \J 'P - \ ~ ~
Conn. Load .11 0-' "\ '\
Ful>! N "'"\- Flue SIze r V c....
TYPE OF SYSTEM \ J
Warm Air Plants ~
Gravity
Mech enical
Air Candilioniflg ...k
Vent. System Y
HEATING OR POWER PLANT
Sleam
HDlWi!ler
Radiation
Special O&vice.
d-.;!.
Return Op&nil1gs '\
o!~Put \ 0 C'l . ol 00 Olllput _ C'""\. 000
H .
cr,dr_
o
'"
tJ~m.
E
Supply Opening.
')O\:::ll;:)
Olher DeVices
EJt&rations .
0..
ro
~Iepail
....
TYPE OF WORK
Replacement New Co nslroction X<
Est.. Cost $
Est. Comp. Date
\ \ . OlllC\ ~ Building Pennit 1/ () \ - ~ \ \ ~
....
~IEATlNG PERMIT FEE S
(\J
"'iTATE SURCHARGE S
. .
g:'OTAL PERMIT FEES S
cr . .
.50
PAID WITH
BUILDING PERMiT
Receipt'
..""',.,........
TYPE OF STRUCTURE
Single Family
Commercial
x
. Two.Fam1ly.
Industrial
Fee Schedule
Industrial, Commercial & Mufti-Family
Residential, Heating & AC
R~idential, Heating Only
Residential, Gall Fweplace
Residential, AddlUons & Alterations
Residential, AC Only
1."_Pil:l1c
1. Gaca
J. Vdlin\r
Fil.
e""
CDn:r.I:;:tor
Public
Mum-Family
Other.
1 % 0' job cost 1$39.50 minimum)
599.50 PLEASE NOTE:
$64.50 Air Conditioner Units Canne
539.50 Encroach lnto Required Side
$39.5C Yard Setbacks.
S39.5C
R&member 10 add 1I1e Slate Surcharge on lhe bottom 0111115 application.
The price 01 your heating pelmil includes one rough-in and one tinal inspecfion.
Adcitional inspections wi. be billed al $35.00 each,
House Heating Test Record must be submitted with !!l!imng ~ nurnber before bulla-
ing certfficate of occupancy will be issued.
!::!fA! ~II ATIONR REOllIAEOD with number of supply and return openings fisted per
room with CFM's p&r opening. New structures or additions send floor plan with supply
and relUm locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAlLEO TO THE CIlY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E, PRIOR LAKE. MN 55372. .
CiIy Hall business hours are B a.m. - 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FINAll- CALL CITY HALL
447-9850 f',Io.)( 4-4"7 - I.j. z.45"
I hereby apply for a mechanical system. permn and I acknowledge that the
information above is complete and accurate; lI1at th& work will be in conformance
with the ordinances .and codes of the city and with Ihe stale bulldinglm&chanical
codes; lhatlhls form does not become a permit unlil signed by the BUilDING
OFFICIAL; Ihat the work will be in accordance with the approved plan In the
cas& 01 all work which requires review and approval ., plans.
~~ " (\..~
Q0-t2.I1ll! Signature
(JUilding Officel'" Si!lnalure
~ L_ _'_~~""'._ _ _.__~_,_,,",
'\- S- \
Dale
L/-L{-O /
Dale
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~t':(2 ~;1;;~: t
NATURE OF WORK - ~).p. 1 ..
USE OF BUILDING ~(=)
PERMIT NO. OI-OnQ' DATE ISSUED ';2-/2-'k:o(
CONTRACTOR ----L.l.'-^oj.~,.Jl ~ PHONE '15'?-89S -gC(f/9,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DfTE
I FOOTING I ~-\to.wr I :;105'.0\
I FOUNDATION (Prior to Backfill) 1<E>i ~ 1>10\~~ I f:5:1-. .3/S'/o (
PLACE NO CONCRETE UNTil ABOVE HAS BEEN SIGNED
ROUGH - INS
~
1>.V~
'E>. \J~
INSPECTOR
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING f>~......;AI':k 1\.\)(,W(/ 4/ r;toJ OJ
HEATING (if required) 1, -j)"1 { 't 1 ~r 0 I
FIREPLACE ~~ "'/141/'1
GAS LINE AIR TEST \Wl-'R, ~Ua...." M14/0 I
COVER NO WORK UNTIL ABOVE~HAS BEEN S'IGNED
I I
FINALS
\
NO
~('jf'l tJ7
41~4J~ 1
-t1,M}Ol
"
. 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.
) 21'S HI
<"tJ .0~
&"11)01
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
. "IiJf~\i.~~Y' ~*:.~ ~.--:~-V-ll.' ~r .=--~'"
-'~.J rt..:..; ~~ ";:-'..." ..,.'...-.'.;).."';..1..,'1"....... ~~..:.."(i1IIi1ilJg"!'):;;.'.;..:~'..;...'i.~":"...'........-:..
~""~~ ! (!Ltrtifirau at OOCmpancy ! ~.
, .,' Lll i OF PRIOR LAKE I~t"
2 '_ ?
1'0"
I '
lr';
:r....
., _.
i r.r:'
;-:--.
. "'.
-
V;
'j, 1 1Department of .utlbing lnttpedion
1\Final Pennitted 0 Conditional C.O. Expire-
~is Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying IMt at the time of issuance Ims structure was in compliance with Ihe various ordillQ1lces afthe
City of Prior LoJce regulating building construction or use. For the following:
Use ClassificatiOfl
SINGLE FAMTLY
Bldg. Permit No.
01~.OJ 19
Occupancy Type
1<)
Fire Zone -.:1./ ,'"]
Zoning District ~ 'P.l
. Type Construction ~ Va
Legal Description
L 1, -':) 3, THE T,,~y LDS FI FTd ADDn '.
Owner of Building
_SiteAddrcss 3302 FOX TAIL TRAIL
14J11 EWING AVE. S~, SETTY 200 p.riRNSVIL:LE
Contractor's Name &.~...
hIT :--JiYAOi"iT)
HO:"lES;
Dare:
ROg::;;RT n. HUTCHI ',~S
Buillling Official
~!, 1 I - ..., ()! o.re'
. I ) - ., ~ .
r 1 ~ -
It POST IN A CONSPICUOUS PLACE
nON R.YE:
Cily PlaMcr
~.""".-
~/:;1!C/ /; J \-
p=:: 0 X+a_: )
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
330~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNOATION
o FRAMING
" 0 INSULATION
M" -B-1'IRAL
. 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKljf'
[] SEWER HOO
fl.. [] PLUMBI
n~CHF
COMMENTS:
bLl
n. . I
- 1-tvVl \
l
- bcd.A"
DATE TIME
j-J/q
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
lOt
0( pAlMed. \,n \.I G --L .
AP.A.\ q \ ~ ' 1
. ft:;}.tC.r Cie.u e_~p tM- €AA~
~ ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W<:~K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: "E.~DAA.D Owner/Contr:
CALL 447-9850 FO~TH'= NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE / \ I - _ \
INSPECTION NOTICE SCHEDULED p-/I-OI Lj /OU
-11 ..\ /~ -1_ . 0 -I.)
ADDRESS -.3 ,;l()d--.. or--~'\::Y.AJ
OWNER CONTR.
PHONE NO.
PERMIT NO.
/-119
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
Pr- 0 SEWER HOOKUP
o rLaliiBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: r. {/ /
IM.~O MPjv () ~
r r \
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/
rORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECJ.?T' CALL FOR REINSPECTION BEFORE COVERING
Inspector: f>~1 Owner/Contr:
CALL 447-9850 FOR ~HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
21s/0(
~K TA- I L- Tr2.,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
330 Z-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
DATE TIME
JI iOn
(J!-ll'1
o FOOTING 0 PLUMBING RI
o FOUNDATION , 0 MECH RI
o FRAMING fWATER HOOKUP
o INSULATION SEWER HOOKUP
o FINAL . PLUMBING FINAL
o SITE INSPECTIO 0 MECH FINAL
(' ~ <??tiP~ io
COMMENTS:(jY) ~
rlJ A~ diL.A
t /,
Ir if 1
-'-T/7P
j.J .~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
I I"~ . '< iG (/ ~ ~~~.
~ ~
~~ ~ I~ Nr1 Oo~
~r M. </0 - !yL- A,r, r-
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
/2f CORRECT W~ALl FOR REINSPECTION BEFORE COVERING
Inspector: \~ Owner/Cantr:
CALL 447-985D FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3 "&:);1..
SCHEDULED ;/-/3-1
loda; I T r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
ol-n 1/1
COMMENTS:
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
-
Scr J
~
.....EXlGRAD/FILLlNG
70 COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
/
fiORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ -\ J QJ..t11 Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/f..,- \.tJ)
PHONE NO.
~2- fo~-k(/ Tr./(
CONTR. W,'.-,,( VVOO r/ f{u-~ 5
PERMIT NO. ai-II J
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;l!H'lNAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
bFl;,o& - at:..
Lu6 Rr.>I'-- 0 ~
~K SATISFACTORY, PROCEED
o 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!
INSNOTI