HomeMy WebLinkAboutBuilding Permit 01-0090
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please .!VDe or print and sign at bottom)
ADDRESS
JAN 2 5 2001
I. White
2 Pink
J. Yell"w
File
City
Applicant
I PERMIT NO. OI-ntRtJ
~.yN ~/V /?7~a/ CV-'ry..r ~E'
LEGAL DESCRIPTION (office use only)
~..? t'.PV// 6
o/J~,c;,:~ -PI . .::7~a
,.keJ't L BLOCK I ADDITION ~--l' =~ '"'
OWNER
(Name)
(Address)
BUILDER
(Name)
Date Rec' d
/- z5-0/
ZONING (office use)
1<2.
prD 25-373-0nz.-O
(Phone)
""..A'. ~-<,;;>z:vV.~.
, - .
(Phone)
";S7"-~56- ?......~.6
(Address) 0'-Y't>;? U/~~......~.....v ~. ~..ACJ"Y"
I
~ New Construction
TYPE OF WORK
~~-'<;VV
ODeck
ORe-Roofing
OPorch
o Fireplace
OAddition
OAlteration
o Misc.
OLower Level Finish
PROJECT COST IV ALUE (excluding land) $
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 property and that all construction win 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
enter upon the property to perform needed inspections.
~~~
~ Signature
~T~ pphc on Becomes Your Budding PermIt When Approved
/ l~~L~7M1
BUI mg Official Date
x
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
e::>?~6oS7
Contractor's License No.
$
$
$
$
$
$
$
$
"1 f, OOO.Ol)
'lq () . ~5" I I Park Support Fee
5 I ~. <J<l I I SAC
.qS-.:;O I I Water Meter Size 5/8"(!);
I I Pressure Reducer
I I Sewer/Water Connection Fee
I I Water Tower Fee
I
I
#
#
.567..;? ;;7,
ORe-Siding
OUtility Connection
....... --:r~-C1/
Date
$ ~SO.<"YJ
$11t6r).&
$ :25"O.aj
$ TlO.AQ
$ 11'). ("')f) .tX,
$ 'ry Of). Qa
$ 'I-::;-D{").~I
$ I
$1335.74- I
Paid
Date
'7. .n $'", 7~
'?, -If" iJj
I Receirl!1'ltl. .:J'1(67
By lfA./
Z/'Po./& t
Date Special Conditions, if any
24 hour uotice for all inspections (952) 447-9850, fax (952) 447-4245
I This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document
when si ned by the City Planner eoostltutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issu, .h
~-"-'''''''~
Planning Director
#
#
L 00 . Ol)
100. Of)
35.50
40./56
I Builder's Deposit
I Other
I TOTAL DUE
,,~\
Th" (~.,nlt'T of lh., I..k., Counlry
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
\ k- r i ( i (~-U/ ~ ~
(-)--(:(
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
i._-, .:....-- 1_ ,1..\ '\" k I C Co. \ '. ( '\ I
I I r, ',; ;', i \ ~ \...... r\ . j i. \, ",-,'
\ ' , C-
_~ h..... \ \
'~=_t:~
Accepted
/'
Accepted With Corrections
Denied
Reviewed By:
~~~
Date:
2-~/e {
ComMents:
-1' ~JC"L~"G
r,u, v:\, J-- ~~
~ ~ vJ /~_t&i1T 19V\ ,
~ (~~B-r1<
J:Jltu~~
"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."
~~
White - Building
Canary - Engineering
Pink - Planning
Thf- ernler of Ihe Lake Counlr)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f). e. Ho R-\7.)t..J
1- />h --0 {
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5404 r=:AV\lI\./ MEADnvJ ~.lLJe\l5 S~
Accepted
Accepted With Corrections r-
Reviewed By:
#
Date: :2 - J 9.. - ';JCJD /
Denied
Comments:
~tC aILdlQd:uz~ ~~
"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,"
.~~
Thr{"rntuof Ih" L8k" Country
V /- :JU
-= '11
9?--Cf'3
f{\AIIJ FiLt=: (~9
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I), e HCI<-Tt)~l
1- )(~) -0 {
,
..
The Building, Engineering, and Planning Departments have reviewed the building permit
applicatiol'lfqr-cpnstruction activity which is proposed at:
't-J 404 F="I-\V\! f\.1 Hf:A[)()\AJ e,UI2\1 ~ st:
(n
Accepted
V'
. c
Accepted With Corrections
Denied
"'
Reviewed By:
"
Comments:
I'X iLl-..
Date:
See Reverse Side for Additional Information!
'.J+ 1 ~
x
.....~ _:.-,.;:P-
/-29-D/
See Attachments: 1) GradingPlan, 2) 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."
~IRESIDE CORNER #5403 P.007/00B
CITY OF PlUOR LAKE Da,[e Rct
REA TING/AIR CONDITIONINGIFIREPLACE PERMIT
(Pfc~.se tvDC Or orin! MId lie, ij,t botlOm)
ADDRESS
S'tOf? ~.JA /hu/..,u ~K
~ ~ ~::, I PERMIT NO. ;-qo
,. YldrlJW ^ppr_1l1
ZO~. G(om"""",
1-~C^
LEGAL DESCRIPTION (am..... only)
LOT ?aLOCK / ADDITION
[ (!cL>>~If1"U)
\ ().c
~
pw3S- 313-..o03'~
OWNER
(Name)
'1:>~
l1.4=.
_ _ (PbOM)
(Address)
APPLICANT
(Namel ALLIED FIRESIDE DBA FIAASIDE CORNER
(Phone) 651-633-2561
(Address) 2700 N. FAIRV"IEW AVENT""
(Add....)
(Contact Per.ion) BRENDA ElJSTON/7
APPLICANT SIGNATURE
I
'tI"C.r.::!l.'T'TT~ Y"',"
(elM
651-633-2561
(Phon,e)
_ DATE
S~l' "
(Zip Cook)
}
Al'PLICANT PI-EASE COMPJ..ETE BELOW
~
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM. HEA TJ:NG OR POWER PT-ANT
oWarrn Air Plants 0 SlOom
oOrnvlI}' 0 Hal Waler
o MechonlCllI 0 RAdiO/Ion
oAir Condi~oning 0 Special Devkes
OVenl. Srstem 0 Other Devices
FlREPLACEMAKEANDMODEL k JJ I;;{.;, ~c. ~
I PLEASE l ~'.... u~.:
Air Conditioner Unirs
Cannot EIlCl"Oacb into
Required Side Yard
Setbw(S
Indu.Diol. Commercial &. Mulll.FllJllily
FEE SCHEDULE
1% of job cO'l Residential. G.. Firepl.cc
539.50 minimum
$99.50 Jl.J:l;ldeodal. Addillons lit A,lJe1'orion.
$64.50 Jl.J:l;ideo~ial, AC Onl)'
$39,50
$39,50
$39,50
Residentl.l. lieming IlL Ale (New Coosrroctlon)
R..ldeo~"'. Heming Ooly (New Construction)
Estimated CO" S
Building Pennit I/.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID \IV
BUILDING ~T~..
Er lI~dT
10m,e v.. Only)
Tllis Appliutio" Bocom.... Y ollr Blinding Parmit Wbelt Approved
IJllildlnlomdn'
D.tc
I PaM
I DIU%, --) ~O I
By ~
,
_ Receipt No.
~4 hallr .oIlte fur oUI.o""cttona (9~~) 447-9850, rO' (!I!i~) 4474245
JRN.29.2001 4:36PM
GENZ RYRN 6513226147
NO.049- 'P.6/9---
-'
n.c...".'lb.t.a...C......,
CITY OF PRIOR LAKE
. PLUMBING PERMIT #
Applicant b@.Jf\7.... r!:.J M,Jr'I Phone: (~. l..n?--. -I ILl LJ
Address: }1..}1Uof->\_ _ OI.Dlt11f-r' --rI/JJ~ IIn.oJ/'Y"r.1J. Jm- K.4..,.J S-g-,loR"
Signature; [A. .0 ~ _ "- .
Legal Description: Lot Block Sub_ ~R./.fle.Q.i'\ ~lll Q (
SitaAddress: 6~Y ~',l",,;> II. 1 GQ.,~'", '. (' '.' .....,~ S;:
Building Permit II 0 I - on q 0 PID II 2<:;... 373 - 00 z.-o
. -
NOTE; This permit "'!,i11 not be pl'tlcessed without complete information,
FIXTURE UNITS
I. B'"
1. CIoId
3.-'_
Fno
Q,y
Afl'iiao'
OI-QOqo
I Quantity Type of Fixture
I I Bath Tub with or without shower
I r Dishwasher
1 r Floor Drain
I -z... Lavatory (bathroom sink)
I I Laundry Tray (1 or 2 compartment sink)
I Shower Stall
I Sinks
I Bar Sink
2- Water Closet (toRet)
I
R..I ,
I
1
I
I
I
I
)
Backtlow Assembly (RPZ, DoUble Check, PVB)
Type of Fixture
Quantity
Rough-Ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backffow 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 & Alterations
State Surcharge
$99.50
$39.50
$
$
$
S
.50
~p..\O ~~?S~\\1:
'QU\V'\~ .
GRAND TOTAL
$
Tbi$ pennit i. II'GDtod u""n th. express condition lhaL .aid
contl'llCtor. .hilI! comply In all '""pecrs with th. ordinances
ofth. S"''" Plumbin.~llIl . """,,eIm.... thoreof.
~ ~ ~( DAU
A~T
Call fer all insperkens 24 hours in advlIIlce.
16200 Eagle CreekAv. S.E., Prior Lake, Minneso[a 55372 / Ph. (612) 447-4230 / Fi\,"{ (612) 4-1-74245
An Equal Opportllllicy Employer
JAN. 29. 2001 4:35PM
GENZ RYAN 6513226147
NO.049--.-p.2/9.------
--. ....
'II.LDII' .. APJ'LICAIIT
GOLD . QT'
CITY OF PRIOR LAKE: NO. 0 1- (J(IlO
SEWER AND WATER PERMIT I
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT:~;;>- ~h\~__ Yea;z:l.tlt:, PHONE:jp5/-42.3-"y.t.l
ADDRESS:14"I.J~Sn ~"""'f2.:r -reI- 1&!.t.f'lcuonr r;'!>t:.IJt.DATE:.-1.../?_Gl 1.0-'
SIGNATURE: n "'- BLDG. PE~IT 'it 0/-0010
--
SITE ADDRESS:..DWo P:"A."j...1 ll1D4b~r,''''lLSfpID*, 25-373- ()02-Q
1-
2.
Estimated length
of water service
"
I
FILL IN THE BlANKS
40'
feet.
Size of water service
inch(es).
3 .
Location of any couplinqs from s~ructure
feet.
4. Type of sewer pipe. ABS PVC ~ Cast Iron
I
5. Estimated length of sewer line~ feet.
6. Clean out (if required). located at feet from
structure.
::::-::~;::~~:~ppr:~;;::~--------'
. - .
:::::====:--~::~====~:::::-:::=:::::=::::=:::::::~::-::::::~===
$ .50 Surcharge
$ 35.50 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 perm~~.,j.re
issued. t> ~~ ~""'"I,' '
DATE PAID AMOUNT PAId ~$.~G. '<~....
RECEIPT JI REC'D BY ..
. 4629 Dakota SI. S.E. Prior ~ Minnesota 55372 I Ph. (612) 4474230 I Fax (612) 4474245
All EQUAL OPl'ORT1JNlTY EMPlOYER
_..____.'_."._,.___.."._..._.__..'.~m..._'.__.__. .'
.~~~. '_Vl/.(~ CITY OF PRIOR LAKE MC
b ~ 16200 Eagle Creek Av. S.E. Permi! No. (J 1- 0090
Prior Lake, MN 5.5372
HEATING APPUCATION f PERMIT
Date 311.Ll.c I PIO #
SiIa Address .5 u.bLI: ffLwn ~O\V Lux-VlJ SE
lot ....lg., Block 1- Addftion
Owner's Name 1> R.. 1-\-0 r-to n
Addr8SS~9 Wash.int.rhn 'br StA.i+e..ll>tJ 6"~ MN551Z:Z..
fluting Contractor ~lli/l.nr ~1e.a.J "' .
Address :3le50 lI...eV\t'\ebec... by- &w~J I E~lLn Mt-r~:t.
"J
Telsphona' tJ51 J./.'Sz.. - Z.,.,S
Furnace Make &. Model "B rv o...n +
,
Model Size ~&~K.f\v ou.l 01 tl
21,~~
Fuel NcM- Flue Size L/."d~s B
Conn. load
Supply Openings
'K
4-
Return Openings
Input1!), ~DL OUIPut.5lJ.. bO tJ
Edr.
Clm.
'6 Db
TYPE OF WORK
Alteralions
Replac..ment
Repair
Est. Comp. Date
Building Permit II
Est. Cost $
HEATING PERMfTFEE$
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
TYPE OF STRUCTURE
l.PiIlk
2. CrCCI!
3. Yellilw
..
,
..
,
.
.
F;~
c;,y
Contmcl:Dr
Single Family
Commercial
/.,./
Two-Family
Induslrial
Multi-Fa""ly
Other
Pubfic
..
..
ii
Fee Schedule
..
..
Industria., Co".'M";al & Mum-Family
Residential, Heating &. AC
Resid..ntial, Heating Only
Residential, Gas Fireplace
Residen~al, Aaditions &. A1t&ralions
Residential, AC Only
,
<
1 %' of job cost ($39.50 minirwm)
$99.50 PLEASE NOTE: ~
$64.50 Air Condi tioner Units Carull <
$39.50 Encroach Into Required Side 5
$39.5C Yard Setbacks. ~
$39.5C ~
.
.
R..member to add the State Surcharge on Ihe bottom 01 this application.
TYPE OF SYSTEM
Warm Air Plants
Gra_ity Adcfllional inspec~ons wil be billed al $35.00 each.
Mechanical . . House Healing Test Recotd must be submitted with bulldinn gmmi!!l\I!!!lt!!!: before bu~d.
Air Cond~ionin9 'Br u.a..n+ Z:tnVl ing certificate of occupancy will be issued
Venl. System l.-5'bch,."bt.di\-+A.nS . .
1:!f6[ CAlCLJLATlOII/F; REOLJIRED with number of supply and ralum openings listed per
HEATING OR POWEll PLANT room wilh CFM's per opening. New SIRl<:lures or addiIions send floor plan with supply
Steam and relurn locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
HClI Water APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
Radiation CREEK AVE. S,E. PRIOR lAKE, MN 55372. '
Special Devices
The price of your heating permit includes one rough-in and one linal inspection.
~
..
~
~
c
~
~
~
~
c
~
~
1>
g
ClIy Hall business hours are S a.m.' 4:30 p_m.
Other Devices
All WORK MUST BE INSPECTED (!~OUGH-IN AND FINAL) . CAll CITY HALL
447-9850
I hereby apply for a mechanical systems permit and I acknowledge that the
inlormalion above is complete and accurate; that the work will be in conformance
wilh the orainances and codes of the city and with the slate bulldinglmechanical
codes; that this form does not become a permit until signed by the BUILD I NG
OFFICIAL; that the work will be in accordance with the approved plan in the
case ot aU w.orK which requires review and. approval of plans,
. 1<; .,"',~
New Construction
a....--'"'"
n/- OOqo
I
Date
"
'Z...LM...ur~ L~)
Sigll;llJ" -
3)u1DI
Date
MAA - ~ LUU!
~
c
c
..
RBceipt #
PAID WITH
BUILDING t-cRf.J:'1
'-
.
..
','
PL. FA;{ 447-' 4248"
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS StlO{ &1Jt/l fVl+b&n..) ~..
NATURE OF WOR~
USE OF BUILDING Sr=t},
PERMIT NO. O/-oCRO DATE ISSUED 1- '3(-'laa1
CONTRACTOR ~JR Kot~ PHONE {gsl -'"J.",f,-)J3~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING itJltl @r. ISU/o/ I
I FOUNDATION (Prior to Backfill) I ~ I 14//7/ D I elr, ~ ~ .~[ot
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMINGr:~ firy-, 5/iY!CJ1
INSULATION ~. 7/12./oi
ELECTRICAL
PLUMBING ~ L\'a.. ~. '4 1'2.0 IOf Ifi-{. ~ 5-;).-01. tr.:r. Iollsit) f
HEATING (if required)~ ~. 1{/VJ/cl U.&.iMN R.u.;h/ot ~,,/';r;/II
FIREPLACE ~ . '-/~/fJ1
GAS LINE AIR TEST fI.V, ~\ R p, & . ~/.:rs11!J 1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I ~--/ ~ , I ~ ~/~s:t1/
" J FINALS
GRADING (Prior to Sodding) 11/ ,Ii i{)_ ;;,q-oa-
, I
BUILDING 'U.,OI ~ '/;-::141 ~ rfultJl lf1.1? lH--{[)..
\
ELECTRICAL fl
PLUMBING f2J;r ..t.
HEATING ~
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
~~
~/X;101
/P P'1/o I -
fl"J/tJJ
fY,pi/d1
~
BEEN SIGNED
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 sh_l! be p'laced near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
I
I
I
J
HOUSE' HEATING TEST RECORD
ADDRESS ~VfCI"j I-~",-"" ;11-('",01",...... (""v<- <,f; APT._FLOOR
OCCUPANT. nWNER
HEAT LOSS. DATE HTG. INST. -8/ 2 -0 I "
SOLD BY INSTALLED BY AI \. ..,.,-+ ~-/"(" 1....
Electrical Work By _ __ r I';aS Line By. A II t' e, ~_ -I- 1/1'1 <(" l-)
TYPE OF HEAT GA _ FA~HW _STEAM _SPACE HTR. _UNIT HTR. ~OTHER
.) __!- GAS DESIGN CONVERSION
MAKE d;)/~u''' MAKE OF BURNER
Mod.1 ~ ("$1/0; Vf07{) Mod.1
S...ial_-/~/') (A- ( ') w"2 Sr Max. BTU Rating
INPUT' V,.., no r-J -. MAKE OF FURNAC~
CONTROLS
THERMOSTAT -I!. vV Heat Plug
Va lve _ ,A/ ./J
Limit
Limit Setting ,. ...........,,,Jl
Fan Setting _
Pilot Type \~ ( I
Pilot Make _
Pilot Model _ ~J--"
Pilot Timing
L. W. Cu. Off
Pressure 3.: r; "\.V. (, Percent CO2 (.,r
Input CFH Percent 0 Ct. ?
. :;:>c;-q . /)
Stack Temp. _ Percent CO
~ -
Farm 235
JOB#_
CITY ..
SUBURB
"
"-
"-
Model
I
Vent Size '-1
KIND OF LINER
Oralt Hood.
SIZE
NONF
,.ReguloTor
Number
Filters
Size
I0-Y';'O"
Chimney LocatiOn ln~id'"
Chimney Construction (" {O'S<.> IS
Outside
Smoke Bomb
Draft _
Door Pressur-
\ Wiring_
Test Tog
_ Lighting lnst
<;(-')"01
,
\
"
Date Tested
Company Testing F~ri~kson~ting & A/C,3650 Kennebec Dr" Eagan, MN 55122
Nome of Tester _/I. \C''-(..,I''
/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED / /-0l.t?J - M
ADDRESS /h~;dj'i5L/()6 ,PaLl/J1. iJ1eGaLow
OWNER ~ CONTR.
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
PERMIT N([ - i3-'y,- 9:J...
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE Rl
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
o MECH FINAL 0
---
Scf-)~
/1
/ { DSL.
'----'"
I, J
/ I {~
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Iff'? 1/--21-0L Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/O~ 'I(}->
ADDRESS
~i(OII .~ /Jt/~ohv)~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
0/-90
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
OliC'FINAL
- 0 ~ITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~X1GRADIFILLlNG
-e--COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
.6 Lj() Lf;.- nf"
_~ijtJ5 - ot
1<'1010 -(")t.
C) L.f{) '7 - Or-
~J.-J
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: lJ1~er/Contr:
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lN$JlIOTJ
ADDRESS
s//oLj
DATE TIME
SCHEDULED S( 'di-O/ j ;/::)'
'-
~aw?! l/}Uuz~
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-9iJ
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING-~ 0 WATER HOOKUP
o INSULATI~ 0 SEWER HOOKUP
-I3""FINAL . I7IJ\ 0 PLUMBING FINAL
D..~ITE INSPECTION llY...J:J-'tIIECH FINAL
COMMENTS:(7'5) e.-~ ~-511.
~~~i1 v p'
o EX/GRAD/FILLING
o COMPLAINT
~ ~IREPLACE RI
~REPLACE FINAL
o GASLlNE AIR TST
o
.-'""'.........
( T: <:1, 0, d P ~llc~./ 1\//') "
\..,-,
-"._~-
~~
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK,:!'LL FOR REINSPECTION BEFORE COVERING
Inspector: yO::,-. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
ll'iSNOTl
DATE
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~ - 9-(; /
s+c4--
ADDRESS ~c;-40f/J ;:::):lw,-vII"lE7JDOW
2.'UJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1- 7 v
/-'"12-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
~O~SEWERHOOKUP
! I..LJI ~ PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
S'/()I{ -- ~~ ~
>10&- ~-~
rC~
f~
~
,
}J WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
CALL 447.985Q FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IJVSNOTl