HomeMy WebLinkAboutBuilding Permit 01-0124
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White File jPERMIT NO
2. Pi" Ci,y .
3_ Yellow Applicant
2 -7-0 1
(Please type or print and si2l1 at bottom)
ADDRESS
/7;l/O ~Ar~ ~ ~
LEGAL DESCRIPTION (office use only)
..y...y ~~
LOT BLOCK ADDITION
PID 25 -370' (J4tJ - 0
OWNER
(Name)
(Address)
(Phone)
)
-J
BUILDER
(Name) V?~. ~~. ~
(Phone)
..<."5"/- ~ - ?......,3G
(Address) J-Y59 U/)t;l.SM'/V~....v vwt." ~.....- ,...:M-Y
~
.:1'S7..:l ~
TYPE OF WORK ~ New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST/VALUE (excluding land) $ /~5"..:?H
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 y.....y.....) 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 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,
x
~~-~
Signature
oldr:J't:J$~67
Contractor's License No.
.......:? ~d -00
Date
sp.o 1'1'l,CBI.CCJ
I Permit Fee $ I S.,?l,. q 5" 1 I-Park Support Fee # $ ~~.ool
I Plan Check Fee $ Icr't"'t.02 I I SAC # $ I ~.o .CO
I State Surcharge $ ~A.SO I Water Meter Siz@; 1'" $ - . I as.d::L
,
I Penalty $ I Pressure Reducer $ lISLrJ
I Plumbing Permit Fee $ l. 00 .CJl) I Sewer/Water Connection Fee # $ I. ~tlO . 00
I Mechanical Permit Fee $ ., I Water Tower Fee # $ -?dC.OO I
1_ N'9 .tJ?J
I Sewer & Water Permit Fee $ I_~<; .s7;) I Builder's Deposit $ 11~fr').dd I
I Gas Fireplace Permit Fee $ l(1) .1') 7J I Other $ I
....... /I I TOTAL DUE ~ B.I.I-7Q. 97 I
i, ~. nBeco~';M;n&:;~~~;:~e: 2. 2S'01 $
I Paid e~97 I ~~ce~~~ I
ding Offici! Date I Date . -/-01
,
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 signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
iSSU%---l./\ --. ~
,~~~r 2/~( ~~~lcCb:.~C~~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~. '"'0';"
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,
White . Building
Canary - Engineering
Pink - Planning
Th~ c.."i..r or Ih.. L.Io... COllnl!')'
'F. "', ,
BUILDING PERMIT ~P~~;~~TION DEP~T:MENT CI-tECKUST
NAME OF APPLICANT
APPLICATION RECEIVED
D. g. H()~IUN
2-7-01
,
c...,,~, P.., . t:' r
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
BtJl2_R. QA ~ L.A "16
177/0
/
Accepted With Corrections
Accepted
c
.
Denied
Reviewed By: L '- L- Date: ~2 - 2. 1 - 0 I
Comments: See Reve~ Side fOr' Additional Information!
x
..,
\ I'''A see AUachments:
)
1) Gradina Pian) 2l., Erosion Control Meaaures
3) ~ion Controt 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."
.J
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, uet
0\ -ollk
Th, Cenlu ot Ih.. Lak.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKlISI
NAME OF APPLICANT
APPLICATION RECEIVED
D. g. H0~luN
2-7-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1-7710
f~l; /:::::..1<- OA ~ Lf-\ NE
Accepted
Accepted With Corrections
~
Denied /1
Reviewed By: ~14-t:~
Comments:
~)"~-Vf;V.MA1 4WJ.A. _~ ~6Y=~ ~_
~k9 .$~ ~ ~1 ! 1,U-Vr
~vJ.\MjMA ~b~-.-
Date:
z/~l/O 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."
';,;ir:.
~~
DI-Olu~
Th, Cfnlf' of thf L.b Country
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CIiECKUSI
NAME OF APPLICANT
APPLICATION RECEIVED
D. R. H-u~JUN
2-7-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
tlZ./ 0 BU 12.r<.. oA IL LA ~6
Accepted
Accepted With Corrections
-:/-
Reviewed B :
Date: 2-/-?~/
Denied
cO((!::&JJPP_ O~(P fl_W ~ 0;: ft-~
-----
"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."
~.\'Il!O'!'t>rintIllJl1_.tbnl:b>tll)
I ADDRESS t)
/?.J/O ~
~ =. S-I PERMIT NO.OI- Jd-'--Il
12'~t(-"") I
(Jt:Jr. ~ .{'r
LEGAL DESCRIPTION (of!l<:e _ only)
LeYI' q BLOCK L.f ADDITION :1) /J'7 A~
&v::- r;f) Il. ~
~
(PboDe)
. (Addn:ss)
. .~
APPUCAN'l'
(Name} ALLIED FIRESIDE DBA FIRESIDE w.........
PIod5- 370- f5/.Io-c
(phone) ~-633-i",,'.
(AcI4ras)..,U9a N - P'AmVIEW A~
(Addtas)
(C .._ P ) BRENDA HUS'l'01I
on~ erson ".
. APPLICANT SIGNATURE ,,/:J;~..4.. L..
')~" J..
(ZIp Code)
'QO~'F.!U'TT ,r.R: M1U
(CIly)
(phone) 6Sl-633-256l
_ DATE ----=
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 Il.EPLACEMENT 0 AL TEIV.TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETlJRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
gwarm Air PIonIl J S_
Or.YlIy 3 Dol W_
::J Moch...i.,.1 Rodlolion.
JAlr COIldlllonlna $poc/Ill DevIce.
JVentSy_ o OlIlorDevICQ
FIREPLACE MAKE AND MODEL -1~~ ~ 7S'Ia~
- -
FEE .s.............JLE
InduSlriol. Colllmerclal & Multi-l'lUIIil1 l'li of job r;oIt Restdcntiol. GIS 1'lrr:p1ll<C
$39,50 mlntllllllll
Residential. Heating" AlC (New eon......otlan) S99.50 Jlmidcntlol, Addillons" AltmIliana
auidOlltlol. Hallnl Only (Now Conatnoclion) S64.~ RuldenliRI. ",C Only
EaI1malall eo. $
BuildiDlI Permit "
HEATING PERMIT fEE S
STATE SURCHAROE S
TOTAL PERMIT rn 5
.50
(011I<o Uk OnIJJ
This Application B_ma YourBundl~IPcrmltWhen A..,.I 1'l1lcl
'ulldllll Ollld'l
D*:li ~K---O /
D...
14 h..... noli... fo. .Uln.. .... . (9S3) "'7"'1511, ,.. (lI5:) 447~245
PLEASE NOTE:
^It CooditlOllcr Ullits
ClIlIJIot Encmacb lDro
Rcquirccl Sidc YIU'd
Setbacks
$39.50
$39.SO
$39.50
,
I3U PAID WITH
, lLOING PEF.' "T
"lIil
ltecGl1!lP-
By (}k.../
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,
JRN. 9.2001 1:32PM
GENZ RYRN 6513226147
NO. 227
P.3/3
_.~
-...- .. ...,. ~"-r
.... . art
CITY OF PRIOR LAD NO.' 01-0124-
SEWER AND WA'rEIt PERMIT
NOTE: Sewer and Water
contra~ors must
))e . reqistered
with' the City.
APPLIC:ANT~~V\~- ~.nPluW'l\oI"- 1.M~.ut'~ PHONE:~I~I.j.'2.~-I'~
ADDRESS: II.I.,I.IE:. Srjr /2.....11:'-'1' -r4.._ (;I-..,-~l'~ ~~.!l!!!LDATE:
SIGNA'l'lJRE: \1 ..l() ~ . BLOG. PERMIT 11 0:1- OIz..4- _
L..3 '
SITE ADDRESS: \"12.\ ("') ~..l.L.le.lPA-1.t.- ,u..I~ PlD/I ()I -.n 12jq.....:
FILL IN THE BLANKS
40'
1.
Estimated lenqth of,water s,rvice
,"
size of water service inchees).
feet.
2..
3. 'Location of any couplinqs from s~ructure
teet:.
., ,
4. 'Type of sewer pipe. ABS PVC X
. 'I
5", Estimated length of sewer lin~~
6.. . Clean 01,1t (it reql.1ired) I lpcated
structure.
Cast Iron~
feet.
.......,....,.
:;J
at
I
feet
frolll
--------,-~-------
.
permit
when approved.
3- (~6 (
D~TE:
This Il.pplicatio
BY
~----------r-
-.".----....-.............----.......
FEES:. ,.
$
$
$
35.00
.50
35.50
Sewer a~d water line connection permit.
surqharqe
TOTAL
. .
.,
i
*
.
Fee for either sewer or wa~.r individually is $ZO.oo plus
$ .50 surcharge. - I
',. "
( 'J
'. -',1'
Sewer and water permits 'issued tor new construction must be
recorded on the building permit card at the time of issuance
;to in.ure that: no duplicate sewer and water permits .are
i~sued. .' .: . ~ .~
DATE PAID . " ' 1lMOUN'l' PAID ~,,~ y~ - .
- ,'91' I
REC'O BY V'" .
*
RECEIPT /I
.
. 4629 Dakota Sl 5.E, Prior r..k8, MInnesota 55372 I Ph. (612) 4474230 I Fax (612) 44H245
/IN eQU/OL gppOlmlNltY ~
JAN. 9.2001 1:32PM
GENZ RYAN 6513226147
NO. 227
P.2/3
,.-
.
CITY OF PRIOR LAKE
. PLUMBING PERMIT # 0 (-012.4-
. Applicant: ('...." 11'\"'7._ ~ j'" .r-. Phone:.J.~H..p-~ -/~
'Address:'~ho;a-.,-.u- b.;H.......,..........,- ~ ~<)Olcil
Signature; ! "" .
, lII11al DMcriplion: lot . ~ Black U Sub f"),d ;"'-fp J D
'SIteAddlllSS: ,..., '2...ID fhq_iz..t'2- ~.- ~ s"1=.
BuildlnQ.PermiU IJ../- 012-4- 1"10# 2S -1J2::;- 002.-0
NOTE: This parmit w,jll not be pRlCSSsed wlthaut complete inf9rm&tion.
FIXTURE UNITS
,I. .... 1110
2.lloI<I ClY
J. Y..... Awl-
l1tc CR,.. Dr I..... c-.,
. I
.. .
QuantitY Type of Rxlure Quantity Type of Flxture
L..- Bath Tub with or wlthaut shower .""6 Rough-ina.
, OishWll\lher. \ Water Heater
I - Roar akin . 1i Water Softner
~ tavatary (bathRlom ~tnk) , \ Stand p~ (washing machine)
\ laundrY Tray (1 or 2-compartment sink) S~e Elector!.
, Shower Stall B8cIcIIaw Assembly (Rpz' Double Chlldl, PVB)
\ Sinks ' Backllow Assembly test
~-- Bar Slrik Lawn Sprinkler
. . , .~ Water Closet (taPel) Other
i'"
-FEE SCHEDUtE
_ .lnc!ustrfal, Commercial & Multi-Family .
(1% of Jab coat, $39.SO minimum)
. .!
Residential. New One & Two Family
Residential, Additions & Alterations
!
GRAND TOTAL
s
s
$
$ .50
PAID WiTH
BUtDlNG PERMIT,
I
$99,SO
$39.50
'State Surcliarge
,.
. ,
- .
ThIs pcrmills ...~ IlPOllllle ...p.... COIldidon lIlal said
....__... sblll CDlllply ill .u ""JlIClI wilb die onIln_
~ die Sta/II Plurnbilll rile amcndmenl$lhonof. .
. 3-I-O/_DATE
ATI'EST
Call for all in ni 24 "ours in advance.
-.
..-~'
16200 Eagle Creek Av, S.E., Prior Lake. Minnesota 553-721 Ph, (612) 447-4230 I FAX (612) 447-4245
An Equll1 OppommiEY Employer .
CITY OF PRIOR LAKE Me
18200 ElIgIe CnlekAv. $.E. Permn No. ....Q.I ~ olzA-
PrIor Lab, MN li5372
HEAnNG APPLICATION 1 PERMIT
0aIIt '2-\1..-010\ Plu~-/es-()O~-O
SiIe AdcIr8ss nz..1 b ~u..ry- DD.k IY'I SE
Lal ~ Block 1.f AddItIan
ewn.'s N.ne~R t\tJr 11m .
Addrea '31V;Q WIl.s1'Uil~""/)v ~ UWt1n NJJ55/Z2-
HealIng Canlrador A 1\ i CLr"tf-Y Mm f'JJIJ u1 J
AdcI_ "M5D .KnmwfL, 1)r -1Jo I 6'1~ MN Fj5JZ'-
T8I..,' 11'51-452- 2-"11')
F=- Make & Model ~rLAM1t .
Model Size J fJD: {lJD rstu. qk.L
Conn. load
Fuel fJ ~
Flue Size 1.'/1.--1/ pvc..,
SupplyC., .,_
Relurn Openings
InpuI
Edr.
CIm.
0uIput
~ OFWOftK
Aileralians .
Replacemenl
RepaIr
TYPE OF """..CIIl
Warm Air PIanls
Gravity
MlChanical
Air Conditioning ~IAa..n.r
Vel'll. System
HEATI<IG OR POWEll PLANT
Steam .
Hct Waler
Racliatian
Spec;.I Devices
Olher Devices
New Construction
~
Est. Comp. 0aIIt
Buiding P.-mt ,.
Eat. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTALPERUrrFEES $
0(- OIL4-
v>>~\~~~~~\\
RecePl ,
~ OF smUcnJRE
I. JI1U Ale
1 a... Cloy
3._ ~
.
.
.
.
.
.
Single Family
Cammerelel
l,...../'
MuIti-FarriIy
PuI:tic Other_
.
c
~
.
.
l' . .~, .. ::J
Industrial
Fee Schedule
InduslrIal, C ., .. :.j & MulIJ..F8rnIy
Residenti8l, HealIng & At;
Reslltenlial, HealIng Only
ResidentillI, Gas F'npIace
ResidanIiaJ, AddlIians &A1..,*~.,~
ResIdl..Ad. AC Only
.
c
1"'01 jab CDSl lS39.50 minlnun)
$99.50 PLEASE NOTE: ~
S84.50 Air Conditioner Units Cannt c
$39_50 Encroach Into Required Side:
$39.5C Yani Setbacks_ ~
$39.5C ~
.
~
Rememberto add the State Surduuge an !he bottom allhIs appIcaIian.
The price at your healing permit includes one mugh-in 8Ild one flll8i . ..... ; .;. .
AddIoneI inspections wil be biled at $35.00 each.
House Healing T88I Record must be submI1led with buildim IllIUIlII!lIl!!l!Ill: beloI8 build-
ing . _ __~~, 18 of accupancy will be isaJeel.
I::IfAI 1''''' CULJmONS REQUIRED with number of supply and f8Il.m openings listed per
room with CFM's per opening. New slnIcIllnIs or addIIlans send flaar plan with supply
and relutn t....:. .." shown. HEIQ'LOSS CALCULATIOHS. PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372. .
Clly Hal ~ houlS Bt8 B a.m. . 4:30 p.m.
All WORK MUST BE INSPECTED (ROUGH-N AND FWAL) . CAll CITY HALL
447_
('
...
~
..
c
..
...
"
...
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E
..
I hereby apply for a mechanical systems . ;. . - and I ackn0w4edge that the
information above is camplsle and accurate; lhal the wark wi. be in conformance
with ths ordinancas and codes of the city and wnh the state buildingfmechanlcal
codes; thai this form does not become a permit until signad by the BUILDING
OFFICIAL; that the WOIk will be in accordance with the approved plan in the
case of an work which requires revi_ and approval aI plana.
~.1 J. ilk '21>>unw~tl.iA-J ~)
( .t:irApff~
~F;;;;;'re
P.L. FA>t 447- 4243"
z~
Dete
'3-1-0 I
0aIe
IS
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c
....
PRIOR LAKE DEPARTMENT OF
. .' BUILDING AND INSPECTION
INSPECTION RECORD
f (jUIA.()
!
SITE ADDRESS . l?~ In ~t I rr- C'hk:
NATURE OF WORK ~
USE OF BUILDING --SVl\
PERMIT NO. 0 (- 0 (2A- DATE ISSUED "::J - '-l ~ 2(Y')1
CONTRACTOR J}1~. I:I--t'I~1^ PHONE (P5'1-2~.,/~C:,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
, FOOTING . I ~:;OR I~! (~f~l
, FOUNDATION (Prior to Backflll}I'~~ I t9r 37/1//(51 I j}p. 3/z) j{JJ
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS J
1-.
/.
~~~
~.V~
i
~b ~:,t;
~ d- f\h.t>/{)f
- ~ ~ ~1{t}1O)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
. lAfJf)
~ / ;;;//tJ/
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
"
GRADING (Prior to Sodding)
BUILDING Tr~()' -tdJ &J /r 5"(/)/
ELECTRICAL I
PLUMBING
HEATING
DO NOT
o~
, V'/
b;r,~
6},
OCCUpy UNTIL ABOVE HAS
NOTICE
~
~J
, ,
(~(JCj4
(. ?-II.1I1
tJ /r9-h J
Jhi/o/
, .f
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 shall be placed near main entrance.
~ . . .
Call between 8:00 and 9:00 A.M. for all Inspections
FOR ALL INSPECTIONS (952) 447-9850
Itrtifuau of OOu~ry
ell r OF PRIOR LAKE
)aepattment of .uilbing Jn~pedion
\rJ Final Permitted 0 Conditional C.O. Expires
f;;; Certificate issued p",..UQ1I/ to the requjrelfU!tIIS of &ction 307 of tM Uniform Building Code
certifying that at tM time of isSUllllCe this structure was in compliDnce with tM variollS ordi1tQ1tCes of tM
City of Prior lAke regulating building construction or lISe. For tM following:
SINGLE FAMILY
Use Classificatioo
01-0124
Bldg. _ N'
OccuJllllCYType R3 TypeConltruc:tion VN
LepI Description L4, B4, DEERFIELD
OwnerofBuildinI Si..Address 17210 BURR OAK LANE
D.R.HORTON, 3459 WASHINGTON DR., SUITE 204, EAGAN 55122
Conttoclor', Name.t Address
_FireZone N/A
ZoniDa DisIric:I -.l' 1
ROBERT D. HUTCHINS'~ityPllnaer DON RYE
/11: omo; ) ,/1 I _ Dote:
Vi / POST IN A CONSPICUOUS PLACE
Da..:
., ,
:-'"
HOUSE HEATING. TEST RECORD
JOBJ1 . (') y~
CITY ~SUBURB
ADDRESS JldJ/> ilu" f.U.li/t/
OCCUPANT _
HEAT LOSS _ DA TE HTG. I"'ST.
SOLD BY A/I__:, ~ INSTALLEO BY _""'//N_,~ ,-
Electrical Work By Gas Line By ~ i' I h.'" /'
TYPE OF HEAT GA _ FA ..K...HW _STEAM _SPACE HTR. _'UNIT HTll. _OTHER
APT._FLOOR
OWNEP
GAS DESIGN
MAKE ~~ Jr
Mod.1 ~V /JUR pm
Serio I '.i1 J A jV)] sf
INPUT ~4 iW_OlII
MAKE OF BURNER
Mod.1
Mo~. BTU Rating _
MAKE OF FURNACE
Mod.1 _
J/ CONVERSION
1
"'71' /1, '/
Vent Size J /0./ L/ ~.
KIND OF LINEP SIZP NON~
Draft Hood _RegulaTor "ny//,,;-,.,
Filt.r. SiZ.~'.Y/ Number_'
o,imney Location In~ nut.id. _
Chimney Construction r C?1 r"", r;;,C (' I I
.- .- I I CONTROLS
THERMOSTAT. n -W<,1f H.ot Plug
Vol.._ /.J_U,
Limit
Limit Se"ing ,:..J:j ()
Fan Setting ~ j
Pilot Type
Pi lot Make
Pilot Mod.1 _
Pilot Timing
L.W. Cut 011
Pressure ?, ~ /)I,J ~(" .
Input CFH
S"'ek T.mp. () 7tJ
Form 235
/
I 'i~
.J.-I /
1 f '...!/
I
Smoke Bomb
Droft
Door Pres sur.
)~
II
7-.1'1/7
P..e.nt co~'7
Pere.n' O~~
Percent co ~;;
Dote Tasted
Company Testing ~d<son Hoofing & A/C. 3650 Kennebec D." Eagan, MN~'
Nome of Test.r ~,/,/
Wiring J_-
T ost :.r.; I
Lighting Inst.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
JlZal~1 !tJ:€J'O
, -
ADDRESS ...t7~/ tJ
&12A- tJA-K-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t!J /- /~'-/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
WATER HOOKUP
SEWER HOOKUP
i PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: @l.
i1o.::
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~/~
Wh~~
~~
..a-J:::II -i:;
L,L- ,
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_.n. .
~_I
~It
~ "J~ ~TIt...
~.L....J ~ Lf!l (?,J:! _ _c:::"t;.~
I
tJ WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
10 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~(
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--"30' .~
I i_.
2'_ -'" r'\.o
1" T....t.n.L \I l-i.... 0'
t .~
u:. _
\S
~
l..~........:_.":
Owner/Contr.
CALL "7.9850 FOR THE NEXT INSPECTION U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH" SAFETY/
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/-;).-0) ~;"3U
~~L;U
ADDRESS
Fl;H u
OWNER
CONTR.
PHONE NO.
PERMIT NO.
f-/~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION@-ESEWERHooKUP
o FINAL UMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENT~ ~ ~
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(l~
\~~
~
~.
\e, vJ I C.
~~
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. Owner/Contr:
CALL <647.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PEll80NAL HEALTH & SAFETY!
lNSNOTl
ADDRESS
OWNER
/7d-/()
DATE TIIII!
SCHEDULED U I ~ 1'0
~~
CITY OF PRIOR LAKE
INSPECTION NOTICE
CONTR.
PHONE NO.
PERMIT NO.
Ill-~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
o INSULATIO 0 SEWER HOOKUP
';t FINAL ~PLUMBING FINAL
o SITE INSPECTION TECH FINAL
JR ,.. <-
COMMENTS:,I" ~
(~~ n-j,.,L~ W-A
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~
~
-..
1~~
~/I J 10 .....J
---.----
~~~--.-
r Te.tJ.
'-....
[J WORK SATISFACTORY, PROCEED
J4 CORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~j
Inspector:
Owner/Conlr:
(
CALL 4A7-I1850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEAL11l cl SAFETY/
''''''''"
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
g.,1'f,-01 n"",
ADDRESS
/ 7';/0 B,,,rt:)c.K L",_
OWNER
CONTR.
1)1. Marl.,.,
C9/-I2-1./
PHONE NO.
PERMIT NO.
o FOOTING
o FRAMING
o INSULATION
~FINAL
...- 0 ""'OUNDATtON
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTION
~EX~ILLlNG
o LKSHDRENVETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
GUlh &Y-~C) I':.
~WORK SATISFACTORY I PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CAU FOR REINSPECTION BEFORE COVERING
Inspector:~~ ~_.- ClImer/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!