HomeMy WebLinkAboutBuilding Permit 01-0128
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
2-/2.-0/
I. White File
2. Pink City
3. Yellow Applicant
(Please t'(1?e or orint and sign at bottom)
ADDRESS
6"-V~3 FXlWN /YJ4:~WI cu~l/r-..:;r
LEGAL DESCRIPTION (office use only)
~7 vN"'r.....9
~ ~OCK ADDITION ~~ ,~,,<o
OWNER
(Name)
(Address)
R2
PID75-37?-O/S ~O
(Phone)
BUILDER
(Name) ./J. R. Xt:).i!{n::vv: ~.
(Address) ,';>'Y5t}? ~N ~.snr~
TYPE OF WORK pg New Construction ODeck
OLower Level Finish 0 Fireplace
o Misc.
(Phone)
,6:1'7-.z~-7/3k
A-~
OPorch
OAddition
ORe-Roofing
OAlteration
PROJECT COST /V ALUE (excluding land) $ .6.8', e?t'O
OUtility Connection
..%7'.2 :::l
ORe-Siding
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 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 1""1',;...) to perform needed inspections.
x
/'-.~...kl. ~~
- , Signature
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
1$
1$
$
$
$
$
$
$
f"/(n'i.1C} I
5"CO.s'l I
34.1)0 I
I
I
I
I
I
I t:JO.oo
fOo.~
D
liD .00
.:X~7
Contractor's License No.
I Park Support Fee #
I SAC #
I Water Meter Size 5/8"; 1";
I Pressure Reducer
I Sewer/Water Connection Fee #
I Water Tower Fee #
I Builder's Deposit
Other
~ -J'"-O/
Date
$ 82).ro I
$ 'I' SO .07)
$ rJ
$0
$1. 26a .eo
$ '100. ()7J
$ C
$
r;l~. nB mesYourBuildingPermitWbenApproved TOTAL DUE _ ~ 5-1144. 09
~, ;Z-~'~I I Paid Sff..c1c.f.o q I Recei~rlo. 'Jf.c~""-
Build' fficial Date I Date 3 -/- "I By 1 L---
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
issued.
:L/~(8l ~ ~cfn~~/1 ~ .
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 t.-v.. \8\>~
~~
White - Building
Canary . Engineering
Pink - Planning
Th~ Cl'nll'r of Ihl' L.ke Country
BUILDING PERMIT APPLICATION DWRT~NT CI-tECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
f) f2 _ HoerotJ
I .
2-1?_-() {
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5423 FANN MF1\D()W (l,ueV6
Accepted -f---
Accepted With Corrections
Denied (,/IJ/9 ()
Reviewed By~ )l=-
/
Date: .!2 - :>~ -'2aa1
Comments:
~ 5C('20~~~~y~~.
"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
Th..Crnlt'r of th.. Lak.. Country
BUILDING PERMIT APPlI~TION DEPARTMENT CI-\ECKlIST
NAME OF APPLICANT
APPLICATION RECEIVED
D 12 HOtGTVN
2- J7~ -() (
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54-23 FA\\i N /VIFJ\D()W (1JJeV6
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
/If;''!>
Date: z-2S-01
Comments:
"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."
nlr (Ant" of IH Lan Ca...".
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1).12 HCkTON
2-12-(.;1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
54t2..7Jr r-f\\\Jrl i'"1~j\lj(V\J L()k:J.E"
i/
Accepted
Accepted With Corrections
Denied _
Reviewed By: Lj~ 1~~
Co ments:
Date:
~/u /81
'e.Ly- "V'"' ~ f:'~ 4- ~
.Ll,,^ 01- ~l.it" ~ ~PJ~ '?vd. ~t
* (~ !nJ% ~ p?~~ t;9~
l~.'Q~~. f~ ro.e.c,,&;fte ~he, ~~9~crd
JAI-rT;}Lf' h<:. <:L ~~~//& _ No,( IJ1Il&y~ ~
p% rJ:l- \?~ ~/~~~1 ~_ ')i'S,.lltJ~ ~
EQ.Q-~11e ~k1c_M 6~~:W_j!~
"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."
FEB. 15.2001 12:37PM
GENZ RYAN 6513226147
NO. 773
P.13
'hr ~, "" 1M lalit c;..lit
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Applieant: ~ Y">7_ - I? \ '" If""\
~dl'llU; .u.l::J~ . .~ ,,'X~ ~ ..,." f
Slgnlwl'I: sl.. '()~
Legal c.ICrlptlon:-C.) Block Su~ \.\:\ ~
Site Address: ':::'u..,.-:a..... C'i'....." ~," r. I IIZ.L- ~
BuDding Permitll () ,- () 17.?J I'ID 1#
NOTE: Thil permit wJlI nGt be pfllCWlld without complete Information.
r." , .JRI! UNITS
RIo
CII?
~
t 0 t~ Q.l.ZY'>
phon.:.LrF-.I- U.7~ \ IIJ \..l
IJ ~~ J... .. ~LlY'1r" ~ll'\~
I. ....
a._
J.Y_
'.'
QIWltIty Type of Fixture Quantity
\ Bath Tub with or without ehowlr
I Dllhwuh.r
Floor Drain
2.- LAV.tlllY (bathroom sink)
I Laundry Tray (1 or 2 compartmenlslnk)
SlJower Stili
, Slnka
Bar Sink
-, .'J 2,.. W.ter Closet (toilet)
I
Type of Fbrturl
ROUgh-ins
Water H.m.r
W.ter Soflne~
Stand Pipe (washing machine)
Sewag. Ejector .
BacldIow MIIrnbIy (RPz. DaubIe 0I1C1l, PVB)
e.ckflow A.s.mbly Teat
Lawn Sprlnkl.r
Other
FEE ICHEDULS
'> Induetrial. Commercial & Multi-Family
(1% of job cll8t, $38.50 minimum)
Rllldentlll. New One " Two Family
Reeldantill, Additions" Alterations
Stele Surcharge
$99.50
$Suo
$
$
$
$ .50.>
0\11I\''-' ...
fit>.' \'Ef\M\ ,
~\\J)'NG .
GRAND TOTAL
,
- .'
'1111. penNIls an_loci upon tho Ollpt\:ll oOlldllio_ 1100' NlcI
can_tar, shill comply In III "'JIOCLI vtlllllhe ordinanus
of cho S_ P1Um.i~1IlcI tlIc: unillldJMOlIlhonof.
. 3. z,.-Ol DAn
A 'n'llS'1'
Call for all msteCIlOIlll 24 houn in lldvlIlCe.
16200 Ealle CreekAv. S.B.. Prior Lake. Minnesota SS372 / Ph. (612) 447-4230 /FAX (612) 447-4~S
All Equal Opponulllty Elmployor
FEB. 15.2001 12:35PM
GENZ RYAN 6513226147
NO. 773
P.6
1.
3.
3.
- 4 .
.'" ..
.......' 5.
6.
". "
-'OILII
9a.a.ow. .......111'
IIlIU . ClTf
"
CI!Y OP PRIOR LAXB
SEWER AND WATBR PDMIT
110'1'1 :
NO. 01- OIZ~
Sewer and Water
'contractors must
lie registerecl
with the city.
APPLICANT: '&"'$ - ~PIL.lJm\o'.- u",7'l.utl.. PHONE: Jti61- U.D~ III.IAJ
ADDRESS: 1~"'Y~St, 1,....4.'" ~.L iI......,~~.,..,... <<~.DATB:
SIGNATURE: BLDG. PERMIT ..1l/,OI'ZB
SITE APDRESS :,F;I.l'l..~ ~tl' , ~ ru .,.II>!\F PIe,
FILL IN THE BLANKS
40'
t.et.
Istimated lenqth of water service
III
Size of water service inch(es).
Location of any couplings from s~ructu:r:e teet.
Type at .ewer pipe. ASS PVC)( Ca.t Iron
Estimatecl length of sewer lin.....I:Jf'\ ' feet.
Clean aut. (it required) I lacat.eeS at teet. from
structure.
-- ----
:'~::'l;"~'. .=< pozo"
, I
__________m_.. "'.==-._" ~,..' ..",. . "
,
---------
when approved.
DA:!E: 3 ' z. - 0 I
'" .."..-..".-
.
FEES:
I
$
Sewer and water line connection permit.
Surcharqa
TOTAL
35.00
.50
35.50
t Fee far either sewer or water individually is $20.00 plUS
$ .50 surcharqe.
..
Sewer and water permits issued far new construction must be
recorded an the builclinq permit card at the time at issuance
to insure that no duplicate sewer and water permit~ are
issued.
. ~1\1'~ .-f'
o~\O &\~~~\t .
~U\\..O\'" ,
DATE PAle
AMOUNT PAID
RECEIPT #
REC'O BY
, 4629 Dakota St. S.E., PrIor !..aM, MinnMota 55372' I Ph. (612) 4474230 I Fax (612) 447-4245
AN IQlW. OPl'ORT1JNI'lY DlPLCYER
FIRESIDE CORNER #4360 P.004/006
.IIIUlaJn.j:U
t~ S-I PERMlTNO.tJI_/~ I
~t'ID!.or_taa4IiP"_)
I ADDRESS
S-~J3 ~ ~ ~.'
LEGAL DESCRIPTION (ollke u" 0"",)
LOT -3 Br..oCK ;:) ADDITION j Q tJ J ~cg. 6 ,,0
. I)
~=Rr;;;e ~
(PhorJe)
(Add=s)
. '~
APPUCAN'I'
(Name) ALLIED FIRIl:SIDE DBA I'n....~~.. COIll!lEIl.
(Addtess) ..i.700 N _ ];,AIRI/'IEW AVDIIIE
~)
(ColUaa Person) BRE2l0A IIllSora.
APPLICANT SlGNA'I'URE ~I._A d. -_
j
ZONlNG(__1
Ra
PID;)r;--31~-OI3- 0
(Phooe) 651-633-2561
'ROSRU'TT.TJII\o. MN
(City)
(Phone) 651-633-2561
DATS .s1qJ",
'5~n3
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
pW CONSTRUCTIOJtl 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAkE AND MODEL fUEl.
FLUE SIZE RETURN OPENINOS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWBR PLANT
OW8/'lII AltPll11" :J SloOm
[:JOraVl1:y :J Hol Wiler
[:J Mocbonlcal , 3 IlJo1lltlan
BAlr CoIldltlonlat; sp..... Devl_
Vont, SySlall OdIer Dcvl...
FIREPLACE MAKE AND MODEL jju ~ C't.. .s:t 7:srrnt..
FEE SCHBDTJU:
lndllllri.f. CommClCIaI" Mulll-FlIIIlly l'IIoofjDl> o0oi R.tlsldJlrul.f, GN 'lrapl....
'".30 mlnfllUllll
Jl.eoldmllll, Hc:alina A AJC (New Conllll'UOlionl "'.~ Resldenllal, Addllianl &:. I\.llotllllonl
Kesidcalial, lieaJllll Only (Now Conatrudlanl S64.~ Residential, AC Only
Esllmllled C~ $
Building Permit 1/
HEATING PERMIT FEE S
STATE SURCHAJlGE 5 .50
TOTAL PERMIT FEE 5
(Olllco IJ.. 011.,)
TIlls Appllclltlon BeeoDlel Your 811IJdIllC P_h WIlen A., , . I Palll
BtoIIdl"ll Ollldof
0&":5'_/1_0 I
....
24 h... .-Ib fer Illl~...ctio... ('$1) 447-9850, ,.~ ('112) 447.4:145
PLEASE NOTE:
Air ConditllllW Unlll
CeIIIlOt En_llCh Into
RDquind Side Yarcl
SeJbackll
$)9.S0
539,SO
539.S0
PAID WITH
BUILDING PE".
I l,~" f
Reccl~
By Y..e---
.V
CITY OF PRIOR LAKE Me
16200 Eagle CreekAv. s.E. Perm~ No. 0 I - 0 I 26
Prior Lake. MN 5.5372 .
HEAnNG APPLICATION! PERMIT
Dale 3 lW(") I
SiIllAddress _C;;;4'2.:~ t:a.wn ~w (jJYv.t..s.E
Lot ...121 8Icx:k -, Addition
Own8r'sName DR H-t1.....ton
Mclres&~ 'br SW+t.U>~
lieatJng c..,..:. ~\ uo.."r' tJ.J.cho..n', W
Addr.... 31&50 t(.ennt.bec- by- ~ l E'6.AO.n M.t.t~z.
Tel8phona' lJ51 I.J.5L- 2.,'5 ....
Furnace Make & Mods' ~r\J(l.n+
.
Model Sin 3g~"AV llzAO'1"I
Conn. load 21. ~~
Fuel I\I 0.:1- Flue Size tplOO~ B
~
4-
.1:-~O~""_VIj'Q
1-- ~'
v '"
,
PlDtI
TYPE OF STRUCTURE
1._
2..c;,..,.
J. YdllIw
F;lo
a.y
CatIlncll>,
Single Family
1Wo-Famiy
Industrial
MtJIIi.Farriy .
Other
V"
Commercial
Public.
Fee Schedule
Industrial, CommeIciaI & Mulli-FamiIy
FlL"':~_ . ~,J, Heetlng & AC
FlL~'~,..:'.J, Healing Only
6@.n 1IMl551Z.Z. ResidenIial, Gas FnpIace
.; ResidenliaJ, AlIdiIions &. Alterations
Residenlial, AC Only
1 %'of job cost 1S39.50 minirlum)
$99.50 PLEASE NOTE: ~
S64.5O Air Conditioner Units Carmlc
$39.50 Encroach Into Required Side 5
$39.5C Yard Setbacks. ~
$lI9.5C ~
~
~
TYPE OF SYSTEIIl 'The price of your. ,..:", permit includes one mugh-in 8IICI one final inspeclion.
Warm Air Plants
GnMly Adcfilional inspections wil be billed at $35.00 each,
M;echanI~ . House Healing TIlSI Record must b& submilled with buildino lllIIl!lillllll!lllllr beIale buid.
Air ConditlDlWl9 "i!lr Ilo.rtt Z:tnn ing ce,..... of CJCalP8f1CY will be issued.
Vert. System .J.,.-51ld1o..,ba:.til.::fA.hs.
. !:lEA! CALCULATIONS REOUIRED with number of supply and rslum openings Ilsted per
HEATNG OR POWER PLANT room wilh CFU's per opening. New stru_ or addIians send floor plan wlIh supply
S1eam and relum :. ~,; ..,~ shown. HEAT lOSS CALCULATIONS. PAYMENT AND
HOlWater APPWCATIONS MAY BE MAILED TO THE CIiY OF PRIOR LAKE. 15200 EAGLE
Radiation CREEK AVE. S.E. PRIOR LAKE. MN 55372. '
SpaclaI DeYicss
SuppIyC" .....
R81urn Openi~
Inpur1D. DDb..- OUlpUl-5IJ.. bO ()
Edr.
CIm.
<bOb
0Ihet Devices
TYPE OF WORK
A.eraJ'lons
New Construction
a.,./"
Re~lacement
Est. Com~. Dale
Buiding Penn. ~
Repair
EsI.Cost$
o I, 0 I 2..e
HEATING PEFlNITFEE$
STATESURCHARGE $
TOTAL PERUIT FEES $
.50
PAID WITH
BUILDING PERMIT
Rsc.iplll~
Remember to add the State Surcharge on !he bollom of this application.
CIty Hali business hOUlS Bl8 8 un.' 4:30 p.m.
All WORK MUST BE INS..:.. .dl (ROUGH-IN AND FINAL) . CALL CITY HALL
~~
J hereby a~ly for a mechanical systems permit and I acknowledge thai the
information above is complete and accurate; thai the work will be in conformance
with the ordinancas anti codes ot the city and with Ihe state buldinglmechanical
codes; thai this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work wili be in accordance with the approved plan in the
case of an work which requires review and. J\Pprova! 01 plans,
~ 'Z.LM.w.Y~ t~)
. ~~7ftCft. ,
s~rll'-
.3JuIDI
~ ~LUUI
Date
PL. FA.>L 447- 4248'
.
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- - - -- - - ,..-
w............,u I-\1'tU 11'ti:)t"t:\,; IIUN
INSPECTION RECORD
SITEADDRESS ~-'rL-S -&w\A.. ~_~:
NATURE OF WORK . 1 )OL 1
USE OF BUILDING . S t:J!J
PERMIT NO. () 1- () I Z-?J DATE ISSUED :l. - :2L'l - ~ f
CONTRACTOR J) 12 I-L-. ....k.'rv\ _ PHON 5'"' s 1- ~st;- 7/3~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING 1~_Va.:;ECTOR I ~J 13}~~
I FOUNDATION (Prior to Backfill) I&.. '5yt?-8!M ~1&-,3k9h/
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH.. INS
SEWER I WATER I SEPTIC
FRAMING _
INSULATIO~.Rd '6;., C;;3~'tJ1
ELECTRICAL .
PLUMBING ~ tt.~.. 6-.3!?6/lJ/ 14. !7/1S'/N 6/",-l!
HEATING (if required) n:rlk 'tPr; ~(:~" U~. cl.Jm1 ~,.l/
FIREPLACE ~ -. ~I
GAS LINE AIR TEST 'i. V~ :...1_'1)01
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
Ihk1J;\1J~ (z) 6~ 4/~IoJ ~ ~ ~/i Hal
FINALS
. It/Iff;
(~, 7b'/III' [JfJ
, ,
~if;,
~/~~Jo(
5/".?~J
GRADING (Prior to Soddin9)
BUILDING~,CA. '\?tQ't/rt;;/OI
ELECTRICAL
PLUMBING
HEATING
DO NOT
'/'~/oJ
q-/().,~
~
f)::r'4
/ lOr,
.
OCCUPY UNTIL ABOVE HAS
NOTICE
tblcY?lf)/
'1!17/~1
I
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?pj~rpr all inspections
!={)C AI I I"IC!""'" ~~-, .,- ----
QLtrtiftcau of (Jerupancy
CITY OF PRIOR LAKE
Department of .uilbfnll Jn~pedion
rJ Final Permitted 0 Conditional C,O. Expires
!;;.is Certificate issued pursUQ1ft to the requiremenls of Section 307 of the Uniform Building Code
certifying that at the filM of isSlUllfCe this structure was in complUurce with the WlriOUS orditlQllCes Of the
City of Prior LoIce regu/oting building const""ction or lISe, For the following:
SINGLE FAMILY
Usee ...:~..:,
BId&.PormitN"
01-0128
0...,. '. Type
LepI DeacripcioG
R3 TypeC" ,.:.. VN ..ueZone -1l/A ZoDiJIIIliIlricl
BUILDING 7, UNIT 29, DEERFIELD THIRD ADDITION
R2
Owner ofBuildinS
DR HORTON, 3459
CoaIndor', Nome.le Addms
ROBERT D. HUTCHINStpe-lr City_
J!UtIdiIII Officw
Q- I J - Od-- _ DIIe: .
'lileAddms 5423 FAWN MEADOW CURVE SE
WASHINGTON DR., SUITE 204, EAGAN 55122
DON RYE
Dale:
POST IN A CONSPICUOUS PLACE
.~
.lOll #
HOUSE HEATING TEST RECORD
ADDRESS ~,;,J) r,.mrl/"'.j~. ,"",...
OCCUPANT
HEAT LOSS DATE HTG. INST. J-- /. - c:;-,
SOLD BY
Electrical Work By
TYPE OF HEAT
SUBURB!hN /U-. .
I
APT. _FLOOR _CITY
OWNER
INSTALLED BY h/~/4rl7 _ ;1AnL
Ga. Line By ---;;::?/ //,1"", - ,
GA _ F~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHEP
~'IJA ~ASDESIGN
IoIAKf . '1'/7/0/
Mod.1 _ - '.7r "PO ~ ~
$.,;.1 I f<'?t/ I
INPUT _ ~tf. (J'O(J
CONTROLS
THERMOSTAT .f:/..'/o d,. (Ho.. Plug
Valve --4 J '" I? ,
Limit
Limit SeH'ing
Fan Setting
Pilot Type ~
Pilot Mok. _
Pilot Model
Pilot Timing
L.W. Cu. 0/1 I L
'1rJ d
j J ____,..-:--
I I / L
/'-7 ) ~
(r ()
Y.S
()
Pressure
tu. ('P.rcent CO2,
Percent 0
Percent CO Il. .
Input CFH
Stack Temp.
Form 235
I~{)
MAKE OF BURNER.
_ Mod.1
_ Mu:. BTU Rating
_ MAKE OF FURNACE
Modol
Vent Size
t/ "/
CONVERSION
) /"
Y
./ I
/ r
SIZE NONe
Regularor ps(Lt.v ~7.r_
; '.
Number
. KIND OF LINER
_ OrCfh..,Hood
_ Fi Iten Size / t"/ It!'.J.ix /
_ Chimney/Location )r1!ide
_ Chimney Construction/,o-f1rf 2
_ Smoke Bomb
_ Dr.ft
- Door Pres sur. _
Outside
/'\---
Wiring
Test T08_
Lighting Inst. _
.x--
/--L-/H
_ Date - T esfed
- Company To..ing ~r Heafing &A/C,3650~nebec Dr" Eagon, MN 55122
_ Nam.of rester. / /"r _
-'
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED ~ Ii: tJd
~~
ADDRESS ~~~-3
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t'J1- J.;)g>
o FOOTING 0 PLUMBING RI 0 EXIGRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULA nON 0 SEWER HOOKUP ~ F/REPLACE FINAL
')8:l FINAL 0 PLUMBING FINAL tf GASL/NE AIR TST
o SITE INSPECTION )llj MECH FINAL 0
COMMENTSffl ~PI~ ~,J - M <1')- ="',?Jh ~
~ --hJ - M. 0 <J -vi; J -----
@..,t14 ~,. f.J..fh05 F- A" u-J..t,r--"'-',J-
00~~ J'/~
~;o,J;=:'...:c~_...~_,""", _ _ r__'_ ~.~~.
o WORK SATISFACTORY, PROCEED
\a CORRECT ACTION AND PROCEED
(~ CORRECT WORK, CALL FOR REINSPECT/ON BEFORE COVERING
~
I
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
1N9l'OTI
CITY OF PRIOR LAKE
INSPEcnON NonCE
SCHEDULED
ADDRESS
3"q~d.. 1 ~ 'f;J3
OWNER
PHONE NO.
[J FOOTING
[J FOUNDATION
[J FRAMING
[J INSULATION
[J FINAL
[J SITE INSPEcnON
COMMENTS:
DATE TIllE
4~P-;J..
~ J11/J!2cbJ.
CONTR.
'PEIlMIT No.tJl-/,:J, <f- / d...,y
[J PLUMBING RI
[J MECH Rl
[J WATER HOOKUP
[J SEWER HOOKUP
[J PLUMBING FINAL
[J MECH FINAL
3+1
c~
/ ~ jJi c,f'.
l JA &-..
[J EXlGRADlFILLING
[J COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
[J GASLlNE AIR TST
[J
.
/1
I/Y.Y--
[J WORK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR RElNSPECTION BEFORE COVERING
f0
Inspector:
OwnerlConlr:
CALL 447-9850 FOR THE NEXT INSPEcnoN:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
--
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
5'4 :2-3
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION . .
o FINAL '.
o SITE INSPECTION
DATE TIME
SCHEDULED h~ '3! ~b
~~
CONTR.
PERMIT NO.
or ~I eJ..f<
o PLUMBING RI
o MECH RI
[J WATER HOOKUP
[J SEWER HOOKUP
}ii1I1 PLUMBING FINAL
o MECH FINAL
o EXIGRADlFILLlNG
o COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:{fl) ~ (4t) (' ~
o
I
~ ..rlv
[J WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~l
Inspector:
CALL "'7.9880 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
,""",fl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/-J~-ol fl;11
ADDRESS
fj '1:J 0 Pc. Wtl IV) I'c,ch /../ I' ul'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
ol-~ /d-'7
~ ~ILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
CIlFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
5 Lf). 0 1.".",+:1:. lh",lu I - eK...
~ "'" '-'- 19 Ie
S4~1 0n.J,' oK.
5'1 J.1 (, rt. (/', . at
1J'1J.3 (.U4 ,i.{ - C) Ie...
S'1)L( & rr~ut, - .'11<
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X. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector.~~~_ ~ :"ner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
u<iIIOTI