HomeMy WebLinkAboutBuilding Permit 01-0190
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3-1-0 I
;';:;::' ~:;y I PERMITNO.01_01Cf 0 I
3. Yellow Applicant
(Please type or print and sijt[1 at bottom)
I ADDRESS
5"90 F/1/ICt.JI WN
..5 HOeES 7Je.&J 1 L-
I z~~~D"U") I
LEGAL DESCRIPTION (office use only)
LOT~LOCK ADDITION
F~/,el.AWN 6HOe6S
PID 25-03/- 015 ~6
OWNER
(Name)
(Phone)
(Address)
BUILDER
(Name) ~I'r 1'.P--b6i::..IItJ/l1bS
(Address) /f.:,f317 ilJU)7J.I A'V~ .s e
u_e...-
'PL.
(Phone)
q62-- 4-47-()9SS
(P12..- Z!32.-3cP0(3
TYPE OF WORK )Kl New Construction ODeck
OLower Level Finish 0 Fireplace
OPorch
OAddition
ORe-Roofing
ORe-Siding
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $ Z &:)1) ~
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 3,'1 th~ property t91'rorm needed inspections.
X IAt.-1. ' W. 3/z.ZJO J
Signature Contractor's License No. Date
2 S"0<<:t> . OD
I Permit Fee $ l.tB~.7~ I Park Support Fee # $ Cl'ed..~ I
I Plan Check Fee $ I. l't L <j -l I I SAC # $ <l...", .+ I
~
I State Surcharge $ I '2S'~ I I Water Meter Siz~; 1'" $ I ::25'. CJCL
,
I Penalty $ I I Pressure Reducer $ 4S.ot)
I Plumbing Permit Fee $ (()O.~ I I Sewer IW ater Connection Fee # $ Q.....t..t
I Mechanical Permit Fee $ l DO .00 I I Water Tower Fee # $ (h..( 14-
I Sewer & Water Permit Fee $ '3S-. SO I I Builder's Deposit $ (. '5'00 .00
I Gas Fireplace Permit Fee $ <to .O)} I I Other . It'<<- D.o.,;t $ SOO.C'JO
I TOTAL DUE -
$ 5.S9cP. /9
-
I Paid .5- S'rf,./q I ReceiP~ e;3e ~
Date I Date ~.22-n! By (
/
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
~tJ:h:{t~r~cmill<a3/;;;cemd~owsconstturnontocommen". B~foreoCfi:-~e
Plann.~g Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
! .~ j.
, I
~,'
White . PuDding
Canary . Engllleerln9
Pink - Planning
TtM c.... of tH Lake- c..atQ
BUILDlNq PERMIT APPLICATION DEPARTMENT CHECKLIST
. NAME OF APPLICANT
APPLICATION RECEIVED
K{;~K: CK6€.t::: Hu/"/E-S
3- /- 0/
The B\lilding, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5' f:: 90 F"t-J / /2 (..j U V tJ S/-tO Ie:.- b.5 ~ .
Accepted
Accepted With Corrections
v--
Denied
Reviewed By: ~_-_-
Date:
3/Zl/ei
Comments: -
-1:~e.daux ~_~ A-4 0:.~
t~ 2-q.0~" ~ ~ D~u~t)~..
~BvdL ~/~,~\ ~D l/~~ ~.c!?1~80S
__ {)l- ~6 . Au-), ~Wr-; Ac ~ )
(Jv\ ~.4-- r~ 1)1' ~/9 ~
~ A~ ~, :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."
. , '.-;,.7'"":',-....- ..-"";~~.~'-.-..:,>-.,..
-
Ot-6IQD
White - B:t=-
Canary -~ Ine..rilIofJ-
Pink - mng .
TM ClI'llIlI'r or 1M LaIc,1I' CQun'ry
BUILDING PERMIT APPLlCMlON DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
/:? 0 C-K. C-K f::::- E J:::: Ho III 6.S
3- /- 0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: ;
5090 P}//2(..flvVN SIft)/6W IL.
Accepted
x
Accepted With Correclions
Denied
Reviewed By:
NIH3
Date:
3-24J-ol
Comments:
See Reverse Side for AdditiQWllnformation!
T",(c c..c.rc. w /Dr,v,"'Ic..v Cll IQ7"
See Attachments: 1) Grading Plan, 2) Erosion ContrOl Measures
en Fm~i()n Contml PI;:m
"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."
6\-()(qo
Th~ C~nt~r of Ih~ Lab Country
White - Building
Canary - Enginaering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMeNT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!eo e,,;::::. C-4e6e~ HoH6.S
3- /- 0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
5h 90 F,q/ /Z U7wAi slttJ/G65 I~.
Accepted
Accepted With Corrections -...y
::::::edBy/7tLk Date: 5- 0- 2001
v-:: ~ /
Comments:
~ fj)~ 1Iih-tW lv..J~
Sect. 011 bu-..... s:..,~<:l,
J''\ailAb:1A ?r-~ lln.:b..,f lJ~t.ll W ~ .es+o..\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."
FIRESIDE CORNER ,#S5E~ P.P01/OOl
CITY OF PRIOR LAKE . , r - c' D_~'4
BEATING/AIR CONDmONINGlFlREPLACE PERMtI'
i JUN I I 2001
1. PIn.
"'-
1I."''''_
=_1 PERMlTNO.OI-O!9D
ZONlNO(olllor"",
!?--1.5L)
IPI_..... or IIl'int 0JJ4 III..... b_1I11
ADDREss
5"90 ~~.r
LEGAL DESCl4r 1 .....1'. (olllCl! use only)
L01l34-BLOCK
AJ."JJ1uON rrl/,eLI1NtJ 6HO~5
PTD25-03/- OIE;-()
OWNEa ~ y
(Name) T)och--
(Addttss)
~Ht.- ~.r
(phone)
APPLICANT
(Name) ALLIED FIRESIDE: PBA Il'II\ESIDE CORNER
(phone) 651-633-2561
(Address) J700 N _ FAmlTIEw AVENUE
(Addlom)
(Cont.a.ct PerIOll) BRENDA HrlS'L'ON/l
APPLICANT SIGNATURE /~I., tL
r
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLue SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING oa POWER PLANT
OWIU'll1 Air PI"".
. ~GnlYlty
M..hlllll;8l .
~ ~~n~~~=jhB
"~LACE MAl<E AND MODEl. tlrd- /J (;&>
-ti,.,-
~Cl,'Jl'U'TTT.~ ~
(Cilyl
(Phone) 651-633--2561
DATE
~.", ,.
(ZipCocIel
3SIe8m
Hot Wiler
J Rodiotlon
J Special Dcvie..
J Olhr:r Dovic:es
fh.. -r7P/_ / ~(Wi1z_
..
PLEASE N()1'I';:
A.ir CondiliOller Unilll
ClIUIlOI ;:..._ ....d1 into
Required Sid. Yard
Selba.cks
PElt SCHEDULE
IndulllrW. Commorcial & Mulli.FMlllly 1% of Job llOot a.8fdOllti.I, 0... Finploce
539,50 minimum
Raid...tiaJ, Heating 111: AlC (l'Icw Construaiaa) $99,50 RcsldOlltlal, Addillon. " AllOr1l1iono
Residential, Heating Only (New ConslnlctloQ) ;64.50 R.osIdCll'lal, AC Only
$.39.50
$39.50
$39.50
HEATING PERMIT FEE S
STATESUllCHARGE S .50
TOTAL PERMIT FEE S
1'/l10 B~
6V1vD
Eslimllted Cost $ Building Petmil #
tom.. u.. OII)y)
TIlt' AppUcatio.. Bccom.. Your Bulldl... Pe.....ll WhD Appl'OYed
Pald
~ipl No.
Dare
By
Building om..oI
D.lr
24 bou. noeke 'D. olll..poellon. (9!n) 447~"O, r.. (99) 447-42<16
.... . PILI
YELLOW - APPLICAIIT
GOLD - ClT'f
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.w.No.01-0110
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLICANT: FlAJ/} L Gj(fJ1J6 -I/Vc. PHONE: (PJfI-.2:1.,-'-~oo
ADDRESS: L--?Jfj~ 5~ SfVlK/)jJFF DATE:~)D/
SIGNATURE: fl~A7~;~~.4~ BLDG. PERMI/# OJ. OfC/O
SITE ADDRESS:~9~,,~JJ~P'A ~~ PID# 25- 03/- 0/5-D
1.
Estimated length of water service
FILL IN THE BLANKS
$)
feet.
2. Size of water service
J
inch(es).
3 .
Location of any couplings from structure
-
feet.
4.
5.
Type of sewer pipe. ABS PVC)( Cast Iron
/_L 1
Estimated length of sewer line LUv feet.
6. Clean out (if required), located at
structure.
-
feet
from
BY DATE:
------------- ----------------------------------------------------
------------- ----------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $~V~ 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 ~ AMOUNT PAID .~
--- ..--
RECEIPT # ~ REC'D BY
--
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 553721 Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
"I
CITY OF PRIOR LAKE PLUMBING PERMIT
Dllte Rec'd
~0x~~Q.'S
tPh:i.le ~ or oriftr Uld lie u~,
I ....DDRESS
I SL.,C\O Vo..\,\o..W" S'r-.Q("Q...,,:>
I
~::~:, I PERMIT NO. 1- (90 1.
J ....""" ......i__
ZONING (,llIce...)
Rr5f)
PID ;;;.5 -() ~/- Of 5- ~
I LEGAL DESClUPTlON (0" -lOlly) C ~
l LOT3LJr.oCK" ADomoN :r-~~
: APPLICANT S~""" \-'\U~ '-l(\~
(N.mel ~ mJ
l..\~oo f.4d,icr'\ C\,de. E
(Address)
(AcIdn:as)
I (Contact Person) -::s Q.. 0;: ':Sc. \1e.l(Q.V'
1 A.PPLICANT SIQNATURE (\.0 Pi , . -. C k.1 OAn.,
~~ I
APPLICANT PLEASE COMPLETE BELOW
Type of FI;dure Quantity I
Bllth Tub with or without shower '- ? Rough-ins
Disl1wuher J Water Heater
Floor Drain Water Softner
Lavatory (Balllroom Sink) I Stand Pipe (Washing Machine)
Laundry Tray (lor 2 comparnnent sink Sewage Ejector
Shower Stall Backt10w Assembly
Sinks Backflow Assembly rest
BIU'Sink Lawn Sprinkler
. Water Closet (Toilet) I Other
I OWNER
I (Name)
I (Addres.s)
Quantity
I
\
I
:.l.,
\
:)
\
.'"
..
(Phone)
(Phone) ~ 'S '). - Lll.\.i-fa -, 3Lj
r r \ 0, \...o..h S'S 3 7 2-
(City) (Zip Code)
<0 , d. - flLj '7 - 30% 3
(Phone)
to /"S/o I
DATE
Type of Fisrure
I
I
I
J
j
Ft::E SCHEDULE
Industrial. CommerlO:i.1 &:. Multi-runily I % of job t;OlK with a S39,'0 minimum R~side . . ew One &. Two..Fiilmil)' $99 S(l
R . enrial, Addilion, &< Alteration, U9 50
(Omell u.. Oftly)
EStlmatel1 COlt $
PAlO WITH
BUILDING PERMIT
PLUMBING PERMI
STATE SURe E
TOTAL PE FEE
This Application Becomes Yoor Bulldlnc Pennit When ApPMlYCd
Bu"dtn.Omdito'
Do..
%. h..r ..u.. IiIr 0111... '. . (95%) 4'7-_0, rn 1"%) "7-4%45
s
s
$
_50
I Paiq -...
I OOIOC:rS_O /
R.c"~i1K 'Jr. r_
BYgu
"
r<
"
"
'"
~
CITY OF PRIOR LAKE Me /Ill (q 0
16200 Eagle Creek /IN. S.E. Parmll No. VI -
Prior Lake, MN 55372 -----
TYPE OF STRUCTURE
1.-
,_ <boo
J Yc'"
fi..
0.,.
Q)armrn-
HEATING APPUCATlON , PERMIT
ITh<r/t!'.J/ PIH ;:)54>()3f'OI5-0
so,g. F8miIy
x
lWo-FamillI.______ Muli.FamilV ~_
_____ ___ PUblic Q!Mr______
Data
,
SII8AddfllSS .s:~9n ~j<ILt..%~"-!2"-~
Lol3JL Block _ Addlion /flU T}I1. ..s;., ~
OlmQ~S Name -KDt"~ c" ~~.k. JJ,,~_______._..
C.....'.....I'"'...-aI
Fee Sch_
MdtreaJ.6'?'17 lAJ/vI.Iu AVf'-. ~.iE.~
I.,..", Jcb """' IS3R50_)
$99.50 PLEASE NOTE:
$ll4.5O Air Condilioner Units Canne.
$39_50 &Wfl)acfi'Ji\I~Requi red Side
$39.50 Yard SetljaP!3.
$3!tSC l __ i
,;\ I NAY I 6 2001
R' ,_ ',,, 10 add tho Stale Su"'harge on tho bolIom of lhie appIicatHIt1j
L;_
The ",ice '" your he<>ling "",mil includes one r""lJh-1n and one final i...."',_:...
AddIonaI -, '., ,,:...lS will b. biled at $.~.OO eed1_
_I-Ietlling Test Record 11IU81 be stJbrrOIted _llII!!ll!Jlg l!IlIIIIl DlI!!!ID! bene build-
Ing cenllica1e 01 ~ wit be isSUed.
~ "AI ""LATIONS REOIHRED wih _r 01."""", and retwn openings IieIad "'"
HEAnNG OR POWEll PLAHT """" MIl CFM'. per opening. New _ or addIlIons send floor plan'" supply
S1Ram ,and mIum:. ~,_-.. 0 """"n. HEAT LOSS CAlClItATIOMS, PAYMENT AND
HnI Water !i/~d:l e":~ .. )APPLiCJ\TIONS MAY BE MAILED TO THE CITY OF PRIOR tAKE, 16200 EAGLE
Radiation .J?JAJ; ~h.../JI'_'"VCREEK AVE SE PRIOR lAKE. MN S5'372_ -
Special DeW..... CI1y Hall buslMSS ......n are 8 un - 4:llO p.m.
OIher Devic:... AU. WORK MUST BE INSPECTED (ROUGIHN f/IIID RNAL)- CALL <::ITY HALL
----- I
---- . -- - ...7-*50 FN< 'l47-4-;ufS'
Induotri... 00._1 & .......Family
ReoIdential, Heati1g & AC
Residential, Hootiny Only
- ,<,': ..: J. G8s Fi""*",,,
Residential, ActItions & All8rat""'"
Residential, AC Ontt
~
HaaringCo..___... Ant:.ell- J<)/~
Addt.... i' -;l;J- <t"~ /U. -h:;-IIJ Aj;..e..
TeIaphona' 95.;)-70/6 - ~.;>.OO
f","aceMake & Modet -13.-yawT__
I.Iod9ISizo .3SOWlJl/Vo4<;;-OffO
5:.0
'"
<>
-
'"
...
...
o
,..
H
..
U
Conn_ load
Fuel -'U'" --r FIulI Size p." Po "" u
Supply Openings _;, ~
/3
TYPE OF SYSTEM
Wann Air Plants _ 4,"'..a- _.
Grevay
Mech_
Air Condlionil'g g,....#51c,x"'/iOl...
Vent. 5v8t1ltrB ,~J)t.. U,ill''141--
R_n Openings
..
~
..
-,
0-
...
...
..
rl
'"
'"
;;;
Input J<<?, f.1t1a . QolpuI1~ !;dO
Edr._ ______.
ctllL /6~~
TYPE OF W<JqK
TOTAL PEfNT FEES $
~'-
I he.oby apply 10' " mec:l1anJcal systems per mil and 1 acknowledge that the
inlorlNltiun ahow is compfets IIlld accu.8fe; thllt file wo.k wi" be in CQrl '.
with the onlinances and codllS of "'" clty lIl'ld Wllll lhe stale bulldlnglmecMoiGaI
codes; Ibid this form d08ll nol become a permit unlil lIigned by the BUILDING
OFRCIAL; tflat tha work win ba In """OIdan".. with the approved plap in the
PAID WITH ~ich ~aPl'roval of pla~&/
.8U'LD'NGPERMIT _~~ 5-/7-07
e.ildng OIlicaI'.~nelu..
Dal.
..
..
Alarolio... R "'. ., "t _ Hew Cooslruction
RspoU Eol Coolp. Date /o-/5=- ~ /
Eol. Cost $ _ / ~ Oa7 BuM1g P"""'"
HEATlNG PERIIT FEE $
STATE SlffiCHARGE $
)c
o.
r<
'"
fi'
'"
o
,
..
o.
0-
'"
.50
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 5Co<1o Fhlrlt1f,IVl ~\...ores '"1j:..
NATURE OF WORK ~,
USE OF BUILDING ;5FD_
PERMIT NO. 01- 0/10 DATE ISSUED g-&-~l
CONTRACTOR ft.".,b Ot'"-'"-\;: ~ PHONEJ.12.- ~'-- ~~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
/'
I FOOTING I,~ .3/~/61 I
I FOUNDATION (Prior to Backflll)~~. ~ 4/1/~1 14., '1/q /b1
PLACE NO CONCRETE UNTIL ABOVE HAS BEENS'iGNED
ROUGH - INS
SEWER/WATERISEPTICf~ - t2- 3c: ~, 3/1..'2(01
FRAMING ~ r,.{JJ.'!dJJ
INSULATION ~ . t, /;;.-" /0)
ELECTRICAL '
PLUMBING 1).4 ~fJJ 'JIlt/of 6:r /P!/l>~ft )
HEATING (if required) (.>$-, .Ip b-"Ia f Fi! I<J. "hi )()/ .
FIREPLACE 0\ ' /?;tf. (,f,;-tpj)/
GAS LINE AIR TEST ~A/Z-t:.P. ~_ I!- M . _" hI 10)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
NP/
~
;7
Iar,
~
INSPECTOR
DATE
GRADING (Prior to Sodding)
BUILDING "f.t.o. tiU 'l/'3d/OI
ELECTRICAL I
PLUMBING
HEATING
.
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
fl. Z-~-t) /
1-11~ Jt;>t-{
~/4,1(J1
. 9118_~ I
BEE~ 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.
., .... .. r
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
QLtrtifirttt,e at (J....upanry
ell rrOFtpRIOR LAKE
\-/ Dtpartmtnt of .uilbing Jn~ptttion
r-Final Permitted D Conditional C.O. Expires
This Certificate issued pursUQ1lt to tlu! requirements of Section 307 of tlu! Uniform Building Code
certifying tlult at tlu! time of issUQ1lce this structure WQ.\' in compliance with the various ordifl/J1lCes of tlu!
City of Prior Lake regu/aJing building construction or use. For the following:
SINGLE FAMILY 01-0190
Use Classification
Occupancy Type
Leplllescriplion
Owner of Building
Dare: _
.
;~.
Bldg. Pennil No
R3 TypeC._._~_._:l>ll VN
L34, FAIRLAWN SHORES
N/A
ZoniDa DisIricl
R1SD
Fire Zone
OireAddress 5690 FAIRLAWN SHORES TRAIL
16817 DULUTH AVE. SE, PRIOR LAKE 55372
DON RYE
f
,............
""'~',',,,
,"",..'
..
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 8'- 21
ADDRESS .;7" q 0 F",,.-;,,,_ S'L-tws
OWNER CONTR.
PHONE NO. PERMIT NO.f) I - 747
o FOOTING o PLUMBING RI o EXIGRADlFILLING
'"' o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASUNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: >(,7n",({&__
--tY2 wus rI1.S,+..lk J bv
----------- ,-
/" I
/ /' lOSe
( L."
'---- -----
7/
rlla
t, (",/,.lot..-
--..........
)
/
~
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
[J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: /;111' ~- ).q-d3 Owner/Contr:
.
CALL 447.9850 FOR THE NEXT INSPECTION 2. HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
tNSNOn
""
APPLIANCE
PERFORMANCE TEST
Locate near the furnace manual
LP Gas Natural Gas V
JobAddress~fZ) r:A/eJ4r'.J,t ,qNl'J
Heating Contractor .Il/1~/11 /1./ "'-
Name of Tester _ -:s<:,M. f
9'(':rO(
7- (
7.1
Date
Percent O2 .
Percent CO
Percent CO2 -.I!J
Stack Temp, J 0 I
3.S-
Pressure
White - City Copy Teg - Site Copy
DATE Tille
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~
ADDRESS ~ f?~ ~P< vl,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t/t- L~O
D FOOTING
D FOUNDATION
[J FRAMING
[J INSULATION
..!iI"FINAL
D SITE INSPECTION
D PLUMBING RI
D MECH Rl
D WATER HOOKUP
[J SEWER HOOKUP
D PLUMBING FINAL
D MECH FINAL
[J EXIGRADlFILUNG
D COMPLAINT
[J FIREPLACE RI
[J FIREPLACE FINAL
D GASLlNE AIR TST
D
COMMENTS:
w~ ~0~.J'J'lL'~ ~
( j) J vLD f-1J.k- !
~RK SATISFACTORY, PROCEED
[J CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~
Owner/Contr:
CALL ....7.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &. SAFETY/
JNSJWm
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS 5~70 h.t'r Ie-v", ,C,Iwr~.s
OWNER CONTR. -'kv,~ CruK- HdIY1C
PHONE NO. PERMIT NO. D I-!Yo
o FOOTING o PLUMBING RI ~C~ING
o FRAMING o MECHANICAL o LKSH ENVETLAND
o INSULATION o WATER HOOKUP o COMPLAINT
o FINAL o SEWER HOOKUP o SEPTIC fiNAL
o FOUNDATION o SEPTIC INSTALL o FIREPLACE
o DEMOLITION o PLUMBING FINAL 0
o FIRE PREV. o SITE INSPECTION
COMMENTS:
b-r..cI-< oK
91ff
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~~P/~'
Inspector:'r /U4 ,,0__ Owner/Contr:
j;;ALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q'-&'o/ 3:.30
ADDRESS
5&90 M-1/U-/h1lA/ .5/IrJ,e55
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/-/CfV
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
~SEWER HOOKUP 0 FIREPLACE FINAL
PLUMBING FINAL ~ 0 GASLINE AIR TST
ME.CH FINAL \01 0
COMMENTSGi) ~K' ~ ~_ ~_
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~ I~ 0--- ,t7~~j4~~.
o WORK SATISFACTORY, PROCEED~,..,";" . '._ ....
)d CORRECT ACTION AND PROCEED 'T$~lJ 9 (-solfh
/0 CORRECT WORK, CALL FOR REINSPECTIQII , '
{J., _ I ,o'
f #A- Owner/Contr:
J
CALL "7-9860 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE_
o FOOTING
o FOUNDATION
o FRAMING @
BJ!lSULATIO
~INAL
o SITE INSPECTION
Inspector:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
,_<<,.,