HomeMy WebLinkAboutBuilding Permit 01-0194
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
[,White File
2. Pink City
3. Yellow Applicant
::?rl-Oj
IPERMITIO/-OIQ4-1
I ZON;~(officeuse) I
(Please tvD~ or orint and sign at bottom)
ADDRESS
/7~6"Y" 't.A;;.a--<""*~ >OI(/v,G"" ~
LEGAL DESCRIPTION (office use only)
LOT A'BLOCK / ADDITION ~-.~~-o
PID 25-372.-010-/,)
OWNER
(Name)
(Address)
(Phone)
BUILDER
(Name) ./1.-'1'. ~,...'"";.-~.
(Phone)
.<S?-":<S6- 7/3~
(Address) ,-M6"9 ~ ~ ~ dlICJ"Y
_....19:'W'V'.--,,..,,.... ~;I ~
TYPE OF WORK JZI New Construction
OLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST /V ALUE (excluding land) $ 1''Y. 6 ~ S-
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 property to perform needed inspections.
~~
7/ Signature
x
e:>?~S?"
~=.R-O/
Contractor's License No.
Date
'~CJ60. t!JO
I Permit Fee $ 9S8.7~ I I Park Support Fee # $ 850.00 I
I Plan Check Fee $ Co ~3 . 1'1 I I SAC # $ I.tSD.OO I
I State Surcharge $ t4~.~f) I Water Meter Siz~; 1'" $ I ;lS .Ol'L
,
I Penalty $ I Pressure Reducer $ 45.00
I Plumbing Permit Fee $ I DO.OQ I Sewer/Water Connection Fee # $ 'I :leo .0 c> I
I Mechanical Permit Fee $ (DC .00 I Water Tower Fee # $ T) DD .tJD I
I Sewer & Water Permit Fee $ ~S . SO I Builder's Deposit ~rL._~o
I Gas Fireplace Permit Fee $ 40.00 I Other ~.I.) Q...~-- $ 'l&". ~:;-o
es Your Building Permit When Approved I TOTAL DUE $ ',{)/O. +4-
1~(~- 20(",1 I Paid (pOlO, J.(Lf I ReceiptNo/Cf5~q
Date I Date ..,115It/1 By ffC- .
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 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
~'sued ,^ /7 ~ I AIr-
, --.' ..; \ -:{' -'-r J-VO 3/z..z../aL '"--,pR _' ~ ~ Pv.-
lan'h\1g Director '" Date - - S ecial Con"d'ltions, if any _~ _~___ _ ,.;~ '
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~,"'. , ,~.
61-0 i q t
n. Cnller .f tile Lake e....".
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fJ. 12 ' HCI<.TCtd
3-1- G I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
n 2h PI- I) E l-~ /-...:.. 1='/ E I I) I) 1<.. . S t:...
Accepted
Denied
Accepted With Corrections ~
Reviewed By:
Comments:
~- /1
C ~4'/tA-;t~~~ Date: _~/f.Ji~
ffiiIJL'1.-.x--p ~ ~VVv~l"h
A)4.r ~ ~a.~c.~~)..
~u,jrl~ ~~\~ ~ ~< ~
~. \~U.~ ~ p~ ~ ~J1kd.-~
"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,"
~~
0/ '01 q 4-'
The Cenller of th., L.ke Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING P.ERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
p. ~. HtJr<..IDN
3-1- 01
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J7? (n4- DeeeFH:~LO DI2- 56"
Accepted ;I...
Accepted With Corrections
Denied n tV I
Reviewed By: ~U.A?-r-=-
Comments:
1. s."'Q 1'1~ ~.p...G'e.\-! f)~. +<'1t'
Date: 3-/0- 2aor
~c:- St.,"V4!'4 ek..
v
"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."
651 633 BBB4
FIRESIDE CORNER
.......~. ... -... - ...-.-.... - ---
#0456 P.002/003
HEATING/AIR COr--"ul,...I.~~m/.liu!.PLACE PERMIT
,.-
.-
. Mow
S-I PEDuu\{). {- (q if I
I
tAJJ..>>lr"U (ofJIaua.)
A
(1'1eu<I "C!'!. ....m....cI..... ...-.)
ADDRESS
J 7 ;).r.,ry ~JI 7),. J"e.
(/
LEOALDESClUPTJONc__OIII)') 1(\
LOT lo BLOCK \ A..."'1U0N W p.-J,;;} rO ;) rJd
.. J' f -
'-/
PlD;J.S - ~ ;:J.-(j I O~
OWNER
(Name)
""b?
~
(Phcme)
(Address)
APPLICANT
(Name' ALLIED FIRESIDE DBA i'IllESIDE C:OIlNER
(Pllone) 651-633-2.561
(Adcl;(eS$) 2700 N. FAIRV:IElIr ,~
(AA*D)
(Conw::t Penon) BI\Ii:NDA BO~
AFPUCANTSlGNATURE ~
. ,
APPUCANT PLEASE COMPLETE BELOW
~W CONSnucnON 0 REPLACEMENT 0 AL'ICRATlONS
FURNACE MAKE AND MODEL FUEL
FLUE SIlE RB'I1JJlN ~,,,,,\,,~GS lNPIJT OUil'UT
TYPE 01' ~l:~.l:J!4. HBAnNG OR POWER l'LAJI/T
3Wlllm~1'Ilm1l 0 $II:8nl
ar..iIy 0 Hill W.....
J MochInlal ~ WIlItm
DAI. CondillDllOri SpodoI Devices
DVenL S,...... OIhIl'DMca
FI1W>LACEMAICEANDMODEL btu tJ~~fr....__7JD71L-
.
,
kL~./.r-_.__"
.........~P.v TI.T.'!:". P
(Cll)')
(Phon~ 651-633-2561
1:;.='1' <t
(ZIp 0*)
,_ DATE "_
PLEASE NOTE:
Aire., .":.". Units
Clnuot Snc:rcD:b bno
Roquired Side Yard
~cks
FEE SCHElJUU:
IndUllrI.J. Commm:iol &; Muld-P..Uy 1% ofjal; 00$1 ReofdOrlliol. Ga l'iroplllCC
S39.50 IIIInlJrwnJ
Raiolcnlllll.. HoaDnc&AlC(NllWC....., .J" S!I9.50 lleIidealilJ, Addidons'" AL. ,;. .
Rc..iolcnllal, HeatiIIg Only (N..... Coo". , ~',) $64.50 IlaiIIClIlilll, AC Only
m.50
$19.'0
1l'.50
E,:" ,".JCasI:$
Buillllng hmlit *
HEAT1NG PERMIT FEE
STA'JESURCHARGE
TotAL PJ:RMlT FEE
s
S
$
.S!l
, eU/! ~410
00(J1tvG ~'l~
'€.
(om.. v.. OIl,,)
Thl' Appllcatton Beco,.", Your BllDdiJll ~lt lrJIen Apprav...r
, PI>>
'R_ipl.No.
BoI1~fOC ODlolol
-
DIlII
, R"N~1
By
t;).C./
U
14 ...., ._ ro. .. "'._" (m).rT-9MO, In (9S2) "7-cl4!
MAR. 13.2001 5:10PM GENZ RYAN 6513226147
1'10.995 P.17
,
CITY OF PRIOR LAKE:
. PLUMBING PERMIT
Applicant: G-.UY"L - (J 1~ 11""\
. AcId,..: \~.,U.~'li..b Jf! -r "T1t'1
Slgnall.lra: \ 1 ~
LegalDllCriptlon: Lot 10 Black I SUb "'1"w<7,{)-,O" ?~
Sill AcId.....: ''"l.1.W' u ~ """ '"'i:)f. ""'_
Builc:tlng Permit. 1'11- 01 q 4- 'PID '-25' 3"'7~ -D' (') - ()
NOTE: Thill permit v.:I" not be p ..' _.. .1 wtthout complete Information.
FIXTURE UNITS
. c.....,.... ~ c....."
....:r
Quantity TYPe of Fixture
I Balh Tub with or wtthout ahower
{ Dlshwuher
I Floor Drain
-z.- Lavatory (bathroom link)
I Laundry Tray (' or 2 oomparlmllnt link)
I Shower Stall
\ Sinks
,- Bar Sink
'" .
" .'.'.'.'/ '2..- Water Closet (toilet)
,
Quantity
,J,
I
FEE SCHIDULI
~ Induatrial, Commerc/all Multi-FamilY
(''''' of job coat, $38.50 minimum)
Rllldentlal, New One" Two Family
RMidential. Addltlona " A1leratione
State Suroharge
$99.50
$39.50
GRAND TOTAl..
'...i
1._ IIIe
1,_ ar
"y- ....,u.a
4#. " () L:.D.1.1f:..
phone:~"""'1 \\J\1.._
'~I;;";"'~
Type of Flxtura
Rough-Ina
Water He.ter
Water Soflner
Stand Pip, (wahln; ,,*hIne)
Sewag' Ejector.
BacIcIIow ",~T-mbly (APl, Doublt c_ PVB)
Beckllow Anembly Tnt
Lawn Sprinkler
Other
$
$
S
$ .50
. PAIOWm"l
DI"'G PERMIT
BUlL: ,..
S
nu. ponaltl. pllltocIlIJlCIIllhe oxprcII condition that oal4
eonll'llllOr. .h111 comply Iv all ....pottI with die aNI_
a~lhe S~.J'MIIbI~~.... '. ~.,... d1ereaf.
f !~f.""", "" i'.',' . D~ l 6 LOU!
, ., I .. I . .
,. ,'" .-'. . - -."1 'DI.ltl
{"._~.
, .
'.~.".
Can for all inspections 24 boun in lIdvance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-42~5
An Equal Oppanunlty 'Employer
MAR. 13.2001 5:10PM
GENZ RYAN 6513226147
NO. 995
P.16
'. ,
.. _.fLI
wu.._
--. ."
.
NO.~4-
CITY OF' PRIOR LAD
SEWIR AND WA'l'D PBRMI'r
NOTE:
Sewer and Water
. contractor. .u.t
bs r.;i.tsred
with the City.
AP'LICANT:~~ - ~I~ ~~.utl. PHON1::.J--!oI-LJ.'2."'~ .ILl.l-I
ADDRESS;1141L10~ "1".... ~_......r ~""'l.DA'1'E: ~h~~\
SIGNA'l'URE:l~ - BLDG. PUMI'1' t 6(-OL'f4--
SI'1'E ADDRESS: \\~1""'Y" lI"~e1l~ f\e..St:......PID# '26 -$72- 010 . fl
fP41-- ~~ '!'HE BLANXS t
1. E.tilllate.s l.nlJth of water .erv1ce 4Q
"
2. Size of water .ervice I inoh(s.).
t.et.
.~.
: . .,i
..,;';
3. Location of any coupling. from .~ructure f.et.
4. Type ot'.ewer pipe. ABS pve~ Ca.t Iron
S. Estimated length of .ewer lin.~ feet.
. '
6. Clean out (if required), located at f.et from
structure.
--..!,....---- -! ".' ... .' "
This a4;:~''''':t' ':~~~ur pe~it when
. ) /\... l{l" "-
\ ;$' ," I
BY' ~T!:
',-;: .
\ . '
'f'" ,',
aPIll'ovec:l.,
MAR ') fi ?OOl
.
..
-.-.-... -,
."._.,._~,-,,---......
'''', , '"'''' .."....,..,.." ,..",.,,-,,--.~
FEES:
$
$
$
35.00
.50
3!5.!5lJ
Sewer and water line connection perait.
Surcharge
TOTAL
* Fee for either .ewer or water individually is $20.00 plus
$ .50 surCharge.
.
:-,
. ,
'.. -'
. 4629 O.kDla St. S,E., Prior Lalw. M1n1l8lOta 55372' I Ph. 1612} 4474230 I Fax (612l 447./1245
M EQlJM. OPPCllll'UNll'V I;MI'I.C'IIIl
-., , vr r-nlvn LAIU: Me qtL
16200 Eagle Cnl8k Av. s.E. P"",," No. () 1- C) / T
Prior L.ake, MN S5372
Single Family
PC6J~
~ HEAnNG APPUCATION IPERIIT I
Dale :;\4.S\OI PD' ::tS- 312- 010-01 Commerctal
SiIllAddrBSS 11~ ~4 D<Lp....Qe..IJ h Fee Schedule
lot -12... Block -L. AddItion , {) /J I~ .. ~ cL- IndustIlal, CommercJaI & Multi-Family
Owl18l's N "'D R. rtorttl n U R ~:~- ,JaI, HaaIing & AC
811\8 ResirfeOOal, Healing Only
Address ~ \NdShiM'TDn 'br- SW+e... 2..l>4 f;:awm l\WSSrl.2..ReaidenliaI, Gas FnpIace
. t.. I' V. , r.J ResiclenIiaI, Atldilions &- ....Ierations
HealIng c...,. ~_,",r ~ \ 1lU)t- Me!:ha..n.lA.i ResidenIlal, AC Only
Addr..... 316b .tmn~ "Dr SujitJ ~a.n fIAIJ HiJ,2..
Telephon&' ..J..rj J J..J5z. - 2:115
Furnace loAake & ~ ~a...o..:t'
Model Sin .l.~.: fJbrJ 'BTIA q2.: J.
Conn. load
Fuel )JI}}
TYPE OF "..",-=-,
Warm Air PIanls
Gr8'IiIy
Mechanical .
AirCondltilri1g ~...
Vent. SyslMl
HEATING OR POWER PLAN'T
Sleam
HotWaIllr
Radiation
Spacial o.w:.s
FIua SIze 1.'/t'l ave
Supply Operings
Return Openings
Input
Edr.
C1m.
0I!lplIl
Other DllVices
TYPE OF WORK
Alteration..
R&placemsnI
Est. Comp. Dale
/II.", Construction
...t/
Repair
EslCosl$
'7 f)/)D. CD
Building Permit ~
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
PAID WITH
BUILDING PERI'vtlT
Receipt #
,..
TYPE OF STRUCTURE.
1.. Onoo
1._
Cloy
~
V Two-Famiy
indusIrial
PI.tlIic
Multi-Family
Other
1%'01 job cost ($39.50 miOOrum)
$99.!ill PLEASE NOTE: ~
S84.!ill Air Conditioner Units Cannl c
$39.50 ~ Into. Required Side;
S39.5C Yard 'Setbacks. ~
$39.& (; Wi 3 0 2001 ~
~
Remember to add the Stale SU~a/!!El on !he tlcttom 01 \lIis tlf4l!IP..wn. n
- The price Df yo... heating permit irn:ludes one rough-in end one flll8i inspection.
Addilicnal in&peC!ions will be billed at $35.00 each.
Hcclse Healing TllS! Record must be submitted with IllIillIiDQ 1lIIIl!iI!lI!mlIlIr be!cre build-
ing __ :-:-~Je of cccupancy will be iasued.
~.....u C:ULATlONS REOUIREDwilh numberol supply and rlllwn openings Ilsted per
rllC)lII WItt CFM's per opening. New _ or 8ddllions send flccr plan wiIh supply
and return Ioca\ion$ shown. HEAT lOSS CALClILATlOHS. PAYMENT AND
APPLICATiONS MAY BE MAILED TO THE CITY OF PRIOR lAKE, 16200 EAGLE
CREEK AVe. S.E. PRIOR LAKE. UN 55372. .
CI\y Halt buSiness hours are 8 a.m. - 4:30 pm.
All WORK MUST BE INSPECTED (ROUGH../N AND ~l) . CALL. CIT'i HALL
~-985lI
I hereby apply fl)r a mechanical systems pennil and I ackncwle<lge Ihal lhe
information above is complete and accurate: lIlat the work win De in conformance
with the ordinances and codes at \he cily and with fhe stale buDding/mechanical
codes; thal this form does not become a permit until sign9cl by the BUILD ING
OFFICIAL.; that Ihe work will be in accordance with the approved plan in IIle
case 01 an work which requires review and approval 01 plans.
Ad J !.. a ...,.:llAcJt\L).Mn .. ,( ..N.M:> )
~~ure
Building rfHcaI'S SignatUre
j~1
. Dale
t/~ ).- (
Dale
PL. FA>! 447- 42..48"
...
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PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS l72tot./. f)por-Dpl~ TJ.-.
NATURE OF WORK ]. ~P'"
USE OF BUILDING S,1=A
PERMIT NO. nf -0 /q4- DATE ISSUED ~-(... 2cY-J I
CONTRACTOR .1'') t. ~ PHONE g/-"~.Ll~"
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
, FOOTING fu-, 15~(J/ol
I FOUNDATION (Prior to Backfill) ~ 2W-- 4-. tit /67 I t/J;r. (J I'zf(J/ I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH. INS
SEWER I WATER I SEPTIC .1
FRAMING _ t;A,
INSULATION ~.
ELECTRICAL "J
PLUMBING tI-b-:. h}Ol-rlgU t?=r '. ~
HEATING (if required) t!t
FIREPLACE ~ '
GAS LINE AIR TEST ~h:~A #R. q( --lIP)
. f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
J1nT J II.( - rf -0 I
~ \\r~ J(fJ~41 a
\.. f{l,
r~ fl. (o/(.91f/
~\)~ /O/J.4!.6f
OCCUPY UNTIL ABOVE HAS B~EN SIGNED
NOTICE
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
7/i/o)
., /10 / /J I
~/e9-r/()J ~ ~.
9/<-//01 .
t/1/0J
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
..-~ -- -~ .~-
~.._"._~.., ,. ... .
; ': '. '.'~~."';'. '~ t ::~.'" ."'. .~,... '-'Ill :"'.:. ',..... '''''''i''~'.''
I. -JIiItl' .,'........ ,........'.~,.. :'1;.""'- .;,.,,: ';11>..;1':" ".'-,
~ .~ - - -
r~.r lertifirau at OD4<..~nry
~f- CITY OF PRIOR LAKE
:i lItpartmtnt of .uilbing In_ptction
IN ~Final Pennitted 0 Conditional C.O. Expires
:1'.'
'This Certificate issued pursuont ro the requirements of Section 307 of the Uniform Building Code
certifying rhol at the time of iSSIID1U:e this structure was in compliance with the various ordin/Jllces of the
City of Prior Lake regullJting building construction or use. For rhe following:
Oc<uponcyType R3
Legal Dacriplion _ L I 0 .
_ Type ConslrUction VN Fin: Zone N / A
Bl, DEERFIELD SECOND ADDITION
17264 DEERFIELD DRIVE SE
Zonina Dislrict
01-0194
R1
Use CJusificati"'"
SINGLE FAMILY
Bldg. Permit N'
Owner of Building _
~ite Addreu
eonlroclOr',Name&Addreu DR HORTON. 3':J9 WASHINGTON DR., SUITE 204.
. ROBERT D. HUTCHINS J/Jt City _ _ DON RYE
Building Oftl<:ial
/0 - 3D-OJ.-
EAGAN 55122
Date:
Date:
.....
.", of' "'r' ,
. .......
- ,._,f >", ~",," ".",' ,:...i;.;',.., ',c....~.,'
"",.,
'CC,' '..b..c.'!....,... " ~;;, Jo..:.,';;.",i',:,'
HOUSE
Or:
ADDRESS _ \7~1O<.f 0 u_~ ..\.,1.
OCCUPANT
HEAT LOSS
SOLD BY _
E lecttical Work By
TYPE OF HEA T
DATE HTG. IIIST._
HEATING TEST RECORD
JOB#_
_APT._FLOOR
OWNER _
CITY
SUBURB
INSTALLED BY
Ga. Line 8y
GA _ FA 2......-HW _STEAM _SPACE HTR. _UNIT HTR. _OTHEP
GAS DESIGN CONVERSION
MAKE \)~-~
Model ~~"t:'t~:LOo"l
Se,;.I-=:l.?-'t:01 A .,~ I '-I
INPUT ~k_,.po
CONTROLS
THERMOSTAT I,l..-...-.>\ He.' Plug_
Valve
Limit
L1mh 5o"lng ,,(')-
Fan Setting
PUo' Type _ 1.\ <:~-
Pi lot Make
Pilot Model
P ilo. Timing
L. W. CU, Off
Pressure ~ r
Input CFH
Stack Temp.
Form 235
-.,s-;J...
Percent CO2 ~. 0
Percent 0 I. 0
2-
Percent CO - 0-
MAKE OF BURNER
Model
Mox. BTU Rating.
MAKE OF FURNACE
Model
Vent Size
Q"
KIND OF LINER
~IZE
NONF
Draft Hood RegulaTor
Filters Size U;,x...:l..Q'""\...L_Numbe,
Chimney Location Insid. Outside
Chimney Construction _
Smoke Bomb
Draft
Wirin~'
Test Tag
Lighting Inst.
Door Pressurl"
Oat. T ..ted
Company Testing
Name of Test.r
Alliant Mechanical. 3650 Kennebec Dr.. Eagan. MN 55122
1t..~~ S,
SCHEDULED ld~'i~,
,
B~Jl At,
II
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/ 7 e;.. to t{
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
&-0 INSULATION
rJ FINAL
~ SITE INSPECTION
DATE TIME
9\ "10
(') ( -J:tY
o PLUMBING RI
o MECH RI
o WATER HOOKUP
1J SEWER HOOKUP
PLUMBING FINAL
MECH FINAL
COMMENTS: ~ ~J .
h~ f5~__
~~. ~ ~ fer JevdOf~a.A+-
o EXIGRADIFILLlNG
o COMPLAINT
1!v 0 FIREPLACE RI
rl ~ FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT we , CALL FOR REINSPECTION BEFORE COVERING
Owner/Conlr.
THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
/NBNfJTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
It>-I~-( II W
ADDRESS //};;? r;, (.~. !o? i..!Jv. A L ~tJi2
OWNER CONTR. '/'() ~ )
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
PERMIT NO.
1_/941 fC1S~ Iqrb
o PLUMBING RI 0 EXIGRADIFILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP~ 0 FIREPLACE FINAL
.....a-P'LUMBING FINAL 0 GASLINE AIR TST
tIi M~, ~
A-~.L 2 / JA; IT <
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,(WORK SATISFACTORY. PROCEED
o CORRECT ACTION A PROCEED
o CORRECT FOR REINSPECTION BEFORE COVERING
--
Inspector.
CALL 447-98&0 F R THE NEXT INSPECTlON:U HOURS IN ADVANCE.
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
I/'iSNOTl
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DATE
nME
CITY OF PRIOR LAKE
INSPECTION NOTICE !:::\ SCHEDULED
@
ADDRESS /7'2 (p 2. - /72 (, f3 f)~ evo
OWNER
CONTR.
PHONE NO.
PERMIT NO.
Q FOOTING
Q FOUNDATION
Q FRAMING
Q INSULATION
Q FINAL
Q SITE INSPECTION
Q PLUMBING RI
Q MECH RI
Q WATER HOOKUP
Q SEWER HOOKUP
Q PLUMBING FINAL
o MECH FINAL
COMMENTS:
SOD /7X-ee
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L...1 O'5e
fl../.
LJL.
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
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F;~
-"t! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT T~K, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: fft' {O -10.-o.2.ewner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
I/iSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
.
,
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CITY OF PRIOR LAKE
INSPECTION NOTICE
./
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DATE nilE
SCHEDULED
IO.r;-rJ I
f/Yi
ADDRESS /7 :?~1 -(~!? f)~.u{;'dJ Dr,
OWNER CONTR. DR. HtJ{J.".,
PHONE NO. PERMIT NO. (') 1-lq3
[] FoonNG
[] FOUNDATION
[] FRAMING
[] INSULATION
I$(flNAL
[] SITE INSPECTION
COMMENTS:
) 7)..1; L. - /} t:
-
C7J. &'1-
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t.ufb
C?K
I nil Cj - I?t..
[] PLUMBING RI
[] MECH RI
[] WATER HOOKUP
[] SEWER HOOKUP
[] PLUMBING FINAL
[] MECH FINAL
:J!i. EXlGRADlFILUNG
[] COMPLAINT
[] FIREPLACE RI
[] FIREPLACE FINAL
[] GASUNE AIR TST
[]
~
130;<-~~~
t1/o Sri
)fl' WORK SAnSFACTORY, PROCEED
'-
[] CORRECT AcnON AND PROCEED
[] CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~-!iti~,:-- Owner!Contr.
CALL 447.9880 FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
.
-,