HomeMy WebLinkAboutBuilding Permit 01-0691
6~~
DATE RECEIVED CITY OF PRIOR LAKE
&-/Z,-O/ BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type Bnd sign at bottom)
2. SITE ADDRESS
..1..~I",'O '-'hc.~\A. ~~
3. LEGAL DESCRIPTION
LOT'" BLOCK 3
ADDmON Cn~n'IJ.C\L.- -e..\'Oac.
4. OWNER (Nam.)
~'t-"-<-~ ~C'.\4n">C..
5. ARCHITECT (Nam.)
.0:; ~I"-'- -=.
(Nam.)
1. DATE
~/I~I
tPt<.StJ
PID CJ/)-'3?J5-1):;7~
$7.!'
(Address).-
~ (: .(l.I"J~
(Address)
6. BUILDER
(Address)
(T.I. No.)
Zo ~S~~1
(T.I. No.)
53'3?
(T.1. No.)
File
CUy
AppUcaIll
/ -0 &ClL
M
13. TYPE OF CONSTRUCTION
~I"'''''}L ~~"'~ ~~
14. FLOOR AREA APPORTI MENT USE
Wt4,
I
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS I
JJ/fI
?",,~c;.
7. TYPE OF WORK Flrepeoe a Septic a Deck a Re-roofing a Pon:h a
Now Construcflonjll A1t.ratlons a Addition a Finish Attic a R.-siding a FInish Bes.m.n! a 16. PROJECT COSTNALUE
Chimney a Misc. l 't~ ~'C:)
16. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 110. CULVERT SIZE 17. COM"&,ON DATE
Sq.Ff. 12..10"'0' . Widfh81::> D.pth 150 Y.s ~ ~''2,.IIQ/
I hereby certify that I have furnished lnfonnation on this application which Is to the best of my knowledge true and correct. I also certify that I am JJ owner or authorized agent for
the above mentioned property and that aU construction will conform to all existing state ancl local laws and will proceed in accordance with submmed plans. I am aware that the
bul~~I~~ "" penn!t for just cau," IUrth. ~rmore, I hereby agree tha! ~ city official or a deSignee may enter upon the property to perform !:~ed Inspections.
X~V,. l 'l~,\>......v.. P::-/(A/o, .~?- O~O-z.. <"f-L-bl
Signature LlcenseNo. Is
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
BUILDING DEPARTMENT VALUATION
Side
S~.
USE OF BUILDING
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 14'7.//}(V"l.~
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... S
Collective Street Fee ....................... $
Sewer Tap ................................... $
,.;;/. .. S
Pressure Reducer ....1tJ................ $ q&", ~
Mef.rHom................................... st-La,'\.nD
Water Meter ................................. $;
Sewer & WaterC_.......___.. Fee ........... $~ . c:!Z'J
Waf.rTowerFee ........................... S~". ()O
Water Tap ................................... $
Bulld.~s Deposll ..................L-..... S I .. ")Ot). 00
Other .... _ _,___a_nn........ t_
Total Du. ........q.7............. S 7.. fl.?? '7
Paid 7 q '7.:1 . , Receipt No.
Dat. / -(I, -() I By Qc./
request In the aboYe appllcatioo and accompanying documents Is In ...~~.. ~ ,~... with the City Zonlng Ordinance and may proceed d.Jquested. this document when
coostitutasstemporaryCertifica-2Z"~~~a~~~~~~lI~~mustbe_.
r Da ~ Spec~
TYPE OF CONSTRUCTION: I II III IV V
Occupency Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
S U
PlenCheckFee ............................. S
I, 2. 5(" . '10;
817. ~2
IH.S-O
State Surcharge ............................. $
Penalty ....................................... It
100. of)
Ico.t::)CJ
~.57)
Plumbing Permit Fee ....~.................. $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... c
Gas Fireplace Permit ....................... $
Th~.S:J..Bullding P.""II~en~ved.
B . - uaW...M.=...(?-'ZIbt3L
Certificate of
Issued
fha
City:
~D .f)'
-q.\
24 hour notice for all Inspections 447-4230
SEATS
MATIERIAL FILED WITH APPLICATION
SOIL TESTS a ENERGY DATA a
PILING LOGS " PERCOLATION TESTS a
PLANS & SPECS a SETS
SURVEY
PLOT PLAN
a COPIES
a
Els"(). "'0.
1,IStl.l9l)
Tht('tnltr of the ....keCountry
QL ~ B€12L
Canary - Engineering
Pink - Planning
h
BUILDING PERMIT APPLlCATIOt.!...J2EeARTMISNT CHECKLIST
NAME OF APPLICANT ~ .bl1r(2);ac..e-/
14- /;;;-0/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/&, 3 ?(') I )//I~nto_.-/~
Accepted
Denied
Reviewed By: NA,-~ Date: "]- 9-0'
Comments: ~ ~everse Side for Additionallnformationl
)(
Accepted With Corrections
3~ ^uacnmems: 1) l:iraalng Plan, l) t:roslon t.;ontrOt 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."
,~i.l;
Th~ (.~nIPr of lh~ L."" Count!')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAMEOFAPPLlCANT ~ .6~~
b- 1;),--0/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/C,3?r) I ) //I~J-UC~~~
'><
Accepted
Accepted With Corrections
Denied n /7/1 /
Reviewed By: ~L.)..._ .A~/'" Date: 6 -1'1- 2co--1
rz:&""~ t1~ (f..-.} =.~
"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."
Thl' ('I'ftll'rof lhl' L.1l1' COllnlr)'
White - Building
Canary . Engin_ring
Pink - PIBnnlng
"', ;i;.J'l '. ','\:~.i:;>'),.:",
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
tJ~ ~ ~_
6//:2./8 l
The Building, Engineering, and Planning Departments have reviewed the building permit
application folr construction activity which is proposed at:
,blbO !.AZ\9Y;a. {--AJ./W
Accepted ~
Accepted With Corrections
Denied
Reviewed By: 9~ ~.(~~~~t":.
Comments:
~ _~~ La.,O Q~_ C~~. t' '~r~e<:
~r~~ to.tI~~ <I.. bit) r~~y;e.,
rv\~5.. ~ 16K 2,S-h S~\.~
~\.;~~ ~~.... &t4\&V"&l/t - ~ ~_~"~
~ ~(LvWl'~ ~ ~~ '1"'':>0& ON\.)l-te
S~r~ ~~ ~~ \S ~.~V\.n\~te
tY t 0v ~#-)k .
fZ~v~ ~ ~ 6~,; M !~e.u.~*?-~5
6.( t1 /)Sit) '* ~ 18:<:> 'f}. (':tj;;J~r- ~
"Te iSS~~: ~~~~~P~~I. Of~:s~!ecifica~s~n~~
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
W ~n:n~eso;~.e::~~a~t,:~ali~."
fr ~~'1 L/vlX.,',' II07a2/,Gf:) r
<Wee JJre~~ ~\~)9q ,
Date:
'7/31.0 (
..
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Ree'd
-;. '2-4-~ 0 /
Q?lease ~ or Print and sic at bottom)
ADDRESS
; ~ ~;i~. I PERMIT NO.OV-() /. CI J I
). Gold Appheanl fG1 1
/C,)(pO VIOfO/Z#r tA!tW6
ZONING(ofticeuse) ,
f'eNO
LEGAL DESCRIPTION (office use only)
LOT 7 BLOCK 3 ADDITION /JH2U)/;,/H1-- .e+O ~ :fii71:I"'
PID Zr-.? l r-. t) z. 7-1
, OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANJ:-> Ire ,
(Name) '>'''"'-011('> t:vc ~Ji",,,,,,,'r
(Address) '19 ~ tJ 6 I f'"h'r' r.c. Jf. y --<
(Address)
(Contact Person) da j,,, ,i2 s-; ~ g 71 .(! f
APPLICANT SIGNATURE -19...1/ ~.
:r;, C (phone) 5b-r ~7Yif... ~~9-c,
~d"^ .( I a.L~ -Pt... Srl9~ C
(City) (Zip Code)
(Phone) ~ 1:2 -? 1/ - j>7J' 'I J2..
DATE 7 /~ J t2dd I
./
,
c ~
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
Residential sewer and water line connection
Sewer connection only
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
Estimated Cost $
Building Permit #
1 % of job cost with a $39.50 minimum
$17.50
6/.0(P '1/
.. I I"AID WIT! I
, IIR,IILDING P
L;, ,
.50 .
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
(Office Use Only)
ThiS~iJ' t~ Becomes Your Building Permit When Approved
-1\, cp.v-- /' ~4r' () /
Building Omcial Date
IP~
r Date 7. 2.--f. d /
Receipt N l
111/ ./
By ~ I
/
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
1. Blue File
2. Gold City
1 Yellow Applicant
. Date Rec'd ~
Jll3 20VO~
..._-- - ~/
I PERMHi;O.O/ ~O(Pi'j I I
CITY OF PRIOR LAKE PLUMBING PERMIT
. c
'\
(Please !pc orDrint and sim at bottom)
ADDRESS
_laltO !/;~/;a i!tA/iJt
LOT
LEGAL DESCRIPTION (office use only)
ADDITION
BLOCK
OWNER J./~I!/
(Name) rr.... c__
(Address)
I ZONING (office ""j
PID25-335 ~(Jl.I-O
1-101'165 81/ M.4S6
(Phone)
, ~~;~~~ lit! Id J?/ IX) f1p f'A-(7 _
(Address) PliO ftdt.ti 11 r '////(J
(Address)
(Contact Person)
APPLICANT SIGNATURE
rJ~
Quantity
..2
/
/
'(
-/
/
I
'1
(Phone) 9.5'2- tlft?- 2../zl
;J;y f II) fIT J4 IL- ..{5j' 52--
(city) (Zip Code)
(Phone)
DATE iJUAh1 i 10/
/ ,
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
I Sinks
I Bar Sink
I Water Closet (Toilet)
.,
Type of Fixture
Quantity
j
j
/
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
BackfIow Assembly
BackfIow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial. Commercial & Multi-family 1 % of job cost with a $39.50 minimu~
(Office Use Only)
Estimated Cost $
Residential. New One & Two-Family 59950
Residential, Additions & Alterations 53950
Building Permit # 0 I -() (9 q /
r PAID WITH
IIJi,DlNG PERMIT
.50 '--
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~
I Dat~_13 -0 I
Receipt No.
qiIJ
.~
'I
. I
,- }S.DI
ec mes Your Building Permit When Approved
Date
24 hour ootice for aU inspections (952) 447-9850, fax (952) 4474245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFJREPLACE PER1"IIT
Date Rec'd
(P!~~ M~ at 12Me lU:I.d sie at boaornl
ADDRESS
_/C,;~ W__V/c ~(l/~
~~. ~:.;_, I PERi......rrr NO/~ b 1/ I
I I ZORi?OaKl I
~yf-u-e
LEGAL DESCRlPTION (ollie< us< Only) _
LOT'? BLOCK.3 ADDITIOhAr&A1d A, ~~ 5~ PlD ';(S-:33S-w7~')
~=~~1??~_~ .).{, A r'.:J-"'i\!c- (phone) gqs- _-S-:~37
t
(Address)
APPUCANT....-- / 1/ n .
(Namd C-t"'IA , ,.,.",~./ Q, /I
(A~ress)d)I-9/~ E"n/<"l-'" AlJI'''''
(A.<hJ=')
(Phone) -"16::0
#~)
(Contact Person)
APPLICAL'<T SIGNATUR..E ~ -Z~
GOd ::l
"_5"'~~ -1
(:zq,eooM)
(Phone)
DATE _~ - /-0 I
o REPLACEMENT 0 AL TERA TION5
7u Jt' /') f<<:l C q ",a _ FUEL ..J,.JA l-
f< INPUT _~t7fl"f'L- OUTPUT 7,~ e:;o 0
HEATINGORPO~RPLANT
OS""",,
8 Hot WOk.r
Iladimon
o Spo<;al Dov;ee>
o .Other OCV\I;c::J
-
APPLICANT PLEASE COMPLETE BELOW
..cJNEW CONSTRUCTION
FURNACE "'lAKE AND MODEL ~ ,,.. ~
FLUE SIZE 3" ~IJC- RETURN OPENINGS
TYPEOF~I~U"J>l:
JWarm Air Pl1ll1lS
JGravity
, ~chaniQI
~ Conditioning
...;l3'rlnl System
FIREPLACE MAKE ANtl MODEL
NU
,
Indu:iuiaL Ccmmcrr;uL! &. Multi-,Family
FEE SCHEDULE
1 % of job cost R.esidc:nriul, Gas Fireplace:
S39.:;O millilllWll
599.S0 Residential, Additions 8< Alto,",lons
564.'0 Residcotial, AC Only
Rcsid~n[i:u. H~:u:inl k Ale (New Conswction)
Residcntiol. Hcating Only (!'lew COllStf\lCtion)
Estimated COSt S
Buildin~ pennit "
PLEASE NOTE:
Air Conditioner UnilS
ClIllnot Encroilcll into
Requirod Sid. Yon!
Setbacks
539.'0
539.50 ~
539.50 ~-
HEATING PERMIT FEE
STATE SURCHARGE
TOT AL PElL.'\1lT FEE
s
:s
s
tt"Z'I':..,4,ID I, '/~
.S(l4ilf,/'00UINQ"p IIi
cA.-v. '-.
'1/
(orne. U:u: Onty)
This Appli<:>tion Be.ome. Your BuildinC Permit Wben Approved
8ui1diDS Offlcial
DIl(!:
Il'aid
I -
I Dale ~/-of"
14 pour Rude. for al1 imip~ctiDhs (951) 44'j-9H~O. tA'" (9~:Z) 44i"",,~4!
IDDIlJ
lilY a3110l!.LNO:>
9L~909tlS9 XVd 8t:Ol aaM 100~/10/80
I Re.eipt !IIo_ .
iBY~
He /5(P ~ bJU.LiuJ
. f-;
.
,J " "" .
(..... . -. ,',-.. -,
em OF PRIOR LAD . .'. i, r ! Da1e "~4
BEATJNGlAIRc....,.:~...,..:&...~I.l,AOI-G/FIREPLACEn.R~J Q '.32001 '1,
~._---.._-_ ..1//
___ ~L.,.o"
__......J ~=. .L Il'uauTNO. ;:'t;;91 ,
_aII~_.' ,
'/~~~O V;'L'knt~ Cwwe6~ yJ/l1~ ~ 11PL:5D"-\
I 1I1}J..L D1lSCJUr: nON (...-GIIlYl
I.CYr l BLOCl!:-o AJ)DmON
0WNB1l
(N-)
CAddIae)
'-
/J I'.IAd~ f?/ (jrp. 50
1/
PID..2r-1:3~-oJ-o
\
l,PboAI)
,
I
:'~,L1.h-1J ~~ ~ fHr; ~)/fo31'f13-:p.t,7
,..~",,).fl5()5 -,J, /$ (jilt. N. ::ff~30 \--P'j.~ LfnN 55'-Ni
. i . l~l . l (ZlpCade)
(OJc_~:ist~J1 /'{{)'[01J/Jki. (J'IIcec) 7{,3h73-~:J6"1
APPUCANT~')NATtJU ~I cp~ n.t.TB CJ-~__
; APPLICANT PLEASE COMPLETE BJ:LOW
. I ~w CON~ (J It!PLAC8MlIMT CI Al.TBMTlONS ~-I
FUIlNACB MAr It ANDMODII. (a flnJ 1/1 m X ,4-jM FUm. '1)r14:.' tb /I .
FLUE SIZB ':2 JI R!'1WK OPSNlNOS INP'lJ1' /00,000 OtJTPUT.2.f2. (}{J(f
't'Yi'BOF,.............. HBATlNG01ll'OWD.1'LANI'
! .. ~~tKlOtf~ . ~!t..
~..o..8yMn ~CdIorDeolMl
FIUPU.cE M \Xi AND MOIlJlL'
.....-.
Pl.LUI. ~I
Air t'-oP~ t1DhI
ea..atn",., I .\ tato,
IlIlpdnd IIdI Yad .
lledI ~'l"
~ c.J ftIII ~Mu1l\.PlnaJlY
ft... :..sutJLB
\'Iloof)elo_ "-I.....II.O'~
139.50 IIIlnlalunI
Rl.o4d4<,daI.!IeIt 1II~M:OIIW~l ~.50
....~~.HtlI,...Onl)'(Newc......" "'a) $6&$
...fI-.lt:Il1III. f~""&AI1INIIoaI
'.' d..1 AC 0Illy
. 539.50
QUI
QUO
...~ ColtS '1~OtUJ6
HEATING PiIM1T Fa!
STA'l'B SUilCltUOB
TOl'AI. PD1IlT JU
1luIhlloa l'InD\I 1#
s '!'1.5(J
$ .~
S IO!J.IJ()
.~l\","~ . ,.:t
~\O "II'~'C.f.."\ .
,U\\J)\~G .
(011IIo tJM 0It,I :
ftiI 4pP11t ....... YOlIr......,...\t WIIIIl, .,'.
I
1
....
lUOIIpl "0,
.
...~I.. 0IlkIII
-
PI\I R-I'I-o I
SYr
~ Ilaur....lItr fill la",1II,.. (lIG) ...,....._ (IlD) ...,~
.
DEPARTMENT OF
BUILDING AND INSPECTION
"
SITE ADDRESS J(.,3(,,0 I /,.~
NATURE OF WORK J...~-
USE OF BUILDING ~\ro.
PERMIT NO. 0/- Or& DATE ISSUED t- l'l--?-!
CONTRACTOR ~ ~ ~ PHONE-8<1S--'~
NOTE: THIS IS NOT A P~RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~ECTOR
.
DATE
I FOOTING ~ 1111'1/0J
, FOUNDATION (Prior to Backfill) I ~, I 11.rl.~/M
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SiGNED
ROUGH. It)lS
SEWER 1 WATER 1 SEPTIC b:;. 7/;"~/lJ)
FRAMING vJ/r, A ,?!I(~itJl
INSULATION t.J/c.-~. 1) J{~I
ELECTRICAL
PLUMBING
HEATING (If required)
FIREPLACE
GAS LINE AIR TEST
-
~
WI It- /())
'trl..""-../11
V'U"V'" V~ . ~hW!D I
.
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
A A/I"5
6r.-1l:. (Alo J .fIr
I
OCCUpy UNTIL ABOVE HAS
NOTICE
This card must be posted neBr Bn elactrlcBI service cabinet prior to rough-in inspBctions
Bnd mBintained until BII inspections hBve-been Approved. On buildings and additions
where no service cabinet is BVBllable, cBrd ShBII be plBced neBr main entrance.
GRADING (Prior to SOdding)
BUILDINGr," IC.o. ~ ~II /OT..
ELECTRICAL-'
PLUMBING
HEATING
DO NOT
6~
/0-17- 01
tL/t-/.P./
111/'7/1))
IV/vi U/
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
'--..
QLt..l~flcau of 'ccupanry
Lll r OF PRIOR LAKE
J)epattment of Jiuilbing )n~pedion
~Final Permitted 0 Conditional C.O. Expires
This C~rtificat~ issued pu_ to 1M r~quir~1M1Its of S~CtiOll 307 oj tM Uniform Building Cod~
c~rtiJYing tlull at tM ti1M of isSUQ1lC~ this stntcture wa.r in compliDnc~ with tM variOIlS ordintDrces of th~
City of Prior Lok~ r~guJating building colIStruction or IIS~. For tM following:
SINGLE FAMILY
0...., .... Type
_ Type C_tion
Fire Zone
BId.. PermiINr 01-0691
N/A PUSD
ZoaiDa District
Use CIusi_
R3
VN
LeplDescripcion L7, B3. CARDINAL RIDGE FIFTH ADDITION
OwnerofBuildiIlll _ .,.._ 16360
HOMES BY CHASE. 1668 E. CLIFF RD..
C_..N....,._'
ROBERT D. HUTCHINS ~. City_
I ~(TI"r;:-
! " , . POST IN A CONSPICUOUS PLACE
VICTORIA CURVE
BURNSVILLE. MN 55337
DON RYE
o.te:
Dote:
DATE TIME
SCHEDULED ~ A, (;
/ J~:"'" (' ~r<J
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/(., 3~()
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'ljtFINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
tJ( - (""
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: S':' (,
~~(.....,.........)
'" 'i <> - ~., 92.-
'. <.t"'1:!"~.. ". ;",
.q)ii,';".
~ r _.~i~
.
~
/)
'!tWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK'jALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447-98&0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOT/
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH of SAFETY/
DATE nME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/u.:$'O/ z..',vV
ADDRESS /~3'~O 1/( err:u:",q CI) L'..t./6
OWNER CONTR.
PHONE NO.
PERMIT NO.
/-~91
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLING
o FOUNDATION 0 MECH Rl 0 COMPLAINT
o FRAMING~ 0 WATER HOOKUP 0 FIREPLACE Rl
go INSULATI !SEWER HOOKUP 0 FIREPLACE FINAL
FINAL PLUMBING FINAL 0 GASUNE AIR TST
o SITE INSP ION MECH~INA 0
COMMENTS: ..,.L.,-- ~ .
m ~~~ ry d-v-- ~ ~
--h ti~.~~~VI-- ,
OJ) ~ ~~;-:rz~'
~ ~ i. - /~~.L-r-': '0")-
~.k~~~~~7f~
,tI\)~ ~ .6-,-.,...fl -
<ic,.o .n n.1J ,
~ ~ (/eJ:t;. ~ ~ c/...t-d..
~ I~ -/~ ~ 4')
~...~'
;,~ ~. ," .~ ~ ,
" . Cj),
f~
o WORK SATISFACTORY, PRO
~ CORRECT ACTION AND PR. D
o CORRECT WORK, CALL FOR R INSPECTION BEFORE COVERING
~
Inspector:
OwnerfCDnlr:
CALL "7.9880 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN8NQn
'I.;)IJ -01 '/1:.30
/ U '3 /;, (') YI f./TOJU ~ ('--<imP:;
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL Y~PLUMBING FINAL
o SITE INSPECTION """"0- MECH FINAL
DATE TIME
I-I, CJ J
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTin p~ ~ ~ ~
111 ~..fA.,1
~p~ P~~~~I
(fJ ~~ v /4,.,,-1 (1--.., ~
g) ~ \~~'.... ,~ I
/J
L -- {;n-, f
____ ju "\ i{j I~ /0/
( . .. 0') I / i/ /
.' ~U.~lI )
;ri~7i"71l
. ..~..<'..
*N~~ ~ ~
.~ -~e.m9..
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)! CORRECT WOR) CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ I Owner/Contr:
CALL "7.98&0 FOR THE NEXT INl'IPECTION:U HOURS IN ADVANCE.
1NSIWT1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE.
INSPECTION NOTiCE
DATE TIME
SCHEDULED
1017-01 /1M
ADDRESS ~rJ l/,L.+f")'iC. CU,V<.
OWNER CONTR. HO!t1{..5 hy C.JIDJ!,r
PHONE NO. PERMIT NO. 01- c,'1/
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)l(FINAL
o SITE INSPECTION
COMMENTS:
T,Othhn
v
J.-~F~..,(,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
f...ulh !3r",.
H~"
0, ~/r
I'lft
D,'IJ~_
, ,
hlak- O~
)f WORK SATISFACTORY, PROCEED
'* CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector4~#
Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
'N<NOT'
-----------~------
Job Addro~~
ORSAT TEST
I~ 3~d (/~ t:
O Heating Contractor ~
DatI> 7--(2.-0--( Pressure 5. ':r
Percent 02 7.Z PercentCO ~
-
I
L
"
Percent CO2 ~
Stock Temp /6~
~
.'