HomeMy WebLinkAboutBuilding Permit 01-0399
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec'd
I. White File
2. Pink City
3. Yellow Applicant
5,01
(Please ~ or Drint and sim at bottom)
ADDRESS
r
.O{,03Cf!IJ
ZU~/ (office ose)
, t..\ ~ q ...,
t::> trv .e.....
e..-~ r
LEGAL DESCRIPTION (office use only)
LOT '''-BLOCK , ADDITION ~ '*' \, s"t:S-- ~--+. ~ Pill ;lS - 3108' -0 ri' - 0
OWNER
(Name) S............p
A-S ~ ~ \ \ h.Q....r-
(Phone)
(Address)
BUILDER
(Name)/" ___~:'H-" \. \~ -e.. \\ _ .. ..c2--s='
(Contact Name) d lL'" v..-
(Address) \ ~ <i \,. lit>. .." I>A-<.A. ~
(Phone)
(Phone)
p...,~ \~ f\A.t-... ::::>.::. ~'7l-
~'7- t~~l.
TYPE OF WORK
pNewconstmction
OLower Level Finish
ODeck
o Fireplace
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
OUti1ity Connection
o Misc.
PROJECT COSTIVALUE (excluding land) $
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 Ioca11aws 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.
xc.D(")~ Q...~, I.\-~\.C\. If--z.s...o\
- -Signature I Contractor's License No. Date
I Permit Valuation 150,00::>. ~ I Park Support Fee # $ ~.C::O
I Permit Fee $ '12.,,)~. ,~ I SAC # $ I. , SD.(X)
-
I Plan Check Fee $ . p.::~.'), q 0../ I I Water Meter Siz{5[9; I"; $ I ~S; OC>
I State Surcharge $ 7..1,.-.00 I I Pressure Reducer $ L../c;.OI
I Penalty $ I I Sewer/Water Connection Fee # $ ! I ?1'l.1..eo
I Plumbing Permit Fee $ / t:tJ. (5)0 I Water Tower Fee # $ t")tJtJ .(90
,
I Mechanical Permit Fee $ IctJ.()O Builder's Deposit $ I. C}a:J .06
I Sewer & Water Permit Fee $ 3~. ')D Other $
I Gas Fireplace Permit Fee $ '10.6>0 TOTAL DUE tltUJ5{) 5 -'tQJ $ ~DZZ.11
/l
7~lecomes Your Building Permit When Approved I Paid 0.07-'1-./7 I ~C~5ql'rr
I Date -'1.q.;;
(. ~ 5'-;t-~ I ,
Bull' Official Date
,
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
aMl~
.
Planning Director
~~&-~
Date Special Conditions, if any
24 hour notice for an inspectinns (952) 447-9850, fax (952) 447-4245
S-/:)Ie-r.
,
6~~
White - Building
Canary - Engineering
Pink - Planning
ThO' ('..nln 0' Ih..l..k.. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(!. R, pfM"f-r / Ja -e-
I
L/--~S-O I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'139/7 /)()ueC+
Accepted
Accepted With Corrections
<'
Denied f:) ,7/J 0
Reviewed ~{/~
Date;: 2, 3:JeJ (
Comments:
~ cJ)f tLfk~ ~~
"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."
~ite - -~uflg
Canary - Engineering
Pink - Planning
Th~ C..nlt'T of 1M Lah Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
(!" R Parf-r / de; -eo-
Lj -.;; S -0 I
,(e ~UilJih~EngiKeering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ILf39'1 /)()ueC+
Accepted
)(
Accepted With Corrections
Denied
Reviewed By:
1Y11t3
'7-30 -01
Date:
Comments: See RevAffiA SidA fnr Aririitinnallnformation!
--./
<.,~.,.~~ ,/. .,' '--."
//;;(7-:f:~<'
, l:iee AttaCnments: 1) uraalng 1-'130, 2) Erosion Control Measures
3) Erosjon 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."
~./.......~.
. .. ~
,
~,
Th.. ('.nlt' of Iht uk. Country
White - Building
Canary - Engineering
Pink . Planning
~:-'\{'!d.~\,\i'i:,,~':\"~J"
BUILplNG PERMIT APPLlCATIONDEPARTM&NT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
c:. k Po r -f r- I J. tJ -e,.....
Lf- ."J 5-0'
/
/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at
/'/39'1 !Jove C+
~
Accepted
Accepted With Corrections
Denied ./"'
Reviewed By: ~~
Date:
5/3~(
Comments:
~~WJ.MA 2-t-/ Pr ~/w~ Ul~ pJ.'\
~~ I~ ot-'{~ (l.6JcLJ ~ Cw6
M- '_~PAJh>>lU/~ ~ ~ .~.
~~ h~il9v- ~ ~>
A If)~,
-<
"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."
..
....'
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
7-'30-0/
; ~:.. ~;i~. I PERMIT NO.,nr_ ,) 3 00
}. Gold ApphClllI U V 7-'
(Please !Vt><;. or mint and silm at bottom)
ADDRESS
/4-397 DdV6' e::r-
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT ;ll /) c-'
(Name' ~~' '\
(Address) 11/ 9. 4,-
(Ad
1;PhO. .) ",,3- Lj7)-~1/. III
8 ...- ., ",<~ I"
c.- ity) (Zip Code)
hone)
DATE ?<1b -tJ/
(Contact Person)
APPLICANT SIGNATURE
~
f
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC ID PVC 0 Cast Iron
Estimated length of sewer line ~ feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
/ 'F-= PAID WITH .
.,/ :'I\.DING PER:J.IT
/'
I
Estimated Cost $
$
$
$
(Office U.e Only)
Date
~
-oate7_s /-() I
R~
By
'/
-
B omes Your Building Permit When Approved
7. 3tJ - () J
24 hour notice for all inspection. (952) 447-9850, fa. (952) 447-4245
FILE No.648 10/15 '01 PM 03:01 ID:D & D MECHANICAL
FAX:952 890 4650
PAGE 1
CITY OF PRIOR LAKE PLUMBING PERMIT
Date El.ec'd
(Ptc!UC tv~ 01" nriDllUlcl.ltm al bottonl)
I ADDRESS
JL/31"7 'DovE
c.~......~ +-
LEGAL DESCRIPTION (omce u.. only)
LOT ('tBLOCK UDD1T10N ~b ".JiLl ~
OWNER
(Name) ~. R.... P4~ne...iD' 1:.: ~p"
t = ~::, I PERMfT NO.} _ ~Ota
J, v.tiow API'lk1Jllll ~ I I
I ZO~~ ("",, UN)
PID OJ5 - ?& --0 I <-(- 0
(Phone) 9.5.;/. &/"'1-J ''I,L
(Add.."..) /1.1''''- J A.AJDAu... L,uJ..l:
Pg,t"t:J1I!. LA-"'-I&.. rruJ. 5S.~ "7~
.
D&D MeehanJc:a1 (Phone)
-'':'1111'.[.., av..
Suite B
(Adllress) ....... MN 55378 (City) (Zip Codl!)
(ConlaClPelson) ~^"--- ~1J..s...J ~711 (Phone) _'tS~-7'iD-1JJ.f.J'
APPLICANT SIGNATURE l )~ _ (._~ ____. DATE /I/~~ /11 J
1./
APPl.ICANT PLEASE COMPLETE BELOW
Type or Fillitun Quantity
Bath Tub with or without shower ':f
..,
Dishwashea' I
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bur Sink
_ Waler Closet (Toilet)
APPLICANT
(Name'
(Address)
I
~
I
I
I
I
Qnantlty
,;
,
'.
_l3
I
i
I
,=3
I
..?
Type or Fixture
Rough. ins
vi aler Heater
Water Sottner
Stand Pipe (Washing Machine)
Sew8~e mector .
Backflow Assembly
BacktJow Assembly Test
Lawn Sprinkler
Other s.....~ "'--_ /.r(!# h1..,I~~IC..L I)....
FEE SCHEDULE
lul.1u.ti~rh~l. c.;onunel'cial &. Mulli..ramBy t % llr.Job t:ust with a $39,'0 minimum Residential, New One &. Twu-Fnmily $99.S0
R..idenlial, Addition. '" Allerallons $39.'0
(omU Uu Ollly)
Estimated Cost I;
BlIilding Permit #
nUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
qq. So
.50
/.tJ, co
. A ,-",-,
f}~'/.
p~' &~
~~
.. -, . Wfit
~........-" ~Il"
IJ
Tills Appllcalion Oecomes Your I'ulldlne Permit Wile" Apl,roved Paid
Ilolldlng om.I.1
1J.lt
24 hoor nollu Cor aUln.paellon. (952) 4.7-98!O, Caa (952) 447-4245
Date/trI6_ I
,~)*rJ L: .J.l.<>-- CITYOFPRIORLAKE YYl ~)Y5
S LJ~ ~ HEATING/AIR CONDITIONING/FIREPLACE PERMIT
A,o''''NESO~t-
Date Rec'd
If-'Cf-o/
; ~;,~" ~:~ I PERMIT NO. Or ^-::v'A"'1
). Yellow AppheiU'lt -UJ,-'1
(Please lVO~ or orint and sign at bottom)
ADDRESS
/~ 3 <) 1 {)OIX..-
c+
;vI:..
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
Ie
t
~rV.~ ~ H"",,-c..<,
J
14b~r.. L&.^J.- L<<"<..
(Phone) c.,-..::: 2.-
fL
- Sa^-lf..c.f !. I _ (Phone)
44~~ =-# DATE
APPLICA T ;LEASE COMPLETE BEL~W
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Address)
APPLICANT
(Name)
F. rc..fll4{'" ~\{ I.
fYl Ct.;v-.. A-LX.
(Address)
;(c.-V . Y\
l)\c::.fC.d..
QS2-
(Phone)
-PI' ~{ L. k
(City)
(Address)
NASI
ZONING (olliceu,e)
PID
'in.. I~'i("
StYI'>"~" '2.0
53372-
(Zip Code)
(Contact Person)
9.\2" 7"\10 - S-b Z-O
J/- /$-O(
APPLICANT SIGNATURE
TYPE OF SYSTEM
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
DWarm Air Plants
OGravily
o Mechanical
OAir Conditioning
OVent. System
FIREPLACE MAKE AND MODEL
JV)",: ",,-\-.'<...
f!,Dv b b
Industrial. Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residenlial. AC Only
Residential. Heating & A,'C (New Construction)
Residential. Heating Only (New Construction)
Estimated Cost $
Building Penn it #
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERlVIIT FEE
$
$
$
r PAlD~
'iUl\.DlNG_-~
~--~
------
I Rece~
I By Iii
1
(Office Use Only)
This At!!Jt::mes Your Building fer; qhe:ttC
Building Official Date
~
I Date/H q -Of
24 hour notice for all inspections (952) 447..98S0, fax (952) 447-424S
-
I
I
CITY OF PRIOR LAKE MC
16200 Engle Creek Av_ S.E. Pormil No. / - '391
Prior Lake, MN 55372
HEATING APPLICATION f PERMIT 0\ I() \10
PID' .:Jc:' ?'/~Y 0/'I'-Q
Oalo \0, j,} 0\
S~e Address ILl 3"1"\ 'bD'\f(.. U .
lol J!L Block ~ Addillon~Ob
FLARE HTG. & Ale,INe.
9303 PIymoum live. NO.
~ .1!tlen '.'eII87. MN. 55iZ!
ll.o~-' c~:f-\"a..-\\V\o
Owne(s Nome
Address
Heoling Conlroctor
Address
T .Iophone .
Furnace Make & Modol \;.,~'YWI
Modo' SilO "j&rN'Ao'iJ.)\ \ a-
'ID,Q)V
Conn. load
Fuel ~ir bfA~ Fluo Slzo
Supply Openings .
Relurn Openings
lr1>ut .output
Edr.
ClIO.
~lJl
fiO'--
TYPE OF SYSTEM
Worm Air Planls
Gravll)'
Mechanical
AIr Condilioning r ~-,; ;z,lIt.LLt?~O
Venl. Systom
HEAnNG OR POWER PLANT
Slum
Hal Weier
Radialion
Special Devices
Othar Devicos
AIleralions
TYPE OF WORK
Now Construction
~
_ R""lacamenl
. Esl. Camp. Dale
Repair
Esl. Cost $
1.lI5O .
: :-~:ti
HEAnNG PERMITFEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
Building Perm" .
q,,"SO
,50
IOC>.OO
".).J)\
":,::::.:::;'::~:j::.
Racelpl ,
I
:rYPE OF STRUCTURE
l. fln'tn
1 Yell""
011
CDntf.dor
c
n
rt
Single Family .
'X
...
N
C
...
Two-Family
Induslrlol
MlAlI.FBmfly .
Olhor
Commercial
Public
Fee Schedulo
...
C
Induslrial, Commercial & Mulli-Famiy
Residential, Healing & AC
Residential, Healing Only
Residential, Gas Fireplace
Residential, Addilions & Alleralions
Residential, AC Only
1 'Y. 01 job cool ($39.50 mlnlll1OO1)
$99.50
$64.50
S39.50
$39.50
$39.50
...
N
III
'T1
....
III
,
iI
:I:
iI
III
rt
...
::J
n
p
Jl
"-
n
Remembor 10 add Ihe Slale Surcharge on Ihe bollom ollhls application.
The price 01 your healing per mil includes one rough-In and ana linalinspeclion.
Addilional inspeclions will be billed al $35.00 each.
House Heol.'g Tesl noco,d musl be submil1ed wilh IzIllllIJng I!IlIIIiIIIlIIIIIlm: belore build-
ing ce,lilleale 01 occupancy wiN be issued.
UE.fl[ kflL~J).l,ML01!.S /Jl;.QU.lIlEo. wllh number 01 supply and relurn . . , "lIsled pel'
room wilh CFM', per "Ilenlng. New slruclures or aeldAlollS s8l1d lloor plan wIlh supply
and ,eloollooolloos shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE CITY OF PRIOR LAKE, 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours aro 8 a.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CAll CITY HALL
447-4230
oJ
Ol
(oj
I
UI
.,..
N
I
(oj
...
o
...
I hereby epply lor a mechanical ayslems permit and I acknowledge Ihallhe
Inlormatlon obove is complele and accurale; Iha\ the work will be In conlormance
with Ihe ordinances ond codos of Ihe city and wllh Ihe slala butldng(mechanlcal
codes; Ihallhls IorIO doeo nol becomo a permit unlil signed by the BUILDING
OFFICIAL; Ihal the work will be In accordance with Ihe approved plan In Iho
case 01 all work which requires review .rnd approval 01 plans.
,/.,.-.'2, _ --.I . " SUI' t;~/D WfiH
J'J.1.ro$Tr(.vyUJJL ,'-4JING p__
1.....'iIi;T Dale
~;:).=-'I
Dole
Applieanl's Slgnalure
"
,
.,..
PRIOR LAKE DEPARTMENT OF
. BUILDING AND INSPECTION
~
INSPECTION RECORD
SITE ADDRESS lf3l.7 1J.?lJ-fl C+-.
NATURE OF WORK ) ,"'..') ~r
USE OF BUILDING ~ErJ
PERMIT NO. C/-03 DATE ISSUED ~-'2.- '2.oc>(
CONTRACTOR C, (t . ~..h..~..A~~_ Lft{7- (BerG
NOTE: THIS IS NOT A PERMIT FO~ ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. INSPECTOR
'FOOTING I ~ l7jdl/oJ: ~ I
I FOUNDATION (Prior to Backfill) I 't ~ '7 J~IQI I ~~ &/&.101 I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI~~
ROUGH - INS
~~:I'
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING h . !(}B'l!ol
HEATING (if required) b:r II 'J / i Ie J
FIREPLACE /!b-., If/ IS')/) J
. GASLlNEAIRTEST~f.f'.., ~ ~. J/l~/nl
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINALS
~.
i h.\ 0 (
/1/i5/Ii,1
fl;/W/DI
"
"
GRADING (Prior to Sodding)
BUILDINGT.t.O,fi1J ?11/~2- ~, t;!t I/~(,
ELECTRICAL '
PLUMBING
HEATING
DO NOT
. ,
V,/d'7/6 "L
7/7//0--'-
tJy, -
'J%r.
OCCUpy UNTIL ABOVE HAS
NOTICE
~112-/Db .
lo~ I ; 10 v
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 s!1a.1I be.pJaced near main entrance.
Call between 8:00 and 9:00 A.M, for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Iir~,-~~~~
;:-:.1; ~".. I-,-:~. "'_,i". "i_i"':. 1o;,:~'.'1rj,; i!"'. -",..;",.,
( :1"~:"&\~''''> ~'.''''.'4''' ..fro
t -
~.. :" " Qttrtificau of '''Coqmnry
.:~ ell r OF PRIOR LAKE
~tpattmtnt of .uilbirtg )n~ptdion
tinal Permitted 0 Conditional C.O. Expires
This CeniJicale issued pursuant to 1M requ;re1fIenls of SectiOll 307 of tM Uniform Building Code
cenifying that III 1M tiJM ofisSUlJllCe this struc,."e was in compliDnce with tM various ordi1lD1lCes oftM
City of Prior Ulke regulDling building constructiOll or use. For tM following:
SINGLE FAMILY
Use Classificolion
BIdS. Permit No
01-0399
0eeup0Dcy Type R3
Type Consttu<tion VN
.""Zone N/A
Zooins Dialrict R 1
Lepl Description L19, B1, KNOB HILL FIFTH ADDITION
Owner oflluildini
C.R.
e.. ." ',NameAAddRu_
'liteAddRu 14397 DOVE COURT
PARTRIDGE HOMES, 14696 LANDAU LANE, PRIOR LAKE
~. rity_
Dare: .
ROBERT D. HUTCHINS
I 'Art::
DON RYE
Dole: _
POST IN A CONSPICUOUS PLACE
,.. , ..,~... ",.;...,......",; ...,. '~,,"'.;'"
HOUSE HEATING TEST RECORD
-B-o, 1011 0
EI.ctrlcal Worlc By
TYPE OF HEAT
\1..)39; \:"k,v ~ <-\
L. (2,. t?6."r- ~~
DATE HTG. INST.
q'lto-.(c.. \-1J"---I- INSTALLEDBY 3jO
11 _'__"
GaS Lin. By ~ / ___.~'-,
GA_FA~HW_STEAM_SPACE HTR. _UNITHTR. _OT~E~,:,:, \
...GAS DESIGN CONVERSIOtf--~-
MAKF ~/> r (', Qj M1KE OF BURNEP """ 7
Mod. I ~1:-;-t'\"?l 'Fl_n~r-> -) b Mod.1 V
s.,.;al ::l:"1),-,' A I S"7 c,c, Mo.. BTU Ra.;ng/ '\.
INPUT 4...0. <=--. MAKE OF FURN""~
.. '". . l' Mod.1
APT._FLOOR
"WNER
CITY
~UBURB
ADDR ESS
OCCUPANT
HEAT LOSS
,
SOLD BY'
,
"
CONTROLS
THERMOStATJ-'1lJ'-I<- H.a.Plug
Va'I.. '\.;). a:._
L;mU ~e; D
L;mU So.Hng ;).., 0
Fan Setting ~'~Q. ~
PUa.Typo G,\OW
P; I.. Mok. ~ ~ , (', '-.r
"
Pilot Model
Pilot Tlmln~'
L.W. CuI 0/1 -
". ,"::"W ,,-.
Pr.ssur. -") .'..-.1
Inpu' CFH ~Q
S.ack T.mp. ~~o ~
--------
V.nt Size
d. "Pv~
KINO OF LINER
Draft Hood
FiI.... S;.. Iv-'/' Cl-C:;:l( ,
Chimn.y Location Inside
Chimney Construction
SIZE
R..ula,or M /A. "X"
1
Number
NONe
'1rl5' J
Out sid.
P.rc.n. CO, ~'. ~
P.rcent O2 .
Perc.nt CO _
Smoh Bomb ) Wiring
o.-alt "'-I TOI' To"
Door Prenure/ .. -...... lighting In.t.
Oat. TOI..d _ '\., - r Lt) - 0;;)..
CompanY-Te;~.ing .;:: \ I!}. t' ~ . -H"I~") ~
N.:... of',..t.r - J----
,,;:. -
v
1..1-c;':s~' .
Farm 235
....
.
I
o WORK SATISFACTORY, PROCEED
)d1CORRECT ACTION AND PROCEED
I~ CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERtNG
~,
Inspector:
Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
:!;-r2.~O'L 3~W
ADDRESS
143q7 DOlJ6- ~T.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-399
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL PLUMBING FINAL
o SITE INSPECTION a MECH FINAL
COMMENTS@ ~ t.tt.J ~W- "'4D .
~ ~ ~ ~-""'~;"-
~~, ~ Q~, c---. .
~ ~rr~, -
~-~
~ ~ ~1J~,12
a EXIGRADIFILLING
a COMPLAINT
a FIREPLACE Rl
a FIREPLACE FINAL
a GASLlNE AIR TST
a
A, 4Vt.. BFP
[J WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
a CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~, Owner/Contr.
CALL 44;~:S] FOR THE NEXT INSPECTION 24 HOURS IN AOVANCE.
"""'"'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE
SCHEDULED i7'$~~
~ {!;I-,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1~3'J7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING @
o INSULATION
FINAL
{i' SITE INSPEC N
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: ../"",,-- ; ~.
TIME
A.i<
~ I -:i9'J
o EXfGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-~
~ d.'Y
~- 6ft~4~'
" ."",
!
JliO'IORK SATISFACTORY, PROCEED
n CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ /j OWner/Conlr.
CALL 44~;io FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
,
lNSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
t. :rl*cZ-
-
ADDRESS
IL./ 3<;7 DOVL c. ~
PHONE NO.
PERMIT NO.
C./? ~rI,.M'~ I{,~
JLl- ~
OWNER
CONTR_
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~E6~- ~ILLING
o C MPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Curb 'B-n- ~~
~ORK 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 .l SAFETY!
.....TJ
;lit>>
Do U<':-ct+-
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
1'13 q7
OWNER
CONTR.
PHONE NO.
PERMIT NO.
m.E
e;, ~ /1---;)...-<
L ~ B9 9
o FOOTING D PLUMBING RI
D FOUNDATION D MECH RI
D FRAMING @ D WATER HOOKUP
o INSULATtO D SEWER HOOKUP
'liLfINAL A\\ D PLUMBING FINAL
'bSITE INSPECTION lJ!fI"f4 MECH FINAL
COMMENTS('j1 Q........~.~. ~ ~ __
~ ~+oO~~- ~v -:t-'
r1t':l ~ ttuGc, ~ ~
"
T:c..O.
D EXlGRADIFILLlNG
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GASLINE AIR TST
D
8/t ( lJ'Z-
I
D WORK SATISFACTORY, PROCEED
)d1CORRECT ACTION AND PROCEED
I ~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
Owner!Contr:
CALL 0&47-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE_
INVW"
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEllLTH & SAFETY!