HomeMy WebLinkAboutBuilding Permit 01-0425
DATE RECFIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Permh No.
I, White
2. Pink
3. Yellow
4-20-01
DIRECTIONS ,. DATE
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
I?w-.t ~.d..<:..... DoJ Co"...-t- 50 E /?;..... l.. lG- .
3. LEGAL DESCRIPTION
LOT
10
BLOCK
BUI G INFORMATION
11. SIZE STRUCTURE
(Ho91t) (WIdU1) (Depth)
<:-_ Jt:11d...<r
12. NO. OF STORIES
S"C" (l1",,-Y1..s.
13. TYPE OF dONSTRUCTION
fre>:J1r.
1.. FLOOR AREA APPORTIONMENT USE
4 PID 7.<:j~311- 03/-()
ADDmON W...,,.,d r : ../. "';<:' e..s -t.,,-+e.~ 'A "...s!./J. dd i -c. ; I:> n
'.OWNER (Nam.) - (Address) (T~~-5'.?>-71'19
4I1i-tA./~-.lI:I~r-<z~ o-.~n4:Jt2MJ 7/ TDdJ~.j J.b.,/YJIo/{d - I
5. ARCHITEtt. (Nam.) (Address) (T.I. No.)
6. BUILDER
(Name)
(Address)
(T.1. No.)
15. NUMBER OF OCCUPANTS OR SEATS
fM~"Ic.I~/J .6/dr.s. 7~n WJ.,5tJH.!?->>r l.AK.c -fL<;Ll- J..7U
i. TYPE OF WORK Fireplace a Septic a Deck a Re-rooflng a Porch a
N.w Constructlo~ A1t.ratlons CI Addition CI Finish Attic CI R.-sldlng CI Finish Bas.ment CI 16. PROJECT COSTN ALUE
Chlmn.y CI Misc. ~ I4LO. tMr"t> .
8. PROPERTY AREA OR ACRES 19. PROPERTY DIMENSIONS 1'0. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. Width Depth Yes No 10/ J /01
I hereby certify that I have furnished information on this application which is to the best of my .~.... .0........ true and correct. I also certify that I am the owner or authortzed 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
bU~fficlal can revoke this pe"lt for just cause. Furthermore, I hereby agree that the city official or a designee may Elnter upon the property to peltorm needed inspections.
X .. 'b-m,~ .<;,) ..3 .".j +'/(5LA,',
'- signature Ucans. No. Date
OCCUPANTS
SEATS
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
..'"
S~e
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS CI ENERGY DATA CI
PILING LOGS CI PERCOLATION TESTS CI
PLANS & SPECS CI SETS
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
<;:~u
OFF STREET PARKING
SPACES REO
SPACES ON PLAN
PERMIT VALUATION
Nt). ()"O. t:Jo
.
SURVEY
PLOT PLAN
CI COPIES
CI
TYPE OF CONSTRUCTION: I II III IV V
OccupencyGroup A B E F HIM R S U
Division 1234 ~ ,__
P.rmll F.. ................................... $ ( '2 11. <;;
PI.n Check F.. ............................. $ rz'll . s-<-t
to. 00
City:
Amount Brought Forward .................. $
P.rk Support F.. ........................... $ 13<:;[).C1O
SAC ......................................... $-4/~.~
Collective Street Fee ....................... $
SewerTap ................................... $
Pressure Reduc.r ..711.................... : l./6,'~
State Surcharge ............................. $
P.nally ....................................... $
Plumbing Permn Fee ....................... $
Mechanical Permn Fee ..................... $
lon.OO
ioo.19O
35'. Sf)
eAUAW
5..q~O/
MeterHom................................... ~
Sewer & Water Permit ...................... $:
We'.rM.t.r ................................. $ I LI:).n~
S.wer& W.'erConnection F.. ........... $ " ? "0 . n.
WaterTowerFee ........................... $~n" .()O
Water Tap ................................... c:
BUild.f~...il\eA!.~\ $
Other .~..\:t~. . .. $
Total Due .............................. $
Paid f<R~ Rece
Issued
Da'. 6, '() /
This is to certify that the request In the above application and accompanying documents IS In accordance with the City Zoning Urdi nee alld may
~_th8 _' nerconstitutesa terT1>OraryCertificat~9fZoningcoIlllMance..JQdalows~7\~~co':!'Irpence. ~occupa~.
~ ,c:l"'J.UX~.o ,V-lo&("" . (7...(~""~
. Planner Dale Speclli Conditions any
24 hour notice for all inspections 447.9850
By
Your Building !,ermn q~ ~p.ro~.~
__I. 0/' 2
(I')no,~
.").:!:lO _
(.
White - Building
CBnary - Engineering
Pink - Planning
Th,. (",.nl,.. Orlh,. L.k,. Counlry
;';'1 .,.,
mm.DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,., J 1-\ Ho \\1 AL I)
4- - 20 - 0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/444 121 DG i=~ l\JCClji CT ~E
I
Accepted / Accepted With Corrections
Denied
Reviewed By: ~~~
Date:
"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
~/2-0ft~;I;O~]al~cJt ~ Lo~ M;;;-
~~ :::Cv\.~9Yle.--- sX l(.:LY'J s [1U'f'-'" ').
,\~~
White - Building
Canary - Engineering
Pink - Planning
Th"(."nlt'rof lh.. l.abCounlry
BUILDING PERMIT APPLICATION Dee,lRTMENT CI:IECKLlST
NAME OF APPLICANT
APPLICATION RECEIVED
t1Af:to \^J ALO
4--20 -01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/4-44- 12../ O€tF; II\JO()[) CT S6
Accepted
t
Accepted With Correct~
Denied
Reviewed By: (
Date:
f(-z f~~(
(1;;Q: & W
f'J ffo Ql.o~
~~
( )
c: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."
~\
White . Building
Canary - Engineering
Pink - Planning
The' C.nlll'f of 11M- Lib Country
.B.UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT f/lf-\ t-fr) iN A L r)
APPLICATION RECEIVED 4- -- 2() - 0 I
~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1/444 Qf DGr:, v\l()or) CT S~.
. I
X
Accepted
Accepted With Corrections
Denied
,
Reviewed By:
1r1li3
Date:
L!-:43 -of
Comments: See Rever~e Side for Addition;lllnform;ltionl
-
\:lee f\uacnments: 1) Grading Plan, 2) Erosion Control Measures
3) Erosion Control PI;lJ'l
"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. "
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
Date Rec'd
(, "/2,- () /
C?lease ~ or Dlint and sim at bottom)
ADDRESS
J 7 '1# t2i4'lc.woocl
i ~w ~\~. I PERMIT NO. 01. "", t:::"1'"
3. Gold Apphcanl ~.::T I
Q 0"" r-'C:
.
p,.. ;" ,.... La..K~
ZONING (office ""')
LEGAL DESCRIPTION (office use only)
LOTIDBLOCK 1- ADDITION Woadr-;cI-.e J:~ttA..-t:es.
OWNERIl .. _
(NameL/:tlli...:b.....- /Jo...e.J / --3c,..............,
~ I ,
(Address) ~ 1 IDc:J~ ,sf:,.
(Address)
D,.. eo >1-e. Io.....u
PID
(Phone) t:./dL_57,3- 71"10.1-
N c.....J &1ALV ~+ M.f:,J
(City)
- - _.1_
APPLICAl;IT ,~,c.c:JI/.IC::- rt.-vfI!.ltrv';:t.
(Name L,llll..4.&,.,..... 41 I..t' J3 IA..; I 01 ~,.. <. .J- n c.. .
(Address) "V?~u.J -J5a s+_ jJ. ,',,_ L..I<*'
- (Address) . J
(ContactPerson).6 e:r 1'\ in a-r/1;VH-~ /If7
APPLICANTSIGNATUyj!4 /#/~
5509f..
(Zip Code)
(Phone) _ 9~ ~ - sL</7 - ol7J'.r
M ^-l 553 7 L
(City) (Zip Code)
(Phone) 9S ~ - f.L'JC7 - J..7 P.P
DATE
APPLICANT P~ASE COMPLETE BELOW
Size of water service I r. inches,
Location of any couplings from structure
Type of sewer pipe. 0 ABC rsfPvc
Estimated length of sewer lin~'V' ) reet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
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
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Building Oftlcial
Date
24 hour noti.e for an inspeetions (952) 447-9850, fax (952) 447-4245
$
$
$
.i&tn ~\1'\-\ ~\1
\"';ptlG f>~~ '
pa~
"!:late {g . I~' 0 I
I
~
ReceiP~
By IlllJl
-r
01/28/1996 13:12
9528947972
LAKESIDE PLBG
PAGE 01
k;/l.~~
IUe~)
\-
.,~ ~ . " ...
l'hI- ".nll., tor ,II. I.lkf(.u\,nlrr
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: 4",..- <..'d.,. nU/nO;"...
Address: I,;} v f..C( .7'" '3">" /90.j'
Signature: ~(l.I.uu ,~
Legal Description: Lot Block
Site Address: 17 t/" t/' 12.'1/''1" i..~ e-f
BuildingPermll# . 1.0 Zb PID# zC::;;-311-0'3/-0
NOTE: This permit will not be procBssed without complete information.
j. Dl~
2. Oold.
3, Ye~ltlw
FlIt
Cily
Ap~Il~UtlL
O/ot/-25
#
Phone; I'S..;)-?';_"/- ;;>""k
Sub
11'1 a. h ou.hL."
Quantity
ale,{ "'r.,
Type of Flldure
FIXTURE UNITS
aUlI,ntlty
Type of Fixture
Bath Tub with or without shoY/er
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 200mpartment sink)
Shower Stall
SinKs
Bar Sink
Waler Closet (toilet),
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewag9 Ejector
Backflow Assembly (RPZ. Double Check. PVB)
Bacldlow Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial & Multi-Famiiy .
(1% 01 job coSI, $39.50 minimum)
ReSidential. New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99,50
$39.50
$
$
$
$
9~,j~'
GRAND TOTAL
,50
. W\i\'\
..- fA-\OG PERW'Si
_~\N
$
rttis ~mit is KRntod up~n th~ ell.prels condition thal ~aiQ
. contractor, shaJl comply i all respects with the ordinances
01' 'the Slate Plumbinll C t mendment' thoreor.
Il.Ee . r..'o~'{)1 DATE
ATfEST
Call for all ins~ons 24 hours in advance,
16200 Eagle Creek Av, S.E., Prior Lake, Minnesota 55372 I Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opponunity Employer
CITY OF PRIOR LAKE
HEA TING/Affi CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please ~ ornrint and silW. at bottom)
ADDRESS
11'W4 'Kidof,'(Jf)()c! C + ,~
l =, ~:~ I PERMIT NO. J- / J""'1 {~ I
3. Yellow Apphcant ,C7V
ZizlG (office.so)
LEGAL DESCRIPTION (office.se only)
,
LOT Jf) BLOCK H ADDITION/j JOtl/M-I')rv e Sf- ,-=? rd-- PlOdS -3 /1- ()~ /-()
~':e~~i~ \I~tJ ....Jertm;~fl)ffl'Ifta.w , (Phone) k151 J/I5z~2..115
(Address) C/D ~ Wl5L1l'/JUc, -r y- ~\IL tl~ Mrv &:i5lY14
APPLICAJ'JI'l\\,. ._ I M~. L... '.. A ~I
(Name) 1\\ l(.l[)of f..CIII1JU.CI'-f (Phone) j1f.5J- ,.".52.- 2,75
(Address)~ Ke.m~ Dr ~ J 61Aan MAl 55J27...
(Address) ~ (Zip Code)
(Contact Person) '"EI \ I M.~ Her (Phone) h'5/ 45l~ 2175
APPLICANT SIGNATURE
DATE
" APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL ~YWUtt" 3'50MVD3f1.i)l.>>b FUEL NAT EVlS_
FLUE SIZE _ 'i>vL RETU~ OPENINGS g INPUT ~; DOl) OUTPUT 5L/.. DDO
TYPE OF SYSTEM HEATING OR POWER PLANT
~arm Air Plants 0 Steam
OGravity 0 Hot Watcr
I!;I-Mechanicai 0 Radiation
[!;IA.if Conditioning 0 Special Devices
~t. System 0 Other Deviccs
I FIREPLACE MAKE AND MODEL 'il"I\AAAPr. lIJJ P..
~
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach intO
Required Side Yard
Setbacks
Industrial, Commercia! & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residcntial, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIt FEE
$
$
$
.50 PAID WITH
BUILDING PERMIT
(Orne. u.. Only)
This Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
Date
Dater;;,~/-O~
BYr
24 hour uotice for all in.pections (952) 447-9850, fax (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
~.0~.
.f
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS /
NATURE OF WORK _ t
USE OF BUILDING SRJ
PERMIT NO. ()-'~04Z5 _ DATE ISSUED 4~2r;--(bo1
CONTRACTOR ~ U' J::{...{)nr-<:.. l/C/~~ 'Z 7a1S
NOTE:...THIS IS NOT A PERMIT FOR'ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING~~ \~. L,!tt/ol I 'b.J:;OR I O!~;J~l I
I FOUNDATION (Prior to Backfill) IJk I ~ ' &k'l 01 ~ ~ fi;=r. Ie f II k I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - JNS .
, ~' ib//!./IJ}
@r 7/~"') ~/
I
Pr
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~JI;tU.a'~ I p~ 1?/!9/0J
,
" / FINALS
GRADING (Prior to Sodding) ;VIS u:1 /otP'41
BUILDING 1.t.l>. ~ ID/I'5[o\ ~-.:1.f 'lkl ~. lJjJ.:U!!..r
ELECTRICAL
PLUMBING , ~ / ~J41 jVJ
HEATING yJfc t;n.. 'Cf//Lf/nt(g!i4/ 1/~~o/
DO NOT OCCUpy UNTIL. ABOVE HAS BWEN' SldNED
NOTICE
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.
"
7/! /,/01
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
"
QLtrtifuau . of 'rmpanry
Cll.r OF PRIOR LAKE
't Department of .uilbitt<< )n,ptdion
Final Permitted 0 Conditional C.O. Expires
, Certijicale issrwl pursrumt 10 lhe require_IllS of Section 307 of the Uniform Building Code
certifying thot al the time of iSSUQ1ICe this structure W<t.S in compliatu:e with the various ordi1lQllCes of the
City of Prior lAIa regulating building construction or use. For lhe following:
SINGLE FAMILY
Use Clusifi<alion
01-0425
,
R3
VN
R1
<. ....,...." Type
Lep! Descrip<ioa
Owner ofBui1dinl
MAHOWALD
COIIlncIOr'S Name AAddmo.
t:.i1e Address
BUILDERS, 7877 W.
17444 RIDGEWOOD COURT SE
150TH ST., PRIOR LAKE, MN 55372
ROBERT D. HUTCHINS rity _ DON R}'F
~~~ Doto:.
- \ . POST IN A CONSPICUOUS PLACE
Doto:
ADDRESS I) 'f'l~
OCCUPANT
HEAT LOSS
SOLD BY
Electrical Work By _
TYPE OF HEAT
/_...
~1ifo
I
JOB #
A HOUSE HEATING TEST RECORD
",~W'..",j C:I" APT. _FLOOR
I1WNER
CONTROLS
. _ Heat Plug _
Vent Size
;;l " PV.....
.
DATE HTG. INST, _ q '5<>-0 (
CITY
_SUBURB
_INSTALLED BY
- - lja. Line By ~""fI'o'C.....
GA _ FA --A-HW _STEAM _SPACE HTR. _UNIT HTR, _OTHER
~ GAS DESIGN
MAKE J MAKE OF BURNER
Mod.1 1/,..,1.(......c;:..~Mod.1
Serio I ~ 2.0 I A 'I ~7 ~ Mo.. BTU Rotlng
INPUT t:. ") 00 "". _ MAKE OF FURNACF ./"
Mod.1 /'
THERMOSTAT -I---/W
Valve
Limit
Limit S.tting .
Fan Setting
Pilot Type
Pi lot Male.
Pilot Mod.1
Pilot Timing _
L, W. Cut Off
Pressure f . ~
Input CFH '0
Stock Temp. ---3..::J
Form 235
KIND OF LINER
Draft Hood
Filters Size_
Chimney Location
Chimney Construction
f'J... i 5.., t-A-Ul
Smoke 80mb
Draft
Door Pres sur.
Percent CO2
- Percent O2
_ Percent CO
5".1
~, 7
_ (:l--".
Oat. Tested
Company Testing
Jt!Jfte of Tester
q. ~O- 0)
Fredo<ickson Hea~ng & AlC, 3650 Kennebec Dr., Eagan, MN 55122
\'1'..,.,
CONVERSION
...---
---.....~
.....x....
.............
~
'-
SIZF
Regulator
~umber
_NONE.
In1'\1 <-
OuUld.
_Wiring
Test Tag
lighting lnst.
DATE
;;P6
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9-1'1-[
~ ;d~c:L ctf
CONTR.
1 - L-/ d-.S
PERMIT NO.
ADDRESS
/ "'1 t.lL/u.
I '
OWNER
PHONE NO,
o FOOTING 0 PLUMBING RI 0 EXlGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING @ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
$FINAL . 0 PLUMBIN.G FINAL 'J/ 0 GASLINE AIR TST
o SITE INSPECTION "riECH FINAL '1 c....--- 0
COMMENTSa"tlk.' -r~ ~ ~
to.. -t;;'R .:Jmi [) a-O ,
~~r'::..c-.., ~-1111 ~'J.." 'hl ~,..,J,
(:3)~ ~-+-~U~ V~. I
~( fc.::6:;.- ~~ if'J_:L,fl ~ dkJ..-
.M,I~_(~~~,~ ~,
I~ ~ ~ ~~~~i310/
(f;) A,..,~, ~- '--f '
T, e.., 0,"'t::02.1 10 h o::::::.J 0 I
o WORK SATISFACTORY, PROCEED
)lO:ORRECT ACTION AND PROCEED
o CORRECT WO~LL FOR REINSPECTlON BEFORE COVERING
Inspector: ~' Owner/Contr:
CALL "7.18&0 FOR THE NEXT INSPECTION 'l4 HOI-'R~ 1N}l.DVANC~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
'NSNon
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'112.<;;/1:" '/):00
ADDRESS / 7'/ t.f '-f
1!1/J6E.~DtJ
e..T.
OWNER
CONTR.
PHONE NO.
PERMIT NO,
tJl - if,;)5"
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
J( MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:"RI.(",. ~
@ t~11 ~ . J ":'"' ~~ ~-T'
~1"1IV< ~I
W t ' 1~1~~~
~ ~I b'
~(?~
o WORK SATISFACTORY, PROCEED
/4' CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
1(~lq-OI A'T.
ADDRESS
Ir444- t:AOUNoOD CT.
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSUUS
(j&-ANAL
o SITE I TION
COMMENTS:
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.s 0 f) / T'teE6"
6).!< .
C~ t::-1C-r;.
,~(J;'V Cj!/.
( - c.f 2.-S""
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTO Y, PROCEED
o CORRECT ACTION A PROCEED
o CORRECT WO~ ~ F INSPECTION BEFORE COVERING
Inspector: fC.-, Owner/Contr:
CALL 447-9650 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
lNSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
t1'O-ol Zl rV
ADDRESS
/7444- let LJ61G W07Jt)
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~MECH FINAL
COMMENTS:(/) MJ ~ ~ .~ ~ ~
'"~',,IJ1~O --c..IYV\~u., - ~ .A1Au.:I-
15}-,il .J..JJ,. .A~A/"<~-1},-....- ~~ .A~-<;b..LL
,~~-~, ~~. ~ .
~: ,L; ~"7:; WCTU {1~ r-
1 V~J;: ,~~~
~( L< - ~ ~ - .dJ"...:a;:.flf,;::r:,,_ iAA.Lj*,~d:iA--
') ~ ~ en-- f-.v.-v.~>-<..L...'
", ):(.. ~ '~
~ t~" ~ .:;b, ~~ .rIL I~'
ffi)'~'c... ~ ~ ~ --~~
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o WORK SATISFACTORY, PROCEED I '8 MAJu/'I/J".;::t;; ~
o CORRECT ACTION AND PROCEED rv V vvv- r . -;:, I 0 _ u
J CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING S'hv~
Inspector: ~{Owner/contr. rn ~ I
- J
CALL "7..9850 F R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
OWNER
CONTR,
PHONE NO,
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
INAL
o SITE INSPECTION
)-4-26;"
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
"""'"1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TillE
SCHEDULED ~ Q:5cJ
R:J.JJJ~ <!)f',
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I t-; '-I Y i..(
OWNER
PHONE NO,
PERMIT NO.
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
~ PLUMBING FINAL
o MECH FINAL
COMMENTS: tf) )."d ~~
~
~J. ~ -. r::u::u - ~DvJ!..
~~~
0/ - ~~S
o EXIGRADlFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
J
~
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Conlr:
,
~ALL ....7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN'NOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
to- 3 'f!) / fl J'>1
ADDRESS
/7'f'i'i ~,r1(,,(
Vrh>rl C r
CONTR. /Yl.,h~W.';e/.
.
PERMIT NO. --D I-L( 2.)
OWNER
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.:II( EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
6M,'1I~- 19R:.
Lt/tb B,..)<. r I"l If..
XWORKSATISFACTORV, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
In.pector~-~ Owner/Contc
CALL 447-9850 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETYI
lNSNOTl