HomeMy WebLinkAboutBuilding Permit 01-0449
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
q?lease tvD~ or Drint and si2l1 at bottom)
ADDRESS
I. White File
2_ Pink Cily
3. Yellow Applicant
Date Rec' d
'-/-;) J
'01 '0449 I
II .;I, d-. '1
u..J 1'1 d...LrrV..S<::" ~t J.....+
LOT cr BLOCK
LEGAL DESCRIPTION (office use only)
ADDITION \) .II' P.-- ~ \ q \ d
OWNER
(Name)
(Address)
BUILDER
(Name) 1\ . Y,
(Address) .7, 4-."1 Cj
\+~r+r-'"
\'::.r
(Phone)
ZONING (office use)
Rl
PID.1s,3 7()- OOq-c>
(phone) J" .; I - ,..,} < t.. - LJ.::l ~ /
~. .::/tJ4 lnJf) n, YYlt0 SS~~
ORe-Roofing ORe-Siding
I,") (} Shi'"'2 t'J(' ~ r-;, lfl.
~New Construction ODeck OPorch
TYPE OF WORK
o Misc.
OLower Level Finish
o Fireplace
OAddition
OAlteration
PROJECT COST IV ALUE (excluding land) $ 1 411' . c..l D L../
OUtility Connection
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
enterupon0ther4- _'OJ to Perfoarmneededinspens. _
X /?//N/ c#< .A A/Yl ~Ocx::>.5?5r"J <-{-a.O-OI
,. I ...;. - SIgnature - " Contractor's License No. Date
....
1 Permit Fee
1 Plan Check Fee
1 State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
1 Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$ /4 P-.; COO I
$ 12Vl.. .st-
,
~~o .(p{/
- 7/J . frI/)
IN")- . N) I
ilJtJ .00 I
35. '50
t.{D.O')
1$
1$
1$
1$
$
$
. ati~+=YOmBuildin~=;=,A~oved
Building fficial Date
1 Park Support Fee
I SAC
1 Water Meter SiZ@; I";
1 Pressure Reducer
1 Sewer/Water Connection Fee
1 Water Tower Fee
1 Builder's Deposit
1 Other
I TOTAL DUE
#
#
1$
$
$
#
#
~,c:nl
I, l~t\ .C~ I
L '2.S'.ro I
$ 4.5. ()() I
$ 1/ t) t"Y'\ .I'ln I
$ t{t:,o .O~ I
$ I. FiOO .de 1
$ "
$B.ODZ~7 J
-
I Paid ~OW. -"
I Date !;- i7-I'JI .
/
7 ~~jerJq~"7
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 ,.........u....J Certificate of ZOning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
,~--:> o/it/-st _~~.~~
L Planning Director Date SpecIal Conditions, Ifany ~ blf
24 hour notice for all inspeetions (952) 447-9850, fax (952) 447-4245 l'el J I
\
\;
..... .
*
White . Building
Canary - Engineering
Pink - Planning
.
The ('fntu of Ihf i-akeCountr)'
.B.Ul.LPING PERMIT APPLIcATION DEPARTMENT CHECKLlSI
NAME OF APPLICANT ij ,k:' Iv/li'h) }U
APPLICATION RECEIVED L/ - ?(;,{)j
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: , '.
j "/ A ,/".-J-
i / ) /.f..o'-t2-1/Y>:.?d ..:---- - \" ' : I
/ !'J-:;'? q
""
Accepted V-
Accepted With Corrections
Denied
~ Ik
.'-' -
~.A. -b1~~
Date: ,5 /ts-~~
Reviewed By:
Comments:
,Mf\xJlAAlA.w. tJ-.-~ 'F-~ LJ~~ ~}{J<{~11'~1c~
~ r/ervct-!~ I~ ~~J .QLt)6)
-5D C~~~
M:; VL/1JIAJ..AJA ,~~\
:;~~ ~~
f0~J\I~L~~~ ~\q-~A 1;LNJJ1.p
~ ~~ &~ (J~., - V:Jt~~ t!J>r ". '
,,~~ ()~'ffi Av~Ne\f1~~ led }'v\. R.. \ 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."
1\ V u\ J.P'~ ~4
{J.W .;>
S^X~-H'~~
~i
White . Building
Canary . Engineering
Pink . Planning
Th~ ('..ntcor of th.. I..b Country
IDm.-DING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 7) R.. ~/.I7J{.../
APPLICATION RECEIVED t./ -d6-D/
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
j/Jd-d-q //).dd..k!4~-;f
Accepted
Accepted With Corrections
~
Denied f)
Reviewed Byl;--;;::'~_
Date: 5-'3-~1
/'
Comments:
_R..ecu1 a 10_ aJt;i C-~
~..l o~
.
"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."
.
_.
Thf C..nln of Ih.. L.h Counlry
0/ 4'19
White - Building
Canary - Engineering
Pink - Planning
'~-
BUILDING PERMIT APPLICATION DEEARTMENT CHeCKLIST
NAME OF APPLICANT ?) R. cj-jtJi/ /J1<-I
APPLICATION RECEIVED Lj -;}0-o/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: '
/#?d-;;..q / ,/);UJb?~(?+
Accepted
()(
Accepted With Corrections
Denied
Reviewed By:
AlII B
Date:
'-1-30-0/
Comments: ~. Reverse S~ for AdditionaIlnformationl
/
~,
r
~ Attacnments: 1} Grading Plan, 2} Erosit>n Control Measures
3) Erosion Control Plan
"The i::;suance 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."
.J
.' .
'Ii
,'/MIiIi
Jun. 4. 2001 3:28PM
GENZ RYAN PLUMBING AND HEATING
N0.5114 P, 31/40
Date Rec'd
CITY.oF PRIOR LAKE
SEWER AND W A.lJu<. PERMIT
,., .
.~~ ~ I PERMIT NO. 1-~t!9 1
ZONING (9lIic""'l
PI
~c tJ:Ec atprlDtawlDla _ :';_...J
ADDRESS ,-.'
Ir2.20, wdl?U~ & SF-..
LEGAL DESClUr nul'f (ollh:e _~)
LOT '1 BLOCK A!.JJ.JwON 'J)/}~f t; p () n I So r
--- -- ~ ,. .,
p~5>3?D -()Clj-O
OWNER
(1S'a.m.e) ntl u...._...__ ("I~'''''''^m. 'iQW""'-
(Ph~) ~51_~S~ ~~~~
Eagan. MN 55122
(cu"l (ZIp Code)
(Address) 3459 Washingtou D:r: Su 204
(Ad<l:eu)
APPUc.ANr '
o-~e\ Genz-Ryan Plumbing & Heating
(Phone) 651-423-1144
:Address) 14745 50 Robu.t Tn:1l
(Addreo>.)
Contact pason) Ma:r.'Y Olson
"'PUCANT srGNATtJRE
Rosemount. MN 55068
(Cil:y) (ZIp Code)
(phone) 6S1-423-11~4
DATE ( .if \ \..1 \ f"Il
-
ASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estim.a1:ed length of sewer line feet.
Clean out (if required) located at ' feet from sttucture.
feet:.
o Cast Iron
FEE S\..J:1JWULE
,sidenual sewer and Wll1er line =ection $35.50 Jildu.rtrilll. Com'I &; Multi-family 1% of job cost with a $39.50 miJljmum
wer cCllIlection only $17.50 W8%Ot" eQmlec:tion cm1y $17.50
Estimated Cost S
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
S
$' .
$
.50
,
PAID WITH }}}}t
BUILDING PEF"v.i t
lJc:~ u~c Oafy}
his Application Becomes Your Buildilq: Permit When Approv~
.
D.'"
I Paid
f I;llltl: (>g---.ol
RoceiDt~
/.
I
llUilcIIDg 08Ida1
By c;L.
V
~ hour n.tle. for aD ia.pcdi.... (lI5Z) 447-~lI5O, 1U (9S) 441~
Jun. 4. 2001 3:27PM
GENZ RVAN PLUMBING AND HEATING
N0.5214 P, 31/40
Date Ree'd
~.iJ. f OF PRlOR LAKE PLUMBING PERMIT
(plaoe "IE" ""_tmll mm otbollDm)
ADDRESS ',' .
, .
-r-"12- 'l- o,wlf cu-~ C-, :!:P-
1.JlIwl:: Pl..., IP.......~N
~ _ "III , .....'-"......-:;:-u, (_ / t/ Jq I
..~.y..... _ -r,
ZONING {olIl.ee_l
R~
LEGAL DESClUl"'I!ON (omc.1ISC =tY)
LOT q :BLOCK ( ADDm()~ ~.I.Ae1-D / sf-
PID::2.5 -370.... (Joel- 0
OWNER
(NaXQ.e) DR Horton Custom ROIlles
(.phone) 651-454-4663
(Address) 3459 Washington Dr Ste 204 Ea.gan, MN 55122
APPLICANT
(N'amc) f1....'I'lI..._"I1y..._ '1)1:......""'-I:og ~ ~a<!l...f~..
. (Phone) ~~1_4?.._l lV'
'Address) 14745 So Robert Trait
(Address)
Rosemount
MN
55068
(Zip Code)
(City)
COlltactPersOll) Mary Olson n _ I ^ (phone) 651-423-1144
U'PLICANT SIGNATURE ,1 rLU 0_ - DATE (tJ [L\ \ tJ J
- APJrC~LEASE COMPLETE BELOW .
I Type of Fixture I Q1IIUlUiy I
I Bath Tub with or without sh",..er . ~ . I Rou~-iIls
I Dishwallher I I I Wan;,. Heater
j Floor Drain I I Watl:r SoiIner
, Lavatory (BathroOD1 Sink) I I Stand Pipe (Washing Machine)
I Law:u:b::y Tray (l or 2 c~~",",;...ent sink J I Se~ Ejector
1 Shower Stall I Bacldlow Assembly
Sinks I I Baddlow Assembly Test
I BlIl' Sink I I LaWll Sllrinlder
'0 I Wm.r Closet (Toilet) I I Other
Quantity
2-
,
I
'"
1.
I
I
Type ofFlxture
I
I
I
1
I
I
I
I
,....
FEE Sl...l:U!.JJuLl!;
lndU3tlial, C=a1 lit MuJl1-family 1% o!job oos< with. $39.50 minimum Residential, Now 0". lit T",o-l'amily S~50
Residential, Additloos & A.J1craIiou:s $39.50
Estimat.d Cost S
B\rildil:I.g Pcz:m#.1I - .
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERNnT FEE $
. .50
t.
JH
PAID WITH}) (/.
BUILDING PER",,'I
11<0 Us. Ouly)
:'IlU ApplicatiOD Becom!"l Your BllildiDC Pennit WIlen AJ,lpr-ovcd .
II1>lIdJJIc OIIIdll.l
Dab:
I P~d
/D&teb-g',of
I Recei..tN/'
By
~,
24 hour \loti... tor all iD3pec:llOD' CIS) 447-9~o, fa:< (952) 447..a45
~.f.\'I!!' <<mID. ...d..... at...........)
ADDRESS
17;)d.Q W.J./~MJJ' ~
ia =-1 PERMIT NO. j-LjL{q
ZONING '-_I
RJ
LEGAL DBSCRIPTION (olllc:ll u..~)
LOT q BLOCK I ADDmON
(
llooA ~
PJD~5-37D- DJ:f-(j
OWNER
(NIUIIC)
(Add!ess)
r:JR
o/.J.,~
(l'IIOIlC)
APPLICANT
(NlJ.IDe1 ALLIED FIRBSIDE DBA FIRl!SIDE lXlIlN~
(Phone) 6S1-~3-251;l
(Address). 2700 N. FAIRlTIEW A'\1II!IIlTI1>
(Addlno)
(ContaCt Penon) BlU!:NDA HtlST~
Al'PtICANT SIGNATURE i5rt1J..A
.
t
t/uJX
I!"1C'WTT.T~ M'I\J
(CllYI
(Pbone) 651-633 -2 561
DATE '7~-'o,
~.,,' ~
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
~eWCONSTRU~.,..... OREPLACEMENT OALTBRAnONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RE'Il.1RN OP9lDlGS JNPIJT OUTPUT
TYPE OP ~.. ....,..!: JIJl.A TlNG OR POWER. PLANT
:JWann Air PllUllS B S\IOPIl
:JGravlty Hal w_
3 McdIllllcal . 0 Radllllllll
Air Conditioning 0 SJlOCiol Oev....
v.o', SySlOlll OOlberDnlccs
FIREPLACE MAKE AND MODEL ~ JJ Ci ~ Sf., 7s.-o'!rl - e.
PL&A.SE NOTE:
Air COIIditlQl\er Unils
c.mot En_Kb In10
blulred S14. YIII1I
SeIbacks
Fa: SClfEDULE
Industriol. CommercloJ ok Mulll-Fomlly I"'otjo~ _ Raldl:n1llL Gas FINpI...
$39.51,...........
Resldentlll, Heating &; AIC (New Consll1lcllllll) $!I9.50 Residemi", Addilklns & AlIlllliDnl
Rosidalllll, Heating Ooly (New CoO.Wc;t!OII) $64.:lO II ~;..: I.AeOnly
'39.50
539,50
539.50
EstImllfed Cod S
Building Permit 1#
HEATING PERMIT FEE
STATE StJRCHARGE
TOTAL PIRMlT nx
$
$
5
.50
PAID V'v"-H
B " .
UILDING PEr-. ."-'-
rllVtl1
I.OIllcc v.. OoIY)
T"" Appllcltlon Deco... Your Build", Pnmlt WIle" Ap".."ed
PlIid
--
lb_Jpt;Jrt'=.
DIlle
/-,)-6...-oJ I B)'CC-
U
hUdl.. omcloJ
...
24 hOll. nolb lor .n r .
l!l5Z) 147-98511, .. (95Z) d47-GC5
€w~
+'.\'~E.01."
CITY OF PRIOR LAKE ~91~
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please!VDt:. or orint and ~~lilJl at bottom)
ADDRESS
J '7 cQ:J. ~ tl p..r" f'I e ~ ~
i E:.. E;~, I PERMIT NOO)_ Ljljq
Qt.
5.iZ. .
ZONING (office use)
1<1
LEGAL DESCRIPTION (office use only)
LOT q BLOCK ( ADDITI()N Iv ~d
~~e~~ DR Horton
PID 0(-)- 370-()OC;-, ')
(Phone)
(Address)
APPLICANTAU' t M L
(Name) I C4n e.c..n. :r:i1d.
(Address) .31.50 f<, ennl!.he.t.!.. Dr:
(Address)
(Contact Person) 0e. ,; .x..: mm eJf'mCll.n (Phone)
APPLICANT SIGNATU~':; IJ. j1~..uu.''''" '"l- DATE .!fh4/0/
APPLICANT PLEASE COMPLETE BELOW
jgJNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TlONS
FURNACE MAKE AND MODEL ~t'y-'W~ Q~ % FUEL JJaJ. GQ.~
FLUE SIZE o? Ii PVl. RETURN OPENINGS INPUT 100J (J()O OUTPUT BD,ODO
TYPE OF SYSTEM HEATING OR POWER PLANT
~
(Phone) 1.t.5I- "'612 - ,JI,,? 5
MAl !j61.J..:L
(City) (Zip Code)
DWarm Air Plants
DGravity
o Mechanical
~Air Conditioning
tii{\'ent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential. AC Only
$39.50
$39.50
$39.50
Residential. Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
Building Permit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
13i.J1! ~AID Wlr,
'-4JING p H.
~R'iI~rr
. Receipt No.
(Omee Use Only)
This Application Becoines Your Building Permit When Approved
Building Official
Date
I Paid
I Da~_?-9_0 I
,
24 hour notice for an inspections (952) 447-9850, fax (952) 447-4245
BYJ0
.
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION RECORD
"
t..J 1'\&..Q.h^~" ~ oJ..
SITE ADDRESS r:J..:hd-. q
NATURE OF WORK ~.Ll
USE OF BUILDING ~F{)
PERMIT NO. t) 1- 04-~ DATE ISSUED !=i :.. ~ . '2co /
CONTRACTOR l''). tR. I~n -
NOTE... THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR DATE
I FOOTING Il:s. ~~~ I 5J:z.310(
I FOUNDATION (Prior to Backfill) ~ fA.-- S/a~) 0 r I /#;;.. 51:?/!m
PLACE NO CONCRETE UNTIL'ABOVE HAS BEEN SIGNED
ROUGH - INS
. f2r. _ 7b/~ J
'~~. ,
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING It.<!1. ~. ~ r II J01 tJ
HEATING (if required) &. ' l?/q jD}
"
FIREPLACE fh. f?/9/1J1
GAS LINE AIR TEST ~,foll . ~.' 6:r. r:/9/0 I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINALS
//13
f:n., I~mt, /
I
#~!t) I
~/)cJJI'J.l
. '.
.
"
GRADING (Prior to Sodding)
BUILDING"\.t.b.~~p, /1101-
ELECTRICAL . I
PLUMBING
HEATING
DO NOT
JI-" -0 1
A
P.R. 8-?-~/ ~, !tJ/S/;4j
~. ~/~~/t'lt
OCCUpy UNTIL ABOVE HAS BEE'N ~IG'NED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
...-'
03/23/98 MON 09: 27_-.W 6124474245
CITY OF PRIOR LAKE
1j1!002
,.
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submiued with Building Permit Applicalion)
For All Properties Located in the Shoreland District (SO).
The Maxi!llum Impervious Surface Coverage Pennitted in 30 Percent.
,
Property Address
17 2:2..9 VvlLI,)8(}I.f~( CT
Lot Area 16, i6q Sq,Peet x 30% =.............. 4CJJO.l
...................................................................*....
LENGTH
WIDTH
SQ. r=1
HOUSE
ATIACHED GARAGE
x
x
x
..
=
..
TOTAL PRINCIPLE STRUC1'lJRE_....
2093
DETACHED BLDGS
(Qarage/Shed)
x
x
""'
TOTAL DETACHED BUILDINGS
.....-..-
o
DRIVEWAYIPAVED AREAS
(Driveway.paved or not)
(SidewalklParl<ing Areas)
%Jl.(
-:;: '"
x
X
X
..
~q5
2l
'"
'"
TOTAL PAVED AREA,<:
...--....
Q2L.-
P ATIOS/PORCHESIDECKS
(Open Oecka v." min. opcnins betWeen
boW.. with a pervious surlU:. below.
arc not considtnCl to b, impervious)
X
X
..
"2.16
..
x
..
TOTAL DEa<:
"2\1..
",
OTHER
x
X
..
..
TOTAL VA.a..I!.Ao_....
o
TOTAL IMPERVIOUS SURFACE . , 32.3)
(UND~OVER 0<7 \ b l~
Prepared By ( 4&t. ~ Date 11 ft'P'R-? 00 /
I "
Company ~rz,14NDT bN?\tff-a21NC.r-:;IJR.VF3fIN{,..Phone#Cf)2 43) 19M
ADORES. 17;')';l.."
OCCUPANT _
HEAT LOSS
SOLD BY
Electrieo! Work By
TYPE OF HEA T
\...J -, Ie>-, ~_....s
HOUSE HEATING TEST RECORD
C.o~-
.JOB #
APT. _FLOOR _CITY
I1WNER
~UBURB
DA TE HTG. INST.
INSTALLED BY
("~S Line By _
GA _ FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
GAS DESIGN
CONVERSION
MAKE I;,r...__~
M.d.1 ~.s-O""'''~o4rIO'' ~
S.,;.I ;)."0 I " \ '-'t.. '1'1
INPUT. \ao.o..;.,...,
CONTROLS
THERMOSTAT \\_u_\\ H..t Plug
Valve
Limit
Limit Setting ? ~ c-'")
Fan Setting
Pilot Type "c; "1;
Pi lot Make
Pilot Model
Pilot Timing
L.W. Cut Off
Pressure '3 ,C
Input CFH N A
. \"....
Stock Temp. f') .J
Form 235
MAKE OF BURNEP
Mod.1
_ Max. BTU Rating _
MAKE OF FURNACF
Mod.1
Vent Size
~,. "-..I c....
KIND OF LINER
Draft Hood
Filte,.
NONF
Size .J!.l!,~r-I
SIZ~
_ Regulcl10r _
Number I
Chimney Locotion
Chimney Construction
Inside_
Outside _
Smole. Bomb
Draft
Wirinl'''
Test Tag
Lighting Inst.
Door Pres sur.
Percent CO2
Percent O2
Percent CO
~.~
,.:::1
-~-
A1I1~t Mechanical, 3650 Kennebec Dr., Eagan. MN 55122
f...<.'~~
IO-IG-1t1
Oat. Test.d
Company Testing
_ Name of 1.51.,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
q-lr-01....
ADDRESS
/7 AJ.. q
Wild~o'I(S5 c- T
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01 'CR({Q
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
o FINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTS: ..s:t2d/ T"'C<.:S (~
\' /
" H~r_
iTt'f~,':;' .;~
,'-- ~lP?J
\," - -
. WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT,M)' CALL FOR REINSPECTION BEFORE COVERING
Inspector: If! q-)..S'-OL Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/'iSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
I C:J 7i/b L
:3J~
, .
" ,
IJh~~
ADDRESS / h :r;rq
OWNER
CONTR.
PHONE NO.
PERMIT NO. fJl- r'( '7
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION re 0 SEWER HOOKUP
o FINAL .Ill PLUMBING FINAL
o SITE INSPECTION 10' MECH FINAL
COMMENTS0 rZ.n.1 ~A.4- t
.
~ ~ c11---
~~~
o EXlGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~ CALL FOR REINSPECTION BEFORE COVERING
Inspector: fi'))r. Owner/Conlr:
CALL ~7.9850 FOR THE NEXT INSPECTION 2A HQURS IN ADVANCE.
INSN07'l
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
J 7~;)..'7
SCHEDULED /~~l /tJ:.Jd
LJJ.IJ, -_. - . . tV .
OWNER
CONTR.
PHONE NO.
PERMIT NO.
tJ/ - 4~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ..~ 0 WATER HOOKUP
o INSULATIO.'([J:it9 0 SEWER HOOKUP
~ FINAL 1lS\~ PLUMBING FINAL
o SITE INSPECTION (~. MECH FINAL
COMMENTS: "Rijlo .
(r\) ~~ ~ -~. ~
~ ~ ~ -ft:.~ ,u.., 11_
~ P.aAA< _ -.J- ~~ -fr..'
o EXIGRADIFILLING
o COMPLAINT
@D FIREPLACE RI
FIREPLACE FINAL
~ GASLINE AIR TST
o
~.
T.c.. o. ~'-'
..~.-,....
~~' -"
.(Lr;'~'~
~'s\'h
>" ).;
~ r.,.
C _~M"=4~.,,
., CORRECT ACTION AND PROCEED
o CORRECT WOR~CALL FOR REINSPECTION BEFORE COVERING
Inspector: @:;r. OWner/Contr.
(
CALL ....7-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
1NSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/I~-ol
ADDRESS /7"))1 WIIrJ./dl{!,S c.. T
OWNER CONTR. f)_R. Ho,-h7",
PHONE NO. PERMIT NO. 01 - '-ItlCf
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
o MECH FINAL
.)( EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
CV/~ f3t')~- n k..
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
.H? I' .
Inspector:/7~ Owner/Conlr.
CALL "7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
UfSNOTl