HomeMy WebLinkAboutBuilding Permit 01-0489
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
5-3 -0/
I. Wl1ite File
2. Pink City
J. Yellow Applicant
ZONING (officeu,",)
R.16D
l.{)~
I
(Please tvp~ or orint and sign at bottom)
ADDRESS
~1'8'"z" ~k.h,:\ c.,OU~ ?0'.1:'\ t- t-IvJ
LEGAL DESCRIPTION (office use only)
LOTZ5BLOCK
ADDITION ,vor'\'\"'lA,)ool!.. ~c.."~ ~{...-\e5 z. ~ PID2S-57I-Dz5-0
OWNER
(Name). 'St:.."'~ c:... 5
'0.....; \ ~-er
(Phone)
(Address)
BUILDER
(Name) u\"'9s.boro~\..... \4o~'".>, \...L '-
..... ~
(Address)~?5"O-90t!:! S~- '). c..o t-f~Clf<" (?:,rC:lIIe.-,
(Phone) b 51 - tJ 8'0 -I '?"&- (
Mol() sso/b
-
TYPE of WORK ~ew Construction
OLower Level Finish
ODeck
OPorch
OAddition
ORe-Roofmg
ORe-Siding
o Fireplace
OAlteration
OUtility Connection
o Misc.
PROJECTCOST/VALUE (exc1udingland) $ l'i 3, '3 ~o
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 t"~",y';'nJ' 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 yn'y_~.i to perform needed inspections.
X ~.\ -' -- ;).00 S "is" S 30 S--"2 - 0 I
Si2l1amre Contractor's License No. Date
I Permit Fee $ I'~~ I Park Support Fee # $ B5'c .00....
I Plan Check Fee $ lCll4 _ 55 t SAC # $ I: / SO .on
I State Surcharge $ ~8c.{. 4(.. I Water Meter SizG I'" $ / a5,tJ(>
,
I Penalty $ 9(...50 I Pressure Reducer $ . '-Le;;I ~
I Plumbing Permit Fee $ I~O. OD I Sewer/Water Connection Fee # $ I. ~n(').a I
I Mechanical Permit Fee $ /OO.()O I Water Tower Fee # $ · 7 JVl./W)1
I Sewer & Water Permit Fee $ .. 35:5"6 I Builder's Deposit $ I. i::nn. /I;"") I
I Gas Fireplace Permit Fee $ <tOo 0() I Other $ " I
omes Your Building Permit When Approved I TOTAL DUE CAu..6z:) <>-~.o1 $ 8.441.01 I
)- (r. -7.nt'){ I Paid Kill/I./) 1 I ReceiptNo.~ '((.,J..kj
Date I Date 5~!J9-o / Bv I'M:./" .
/1
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
~zc:;;--=tirut~satempm~Certi~:;~moemdall~roontooom=:Cfu~occupm~ mUslb:
- ~mning Directo' . Date - ~ial'conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Th..C..nl..ro'lh..t..hCo"nlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKI.J.SI
NAME OF APPLICANT f:(,'/VS 5 borob<-:j A
APPLICATION RECEIVED S - '3 -0 I
-+-IOMeS
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'3IR;;:;. Slfll-DY 6OI/c Pi-
Accepted
Accepted With Corrections --;.(
Denied
Reviewed BV..o 6--..1 -
"
Date: ~-rc-71CJ1
Comments:
Q.f'ruJ. Q.(l a.f{..c(".sz,r( ~~t=.k
"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. ('.nlu of lh.l.ak. Counlry
White . Building
Canary . Engineering
Pink . Planning
BUILDING PERMILAPPLlCATION DEPARTMENT CHeCKLIST
NAME OF APPLICANT /~~ r: r) 5 h (Ji () v :5 A
APPLICATION RECEIVED 6 - 3 - 0 )
II,) Iii e S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:3 /f1. S /f .II D V 0./ {/ E
Accepted //
/
r
Accepted With Corrections
Denied
,../ ,...+" /A
Reviewed By: _(L4A-...' ~~
Date: , r/lfiS/ PI
Comments:
---1:!v.. v1\MllMA 2-1{ 1=, t...A..A~ vCv~€-.hhM 141
f-l'tM,\ Jv~ I~ +- ~ l.1vo ~. J; . LJ
\lO ~..
"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"~';''';'Y',; -~",';,,. :::~
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~
Tht "tnltr Qrlht bkt Counr,.,
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION D.E.eARTMfNT CHECKLlSI
NAME OF APPLICANT ((,' IV 0 5 ho r 0 I^- q A
.. >-J
APPLICATION RECEIVED 5 - 3 -0 )
rtJOMe S
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
31t;:( SI-IIt 0 Y c.o VE j':?-r
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
IV' f} 17..
Date:
h"- .2:J -01
Comments:...sF!F! RF!vF!r!':F! Side for Additional Information! .
;;1 I/S {-t,,. (;( J %
I~ h<;t.-K. Vc,rJ.
5/0 Pul () r<t ~
.
Ct t.,/'<t 1/ ~" "" ht!)vs,
.
) ;:;ee Attacnments: 1) Grading Plan, 2) Erosion Control Measures
3LEro~ion r.ontrol PI~n
"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,"
-
10/10/2001 11:43
6514808348
OLD EXC.&POURED WALL
~ ~ LSruc..e-
PAGE 01
,!\1
-.. . "".
.IIUOW . __'"
<-.-..,,~- -......,
.....,..
OITY OF PRIOR LAKE S.W. No..! - L/ 'i'1
SEWER AND WA'1'BR PIlUIXT
NOTE: Sawer and Water
contractors must
b. reg-laterad
~ith the City.
APPL: CANT,j)LD .t1C({.Iua..'H~.J-~Il\ t~PHONE'~
ADDI~\ S8:~&t. S'.,;.H11.Ji3.) /Mf)/fi'JB.DATEI 1(')-4-01
SIG>>; t'UREI9cl~ '-:.-:- ,B1;..DO. PERl>1IT II
SITE \ODRESS: "" l'OI.'* PID,:f.5"-3/J/- OJ,S-O
I FILL IN THE BLANKS
1 . :j.~J~_C^
1. Ii'tJ.Jftated ler,9th o~ water &l.rvic.~feet.
2. fi ;ze of watar service \ ( inch (es) .
3.. II.cation of any couplings trom structure teet.
4. '1\ 'PEl of sewer pipe. ASS, I'Ve 'f" Cast Iron
5. E:,t1mated lanqth ot ..wer li".wAer.5D !..t...
6, c\ _lIn out C if required), located.. at ------~eet:.. from
~ r~cture. '
~~~~=I'~.~~~-------g-.---.........._~.....-.=.-....._.---____~~~~~=
..' , .
This 'I pplication becomes your permit when approved.
BY~.
DA'1'SI
__:="--=:;1. -..s-..:a.........a...c__.___IIIlI...._.._s.....__.....,...__Ir:l._..IlC::s__llC==_...._=_
FEES:
$
$
$
J5.00
.?O
35.50
Sewer and water line connection pe~~it.
sureh;u'q.
TOTAL
* FI!, tor either .e..,er or ...eer individually 1s ~.$11) pl~s
$ .50 sUrChOlrIJe. .
s~! {er and water permits issued tor new construction must be
rfl :orc:leci on the building- permit card at the ,time of f..uanCle
tel 1n,ul:'e that no duplicate sewer and W\t:.erb.permJ.ts are
hllued. . CJU/~D~]) I
DATE I' ~ID 10-10-01 AMOUNT PAID '-----.:.Gp~
REc!:ni: # __________ REC'DBY ~ IV//,/,
'"'()
~
] 6200 Eagle: ~reek Av. S.E" Prior Lak.., Mi(lnD801ll S,5372 f Ph. (612) 447-4230 I FAX (61:2) 447-4245
An Equal Opponunit)' employer
06.'14/01 THU 10:15 FAX 6124474245
CITY OF PRlOR LAKE
!lIOOl
Date Rec:'d
CITY OF PRIOR LAKE PLUMBING PERMIT
I. IIlN lilt ' 'bERMlT NO I
l 0." Ci~ ' . . _J ICe;
1 'I'd. AppIiGI/ll '-tQ J
(Please rvPI:or'Drint II;' :i &iml ac bOllorn)
\ ADDR.BSS
I -318 ~ t:ShaiUJ- CLrIJG P+
I zi?m;;;--U#) I
LBGAL DESCRI 'TION (oekt"'" O/IIy)
,
lOTOlS BLOC!', I A.DDITION Uorttu.vood. O:d:::a E5,ta-lo ;}.Q. pII!Q7-::S7/- Od5<:)
IOWNERV'''"''''b 1\ J
I (Name) "-P-1!>:"vO o-rou..Qh. "N ~ ;J...., (PM"") ro 51 .. 4?5'6 -1 ~ 8
I . -
: (A<l41ess) 8l-:p- qO -tic . -Su.:dL dO I , CD+taq.z. Grave., rYlu 5So U "
I APPUCANT i, , -
(Name) ,,>-~~(J/1 PUJ.fnruJUO -+ H,m I ~ (Phone) ((PSI) 437-q(9 I':>
'\' (Add,...) ----.3.5sn Vurn..iW.CfYl).st, HaS+(~S, IYlU '5503 ".,
, (Address) (City) (Zip Code)
(Contact?e:son) I mat+- Chr;87c..n~UJ)u (Phone) (&SI )Q37-CJC;U5
APPLICANTSIq ~ATUR.E ~ ~- DATE &JI"i/{)J
~
APPLICANT PLEASE COMPLETE BELOW
Qllantity I' , 'l'rp1 oql!t1Ilra, I',
I .:L R th Tub with or'withoul shQ~e,r .
~, ~ ",. .
I', ,....:" l1Ll,1 !hwesher to<
I ri 1 FI" IClf Drain
I "'i LI valOry (Bathroom Sink)
I i Li: lndry Tray (l or 2 compartment smk
i I Sh lwer Stall
I II Stl ks
I IlI'Sitlk
i '- q I \lj Iter Closet (Toilet)
t
,Qllllll~ly' ,;)
Type of Flxtlu'e
I
I
I
1
I
1
., "fI, , ,ROIl!l;IHIIS
! Water Heater
c.+- Water 'Sonner
I Stand Pipe ~~asl1il\g Machine)
Sewa~ Ejea.or
Backtlow Assembly
l:lacktlow Assembly Tesl
I Lawn Sprinkler
I Other
FEE SCHEDULE
(ndu~tTial, Commtr.," al &. MuJ1i..family 1% of job CQst witn a 539.'0 minimum
I .
I:
R..idondal, New On. &: Two>-FlIIllilY S99,'0
Resid.ntial, Additions &: Allelllions SH,'O
B.lim\lled Cost $
Building Permit N
PAID WITH
BUILDING PERMIT
PLUMBING PERMIT FEE $
S1 A TE SURCHARGE $
TOTAL PERMIT FEE $
.50
(om.. 11.. Only)
i TbisApplieatlon!, .oomes Your Building PIl'Dlit When Approved
:l:. ."ildiiIC'~\ ;~,.,.,' . ..DIJt"
'. .~..,
,-" '" <_,;",', "0'::'" "_:'.. "-... ' _.. .. .. ,_, ....... _ .. ,,"'..,' ..L -""-"
,'..i4c11'lWllot~ for 11I1~.p'.ltkl" (m) +l~~..fa. (951) "7-4145
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CITY OF PRIOR LAKE Me / a
18200 Eagle Creek Av. S.E. PennllNo. _ -'I g-(
Prior Leke. MN 55312
HEATING APPLICATION I PERMIT
~e 1- 10- n I PIO. -;;),5/ :3fJl_ n-;+.r:;- b
S~eAddtIlSS ~I~:l ShnAIA Crl~IP ~+, .\
Lot a2:. BIoclt I Addition iltYrtt1r.vfJoJ- (()riJ4.d~
\-\QV'Y1 P ,C",
Owne~s Name K.. i (lqS-"'/"'If"C'l u~ ~
Addrllls
Heating Contrac1or -Binr1p r If"Q +1/\ ()
.J
Addrllls a;:;l.::L..HarrJmCU'1 fiw N, S,SP ......."-.l if"';
--.
Telephone' --1a5'- <";57-:;? 7R J
Furnace Melle l Model rrf1..nt 'TUJ( I Ol)TYl'E OF SYSTEM
Warm "'r Plants
Mode1 SI1.e 100 . ("CJO B TLI Gravity
Mechanical
Air Conditioning _
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
SpecIal Devices
Conn. load
Fuel b Q~ Flue Size
~"
Supply Openings -M-Cl f" C'> oJ.
RelUl~ Openings ..Qf~( D1I:
Input leo, CCOOulput
;).(\
10
Edr.
Other Devicn
Clm.
1YPE OF WORK
Alterations
r,: .. ';,. ~., 1
New Construction X
Repak
&t.CosI$
En Camp. Date 10- 5J-OJ
. Bulldlng P81mll , () I - 0 l{ ~ 9
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMfTFEES S
.50
r PAID WITH
BUILDING PERMIT
Receipt Ii
mE OF STRUCTURE
1.-
1. an..
J._
J'I"
a"
C-Iraccor
Single Family
x: Two-Family
Indum,;.1
J>
Mullt-F8mIly
P<GlIc Oller
C. ,,;Al
Fee Schedule
industrial, Commerclall Mulli-F8IIIiIy
Reeidenllal, Healng &. N:;
Residenlial, Healing Only
ResidenIiaI, Gas Fil8piace
Re&klentlal, Additions l AIIetaUons
Residential, AC Only
I 'Yo 01 job cost (139.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember 10 add lhe Stale Surcharge on the bottom 01 this eppllcalion.
The price 01 YOUI heali1g pennlllnclud.. one nJUtlh-in and one linallnapectloll. .
AddilIonal inSfl8Clions will be blled at $35.00 eec:h.
House HeaOng Test Record musl be submitted with Il!lIIlIlng llI!DliIlWIIIllIr befanl build-
ing certificate 01 0CCUJI8IICY will be it$Ued. .
l:1.EAI CAlCULNIONS REOUIRED with number 01 SU\lP1y and relUfn op~ I8led per
room wIIh CFM's per opening. New &true/uree Of addllions send lIoar pI8n will 8Upply
and return I, ..,:',.. shown. HEAT lOSS CAlCUlMIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE ClTV OF PRIOR LAKE.Ill2OO EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 5537l.
Chy Hall business houn are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUQH.tN AND FINAL)- CALL CITY HALL
447-4230
I hereby apply lor a mechanicallYSlems permit and I acknowledge thai the
Inlormation above is complete and accurals; thallhe work win be In conlormanca
willi the ordlnancea and codee of Ihe city and wIth 1119 stale bullding/mechanlcal
codes; Ihallhls 'orm does not become 8 permit un," signed by !he BUlt.DING
OFFICIAl; that the work wlU be In .....:...nce with"e approved plan In the
case 01 aM work which requires review and approval of plans,
eL-_/ /1.4. ../~ ,-/0-01
~s_~re r~~1
~ OfIfilifs Slglllllllfe
0lIt8 .
....
15>
(L
CITY OF PRIOR LAKE MC
16200 Elgie C....k Av. S.E. Permit No. / - L/ f"q
Prior Like, UN 55372
HEAnNGAPPL~AnON/PERMrr
Dale IO-(C,-ol PID,AS 37(- ();)'5-6
Sfte Address alsa..sVndl.! 6.ve J)o;~f-
LlllAS- IItock L- ~ 7!~O~ r9(t,CJ.,
OwneflName .j)1~D~'<l.
AddI_ '&1f'D - CJ6~ ~ l~.~\ ~6m.L
HAlIng Conlradof ('o-ndlY ~I" plaLp -: ~
AddI_ ~&~ MbuL~"Ce+ ~~..~~
ToHp/lof1e' 7/nn - 'mio.o341
t4e...t I'l<:,(c,
FUlnace Ma!cll8Model loOCrn1'-uAL TYPEOFSYSTEM
- Wllm Ail PlanCa
Gtevlly
Mechanic:aJ
Air Condllar11n9
Vent. Srstem
HEAliNG OR POWER PLANT
Sleam
Hal WIIeI
Radiation
Special Devices
Mocitl Slu IDtfu
Com. Load
Fuel /IW.(lf(l ~ "
Flue Size g
Supply Openings
Rll\UlnOpenirogs
~1,.x:.O _
1npuI~:DOO . Output
Edr.
Cfm.
Other Device&
TYPE OF WORK
F:J
(J\
15>
Naw ConsllUClion
/(J
Afteratione
Replacamenl .
&1. Comp. Dale
Building Permk ,
5D~ ~u.rr
Recelpl , - ot>.\O W~~ ":.1
Cl~'.'_Dl.i>~t,j r >-' '
Repair
Esl. Coal 1
....
15>
15>
N
I
(7\
....
I
~
U
o
HEATING PERMIT FEE 1
STAlESURCHARGE .
TOTAl PERMIT FEES 1
1.-
1._
3._
ftIc
Chr
~
TYPE. OF SIRUCTURE
....
15>
(L
SlnQ18 Family
c.. ..1aI
1<.;
Two-FBIlliIy
Indullblal
Fee Schedule
InduIIrlaI, ComrMn:IaI & Mlll\l-F8I1liIy
R8IidentIII, Heeling & AC
ResidenllBl, Heali1g Only
ResIdBnlI8I, au FlMplece
ResidenlIBI, Addiliona 8 Allerallons
Resldenli8l, AC Only
MIllIl.famlly
Pubic Chher
1:f.
~
o
~
\ % 01 job cOBll$39.60 mirimum)
$99.50
$84.50
$39.50
$39.60
$39.60
R; . _ . Ir 10 8dd \he Slale SurchaJga on \he boIlom oIlhis appIIcalion.
The pIlee of your healing permlllncludea one rough-In and _ IlnaIlnspacllon.
AddlIIonlII inspections wll be blhd at 135.00 lI8Ch.
House HealIng T88I RecOId musI be submllled wfth IIuiIdiDg IIIIdIIII numIIIl belure billet-
Ing certlflcale of oc:cupw1Cy wiI be ilIeued.
~ CALCULATIONS REQUIRED will number 01 supply end rBhI'n openng.lIsllld per
_ wflh CFM'e pSI opening. New llructuree or HdIIlons eencIlIoor p1811 wkh supply
and I'lllurn Iocalione shown. HEAT LOSS CALCUlATIONS, ~YMENT AND
APPUCATlONS MAY BE MAIlED TO THE CIlY OF PRIOfl LAKE, 18200 EAGlE
CREEl< AVE. S.E. PRIOR LAKE, MN 65372.
City Hell bualMn houI'B are 8 e.m. . 4:30 pm.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL cnv "ALL
447...210
I hereby apply for a mechanical .yalema perm II and I aclmowledgelhatthe.
Informallon above Ie complete end accllNle; Ihallhe work wil ~ in conformanca
with the ordinances and codea oIlhe oIty IlI\d with Ihe 8I&le butldlngfmechanlcal
code.; thaI this form doa. nol become a permit unlll 8lIlned-by-lhe.BUILDING-
OFFICIAL; tllatlhe work will be in accordance with the approvad plan In tha
oa..e 01 ell work which requlru review and approval of plena.
"4ijAI'I'( U~~l tJVh
tlt(/
~ OIIlcBl'e 8qla\lIrB .
1(J~/9-0I
DaIB
1~-/9~1
Dale
'"
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 31ea <~~'-I ~ ~i,^1-
NATURE OF WORK Ne.LD IV
USE OF BUILDING S~D
PERMIT NO. ()/~O4/!l DATE ISSUED 5"-/c.,-2oo/
CONTRACTOR K/~"'\oCM4~e.' PHONE fgS/-Q8Q-/88/
NOTE: THIS IS NOT :A PERMiT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I D~
I FOOTING I "1S~~ I Sl~~,
, FOUNDATION (Prior to Backfill) I roJ.tJI3' I ~ I ~' ,-/'7/01
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN' SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC <is-\bM<(
FRAMING \,1I..C ~ (f.D. \
INSULATION ~,d 8_/ ?-c/
ELECTRICAL _I ~
PLUMBING -'6)J~ 1ft
HEATING (if required) V1. ~ I . ,
FIREPLACE P..r\- ~ <f /'24 ,0,
GAS LINE AIR TEST .)""fL..PmfL . -pi ~l3 f '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
Nfl ,i)rai-dt'-
. . ~ ~l)....AJ. IQ/ nIl."
l t'
\ INSPECTDR
(/l 1\\ IO!
tf- /:s
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
. ..
~o
~\
HAS BE
o '1
SI~ED
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
Irrtifirau of (J....uvanry
C.l.l ~ OF PRIOR LAKE
)atpartmtnt of Jluilbing Jn~ptdion
~inal Permitted 0 Conditional C.O. Expires
This Certificate issued pUl'$lUlllI 101M requiremefl1.r of Section 307 of 1M Uniform Building Code
certifying lhal allM lime of isslIII1ICe lhis slructure ..... in compliance wilh 1M various ordi1llUlCe$ of 1M
City of Prior LoJce regulating building co....tnu:lion or use. For 1M following:
SINGLE FAMILY
R3
VN
Bldl. PermiINn 01-0489
N/A _7_'__~_~_ R1SD
_ Fire Zone ........... &.Iaau-~'
ESTATES SECOND ADDITION
Use Classification
Clccuponcy Type
Type ConsIruction
Lepll__.".,:..
L25, B1, NORTHWOOD OAKS
OwnerofBuildins SiteAddma 3182 SHADY COVE POINT NW
KINGS BOROUGH HOMES, 8750 90TH ST. S., COTTAGE GROVE,
Conln<Ulr', Nome &: Addma
R7;RT) D. HUTCHIN~ '':ity PIInner
Dore' t- 7 O~ns 'l:.\ Dore:
POS IN A CONSPICUOUS PLACE
DON RYE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TlME
(".,7.(/'2- .4.,.
,
318z. SI#WV ~1/6 Pr.
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o M7H FINAL
SOO ~
COMMENTS:
,
. "
!JK..
~
T~~.
tJ o~e
c.u,
C;fp./
01 - tfB9
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
. ~ORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~. ;ALL FOR RElNSPECTlON BEFORE COVERING
Inspector: "t .l~ Owner/Contr:
CALL 447-9850 FOR T~E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSIiOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH'" SAFETY!
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
$-J/~Z-.
OWNER
3f!::2.. {<;~v c.&t/(fJl..
{
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
Jli - 'Ill
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
I)I(J:INAL
" 0 SIn: INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~;~;;~LING
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
&rc..t-f...<- 0 L
~RK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRE~LL FOR REINSPECTlON BEFORE COVERING
Inspector: L? Owner/Conic
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
".,NOn
L4~iOI
SIB:J.. sW~ LD'J~ 'P+
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
~INSULATION
Pr;"" FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
Pr;a"MECH FINAL
COMMENTS:
TIME
('JJdE9
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~- aC(,e~s.ll1'e. cp~ J,l-l1tv-\t- k Y(J\o\~e-
*,- M'\JevVUti: MaJC :14' W~Q:\-I'A~ ~
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- ~#_e.s ., er ck;;eJW#lw..eM.-t"'"
<..p~ ~~1 ~
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
Jl"CORRECT WO~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: l,_V~ Owner/Contc
CALL 447.9850 FOR~E NEXT INSPECTION 24 HOURS IN ADVANCE.
1l'lSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/o.:s .()/
/:Ir
ADDRESS
3/62- ..9#rtli/ C/Jl/~)-' / -
;
OWNER
CONTR.
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
~EWER HOOKUP
{')!l PLUMBING FINAL
o MECH FINAL
COMMENTS:
M(u\() 1M -e., te, O-t'
~f'k s eall"j"
-
1- 1/69
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
/WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC~; \ALL FOR REINSPECTlON BEFORE COVERING
Inspector: . '0 ..\l fu..U1-- Owner/Contr.
CALL "7-98&0 FOR THJNEXT INSPECTION U HOURS IN ADVANCE.
IN$NOT1
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI