HomeMy WebLinkAboutBldg Permit 04-1177
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A,J"IVNESO,\l
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE / I
AND UTILITY CONNECTION PERMIT / ( ~I V ~
! I
I PERMIT NO'J04-. 1177
(Please type or ~rlnt and siitll at bottom)
ADDRESS I
~lX) /~,/, (l<.<) - '1110...1
LEGAL D~SCRlPTION (office use only)
LOtJi?B~"OCK I ADDITION J l J
~'::e~~'l1efJD"J ) {I("yy ~ ' ~
(Address) ?~I (LfS- ]L<:;J fA/.zr:;;1 ~
1 While File
2 Pink City
3 Yellow Applicant
ZONING (office use)
1</
11J,{JS
s:~~.
PID 2.5'. 382. 028.0
(Phone) ~::;l.~ k"? ;L- 7 bO (
A- j{lL, _ / ~ ~ .ft-7 _ ~ - C: /-:;.4
(Phone) a '>::l- 4' ?:L- 7 {,O(
>-
(Phone)qC>:1.U:?"'L ? La '-
~d_d~!b - A ~/~4
BUILDER -1 I j r-> 7
(Company]\ ame)ft7 q/ ,.,_~,/ / I.. b _ ..... .
(Contact Na neJ -r-::-.lJ:' CCL~J.s";:>-
(Address) 1'.1 fobt . f Ltc-/7- ~r] Cd~c;;, 7_
TYPE OF V rORK ~w Construction DDecL _ DPorch ORe-Roofing
DAdditlon DAlteration ~i1ity Connection 0 Mise
COD~ LC. DI.B.c'
Type of Cons metion: I II III IV V A B
Occupancy G ~oup: A B E F H I M R S U
Division: 1 2 3 4 5
ORe.Siding DLower Level Finish ~eplace
(1)0
$, <sir, fr-:J ~.
-/ -
PROJECT COST IV ALUE
(excluding land)
I hereby certify lh It I have furnished information on this application which is to the best of my knowledge true and correct. I also certify that I am tht' owner or amhonzcd agent for the
above-mentIOned )ropeny and that all construction will conform to all existing state and Jocallaws and wi!! proceed in accordance with submitted plans_ I am aware that the buildmg
:",1, vok, l:z:.::::urthc>mo,e, 1 h",by 'gm Ih" 'h,c.~ omll;l:ig~m3 ':] 7~h' pmperty to pc>fmm 77:'P;;-:0 if-
Signarure Contractor's License No. Date
I.
# 35'7. 0 oo.o~
Permit Fee
...1l;'"~ G: 5""0 I
1~~7.0i' I
17~, Sa I
I
I
I
I
I
Plan Check FI 'e
$
$
$
$
$
$
$
$
.3 5'". S""'lJ
~tJ.lJO
State Surcharl :e
Penalty
Plumbing Per nit Fee
Mechanical P ~rmit Fee
Sewer & Watl 'f Permit Fee
Gas Fireplace Permit Fee
(60,00
100. () 0
~:ecAmgp=;;lr;i~o;
(]uilllllg Ofl1cial ' Date' ,
Park Support Fee
Water Meter Size 5/8"@
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
$
$
$
$
$ IZOo.D el
$ 700 . 0 D
$ 15" CJlJ . D CJ
$
#
'i?'S-~, co
I.'<!..S'O.OO
30(),Del
:A::l. D D
SAC
#
TOTAL DUE
~
1'./I/./)4-
I Paid /1) '70(P' .::> 15
I Date / /- .:J q -I"i l-I
- \
I Rece1PtNo,0'~O:1U
By g:
ThiS IS to certify t lal the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This documen!
when signed by tl e City Planner COnStltlltli' a temporary Celllficate of Zonmg comphance and allows constmctlOn to commence BefOle occupancy, a Certlticate of Occupancy mnst be
"j?.QA4~ ~ ,l1p II//(f!oc.f
, Planmng Director , , Date SpeCIal Conditions, If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~---.-~---"" -----.------------------.--.------.-.-..-..--......-.....
..l..~X :R10I? (
f5 ~1;
~hitP. _ Buildina
!;:.anJlrv - Enqineerin!D
Pink . Planning
Th... C...nl...1 of Ih...l..k... COllnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
AF'PLlCATION RECEIVED
f\! c DOr0;-\ L-C> 0 (,)Srf2. .
i I. S. 04-
NhME OF APPLICANT
n e Building, Engineering, and Planning Departments have reviewed the building permit
a~ plication for construction activity which is proposed at:
'"/, () 0 C) C, .' V~ i' LX-I ' ilJi.\ I 1-
~_"" ... ' i.-'-. "-' \.J-'\ l I I \
Accepted
x'
Accepted With Corrections
Dllnied
Rllviewed By:
IJ19-A
Date:
//-/2-0'1
ClIlmments: Se~ Rev.e.rse Side for Additional Information!
nriVp.WRV Must Have A ConcrAtA Ap.pro"ch
See Attachments: n Gradin,? Plan. 2) Erosion Control Measllrp~
"l 'he issuance or granting of a permit or approval of plans, specifications and
cfmputations shall not be construed to be a permit for, or an approval of, any violation of
a y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
p esuming to give authority to violate or cancel the provisions of this code or other
o'dinances of the jurisdiction shall not be valid."
""~x PKIO;" (
o ~~.
White - Building
C~n~.y - :ngineering
<I)"nk lanninQJ
--
The (erUl'f If the 1.akt ('ounlr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJl ME OF APPLICANT
AF PLICATION RECEIVED
[i . L-' ('rjA L. [)
i I. ;. c4-
1-.
,
The Building, Engineering, and Planning Departments have reviewed the building permit
ap ;>Iication for construction activity which is proposed at:
. ( . rCi r\ I L-
A( cepted
Accepted With Corrections /'
Dunied
Ruviewed By:
'"
~ ~ Date: II/fP-hC/
l2ea-d ad V.~.
p ,
~~~~.'
Cllmments:
n
r~
". fhe issuance or granting of a permit or approval of plans, specifications and
c:Jmputations 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
~ resuming to give authority to violate or cancel the provisions of this code or other
(rdinances of the jurisdiction shall not be valid."
~x f'RIOJj> <:
t ~'~
U . rTi
r- ~hile . -- t1Uildirig::>
Canary - Engineering
Pink - Planning
lhr(rnl('rlflhrlakt('ounlr)
BUilDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N.Il ME OF APPLICANT
AF PLICATION RECEIVED
M cDONA L-D c-o N5fl2.- .
I I. 6. D4-
The Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
3000 BDBCAI T12A1 L-
Ac cepted
Accepted With Corrections
/'
Dlinied
Roviewed By:
Cilmments: J~
r
~~
aU~'
Date:
//I/r/a c/
-. I (
"rhe 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
c ny of the provisions of this code or of any other ordinance of the jurisdiction. Permits
~ resuming to give authority to violate or cancel the provisions of this code or other
udinances of the jurisdiction shall not be valid."
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tvue u mint and sien at bottom)
ADDRES~
3000 BOBCAT TRAIL
;:;~ ~::y I PERMIT NO.L. i'", I '~
3. Yellow Applicant L.ill-L...lJ
ZONING (office use)
LEGAL D ESCRlPTION (office use only)
LOT ] ILOcK ADDITION
PID
OWNER
(Name M-CDONALD CONST
,(Phone)
(Address)
I
,
(Address) I
(Phone)
6,1-633-2,61
~700 NORTH F AIRVIEW A VENUF
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
,-'.'
(Contact p, rson)
BRENDA HUSTON
(phone) _651-633-2561
APPLICAl n SIGNATURE
BRENDA HUSTON
DATE
1124/0,
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
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
FIREPLAC, MAKE AND MODEL
HEAI.N GLO fiOOOTR-OAK
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
$39.50
Industrial, Cc mmercial & Multi-Family
Residential, I :eating & Ale (New Construction)
Residential, I :eating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use 011Y)
This APPlieation Becomes Your Building Permit When Approved
Building Permit #
$
$
$
yp.\O ~f\tA\"
eU\\.P\t-lG
.50
Paid
Receipt No.
B~i1dine Official
,
Date
D~1AN 2/ Z005
By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~
.1...,.."" ~/
-_._~-_._-;
-',
I',,: I." ",
CIT\' OF PRIOR LAKE PLUMBING PER.l'VlI"r:lI JAr" 1 llwb:l
By ___.__ - - ~--
(P18uelYllltGrtlr!m..!!?~'2:bottla.m.) __ __
tDDRESS 300_~11.9bu\+__H~ I
;:,;~, I, PERMlT_ NOA-.' II'
, v.rto". Applloar.1 .,....,.-; I-I--L-J.I
l I ZONINa (.1&0...) I
Sf'Jv.+h
~~~I~t/cJJon~ Jd WMftYf.jjoh, Jnt __ (Phono)ff:J..:.Y3Q)- 7ttJ-L I
(A44an) ~!iUll-/ YS-fh ,st.Jt/. 1 L:rf)P 0.411.b ,-~,:~j () Y
=~ .6-1/1'. Sf~'(!JJJ~!J8T J. n(. (Phone) ft~/~ y\\ 9 - JJJ~r?
I (Ad4ress) rf",st ~u+h~c!a..J._Ave ._Jl/r)()jJ;/Arv..J:h.., ..s--.J/c) 9
, ."........../J (Addr<..oss) / (Crt0 / (Zip Code)
j(ContaClpeJon>-LL't,1.J,d S:~/''l-J.,_ _ '-=- (Phone) hs-F/\l-I}- rYJ fYp
i APPUCAN":' SIONATURE _dJ~ ..;~. u;/~ __ DATE / '--- J 7 '- rJ~
Qua.thy
~
I
'~
...:::.
I
I
I .
" -?
PID
APPLlCA."'IT PLEASE COMPLETE BELOW
i Type o~ ':Ix...re
I B~ Tub wlth or without shower
bilhwasher
I Floor Drain
I L!V~ (~room Sink)
l LauD~ Tray (: or 2 c:ompartmerJl ,ink
Shower Stall
I SitW
I Bar Sink
water Closet (Toilet)
Qaaauty
'-1
I
I "I'ype or Flxtllre
1 Rou.gh.in8
I Water Heater
i W.... Softner
i St8n~ Pipe (~ashjna; Machine)
I Sew. S1ector
I I3acld'low All8emblr
I l:iackffow ASHmbly Test
I LaWn SOrinkler .
I~r
I
FEE SCHEDULE
Jndustrial, C.mmerela.l" Multi..tl.mily 10/. of job cost 'o4<ith i! $39,50 minimu1r.
Rosid.nlial. Now Ono &, Two-PIllI\i!y S99 50
RosidCJltiaI. Addllion. &, Alteration. $39,50
Es!imatedCost s/d,roo.vQ Building Fonnit# OY-://?1
PLUMBrNO PERMIT FEE $ ~OY\ ~D ~Irf
STATESIJRCHAROE s' .SQ. _-~If't..--.
TOTAL PERMIT Jl'EJ: $ 'CIfJ'\-.~~
~~~ ..
This APplitallOft Becomes Vour Blllldln& Pe\'llllt When Approved I' t :Pa1d
..u it.. 011I<10' D... I I. DaYAN 2 7 Z005
Receipt No.
By
24 hour notln for 01lIn,po<l100, (9G) ...,~. fa~ (952) ....,~W
::-/ -
~..~.--...-,,-~-
qTY OF PRIO;R LAKE
HEATING/AIR CONDITIONINGIFIREPtACE PERMIT
Date Ree'd
q?lelSe "l'~ or orin! and 'il!n at bOlIllm)
I ADDRE S5 .
;3Cx'J(,) .~bO{lf
1,P-lfIlI:
2.""""
J. YellQW
~; I PERMlT NO;6.. I ",., I
AppUwu --~
ZONING (ottie. IlSO)
//'1
. LEGAL DESCRlPTION (ollieeus.only)
LOT BLOCK
ADDITION
PID
~=~.(fu1~/D
(' Op-.C) \::' 1-. J
(Phono) q~- ~:?~- 7C-.f"l L.
(Address:
APPLIC. \NT. I if f\ '/0
(Name)_ .rfi.)IL~7'""~~~) f ~; /'
(Add=s;-{)./iQH\ ffl"i./;..,,) ft,re.: J:il6:...\
(Address) . , (f"
(phone) -o/c:t) - ffi;Y:J
'/ , I
/"??,M.., . :-:: :::-< j Q z:
(City) (Zip Code)
(Contact. 'erson)..;::;, _ (phone) .
APPLID.NTSIGNATURE ,,"'d,_~~ _DATE-L-/.t/-(1S"_
APPLICANT PLEASE COMPLETE BELOW
I ..--EJNEW CONSTRUCTION . 0 REPLACEMENT 0 ALTERATIONS
FURNAC ; MAKE AND MODEL ~~..... c.Q;.zE~m;rC):l FUEL N/9-/-
FLUESlf SII We. RETURN OPENINGS /6 INPUT (Co:ooa OUTPUT 9.o.cc:::!
TYPE OF',,!,,!.c!.1 HEATING OR POWER PLANT
~Air Plant' 0 StCam
OQl:lu<ity 0 Hot W.!fir
....ErM~hanicaJ 0 Radiatioo
~nditioning 0 Special Devices
penL Sysrem 0 Other Devices
PLEASE NOTE;
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks .
. FIREPLAl:E MAKE AND MODEL
Industrial, C ornmcrcial & Multi-Family
FEE SCHEDULE ,
1% of job oost RosidontiaJ, Gas Firoplacc
$.39.50 minimum
S99.50
$64.50
$.39.50
Residen!ial, Hc.atjng & NC (New ConstrUCtion)
Residential. Heatiog Only (Now Construction)
RosidCltial. Additions & Altemions
ResidCltial, AC Only
$39.5Q
$39.50
Estimated Cost $
Building Permit #
REA TING PERMIT PEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Olliee Use ( nly)
c
.50 \r~:~:~MIT
C\U .....
. ,
$
$
$
This APllication Becomes Your :Building Permit When Approved
apilding Official
!
Paid
.,
1l[.la~Ali ~ '; :~:;S
Date I' .
24 bour.noticdtlrall i"'1'ections(9S2) 447"~AAP~Wr.(95Z) 4474245
16200 Eagle Creek Avenue, Prior LI.k., MN = ... ...
lilY anl0l!.LNOJ 91.<:909HS9
I ~ceipt No.
il ~y
TOO~
IYd LC:ST IlId SOO./tl/TO
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
-'
I Q,,," ,,,, I PERMIT NOLI /./'; 'II
2. Ytllo.. e,l)' _
). Cold AppliClIU
(Plc:ase N~ or Drint and si"ll at bottOm)
I ADDRE! S
.~ rj()() l~~~ (',aJ
T V'1 ~ I
ZONING (o_use)
LEGAL I lESCRlPTION (office u.e only)
LOT
BLOCK
ADDI'TION
PlD
OWNER
(Name)
~.
r. D U-b-t
(Phone)
(Address)
(Addrcss)
(City)
(ZIp Code)
APPLlCA Nl:..,- I ~
(N amel .J .{), r.hQ.. r::=- 'fl .J
(Address) ~ ~ I b T f) }II P S eloCR...-
- (Addre<s)
(ComactP~!Son) Gllb ~f~ ,~
APPLICA-ITSIGNATURE r ./-lrt lk-~
'f
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 L feet.
Clean out (if required) located at feet from strUcture.
(Phone) .
~l~ml\\J;t-I\~ fl1)/ ,lJ,\"Lf,),j
~r (~)
(PhOne)~S"~
DATE
feet.
o Cast Iron
FEE SCHEDULE
Residential, ewer and water line connection $35.50 Industrial, Com'l & Multi-family 1 % of job cost with a $39.50 minimum
Sewer conn, clion only $17.50 Water connection only $1750
Estimated Cost $
Building Penn it #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
5tpAID WITH
BUILDING PERMIT
(om.. U.e Onl y)
This Appli :atlon Becomes Your Building Permit When Appro.ed I. ~.;. ~ ,. r;..: I Receipt No.
r-:. clr~ rr? I~ Ii Ie' ,I
i J: 'flaw- III11 By
Dm ; i n' APR' 8 2BB~ I; II
24 hour notice for IlIln'poctioDl (952) 44 ~9150. fax (952) 447~245 1.)1
13v.. ----,~I
B'i~d;ng om".,
I
10 391d
,
3H03f gOg
9L69T88~.6
~T:LT .GG~/LG/~G
PRIOR LAKE DEPARTMENT OF
. i BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~OOcO ~&C~.,... Tf2.,A.'",
NATUFJE OF WORK ~G'W Q~~TaH.AT'LO~
USE C F BUILDING s.~ D..
PERM T NO. ()4-, 1177 DATE ISSUED II lit lot.(
CONT.=lACTOR ~~~"'f.b c.a~, PHONE:'9S,-CfJI-7/-A t
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
, THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING
PbcrOR
, FOUrmATION (Prior to Backfill) I /7$ I /,)'//~ / ~r'
'LACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
'ftd5
/lJC Wh
,,4.// ~ /; "~s,...,
WL I
~ DATE
I I h
. ,
j
I
'., l!IJ)
f/I- f~ ';1"/.,,./ .
. I
COVER NO WORK UNTIL ABOVE HAS ~ SIGNED
ltATtlte I H6uS41J/tA1' I .--------1'f'.ot!g I /l I
ft/;d /(,710/ .dZdci FINALS Lt:>tA/~,--~peI0f'h"s.lt:'j.
. GRADING (Prior to Sodding) ,AI 6 ~ 'l:~J)5"' '
BUI~DING'H ~//. e (). "'..~ /' d'"P /0" - ?jtJ 7'-.2-~~ '
ELE'~TRICAL' ( .t/ AI/t'J-
PLUMBING r~ %~
HEA TlNG ,... ./ -...;'
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
, NOTICE
IThis card must be posted near an electrical service cabinet prior to rough-in inspections
iand maintained until all inspections have been approved. On buildings and additions
where no service cabinet is available, card shall be placed near main entrance.
SEW ER I WATER I SEPTIC
FRA ING .'
INS LATION /,5~..2"~ Nt?tIY
ELE TRICAL
PLU BING
HEA'rING (if required)
FIREPLACE
GAS LINE AIR TEST
,
/';1.//3
,.
-
, r;e;t' '=-~"cr r:---.
,...,.
FOR ALL INSPECTIONS (952) 447-9850
-
~/;~s nue
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS ]001 ~
OWNER CONTR.
PHONE NO. PERMIT NO. 4 - 1177
o FOOTING o PLUMBING Rt o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~TlON o SEWER HOOKUP o FIREPLACE FINAL
lNAL o PLUMBING FINAL o ~SLlNE AIR TST
o SITE INSPECTION o MECH FINAL IiIf' ...
COMMENTS:
6-'(
..J- r (~ . /rlo
- J
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector. () !'J Owner/Contr:
CAL'!l?s~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
uF PRIOR LAKE
....SPECTlON NOTICE
LY
SCHEDULED
ADDRESS
JOOD AiCQI
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'FINAL
o SITE INSPECTION
CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,.a--MECH FINAL
DATE TIME
~~r
7//
Oq- /1' 77
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
~IREPLACE FINAL
o GASLlNE AIR TST
o
CO}llM~TS:1 - ," . / f /
~ /~ c.. ;::-;~ I d-p"'-<- 9' /0/ a\'-
/?/';c4: A-:.. /' - .d/",&~d' O"-<;;Q~~...,L
(}:) .4,.JSe. (<:;;4 '(( t:JP1. /ro#~n,e, ~
~~~ r't?-"hr. fr.-.. ~C:,A.<1..r '~_ /,,)4-'/
c:;// 4,.. ";;t.v~4-c75o,,",- ~ C~ CJver
, v'
A _/ /' 17 / _ / j)
(3/ /f/-eed ~"PJ,'I- Cl'tf'P?tc-t ~6...... -T~
~.vl'?' t- ~ i-c,.. c::~r;..4' ~ ^";--
c!tC// iiI" hh., ((9;;/e ~,.,~I
@ /t/;'#;J('.{ ...sJ-/- ;/ree.s /L?e, Lkv,.
Cb~;;
o WORK SATISFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK';~;7 RElNSPECTlON BEFORE COVERING
Inspector: /1'~ Owner/Contr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
,.,"''''
(~
-.IF PRIOR LAKE
...SPECTION NOTICE SCHEDULED
ADDRESS ,;>G'~ ~ 6" ~ ;L
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
~CH FINAL
~A TIME
~;~-
/
7r/
Cf~-// ??
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE Rl
~REPLACE FINAL
o GASLlNE AIR TST
o
c..OMMENAS: / ~ / /1 '
(5j Yeed $,d,'?u/"p..ce fi;~/::G.YJ
~r7~ fYoe:;r ~ ~J-?-;L (\' ~
~) L.",~~ ,);/ ./rl-;jJech.- d/: ~/;?~
-/-f{.;-r y drq,v, <</AJ?"- r~U.V
. /"
---r / .,
~:r~7Ce- hk-/ qrc. /
~(2/u~_ ~ ~_,,~/d
(3/ r;;//.f2, ~c-L:' 4 ( ~
/?~e"j'l.O-' ,tJ<../e.--- /_ '" t'""O./-r#/~
- ,/ /////
7~~:;' (: u. C/.Kp / E///as-
~/c
o WORK SATISFACTORY, PROCEED
....lii"CO'RRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: ~ ~ Owner/Contr:
CALL ....7-~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
tNSNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
X' ~22-OC:-
ADDRESS ~~
BDtrA f
OWNER
CONTR.
T,I
rIIe-~11
4- - /1/1
PHONE NO.
PERMIT NO.
o FOOTING
o FDUNDA TlON
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
~~LLlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(;n.,.kr Ci> /(.
C-v (6 &"f.~ t9 /L.
No).
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR RElNSPECTlON BEFORE COVERING
lnspector:~~L __ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS AIlE FOR YOUR PERSONAL HEALTH'" SAFETY!
,.-n
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
:?a1'J ?J.r.n 1- w
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
I.~W
Z. M1\1 ~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
.:s:. PLUMBING FINAL
. 0 liIECH FINAL
(1..,,,,,,
j
DATe TIME
"3L~~/65""
L/-" //77
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
C/"l-'fg~~
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORTi!3REALL FOR RElNSPECTlON BEFORE COVERING
Inspector) Owner/Cont~
CA 447-9850 OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO~MENTS ARE FOR YOUR PERSONAL HEALTH & SAFE~I
INSNOTI
Job Address
Healing Contractor
Name of Tester
Dale
Percent O2
Percent CO2
Percent CO
Stack Temp.
~CClQ ~~r ,~t
Controlled Air
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