HomeMy WebLinkAboutBldg Permit 01-0636
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tvD~ or I tint and si~ at bottom)
ADDRESS
112.;;1. ~eM~e,\cl- Gtnv:e
LEGAL DE: ;CRIPTION (office use only)
LOT (f BLOCK? ADDITION D...I'-e.-.--t'dJ....
OWNER
(Name)
(Address)
BUILDER
(Name)
I ) ,Q. \-mv -I1fV\.. "&.
(Address)
~'-() ~(g ()
1~1/1 hvt'4t;"r+-.
ODeck
TYPE OF W JRK
.
~New Construction
OLower Level Finish
o Fireplace
o Misc.
Date Rec'
{; -1-0/
I. Wh.ile File I PERMIT NO
2. p;" Ci,y " "" /~ 0 /3 b .
3. Yellow Applicant V"
Zl<.NTG (office use) I
I
PID;:JS- 370-03,,-d
(Phone)
(Phone) ..:tl'fi ~ 1m
~t. lb.1LJ-Ak:",Ifl'lk,vV) N Ss()l..fL-j
OPorch
OAddition
ORe-Roofing
OAlteration
ORe-Siding
.
PROJECT COST /V ALUE (excluding land) $ 1(., '1. ,;) lJ I
OUtility Connection
I Park Support Fee
SAC
Water Meter
-
Siz(2.a'''; I";
I hereby certify t lat 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 Y"'Y"-Hj and that all construction will conform to ail existing state and local laws and will proceed in accordance with
submItted plans I am aware~e bUlldmg OffiCIal can revoke thIS permIt for Just cause Furthermore, I hereby agree that the CIty offiCial or a desIgnee may
enter upon ~r >perty to perfo e€Rd tnspecnons
X \ ~'IV\AU~ ij,Jk~ ~OOO~5'1 (,r(,,-(){
7) - I ~e 1I Contractor's License No Date
/fd:;;.~X)r'>. c90
I Permit Fee I $ I. 7~,I<: 1
I Plan Check Fe e $ 'M;:j .slf I
I State Surchar! e $ t?:? c;-h I
I Penalty 1$' I
I Plumbing Pen nit Fee I $ /60 .00 I
I Mechanical Permit Fee 1 $ 1120 . C1t? I
I Sewer & Watf r Permit Fee I $ 3s-: S7? I
I Gas Fireplace rermit Fee 1 $ 10.015 I
~) /) A
I/~- is ~Ij'rt.1 I Bettes Your Building Permit When Approved
I . '/fUr- c;'I'.f~?~1
I il~ cDfficial Date
, Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
I Paid 9/L-!?,;LQ
I Date (;'/;:J.../7 I/i )
r I'
#
#
#
$
$
1$
I $ L.IS: a:':)
I $ l?tYl ro/)
$ -'ij~o, _~-
$ /" ~O . tV"'> I
1 $ . I
I$BJ~Z3.2q I
, I
89J.f"JnJ
~l~.oo I
fa"):,.,,..,
#
I Receipt NO.:1Q V b.3
I By 1Y -
This is to certify thai the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested, This document I
~::~ :ity Plann" constitutes a tempo,,,,,, Certificate of Zoning compliance and allows construction to commence. Before occupan",. a Certificate of Occupan", must be
lSSU
~~--. t../~/{J \ ~ -tR4~~ fW- f ~\toA,-
F lanning Director Date - Special Conditions, if any - ,
24 hour notice for all inspections (9;;2) 447-9850, fax (952) 447-4245
~~~
"e~
White - Building
Canary - Engineering
Pink - Planning
Th~ (-..nlU ()f fht' I.ab Country
.B.UlLDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NtME OF APPLICANT // /< fir> < C/..j
AFPLlCATION RECEIVED (?- 7-U!
Th e Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
\ ~.~
Fl c/ 3 J, '- .,c,i ''-.i2.}C()
/ )
Ac eepted
v
Accepted With Corrections
De nied
Re viewed By:
~~~
, -
Date:
u(lqlb {
Cc mments:
MIvJ.IMJAAM /0 ~ ~~ ~
F-r9W\ (' ~R/ ~t 0 t t..) G~e
-
-
_~ ;LL{~~, ~ 1<Yu~~
k R-evUt- (dr~'-1 ~ +VtvJ/
Il'{)'IA) \fO ~V'~ Ll~..
"l1he issuance or granting of a permit or approval of plans, specifications and
cc mputations shall not be construed to be a permit for, or an approval of, any violation of
arlY of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr esuming to give authority to violate or cancel the provisions of this code or other
or :linances of the jurisdiction shall not be valid."
~
&~~
White - Building
Canary - Engineering
Pink - Planning
Thr (rnlrl of Ihr L.kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
N,lME OF APPLICANT
AF PLICATION RECEIVED (~- 7-oj
'DR.
HoycoJ
Th e Building, Engineering, and Planning Departments have reviewed the building permit
'p'"~l;oo fo'~~";~; '~O :?' ,I
Ac cepted Accepted With Corrections C><!
Date:
d, - ff)- ?eu/
f
Cc mments:
uailld!-~ ./~ ()~
{ - . ,~'
"T le 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
pn lsuming to give authority to violate or cancel the provisions of this code or other
or,jinances of the jurisdiction shall not be valid."
...
White - Building
Canary - Engineering
Pink - Planning
Thr ("rnlf of lh, t.kr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NI \ME OF APPLICANT
APPLICATION RECEIVED (/)- 7-0/
uR.
flo v-r:. otJ
-
.
.
.
:
TI' e Building, Engineering, and Planning Departments have reviewed the building permit
ap plication for construction activity which is proposed at:
/'1;23:d- O~cf)
Ac eepted
)(
Accepted With Corrections
: De nied
. Re viewed By: -Af1flt3
Date:
b'-:?S-ol
Cc mments:
See Reverse Side for Additional Information!
cee Attachments: 1) Grading Plan, 2) Erosion Control Measures
.. -'~JFmsion Control Plan. - ....
"T!' e issuance or granting of a permit or approval of plans, specifications and
conputations shall not be construed to be a permit for, or an approval of, any violation of
an) of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pre :;uming to give authority to violate or cancel the provisions of this code or other
ord nances of the jurisdiction shall not be valid."
Jul.25.2oo1 0:52AM
GENZ RVAN PLUMBING AND HEATING
No.So21
p. I J/3 0
Date Rec'd
.>.~t ~llIO...~
,., 71
~ :
~.. +1"" o~..
(( .....
L.(1 r OF PRIOR LAKE PLUMBJNG PERMIT
,
JUL'2 4 2001
q'Jeaae !!p" or uk< ....d Ii... .ai boll1>m)
ADDREss . _ - .
1(2..~'2- ~j~ff6' 0 r')
I. Bb,oc: pile
1. GDW City
"Yll,i\f.l.... ~Jillillll,l
I PElWITNO. l-I.c.~?(., r
I ZO;tCoffiaUKl I
1'lrL
LEGAL DESG lPTION (016.<< ll50 o.oly)
LOT (oBLOeX 3ADDmON D; r~pj 0
.PID.?,~ - ~ -J{')- rp.{..",O
OWNER
(Name) DR Horton Custom Homes
(A~) 3459 Washing con Dr Ste 204 Eagan, MN 55122
(.Phone) 651-454-4663
APPUCANT
(Name) ('",,~.,_1l ~...._ 'D1H_1..~_...._: ~"'+-':"",g
(.phone) "<1_1. 7~_11l..1.
(~~s) 14745 So Robere Trail
(Address)
Roselllount MN . '. ,55068
(City) . ., (Zip Code)
n........ ""U) 651-423-1144
Z ~ ..ut ~ "~;;~'~TI "1 \ 2.U("',1
APPLI~ASE COMPLETE BELOW
(Contact Per'~J;1) Mary Olson
APPLI~ lSIl rNATURE \ R
Quantity
7-
r
r
t.1
,
,
1
Type of Finure
lath Tub with or without shower
Ilishwasher
I Floor Drain
)1 avatory (Bathroom Sink)
I I.,aunclIy Tray (1 or 2 compartment sink
I S lOwer Stall
I S inks
I Ear Sink
?-, i V 'ater Closet (Toilet)
I
I
I
I
I
I
I
QU3Iltity
~
I'
I Type ofYlXture
I Rough-ins
I Water Heater
I Watet' Soflner
I Stand Pipe (Washing Machine)
I Sewage Ejector
I Backflow Assembly
I Backflow Assembly Test
I Lawn Sprinkler
I Other
FEE S'-.t1.I!..u.JLE
Ind....tti.l, COIDmOl Clo.l &0 Multi-flUlllly 1 % of job cost with. $39.50 mininnml. Restdenlial, New On. &0 Two-l'_ily $99.50
Residential. Additions & AJn:rations $39..50
Estimated Cost $
BuildiDg Pennit II
PLUMBING PERMIT FEE $
STA 1E SURCHARGE $
TOTAL PERMIT FEE $
.50
8U1l.6tD '411ft
G 1:>/2,'"
(01ll.. Us. Only)'
r This Application Becomes Your BulldlDg I'ennit When Approved
(
l
BuildiD.1 Of! ici.l
Da"
Pai~tNo.
D~ 7-;;;.0-0! I By ~
V
24 honr notiCe for .11 i..~ections (952) 447-9850, fox (952) 447-4245
,)ul.18.12001 8:43AM
GENZ RVAN PLUMBING AND HEATING
No.8148 p. 2/1
Date Rel:'d
f~V
.~
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
~ -- .
i =.. ~ I PERMIT NO. 1 I ~ I I
1. Gold AppIiault - k:J u \..P
q-l.... J'(EC .or".;, , ...d""; at baaa,;u)
ADORESS . .: ^'
\ l z.~~2... TIv- P' ~ f' 0 If)
I ZONING (olIkouoc) I
R\
PJDc~5 - ~1() -D5b-Q
(phone) q67 -9~S-,21'Z..
(C~~~ ~
APPLICANT '" /7
(Name) I ~ 7_ - IL-Y Qy'\
(AdLlres.) t l.A ., L.( r:') ~ f2r., b .rZ- .-r
(Ad.clreis)- .
(Contact P9*>n l~ ~ \( '--!
'71L (_
(phone) ( I"ln f - LI Z. ':'J .. f Il.! U
rtn,7 yY)("jj j YJ, ~c.,O ~ %
(City) (Zip Co~)
:,,".
o '&-."..:~
Q-
)
'J f'L.l!,ASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from 5tructure
Type of 5ewer pipe. 0 ABC 0 PVC
Estimated length of 5f'wer line feet.
Clean out (if required) located at fecl from structure.
(Phone)
loSI-U7~-\\\...l.L\
-/..1 I",I~
"'PLICANT S: GNATURE
[\
DATE
feet
o Cast Iron
FEE SCHEDULE
Residential.ewer and water line connection $35.50 Industrial, Com'l & Multi-l3mily 1% of job CO$t with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
Estimated Cost $
Building PCl1l1it #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
PAID WIllf
BUILDING PERMIT
(Of&c~ UIC Oaly)
I This Applicatio: I Becomes YDur Building Pennit Wben Approved'
\.
S~l.ul>li ( 'Didol
I Paid
I D~~'!l-o I
,
24 bo~r notl.e for aU io'pa<:tion. (952) 447-9850, fu (JI52) 447...245
. nalo
.-
IBY~
I ReceintNn
I
L
I
I
v
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
q'lease tvo.E or f)rint and .;;i,,1 at bottom)
ADDREE S .
-11J3Z pw-neJoI Dr se
; ~:, ~::, I PERMIT NO. / ~ 1 31 '1
3. Yellow Applicant , on 0 \ 1cJ
Zf-t~G (office U,,) j
LEGAL I IESCRIPTION (office use only)
LOT la BLOCK '3 ADDITION /UL/L~W
n n. . C
g.~~R b.K. HorfoV1
(Address) ,JI../5Q \,A/ac:.hr'n<jton Jx.. Ste,#'~()4
~:;~~ANT A II iant M ec.ho.V\ 1(1 Cl \ In('.
1,\::V1(1ebe~ J)r. Lo..C(QV1
(Address) cCll\.)
(ContactP:rson) ,..1 eA'f'.7i mmer(Y'loYl '1 (Phone) X <:201
APPLIC~-ITSTGNATUq~-.O-,- ~ATE ?/3D/bJ
APPLICANT PLEASE COMPLETE BELOW
IX!NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
FURNACE MAKE AND MODEL ]\r'j<l.....-t 9~ % FUEL t...'lat. (:; as
FLUE SIZE o? Y2- ",1/(' RETURN OPENINGS INPUT 1tl?,"O" OUTPUT 80, c.>1Hl
, .
TYPE OF SYSTEM HEATING OR POWER PLANT
PID;;:2S31 O~3t-,-o
(Address) 3(p 50
_ (Phone)
.lagan
(Phone) u5/-.t./ 5 ~ - cf.J 775
66/d~
(Zip Code)
.55/02:2.-
DWal11! Air Plants
DGravity
o Mechanical
&Air Conditioning
OVen!. 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
FlREPLACj, MAKE AND MODEL
Industrial. Co nmercial & Multi.,.Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, l- eating & AIC (New Construction)
Residential, f eating Only (New Construction)
$39.50
$39.50
Estimated Cost $ 7000. 0-0
Buiiding Permit #
(Offi" Use On y)
This Appli ,at;on Becomes Your Building Permit When Approved
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
SUI PAID WITH
. LaiNG PERMIT
Bui ding Official
Date
I Paid
I Da7-:3}~0
I Receipt No.
I .
I BrJf' ___
II
24 hour notice for all in.peetion. (952) 447-9850, fax (952) 447-4245
FIRESIDE CORNER
............ .. "".' J. ..'-Lv...., ..I.J^J.'-Il.I
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
#1367 P.001/004
vam l'l.ec'o
(Please t'a?C or Dine and. man llC bof:l:gm)
I ADDRESS
17.)3;).. ?)~'" 1)1. .fe.
::~:. ~,"" I PERMIT NO. 0/ - ~ 3 ~I
I ~,G(o~e=) I
. r..EGAL DE~ CRlPTION (ollice we only) (, \
LOT G BLOCK 2:> ADDITION I 'iP ~ 0 QcQ
1\
OWNER
(Na.me)
"7)/2 1~",
(phone)
(Ad.dress)
A.PPT.ICAN1 .
(No.me) A:,.LIED FIRESIDE DBA FIRESIDE CO~ER
PIo;)5 -:2,1()~ {)31o-Q
(Phone) 651-633-256J_
(Address) 2 '00
Ill. FAIRVTEW ~I~
(Add"",,)
BRENDA HUSTON
~JJ~
DATE
'>CSEV'rU.l< MIl'
eCi'!')
(Phone) 65J.-633-256l.
^ APPLICANT PLEASE COMPLETE BELOW
!SSNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE M i\I<E AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF :; l. 031 e,...{ HEATING OR POWER PI..ANT
OW.rmAirPlaols OStoam
OOr.vII}' 0 HOI Wilier
o Meeh""ica/ , 0 Il.odi.lion
OAir Conditioning 0 Speolal D.vle..
OVenl. Sy,,"'" Cl Olh... Devices
.JJu. .J /Dr..
(Conr.act Pe'" ,n)
APPT.ICAN1' SIGNATURE
FIREPLACE: MKE AND MODEL
~ 7JldL,.
Industrial. Cn", nerefoJ &; MIlIII-Fomily
FEE SCHEDULE
1% of Job .0SI Jl.esld.nlllli, 0.. Fireplace
$39.50 minimum
$99.50 Reslden<iol, Addition, &; Allmlllons
$64.50 ll.esldendal. AC onty
Resident.inl. HOlling &. AlC (New Con""'Jc:lion)
Jl.",jdent.i.l, HClling Only (New Construction)
Estimllle<l COSl $
Building Pennll #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
S
.50
(om., v., Only
This Appllc ,tion Becomes Your BuildIng PermIt Men Approved
I Paid _
I Dn')(r~l-o)
Solid in, Om.IAI
Dote
%4 hour notite fnr AlIlnApectln.. (951) 447-9850, tu (95Z) 447-4Z45
5~1'~
(Zip Code)
PLEASE NOTE:
Air Conditioner Units
Cannot Bnemach into
Required Side Yani
SetblOCl<s
$39.50
$39.50
$39.50
eUIL~~N'D 1t1,'l~H
, Gp ~
E:(~I.'~ ,~'......
VIII
. Receip~
B~
PR10R LAKE
INSPECTION RECORD
SITE ADDRESS /79..'39. \Je{>J1~1c\ Drt\I..SL
NATU ={E OF WORK ~\~ \
USE OF BUILDING ' ~~()
PERfVITNO. O'.Ofo3Cp DATEISSUED &-(5~4Do(
CONl RACTOR~I N l-\.-. \0'" PHONE fa) - ~ D 1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
" INSPECTOR
I FOOTING /}J/C- I ~
- '\.
I FOUNDATION (Prior to Backfill)r~ I f2Jr 7 If/of I /J::r, 7/ Ii /6)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - tNS
I (;6..
I d m.
I te:tr1
I .
7/l'1tD/ Cibr" '/11/01
t?;r. I qn'/tJ(
~. 11//tf1/ol
~ I.:i/L.i!~)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
/{/~
J ~./~101 " /z/Iif)f
1
~'
I>
SEW ER I WATER I SEPTIC
FRAI lUNG
INSULATION
ELE( :TRICAL
PLUMBINGlAl~. u:,.. {~
HEAr,NG (if required)
FIRE LACE
. GAS LINE AIR TEST ~ ~~~.
GRADING (Prior to Sodding)
BUILDING-I.C.D..+dJ1 gJ I/D"Z.- &f
.....,
ELE( :TRICAL
PLU~BING
HEATING
.
DO NOT OCCUPY UNTIL ABOVE HAS
NOTICE
DATE
I ?fdlbl
7(~ /IJI
1'!l9/D I
11 e.:s/LJ.7
J
~ /If/cY2.-
fr.t. t,f~/{) v
, A
1lLa)61
T?Jli7 (J)
, ,
BEEN SIGNED
lIhis card must be posted near an electricaJ'!lervi\re cabinet prior to rough-in inspections
and maintained until all inspections have been approved. On buildings and additions
v ,here 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
I
j
~. .~\~ ." ~'" . .
'....;.J, ':.'''''' ." I ;~." "' . h:'Ii".. :;.. "i ;"" 1<. _:"'."-"i:-_"I':'~'I!,:., t.'
;.~ :r~~',~~~~' ....~"- ;~ .'"
~". :; i' ~trtificatt at ODcmpanry
:E~' CII r OF PRIOR LAKE
:.~~ 1Dtpattmtnt of .utlbing Jn~ptdion
,l:f ~Final Permitted 0 Conditional C.O. Expires
I.~(,
x-
,...~
t~
It.-
i~
~
....
This Certificate issued pursuanJ to the requirements of Section 307 of the Uniform Building Code
certifying that at the time ofissUlJllce this structure was in compliance wirh the various ordi1lQ1lces of the
City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY zl
Bldg. Pennit N,.,
Use Classification
01-0636
Occupon<y Type
R3
Type Construction
VN
. Fire Zone
N/A
_ Zoning District
Rl
Legal Dcocription
L6, B3, DEERFIELD ADDITION
Owner of Building
D.R. HORTON, 20860
ContractOr's Name cl Address _ -
~;r. CityPlanncr
c;ite Address
17232 DEERFIELD DRIVE
I
\
KEN BRIDGE CT., SUITE 100, LAKEVILLE
ROBERT D. HUTCHINS
Bull"~ ~iaIl I
lo\)~ 62/ . Date:_
I POST IN A CONSPICUquS PLACE
DON RYE
lale:
ADORES'
OCCUPANT"
HEAT lOSS
SOLD BY
n~,:)..
HOUSE HEATING TEST RECORD
Oe~_,.. f,...\J. D,....v>-.
.APT. _FLOOR _CITY
r,WNER
SUBURB
DA TE HTG. INST.
JOB #
Electrical We rk By
TYPE OF H! AT
.INSTALLED BY
. Gas Line By
GA - FA ~HW _STEAM _SPACE HTR. _UNIT HTR. _OTHER
MAKF <1 r... ~._~ GAS DESIGN
Mod.1 )-'i-n ~',AV"'''-I'ii-\l.::.t:>~
5.';0 I .::x>..o l.AJ{,.b'-;7
INPUT _ \<::0.0<:>.... l>;-v
CONTROLS
THERMOSTA r \\,.....~ ~\l H.ot Plug.
Valve
Limit
Limit Setting
Fan Setting
Pilot Type
Pilot Make
Pilot Model
;::).'::lo~
\\}I',
Pilot Timing _
l. W. Cut Off
Pressure
J,S-
- Percent CO2
- Percent O2
Percent CO
Input CFH
Stack Temp.
F o~m 235
17~
1:.]
~.)
-c--.~
. lAKE OF BURNER
_ Model
. Max. BTU Rating
MAKE OF FURNAC~
Model
Vent Size
~3" pvL
KIND OF LINER
,,""
5;%__11.0(';1..'1'-"- ,
Draft Hood
Fi hers
Chimney Location
Chimney Construction
Inside
Smoke Bomb
Draft
- Door Pressure_
Dote Tested
l:l-S'"- D'
Company Testing Alliant Mechanical, 3650 Kennebec Dr., Eagan, MN 55122
Nome of Tester '(...-:~
CONVERSION
~IZ~ _NONE
Regulator 1'--\ e,.;....:..p...o ,
Number \
Outside
_Wiring
_Test Tag
_ Lighting Inst.
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(r'l'lol. ,4 . r.
ADDRESS
/7232- OEEe,cIE;LL) De.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
01- ~3(P
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)/ FINAL
(0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS: SOD/~
/J (I)~ ~
~~~ ~~ ~I:. ()
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
C!A,I)_ 447-9850 ~tJ. TH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
12.-7-0 I 4-tro
ADDRESS
/tZ32.. O&~GW
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/ ; (,S W
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
~NSULATIO 0 SEWER HOOKUP
FINAL 0 PLUMBING FINAL
o SITE INSPE TION @)( MECH FINAL
COMMENTSffi p~ ~
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o EXlGRADIFILLlNG
o COMPLAINT
~ FIREPLACE RI
FIREPLACE FINAL
o GAS LINE AIR TST
o
~ Idv~
o WORK SATISFACTORY. PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
~
Inspector:
Owner/Contr:
fAI}. 44~850 Fl)R THF~NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE /lJ.,./o, 9:(!e
INSPECTION NOTICE SCHEDULED
ADDRESS /'lPJ3;1- ~
,
OWNER CONTR.
PHONE NO. PERMIT NO. ~(-'r~
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATIOrP 0 SEWER HOOKUP
~ FINAL Af\\ 0 PLUMBING FINAL
o SITE INSPE ~Jll MECH FINAL
COMMENTS:(1J /~ ~
@ ~~ d.tr"'-~--L.J) - ~~
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o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
. .
T( C,cJ, -b,P..C 8/ I/~~
'0 WORK SATISFACTORY, PROCEED
)0 CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
~.
Inspector:
Owner/Contr:
(
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSHOTl
SCHEDULED f, -i;J~o-l9 ,T-
~'e1&8u
L.
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1'7 d 3;}
OWNER
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS: 5n
fJ)J q4~ .4 ~->-' ~ 11-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
M1 'So 8P.J.1,
DATE TIME
J~03b
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
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o CORRECT ACTION ANO PROCEED
:S:C::ECT WO~~OR REINS:::::::FORE COVERING
./
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
PHONE NO.
t;rlf-o 2-
17;}.3:J. Da"-{;,,lcI DI'.
CONTR. -D, R. t/adon.
PERMIT NO. (')/-c;3h
SCHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
;:s;,FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)(~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
{,,rh /5&~'- Ole-
6o;f'T
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspeclor~~.~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
DATE TIME
ADDRESS
J I} c9 3;),
SCHEDULED I~
h~ J-t,
It)! :;>0
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J/-h,-"t.
o FOOTING 0 PLUMBING RI
o FOUNDATION @ 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL Ill. PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS{D P -I/Vry
O-<'.A 14c.>
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I
\U~\rru~ ~,
. ,,-,-. ~.
V~~~
~ATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WOR:5' ALL FOR REINSPECTlON BEFORE COVERING
Inspector: ., Owner/Contr:
CALL 447-9850 FOR HE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl