HomeMy WebLinkAboutBldg Permit 01-0635
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please !(De or nrint and sign at bottom)
ADDRESS
144 ~3
~~ t!:t,
Date Rec'd
}
White File
Pink City
Yellow Applicant
LEGAL DESCRIPTION (office use only) ./ /
LOT / BLOCK 4-ADDITION Jt.;oB. HvtL-
OWNER
(Name)
~
PID :;~--:4,br; -()7{B--()
9S'~ -&/q.$" - r; ~
WINDWOOD HOMES
1~11 l:;wmg Ave. 6., ouii.. i.JC
Burnsville, MN 55306
(Phone)
(Address)
BUILDER
(Name)
(Address)
-/
TYPE OF WORK ~ New Construction
OLower Level Finish
o Misc.
ODeck
o Fireplace
(Phone)
OPorch
ORe-Roofing
ORe-Siding
OUtility Connection
ation on this application which is to the best of my knowledge rrue and correct. I also certify that I am the owner or
ove-mentione roperty and that all construction will conform to all existing state and local laws and will proceed in accordance with
uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
_n~ MIJ7 ~4;;
I S~ture Contractor's License No. Date
&--'
x
Permit Fee
Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
$
$
$
$
$
$
$
$
llo'l/cco - C?~
','St.((). qS- I
8 7(.(.~
81.00
$ l3<;V.dJJ I
$ {, (5O.cOO I
$ tee nO I
$ %.eCJ
$ I ?/Yl. t'Y'")
$ "/N") .00 I
$ I :SrJc.l;)o I
$ I I
$B.I39.O-U
. ----
I Receipt Not)'';' \(//-.J I
By ff ---. I
OAddition
OAlteration
#
#
#
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 Ci lanner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ ~/U(p,- c:.~~. (~
"-" "Planmng Director Da c Special Condl ions, if
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
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lit) . /'9 CLJ
I (!)O _~ C;;
( ()('). /'0V
ilding Permit When Approved
~-5'?JlO(~
Date
PROJECT COST/VALUE (excluding land) $
I Park Support Fee
I SAC
I Water Meter Si@;
Pressure Reducer
Sewer/Water Connection Fee
#
1".
,
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
CYIlLE.P
fA -;;J./o - 0/
Paid
Date
'6/:5'1' all
?- ';)..-0 I
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Th~ (.~tII~r elf III~ I..kr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
"
NAME OF APPLICANT
APPLICATION RECEIVED
/ L/ ./A/1Clu x;od ,//O'Y7U2<l_/'
5- ;;?.5- -01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/I/L/,L) 3 A?v /W'A (7/
Acc~pted
x
Accepted With Corrections
Denied
Reviewed By:
1/114 t3
Date:
C -~o-of
Comment$pp Rpvp.rse Sirlp. for Additional Information!
S\::\:: rmacnrnerns: 'I) l.:rraomg t'lan, L.) l::raSlon Control Measures
3) Erosion Control Plan
"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 ('fnlu;of Ihf I.akf ('OUnlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
"
'......:
j/
Th~ Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ ..../. ) ::..'
t-
Acpepted
~
Accepted With Corrections
Denied f ^
Reviewed By: ~ ~~......
Date:
~/~/b1
Cgmments:
~'vJlMMM 3DF\ ~~ ~~.,~~
-ltv~ ~\ \TO Cev~ ~e-d 'rr-<.{)cl4Jf
.A-~ ~dr~~ OY\ &v~ ttLjK-+~.
,fII\~lV\MJ.AM (C)w ~1 ~ W /J-yy.J0?
· l{Y\c..VD~~'~~ r~ ~~~ t9"Y' ~_
~Ta./"'~ / Ar I ~ ,
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"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
pr$suming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid,"
Thr Crnttr nf fhr L.kr ("ountry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
--..
NAME OF APPLICANT
APPLICATION RECEIVED
/~j L41da.a:d y;{ ~
.6- ;;? S- -0/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J//L/S3 J?a/Y'VI_Cl i
Accepted ~
Accepted With Corrections
Denied -----J.) /J 1
Reviewed V6'07 --. Date: t,- t:}-7LJOI
Comments:
_<~ all ~*b.(AIld ~~
"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
l-tf..O/
L "'~" 'ii, I PERMIT NO
2 Y'''ow c;'Y. on '-tJ(P35
3. Gold Apphcant V"
(Please tvDe or DIint and sien at bottom)
ADDRES$
Itt~S3 Il/lUE;-J CT,
ZONING (offi" use)
a
. LEGAL DESCRIPTION (office use only)
LOT / llLOCK 4-ADDITION
ICNtJP fila. >TH
PID 2S' 3&1-0 '1tf - 0
OWNER
(Name) 'VV I-v0() LV 00 tJ JJ(jyv\'~_ s
(Phone)
(Address)
(Address)
(City)
(Zip Code)
I APPLICAm' """ 1lL _
(Name) fJ IL =.1 'Tc;..r~
.c x.. c.
(Phone(H'..2) 1.>'1.2-6 ? d 6
L k I/L . .r .J<> <; <-/
(City) (Zip Code)
'~tl 9 J 6PLLrJ W A 't
(Address)
OlJ,.,T'CI-1
APPLICAi'IITSIGNATURE ~ 9. '" .~_D~L-
(Address)
(Phone)
DATEW/O /
(Contact P~son)
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure - feet.
Type of sewer pipe. 0 ABC ,f3.pvc 0 Cast Iron
Estimated length of sewer line Lf. f> feet.
Clean out (if required) located at - feet from structure.
FEE SCHEDULE
Residential s~wer and water line connection $35.50 Industrial. Com'! & Multi-family 1% of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.50
C>U
Estimated Cost $ 5;>00.
SEWER AND WATER PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE
Building Permit #
(Office Use Only)
This Applifation Becomes Your Building Permit When Approved ~
Date
Building Official Date 7. q ~ 0 I
24 hour notice for nil inspections (952) 447-9850, I.x (9~2) 4474245
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08-08-2001 07:45AM
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MATTHEW DANIELS,INC.
423 3017 P.01
I. _ IVo
:l. (;ald ""
3_Y_ ~
PPN... /-(.;3 S
Appllcam: I'tIn#hpu) J)""iI'J~. Inn. Phone:~S/) ';.:L'l-~~~n
Address: Ltrg.'lO (I/U'rDlL#U!.1 >V-";l-' .~"'''P''':Jt1lJ,,!. M/'I o-;"-o.JJ
Signature, J'J II r ' ~ ~.11 '~H no.",,/.'"' / . " .~.
Legal Description. Lot I Block () L/ Sub;: AJO b i:Jr.P 2, v
Site Address:JoJi/€'4 ~ '" II) fJ.JI n J.r. ,{. E.
Building PermlU PIC #.Q.6 -)G:,'i?~U3 R-0
NOTE: This pe/TTIit will not be prccused without complete information.
CITY OF PRIOR LAKE
PLUMBING PERMIT
FIXTURE UNITS
T~e of Fixture
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backtlow Assembly (RPZ. Double Chedl PVE
Backflow Assembly Test
Lawn Sprinkler
Other
$
$ 99.57>
$
$ .50
$ /4()-IJO ~ ~tlv.
This permit is SZWlted vpon die ..press eoJldi,iOll w. sai<l
conlr.lClDI'. sllaII .."'ply jn all .~._ II<itII the on1lnanoe'
or the SWe PI~mbing Cc<Ic ut<l die ammclmca.. !her""r.
RECEl'PTNO. X"-7-0/ OATE
r;'r-. A...,...
Call for all iDspc<:UOIIS 1{4 bolUS in advance_
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,
162(!) Eagle Creek Av. S.E.. Prior Lake. Minnesota 553721 Ph. (612) 4474230 I FAX (612) 447-4245
. JuJ Equal Oppommity Employer
Bath Tub with or without shower
Dishwasher
Fleor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compat1ment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I
II. ;,.
I
I
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost. $39.50 minimum)
Residential, New One & Two Family
Residential. Additions & Alterations
Slate Surcharge
S99.50
$39.50
GRANO TOTAL
08/28/01 TUE 15:23 FAX 7635530887
~UYER'S BUILDERS EXPRESS
CITY OF PRIOR LAKE
REA TlNG/AIR CONDITIONINGIFIREPLACE PERMIT
(Pleax!'Fe O('orint an,d sim It bottom.)
ADDRESS
1l.{l.! ~:i~ ~ A-Jp.h (?-:t- ~ (' \D('
LEGAL DIi!SClUPTION (olllce w. only) t;
LOT I $LOCK U ADDITION fL}'Jb JJ; II
. -
OWNER\ .. \, J\ 1\ /"'l
(Name)~\lI..A.",,~ ( n-4"'nr.vLD\./
--- ,-- I
(Add.tess)
I4J 001
Date Rec'd
i =.. E~_ I PERMIT NO. 1- G::, '3 5' I
I Z'?!!:O (alll',,"',)
,:,'Y_e
t{Ov
(Phone)
PID)'5"-:'1&o'3- O~~-O
I APPLI~T O. ~ "\ ..n/'/ ~ _
(Name)~1 d:""r~ ~ \.\\rl-er::.. ~, ~ly (Phone) (7(P~y:.,cn~ ~
(Address) \~ry::;- JS"'tS ~ /... \ 't'll/lN1m.d-\.n.1 )MI/I ~4L/ /
~ (AcUhess) , City) . (Zip Colle)
(Conoact Person) t '0'"' ~ lO-:eFS (Phone) (?(P ~ '\ enq,q ~ l./roro '5
APPLICANTSIGNATUREtr)~ ~.II!/A.#. '( DATE 9--2'.2-<; (
APPLICANT PLEASE COMPLETE BELOW
~w CONSTRUCTION 0 REPLACEMENT Ll AL TEM nONS
FURNACE MAKE AND MODEL FUEL
FIREPLACE MAKE AND MODEL ~ ~ r.e.c Il"\r b \ - ("tT-,(,).IllI:l..^- \
FEE SCHEDULE
1 % of job cost Residt:ntial, Gas Fireplace
:&39.50 minimqrn
S99.50 Residential. Additions &. Alterations
S64.'O Residen,ial. AC Only
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
oWann Air Plan,.
DGravity
o M..hanical
, OAir Conditioning
oVo",. Syst<l1l
Industria.L Commercial &. Multi-Pamily
Rc:sidcntia11 Healihg &. Ale (New Construction)
Rlllsidel'\itiaL Hearing Only (Nlitiw Con:nruc.tion)
Estimated Cost S \. ty"'JC:> .-
,
HEATING PERMIT FEE
STATE SURCHARGE
TOT....L PER.'mT FEE
fNPIJT
HEATING OR POWER PLANT
OSIClll1l
o Hal Water
OllAclietion
o Spcoial Dcvi=
o Othcr Devices
Building Permit #
$
$
$
.50
(Office lln Only)
ThIs Application Become. Your Building Permit When Approved
BuiJdin'lOffici,,!
Dale
24 hour nuticr: for 0111 in!pettion$ ('52) 441.98S0, fa. (951) '41-4245
I Paid
I Date )( -)'1-0 I
OUTPUT
PLEASE NOTE:
Air Conditioner Uni,.
Cannot Encroach into
Required Side YlU'd
Setbacks
539.~O
539.'0
S39.S0
,...
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I Receipr No.
I By CK.-.
J
HEAnNG ApPUCATION I PERMIT
'bale \ \ - -:'1;..\ - 6\) PID' 2.5- 3iP0 - Q38 - 0
is)n5Addrl!$S ',-\,^$~ ~\)''''- '-."\.
...
ci:Jt -1.. Block U. Addkion t. r\ ll'v-J \\ ~ \ \ '; 1h-
z . \ \
Ownefs Name~' "'~~c l"-~ \\ ~~~
Address \u.'\\\ c::v...)~", {\,,\. ~v.--'\5~: \\p
Healing ConlradDr r\..\t-..." it; - \ n l,
Address \ ~ ~ ~ Q \..ll\. \ ( 1',,,,-, ~v f
'1 <;~- \A ~ 1- ~ \ "). ~
T Ilephone .
Furnaal Make I Model ("'Yo': \---
Model Size \"'\ '4 ()-- \ Q;::)
Conn. Load ~ Q ., ') '\
Fuel N "," Flue SIze" V <.
Supply Openings \ 'I
~
E
CL
\D
~lI8rawn. -
N
H8pU.
... ..
!SId.-COIU \ \
!SI.
N
u-i EATING PEl'lMrr FEE S
N .. .
diAlE SURCHARGE S
to; <.-. - ....
t_.j~"~"\;L~",,, ...c~P-r-:
R.tum Openings
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cr'put
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CITY OF PRIOR LAKE MC
16200 Eagle CreekAv. S.E, PennnNo. ()I ~ OltJ3tJ
PrIor Lake, MN 55372
l. Phk ~:FIIc
2- Gftca OIY
J. ~oIIow - c-
TYPE OF STRUCTURE
x
S1ngIe famfIy
. iwo.FamiIy.
MuIti.Fam1ly
Commercial
InDustrial
Public
Other
. Fe. ScIledule
Pf'l~~ \..l.\/~
Induslrial. Commercial & MuIli.Family
Residential. Heatin9 & ~
Residenlia~ Healing Only
ResiDential, Gu Fireplace
ReslDenlial, Addftions & Alterations
Residentiet, M; Only
1 %-01 ;ob ""sI153S1.5O minimum)
$99.50 PLEASE NOTE:
$64.50 Air Condi tioner Units Canne
139.50 Encroach Into Required Side
$39_50 Yard Setbacks.
S3g.&
Remllll1ber to add the State Surcharge on the bottom 01 this application.
OUIput
TYPE OF SYSTEM
Watm Air Plan~
Gravily
Mechanical
Air ConclkioninfG
VenL System X
HEATING OR POWER PLANT
S1eam
Hot Wet51'
Radiation
Special Devices
The price 01 your healing permit includes one lOugh-in and one rmal inspection.
Additional inspec:tions w~, be billed at $35.00 eeeh.
Houslt Hedng T~ Record mUlt be sublllilted with IlWdJog IlJ.ll!Iil numbel belore build.
ing c.rtificele 01 ClCalpancy wll be iasued.
f:IfQ: CAlCtLUlON!'l REQUIRED with IIllmber 01 supply and retum opltnings lisIed per
100m wiIh CFM's per opening. New struc:lLIles or addllions send fIo01 plan will S\Jpply
and relurn locations Mown. HEAT lOSS CAlC\JlJmONS, PAYMENT AND
APPUCATIONS MAY BE MAILED iO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372. .
CiIy Hall iKJsin_ holnS are 8 a.m.. 4:30 p.rn.
ALL WORK MUST BE INS,.......::u (ROUGH-IN AND FINAL). CALL em HALL
oI47-t85l1 FI<t1C ~"7. ~z.4.5
DIller Devices
~.~...',,~...J. f'VI.
TYPE OF WORK
Aeplacemen1 New Consbuclion \/..
I hereby apply lor a mechanical sya1ems parmit and 1 acknowledge that1he
InIormallon lIbou is complete .and uculala; thai lIIe woik wi. be in conlormance
wilh lIIe ordinences .and cod.. of 1he clIy and wllh Jhe milt building/mechanical
codes;:thll this Iorm dOl. nat become _ pennlt unlil slgned by 11\e BUILDING
OFFICIAl.:; thal1he work 'wlll be in accordance with the approveD plan In ""
CUll 01 AI' work which require. revlew and approval 01 plans. . -
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EsL Comp. DatI
1\~ (,) di/ BuDdlng PermU
01 ;()1435
....-
.50
PAID WITH
BUILDING PER~:'lT
,--- .',., :.,.,:.:~~.>:L - ~.-:i,"< _,,:;,c:c:~i0';~~jjiik::rJ.~:,~.t/
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DEPARTMENT OF
BOILDING AND INSPECTION
,to
SITEiADDRESS illS3. V2.a.\J~
NATL RE OF WORK ~~
USE )F BUILDING SFO
PERrtllT NO. lJ (-0(035 DAT~SUED c,,-S--Zc:o (
CONtRACTOR _.1AJ,\wi~ ~JK.( PHONE 957-?fiS -B<['t8
, ..
NOTIF: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INS~ECTOR
DATE
I F09TING I ~ I 7/9/0/ I
I FO~NDATION {Prior to Backfill)~"": I (~ 71/ 110 I Iwe ~. 7 J I '3/D I I
iPLACE NO CONCRETE UNTIL ABOVE HAS BEEN S~
ROUGH - INS
SE~ER I WATER I SEPTIC A
FR MING /#1
INS LATION ..-o~ dI>,~)
ELE ::TRICAL I.&v . .
PLU MBING 1/'7 _ 1'/(3!/) I
HEATING (if requiredH,....;.{,9Jl ~ '1(1 ~(~I ) Id:r. 1'6'/1 ~/tJl
. FIREiPLACE 'b llUlA 0!g,r f)/
GA~L1NEAIRTEST ~ 4-. !/It-;/;/ RP'. ~.'t)U)( f
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
7},I?
1ft
A
I~tr
!/ /7 fOf
GR~DING (Prior to Sodding)
BUll ,DING ,.t().-\W' 1\1 /0'2.- ~ 10 flllll
ELE' ::TRICAL
PLU MBING
HEAlTlNG
DO NOT OCCUpy UNTIL ABOVE HAS
NOTICE
9- Z~"O z..
7/5/02-
, '
, .
//)/1Icl
Ie! II/II I
BEEN SIGNED
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 ..shal! ~4) placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447.9850
,.-=-. -=-.-=---=---=--~~=--=-=---=-=
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(~:~.. CITY OF PRIOR LAKE
:~~ ~ :iDepartment of .utlbing )n~pedion
(~:~ Final Permitted 0 Conditional C.O. Expires
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This Certificate issued pur$lUUlt to the require_nts of Section 307 of the Uniform Building Code
certifying that at the time of isslIDIICe this structure was in compliance with the various ordi/lQ/lces of the
City of Prior Lake regulating building construction or use. For the following:
SINGLE FAMILY
Use Classificatioo
Bldg. Pennit N'"
01-0635
Occuponcy Type
R3
Fire Zone .Ji/ A
Zoning District
R1
Rl
Type Construction
LcgoJ Desc:riplion
Ll, B4, KNOB HILL FIFTH ADDITION
.SiteAddre.. ,14453 RAVEN COURT
14311 EWING AVE. S., SUITE 200, BURNSVILLE
Owner of Building
WINDWOOD HOMES,
ContractOr's Name" Address /
_ ROBERT D. HUTCHINS tJ:J.-. rjly Planner
Date: '7nJilO ~ill Date:
I
DON RYE
POST IN A CONSPICUOUS PLACE
1-3-~
I q lfS""S <f?C<.A ~ /VL/ <:0.- (
I -
CONTR.
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)iCFINAL
1] SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
.;5y-T
COMMENTS:
J .
~
,
Thh.
'~
,
DATE
fi'~Y/
/ - [., 3~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o/~
,l!ONORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT ~ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~tJy- Owner/Contr:
CALL 447-9850 F6R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
I'lL/53 ~1It'., (. r
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.:8::fINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
hl"qr/(. -a I<
1I.C.v/b &"K -0 K.
DATE TIME
1./ -2'-()).
WJ'J~ I-IbI#Jes
6/-t,U;-
.lC(~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
fI2m~ tt>\J'JPr /~ ql'>f'~c -/.., UA~c. f-
~ b~kof,'d- -t'J " I;"d.'.'
u~v
,
)(WORK SATISFACTORY. PROCEED
o 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.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
1L/'-I5'3
SCHEDULED 7/i",/01
t?AJD-i cr.
II: c-o
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()/-(o3S-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS~
o PLUMBING RI
o MECH RI
.8 WATER HOOKUP
r,. SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
L-I JUj
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
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II
_ . j/~v'
I f,t?'.1) ~- d>
\ .f--- .' ,JJ;.,AI dJ.}:JJ'
t,;r . V J;J'Vq:'
'It
o WORK SATISFACTORY, PROCEED
)!i] CORRECT ACTION AND PROCEED
o CORRECT ~K. 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
........------
\,J.....,..
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED I-/J-tf-[ cJ; fY\
/L/Lf5.J.- 7;J fMYAZ-0+
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
J-t, 3.S-
o FOOTING 0 PLUMBING RI 0 EXlGRADIFILLING
o FOUNDATION . 0 MECH RI 0 COMPLAINT
o FRAMING ~ 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 01 0 ~EWER HOOKUP 0 FIREPLACE FINAL
o FINAL ~LUMBING FINAL 0 GASLINE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
COMMENTSf1)~~. r.....~ y: ~~~ j~
ftr~~JL>
u '
~ Md:J:N 9, WJ
~~
o WORK SATISFACTORY. PROCEED
)d CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Inspector:
~
,
OwnerlContr:
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNon
DATE
,,,..~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED (/)-I/-o/;:;;.'StiJ
/1Ji/53 I<a_ur::~z!.j
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{- (; 3S-
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ~ 0 WATER HOOKUP
s.-INSULATION~ 0 SEWER HOOKUP
/C FINAL !:iJ) 0 PLUMBING FINAL
o SITE INSPECTION ~~MECH FINAL
COMMENTS:(1)) KQJl..IO pol;:; ~ ~ ~
r ;
~ :.c .LJ<.J- b')oo.... (~~--^A-'t.)
~~~L- ~~'_~.:~. ~
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--/-1J <I ".0 f), ~.
~)-r~~Cb.:nO ~~,
o EXlGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
1;C[), -t-JJ) 81110Z-
,
~~
o WORK SATISFACTORY. PROCEED
(&JCORRECT ACTION AND PROCEED
:S::~ECT wq;L,FOR REINS::::1::::FORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSHOTl