HomeMy WebLinkAboutBldg Permit 05-0186
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3..3.05"
Main File
File
City
Applicant
While
Pink
Yellow
PERMIT NO. C5, 0/0&
(Please type or J: riot and siJtll at bottom)
ADDRESS
ZONING (office use)
t(
\ '"'~'" C>.,
~~ '\<-~~.....,..
\..>..:)-'-~
LEGALDE~,CRlPTION(officeuseonly) ~~.-,,-~, I\':::. Ie: -;""-<- '::.v-,"_~ \
.,
LOT\8I BLOCK \ ADDITION '-Y'''"...'-~ ....'<. ''-... ""'-:,.~->.
PID 25.3 ora. (Xl). b
OWNER
(Name) \). ~,-",-,"-""
"'y-~~
(Phone)
(Address)
BUILDER
(Company Name) ~<-~"'''''''-<-~~ '-<""~'.",
(ConlacINalne) \.)"-4~
(Address) \<'~""-.$. ~'-<-"- ~<-.~,-- ~<~<-.......
(Phone) ",So" '-'-.<:::.'" "'-,^-O ""
(Phone) """" ......., ",,-\,,
~~ "'" ~
\1'->-->-::>
TYPE OF" 'ORK Qf-New Construction &eCk DPorch ORe-Roofing ORe-Siding )9.Lower Level Finish J8. Fireplace
DAddition DAlteration DUtility Connection 0 Misc,
CODE: ~I.\l..C. DI.B.c.
Type of Cons mction: I II III IV V A B
Occupancy G coup: A B E F H I M R S U
Division: I 2 3 4 5
PROJECTCOST/VALUE S ,,~\~ . ~t:>~
(excluding land)
I hereby (t'flify th It I have filmished mformation 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 Jroperty and thaI all construction will conform 10 all existmg state and local laws and will proceed in accordance with submitted plans_ I am aware that the buildmg
ufficial can revokt this permit for JUst cause Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed mspcctwns
X \..) e.., ___ ~v..._'-.-,-----s.... ,,,,,,,,,'ls. 3/~i ""'~
Signature Contractor's License No, Date
$ 8SD.Ool
$ ~1--- I
$ KG').dO I
$ 75'. 00 1
$ I. ~O{J. d')
$ /; 000. 00
$ .
I.~ f!J(') . t"Y)
$
$ /0, 55B. 76
I Permit Valuallon ~ 7C). 000. ~
I Permit Fee $ .
2. 10?: . ~
I Plan Check F 'e $ t:'? ~7. ~I
I State Surchar ~e $ 1,7, '7. ('rL
I Penalty $
I Plumbing Pel mit Fee $ I Of), 0 0
I Mechanical I ermit Fee $ /0(').60
I Sewer & Wal er Permit Fee $ 35"'00
I Gas Fireplao ' Permit Fee $ 40.00
Park Support Fee
#
SAC
j.'/~O~
Size 5/8"CC}
Water Meter
Pressure Reducer
Sewer/Water Connectlon Fee #
Water Tower Fee #
Builder's Deposit
Other
TOTAL DUE
7
/(.'.IJY '0
"? 2, 'Z.&j-
-h g, 51"
!?It ~:f:~O~Buildmg ;nm. Wh;pproved
BunJmgOtlici,1 ~e
Paid
Dale
Receiot No.
By j'Y/"f
-
ThIS IS to certify that the request in the above applicatlOn and accompanying documents is in accordance with Ihe City Zoning Ordinance and may proceed as requested This document
when si cd by he City Planner fOnstltutcs a temporary CClllficate of Zonmg comphancc and allows constructIOn to commence BcfOle occupancy, a CCltlficatc llfOccllpancy must be
,M~ ~, 4i1/~E
24 hour notice for all inspections (9:;2) 447-98:;0, fax (9:;2) 447-424:;
16200 Eagle Creek Avenue Prior Lake. MN 55372
Special ConditIOns, If any
~~
0" P /0,<,>
p ...:... (
!:: ~
U 1'1
Main File
~.. - (luildinq
aQl . Enaineerind:::l
Pink - Planning
Th.. en...." lh.. L.h COunf'1"
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAI AE OF APPLICANT
APPLICATION RECEIVED
/\.
, F'
I! '
.i{,-
r-
-'
The Building, Engineering, and Planning Departments have reviewed the building permit
apr:; lication for construction activity which is proposed at:
{,~
i {. /{ t ___l __
,
,
, '
,.....-, \"
Ii ;-'
I
I
I Accepted
x
Accepted With Corrections
Der,ied
Reliewed By:
1YYiJ3
Date:
"3 -} J-tj..)
Conments: ~I'!~ Rl'!v.er!;1'! Sirl~ for Arlrlitinn::ll I nform::ltinn I
1Y7,., /.;. F:'/ (
See Attachments: 1) Grading Plan. -nErosion Control Measures
"Th 9 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
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."
5fi~
Main File
(White - Buildinl'D
Canary - Engineering
Pink - Planning
--
Tilt' C..nt... or lht ).R".. Countr,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ.ME OF APPLICANT
AF PLICATION RECEIVED
tv g Nf 1'1 t1 /II /1./ 110 H E5
.3.3.05
Th e Building, Engineering, and Planning Departments have reviewed the building permit
ap Jlication for construction activity which is proposed at:
/.fB(Pq f1IlL.OS PA~Nffj
Accepted
Accepted With Corrections. ~
De nied f ~f)j)
Re viewed BY:~.t--
I
Cc mments:
PeattJN. I1ft~ ~
)
Date:
3~/~
I f
"T he 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
ar y of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pr 3suming to give authority to violate or cancel the provisions of this code or other
or:linances of the jurisdiction shall not be valid,"
Main File
White . Building
Canary . En, ineering
(Pink . Plann,"
4
.
rh~ (-l'nIN or Ihl' I.akl' ('ounl~'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NJ.ME OF APPLICANT
AF PLICATION RECEIVED
. /.
I
The Building, Engineering, and Planning Departments have reviewed the building permit
ap ~Iication for construction activity which is proposed at:
II' Ii II
I
,
Ac.cepted
Accepted With Corrections
Denied
I/'..ii ..'
Reviewed By: V,/(/:/;-
C< mments:
Date:
/Ij/~
I "i''-
(
r( ( (I,
e<
(
I'
il
"
\.~ X..<.
"1lhe 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
allY of the provisions of this code or of any other ordinance of the jurisdiction. Permits
pi esuming to give authority to violate or cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid."
/
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;",.,....', .~.".. '. ,. .
C!~Y OF P~IOR ~.KE
S G\'f=:P p,.ND rdf'..TE:? ?:?l~IT
NO .t5~ 016'
HOTE::
Se'.......e~ and r,.la ter
contractors must
be registered
',.;i th the ci ty.
r
t
~ - --:'~~ ,.....,.,..-":,' ":"" .
" - ',' .. .~ - -'
w(~\?~ \ ~~~\
Iq8~~~cVk~_ __
PHONE :fJS/-LJ9'"J 565'/
OAT:=:: IO,JJ~i/-Q,q
/I.P!'LICANT:
I'. DD?:':SS :
::::- ;-r
'")7~',{7,-n
- -- - ---
=~LL IN TEE 3L~~~S
1,
~s~i~c~es length of wa~er se~/ice
30
fe'2.t-.
2.
size of w2ter se~vic~
/
4,
Type of sewe~ pipe.
ABS
from
PVC b(
inc:, (es). .. NI
s-t.::-"...1c"t:ure "^JI'A
feet.
] .
Loca~ion of any couplings
,
Cast Iron
5.
:=:sti.:>1c..t.ed length
of se'....-e!:'" line
3CJ
fee~JvL
at ~feet
f:-om
6.
C:!.ean
out
(if
required) ,
locat..ed
S~'::-".lc~u:::-e.
----------------------------------------------------------~-------
------------------------------------------------------------------
Th~s application becomes ~ou= pe~~t N~en app=oved.
BY
DATE:
=====~============================================================
F::2:S:
s
s
s
J5.00
.50
J5.50
Sewer and w~~e~ line connec~ion pe:::-~it.
Surcharge
TOT."L
:2.~
e.:..~he~
52'.";'2'::: C~
'-/"-"2::'e~
i:-:ci'/2-c.'..lc.::"ly
is
$20.00
?lus
S .50 s~':::c~a~~e,
,
52',-,''2:'- ,,~-=_~_._~~_~,~-:~d-:_'.:>,::::+:i-'::s ~ss'..le(: :2~ re<..; cons-::::-Jc-~ior1 :n~s~: 02
--=.---.~...L;:>~"r.f1"',....,.,;,.,.., ,h!'-':lc-'Ii,..,c .,....,:'I~i..... .---::>-.....~;:::..I- '7ho .1-1-'-';:) 0':: ;s-,.~.,.--n
--~-'-'i:'-,.-\,I_,..", ,'-'-~'= ':'+'4.- ''--'_.. ...,~_..._'_ ~__~ ~_ _.~~ '-_..l_ '.... - :::>'-'--.'--
-~. ;.-. ~~i:..i.bi. .>;...,6....."....;.. !~;l.l-J.'~;,,:,.hl ~ ~;-:-o '-''''''C>~ ","",,-: ..::......=.- ~.=>~--l~ -- 2.:::::-
': --'>R' 'i""} -' l...._ '-, ,...... T!r~r - -'---:-- ;::, c.." -- ,-,-,,~ ....- -~ - :-' --.. -'-~:::>
2..s.sC:8 ,': MAl? 22 2005 I .
I : ~:
~.M'~______'_ _.+
!
X'CC~i':' ?,.:?.A1D WITH
BUILDINGPt:HMII --
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.-.. .- -. - --
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-,""--~.~"._------ ,- .. .._,--...
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- '- -----------,-~---'-,-,~--'-,-
------ -, ,,-- , -, -."'---,,,---
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,:
, .- ~
03/02/200$ WED 8:08 FAX 6513226147 GENZ-RYAN
~ 003/003
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONlNG/FIREPLACE PERMIT
Date Rec'd
(Please!VE.e I !l'rint and sip at bottom)
ADDRES ;
Ulc.l"Cl i I \: 'I' ill
~-rD\~ \ \AJl,V,')
i ~ ~:~ f PERMIT NOI\K DI"UllO
J. Yellow ApphQlll v"'. fl!IJi'
rJ\(v\)l.l
,
...
I ZONING (ollke we) I.
LEGAL 1: ESCRlPTION (office use only)
LOT'7 ,BLOCK
ADDITION
PID
OWNER
(Name)..w: ~n~mAnn linmp<:!
(phone] _< < LO'l5.:.3.U'o
(Addr~~ 1895 Plaza Dr Ste 200
Eagan, MN
55122
APPUCA ~T
~am~__~n7.-Rv~n P1umbinp & Hp~~~n~
(phone) ~<; I_I.? ~_11 ~~
(Addr~s) 14745 So Robert Trl
{ \ I (Address)
(Contact P orson) _vl/llti fti {it I LS
"J'PLICA'lTSIGNATU~ [11 t~ -1aJL/7
Rosemount, MN
(City)
55068
(Zip Code)
(Phone) ~<;l_L.?~_l,bA
DATE 3/1 / C'"--~
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSr;<-~CTI?N , q RE~~ACEMENJ ,0 ALTERATIONS i, .. ..',
FURNACE MAKE AND MODEL u:r) 1\0 i\. (xLI -) U f' ... <--I g V I \C) FUEL I\! &d Ci {1 S
I J
FLUE SIZE RETURN OPENINGSL! INPUT 110 i Xx) OUTPUT '0 I 2(D
TYPE OF SYSTEM
:KlWaml Air Plants
DGravily
o Mechanical
.EJAir Conditioning
DV <Ill System
HEATING OR POWER PLANT
o Stearn
o Hat Water
o Radietion
o Special Devices
o .Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannol Encroach inlo
Required Side Yard
Selhacks
FIREPLAC ; MAKE AND MODEL
Industrial. Cc mmercial .It Multi-Family
FEE S,-.o."",,, u LE
I % of job cost Residential, OIlS Fireplace
$39.50 minimum
$99.50 Residential, Addilions & A1teralions
$64.50 Residential, AC Only
$39.50
Residenti.l.I leeting .It MC (New Conslruction)
Residential, Ileeting Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Pennil #.
HEA UNG PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
PAID WITH
.50 BUilDING PERMIT
.r--.~ Use QJ Iy)
...;.S Appl ication Becomes Your Building Permit When Approved
. PaId
"
I iReceipl No.
1l3Y
Bu Iding Official
Date
D'lltAR Z Z 2005
24 hour notiee for all inspeetio.s (952) 447<'1~50, fax (952) 447-4245
. !'J-.
lO/24/ 1 WED 11: 22 FAX rJ124c17112115
C!TV OF PR I OR LAi'E
fij] 00 1
CITY OF PRIOR LAKE PLUMBING PERMIT
Date Ree'(j
q'Jeil'c typ~ or print RDd lim :u bottom)
ADDRE ;5 1 4 ~L<:Pt
J "kit Pilr
1. Gollt Cil1
). Ytlkn- '"'''FIle....'
I PERMIT NOOS.DI6fa
~~\~s., ~Uwy
j ZONING (olle....) I
I LEGAL: )ESCRlPTION (olliee use only)
LOT
BLOCK
ADDITION
PID
I ~~e~R 1A. \eN\S'(Y\<XX\ X\ ~ om~s" . (phone) 6S)-'tDb -WDO
(Address) ig~~"Ph'2-o.... k. ~\~cQt{) ~V\ 1~Y\\ SS-J7rz
~;;~~ANTL0~el 'V\'D~ ~ \-\'}~~. (Phone) g/-fsj-/S~'
(Addtess) 17JD 'A-~b.~ \~. ~ Mn. 557;;2/..
~. (A~) ~ (City) (Zip 'COcky
... 'ConlaaP:rson) "Oel ~~~ /' (Phone) C,S-/-%:2-156S
I APPLICASTSIGNATURE ~ . DATH 10 J)~ IDcf
~LICANT PLEASE COMPLETE BELOW
Type ofFiJltllre I QlI.Dtity I
Bath Tub with or without shower I ROii.iiji=.ns
Dishwasher I I I WaterHeater
, Floor Oralu I J Water SOftner
I LavatQry (Bathroom Sink) I I ! Stand Pipe (Washing Machine)
I Laundry Tray (I or 2 compartment sink I Sewage Bjector
i Shower Stall I Saddlow Assembly
I Sinks I Backflow Assembly Test
j Bar Sink I Lawn S-prinkIer
I Water Closet (Toilet) I Other
I
I
I
~
I
I I
C-' 3
Quanti! y
1
I
I
I(
I
;;)..
Type of .fixture
FEE SCHEDULE
lndustriul, :::ommerch~1 & Multi-family }Oo/Oo or job co,t with a $39.50 minimum Residential, New One:: &. Two-Family $99.50
Re3idential. Additions &. Alte.mtions S.39.50
Estimated Cost S
Building Pmnit #
PLU},-lBlNG PElUvllT FEE $
STATE SURCHARGE $
TOT AL PERMIT FEE $
PAID WITH
~ILDING PERMIT
lice Ult Oil)')
~.1 hl)\,,' .)i')'{i~-a flY( ,,11 i\1:~?;~\!thn,j (~:t, ,,4/.';._ V. ;;if~~~~A}:'-,h-,~l~;
".-------.-
f R,ee~{f~ r;<$., "+;l\w> .
.. ~l;l~;' ;~);::~ ,;.~\;~,,~i,~
.; ~~.i~ ~lP J".l, 'L~.I~:Q ,~, ~,}:",~,,~,,~eJ,~~p r 'J.;~1~~~,r,~,'f .~i~ W';:,,~1:~lc.'~1~'~:,:.
.. ..~. . ',.. ~i't"..." ,h-' ;;; ,.u ,..," "~i:","ll~
. ..~~.~--."."-, ",' 0"'1 ,'" '\";'~'~ ..... ".., "('It ", .d__.__......__..." . ... .',
~ .. UU,Jllig 0 ti\1 ,. , , , n.if .. . ""..
-----j-------..-----.-.---..-.--..
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
q'l~ase tv1H:. 01 'Print and sip. at bottom)
ADDRESS
; :i;:., ~:;y I PERMIT NO. A" A/II,
3. Yellow Apphcant Vtiil .,
14869 WILDS PARK
LEGAL DISCRlPTION (office use only)
LOT B ~OCK ADDITION
OWNER
(Namp WI :NSMA NN HOM"FS
lPhone)
(Address)
APPLICAr IT
(Name) ALI.!ED FTRF~J[)E DRA FTRE~J[)E HEARTH & HOME
(Phone)
ROSEVILLE
(City)
ZONING (office use)
PID
/\51-/\11-25/\1
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
55113_
(Zip Code)
APPLICA} T SIGNATURE
BRENDA HUSTON
DATE
(Phone) _651-633-2561
5/21/0
(Conlacl Pe 'son)
RRENDA HUSTON
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE \1AKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
o Sleam
o Hol Waler
o Radiation
o Special Devices
o Other Devices
OWarm Air Planls
OGravilY
o Mechanical
OAir Conditioning
OVent. System
FIREPLACI, MAKE AND MODEL
HEATNGLO 6000TR-OAKX2
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residenlial, AC Only
Industrial, Cc llmercial & Multi-Family
Residential, I .eating & NC (New Construction)
Residential, I :eating Only (New Construction)
Eslimaled Cosl $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permil #
$
$
$
"'AID WITH
.50 BUILDING PERMIT
(Office Use 01 ,Iy)
This App ication Becomes Your Building Permit When Approved
'111>.'" [r ";. I..' "'I Ie'
'i h~F,"; I,! I' LS
: 1:~aljUN 00 2005
i!IJ ;{t
'"~
HI ildine: Official
Date
24 hour notice for all inspections (952) 447- '~~0.~f~x~~52!~47.:4.2~
-----.----'--_._-,._-"._--_.~--------_._-----"_._.,.~-,.,-,.
OUTPUT
PLEASE NOTE:
Air Condilioner Unils
Cannot Encroach into
Required Side Yard
Selbacks
$39.50
$39.50
$39.50
.---- ..
lllReceiPI No,
I By
'I
PB OR LAKE ~~r&~~JD~t$~D~~
I SPECTION RECORD
SITE .'DDRESS ~ WtlJ.~ Brkw_; Main File
NATURE OF WORK (I. , r
USI:.PF= aUILOING 3 t:' ~ .
PER~"T NO, 05. 0/6& DATE ISSUED 3/AJ6<"",
CONl'RACTOR PHONE ' ~ 12. ~ IX;;) I -7/ '7 {,
NOT~: THIS IS NOT A PERMIT FOR ANY OF THE INSPI:CTIONS aELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
lNSPECTOi;l .
I FOO riNG ~ ;J.tWI-Ii;~,..., tdc.J I;t5 .'l""~ GlJ<, I
J FOU~DATION (Prior to Backfill) I #/J ~'fA,s ..
." PLACE N.O CONCRETE UNTIL ABOVe HA~ BEEN SIGNED
ROUGH - INS /
f/iJ '1g-
1/ f "'A
DATE
SEVIl ER I WATER I SEPTIC
FRA IAING
I
'... ftJmON
ELE :::TRICAL
PLUMBING",~l rAC. <I' aD
HEArING.Clf required) l
f=IREPLAce '
GAS LINE: AIR TEST I
, COVEij NO WORK UNTIL ABOVE HAS BEEN SIGNED
~~'~f' I sJucUJ !./iIL. . IA-~(' ~ ~;/<tr[
/ FINALS .
GRADING (Prior to Sodding) <- /VB 8. ';2.1-. OS
BUILDINQ'f~JcIO.:t~~rh ", ,t!Ef).. (~y~~'~~
:~~e~AL . lf~' ~::,~':~~:
t _,"'. . ....."..... -', .,"
DO NOt OCCUpy UNtiL ABOVE HAS BEEN SIGNSD"
NOtiCE .; .'.'
. '''his elIird must be po~ed nellr an electrical service ceblnet. prior to'rough.ll'lltlsl'leetlo....\!.\;,. ............
..,lInd maintained .untll /l1l.lnspeetlon. hal/e been epf)rol/ed;:'On b~lr~lh!l.lIl1d~~~~m~ri'l;t:;@'t~t.;'~rif:r
....... :.,l ~~.~r~;~.~ s~~I~e cablnetl~ available, card shall be placed neat malne~tf8nc.~!;~hiif~?ft~r;;${..d>~!!'.;l:,t~,.\) ;
;c- ,.,. ..;\~., ....'! ;; .. i ..', ''.'.... ...... .. :.'. .. ":' ''': ',.. -", .. , ',," ,.. ...... -' <:1,., :: : '.';, ',~.:, ;~'..', ....,c:...' < .. ?,.;.,- ,....r. ':"\.':
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FOR ALL INSPECTIONS (952) 447-9850
@trfifitaft of OOttU).mutl,!
CITY OF PRIOR LAKE
:!Elrpadmrut of ~uilMug J]usprdiou
0f Final Permitted r::J Conditional e.O. Expires
~.
This Certificate issued pursuant to the requirements of Section 110 of the ,j Residential I 'i International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances afthe City of Prior Lake regulating building construction or use. For the following:
SINGLE FA~ILY 05-0186
Use Classification
Bldg. Permit N"
Occupancy Type
R'
VN
Zoning District
Rl
Legal Description
_ Type Constructio^
1.7, B1. VILLAS AT THE WnDS
Owner of Buildine- Site Address
Wl!tiillllAtiti 116!J1jjil, 11ll!J PLAZA DR..
Contractor's Name & Address . ~
ROBERT D. HUTCHINS ~
//Y. City Planner
^ ~ ~ilding Official
Dale: /o/"P/C')' Dale:
14869 WIT,DS PARKWAY
EAGAN, ~I~~ESOTA
JANE KANSIER
55122
~,
~',.,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
/'/%67 w;tJ;
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~TlON
o SITE 7NSPECTION
COMMENTS:
/'
riA"'?
CONTR.
PERMIT NO.
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
/
/:/~
DATE TIME
~//~.r
/~t/
/
s--/H:
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-- .- .-.-.--'-.-- -" ---
~
/ /")/
\C./ore
~ORK SATlSFACTO~~. PROCEED
o CORRECT ACTlOt?AND PR CEED
o CORRECT WO/~ 7L R RElNSPECTlON BEFORE COVERING
Inspector. fP~ Owner/Contr:
.r-'I
k
CALL "'7-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
U<SNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
~,)o/-(})
I~r t.v-c.y
"^,//,//.</Bld',,..,
PERMIT NO. (",s-- {~
TIME
ADDRESS
I 'Ig~tj
Will>
OWNER
CONTR.
PHONE 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 MECH FINAL
~LlNG
o COMPLAINT
o FIREPLACE Rl
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
I:u/b I~ -l>(L
6/"r.-'Lr. - Dr
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR RElNSPECTlON BEFORE COVERING
Inspeclor:~--- OwnerlConlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH <l SAFETY!
'NSlWn
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS N fJJ r () if
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~~NSULA TION
~INAL
o SITE INSPECTION
DATE TIME
SCHEDULED B~
tJjr~C' \J:k VJ'-I
CO~TR~ \J
C)'J - t g ~
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS: ')1
,. ~~ ).J,,,,h
2-. S..L d- ~ n.t.A..6
--
" I..e-.....O
I
,
-J..c;y ( (j - ~ - cJ ")
J
o WORK SATISFACTORY. PROCEED
o CORRECTl!f}C ION ANO PROCEED
o CORRECT 0 CALL FOR RElNSPECTlON BEFORE COVERING
Inspector: , OWner/Contr:
CALl-d1lsso FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS 1L.l ~(,,'1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
EH~-oS"
W.. \.Q.c;..
"P'k "'-lj
CONTR.
PERMIT NO.
S-IA(,.,
o PLUMBING Rl
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
'j{ PLUMBING FINAL
o MECH FINAL
o EXIGRADfFlLLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: .
I. QI-up, d~ ~
~ c.'")P7
2- l~ 11 -'-'
o WORK SATISFACTORY. PROCEED
/ CORRECT ACTION AND PROCEED
o CORR~C lRK. CALL FOR RElNSPECTION BEFORE COVERING
Inspector' Owner/ConIc:
C:rL .1~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CO'JZQUlREMENTS ARE FOR YOUR PERSONAL HEALTH&. SAFETY!
lfUNOTJ