HomeMy WebLinkAboutBldg Permit 01-0578
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please.!VD~ or 'Orint and sign at bottom)
ADDRESS
\ L4(3) T"f ~
"t::>'O~ ~-
LEGAL DESCRIPTION (office use only)
Date Rec' d
1. White File
2. Pink City
3. Yellow Applicant
-f) I
LOT\"CBLOCK \ ADDITION \t-.~~~\\ ~~ At.>.b.,+\tn-\ PID;;?5-~L.li'-od'-O
OWNER
(Name) .s~ 9
A-s \e>LA..\ \ ba...r-
(Address)
BUILDER I
(Name)/-\ it.. 9~ d..Q 9
(Contact Name) L'-L...... f'. k 1
(Address) lL\.~" ~ ~r::,.A-<.A
(phone)
): ,
. ...., :\...&..-5;
~~
TYPE OF WORK
{J New Construction
DLower Level Finish
o Fireplace
PROJECT COST IV ALUE (excluding land) $
ODeck
o Misc.
(Phone)
(Phone)
'+4'1- r PJ 410
n ;.-,....... \~
,,,^,-,,-
.~ '7,. 72....
ORe-Siding
OUtility Connection
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 property 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
;te~\X2?e~s&~e:ons 436q '-f-7-S-~O t
- Signature ( Contractor's License No. Date
I Permit Valuation
I Permit Fee $
I Plan Check Fee $
I State Surcharge $
I Penalty $
I Plumbing Permit Fee $ / I'J(,). C>O
I Mechanical Permit Fee $ i 00 . (J) ()
I Sewer & Water Permit Fee $ -'5,")-0
I Gas Fireplace Permit Fee $ (j () .n
/A" '
(/""'~1iFY--s.-;;'7'
~ llui ng ffidal Date I
I
158,000 ctD I
I f,~lB. ss- I
R,I::i'1 . /')fJ, I
7'1. (fJ?j I
I
I
I
I
I
OPorch
ORe-Roofing
$ A5l? ~
$ / 7so.c>>
$ (/:;$', tx)
$ c,(-s:, dr:::)
$ /,~.r'~d
$ . ?~/'? c9lS
$ /;t;V'j/J .-CI2U
$ 'j
$8/00./1
)
I Paid ~. /00././
I Date . ..,.tI. 0 (
I Rec1lfo. .39~q
I B\V'l
r
This is to certify tllat 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
Ihen signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
'UL~ ,t;/3/et ~ f.._
. Planning Director Date ~eCial Conditions. if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
OAddition
DAlteration
I Park Support Fee #
I SAC #
I Water Meter SiZ@;I";
I Pressure Reducer
I Sewer/Water Connection Fee #
Water Tower Fee #
Builder's Deposit
I Other
I TOTALDUE~ 0'/Z--eJ/
~1
White - Building
Canary - Engineering
Pink - Planning
Th.. {'..o.... of Ih..I...... Coun.,.,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (J. R ff0a-.rf,.; d.s e..
APPLICATION RECEIVED Lj-;{S"-Ol
if I) 111 c!:::.
.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1'1379- Dove c..;+-
Accepted
Accepted With Corrections Y
Denied
Date: ~- 2.. - 2cx:::;/
Reviewed By
Comments:
~am CrtfifcGd! ~
"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"h..C..nl... of Ih..I,.k..Counll')'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ,,/. 1\
\:
APPLICATION RECEIVED
, d."
.. , f.' r. I ,.-".c..,
i',', ' "., , ._'
'1-' j)
/"'"-
/f..--
.......
. -
.' ( ~...) I
\ ) \ .
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
! L/ 3/79~ /)O_..}'.....+-
Accepted
v
Accepted With Corrections
Denied ....--,
Reviewed By: 9/t.....-~
"
Date:
5/3(t; I
A/C-; I .' ~iJ.P'i~'~~.M
N~~v1cYY6>~ ::G\W~~ <~vrw/J
~~~k (~g tOFbp
'-'
!VvJ.x.\\AA~ 2-4 H-- v~v~ ~Jrd/Th
k\ p-CM-'1 ~~~1/1Vle- ~1 Vt~J 'klOl!.-J
10 r~#
"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~ ('fnl~r of lhf 1..I<f ('aUnll'}'
White . Building
Canary - Engineering
Pink . Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'"
NAME OF APPLICANT (1_ 1< (jJ a. r + r- ,. dS e...-
LI-;?S -oj
11 0 >>1C~
APPLICATION RECEIVED
,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
!L/379~ Doue ~+-
Accepted
Denied
;x
Accepted With Corrections
Reviewed By:
HItB
Date:
t-t-ol
Comments: See Reverse Side for Additional Information!
~ee Attachments: 1) Grading Plan, 2) Erosion 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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
7-30-01
I O<om "I, I PERMIT NO m
' y,,,,. CI<y '(j/_/JT
J. Gold Applicant C/ ~
(Please ~ or orint and sim at bottom)
ADDRESS
/4371 Odt/6
c;;f
ZONING (office u"j
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT~
(Name) _
Y.
(Address) /Ljq~
,. -
ilJL
>' I.JL /) ~(Phone)
~' l-d/tl
, )/1
,-'7.---- ,,-\.<)"] /1
(City) (Zip Code)
(Phone) ") f. 7,- "T"i: t.f /1..{
, .
DATE 7- '5() - f) (
(Contact Person)
/ ~
y~,,~ _~/A
(j
APPLICANT PLEASE COMPLETE BELOW
Size of water service / inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC ~ PVC
Estimated length of sewer line 1/ cJ feet.
Clean out (if required) located at feet from structure.
feet.
o Cast Iron
APPLICANT SIGNATURE
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family I % of job cost with a $39.50 minimum
$17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$ ______ r~\O \~j\T\-t ., ,
$ .5~, O'.~lG pt....
$ ~L-
-----
(Office Use Only)
-J30.()/
I Date
~
-Date
73/-01
Receipt No.
By f/d
I
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~).*N L: ,j",,-- C1TYOFPRIORLAKE ljY-\ Y}45
f ~ ~ HEATING/AIR CONDlTlONING/FlREPLACE PERMIT
~/NNEsoi~ ,
Date Rec'd
1(-' q~o I
; ~,:~" ~::y I PERMIT NO'O.I ~O'r::..'" r/
) Yellow Applicant '-J I ~
(Please ~e or orint and sim at bottom)
ADDRESS ZONING (office",,)
/ <'../ ,~ 7 '7
DDv~
c*
/VL
LEGAL DESCRIPTION (office Use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
t C 1-
1'-/ r.. '71..
fVJ h, ~ <. f-/r'AC- ~
j...u"^Ji;.~ h-,,<-
(Phone) "75"01-- 4Y7- IX'!'=-
f,-
(Address)
APPLICANT
(Name)
I r,c.I u 1<- f...;rr fl""L _s..\c"
/ b/~ I jYJ.,: ~ I1VL
.1 (Address)
/--tv,,^ . ~"'I.0.( s 1 (Phone)
L /_./7 ~ DATE
APP~CA/T PLE:si COMPLETE BELOW
DNEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TrONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
(Phone)
7'5 2 - 4 'f D
$(,ZO
(Address)
(City)
(Zip Code)
(Contact Person)
q<:2-
J/
'--J '/0- s(, 2..0
/70 i
APPLICANT SIGNATURE
TYPE OF SYSTEM
HEATING OR POWER PLANT
OWarm Air Plants
DGravity
o Mechanical
OAir Conditioning
DVent 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
FIREPLACE MAKE AND MODEL
Ilt,., h-h<...
X.I} 1/ 3~
FEE SCHEDULE
Industrial. Commercial & Multi-Family
1 % of job cost
$39.50 minimum
$99.50
$6450
Residential, Gas Fireplace
$39.50
Residential. Heating & A/C (New Construction)
Residential. Heating Only (New Construction)
Residential. Additions & Alterations
Residential. AC Only
$39.50
$3950
Estimated Cost $
Building Permit #
HEATING PER:v!IT FEE
STATE SURCHARGE
TOTAL PE&'\1IT FEE
$
$
$
r- PA\O W\~,. '\T
~\NG P~""~'
~
(Office lise Only)
This AP:mrr BUilJfj~~:e{Irroved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
------ -----
Paid ~ Receip~
~ ~JAJ,
"D~- ate q ~y / (IJII
--I -()/ JV~
11
FILE No.521 09/19 '01 AM 09:38 ID:D & D MECHANICAL
FAX:952 890 4650
PAGE 1
CITY OF PRIOR LAKE
PLUMBING PERMIT
APPlicant_D+"{) ~1!9.1Ji:~A1"<'. 1<1 L C',. _ Phona:4l5,;, -1'7b- R~i'it
A~dre$S:.!lR.4S W ~IAI~~ ., A., ~JIIIJAt:.E; fT1JJ. sS"nJt
Signa lure: ~J.) . -~ '-
Legal Dsscrlption: Lot V ~ Block r Sub f..A/Ob 'iiLfI-'.. 5u----'
Site Addre.8:....L~.3 7' Dcu ~ (In.. .-or
Building Permit # PIO # ~S-- 3C$- O(g-O
NOTE; This psrmil will nol be proces.ed without complele informallon.
FIXTURE UNITS
~
'- -_/
Tf.~ ("rlll.r ,., .fl. I.lIllt {:.>I."ltl
Quenllly
Type of Fixture
Bath 'Tub with or without shower
DishwBllher
Floor Drain
LaVall:lry (beth room .'nk)
Laundry Tray (lor 2 compartment sink)
Show4)r Slall
Sinks
Bar Sink
Water Closet (toilet)
I
Quanllty
..3
I
dl..
I
I
r
I
I
,
J
~
FeE SCHEDULE
Industrial, Commerciai & Multi-Family
(1'" of job cOlli, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRANO TOTAL
#
....
Chy
^ppU~
! -CJ7Y'
I. Bille
2. Oold
3. Yellow
Type 01 Fixture
Rough-Ins
Water Heatar
Water Sollnar
Stand Plpa (washing maohlne)
Sewage Ejector
Bsck/Iow Assembly (RPZ. Double Check, PVB)
Backflow Assambly Tesl
Lawn Sprlnklar
Other
$
$ if",5d
$
$ .50
n.I.' 61
r elV-
$ -'OD_Of:>
s (""
..Ull.ci,/? l"lifl/-J
"VG P '1
'E;F;,l1rr
This pel'mit is granted upon the a~preiIJ8 cunf.lUlun thlll sBid
conlruclor, IIhall comply in ill reSpdCla with the orulnancc:!
or the SLate PlumbinM; Code and me ilmcndlnents lhercof.
- RFlCEU'TNO. 7'--,30-<7/ DA1'E
/'_ ./ A'ITE!ST
Call fOf all inspections 24 ~n lldv~nce.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447.4230/ FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE DEPARTMENT OF
,BUILDING AND INSPECTION
..
INSPECTION RECORD
SITE ADDRESS 10-/7...79 ~ c....~.
NATURE OF WORK klp',.J
USE OF BUILDING ~t::1'\
PERMIT NO. Dh O,S7f? DATE ISSUED 5-7-200/
CONTRACTOR C'. k ~l\l'lc.e ~~ Iftf7-/&1t:,
NOTE: THIS IS NOT A PERMI" FOR AN"Y OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INAPECTOR DATE
I FOOTING I (:J::p I 7/,)./ /bJ I
, FOUNDATION (Prior to Backfill) r ~~ I~,. 17 i? ~ ) (/\b-&
PLACE NO CONCRETE UNTIL ABOVE HAS BE~N SIGNED1' I
ROUGH - JNS
SEWER I WATER I SEPTIC f?:;..... 7 /30/0)
FRAMING ~Ic ~'L li/3#/
INSULATION (lJ" ., I zlw (tJl
ELECTRICAL ' I I
PLUMBING {:;:" N/'lj/}/
HEATING (if required) iI" /c-/!J::t. ItJ~j 3'~1
FIREPLACE c}.,..., /~16 J
GAS LINE AIR TEST r:p. ~ ~ &,-, / ()/d3/tJ I ' '
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I~ I I
FINALS
.//d{f
fj) /{P-'2:
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
"
~r:
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
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 snail be placed near main entrance.
~I n.-101..
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
Dala
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av_ S.E. Per mil No. f ~ :5 /If:r
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT O\\\J\O"l
\0 ,0,.0\ PID .;)c::; <<)b7f-ol[f-D
\Y~l~ \:)O~ Ct,
\ Addillon KNob Hili ~
Sila Addrass
lot ~ Block
Ownar's Namo
Addres.
Healing Conlraclor 1=1 AIF W~ .,. ,,. '.,.
Addres. 9303 Plymouth Ave. No.
1. ~I' 1J00aen Valley, MN. 55l\2i
Tolephone. '(o:J'-:na-.\\\UlQ
Furnace Mako & Modol C' 1L~1/ TYPE OF SYSTEM
01' 5'i~AoCDl\'n' c>" D)) War~ Air Planls
Mod SIZe Q ... ~ VI Gravrly
Mechanical
Air Condilioning CUN.I
Vent Syslem '.
Conn. load
Fuel Ncl\-b()'~Flue Size
3 ~'-iU. Qo..e
Supply Openings
HEATING on POWEn PLANT
Sleam
Hol Waler
Radiation
Spocial Devices.
Return Openings
Inpul Oulpul
Edr.
Other Devices
Crm_
TYPE OF WOnK
Allorations
'X
Rapair
Est eosl $ qCCO.
Replacemont
Est Compo Dalo
Building Porm~ .
Now Conslrucllon
HEATING PERMIT FEE $
~qso
STATE SURCHARGE $ .50
TOTAL PERMIT FEES $ I flt"} 00 Rocolpl.
"
TYPE OF ~!r:!I~CTURE
i IinTII
1 YrX"",
'-Ily
Contrlctor
o
o
ct
Single Family
Commercial
.f"
Mulli,Fomlly
OIher
~
N
o
~
. Two-Family
Induslrial
Public
Fee Schedule
~
o
Induslrial, Commercial & MUlli.Family
Residontial, Bealing & AC
Residential. Healing Only
Residential, Gas Fireplace
Residenlial, Addi!ions & Alleralions
Residenlial, AC Only
1 % 01 job cosl ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
~
o
III
"
~
III
,
II
:t:
II
III
ct
~.
:I
Glf
..
Jl
'-
n
Remember 10 .dd Ihe Slale Surcharge on Ihe bollom of lhis eppllcalion.
The price or your healing permi! includes one rough-in and one Unal inspection.
Additional inspeclions will be billed al $35.00 each.
House Healing Tesl Record musl be submmed wlh huildin" I!.eID1il numhAr before build-
ing cerlilieal. 01 occupancy w~l be issued.
!:lI;N CAlC.UJATlONS RFOurRI:;Q wilh number 0/ supply and relum opanlngs Iisled par
room with CFM's per opening. New struclures or addKion. send lIoor plan wilh supply
and relum localions shown. HEAT LOSS CAlCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAilED m THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
Cily Hall business houls are 8 a.m.. 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) . CAll CITY HALL
447-4230
-J
III
W
I
U1
....
N
I
W
~
o
~
I hereby apply 'or a mechanical syslams permit and' acknowledge thallhe
Informalion obov. is complete and accurale; Ihal tho work will be in conformance
with Ih. ordinances and codes ollhe clly and wllh tho slale bullding/mechanicol
codes; Ihallhis form does no! become 0 permll un!if signed by the BUilDING
OFFICIAL; Ihat Ihe work will be in accordance wilh tha epproved plan In the
case 01 all wor k which requires review .nd approval of plans.
8Uz" P~!D r, ..
. ..DING' ...:'?/D );} 1,J I
. i..;.;,." __ Date
-.oj i
-1P-/~1
Dato
Jf:ndtwlUt
Appllcenl's Slgnalure
(' '"'---
Building O~l's Signature
"ll
~
HOUSE HEATING TEST RECORD
+'1..0\) ry I '')'-')
ADDRESS )<-/1,7<7 \:).')\1" C,--';:-
OCCUPANT c... . 12, n C . f' -r ,~ '\ '"
HEAT LOSS nAT,~HT~. INST. ,_
\~,( 1 \.- " 'r:l;'?O
SOLD BY , .. .) ;1' INSTALLED BY ;
Electrical Work By _ 1.. Gas Line By .
TYPE OF HEAT GA _FA-:LHW _STEAM _SPACE HTR. _UNIT HTR. _OTHER.
APT. _FLOOR
nWNER
GAS DESIGN
MAKE (" ,C., r r.. ,J
Modol _ <::;31Y">}( n "':'f 0 ' \ 6
Sori.1 ..l,~....,\(~ \ rJ. Y1'9
INPUT .q;" D I-K'"
C;PNTROLS
THERMOSTAT 1-~3L!'=:Ho.. Plug
V.I.. N f<
limit .::.<::; 0
Limit S.tting _ ~ \ n
Fan Setf in'" ,- \ ...,r.. <::-: X
Pilot Type
Pilot Make
Pilot Model
/ ~.
Pilot Timing _ 4,. t . '-') "')....- "-
L.W. Cut Off .
') ---,,\1
Pressure -, -~ ~. <. .
r/ "
-..,.., 1,1
01;'> (:::
Input CFH
Stack Temp.
Form 235
MAKE OF BURNER
Mod.l.
Max. BTU Rating
MAKE OF FURNACE.
Mod.l.
~.-.........
A' Pv c.
Vent Size
KIND OF LINER
DUlft Hood.
Fi Ito.. Siul C'~ {~c:;'"
(,I,'),--~
C. (, I 0', 'J
"
Chimney Location
Chimney Construdion
Inside_
)
I
Smoke Bomb
Draft _
/
,
Door Pres sur'"
Poroon. CO .06,Lo
Po,oon' 02 09 . <,
Percent C02 (::7'j
CITY _
CONVERSION
'/
\
/
\,
I
SIZE \
\,
Regula,or ~":_" '\l .."
\ _Number "
, Outside
Wiring
.Test To'"
. Lighting Inst
Date Tested
Company Testing
Nome of Tester
7., "<r-, ();;J
r;.-, r'" r,Ol.... \, -f'\- --)
b-.... ~_
SUBURB _
.NONE
',;1.';. ')
I
.J<,
/ \
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS J 4-:37; DO Vr..- c.,T
OWNER
cONTR.
PHONE NO.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
V PLUMBING FINAL
/iJ' MECH FINAL
~OMMENTS: {f1 ~ ~
LrLJ rf4 (I'~,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~-~
\~~~,
DATE TIME
3;-12.-0Z. :$)3-0
/- 576
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~(M:)
-q
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
( 0- CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ Owner/Contr:
9ALL 447-9850 JOR .THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lNSHOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED & - 7-.:::L3 ::ab
j t/079 /JO uC'
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/- 5"7Y
o PLUMBING RI 0 EX/GRAD/FILLING
o MEcH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP ~FIREPLACE FINAL
o PLUMBING FINAL 0 GAS LINE AIR TST
)CMEcH FINAL 0
COMMENTS: /J?rezl-- (}l);;;;;J"1
,,'?(fI).uti- ~ J........ k L.ot ~ ~ -
~ ~lA ~- JJav+-'rIJC~
&'/ ~ .: j ,.--~~ ~.t
-elL@. ~"""4~ ~ ~ ~~~-"j~' i-o
~~ f':;:1)~ J~".., ~ ~ ~ t-.J.T-
~=~~~~~.
-u.-e~ ~ ~ - !-..led! -1-0 ~
.1M JK _~J
(~ ~ a:..-o~ ..
~~ ~ ~ 1 VA-f..J-e~
(7) ~ f.. ~ r--,c ~" -
.
o FOOTING
o FOUNDATION~
o FRAMING
o INSULATION
.'FINAL
o SITE INSPECTION
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
14 CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~/ _ Owner/Contr:
-IJ
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
ScHEOULED {:r l:j ~ O}. t.j;cX.J
/'-13 7q DOL/("c~ I~
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
/- 577
o FOOTING
o FOUNDA nON
o FRAMING
~INSULATION D I
/" FINAL r;/ t-
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
l. ~...1 ..\- Tt-.ee, ~t'" rl.OlJ~,^^J ~
'2.. F.~ o,><:..oL ~- ~t.. ~.cJ"o~_ ~
""'---p ~c,\' 0 +e
~':(-69
o ~RK SATISFACTORY, PROCEED
YCORRE A N AND PROCEED
~ CORR ,CT W CALL FOR REINSPEcTION BEFORE COVERING
InspectOl
Owner/Contr:
...::-
-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH,{ SAFETY!
INSNOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
ScHEOULED
ADDRESS
1'13.'79
~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
p_INSULA TIO 0 SEWER HOOKUP
.~FINAl 0 PLUMBING FINAL
o SITE INSPEC ION 0 MECH FINAL
(') I ____
COMMENTS: ~'a: (,
rtiJ) ~;:,..."
~'r' - (J ~1jJ
DATE TIME
'!j(p/a 2,
AT,
111 ~ 5 7rP
o EX/GRAD/FilliNG'
o COMPLAINT ~'
o FIREPLACE RI
o FIREPLACE FIN l
o GASLlNE AIR T T
o
,
,
!
~~
fnl.J.-';-/"~ -
~r
~ o....J
/kJv., -rtht4 ~dc,
/
o WORK SATISFACTORY, PROCEED
~ ~~:::CT ACTION AND PROCEED
..... ..Vn.r"\., \";""1...1... .--....n. n.1;;;11"~rc.,",IIV,.. oc.--....,...J;:: oe'/iRING
Inspector: ~ .--? Owner/Contr:
CALL 447-985: ;;lHE. NEXT INSPECTION 24 HOURS IN ADVANCE.
lHSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
''137'
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)ii4lNAL
o SITE INSPECTION
COMMENTS:
6v/~-rQL
DATE TIME
SCHEDULED
C;-;; 1..(J 2..
DI9'/~ c.r
CONTR. C .f<.por-l,.,'d$l' !It,1IIa
PERMIT NO. (!) {-~ 7 f
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MEcH FINAL
~E_ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~RKSATISFAcTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPEcTION BEFORE COVERING
Inspector~ ~ner/COn\r:
" .
CALL 447.9850 FOR TH': N':l(T INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTJ