HomeMy WebLinkAboutBldg Permit 01-0843
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
;} B (, 7 Pi jJ €:IJ I t::..7.J
LEGAL DESCRIPTION (office use only)
LOT ~ BLOCK 4 ADDITION
OWNER
(Name)
pAtf L-
e:73//~ 0
tI D6SWo i'V'.
6 t?P'rP D VII::._k./ tv ~'<
(Address)
fJtiLu6
ThE. WII-DS
BUILDER
(Name) I/lJ (,tI E:. HI".. eS; -7';.JL
(Contact Name) ----L-121 L vo6Snw h
(Address)
TYPE OF WORK C --0 New constru~
OLower Level Finish
o Misc.
I. White File
2. Pink City
3. Yellow Applicant
Date Rec' d
~-~'O/
I PERMIT NO. Q/-Ofr;31
(Phone)
ZONING (office use)
pusD
PID Z.5 - Z97 - 01-2-- (J
" f~- e;)$() -CjS 00
'" /..J <;;<:;O'-l'-{
L~-V((....l(;;
(Phone)
(Phone)
ODeck
ORe-Roofing
~S/- 6/~ - 0~"5
',;J - d)5i:J - 'f"SoC>
PROJECTCOST/VALUE (excluding land) $ 3~o, 000
OPorch
o Fireplace
OAlteration
ORe-Siding
OUtility Connection
I hereby certify that I have fumis d 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 e tioned property and that all construction will conform to all existing state and local laws and will proceed in accordance with
submitted plans. are the buildin . evoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter upon~1 r -r .,"~_-1_ needed inspections.
x
p--
s,mrrture
'J
I Permit Valuation
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
~
$
$
$
$
$
$
$
$
3'"~ J CJCX:)
2. tJl.f1. 7rs-
I f59~. 3((
0'13b.06
/00 . C!)O
1m .00
3S. .s;c::>
l[.O . c90
7-n -;)OO(
Date
OAddition
Contractor's License No.
I Park Support Fee
I SAC
I WaterMeter Size5/8"@
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTALDUE t'l)ttEO
#
#
#
#
e,-7-tj
I Paid Jl2..:iM!J ' O~
I Date ~ 1!J- tr-O! -
Receipt No.
By ~
Date
$
$
$
$
$
$
$
$
$/o~ 2-/7. 59 I
~ 3a?J
BSO. CO
I. /5CJ. CD
'~SD.OO I
70.CD
I! 2.00 .q:L
711().D?L-
lls-00 ... $0
I 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 .ity Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued /" /kr- _ ^ \ f) _ _ ~
,,-- _~ ~ 17Ct!l\ ~ ~ ~,1-t'V\6
- Planning Director Date ,; Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
J
White - Building
Canary - Engineering
Pink - Planning
th. I.lb COUnlf}
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
I1E OF APPLICANT
JLlCATION RECEIVED
V 09lJF I-OH 55
(0 - 2.6-0 I
~ Building, Engineering, and Planning Departments have reviewed the building permit
}Iication for construction activity which is proposed at:
- Z f) f.o 7 P/NF: V I (=;vJ (tZAr t/
cepted
>(
Accepted With Corrections
3nied
9viewed By:
1I1}1~
Date&' - / -0 I
,
omments:
"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."
"'~~'.h...."w'_"_",,,_ ._"_~'_,_,_~..._.__. """"'."'"'''''~'''__~
: f
'..------.-
~
White - Building
Canary - Engineering
Pink - Planning
Tht Ctnlf'r of Ihe I.lkt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VO(~ JemE~
~ ~~--O(
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'}-fl;;~7 \JtN~ lA ~ ~\;L
Accepted V"
Accepted With Corrections
Denied J .
Reviewed BY:~-U~ Date: f)/t /e (
Com ents: . ~
?ub~t <:in~. L~)B-;{i:-
~k ~__teA_~ {~r vP,P.r t:>~~
\J\:)e.vlM lAf>V~. ~ f~ q"/S,2-F\-... /3/:6
I~...J 1..f1(:'IJA-/ VA.4ft ~~ 0;7'7'0~~.('VJ~~
~~ ~-. . ~
A~&'9..! ~.{j>~N"P ~~
f+IAJ 1- 1'-::' o/~e.vy~- ~
tMvt-UA/ LlAN\ Vt?f)lhYe& 3D r ~ 0
"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."
White - Building
Canary - Engineering
Pink - Planning
Thf' Ctnltr of the tlkt Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
V09lJ5 rOH6S
(p - 2-5--0 I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Z5f.o7 l2JtJf;VtSW /f2Ail/
Accepted
Accepted With Corrections
X-
Denied /") /1l ~ _
Reviewed By:~/ '-.. Date: 7-/I-~o{
/
t;;;;Q~ (df~kd ~~
"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."
Jul 02 01 12:24p
South Mechanical
9524922446
p. 1
05'06,'99 THL" 11'01 F:\X 6124474245
~
l~~
~-_._~
CITY OF PRIOR LAKE
~ 001
CITY OF PRIOR LAKE
PLUMBING PERMIT #I 1-~Lf3
APplicanl:_~u-rL #kc...h~_~...L .' Phone: ~9 d1-~~
Address: /_./ eJe- $"' ~~_ ~./ ~ <-./ _. ...../:.... "-----
Signature: ....,.,.-:7~~ ~~~. (' ,.
Legal Descnption: lol 6 - Block _ l-!- sUb--LU~
Site Address: .2%4-7 ~~...'_' J ~~""'V-<.. '.
Building Permil #I PID II J5 --- ;)-11-611;)-0
NOTE. This permit will not be processed wllhout complele Information.
I Blue
Z. Uold
) Yell...
F;lc
eJt)
^pp~Ca/11
1 ho.. f"r"lPl "r 1.\, I...." ,'.....,,,
Quanlity
3
t
i
'f
./
1
/
/
J
FIXTURE UNITS
Type 01 Fixture
Quantity
Type of FilCture
Bath Tub with or without shower
I.
I
Rough-Ins
Waler Heater
Dishwasher
Floor Drain
Waler Sol1ner
Stand Pipe (waShing machine)
Sewage Ejector
Backflow Assembly (RPI, Double Check. PVB)
Bacldlow Assembly Tesl
Lawn Sprinkler
Other
Lavatory (bathroom sink)
Laundry Tray (1 (2~o.:npm:rr;,;nl Sj~ .
Shower Stall
Sinks
Bar Sink
/
Water Closet (toilel)
FEE SCHEDULE
Industrial, Commercial & Multi-FamIly
(1 % of job cost. 539.50 minimum)
Residential, Naw One & Two Family
Resldenlial, Additions & AlteratIons
State Surchargl::
$99::>>0
$39.::>>0
$
S
$
$
.50
GRAND TOT AI. $
.. I3lJ/~tO V1":/'/i
Thl~ p~rmll I~ Irarlled upon \he elpres~ condlllon (hal said G p€,",.
enmraClor, ~hpll comply in ftll fc'pecl< Wilh lhe oroin;lIIcc~ F-"II,/ t
01 Ihe St~le Plumbing Code .ncJ lhc ~~ndmcnl< lireor.
- REC~lrT N -4-/cJ- DATE
- .---'.~ TrEST
Call for all impec . os 24 hour~ in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minm:~ola 55372 / Ph. (612) 447.4230/ FAX (612) 447.4245
An Equat Opportunity Employer
C\J
.
ll...
-PRi'~
..I.. 0\ 0.-9 '-y CITY OF PRIOR LAKE Me
~;';. 162.. Eagl. c".k Av. S.E. P.'m" No
\~ J Prior Lake, MN 55312
'-_~ HEATING APPLICATION J PERMIT
7/Z-/~ /
/ /
SR& Address 2847
l.Dt ,'~ Bled LP Add~ion I f }.Ji.ff /:)
?- I J / -
Owner's Name (/,t) 4 ~ /,b.;n-U--:1
1-8 ~f3
Dale
PID _ ::AIJ-'11Cj/] - OLf2.-b
~:...u v..~~ ~/v-l
CD
V
V
C\J
C\J
en
v
C\J
l/l
en
Addre~
Address
Conn. loac
TYPE OF SVSTEM
Warm Ail Plants
Gravirv
MilCnanlcal
Air Cond~ loning
Venl. Sys1e'l\
~i4#~ ~ """..
/()~
....
IV
o
Fue'
/J~6.'
Flu e Size
....
Supply Openi"gs
HEAl1NG OR POWEFI PLANT
S'eam
Hol Water
Radlallc~
Special Devices
l:
IV
L
o
Qj
J:
L
.jJ
:J
o
en
RelUrf Openings
Input.
_OUlpl.l
Edr.
0I:,8r DeVices
C1rr
TYPE OF WORK
~
Aller alio'ls
ReplaCll!flllm
.'1ew Cons1'Jc1ion
Repair
Esl Comp Dale
ll...
l/l
C\J
"
C\J
....
Bu~ding Perm~ "
Est Cosl $
HEATING PERMIT FEE $
STATE SURCHARGE S
-rOTA!. PERMIT FEES S
"
r
.50
PAID 'v-vlr .
SUILDLNG PE.,
....
o
C\J
o
Receipt'
....
:J
I"')
TYPE OF STRUCTURE
I I'Ia).
L :::ir'n:n
] Vr.Jl....
FIle
(iI)
CUDo-&C 101
Single Family
Commercial
Two-FarTllly _
IndUSlrja~, Commercial & Multi-Family
Residential. Healing & AC
Residential. Healing Dilly
Residential. Gas Fi~pla.oe
H . Co ( <).n".' / /. .h-1_ /' , /J./" /. / - Residenlial. Additions &. A~erations
lli!1lng nlractol. ";~f~_. .,/v~"c~<......V ~'I7YIIt-#Jd .
./ ~ .......... / Resldenllal. AC Only
21CJCJf? ~t)~cV ~ :J~J--
Telephone' '1?;? - ~7 .;1 =- ~9'CJ ~emem~r 10 add Ihe Slale Surcharge on the bonom ollhis applicaliO'l.
Furra08 Makll & ~odBI ~ ~
~ .., L/. .r>/"'
Modal Size /O/D t!;'"." ~
r." ~~ .
/(jo, (Jl)O &~/X.-/
InduSlrial
Fee Schedule
Mulf,.Famlly
:Iubllc
8lhBl
1% ot job cosl ($39.50 mln,:TIUm)
$99.50
$64.50
$39.50
$39.50
$39.50
Additional inspections will be billi!O al S35.0Q each.
The price cl your healing permit Includes one rou;r'.in and one final ,nspec1iM.
c."
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0>
<0
<0
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o
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....,
;,.
;..,
en
....
'0>
....
....
....
....
,..
....
c."
,...,
House Heating Test r:lecord nust be subm.nec wllh !Jutldjnq oermil nllmber oe!cre bUlld-
,n9 :i!r1ificate ot occupancy will oe Isswed.
o
HEAT CALCULATIONS B.fQuIREQ with number 01 supply a'lc return operJ~gs Iisled per ..,
room WIth CFM's per opening. New S1NClures or adCilions send floor plan Wlt~ supply
and relum loc:.alions shown. HEAT lOSS CAlCU~TIONS, PAVMENT AND
APPLICATIONS MAY BE MAILED TO THE CI1' :JF PRIOR LAKE, '6~OO EAGLE
CREEK AVE S.!: PRIOR.AKf. MN 55372. .
CiIy Hall business hou~ are B a.m. - 4 30 pm
AlL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CAll CITY HALL
447-9!150
:!
..,
:>::l
o
:>::l
r
;,.
x
,.,
I hereby apply lor a mechanical systems per'TIll and I acknowledge thai Itle
InIOlmalion above is co.-nplele and accura.e; Ihal'he work WID be in conlormance
wilh the ordinances and codes ollhe cIty and wllh 'he slale bUilding/mechanical
codes; Ihal this 'Olm does nol become a per mil unlil signed oy the BUILDING
OF~ICIAL: Ihat the work will be j'1 accordarce With Ihe approved plan in the
case ot all work which requires review and approval of plans
./:b~~ 7~~/_
" Applicant's Slgn.!fure ~ ~Ie ,
Building O"IR:~a~e - I if+: ~ - ----.. ~
o
,~
08/13/2001 21:02 5127584912
(18/10/01 FRI 10;08 F'AI fJ12U7~.245
ALLIED_EXCT
'.....e"ilYo'F tR~IO. LAD
PAGE 01
..-.......-....---...--.---.-.-.---
flJ 001
Oat, Rcc'd
"".lI. i 01' PRIOR LAKE
SEWER AND WATER PEnu A
I (Pl... ~ or brblir I~: !,!i.,F1I1 t. ....ID)
I ADDRESS _ .
I ore tR i P, ne, \J 'e.W D'1\ V e..J'\ \U 1 f>r : 0 ( Lc: tt.
t ~ ~\~ I PERMIT NO. __ O'tf3 I
1. GIIW ~_.. ) 0 ...,j
.
ZONING (1I1lklr IDe) i
PVStJ J
....,
! LEGAL DESeR: :'TION (~ ... Oldy)
LO~ ~ BLOC!: L( ^DDI110N LJ.J(jl {'b
, OWNElt i ---
i (N&me)~~ \)e.~ ~Q~
! (Adc1ress) l-\i ~ ~ ~,.,;X -~ L.. N
I (A~
I
A.PPL1CA~\'\- - ,..\ C' \ '
(Name} ~ : ,~\,. r ~ "'t'--, V"\~
I tAddfCZS) 3=f>B ~l \; ~ me cdO~ LbJ f\.\ew py.c..~~0- ~Oll
, : (Ad4nn) . (CitJ) (Zip c.)
(Con,a.,Pe"oni ~p (:f ~ ~e) $p Id -~. ~.,
I APPLICANT 5! )NATTJRB -L ~ .._ DATE B- 1-9"'~' " ~:---
Pt~5- d 97-0<8-0
,1-hone)
q~~.-'1'J. _~"3/1
S S I a =:.... Codo) I
C' a roc ^_
(Q~)
mN
(Phone)
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Loeation of my couplinl!l from stJ'UCtw'c - feet.
Type of sewer pipe. 0 ABC ~ PVC 0 Cut Iron
Estimated length of sewedinc ~ J: feet.
Clean out (if required) loca.ted at _ feet from structure.
Residential seWll; and water line cC)Mection
Scy.tr ~onl\cc:d(i Qnly
$35.50
$17.50
FEE SCHEDULE
Ind\l.trial, Com'l . M\llti-family 1-/. of job coat with a $)9,SO mlftirnurn
Water connection only 517.S0
SBWER AND W A TEa PERMIT FEE
STATE SUllCHA1t.Oe
TOTAL PERMIT FEE
s
s
s
s~ /'0.
Zc
'. '4';/)-~
!G.. ~~.
" C1UII ~~/D. '~l'
""'-III\1G 11. 't/'"
f:J /~
'....
Estimated Cost $
Bul1cUng Permit 1#
lemu Vlll: Oilf) :.
Thl. APplica! Gn Bel:um. ~ O\lr Bullellnc '...lIIlt When Approved
Paid
llCClil'C ND.
.un.'.f : Qmc1el
D..
. 'l)tlc (/ 0 J
t1 -- /'-/~-
B~
14 boltr notl~c f.r an i...,.ctt.... (951) "'.9150, fn <'5'1) 441~2.5
OCT.ll'2001 14:23 651 633 8884
FIRESIDE CORNER
CITY OF PRIOR LAKE
BEATING/AIR CONDITlONlNG/FIREPLACE PERMIl OCT'
I 2001
#3215 P.006/006
............... ....-- '-
i: ~ ~I~ I PERMIT NO.. I OJ/'2
3. V"I\_ ~""II"'1Il . -- 3 ~
q.'1c:a.-.e tY{le Q'f "riJlt and. sif:D ~.t botlnm}
ADDRESS h 7 /)
dE. f:jV~ I;~,L.--
ZONING (offiCI use)
P!AS 0
LEGAL DESCRIPTION (oma! fue only)
LOT 3--BLOCK L/ ADDITION J VJ1(f.a
PID;:.}5. [J.tl?- Oijd~
OWNER
(N arne)
{Addres~)
(/00"'- bl-j<
(Phone)
APPUCANT
(Nl1m.e). ALLIED F!RESIDE OBA FIRESIDE COaNER
(phone) 651-633-2561
(Address) 2700 N. FlUFJIEW AV~tJE
(^ddres~)
(Contact Pe1Son) BRENDA HUSTON /J
APPUCANT SIGNATUREt!hI7~
,
~SIWTf.1~ MTIl
(City)
651-633-2561
r;c,l'.
(Zip Code)
I
d~_
(Phone)
DATE
APPLICANT PLEASE COMPLETE BELOW
~W CONSTRUCTION 0 REPLACEMENT 0 AL TERA nONS
fURNACE MAKE AND MODEL FUEL
FLUE SIZE REruRN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWorrn Air PIMu 0 Stea.m
OG".viJ;y 0 Hot Water
:J Mec:honical 0 R.adlation
:lAir Conditioning :J Special Devices
DVent. System ::J Q(her Devices
FIREPLACE MAKE AND MODEL ~ N & ~
PLEASE NOTE:
Air Cpnditioncr Units
Cannot Err.eroac;n. into
Required Side Yard
Setbacks
J?- 3 !.IIV
Indusma.'- Cornmc:rl;hlJ &. Mutri-FBlTlil)'
FEE SCHEDULE
1"1(, of job cost Residential. Gas Fin:plll.Ce
$39.~O mInimum
$99.50 RcsidentW. Additions &. Altenltlons
$64.50 Rtsldc:n.tial. AC Only
$39.50
$39.50
539.50
R.esidential. Heatlng &. Ale (New COl.1stn,Il:t!op)
ResidCl'ltlll/. Heating Only (New Constl'l.lctlon)
EsT.imat.ed CO$1: $
Building PenniJ #
HEATING PERMIT FEE
ST. ATE SURCHARGB
TOTAL PERMIT FEE
S
$
$
.50
.1"----
\ 111.41 /:':'1/i')
,(..-: :'; >",~
, C; /'
I R.ec:eiJ)t NB., "
Iy~
comet Use Oldy)
Thi~ Applicaflon Become5 VOllr 8ullding Permit WlJen Appro~ed . Paid
OB.~e
/(J-/;;.-f7/
BlIIldllllC omdal
Dllte
:w hlJur lJotf,=e for .."lhspectJO"5 ('Sl) 441-9850, fall: ('SZ) 447-4%45
'--~'----"--".."...-.--.-
OCT.23'2001 07:23 651 633 8884
FIRESIDE CORNER
#3704 P.001/OOl
CIlY OF PRIOR LAKE
BJ~A TINGI AIR CONDITIONINGIFJREPLACE PERMIT
Date Rec'd
I. PIBO file PERMIT NO
z. Graon CII1 'j __ 9; 13
,. TeU"", AppII...nt C r
(Plell&e t'fpe or I'rir.r.r. BIId sim at bottom)
ADDRESS IJ
d-J--b 7 ~.f/.I/t'Itr;:>
Cn~
Z'Mls O~ u,e) .
I_EOAT- DESCRu uON (office use only)
LOT.:s aLDCK Y ADDmON ~)f.)~- CLJ;Xd<J
g;=e~R 'v6~ '()~ff'
(Address)
PIO -;Jtj. o..JFl~ O/);)-()
(Phone)
APPf..ICANT
(Name) ALLIED FIRESIDE: DBA F.IRESIDE CORNER
(A.ddress) _2700
(Phone) 651-633-2561
(Contact Person)
N. ~IRVIEW AVENUE
(Ad.dress)
BRENDA h1JSTON /1
.~4~
ROSEVTT.T.F. Ml'IT
(City)
(Phon~ 651-633-2561
,,~,,~
(Zip Code)
APPLICANT SIGNATURE
DATE
/c:l:xJlol
,
r _ APPLICANT PLEASE COMPLETE BELOW
~W CONSTR.UCTION 0 REPLACEMENT 0 ALTERA TJONS
FURNACE MAKE AND MODEJ.. FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
1 l J:'E OF SYSTEM HEA TINO OR POWER PLANT
::JWIlmI Air PllUlts 0 Sleam
:]Gravlf;y 0 Hoc Wllter
:J MechMfcaJ 0 Rad.illtiDn
JAir Conditioning 0 Spechll Dcvices
JVent. System DOthc:r Devices
FIREPLACE MAKE AND MODEL .JJetl-t" rJ 0 ~ <::fT - (Ze-
PLEASE NOTE:
Air Condition.er Units
Cannot Encroach into
Required Side Yard
Setback3
lndustriaJ. Commcrl:ial & MJJhi-Fll1T1ily
FEE S'_J:1J!.DULE
I % of Job l:ost R,csidential, GlUI Firc:plllCC
$39.50 rniTlimum
$99.50 RcsidentioJ, Additions &. Altcrarions
$64,'0 Residential, AC Only
$39.50
RcsidL-n.tillJ. Heating &. AIC (New Construction)
ResidcntJaJ, Heat.ing Only (New Construction)
539.50
$39.50
Estimated. C06t $
Building Pennft #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
----.
SUI P~'D WITH
lOING PEP.,"1.1T
.50
(Omce US" Only}
Tbis Application Becomes Your Building Permit When Approved
Paid
Receipt No.
Building Official
DIIII:
Dar.e
16,- <;{ Lj --06
BF
%4111)111" notkc for Hlllnspectionll (952) 447-,9850, f,u: (952) 447-4245
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUilDING AND INSPECTION
SITE ADDRESS (]f3 to 7 RlI\Q..Vi eUJ ~.
NATURE OF WORK _~ )~~ )
USE OF BUILDING ~FD
PERMIT NO. _ 0/-0 e4-3 DATE ISSUED ?-tl-2co1
CONTRACTOR ~\,)~ Vo\d~ ~ PHONE~/2-.2)o...<f5oo 2"OJ-(
NOTE: THIS IS NOT A 'PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I'INSPECTOR I' ~TE
I FOOTING I ~ \)~ ~ 4( or
I FOUNDATION (Prior to Backfill) I 81 14/~V t6h? ~V
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN'SIGNED
ROUGH - INS
<b ~~ ' e, L'7Jnt
t ~ Ul11 10/;7iTO( ,
~jrJ.uJ l\'~ ~c. lIh ~
\' I
Iq\ (If
1--10 (f.f
~
, , . I
I
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding) .
BUILDING CO OV\ 11- r...O'2- ~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy UNTIL ABOVE
NOTICE
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~ ~
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HAS BE~N tSIGNED
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 shall be 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
INSPECTION NOTICE
SCHEDULED
ADDRESS
:L~7 P'~U'i~W
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
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
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COMMENTS:
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C-j
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DATE TIME
1/- g'
-
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o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ /1- \jr02... Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
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Z!3tt,1 P/lJb tJ/bWD/G/lIC
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDA liON
o FRAMING
o INSULATION
~ FINAL
.n; frJ SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
AASEWER HOOKUP
PLUMBING FINAL
MECH FINAL
COMMENTS:
V\J\aAAo'M,~ r D L
,Met-if seaJeu
DATE TIME
1-14-3
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR . CALL FOR REINSPECTlON BEFORE COVERING
Inspector:
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
\
,NSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!