HomeMy WebLinkAboutBldg Permit 01-1032
(Please type or print and sign at bottom)
ADDRESS
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 0_) J ~ />/
AND UTILITY CONNECTION PERMIT 7 7-V
I. White File
2. Pink City
3 . Yellow Applicant
I PERMIT NO.O/_ ! D?;1-
[) Due- C1r
J 1):J-r;<1
I '
LEGAL DESCRIPTION (office use only)
LOT r~ BLOCK I
ADDITION
f<AJOh
OWNER -_ '/J
(Name) ~r? /7'17//~~/"
(Address) ~~.S-5~1',d/'elcl4C" r.-I
BUILDER
(Name)
(Contact Name)
(Address)
~J~
TYPE OF WORK
o Misc.
+J /11 ~
ZONING (office use)
RJ
PID;)f -2,(g-Ola-Q
- .
(Phone) bl.2 3.;t ?-- C ~ 8' .:<.
d. k~c- ..-f......--'
v
~ew Construction
OLower Level Finish
_55.-17 '7
(Phone)
(Phone)
ODeck
o Porch
OAddition
ORe-Roofing
o Fireplace
OAlteration
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
enter upon the prop.erty to perform needed inspections. c;, / /
x/~?'-- _.~ 7/yA-./
;./ --
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
PROJECTCOSTIVALUE (exc1udingland) $
Signature
$
$
$
$
$
$
$
$
151 ,OOfl.,oo
, .
f J? [)q ~C\
~, .s:-a
7~. <:'-0
;"0.00
L(}tJ . 0 t::J
~c;- . 5CJ
l/o . (!)(:/
es Your Building Permit When Approved
15.~/
Date '
Contractor's License No.
Park Support Fee
SAC
#
#
Date
$ ~OO
$ il 5'0 .OQ
$ ; /2,<:;',00
$ q<;:CJD
$ I,~ .CJC.
$ . '7t10 .t::)O
$ 'r5"tJo . DC
$
$B.03/_ 93
I
Receipt No.#oS-q#J
Bv ~.~
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 doC!'
when si d by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy r
issue l __~ ot/LuPt ~~~~kU7
ing Director Date Special Conditions, if any ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
~
Water Meter Siz~'; 1";
Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
#
#
I Paid ff03L q-~
I Date q-'-::J",'}-/),1
651 633 8884
FIRESIDE CORNER
#4332 P.004/005
l...... J. i OF PRIOR LAKE
ilEA TJ.NGI AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
~: ~ ~ 11"r...~T NO. / ~ /O':l 'I
l, y.n- "ppllc:lwlt ~} , --'
(PI.ease type or orint Nul siED. at bCl~)
ADDRESS
I YJ//q ~ U
ZONING (Qlficr use)
Kl
LEGAL DESCRJ.r 1 JON (office use only)
r_OT(?JBLOCK I ADDITION (nj/Jh ~jJ 2 ~
PnV-<; ~3b,f- DI3-~
OWNER
(Na.me)
(Address)
~~~.
(Phone)
APPLICANT
(Name) ALr..IEO F.IRESIDE OBA FIRESIDE CORNER
(Address) 2700 N. FAIRVIEW....AilimJ.,E
(Address)
BRENDA HtJSTON
(Cont.act Person)
APPLICANT SIGNATURE /5t~ d.. .t:;::::
(Phone) ~51-633-256).
ROSEVn..LE MN
(City)
(phone) 653.-633 -2561
DATE //-S-ol
1:;1'0;11"
(Zip Code)
APPLICANT PLEASE COMPLETE BELOW
~s:.W CONSTRUCTION
FURNACE. MAKE AND MODEr..
FJ.,I)E SIZE RETURN OPENINGS
TYPE OF SYSTEM
OWotm Air Phmts
OGte.vit.y
:J Mechanical
JAI.r Conclitioning
DVc:nt. System
o REPLACEMENT
INPUT
HEATING OR POWER PLANT
:J StC81l1
:J Hot Wl\tcr
:J Radiation
:J Speellll Devices
:J Other Delllces
o AL. TERA TraNS
FUEL.
OUTPUT
PLEASE NOTE:
Air Conditioner Uniu
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
du j.J r; r.. t.. ~-m-.
Industrial, Commercial & Multi.Family
FEE SCHEDULE
1 % of job J;ost Residential. G8:l Flrepl~
$39_50 minimum
$99.~O Residential, Additions & Allenuions
$64,50 Residential, AC Only
$39.50
Residential. Heating & AlC (New Constnlction)
Residential, Heating Only (New ConstnJction)
$39.50
$39.50
Estimated Cost $
Building Pennit #
HEATING PERMIT FEE $
STATESURCHAROE $
TOT AI.. PERMIT FEE S
.50
(omet! Use On'y)
This Application Betometl Your Bulldlne Permit When Approved Paid
PAID WITH
. SUILD:NG PEf~~I.IT
Recei.pt No.
Blllldlng Orndt'
Date
OllIe '( I
(-to'"
By r~
dO
14 hour no"Iee. for .11 Inspections (952) 447-9850, fu (!J!2) ,"7~Z45
612-431-1447
.. .,. _.." a-ru.."
P.01
IllY "v~
CITY OF PRIOR LAKE
.tI.LAJ uiGI AIR CONDJ J lONINGI~J.AEPLACE PERMIT
DatcRec'd
JI--'~O/
~ =.. = PERMIT NO.O 1-( 032-
1. y...... -'fIoI.....
(Pka,e i'(2e orDript uu11im AI r, . ... ,,]
A!,.......AESS ZONING (a6or_)
I LJ 'LBg
l),., "1" -' r:..t
LEGAL DESCRu: uON (DlIicw _ oa/y)
LOT BLOCK
ADDmON
pm
OWNER.
(Name) ~~ -t-\J~~ TVmL--IAJ~'DN
(Address)
(phOft4l)
~~r AIJi-h:.n,r ~1:f4I ~C,u~h~/tI ~~) Cjs;J.-7es--1193
(Address) ~ 'r'\.r~tJ~ ~c!. J ~~~ ~/l : fll)t':!;-s/ ~3
(Addm;) (dlyf (Zip Code)
(ContactPmon) ~ ".IJ!i..:j- ~~ If A- (phone) . ~/2- 6I19~'-I3.1a!7
APPLICANT SIGNATURE (I.g-.t-.J&--QJ}-:::- DATE. . /L;..b -0 /
APPLICANT PLEASE COMPLETE BELOW
-;!JNEW CONSTRUCTION 0 UPLACEMENT 0 ALTERATIONS
fUJlNACE MAKE AND MODEL ~V A-r\1 G) 2. O~, ~f2..t')ClLt:- FUEL N r 0
FLUE SIZE RETURN OPENINGS ~ INPUT 80.1 Or..) ,->' OUTPUT 7-{, va 0
'l'YPE OF S\.)&IloM HEATlNG Oll POWER. PLANT
~W_ Air Plaftll ~ Steam
Gravity Hot Wiler .
Mc:dJanicaJ . Radiation
~il" Condiaioninl Special Dcviccll
li!IV~t. SyltaD n~i)1W\ AI~~ OOlhcrDcviccS
FIREPLACE MAKE AND MODEL ~C'( f; N ~ c.../ c.;.~
PLUD NotE:
Air CoIiditiODcr Uoiu
CamIot EAcroach iDto
ReqWrcd Side Yard
SetbIcks
PIE SCHEDULE
Induslrial, CommerciaJ A Multi-Funily 1 % ofjob cost Residential, Gas flrcplace
$39.50 miDimum . . -..-.,.,.... .,..-~~
Residential, Hearinl A Ale (New CoastrudiOll) S99.5O Raicl.rl(jaJ. AddldDllJ A AheRliou
Residential. H~rlna 0111)' (New COlUtnIc:tion) 564.50 IlcsidcAliaJ. AC Only
$39.50
$39.50
SJ9.SO
Estimated Cost S Duildinl Permit II
REA TING PERMIT FEE S
STATE SORCHARG.E S
TOTAL PERMIT FEE S
'\"(h ',.
\!~V<p~1l
euu>>\N~~-
.50
(OIfICt UN Ouly)
This AppllcatJoa Becomes Your BllildiDI Permit WIleD Approved
...-'.
. ._:.11
. ..lkIi.. OOidal
....
I Paid
I Date
_ " Ri...:...rNo.
'Sy
24110.' .ati8lar all ill., I .. :... (952) 447.'150, ra. (952) 447...145
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CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E. Permit No. b / - 16 3 ~
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date } I ~ 11-'" 0 \ PID. c;;s-- ~I.o??- ()/3-0
S~e Ad~reS5 .J 4 wet ~ l J L c.;r-, --
Lot ~ Block ! Add"ion fV. YJ h tJoPSl ~~
Owner's Name lite i J / D<tI I\. I /j; Il <. T .
,
~ I7'A'rPIN:e
Address \<'\1:;" 2.l:Ln.~ ?;1C~i'\~-:'
Heating Contractor A ~ ~ +-.t.....'(\a ~ <'ltA.'t,.,
----f!..l-!'C W -J
Address Lf 9 ~'> f) ID (\, J. ~ t<. f;),
Telephone" '=1)"2--'18:>- I) q '3
Furnace Make & Model ji0l.~ ("~()TYPE OF SYSTEM
. /:hO l"'~ . Warm Air Plants
Model Size ~ I 0 Do \) ill. Gravity
Mechanical
Air Conditioning
Vent. System
(i,.. -\ (~Jt)~
. E;' CiJ ~;11 ,.."
;r"lt..
Conn. Load
,./'
V"
V
Fuel
~(-'!
::2. f .J c..
Flue Size
Supply Openings / S-
Return Openings 7
Input.t?fJ.. COC) Output-2-<1 t/~
Edr.
HEATING OR POWER PLANT
Sleam
Hot Water
Radiation
Special Devices
Clm., ~ 1"b 1\1
Other Devices
-r,IuIJe(
D fl DIrl\!
Alterations
g/? JJ TYPE OF WORK
117 4 6-YC/~;,-,,&~
. Replacement New Construction
/
Repair
. Est Comp. Date
_ Building Permit "
Est. Cost $
HEATING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
,50
Receipt #
TYPE OF STRUCTURE
I. Pink
2. Green
1. Y.llow
Fil.
Ci.,
ConlrlC10f
Single Family
/<"
Multi-Family .
Other
Two-Family
Commercial
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi.Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the Slate Surcharge on the bottom 01 this application.
The price 01 your healing permit includes one rough-in and one linal inspection.
Additionat inspections will be billed at $35.00 each.
House Hesting Test Record must be submilled with bJilldfng I2SUIDit ~ belore build.
ing certilicate 01 occupancy will be issued.
HEAT CALCULATIONS ,REQUIREQ with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH.IN AND FINAL) . CALL CITY HALL
447-4230
I hereby apply lor a mechanical systems permit and I acknowledge that the
inlormation above is complete "lnd accurate; thaI the work will be in conlormance
wilh the ordinances and codes of Ihe city and with the stale building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
case of all work which requires review and approval of plans.
(~/~
~t's Signature
BUbilng Oftical's Signature
#-/2- -~/
Date
11- /Lf-(
Date'
Tht ( Itnftr of Iht Llkt ('ounfry
White - Building
Canary - Engineering
Pink - Planning
.
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -~/> n 1 / / r ;' (i'~ c ;Ii)
APPLICATION RECEIVED C; - ;,,1- 01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1/ / I {
Accepted ~
Accepted With Corrections
Denied
Date:
qhl/D (
Reviewed By:
Comments:
'~I ?-~ Ti1 \C)v~ IAJuN'-~
ff~ ~~~~ l~ ('~J..
Dl/tv~ ~1~_,f)l-tJ 'TO' ~_ W~
~-LwIo v
"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."
~. -' ~ .
il..'~:<i ~,:,t+.~,. ~"'ll"-t~~t;;"";j~,~,.'~;\".~;i:t-G1,,',~~~:-'-~,t :;~:'r, ,'.t ~. '" ....
,.
Tht ('tnlt, or lht "okt Counlr)'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -r> m f) V"' 1/ /d So;tJ
APPLI(~ATION RECEIVED 9-Q-o/
The Building, Er:tgineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed.at:
jl/J-f1 l)oucO_.r
. ~
Accepted
Oenied
x
Accepted With Corrections
.
.Reviewed By:
Comments:
/YIJ~
Date:
9-7-0 I
See Reverse ~ide for Addition~llnformatjonl
. ,
. .
See 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 ~onstrued 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 ('enlf' olthf l.lkf ('ountry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '// WI fl- f/' 1/ /d S () ;tJ
APPLICATION RECEIVED 9-I-f-o/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/1/ J--N (J cJ Ue- ell
Accepted
Accepted With Corrections X
Denied //}/J/;/ (l
Reviewed BY:~(Pr -
Date:
'T - { n - 200 I
Comments:
,f?oorL aft al~~ ~~
"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
PLUMBING PERMIT
Applicant:~ f\ lV21 Pkl.~hJ\ 1
Address: l.~..., ~r'- $... a..J
Signature: .9'~ +
Legal Description: Lot Block Sub
Site Address: 1..!J.l31 POIfIit. C. -4- JJ' {;' ..
Building Permit # () / - / 032-- PID #
NOTE: This permit will not be processed without complete information.
The CeRler of the Lake Country
Quantity
;;
J
J
S
1
1
l
I
~,
~
FIXTURE UNITS
Type of Fixture
Quantity
Phone:
Pr I^)..... L..ka..
I. Blue File
2. Gold City
3. Yellow Applicant
tJ/ - / ()3Z-
2,,.~); ;,~
9t5~ t/~7 ~Ar
MNJ ., :~fl",-
Bath Tub with or without shower
.3
I
/
I
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$I~ ~
$ ~19S-O
$
$ .50
$/ .D. uV BJ
'/AID 'hv
I}J \ vO
This permit is granted upon the express condition that said
contractor, shall comply' I r ts with the ordinances
of the Stat~g C (I mendments thereof.
~ RE - -OLDATE
ATIEST
//
Call for all insp tions 24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447~4245
An Equal Opportunity Employer
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(1 % of job cost, $39.50 minimum)
Residential, New One & Two Family
Residential, Additions & Alterations
State Surcharge
$99.50
$39.50
GRAND TOTAL
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(Please type or print and sign at bottom)
ADDRESS
/ '1;)87 fJ /)I)~
1. Green File PERMIT NO ~
2 Yellow City . 01- J^ ~
), Gold Applicant I u .J
{"CJur+-
ZONING (office use)
RI
LEGAL DESCRIPTION (office use only)
LOT I?BLOCK ( ADDITION K~
r(JJQ~
PI~-3l8- O/3'()
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANAi/:i " I
(Name) ~ . e I ).e1,L ~ t-C- kc-
(Address) llfo ('"<0 ~h--r. t'"'fce flAJe "-
(Address)
(Contact Person) ~ r r-r (), elL-
APPLICANT SIGNATURE ~ N'r:*--' t)~
o U
APPLICANT PLEASE COMPLETE BELOW
(Phone) 6' 75d-1'11-5CJ8'7(
p(!tJ<: Ll.!t~ -- 5S37J _
(City) (Zip Code)
(Phone) (p I ;;. - 369- 'J-8'7 7
DATE {('JaIl) /
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. D ABC D PVC D Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at feet from structure.
Residential sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi-family 1% 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
$
$
$
p/\rD ,/'1Tl-f
.5~UI! D'NG p=c' r'T
~ - II l;..;.1 "'i"
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
L~eceipt No. ---.
Building Official
Dat~ _ d(}~J/
,
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date
BY~
l/
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS Jli:)~CJ ~}.P C~
NATURE OF WORK JJ~
USE OF BUILDING SPD
PERMIT NO. aJ -I o32.r DATE ISSUED <q-{p- Gsd(
CONTRACTOR '~ JJ.t..~ PHONE{PI'-S~-~::2
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
h.
,... . ,
I FOUNDATION (Prior to Backfill) I tq. I /~/I It; I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
7\~ -
'4ffr-r) A-r
'---~
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST r'f~. 12-t'1S/t)J
I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
INSPECTOR
I FOOTING
~J~
~p~
Iffh- . /
/
DATE
I 1/", /in
.
~r
7fTj4~1
I V I 1.(0 (e 1
J
II - 1'--0.]
J/-.r~dJ
/ ( / I L/ Id I
I .
GRADING (Prior to Soddingl
BUILDING'f .c..o. tJJ ~ ( J f"1' fA.
ELECTRICAL .
PLUMBING
HEATING
DO NOT OCCUPY
!t.. ft, 7//17/D7-
f4- 71r7/d 'Y
. .
~
)
UNTIL ABOVE HAS
NOTICE
12/31/01
I ,-
. .
/l/~3/tJI
. I z/ Jilt) /
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 s~;aij De placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
OA TE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ZlJ1/o"L A;r;
ADDRESS
J Y 2.8J
:v~ ~,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
f)/- 1032-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
A FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
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 GASLlNE AIR TST
o
COMMENTS: ~ ~ T~ ChY.
....
~
A r1j~ ~,
~ &r~ ~
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 447- 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
DATE
2/11
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
14 ~"84
00\1 ~ c..:"(.
CONTR. ~ A~,.~
PERMIT NO. t5 1.. lO:-.."7.
ADDRESS
OWNER
PHONE NO.
'bc1::~/FILLlNG
"D e&rPi:AINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
-R FINAL
- d SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
6.A.A[)f.. - 0, \1-.....
~ d-T
)B:::WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
R REINSPECTION BEFORE COVERING
Owner/Contr:
HE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
12,..3}.0/ .3~.3-0
ADDRESS
J42fjq LJoV6
OWNER
CONTR.
PHONE NO.
PERMIT NO.
I -/032-
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
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COMMENTS:
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o WORK SATISFACTORY. PROCEED
)' CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ . Owner/Contr:
CALL 447.9850 JR'THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTl
DATE TIME
CITY OF PRIOR LAKE /2j~OI
INSPECTION NOTICE SCHEDULED 3.'JO
ADDRESS /1)5;'1 f4,H' 61-,
OWNER CONTR.
PHONE NO. f~z '1 2.- PERMIT NO. 01 -tfl3 Z--
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING @) 0 WATER HOOKUP 0 FIREPLACE RI
Q INSULATION 0 SEWER HOOKU~ .If")) 0 FIREPLACE FINAL
J2I' FINAL ).fj. PLUMBING FINAl.(l!/ 0 GASLlNE AIR TST
o SITE INSPECTION r MECH FINAL ~ 0
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o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
,.. CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspectoc ~ I OwnsrlCo'"
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED Iz.z8 -0 I .3:~
ADDRESS /~Zl39 O&V6 CI
OWNER CONTR.
PHONE NO. 4J tJ1l... PERMIT NO. 1-/()32-
Ii
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMINGrti 0 WATER HOOKUP 0 FIREPLACE RI
o INSULA TI 0 SEWER HOOKUP 0 FIREPLACE FINAL
'u' FINAL ~~LUMBING FIN;'~ 0 GASLlNE AIR TST
JS SITE INSPECTION ,,('MECH FINAL @' 0
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o WORK SATISFACTO:V, PROCEED I - ~ '
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.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/dJ, ItJl
I I
/11/3 d
ADDRESS
1'1 ~P9
~ (!J,
OWNER
CONTR.
PHONE NO.
D FOOTING t:\)
~ FOUNDA TIOrtrY
D FRAMING
D INSULATION
D FINAL
D SITE INSPECTION
PERMIT NO.
IJI- la$ 2-
D PLUMBING RI
~ D MECHRI
WATER HOOKUP
SEWER HOOKUP
f PLUMBING FINAL
D MECH FINAL
D EX/GRAD/FILLING
D COMPLAINT
D FIREPLACE RI
D FIREPLACE FINAL
D GAS LINE AIR TST
D
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D WORK SATISFACTORY, PROCEED
;n CORRECT ACTION AND PROCEED
D CORRECT W~LL FOR REINSPECTION BEFORE COVERING
Inspector: . ~ ( Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl