HomeMy WebLinkAboutPermits 01-1191;02-0445;0346;0017
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
1- ' z1-0Z--
1. White File
2. Pink City
3. Yellow Applicant
01../ O~
I PERMIT NO. A - . " I
~~ I
(Please type or print and silm at bottom)
ADDRESS ~
\l\Oe\'S ~.\.~') r~'" k\0O--\
LEGAL DESCRLt' lION (office use only)
ZONING (office use)
LOT
BLOCK
ADDITION
PID 25- Z~/-() rt!-,o
OWNER
(Name)
(Address)
(Phone)
BUILDER \ L "
(Name) -.J ~~c. e V'-ACd^.
(Contact Name) -..J \g.,~0-'1 \
(Address) crob L.-CS l-~) ~+ ~
\.\0 W\L. .c;
(Phone)~2 ~bllli2-
(Phone)
\_~...~\l \\ \ <- vvn'\
~
TYPE OF WORK
o New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
'ttMisc. Y\(\ L\- (, r
PROJECT COST/VALUE (excluding land) $
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
I' 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
\ ~:eed plans. I ~ ~:.ar at the building official can revoke this permi..t. for j.ust cause. Furthermore, I hereby agree that the city official or a designee may
~: th~ pr~ ~perfo needed inspections. _ . 2-. C) \ \ ?b I 0 \ l.\ / ~\( D '-
\ \. \."\. Signature \ Contractor's License No. Date
I perm~luation ' I Park Support Fee # $
I Permit Fee $ I SAC # $
I Plan Check Fee $ IWaterMeter SizeS/8";I"; $
I State Surcharge $ I Pressure Reducer $
I Penalty $ I Sewer/Water Connection Fee # $
I Plumbing Permit Fee $ I Water Tower Fee # $
I Mechanical Permit Fee I $ I Builder's Deposit $
I Sewer & Water Permit Fee $ I Other $
I Gas Fireplace Permit Fee $ I TOTAL DUE $ /'75'. () 0
~ ~/750
/30,00
4-5.00
This Application Becomes Your Building Permit When Approved
. Paid
Date
/7.5 'UV
4-"Uj rfL1--
. .
Building Official
Date
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 City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued.
Planning Director
Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
()?, LIla
~. ~~ ~!:y I PERMIT NO./h_"",; .. J '{
3. Yellow Applicant L/cA:..q . ,f
(Please type or print and si~ at bottom)
ADDRESS
ZONING (office use)
J~9~$ h1:r.l.-J)~
fkwV'
J
'PUD
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
m ee:I-s 1- ;<>r)V 1//):5
OWNER . J
(Name) ~ L \^/ ~ b 6 l'Ird) lJ
.~.t-)
PID ?5-~?1-oq'1-D
(Phone) ~S _~ ~ ( ) ,1 ~ S' J.,
(Address)
APPLICANT
(Name) () L~~ J ~).R l
I , 'S''''''''
(Address) t <-t' ~ ):? J '-" ~'\1
(Address)
(Contact Person) hen. J.f () ~I<) tJ
c-r
(Phone) b l:l. JJLL'l J~ ~
~ f()l-/1'''AL4y .,~5' uJJ
(City) (Zip Code) J
(Phone) -1-J :J. 7 b ) ~ },58
DATE
APPLICANT SIGNATURE
~
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture Quantity
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Type of Fixture
Quantity
~,
Rough-ins
I Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
Lawn Sprinkler
Othr tA R.- ':t W.jQ L '-If
.f) n-- . \..o'~.' :o-l
Jk'~)
~
FEE SCHEDULE
Industrial, Commercial & Multi-family I % of job cost with a $39.50 minimum
Residential, New One & Two-Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost $ 3Q:5c!> ,C5J..
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit # 0 {- II q 1
SQr5b
.50
).jIJ rOl>
,
$
$
$
Building Official
Date
p~ L/tJ, 0
Date '1_/ J - 0 d-
ReCZJ/~~ I
BY~
(Office Use Only)
This Application Becomes Your Building Permit When Approved
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
/-/1-02-
1. Green File
2. Yellow City
3. Gold Applicant
PERMIT NO. d 2 -CJ6/;7
(Please type or print and sign at bottom)
ADDRESS \./
/ 4fCj ~ f1/ '- L- OS 1',t:;(A/ 1
,
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
V'I~
(Phone)
(Address)
(Address)
(City)
(Zip Code)
r--
APPLICAN~ '.\
(Name) eel \ (I"
(Address) ~ 7-<2.0
Gill -(- C<. Ce, (Phone)
, . \ \ (l [ ) -s5"((~
frlA r {\J S\ - '-Qof-J U<V\pr DS WttJ,
(Address) (City)
'7L:.3 -.l.{ 'Z..-r -- 3.-so 0
~t./'1 K'
(Zip Code)
(Contact Person) C. UIte.Li It
A~ANT SIGNATURE
V ----
0r11lf l tl-
(Phone)
DATE
& (2. - ~ 7 0- b l./ 2--&
I - I if - (5 "2.---"
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 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
$35.50
$17.50
FEE SCHEDULE
Industrial, Com'l & Multi-family 1% of job cost with a $39.50 minimum
Water connection only $17.50
Building Permit # 0 Z -001/
$ 31" JO
$~.~ )
$ 4-d~u ~
Estimated Cost $
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approved
f?h/J; --' 1- I (f,. -0 "(
86ilding Official Date
Paid Jl ~
~u ..--fJL.)
Dat1__1 4-' -d L
Receipt No.
BY?
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/2-/1-0/
(Please type or print and si~ at bottom)
ADDRESS
1. White File
2. Pink City
3. YeUow Applicant
PERMIT NO. 01-/ /1 /
/4~95
W/L.-DS f?~'1 ((}()7UJT" T)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
(Address)
~TTILDER
~ame)--"
ZONING (office use)
PUO
PIDZS --z.?1...1J?4--- -'~
(Phone)
) L \~~G:.%.Y"\~ ~ \h.,'tI\~~
'~~G~W\.A. ....J
(Phone) '=t9 QS1- '-\ b \ ~L-S.
(PhOne~ bn bl\u ,<s&\5
(Contact Name)
(Address)
TYPE OF WORK
o New Construction
OLower Level Finish
o Deck
OPorch
ORe-Roofing
OAIteration
PROJECT COST/VALUE (excluding land) $
o Fireplace
OAddition
o Misc.
ORe-Siding
OUtiIity 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
itted 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
nter on the property~o erform~ded inspections.
X _...r--\ ~
/ . ature '" Contractor's License No.
\.
I Perm1t.:s(aluation
I Permit Fee $
I Plan Check Fee $
State Surcharge $
Penalty $
I Plumbing Permit Fee 5<.-oa-r1V {!... ?..e-rm,' -f ~".t/
I Mechanical Permit Fee $
I Sewer & Water Permit Fe:..s-~I-M
I Gas Fireplace Permit Fee ' $
I Park Support Fee
I SAC
I Water Meter Size S/8"; I";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
Pdr/J'l'/I- ~ j i'tcf I Other
l I TOTAL DUE
SK-
I/ I. 2-S-
72.. .3 I
2,~O
r/J//J.'on BereS Your Building Permit When Approved
~;4. - /2-((--0/
Buil~ Official Date
#
#
I Paid
I Date
/~.o0
/7 -/I-tJ I
\~~tol
,
$
$
$
$
$
$
$
$
$ / yr".00
#
#
I Receipt WIIJ 40 99Z
I By AHl./
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
rk~~-==~=CoTIfi7:711i:mp~Md'-;;:'O~L&:~~~=;~
Planning irector Date Special Conditions, iT any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
09/27/2001 09:49 FAX 6516021030
MUNICIPAL SERVICES
14I 001
~ Metropolitan Council
~ Improve regional competltloeness in a global economy
Environmental Services
DATE:
TO:
September 27, 2001
RE:
Paul Baumgartner ~
Jodi Edwards ~
Wilds Golf Course
FROM:
Paul, just dropping you a memo regarding the bathrooms to be added on the
Wilds Golf Course. There would be no SAC charge for these additional
restrooms. The same people would be using these facilities, as covered by the
original charge. These bathrooms are considered a convenience item, and
therefore no additional SAC should be charged.
Any questions, give me a call at 651-602-1113.
www.metrocouncU.org
Metro Info LIne 602-188t;l
230 East Fifth Street . St. Paul. Minnesota 55101-1626 . (651)602-1005 . Fax 602-1138 . TIY 229-3760
An Equal Opportunlly Employer
Building Permit'
P.I.D.'
O!-/lqJ
Name of General Contractor:
CITY OF PRIOR LAKE
SINGLE FAMILY WORKSHEET
-0h~ ~~
..)( 'i J()( (J {/ rLt),r - 7
di//
,---
Address of Proposed Project:
Square Foot Floor Area:
· First Floor
. Second Floor
. Basement Finished
· Basement Unfinished
. Garage
. Car Port
. Deck
. 3 Season Porch -
. Screen Porch '--
· Number of Full Bathrooms...::l ~rJ-
· Number of Half Bathrooms ~/ - 3C 0
(Square foot area of 4 Season Porch to be included in First Floor) - ) D
Sewer & Water Contractor: _1f3e.t J1} ~.J)nJn- <i-P/trJC;-I &tb rYJrU-n 5:1 IUttJ (!/ < L _
. ' Name. A~d~SS / . . Phon~,
Working Under: fF~/l)("wj-. ~~?$) tJjp-Yl ~ Ill.u)
(Name of Licensed Plumber) Na~ Address Phon"
Number of Masonry Fire Places: @
Stacked Fireplace - Check One!" Yes 0
Number of Gas Fireplaces: 1-
Installer: Name
-
-
tj~ - 3506
No 0
Name
Address
d'J
,
Phon"
Number of 0 Clearance Wood Buming Fireplaces:
Installer: Name
Mechanical Contractor:
.yame
Name ~
/ Name
Address
Phon"
Address
Phon"
Fumace:: Check One:
Air Conditioner: Check One:
Air to Air Exchanger: ~ck One
Gas Line Installer: Name fp;
Plumbing Contractor. N....-1:!lyt:n/ >>.d-J; p/Un-;/J /y-
Check all items included: Lawn Sprinkler 0
Water Softner 0
RPZ or PVB Backflow Preventor 0
Yes 0
Yes 0
Yes 0
No 0
No 0
No 0
Check One 5/8"
~andard
1" 0
1 1/2" 0
2" 0
Water Meter Size:
ATTENTION APPLICANT:
Your building permit application will not be accepted or processed until all required Information Is completed.
WORKSHE.DOC
White - Building
Canary - Engineering
Pink - Planning
Th. ('.nl., 01 lh. I..k. Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT all(iAnA~/J{ ~ N~
ApPLICATION RECEIVED q- ..;:21-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Xx )( {/r}uL-to-t r
Accepted
x
Accepted With Corrections
Denied
,
~
Reviewed By:
Mt-i3
Date:
, /0-1-0 (
Comments: See Revp.r~p. Skip. for Arfrfition~llnform~ti(,"1
~,' .. .!.... ~.. . . ' . :." ,t -".Io..;....J...,..,I.
. i
~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."
White - Building
Canary - Engineering
Pink - Planning
The ('rDln of thr L.kr ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~t'A~ N~
APPLICATION RECEIVED q- .;:kl-O/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
:KX)( rr;uffi-c r
Accepted X
Accepted With Corrections
Denied f f)/\
Reviewed By:{-t;;J/ L~
Comments: -
~ ~1\cO,"0 I(-v-w..i'-::#
Date: C; - 2lP -01
DI-lt'lO ~r ~y~
liThe 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."
..e...;'
.-
Th~ ('~nff'r of .h~ I..akr ('ounlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT --, !}...'/ '/"Jl. A / 1.../,.' ./
.j 'v/ /' r I /: ~ )(
'-.-.".-,
APPLICATION RECEIVED (:f - /- () I
!/J~'
i' /)... /-.
k........... ~.....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
".' .'/ Ilc,,-( r
Accepted ~
Accepted With Corrections
Denied
.~
Date: -L D /.?:--.~ LP>(
Reviewed By:
/
coml~~Dvf-'l ~ ~
~v
(Y~. .
v~v~ eL~
"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."
October 18,2001
TO: Paul Baumgartner
Shamrock Builders will assume responsibility for handicap code accessibility on the bathrooms at the
Wilds Golf Course.
S. ly
/J:)lv~; '?A'.
;;~-
af4- ~/~. fJ!J
~ ~;/~~//?~~4 1-II'o'?-, 7fV1
3200 Main Street NW Suite 300 . Coon Rapids, Minnesota 55448
(763) 427-3100 Fax (763) 421-1105
,
-
FUlURE GOlF
COURSE .~.........oIilI
~TO IIH 72
100' TO H'I'D
~ TO~H 72
70.5' TO H'I'D
.?
....
NOlES:
1. SANITARY SE'AER SER\IICE SHALL BE 4. PVC, SOR 26
AND SHALL BE STATIONED UPSTREAM fROM MANHOLES.
2. SANITARY SEWER INVERT ELEVATION IS AT END OF STUB,
10' PAST PROPERTY UNE. .
J. WATER SER'ilCES SHALl BE I" COPPER, TYPE "K".
4. CURB STOPS ARE LOCAlED 10' PAST PROPERTY UNE.
5. EXTEND ALL SER\IICES 10' PAST PROPERTY UNE.
12"
~ l1t~
2,'" 100 '-..:::~NOT INSTALLED
, I
CRAPHIC SCAU: IN FEET
1 lnch . 50 ft
221/~
12. - 11 1/4' BEND
o 65+02
_.AsalJ1l T N.~
ALL SER\IICE AND GAlE VALVE TIE
INFORMATION PRO\llDED TO PIONEER
ENG. BY MSA.
e
FUTURE
WILDS PARKW
. ,QSO. ..
P\II STA = 62+00
... :pi,1 :e:LEv:;,; :1024:46: . . : . ..
. AD. :... 2:00'
:K';":~.OO.
..: 1-:-'1()q.~':Vc:_I:::::.
. ,Q40...
.~ :~
.~.......:.......'P. .~ !:.:
::~,A~I~:';
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
-:-
SITE ADDRESS OU-\- \ t) ~ \
NATURE OF WORK ~~t ~ ~
USE OF BUILDING c:~ )r,^~\
PERMIT NO. 01-1 ;Cf / DATE ISSUED Cf- 2 G:,.-o (
CONTRACTOR %"'~~ '15~~ PHONE ?Co~-t{~?-5'(OCJ
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
, FOOTING
I
FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
~
J_ I~-o 0,
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
'i>v~
l
"b ~M h -lJS ,7
~\,~ fp l\ .01t-
OCCUPY UNTIL ABOVE HAS BEEN ~SIGNED
NOTICE
It?I 11 O~
t ~
,
"
This card must be posted near an electrical s,erviCie 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULEDb - /1- ~
TIME
/~;otJ
OWNER
I!Ifltf5 Ik:dctb p~
CONTR.
ADDRESS
PHONE NO.
PERMIT NO.
/-//9/
o FOOTING
o FOUNDATION
o FRAMING
~NSULATION
NAL
.' 0 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:
::--L~<:(l e (~~O"
CD~,e, ~- e
/"
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION NO PROCEED
o ~ORREC~K C LL FOR REINSPECTION BEFORE COVERING
Inspector: \ ~ " Owner/Contr:
CALL 447-9850 FORt NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQU/REMEN ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
Du+lof- -r-
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
COMMENTS:
GrQ/A.- t9 K..
DATE TIME
11- J:J. -() 'L.
~t. Bldr-s
6t-1 fit
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~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.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
DATE TIME
CITY OF PRIOR LAKE ' ,
INSPECTION NOTICE SCHEDULED ~ -5'" ~ J 0 : ()O
ADDRESS 1'19 qS-- !1 );J2cih ffl..:.J);j ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
~ - 3 l..{~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
.11--0 SEWER HOOKUP
'T 1 -G!fPLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRE"R~, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ \aMA Owner/Contr:
...
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE v\
INSPECTION NOTICE (A ,L VJ ~CHEDULED
ADDRESS ~ ~~ . I L/q,qc:;
CONTR. t) L (:1::= 0 {- {( c; /
PERMIT NO. _c, L0 df O'J.- 11
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
fWATER HOOKUP
SEWER HOOKUP
PLUMBING FINAL
o MECH FINAL
DATE TIME
J/L1Jo 2-
I z..: iO
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:@T~~ ~~.
~ (~ 1~~lI(' ~ AP-s {jy-
~. ~ .()~ h"\..-- ~~~"" ~
(!) fJ^~~ ~ ~ ~ ~ J-~
@~'~~!e...';u 2 .
~ ~~~ ~{J/L~I
/
/~' ~
//fY //
/'l~ /'
l'rV /'
/
q~
I
~
~
~
o WORK SATISFACTORY, PROCEED
'fl. CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ~ Owner/Contr:
CALL 447-9850..... ~R THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
INSl'iOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
r~ tt9 5'
SCHEDULED ~ A.I ~
0~ jJ~ ~tJ:~
d
OWNER
CONTR.
PHONE NO.
PERMIT NO.
t)l - J ( ? I
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
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:T~ ~~ ~,~ ~t
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WO~~, CALL FOR REINSPECTlON BEFORE COVERING
Inspector: ~....\)~ Owner/Contr:
CALL 44~-985~ FOR\THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
lNS/iOTl
DATE TIME
- CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4'/' r/o 2... 'Z : crtJ
, ,
ADDRESS
/4-C}'1S VJI (..,bS ,oK::.tNl/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
~PLUMBINGg
~MECH RI
o WATER HOO
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
tJ Z- - 634-Ct:,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o EXlGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: I
l)oes ~ ~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION ~:e PROCEED
-&-cORRECT WrJ<' :, ~ FOR REINSPECTION BEFORE COVERING
Inspector: f7. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOT/
, .;""
" \"'., ,,:~:~
~
DATE nUE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED ~ Cf: ]:i)
ADDRESS (J~'I-,. H Du.rI,..1i1"/<:-"
)
OWNER
PHONE NO.
CONTR.
PERMIT NO. f)1-/I'lD. II' I
. .
. .,r~,"
~ FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
COMMENTS: ~
- (')1( -h, FlJr- <<tl- ~.5. ,",:-1.::
- fl(llllld.e. u.~l ~(cJto..Us. oe;h,(~
, ~I\. ii" c.l ,,'<<{ J
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
J' ~
'f
o JiDRK SATISFACTORY. PROCEED
,If CORRECT ACTION AND PROCEED
o CORRECT WORU CALL FOR REINSPECTION BEFORE COVERING
Inspector: 'R. 0AD1 Owner/Contr:
CALL 44-;'9850 FOR tHE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I/iSNOn
..