HomeMy WebLinkAboutBldg Permit 01-1344
CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE ,
AND UTILITY CONNECTION PERMIT /0- 3 )-0 )
(Please tvt>e or print and siim at bottom)
ADDRESS
149f" 5-.. ~#.~ (i,'{L,-"'~ fu..)
~.~i~~ ~:~ PERMITNOoO/_ I':?AA
3. Yellow Applicant I~
ZONING (office use)
f>L{D
LEGAL DESCR..u:- nON (office use only)
LOTt'JSBLOCK I ADDITION S l' e~ I c' be.. <... ,"'j-;:-... (
V
~=e~R /l1efl...-tLhJ ~ft'-9/(
(Address) '7(,,0 I 1l4s-Y" S-J fAJ~~/,
PID AS'" 301-- CJ"15-c)
A-jf)juW~
u
(Phone)C!o--:J.-Lt31-- )(..0 f
Jf7;~,. Ss-- /a.4
BUILDER L1 J 1
(NameLj71 U /~,.-y..J CG>.i' s ~
(Contact Name) :s- ~~A Ctrtt'lfSo
(Address) 760 I I(".((-}L.;J Cu~? ':"
TYPE OF WORK
~ew Construction
'3.o...wer Level Finish
~eck
(Phone) Qs~ 43::;' - ? t.. 0 I
(Phone)~~ -L '?'";> - 7 J..o (
AJ12) Ik~1w ~/~ 4
t. . ~ r--
~ch
ORe-Roofing
ORe-Siding
o Misc.
~eplace OAddition OAlteration ~tility Connection
PROJECT COST IV ALUE (excluding land) $ / ~ 4 S (9 0 . Ou
,
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 on pr erty to erform needed inspections.
x
~
Signature
Permit Valuation 115:000. .g(.)
Permit Fee $ I S? S"". ? Co)
Plan Check Fee $ 99 I . ., q
State Surcharge $ q7 . 50
Penalty $
Plumbing Permit Fee $ lOt:).. ~ u
I Mechanical Permit Fee $ / IJ" . t!)D
I Sewer & Water Permit Fee $ . ~S"'.SO
I Gas Fireplace Permit Fee $ t/~ 0 (!;)-()
tx:OQ. 57 &,
Contractor's License No.
/0- l?,/-~ I
Date
aso.lS6 '
~O. OJ'
12t;' .00 I
v c(5, 00 I
I. 'tdPl). 00
~?tJt:J .tP~_
I.~. t9 t:;iJ
. .
Park Support Fee # $
SAC # $
Water Meter Siz~~'; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
I Builder's Deposit $
lather $
I TOTALDUE ~_I'''''2q-()1 ~~.~O,4...!jJ
I Paid .~j9f>. 4€f ReceiPt No. 4~b.3
I Date ~f I I Bv (l..lJ l4-
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 occupan ,a Certificate of Occupancy must be
issued J).!:2-'tl~ y;_ (~~l'~
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
n. c..ter oIll1e l.aIIe CO"",,,
CITY OF PRIOR LAKE ~: ~1w ~~cam
PLUMBING PERMIT pPNo.-0::.J341-
APPllcant:J:,'ve S-lafl fJluh:! ~,. If). . :r r1C Phone:.h>S'l.... K\9- ~/~D
Address::J.oJi~LU~ ~. ~~p ~'" Jry,. ,"~ ()1/;
Signature: ~_-:::: _ '-1A,.-fI...
Legal Description: LO~I ,/.,3 ~IOCk, n / Sub ,,\'-jp,r/'~ SOG{fh .
Site Address: / Y':L~ 7 ,<:':::u i>:j~, f CltrJ." /::lJ!J
Building Permit # (C) . -!..."7 '!PID #
NOTE: This permit will not be processed without complete informatlon.
FIXTURE UNITS
Quantity Type of Fixture Quantity Type of Fixture
'~ Bath Tub with or without shower Rough-ins
/ Dishwasher ! Water Heater
J Floor Drain Water Softner
,y Lavatory (bathroom sink) I Stand Pipe (washing machine)
I Laundry Tray (1 or 2 compartment sink) Sewage Ejector
~ Shower Stall Backflow Assembly (RPZ, Double Check. PVB)
/ Sinks Backflow Assembly Test
Bar Sink . Lawn Sprinkler
..3 Water Closet (toilet) Other
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
$
$
$
$
.50
GRAND TOTAL
-
$~~
r~ ~,,\O G ~ef.~JSt' ,
. eU\\-O\~
\
This pennit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the S~b_'ng e amendments thereof.
~ .. . Iz...z 1"01 DATE
..", A TrEST
Call.for all in"~tjons 24 hours in advance.
16200 Eagle CreekAv. S.E.. Prior Lake, Minnesota 55372/ Ph. (612) 447~4:23Q I FAX (612) 447-4245
An Equal Opportunity Employer .
- -..&.t..., ......" r "-.1 UJo( LA.KE
f4J 001
CITY OF PRIOR LAKE
l':IJi;A TL~G/_Jo\.IR CO:NDrTIO~"'INGI J:I.u<..EPLACE PERMIT
Dllte Rec:'o
/'Pleue:' ~e QT::n:int uui sWJ at bottom)
.AI:JDRESS
~ ~~~ ~:~ I PERMIT NO.O I_I~A 1 \
), Y.II- "'Ppll.....~J J
1~98T7
~C;U~/1?I11- .' c;~Je A l.l!. ~ .
ZO~W G (offico .s.)
LEGAL DESCltu- uON (office U!" -o~IY)
LOT
BLOCK
ADDmON
:riD
I OWNER r'\ 110
(Na...'71e) .~/,,>....j~/~
~~I-.
(pl1onc:) ~~...:. 7 ~C (
(Ad.dress)
A?PUCAm' /' c"\.
(N~me) L..t"JAJ~/''''~ ,\",) ,a)f\
(Add'rt::ss)d/O' /~'.~A-.A" A1 J e
(.n.d40m)
(l'ho:u~) ~
~ak.
- (1" CCit;)')
<6C;;)),d.
5~Ct?~
(Zip Codl:)
(Contact Person)
, (Phone)
&~ ~:z:-~. _ DAn.-L~-~ = ~1
A?PLICA."I~T SrONATlJRE
___ APPLICANT Pl.EASE COMPLETE BELOW
. ~W CONST~UCTl'ON . 0 REPLACEM:CNT 0 AL TERA TIONS
FURNACE MAKE AND MODEL ~fb;.A,..~Af./'. C9~ /00 FUEL. AJA I-
Pt.-tiE srZE ,A I' pv t., RETURN ur.c.L'lINGS. .})' INPUT /t")(\ r'3QQ OUTPUT -...!l~1 or:::,o
mE OF S".t,:).J..t!.M HEATlN'G OR. POWER, ;PLA..~
OWIlrnl Air Plllllts 0 St=
DG"viry 0 Hat Water
...9'1"'fechanie&! .' 0 R~diatiQ:l
~onditlQning 0 Sp=l:'lal D.."jl;:s
.erven,. System OO!h=rDlvices
PLEASE .NOTE;
Ail:' Ccnditicnor Units
Ca1'lnot Enc,caeh into
Requltcli Side Y;J.t1i
Setca.l;\u
FI?...EPLAC,E MAKE M"D MODEL
Ta.dl.lsorlal. Commercii!! IJL MUlti-Family
F;iESCHE:DULE
10/0 cfjob CO~ Rl:licl,,~tial. Gas Fi~e~lao"
S39.Sr; minimum
. ,1;99.50 ~r:.$'jd"nti$i. l.cOitions t'~ AJt"r..~ion;;
S~4"5fJ 7I.e:..;do;:itf2i~ AC O~l'l
539.50
FI..<!:sidel'lti~.. rt<>lltlTtg ,&. )JC (Nt:..... COllsL""1.lC'l:ion)
P..t'"s:4~~:,ti":l!. frQ~::~ng Only ~-::~, C-::n:m-rJot1('n)
$39.50
PiJS(J
Es~~mtLt=~ Cost oS
Building reunJt #
HEA TLN"G PERMIT FEE
STATE SURCHARGE
TOTAL PER..~T FEE.
S
$
$.
1: wrn-\
:.. p~~~G PER~J,rr.
.A1\\.D _---
~--
(Om", Us", Only)
T"b;s AI'p!kation BecoDld Your 13ui1din~ permit Whc::t Approved
BlIildl/'Jg OffiCiJlI
Dale
I P:..iQ
I
I
I Dz.te
I Receipt No.
J By
14 hDLlr notlc:. fDr all insp_dibn$ (5'52) 44"1-9850, ru (!lS2) 447...l:Z45
TOO~
TI HO Hid U::> +++-
HIV a:n10&LN0::>
9LZ909tTS9 XVd Be:TT IHd TOOZ/BZ/ZT
15:40 651 633 BBB4
FIRESIDE CORNER
CITY OF PRIOR LAKE
HEA TlNG/AIR CONDITIONINGIFIREPLACE PERMIT
#69BB P.002/002
Date Rec'd
~:~ ~ PERMlTNO.O/_13A A j
I. VIII\6U1 ^"toltrAllt ~ J
(Pleue EYTJe or print and. sillJl. d bOlmm)
ADDRESS
/'i9P'7 ~~~~cb ,uW
ZONIN'O (~-)
LEGAL DESCRIPTION (office u.;e only)
LOT :BLOCK
ADDmON
PID
OWNER
(Name)
(Address)
/JAr. ~I ~
. (Phone).
APPUCANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Address) 2700 N. r,XR.V!EW AVENUE
(AddresI)
BRENDA HUSTON
(Contact. Person)
APPLICANT SIGNATU
. (Pho1le) J51~63 3~J-
ROSEVTT.LE MI\l
( Cil:Y)
651-633 -2 56J.
"''::11':1.
(Zip Code)
. (Phone)
DATE
1./1i~-~~
APPLICANT PLEASE COMPLETE BELOW
INPUT
HEATING OR POWER PLANT
J S~PJTl
:J HOl WrJtCf
- RAdiation
~ Special Devices
=- Other OeviCC3
o AL TERA TIONS
FUEL
OUTPUT
~\ii CONSTRUCTION
FURNACE MAKE AND MODEL
FLUE SIZE RETURN OPENINGS
TYPB OF SYSTEM
JW8rJT.l Air Plants
JGravjty
o Mcc:hanlca.l
OAk COl'lditionillg
OVent. System
FIREPLACE MAKE AN)) MODEL ~ tJ r; ~
o REPLACEMENT
PLEASE NOTE:
Air Conditioner Unirs
CanDot Enet'Dlch into
Required Side Yal15
Setbacks
fc~
Industrial. Commcrcll1l & Multi-FlUnily
FEE SCHEDULE
f% of job CO$l Residential. Oil$ Fircplaee
$39,50 minimum
$99.50 ~esjdcnlJ.a1. Additions /!l. Alt.cre.tjo"5
$64.50 Residential. AC Ollly
539.!0
Rcsiclenti111. Heatin.g /Jl. AlC (New Construction)
Rcsi4endal. Hceting On.ly (New Construction)
$39.'"
$39.50
Estimated Cost $
Building pr:nnit #
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
~. eA\O wrn-\
~\~~_!ERM\"
\. -,~""
{amee USl: OnlY)
This Application. BecolDel!l YOllr Building Permit When Approved
I Paid
Date
Recr=ifn No.
By
'lSJlndl"J amllllll
Datil
24 hOJlr Dotlli:e fDr allllllpedlon' (!J52.) 447-9850, f.1l (95%) 447~245
From JECHEEXC
PHONE No.
612 8926396
F~b.05 2002 7:20AM P01
t, ".'.,
-
CITY OF PRIOR LAtcE
SEWER AND W A'l"ER PERMIT '
I', Date R.c'd
,
..1Pleue l'me or urinr ID~ IIItIl at bottom)
ADDlutSS' ..
I '-.1 ~ ~}'nmj\--
. .. .
I. 0.- .u.
;J, 'l'el_ ~~.
). CkJId -rl'UNllt
PERMIT NO. 01-/34-4-1
I
C,., L ~I.'.\
. -JL~..1.Y.L(}
ZONJNQ (DIIke UN)
LBGAT. t>nSClUl'TION (ofll~e Ute: unJ;)--' .
. LOT7.6'-DLOCld.ADDITJnN_ S1S;_)"'(I~, SlL--. .
~~~~~ [).!U1c1 c\ 0.l~~:.:-:
(Addl'l:8:1) ~I '- 14nl\l\. 'i}~r
,lo:.\' . (AcI~reJl)
. f,~hl',:::",
Al'rUCANT-,-- I L
(Name) "., . v e..e.. "'~ 'r::;.1~__
(Address) J31.D J OW ~
. (AdcIRu)
(Conta<.iP...on) --1Y '.J~. ~
APPLICANT SIGNATURE ~ 0 .....
(J
APPLICANT PLEASE COMPLETE BELOW
Size ~f water service ~ inches.
Lucation of any coupljng~ from structure feet.
Type of sewer pipe. 0 ABC 0 PVC 0 Cast Iron
Estimated length of sewer line feet.
ClelUl oul (if required) located at feet from structure.
prD
(Phone) W lf~2 ~Ol
,4~' ({ML -
. I . ~ . I' . I
_ . . ...,) ,I ".'~, ' .
ceiqo) , .' ,~I,. ::i t ' II','''.:'' "~Zfp Codr) .
(Phone) 4./;2 ?tPO'l4G
f3IDnW7I~+DI1 M.lJ ~S-4'3(
( It)') (Zip Code)
tJl~ ?~ b 7t/.st,
(Phone)
DATE
Residential sewer and water line connection $35.50
Sewer connection only $17.50
Estimated <":ost $ 5lJ'" ()
FEE SCHEDULE
Industrial, Com'l &. Multi.family
Water connection only
1 % of job cost with. S39.50 minimum
$17.50
Building Pc:nnit #
01-1.344-
SEWER AND W ^ TER. PERMIT FEE
STATU SURCHARGE
TOTAL ~EIlMl.T Il'Jl~.;
$
$
$
---
. .' '."'!' PAlO WITH . . .
r~lJ\LD\NG PE'hMi 1...
'E. .
(om.., lIle On I)')
,. ,..
'rhls Al)pHcatlon Becomes Your Bllildlng ).ctmU When Approvcd
blllldl"l om~I.1
~
FEe - 1 200~
201 huur "otl~. fur .1IInapec!'onJ (95Z) 447-9850. rn (95%) 441-4%4$
II. Ie
R~ /
BY. p~_..""""""
Tht ("tnler of tht Lokt Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT vfJ11O~ ~
APPLICATION RECEIVED j/?'- 3)-0./
The Building, Engineering, and Planning Departments have reviewec! the building permit
application for co~7t~t~7 ~ctivit:!/:::::;;:/::Lv )JJ
Accepted
Accepted With Corrections
/
./
Denied (":)
Reviewed BYJ.P- b~ .
Comments:
Date: I(-I-of
, .
_Wa~h~..
- ~ ~
"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
Th. (".nt.r of lh. tok. Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLlCANT-/J;/J. i. '
,..-,
1./
/ ('J\:;
l A' . /
i (./ /2.J (A-__/
APPLICATION RECEIVED 1/)- :~/-()J
The Building, Engineering, and Planning Departments have revieweq the building permit
application for constru~tion ~ctiVitY (~hiCh is pr~pose~_~t: . ,J
I L/ q 2'7 ,~.) t ?,J(j7f (~12CA-/)Ju/
Accepted
~
Accepted With Corrections
Denied A
- /.', fA~__
Reviewed By: ~ ~~
Comments:
~ ~\kM 1f ~alHe ~
e>>'LV~.--k ~ ~ toQuv\~le.s. '"
Date:
Il/:LCf!&? !
. ....
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. II
-'!.,\
I.:
. -1
ot-13QJj
Thf ("fnlfr of lhf !.okf Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT '-1f!fP&tJ7Ja{Jcf ~
APPLICATION RECEIVED //J'- 3;-0)
The Building, Engineering, and Planning Departments have reviewec: the building permit
application for co~~~t~7 ~ctivis~se~ }JuJ
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
ftliJr5
Date:
11-;1, 7-rJ (
Comments: < See Reverse Side far Additi(jnallri(.:J(.I'~atiorir'
/1'-/ tv4/~ S evVI (~ to tt&I/~-e.
"ee Attachmenls: 1) Grading Plan, 2} Erosion Control Measures
3) ErosiQn'Contrnl 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."
PRIOR LAKE -DEPARTMENTOF
BUILDING AND INSPECTION
INSPECTION RECORD
'\
SITE ADDRESS JW'l ~\lt- (J~...r( p
NATURE OF WORK #JQu
USE OF BUILDING ~~D
PERMIT NO. (> / - / q 44 : DA"W ISSUED 11- 07.. 0 I .
CONTRACTOR J1c~~ ~ PHONE~-7t,oL
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING . I . ...~ ~: I)( DATE. 1
FOUNDATION (Prior to Backfill) I 1l. ~ t~s, ht 11>~1W-!j l~ "J I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SI6NED
ROUGH - INS
,
SEWER/WATER/SEPTIC;. ~U~ ~1~-a:L.
FRAMING t.L- ~~ 1 J ace f' :lS"' 62-
INSULATION ~ ~ t (1D ~~
ELECTRICAL . I
PLUMBING ~ \ f H - ~ 1/7/07-
HEATING (if required) ~\) , ~S'" 11~~ "a\o2..-
FIREPLACE \ ~~&--\ \ ~
GAS LINE AIR TEST ~~ it
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS ~~ tf
I /~ 11.;7~P~ .0-/
'7 ~. lP' .( ,0-
~\twtt tt~~~ W,G
/J
Pr J 5/;)/ //)~ J
~ \J~ A O~O~
OCCUPY UNTIL ABOVE HAS 9EEN SIGNED
NOTICE
This card must be posted near an electrica.l 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
"f".. '.
,<' :') '\" ) :... <' "'i1\ir,;.~ ;l,//~~'l:>~~h Ii....~~:,'i'"' y\ ~ '~">'~'~"~;-'t.;tt~;'
\ 'i:d~~ \~ "":'~pr: \1<;1:_',-1:,;1 .' ./'::, ,~:)-~~; ",:.r~,;; ,:~......~: ,ft...7~!I~(:'.:~f1i?.. t~~~',,:H~;tfV*:l: ;j''ff'ii:{'' ,:-
~~.'~~.1":'~~t~.~~~~,..i'.' "1f'~A;~
I i.~.~ ~i:'"':'.,!l">>" "'"'. ","'" .., ".. ~ ''',.
(...~~
;~~ Qttrtifirau of (lDcmpanry
;i~1 CITY OF PRIOR LAKE
. rjl . ~tPllrtmtnt .~ .uilbi~ Jnjptdion .
:W. iiI Final Penmlled D Condiltonal e.o. ExpIres
~1 ! : This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
;~ i' certifying that at the time of issuance this structure was in compliance with the various ordinances. of the
.;,,:.~ I City of Prior lAke regulating building construction or use. For the following:
.~!
.!~: .
'~~~~ ~
)i-
I'
I~{
~
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"! ~~ .
~~"\.l' l""~kl''''
Use Classification
_Bldg. PermitNo.~1-1344
pud
Zoning District
R3
Occupancy Type
. VN
Type ConstructJon
Fire Zone
LegalDesc:ription. Lot 75. Block 1. Sterling South at the Wilds
SitcAddress 14987 Summit Circle
7601 145th St W, Apple Valley, MN
Owner of Building
Contractor's Name It Address McDonald Cons tr ,
f1,If? rity Planner
Dare:
Robert D. Hutchins
Building Official
11- ! ~, OJ....
Dare:
Don Rve
"'';''''L''''';'';'''';'''~;,J. ,,';':.-:!.: 1.'::', ..,i->",,:,,:.~. .Llll;...::..:.:~~,.:..i;'~~~'_);,;~'''~I';;\,,''-:: ':':'~~i,,",':..c':l!"~'l.i~::~"...~. ~:. ....J.:-i;j.~~~:_"-.. '", "'(~:,':t",\::~.' "is~~ii.,',~;';";'-~:. ~'..... '<i~~ ..'-'-1/1':1;-" II' '. ':,':":'>..lif:! :,.
5'5124
.....
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED
I ~7 JU/'-1MIJ Clet..~
CONTR.
PERMIT NO.
tJ 1-/344-
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
SO~iE;;;e 1/)0
I \.r,; /
r-.--
I"
st)
o 1
(' IV r:
'-/ / L)V
yl
. WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT,fi>>ALL FOR REINSPECTION BEFORE COVERING
Inspector: -r VI' Lf.....!{ -0 Lowner/contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
11-7-oz-
PHONE NO.
1't1~ 7 S~1h,"' 'f- C,'r
CONTR. lYI~lb~'(d ~r:f...
PERMIT NO. /') 1-/34l{
,
~ILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ ......wAL
o SITE INSPECTION
COMMENTS:
61{Af)6.... 0 l,(.
L-uP...(J., &;)x- ("...ouJ I ~~- tw,J;H W(6"-ArfJf
~.D rr 1"'l1.t~$ ~PL-Ar~
o WORK SATISFACTORY, PROCEED
)iit\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 & SAFETYl
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
3. z../-01- .3i3e>
ADDRESS
)#87 SUMt1" ~11f!-.
OWNER
CONTR.
PHONE NO.
PERMIT NO.
;-/3++
o PLUMBING RI 0 EXIGRADIFILLlNG
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
~~ SEWER HOOKUP 0 FIREPLACE FINAL
, PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
COMMENT~ ~ ~ _
~~~~/~~
~3~1::~. LJ~ ~~ 11_ ._~~,
.... ~ "",-0 ~.~ .~
if;) ~ (),H}<> ~
ro~ V
~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
~~~
~~
o WORK SATISFACTORY, PROCEED
~ 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!
IIiSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME \
4-;;2-Dd.- 3;~
ADDRESS
1'I9ff1 ~ci,~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O}- 1 "3l}LJ
o FOOTING
o FOUNDATION
o FRAMING
fY-D INSULATION
1'1 g( FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~ECH FINAL
o EXIGRAD1FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: , \
~ (T(l('~ e ~- v\.tf ~e.. ~e.& (.(..\\ '1-," .
r~J~ ~~l~~'
lo'{ 8)6>l 0-..
~~,J--1a~ Ctt..i f:::' "l(
Vt~ .
$.rl dtd ~ F <.kvJop ~&i\+-
/WORK SATISFACTORY. PROCEED
o CORRECT ACTIC"N AND PROCEED
o CORRECT WORt. CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~,,~ Owner/Contr.
CALL 447-9850 FOJTHE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
Job Address / '193-7 5vl41"""~ r
Heating Contractor Controlled Air /f-tv
ell
:;. 11/-0;)
740,
YI
-D
/;)<< ;c
Name of Tester
Date
Percent O2
Percent CO2
Percent CO
Stack Temp.