HomeMy WebLinkAboutBldg Permit 04-1071
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Main File
Date Rec' d
9.;J.fJ. 04-
I. White File
2. Pink City
3 Yellow Applicant
I PERMIT NO. ()4.. 1071
(Please type or print and sicn at b" "."...,)
ADDRESS
I 55Cf~ j)r-Me.., CLre-lL f\!W
ZONING (office use)
R-I S I)
LEGAL DESCRIPTION (office use only)
LOT(oBLOCK \ ADDITIONrJ4~taJ) ~- \F~~YlCS PID~"~'l-()O~-C)
~=~ ~n 'e y ~{D \ ners (Phone) lQs I r d-c4-7Il~
(Address) ~ \ (3 C-ll ff ()r, ~ /:{ OI/J t:) (f\ ~ 551 cr d- I
L_'iJ_'_- I
BUILDER l A \ n...!..--h L> I ...l61 '.A"~ /) <:7
(Company Name) I'-""CL(\ e ~ .~ (\J I \ 'C.-YS (Phone) LP r uLYf-- I , 1 C)
(Contact Name) M \C ~-lJf'~ (Phonel~/"'d(11- 'l7 L <;<
(Address) Dt \ 1-3 QhfP (J.r. ~V"'\ f'() ~ \ ~ ~~ ~;, ~Sf - 4~q -'f1.J.J
TYPE OF WORK '1id New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level F~rePlace
"EtAddition DAlteration DUtility Connection 0 Misc.
CODE, !I.R.C. OI.D.C.
Type of onstnlction: I II III IV V A B
Occupan Group: A B E F H I M R S U
Division: 1 2 3 4 5
PROJECT COST IV ALUE $.5fi 0 I 000 .00
(excluding land)
I hereby certifY that I have filmished 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 constrllction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
;c~v~caus~~ethatthecipzor~o5Jr3o";)ropertytoperfOrmneq~i3~~
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
Penalty
Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
~
'irSS-O OOtJ.tJlJ
I
$ 3~7 7,75;
$ '2. ~CfO . sc.(
$ 2-75". ~o
$
$
$
$
$
'00. Do
fDO, D'O
35'. s-o
40,00
This Application Becomes Your Building Permit When Approved
~~
Building Otllcial
It) III 10 'f
, Dale
I Park Support Fee
SAC
---.....- 0
Water Meter ~ze 5/S..j)1";
Pressure Reducer
I Sewer/Water Connection Fee
I WaterTowerFee
Builder's Deposit
Other
#
#
#
#
$
$ \"3So,oo
$ z.. ~O . 0 1)
$ Y'S,O 0
$ 1200, ~o
$ 700. 0 0
$ \500 , 00
$
$11: ~~3. 7~--
--~ ----
'-I?l/''1X''
/.
()-
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 I
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
~&-~ 10 ! !!.. /0'1 Pi-.".-1~ ~
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245 ~---
16200 Eagle Creek Avenue Prior Lake, MN 55372
I TOTALDUE ~ ,O"tr,t>4-
I / ~C; ~ ..:- zq Receipt No.
r 10- ::J..o-OJ..../ By
I Paid
I Date
Main File
White - Building
~anarv - t:nQlnee..-ing ~
Pink - Planning
Thr Ct'ntrr of thr t..kr (~oun'ry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT -11'0/14 /~~ If \/~:J~c&
f "~,.., /.. ._~
APPLICATION RECEIVED 9./ :;J.{)' (/'
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is progQsed at:. _,
!~:-::-5 9(/- - / //'/1/1 .It ( ('/;.r
__,,/ W, l ;: ' _ ...>;;::':____" /-.....1 --. .~.> __~"---'
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YJ4B
Date: It; -,S'-(!)I./
,
Comments: -.S.ee Reverse Sid~ for Additional Information I
/fJe, ; ell r,-l (
See Attachments: 1) Grading Plan. 2) Erosion Control Measures
'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 bevalid."
Main File
<Whit~ -. - Builcfli!g:;J
Canary - Engineering
Pink - Planning
The ('tnttr or thr t..kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ lelJ.. (~
APPLICATION RECEIVED 9/ ;;J<;- 51
The Building, Engineering, and Planning Departments have reviewed the building permit
application for constri;;ti9~~Ch is 7~ ~
. . (... , -
Accepted _
Accepted With Corrections ~
Denied
Reviewed By:
Comments:
~~/J
."
~~~~/.
Date:
I~/t/ ;0~
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.1I
~\1ain File
White - Building
Canary - Engineering
("'"/ inK - ,:!annlt19'::>
The ("enter of Ihe l.lke ('ountry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 711a-:u Ie y,{~
APPLICATION RECEIVED 9/ ;;;..0"';1
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is pro~psed at: _
/::-5 9~ - /t~'1 CLA.c (/~
Accepted With Corrections /'
v
\
1
Accepted
Denied
Reviewed BY:~ ("r\. ~
Date:
IO!II}~'1
Comments:
'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
REA TINGI AIR CONDITIONING/J.4J.KEPLACE PERMIT
Date Rec'd
~ ~w ~~i"*^' \ PERMIT NOO!!.I tJ7/
(Please tv",e or )7tin1 and si:;rn at bottom)
ADDRESS
\SSq% ~ CWo
ZONING (o~.
use)
-
LEGAL DESCIUmON (office US<: ol\ly)
PID
LOT BLOa<:
ADDmON
(Phone) (pS 1- tl5<1.. '-1933
. OWNER
(N-)~~~'
(Address)~113 C'P ~ t::)A.'': 4. R:uJ 1 /hn SS/;).d.
A.PPLlCANT
(NameD I .~~ A-_ "~~-'(}~ On-.... . d- ~ P
(AddressL
x9a? /Q9.tt. aot'~ ).J 1i.JaJrl 0J.nh'h./JJ1~ .11'11'1 $53J~
(Addrell$) , ....... ~ (City) (Zip Code)
(Contact Person) t: c-\:;'; \,!.:",n.,,,,,,, r' - (Phone) .'JLc:->- - S '1(0 - "7 ~ I ~
APPUCANfSIGNA~I\.l~ b1~Ln . DATE
APPLICANT PLEASE COMPLETE BELOW
~rW CONSTRUCTION 0 REPLACEMENT 0 ALTERA nONS
FURNACE MAKE AND MODEL r FUEL
FLUE SIZE REroRN oPENINGS . INPUT oUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants 0 Steam
OGravity 0 Hot W~
o Mechanical 0 Radiation
OAir Conditioning 0 Special Devices
OVent. System OOthcrDevic:eS
FIREPLACE MAKE AND MODEL rhD..i~; ,QvT ~R 10
---u- FEE SCllEDULE
Industrial. Comnlcrcial & Multi-Family 1% of job cost Residential, Gas Fireplace
$39.50 minimum
S99.50
$64.50
(Phone) ~lo~- ~{l' -~5dS
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
R~sidential, Healing & Ale (New ConstI\lction)
Residential, Heating Only (New Construction)
Residential. A.dditions &. Alterations
R.~idential, AC Only
$39.50
$39.50 ------
$39.50
Estimated Cost S .-.
REA TING PERMIT FEE
STATE SURCHARGE
TOTAl.. PERMIT FEE
Building Permit #_
$-
$
$
.50
I
(Office Use Only)
This Application Becomes Y our Building Permit When APProved
Buildille Offici;'--
Dale
~\
,
\ 1> eJAN 1 1 2005 11)
L \ 'I ,
-'
24 hour nlltice for a\l inspections (957) 447-9 ~~ fn (957) 447-4245
C:00~ 68,,'ON
Svc:v"vvC:Sc ~ dOOa 38~d~8 JI1~WOln~
C:0:n
S00C:/SI1VJ:0
10/26/04 TUB 11:04 FAX 952 890 2753
STOCKER EXCAVATING
141002
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
I. Giee. File
1. Ydlow City
). Cold Applic.n,
()l/-/D71
. PERMIT NO. fY../-/01/ I
(Please tYpe or Drint and sistn ill bottom)
ADDRESS
ZONING (officcusc)
15598 Drake Circle NY
LEGAr~ DEScfu J. J.ON (office use only)
" 1
LOT BLOCK ADDITION
Crystal Bay
pm
OWNER
(Name) Manley Brot:hers
(Address) 2113 Cliff Drive
(Address)
(phone)
651/454-4933
Eagan, MN 55122
(City)
(Zip Code)
. APPLICANT
(Name) STO~UA EXCAVATING COMPANY, INC.
(phone) 952/890-4241
(Address) 12336 Boone Avenue
(ZA.drCS )
. Curt /
(~ontact Person) . .
. APPLICANT SIGNATURE /~ ~
1/ !1Tb' ~ '
APPLICANT PLEASE COMPLETE BELOW
Savage, MN 55378
(City)
(Zip Code)
same
._ (phone)
DATE
10-21.:::.M
- ..-'
-~.' _.,-
Si7.e 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.
FEE SCHEDULE
Residential sewer and water line connection $35.50 Industrial, Com'l & Multi-family ) % of job cost with a $39.50 minimum
Sewer connection only $17.50 Water connection only $17.S0
Estima.ted Cost $
Building Permit #
SEWER AND W ^ TER PERMIT FEE
ST A TE SURCHARGE
TOTAL PERMIT FEE
S
$
$
.50
.\ /".'
....~.~';._ .'. 4i';~"~~, ,
~t"\;' 6,:;" , . .
, 1'1f"- ....' ".
. 'l~ ,~,...;~
. ':}..,. . ","
"":~;t~,
.,t~
"
(Office Usc Only)
Building Official
----;
G?if(lli [f, Q \1J ~. '1IfeeeiptNO. _
'<Date l3Y (( h
Dalt " . OCT 2 8 1004 ~l t(,
24 hour notice for all inspections (952) 447." ~o, fax (95:2) 447-4:245 V
This Application Becomes Your Building Ptrmit When Approved
~y-
11!34
CITY OF PRIOR LAl<E
9524474245 P.01
CJ. Ii OF PRIOR LAKE
.tI.LA1.l!.qG/AIR CONDITlONlNGIFIREPLACE PERl\u.l
Date Ree'd
(phone) 917e:t--#"~ - d~VL?
J d~"- ...u.--:5 537..;Z-
(City) (Zip COIle)
(phone) k/2- Z2/-7'$:}7'5
~~ DATE />~/ ff~C)~~
-..:. ~
,
q'1nse.~1lfJ or ~ md sim at bottol!rl.)
AImR'Fl.~~
l55"9~ p~k~ c..~rck /J,.~.
LBGAL DBSC'RJPTlON (aJli.et \W!' only)
LOT BLOCK
ADuJ..LJ.ON
OWNER
(Name)
(Addms)
/7'?"tE'7 k.o/ grit) ~....-..s
/
E4p~ M---
APPLICANT ' ~ . L/ ~....... _ /' - A
(Name) J. _!.oUY-,^- , r, eC/? 1:1 4.J'c:: A-t:'
(Addt'ess) :ZIOtJ5 La-'??~ ~
(Addniss)
/<6n
~~GA7
(Contact Person)
APPLICANT SIGNAnJRE
H::r:. $...YERMIT NO.If..---:J/J 7/
-
ZONING (olli<< U!e)
PID
(Phont:) ~5/-r':5"~'-Y?~3
.....
)
.., APPLICANT PLEASE COMPLETE BELOW
0NEW CONSTRUCTIOl'l 0 REPLACEMB'NT 0 ALTERA nONS
FURNAC'EMAKBANDMODEL ~AL- /O;:::;~ ~ ~ FUEL
l..-/
FLUB SJiZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HBAnNG O~ POWER PLANT
OWannAirFlants 0 Steam
OGravlty 0 Hot W~r
~ca1 J Radiation
g.w-condlr.ioning ] Special Devices
aVent. System 0 Othf-l' Olwiccs
FEE SCHEDULE
Industrial, Commereial & Multi-ftmlly 1% of job COil! Residcolill, 01$ Fireplace
$39.50 minimum
RcsidcntifJ, Heating &. AlC (New ConSt/'UCl:lotl) $99.50 Rellidential, Addition, " Altcr4tiol'l~
Residential Heldt\A Oll~' (New ConsttUction) ~4.S0 R.1:siden111l~ AC Only
Estimated. COlT, $
~-
Ii ;,~4fd !
~: Ii ,I "
iJI'; atqAN
D.~ ' ,i J 5 2005
24 hour noUa fOr aD lIJ/lpectiQns (952) 4047- :. , la (,5:1) 44'7-414S.
16200 Eagle C.-eek A:nwle, l'rior 1 ~ ~_5S3'72
FlREPJ.,ACB MAKE AND MODEL .
.....""11
(omee U.. ONy)
HEATING PERMIT FEE
ST A T.E SURCHARGE
TOTAL PERMIT PEt
nis Al'pJk.t~cm Becomes 'Your Jhdllljng Pel1Dlt Mln ^~prov.d
B!Ii'cIiD~ omoJAl
Jll.EASE NOTE:
Ail' Colldltion<< Units
Caanot BncrOlllCh Into
RequiRd Sid!! Yard
Setbacks
snso
SJ!~.'O
S:W.~(')
$
$
$
~/()
39. 50 V",~ ""--~
.50 ,.. t>J:':
~EJ..}::JA1/7"
Bulld'ng Peonil #
I . 'ecetpt No.
I "
I ~ ffY
LJ'
I
I
n_:]
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONINGIFIREPLACE PERMIT
Date Rec'd
I. Pink File
2. Green City
3. Yellow Applicant
A, \ (j11
J ~ 0" *
fl"~ 10/1
PERMITN~
(Please type or print and sien at bottom)
ADDRESS
15598 DRAKE CIRCLE
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
{Name MANLEY BROTHERS
(Phone)
(Address)
APPLICANT
{Name)HEARTH AND HOME TECHNOLOGIES DBA FJ,RESIDE HEARTH & HOME (Phone)
2561
651-633-
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
9/29/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
HEAT N GLO 6000TR-OAK
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
PAID WITH
BUILDING PERMIT
$39.50
$39.50
Building Official
Date
Building Pennit #
$
$
$.
~.l [E ~i~ [J ill ~ 1
J ~Oitti) 8 2005 J
.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
(Office Use Only)
This Application Becomes Your Building Permit When Approver
Receipt No.
By
24 hour notice for all inspections (952 1#7-9850, fax (952) 4474245
J
- -c: ..;1' ."-
~\1ain File
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 155'8 ~ ~E' I\!,w.
NATURE OF WORK ~~ c...) C,J) ~'T~o~
USE OF BUILDING S. ~ k. .
PERMIT NO. 04---,107/ DATE ISSUED 10 I.., I/Jf
CONTRACTOR M~L.CV ~r. PHO~-C.'-"?J'
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
. THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.-. INSPECTOR DAre /
Io/~ I /LY/?~(j I
FOUNDATION (Prior to Backfill) I #' // -<' I ~ v - ' J
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
. .
:~:~:~w E /~~~~,.::,~~ ~:jX.
INSULATION tyJ~ . -h: ~J / Y ~ I .
ELECTRICAL ; / 7 t? I (uy'
PLUMBING -w <. ~ IN' "'.-:-. . ~ {~y ~
HEATING (if required) .J1tIJ- lU{5 1-/ >-i J 1'1 q/~r
FIREPLACE /
GAS LINE AIR TEST ttf.,.:.. t1f..c;e y lIlY- ~-/
COVER NO WORK UNTIL ABOVE HAS BEENS1G~EfD
,
J..II(rNE IttoltfrlAJ~ I I
FINALS
GRADING (Prior to Sodding) -'L ^r~
BUILDING (A) J
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
I FOOTING
2,,~ lIB
J
(l ,7..11,65
6/le/o~
r
""'"
0C r~ /~~~
r:J..(J I.J Is /tJ f,
" I ,
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 shall be placed near main entrance.
FOR ALL INSPECTIONS (952) 447-9850
..__ ._,_____..___._.U"" __..T__........._. -.-.__.._" -~.____C'"......__.----,_._--,. .--'-.."---' ._.~-
. .
....\
"
r
c~,.':. ,::', (11er:fifirafe lIf @rrupanru
CI1:V,Of..'PRIOR LAKE
~~patftttent~, of ~uilbiug Jluspttfinu
"
pi" Final.:PeIntitied
c;J Conditi~nal<;.O.'Expir~s
.
'. :..
. This Certificate i8Sued pursuant to the requirements of Section, "110 .of the D Residential / D International
,Building Code "Certifying. that at. ~he' timeojissuclnce t"'is struc;tur:e was fn. compl~ance with the various
. ordinances ofike City of Prior Lake regulatmg buildin,g constritcti.on qr'use. For the following:
, . SINGLE IFAMILY' . . . '- 04-1071
Use ClasiYifieation ." '. . Bldg. Peqnit N()~
Occupancy Type .
R3
. Legal Descripti9n
. . . 'W
Type., Construction
L6, 131,.: CRYSTAL BAY
.;
Site Addi-ess
. MANLEY BRl1'NfERS, 2113 ,CLIFF
Contractor'~ ~:E~~dri~~. HUTCHINS ( J1r)' . " "
. . \j \" City Planner
Date:' . r:; I. ~,.I r... I ~ildin~ OffiCial. . ./ Date:
~
Owner of Building
J "".
(' .'~
f
" .'.
""",.~.,,~-;:;"';:;;J.,-;.;t.,.'""'~i.,,;;';';;'\ . "l"."';';:"; ',".......~,
~.~ /"
I:;,~/:','.~.,i, ~:x.rJ- ':'In~~" ,- "II-,~':.,~.":t.Lj";;~}::t._ -~;:.;;. -.i'~:"'~~-:;";;l:"'l":<:~":;'Y,;"~'; ,',::..':i .;1,;~::r,"~:--.~ J:
. ZoniIlg District ..'
R1SD:",
" ....
~;
~5598 . DRAKECIR<;:LE N.WJ~
DRIVE,' RAGAN, MN 55122
DANERDNS IE:R
"',,'
,. .
!. "
,.
"
,~.,..i."';""~"""'''''''''''''
CITY OF PRIOR LAKE
INSPECTION NOTICE
I ~ c:rt>
ADDRESS t ~ fL () Z
DATE nilE
SCHEDULED ~
Dt-a.-~ ~
PHONE NO.
CONTR.
Op "I-IV'"
PERMIT NO. ~ :It Lj=J.6::!z
OWNER
o FOOTING 0 PLUMBING RI
o FOUNDATION [J MECH RI
o FRAMING 0 WATER HOOKUP
i1NSULATION [J SEWER HOOKUP
FINAL 0 PLUMBING FINAL
SITE INSPECTIO~MECH F~NAL ..J
COMMENTS: ~ ~~
If I
v
"
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
(')~ -f.., C{i\~ -f~- +:-(Q
Jf WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORREC4~ALL FOR REINSPECTION BEFORE COVERING
I_~~ Owner/C<lnl<
CALL 447-985~ ~THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
5tt nilE
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
~ / I
ADDRESS ~5~
OWNER CONTR.
PHONE NO. PERMIT NO. If- ... l'b"1(
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
~ INSULA~ o SEWER HOOKUP o FIREPLACE FINAL
FINAL ~, o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
X WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREfj,K' CALL FOR REINSPECTION BEFORE COVERING
Inspector i Owner/Contr:
CAI .L .17. 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~E~UlREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
_T1
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE
.
O~ ~1
nME
ADDRESS l.5iaD~ "'- I C;t;"~
OWNER J 5' ~t'f 0 CONTR.
PHONE NO.
'-{- 10'11 (05-'
PERMIT NO. I a..J1..
o FOOTING 0 PLUMBING RI 0 EXlGRADIFILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION 0 SEWER HOOKUP 0 FIREPLACE FINAL
'iilFINAL 0 PLUMBING FINAL 0 GASLINE AIR TST
.l'6'-s1TE INSPECTION 0 MECH FINAL 0
COMMENTS: 0. ~OA ~' I
/'
/<WA r C'~p 0
l(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 4 ~ ~ Owner/Contr:
~"/
CALL 447-9850 roR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/NSNOTl
DATE TillE
CITY OF PRIOR LAKE 3J*
INSPECTION NOTICE SCHEDULED
ADDRESS 155't~ ~
OWNER CONTR.
PHONE NO. PERMIT NO. jJ-1cW1
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION jl;EWER HOOKUP o FIREPLACE FINAL
o FINAL LUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMjIIENTS: ,1, _.I
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o WORK SATISFACTORY, PROCEED
~ORRECT TION AND PROCEED
o CORR:r , CALL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
IN8NOTl
,
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~ ,~jO
PHONE NO.
ISSli D^ Kc.. 6V
CONTR. ~/(.f 8~
,
PERMIT NO. tJlI-/6""
ADDRESS
OWNER
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~;~~NSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~LLlNG
o COMmlNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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p.,U (:v ~":'i'U W.,J V01 ~ 1.....J;,JIr(
~. 10 1/ t:,r~ JO"'U--~
5 ~-r--
X 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..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl