HomeMy WebLinkAboutBldg Permit 05-1022
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please tnJe or print and sian at bottom)
ADDRESS
LEGAL DESCRIPTION (office use only)
- .
LOT 3 BLOCK z... ADDITION
OWNER r;"'L
(N ame) \"'Ere.
(Address)
II,
BUILDER
(Company Name)
(Contact Name)
(Address) I~
MItt>~ /~
JA1-J.ELI c::; .k~
'e. A-l:> OtJ..'l... 1Z'D.
+-
It..A... u.u I
C. \-\t7...-~ 10..L.l I
zec>:o! ~.
Date Rec' d
9. 23.05
I. White File I 7 I
i ~~~I:w ~~I:licant PERMIT NO. 05. 10 Z --,
3398 se/AJ#B<- 5,
ZONING (office use)
~/
t~ ~ PID25.432~r/2_9
I
(l ~\!A-.
(Phone) '1 {;Z.... L/w/' - 'Zz~z.
~.
{ ~10.1.~, "-,,,,-"~N,. ~
~
(Phone) '1'5'Z.-/~-210~
(Phone)~lZ.-~9- ~
\..)&::. T.
TYPE OF WORK ~New Construction OGbeck l2fPorch ORe-Roofing
OAddition OAlteration Oufility Connection
CODE: tiri.R.C. OLB.C.
Type of &struction: I II III IV V A B
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
ORe-Siding OLower Level Finish 0 Fireplace
o Misc.
PROJECT COST IV ALUE $ -.3/1A 1 oat:;>.
(excluding land)
I hereby certifY that ave titmish 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 authonzed agent for the
above.ment~~ p erty md th 11 construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:cial can; va" e ~en ,it r cause FlIl thermore, I hereby agree that the CIty offiCIal or a des;:;;;.y;:: upon the property to perform need~;01 ~
Signature Contractor's License No. Date
I Permit Valuation
I Permit Fee
I 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
~~7-"'. 00 t) . DO I
$ ~t: s-s-' '5 () I
$ /77,.,t, , C!J8 I
$ Ie 3. 50 I
$ I
$ /(J(j, Of) I
$ /(JCJ,.OO
$ 3S ,.50
$ #c1,tJO
~-uMn<P;i:!=~
Building Otllcial Date
I Park Support Fee
I SAC __
I Water Meter~ize 5/s;J 1";
I Pressure Reducer
I Sewer/Water Connection Fee
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE ~ IO.I+-.tJS" $ If), sq(). SB I
dlLl) q c),5 Xi Receipt No..--JI?()cf~
7;:F:::j If - .5 I ~y <' - -
U --
#
#
#
#
Paid
Date
$
$ /'/Sa"OO
$ 2. SO, D 0
$ SO.Do
$ 15'0 at DO
$ I tJ()o . 00
$/500,DD
$
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
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R-2 Districts
r-
Reviewed bY:~' ~
Building Permit # PID:
Address: 3J1? S~ ~r.
Legal: L :3 . B t5J.. Subdivision:
Existing Structure? YES @)
Date: 1t1//3~5
Zoning:
~.&.. )
Existing Nonconforming Structure? YEg@
CONFORMS TO ZONING
ORDINANCE
Yard Setbacks: NA 1 FAILSl CO~"
· Front Yard (can be 20' if aVQ. w/in 150')
. Side Yards
· Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in length
I. Rear Yard
· Patio Door: provide for minimum 10' deck or sign
statement indicating no deck will be built in the future
. From 100 year flood elevation of wetland/NURP
pond
· From OHW (Prior or Spring Lake)
~ Floor Area Ratio: NA 1 FAILStcli~
~ Yard Encroachments: NA 1 FAI~ ICOMPLI~V
Eaves and Gutters no more than 2 feet in width and no
closer than 5 feet to a lot line (Easements).
AlC and other equipment cannot encroach on interior
side yards.
.
'Tree Preservation (IIQAYFAILS 1 COMPLIES
· Total caliper inches
I. Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L:\TEMPLA TE\BLDGLIST.DOC
YES
Standard
25'
10'1
25' if abutting a street
10' setback +
2"/1' over 50'
25'
10' sidel
25' rear
30'
75' or setback average of
adjacent structures, but no
less than 50'
.30 Maximum
Standard
Standard
%:1
NO
Proposed
2.5,11
,,' ~ ~
\ 9.02.. I
~Z>'
~A
tv A
~A
I trl-
Proposed
!louo
}JONe
Proposed
I DrivewaV: NAI FAlLS'1 COMPLJE0 Standard Proposed
. Maximum width at property line 24' If"
. Required setback 5' from side lot line or ~ -It,'
30' from r-o-w on comer lots
. Maximum slope 10% z.. rOlo
. All parking areas to be paved including R-V or
spaces adiacent to the garage ~
I. Location to match subdivision grading plan ~ I
~ BuildinA HeiAht: (C"OM:L1E&1'/ FAILS 35' Maximum 2.7' ~
Shoreland District: ~~ FAILS / COMPLIES Standard Proposed ,
Minimum lot area (square feet) 7,500 Rip, 7,999 Non-rip
I Minimum lot width 50' Rip, 57.3' Non-rip
I Shoreland alterations
I Impervious surface 30% Maximum
. Bluff in Shoreland( ~A~ FAILS / COMPLIES Standard Proposed
. Setback from top of bluff By planning dept.
I. Bluff impact zone 20' From Top of Bluff
. Engineering certification submitted/approved By City Engineer
. Grading in bluff or bluff impact zone No importing/exporting
FloodPlain:~~FAILS / COMPLIES Standard Proposed
. 1 00 year flood elevation 908.9' Prior Lake
914.4' Spring Lake
. Lowest floor elevation 909.9' Prior Lake /
915.4' Spring Lake
. Proposed lowest floor elevation Must be l' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90-11/22/97 then
additional foot is not required.
. Elevations 15 feet from structure Must be flood elevation or
higher
. Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation 913.4' for Spring Lake
i Accessory StructuretRA1/ ~AILS / COMPLIES Standard Proposed
. Size 832 sa.ft. or 25% rear yard
. Not located in front yard (Materials)
. Side yard and rear yard setbacks 10'
I. Maximum height 15'
I. Materials compatible with princiole structure
L:\TEMPLA TE\BLDGLIST.DOC
White . Bulldln~
((;anarv . Englneerlrw>
Pink . Planning
BUILDING PERMIT APPLlC.ATION DEeARTMENT CH~
NAME OF APPLICANT
APPLICATION RECEIVED
,1:/1. FV/IT
9. 23. oS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33qe; SKI A/A/6/c S 1/Z66 /
Accepted
Denied
x
Accepted With Corrections
Reviewed By:
~
Date:
10-13-oS
Comments: See Reverse Side for Additional Informationl;.
See Att::tr.hrl1ent~. 1) GrilCling Plan, 2) Erosion C;ontrol Me::t~l1rp.~
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."
White - Building
Canary - Engineering
Qink - Plan~
BUILDING PERMIT APPI.ICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,1::/1, lv/IT
1z:J.oC
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
, -;;;-'? /? ~)_ <:K/ A/A I C/I' - .I . L..- L I
___ _ ~ / u _.- /v ,v v __:_. I /{-~c:.: .
Accepted
Accepted With Corrections
/
" Denied
~.~ A-
~ Date: . 9/;;-,,!aS
~. fJt~
~~J~~~
I
~
CJ-LR
Reviewed By:
Comments: ~
Air Conditioner and umeZ' Mee"'..~lad.
Units Cannot Eneroacl1lnto Beqaired
Slde Yard SetbackS
"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 - p.~
Canary - Engineering
Pink - Planning
BUILDING PeiMlT APPLICATION D.EeARTIVIENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
,1:19. wIlT
9. 2J,OS-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
33qe;
SKI A/A/6Je-
.s I /c.66 /
Accepted
Accepted With Corrections
/
Denied
-
/',1( .
Reviewed By: ~
Comments: ~ ~
~~~
r
~ Date: 9/~J;r
, .
~~!~n_~~
~~'
"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
HEA TING/ AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please type or print and sian at bu__u~)
ADDRESS
~. ~n ~!~. I PERMIT NOoOc::_ /?l""" ........ I
3. Yellow Applicant ) I (/ ~
339f'
,S~~-f'
ZONING (office use)
LEGAL DESCRlt' uON (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Address)
(Phone)
APPLICANT
(Name) Air- CJS
(Address) I bOG '7
,-kJC,,f:~1 J LL (
3\ot"'- $~
(Address)
Er- c.. w, J \
C^-..
~
(Phone) C)Q.-d9'd-- LfI{ry
,/\JcvJ P~lJi:C <60/1
(City) (Zip Code)
(Phone) .35:.) - ?ri?- ~ if1f!l
DATE / I-d-./ ~.<<"
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
~NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE A1'~D \10DEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
Building Penn it #
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Paid
.50 p~--r
~C~
~ Receipt No.
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
Building Official
Date
\;J
(1/8FO ~
By t1
U
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue, Prior Lake, MN 55372
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/~lKEPLACE PERJ\tUI
Date Rec'd
t ~:w ~l~icanl PERMIT NO.5.1J %J.
(Please tnJe or print and silUt at bottom)
ADDRESS
3698 SKINNER STREET
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name T<.A.WITI CONSTRUCTION
(Phone)
(Address)
APPLICANT
(Name)HEARTH AND HOME TECHNOLOGIES DBA FIRESIDE 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
BRfNl)A HUSTON
DATE
12/12/05
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
OWarm Air Plants
o Gravity
o Mechanical
OAir Conditioning
OVent. System
INPUT
HEATING OR POWER PLANT
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
Industrial, Commercial & Multi-Family
REA TN GLO 6000TR-OAK
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
$39.50
FIREPLACE MAKE AND MODEL
Residential, Heating & AfC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$-
PAID WITH
~DING PERMIT
(Office Use Only)
BuUdinl! Official
~a~~\ II
,Ul rorc 2 0 2005 L
24 hour notice for all inspections (952) ~~~8_5~~~aX_~;~) 447-4245
Receipt No.
Date
By
This Application Becomes Your Building Permit When Approved
01/03/2005 14:45 9527585159 KA WITT
JAN-03-2l1lli!l6 14: 39 CITY OF F>>R I OR LAKE MA I NT
PAGE 02
P.02/03
Date Ree'c1
C.ll i or PRIOR LAKE
SEWER AND WATER PERl\'Ul
I. 0...,. '11lI PERMIT NO.
J YoIlnw Otr ~ _ ,,.,,,,
), QIIIII ^JID!l- :w- . 1It"....c:...-
Q?1ft!!! ~ 01 Df\nt and. sip at. bqI~) Zn1lo.Tft.YG (0IIa:-'
APORESS un..." -,
3~B ~ll~_~.
LEGAL DBSCRU' LION (otl'lca 1'1" OlJly)
I.OT BLOCK
ADDmON
PIP
OWNSR <"";')
(Name) t'erE: +-
(Addt'l'lllS) -33 '18
~\C, 1-e k .
S ~MEr7 ~ ~....
~A~l . -.. _.
(Phone)
?~~
!C;l~
(Zip Code)
~I. r -DM~ :ole....
7..e:c>u!" ~
(AddI'lSS)
(Conlact Pc:son) {~L.... r ~ I
APPLICANT SIGNATVRE ( ) LL ~- Jr- __
. '-""
APPLICANT
(Name) 1(. 4. .
(AddIos) . (~~
~'T.
(phone) ....:i!i?- ~ '"'ZlC€;>
~R&..~ -p~~. ~ I
(City) . r (Zip eock)
(Phone) q~-(6e:>- "'Z! ~
D.ATF, 1\'" (~
APPLICANT PLEASE COMPLETE BELOW
Size of water service II I inches.
Location of any couplings Hvr... slructure -- feet.
Type of sewer pipe. 0 A8C f&J PVC 0 Cast Iron
P.stimated length of sewer line ~ feet.
Clean out (if required) located at feet from structure.
FEES\..n.l!iDULE
Residential sewer and water line connection $35.50 lndustrlal. Com'l tl: MuJtHamiJy 1% ofjob'cosl with a S~9.S0 minimum
Sewer connection only $17.50 W.ttr connection ollly $17.50
Estimated COlt $
'):Juilding Ponnit #
SEWERANDWATERPERMITFBE $
STA rn SURCHARGE $
TOTAL PERMIT FEE $
....J..Q.
PAID WITH
BUILDING PERMIT
(Omet UIe On")
This ApplicaUon Bccom.. Your ltuildiDg ~ennit When Approyed . cP.W
BlIlldi.. otndl'
Ib'-
Date
JAN 0 9 2006
,,~
'No.
24 hour ne&tee tor .11 iII,pel:liOftJ (952) ,"7.H5G, fax ~SZ) '"7....2A5
Feb 22 06 03:53~._ Dean Stasne~
952-758-7002
p.2
Page 2 of3
CITY OF PRIOR LAKE PLUMBING PERMIT
).Jllq "fit ~.
J, &III Q,
I...... .-...- _
~tIRe:Clt JlriDtIlld.. ~~
~JJKtiSS
3..3 7'? S "r;'r;J/?-R.;'"' S 6/o(? ':=6
LBOALDBSCRlPnON (DlI!ce IINON,)
tar BLOCK
WDmON
Pm
~~~,4 ~ .cb an5C/vee;.C:::--7
(Ad6teN) /53&::.- 4/ d2 ra G? s 6: ~e ~ ~"<<-.Y t:--e,
, APPUCANT
(NIIIIC) 5zj~:5/7",,_Y ~e:-c-A4:___ -'l(,'<_/ .;z--'? <L ('hODe) ~~-:;::>:S';r-7''''c.:. ,
(Addna) . //7' W ...-??.a... 'n 5 &: .5v,,' b -e.-c.:' 4/.e'V h:._ ~ IV-e. /?/#.
(Addra.) (City) s~~
'Ca~Pmcm) L4-/-p/ J~...:-"'? &.k...........- , (Pboae) ~-..o-~-?c:c-c...
APPLICANTSlGNATURE ~ . -42.. 4 . ~ DAm ~~&;
. - L/' -
APPLICANT PLEASE COMPLETE BELOW
of l'inure atity
Badt Tub wich or wi1houIlhoWir
Dilh
Qaull
I
I
J
,
,.:<
/
'j
~oS-..<
(phone) '? sr-~/~.r
.....?~ .:5-~o ~
1)pcorfb
LavatorY (BathroOm lDk
~ Tray (1 or 2 coniplUtment link
Sho\Wl' Stall
3
PEE &...u..ulJIJE
lacIvIcrtal. ColD!l1rl'l;lal.l'. Mll.ci-tanaily l"ofjab COlt with . "9.5DmiDimwn A..~~ .,..-1. NcwOnca. 'l'wg.,PIImi
RaidcnctaJ, Addlticms & AltmtiDr.l
(otIk& tIn Owly)
HItlmatad Calf S
BuUdln, Permit II PAID W1IH
Il&OING PERMIT
.SQ
PLUMBING " g~TPBB $
STAmStJRCHAROE $
TOTALPEIOtlT .I!.~ S
I ~ i f', \ I ;~~ i . : I
I' ';', i- : -, , ,;
http://64.122.48.40:8080/weblinklDocView. asp?Doc ~~entIO=445&F olde~lDl=334&Searc... 2/22/2006
'. MAR 0 1 2006
'J _~_
PR 10 R LA KE DEP~RTMENT OF
BIIILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ~, 8 S~iN~~ SI&c,..,- .
NATURE OF WORK ~ C'''ST~ '~/.u.'" .&.,.&... Fi.-a.H)
USE OF BUILDING 3, fir 1>. ~
PERMIT NO. 05./0f2- . DATE ISSUED ~a.I(lJS .
CONTRACTOR ~ ~I" . ~. c..o, . PHON~It.-'Ga'-9t'-S
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR~.. . DATE
I FOOTING r/~ I /~ft?A..s:-
. .
FOUNDATION (Prior to Backfill) I r l/ I /tY-2./d;---
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
PI-.
./Pr'
/Jvt-
-
I(J/~,r'
Jp/I~/~
///..31/0S-
I Z /19/.~
1/11 q/bt;'
/ V/6/d.J
/.z//~/os-
~/?2/6~ . -"j"
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL A,
PLUMBING f/G- /f/A' JI//~/oS- I M
HEATING (if required) ~ ,
FIREPLACE /. I /It/f I
GAS LINE AIR TEST t!!"/~ ~,f;(jJlfY}( ;--~-C/ /lVf-.
. , J ...
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
# , ,,# ~ .T'
I/ATH6" / HIJ"~ ~AI 1-0//</ : /ft7- ~~1.L.ft : HI' Ms. ~*~
p..,e/Av~/t/Y>IAI:sL1 FINALS !l.zhu ~ .d"t!-kd
. . I
GRADING (Prior to SOddir:J9) .., . A/I? "7,. 12, ()6 . ~
BUILQING1~1iW'~-1I..:h'/ 7///4h /#ft:t- ~ ~ K"13/ju;,
ELEC~ICAL} ,2/26/6(;,
PLUMBrNG J4Pf ~.4?~b
HEATING 1tJ1'ffi. /114. .,ziid)" lIa 7 /1~/tJb
DO NOLr OCCUpy 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
QT~rfifitaf~ nf @tmpantl!
CITY OF PRIOR LAKE
~tpttrfmtuf of ~uilbiug Jluspttfiou
YFinal Permitted 0 Conditional C.O. Expires.
This Certificate issued pursuant to the requirements of Section 110 of the 0 Residential / 0 International
Building Code certifying that at the time of issuance this structure was in compliance with the various
ordinances of the City of Prior Lake regulating building construction or use. For the following:
Use Classification .s I IV G f- E: J- /l /v// L-V Bldg. Permit No. () 5. 10 i. 2-
, ,
V AI Zoning District R I
ez, //r/PI-6' 6tA5N /5T /"lOON.
,
Site Address 33913 SKI AI tJ61<... sn~r
~(')7I+ ST. lV., ;Vt;.7v PKr:J6t/€ 5':07/
.
Occupancy Type .
R3
/ ?
I- --' .
Type Construction
Legal Description .
Owner of Building
Contractor's Name & Address K. A . W ~()
---P Juilding Official ....
Date: "/ /tJ &
,
City Planner
jOIo
Date:
~~_<" ,'*".' t, 'I(""~
I'+ ' ,j,:>;,,'_'::~';:: ~L>' ""':i:."...;l:;-j..;J>~:';''''; ""'~': ..:", :.-'.,.A.".:."", ':17' ,
~ -~ ~~,~i;,;'_'I:'_" jI.
)...,,';,-"',.
,';1iiIi1Ilii "'\1
1'~,:,"':'1i:'L,;,_,"-i"., ';""i,' ..'," i '~"
...,',,:i....
~.,.. .,~' ,t.,. "',01..., :;.;,
....l."'..liI~~>.;:,~ '... "
.:\.. ;.;.'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
~9~
OWNER
PHONE NO.
DATE TIME
SCHEDULED ~~
O~)~r &
CONTR.
PERMIT NO.
~-/O.J.-~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
.'/
~' /
r / IJq /
---'.-.
/
Of{
==~~
r-r /t::- /
~
/
/ /"/ / '""' -
( 0100 C
",-'
--- ~
~ORK SATISFACTORY, PROCEED
/~RRECT ACTION AND PROCEED
o CORRECT WORK CALL F 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
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED
ADDRESS .-3.1'1Y ()tJv...e~
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
,.I!t-P[UMBING FINAL
o MECH FINAL
COMMENTS:
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DATE TIME
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.... ..,-
Sr
~ -/tJ...2.2..
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
R REINSPECTION BEFORE COVERING
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
Inspector:
INSIIOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3.f9?
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o JifSULA TION
A"'FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED ~~~
~h.Htt!',.- s-/
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
""ECH FINAL
S--A:1..2:2.
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:.. /
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- /
o WORK SATISFACTORY, PROCEED
o CORRECACTION AND PROCEED
RRECT 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
INSNOrl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3378
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o&1=tNAL
o SITE INSPECTION
DATE TIllE
SCHEDULED
~
S K'hnet/ S I.
CONTR. ~j}~vVJrl
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~ING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Gr.,Le- ~ y
C"lb &,;<..~
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector4~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOn