HomeMy WebLinkAboutBuilding Permit 04-0357, 04-0368, 04-0424, 04-0438, 04-0165, 04-0306, 04-0338
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
White
Pink
Yellow
tj- d-3~tx/
I PERMIT NO. 04-. 03571
File
City
Applicant
(Please
ADDRESS
at bottom)
117
'{t~
ZONING (office use)
/(IS/)
LEGAL DESCRIPTION (office use only)
LOT I~LOCK I ADDITION
OWNER
(Name)
~,
PIDd5- L(tJ tj. aid- ()
(11.
Cfl G
(Phone) 0(2) ~0 7... S7-S?
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck o Porch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
DAddition ~lteration DUtiliryConnection I8:Misc~ ~ ~J::' ~ L..t-,
CODE: liilLR.C. DI.B.C. d:'\ PROJECT COST/VALVE $ ,~O ( O~~
~~::<!;~:u~~on: A B ~ ~V ~ ~ q' V r~~;~I~;~ f? r/) d L .
Division: [) 4 ~ ......f.....- I l
x
Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee l!o,.ar.
Mechanical Permit Fee
Sewer & Water Permit Fee
Gas Fireplace Permit Fee
This Application Becomes Yp..ur Building
~'~~
8uildm!! Of1iclal
~Z9~7'
Date
ThIS IS to certify that the request in the above applical10n and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requestcd, ThiS document
when signed by the City Planner conSl1tutcs a temporary Certificate of Zoning compliance and allows construction to commence, Before occupancy, a CertIficate of Occupancy must be
ISslled
Planning Director
c-
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions. if any
~
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please
ADDRESS
at bottom)
/~//7
rI"'/f/tf
L/I,e;G
Date Rec' d
1 White
Pink
] Yellow
5.3,04-
~lU5 wi C4-:tJ357
PERMIT NO'04--.-tJ3(P 8
File
City
Applicanl
6/~
ZONING (office use)
J!::/s"L)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
(Phone)
~/Z- . &t, 7 . ez.-97
.
OWNER
(Name)
,&GV IN ~E6"
(Address)
PID 2S +oer. Ot? 0
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
OAddition OAlteration OUtility Connection 0 Misc,
CODE: OI.R.C. OI.B.C.
Type of Construction:
Occupancy Group: A B
Division:
II
F
I
III IV V A
HIM R
2 3 4 5
I
E
B
S U
PROJECT COST IV ALUE $
(excluding land)
I hereby certitY that I have lshed mfor l10n on this application which is to the best of my knowledge true and correct, I also cerl1tY that I am the owner or authorIzed agcnt for the
JbOVe-mentlOn. ed prope - and tha~a co ,truction will conform to all eXlsl1ng state and local laws and will proceed in accordance with submitted plans, I am aware. t, hat the buildmg
official can revfike ,perm!t for Just a e Furthermore, I hereby agree that the c!ty official or a deSignee may enter upon the property to perform necded mspecl1ons,
X /~' X c.- -j-- 2 . cJ !j
Contractor's License No, Date
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
I Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $ 35.50
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildlll!! Ofticial
Date
Park Support Fee # $
SAC # $ /350.0
Water Meter Size 5/8"; I"; $ ,JOO. 00
Pressure Reducer $ 70. 0 ()
Sewer/Water Connection Fee # $ I, '2. 00.00
Water Tower Fee # $ 700.0
Builder's Deposit $
Other $
TOTAL DUE
ThiS IS to certItY that the request in the above applicatIOn and accompany 109 documents is 10 accordance with the City Zoning Ordinance and may proceed as requcstcd, 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
Special Conditions. if any
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 BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
6./2..04-
White
Pink
Yellow
File
City
Applicant
HL.-G w 0+.0357
PERMIT NO. 0 +-. /) +24--
(Please
ADDRESS
/~//7
f11q/iS
LFfJG6
VtL.
ZONING (office use)
/2./50
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID "25". Lf--()4... 0 I z... 0
OWNER
(Name)
~
(Phone)CC.,( z) <3~( - '8"cg 7
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing ORe-Siding
OAddition OAlteration OUtility Connection 0 Misc,
Lower Level Finish 0 Fireplace
4-/V'1S.
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group: A B
Division:
I
E
II
F
1
III IV V A
HIM R
2 3 4 5
B
S U
PROJECT COST /V ALUE $
(excluding land)
nlrnished ui rmation on this application which IS to the best of my knowledge true and COlTect, I also certIfy that I am the owner or alllhonzed agent for the
a construction will conform to all existmg state and local laws and will proceed in accordance with submitted plans, I am aware that the buildmg
cause Furthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the propelty to perform necdcd mspcctlOos,
Contractor's License No,
S---I/-Olf
Date
x
proved
Paid
Date
ftj,c~~
5-11- Lf
# $
# $
$
$
# $
# $
$
$
$ g. 2-5'
I ~;ce~Lf~ S'd(?
Permit Fee
~/tJ()O.OO
$ 81.2-5'
$
$ z.oO
$
$ 0 30 (p
$
$
$ 04- . o:33~
Park Support Fee
SAC
Permit Valuation
Plan Check Fee
Water Meter Size 5/8"; I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
State Surcharge
Penalty
Plumbing Permit Fee. ~ .
t:.P,.",... .
Mechanical Permit Fee
Sewer & Water Permit Fee
TOTAL DUE
ThIS IS to certify that the request m the above applicatIon and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested, Th.s document
when signed by the Cay Planner constitutes a temporary Certificate of Zonmg compliance and allows construction to commence, Before occupancy, a Cerllficate of Occupancy must bc
issued
Planning Director
Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions, if any
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please at bottom)
ADDRESS
It/III
5~0c at--
White
Pink
Yellow
I PERMIT NO. ()4-., 04-38 I
File
City
Applicanl
ZONING (office use)
Livre I p
~w
LEGAL DESCRIPTION (office use only)
7/.-1 e r .
LOT I t. BLOCK I ADDITION LJ / 101 S
AJO/1h
PIDd6~~ ~4-. eJIZ. 0
OWNER
(Name)
) eu/J..,
:3 0 LI A.
t:V - J/a V r'S
~; /cI~;(;oIc c7.
(Address)
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone(6r;t) 13G 7- ~;Z?J 7
/Uw
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ~Deck i8Por~ ORe-Roofing ORe-Siding OLower Level Finish 0 Fireplace
t;iJAddition o Alter.Jio"n Ol.l't1l1ty Connection 0 Misc, '
CODE: OI.R.C. tJ~G ~- t2t?PLA(E~fi~kcTCO~I;l~1tJb~Ut\{ t;""NTn-Y f2c),'F
Type of Construction: I II III IV V A B (excluding land)
Occupancy Group: A B E F HIM R S U
Division: I 2 3 4 5
'rm ion on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or autho!lzed agent for the
o lnlction will conform to all existmg state and local laws and will proceed in accordance with submitted plans, [am aware that the buildmg
ca e Furthermore. [ hereby agree that the CIty official or a designee may enter upon the propelty to perform needed mspecl1ons,
h
Permit Valuation IflZO() 0, 00
Permit Fee $ /Z2/.00
Plan Check Fee $ /'/3, "S'
State Surcharge $ ".00
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Pennit When Approved
sjl ~~ i
Datl
~~
Buildlll!l Oflicial
Contractor's License No,
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $.370.fo5
s
,fl I-
ThIS IS to certify that the request in the above applical10n and accompanymg documents is in accordance with the City Zoning Ordinance and may proceed as requested, ThIS document
whcn signed by the City Planner conSl1lutes a temporary Certificate of Zonmg compliance and allows construction to commence, Before occupancy. a Cerl1ticate of Occupancy must be
issued
c
S 113 'c1'f
Date
24 hour notice for all inspections (952) 447-9850. fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
Special Conditions. if any
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
3. 2...z.-. 04-
at bottom)
/ '-/ 1/7
H/4 c '3
IA 0;; t: vC !r5
LEGAL DESCRIPTION (office use only)
LOT 11 BLOCK I ADDITION
tJ; Icl<j
OWNER
(Name)
p$
(Address)
White
Pink
3 Yellow
File
City
Applicant
I PERMIT NO. 04-.0/"5' I
ZONING (office use)
;Uw.
;elf .0
J) --I
/1/ 0 I' I t-,
PID z.5:.
(Phone) 9 5- Z - '-I C) 3 '1 ~G~
BUILDER
(Company Name)
(Contact Name)
(Address)
(Phone)
(Phone)
TYPE OF WORK 0 New Construction ODeck OPorch ORe-Roofing
OAddition j2(Alteration OUtility Connection 0 Misc,
/V'/IIOOW$
CODE: DI.R.C. DI.B.c.
Type of Construction:
Occupancy Group:
Division:
IV
I
3
V
M
4
A
R
5
II
F
1
III
H
2
I
E
A
B
Re-Siding OLower Level Finish
o Fireplace
B
S
PROJECT COST /V ALUE $
(excluding land)
U
I hereby certify that I have f].I ished mformati<l on this application which is to the best of my knowledge true and correct, I also certIfy that I am thc owner or authorized agent for the
above-mentiOned, VI 'op')l'f'~nd that al stn ion will conform to all existmg state and local laws and will proceed in accordance with submitted plans, I am awa. re that the buildmg
official can revo,~, permit for Just c e urthermore, I hereby agree that the CIty official or a deSIgnee may enter upon the property to perform needed mspectlons
X ~ er c'/ A ,,--, 3- 22 - 0<1-
Signatur Contractor's License No, Date
Permit Valuation -z... 5VO, () 0
Permit Fee $ 7~, 75'
Plan Check Fee $ -
State Surcharge $ /. zS-
Penalty $
Plumbing Permit Fee $
Mechanical Permit Fee $
Sewer & Water Permit Fee $
Gas Fireplace Permit Fee $
This Application Becomes Your Building Permit When Approved
Buildllll! Omcial
Date
Park Support Fee # $
SAC # $
Water Meter Size 5/8"; I"; $
Pressure Reducer $
Sewer/Water Connection Fee # $
Water Tower Fee # $
Builder's Deposit $
Other $
TOTAL DUE $
ThIS IS to certify that the request in the above application and accompanymg documents is m accordance with the City Zoning Ordinance and may proceed as requested, TIllS 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
Special Conditions, if any
Date
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
~.:% ~:~ I PERMIT NO.O Lj- :"'::)'J/~I
3. Yellow Applicant ~_ :;J. L e .
\t...\ \ \ ~\-\o.~~ LoJZQ. UY--L~
ZONING (office use)
/~r)o
LEGAL DESCRIPTION (office use only)
LOT I.}-BLOCK
I ADDITION
,~
'dtl/J ?:~
PID eX,!) - ()q... ()/d - ()
OWNER
(Name)
\\Q..\J \ (\ "-\0. "l e.- s
(Phone)
(Address)
APPLICANT C-... r" '--- ,..., \',,-? n\1 \(Y\h, -
(Name) JU \ILJl W \0 '-'\' '\)\~
(Address) ~~ao \\dr-iO_\\ eA,cJ&. . <i:-
(Address)
(Contact Person) ~~ ~\ "S:.-~er
(Phone) q ":> d. - L\ Y 1- b -, 3Y
~\\()\ l~ ~'S"3 "7 d.
(City) (Zip Code)
"'PLICANT SIGNA TU
(Phone)
lot 1. -/Li l... 3033
DATE Y ) Ie} JOY
Quantity , Type of Fixture Quantity Type of Fixture
\ Bath Tub with or without shower ~ Rough-ins
Dishwasher Water Heater
Floor Drain Water Softner
'oJ... ~ Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry 6fray (lor 2 compartment sink Sewage Ejector
I~ Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
T~ Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE
Industrial, Commercial & Mub-family 1% of job cost with a $39.50 minimum Residential, New One & Two-Family $9950
Residential, Additions & Alterations $39.50
Estimated Cost $
Building Permit #
PLUMBING PERMIT FEE $ 30 _ L) 0
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $ Y. 0 DO
(Office Use Only)
Date
Paid I (), ---
Date ifi1 /-U /
This Application Becomes Your Building Permit When Approved
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
4-, z, 7, of-
~'::ir::n ~!~ I PERMIT NO'OA 0":>3 ,..~
J, Yellow Applicant y- , ./' ~
ZONING (office use)
~/.rO
LEGAL DESCRIPTION (office use only)
LOT /2-BLOCK I ADDITION
AI I ,-Of #~IC.f)-/
PID ?-i. 4-(J4-'. (J I ~. 0
I OWNER
(Name)
(Address)
(Phone)
APPLICAl'iT , lie I
(Name) -(6 en e 'S \ S c("h v' O{
(Address) l ''; a J \ \f./\.(!) V' \ -tev,-
(Address)
L~,*c
(Phone) ~ S) - \.{j- '7 - ~ '7 GJ...
(Contact Person)
M '\c.e
P-- \) f
(City)
(Zip Code)
APPLICANT SIGNATURE
(Phone)
DATE
, - - J..l-()
A PLICANT PLEASE COMPLETE BELOW
DNEW CONSTRUCTION o REPLACEMENT o ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM REA TING OR POWER PLANT
OWarm Air Plants o Steam PLEASE NOTE:
OGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
OAir Conditioning o Special Devices Required Side Yard
OVent. System o Other Devices Setbacks
FIREPLACE MAKE AND MODEL
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64,50
$39,50
Estimated Cost $
Residential, Additions & Alterations
Residential, AC Only
Building Permit # tJf. 0 33 ~
$39,50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.3tl5lJ
.50
tffJ, rJO
(Office Use Only)
Date
Paid to. (IV
Date '" __
,.....2... .i~
Receipt No.
(P77
By
This Application Becomes Your Building Permit When Approved
Building Official
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
SEWER AND WATER PERMIT
/7
c .....
J
~~~:w ~ii~~ I PERMIT NO()ll_ 30~
Gold Apphcant
ZONING (office use)
<1//7
114 J S {Hq /(,~ C..ve
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
(Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT, /
(Name) C::;c v\..-i'/ (../ fi It); .'- '('
(Address) 4 \(OU t.ld/' , \A J l,,':
(Address)
f\, , . ,.
'''''.. \ oJ t
(Phone)
-r.<).. I L '(
(City)
'C-';d-
L) (j)- (..;77,/
S~ 3"-,~
(Zip Code)
'3 C y'")
(Contact Person)
~.~ {
<;" A-(, (./
(Phone) Ltl:> - 71-( 7 -
DATE <;- r- CJ </
APPLICANT SIGNATURE
APPLICANT PLEASE COMPLETE BELOW
Size of water service ~ inches.
Location of any couplings from structure ~ feet.
Type of sewer pipe. [j] 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
$
$
$
^~
.50 , JjiY
fJ~ I)L
This Application Becomes Your Building Permit When Approved
Receipt No.
(Office Use Only)
Paid
Date
Building Official
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
White - BuildinQ
~anary - Engineeri~
Pink - Planning
Tht Ctnlt, of tht tlkt Counlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
. r .'
/'/c , ., i / ...., I ,c --.f
F':',<,~'J I) I l' / "F':'/,' J' / .,<:i-/
/ i i_~,.,...,(...,.,... / / v' ! 'f" ~ -~( \.,.... .....
,--
"""'.:.-.~ ,-
/ ' J ;'
if') .-( ; Lf
.............. -,-
APPLICATION RECEIVED "-~/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
; I ' i j ,r .: /. "',,-' ,: ,.' J / .. /"';'; , "I. ,
... ~'I- / I 7 7~. .-:.c ,'.. ,'( ,v t<- /. I Y/ ?"',
,! .' ,/ {,~ ,~~.,t j t.~..._ i/- /c '--.... '~-' f .. \.........-. < <...-.-
Accepted
x
"
Accepted With Corrections
Denied
Reviewed By: /Yfft!:; Date: (; - / 3 ""oJ
Comments: See RevAr~A Side for Additionallnformation\
See Attachments: I) 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 be valid."
~,
~
White - Building
ineering
Pink - Planning
Tht' C€'nlt'f fir tht' Lake Countr~
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
I
i
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J'- ./
/
i
'--.-
""
Accepted X
Accepted With Corrections
Denied
Reviewed By:a{C~
Comments:
Date:
G.7'O~
vi ~<-- rLfL C{ c...eJ)1 m t
~ YJ~~t--
v' L,-c~ cuLeP--d c~41
l~ LQJJ:L
IY)~
WL
-u-{o-- cA--
0~ -
<j-6L-h C~j'
\
c.L-U ~
"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."
~ PRIO..?~
'~~<"
--'.. '
o ~~
-//
lht' Ctnler of the I.ake ('ounlr~
~te - BUi~
anary - t:ngme g
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1e--v/ft/ !I{-L lj'e-~
,
APPLICATION RECEIVED ..:5 - 0 --() Ii
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/L//I'/ Nclc~S LtLlce (!J~01c-
.
Accepted
~
Accepted With Corrections
Denied
Reviewed By:
8~4
~
Date: 6/;2-~ 'I
I (
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."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /9,/7 {!!,AS" ~.,/!,Ik~
NATURE OF WORK /~ tJ/'L AaEAJ.,1It ~.IJ
USE OF BUILDING s: ~ o.
PERMIT NO. /. . DATE ISSUED f2.1/. ~
CONTRACTOR ~lIl~ 1f1!T~ PH NE"~-~"7-'iZ!l1
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR .DAtE
~:
· PLACE NO CONCRET: UNTIL ABOVE HAS BEEN SIGNED
GH - INS
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
(,JC
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
PRIOR LAKE
INSPECTION RECORD
~/7 o'
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING .,
PERMIT NO. ~ O~~
CONTRACTOR KEH.. ~"S PHONE.8 ,,-
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMITA$ a,v SEPARATE DOCUMENT
eL~ X\h c.r1lCAJ(- / (.. 1-0 C INSPECTO
FOOTING G ~~
FOUNDATION (Prior to Backfill)
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
OUGH - INS
MIU.
bJT;
7
DATE
FRAMING
INSULATION
ELECTRICAL
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
\..jc.. ~ ~ t, I
FINALS
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOrlCE
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