HomeMy WebLinkAboutBuilding Permit #00-0022
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
JfIH I 8 2000
OD- D02-2-
Permit No.
, DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. SITE ADDRESS
4774 Partridge Court Northeast
3. LEGAL DESCRIPTION
7
1. DATE
/ It) /00
I I
R1SD
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(l:!.eiphtL . (Width\ (Depth)
~K')"/ ~",,, ~ "
12. NO. OF STORIES
,Jstor" Hotnc
13. TYPE ot CONSTRUCTION
.5,n.'l/e ~m./y t-k.-mc..
14. FLOOR AREA PPORTIONMENT USE
Z~- 3b2- 007-'0
1
PID
LOT BLOCK
ADDITION Knob Hill Fourth Addition
(Address)
Jfco~ Ih<jeu>ood) Dr.
(Tel. No.)
?}.J..-{py,/t.J
(Tel. No.)
7 <;? -01 >1'9 (J
(Tel. No.)
4. OWNER /,,, (Nam~ U
c..af?J?cr'l ..J. Q~h~l'""\.
5. ARCHITECT C\ (Name)
~c. r 1Q-"a'~<I AS566/3.,fd
6. BUILDER (Name)
G?res (b(''/ -S. Vca.'S~ cth.
(Address)
u:J7fe, !I1arla,j" Sf.
(Address)
/ t003 5 I"skwe>e>c:O /)y.
~-toLJ4'1
SEATS
7. TYPE OF WORK Fireplace CI Septic CI Deck CI Re-roofing CI Porch CI
New Constructiodb Alterations CI Addition CI Finish Attic CI Re-siding CI Finish Basement 0 16;OJECT COST N ALUE
ChimneyCl Misc. /70.1 000.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. IS: C>OO Width /00" Depth IS-O / Yes ~ 6/J S /00
I hereby certify that I have fumished 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
:uilding o~i~rev~~Jju~se. Furthermore. I hereby agree that the city official or a designee may enter upon the property to perform 2Z~ z;;ons.
/~d ~ ~~~ ~
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS CI PERCOLATION TESTS 0
Side
Side
Back
Front
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
SFD
USE OF BUILDING
I Gff?nl'Y? . O,q
,
PLOT PLAN
CI
PERMIT VALUATION
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ...........................,....... $
$
City:
s U
!BEn . (')1S....-
ItlfJO . I"l 0
1.3~'l.2~
~ ~,. "Gt
'tS" . t!>D
Plan Check Fee ..,.......................... $
State Su rcharge ............................. $
46".0-0
Penalty ....................................... $
Plumbing Permit Fee OO.:.DO.Z,.Z,$
Mechanical Permit Fee 0.9. ...WZz" $
Sewer & Water Permit 00. ~,f),Q,~~ $
errnit ,oa....1),Q?~.. $
Pressure Reducer .......................... $
Meter Hom ................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
, /')L) . t') 0
I l'1() . 0(")
~o
125"'. CJO
/, "2. C'C) . C::>--6
1.120. ~e>
3S'. so
~
Water Tap ...............,................... $
Builder's Deposit ............................ $-k S-{) D .t97'J
Other ......................................... $
Paid T~,~e9c;.~.Ij~.....~~~~i~ J~~~~ 1fL
Date J 'l?~IIJD By. ~
e request in the above application and accompanying documents is in accordance with the City zoni::t=t: and may proceed ,. requested. This document when
nner const~utes a temporary ~1fi~~~omPliance and allows nstruction to co mence. Before occu an~icate ~wG6Q.
lanner Date P Con lions any ~
Your Building Permit When A,pl}roved.
~ Date I-?q - 2.oelO
Issued
24 hour notice for all inspections 447-9850
,~..ol
~,>.-
{)() - ()C. Z 2-
Thf' Cf'nff'r of Ihf' Lake- Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
V'/-i {-:,I-/~J j\/ J, q 1< 6 (:1 C ,'<(
IIIE/Z.CC'O
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
<</- 77 4- l' /, //< I L,J (-:16 /), (., K~ 7-- /v {?:,
Accepted
..,,-
Accepted With Corrections
Denied
Reviewed By:
~Lty~
Date: \-2-"{-6O
Comments:
_7-L{~, M.wJlMMA wk~ ~ ~ 0~
~~ 0Jv.A <f11k Q-19 ~t.-J \\0 ~~.
We..- ~O~ ~ ~f..J:.~ .
r~ ~LVQ~ W'L ~~~~'"
"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."
O()-OCJZ 2-
n. e.n... 01 Ih. lob Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
'" .1 . . .-- ; I _ l .. ! ,- . ,.....-- - , ", ,I
V /-1 (/ L7 J-/ /I IV J q 1< t:- 6 C r< y
1/18/2000'
I
/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4774- PI1K77<1 [JUG COUR I /v'E:;
Accepted
../
Accepted With Corrections '.
Denied
Revievved By; WALl"a ~<<E.sP\t'\,..jrJ
, I
Daie: -Lf-Zof l'J(J
Comments: S'fE: JiVFotlJ\1AnOAJ ""AJ "1JJF REuFRSF "'UJF
S€L ,q1TRc~"'CNrs ~ I~NAL. c...I?ACiC IIJSP€.C./lDN I/lJFollrtf/1DQt,J
~nAal~6, Kttl,.j
~. EROSION ~ONm,ot.. MEAsu~Cs
Ij-. UO<IO..., f'. 0111,(1.0(.. R~^J
"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."
00-002-2-
The- Crnter of the Like Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
VAuc:,HANJ 6r<660Ry'
- I
1/18/Z000
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4774- P/iK.Itt2..IDGrE. ~OUKT NE:,
Accepted
Accepted With Corrections
'-I-
Denied _
Reviewed By: rdYfil._R -
tY
Date: ) - 25 - 2~DD
Comments:
I. K>~ aft cdlacLooi (...f.Jo~
z. MU\\;,.JCl..NA O:a.~l'rh. ~...q~
1, S~J d- +~~ ~\",,~J
?J
"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."
&~
~:E:;9
GREEN - FILE
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE NO. Of) -002-2-
SEWER AND WATER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLICANT: hAJilL. r; ~JJE :JJJ G
ADDRESS: 1'0 :BDf; I (). t~J D~_ J..~ J(& ~ /lJ
SIGNATURE: 7~/7/11./~
SITE ADDRESS: ~77~ IflItrI<I06& rou.R1 PID# 25-302-- 007--0
I€ ISD
FILL IN THE BLANKS
65
PHONE: 75~~33-/2oo
rl Jd'l/tJV
BLDG. PE~I~#QO-ao~o<
DATE:
1.
Estimated length of water service
feet.
2. ,Size of water service
I
inch(es) .
3. Location of any coupl ings from structure - () - feet.
4. Type of sewer pipe. ABS
PVC 'K
Cast Iron
5. Estimated length of sewer line
fi;5
feet.
6. Clean out (if required), located at
structure.
feet
from
BY DATE:
-------------- --------------------------------------------------
-------------- ---------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $iV.60 plus
$ .50 surcharge.
* Sewer and water permits issued for new construction must be
recorded on the building permit card at the time of issuance
to insure that no duplicate sewer and water permits are
issued.
DATE PAID
-\0"1,, ,
AMOUNT PAl;> fP-.., :!.:' .
REC' 0 BY 'OJ'\-'-- ,\
RECEIPT #
4629 Dakota 51. 5.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 / Fax (612) 447-4245
AN EQUAL OPPORTUNITY EMPLOYER
MRR.10.2000 1:05PM
GENZ RYRN 6513226147
NO,665
P,2/2
.. , o.
CITY OF PRIOR LAKE
. PLUMBING PERMIT
Applicant ~ V'>? - ~
A~dress: J l..J~!--I~. "~YlI~~1?~ "Oz.J-
Signature: ~- --
Legal Oescription: Lot '7 Bloc!< I .Sub kJ1l5'P.-> L./ r:Jc-
Site Address: ~ "1 '1 U f3 YI'tl-l. Dft...~. (" r ;e ISO
Building Permit # () -(}02Z-- PIO# 2"&')-.3&2-007-0
NOTE: This permit ~i11 not be processed without complete information.
FIXTURE UNITS
1. BbIc file
2. GDId Ci~
~,YcIklw .." :,...,
O(J -0022-
#
Phone; LDS:,~L/2~.I luLl
n. e"'lCl' .r ... LKo: (......,,,
. ,
Quantity Type of Fixture Quantity
:?- Bath Tub with or without shower 3
\ Dishwasher \
\ Floor Drain ~/I
5 Lavatory (bathroom sink) I
\ Laundry Tray (1 or 2 compartment sink)
( Shower Stall
t Sinks
Bar Sink
.j ~ Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector.
Backtlow Assembly (RPZ. Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
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
- \1\1\1'\-\
$ / PA~G PERM\T
'aU\\..UlI'I .
.
.'
.'
This pennit is granted upon the express conditicn that said
contractor. shall compl); all res [s with me ordinElnees
of the State Plllmbingoun~me}lts th~reof.
R ,:.3//IJ/()O DATE
ATmST
Call for all i
16200 Eagle Creek Av. S.B" Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-42~5
An Equal Op~Qrtunity Employer
I
I
- !
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No.
Prior Lake, MN 55372
HEATING APPLICATION I PERMIT
Date {g. t~ .11J
Site Address ~'1 '1l.J
Lot 7 Block 1 Addition Jl.ttJ If) }..\, H ~1l rth Add.
Owne~s Name C..,tttJ \In JJf} fit) It
Address llAD~5 lrillLu~ Dr. Ll1keJIiU~
Heating Contractor (.., t'fLJ \/0 J l{1'^ A It
~ j ._fl- .
'A~!) l.J4LJ
Furnace Make & Model ~ ()"{If) qf)+ AIR CONDITIONER UNITS CANNOT
- - ,- ENCROACH INTO SIDEYARD SETBACKS,
PID#
fusttfcbt. c:t. ~E.
Address
Telephone #
Model Size
TYPE OF SYSTEM X
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent. System
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices. .
Other Devices r..tl<. 1=1~
TYPE OF WORK ~t n~o' .
New Construction i.
,
Conn. Load
- ,
Fuel.
Supply Openings
Flue Size 54 PvC-,
Return Openings
Input
Edr,
Output
Cfm,
Alterations
. Replacement
Repair
. Est. Compo Date
Building Permit #
Est. Cost $
HEAliNG PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
Receipt #
TYPE OF STRUCTURE
1. Pink
2. Green
3. Yellow
File
City
Contractor
Single Family
Commercial
.>(
Multi-Family
Other
. Two-Family
Industrial
Public
Fee Schedule
Industrial, Commercial & Multi-Family
Residential, Heating & AC
Residential, Heating Only
Residential, Gas Fireplace
Residential, Additions & Alterations
Residential, AC Only
1 % of job cost ($39.50 minimum)
$99.50
$64.50
$39.50
$39.50
$39.50
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with buildina Dermit numb~ before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS REOUIREQ with number of supply and return openings listed per
room with CFM's per opening. New structures or additions send floor plan with supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business hours are 8 a.m. - 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) - CALL CITY HALL
Phone: (952) 447-9850
Fax: (952) 447-4245
I hereby apply for a mechanical systems permit and I acknowledge that the
information above is complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with the state building/mechanical
codes; that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work will be in accordance with the approved plan in the
caseZ;~~.7~;::hP.~and approval of Plan;~_IS.OO
y J APPlicant\a..Signature~ - Date
Building Offical's Signature Date
'<I
(,vRSA-1 TEST-
"
o~ - /0.0
Co J.. - {P.. c:l.
Te.rn p - /J'1
;=t=f-:- 8~..$
1~5~ e'l ~
arcs V4~~h-:l~
(p /l3/tJO
1?/r
"
,
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 41)1( '-I ~ ,-1dolj'L Q..\.
NATURE OF WORK tJ~I..<') ConAilr-vd''Pl-/\.
USE OF BUILDING SF D
PERMIT NO. O().~ C>(')~:t DATE ISSUED J- '2 '1- 2000
CONTRACTOR I Jf) II:)~ .
NOTE: THIS IS NOT Ii.. PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO:~NT . DATE
I FOOTING I ~rV 11, \"J .Jj6
I FOUNDATION (Prior to Backfill) I 0) lfi;!oo U ~/M-/Cl]
PLACE NO CONCRETE UNTIL ~BO~~HAS B-r4N SIGNED
ROUG~- INS
SEWER I WATER I SEPTIC 'J! 3')7) iU ~ \ \
FRAMING J ~ ~ ~ ru
INSULATION ~~-~ -4-1.~Jol ~{
ELECTRICAL ~ V
PLUMBING ('? 3/t7/t/b
HEATING (if required) flv"L- z.../zS;-/Ot
FIREPLACE, .
GAS LINE AIR TEST fuin i rP (h L;}7/cn
COVER NO WORK UNTIL/ABOVE ~S BEEN 'SIG~ED
~eMlf> _~\\1QAt;\"\I~LS~ I
;q;/l./ _
~(ff
5/3/;), (Y) - ~
i \ ~/JJ.-Jp, \ 'y (y (
DO NOT OCCUPY UNTIL A OVE HA~' BEEN. ~I !'I~D
NOTICE V
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,
GRADING (Prior to Sod~iJ1g)
BUILDING -Jl.o ~ ~ (I 1"'-
ELECTRICAL
PLUMBING
HEATING
V.loU
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
'~."",:~J'r~V."'r~'::>r .,;~
<,;-t_~"
'<-~.~J~;;- _ :c ''';'-',,;; '~~1~,~' ..::,.~:,,;~~~ f}'.:~'""" $~r'?:. .,' /:1 -::' <:.:~ _~',';l;,.~,i-:;;~::rs:<, :__,:7;"~Yh.'" "'":> ,,~'.'n: "j;"~ 1;';
~~-.- v -~--~
ftfll.,,"',iI!ll1lw"'.'i\Q!llt .~lillll1Illt''''' ~'~''''~"~F ", . ..
" '.:.J ',.~ . ',C' .,:V;;. ',:~: .:~. . ;tt-sr,.. . . ''ii.,. ,. Z t"t; Z;.' ,
/ .. -t"'~"" I .....~~'4,~.:.~~ (I"....~' .,
~ ' "':"'&..1-..1.. __. "rr,'.. _ _
t-~, t
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This Certificate issued pursuant to the requirements of Section 307 of the Uniform 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
SINGLE FAMILY
00-0022
_ Bldg. Permit No.
Occupancy Type R3 Type Construction VN Fire Zone N I A
L7 Bl KNOB. HILL FOURTH ADDITION
Legal Description · ·
Zoning District RISD
Partridge Court NY-
Dr.. Lakeville. 55044
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
e"I>
ADDRESS '-1-174 Pdr+v~ Gt-
OWNER CONTR,
PHONE NO,
o FOOTING
o FOUNDATION
o FRAMING
~SULATION ~
NAL
o SITE INSPECTION A
<;OMMENTS:
6) ~\M( rA
~ -Hlt
~ ~(Js.-f
Me:.. ( C~(j ~ fu
~/
/
PERMIT NO,
() ~-Z2.
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 GASLINE AIR TST
o
.
~JV\eeAl.~ ~
bCL~
/!
t)WVl~ ~
~
/ /~
cr
,b/
1/
,.1?
II
E NEXT INSPECTION 24 HOURS IN ADVANCE,
ontr:
TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
~ TIME
CITY OF PRIOR LAKE f!J
INSPECTION NOTICE SCHEDULED
ADDRESS 4174 fcvrtv~ Gr-
,
OWNER CONTR,
PHONE NO, PERMIT NO, 0--;?-? -
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION A ~RI o COMPLAINT
o FRAMING f\ TER HOOKUP o FIREPLACE RI
o INSULATION R HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
~;~ME&~_d
1t( ~~ J lL-
( }f
~ {lV6
C-6ux---
-
roo r ~-re
~~ ~/?
~ &v-~db.
t
~'))<.
~J.
/vtk~
{lfM- ~~./
^ r11.
</1~- CF
SPECTION BEFORE COVERING
Inspector: I Owner/Contr:
CALL 44t9850 FOJHE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE RE~TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
~k 19~3fL
. GUAt
OWNER
4/14 ~v+n~~
CONTR,
ADDRESS
PHONE NO,
PERMIT NO,
O-Z7-
o FOOTING
o FOUNDATION
o FRAMING
o INSULA nON
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
~D WATER HOOKUP
o EWER HOOKUP
LUMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~'jA~:~~ \Y-o~d ~y ~ l~a~iJo
\ 2) ~()Lt- Vf \ (p - ~~
PL&.U
~.~
\Lt)l~. vt~
~~ V
a \tv
o CORRECT
OR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL 44\-9850 FOR' 'HE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE RE~S ARE FOR YOUR PERSONAL HEALTH & SAFETY!
lNSNOTI
DATE TIME
CITY OF PRIOR LAKE (; -/ -Cf.;
INSPECTION NOTICE SCHEDULED CZ.?D
ADDRESS Ll17Y Pe~~e- Cr-
OWNER CONTR,
PHONE NO, PERMIT NO, (),.l7..
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
~NSULA TION 0 SEWER HOOKUP
FINAL aLUMBING FINAL
SITE INSPECTlO MECH FINAL
COMMENTS: p~ ~ ? P-TlO
GJ hV\~ ~. ~GV\!\lY,~"~'
(y Sed ~ .~ .
(3J 8r~c...U- V Une..t..Y'
~ t'(Am~ M~
~\~, ~ ..
(~~~hu '&r.m- +u I,,<e
~vr ~ W'"
\~~ . ~ f\Aft~tl... f~~ (k-~
:~ ~~ WG~nJ C--J r~U
~ \Y(~ fuie~~~~ .
L ~ U ~ ~ (q(~ 0W.
lil~ v h-'ULJ
o WORK SATISFACTORY, P CEE~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~~C~
~ 01L-
t1WJ!..q;p f1rl ~
,
~CORRECT ACTIO AND PROCEED
~n.n.C.",'WO , INSPECTION BE~OVERING
Inspector:! Owner/Contr:
CALL 44/.98SY::oR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE R~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOT/
CgMMENTS:
(i;:,) ~. .p J ~
(~ ~~
(l$J ~
(\t)~
--: ~~) ~u
) (~VvGL Orsd-
~ ~~ Arv ,
~.&L/,J . N ,r.--7V !tA M r.J- A~ Ie
.~~. ~---v ~ c.--tJ-- YO ~(
~t~ (.An ~ ~
'1~. L~.{} 135?r.f d. jt ad'-(
o WORK SA ACT PROCEE K 0 ~
o CO CTIONA DEED . V
CT WOR L: ~R ~INSPECTION BEFO ~ ~ ^ j
Inspector: h;ner/contr: 1 ~
CALL 447 .9850 FOR THE NEXT INSPECTION 24 HOU S IN ADVANCE,
CODE REQYRE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS WI 7 L1
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
D.JNSULATION
~AL
o SITE INSPECTION
DATE TIME
SCHEDULED G,-(~ q.' d'/J
VU+VI ~ ct
CONTR,
PERMIT NO,
D-Z"L
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBIN
o MEC AL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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~51
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATEA TIME
tj;~/{}/) 3.' ~
OWNER
4Ll!i '11u-~ (' (" rt-
CONTR. '
PERMIT NO, m - ()7)~ :;;)
ADDRESS
PHONE NO,
o PLUMBING RI 0 EX/GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
~ AJ ~UMBING FINAL 0 GASLlNE AIR TST
, ~CH FINAL 0
COMMENTS: ~~ .~ oerr!" O*(
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( -I,/Y1ij CIl 1;, r~!;91J' )
~~-=- -~ .--/
11 \/ iJf 011-/-
o FOOTING
o FOUNDATION
o FRAMING
o INSULA Tlq~ _
~~INAL fV'''''-
V'6 SITE INSPECTION
o WORK S
~ORRE T
RRE
Inspector: '--... Ow r:
CALL ~7-t850 FOR TH?NEXT IN&PECTION 24 HOURS IN ADVANCE,
CODE ~IREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI