HomeMy WebLinkAboutBuilding Permit #00-0104
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
~
DATE RI;CEIVED
FEB 2 8 2000
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
1. DATE
Ll2?;>/Q'J
(J r AI e ,eJSD
4753 PR2",.e-J 066
3. LEGAL DESCRIPTION
S
I<N06
BLOCK
H/{,{"
I
4-7H
PID 25-3"2- 005-0
LOT
ADDITION
4,O~(L.'" c;el\..bV\r\e,LL- (51l~W1)D~1 L~ ~~'~"bl,..'\l"i
5. ARCHITECT (Name) (Address) (Tel. No.)
P16. P€tlf!.. c,Ll-O -7SQ5
6. B~ILDER (Name) \ ,(AddreSS) (Tel. No.)
0.L .W~~~'fV\~h ~m~ ~ 7-5 L-"3)~c Y.b \~~2S,-
~-a\<-R.\) \j- )~~.t..'(V\4~ Ld,k..4..V~\\.... ~~LI~
7. TYPE OF WORK ' Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New Constructio~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
I, White
2. Pink
3. Yellow
File
City
Applicant
Permit No. J'J 0 - OJ 04=
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
14, FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
17. COMPLETION DATE
~q. Ft. Width Depth Yes No
r I reby certify that I have fum' hed 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 ove mentioned pr perty a 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
uildin official can revo thit> pe or just cause. Furthermore, I hereby agree that the ?it~ official or a designee may enter upon the property to ~o~ needed inspections.
~~ - --ro\\CO')C)' ~2.roioo \
Signature " License No, Date
FOR ADMINISTRATIVE USE
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~: CJ.t:::t:;J. t<) 0
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $-4 S-W .(jt:>
Other......................................... $
Total Due .............................. $ '7~ ro!5(). '7.1
Paid '7 (P 50 .'7 I Receipt ,,~,:~t, Ii (p .-7
Issued 'fy th ' h bo I' ti d 'd t ' , d 'th th c~atze Mo" di/ oiJd BYed d Th' doc . t wh
This IS to certi that e request In tea ve app Ica on an accompanYing ocumen s IS In accor ance WI e Ity o",ng r Inance an may proce s requeste. IS umen en
sig by the C' lanner constitutes a temporary certi~te ,~Zo~g comPliance~allows construction to commence. Before occupancy, a Certifi e of Occupancy mus~be. issued.
f-..lRrt (fir:J _"^ A Ar fl j /) L! Vl L4S:- 1./'
ity Planner te ~ V ~ditions y
Front
Back
Side
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
.s,ctJ
TYPE OF CONSTRUCTION: I II III IV V
~pancy Group A B E F HIM R S U
Division 1 I 2 3 4
City:
Permit Fee...................... ..... .... .... $
'(L)62_.2~
1Lrl.~. ~
Co CJ . SLJ
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
t C> 0 . C::JC)
'(T)(, - 00
1,'5" . S'tJ
4tJ. (f)O
~
~~~\bO
Sewer & Water Permit ...................... $
This
By
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. .. . .. .. .. .. .. .. .. .. . .. .. .. .. .. .. . .. .... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .:It>..................... $
Meter Hom ... ............. ........ .... ....... $
Water Meter........ ?ie................... $
Sewer & Water Connection Fee ........... $
Side
24 hour notice for all inspections 447-9850
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
PLOT PLAN 0
SETS
COPIES
PJ~ C9(i
(. / DO -C2LI
qS .OlL
I ~~. cxj
I ~ 200 · e>r1
~.OO
The Cenler of Ihe Lake Counlry
60" 6D 10Y
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J L
WAe,6MflN HOH6S
2-/:2-eiov
I
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for const~1tion activity which is proposed at:
1.f15'S ~L,~~ C2A-,
Accepted
Accepted With Corrections ~
Denied ~
Reviewed By: ~/-J:z::;:
Comments:
Date: '3-Co-~o
,. ~ ~ OC~~ 4-c. ~
L. So~ ~ ~ ~~~ Vf~
:5. ~"k~ ec..tlA.. ~l~ ~ l
14~e>;;, '-
CJ
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
(5lJv~
Thr ('rntrr of thr Lakr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
'''r I
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, v.. f) G, e: /t 11-/ lv' ,1--/ { /ll E:S
2- / :z. e- It. ()
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
v
Accepted With Corrections
Denied
Reviewed By: ~~
Date: 5 - ft; - C9D
Comments:
~t-i rr ~)(J UJ)AA V&~. ~a'5t ~j
~~1 [JAe- J-~ vQ.C).W (\0 Luvb,
Arw~ ~ l~~- ~. Svv~ cWed 2. 2-'1 lQ0.
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
..
I
()O- 10'1
Thl' ('l'nll'r of lhl' Lakl' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT J L
{IV' 1--1 e, ~ IVI r) tJH 01"/65
z/zeio ()
. f
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t.;.?5~ fAfl..J/?/l)(;E:.. COvl( r
Accepted
./
Accepted With Corrections
Denied
Reviewed By: J.JAc..~ &/l.E:.>If4.ANN
Date: 3t~/oa
l!1iLy GJNt...,... &e;ss litJ<; Lt:1T
Comments: CO~"'ll.ur~rl(:)AJ J~!>
rntY'1
?~ It T1l1 Oc. e:
CovR-r.
.<)~E' /AJFoIl"-tt4-rISN OAJ TR~
RE.VtA.5. E ...~ LDE -
~~~ 14. J~r\\E~: I. h~it(.. bAAoe; 1A.J~Cl1oAJ IAJFo/tytUtril'JlU
3. EaoSlD^ \ Co~-rnf)'- v11Cds~s
if ~ou ~AJrn.o(-
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flllN
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."
_._:.. *.)::..:;... ':'u':-":' ::.' :.:.:.<. :....:.; .;..;~::.. _<. ';...- _<..:...:.,. :...: ;.:':_:.:.....:.:..>:. ::.-.:...:-,:. ....:.:.~-.:.-.:...:.'.:.. :.'._.:.:......:..~_ ~_.___<.~~:.:--:;:;.,>:...~~.~:..-:..:...>_~:..:..:;...;...::..;;.;__~.-;-:::::
. -::..~. ._~_...._:... ~.:..~ ~ -:.__" _':"~ >.:._ .:.':....:....~.. _.':"_':':_'_"_R_":--':"'_~' ;::.:;
.Permft#
-JobAddr... 47~5 PA7tmllJ6rcr~
-HeatingConCrllctof ~ JJIfL.~C,
-Testers/Signature 'Y--
Date
Time
Pounds
Pressure
-Gas Une
Pressurized
Inspected
- Percent 02
PERFORMANCE TEST
70k
S-%
.Percent CO OdJ6
.Stack Temp. .;s' a- s-'
.Percent C02
Final Inspection
Date
......
GREEN - FILE
YELLOW . APPLICANT
GOLD - elT.,
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No.
a?~ lof
NOTE: Sewer and Water
contractors must
be registered
with the city.
APPLI CANT: D/L~.r /oIC/z" 6)L L .
ADDRESS: 1(.118 rOfL~ W;,4 1 lIt JL.
SIGNATURE:~ ~~
SITE ADDRESS: If 7S 3 {JI}.a,/lX,tJ G~ c.'l.
PHONE: J>~.2"" ~ () I:
DATE: ~ /:2. qJ~(J
. ,.
BLDG. PERMIT # 00-101-
PI D # '7. 5'" ~(O -c..-eoC) -0
FILL IN THE BLANKS
1. Estimated length of water service
l(
40
feet.
2. Size of water service
J
inch(es).
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS
PVC Y
Cast Iron
I
5. Estimated length of sewer line 40
feet.
6. Clean out (if required), located at
structure.
feet
from
::::=:::~~21~:~~~::=:::~~::::=::::=::::::::~===~==========
BY AM I fn DATE: 3/'Z!? /co
~ ,~ I ({
====================~==========================~=============
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
Surcharge
TOTAL
* Fee for either sewer or water individually is $~'~ 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.
r ;\'. D '..' ",
C~.;;L ',.. -' ·
; I
AMOUNT PAID
DATE PAID
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-.!V
An Equal Opportunity Employer
CITY OF PRIOR LAKE
PLUMBING PERMIT # 00 -0104
Applicant: .~ ~5 (r\..l () I- ~ b _Pho~e:-.Jf_~ "<11rffil
Address: -P 4(1)) 131 ,sI'dIG! A W'L..t VA L-f-i ~ !It-) S~f
Signature: .!\ t . -===- l ~
Legal Descript~n: ~~ . S- Block l Sub~1o \-h I \ qfVl~:.V.}
Site Address: ifLn3 U ~'"t ~~~f)h tf, c.,"T~ /\/ f- _
Building Permit # - QO... 0 1 oy -J- PID # Q IV s-: 3f:a - Q'lS' -Q
NOTE: This permit will not be processed without complete information.
The Center of the Lab Country
FIXTURE UNITS
Quantity
Type of Fixture
Quantity
g:
J
Bath Tub with or without shower
Dishwasher
Floor Drain
Lavatory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
I~
I
I
J
l
i..+
J
L
J
. 'J
3
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
GRAND TOTAL
1. Blue
2. Gold
3, Yellow
File
City
Applicant
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
Other
$
$
$
$
,50 J /
ro>dv ~J \
~u~
$
This permit is granted upon the express condition that said
contractor, shall comply in all respects with the ordinances
of the State Plumbing Code and the ame m~n th reof.
- _ K~cEIPT N . TE
( / C{AD/1o.L fn
cfJ all inspections~ hours in advance,
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
,.-;'" CITY OF PRIOR LAKE
t' rJ~ '~ 16200 Eagle Creek Av. S,E. P:'~l No. 00- 0 JO Lt
.~ Prior Lake. MN 55372
~ HEATING APPLICATION I PERMIT
Dale f./- Ll- OJ PID II ~~.- ~b~ -- - (JOS - ()
Sle Address 4153 Ilv..h,,',o. tV I.;F ~,
Lcl 5" _ Block \ Addiion \(~()b\-t; 1\ ~l-rh tU\l~
..n L J '. ,I
OWn9J'S Name :.}. uuc.-~.J.-A."" ^ ~I'IA.JAj
() (J
Address .
Heating ContracloI ~LLIED FIRESIDE dba PIRESIDE CORNEtt
Address, 2700 N. FAIRVIBW. ROSEVILLE. MN 55113
T erephane'. 6 5 1... 6 3 3 - 2 5 6 1
FI REPLACE
I1UntD Make & Model IJu;.t ,J ~(;:,
Model Size. Id:'YT1I'r?
Co nil. load
Fuel (rY-A.-J
TYPE OF SYSTEM
Warm Air Plants
Gr aYi1y .
Mecbanical _
Alr Ccnditioning
Vent. System.
Flue Size
Supply Openings
Rerum Openings
Input ~ _ Output ,.:):7 f\'h
Edr. .
elm..
HEAllNG OR POWER PLANT
Sleam
Hot Waler
RadiaC10 n ,
Special Devices,
Otber Devices
TYPE OF WORK
AI~era'ions
Replacement
New Const ruction
MY
Rilpair Esl. Comp.. Dale, 4-7 -(1")
Est. Cost S. J ! (Y) ( ~, , Butlding Permit #I , ()(l - (m iN-l
HEATlNG PERMIT FEE $
STATE SU RCHAAGE $
TOTAL PERMIT FEES $
.50
Receipll
---
I. f'j"k.
1. (iltt1l
l. Yellolr
en
m
::J
r+
TYPE OF STRUCTURE
Rle
Cl11
Call1rllClUI III
'<
Single Family _
Commercial.
Two-Family .
Industrial.
Multi-Family .
"
1-"
"'1
m
en
1-'-
0-
m
n
o
"'1
::J
(I)
"'1
~' -
PubJic Other
Fee Schedule
r
. " lJU .. ;O~~..
~~?~l
$64.50 . ,4,1--: -'''.
$39.50
$39.50
$39.50
Indus\rlat1 Commercial & Multi-Family
nesrdentia', Heating & AC
Aesidenlial, Heating Only
Residential, Gas Fireplace
AesldenUal, AddUioos & Altera.lions
AesldeoOaI, AC Only
Remember to add the Slate Surcharge on lhe bottom 01 this application.
CD
U1
...a.
The price 01 your healing permil includes orre rough-;n and one lina'inspeclion.
CD
U)
U)
Additional ;nspeclions will be biled at $35.00 each.
ClD
ClD
HotJse Healhg Tesl Record must be submiUed with .,,,ildina rp'~m;, n.,rohA~ berore bulk ~
ing certificale 01 occupancy will be issued. .
HEAT r..Al CULAT10NS REOUFREO wilh number of supptv and relufn open;ngs lisled f:
room wilh CFM's per opening. New structures or addjticns send 1100r plan with suppty
and relurn locations shown. HEAT lOSS CAlCULAT~ONS. PAYMENT AND
APPLICATIONS MAY BE MAIlED 10 THE CITY OF PRIOR LAK~ 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55372.
City Half business hours are 8 a.m. - 4:30 p.m.
J:-r
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ALL WORK MUST BE INSPECTED (ROUGH-JN AND FINAl) . CALL CITY HALL
441-4230
N
. .
U)
CD
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[ hereby appfy for 8 mechanical systems permIt and I acknowtedge t at the 3:
information above is comphJte and accurale; lhat the work will be in conlormanct
wllh lhe ordinances and codes 01 the city and with the stale buildinglmechanicl
codes; that this form does not become a permit unHl signed by the BUILDIN(
OFF1C1AL~ lhallhe work wil1 be in accordance with the approved plan in the
case 01 all work which requires review and approval of plans.
4/.J.- ~~ YM"~
~. , ^ppIi~ f,aM" 'I 0"
( <e ~ onkar)-:~{:A ~ Lf / ~Zqp
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to
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS ~'75,~ ~~tlJ.cr fu-
NATURE OF WORK ~~~) ~.
USE OF BUILDING St= n
PERMIT NO. (J 0 - 0/04- DATE ISSUED s . ~. "LaCJ6
CONTRACTOR -LJOUJR..\,M-~.. ~<:
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE D~NU U~MToERNT
~ \ \ DATE
FOOTING f \j( :3 \~\~
FOUNDATION (Prior to Backfill) Q) \r,6I/r
PLACE NO CONCRETE UNTtl AB.o<tE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC \\ ~'1.J io
FRAMING fk.... LJ ~k '4 Irq 7 d'D
INSULATION ~ ~~ lJ/~ ((/-1 L/-Z'{-brJ / (
, ELECTRICAL
PLUMBING c%: L/ //<j'/~!J ~
HEATING (if required) ti!, ~ M-/ J/j11/IJ~/ '
FIREPLACE dJ Lj /to/a)
GAS LINE AIR TEST ~/F.Pf fin, () ,?!1.?/t; 0
,
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
W&1W". rID Jkr4ii<, We.. ~. L{-f7-tJ'(J
FINALS
Ivb
~
A
{:(J-.
~,
OCCUpy UNTIL ABOVE HAS
NOTICE
GRADING (Prior to Sodding)
BUILDINGrtW 7lJ Y~/cV
ELECTRICAL
PLUMBING
HEATING
DO NOT
~.z{, . 0 z..
q 1~\{ttffL
:5/Z vi ! po
~/~/~
.5/~/tn>
I I
BEEN SIGNED
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 shel be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
~trtiftcat! at ([)rmpanry
CITY OF PRIOR LAKE
-J 1Department of .uilbtng Jn~pettton
}I\ Final Permitted 0 Conditional C. O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
certifying that at the time o/issuance this structure was in compliance with the various ordinances a/the
City 0/ Prior Lake regulating building construction or use. For the following:
..
Use Classificatiol'
SINGLE FAMILY
. Bldg. Permit No.
Occupancy Type
R3
Type Construction
VN
. Fire Zone
N/A
Zoning District
00-0104
RISD
Legal Description
15, BI, KNOB HILL FOURTH ADDITION
Owner of Building Site Address ~] 5 3 P ARTRllliZE COURT NE
Contractor'sName&AddressJ.L. WAGEMAN HOMES, 8625 237TH ST., LAKEVILLE, 55044
ROBERT D. HUTCHINS d- City Planner JENNI TOVAR
Building Official C7 (
Cf-d 4~-Od-
Date:
Date:
POST IN A CONSPICUOUS PLACE
........';.;../,~" ~ ".i' ;';\";:;4.';1;,~:~.;,~/,,,,,,,,,,1., ;,; ~,"'. .';b...:,:.,..;,:.~::.,i,,,,~).i: "n., ..... '''',0 ..J..i",~..a;~~'" ",:.:1''':., ",ii'",""". ~~" .$.."",{~> ".,~~i.... ",.>;2.tt..;..,.i,!j~l~L~;:,,,\i'~:.bi.2.';;'h:i, ~;,;;,;c.l.\:t:':"(-l:\\',<' ...,,;;. ";".iU"i . .".L;., '.~,~"".""J,..'~'
,~ . ,. IoI..ti ~
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
Lj'76"5
..
SCHEDULED ~~~
PttY'v1r~ C'\,
CONTR.
PERMIT NO. I9c{) - D J ocj
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ +- \.J V"ce-z;
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~L
\~
~ 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 & SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9--){.o"Z-
ADDRESS 4 753 PQrfr,4 Uurl-
(/-
OWNER CONTR. J L ~t.>
PHONE NO. PERMIT NO. ()1j " 0 I 0 ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~~'LLlNG
DC. INT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~- C9t:-
Lull:; ~~ t9L
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ j/'~_ _"""", Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS +153
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
~SULATION
~~~NAL
o SITE INSPECTION
SCHEDULED
?"y.,,'rtse.
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
51i:l~
G-
TIME
II ~~ ~
tJ-/04
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~OM~ENTS: __
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~ t~ ~~ t:'><~ rR'
/'
t!
JV1
#'
c; U /
f-o
\> cf ~
o \/V {J
o WORK SA S CrORY, PROCEED
J.:c REC A N A D PROCEED
ORREC O-=- . C L FOR REINSPECTION BEFORE COVERING
Inspector: _ Owner/Contr:
CALL Jv -985~ FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE RE~EMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
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OWNER
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PHONE NO.
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o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING @ 0 WATER HOOKUP 0 FIREPLACE RI
~ INSULATION ... \ ~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
~ FINAL \'J ~D PLUMBING FINAL.Af3\ 0 GASLlNE AIR TST
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Inspector: ~, Owner/Contr:
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;
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
Lj/53
SCHEDULED S/Ztc/OO I~I 0-0
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OWNER
CONTR.
PHONE NO.
PERMIT NO.
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D FOOTING D PLUMBING RJ D EX/GRAD/FILLING
o FOUNDATION 0 MECH RI 0 COMPLAINT
D FRAMING D WATER HOOKUP D FIREPLACE RI
o INSULATION .lei 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL (t},'oJi. ~PLUMBING FINAL ~GASLINE AIR TSTp
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o WORK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORRECT ~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
/NSNOTJ