HomeMy WebLinkAboutBuilding Permit #00-0213
QA TE RECl;:IVED
3/30/00
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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
'\ \ '::> ~ ~ ~,~..s. ~v..'- "-
3. LEGAL DESCRIPTION
V-t " ..sc-
:~/d~DO
PuO
LOT \
ADDITION '\ "'--
BLOCK \
\. tI.,)....~ ~~j..
25-~7- (JOJ-O
PID
~j..~ .
4. OWNER (Name)
~........~~'-""- ''"'~.~~
5. ARCHITECT (Name)
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6. BUILDER (Name)
(Address)
<t. c.. c.:\~ -.
(Address)
(Tel. No.)
\c~, - '-\.~,,-.. ""~OO
(Tel. No.)
(Address)
(Tel. No.)
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I. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
Q'J-OZI.3
BUILDING INFORMATION
11. SIZE OF STRUCTURE
..lH~ht) (Width)
.~ " \O~
12. NO. OF STORIES
~
sD~th)
13. TYPE OF CONSTRUCTION
~~,;,,~ 'c-<t< c c....
14. FLOOR AREA APPORTIONMENT USE
~\~~
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
7. TYPE OF WORK Fireplace 0 Septic 0 Deck 0 Re-roofing 0 Porch 0
New donstruction~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. ) '1 ~b \.. Co ~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. \ '-\ "\ \ ~ Width \ '-\ \ Depth \ ~ \:) Yes No ~~(~.~ '\ 1'1:. \ / \) \::)
I hereby certify that I have furnished 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
building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X \.)<'-<" "- ~~ '-~ \,. o..-e-. \ '"' ~ ~
Signature License No. Date
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION ~,~". 00
,
USE OF BUILDING
Spt;)
TYPE OF CONSTRUCTION: I " III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $
MA TERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
PLOT PLAN
o
Plan Check Fee ............................. $
2;28?2S-
I , CJ 'a~. 7/
I,() .()O
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ..... .................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
,. $
Pressure Reducer .. .1... ......... .... ...... $
I 0 f!) . 0'0
! ~~:~ 1111~0
c..{ 0.00 T.." DO Water Tower Fee ........................... $
1jl~e P rmit ........... ........... $ 4' (~/ Water Tap ................................... $
T 5 I' a ecomas Y i1ding Permit ~~~ Builder's Deposit ............................ $ I/~.(St;.}
:U~ . - Date ~O- tJ ~r~~ij~.i~~:::::::::~~+o:~ry rtz.1/R
ThO ~ to ce<tify that the ""lues! In the above application and accompan~ng documents ~ in accordance wi.. "e City zoni~ ~~nk and may proce~ as';;q sled. This document wh
Signjl8'b~' lanner constitutes. a temporary Certificate of Zoning compliance and all.o. ws const tion to commence. Befor oc~upancy, ~ertificate f 0 upancy must be issued.
/'.....-: ~ t1-bL-f90 ~A~' ~..
V City Planner Date~' Special Conditions if any
City:
State Su rcharge ............................. $
Penalty ....................................... $
R';n, 0 (5)
f. J M ~o6-
, -
() ,06
Plumbing Permit Fee ....................... $
Meter Hom ... .... .... 'i,....... ........ ....... $
Water Meter .......1......................... $
Sewer & Water Connection Fee ........... $
2-So · 00
It 2..lJO · ~
1M ' ~
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
24 hour notice for all inspections 447-9850
ru / 0 L 'J
Thr Crnlrr of Ihr Lakr Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
IN 8/VSH/l Ntv' IIoHbS
3/30/00
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3/52- WOOD OU~y. Ote-.
Accepted
Accepted With Corrections ~
Date: t/..S'~o
Comments:
1,~J(alQ a~~ ~~
2. ~o T NIJI..~ l""e.~' ~ ; '^ ./..lv.cL I:".....J ,... c.td .[:'.--. 14'11"""" f \. l ~
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
..;.
The Cenler of Ihe Lake Counlry
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White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
t;--") f f.
. .._.j 1_./ .t:-- " Ii J..,J L.,./
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,.. ~
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.
Accepted~' ~
Accepted With Corrections V
Denied
/1 ..^
Reviewed By: A}k~
Comments:
2~~ F\ .~^-~~~ ~~~ Wt&l~ bJt . f76W\.,~ -
~~ ~~ ~Th-vv U:Z,(0:W ~ oCu.r~ ~
.A,~ ~,,^-[l<1M)tA ~ ~'t r~')uk ~ {JyefW6j L.L1.o_,
Date:
L(-I\-&Q
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."
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Th.. C..nt..r of th.. La".. Country
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White ~ Building
Canary - Engineering
Pink ~ Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l/t/ f.:; /V,~~ ~~J /7 IV/V f:/O /v! E-S
3/30;100
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3 /52- ~,V ()OD OUC.,k''' OJC-. .
Accepted
../
Accepted With Corrections
Denied
Reviewed By: jJAL.1"fJt.. EHA.C5MAtJ'"
Date: '1/10/00
Comments: -rwE. rt1AX,,'1'-'''' DRltI€wA-r1 W'OTH AT n#E' Ft?OAJT ?t'l.oP~RTV L.uJE IS
24 Fa... 'He: -'1AX''''''''''' ALL owl1gL E: SL.oPE. (),:." TM E" G'ItA.Q.ES !..S...-.3: 1. .
SEE 'IUFottM~T'.()"" O,J REumSE SlIiC.
SEE ,4mqcH,..~rS: I. hAJAr- bltItO( /A1$/'ECr/oN /JJfOltMJlfntjA,j Z. f}lbftJO,Jr,. .RAN
3. E~"s, 04..1 C .,.,JT/tot- J'i1 E4su~ i$
4. e,1..DSI o~ CoNT72.o(.. R.AN
"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."
~~~ I'~ CITY OF PRIOR LAKE Me
u ~ " ~ 16200 Eagle Creek Av. S.E. Psrmit No. ('\l) -O~ ( 3
\ ~ / Pdor Lake, MN 55372
~ HEATING APPLICATION I PERMIT
Date &/I/{'t) PIO, .85- 36~ - cJOi- 0
S:te Addres~ t '3/~5:J / J L - 'l.Il",L ,d;.A-'./
~ ~ -~,' --'(CA-
lot . { Block \ Addllion W \ \cls.;3 Aro~
OWf18r'S Name !JJt'A1 h"NJL~.hV #~
AddrEtSS
Healing Contractor ALLIED FIRESIDE dba FIRESIDE CORNER
Address. 27 00 N. FA I R'T I EW I R 0 S EV ILL R I ~nl 55 11 3
Telephone', 65 1- 633 - 2 5 61
3 FIREPLACES J 1
~ Make & ModeJ l#A! AJ 06
Model Siz~ {;/h l# ~
Conn. L~i\d ,
" '"
Fuel JA ~11 Flue Size
Supply Openings
Return OpeaH1gs
TYPE OF SYSTEM
Warm Air Plants
Gravity
Ml)cnamcal
Air CondlUoning ,
Vent Sy stem
Input.
Ed,.
OuLPU\
UEATING OR POWER PLANT
Steam
Hot Walef
Radiation _
Special Devicet
Other Devices
elm.
TYPE OF WORK
Alar alia IlS
Replacement
,
.Esl. Compo Dale
New Constluclion
'XI
0/1:"/~
( ~k
Buiid[ng Permk #, U U - () ~ \ 3
/ Q({(iJ)'f'i' .3
STAlESIIRCltAAGE $. / .50 ~~
TOTAL PERMIT FEES $/ Receipt.,!/'
Repair,
Esl. Cost S, 3..f ~ CD
HEATING PERMIT FEE $
TYPE OF STRUCTURE
I. 1\" - Fak ~
J. GIa'Il - at, ::::J
l. Yen"... - Qmrnc.tel rt
OJ
'<
Single FamLly
Two-Fami1~
Industrial
."
.....
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CD
en
.....
a.
CD
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"'1
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111/. of fob cost ($39.50 mintmllJ1) ~
rn @.]j a~:g, 1~'
B~" .
Mufti-Family
Pubic OCher
Commercia'
Fee 5ched1Jl.&
Indushia~, Commercia! & MuUi- Fami1y
AeskJenUa'. Hea'ing & AC
Residential Heating Only
Residential, Gas Fireplace
Re$idenlraJ, AddiUons & Al19rat~ons
Residential, AC Ollly
{/'
Remember lo add lhe Slale Surchargs onlhe bol1om o11his app4ic&rlOn-'-
The price of your heating permit includes olle rough-in 8Ild one nnar inspeclion.
CD
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CD
Addilionallnspections Mll be billed al $35.00 ea&h. ~
House Heating Tes' Record rnt.Isl be submitled wilh ~Iilrli"~ ~R~~' "'.~[ belore buld- :
ing c erUficate 01 occupancy wll be issued.. ~
HEAT CA.LCULATlONS REOUIRED with number 01 supply and return openings Us1ed pf
room with CFM's per openlng_ New slruclures or additions send "oor plan with .upp~
and relurn locations shown. HEAT lOSS CALCULATKlNS, PAYMENT AND
APPLICATIONS MAY BE MAJLED TO THE CITY OF PRIOR LAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE, MN 55372.
City Hall business houls are 8 B.m. . 4:30 p. m. '
L
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ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) .. CALL CITY HALL
447-1230
N
11l
I hereby apply for a mechanica1 systems permit and I acknowledge that Che ~
;nlormalicn above is complele and accurate; lhal Ihe work wtA be in conformance ..~
wUh Ihe ordinances and codes of the cily and wilh the state building/mechanic8
codes~ lhal this form does not beeome 8 permil unlit signed by lhe BUILDING
OFFlCIAl; thai the work win be in accordancB wHh tntt approved ptan In the
case of all work which requires review and approval of ptans.
12 ~ ('/f I J
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C" , APPlic~nl.& alure - -'. I Oal8
! ~.. " /, .
/ (l~ u 1'1 o.J...~ (~ /" IrJi)
Buildmg m-w:ar( Si!jnalurl I !')ell
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MAY. 10.2000 9:13AM
GENZ RYAN 6513226147
NO. 830
P.2/2
~~'i \ {) (SJGG
I. ... RIB
Z. Gold Qy
3" YcIIDw AppIiCIIIII
PLUMBING PERMIT # C!b --\) Q 13
AppUcant (),g~~-Q~ f""\Phon.~'-U"Z:~-\\44
Address: , ~ 14 ~ SI2. ~~ ....,-"-1.. ~ · ... l.. If'\"'"
Signa.tule: l....lO ~ 0 - - . .
LegaliJescriptlon: Lot ~ Block I ~s;!. \ N i \cU. -z...' vL ~uJ
Site Address: ~ , f;;;/ U ~~ J.. Lk..... -J r
Bulldingpermit# r17)"- (ial~ -_PlOt QS-3s7-
NOTE: This permit '#{ill not be precessed without complete information.
F1XTURE UNITS
CITY OF PRIOR LAKE
4PR1~O
~~T~
~ . ~
~~ .~~,~ ~
,... Ontw a' .... ~.. c..n",
" .
-'
Quantity Type of FJXture
~ Bath Tub with or without shower
I Dishwasher
1 Floor Drain
5 Lavatory (bathroom sink)
t LaundlY Tray (1 or 2 co~partment sink)
t, Shower Stall
, Sinks
...-~.,..... Bar Sink
I. )
~~ . LI Water Closet (toilet)
,
Quantity
Type of Fixture
~I
Rough-Ins
Water Heater
Water Softner
stand Pipe (washing machine)
Sewage Ejector
Backftow Assembly (RPz' Couble 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
$
$
$
s
/
/
/.50
GRAND TOTAL
IM)WITH .
IIIIIDING PERMIT
t..~)
This permit is aranted upon tbe expren COnditioll that said
c:onttactor. sball comply in all mspeccs with rhc ordinances
_~ ~ SraCe Plumbin,S ~~ 1n'5JiilC: -.t.
. / I RD...~I. . ~ DATI!
J __ -:-:' ~1.~tf" Af/\ nA.AA leST
for III ~ 24 hO\US in advance.
16200 Eagle Creek Av. S.E., Pr~W Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opp...orwnil:y Employer .
~~~~~j, . CITY OF PRIOR LAKE" · 0
& r. ~ . 18200 Eag'. Creek Av. S.E. '8mb No. ()[).... O~ \ ~
. .. "Prior La.... MN &5372 .
~ '= HEATING APPLICAtiON' PERMIT SIfge Family X-
. I 7 CommercTal
CLDate, .es 10.00 PID.~S'-,33 -(fll7-D
(f) Sh Addr.. b,5'2. (A )tn~,\ .t..ek~... ~ Fee Schedule
~ LoI I Block \ AddBJon \1\/ l '0A ~ ~.rc..t AnCl \j Indualr1al. Comrnerdal & Mulll-Fam~
2 N I ,. "- -".c. ,^"", ~ a ~ J I - - - 4"c.. Resldenllat, HeaUng & AC
OWn.fa ame _ A-IL. ur I 1..l..A l V" ~ lr"-.,::) r.- Realdenllat, HlaOng Only
Address ~ ~ ~ ~7 .A: ~ ~~- 2t:D ~~ ResldenUat, Gu f1repJac8 .
'l.1 -"~ /}.~ ~ ReskfanUaI, Addilions'& AHera1lons
H.lltng Conltador l~.r ... 1'-- !r 1,.I'J.I \ . Resldenllat. AC Only
AddleS! ILl1Un . ~ p~".,.- -r,J _ {)r\~n'nJ.nr ~c:r-I,J\
Telephone' (~- t.f2 ~ - J ~ t.J.4
F..nl108 Make & Model Ut/\V"\O ~
Model Size Gv- ~.~I Co -ISD
TYP! OF SYSTEM
Warm Air PlanLs
Otavlly
Conn. Load Mechanical
~ ^ I '.r. " Air CondlJontng)( .~~
~ Fuel Mf_ ~Iue SJze lo (h\l flY Vent. Sys1em .
~ Supply Openings ~ QL\ HEATING OR POWER PLANT
~ ,~~m
1.0 Rltum Openlngl , Hal Water
~ Input ISO, tmDOWpul 12.0,r!:> Radiation
0:: . . Spedal Devfc.. ,
N Edr.
z
w
l!) Clm.
OIherDevlces Afr,16,t, ..~{&D-
E
([
Rl AIIera110na
C!l)
~ Repair
~ Ell. eoll $
C!l)
~ HEATING PERMrr FEE'
C!l)
~ .
~ STATE SURCHARGE .
([ .
E TOTAL PERMIT FEES $
TYPE OF WORK
, Replacemenl
New Con8WclJon
x
. ElL Comp. Oar.
BuUdlng Pennl'
CJ()--0~1 ~
~~~ ~\\
~~Q ~ ~<;;,~
,.~ --.
.50
R8C.~ .
rYPE OF STAUCnJRE
J. JIWI ..- R1e
1. 0." . ) a.,
3. YA_ ':'1 a.Indor
Two-family
I ndualrfal,
PubIk:
MuRI-FarnIIV _
Olher
1% 01 Job COlt (139.60 mJnlmun)
$99.50 .
S6ot.50 .
'39.50 ;, MAY I 0 2000
139.60 '
'39.50
RlII1ember to add the S1ate Surcharge on lhe bottom ollhls application.
The.price of your heating permlllnckJdes one rough.1n and one liIalInspKUon.
AdcItfonaJ lnapectran. wII be bled at 135.00 each_
. House Healing Teal Record ngl be eubm1tted with "~ldffKI PIDDI number before buld-
lng certificate of occupency wit be lesued.
~~_T ~., ro... Ut~I~ REQUIRED wlh number ol.upplv and relurn opellinOlllsted per
room with CFMls per openlng. New .lruc1urea o. addllons aend lloor pran wtth 1'4JP1v
and retum locations shown. HEAT LOSS CAlCULAOONS. PAYMENT AND
APPLICATIONS MAY BE MAP en TO THE CITY OF PRIOR LAKE. 18200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 56372.
CNy Hal bustnes8 houn .re 8 8.m. . 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL). CALL CITY HALL
447-.4230
I hereby app1v for a mechanIcal systema parmlland I acknowledge that the
Inro.matfon above I. complete and acculale; Inallhe work wlJl ba In conformance
wUh Ihe ordrnance. and codes ollbe city and wilt. the 81ata bulldlng/mechanloll
code.: that this form doe. not become a perml' un III signed by the BUILDJNB
OFFICIAL; that the work wi' be In accordance with the app.oved plan In the
cas~ 18nt,Ofk whIch re urrea levlew and approval of p,.an..
r A A~(J- -. S~/ ~IJ (}rJ
~- $ a~ {' ~e
(/, "~;'/'A/f:;;:;) /;kJ?7
- lIUOclng 0fIIc6I'e IlJfIIItU,8 . / ....
(/
MRY. 3.2000 9: 35RM
GENZ RYRN 6513226147
NO. 524
P.2/2
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..... . CITY
CITY OF PRl:OR' LAKE MO.Q 0 -()(l)3
SEWER AND WA.&...:.~ PBRHI:T
NOTE: Sewer and Water
contraetors must
be raqistered
with the city.
APPLICANT: ~~ )1\'2.. - ~ PHONE:~\reLt?_~-1'4L.{
ADDRESS:~1'5.2 \.A)q:d:;;~.J..~x:.:... ~ DATE: S' 5,c:L::l
SIGNA~. ~ - BLDG. PERMIT ....oO-QQl13
SITE ADDRESS: t 4~UC;; ~ .~ T~L---- PIDt 85- 237 -(JJ1-0
FILL IN THE B~
40- ,
Es~iDated length of water service
r \ (
SiZQ Q~ vater service inch(es)oo
. ~.. '~~-
teet.
Location of any couplings from s~ructure
f.ee~AY a axIl
Type of seyer pipe. ABS PVC X Cast Iron.
Estimated lenqth or sewer l1n~ ~' feet.
Clean out (if re~ired), located at feet from
structure.
--
Thi~ ap~l~cation~omes Y~lt wnen approved. .
BY V~~,J .iLrdJAhA'/)4-' "'\ D~1'E: ~/()r"/01)
-~~-J---~ -!=...; - :.'"~ .:" ,,' - --~- ~- -----
:~ ;---::.0: - -::r a:~..:~:::. line-::::::ion :ermit~ -
$ .50 Surcharse
$ 35.50 TOTAL
* Fee for either sewer or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new construction must be
recorded an the buildin~ permit card at the time at issuance
~o insure that no dupl1cate sewer and water permits are
J.ssued.
DATE PAID
RECEIPT #
AMOUNT PAID
:REC'D BY
. 4629 DaJcota St c:: J: . Prior Lake. Minnesota 55372 I Ph. (612) 447423q I Fax (612) 4474245
Nf EQUAL OPPOImJNITY EMPlDiER
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PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS <15' 2... \j j~ ~C-~ ().t\-l-€
NATURE OF WORK ~el.J C CDtt~-lwc.~~'8"\..,
USE OF BUILDING q))
PERMIT NO. ()() -- U2- / '=) DATE ISSUED ~ r;; - ~C!:JO
CONTRACTOR lJ~JM..~^-~ ~)
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT I~Y SEPARATE DOCUMENT
'PalN 1l~ {,Jr( thI "" INSPECTOR DATE
FOOTING W/~ I~ If-f?-'df
. FOUNDATION (Prior to Backfill)~'~' 6:. 5/!)P() ~~, {r/E/p
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
..v~ 6r. ,?/a/6Z>
J fi:J~p ~ l.L-. t? 1o;.S-gf"G?!'
(/ l (:) (p 7~ q I c() L-. L-t ~. t,~~~
v . , (.
~ {,(Nuo L.L-. (tr;r. (,!~t#
(I/~/~ \;-Lo. 6r Wat1~
t-~. . ~'r(~ ~//(,If}t l.l.. ~\ '/~rlt!lt>
~ ~_.~t;/<<J" f _').
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required) C"I
FIREPLACE . ).p}' I
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
DO NOT
FINALS
(iC p~ (- c/o
iJ,
;1
~t
.L.. .
OCCUpy UNTIL ABOVE
NOTICE
4. r cP I
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
..
7/~7/~
71:J!1l kJ
HAS BE~N /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 shall be placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
".~--_._-.--" ,----_.__._,--_.._--~~--_._-_.-
OA TF TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
4 ()l oJ..
ADDRESS
315;;2 -WeLr .L1..v:c 1)1',
OWNER
CONTR.
PHONE NO.
PERMIT NO.
00- c;l15
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~J2i\FINAL
o SITE INSPECTION
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 GAS LINE AIR TST
o
COMM~NTS: ,,...,, l
~ loA 0 a~r- -Q,r -\''cP~~
~ a~ ces1av)P~ 0, e~p'v\eer-
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR~, CALL FOR REINSPECTION BEFORE COVERING
Inspector. '1), -'~ Owner/Conlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ?I J;(
OWNER
PHONE NO.
o FOOTING
o FOUND
o F NG
o ULA TION
FINAL
o SITE INSPECTION
COMMEN]S:
l2>ca.dt, (5
C~,~fI,ar~ / '<
DATE TIME
SCHEDULED ~
I.dvI .t2~e)( fr
CONTR. /JJe~tUc!4 ~~S
PERMIT NO. O? - ~
o PLUMBING RI ~GRAD/FILLING
o MECH RI 0 COMPLAINT
o WATER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
o~__
t1~
'"
".,.7
~
/'
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WOR CALL F~EINSPECTION BEFORE COVERING
Inspector. .A;~'
~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
DATE TIME
CITY OF PRIOR LAK~ j.b
INSPECTION NOTICE SCHEDULED 7/~~ ' g;~
I
ADDRESS 6\ FG L.Lbo('~ ~ ^'- Q" \r'(....
OWNER
CONTR.
PHONE NO.
PERMIT NO. () (\ - o=< \3
o FOOTING 0 PLUMBING RI 0 EX/GRAD/FILLING
o FOUNDATION@) 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
~NSULA TION 0 SEWER HOOKUP 0 FIREPLACE FINAL
FINAL~ l Dc., e. ~.... PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION' A MECH FINAL @ 0
COMMENTS:m ~ ~ ~ ~ ~ ,~-
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o CORRECT ACTION AND PROCEED ~ 4 - ~~, A?f~
~ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING ~ 1:(.0
I' , ~
Inspector:~' Owner/Contr: Vd
.......,
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
SCHEDULED
~tJglhD
,
~H'k_
.s3.,&)
ADDRESS
-?'i&a l A.)(~A
OWNER
CONTR.
PHONE NO.
PERMIT NO. QD- ~ \ '3
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING @ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
o FINAL it" PLUMBING FINAL
o SITE INSPECTION il'D'"MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS@ ~ ~ (I~ 4-
&) h-~ a./VL -.J. ~ .~ - ur' tf}V
(3) J1.,. J ~'~ ~ ~ ~ ~fJtJ
~f ~-"f(' ~~.~
~ l"{ ~~ ._~
~ ~ .AfJ~~,
o WORK SATISFACTORY, PROCEED
,A CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~/
I
Inspector:
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTI
SCHEDULED
~I~~
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
J 0 :-' C/O
ADDRESS 3152. Wood.... ~ 'll-
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o - 2.J3
~TING IJ\ 0 PLUMBING RI
NDATIONV 0 MECH RI
o FRAMING ~TER HOOKUP
o INSULATION EWER HOOKUP
o FINAL 0 PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:(j) ~ S~ tJ, ~
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\~WORKSATISFACTORy.PROCEED 3 ~. if<" iJ~!~. r
)( CORRECT ACTION AND PROCEED ~ Jvvnt ~ fofy ~
o CORRECTW~ORK CALL FOR REINS~EFO~, VET~ F"~ ~
.....-4-1 ~ 1 011
Inspector: ( Owner/Contr: ~~~.
. ,
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI