HomeMy WebLinkAboutBuilding Permit #00-0295
DATE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White
2. Pink
3. Yellow
File
City
Applicant
Rt.2OOO
Permit No. J1[) -oz 95
. DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
2. SITE ADDREiSL/ <f"7 c:;
3. LEGAL DESCRIPTION
H-I bff LAI\J D
Grl\J€
<-/ 1/3100
e..1~D
PID ~)5 - 3L1;;) - COf-/ow() ,
r#/I?r;> ~tl212Lr/ad
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
LOT
7 BLOCK 3
1?4 S~~ flJL26~
ADDITION
4. OWNER
(Name)
(Address)
(Tel. No.)
13. TYPE OF CONSTRUCTION
~W S:FD
14. FLOOR AREA APPORTIONMENT USE
5. ARCHITECT
(Name)
(Address)
(Tel. No.)
7. TYPE OF WORK
New ConstructiOn)('
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE
Sq. Ft. 20tf (p f Width ~ G Depth '1C'f lP Yes No
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 roperty and that all construction will conform to all existing state ami local laws and will proceed in accordance with submitted plans. I am aware that the
building official rev e this pe~for, just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform ne~~spec~ns.
X /-v.l4~ - :1/9"7 V,<:-S/CCi
. Sign~re -' License No. . Date
Fireplace Jl'\
Alterations 0
(Tel. No.) '152-
1'-/511 E'WING:,. ."tv'tf" ~ ~ .- (jl{'I'i'
gi,I.-2A/S'v I <-L €F ~.C) ~O{,
Septic 0 Deck 0 Re..roofing 0 Porch LJ
Addition 0 Finish Attic LJ Re-siding LJ Finish Basement 0
SEATS
6. BUILDER
(Name)
(Address)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
WIV7:/LAJcjO..D /(or'l1€'.s
16. PROJECT COSTNALUE
/~O, 000
17. COMPLETION DATE
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
MA TERIAL FILED WITH APPLICATION
Front
Back
Side
Side
SOIL TESTS
o ENERGY DATA
o
USE OF BUILDING
~L-
- '\ ~
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION -.tS'O,c::J:!)C) , 0.(:)
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUcnoN: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee................................... $----4-l3'l. 2 S'"'
Plan Check Fee ............................. $ t-z3CJ · ~ I
State Surcharge ............................. $ 1 S .00
Penalty ....................................... $
City:
Amount Brought Forward .................. $
Park Support Fee ........................... $ 8~ ~
SAC ......................................... $-41 c>o .00
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Pressure Reducer .......................... $
<{ {;" 00
Plumbing Permit Fee ....................... $
'\ AnGJJJ
~~ ,D1)
Meter Horn ... .... ......... .... .... .... ....... $
Mechanical Permit Fee ..................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
12$',00
(, 200 · c5)()
, 7C;O.0()
Sewer & Water Permit ...................... $
.C:Z~
,
24 hour notice for all inspections 447-9850
.,
()D v6>1~
The ('enler of Ihe Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATICJN DEPARTMENT CHECKLIST
NAME OF APPLICANT W\ (\ ( ) w C': 0 c H 0 rY\ ~ s.
APPLICATION RECEIVED i\ \') (' '\ \ I 4 (;J ()() 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/ 0 (.,'1'" ''''/" t.) . /-..... i" I '1-
~. I' :::. t } ) C...\)"'} (\ (, ( \ ~ j j \J r:-
,,,/) ~
Accepted
v
Accepted With Corrections
Denied
Reviewed By: <:~, J)~
Date:
L{ ~ 1-b - e:t::::J
Comments:
2-1{ Pr ~.~ W~ Urz:O.l{ p- ~~
Or~1 ~_u_+- ~U {l..O'LV <fO Cv~
~/L -i- efl't-- ~ ~~~~ ~.'
~ ~~/\ ~<\evtov- ~.. ~js ,
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 Qr cancel the provisions of this code or other
ordinances of the jurisdiction shall not be valid.1I
~
611 ~ OHs
The Cenler of the take Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT W \ (\ c1 w () 0 C. -\ 0 m~ ~
APPLICATION RECEIVED A 'P (' \ \ I 4 \ Q 000
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
14q 7S Hl3hlCV\C,. C'/ 1\, E.
Accepted
Accepted With Corrections .y
Denied /)~//J C
Reviewed BY.! --j;;;tA& /
:L '- .. I'
Jt ~~ aJJa.k~ .~~
Date: ,-/ ~ . '2o~
Comments:
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
/.
~
(J7J ~() ~s
Tht Ctnlu of Iht Lakf Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
The Building, Engineering; and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
ILj97S Hi3hlcu\(' C- 1\ J:..
Accepted
./
Accepted With Corrections
Denied
Reviewed By: JJALrE'A CHItE.St!JANN
Date: -.-5/' /00
Comments: SEE I NFDt1~(.\"'rON OAS ,... (.
R€v8l..sE. ~ .
...5EE f1rrACHr\\Ul:IS: I. hNAc... (iJ~~OE- lNY6:-r,ol\J /AlFoIt~^" z. G'ltlClOING P'-I'IN
3. EaOS'ON CONTq,O'- MEAStJllE.S
':1:. &..OSI<31U ~rn. 0 '- R.."1A.J
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
.
""
.Permit#
.JObAddress/~.1J'1 _MV:rIo.rvl~f
.Heating Contractor MI: I RlfAIR -
"Te,.e"'O;gno...o T ;-
Date
.Gas Une
Pressurized
Inspected
....
Time
Pounds
Pressure
· Percent C02
PERFORMANCE TEST
.f.p,/f?
2itfO
;~ ~/O
.Percent CO \..../ 'tC
· Stack Temp. ~/d
.Percent 02
Finallnspec~n
.J
Date
.~
~
o
o
~
CITY OF PRIOR LAKE Me
16200 Eag1. Creek Av. S.E. Permit No. a 0 -0 z-'l5'
Prior Lake1 MN 55372 .
t1)
t1)
~
~
p..
~
~
t1)
~
~
:3
1-4
;:J
~
t1)
Address ,
'M.I~CGntractor t1'II./I-!'r..~ g'){I...t)~Q.'{ IF y PRFS.(
; I
Address/2JV6< I~g;g I9V dd.
Telepnoul ..,(, 3 ~ ;5"3 J I./y~"
E1U'ftZJ~
SurRI.llallT& ModerC~/JPP-P.I"~. TY1'E Of SYSTEM
. .,.- Warm Air Piams _
Moder Si1.e pi/~ I - R H N .$ Gravity ,
Mechanlcal
Afr Conditioning .
Vent. Sy~em .
HEAllNG OR POWER PLANT
Steam
Ho' Walir
Radiallan ,
Special Devices ,
-
~
~.
G
Cc nn. LDad
foal, ;(lIr
Flu8 Sizi
J?'
Supply Optnings
Return Openings ,
I"-
co
co
o
C")
It)
It)
N
~
(0
Inputc.~9~
Output _
Ed,. ,
OthBl Devices
c.tm .,
llPE. OF WORK
~
<
~
J>(
Atlerallons
Replaceml nl ,
New ConslWdion
~
~
Rapalr _ . Est Ccmp, Date ,
, ~
Esl. Cost $ _/ d~ -
HEATING PERMIT FEE $
S fATE SURCHARGE s.
rOT AL PERMIT FEES $.
Racelp\ II .
..
I"-
o
Building P emit. .
(J7J ;o~1S-
1-4
~.
~Jjf
//
o
O'
.......
co
N
.......
I"-
o
.50
1. Green -
:1- VeDa.. .
C1ry
Ca.umI:IDI
o
-II
"-
N
....
......
o
o
TYPE OF STRUCTURE
Sing le Family .
Commercial
\)(
_ Two-famUy
tnduslrlal
Mufti.Fam~y
Pub~c c Other_
~
Fee Schedule
)001
Ol
~
p
1 % . 01 ;nb cost (139.50 m;ntmum) "11
$99.50 PLEASE NOTE: ~
$54.50 Air Conditioner Units Caru=
~39.50 Encroach Into Required Si(:
. ~
S39.5O Yard Setb8cks~ ~
S:l9.5C ~
CII
lnduslrialt Commercfal & MuW-FamIv
ResldentiaJ, Hea"ng & /II;
Residenliall Heating OI11y
R_dermal, Gaa Fireplace
Aesiden.tlal. Addilions . Alterations
Residential, AC Only
Remember la add the Stare SUrcharge on the bottom 0' .hls appUcation.
Th e price at your heating per mil Includes 0 ne rough-in and one lin al inapeclion.
Addltionallnspedlons will be blUed a' $35.00 each_
House HeatIng Test Record mus1 be submitted with building permil numher before buird.
log celti1icate 01 occupancy will be Issued.
HEAT r..AI r.ul ~T'n~l~ RFOUIRFQ with number 01 suppty and return openings 'isled per :
room wilh CFM.s per opening. New abuctur&S or addiUons send fWor plan w;th sUPf'lV ~
and return local\ons-..shown. HEAT LOSS CALCUlATlONS. PAYMENT AND ~
APPUCATIONS MAY BE MAILED TO THE em OF PRIOR lAKE. \6200 EAGLE
CREEK AVE. S.E. PRiO~ LAKE, MN 55372. .
('
~
..
..
C
to:
city HaU business hours are 8 a.m.. 4:30 p.m,
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL).. CALL CITY HALL
447.9850 FA1/. "t4+,.. Ll-ZJ+5"
, hereby applv for Ii mechanlcal systems permit and' acknowredge thai '"e
informaUon above is complele and Becula'e; lhat lhe work will be IA conrormance
with the ordinances and codes of the eily and with the slale building/mechanical
codes; thai this lorm does no' become a permit untU sIgned by \he BUILDING
OFFrCIAL; that the work will be fn a.ccordance with the approved plan in lhe
r::)aJ}~~ :nd::'o~m 01 p,a;h, Ja
A4'rr~m I .~
JI) 8 · :3 .{)O
- BUi'9 ofttCa~'s Signalure - Date
i7~
~NE~
GREEN . FILE
YELLOW. APPLICANT
GOLD - CIT~
CITY OF PHIOR LAKE
SEWER AND Wl\TER PERMIT
S.W. No. CJ O--OaQS
NOTE:
Sewer and Water
contractors must
be registered
with the city.
APPLI CANT: 0 fly N bt l. X. ( ,
ADDRESS: lto "f SOft Zv-J w.~ '1 L It. Vi ,
SIGNATURE: ~ tJ~
SITE ADDRESS: )l/ 9 7.r II 1:.., If L J1..rl1J L""',
PHONE: Ry J- -&, ~ tJ t,
DATE: ..fh,!o u
BLDG. PERMIT # uv--oaq~-
PID# ~S--34d-oa'f-O
FILL IN THE BLANKS
1. Estimated length of water service
'-/0
feet.
2. Size of water service
I
. ,
inch(es).
3. Location of any couplings from structure
feet.
4 . Type of sewer pipe. ABS PVC X Cast Iron
I
5. Estimated length of sewer line qo feet.
6. Clean out (if required), located at
structure.
feet
from
-------------------------------------------------------------------
-------------------------------------------------------------------
This applicatio~ecomes your permit when appr.ol:dj/
BY_( /0 ,j.,fw.. '-L1'~Jv-4~ DATE: '5"~_"n.J
====~========= =================================-================
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 _~nd~ water permits are
issued. ~~~~~\
DATE PAID ~~~~~T PAID
~\\,Q
RECEIPT # ~S REC'D BY
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
- - - -.- · · .,_. ~ ~I'l,;"
I&(~ 16200 Eagle CreeUv. s.E. Plr.nllNCl. OO-O~&
\ ~ Prior La~ MN 55372 '
'\.:. HEATING APPLICATION I PERMIT
Dae \.a -? ')- ()"C) PlD II .Q'5 ~ 3 LId - O~ Ii - 0
.-< S"ae AtJdrIlSS . \ ~ ~ 'I S' . \-\ \' C. ~ 0 ~ '\l. C~. N f .
a: rcl
~ ~ Bb:k, ..z, Addition. 3 ,%~~ il> ~ Pt eta {J ,~
\ f, \ ,. I \ ., (}
~ Ownar"s Name, ~ \ l\ Ii\ \,J n" {l .rtON ~
I.D . ' .
~ Address, \ ~~ \,\ ~: '\~ l\~~ ~,^.." ~V~ \A
\~ \ "..
Hsming Cantr"'~r . \. \ r"\~ ,,... ~ ~ \ .
Address \ \" ~ t t'\ '-l ~ \ l Or-v. .\ i \ 1J.~: V"' ~ 44. ,
T ele;iJ::me t . '--\ '"" -, - ~ \ ~ "\ - .
FumlCll MiIka & ~at <,. '" II'" ~ ~ \...-
tI.:ld.1 Sh. .p '{\ 'l... () \ ~
Com. ~ad' \0 \ ~ \ <1
Ful) N ~ ~ ;:iue 5iz. ~ f I
Supply OfHinin;s, 1 c;
"1ItUm O;>>enin;s, ~
I~~, ~ O\ftpJI,"I ,
\
CiD
:dr. ,
a:::
H
a:
o
a:::
~
w
E
Cfm.,
\1\\"
..~ ..~,. .
TYPE OF SYl:. I ::M
Warm Air Plan!s
Gravity .
Mechani:aJ,
Ail Ccnd"abnin; ,
VIInt. Sysaam ,
H5A11MG OR POWER PlANT
S\aam .
Hot w.. .
Ra41idi:m .
Special n.v--" ,
,
at_ Dave. .
:TYPE OF STRUCTURE
I.Itak . iUt
1. CilIa · a.,
1. Yell... c..a.-.
Single Family ,X
Comrner=aJ..
Two-rmn1!y .
Ind\Strial
, MuIi-~~ __ .__
~ubi: ~ef
, ~~ of job f:2-5t~ ri~A~~trnumJ
~OQ:ft ! i, 11\ \., 2, ,', ,C
---.~ '! I ~ , "-
504.50 U /
$39.50 f (, DJN 2 3 2000
C'~a.50 '\' f
....v. , \ \ I
SS!.30 . l c~
A '.
.........
r:" S:heduJe
Industrial, Canmerdaf & MuIti-FimDy
Residanlal. Heating &- ~
~~aI, Heating Only
ResidBr~. Gas Firerda:!
~esicienRl. Additions l AJlsrUDnS
~esidenaiaJ. Ar, On.,
Remember to acid the S1atI Succharve an 1he boI:tm Df .. a;JI"'i~n.
The pri::a of yaur beating penrt in::Iades ane ~ and on. final ns;,eeficn.
Ad:itionaI ~ans wi be bIBd &1"1: 00 8Id1..
HD'.!R Heating Tess Recotd must be s=mIIed l1dtl ~&rml" rwml "flrn~r betcwe build-
in; ~ of OC:VPIInCy Wll be !Dued.
I
H'" lIT I'AI ,.,. !!Dfla5g 1IR9 wlllllUIIber allI.WIY IIlCII1IlIIrn. openin;s IisIIlIi per
~ wIIh eFMIs-per a;:tIniIg. New sIru:tura or ~ns lend fto:x' plan wJlrlU;lply
anr:ll'ltln JOCIIians shawn.. H&V LOSS CALCUlAJ-nNS. PAYMeiT AND
APPUCATlONS MAY BE tul ~1t) ne aTY OF P;UOR LAKE, , &2DO :N=I ::
WI=='( AY:.. ~ :: Pi=l1OR LAKE. MN 5S3'72..
CIty HaB llusi-- hours iUI IS Lm. . 4.-30 pm.
ALL WORK MUST BE tNSpa..d) fROUGH-IN AND FINAL). CALL cny MAU
1,13.,..,.
.. -c...w". '..:-" ..... ~:I -....;- ~':!~ ~.' "..-" ';'~_"1.~:"~--; ...:.r-:"'r-~ JI:" "'7'~'-'<') ..~.:,...: .;.?:.,..~~': .._. ;.... ~__ ...:...l..':'........~~.:.;,.~_...~._. _...___............: __ ." '~_
"
\. TYPE OFWORK \.1 I her8by IIpply lor I IIIIIchMiaII S}'S!Bms permit ancIllI:lcnowIedgl Ihat !he
\ ~ . intQl'IIIdDn .... is CIIlIIpIIIIt and accurate; lhaIlha "WDIk wII w ill COIlIonnInce .
AIImI:ms c . ~ New Consuu:::Iicln '. . . 'wlIb !he IlI'IIinencea ani! CDcIN III 11M cIIy UIII wiIh Ihe S'J!III ~
. · ., ..... ''-- . .' code:s; thad lhis f'!nn dClDIIlII becDm. . Jl8I1}Ib \lI1IlJ ~ by III. BUILDING
. n.p.r, .. . Comp. val . ft _ , . . 0FFICP.l.; IIlaI. "'I 1IflIlk wi! be ill · ......... will "'I IIppnMIcI plan ill the
& . ...... "-- $ (" CO ~ ~ Bu........ ~. u. t\- f) ~ l\S _ G1~, rIc ~tch_,.quhs review and apfmNaI crt plllM.. _ . _
(T) Est. __ . _~ '.'~ ~ '. . . ~ .
N ..~~;B'lNlTf:aI_ '. / . 1:JVo~" . V'\\. i.~'->;~....; .' -"':':-o-J'd-.;.. .
.-. '. /50 IIIID"~_~~.. · ( AppIiQ.a6~"h (~"~./i.-
~ '" STA'TESuRctIAAGe I. / .! .. '. . ~. """'IIIlt . .. 1.' ~"'~'..~:".' J. l. "\ .j" ''''2 . . ;~.'
~ - ~ . - / - (J..{ MY1\tJA ,... ':fA (' I J. II to ~::2.. (/.{ /
~ "iUI~_~~~",. AIC8fI'. - BItiIg~~. .' I 0..: . '.
l\! .' '. / , '.: '.: -:. ..: :.. _ .,'.."0. ". . .'. ':.: .'. :;,.~... :_'. :::;... . 0.... ....... ... "~.:o,,~.,::;'.':'_ ...... .
z: . ~ ~....:,. '., .. . ......~. ',. ~. :.....".;.:...,'-.".- .... . . ,,_ .. :".': ~'.'" ..... .' -,.-.........1. i...>i!' ~ ....~ ~..n -', '~b.:- ". ,. . OO! ""'". ~.... '".....~~ ._
. ..-. · .,.. - · '''~..'' "...,-, ...... .~~. . '""-.. :... ,... , .-" " "-'.d _, "" . ." ,.., .. ~ _ ,.~ ... ". .._ ..........._ .
~ <iO~:<."'" ':.:.....-.,,'~.('li.':~Jif"~~'4!I;~.,.,.;t-:.~'!i.,~~._..,....:. '<;S; .~;..;~~~~~~~~~~~..:.'-~~
' ...""".... . .." . . "'. """"'=.- '. .' .... . .' .
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: \j n. ~l1..Q ~.. A~ Lt m 'ell hOyJ.
Address: . ~l.r!n .. \ ~ r R A Att0J.
Signature: .0 /7 ,~ ~1?7/;'7 /? ,r~
Legal Description: Lot ~l Block 3
Site Address: 1, 4~l. t:=) ~ \()h \n.v\ (\~
Building Permit # 0 0-- -~-' PID #..:as,.. '2;,4a -DaL(-O
NOTE: This permit will not be processed without complete information.
This permit is granted upon lhc express condition that said
contractor. shall comply in all rc.~pccts wilh the ordin.1nce~
or lhe St:ltc Plumbing Code und the amepdmc.nls lhereof.
/'"t RF.CEI~ ~/Ol~D^TE
-(_. a.l~. -r ~~ leST
. &or all inspection/24 hours in advance.
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
!U/~1/99 THU 13:14 FAX 6124474245
CITY OF PRIOR LAKE
'''r ("fll'''' ftl '.... J ...., COlin""
FIXTURE UNITS
.. .
Quantity Type of Fixture Quantity
~ Bath Tub with or without shower 3
\ Dishwasher \
\ Floor Drain
'3 Lavatory (bathroom sink) \
\ Laundry Tray (1 or 2 compartment sink)
, Shower Stall
\ Sinks
Bar Sink
3 Water Closet (toilet)
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
~OOl
ULlNL 2\ ) 00
l. Blue-
2. Gold
3. Yellow
file
City
^rrliCI\DI
# OO-O~'iS
Phone: 4C1ri- - ~\ ';+j
Sub ~ '(U-~
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
8ackflow Assembly Test
Lawn Sprinkler
Othe r
$
$
$
$
.50
$
~
J)N 2. 6 2000
~~'.. ~._---
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS f{LJ6 8;(.!1. u-J ~~.
NATURE OF WORK _Nf'w (j
USE OF BUILDING S.~D
PERMIT NO. 00- O~CZ5 [)ATE ISSUED S-l-<..OOd
CONTRACTOR ~w~ f ~
- ';j
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT .
INSPECTOR
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
. ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
FOOTING tr.. 5/~;;' d
FOUNDATION (Prior to Backfill)Y'~~. ~/zltJ() .01 6)1')ft>
PLACE NO CONCRETE UNTIL' ABOVE HASleEEN SIGNED
ROUGH.~ INS
(:b. ~/ b/CJ-o
0;7 ,/M/~
~vM 7~Z~-vV (/ {l;rr." ?)~}1!/)1J
/l
tlJd?/IJJ'1P.' ,
w~ 1I'r&'. I ?/~/I)'i LL. ffi-p&'/tflJ
. · f?, ~ ~(i. 4 fJD L.L. eH 7 b~
~~ ,b,r. 7((o/~ · rp tL 0Ir 7~Y /(f(J
; /
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
FINALS
GRADING (Prior to Sodding) f J. R c;; . L.. b ' t>./
BUILDING i"w1. e. n. ~ (6/J,1/06 "1{}. cr/tl!op ~ /p/~!&,
ELECTRICAL J J.' " I t
PLUMBING i):J qltl~ ~
HEATING (j , , ~~) III I 11 \ (K'/
DO NOT OCCUpy UNTIL ABOVE ~s BEEN 'IG~ED
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIOf'jS (612) 447-9850
~., .N...." "';;,'~' ';''';''''';'iu';':' ..i4.~Ji.i;' >)L<' ':"'~A ii:,.;',;":;i: i ;;'i~,~iI ,"'1.\~:"",,,";.....:.L;, .. iJ,'~ ;~~i>, .1",;ij,,,:.:.;,~;J'1~,,,.l';&'''.'i''':';;Li~.~i;.i:..tr,;~,;",''::'&.~t~,,..;,,.1'-'"'5ik,t,"i.;i",:;,,;\,;.;c.t.;"'~~~"""'u...,z.i.,;~,.':")'.1;:...k .,;",,'1"'. \ :";.;.~"';,, ... ;"" .~.\ . "
6/;>. 4.ill
;VtjL~ a,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
.,.
I
ADDRESS
/r97.5
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
~FINAL 0 PLUMBING FINAL
] SITE INSPECTION 0 MECH FINAL
C'J r ,
COMMENTS: ?r:-~ I .
\~ J\ \ ~
~)UCA Q, (.A.l.A...a
DATE TIME
A-u.
CXJ -~'E
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
"""-'~~" ". .
""-,.
~,
!! WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPI:CTION BEFORE COVERING
Inspector: q- ,. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
JL~ TIME
CITY OF PRIOR LAKE f/ ~- tr-
INSPECTION NOTICE SCHEDULED
ADDRESS \ 4'11 ~ ~& G
OWNER CONTR.
PHONE NO. PERMIT NO. o -2-q~
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION ~ ~CH RI o COMPLAINT
o FRAMING TER HOOKUP o FIREPLACE RI
o INSULATION WER HOOKUP D FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS: If) ~ 'W.~ ~ ~ ~
/A~ - , ,
(4~ ~ ~ ~,(1~ o-<L ~
~ ~/)~ ~ ~fu' j~.(
3)~~ ~ ~
I
l-. {J~ --c:
- \\ ~~ ~~l'~'{ /~ ~ ~
\\ ~!-., ~ . ~~'_!J-!.. ..o~
e\ ~7/~-c;/~
11Z( ~((I j:!/C ~4lJ
. ~ It ({: o-ft-
o WORK SATISFACTORY, PROCEED
XCORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~ /"7;y, '
Inspector: (., " -!
Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
III'SNOTI
----
CITY OF PRIOR LAKE
INSPECTION NOTICE
S.CHEDULED
DATE TIME
t?-8-t5D ~: U)
ADDRESS
/497 S-/-I! GI/?/17VLJ Cf
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
~ )j( PLUMBING FINAL
YO MECH FINAL
-?1~
o EXlGRADlFILLING
o COMPLAINT-
o FIREPLACE.RI
o FIREPLACE FINAL
o GASLlNE,AI~TST
o
COMMENTS:
(5) ~h-~~ V~~- ~,
[V ~ l0~ -t~~S-,1
~ WvvL ~ We..-, '4-, ~~th,~
\ 4:J ~11\ ~ ~~ ZA-,g c;;
~,J I~fl ~ If fir
\J.J<.Y . v()o h 'j/ ~
V J f)/
J' A / ()
l,/lJ-rn,. / ~( ,
J V'J'-l..c '-- '---V IVV~
/
/
/
o LaRK SA IS
~~RRECJ
o CORREpT wo
6~
L FOR REINSPE:CTION BEFORE COVERING
Inspector: Owner/Contr:
CAL~7 -9850 FO THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
-- ~' INSJVOTI