HomeMy WebLinkAboutBuilding Permit #00-0299
16. PROJECT COSTNALUE
3c~ 006
17. COMPLI!TION DATE
5e~ 9tf;l C~
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
building off~n !e~pe~ause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X "/~~~~'. ,.. _-,.., ()>Do'lS-7Z-
./ - -.---signature ~ License No. Date
QA TE RECEIVED
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
APR I 4 2000
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
1. DATE
'I-jq- 00
PuD
~?S- - 337- oa~ -0
2. SITE ADDRESS
'3372-
tJooJ
j)v c k.
j)rlrt
tVw'
3. LEGAL DESCRIPTION
LOT '2s
A/;/d>
BLOCK I
s ~ /1.1 d/'htr; /p
4. OWNER 1 (Name) C'
j)Rvf f hl'/l .14q(
5. ARCHITECT U~N7nm,~~ r./ (Address) (Tel. No.)
J?rJlM ~+-- "tJ/~,prvct Ln 5Itf1W1.l">" ,,7'A. 1./<;7-t57'3
d/;;:/~4M<( F4so? Nf70 ~:;~JA-flw~71 ;~~~M 3
/ . f-fPfl't' YJrlkv '({"It''!
Fireplace ~ Septic O' Deck 0' Ro-roofing 0 Porch 0
Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
PID
ADDITION
(Address)
(Tel. No.)
7. TYPE OF WORK
New Construction ~
Chimney 0 Misc. ,
8. PROPERTY AREA OR ACRES
Sq.Ft.
9. PROPERTY DIMENSIONS
10. CULVERT SIZE
Width
Depth
Ye,s
No
",'"
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 'X~~~. 00
USE OF BUILDING
~FD
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
00-0 z,tt1
BUILDING INFORMATION
11. SIZE OF STRUCTURE
~~ ( ~I
12. NO. OF STORIES
'"Z-
~)I'
13. TYPE OF C~STRUqTION
$1,,(}lt ~,vt"y'
14. P(OOf} AREA APPORTIONMENT USE
?"W
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
i
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
Permit Fee.................. .... ......... .... $
2,0("2. ~
I , '301. CfO
I (,~ -50
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. . .. .. .. .. .. . .. . .. .. . .. .. .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
$
Citv:
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ....................................... $
sse .0c5
Uo.o .. CO
"-) '10 ~
Plumbing Permit Fee ....................... $
Pressure Reducer .......................... $
Meter Horn................................... $
Water Meter ................................. $
Sewer & Water Connection Fee ........... $
a 5't.) aIIJ
" 2..00. 00-
'too t~
Mechanical Permit Fee ..................... $
'M
" 6\~~~
/'
Sewer & Water Permit ...................... $
24 hour notice for all inspections 447-9850
<.~
06 --02-qo
Th.. e..nl... of Ih.. Lak.. Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATIION 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:
7;; \ t t
',-. ... .,' . 1'(
"'--, I \ 'v '-
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Accepted
Accepted With Corrections
"t/
Denied
Reviewed BY~~ ~~
v <i
Comments:
;Ll{C::l)~v1,&).k ~~. ,Jt~ b-~
Pf~'1 Uf/l€.., -J--1[yu ~'c!J#~ <TO c.,vkJ~
AIL +-~~~dJ f?~~~ .
~~/ ^- ~~~t-6r rDf=\ <,~trd
~~/k..~
Date: 6- 1- - 6t?
~ .
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.':
00 -0&11
The Center of the Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 1'\ c...- \tJ \ \ i 0vVY\ ~ i. A ~:)o ~Ovh
.
APPLICATION RECEIVED A pi\ \ \ l-_ I ~ovo
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2'57d \}Jood {)UV"~ On~ NR
Accepted
Accepted With Corrections A
Denied /1')/2
Reviewed By: (;df~
Date: tf-.2'7-:Poo
Comments:
,. ~ ttll Q~Elt It\.~avfs
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."
DD -6~qq
Tht ('tnftt of .ht lib Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
f'f\c t,iJ\ '\'(\.YY\~ ~ A~~OC\a.ie'(",
.
A PV\ \ \l- \ dODO
The, Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
2s7d (.J(J()ct ,~uc/=- O("\vX- \}\J(
Accepted
~
Accepted With Corrections
Denied
Reviewed By: Wi!tJ:E!1. EJ-(tlt!SM~,Ji'J
Date: 5/,1 ~o
. .
Comments: See. 'lNrC1'tt MtC\T.O^, ()~ "n'-4.E /<eJ~S€ SlOe.
SEE. t4~H-~~S: I. F,AJ~(' ~4oE INSPEcri.M INfotYtt4r/ol'r Z. MAIJI/4f.LPLAN
3. ERo$I.l),vC.oNrilo,- MEASuttES
'I. f Il..o SIC,J C, .v r~ 0 (.. Pc.. ,<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.."
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C~TY OF PRIOR LAKE Me '.
1&210 Eagle Creek /IN. 9.E. P.r~ No. cm:_~
Prior Lake, .. 55372
HEATING APPUCATION' ~Rwr
Oato. -,...,.. ('JQ PD' ~t:)- 3?>1"J -()~~ -C)
S1I8 Addf8l!ll .13 7.'A l.b~u'JM~ 1) L
l.GI as BkM:II I AchIIIiIla lAh \ Ab(')rtLH).t)'N
ownen NatM /He""../I'.M.....S ~ItJSSt';(~
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Addre- I#/"I~"~~ ~I/~)~;/
"831ingCon1rldor . Ah/!;-eII..I4' JtJ2,
Addr- /"l3~~.tI'1/. '~IJ~s<J
TII.p.on.,1 q~.. '7y~.,.Qod
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~ _ FII!,.... Makelllodel i'". Jtl#:_
~SiH a::JI').JK4IfKlO
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Conn. load
Fue1 ~jq f fiUe Sa S if
Supp, ()pMinvs , ;;2 ~
R.lWn Openinga . / ~
~ /DiI<<<<!I Olttpd 81.~
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TVPE OF WORK
,MNaIion'
R.pac...,...t
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Asp8it
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TYPE OF SYSTEM
Wamt Air rlents
GnI" ,
MIdI_kat ~u4~.tI!../.
Air Condltanialt !H:= S
VeRt~.... ~iA!A~
HOYtllG DR POWER PLANT
S1Mm .
..w WaIDr .__
Aadlstior I ~ ~
SpodalDow.:-
01- Deices
,... Oonslrucliall
~
Sing. ~
Conm1erQal
TYPE OF STRUCTURE
I. "'*
,. [hm
J 1'd1lllll
F;1e
OIJ
Q)Aa-''''
x
lWo.FamIY _. _. __ Mvli-Famity --
IndUaldal .. _. __ PutlIIe Other --- --
FetI Schldft
Induniftl. ConN"Aon:lB' &. ....Farriay
RelMenfill. Hearl\! I Ae
RoB1denW, Hoatiny Only
Res_n"', GIla At."... .
Retldantlll. AdIIiont '" AJI8I1ItIon9
RCIldendal. N; Only
Est. Cott' _ Sv161g Pe"'" ..
HEA~NG?EaYrrfEEl ~
STATE SURCHARGE S / .50
TOT~L PEAhlT FEES t. /
./
OI)- Oa"A
. WITH
G PERMIT
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11JJ"o' ~ aw;t ."19..50 rririrnum)
".SO P~n NOTE:
164.511: Air Conditioner Units Canno
'39.50 Muod "\10 K~\lin~d Side
t31.5(f Van! Setbacks.
$SS.5C
Remember to add the Stat, BufCt1aft~ an .. boltonI of nu ~tcaMn.
- 6 2000
111 ~ p,Ie. II wax hN&i1l pet_ ind.Mtes orle fmJIh.1n and one '"aI klspedian
AdIiIon8J _dolUS wiI 1M biltld at 1:'1S..(lJ eech.
Hauee Hceing Tell Record muat be eutxNlteci Wilt ""~~". ""filllt n.,mhal' bebe buti-
Ing cerllcaIe t:I oa.~y wiD .. (."". lid.
. .
Ir'F~T r.AI n" _Ttf'W~.'" ...~n Mh nLtI1It1ef at ~ and....n ope,wngs Ii8t8d p8r
roam." Gf~ per optIIIfng. New a1Ndurel If ....- -- loor p1M.... IUPPIr
end I8IiJm IaCaIans stllJWll. HEAT L09S CAlCUlATIOns. MVMEN r NJD
APPLICATIONS MAY BE MAlLEO'TO THE CITY OF PRIOR lAKE, 18200 EAGLE
CREEl< AVE. S.E. PRIOR LAKE, MN 5&11%. .
CI\y HIlI tmt,.,. MulS are 8 8.1fL . 4:30 p.m.
ALl WO. MUST. tNSPE.CT!D (MIl..... MD FfNALl- CALL em HALL
MJ~ FM ~"1" &.(.ZJ-t.~
;
J
I he.., aPfIy for a ..chank-aJ systems 'Irmll Ind lavll:mm}edge &hat the
informallon abcJyl is C1a~ta M1d acclIra.; Utai I1e WOflr WiH be in COnlofl1UV1C.
with the orU~'and codes ct I~ cIt, anll will Ole state bulldlnglmec:haniGal
cod. thII ".. form doe:>> no1 ~ecom. a p.rmit unlil IIg.,8d b, the BUILDING
OFACIA~that 11\0 work wUI be In a~"flc8 with ttw apprCMtd pilii' iI1 the
ca_ oJlO'work ~uJ~ and .pp'ovai ot plans.
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Pate
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CITY OF PRIOR LAKE Me
16200 Eagle ere.kAv. S.E. Permit No.m.; o7fla
Prior Lake, MN 55372 I I
TYPE OF STRUCTURE
N
-
N
CI)
C>
lU
a..
Sing'e Famify .
Multi-Family
Other,
Two-Famly
Industrial
HEATING APPUCATION I PERMlT
PIO' Z5 w' 3 31.; ()7~6 ~o
L.ycc\A~s.J k \:>-. pur)
lot 115 Block I Adadion W ( L,O 5 3 W
Own9tsName ~J\\\llu-n, ~ ~~cx....
PW4ic
Commercial,
Dale
-~3, ~
Fee Schedule
SI. Address
Industrial. Commerciaf & Mulli-Family
Residenl.a', Heating 5. At;
Aesidenlial. Healing Only
Residential, r..")~ Fireplace
Residential, Addilions & Nlerallons
Residential, AC OnJy
1% 0' lob cost ($39.50 minimum)
$99.50
164.50
$39.50
$39.50 JUN I 9 2000
$39.50.
~
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In
In
I"'-
Address
HeaUng Contractor ALL TED FIRES IDE dba FIllES IDE COP..N1!ll
Address 2700 N. :rAIR VI Et-l. ROSRVILLE I HN 55113
Tefephone' 651-633- 2 S 61
FIREPLACE iL _ 1
hltll!P ~'ake & L40del ~-U.( ..- 1(")
Model Size l 0 l"rCTR-
o
o
I
m
or-
I
C
:J
.,
Remember lo add the Stale Surcharge 00 the bottom of thts 8ppIica1ion.
TYPE OF SYSTEM
War m Air PJants
Gravly
Mechanical
Air Cond Itia nlng
Vtmt. System
The price or your heating permit includes one rough-in end one 11nal inspectkm.
Additional inspeclions wi. be bil19d al $35.00 each.
House Healing Test Record must be submitted with nllHrli~ .,~'rit n, ~~, before buld.
ing certificate of ocCtJpancv wi. be Issued.
HEAT r.AI r.i .lATIONS RFOl UAr:O wilh runber of S\JppIy and return openings Isted pe
room with CFM's per operjng. New structures or additions send floor plan wilh auppty
and relurn locations shown. HEAT lOSS CAlCU~TIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED 10 THE C~TY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55312.
City HaU busrnesl hours are 8 a.m.. 4:30 p.m.
..q
aD
aD
aD
C')
C')
co
Conn. Load
Fuel ~ (~Iue Size
Supply Openings
Rittu rn Openings
lnpu1 Outpul ~""'.ooO
Edr.
HEAllNG OR POWER PLANT
Steam
Hat Waler
Radialion
Special Oevjc.es
0r-
In
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I
ALL WORK MUST BE INSPECTED {ROUGH-IN AND ANAL} .. CALL CITY HALL
447-4230
0(1181 D&vices
Cfm.
TYPE OF WORl<
I hereby appry Jar a mechanical systems permit and ~ acknowledge that lhe
lnformation above is complete and accurale; Ihat the work will be in conformance
with the ordinances and codes 01 Ihe city and with the stat8 buUdingJmechanical
codes; lhat this rOlnt does not become a permit until signed by the BUILDING
OFFICIA L: Ihat the work will be in accordanc& wi1h 1he approved plan In the
case 0' aU work which requires review and approval of plans.
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But10f-tcat's SignalU'.
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New Const tuction
Replacement
t
.Est. Compo Date
. BuUding Permh II
Meral ions
Repair
oo~ D~qq
~JI.\t> 'tI\~..gf""
eU\\S)\~G~" ,
Est. Casl $
(a/hid)
(p 1/ qor;o
, t:ale
HEATING PERMH FEE $
STATE SURCHARGE $
TOTAL PERMIT FEES $
.50
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06-12-2000 12:15PM
MRTTHEW DRNIELS,INC.
423 3017 P.01
I
CITY OF PRIOR LAKE ~.= I:;
3. Y" I Applc.c
PLUMBING PERM" PPNo.OO-(t)aCJCl
Applicant hftJ+I+)J~u) ~iL1.s. l.a4. PhOne:.4S/) 4~-Jr~~
AddreS$: ~5'2dO t!fI':.("9~e.1 ~, ~~'=-- J\f# s412JJ
SIgnature; ~1'jr~ ~.~~1I "'L..;'~ . j_
Legal Descriptio . Lot qr; Blod< (), SUb~ \ \ ~ ::5 ftA ~
Site Address: ....s.a'1R.l ~ d.L I " 11 ) ~. . N.)/. j
Building Permit' t\ (j~. r1 ~ q q PIC #~.. 337 - r:>aS-lL
NOTE.: This permit wt11 not be precessed without QOl'I"Iplete information. i
i
FlXTURE UNI..-:) I
~..IM LaM c~~_____
, ~ ,0 rc::: ~. .'. r; r2
"\ \ l!:"- '. "'"~7 r:. . . ,
t ,...~ ,--. .___....1 _, I,)
ii)!! ....llam .
: \ \ :
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_J '~l~,,~~. .~~-.__ . __._. l.
Quantity
.!l-
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L
.;
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I
I AJ;"
-.d
Type ef Fixture
Quantity
Type of FIXture
Bath Tub with orwitl'\out shower
Dishwasher
Floor Crain
Lavatory (bathroom sink)
.
Laundry Tray <1 or 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
~
/.
R~ugh-ins
Water Heater
Water Sottner
I
-
Stand Pipe (washing m2.chin~)
I
Sew.ge E]eC:tor .
Badcflow Assembly (RP2. Doublel Chedc. pve:
I
Backflow Assembly Test
Lawn Sprinkler
Other
I A/~
FEE SCHEDULE
Industrial, Commercial & Multi-Family
(10" of job cost, $39.50 minimum)
Residential, New One & Two Family
Rasid."tial, Additions & Alterations
State Surcharge
$
$
$
$
S99.50
$39.50
~-GtJ
.50
i
i
$ IlJtJ.~d~ ~
!
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,
i
GAANOTOTAL
~~ 1( ~~
. ~v'V
This permit is ......red "pon the Gr., ..,lS ccmdition dw said
conmacrDr, shall co~ply (n all rupccts with the otdinaru;es
of !be ~ P1umblna: Code onof duI ~~_.f.
/ " ~. t:./L~< DATE
,~ . , ../
(/ ~d~lA"" Jt..l1dT
Call r all in5peCUri. 24 hours in advallce. I
..T- . I
16200 Eagle Creek Av. S.E.. Pr1 Lake, Minnesota 55372/ Ph. (612) 4474230 / F.&\X (612) 447f245
An Eq&&al Opponumty Employer f
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l
TOTRL P.01
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS S'3'12. W~O& \)uc\:- Qc-
NATURE OF WORK .Ne~
USE OF BUILDING ~~t:>
PERMIT NO. OfJ - (jzqq DATE ISSUED If-7-7-~e~a
CONTRACTOR I"\Cl W;\lio....... L.. I
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR . /1 DATE
. FOOTING llVc ~ 5/~/ ~O t I::- S;/IN,W
FOUNDATION (Prior to Backfill) . (J...;r) I~)CO' ·
PLACE NO CONCRETE UNTI~~ABoVE HAS BEEN SIGNED
ROUGH(lIN~
~::~~~ WATER I SEPTIC *!~r/~~,
INSULATION fJi-. ijf.P{j7v
ELECTRICAL
PLUMBING ~;~
HEATING (if required) ~ h@
FIREPLACE ;. · -;7:"-'w
GAS LINE AIR TEST &'
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
FINALS
GCr If-'Z-z. u d
ff'l/~
7. 2(P .0/
DO NOT
Q) p. .,-. 0 r?
//' \
I
OCCUpy UNTIL ABOVE HAS
NOTICE
\ \ /
"\ -' '"'\ ~
EEN 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
,
>~
Angell Aire, Inc.
12245 Nicollet Avenue South
Burnsville, MN 5S337
952-764-5200
Orstat Test Report for Job #
Address _ ?f/{)(jdc/ucK _ City bird' IR-l ~
Occupant d?r f1 /. .f /'rl#l ~~ cr-.&~ .
Date of Install ?5 . 200d
Type pf)ieat:
F/A Y HW Space HT_
Other l.
Make g rlA/l r .
Model ~~tJ Ai+<.JG 'IffO()
Serial t/L/,*f}t}~ojp
Input /do' fXJeJ
))01- ~V r h1-c e-
o <' _ ( C02 7. I
/Cl oJ 02 6.~"
3t/O co_-J'
Unit HT
Pilot Type
Pressure
Input CFH
Stack Temp
Date Tested
Company
Tester Name
DATE
J/~
I '
331r2. ti/tD/' ~~Za,.~e. tfJY
CONTR. I/dM~A~ _I ~>OQa,t~
@-;Z7!
~RAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
~MING
o ULA TION
FINAL
o SITE INSPECTION
o PLUMBIING RI
o MECH I"tl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBliNG FINAL
o MECH FINAL
TIME
COMMENTS:
J.e&in/~Q wo.!/ I~ llJ 1kK!~
J ,
5bil is R" ~ 1/1/11 "n lJe J-~ 2lrJe.
~K SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InspectOr.~ ~
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
ADDRESS
~3L'Z..
DATr
SCHEDULED tl ~
W.:::>uO D<.h-t.:. .
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
'2:~o
OWNER
CC)NTR.
PHONE NO.
PE:RMIT NO.
() 0 ..""2-,\ '\
o FOOTING
o FOUNDATION
o FRAMING
o INSULA2!!:1
~INAL
o SITE IN ECTION
o PLUMBING RI
o MECH FU
o WATER: HOOKUP
o SEWER: HOOKUP
o PLUMBING FIN+L
,.)(. MECH FINAL far-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
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o WORK SATISFACTORY, PROCEED
o CORRECT I PROCEED
rRREC K, CA FOR REINSPECTION BEFORE COVERING
Inspector: Owner/Contr:
CALL~-985 FOR THE NEXT IN,SPECTION 24 HOURS IN ADVANCE.
CODE UIR MENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTI
~;~ TIME
CITY OF PRIOR LAKE Q:50
INSPECTION NOTICE SCHEDULED
ADDRESS '33 7 2 woo~ ~
OWNER CONTR.
PHONE NO. PERMIT NO. 0- ZqCj
o FOOTING o PLUMBIING RI o EX/GRAD/FILLING
o FOUNDATION o MECH Ftl o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION C SEWER HOOKUP.f o FIREPLACE FINAL
o FINAL rS ~LUMBiNG FINA , o GASlINE AIR TST
o SITE INSPECTION o MECH F:INAL 0
COMMENTS: I
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1-~
lJrJ/^
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/
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o ~RK SA TI A TORY, PROCEED
Z ~~RRECT A TI AND PROCEED
o CORRECT K CALL FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CALL 417-9850 R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~UlRE~NTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
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