HomeMy WebLinkAboutBuilding Permit #00-0312
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CITY OF PRIOR LAKE
. I ~ JIll 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
Permit No.
1. DATE
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Heigrt) ~ 3' (Wic:llh) I (Depth, ~ S'
12. NO. OF STORIES
3. LEGAL DESCRIPTION
(p
ADDITION /JO~ WD" ~
LOT
BLOCK
1- PID ~~ S; - 3m - 0Cf:Q
I 9T A--D"/{.,~
13. TYPE OF CONSTRUCTION
(Address) (Tel. No.)
~
(Address) (Tel. No.)
l I
(Address) (Tel. No.)
" l
4. OWNER
Da..u"~
5. ARCHITECT
"- vt
6. BUILDER (Name)
't
7. TYPE OF WORK Rreplace a
New Constructio~ Alterations LJ
Chimney LJ Misc.
8. PROPERTY AREA OR ACRES
Sq. Ft. t.
1. White
2. Pink
3. Yellow
File
City
Applicant
OO~61Z-
Septic LJ
Addition LJ
Heating LJ Plumbing LJ
Finish Attic LJ Residing LJ
101. CULVERT SIZE
9. PROPERTY DIMENSIONS
Width Depth
'f(IS r4u
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. ESTIMATED VALUE
/'1D,oOo
17. CaMP ETION DATE
f Do
Reroofing LJ Porch LJ
Rnish Basement LJ
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 proceecl In accordance with submitted plans. I am aware that the
building official can evoke this permit for Just cause. Furthermore, I hereby agree that the city official or a designee may enter upon the property to perform n~ed ~ns.
X Sl~ature q; Z r Lklense No. rfh ~~ ()O
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Back
Side
PROPOSED GRADE FOUNDATION
IN RELATION TO CURB OR CROWN
OF STREET
USE OF BUILDING ~ F' ")
OFF STREET PARKING
SPACES REa.
SPACES ON PLAN
PERMIT VALUATION ~fO . Ot}rJ
.
TYPE OF CONSTRUCTION: I II III IV V
City:
Occupancy Group A BEl H R M
Division 1 2 3 4
Permit Fee ................................... $--' .5 ~ ~. 25
Plan Checking Fee ......................... $ ~ (~ 1 . 2.. 1_
,~, 00
l C>o .0 0
36'.50
'00 ..&e
C/o .OCl
. ~ lU
f\ ~)/,
~~/') I~
Ctleck if
OEJferred
State Surcharge ............................. $
1IleAa1ty .n~........................... $
SJeplic Q~tgm ...... S. t-.~ .. .. .. ... .... $
~.......fdtJ..~n........... $
......... ..T....:I::': r........... $
our Building Permit When Approved.
Date 6-== {- Ood
Issued
Side
MATERIAL FILED WITH APPUCA nON
SOIL TESTS CJ ENERGY DATA CJ
PILING LOGS LJ
PLANS & SPECS a
SURVEY LJ
PLOT PLAN LJ
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee .. .. .. .. . .. . .. .. . . .. ... $
Sewer Tap ................................... $
Ucense Check Fee ......................... $
Pressure Reducer ... .. ...... . .. .. . .. . .. .... $
Meter Horn ................................... $
Water Meter ................................. $
o Sewer & Water Connection Fee ........... $
LJ
PERCOLATION TESTS 0
SETS
COPIES
4S.ot)
I ~s: txJ
J 2Z> 0 ~C)O
, 7()() . trA
B
This is to certify that the request in the above application and accompanying documents is In accordance with the City Zoning Ordinance and may as requested. This document when
~~---...._~olzanrG~arxl--:q~. -:~~nwbe_.
~'"~5-~-CO ~. . C ~~lt (l 4i
ity Planner - Date . Special Conditions if any
24 Hour notice for all inspections 447-42309:00 a.m. .10:00 a.m.
,
,
OV -03f L-
The Cenlef of the Lake Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT D e..,e r tJ) C,{,)'",-~ ,~~ (:>f\ .::: \'f\J c.:'\-; i:,rYt.)
APPLICATION RECEIVED /\, \'-', ,\ \ L.\ ::J (\",/ 1{~
I '\ ...1\, -:..t) ~." ,. _ / ~ j
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. I \..,.
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'.:~-'. ; ... c~C1 \j \ ~ \rJ C' . ["' t" ~. t (-,' .r c \ t.:...
Accepted
Accepted With Corrections
~\~ \~
~
Denied
~~
Date:
o-~&o
Reviewed By:
Comments:
1sr~ VJr~ G)~ ~ Fv"~
~ -.t- 1L1.v~ rR "t) 'C0 L 0 Covla.
.VdV~~~.~ t3:(~ S-F-\f7'~
~c4 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. II
00 ~03(~
Thf ("tnltr of lht Lab Counlr)"
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENt CHECKLIST
NAME OF APPLICANT DGe r'orf}()~e~ (t)f\S\tUC~(fr~ \f'~
APPLICATION RECEIVED f\ ?\i \ B) . Q (){)(')
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3c-Qq \{ \ tG\rJc~r~~r CAre \~ ~
Accepted
./'
Accepted With Corrections
Denied
Reviewed By: JJ"'I,IQl..... t:H1t~S/f1~
Date: y./1..(,/00
Comments: :Sf~ 1 l\JF'ot1.t'\AT"',oN aN 11~~ !?€lJ&'5E" SlfJr.
5E~ A1"Mc",I't~,.J,s, L J="A.lJ4-L. lJaA-Of INSP&:l-'Ou J^,rolt..~IIT'iIJN 2. ~"AtNr.. R"AJ
~ . ft't.OS'6'" c..,JJTTt.o~.t11 tMvltE-S
Y-. ~~ION CONi'"RO'- PtAtJ
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. II
TOTAL PERMIT FEES $
Receipt #
Building Offical's Signature
Date
STATE SURCHARGE
$
50
Applicant's Signature
Date
HEATING PERMIT FEE $
Alterations
Est.
Repair
Cost $
Est.
Replacement
Building Permit #
Comp. Date
New Construction
'I
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
case of all work which requires review and approval of plans.
Cfm.
TYPE OF WORK
HEATING OR POWER PLANT
Steam
Hot Water _
Radiation _
Special Devices
Other Devices
City Hall 4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) -
Phone: (952) 447-9850 447-4245
Fax:
(952)
CALL CITY HALL
Return Openings
Input /1/ (j1Jt) #l{utput
Edr.
Conn. Load
Fuel ?tt s Flue Size
Supply Openings
~ !trA
Model Size
.s- 1,/
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical _
Air Conditioning
Vent. System
business hours are 8 a.m.
HEAT CAL LATIONS REQUIRED 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.
The price of your
Additional
heating permit includes one rough-in and one final
inspections will be billed at $35.00 each.
U^II~.o. U.o.~+inn To~+ Co,""n,.rI ""II~+ ho ~llh""i++o"" ,.,ith hi .il,.lin,.. ....".."""i+ ..... .~h,.u" h"'"...,, I-.u .iI,...
, 'v,"",,,"'" I ''''Q''"~ Iv~' , ,..,"'V,"'" "''''''~' UV ';;O...UIIII....,"'" nUll U"'"U'"~ ~ IIUIIIUv' UvlVlv UUIIU-
ing certificate of occupancy will be issued.
AIR CONDITIONER' UNITS CANNOT
ENCROACH INTO SIDEYARD SETBACKS.
inspection
Address
Address
Owner's Name
Remember to add the State Surcharge on the bottom of this application
ndustrial, 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
Lot
Block
Addition
/'
Fee Schedule
.~.
CITY OF PRIOR LAK Me
16200 Eagle Creek Av. S.E. ermit No.
Prior Lake, MN 55372
ATING APPLICATION I PERMIT
Single Family
Commercial
Industrial
Public
Multi-Family
Other
00 -03/~
"-
Two-Family
TYPE OF~TRUCTURE
1.
2.
3.
Pink
Green
Yellow
File
City
Contractor
.
'f/.
o
ORSAT TEST
Job Address 3 CJ ~ q 1/ i , i.JI rf'~ sf:: 4'~ ;;},
f3 ' 1
Heating Contractor ~A yo..e AI V /1- r
Dale q,t J.,IOD Pressure ~. 5"
~
StockTemp 3D 6
Percent 02
Percent C02
~
PercentCO
;z-
)
.~
JUL-19-00 09:47 PM STEWART PLUMBING
6124281733
P.02
2 0 2000
CITY OF PRIOR LAKE
PLUMBING PERMIT
Applicant: I
Address: ---1.2 0 $:$:,_.~.. .1<.&../1,,-
- Signature: ~.
Legal Description: Lot -' t? Bloek---OL-sub1)nR..THW(\OP O~K.~
Site Address: ]o~ I/j'~".)- &~~~ C:"c./t'!.. ftwl W. E~l~ \ "'.. ~.Dl)'"
Building Permit # 00 - (')3 \~ PIO # 6}5"- ~a - ooc\ - Q
NOTE: This permit will not be processed without complete Information.
FIXTURE UNITS
1. Blue
2. O~ld
3. Yellow
File
City
^Pf1 Ii CRnI
#
OD-(J3,-q
--- "."
'I"~ (.rnlrr /IF III. 1..1lr C'II..II'"
Phone: (" I ~ - tJ ~ "iI- / ,.,2 ~
1W"'Y.s. 1ItJLJ-. c-r:.-.,~~ . .______._____
Quantity ...
Type of Fixture Quantity Type of Fixture
.:l Bath Tub with or without shower 3 Rough~ins
J Dishwasher I Water Heater
I Floor Drain Water Softner
4 Lavatory (bathroom sink) I Stand Pipe (washing machine)
, Laundry Tray (1 or 2 compartment sink) Sewage Ejector
I Shower Stall Backflow Assembly (RPZ, Double Check, PVB)
I Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
3 Water Closet (toilet) Other
FEE SCHEDULE
Industrial. Commercial & Multi.Famlly
(1 DID of job cost, $39.50 minimum)
Residential. New One & Two Family
Residential. Additions & Alterations
State Surcharge
$99.50
$39.50
~Q~~~~
~ ~\~G
~U\""
GRAND TOTAL
16200 Eagle Creek Av. S,E.. rior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
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TOTAL PERMIT cEES
STATE SURCHARGE
$
$
Receipt #
PAIQ WITH M\T
~PE.R
HEATING PERMIT FEE $
Est.
Repair
Alterations
Cost $
Est.
Replacemen1
Building Permit #
Compo Date
00- 031 ~
New Construction
I hereby apply for a mechanical systems permit and I acknowledge that the
information above ;s complete and accurate; that the work will be in conformance
with the ordinances and codes of the city and with Ihe slate 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
II work which requires ;7w and approval of plans.
Clm.
TYPE OF WORK
Other Devices
GAS FIREPLACE
447-4230
4:30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL) .
CALL CITY HALL
;>4
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~
~
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e"
<:
~
<:
e"
u
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E-t
<:
::s
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Edr.
Return Openings
Input
Output
HEA llNG OR POWER PLANT
Sleam _
Hot Waler _
Radialion _
Special Devices
City Hall
ttEAI ~ .u [j REQUIRED 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.
business hours are B a.m.
Supply Openings
Fuel
Flue Size
Gravity
Mechanical
Air Conditioning
Vent. System
House Heating Test Record must be submitted with
ing certificale of occupancy will be issued.
.b.Yilifulg m:rmi1 number
betore build-
Conn. Load
AdditionaJ inspections will be billed at $35.00 each
Furnacq Make & Model
- .
Model Size'
TYPE OF SYSTEM
Warm Air Plants
The price of your heating permit includes one rough-in and one tinal inspection.
-'"'" ....
Remember 10 add the State Surcharge on the bottom of this application.
Telephone # 763-315-7500
Address
Heating Contractor
Lot
Date
9210 WYOMING AVE N
AUTOMATIC GARAGE
BROOKLYN PARK
DOOR & FIREPLACES
MN 55445
Additions & Alterations
Residential, AC Only
Industrial, Commercial & Multi-Family
Residential,
Fee Schedule
Commercial
Heating & AC
Heating Only
Gas Fireplace
X Two-Family
-
Industrial
% of job cosq~9&O.~};
,'- - r t-
$99.50 ~:..~ ~.
$64.50
$39.50
$39.50
$39.50
Public
Multi-Family
Other
JUL 2+ 3IIl
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HEATING APPLICATION
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S.E.
Prior Lake, MN 55372
Me
Permit No.
()D - O~</a
Single Family
TYPE
I. Pink
2. Green
J. Yellow
File
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lot.!L ....LAdIWIn~ ~o ~ ~E> CInnIItIII&Mta-l1wd l'-of_Q)II~ni8un)
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'Pit v, I{ -I (p .... At..... ·
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Ccm.... _ ~ (' n lL~" I --~-....................MJ<I~.......1JI!I1IiI8lIIdlII......1JuM.
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Filii J(o. 1- ~P5 AM sta !:1.:!- v.m. ___ 3 ~n \ D ~ R-.
- tIU[~n.. ~ AFaJ1IIAJ....... 01___ ...,.... ............
SUlftap.ing& I ~ _ HEAlItI GllIOWERIUIIr .._ CAft,........ New ~........ ...,... ...........,
.... and............. 011 GM.aJlAJ1ONL\ .-..wr AND
"""QpdIQI I 0 _ _ Hat..., APPlICA11ON& MIllE ~ :>> THE CllYOf' PAlOfl.lME.. I'" EIIOlE
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GREEN - FILE
YELLOW - APPLICANT
GOLD - CITY
CITY OF PRIOR LAKE S.W. No. ()O.. ()3/ 2-
SEWER AND WJl~TER PERMIT
NOTE: Sewer and Water
contractors must
be registered
with the City.
SIGNATURE:
. /'. / '-r--/ I"~
-+<>C' /~..f ~J" C
PHONE: 1$-)- //'( J}- S'~ j?
7-L,' ()
ADDRESS:
b ...f [C [) /2 rJ ~:-
-----)
~
DATE:
BLDG. PERMIT # / 'if: D
.<.- i2~7- L-,I~?~~~ ZS-3t. 0 - 009 - 0
SITE ADDRESS:
FILL IN THE BLANKS
1. Estimated length of water service ~J 0
feet.
2 .
size of water service LJ
I
inch(es) .
3. Location of any couplings from structure
feet.
4. Type of sewer pipe. ABS PVC~ Cast Iron
5. Estimated length of sewer line 45""~ feet.
6. Clean out (if required), located at
structure.
feet
from
BY
-----------------------------------------------
----- -----------------------------------------
This
your permit when appro~ft
DATE: '7 ~ tJO
,
-----------
-----------
------------------------------------------------------
------------------------------------------------------
FEES:
$
$
$
35.00
.50
35.50
Sewer and water line connection permit.
SurchargE~
TOTAL
*
Fee for either sewer or water individually is $J.?~ 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. ""'\\\-\
If ~O ~, oe.~tA\"
AMOUNT PAID ~..-
REC'D BY
DATE PAID
RECEIPT #
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
cm-0312-
Tht' Ct'ntt'r of tht' L.kt' Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT U~e rb\DC)"'-~ C~Of\~1-rud1OY\S \n(.
APPLICATION RECEIVED ~pn \ ~ L:\) ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
3();lC{ \f\~Wcr~r ~~('L\e, ~
Accepted
Accepted With Corrections
~
Denied ~ ? AJ . /
Reviewed B(4~
Comments:
Date: (t;:. 1- 2i::Jo 0
I.~~ a1J ~ ~
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
PRIOR LAKE
INSPECTION RECORD
l)f'~ Lr,~ Ct-.
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS SO 29
NATURE OF WORK NoelL \
USE OF BUILDING S~~
PERMIT NO. 00-03(2- DATE ISSUED
CONTRACTOR ~e.r- \ot~~ Cd'~~~.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
~/-?CJ ~
,
FOOTING
FOUNDATION (Prior to Backfill) ? 'bO
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
DATE
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
COVER NO WORK UNTIL ABOVE
I~~~ID C
FINALS
(
S BEEN SIGNED
I
GRADING (Prior to Sodding)
BUILDING1'.c.,.o' ~ 00
ELECTRICAL
PLUMBING
HEATING 1 oX b6
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in inspections
and maintained until all inspections have b,:en approved. On buildings and additions
where no service cabinet is available, card shall b~ placed near main entrance.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
,,~~>:.,,:.~,.~ .i, ,...
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
30d-9
SCHE:DULED tf.fo.(jl 4.;tfl)Pi1
VISLJ~T
OWNER
CON.rR.
PHONE NO.
PERMIT NO.
00 -3/2--
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PlUMBIN(; 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 GASLlNE AIR TST
o
COMMENTS:
tJU. c) f
L/
....
~~
II
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
RK~ crll FOR REINSPEC-rION BEFORE COVERING
Inspector: __ \j I Ownelr/Contr:
CALL 447-9850 FOR THE N XT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSN01']
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
3()29
OWNER
DATE TIME
SCHI:DULED 41 z. 7 (tJo t L) 3C
U/~I~
CON'TR.
PHONE NO.
PERMIT NO.
Q - 5l "2....
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULA TIO tJ
W FINAL
b SITE INSPECTION
o PlUMBINc:; RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PlUMBINc:; FINAL
o MECH FINAL
o EX/GRAD/FilLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: g~ - J ~S~
~~~7-1-1 ~ ~ ~+r,
@ M~ ~ ~ cLtz-~.,~
@ J(~ IJ::bi, krn. ~ ~ ~
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(!f;) fIA... t. 4~ ~ ~ ~- ~ 0-.42 ~o -t:;.
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~"'_:~_:.:~~-'"~~"C],""",-"io:"".~~:.r:,,," '
ACTORY I PROCEED
~ CORRECT TION AND PROCEED
o CORRECT WORK'$;L FOR REINSPECTION BEFORE COVERING
Inspector: , Ownler/Contr:
CALL 447.9850 FOR THE NEXT INSF'ECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
e ,.~/-c>l
30Jq 1J,~vl~I'~~rC,'r
SCHEDULED
IJ-n
ADDRESS
OWNER
CON1'R.
PHONE NO.
PERMIT NO.
00.-312-
o FOOTING
o FRAMING
o INSULATION
~NAL
o FOUNDATION
o DEMOLITION
o FIRE PREVo
o PLUMBING RI
o MECHANICAL
o WA TER HOO~~UP
o SEWER HOO~~UP
o SEPTIC INSTALL
o PLUMBING FIIIIAL
o SITE INSPECT.ION
e>cCEX~ILLlNG
o LKSHORENYETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
~c, II - ~ t:..
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE: COVERING
Inspector: ~ ~--8" Owner/Contr:
----
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHI:DULED
81z-loa
,
/1:00
ADDRESS 3c ;t 9
Jtiw ~
OWNER
CON'fR.
6 - 31e-
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
~ 0 MECHRI
~ WATER HOOKUP
SEWER HOOKUP
· . ~ PLUMBING FINAL
o MECH FINAL
o EX/GRAD/FilliNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
4H
()11~
I( Tt -"1<- 'I ~ ~
co- ~ _~~
~,~~, 7\-0 ~_~
~,,~ .Lfl'~
I" '5.:kt=- A t\ ( rfIr-
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CAll FOR REINSPEC1r10N BEFORE COVERING
Inspector: ~,
Owne~r/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOll
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
'I-a-DO
3:30
ADDRESS
30Z-Q
VIE; W eJe6S-r
OWNER
CON'TR.
PHONE NO.
PERMIT NO.
- 31 z...
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBINC:; RI
o MECH RI
o WATER H100KUP
o SEWER HOOKUP f\.
~PLUMBINC:; FINAL r)
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
10MMENTS:
(l)~~ W~
l-kv.:4-
-v~
~~
cJl~,
-
JA.)o1l^
ov
---
ACTORY, PROCEED
D PROCEED
LL FOR REINSPEC'TION BEFORE COVERING
OWnE~r/Contr:
R THE NEXT INSPECTION 24 HOURS IN ADVANCE.
TS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNO:rJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION"NOTICE
soz'}
SCHEDULED 'l/ZIt,/iJtJ ,,,,, S (J
.
vi e tu C/U:;-st
ADDRESS
OWNER
CONT'R.
PHONE NO.
PERMIT NO.
~-31'Z-
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ~ 0 SEWER HCIOKUP
Jl FINAL ~ 0 PLUMBING FINAL ~
o SITE INSPECTION ~ MECH FINAL v:s;
COMMENTS~LCG. Q~- II-J:SP.
m~ ~r4 -1;1 Ch- ~..Q! ~-h
~ ~V"'L~.
*~~~~~~tu'r
~ ."t- ~.A f~ ~ ~ - M..... MJl,...,
m~~~~,
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ R.~~~.
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
'r- CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~. Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPE:CTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOWl PERSONAL HEALTH & SAFETYl
INSNOTI