HomeMy WebLinkAboutBuilding Permit #00-0349
DATE RECEIVED CITY OF PRIOR LAKE
BUILDING PERMIT,
APR 2 8 200n 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 AD
1. DATE
~-.2;-~
E PUJ)
3. LEGAL DESCRIPTION
LOT ~ 3 BLOCK ..2
ADDITION 77,.1 I1t ~ 3 nJ.. fJdd dt......:..
4. OWNER
PID 26-357 - 0+/-0
7. TYPE OF WORK
New Construction ,r
Chimney 0 Misc.
10.. CULVERT SIZE
Yes &
8. PROPERTY AREA OR ACRES
Sq. Ft. J.3tJ.<u;
9. PROPERTY DIMENSIONS
Width '1 it' Depth J ()
Permit No.
1. White
2. Pink
3. Yellow
File
City
Applicant
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) 1 , (W1dlh) (Depth) Ji .., I
....J Y. t, ' .,. ;.
12. NO. OF STORIES
2.
SURVEY
PLOT PLAN
o
o
13. TYPE OF ~STRUCTION
.2 )u..iJ.~
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS I
SEATS
16. PROJECT COSTNALUE
3~~
17. COMPLETION DATE
9-/j" -tH)
1 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 tioned P. rty 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
buildin Ici I r 0 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 / 3 t' 7 J.t.-Z$T-IJ.~
Signa ure License No. Date
(Tel. No.)
12.. 32.9 t.?g2"
ame) (Tel. No.)
l.t1Jn ~~ '1'1- f(@O
(N:mel r;lc:/l::esS:fJrJ ~ ~~ ;~~~82C)
Fireplace II Septic 0 Deck 0 RtHOofing 0 Porch 0
Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
FOR ADMINISTRATIVE USE
SETBACKS: Required
Actual
Front
Side
Back
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
USE OF BUILDING SFD
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
Side
PERMIT VALUATION
~.oo 0 ,t:)C/
r
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4 '1
Permit Fee ................................... $ ':I, f~ . "2S-
Plan Check Fee ............................. $ J I ]Cl2 · '2/_
State Surcharge ............................. $~
City:
Penalty ....................................... $
Plumbing Permit Fee ....................... $~ 00. t)O
/ 00 · l'J t'J
ZS · S"D
((0 . ~O
~o
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
. ......... $
ilding ~:tr;it.$:11~rz~d
Certificate of Occupancy
Issued
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
~~ .~ $
Pressure Reducer ...:9..... J........... $
Meter Horn................ .... .... .... ....... $
Water Meter....../. ~.~..................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee ........................... $
Water Tap ................................... $
Builder's Deposit ............................ $
Other......................................... $
Total Due.............................. $
Paid fCt ef9. , ~ Receipt No.
COPIES
I, I ~(J .~C
70 ~tM
250 .CJ l::)
, I 2tYl · oe
..,,,,, .00
1,S'~{) .~
1ft ~49.1 f;
Date By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This document when
sign by th ity Planner constitutes a temporary Certificate of Zoning complian~nd allows construction to commenc. e. Before occu~cy, a Certificate of Occupancy must be issued.
5.U~ ~"'..e~ f\e,ar C~V YlW- (.LWI(.\r(r~ if'
City Planner Date r-" Spe~al Conditions if any
24 hour notice for all inspections 447-9850
o 0 .() 3. fer
The Center of the Lab Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT c..AJ d.o..\~ofl\ Gu~+r1YY"\ 1St A, ~d Of
& A~PLlCATION RECEIVED ~d 't \ ~ozro
#.
J' The Building, Engineering, and Planning Departments have reviewed the building permit
f.* ~ 0\, application for construction activity which is proposed at:
32,43 WOOD OUc-'fC-
Accepted
Accepted With correc~
Denied ~ _ ~
ReviewedBy - -f/fI'#~ Date: ~((-~
:~~ rJJ2_ ~~ /4P-~
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 - ~341
...
White - Building
Canary - Engineering
Pink - Planning
'.'~ '"
"':j.Ij;
The eeRIer of Ihe like CouRlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
. .--)
NAME OF APPLICANT ~ /U C~C\\\~CV~~(~,~J/,'Y'r1 . Di 1'\ V1 U,,,
.tC\.. AP,PLlCATION RECEIVED A()C\ l d <t, cf (}(J()
'SfV'~~' I 1 '
4<.p;rb The Building, Engineering, and Planning Departments have reviewed the building permit
lA" ~ "- application for construction activity which is proposed at:
3 2- '-/ 3 CJ~ ~{jLk f:;:{{ulCL ~
Accepted V
Accepted With Corrections
Date: ~~-lO-~
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
.~ ..
'"
00- 3~ ~
.,.
Thr ('rntrr of thr L.kr Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT lAI c\cl\~~, Gu~h<<Y\ bl ^\ \d U'"
. f' AfPLlCATION RECEIVED f\pn L8 ~ \ ~ OZJO
'. ,.'. \,; ~ (,vJ .
''(J\\' \ '
J' ~ The Building, Engineering, and Planning Departments have reviewed the building permit
(' ~~) f]\, application for construction activity which is proposed at:
3Z~3
WoooCUC)( ~'2.~Jt
Accepted
-/
Accepted With Corrections
Denied /
Reviewed By: t../I4L"'m. ~~"'^" Date: rs.l"j-
L-yl
Comments: ,......f. "'~l(.wG... IQLu'u.Jt4Rt..~ ~'-oPt.. Is 3: I _ "'1'H,s 5L.oPE. ....."sr-
/'
B( tffA,,.J'f'A.NEO IILOI\SG "THE. Bfs.,- .s,ot:
of "..,..~ ~1b$E:.O 8~'c..D,;U~ .
.sEE. ItJFolt~lo,.J o,..J ""'H~ R~"E/(s(. SIOC.
SEf. ~''''ME:~i~: J h~AL ~~O.E IN~p.erfON lA.Jfofltilt"""ON Z. ~tf.AO,;\J[, rLl4I\l
3. E'R..OSIO~ Co,.JTn.., l.. M(A.svltf S
V:. ~~OSI()^-.J CoftolfTl..o(... f{1fMI
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
....
Job Address ~ 3 ~ri \)ocK
Heating Contractor ALTA, LTD.
Name of Tester ~..-
<G"~-OO
::J.(010
I 1>'"P~
Percent CO2 ,- 3> 90
Stack Temp. --' "3 "So I\e..~
Combustion air is adequately supplied per
UMC Sec. 606
Input
Date
Percent O2
Percent CO
'\
'"
0.
N
N
..
N
o
o
o
I
o
r-I
I
r-
:J
'1
STATE SURCHARGE
TOTAL PERMIT fEES
Aterllion s
Repair _
Est Cost S
HEATING PERMrr FEE I
.
TVPE Of WORK
Replacement _
Esl Comp. Date _
Building
Receipt ,
Perma.
New ConstlUdion
4q
PAID WITH
BUILDING PERMIT
/'
f hereby apply for a mechanical systems permit and I acknowledge that the
rn'ormaUon above i. comptete and accurate; .".1 lhe work win be in conformance
with the ord~nances and code. of the city and with the state building/m~chan;cal
codes: that this form does not become a permit until signed by the BUILDING
OFFICIAL; that the work win!!e in accordance with the approved pJan in the
case of a 'ork which re .a ,eview and approval of plan..
Addr..
'lI.phone .
FwnllOl Maka & Mod.1
UodIlSize lDolj
CoM. load
Fuel ~FIue Size
Suppl, Openingl 17
R.lum Openings q
Input Ifll!iXJ OuIpuI_ KD JLfi)
Edr.
am.
5"
Dat.
sae AddI..
laI ~ BIDck ~ Addition
Own.".. Neme --' '
Mdt.. P. O.
Zl
3 lYPE OF SYSTEM
War,. Air Pia,. _
Gravitr
Mechanbl _
Ail Concr.;oning 1:1:
VM. Syst.m _
HEA11NG OR POWER PLANT
Steam _
Hat Water _
RaIIation _
Special Dwicas
01'* Device.
The price of your heating permit incIudea one rougt)-in and one final tnspection.
Additional inlpeclionl wIJ be bIIed at $35.00 each.
~ofoft._ HGuse Healint rest Record must be ~ wiIh buiJdDg RlDDilIU.IIlba beIote buDd.
~ 'UY ~ ing certificate 01 occupancy wi be issued.
HEAt CALCUlATIONS RECU'REQ wih number of.uppIy and return openings listed per
rGOm with CFM'. per opening. New llructures Of additians send floo, plan wiIft ~pry
and retum locations shown. HEAT LOSS CALCUlATIONS. PAYMENT AND
APPlICAnONS MAY BE MAILED TO THE cnv OF PRK>R LAKE, '6200 EAGLE
CREEK AVE. S.E. PRJOR lAKE, MN 55372.
CIv Hal busineu hO\n aN 8 a.na.. 4:30 p.m.
ALL WORK MUST BE INSPECTED (AOUOH-lN AND FlNA1.) . CAU CITY HALL
447-8150
Fee Schad".
Industrial. Commen:ial & Mulli-Famiy
Residenti... Healing & AC
R8IidentiaI. Healing Only
Residenl". Gas F"Jrlplace
Res1denU.. Additions & Alterations
Residential. AC Only
Remember to add the S.... Surcharge on the bottom of this apptication.
1 % 01 job cost (139.:so minimum)
$99.50 \
S64.so
539.50
139.50
139.50
JUL
2000
HEAnNG APPUCAnON I PERMIT
:;l 3
o
SingJe Fanily
CGmmetciel
Two-Famly
IndustrW
Public
Mub;.FamIy
O1her
~
o
.
0.
CITY OF PRIOR LAKE Me
18200 Eagle C...1r Av. I.E. Permil No. 0 () - ():s.q q
Prior La_, UN 55372
~
I. fig
J. en:.
1.. "...
Rae
Ciq
c-..
JUL-05-00 10:46 PM
/OPRIO',;,
r\~L\
\0 ~)
\ '
'-... ....,J/
.....-..'"
1 It, C mltt.ad ,....I.....~t'wu..Trt
, '
JUL 10 2000
P.01
, . aluc
1. Geld
3 V.11ow
"Ie
Clr~
"~1IIf
CITY OF PAIOR LAKE
PLUMBING PERMIT # .0..0-: .Q.3Lj~.
AI1f1I1r.~nl:~ 1=> YY'~~::~ 2. Phone; ~~9-~'7'99 -
-Add..,ss: ~~'I9.-._, .!.gV~,::,- - -:LL-e_~.__..__
Signature; I!J ~ ~~. ~..A J ___
'(.,? ~- IH'/d ~~1l:U.
~:~:~:~t1~? ~~ThJ~~Ck ~,..~~~=-.~~.~~~~_-
,~tJildfng Psrm1t* _._...QO.~ 03~_q...._,.....,. ...... .... ..P'O"~S:J370~.0-
NOTe~ This permit will not be processed without cornptete tn1ormallon.
FIXTURIE UNITS
..R'_...._ " .-.....-.-..--.. -........
UHn\t\v TvPtl ul Fi.luftll QUMu\i\v Ty",. 9f Fbdyr.
.-.,,- ...._......_........-..-... ~toowI___..._..__.._.__ _. .. ........ ....... . "'J
.~. ;;- Bath Tub with or without shower Rough-in.
I............ ...._. .. . . ...... ~....----'"
___1...., l:Jlsnwasnlr / Water Heatar
............-----------.--
I Floor Drain . Water Softner..
."...........--....- .............. ".......
S- Lavatory (batnroom link) / Stand Pipe (washing machine)
.--...-- -. .......- n. v- ...
l- I IIunriry Tmy (1 nr? r.nmrmrtm..nt "ink) StlYtaae Ejector
._...___,--_........_._. ..... ...t.......
I Shower Stall a.ekf1ow AlMmbly (APZ. Cauble Check. PV8)
I .1 .-. ...... .. 'I.. . .... .. ..... .... ..... -...... ... --r-r-. .,.. "_f_
Ci"hl liooldtow AOGCrnb'y 1 aat
- - ,,' ....... ..~.,.......
aar Sink Lawn Sprink'.r
I- - .. .......- ...-..-., - ..-.-- --- .. ... .........-
Wafer CIODct (tOIlDt) Ocher
-- ." ....... , ...... ,......---...---.-.....---- .....---. ,........--..-.-.--...- . . .. . .0' .. .. __" '-''' --...................-. ,. .. .
Industrial, Cornmer~'.\ & Multi-Family
(1% of lob COlt, sag.so minimum)
A..Id.nll.l, New One & Twa Family
R.~~ntl.1, Addltioni & Alt.,,,tton.
Stat. Surcharge
a
IIEI! SCHEDULE
\ 6200 Ealle Creek Av.
$99.50
$'3g.~o
$_-_.
S
~\~~ ~\\
f ~~OG~~~
~'OP\~
t!aAAND TOTAL
110J1S 24 hours in .d~a"ce.
r Lake, Minnesota 55372/ Ph. (612) 447...4230 I FAX (612) 447-4245 ~
. ,. t ,...
',. ........1.....
10/12/99 rUE 11:22 FAX 81244742~5
CITY OF PRIOR LAKE
II 001
..... . No.'
,,,'-OW ' ~.euT
... . 0'1'"
CITY OF PRIOR LAKE 110. 0V"-0311
SEWER AND WATER PERMIT
NOTE: Sewe~ and Water
contJ".ctors lIust
be recJistered
with the city.
APPLICANT:...=:t5Q~ftl !i~ CQU~tur; PHONEPtn~7't<(-0~~(j~
ADDRESS: 337~. L0 i:A:~Qt::-D"'TE: CQ- 7~oCJ
SIGNATURE: ~---r----- BLDG. PEMIT t (jlJ-./{)341
SITE ADDRESS: 3~ 'I WDac1 u dl ~D* ZS;"'~37 - O~c)
FILL IN THE BLANKS
1. Estimated length of water service S"o \ feet.
I '\
2. Size of water service inch(es).
:3 . Location of any couplin9$ from structure () teet.
4 . Type 0' sewer pipe. ABS pvck Cast Iron
- -
CO "
5. Estimated length ot sewer line teet.
6. Clean out (if required) , located. at --- feet from
struct\Jr..
~ = =====..._..a......_.5~D;~C;:=============D
BY
s your permit when approved~
DATE: (p V (/I)
__...:=====...------...---=-=============c=======c
This
===.___.;:;;;'==::lI_
FEES:
$
$
$
.00
.50
35.50
Sewer and water line connection permit,
Surcharq8
TOTAL
.
Pee tor either sewer or water individually is stJ.6o plus
$ .50 surcharge.
Sewer and water pormits issued for new eonstruction must be
recorded on the buildin~ permit car~ at the tim. of 188u~nce
to insure that no dupllcate sewer and water permit. are
issued.
oft
DATE PAID
RECEIPT *
AMOONT PAID
~
REC'O BY
4629 O~kota St. S.E., Prior Lake, Minnt$Ot. 55372 I Ph. (612) 447.4230 I Fax {6121 447.4245
J\I'J [Qll^1. OPPORrUNrr'r fMPt.o"f'cn
JUN I 4 2.000
TOTAL PERMJT FEES
HEATING PERMiT FEE $
STATE SURCI~ARGE
$
$
Racelpl #
\...\,
PAID WITH
BUILDING PERMIT
-0
lD
10
m
N
-
W
Est.
Repai r
Altera1ions
Cost
t
\
Re place m ent
I
.Est. Comp. Date
lCO<-O
New Con stfUction
/
~
a
I hereby apply for a mechanical systems permit and I acknowledge thal1he ~
inrormalion ,above is comple1e and accmale; that tha work will be in conformanet ~
wUh the ordinances and codes ollhe ciry and with the slate buildrngfmechanicl
codes; t~ this 'orm does not become a permit unlit signed by the BUtLDIN(
OFFICtAL; ~.~t ,he work wilf be in accordance with the approved pian in the
aU wd!k I~ requires review and approval of plans.
) .
efm.
Edr
TYPE OF WORK
Other D9vicas
447~230
City 4 :30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINAL)
CALL CITY HALL
Input
SlJpply O?8I"1Cngs
!
Return Openings
OutpUI
Fue
Conn. Load
Telephone It 651- 633 -2561
FIREPLACr-
tXnP!J M eke & Mod~
Model Si
TYPE OF SYSTEM
Warm AtJ Plants
Gravily _
Mechanical _
Air Cc nd IlIe !ling
V 8'nt. Sysle m
HEAllUG OR POWER PLAUT
Slgam _
Hot Walar _
Radiation _
Spilcial Oevices
Hall
tiEAT ~ ~ REQUIRED with number of supply al1d return openings lisled p
room with CFM's per o~ening. New slructures or additions send 1100r plan with suppty
and relurn locations shown. HEAT lOSS CALCULATIONS, PAYMENT AND
APPLlCAT10NS MAY BE MAILED TO THE CITY OF PAIOR lAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR IJ\KE, MN 55372.
businass hours are 6 a. m.
L
c::
I-'
I
~
to
I
a
a
CD
U'1
~
The price oJ your healing p-ermil includes one rough. in and one final inspection CD
w
Additional inspeclions mil be biUed al $35.00 each. W
(J)
(J)
House Heating Tesl Record must be submiUed with WtlQIDg QmDiL nwnb.eJ before build ~
ing cerlilicate of occupancy will be 'ssued. .. .
Remember to add
the S lale Su rch arge on lhe boltom
applicatio n.
Addr~s.s
27
00
K
FAIRVIEW
ROSEVILLE
MN
55113
or this
Owne r's
Address
~
~
16.~<~
I~
Dale _ ~
Beating Conlracto
Address
Si\e
Lol
ALLIED FIRESIDE
dba FIRESIDE
COR
N
E1\
nduslr~11 Commercial & Multi-Family
Residential, Healing & AC
Residenlial, Healing Only
Residenlial, Gas FirepJace
Residential, Addilions & Alteralions
Residential, AC Only
Fee Schedule
1 % 01 j~ .~st {~~_~.:.~<! ~.~Imum)
$?9.50, r'
'~l
$64.50 -
$39.50
$39. SO
S39.50
JUL
2 G 2000
HEATING APPLICATION
/L
Commercial
Industrial
Public
MuJ(j- Family
OOler
I PERMIT
16200 Eagle Creek Av. S.E
Prjor La](e. MN 55372
CITY OF PRIOR LAKE
Me
PermLl No.
00 - OY-i'l
Single Famil)'
Two-Family
TYPE
URE
I
1.
1.
P'i"k
Gmrll
Yellow
en
m
filt ::J
0[1 r+
CawlrIlClor OJ
'<
.."
1-"
-,
m
tI)
1-"
a.
m
n
o
-,
::J
m
-,
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS 3")<.(3 Wo~Dx~ Dt-,
NATURE OF WORK -AJpw
USE OF BUILDING SF/~
PERMIT NO. EQ=---r:9 DATE ISSUED S-Lf-2oo
CONTRACTOR \x::U L~.
NOTE: THIS IS NOT A P RMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I FOOTING I IJ;;..( INSPECTOR
FOUNDATION (Prior to Backfill) t'7/~
PLACE NO CONCRETE UNTI ABOVE HAS BEEN SIGNED
ROUGH -
DATE
"/~~tJ
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
BOVE HAS BEEN SIGNED
I
COVER NO WORK UNTI
J WALLBOARD
I
FINALS
GRADING (Prior to Sodding)
BUILDING f,C,. · -tJ1 '''' ~
ELECTRICAL
PLUMBING
HEATING /
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 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
1
f
L
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
(o-4-(X) fl. r.
"3 ;J ~I ,3 u.~ () fLclC D r
SCHEDULED
ADDRESS
OWNER
CONTR.
u - ~ '19
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION ~
FINAL .\J::5/
~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 GASLlNE AIR TST
o
)( WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~. I Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
ADDRESS
3;xtf3
DATE TIME
SCHEDULED ~
{Ajax! /JUI!K Dr,ve~
CONTR. t1~.... ~ 4k'~
PERMIT NO. aJ- 349
o PLUMBING RI ~GRAD/FILLlNG
o MECH RI 0 COMPLAINT
o WA.TER HOOKUP 0 FIREPLACE RI
o SEWER HOOKUP 0 FIREPLACE FINAL
o PLUMBING FINAL 0 GASLlNE AIR TST
o MECH FINAL 0
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
~MING
o SULA TION
FINAL
o SITE INSPECTION
COMMENTS:
GrlLy is ~.
(!P,/k r is tit<:-
/
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL F~INSPECTI~N_BEFORE COVERING
Inspector:~~a~Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
INSNOTl
DATE TIME
CITY OF PRIOR LAKE 9//~O'
INSPECTION NOTICE SCHEDULED If) ~ I!::'
ADDRESS 3Zlf3 ubd 0 OttCtt-
OWNER CONTR.
PHONE NO. PERMIT NO. o - 3c.f~
o FOOTING o PLUMBING RI o EX/GRAD/FILLING
):l FOUNDATION o MECH RI o COMPLAINT
o FRAMING ~ o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
)I.. FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
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o CORRE=--~LL 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!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
3243 fVOOD
OWNER
CONTR.
DATE TIME
9- (p. () 0 j: IS-
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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
J) 0 SEWER HOOKUP
r .k( PLUMBING FINAL
/0 MECH FINAL
COMMENTS:
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I SPECTION BEFORE COVERING
Inspector:
Owner/Contr:
XT INSPECTION 24 HOURS IN ADVANCE.
INSNOTJ
E FOR YOUR PERSONAL HEALTH & SAl
DATE TIME
CITY OF PRIOR LAKE L hul/l
INSPECTION NOTICE SCHEDULED ~ /""< 1')
ADDRESS c'<;f)43 {JJor, rl {)(Jflc f)n ~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
U7J -03C{9
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
to PLUMBING RI
o ECH RI
WATER HOOKUP
SEWER HOOKUP
@~UMBING FINAL
o MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
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OCEED
INSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
NEXT INSPECTION 24 HOURS IN ADVANCE.
ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI