HomeMy WebLinkAboutBuilding Permit 00-0443
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
00,0 ~3
Permit No.
1. DATE
5/15/00
2. SITE ADDRESS. l\ L., ~ ~ \ . Ii-. . k. VJ \ -~f1 0)
')t'J#' "-~l"L. . ..-'k.- 1-~()3l1 ~ t-r"' '" ~J\
3. LEGAL DESCRIPTION ((ISD
LOT I:) . BLOCK.::L. PID dt::;-,~O- OlS-O
ADDITION --1J ^ ("J;~,-y n ll. J f)C'~ Cc..-l- · I ~ .A-cldn.
4. OWNER 'f\l\. (Name) . . ""'7) (Address) . (Tel. No.)
\ \\(,\t'\~~" _~r~_ ~h~. ~ . b~ ;,t.,S; X7J2
5. ARCHITEC1t'\ \ (Name) ; (Address) (Tel. No.)
~ v"-nGO ~~ G~/-4S:J -07;)y
6. BUILDER (Name) -~ress) (Tel. No.) 15. NUMBER OF OCCUPANTS OR SEATS
'{\f\ ~ ;ts OCCUPANTS
7. lYPE OF WORK (it Fir.PIaC~ f !~ . Deck" Re-_ng " Porch" SEATS
New Construction X Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. PROJECT COSTNALUE
Chimney 0 Misc. d:57J ( O~
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 10. CULVERT SIZE 17. COMPLETION DATE
Sq. Ft. ~,l9ut) Width Depth Yes No Jt:;D ~S Hllr\ D,'a lxtk.-
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 autho~ed agent for
the above ~nt_i ed property and that all..constructiO~i11 onfo rm to all existing state and local laws an.d will proce. ed in accordance with submitted plans. I am aware that the
building offi an revoke this permit for j~e. ore, I herNgree that the city official or a de~may ente~on the property to perform nfe?ed i_nfP~s.
X _~ c\/. . ~~~oo'~1~3~.t Sf/!:>ftJU
Signature _X- License No. Date
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width)
(Depth)
12. NO. OF STORIES
;J
13. TYjE OF CONSTRUCTION
".ft!u.-J Iltrmf7.
14. FLOOR AREA APPORTIONMENT USE
FOFt,AfpMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SETBACKS: Required
Actual
SOIL TESTS
o ENERGY DATA
o
Side
Side
Back
Front
PILING LOGS LI PERCOLATION TESTS LI
PLANS & SPECS 0 SETS
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION 2S'tl, &!)C)
USE OF BUILDING
Slb
SURVEY
PLOT PLAN
o COPIES
o
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC ......................................... $
City:
~o- a1
I. LI'J().a:L
/
Division 1 2 3 4
i,JP3~ ~ ?, s=
/, () (QY ?J
J~O
Permit Fee................................... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
t:;L, $ ,
Pressure Reducer ...'18................... $ l./5;.o-l:)
Meter Hom ............................ ....... $ , I as. 00
Water Meter ................................. $ t
Sewer & Water Connection Fee ........... $.-1.,.2 ~ 0 . c;O
WaterTowerFee ........................... $ . 7..f2.t). CJC)
Water Tap ........... ........................ $
Builder's Deposit ............................ $ 1! '5/)() . e>-tJ
Other......................................... $
Pakj ~; l~f:~.~..........~:;i~~oL~h/ 5'~
Issued Date i / , Lil7l By t rvA..)
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoni~rdin~ce andmay proceed a~eq ~sted. This document when
sig~= a temporary C:'2~~ compi<=OWS~-&':k~ ~a '6rtificate of Dc upancy must be issued
City Planner Date Special Conditions if any
Plan Check Fee .... ......................... $
State Surcharge ............................. $
Penalty ....................................... $
/60 - (}O
100. tJ(J
'55'r !D
lfiJ.OO
n~
r~':~.'J
- I
~'~ 6U
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
. 'ng ~:t:nit~~~
24 hour notice for all inspections 447-9850
.:It{:..
lD -0 L'.I.:3
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT ~ n..;(\ \ e- "/ ~Y7).....,
APPLICATION RECEIVED \',/\ (k_\1 ~7 i h
( .cY1,~,t.
\(\C.
,-.. / \ /~
,-- / I /(/1 J
t".~ t ~' .. _.' "-....
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4::~\(YS 1 ~.-t \,J 'L\.<( \ (~t(~,\ G ~J) ("'/ j\) W
'..J
Accepted
Accepted With Corrections
~
Denied
Reviewed By: ~_
Date: ~ ~ 1- "C90
Comments:
2-L1F\ f/lt.JJLM.uM. ~(~ 1~k.l~pVr~ -
~'\l/) ~~~V ~.D'LJ~ W/L:1..
~~WiY<;' ~(' .akl~~ eM ~"
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 or Ihe takl' Counlry
f~ ~O l-i,i3
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT "'{),X\ \e.--'1 lS'f?/:'... c...vn~t. \ ('\(..
APPLICATION RECEIVED \1\0 ~ I \ 1( t+J :;) fJ1JO
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(~O-S'14nvWk. \(\~~ G~ NW
Accepted
Accepted With Corrections ~
Denied
Reviewed By: t2cJal /~ -- Date: 5-2(,-2t:t:>o
Comments:
I. faJ cJJJa.-ffa~ ~~
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."
/{1.~~. ~'~.m
..~.
00 -0433
Tht (tnlu of Iht Lab Country ,
. White,~__- Building
:' canatY'-'i; Enghiet!ting
Pink' . - Planning,
BUILOING PERMIT APPLICATION DEPARTMENT CHECKLIST
. .
NAME OF APPLIC~f\JT .
"'\rlJ\ \~"1 Sr/'t':
'^. . \.n Lh
. . 'y I(UI ~ " r .
(~t.
'9 fJOO
.\ (\C- r
. .
.APPLICATIONRECEIVED
. ..' "" ',' .'
. .
The Building, Engineerihg; and Planning Depar.trhents have reviewed the building permit
CiPplicationJor 'construct~~n actiVity whicryis proposed at: .
l~O -S'7-i {k~NV ~ 1<'\(~'C LVJO n (\JW
Accepted, . -./
. '
Accepted With Corretti~ns_
Denied
Reviewad~y:', ,1J"I,.TF.n.EMllts~A~.J
Date: 'v, I~ 1 DO,
Comments: r...E: ""'~I.CfW\vM Ac..&.."',H~B,"E 'Sc...,.r..,S 3~ 1.
s(,e. I,., F o~ ~A .,., 0 IlJ
.1llJ '1",-, i R.E"e itS E' "s,~ _ -
St~ ~-rna~AlTS'" l,hNd,- GAA()(' fAJS'!C""ON/.,JFotl...~-r,o,J
Z .r;tl401~ H.R^,
,'J.' Et..~su.~ Co,.,ant.OL- MfA$.v~E:.s'
-1-. ,Ell. 0 51 0 N COI'l,(l.oc... RA ,J
'-. .'
liThe issuance or granting .of a permit or approval of plans, specifications and
computationsshaHnot be construed to be a P!3rmiffor, 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~fthe jurisdictionsh~1I not be valid,"
..
'"
Job Address
Heating Contractor
Name of Tester
Date
Percent 0
Percent CO2
...
Percent CO
Stack Temp.
3037 ~u~kRt~
I.o~-"^
7'l1t~ "J.../
E'9~1o
8%
0%
7%
JL)O
/
r.
\"C:
CITY OF PRIOR LAKE MC
16200 Eagle Creek Av. S.E. Permit No. (\D - ~
Prio... Lake, MN 55372 0 L.J4 3
HEATING APPLICATION I PERMIT
Date r') -/3 -00 PID# ;JS-3bO-O\S--O
Site Address ~ D :~ '1 ~. J.1 Cc LU k R \ ole" .p R..cl'
Lot a Block 9. Addition AlClN-h\N()C)dVOoJ~~
Owner's Name rnCL~ fJ./)~ P~hJe...h 1* ~
Address
Heating Contractor ):::/~k A1;./n W h '+- Jt1- J C-
Address ~ ()} n ~ II ~ fl.l) I'.t;' .y(fr A' ' ~R 11IIJ~) fI h...J
Telephone # C;.5/: ~ho ilf53t13' - - \jJ
Furnace Make & Model . ~A'JtJ17 . TYPE OF SYSTEM
':J . V\'. t 1 . Warm Air Plants
Model Size . !"hq LJ ~ '1 ():-e>! on Gravity
Mechanical _ I
Air Conditioning )( P~'\,..>r ,jtor'
Vent. System . i '
Conn. Load
Fuel,
~t
3"
Flue Size
Supply Openings ~ 0
Return Openings q
Input ) OD pi)) Output cr~.fY) Q
Edr.
Cfm.
HEATING OR POWER PLANT
Steam
Hot Water
Radiation
Special Devices
Other Devices
Alterations
Replacement
TYPE OF WORK
\I
New Construction
-;7
Repair Est. Comp. Date ~ .
Est. Cost $. c-, ~O-LJO BUild7.ng P rmit # Y - o'-li.l. '5
- ( ~ ~
HEATING PERMIT FEE $ '- ~ 0 'f\ \1"~ <<
STATESURCHARGE $ Ao 2~~t)\~~e ~
TOTAL PERMIT FEES $ /
,/
, ~
--..
..
J
TYPE OF STRUCTURE
I. Pink File
2. Green City
3. Yellow Contractor
Single Family
Commercial
xJ
/
Two-Family
Industrial
Public
Multi-Family.
Other
Fee Schedule
Industrial, 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
~IK1WJj ~
T I I
UUL'(\~ 00 /
~
Remember to add the State Surcharge on the bottom of this application.
The price of your heating permit includes one rough-in and one final inspection.
Additional inspections will be billed at $35.00 each.
House Heating Test Record must be submitted with building oermit number before build-
ing certificate of occupancy will be issued.
HEAT CALCULATIONS 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.
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
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 ill be in accordance with the approved plan in the
V1 ;;:hiCh r uir:j;_1Pproval of Plans? -/3 -cxJ
I ('/- J. ~1it'aiU' afure- - ~ Date
&hI , ~J'htA~. 0 '7//2'/1J1J
(j. uilding Dlli/slgnature J ~ate
CITY OF PRIOR LAKE Me
16200 Eagle CreekAv. S.E. POlmt1 No. no - 01.\1.3
Prior Lake, MN 55372 .
Date
HEATING APPLICATION I PERMIT
7-/f-00 PID # N/)'- r~("f) -- O1S-G
3J37 fh ~~ toJ - .
\d. Block 0{ Addition _\J ( ~~ A ~l r1a...lt ^ ~.~
/YJ6.~ ~. \ b1-- At)~N
I I t?-
Site Address
Lot
Owner.s Name
Address
Heating Contraclo r ALL lED FIR E SID E d b a P IRE SID E COR. N E R
Address 2 7 0 0 'N, F A I R V I EW. R 0 S E V ILL E. MN 5 5 11 3
Telephone , 6 5 1- 6 3 3 - 2 5 6 1
FIREPLACE r)
1M/M19 Make & Model 1/1# AJ 60:.
ModelSilB. ~~
COM. Load
Fuel -6 u... ~ Flue Size
Supply Opanings
Return Openings
TYPE OF SYSTEM
Warm Air Plants
Gravity
Mechanical
Air Conditioning
Vent System
Il'Ipijt
Edl.
OUlpL/1 ~]LY.D
HEAliNG OR POWER PlANT
Steam
Hot Watflr
Radiation
Spscial Devices
Other D&vices
elm.
TYPE OF WORK
AJleraUons
. Aeplacilrn ent
New Co nstruclion
\<;
Repair . ~Est. Comp. Date J ~~D,)
1
Est. Cn<J. L 1./00..:;;0 Building Perm" ) - 04L~~",:!-, ~
HEATING PERU IT FEE$ / 6U\~\~G pe.f\\'A~
STATE SURCHARGE $ /50
TOTAL PERMIT FEES $ / Reoetpt II -
~ .
TYPE OF STRUCTURE
I. "nk . file g>
1. {inltft . City :J
,. Ydtow . Coonthlr r+
OJ
'<
Single FamJJy
Two- Family
Indus1rial
"
H
:::0
m
00
H
a
m
n
a
:::0
z
m
:::0
Commercial
Muttt-FamRy
PubMc _ Olher
Fea Schedule
Induslriat, Commercial & Mufti-FamlJy
Re$1dential, HitaUng & AC
Residenttal, Heating Only
AesidenUal, Gas Fireplace
Residenttal, Addnions & AUerations
ResidenUaJ. AC OnJy
1 % 0' JoI;>> eo"tl$_~9.~m1n1mum)
$99.50 ~ i;! e T"2 r n,r; 'W
$64.50 I ;~ ',,-~_~~~5.:. l-,
, I
:::: i ill JIJ.. I . 2000
$39.50 "
1",'
Remember to add lhe State Surcharge on ahe boliom 01 this 8pprcaiiOf1~
The price or your heating perm~t includes ooe rough-in and one ,inal inspection.
Additional inspections w~1 be billed 81 $35.00 each.
0)
111
....A.
0)
U)
U)
(J)
House HeaUng Tesl Record musl be submiUed with buildinq np,11M rI'~ betore bWfd- ~
4ng certificate of occupancy wi. be issued. ...f:;
HEAT CALCULATIONS R EOUIREO with nl.mber of 5U~Y and return open~ Nsted pe
room wi1h ern's per openlng_ New slructures or addiooJl$ tend lloor pJan wirh IUppty
and return loca1ions shown. HEAT lOSS CAlCUlATtONS, PAYMENT AND
APPUCATIONS MAY BE MAllED TO THE CrTY OF PRIOR LAKE, 16200 EAGLE
CREEK AVE. S.E. PRIOR lAKE. MN 55372.
Cily Hat! bus.fness hours InI 8 8.m. - 4:30 p. m.
ALL WORK MUST BE INSPEClED (ROUGH-IN AND FINAL).. CALL CITY HALL
441-4230
L
C
......
I
....A.
(J)
I
o
o
N
..
-, her~by apply 'or a mechanFc~t systems permft and I acknowledge thallhe ti
informalion above is comptele and acculate; that 'he work will btt in con'ofmanee ~
wHh the ordinances and COd~5 of the clly Bnd wUh 1he stala buiJding/met:hanicBI".
codes; lhal this form does not become a permit until signed by the BUILDING
OFFICIAL; that lhe work will be in accordance wi1h the approved plan in 1he
case ~n work which requfr8s review and approval 0' plans.
~ II-Lc.-r-. /~j)/o~
. / A Aprifacao!fSign'urs (" ~ I j Date
fJ/n J ~ -::1 4 ' r:I ,. It :...,.... ') 7 II l{/tiJ
D 'lfui~ Ofr7s'lJ'lalur8 I 0'Ide
'1J
ID
to
.(1)
-
....A.
06/06/00 11m 10:11 FAX 6128902753
STOCKER EXCAVATING
raJ 001
if;~
\~/
~NE~
~u - .....2
....LI.4. - AP""-.JC:A-"
QfA.D . CITY
CITY OF PRIOR LAKE NO. 00-0443
SEWER AND WATER PERMIT
NOTE: Sever and Water
contractors must
be registered
'With the city.
APPLICANT: DC Mechanical/Stocker Excavating
PHONE:
890-4Z41
ADDRESS:
8247 ~~S 125th St., ft~a;w.~~~ ~5378
SIGNATURE:' 7A'~~
I~ ~ . ~ ~
SITE ADDRESS ~ 30'l7 Hawk: lH tlgD 'Rn3!llr4
DATE: June 5 J 2000
SLOG. PERMIT ,0443
,PIO# 7_~-..3(pO -' 0 /5-0
FILL IN THE BLANKS
PVC _ X
. '0~@I.~<.;;..'
~,,\ ~ - 0 2()\)\)
\ \1, \feet.
: '. \ \,
I i-b'h
1. .
Estimated length of water service
2.
sizB of ~ater service
inch ( as) .
J _
Location af any couplin9s from structure
~ \.../ \
4 .
Type of sewer pipe. ASS
Cast
\
...~._..<".....-..I
5. Estimated length of se~er line
feet.
6. Clean out (if required), located at
structure.
feet
'from
~=~~E_~~~==~~=2_~:2De~=D~=~__==_~~~~S==~~~~=_~~~_~==~~~=~~~~~~=
B~
eS your permit when approv;~~ ~
. DATE: ~O
-=~~~=~~~--===~~~=-~=~~=~~~~~=:=-~~=~~=~=--~--~~---~
*!!!!===:=!!:t::==s==
FEES;
$
$
$
Sewer and water line connection permit_
Surcharge
TOTAL
* Fee for ither se~er or water individually is $20.00 plus
$ .50 surcharge.
*
Sewer and water permits issued for new
recorded on the building permit card
to insure that no .duplicate sewer
issued. -
are
DATE PAID
AMOUNT PAID
lnust be
RECEIPT #
REC'O BY
16200 Eagle Creek Av. S.E... Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-4245
An Bqual Opportunity Employ~r
~"
"
.-__....~
CITY OF PRIOR LAKE
~UllIIING ,."Mrr
~_ -J ~ ot'rnQXax- ~\um'o\no
"If 1=; ~ A~ ~,(-r~ ~
.~ n r':. '. <r ~ f117
L8III · u. .... I-
.... rl ll.~(\ ~ ~~r' r\Q(l ~ .
.-r....... OO...~ ~ .II"O'~- nJ~-()
~ .,.. plIftIIIt .. ...... ,.. J J I vIII AI our campi.'. fnlalmllda".
fIIXTUIIII \11....
l.... ..
1. (WI CM,
, "'..- ....
PP No- ...DO... 4-4-;;
'..0....:, q 5 'J. -l.\ 4 1- (,c}73 t./
" ~r L.Q. \(.&.
~,,~
~C<:> .
IuD tJ~DoAr:& ~1t:6
,.. .. .......
Ty,. Of ,.,.
QuarIIIrr
~
\
l
~~
I
r
)
... TwIt.... ~ "'~b
q
I
I
Aough-iftl
w.., Mea.,
Water 80....'
"lid Pipe (_..hl", "*",,...)
....,. Ei~o,
Ih. ....- A-t' .., (.1. DNIII~ PVB)
.~ Art llfely T.II
...... "mlll.r
1 0ItIer
~. r~
~ =~~.."i
.. .~T_ ('orl~l~.~k)
Ift?1 ~...
--~
...
..~
.... ce.. ...,
-.-..
..... ~
. T 1 lid, ~..._u~ - -. ~ ,~
(,.."..... .... ......,..,.)
,,~ rn I 1IId..... 0. , ,... ......,
" -II 1 -. .. f - ... I AIIf~"~_
... ...~~
.
.
I
. .10 a/A
t1uP? tvr I
'rJv'
.RAND TOTAL
,.. ..... I. .... ... ....... =- -r_..... Mi.
~~Ll_. - ....., .. ... ---""'\I ..
.,.._~ ~. ......,.
""- -- D4,..
. ATrUT
e.a. ...... M..... .. ~.
U~2OD &tie C..t A". I.... Plior l.IIIla. "'-r r ~ ~ "3121 Ph. (.12) ..7-4230 I FAX (612) ....7....:~.5
_..... ~ - a, "fa .lS1-
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/~s-o/
/flY}
ADDRESS
SO 3 7 /./" v k R, rh Q, R)'
-"
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{9 0 - '-&..;3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
)( EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
(u/h J30JC-- - () 1(
&ru~1,- t'?K.
,.s.(WORK SATISFACTORY, PROCEED
,
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: l' ~ Owner/Contr:
CALL 447-98~O FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
~J:;~ TIME
CITY OF PRIOR LAKE L() ~ 30
INSPECTION NOTICE SCHEDULED
ADDRESS 3037 .t-Q,g, ~ "-h~ p,
OWNER CONTR.
PHONE NO. PERMIT NO. 0-443
o FOOTING / 0 PLUMBING RI o EX/GRAD/FILLING
o FOUNDATION , 0 ECH RI o COMPLAINT
o FRAMING J ~ATER HOOKUP o FIREPLACE RI
o INSULATION ~ SEWER HOOKUP o FIREPLACE FINAL
o FINAL I< 0 PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTp: A f\ ~_
');2,' MYN. (j>>-XJ
\ -q T \JX'1JL J VL
~b ~
'-/0 ~VG ~
Urf^ - No (+r
{01'~~
6~
(llliv~ t- ~ QJ, b OJ 6n. d, J
f\. r:: ~ r()
J ,lwr) 0~ l_Y l~
'-
/
O~KS
~ORREcr
o CORREC RK CALL FOR REINSPECTION BEFORE COVERING
\\- /
Inspector: \:, Owner/Contr:
CALL ~7-~~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE R~Ol~REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
V INSNOTI
ri TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED q ,,~ ~';~ .
ADDRESS ...i>31 ~lo-l~
OWNER CONTR.
PHONE NO. PERMIT NO. 0- 4+3
o FOOTING o PLUMBING RI o EXlGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION \ 0 SEWER HOOKUP o FIREPLACE FINAL
o FINAL '~LUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
W \too~ ~
~
TC(
~~
1.)~
olA
LJJ
~
rMao
FOR REINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
CAL!" 447-985': FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
COD\ REQUljMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
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~
~MI'- ~00&
COMMENTS:
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o WORK ISFACTORY,PROCEED
-0 C RECT ~TION AND PROCEED
ECT ~ /ALL FOR REINSPECTION BEFORE COVERING
Inspector: !.- Owner/Contr:
CALL ~7~850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~UIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS ~ ~ I
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
D. INSULA TIQIIt Pr
~FINAL IV
,..- 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FltiAL
XMECH FINAL f4
INSNOTl
TIME
.z.:tnJ
()o-- 113
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
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to
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-----
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE
SCHEDULED 1~/l~1
J-kc.Vk. 1<,'-da~
. I
CONTR.
TIME
ADDRESS
3037
OWNER
PHONE NO.
~-4+~
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o JNSULA TION
fl 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
COMMENTS:
\ ~u, ~ C .. 0 ..
<-,O~~ ~~~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: 1i ~ Owner/Conte
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
"
PRIOR LAKE
INSPECTION RECORD
(~ 02Jl
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS .<;O~ HalA ,\:::"
NATURE OF WORK ~
USE OF BUILDING ~F t)
PERMIT NO. 00 - 043. G DATE ISSUED t5;..2fs, -Q::oo
CONTRACTOR ~\~ \6n,~ P\o\otJE <'l'Z.-'2rJS--8t'J2'2-..
NOTE: THIS IS NOT A PER'MIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DO~~~ \ DATE
FOOTING H . l. \~
FOUNDATION (Prior to Backfill)~~ ~. ~(13 i~4. ~, / > ~/~
PLACE NO CONCRETE UNTIL ABOVE tMs BEEN SIGN~D
ROUGH/J- INS
{k6"/~l /lii/ I
Wit /~: t!1{/~
'SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AiR TEST
t} 7/t?r /If{)
V,J 771kl(!f7 /7
~/ ?'/N/~ t~ y/ //~
f. ~ r ~ _ &r. 7/'31~
,. J
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
FINALS
11$ 7'\5'0,)
~ Ja>>(,
1~~. ~ \1' . .oIf--,;
OCCUpy UNTIL ABOVE ~~EN S~ED ,-
NOTICE
This card must be posted near an electrical service cabinet prior te) 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 INSPECTION3 (612) 447-9850