HomeMy WebLinkAboutBuilding Permit 00-0471
5!d.d.!U u
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Address)
i 4 '3i1 ta,vl N~ Ic\vE ~
tSt>/(/vc;V'Lle 5'"S~O(;
Septic 0 Deck 0 Re-roofing 0 Porch 0
Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0
7. TYPE OF WORK
New constructionj(
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS
, i "
Sq. Ft. ~'a ~Ct Co _ Width(b;t(_<l'Depth 41 -0' Yes No
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~ffi' an revoke this permit for just cause. F.urth~rmore, I hereby agree that the city official or a designee may enter upon the property to perform needed inspections.
X ~ . ~&.'/\.--- 5,1)')/ur~ ~/(?f'1 3/~~
/ Signature License No. Date
DATE RECEIVE;Q
- 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 J' /
LI ~ Y5' tfC,\/Vl/Y! I N 6 6 ( /(0
3. LEGAL DESCRIPTION
LOT d. BLOCK ~
ADDITION ~ tf ( u...- ~!" 0
4. OWNER (Name) (Address)
5. ARCHITECT (Name) (Address)
6. BUILDER (Name)
W INDWeR>D J(oV\-\E~
Fireplace ..
Alterations 0
SETBACKS: Required
Actual
Front
Back
BUILDING DEPARTMENT VALUATION
1. DATE
5'117/00
7f24-cc
PID QS'- 331-00'5-0
(Ll
(Tel. No.)
(Tel. No.)
(Tel. No.) q 5 2.
g'q ~- ~L.jt.{ ~
1 O. CULVERT SIZE
FOR ADMINISTRATIVE USE
Side
Side
USE OF BUILDING
SED
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
PERMIT VALUATION '~.oO
Meter Horn. .. .... .... ......... .... .... ....... $
Water Meter ................................. $ I as. OQ
Sewer & Water Connection Fee ........... $4~ 00 · 00..
Water Tower Fee ........................... $ t'[fJ() · otL
Water Tap ................................... $
Builder's Deposit ............................ $ 11 S ~. f)(2
Other......................................... $
Total Due .............................. $-7~ 7 t/h~ 7&
Paid -? ?(,II'~t, ReceiptN 37'" '?
Issued ' ;--r. V ~
Date ~.J' 01J By
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinalc:e and may proceed'a equested. This document when
s~ C~Planner constitutes a temporary Certificate of Zoning compliance and allows con~ to commence. Before occupancy, a C~icate f Occupan~ must be iSSUed. .
~~~~, ~~ ~. ':;;:O~4r~~~~
City Planner Date -- , Special Conditions if any
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Permit Fee ................................... $~'l · 'l.~
'13' . Z-\
r"JS.OO
Plan Check Fee............................. $
State Surcharge ............................. $
Penalty ....................................... $
, 00 .00
( 00 .DO
35, SO
Gas Fir a e P rmit~... ................ $ 4D .00
This PQ Seco our Building permit~~t2~~
By Date J - ..;), ~
Plumbing Permit Fee ....................... $
Mechanical Permit Fee ..................... $
Sewer & Water Permit ...................... $
Amount Brought Forward .................. $
Park Support Fee ........................... $
SAC .. .. . .. .. .. .. .. .. .. .. .. .. . .. .. .. .. .. .. ... $
Collective Street Fee ....................... $
Sewer Tap ................................... $
Pressure Reducer ...i.'.~................ :
City:
Mi:
~/{J()lI
24 hour notice for all inspections 447-9850
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No. -DO ,Ot}-1L
BUILDING INFORMATION
11. SIZE OF STRUCTURE
(Height) (Width) (Depth)
12. NO. OF STORIES
13. TYPE OF CONSTRUCTION
NEt\) 5Pj;;)
14. FLOOR AREA APPORTIONMENT USE
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
SEATS
16. PROJECT COSTNALUE
/50 ) 0-0-0
17. COMPLETION DATE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA a
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS LJ SETS
SURVEY
PLOT PLAN
o COPIES
o
ea:>. 00
I, (t)O · 00
45.00.
/
(J) /OL--1 (
Th~ C~n'~r or 'h~ Lah Counfry
White - Building
Canary - Engineering
Pink - Pla~ning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT \\, \ f'\ChVOO(::.
APPLICATION RECEIVED Y\fl. ~ f d~ l\ct
) () me.!;,.
d_ OU 0
I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lf G g (5 ~.1J mrn1CE;.0; reA (CA.I )
Accepted
/
Accepted With Corrections
Denied
Reviewed By: Wt4LTEIt ff04tt.€S~"'N
Date: ('/5/00
Comments: -r..( MA--.. ""'.,.., ALLO.u ..taLE: Sl.~ Ij '1:'.
If 'HIS MAlC',,*,M.
.'sc..op€
CAIII,.J 01"
BE: At ~, E "'ED
OFF of ,....c~ SDuntwE.Sr c...tt,.lEJt. OF
1"'HE:
Pl'toP 'QS ED ~ 0\.1 ~ E:
A~O 4:~IlA6C. ~
Rf: 'j"~ .AoS, AJu ~IIlL<<- kJ 'Cot. .ou,o
T. . ~E.. . , ~ s T1Ju..E.J:) .
SEE. IJFo(\.MArtot\J Ow r~E:.: 1l€"U$E. S,oE.
.st.€. ,Q'I'TY-I'H...e",,1"~ ~ J. hl>Jl'tt. Gn~OE'- JAJSPe.t.TIO,..J 'NFoflMt4T/ON 2. ~b I~"A.J
3. Enos 'OIU C.D~i'ltoc- t4fA~\J1tU
. tJ. ~/O,.j COAJf"lto"," RIIN
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."
IJO -()k1/
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
, . ( \
W \ \\r 'v'\/ ()()('J
\^ ~_ .~~.r) f\C\
\lk\J 00\
I
\
-t(')()le. ~
'-, A,.. . "
l~ C: Q (j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
L'fl 6'-- I'... ...' -)
- 6 ::.> f (j I nil') 113 n I ! (i 11 ('-I .
Accepted Accepted With Corrections V"
Denied
~~
Date:
~ ~ ~ ~l5O
Reviewed By:
Comments:
/-.1.-{ fPr ~\JvUM.. v().-)Je.~ [AJcdVl, (U r;~
.p/t9~\1 ~ 4- Q VLYv v2. b.L.J <to ~0,
4/1' oJ-- ~~~ \ZtVf~~
7J;vJ) I--~ ~VlC.-Y~JA ~\M~6,;~r-~~
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."
(Jf) -041 (
The Center of the take Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W \ T\dvvoocl
'V\ru\1 · Qa 1\4
-in me ~
) dJj 0 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Lf G 8' 5' 1-1LrY)J/)/fjOI t^-CJ (-oj I
Accepted
Accepted With Corrections ><
Denied /~ . ~
Reviewed By: ~~~
Date:
~~-~
Comments:
f2eJ JQ cOf~cW
--
~~-
--
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."
-Permit#
-Job Address ~ !lu", M. ~;'l~,~,/ -
-Heating Contractor MI: I RO AIR /
.T esters/Signature
.Gas Une
Pressurized
Inspected
.Percent CO2
- Percent O2
Final Inspection
Date
Time
PERFORMANCE TEST
-L,,~
(. J!!/A
.Percent CO
.Stack Temp.
Pounds
Pressure
o~!o
LU>~
Date
ff;P~
GREEN - FILE
YELLOW . APPLICANT
GOLD - CIT'I
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No. era -CY7 J
NOTE: Sewer and Water
contractors must
be registered
with the City.
APPLICANT: lJ Ii ~ S""1/6/l C xc.
ADDRESS: ) '118 :r O/'Lr.N l-uA- Y L J~ vi..
SIGNATURE: ~t- <[J~_
SITE ADDRESS: '-leSs- J/4..~ M.~~t3~() TIl- .
PHONE: f ':1-' ~ b G.
DATE: ~ /;;'-/60
, I
BLDG. PERMIT # 61J - 0LI.7 }
PID# ~S--33~-aJ3-0
FILL IN THE BLANKS
1. Estimated length of water service r c
feet.
" i
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
5. Estimated length of sewer line
u-o
feet.
6. Clean out (if required), located at
structure.
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
ThiS/ajl'.Pl~cation b om s your.permit when a~~;:l>"
BY6(/ ~~ , I" ~,~ DATE! h/~]
== === =============4=============================================
FE: $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 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 duplicat~ ::~ and water permits are
DATEi::~:d. / \ ~~'AMOUNT PAID /
RECEIPT # /' ~& /l.~~ REC'O BY ./
/ (~- /
16200 Eagle Creek Av. S.E., Prior Lake, .esota 55372 / Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
:-~' .J &~ l,;ll Y ~t- PRIOR LAKE
.. r:t 16200 cagle Creek Av_ S.E.. ?ar.nt N~_ (m.-{)4" I
'\ Prior La~ MN 55372
,.~ HEATING APPLICATION I PERMi"i
'a1e \0- ~\e ~\). PlD:: ~h- 33G-003-0
~ l 'I U ~ t. \ , t \ l 1 ....'~
~ MOres! .-r\n " ,,~~~'\~ ~,,!"'o \ !'~\,
~ a . Bl~:k ~ Add"nbn,~r\r\\-, ~ \ \ ar<J\- A~
~mer's Nama \A ; f\ ~ \,J n "J .. +\ () r1"\U ~
~~TBSS ...l ~ ~ \ \ ~\~: ,,~_ (".!-- '~-Il iV~' \ Y
.~ \ -l \
Hszlin; Co.'1U'2:b: \ I, \ ~~ l'"\~,.... ~ Y'\ \
A:Sdress '\ \~ '\ ~ t'\ ~ '- \ lOr"", \ ~ \ V,~~ Lr' ~ ~,lt,
t.~.;mon.C , ~~,- ~ \~"\
Fuma:a Make & N:IOe1 (~Y' ~~ ,~
tJ~S"EZ. ~ \) {J - \ ~
Com. L:=ad 'b ~ -,~ ~
rue' \\., ~ ~ MUt Si1. "f i L
s~ ~nin;s , -,
rlmwn O;>>8nin;s ~
tnput'C\t\~ t\~f\ .~.n ~ \0 mro .
\
\ 5' 5.c......
o rvPE OF STRUCTURE a
~-- .
3. Yc!1Dw .
OIJ
r..---
~ pri:e of )'DLIJ' "'..a6ng pemil inc&Kies one rDLJ;tMn Ind Dnl fnl irIsiJedian.
Ad:lliDnaJ ir:Ipe::tiom wi[ be blDBd IIl.M=-.OO ~
HCl~1 Healing Td 'Re..--onI mus1 be ~... win ,,~ .tmt m""~r beiort Nti-
ing :m1Ii::ate of o=utJ1I\Cf ..wi be 1ss~
H=n t'.A' M" mnN~ ;!=nJ ..:::.~ with IUmt3er of ~ IIJId 1I!IUm. op-..nings listeD per
FQl)ftL with CR.r.. per apening. New au=u. or ....."'..."',. Sind Iaor plan wiltrsu;.-ly
and MI'ra lCICiItians shown. ~ LOSS CAl..CULA71ONS. PAYMafT AND
APPUCRIQNS MAY 3: tun :t'\ TO TH: em or PRKIR LAKE. 1ROO :A= C
CReK AVE. S.E. PRIOR ~ MN =:a.:sn.
aty HII ~ "DUll are I Lm... ~:1D p.m..
AlJ. WORK IIUST BE INS'" I ell (FIDUGH-IN AND AHAL).. ".11 Cfi'Y HAU.
- 4C7-cDD
"'\. .
'~TVP~ OFWORX \..1 1 hataby.,pty fur a m.chanical ..ems pennat and I aden"".. that the
. ~ . .informdan above . cenJpI_ and r '.....IIma; 11111tIawcn will.... U\ ~4vm.tMCI .
AIIanIIbM ~ era """" CanstnI::tiDn _ - . willi... ~ 1IIIII1lDII. GIllie cIIy WIll wIIh" .. ~
E' -'. '.. cod..: "'1bls 1Drm =-1lCIC be_ . P8I1!III unII .... ." lha ~ .
ih . ....., . .. s:~ Comp. . . -"'\ " · O~.. ... 'lIftIlI! .. be In - -nIM&it .... tbi .,p1'DlMll pia In Ihe
~ ..~~~.f . ~wq~,Q~- :,~:I .-.Ii\:!,~~~"'and-W~.~.~, ~ _'-:~.;
HEATtlGPElMTl'EES /' ' "~)s \,~. .:...... .. . \0. ~~. ~
~ :.-. ; ""- . /50 · '/,_." ~~. ~ ~.. .LIIII.... .._ _
~ STAlE SUFlCHAFlGE . · " ,_ " . _. .... .: . _. , . . '. _ _ .... , .
"!...:...... '.',. ~.",/ ".. ., '/ fliM.t-; 1/i. 7 ., ~::'.i -I.'PI;, ii'll ' c:.. /~:t::'/lR)
~'.~~~r-"'~' · ~ . . (;;J" _.Ncing~~ .... . - ~ ,~/.- ..-
i ,?;.. ;i':: .: " -" .", . . . :. '.,.. .' .:' f;::: " > '_~ ~ " . : " _.' . . ' '" .. ", ._:" _~'. ..__
"""\ - ., . - - I . . . _... .. _ _ _ to.. . .. .. ~. ._.... ... .. _ _.... .
-J . · . .. '.- - . ." . ... .. - _. .. ... _ . .. _ . .0 _, ... _'. . _~, _. . .. _ v. .. ...... .... . . .
~.... · ..". .., - ..'...~~4CL-"""'..........'.. .... · · ... .~:: ,.-.., - ,..-IY, ~..I'.L~. ...~ '"'.)..~~~........._...~. .~. ~ ~ _
. J ., ~~.:r-'~J'.... "__Ot ...""...... .-_~.~f'~~~,9'.. ,.."..Ct.':. ~~ 't\oI_. . 10 " ':lI"'!lJ' . ....0 ., ~a;._. . '" _
..., ~,,: "I, . .- -: '~.: '~~ :-..:~. . ,u..~~~-""'!!:.-:'-4 ,!i~_ "'.... ".... ; ..:' '. ." ~:. :'. .' ''S!f- _-::_ ~. .,;.~ . ";,:-.>' "
=' ..". . ", -.. -. .... .... .. ' . -.., ,. '.... .... -, ' . - ~ - .. .Il...... "":, 1~'. '
....~-- b -....... . -, '- ~:i::'~-~1~~.:.~i-!;:):~.~:.-i:;~.:t~~':-"~r.~.i:h~:::i~~~!.v~t:oL~~r1~~~.~~_~~il"~~ .. J'" . --s
:::::.:i~;{---:q'~-.:" .4'-~_:~'.: .:.: ~ ..~.~ -:"._,:.:: ..~~:,d :~':l~~~t'~f-;: ~.~.... 7.'. -;;-~~~.'..~..-;. .- "; .. ~ ~'.'" "._._.. -.....
~ EdT.
a:
~ctm.
I-
W
E
Single ?amI~ X
lwo-rami~y
lndustria'
_ M1J1ji.Farn~ _..
Commer;;al
?tbii:
~.ner ~
::ee S:hedu'e
&n:iusmaJ, Ca~ial & Mv1fi.Family
~~enbl. Heating & N:,
i1esjd~ Heating On1y
naidentil!. Ges Fil'ep)~a:.
i=lesi~..eJ. M:iDiDns 1 Ab:ations
nesi1ienti21, AI:, Only
,~. Df job ~ ~~.50 mi~ t-.~
.----, ~ r-' roo. -.. n ~
...;:)Cl -D ' . r-- (,--' r::~ . , fl'
~_~ i \ \ :::::- . r.,"~. r:: .'. l_.
~:""A ~I\ ' I b.' _ ,:,,"~: . oJ_ _l._~
,;J~..,..' ,
~50
;;~ JUN 2 6 2(0)
S39.so
~e:tJemher 10 a'Citl tne Stilt! Surcharge on Ihe b:Jtr.Jm of tis ~
TYPE OF SY!' I ::M
Warm Ai: P\an1s
GnMIy ..
Ma..--hafo\....l
M Conciitbnin;., >C-.""'
Ven\. Systam .:;)0\\ ~~ n
.eATING OR PCJ\YQ P1.ANT
Steam.
H:4 Waler
Radiati:tn
S 'aJ [)wi--
peca .
~
on. Davi::a
10/21/99 !ttu 13:14 FAX
6124474245 CITY OF PRIOR LAKE I4J 001
CITY OF PRIOR LAKE Jw\~ ~ )/20
~: ~::~w , ~J'~licanl
PLUMBING PERMIT # 00.- 047
Applicant: --lJ'aj r O~ ~ 10. f'q( en. Phone: 4q.;l -;::::; l d- \
Address: ~ O?;Jll() tu tqVJf t
Signature: . /' ~ ~ /:??C2/W-
Legal Descri~tio~: Lot 01 Block ~ Sub ~ \-\-1 \ \ Q~LW
Site Address: 4~ ~111\\~'.(bn nri
Building Permit # 00 -04,1-\1 PID#~- ~3<1-00-:J-()
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
Hit (',,,'cor "r I~ J ..lit Cou"'r~
.. .
Quantity Type of Fixture Quantity
A Bath Tub with or without shower 3
\ Dishwasher
\ Floor Drain
3 Lavatory (bathroom sink)
l Laundry Tray (1 or 2 compartment sink)
\ Shower Stall
\ Sinks
Bar Sink
3 Water Closet (toilet)
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing maChine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PV8)
Backflow Assembly Test
Lawn Sprinkler
Other
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
$
$
$
$
.50
GRAND TOTAL
$
/
,
,
, ,-
i'"
16200 Eagle Creek A v. S.
~262000
ake, Minnesota 55372 / Ph. (612) 447-4230 I FAX (612) 447-4245
An Equal Opportunity Employer
PRIOR LAKE
INSPECTION RECORD
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS L.l105'':l~IM'''AJ~b~tell. J~,
NATURE OF WORK Ne..\IJ
USE OF BUILDING S~D
PERMIT NO. ('\0 - 041) DATE ISSUED s-&J-2IJO{)
CONTRACTOR \J~~t~_ \-t~~ PHo~~ c/'s:J.-elfs.et./l/b .
NOTE: THIS' IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
....., INSPECTOR DATE
FOOTING J t11 / ~ 1/9/ t)-1J
FOUNDATION (Prior to Backfill) pnrRAD {L~ _ fi,AoJ~
PLACE NO CONCRETE UNTIL ~~~E HAS BieN SiGNED
ROUGH - INS
SEWER I WATER I SEPTIC tr 1 ~1t hJ
,
FRAMING P.IS~d
INSULATION ~)7/cU
~~~~~~~~L U]} 1./5.,1) .
HEATING (if required) (lJJ 8"~''''' r/hp ~7~. 1Y-tJ
FIREPLACE' . P ~ . ..~ f,//?I/ / b-
GAS LINE AIR TEST r.p, /k.., i/h/p-P I I
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-~
GRADING (Prior to Sodding)
BUILDING 7?,0 IC/ I;';'~O ,.~, ~ '" O'
ELECTRICAL
PLUMBING
HEATING
DO NOT
9h 71t!() .
. '1/;;. ?//J1J
OCCUpy UNTIL ABOVE HAS BEEN SIGNED
NOTICE
FINALS
J- L- L---
If;;,.
t
/0.25.00
ItJ/3/ /60
/ .,
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
DATE TIME
CITY OF PRIOR LAKE 0 I_~ I i..
INSPECTION NOTICE SCHEDULED I "-;( "7--1.10 -J.
ADDRESS If&. ~~ ~lWj_2.J~d ~
OWNER CONTR.
PHONE NO.
PERMIT NO.
'-17/
o FOOTING ~ t!" PLUMBING RI t"": ~ -- I~\
o FRAMING MECHANICAL r I ' v
o INSULA TIO . (' 0 WATER HOOKUP
}JC:FINAL (\l 0 SEWER HOOKUP
o FOUNDATION ~ SEPTIC INSTALL
o DEMOLITION PLUMBING FINAL ~
o FIRE PREVo ~ (5z, SITE INSPECTION '<.:7
COMMENTS:~. r '.~~ ~ ~ ~ ~~
~V~ f'~' r F~+~ ~ ~
b.:t-.Iv ,
o EXC/GRAD/FILLlNG
o LKSHOREIWETLAND
o COMPLAINT
o SEPTIC FINAL
tJ FIR.EPLACE P
p( A.r, i=:" ,
Sol? or'{' -L-
~f~~~-::- ~~,Cf)~
U:(~~~ ~L"~'
p~~~~.~~
~, A--~~. ,A~ w<1d-~. ~.1 ~~J
~ ~~ ~ - ~1t' &j ll42 ~,~ ~
~~ ~ 4--~J~N~r~
~~~
~~l~ ~ ~ (!"F~ trf- J~ - 'Z. . ~
~".~.
~
~-
~p,
~ L ~ fJ. --:r j dh.,
-~t
o WORK SATISFACTORY, PROCEED ~
;I:t CORRECT ACTION AND PROCEED ~.
(JORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~I Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
-
1'jf~~ t
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
PHONE NO.
SCHEDULED 'i27!~ 1,'/5
~WT~.
CONTR.
PERMIT NO. () ~ i 7 (
ADDRESS I-fto ~ ::>
OWNER
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION ;@) 0 SEWER HOOKUP
o FINAL ')i:.. PLUMBING FINAL
o SITE INSPECTION 0 MECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~~-I'/~~
~-
~ ./
m~
~
o
~
/
/
/
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
:S:~O:ECT WOR~ F,OR REINS:::::::FORE COVERING
J
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
4685
H-l{ ""-W\.t Nq" 6 t~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECHRI ~
A WATER HOOKUP
~ SEWER HOOKUP
o PLUMBING FINA !/'v'
p~FINAL ~.
COMMENTS:
DATE TIME
7/2!01oo 9: 30
() - '-f7 /
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
Y WORK SATISFACT01Y, PROCEED
/ 0 ~ORRECT AC A D PROCEED
o CORRECT ~1c.. LL FOR REINSPECTION BEFORE COVERING
L_--'
Inspector: - : \ ~ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
DATE TIME
CITY OF PRIOR LAKE n /~ I ~
INSPECTION NOTICE SCHEDULED /~ ~O J4 I r---I
ADDRESS 4~f?5 # {/ /1 n / AI ~ 151 K-/)
OWNER
CONTR.
PHONE NO.
o c). 0 4- 7 !
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
o PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FIN~
o GASLINE AIR
o
COMMENTS:
'sIfWORK SATISFACTORY, PROCEED
/0 CORRECT ACTION AND PROCEED
o CORRECT~, CALL 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