HomeMy WebLinkAboutBuilding Permit 00-0569
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. DATE
~ -(Z '<<)
2.SITEAD3i~ ~ /J~ lJaflt-,AJ: W. , ltf.ld~5
3. LEGAL DESCRIPTION ,.
LOT ~C:;- BLOCK I PID .a.') - 33'1 - ~- 0
ADDITION --ZJtt:- WlUJS J J~ A-iJLJI71~../
, ,
4. OWNER ~1-tfsl1 V/uOc!<.esS) Cc!( 7'l7~ NO Yt(;,
5. ARCHITEC~ (Name) ~ ty. (Address) / c7. n;~.) il
rz.A-NC() ~, ~ - ~5/":'()7Z7
6. BUILDER (Name) ~ (Ad~t~O)C /31L.P );Z'iff/-jllJlJ 15. NUMBER OF OCCUPANTS OR SEATS
&.~~'..4 .J;.k , .. t. . I OCCUPANTS
7.TYPl'!NoRPZ~~ ~~~e.~~~ PorchtJ SEATS
New constructiO~ Alterations 0 Addition 0 Finish Attic 0 Re-siding 0 Finish Basement 0 16. ~J~~J:}C)(T/Y~~E
Chimney 0 Misc. T c- ~K/ OOV
8. PROPERTY AREA~CRES , '\ 9. PROPERTY DIMENSIONS / 10. CULVERT SIZE #/..4-- 17. COMPLETION DATE
Sq.Ft./ZtiJtJO ~Z/#X'-;I Width r<<1' Depth 1'fIj Yes No "1 DI,~ f-JO~
I hereby ce lurmsned 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 noon rty and that al tfn will conform to all existing state and local laws and .will proceed in accordance with submitted plans. I am aware that the
building official can nnit fuca urthennore, I her~ jQree that the city official or a ~~~e ~~rqr upon the property to perfonn ne.eded inspections.
X _ ~ - /~, ~ rr'--( ~J --U-!z -t:?O
Signature License No. Date
~
DATE RECEIVED
0/Jq/OO
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
SETBACKS: Required
Actual
FOR ADMINISTRATIVE USE
Front
Back
Side
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REO.
USE OF BUILDING ~ rD
Side
I ""
( m~~1 \ SPACES ON PLAN
-'-~ PERMIT VALUATION ~.
Amount Brought Forward ... .. .. .. .. .. .. ... $
Park Support Fee ........................... $ B.6O. OC)
SAC ......................................... $-41 00 · QO
Collective Street Fee .. .. .. ... .. .. .. . .. .. ... $
Sewer Tap ................................... $
Pressure Reducer .. %................... :
Meter Hom .....;!......................... $
Water Meter ....4tlS......................... $
Sewer & Water Connection Fee ........... $
Water Tower Fee .. .. .. .. .. .. .... . .. .. .. .... $
Water Tap ................................... $
Builder's Deposit ............................ $ l J S ~O .~
Other ......................................... $
Total Due .............................. $ 8, e~ (, . ~ ~
Paid ~ 8 irk q fLJ Receipt . oS ~
Date 1./1. 00 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 pr requested. This document when
s temporaryCerti~~~Z~a:,complian:;d~I~~cti~~:m~, te ~~u~
, City Planner Date ~ ' If ~ Special Conditions if anr-
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................................... $
City:
Plan Check Fee ............................. $
(, 1"I).~
I,I~~. ~l
, 3'. q)
State Surcharge ............................. $
Penalty....................................... $
Plumbing Permit Fee ....................... $ I 00 .. 0 0
Mechanical Pennit Fee ..................... $ ~ .0 0
Sewer & Water Permit ...................... $ :SS. So
Gas Fl'J"'Jtif/:................ S '10 .00
- tt' ~ Your Building PenniI r;en ~~ _
By _~ \. Date '" 'l-~O
Certificate of Occup
~o
Issued
24 hour notice for aU inspections 447-9850
1. White
2. Pink
3. Yellow
File
Oty
Applicant
Permit No. ----OOJ26(p1
BUILDING_ORMATION
l
~r~~RE ~I
12. NO. OF STORIES?
13Me;J~
14. FLOOR AREA APPORTIONMENT USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS 0 ENERGY DATA 0
PILING LOGS 0 PERCOLATION TESTS 0
PLANS & SPECS 0 SETS
SURVEY
PLOT PLAN
o COPIES
o
I
'/5.oQ
I 25.00
J ~ ~ l!)tj . ~
. ( 1)
00.00
}~,\.~",:
'If~'.." .'i::"~6i,!~ji'~~J~:.;~:;.!~lr
:.;~: ~:_.: .,' .1.
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~n\1erc...of\s.trlJCnOf\
APPLICATtoNFlECE'IVEO ::r\)r)e, 1 a..""" 1 Q1)OO
TneBuilding, Engineering, Cln~,:el~nn,ing . Dt:)pa. buentshaverevi'ewedthe building. permit
application for construction activity which is proposed at: .
" ,~'").I;) 14 'Jo~Dr\'lt.. \J' vJ
"#iP1 3'9'y- I yO i- .. . .
;~.";~"
~
Denied
'. /',J ,'FA~ "
Revi~wed By: ' 7't::?t- ~
V
,Comments:
.J-L1 f3\')./ ~ Idv~ ~ ~~
'~ ~_ ~WJ 1!l,,{)~W '-\0 C~. '
Date:
7~t'~
Accepted
Accepted With. Corrections .,,--
! !', ..' ~
"1..'(:
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
~. ji\-_~ ,.,4
1.i~ ~,~. ~".,.. fW' ~i'<M";:o.
OO'o~Wf
Tht ('tnltr of Iht L.kt Counlry
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT 'E,r--e..nne.r t..cnSat-\"'uc..nOf\
APPLICATION RECEIVED ~p r ,a 't'f\ \ Q OOD
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
61~Lf ~ood ~ l)rlY~- \) 'vJ
Accepted
Accepted With Corrections .I--
Denied 0/12 A-
Reviewed Bl,~~ ~
Comments: I
t. ~ cJ!L dhc~
Date: ~"2&'2.00o
~
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:'
- ...
Th~ r~.ntn of th~ Lakt. Country
~ ~ ~O?~. (; ... ..... . .
White ~ Building
Canary- Engineering
Pink . -Planning.
. '.' . . .
'., ..... . - . .,' .
.... . BUILDING. PERMIT APPLICATION. DEPARTMENT CHECKLIST
. . . .
., . .
, . . '.
. NAMEOFAPPLlCANT . ..15r-ex",ne~r c..nf\s,-\-~uc\iOf\
APPLICATION' RECEIVED '. ... ...~~_'\ a+1\ l'8).OnO.
. . '.,.' .'
The Building, E'ngineer.ing, .and: Planning Departments have:reviewed the building permit .
. . .application:.forconstruction.cictivitY'which)s propos~d:at; . ,
. ,~QL.J'W'Ood~1)6Y~~.. \J~' .
Accepted With Corrections 7
.' .
Accepted
. . Denied
,"' .
... Re"iewedBy: . .Gm,.tClLrlsM. Date:~05' /aJ .
.... . .... .' . ";. ..1, / ..'
. .Cori,lJl~nts: :::Pr"V'~~v .iJ<<P. ~pe... k~j -/l1tA pr~9~al -h . ~.. . .
kf... .;,; -/i~ ...~I~Y~i-7. Idu. ...
- f}~/~~t'. J ~~ ?r~~rl", /iltd 1"$ c:nh~ ... ... . ..
, -Ale 11n<<!r' rd II-e ~~S'f!e/ /IJ~. l!:tU$r ~t!!- . . ... ..... ..
M~r~_, - ~~..~. ~.....P"'.Y. J: 1........u'$~P~ (j........s.~.~..,jl,M. ..... ~.ye..~................ ...........~..~..'11.\....:.......
;:;>'-'- ,,,!,,;'.!;,; IJjJ "TIt ar'Q'5t - /tV \
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~;y
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.St:t:ql/;,ciJllt>-r ';.;.l.u E;;,,, J,c;rd,h~e:d/l1A -ht;; ~~ IA /-,.,,. ..",-c'..'/'~ P/CU1
:t .. b~sllu,. ..aA-a,l. /I(or-uri'f 1(.Ehj'4~ . C:::.-;h/ Pldn
. . . . '. ~ .
. liThe:. issuance . or granting.' of ".a permit or' approval: ot plans, specifications and,.
computations shall not be construed to be a permiffor,or"an'approval of,. any violation of .
any of the. provisions of this code orof any other ordinance of the jurisdiction. Pemiits'
ptesuQ'ling' to' give authority to' violate or cancel the provisions of this code or 'other:'
ordinances of the jurisdiction. ~han not be valid." .
. '
{f;P~
-- . ....
YILLOW . AM.ICMT
fIOLD . CITY
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
S.W.No.no- O5<oQ
NOTE:
Sewer and Water
contractors must
be registered
with the city.
.~ 21 2000
APPLICANT: F/IJML.W IILJE 7;,4J C
ADDRESS: L3J~ ~~ S-r::IF/ Sfl.l1J5pl'~
SIGNATURE: ?~~
SITE ADDRESS: .3/~ IAJOO/J lJucx f)Rl V~ AI k.J
PHONE: q5~-t5l:33-IPlJO
DATE: WI ~
BLDG. PERMIT # OO-OS(Qq
PID# QS-33J- OC)S"-o
FILL IN THE BLANKS
lAC I
1. Estimated length of water service (P~
feet.
2. Size of water service
I
inch(es) .
3. Location of any couplings from structure
feet.
4 .
5.
Type of sewer pipe. ABS PVC
Estimated length of sewer line
)(
65 '
Cast Iron
feet.
6. Clean out (if required), located at
structure.
()
feet
from
------------------------------------------------------------------
------------------------------------------------------------------
ThiS.~pplicati~::i:~-hy~: permit when approved.
BY{/O ;.abo" ' J':) DATE: "'7 Ja.. no
~===t=========~=================================================
~ $ 35.00 Sewer and water line connection permit.
$ .50 Surcharge
$ 35.50 TOTAL
* Fee for either sewer or water individually is $~11~ 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.
RECEIPT #
/
/
/ AMOUNT PAID ~
~ PAID WITH REC' 0 BY /
IUIDING PERMIT /'
DATE PAID
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230/ FAX (612) 447-4245
An Equal Opportunity Employer
D8Ie
S" Addltll
iY;\i~
laI , Block Ad4IIDn
0wftII'I NI. ,.6YY\I1W W1strtA en OY\
Addr_ 'PO t':Jl Y-. , 31 ~ Ltll!. t~.1 ,. Ui.J
HNdngContrKtDt H1.,;trjc.ts.tn HU.~li~ +- "Iv
AMeu ~~Q Kt.rv\t~c~ 1)y.w I ./ faot.n
Tal.,...' l/jl" 41JZ. '-1~7,r) l)
F.... UaIct I ModII~~~ TYPE OF SY~II:M .
MDdII SID tM _,MO ~ 1ftt :.:, All ,.... :..f!!.u~QJfIIL
CoM.lMd MKhMIcaI, t/ . . :
J!'" f)tur::r AU eadlaMlg ~.{llN-Gft~c;Jt,
Full >>NrL/~! F" Sill Vft.)r:. .~" VlnI. 8ptM J. h.ar~ I'" fMk-t VJ'~
z, I - .:1"cV."~ PlXft~,(,
, 3 :;...,
0uIpuI ~l...n01) =~....
Svpplr 0pInqt
AltUm Openlngl
.... . JblJ..tt:O
Edr.
0IhIr om.
am.
MelIlJau
RIpit,
TYPE OF WORK
~ .. Coftllnldioll X
Ell Comp. Dale .
auja,g PIIIIII.
q') I 50
.50
b1) - AMI"..
Eat. Cost I
HEATIIi PERNrT FEEt
STATE SUfDfAAGE I
TOTAl PERMIT FEES I,
TYPE OF STAUCTlJRE
..... ...., . )(') 'ftvo.fimtt
Commetclll . .....1
I. HaIr - File
1 a.. . ar,
1..... . ~
Mall FImIy
PIMc 0UIer
Fee Schedu1I
..ftIus~ eorm.d'" Mti1I-FIriy
~ AIIitentIII, HIllIng I II;
RllldlnIiII, HeMkIg DnlV
~ Gu Fnplac.
ReIkIenIiaI. AdiIlGnIa: Altratians
RIIfdtnIaI. II; ~
1 %." Job *' 1&39.50 ftInm) ..
118.50 PLEASE NOTE: ~
.4.50 Air Caadilioner UDits Cannl c
I3UO EncrOKh Into ReqlliRd Side:
'.IC YanI Setbeeb_ ~
".K =
..
c;
AHltmber 10 1dcI-" Statl Surdlllpl on IhI boIam tllliI.,.-tian.
The price of your healing permit ~ one rougfHt Md ... finII.........
AMhnIf 1nIper:ID.. wll be bled II P5.ao IIdL
HOUle Hea~1 T... AIcoId..... be ........ wtth lIiJJIDllIJIDI.ll!ldllr befn bufda
In, cerIb1I.t occupapcr wll be lulled.
c
HEal CALClJLA11QNg A~IAED wiIh runbIr." IUppIr II1d rlhln apenlngs "ted pet ..
110m .." CFVIpet...-.. .. ~ " ad"M Ieftd IDar plan will auppIy ~
and _,n Iacaton......... HER'LOSS CALCutRIOHS, PAYMENT NfD c
APPUCA110NS MAY IE MAIlED mTHEern OF PRIOR lAKE. 11200 EMLE ..
CREEK AVE. 8.E. P~IOR lAKE, MN 55372. '
CIIy Hal ~ "'" I,. . UI.. 4:30 p.m.
ALL WORK MUST IE IfSPECTED tAOllGll-W AND FNIJ · CALL can HALL
447....
.
I hereby apply far a mlmanicallYllema permit and I acknowtldge 1"lIb
InfOlmaUon .bovI II complete Ind Ice.....; thai ... wett wil be il conlOllllllQ
with III. oldinanca. Ind Cod" .f ... city _rut wih the llat, ..........,...h.nat
cDdal; thal thfa I.'m do.. no. become a p.IIII' UDlIlIgned by the BUILDING
OFfiCIAL; "'at .. work wW bl fn accordlllCtl with 1M approved plan 1ft the
ca.. of an work whldI re...a r.vlew Ind Ipprw81 .. plana,
8tLt. /'ruL'-ut-, 1vJ
AppIIcantl s.....,.
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CITY OF PRIOR LAKE MC
16200 Elgie Creek Av, S.E. Permil No. (()'" __5:'" C, q
Prior Lalce, MN 55372
HEATING APPLICATION I PERMIT
Oat. q, /""0[') , PlD... ~5 - ~3'1- n(J'?l-O
Sh.AdG'.~ .1Ii-lfl //}oa<Jd- LU. d~)
Lol 5 Bkrdc I r AdB~'1l1" / j 1A f/1fo '2, rrl
Own", Name f-W"I.... - ~
TYPE OF STRUCTURE
I. IWI . ..
2. 0.. - DIy
J. T.-.. . c-..
')
Single Family
Commerdal
, '"fWcH=amIy
lnduslrlaf
Mult-FamIr
Pubic.
OIher
Fee Schedule
(lc2.W>--J 1nduslrill. Commercial & M\JIi.FamIy
Resident"", Heating & AC
Residential. Heating Only
Re&identia't Gas Rreplace
Residential, AddIiont & A1ter.1ions
Residential. AC 0nIv
Address
Hearlng ContradOr ~LL lED FIRES IDE d ba FIRESIDE COIlREI.
Adl~, 2700 N, FAI1VIEW. ROSEVILL!. MH 55113
T~.'. 6S1~633-2S61
Ft RElILACR 1 J _
lUll.. MaM & UodeJ J..'U~~ A1 (; la
Mod" SlZ8. , a 1J'b'i1_
Conn, load ,
Fuel -EAt
suppry Openinvs .
Rue Size .
Rllum Operings ,
Input ,
Edr.
Output. ~~m)
efm..
TYPE OF SYSTEM
Wa,m Air Plants
Gravity .
Mechanical .
Ail CondIIonia19 -,
Vent. Srslem .
HEAllHO OR POWER PLANT
SCeem ,
Hol Water
Radiat10n ,
Special Oevic,. .
OIher Devices
1YPE OF WORK
New Construction
,'xl
Altaralions
neplacement
Est. Comp, Oat,
Repair.
E&(. Cost s /1 Oa ~
HEATING PERMiT FEE S_
SlAlESURCHARGE $,
TOTALPEAMITFEES $
q/~/o)
I '
But1dng Permit. .
r PAID WITH
BUILDING PERWJi
.50
R8C84>1 , ,
1 % 01 Jab COlI ($31.50 nIHrnum)
199.50
'64.50
139.50
$39.60
139.50
Remember to add lhe Stale Surcharge on the bottom 01 this appIc8tion.
The price of your healing pannllncludes one rough-in and one ftnaf Jnspeclion.
Additional Npectionll wiI be biIed aI 135.00 each.
House Healing Test Rec;otd must be stAJoilted wiI1llYi1rb1l111D11 DIIIilI1 be.... IJuId.
ing eef1iflcale 01 occup8ncy wiI be lssued.
HEAT CAtCUI.ATlONS ~Fn 'RR1 win numbw of auppt, Bnd naIum opetings IIled pe
room with CFM's per opening. N_ structuntl Of acIditioN aenclloor pen .. ...,p,
and return toea"" Ihown. HEAT lOSS CALCUlAllOHS. PAYMENT MO
APPLICATIONS MAY BE MAIlEO TO THE CITY OF PRIOR lAKE. 18200 EAGLE
CREEl< AVE. S.E. PRIOR lAKE, UN 55312-
Cay Hal bu8iness houri .1 8 LR\ . 4:30 p.m.
t '
ALL WORK MUST BE 'NSPECTED (ROUGH.- AND fINAL) · CALL CITY HALL
447-4230
I hereby apply for a mechanicat systems permit and -I acknowledge that the
information above is complete and accurate; Ih.' the work wll be in conformance
with (he ordinances and codes or (he city .nd with the slat. blR1dinv/mechanlcal
codes; that this form does not bttcome a permit unlil signed by lbe BUilDING
OFFICIAL; thai the work win be in accordance with the approved plan tn the
cas;? an work which requires review and approval 01 p1_.
-/A'},'II:L .d~ . 9(t.~
~'J:(;J q;d-~
· IJ I B\idng Onical's Signalure 0a1e
.. ..' .
.. ..CITf.OF PRIOR LAKE Ht Eu-
.... , . ... .., . PLUMBING PERM" 41 JJfl.:.rl5lr4-
,"" .~ppllcant:, ~1f#-~~1~Au Mf'~~'n" c".tI1; Phone: 95..2-aYV-7"(,) Co:
. Addre..: ~ J':"''J!::'t1v (... Sa.u.ey- t!. hi ~
. signature: ~ -L,A"'-oJ ~
", Legal Deaci1ptton,: Lot,' ' , " Block .Sub
. SIte Add.....:' ~J~". Lu~n~L I).... J,j. u)
:Bu,lIdln;' P,_r(nlt.' " .:, . () .. 0 ~ ~ ~ PIP'
, ' ", ,
, '~OTE,; ~I. perfl1lt wllf ~ot b,e. P~C8~.s~d without complete Inform.tlon.
6renner- Cria.si '. '. .,'~~,'.', '., :~I~U~E. U~IT~
Type of FI~ur. " ,Quantity
.' :... . " "":
Bath Tub with or without 'shower .
Dishwasher,
Floor Drain
lavatory' (bathro.or:n ~I~ic) ,',: , "
Laundry Tray' (1 ,0.".2 compartment "ri~)
.... ',' " .
Shower Stall' "~" '~:. "
09/15/2000 11:37
l'
)~ -
TM C..llft .. 'b. Lakll Culln,,,. ,
'. (bl"t.; I.. Old :
Quantity
~
I
"
fj
I
I
I
Sinks
612-8947972
LAKESIDE PLBG
I' .........
...3
/
. '.~ rh-b-,
, I .
, "
, ,
j i
.: .~?~~
3
Bar Sink
..... t, .
Water Clo~.e,~. (toliet) , " :':~. ,"
FEE SCHEDU~E'
Industrial, Commercial & Multl.Family
(10A, of Job c08~.,S39.5~,'rril~lniu,ni) ,
Residential. Ne~1 Orie & Twq",Famlly
Residential. Additions " Alterations' .
. '.' " ,'., ':
~tate Surcharge. , ' '
, $9~.50
, S~9.50'
:, ' GRAf:'JO TOTAL
.... .
. . . .
~':~~:l' ~~cd'uPo~'dso ~~~ condition that laid
co~.~':IhU1 ~mpl In all ~1I with the ordinances
, of che:Stlto'Plumbin. ' amendmcnla thereof.
~:: ..'. .. ~ ./~. (;f DATB
. .. .
PAGE 01
Type of Fixture
Rough-Ins
Water Heater
Water Sottner
Stand Pipe (washing machine)
Sewage Ejector
Bacldlow Assembly (RPZ, Double Check. PVB,
Backflow Assembly Test
Lawn Sprinkler
OthQr / - /+QSe. ~bbS I..IJ~~
-P/fl..V
$
$ 99~-o
S
$ ,50
$ ~PEAMlT
~
AI leST
1620Q'Eagle CreekAv. .~.B.t.Priot.L~"Min~csota 55372/ Ph. (612) 447-4230/ PAX (612) 447-4245
. ',: .' ~n .Equai O~ponunjty ~ploycr
Calt:for:al1 in tion~,24 hours. in advance,
. . :
. : " . . ':: ,0.
:.',' .
PRIOR LAKE
'f/
INSPECTION RECORD
DEPARTMENT OF -...
BUILDING AND INSPECTION
SITE ADDRESS 3.La 4 (.t)oocLDuc.k lliIup ~ LJ .
NATURE OF WORK --"lop JJ ) . -
USE OF BUILDING <3FD
PERMIT. NO. (}O - 0 !;)(p9 DATE ISSUED ~-2"l-200o
CONTRACTOR ~,^-<tr- ~ i\.....u S~f -5881 ~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
.., INSPECTOR ,DATE
- FOOTING iJA. ~ 11( ~/ /11)
FOUNDATION (Prior to Backfill). S b ~?j { I ~
PLACE .NO CONCRETE UNT L ABbvE HAS BEEN ~IGNED
ROUGH - INS
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~
,
fJr.
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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It; /J 1/"rJ
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7/~r/M
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
-~
FINALS
GRADING (Prior to Sodding) AlE :r.. ~.. OJ
BUILDING -no 'to ~</.Ol ~ 1~'ZI"ollYh
ELECTRICAL l;.IC. f;iVOtD -1Q f'/!-' "'0/ ~
PLUMBING ~
HEATING Jt.-H-.
.
DO NOT OCCUpy UNTIL ABOVE HAS
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.
7.1/-6/
I tl doo
, iJ 2' ,f (j 0
. .
BEEN SIGNED
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
1
SCHEDULED
~
~ J9,.
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
l \ ~co
ADDRESS 312.4
Wood
OWNER
CONTR.
PHONE NO.
PERMIT NO.
6-~q
~OOTING ~
UNDATIO~
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI ~
~ATER HOOKUP VIS)
~EWER HOOKUP (1SJ
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTSOf) ~ ~ ~
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AiAfJ~M _
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~t
Inspector:
Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
INSNOTl
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
/~ (,loa q ,'(!H)
:3/~'f Uvu ~
SCHEDULED
ADDRESS
OWNER
PHONE NO.
CONTR.
PERMIT NO. 0 - 5 G, ~
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTSIiJ ~ i?8:I'PI ~
~)~ ~~7f~~~ ~-DJ
.~~ I I / /
o PLUMBING RI
o MECH RI
@D WATER HOOKUP
o SEWER HOOKUP
~ PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
/)
;V~ I/tJ-4A~.
~~~,
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
. 0 CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
~,
Inspector:
Owner/Contr:
CALL 447-9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
SCHEDULED
I~()
TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
3~3D
ADDRESS
31;;(4 /W~~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()()- 5b q
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
H FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
YMECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS: ~
eau.\ ~ ~lC~~S. I +u.~ ~a.es s (II'\~)~)
~ ~ao /' c9t-\. tt-V
o WORK SATISFACTORY. PROCEED
o ~ECT AC1i N AND PROCEED
~ CORRE~ K, CALL FOR REINSPECTION BEFORE COVERING
Inspector: c...p ., Owner/Contr:
CALL 447-9850 FOR Tt IE NEXT INSPECTION 24 HOURS IN ADVANCE.
f
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOTl
CITY OF PRIOR LAKE
INSPECnO~ NOTICE
ADDRESS
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
AI. FINAL
o SITE INSPECTION
DATE TillE
SCHEDULED
~-3-O( 1:30
3/;;;'( Wootl f1Jf-K D/'.
CONTR.
PERMIT NO.
() .$(, '/
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
L(-'I'h Eo)( -oK
(p rc,tL ~ )
fY/o, i.ais/^
oK
ErCJ5./:,/\ '~,I (/n{./ II Gc?,(p(J
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 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!
INSNOTl
ADDRESS
~ /,;2- '-/
,
DATE TIME
SCHEDULED ~ - 3/-0/ I/'''-:
// JC;o,O,(JIICe
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
{J- ~0 9
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 EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
Soil
{,{~ +- cJJ
0It"""i -.
~U~ IQ
- l
/
~ORK SATISFACTORY, PROCEED
o COR~RC T N AND PROCEED
o COR CT W I CALL FOR REINSPECTION BEFORE COVERING
Inspector; -'l Owner/Contr:
CA~:';1~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQ~MENTS ARE FOR YOUR PERSONAL HEALTH cI: SAFETY!
INSNOTl