HomeMy WebLinkAboutBuilding Permit 00-0656
~ 1/7OJ
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
1. White
2. Pink
3. Yellow
File
City
Applicant
Permit No.
512
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign at bottom)
2. ~I n: ADOREr L/ <0 q ,
vi ~ \J.J
l/,ew
1. DATE
7/11 / 00
~cJD
t:".....
BUILDING' . MATION
11. SIZE OF STR '. E I 'I
~" .. / (""""')?O s- ~
12. NO. OF STORIES
3. LEGAL DESCRIPTION
\d
lJJ \ \ alA
~.
.v
13. TYPE OF CONSTRUCTION
/Jew
(Address) (Tel. No.) fJJll.. -f}q ~ -OS 1014. FLOOR AREA APPORTIONMENT USE
;J;. " .,14 '1 f/ -/1.81/., S.r fA) A. V. s;'i 0- Y
(Address) (Tel. No.)
PID ~'b-citt7-C~O
LOT
ADDITION
4. OWNER ~ame) I-h~ J
(l.A, I O{
5. ARCHITECT (Name)
6. BUILDER (Name)
(Lit-. ~ ( ~J ~L
(Address)
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS I
7. TYPE OF Wf< Fireplace (] Septic (] Deck (] Re-roofing (] Porch (]
New Constructio Alterations (] Addition (] Finish Attic (] Re-siding (] Finish Basement (] 16. PROJECT COSTNALUE
Chimney (] Mi c. #-00 000
8. PROPERTY AREA OR ACRES 9. PROPERTY DIMENSIONS 1 O. CULVERT SIZE I 17. COMPL~ION DATE
Sq. Ft. 2. e'-/7'l Width IfJ 6 Depth, 2-0 0 Yes No X tJcI ~ O/:1t'1 ()
I hereby certify that I have fumished infonnation 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~. tionm' roperty and that all construction will confonn to all existing state and local laws.. and will proceed in accordance with submitted plans. I am aware that the
building off'can r k . ~it r just cause. Furthennore, I hereby agree that the city official er a designee may enter upon the property to perfonn ne~ed rspections.
X l. ~ ) Sa" 7 !11/fJ 0
t::: I r.k License No. d.t.
SEATS
FOR ADMINISTRATIVE USE
SETBACKS:. ,Required
Actual
Front
Back
Side
Side
MATERIAL FILED WITH APPLICATION
SOIL TESTS (] ENERGY DATA (]
PILING LOGS (] PERCOLATION TESTS (]
/
BUILDING DEPARTMENT VALUATION
USE OF BUILDING
~F\)
OFF STREET PARKING
SPACES REO.
SPACES ON PLAN
/
PERMIT VALUATION
4a:qtJCO .00
PLANS & SPECS (]
SURVEY (]
PLOT PLAN (]
SETS
COPIES
TYPE OF CONSTRUCTION: I II III IV V
Occupancy Group A B E F HIM R S U
Division 1 2 3 4
Pennit Fee................................... S
City:
Amount Brought Forward ... .. .. .. ... ... ... S
Park Support Fee ........................... S
SAC ......................................... S
eso.oo
41-12.tJ."tJ
Plan Check Fee ............................. S
~,'3"'1. ZS-
I, SS f . "2L
-;100 .00
Collective Street Fee .. .. .. .. .. .. .. .. .. .. ... $
Sewer Tap .... ..... .......................... S
Pressure Reducer .....I..~~......... :-.10. ~
Meter Hom.................... ........ "?.1.
Water Meter ........................ Z;2. ftJ. D ~-a....
Sewer & Water Connection Fee ........... S~ · 0 G1
Water Tower Fee ........................... S . rzoo. 10-
Water Tap ................................... S
Builder's Deposit ............................ $ I ~ S- 0" · ~
f
Other......................................... S
Total Due .............................. S/(?, rJ8+. '1-6-
Paid lJ); (),,,, 46 Recei 80Si
I
Date 7:.U .00
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
signed~ the C' Ianner constitutes a te..,t'....ary Certificate of Zoning compliance a(ld allows construction to commence. Before occupancy, a Certifica
?,~ ?~WIO r
· ity Planner Dale Special Conditions if any
State Surcharge ./........................... S
Penalty....................................... S
Plumbing Pennit Fee .... .. .. .. .... .. . .. . ... S
Mechanical Pennit Fee ..................... S
Issued
24 hour notice for all inspections (952) 447-9850
OO.O~6lP
The Center of the Lake Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENTCH.E:CKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
~.A, \<'0 \
cuy
'-\OME S
1 ~OO{)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/2j~q '.^"L05 VIEW
Accepted
Accepted With Corrections ~
Denied ..-.. {/.. _ L-
Reviewed By: ~~
Comments:
Date: 1 -I'; -CoOO
l. ~~ Q.ll ~:tt~~ ~
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
o D~ b~~(P
The Center of the Lake Country
White . Building
Canary - Engineering
Pink - Planning
.6.Ull.DING PERMIT APPLle<A1ION O!PARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
R.A. \S.o \
d l '-1'
-,OMES
. ) ~OO()
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/2J roq W, LOS V lEv.!
Accepted V
Accepted With Corrections
Denied
Reviewed By: ~ t4ce~ 4~
Comments:
/)I{~ ~~ v.j;~..t,PJ7 /A)rdtu..- 4-~ -
~~ l1v.e '; 1h-vLJ ~LD ,t..;J <TO ~,
Date:
7 "" ).- '2 -(3L:)
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
l , -......
... ....
. .... 6 o.(6b
Tht c~lIiu of th~ Lalit Country
White ,- Buiiding ,
Canary - Engineering
Pink ;. Planning
. BUII..DING PERMIT APPLICATION DEPARTMENT'CHECKLIST
NAME OF APF;>LICANT
. APPLICATiON RECEI'VED '
~,\<.o\ .
d l) _ Y .
-lOME s .
) aooo{
The Building, Engine,ering, and Planning Departments, have, reviewed the building permit'
. application for cot:lstruction a'ctivity ,which is proposed at:-, .
. ~. ..... /Lfco'1' .... W, LOS V IEW..
/'
, Accepted'
~ "
. Accepted With Corrections
Denied
Reviewed, By: Gw+Caclson .. . .. Date:". ..... .. .
Comments: "See 't.Ae.' ,'rlVas.e . 5iJe. .po~' a.dtl,fiQt1fJ.i ra-PorMa.J-.'o." :
'. . ~
. '. . . .' .
Se~. a~rrts:f. Fin(A {Jt"~e :c;.SPec+iOI1.l1i.fDf,", Lfio"~.Gr.J~ PiAtt
.3.~rlJ$ifn1 (}f!1L to I f.1e6tifes . if,. l;ros ipn {k.lrol/~ ... ...
. . .
, '
liThe issuance or 'granting of a ,permit or, approval of plans, specifications and
,computations shall not be construed, to be a permit for; or~n' approval o~; any violation of
any 'of the provisions of this code or of 8rlY other ordinancebf the jurisdiction. Permits
pres4ming to give authority to violate . or cancel the provisions' of this code or other
ordinances of the jurisdiction shall not be valid."
~.
.../~
1"1
o
o
:~
~
~ /;
caTV OF PRIOR LAKE lie . ~(,
16200 Eagle Creek Av. S.E. Permit No. fJ - ~
Prior Lake, .. 55372 -
~
~
~
o
~
~
j:L,
""
o
tlEADIG APPUCAnON I PERMIT
Oato ,p-6;-t:JO PIlI 0/. 5 - ;).. 0/} - 0 G,J--O
s..Md,ass Jt/6~/ t:vJ~ L/ieU/ ~ W ~
ld I rBlock ~ Addl~n~' {J.j ;j M
OWnar"sName. .~jIJ. 1(07- )./t::;/J.1I?S
Address -769f/ /;;lg-lL (S:f A.-V 5~~
HealingContractor . )(JiJ6ell-)(}//LE
Address /;:1;;lC/S- /1/;/'~/k/.~VG-' &:Il7Il / ~~
Telephone' 9~;J- 7Y6 - S~
fut'flace Make Ii Uode. "3r,I/~- ,-
Model Sizo ffS'() mJ4vO{5O;;;2C)
Conn, load < /I-! ()dd
Fuel,> A/;1-1 flue Size ~ ~ V~ V
>-
~I
~~
U
TYPE OF SYSTEM I
Warm Air Plants
Gravity .
Mechanical
Air Conditioning /
Vent ~em .
.,
-t'
N
-JI
t-
.,
..,
N
1"1
C
Supp, Openings go
Return OpeningJ / S-
~put Ida~(') 0u1put/).,# d:ld
- '" .;
Edr.
HEAnNG OR POWER PLANT
St..am .
Hat Waler
Radiation .//_ T /)w:P.'.",r ~aJ~
Speciaf Devices
Other Devices
ctm. .
TYPE OF WORK
K
~
(;I.
Hew CoostructicrJ
MeraliontJ .
Repair
Est. Cost $
Replacem8llt
Est. Comp. Date
Bul61g Petml, .
.,
N
. .
fl
1"1
~
~
.50
HEAT1NG PEfMT fEE S
STATE SURCHARGE S
TOTAL PERMIT FEES S
~'-
Q
o
II)
o
'.....
t-
o
/
TYPE OF STRUCTURE
J. ~ - fj~
2. Cbs' . at)'
J. Ye'" eo.naor
Single Family
ComrneroiaI.
^-
1Wo,F~
Muli-FamilV
Oher _'__
Indus1dal
Publ1c
Fee SchedlH
Industrial. CommEtrm' & ~-Family 1%'ofjob cnst t-~..5() rrir*rom)
Residential. Heamg & ^C $99.50 PLEASE NOTE:
Residential, Hooti1g Only $64.50 Air Conditioner Units Cmmo
Residential. G8s FireplElce $39.50 Enl".ro;n~tnTt
ResldontiaI, ~ & -- $39.50 Yard S --i. ~
Residential, AC Only $3~t5C)1
-..10 add 1he Stale Sun:harge on the _ oIlhie "lIP;' , ~ '" .-
ThG plies of your healing permit includes one rough-In and one firtd inspection
AdIiIonal inspediut.s wil be biled at $.'15.00 each.
Hoose Heating Test Record roost be subrritted wiI't buildift9 pAr"," ntnber bene build-
Ing certilcate of ~ wi! be issued.
HF...AT CAI CUl,ATIONS RFo.lIRFn wiIh nuTJ'tler of sl4JPly and retwn openings Ii8IBd per
room will CFM's per opening. New atn.Ictw88 or adcIdons send Ioor plan wiIh supply
and I8t..... IocaIons shown HEAT LOSS CALCULATlONS~ PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CfTYOF PRIOR lAKE. 16200 EAGLE
CREEK AVE. S.E. PRIOR LAKE. MN 55312.
City Hall business hours are 8 a.m. - 4~30 p.m.
ALL WORK MUST BE INSPECTED (ROUGIHt Nm FlNAL) - CALL CITY HALL ,
. I
447-4650 FM 'fLI."74O ....zs+5" '
j .
~ ~,
;,;
I hereby apply for a 1I18chanJcal systems permit and I acknowtedge that the
information above is compteta IIl1d accurate~ thai the work will be in conformance
with the ordinances' and codes of tho city and wt1l1 the state bulldinglmechanical
codes; that this form d088 not become 8 permit until signed by the BUILDING
OFFICIAL; that the work Mil be In p.-,rdance with the approved pIaP in tne
~~.PP'OY.IOfjU;-6 -v"c/
.c..-- ~~ Oate
~ c//ifI-db
Date
FROM WENZEL MECHANICAL 612-452-0367
(FRI) 07. 28' 00 14: 42/ST. 14: 42/NO. 3561851551 P 1/1
",,-
__ . PIL&
YboUIW . ___ ~
...... . err.
cUy OF
ffm.:. AND
,:II \
i "
.
PRIO:R LAKE
WATER P~RMIT
NO.OC-O<DSCD
NOTE:
Seuer and Water
con~ractors must
be reqistered
with the City.
/'?
PHONE: ·
DATE : .:J.../.;J.~
BLOC: . PERMrT # ..QQ- C),,(gS G,
PIO#.;JS-~ - Cl(.~-r)
\ i
II
!
,L
.
APPLI CAN'1 . (.;(;> t!1 , ..,~ /)) g n'JJ ANI j 11.-. {)
ADDRESS: j 159 JlJ/JJJ!71/J.I_1!JL.
SIGNATURE: ~tJJutz:l ~. 9;hA~
SITE AOC:R:ESS: 19~ 1/ W~~ I/~
FILL IN THE BLANKS
1. EstimatQd length of yater service
feet".
2. size of water service
inc:h(es) .
J. Location cf any couplinqs from structure
feet.
4. Type of se~er pipe. ASS
PVC
Cast Iron
5. Es~imated length of,sewer line
teet.
6. Clean out (if required), locatQd at
structure.
teet
from
=====~======__=========~=====~~____es~======~____~~~=~=====~-~~=-~
This applicatio ecomes your permit ~hen approved.
BY (. · (. ~ DI'.TE:: 1Han
~_~___~--~=~________~______--_c=~---~--~--~~~~=-----~-__=_s
F
$
$
$
35.00
.50
35.50
Sayer and water line connection permit.
Surcharge
TOTAL
. Fee for either sewer cr water individually is $20.00 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. / .
DATE PAID . ~~OUNT PAID ~
RECEIPT :I /' ~ REC'D BY/
,/' /
16200 Eagle Creek Av. S.E., Prior Lake, Minnesota 55372/ Ph. (612) 447-4230 I FAX (612) 447-424S
An Equal Opportunity Employer
i::l=
J. Y" i ___
PLUMBING PERM" PP No. JJ.!J .\O,,~
Applicant hIn#np;11 7'Jn,..j~J.:s. InI'I. Phone:1hS/) ~~-~"'.3n
Address: JSZlJ~ ~:.~.,,~~ ~~ .R"'_---U>f.. AI" . 4".s;,4f
Signature; /J ~ r j "-Ill.. ~ '''~.l;t r ' i
Legal Description. Lot Block Sub I
Site Address: I}jJ,fJ) ~ ~
BuRdin; Permit " 170 · ~Go PIC.
N\.II c: This permit wt11 not be proce"ed without complete informatfon.
FIXTURE UN, I ~
09-13-2000 11:31AM
MATTHEW DANIELS,INC.
423 3017 P.01
,'CITY OF PRIOR LAKE
...... ~ e# ..... LMIr c::...."
Quantity Type of Fixture Quantity
~ Bath Tub with or without shower ..:J
I Dishwasher I
I Floor Drain
-
r lavatory (bathroom sink) I
I Laundry Tray (1 or 2 companment sink)
J Shower Stall
I Sinks
Bar Sink
~ Water Closet (toilet)
..
FEE SCH~DULE
Industrial. Commercial & Multi-Family
(1 % of job cost. $39.50 minimum)
Residential. New One & Two Family
Residential, Additions & Alterations
State Sureharge
$99.50
538.50
GRANO TOTAL
i
Type of Fixture 1
!
R9ugh-ins
Water Heater
Water Softner
s~, Pi~e (washing machin~)
S,wage EjeCtor . ~
s8ckfIow Asaembly (RPZ. Ocub~ Check,. PVE
I
B~ck1low Assembly Teat I
~W" Sprinkler
Other
;$
$ ..!JfI.,SlJ
$
:$ .50
I
I
$ ../JI1J.1Jd L ~, ·
,. PAIO{;ITH
. BUILDING PERt.1~,
lbis . .......Jt ia sramad Upoll the apra.s condition that Said
ca..:;....ctor. shall comply with cbe ordlllances
of the Swo Plurnbinl dIceo( :
.. R.E ~. /~. d t.J DATE'
AlldT'
Call for all . ~ nons 24 hows in adwnce.
16200 Eagle Creek Av. S.E.. Prior Lake. Minnesota 55372/ Ph. (612) 4474230 I r.4.X (612) 447424:5
AA Equal OppammiEY Employcr
TOTAL P.01
Date
sa. Address
IfAAq I b JdA (); AJ
Lot Block
OWn8l'S Name .fJ A
AddliDn
~f',~
Address
00 -OG5b
TYPE OF STRUCTURE
en
(I)
L .... . file ~
L u... . 01, m
J. Y.... . c..... '<
Heating Contrador ALLIED 'IRESIDE dba FIRESIDE COINER
Ad*.. 2700 M. FAliVIEW. aOSEVILLEt HI 55113
T~e' 6S1~633-2S6J
r1:1EPLAC! ,.}
~. Uake & Model N~ M J.) Cr..,
,
Mode1SIl.t ./1'1 at"...
Replacemenl New Construction
Est. Comp. Date 9; ~ ';"/lU
'''I)_C}) Building Permit. () 6 .. () ~ 5 h
r" PAID WITH
8ULDING PERMIT
COM. Load
Fuel $J:r
Supply Operings ,
Aelum Openlngs
Flue Slle
h1put
Wpu' lA1n'l\
Edr.
Cfm.
1YPE OF WORK
Aleralions
Repair
EslCostl
. - .
HEATING PERMIT FEE S
STATE SURCHARGE I
lOTAL PERMIT FEES ,
.50
TYPE OF SYSTEM
Warm Air PIanIs
Gravh~
Mech.nical
A. CondlbnJng
VunL Syslem
HEATING OR POWEn PlANT
Steam
Hot Waler
RacAa&;on
Special Devices
Other Devi:81
A1
Receipt ,
Single Famly
"T1
H
::D
m
en
H
c
m
o
o
::D
z
m
::D
Two--FlIIliy
Industrial
, MuIlJ..FIftIIy
Public ()I.,
Commercial
Fee Schedule
lnduslria~ Commerciar I Multi-Family
Residenlal, Heating l AC
Residanlal. Healing Only
Residenliat Gat F"lfeplac:e
Residentia'. Additions & Meralions
Resid9nti8f, AC Only
1% or Job cos. (131.50 minmIm)
119.50
$&4.50
$39.50
$39.50
539.50
Remember 10 add "e Slide Surcharge on 1M bottom oIlhis ."pa1iun.
Q)
U1
.....
The price 01 your healing permll tncludes one rough-in and one 'In'' ~Uon. ~
U)
AddUional inspecUons wi M biled 81 &35.00 each. II)
II)
House Healing Teal Reconl musl be ldJnWUed with Jddina JII1DIIIIIIIIJIII[ beIote bill ~
ing certlfic.. or ~ wiI be issued.
HEAT ~,AI CI If ATION~ RFO\ URFn wiIh runber 01 supply IIld return operings lIIed I
room will CFM'. per fJpenIng. New slludures or addiIiona lend ftoor ptan ... aupply
and return locations *-n. HEAT LOSS CAlCUlATIONS. PAYMENT AND
APPUOOtoNS MAY BE MAIlED 10 THE CITY OF PRIOR LME. 18200 EAGlE ~
CREEK AVE. S.E. PRtoR lAkE. MN 55372. ~
.....
I
o
o
ely Hal business howl .. 8 Lm. . .4:30 p.m.
t
All WORK MUST BE INSPECTED (ROUG....IN AND FlNALI- CALL CITY HAlL
447....230
II)
...
o
):to
I hereby apply lor a mechanical .ystems permU and I acknowledge that the ~
information above Is comp'ele and Iccvr.l.; that the work wHI be In conlo,rnanc, ...
with thl OlefinaneBs and codes oI1he city and with the stat. buflclng/mech.nIc.
codes; lhat 'his rorm does n01 become a permit umH signed by Ihe BUllDINC
OFFICIAL: lhat the work will be In accordance w1th the approved plan In the
case of all work which requires review and appro'lal of pllna.
,&,..~ ~i
~ 0fIicaf'. Signalure
'14,1r>>
"/ Dale
~,-
."
Dl
UJ
ft)
-
PRIOR LAKE
I
..
INSPECTION RECORD
SITE ADDRESS 1L{~ql W,.[Jc; !,'fWJ
NATURE OF WORK AJeMJ
USE OF BUILDING :;:F..D '
PERMIT NO.' __ tJO.. ()f4~~ ~ DATE IS,SUED' '
CONTRACTOR !C,t:) .' f\o..J- ~,,~p"D"eil ~. -5i/1.- 0$3d
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUM NT
INSPECT \ ATE,
: FOOTING. . /1. 1 ?1\
FOUNDATION (Prior to Backfill) . Jt} ~ \ \
PLACE NO CONCRETE UNT"il ABOVE H~S BEEN SIGNED
ROUGH/i INS.; .
SEWER! WATER I SEPTIC. P;fJJ '1/.-tII~
FRAMING I f. ~ /2~ I ).:: '7 A
INSULATION [:/:t, /o/~/tMJ
ELECTRICAL
PLUMBING /J:r. ,I/J./ /~
HEATING (if required) "'Iv,., '#t: 1/ ~ "/ll-f
FIREPLACE · I< r'H. 7k~~#
GASLlNEAIR'TEST~~;"' ~. 9~(/~ /
, COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~
DEPARTMENT OF - ...
BUILDING AND INSPECTION
I '
" ."---
FINALS .9f1
GRADING (Prior to Sodding) .0.; /1/.
BUILDING ~ V~
ELECTRICAL
PLUMBING f;,) ~~/~ .
HEATING ~ vile." '!~ If>> ~~6MIi I . riJ.otJ
DO NOT OCCUpy UNTIL ABOv~ HAS BEEN SIGNED
NOTICE
This card must be posted near an electrical service cabinet prior to rough-in Inspections
and maintained until all Inspections haye been approved. On buildings and additions
where no service cabinet Is available, card shall be placed near main entrance. ,
11./.1. ':J
,;dl~O()
" '"
Call between 8:00 and ~:..o~ A.M. for all inspections
FOR ALL INSPECTIONS (612) 447-9850
t
.""...,i . ;4.
DATE TIllE
CITY OF PRIOR LAKE
INSPECnON NonCE
SCHEDULED
/1-/3-aJ
ADDRESS J 'I~91 tALJJ J V ' ".f. V
OWNER CONTR. ~. 1.(0, HtJ~J
PHONE NO. PERMIT NO. ---DO - ~ ~
o FoonNG
o FOUNDATION
o FRAMING
o INSULATION
~FI~L
o SITE INSPECTION
o PLUMBING RI
o MECH RI
D WATER HOOKUP
D SEWER HOOKUP
o PLUMBING FINAL
D MECH FINAL
~UNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
D GASUNE AIR TST
o
COMMENTS:
all eft
()( WORK SATISFACTORY. PROCEED
- 0 'boRRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Ins~~ - OwnerlContr:
pALL 447.8850 F()R THE NEXT INSPECTION 24 HOVRS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
IN8NOTl
DATE nilE
CITY OF PRIOR LAKE
INSPEcnON NOnCE SCHEDULED It. t1~
I
ADDRESS I"~ ~ lli~
OWNER CONTR.
PHONE NO. PERMIT NO. 0 ..(,~c.
~nNG o PLUMBING RI o EXlGRADlFILUNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
} INSULA TION o SEWER HOOKUP o FIREPLACE FINAL
FINAL ~..,1' o PLUMBING FINAL o GASUNE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
s~ ~ Tna.>> o~
./
~RKSAnSFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORREjjlK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: , Owner/Contr:
CAL .9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
INSNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
9::::d1-tJO /~ ~O
J3t,f; /.JJL~/dS View
SCHEDULED
ADDRESS
OWNER
CONTR.
PHONE NO.
PERMIT NO.
(J ~~ s"
o FOOTING ~ 0 PLUMBING RI
o FRAMING 0 MECHANICAL
o INSULATION /lI'Y:IATER HOOKUP
o FINAL Rr1EWER HOOKUP
o FOUNDATION 0 SEPTIC INSTALL
o DEMOLITION 0 PLUMBING FINAL
o FIRE PREVo 0 SITE INSPECTION
COM.ME~T.. ~ 7;;' ~ ~~~ v~
@ ". ,.,~ · , -1 -
iJ) z;;- ~ "/~ --..-~~ '
o EXC/GRADIFILLlNG
o LKSHOREnNETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
~6J~ ~
h~'~, 5'~~,
if' p~ Ad-dJ~ '10 s.J-A.7\&-~
~ l Jt ~ l~ll~' C'~~ ~
~i ~\~ i\.o~) ~ ~.
o WORK SATISFA~. PROCEED
)Ii CORRECT ACTION AND PROCEED
:s=~~REINSPEcnON :::/~:RING
,
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
DATE TillE
CITY OF PRIOR LAKE 111~,Io(J
INSPECTION NOTICE SCHEDULED LI,'oo
,
ADDRESS IL/~ tj I LJ1 L{),S iii t:.-ZU
OWNER CONTR.
PHONE NO. PERMIT NO. o - Co S~
o FOOTING 0 PLUMBING RI 0 EXIGRADIFILLlNG
o FOUNDATION 0 MECH RI 0 COMPLAINT
o FRAMING 0 WATER HOOKUP 0 FIREPLACE RI
o INSULATION ~ 0 SEWER HOOKUP 0 FIREPLACE FINAL
o FINAL ~~ PLUMBING FINAL 0 GASLlNE AIR TST
o SITE INSPECTION 0 MECH FINAL 0
~o ~(/) ~ is:! ~,
, ~f_ '!!~~~ ~ - I::f ' '+-0 iA~
'--'~ ~ J~ ~ d"l- ~6/ 4."<-..-iL-
~~.
L1JiiM W~ ~~
~ t,l tJ.tA, -L
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION AND PROCEED
o CORREC~K, 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
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
jL:roq) tJ,ich
.....
, I P-1J.)
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
J!IC FINAL f'r
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
JI\ MECH FINAL A
1~7OD
nue
~~oo
00- ~sb
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
. COMMENTS: -. . J,
1- .~ "f\lC, ~l ~~ce- ~'(),c., r1~1
() - ~ l ~ beA; "<J WQ..ie.r-- "'" ~ ./
- CA~i~~{,- ~d,
Mf~re- \~. .
- l ('pp ~ .K".s.a:l "~ ueOl .~
,v a.(~ \-tlM e.i't9~~
rl~ C..f),
01
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK~CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~..... ~ Owner/Contr:
CALL 447.9850 FOR T.le NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!