HomeMy WebLinkAboutBuilding Permit 01-0042
CITY OF PRIOR LAKE
BUILDING PERMIT,
TEMPORARY CERTIFICATE OF
ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
lDA~k;;(
'7";7;,n
1. White
2. Pink
3. Yellow
File
City
Applicam
Permit No. f) I-("/)4 L
DIRECTIONS
SPACES NUMBERED 1 THRU 17 MUST BE FILLED IN
BEFORE PERMIT IS ISSUED (Please Print or Type and sign al bottom)
2. SITE ADDRESS ./. _ '0-;
4z,"JA ~M IA'hL
3. LEGAL DESCRIPTiON
II
K,w.q
BUILDING INFORMATIoN
11 . SIZE OF STRUCTURE
(Height) (Width) (Depth)
.
12/
12. NO. OF STORIES
~
ZtVfJ
Z5-?,2,Q- ()~~-()
I
BLOCK
~u....
PID
LOT
13. TY;JZJO~CTION
14. FLOOR AREA APPORTIONMENT USE
ADDITION
(Name) (Address)
\WNDWOOD HflUJ:!I:
(Nama) 43 1 E' A iAd....ss....uite 200
1 1 wmg ve. .", .,
t1um::;v;;;IJ, 'r1t~r~OC
(Tel. ,No)
B9S-tU4e
(Tel. No.)
4. OWNER
5. ARCHITECT
(Tel. No.)
15. NUMBER OF OCCUPANTS OR SEATS
OCCUPANTS
(Name)
6. BUILDER
SEATS
Fireplace~
Alterations 0
Deck 0
Finish Attic 0
Ae-roofing 0 Porch 0
Re-siding 0 Finish Basement 0
Septic 0
Addition 0
7. TYPE OF WORK
New Construction ~
Chimney 0 Misc.
8. PROPERTY AREA OR ACRES
Sq.Ft. ~p
16. PROJj"CT COSTNALUE
I ~ ()t)j)
110. CULVERT SIZE 17. COMPLE1~N D~TE
Yes No '}'3.tJ/OJ
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
struction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the
t cause. Furthermore, J hereby agree that the city official or a designee may enter upon the property to perform ne~~.n . lions.
:h<}, / 1t:1J/
License No. 0 e
x
/
t;~
SETBACKS: Raqillmlf
Actual
FOR ADMINISTRATIVE USE
MATERIAL FILED WITH APPLICATION
SOIL TESTS
o ENERGY DATA
o
Side
Side
Back
Front
PILING LOGS 0 PERCOLATION TESTS 0
BUILDING DEPARTMENT VALUATION
OFF STREET PARKING
SPACES REQ.
SPACES ON PLAN
PERMIT VALUATION '/'5'?>.,(XX).OO
PLANS & SPECS 0
SURVEY 0
SETS
COPIES
s,c:.o
USE OF BUILDING
PLOT PLAN
o
TYPE OF CONSTRUCTION: [ II III IV V
Occupancy Group A B E F HIM R
Division 1 2 3 4
Permit Fee ................................... $-.--1.
Amount Brought Forward .................. $
Park Support Fee ........................... <I: B50" C$S
SAC ......................................... $ { /51"'\ ,CJ 0
Collective Street Fee .... ............. ...... $
Sewer Tap ................................... $
Pressure Reducer ......1h:~.c.............. :
Ci1y:
S U
J..(!J( . '7 ~
~q{.,.fl/
1..? ,sn
Plan Check Fee ............................. $
State Surcharge ............................. $
Penalty ...................... ................. $
</5. ('J(j
~1
Plumbing Permit Fee ....................... $ Inn "t')
Mechanical Permit Fee ..................... $---'LJrJ.~
Meter Horn ................................... $
Water Meter ................................. $~<\. FJn
Sewer & Water Connection Fee ........... $ I)rl.~n
WaterTowerFee ........................... $ I'J. t!)O
Water Tap ................................... <I: .
Builders Deposit ............................ $-1..~~dci
Other ......................................... ~
Paid T8~ D~;.O>8q....~~;~I;~9. ~~~t37-
, I
Date 1,-. 7--/, 0 I By
e request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed f requested. This document when
nerconstitutes a temporary Certificai.~f Zoni~ comPlian~:;; qction to com~nfe. Be. re OCCU. . an~ Certifi~ of ocCW~~. must be i~ued.
""" _____ -1 2,"i/bt ~ \ CA . 'FJ9I1' ~. ;,.",,1 & .
Planner Dale '-"" - - SpaCial onditlons ifany - . ....
~.S7>
4(J.0 d
Sewer & Water Permit ...................... ~
Gas Fireplace Permit ....................... $
T~. ,B Become~. ourBUildingperm!Wh;rrov~. _
~ _ Date - -... 2..Ot:Ii!!.
Certificate of Occ
Issued
Ti~~~ certify thEl:t
Si~ty~
/-- c
24 hour notice for all inspections (952) 447.9850
o \~004'~
Th~ (""nlero! lh.. L.k.. COUnll'}'
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W-1&() V'J aoD
'/5/01
. I /
Hr2t1 F..l. <)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4G,zA- HllMH/NqBI RD l"RA1 L--
Accepted
Accepted With Corrections
>Z-.
Denied ~Flj} (/___
Reviewed By\_;[J/ ~
Comments:
W QOC CI-&O~ ~1~._ k"
Date: I - 2?/2~ I
"The 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."
<'",.".'
OI-ooLt'V
The Cenler of thll' L.kll' Country
White . Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
l\: I 1\. I ) 1'\ eel .I
I/,--,/c/
I /
HCI'iF/j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4i'r 74- I-IL ill i I 1\(, U I<-UT/(:,A I L---
. , t
Accepted
~
Accepted With Corrections
Denied
Reviewed By: ~~~
Date:
t /:2.L-/ /6 I
Comments:
No ('hll..v.Q.4 L A)t~ "'1 v~ (' AM../9f'''T-
~v'~ fJ l ,~p p
'),'--1 ~r M,t:JIJ lJ\MAA-\1. {;, ) 3~ ,k-
nr0V\T p.r;~~ L..tVW -t- "~ kill) rQ.l()lt-J
C10 Lvv~ b
"The 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."
"'.... ....,~.....t:I-."".,,~t~_"'''''''0!0/JO'' _~~",. ~"':~_""I;oo"',.~' ""'''''''''~'';'~~'''''~''''';'' ,." ""..... .' . ..,
. ",., __c.- o'.<~.._._., .'_ .~.~, ".', _"" ,,,.' "y" ....:..... .......,.~.,....,,~.,.. '-,' ..:............. ".. '.
~~
DI/06~
Thf Cfntff of thf lIkf Country
White - Building
Canary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
W I tV () WOO 0
1/ ~ /01
I /
He /VI F./5
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
4i'c 2.4- H lJ rW11 N ~ B I t<-D IRA I L......-
v!
Accepted With Corrections
Accepted
Denied
Reviewed By: LtL Date: J /1/ t?O
Comments: ~RPAi~r-<'.t'~ ~ ~ km.?,vlh... ~.
"* !l1f/III!(il/N A 2 % !lllll/IN!U/n I612fl.tJ6 ex.. SI,JfJU3 JffYJl1l1}O
-:rile flnl1c,F4
"
5ec ~7ll1ai/JlE:Jr/17.: f) GB:JO//J)G f?c.A/I) ,2.) ~g;J Uw:r,;e?G- A".$95V.ee:;
3) EV?05IrJAJ UJ/I.7T,<'fJL M/IJ
"The issuance <!r 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." .
,- ~. -.. . "'!. r nlvn LAJl..t
;5"('~ ~~ '820D Eagle Creek A.v. 5.f:. P8rnl~ N~ 6/- 004-2-
'\::..68. Prior Lake, MN $S372
"-- HEA'ilHG APPLICATION I PERMIT
Dale ")-,-\ _ PlOt:
~;iIeAddress~:l"\ "-4"-\11\:", h,',...\ ~;\ .
~~ ~ Block S ADdiiion K.,,~ \, -\\-; \!.~~
[D:lwnm Nzma ~ ; 1\ .\ Inf ~ ~ WoN ~
g'ciGress \,,""\\\ ~~"} l\..~ ~-u.v~.l~
Healing Col1l1il""" \"\~.., \\,....~. \'\ \
ADdress \ \,., ~ 'l. ~. '\,.l ~ \ t Or,,-\ ~ ~ \ 1->",; V'" \. Lt K.t.
Tele;lhone" ~ \(l - ll. \ ::>. '\
F'.Im_ Make &. Model C c,...."..~ h'....
Mad. SI:!8 (\\ V (J _ \ ~ ~
Conn. ....ad I -, '5'-\ ";),
Fuel (V ~-\ Fkla Slu "'" '-
' , -
1.1Iot
1._
1.td.. ...
ilk
0.,
c..::-
TYeE OF SlWcruR~
Sin9le Fan1lIy X
Comm..r.:ial_
. T-.F1IIlily _
_ Incl:stnai
MuIi-~ ""....
?ubi:
... o:ner...
...e S:hedu~
Industriol. Cllli1lnen:ial I. MuJli..FOIT1ily
ResiaentiaJ, Healing &. M;
"esi~ Haling Only
i'lesidemaJ. Gas Mre;>Ia:e
""._"::...Ja1. AOdiIi_ & AIlr.ations
i'lesidantial, N; Only
l~ III job cost (OSa.50 r.Unnwm)
S9!!..so
55430
S39.50
$3930
s...~3)
i'Iernernber 10 IIid !he SID s.. ...;_, w~ llI\ !he ball:>m 01'" appioation.
TYPE OF SYSTEM
Wann Ail PIanIs ~
Gr.MIy
MeetIari::al ~
",.~X
Villi. Sys!1lII _
HE4'llN~ OR POWER PLANT
SIuni
HcI w..r
RadiIdian
Spedal Do,",*, .
The pri::e Dl ~ heaIi1g pIlImfI il::iudes ane l'llU;!Il-il2nd _ r.... ~.... "--.n
Ad:iticxJal ~ WI! be bIled III s:!S.DO eadl.
IW.- Heating Test Recollll1lLlll b& aubmIlted willi blIilIm& U!m!l.!!III!il:r belen lIuil:l-
ing ...,..... <h III DC::U;lIIIlcy wiI be issved.
l:E!t C4l r.U1 mrws ;L-OlllFl~ Wlllllllllnber oI'''lIlIlll'IIIn. ,; _.: ",. Iisl8d por
~m willi CFI.rs- per lIpening. New struClUrl!s Of e:ldliont IIetld !loot plM IrilIrllllpply
8Ild Il!lUrn IDcation:a IIlown. HEAr LOSS CAlCULAilONS. PAYM:Nr AND
APPUCRIoHs .....V ~ MAII.E:O TO 7HE CITY 0;: PRIOR LAKE. 1L"DO EAQf
en==< AVE.. S,E. PRIOFllAKE, MN ssm.
CiIy Hall!usin_ hlll.ft are eLm.... (:30 JUn.
Other Davbas _ AU. WORK IlUST BE INSI'SCnD (JlOUGK-IN AND FINALJ . CALl CIiY HAll
,
'. - 447oC:l3D
\
\ -"- ,/ '......-.....---...,-......
R~, N t"_____ ~ . .iIlfDnnatian Ibove. complete !IIld8l:l:llJate;lhat "''WDrk'''...n ....,.,..lIlca.
. \" . ow -""'''''''Dn. -' . WIth Ibl llI'dInancu and DlId. Of IIle cIl)I ~~ witIl 11I1 Ill!lle ~ecbanical
. . :tlaI. '. ...' codllC; ttIlIIltIis "'1111 d.... IlGI beClln>1 . Jle/I]I/l unIII $lll~ by !he Bl1I1.DIN6
<.- .~"""' _. ~ .0000C........_....._...................
! .~~. ~ <><>" ~ -...;... -'""Ia:..... - 0 ~,."" ~ ";''''' '",.c. --... "':r.'. ~ _ : '-C. .-
- ...._-"". . .hk..... . . . 'S"" \ .C. .
....:..:..:r..:;..::;"...,.UA_ R 50 .L'wu=,,,, 9NICTnna. ~ "w _~.t.;....:---: .. ;' DII!-..'--:-:-
:;a ~......_"............ .. . , ""-H.LIM" al'Vd '.' 'r.--;::...,,;.- . . . '. ;",""
N"~ '. . ... AMl:l .. 0 .,,~,f': .
.:;;;,;,.-- . . -'. '. - '.., --",,-. . ~ .
.:. . :... '.; ..0..... ...... ...... . .... .., ..,.:'.!: ". :c:,.... .... ......_ ,:'::'-" ....
cr . a';5.:!. ." -. ~..............t.~..:.~.L.~_'i:....,...,;.~~~._ 'v" ,_,_"._' ~'_..=; ....... _, _ .t"",.~, f~.~..d-r'~olof ...ol:. .....,t..""-...'Y:'...."'-!..~."'-..~...."".:.~~I~~. ~.~
"". .....,., ...... .~-....""''''s.:~u,..~ -" ....... '-. ~_, ~"'~." <or '~"_o:....~.. ...... ""'"
.....<'0, . :..,,<.~O,<;"'-. _" """''''"'-.'''~'- ''''<t-_''''_ ........,."- ..... . '-' , ,
..~.. . - ".. . . - .'. - ...' '. - . - ."..' '.
Sll;lpIy O;lerin;s
1/
1>
-
nIl!UlllC".,:"." _
lnpul.J 0(\ , \)\J) . 0ulFtA
\
'1~ c.'fJ<I
:dr.
0< -
~ Cfm. d QC)~
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AIIIIrati..ns
~ :----....~-.,. ...
It.' ~ . ~ ~ . ~ _
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~
CITY OF PRIOR LAKE
16200 Eagle Creek Av. S,E. POlmil No. (') / - 0 QLi)..
Prior Lake, N N 55372
TYPE OF STRUCTURE
1. PInt
1. Gnlrn
1. Yel.lliff
File.
C"rty
CllEltncl<<
pC
Two-Family
MuIIi.Family
Public Olh.r
Single Familv
() ::):; _ 0 Commercial
TYPE OF SYSTEM
Warm Air Planls .
Gravity
Mechenlcal
Air Conditioning
Vent. Syslem
HEAllNO OR POWER PLANT
Sloam
Hal Water
RadIation
Special Devices
OIha, Devicoa
",""alion.
Replacemenl
TYPE OF WORK
r:x
~
~I
est. Comp. Dale
~);;7;diOn
. (
Building Pa,mill
~
.50
PAID WITH
BUILDING PER;';'IT
Induslrial
Fee Schedule
Induslrial, Comme,ciaJ .. MuRi-Famlly
Residenlla~ Healing" AC
Resldenlia~ Healing Only
Residential, Gas Fireplace
Relldenlial, AdclJlons " AlIerations
Reslden\1al, AC 0 nly
1% or lob cost [$39.50 minimum)
$U9.50
$64,50
$39.50
$39.50
$39.50
'"
'"
~
!1:
>ol
~
'"
00:
~
:\
~
::>
'"
'"
AddllM
~a~ i ....1 Cif J . .ll't.~ ~J4~'5" &11"l)fi"l~ ~/.(
AddlNl/?l./1J7.!" .J rs-~.~ HC't-
Tellphond ?1tJ b~.,c ~:$
Furn_ Maka .. Meclel~ ~ ,,,..,
Mod.. Size DI/n,fr.J.t '" S
.
00:
~
Cann, Load
~{f
Fual If
Au. SlZI 1I;.r
I
/
Supply Op.n1lll1s
nolum Opening.
....
oo
oo
o
'"
'"
'"
'"
...
....
InpU\~ OUlpUl
Edr.
Clm,
nepalr
Est, Colt .
HEATING PERMIT FEE S
STATE SURCHARGE $
....
o
....
oo
~I
TOTAl. PERMITFEES $
neceipl r
Remember 10 add Ihe Slale Surcharge on lhe boIlom ollhis application,
Th.e price 01 your healing perml1. L~c1udeS one rough-in and one "nal inspeclion.
Addlllonallnopecllona will be billed al $35,00 each.
House Healing Tool Record musl be submiUed with Wildi.olII!mnlIIlIUIIIlw: before build-
inll cenllicate 01 occupancy will be issued.
HEAI CALCULATIONS REQUIRED wftll number 01 supply and relurn opening; listed pe
room willi CFM's pe, opening. New slruclures or addillons send floor plan wfth supply
and return locations shown. HEAT LOSS CALCULATIONS, PAYMENT AND
APPLICATIONS MAY BE MAILED TO THE CITY OF PAlOR lAKE, 16Z00 EAGLE
CREEK AVE,S,e, PRIOR LAKE, MN 55:m.
CRy HaW business hOUR; a'e B a.m.. 4;30 p.m.
ALL WORK MUST BE INSPECTED (ROUGH-IN AND FINALI- CALL CITY HALL
447-4230 f5"Z- '1'1'!-.yZ tf 5"
I hereby apply lor a mechanical syslems permit and I acknowledge lhallho
inlo,maUon above I; complele 4nd accurale; Ihalllle work will be in conlormance
wilh Ihe ordinance. and codes 0' Ihe cily and wllh the slala buildlng/mechanlcal
codes; lhal lhis le'm does not become a permit unlH oi9nad by Ihe BUILDING
OFFICIAL; Ihallhe work will ba in accordance wilh the approvad plan in Ihe
757J(j&;: and_approval 01 PI~~
{)"PPlicant's Siunalure r / t Dale
C Lj-dO-O/
'BuHdlnQ OKical'. Signa lure Oale
l
03-13-2001 02:15PM
MRTTHEW DRNIELS,INC,
423 3017 P.01
CITY OF PRIOR LAKE ~::. ~
J, y_ ~....
PLUMBING PERMIT PP!:'lo. OI-n04-Z-
Applicant: lYItJ#h~,.\ J},.,,;,./5, In,n. Phene: &"'s,) ';.:L~~:~~'t"
A~d"'SS: ~o ~.D~ W-:o;/. .RA_,",""",n-f. ""'IV .<:"-:'!JJ
Signature: 1".1 At(' L_ _~I L." I"~
Legal De~r1ptlon. Lot 7( _ Bleck (/.-r SU~I Ii ..;~ II) -n2IJ-,
Sit. Address: .,!t.tJ.4 \. f:/1.u'-L FLI lll1'J,,d )....:/.L. Y. tf .
Building Permit 1# 0 (~(') 4-Z_ PIO it 25- .3sq ~ 033 - 0
NOTE: This permit WIll not be proce$Md witheut complete Information.
FIXTURE UNITS
n- c..1lrt ., IIilR La,.. C.-.,.
Quantity
"-
I
I
4
I
/
I
...j
Type of Fixture
Quantity
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage EjeCtor
Baddlow Assembly (RPZ. Double Check, I'VE
Backflow Assembly Test
Lawn Sprinkler
Other
~~
. I
$
$ 9Q.st)
s
S .50 \Nrn-\ ,.,
0"\0 _~'.' \'
..-1" G'r'c.r....'
$~
This permi, is JNllCd UpolI the upmss condition th., said
conlnClDr. IllaIl ..."'pl ." aU pedS with the ordinances
oC the State P1..mbinl ", ., "'" OIl" tho_C.
- , , ",.7.<-,,,, DATE
ATfEST
16200 Eagle Creek Av, S,E., Prior lake, MinnesolB 553721 Ph. (612) 447-4230 1 FAX (612) 4474245
All Eq....l OppoRllllity Employer
Sath Tub with or without sllower
Dishwasher
Floor Drain
...3
I
I A/':'
I
Lal/atory (bathroom sink)
Laundry Tray (1 or 2 compartment sink)
Shower Stall
Sinks
Sar Sink
WatElr Closet (toilet)
1
Fe: SCHEDULE
Industrial, Commercial & Multi-Family
(1% of job cost, $39.50 minimum)
Residential, New One & Two Family
Rllsidential, Additions & Alterations
State Surcharge
S99.50
$39,50
GRANO TOTAL
Call for all i
li~na 24 bours in aCwnco:,
TOTRL P,01
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
APPLICANT: 0,1 i-Sjlu G xc.
ADDRESS: 1(.11f? ~ro,.,J;..J 'J.JA"I LUllL, ">5;;-'1'-/
SIGNATURE: r.:.. Q -'isL 'D ~ L
SITE ADDRESS: yr.:l-I J.lV\.""M~IJ;:at:>
FILL IN THE BLANKS
1.
Estimated length of water service 4 0
I'
Size of water service ) inch(es).
2,
3 .
Location of any couplings from structure
4, Type of sewer pipe, ABS
PVC x..
5. Estimated length of sewer line
40
6, Clean out (if required), located at
structure.
BY
DATE:
when approved.
'Z --j 2- --0 /
----------------
----------------
GREEN - '..E
YELLOW . A.PPLICANT
GOLD - cn.,
s.w.No..OI- 0042-
NOTE:
Sewer and Water
contractors must
be registered
with the City.
PHONE: e;s~ i<"l.l-" '( C O'
DATE: '). JnJcI
BLDG. PEm:IT # 0/-004-2-
PID# 25-33tf- O~3 -Q
feet.
feet,
Cast Iron
feet.
~
feet
from
---------------------------------------------
---------------------------------------------
This applicatio
mes your permit
-------------- ---------------------------------------------------
-------------- ---------------------------------------------------
FEES:
$
$
$
35,00
,50
35,50
Sewer and water line connection permit.
Surcharge
TOTAL
*
Fee for either sewer or water individually is $17.60 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
AMOUNT PAID P~.ID !'(I"!",I:!.. ..,..
l:lul~I.i,N~ . -' .... ,
RECEIPT #
REC'D BY
16200 Eagle Creek Av. S.B., Prior Lake, Minnesota 553721 Ph. (612) 447-42301 FAX (612) 447-4245
An Equal Opportunity Employer
PRIORLAKE
INSPECTION RECORD
'1i-
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS LIlA ~ Y J./ow..rA.A.(~/hr.WA
NATURE OF WORK A).e--<.J I
USE OF BUILDING ,""FO
PERMIT NO, () 1- 004-2- /, DATE ISSUED / - '2 '2 -~ L
CONTRACTOR lJclNOI.~ t;Ea.u..--- PHONE ~-~<{t..I~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BEL.OW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DAnE
-
I FOOTING ~ l;.i/;13/tJ /
, FOUNDATION (Prior to Backfill)t'~;1L I ~. d!c;r,;;, I~, 3/1 /01
: , ,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH -""INS
ta? ell/;; I
{f;y, 4/4/;;'1
.f7r, i ([ fq/o/
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING II,s. 1l11f:\ ~ ~ ~/,).? (01 , '5"'oll 13," 4\':t510\
HEATING (if required) ~l ~ ~ ~~8"/07 _~, '3/.3 () .~
FIREPLACE '~~M A\~ 0\ I
GAS LINE AIR TEST ~ 9:r. 3( 30 {o\ \ 1/ 5 q/ ~V
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS"; .
1J{:j
,~
"
GRADING (Prior to Sodding)
BUILDINGf.c.o' ~ go] \{Ol ~. -'j3b(OI
ELECTRICAL I ,
PLUMBING
HEATING
DO NOT
JO.Z'V J
/u111o,
I
5")(iL-\ )0\
5 /3010 (
BEEN SIGNED
/'hft~rw-t\
tJ:r. '
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.
Call between 8:00 and 9:00 A.M. for all inspections
FOR ALL INSPECTIONS (952) 447-9850
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
/o.';'.of HI.
ADDRESS
4(,24- JlrJf1;V/ / tI (j 8/-eD
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING ;@ 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
'ItJ FINAL 0 PLUMBING FINAL
b SITE INSPECTION 0 MECH FINAL
COMMENTS: 50!:;>! /1L-66
~ (ljJ~
:t5u.LJ JO.)...d
J
/- 004-2-
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
SLJ:....p J. ~ ;; ,I
~~
!/
(t1 WORK SATISFACTORY, PROCEED
o CoRRECT ACTION AND PROCEED
:S::~O:ECT ~ ~OR REINS~:~::I::~:FORE CoVERING
CALL 447.9860 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
lNSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
I./tl'f
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
(-;a" FINAL
-D~E INSPECTION
DATE TIME
SCHEDULED J ~ -');'
H U fYlfYll()Cjh;/'cI r;.", i I
CONTR.
PERMIT NO.
() / - oo4-t--'
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HoOKUP
o PLUMBING FINAL
o MECH FINAL
~~ILLING
- rr-c01lPO:iNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
Cui6 13~-- of..
&f'c.t~ ~ c..) e.
XWORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE CoVERING
...#:~
Inspector/-?' ~ _ _ Owl1er/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
/{VSNOTl
ADDRESS
J-fhd. Lj
OA TE TIME
S-?xJO} /,'/5'"
c _t-..: --1
tlt--/~
S/:OHEDULED
CITY OF PRIOR LAKE
INSPECTION NOTICE
'-/
OWNER
CONTR.
PHONE NO.
PERMIT NO.
j- 4c)"/
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMINGrf? 0 WATER HOOKUP
o INSULATI:t ~SEWERHOOKUP
..Jr1!iNAL ' j'J 0 PLUMBING FINAL
o SITE INSP ION MECH FINAL
COMMENTS:<<f) J(.u.p ff;tz;. I1-rn ~ Jl ~ u-:::tJ
Jut.. '1 ,:...:rdL.J) (A"f:O-<.orL ~ ~. )
~M'i:., ~atbo~
@\) ~~ ~"'-'-eH ~ 11' r ~~
~ ~ ,(\.....Jt.S~ +- ~.
{tl. ~ PMJ<<l..<~ Q~J W ~
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
iiJ'
.~-..;;,~
n~['~"~.~ ;iifr71.~f ~
- ,..~r \'
-," .
/'
o WORK TISFACTORY, PROCEED
>.5 CORRECT ACTION AND PROCEED
o CORRECT W~ALL FOR REINSPECTlON BEFORE COVERING
Inspector: ? ~ . Owner/Contr:
I
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
IN$NOTJ
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
3.,.01
1:/5'
ADDRESS
4(,24- 1-f()1'1/'11;J 4/1/ K.O
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
CQMMENTS: ffJ (l ~
I~ ~ ~ PVY'~~
@}
o PLUMBING RI
~ 0 MECHRI
WATER HOOKUP
SEWER HOOKUP
~PLUMBING FINAL
o MECH FINAL
() 1-004-2....
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
-<::Jtf ~
(1 "l..<-1 ./~
1 r' T21~ ~ Govo~~
r~o {fo J-.,; , .. ,
s.~AT ~~
1,1 ~.
~~L 6>"-- ~
5Yrr.o 10 ~,
Crr -t-, ~rJo '..v''--''~
~
i..f r r Pr/(!~}.L.
o WORK SATISFACToRY, PROCEED
I! CORRECT ACTION AND PROCEED
:.:::o:ECT WOR~R, REINS~::::/::n::FORE COVERING
CALL 447.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTl
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
................-..-._~_______~'-_~___~-...:lI""'-'-.-
.Permit#
.JobAdd.... Y"".::> <( 1Iu..-.. '',,1 .f, 'rrl
._.ng Col1Ir__ METRO AIR
.T esters/Signature
,oGaI Une
Pressurized
Inspected
.Percent c~
'"Percent 02
F inallnapection
/-
tJ
Pounds
f!!!!!!!!
!l!!!
Ii!!!!
PERFORMANCE TEST
t.. 9 /0 .P..conl co
7, I Ole:>
o~
1/(" ·
"Stack Temp.
Dale
-