HomeMy WebLinkAboutBuilding Permit 01-0419
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
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. i~-'
Date Rec' d
I 3 CJul
(Please type or print and sign at bottom)
ADDRESS . /
/IJ'J 11- III b~()
I. White File I PERMIT NO I!f-J
2. Pi,k Ci'y . r/_ O,A
3. Yellow Applicant 1 ~
&.
ZONING (officeu,,)
1<. IS D
LEGAL DESCRIPTION (office use only)
LOT :?-BLOCK3 ADDITION ~ ~~ ~
PIDJS- 31./kOlCj-()
OWNER
(Name)
WlNDWOOD flOMES
14311 [wing Ave. G., SIJIte ~
Burnsville, MN 55306
(Phone)
95~ gt;S ~
(Address)
BUILDER
(Name)
(Phone)
(Address)
I~ {
TYPE OF WORK ~New Construction ODeck
OLower Level Finish 0 Fireplace
OPorch
ORe-Roofmg
ORe-Siding
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECTCOST/VALUE (exdudingland) $ !$,tl!/t)
,/~
tion on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or .
autho . eat a Qve-m tioned p. rty and that all construction will conform to all existing state and loca11aws and will proceed in accordance with
submi plans, a are tha th . 'ng official can revoke this permit for just cause. Furthermore, I hereby agree that the city official ja djgnee may
;terupon pro rtyto . neededinspectio ~'1--' _ *NPL
- l/ Sjpdfiire Contractor's License No. - Date
(~
I Permit Fee $ , , '301. ,c;- I Park Support Fee # $ A9'1. 061
I Plan Check Fee $ B4r..I<' I SAC _ # $ II!>O.Q6
I State Surcharge 1$ -''7.50 I Water Meter Siz~ I"; $ I I 25.m.
I Penalty I $ Pressure Reducer $ q, t:;. 00
I Plumbing Permit Fee $ lOD. ov Sewer/Water Connection Fee # $ I .2.00 .~
I Mechanical Permit Fee $. I CJ() . 0{) I Water Tower Fee # $' ,,()() . fY)
I Sewer & Water Permit Fee $ 3s .50 I Builder's Deposit $ II ~OO .CJ()'
I Gas Fireplace Permit ~ee $ / L .()c;J I Other $ I
. '10 on~
f9rrt*~rq~~~;:; ~:::~b..,~-R"JI4~a;:~;891
~n~got1cial Dale I Date . ~~/ cT. () BV! JtV
I . ", #
This is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and ..Kay proceed as requested. This document
when signed by the City Planner constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~~~- 5/~a{e\ ~'C~anfv~f1~.
24 hour notice for all inspections (952) 447-9H50, fax (952) 447-4245
~1
White - Building
Canary - Engineering
Pink - Planning
Th.. C..nl'" of Ih.. Lab Country
.B.U.lJ..DING PERMIT APPLICATION DfBARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!JJlydLPOcd fJom6
ij-/3-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
lL/9'7;}. :/Y;~h let IIkL ~r
V
Accepted
Denied
Accepted With Corrections
<
Reviewed
Date:
i-I (,~2m(
Comments:
~ al\ a+k~ 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."
Th.. C..nl..r of Ih.. Lak.. Counlry
White . Building
Canary . Engineering
Pink - Planning
BUILDING PERNlILAPPLlCATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
li);,Vd uXJod fJ G 'J7e~
(j- /3-()/
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
II!'f'},}. 1/IC h 112 fI)(~ (l r
j
Accepted
~
Accepted With Corrections
~
.'1:,">
Denied I
Reviewed By:./' -;~~.......~
(/ ...
Comments:
~~W~ I)~k. /~e-r~ v,;dA ~ _ Gvu~
r ~ 5"? tp ~~ To ~~s~ .~~
{~ c.vv~ ~~/~k::(!. "'..0 ~~JC'\lYe,
~11MA.NWI :2Lj~f2r o/~Je.( ~~ -
--. sr~,r;~~~Y-~~~lL
;; tC)t{..J "t f) I' >>v0, (
Date:
r/7/8 (
.,..,
"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."
"
~:~~ry r::~~~ Iii
Pink - Planning
Thr Crnlrr or lhr Lib COllnlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
!J/lvd lj.J6aJ fd OYJ1eJ'..
(/-/3-01
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
IL/9rJ;A Njh //1 hi'; (11-
Accepted X
Accepted With Corrections
Denied
Reviewed By:
pI.(!..,P.
Date: Lj-)?-Of
Comments: . See Reverse Side for Additionallnformatinnl
~ee Auacnments: ') <.:;radmg Plan, 2) ErosIon control Measures
3) Erosion CQ['Itrol Plan
"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."
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
; ~ ~ii~. I PERMI'f NOa J - / J l q 1
3. Gold Applicant .....,.
(Please ~ or orint and sim at bottom)
ADDRESS
Jil17"J.
Hz G. J./L dYliIl
Cr. N.E .
ZONING (office us.)
R ISO
, LEGAL DESCRIPTION (office use only)
LOT.?- BLOCK...:d ADDITION CP/i~fJ})(::;Jrry R r l;~::s rd- PI~S'- 31/d....oI9-C.
OWNER
(Name) W oi:wa tV tJO/!J. 1-1 DvVI..f. !: (Phone)
(Address)
(Address)
(City)
(Zip Code)
APPLICANT
(Name) 0 /L E,.. S 1./-b2.- /3;. )l c.
(Address) ,''' Illl .! t>fC:r:N <.Ai,'l. 'I
(Address)
(Contact Person) ~ t A 'I row (J Il.. ~r I/LIL
APPLICANT SIGNATURE Q> ~.~ <t) ~ A L
,
(Phone) ~S'- ~J>q2-6, 't6 6
LRuL. rS-ol/l(
(City) (Zip Code)
(Phone)
DATE
'-1/;,/0 1
APPLICANT PLEASE COMPLETE BELOW
Size of water service I inches.
Location of any couplings from structure -
Type of sewer pipe. 0 ABC, ~ PVC
Estimated length of sewer line l./ 0 feet.
Clean out (if required) located at ~ feet from structure.
feet.
o Cast Iron
Estimated Cost $
$35.50
$17.50
00
'tOb .
FEE SCHEDULE
Industrial, Com'l & Multi-family
Water connection only
I % of job cost with a $39.50 minimum
$17.50
Residential sewer and water line connection
Sewer connection only
Building Pennit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
50
. BU/~WG ~112 . "_
Eh,vdl
(Office Use Only)
This Application Becomes Your Building Permit When Approved
-
Receipt No.
-
Paid
Building Official
Date
Date. r. / L.....
.,J -/ -r-v I
B~
V
24 hour notice for .11 inspections (952) 447-9850, f.x (952) 447-4245
05-08-2011l1 11l9: 44AM
MATTHEW DR-IIELS, INC.
423 31317 P.11l1
CITY OF PRIOR LAKE
PLUMBING PEFlMIT PPNo_ Q{- 4..19
Applicant rlnHh".l '1'1tv,i,L~. I"". Phone: (&oS/) ..;~ - .!J'3D
Addre$s: I~n II LI ;.rtDlL~4I' J lkt Y I .p .A"U'~J n~ MN ."'~
Signature: ,." A r · '-r{~'I1J ,. "~"'d;
Legal Oesc,iplion. Lot rl-.A- Slack ,~
Site Address: 11./Q'12- ~A ~ j), ~1>+' _ JII. ~.
Building Permit', PIO .i2"'- -:J,l{~/q-O
NOTE: This permit will not be pR:lCllte!ll:l Without c..,, ... .. information.
rIA uJRE UNITS
I. ...
J. GoIc
J. Y.ec-
llIe
CIor
.-
,..,. c.....r eA.J...... C.-rlf)
Ouantlty
4.,..
I
..\
.~
I
I
I
~
SUbJJA.."'/uL~ ~t")-~~
.
"TYPe 01 FIxture
Bath Tub with or w1thQut shower
Oiehwasher
Floor Orain
Lavatory (ball'1room sink)
laundry Tray (lor 2 compartment sink)
Shower Stall
Sinks
Bar Sink
Water Closet (toilet)
QuarltIty
1-
I
Type of F1xture
Rough-Ins
Waler Healer
Water Sollner
Stand Pipe (washing machine)
S_age El8cl:or
a.cldlow Auembly (RPZ. Double Chick, I've:
BlICkflow Assembly Test
Lawn Sprinkler ^I~
Other
I
I
FEE SCHEDULI!
Induslrial. Commercial & Multi-Family
(1'1'. of Job cosl. 539.50 minimum)
Recldentlal. New One & Two F.mily
Residential. Additions & A1leratlons
Slate Surcharge
$
.$ 94. .5Z)
s
s .50
5&19.50
539.50
GFlANO TOTAL
s /tXJ.Dn
ThIs permit Is ItMlOCI .poll the ox,.... condllioa lbat saiel
c.,,_...... sboIl CIOmpl, {j, oil .~. . _ wltb the orcli_
of the SIlloo PIwaIllnl Co* oQd tIltl ". .... ..... .. lhereot-
. UC!JFI'NO. ,Y./~/ DATE
1L - ATTeST
Call !or all inspec:liollS~ houn in cvanroa-
PAiD WiTH
aUILOING PERMIT
16200 Eagle Cre:kAv. S.E., Prior Lake. MinnesotaSS372I Ph. (612) 4474230 I FAX (612) 447-424S
AA Eq.w Opportunity EmployCl'
TOTAL P.11l1
~ "'e' oruriDtllll4slm.lltb_lD)
ADDlU!SS
IlPf:}d-- U,~laJ,rl C.t)<~
$</ok~
II
. ZONING ~...l .
12/SJJ
UlOAL DBSCRu u...,.~ (~fIIce ,'.eo.,,)
LOT ;;l...8LOCK;3 A......UJON tW fLdJ:J 11t.A/)^-'>
, ;; ,
II V
~rY')", "
.:::l. rei
o PID ;;2t;-.=31P -/)!?.{)
~=~() I f\l.JJOOJ
(Phone) 00- ?u3-1~1~
(Add:css)
APPUCANT
(Name' ALLIED FZIlll:SUlE DBA l'!1IBStDE _w...........
(Pbooe) ~1-633-~6L
(Ad.dtess)..:1.700 N. PAnNiEW A..60.lIu6 ~TT:J.1I! MM
CA"*'-> (City)
(ContaCt Person) BREliDA HUJfP.i I (Pb.orIe) 651-633-256J.
APPLICANT SIGNATURE l t'I~ u..l1,., ~ . DATE I-~<..J-o {
~~CANT PLE~COMPLETE BELOW
~NEW CONsnu....., lVI' 0 JUlPLACEMI!Jn" 0 AI. TERA nONS
FURNACE MAKE AND MODEL FUEL ~ ~
FLUE SIZE RE71JDI OPBNINGS lNPUT OUTPUT ;;FJ. {"(">C\;
TYPE OF S. .......{ HEATING ()Jl. POWllIll'IANT
r::JWlI%IIl Air Pi..... 8 SloI>n
JOravily Hot: 91_
J M&u:hanioaJ . bdlatlon
JAlr Conditionlnl 0 Spacial om....
JVenl. SySlelll ~. 0 Ol/I&lr Del'lce
FIREPLACE MAKE AND MODEL ~ N ~ ~ (o{p.Y7L-6
S~l1 ~
(Zip Code)
PLEASE NOTE:
Air Conditioner UII/Is
Cannot Enc!lllldllnlo
I:l.oquirec:l Side Yanl
Setbacks
FEE SCHEOOU:
lndu.'ilriol. eomrnen:loJ & Muld-FllIlllfy '''' of job CDJt IWldlillllll. 0. FlnpJace
139.50 mlnllll1ml
II.ooldendol. H..linl '" AIC (Now Construcdna) 199.50 lI.ooid..... AlIdlIIons '" Alllnll"".
Resld."dol. Hcotln. Only (Now Con_cllnn) 164.50 ResldCllIlIol. J,C OItl]l
539.50
$39.50
$39.50
Esdmar.e4 Cell S
BuildlnJPwmlit "
HEATING PERMIT FEE S
STAlESURCHA.R.GE $ .SO
TOTAL PERMIT F:U S
PAID WITH
BUILDING PEr.;J;:T
(om.. lI.. Oftl,)
Thll AppllcatlDn Ba:omell Your "Mini "-It WIleD A" " , 1 nid
Receipt No.
"
11_.. OIIIcIoI
Dole
DIDl7~?b ~/ . By gc---
;14 "-...... ror .111....-.. (95J) "'..-,11I1 (!J5Z}+&1oG<15
MAY. 7.2001 10:31AM.
WINDWOOD HOMES
- '-NO. 146' '-P. 2-
..,
. ~~
.WINDWOOD',I ':
H 0 M E S .:
.0.
The WJfldwood Company, Inc.
14311 Ewing Avenue S.. Suite 200
BUrn9ltillll, Minnesota 55306
9S2-895~8 I'M 952-736-9174
.,
May 7, 2001
,
..... .
, .
To: City of Prior Lake
..
From: Winclwood Homes
'! .~
Re: Deck at 14972 HigJ>I.."cj Court N.E.
The buyer at 14972 Highland Court N.E. understands that they an: limited to cont";n;ng
future decks within outlined Setbacks as desiJDed by the city and developer requirements.
Sincerely,
Jack Jonasen
Windwoocl Hol])cS
'.
"."J.,;.
. .
.'
.
,.
,.
":..
.
..'
..
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....
CITY OF PRIOR LAKE MC 11 Gt
16200 Eagle Creek Av. S.E. Pe/mn No. 1- V\ \
Prior Lake, MN 55372
...
a:a18
5 upply Opelings
Fkmnn Openings
e:i,~_\\~l'I
a: . .
~dr..
I-
~fm.
,<::)
ClulJU 1 '" . C'l0' ~
PIO.~!i- ~L/J.-6ICf-6
Pl'l::'~ \.l.\JQ
TYPE OF SYSTEM
WlIII1I Nt PlanIs _-'0
Gmiy
NecIIanicaI ')('
Air Condlioninl' ,,~
v.nL Sysllll1 .....,
HEAllNG OR POWER PLANT
Steam
HolW_
RadiatIon
Special Devices
Otiler DrJlces
~n8lationa .
IS)
:::.epaIr
TYPE OF WORK
R.p1acem8lll New C~~ructlo~'
Est. Comp. Dale .
\ I). 0 ~C'\ 15>....- BuRcflng PennU
.::<"st. Cost $
IS)
IS)
~ EATING PERMIT FEE $
'(T)
. TAle SURCHARGE $
>- .
a: .
'tOTAlPERMlTFEES $
.50
,
RSClip'"
PAID 111/,">-, ,
. BUILDING to ~
TYPE OF STRUCTURE
1._
1.-'
1._
RIo
0"
0-.....
SIngle Famly )G
Two-Family
Industrial
Mdti-Family
?ubIic Oth&l
Co<, ,,':.JI
Fe. SchectJIe
IndusIriaJ, Commercial & MUti-Famly
ResidentiaJ, Hea.g & AC
Residential, Healing Or4y
R ,~.:, . ;i,.J, Gas Fireplece
Residen1ia1, Additions & Aherations
Residential, AC Only
1% 01 Job cost fS39.50 rninirromJ
$99.50 PLEASE NOTE:
$64.50 Air Conditioner Units Cannc
S39.50 Encroach Into Required Side
S39.5C YanI Setbacks.
S39.SC
R , " ., 10 add \he Stale SwdulIge on the bolIom oIlhis application.
The price 01 you- healing permit includes one rough-in and one /inal inspection.
AddiIlonal inspections wi! be biled al $35.00 each.
HClIISI Heating Test Record must be subrrilled with IlIlIl!I!lg Illl!I!!IIUrber belo1v buld-
ing cerliflC2le ol occupancy will be issued.
t:lEAl: CAI CI JLmoNIl RECUIRED willi number ol slf'Ply and IllIurn openi1gs listed per
room wiIIl CAh per " ., ..... New atruclna Of addIllonsl8oo lIoor plan wtIh SIlPPIY
and ilium locations shown. HEAT lOSS CALCULATIONS, PlI.YMENT AND
APPlICATIONS MAY BE WIlLED TO THE CITY OF PAlOR L.AKE, 16200 EAGlE
CREEK AVE. S..E. PRIOR lAKE, MN 55372. .
ClIy HllU business hOUl'l ;u. B am. . 4;30 p.m.
All WORK MUST BE INSPECTED (ROUGH-IN AND FlNAL!- CALL CITY HALL
447-11150 FNC ~"'7. ~2J.I.5"
f hereby apply lor, a mechanical systems permit and I acknowledge lhallhl
information above is cornplele and accurat.; thai lhe work wII be in conform."ce
with the onIina""ell MId codes 01 the city and with Ihe alate buDding/mechanical
cod...; lhallhillol1ll does nol become a permit unlil lIigned by the BUILDING
OFFICIAL: that Ihe work will be in accorllance with the approved plan In the
case of all work whlch:requfrell review and approval 01 plans.
'-"\'\o.~ \ Ik~",
Applicllllfs SIgnature
fftr./
Building ~ Sfgnalllre
s ~ ~- \
Dale
~ ')./-01
Dale
PRIOR LAKE DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTION, .RECORD
SITE ADDRESS~? ~\~ (lJ ~
NATURE OF WORK JJ.pLJ
USE OF BUILDING SFfJ
PERMIT NO. aT - btUq DATE ISSUED 4-/~' //JCJI
CONTRACTOR jJ,.....JtU~(')&' ~/) ~-e9"y~8<{q/!)
NOTE: :rHIS IS NO; A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
. INSPECTOR DATE
I FOOTING I C> - ~~ I l>h.dd' I
I FOUNDATION (Prior to Backfill)r~ I &..- r. /~/6 ( Iii;.;. to i1M/l
PLACE NO CONCRETE UNTIL ABOVE HAS BEE~ ~IGNE'D .
ROUGH-JNS
SEWER I WATER I SEPTIC . ~ ~ .
FRAMING 1..1-. ~ ~1?lbl ItffMt &rY7
INSULATION . - 13:1.
ELECTRICAL
l PLUMBING 1-.1-. ~. ~h/o' tI' tq, ~ 7/1t?0/
HEATING (if required) t.'......i4. ~/~ f~""7 )'/ /iol
FIREPLACE /2;., irf(n/t))
GAS LINE AIR TEST ~ (I;;;; 1/~) / r-: ff, ~!1/.D.1
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I WALLBOARD I I
" FINALS
A$
~, ~f3()i,1
GRADING (Prior to Sodding)
.BUILDING "T .e...,O,-DX 1 oi,S(SI
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
.
~ f:;1
UNTIL ABOVE HAS
NOTICE
~ Ilnl/ /).J
. 7/13/t> I
? jrf}~
-1
&
I
el-/1~? J
11//:5/tfj
I .
'81 n O(
~t,D/()1
BEEN SIGNED
'.
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 ad,ditions
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
€trtiftrau of "cmpanry
Cllr OF PRIOR LAKE
Department of .uilbing Inspection
~Final Pennitted 0 Conditional C.O. Expires
This Certificate i.rsued purnuml to 1M requirtme/ll$ of Section 307 of tM Uniform Buildblg Code
certifyillg that al tM time of i.rslIQIlCe thU structure MW ill complUurce with 1M various ordifllJ1lCes of tM
City of Prior lAke ngulaling buildillg cmutruCtiOll or /(,fe. For the followillg:
SINGLE FAMILY
Oc:cuponcy Type
Type ....0'''.'.. .lion
Fire Zone
_ BIdS. PemUI N^
N/A
01-0419
Use Clusificalion.
R3
VN
R1SD
Zonina DisIric:t
Owner ofBuildinS
LeplDesc:ripliOll. L2, B3, RASPBERRY RIDGE THIRD ADDITION
Si"_ 14972 HIGHLAND COURT
WINDWOOD HOMES, 14311 EWING AVE. S., SUITE 200, BURNSVILLE
." ..,II"sName&:Addreu_
ROBER~.n' HUTCHINS ~r '~ily ~ .
I \ ii5~ Dote:
. I I I POST IN A CONSPICUO\JS PLACE
DON RYE
0...: _
"
/"
CITY OF PRIOR LAKE
INSPEcnON NOnCE
SCHEDULED
DATE nME
/I-IS-O! lr'1
ADDRESS -.l.11..7;l. 1j-~11Ia",J a
OWNER
CONTR.
PHONE NO.
PERMIT NO.
1-4(q
o FOOTING
o FOUNDATION
o FRAMING ~
o INSULATION
'lrl:INAL
fD -SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FI L
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
.
~'
-.~/_i}_
~~
COMMENTS: S' -\-,.-
'I WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
~I
I
CALL 447-9850 FOR THE NEXT INSPECTlON:U HOURS IN ADVANCE.
Inspector:
Owner/Contr:
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
lN$JWn
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIME
?/z4~1 II.'tJd
. .
ADDRESS
/7'97...2.
HtiU~ a
OWNER
CONTR.
PERMIT NO. ()/- 'If'!
o FOOTING 0 PLUMBING RI
o FOUNDATION 0 MECH RI
o FRAMING 0 WATER HOOKUP
o INSULATION 0 SEWER HOOKUP
)!Ill FINAL 0 PLUMBING FINAL
(D. SITE INSPECTION ~ MECH FINAL
COMMENTs(j'\)~1;:i~ ~ /kW ~
~ .-",-' - LJO",,~ ~
r ~ 0 r- (If'""
~: f?---c.-.!\~ ~ r~.,r --
~ ~ t.UA.. &.L<MiJ~-
;:;;:tE- - 7 r~.' ~ ~ "'\ '
~~- ~^1' ~ L,L,~
'~_.g('-SJl~~ .. ~..," ~'--''''''''~
~,.Y' I oil ~ /0 ~
( .
PHONE NO.
~~~....".,..~,.c~-~~'-
11<1* .
r T c.., 1:) . --t.,JJ
~..:'.."?~'{'-'~r.'" ...
~~
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
'JIf FIREPLACE FINAL
o GASLINE AIR TST
o
~'>, '
o WORK SATISFACTORY. PROCEED
!!!CORRECT ACTION AND PROCEED
o CORRECT WOR,2:?ALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ ' Owner/Contr:
CALL 447.9150 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
n<SNOT1
CODE REQUlREMENTSARE FOR YOUR PERSONAL HEALTH & SAFETY/
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
/~9/o<
SCHEDULED ~
I.I~/.~.J U,
l/
CONTR.
/~!31J
OWNER
PHONE NO.
PERMIT NO.
tJ I - '11'7
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
1L PLUMBING FINAL
o MECH FINAL
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTIDN BEFORE COVERING
Inspector.
OWner/Conlr:
CALL "7.9850 FOR THE NEXT INSPECTION:U HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
msNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
OWNER
/'1972 J-/lq/'k,,'/ c.T
CONTR. Windlt/fJCJCl H~tJ
PERMIT NO. 6/ - LJ 19
ADDRESS
PHONE NO.
o FOOTING
o FRAMING
o INSULATION
rYiLFINAL
.. D~OUNDA TION
o DEMOLITION
o FIRE PREV.
o PLUMBING RI
o MECHANICAL
o WATER HOOKUP
o SEWER HOOKUP
o SEPTIC INSTALL
o PLUMBING FINAL
o SITE INSPECTJON
llI'EXoQw'LLlNG
o LKSHORElWETLAND
o COMPLAINT
o SEPTIC FINAL
o FIREPLACE
o
COMMENTS:
Clllb /<',Jx. - (/1:
G,uc/" - () I(
:P(WORK SATISFACTORY, PROCEED
'0 I:ORRECT ACTION AND PROCEED
o CORRECT WORK. CALL FOR REINSPECTION BEFORE COVERING
Insped.or:~,~ Owner/Contr:
CALL 447-4230 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
"
. Permit#
-Job_m7d.C~Jo~1 er~
__.. .. __ M AIR
-T_~
-_Uno
- .. 1
--
-Percent CO:!
--0,
Final Npection
2!!!
PoundI
f!!!!!!!!
!!!!!
PERFORMANCE TEST ~
I" '
[PI 1 to -";"'co ()
7".[4> _-.T....,!f((C
Date
--
.'