HomeMy WebLinkAboutBldg Permit 04-0311
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and SilUl at bottom)
ADDRESS
::. )S~ vJ, Idwoo-;9
..-.--- '{
J v"'~
LEGAL DESCRIPTION (office use only)
White
Pink
Yellow
File
City
Applicanl
1 PERMIT NO. 04-. 0.3//1
N.W.
LOT 1/ BLOCK I ADDITION
Woods o.T--rt..e Wdds
PIDd~' 3~3'OI/.b
OWNER
(Name)
R.jr. koT 1f(/'vo-...t,J ;]:::. L
,fp 'i 'f / l..-'a-It, sr W
(Phone)
~I.e t/f1 /&0 Nt tJ
SS/L Y
(Address)
BUILDER
(Company Name)
(Contact Na!lle)
(Address)
12--ft, )If ~J
1<- I C {L /c"'r
:;::;:L
Date Rec' d
3- 3/-0lj
ZONING (office use)
pu-D
(,)/rlf2-.J -032.. ()
(Phone)
(Phone)
-'"
TYPE OF WORK ~ew Construction DDeck o Porch ORe-Roofing
DAddition DAlteration DUtility Connection D Mise
CODE: ~./t.C. DI.B.C.
Type of ~$'uction: I II III IV
Occupancy ~oup: A B E F H I
Division: 1 2 (i)
~ .A. 6i>
M(WSU
4 5
ORe-Siding DLower Level Finish
PROJECT COSTlV ALUE S
(excluding land)
,
D Fireplace
5"00 (JOO
I hereby certity t~at ( have ~ished information on this application which is to the best of my knowledge true and correct. I also certify that I am the owner or authonzed agent for the
,baw-m,n,,"n,d' op"'y d Ih" ~'hacMn wdl confmm to ,11 ""hng ""c ,nd 10"II,w"nd will pm",d m ,,,md,nce w"h ",bm""d pl,m I ,m ,w"" th" the bmldmg
:r''''1 "n ,evo h" p" ~ l' Fmth"motc, I hmby 'g,ee th" Ihe my offici" 01' :e~z'y enle' upon the ptnperty 10 p"folm n"dC~ '7;t;"70 y
I Signature Contractor's License No. . Date
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Bermit Fee
Sewer & Water Permit Fee
Gas Fireplac~ Permit Fee
~ .500.000. Do I
$ 3 '/53, 56 I
$ 2Zlfq,7'; I
$ ~5>a.oo I
$ I
$ /oo,aa I
$ /tM,do I
$ 55-SO I
$ Ljd, PI I
This Application Becomes Your Building Pennit When Approved
$~ -(. .fl~
. Bui~dl1l!! OffiCIal
# Z/ /Q~
Daft:
Park Support Fee
SAC
#
#
$ Bs"o,t:lO
$ 15~a,oa
$ ~QI"J.t'JC
$ 70'flO
$ ('Z.-O<!I. Q 0
$ 700.00
$ 1500, Va
$
$
12: (Q3.70
~ f Z/#-'
~
Planning Director
ThiS IS to certify Ihat the request in the above applicatIOn and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested. This dllCU!
when signed by the City Planner constItutes a temporary Certiftcate of Zoning compliance and allows construction to commence. Before occupancy, a Cet1lfteatc of Occupancy mt'
i~
-----+----..-.,
~
Water Meter Size 5/8~
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
TOTAL DUE CMIJ8J do. vi 6 V
I Paid /2., /9J. -zl"
I Date - ~ ./.3. 0 F-
II
Recei\1t'No,
B0
o
~/z,J.JZ
, Date
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~o.d~
Special CoIlditions, if any
Residential Building Permit Checklist
New Construction for Single or Two-family Dwellings in R-1 or R.2 Districts
I
Reviewed by: ~ ~
Bl i1ding Permit #
A( dress: 33' s-,
L~gal: L If . B /
PID:
uJ~
Date: 'l/z. //0 <(
Zoning:
T~. jI1.u..J.
Subdivision: Wb4-fl.:. oJ'- ~ J~
E~isting Structure? YES!&W
,
CbNFORMS TO ZONING
ORDINANCE
! Y~d Setbacks: NA I FAILS/(C~MPLlEsJ;
. I Front Yard (can be 20' if avq. w/in 150')
. I Side Yards
I. Sidewall exceeding 50' requires additional side 2"
setback for every l' over 50' in lenqth
I. Rear Yard
I. Patio Door: provide for minimum 10' deck or sign
statement indicatinq no deck will be built in the future
I. From 100 year flood elevation of wetland/NURP
I pond
. From OHW (Prior or Spring Lake)
, FI,or Area Ratio: NA I FAIL~j COMPLlEs)./
~ -
Y rd Encroachments: NA I FAII:S7tOMPLlES',)
Eves and Gutters no more than 2 feet in width and no
cldser than 5 feet to a lot line (Easements).
I Ail;, and other equipment cannot encroach on interior
side yards.
, Tr~e preservation:/NM FAILS I COMPLIES
. Total caiiper inches
I . , Permit 25% Removal
I. Caliper Inches Removed
I. Caliper Inches Preserved
I. Replacement
L:\TEMPLA TEIBLDGLIST.DOC
Existing Nonconforming Structure? YES ~
YES
NO
Standard Proposed
25' 41 '
10'1 10 I
25' if abutting a street
10' setback + 2..(&,'
2"/1'over 50'
25' (I7,/eA 25"
10' sidel
25' rear tJo
30'
N"'-
75' or setback average of
adjacent structures, but no ~
less than 50'
.30 Maximum 9%
Standard Proposed
lJotJe
tJo ,JE:
Standard
Proposed
);,:1
.:..~x PRla", <'
!:::~
u. rr.
CWhite - BuildiliQ---:,
Canary . Engineering
Pink - Planning
lhr ernr.. "f rhO' I...... Counlf,'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
MPLlCATION RECEIVED
~ ff /(6 +
___-=? - :3 / ~ () (j
'j{tJMd
T~e Building, Engineering, and Planning Departments have reviewed the building permit
aj:1plication for construction activity which is proposed at:
. 3359- /jJ~i V~
Aqcepted
Denied
Accepted With Corrections
--
R,viewed By:
C,!>mments:
~
~ a.L{
~
~~.
Date:
o/Zl,~ L(
'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."
White - Building
&nary - Enaineering
ink - Planni~
--
Th.. (-..nll"! 01 Ih..l.akt ("ounlr,-
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT // I ! ./ '"
i ,.~ / ---'
APPLICATION RECEIVED :::;:> . -, j d.1
.~ ) ~..._~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: " '__
.-<? -~ ' 1/, _ 7/ /, / . /
-- j-- J,/' /(."1(1 \ <__'L-\..._
.. -{ '- .~. \,
Accepted
Accepted With Corrections /'
Denied
r
/? '-1'_ IJ ~ \
Reviewed By: ~ ~
Comments: A.r, ~. ofL 4''fI.....-f2..-
.
~ fJfHZIu ~~
~h I;';<f
~u.i---:t-__ ek. ('.H.JNOf
~ h .",1..- lh. 2..<b I LD-.. J' ..~ +,
Date:
"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."
I~~
~~rn
White - f1uil!finll
rpanarv - F.ngineering')
Pmk .-- "Planning
Tht ('..nl.., of thO' L.k.. <,'ounll')
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
7Z? (t
.r (,-1-
""-./ ," IA (~ (
1\ u /;.-1 -_____.
_ _2 / i
::::...>_ )(_--,/)/1
............) ~. "-.' '-I
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.. I I "1 .; /'1 ./1
:3:3 _5' 7 - i''L/~dil.t>eJ'(;(;,__' \-/-1Li.,~G
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
a~---
Date:
L.( -IS -0'1
Comments: See Reverse Side for Additional Information!
See Attachments: 1) Gradinl" Plan. 2) Erosion Control Measures
"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."
9524512165
CITY OF PR I OR LAKE
DASEN CONTRACTING
PAGE 81
9S2'14~'4245 F. 01/01
4.1""1.1..... ,\,......... _
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(p1_<.~tOflllillIK,I'"",""""""'\
ADDRESS j d.. ~ ,f 0 ;1
l )3~Cj__jm~-1M.J j/ .
~=-a'aJPE~N~. 3/~
ZON1NG ("II'<:t....)
LEGAL DE!',c;UE' ::ION (o!f.,,. "'" 0Gl~
LOT BLOCK
AI:: omON
i"ID
{PkoUe){$-!.(J...~-o~ '
4PP~jfj/~y _:!!!!_' ~fi!
~~;~~sen eO(\+ra.ciifl4. (Phone) 9f2a..:Y/Q 1- ;)1 rP _
(Addt,=s) -OJ\> nl\- . ~1JR ~ ,/?'5tJt/.!L
(l ;~) . {City) (Zip C,de)
(Conc'lct Penon) _ l -.:>Df! _ Itt6\-f " - /l {Phone)lJJ;1. -?t::1?. - 2Dl/Q.,_
APPl~~~.ATU1U~. _lL~_ _'_} .d1f~ DATE .=/0 -t'-1 j. =,
- . U ~
APPLICANT PLEASE COMPLETE BEl ,OW
-- -.- Size ,~fwaler service inches. -
1.oea'ion of any couplings from SlIUCtute' feet.
Typ-.: of sewer pipe. 0 ABC 0 PVc 0 CllS'.,:ron
f.stilJ,ated length of sewer liM feet.
_,__~. out (if required) locate,! at fec:t from strUCtUrf:.
OWKlR'i7 fJ V I\..L ':;:/:i. J) )..,
(Nam<)------J,...:...n~Ul, ()fY)~
(Acldtt.ss) 2.iJd.2<:L!.yt,~.bI-. W .
___.____.L'dd<eftl
Fl:E SCHEDULE
Rcsidmtlal ,"",t,. and '.mer (,10 """"oction SJS.sO IndUStrial, Corn'l &; Multi-family 1% of job cost wi:h a $3950 o'jnimum
Sewe,' cOIlnectlQt) ,,~ly llI7.50 WatercllIIIloctlon ollly 117.50
Esthated Cost S
Building Permit #__
SEWER AND WATER PERMIT FEE
STATE SURCHAll.GE
TOTAL PERMlT FEJ~
$
S
S
_-dj)~c, ~~f"'U
,~'" 'II ""~U"" I. ~ IrI
~--'\d_!i,\~~.. r<n-
If!!:rilVlM .~
corr.., U.. Only)
Bl~ld;III;"'Ifi.'of
D...
- ., B-11J ~ e.ipt No. -
Th" App'lc:,ijor, &com.. Yout BuUcllng Permit Wh'D App.......td
--...-.-
fOTF;L P. 01
MATTHEW DANIELS, INC.
CITY OF PRIOR LAKE PLUMBING PERMIT
4233017 P.01
......,e Kec'(1
(Plc:ue rvt:le or I)ri.o.c and ri~ a.t bottOm)
I ADDRESS
-3361 :>Y; ill 11/ .. bJ) ~
LOT
LEGAL DESCRIPTION (offie. use only)
BLOCK
ADDITION
1.81"" FII..
:. CQld C;fy
I v..Uo'" Appliunl
I PER.1"lIT NOn4-.{)311
ZONING (oftlc<us<)
PID
OWNER ~ .J. "\
(Name) q. o...--ry' + '- ~ 1..(1)
(Address) 11414-- - I~'i'-/.h -JJ,. ~) () I'fJ.
APPLICANT. J . ~
(Name) ~-rtL.. 7l 11. J J 11.1:\ ). '-..4. (I. . (Phone) tsJ. 4~,.,. ..3'1.:?()
(Address) I.~o/'l (1,,), ~ A II.., , J. ~ J h qllll ri . II J r. I...tJ -;) ..stiO~8
(Address) 1/ ' (City) (Zip Code)
(Contact Person) tu i ; J J , f '- ~J 1 -/-; 'd'-k.-r ) (Phone) ~/. ../.uo. . J?'13D
~JJt~.
APPLICANT SIGNATURE
Quantity
<:P.-
I
I
..s-
J
J
I
I J;v.-
'-~
(Phone) .k5J - 4/J."- . .o.",:'l/')
55'lat/-
DATE
APPLICANT PLEASE COMPLETE BELOW
Type of Fixture
Bath Tub with or without shower
Dishwasher
Floor Drai!1
Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compart!llent sink
Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
'f
I
I ;..l...
J
Type of Fixture
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Bacld10w Assembly
Bacld10w Assembly Test
Lawn Sprinkler
Other
FEE SCHEDULE
Industrial, Commercial &: Multi-family 1% of job cost with. 539.50 minimum Residential. New One &: Two-Family S99.50
Residential, Additions &: Alterations $39.50
(omee Use Only)
I~
I
Estimated Cost $
Building Permit #
$ qq,572
$ .50~ ~ /)..
_$~ IM.1n -7] ~ .
I~ ~ U IY fElll""""'"
I! D~ll 2 9 2004 I }!/ ~r_,:-tr!!) ~iW)
Dare ' I "'\" ,~.,.... _ J
, . .;:L.:
J --'i'~C'l&"';;-:'li"-
24 bour notiee for.U insp<<tlo.. (952) ~50, rax ~9.52) 447-4245 ._ '-" c,.:"
. ~-
PLUMBING PERMIT FEE
I STATE SVRCHARGE
TOTAL PERMIT FEE
This Application Becomes Your Building Permit When Approved
8uildlnC ORid..
TOTAL P.01
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
I,Pink
2. Green
], Yellow
File
City
Applicant
I PERMIT NOti'l /)3/ /J
,
ZONING (office use)
(Please ~ or orint and siKO. at bottom)
ADDRESS
3359 WILDWOOD TRAIL
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION
PID
OWNER
(Name R A KaT HOMES
(Phone)
(Address)
APPLICANT
(Namey___ A T T TED FIRF-C;;:YT!1=i' ry'RA FlRRC:;YDP. l..fRARTH &: Bnl~::i'R
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRYIEW A YENUE
(Address)
ROSEVILLE
(City)
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
7/21/04
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
OWarm Air Plants
OGravity
o Mechanical
OAir Conditioning
OVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannol Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEATN GLO ST-HY ANn PIER-HY
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential. Additions & Alterations
$64.50 Residential. AC Only
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
'~'\""""""''''--
',"1-:' ) ,Ii 1-.-,.
:~~""i -.... -: -..1/1 ll~j
~'", '!, I' "'.~ ~~_
......". :\~t'T t....,:: ":"'l~-~
(Office Use Only)
This Application Becomes Y our Building Permit When Approved
Buildine: Official
Date
r~~ l0 ~ U lffitilleceiPt No.
IIRat'1lUL 2 9 2004 /1: ry
j
24 hour notice for all inspections (952) 447-' ~, fax (952) 447-4245
CITY OF PRIOR LAKE
REA TING! AIR CONDITIONlNGfFIREPLACE PERMIT
Dale Re~'c
.
CP"1..tU<' ~ or tlriDll! I l UmJ It bolmm.)
, ADDRESS .
-?=?5~?uJ/A2~d),,-,,~T/l:l'1 /
~ ~ :'':, I PERMIT NO. l.l ~ -< II'
J. Y1IIWw A.H'\:.lI\l rJ
I ZONU-;O ,'''',,,''',,
I
".;.,
! LEGAL DESeR ~ON (ofIie< Ult onl)')
I
! tOT /I BLOC: / ADDITION t.&oc;.dJA: Kj7 -r),,_____bf-/ ,,/ ell < PID
I OWNER ....
. (OI....",e) K. i':J .
I
, (Adjresl)
j(-;A-
)../e-~ e":;
(Phone)
APPLICA."lT
, (N.me)----6Lr1 At" 1/ -Xl J. Y2j::;' ~/ _ (Phone) q~_c:J- "7(/~ -<,~O,,:7
: \Addms) 1...;;2;2<;" ~ /1/. /.:.e-/~r Xl~ <:' /.1 -:::?-#-' r/!.<v~/~.#?~ ~-S 3'-:7
. I (AdlUa.) . (City) (ZIp CO",)
(Contact P=I ~/ 6. kJ /J f("e If! (Phone) 9S:d - 79"C. --<:;;;lOC
APPLICANT 51 }NATURE ~~~ DATE. ? -.;< 7-0Y/
. /' L T PLEASE COMPLETE BELOW
i . -BNEW CONSTRUCTION 0 REF>LACEMl!NT 0 AL TERA TIONS
I Fi.:RNACE MAl; ::AND MODEL g.).)h1K1vc.d-~;~ FUEL ,A:./):! r
i FLUE SIZE ~'" /? b.b RETURN OPENINGS / S- INPUT/ II'a t?&d OUTPUT 'j>~;;;~
TYPE OF SYSTEM REA TING OR POWER PLANT
. ~ Air Plants St rLHSE KOT~:.
j"Yity 01 'NeW All' Condit:oner ~n:'-'
h&niall RIrli&lJon '" ,)'1.llll01 Encroac" Loto
I Conditionin~ Sp.d.J !)CYlw R.ke--kH.> l?- ~ R.qulr>O Sitle Y>rC
.n< Syltem Other Doyjoel Setbsc~s
I FIREPLACE M. KE AND MODEL
I
IOOl.:strll.!, Commi cia.! &. MultI-Family
l'RE SCHEDI.'LE
1 % of job OOlt Reslde.'1tl&.J, Ou f:lirC'pla.ce
S39.50 rnlniD1Ulll
599.50
S6-1.10
:lJ;l .:'J
Rt5idenlltl. Hea.t:; ~ &. Ale (New CMStNct~on)
Kuidentiil, Htail ~ Ol'\ly (New CQQstn!c\lon)
Rtsidentia.l. Addiliol'll & Altera.tioas
R..ld<nrl.J. AC Only
1J9 SO
Sl,50
E.ltimat.ed Cost S
Buildini Permit #
HEA TINO pERMIT FEE
STATE SURCHARGE
TOTAL PE~ FEE
$
$
S
SO ;;:N""rt'I~.
. .. ~jJ;,)~ i"6-tlLlriJ
'}rJ:[i.I"'!\!~ ~.' t:r;-~r>:T'
_'. ._ ;, -t't~"
(omU Uu anI)')
Th!. AppUClI ,on Becomes Your BuUdlni Permit When Approved
I POld
Bulldi ~ omd.!
Calc
W""
2A hour ootl~' for all i.,pt~tiOfll (9~2.) <<7 )
By
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS .. ~S5' wiLD f,IJ~tJO -ne.. /, JJ.IA.l.
NATURE OF WORK /!JEIAJ &JlUsr~GrI.,.J
USE OF BUILDING S, F: D,
PERMIT NO. 04-: 031 I DATE ISSUED !l/21 ~
CONTRACTOR g. A. KlJT HtJlltlJ (g, PHONEW -~ z.J -d!l.D
NOTE: THIS IS NOT A PERMIT FOR ANt OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
I FOOTING i;S:r:rOR I S/(gj;;E
I FOUNDATION (Prior to Backfill) I if))' I U........ (I
,
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - ~
, SEWER I WATER 1 SEPTIC (if;? b--A- ~
I FRAMING ... / ~)- Y- //GiVol/'
INSULATION ~f)) d'7'~. ....v: _ . , ,
ELECTRICAL ~ //' .!f:J'!.'7 r/6/4
PLUMBING ~ , ,
HEATING (if required) . ~ !f//o,/.~
FIREPLACE .J U/I,'f:; _ /#4 %kA-y-
GAS LINE AIR TEST/I#,).,f':< t. ;l, J.#'.I;r ~~f
COVER NO WORK UNTIL ABOVE HAS ~EEN SIGNED
ItA'THe'/&/tTtIltnJ I'fa~ I ~,#- I /"fr/c1
~ FINALS t:>all>'h~ (",,{~''',:,''~~
I GRADING (Prior to Sodding) 11/ /J r- _ / J: 's-
BUILDING-y-.,....., \.., 8-\-(11) /1 (h ~- U
ELECTRICAL ' . I
PLUMBING #/,)'" /b --,y_.
HEATING 0'fh t- 7-m
DO NOT OCCUpy UNTIL ABOVE HAS BEEN SIGNED
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.
FOR ALL INSPECTIONS (952) 447-9850
M.'1.l_1 t../~'le~
~~~ ( -JLI, ""
f
G{(~ Clw~-~-r-
(t~~2!loh f\Aa..!.k 1>~i!O~ "-luL.,
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
:<<C:;C;
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS: .
--1-. ~CLO L -\-':'r
;;(" (j)(),~ J
;j
11.
DATE nile
SCHEDULED IQ -1?;-oY
Vj,'jj)uJ~
-----
Ir
CONTR.
PERMIT NO.
q - 31/
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~RK SATISFACTORY, PROCEED
CORRE?,- ACTION AND PROCEED
o RRPC' IRK. CALL FOR REINSPECTION BEFORE COVERING
Inspector. .J Owner/Contr
[I
CALl! 44 '.985 Fl)R TI'II: HEl(T IN~PECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
,-.,n
8-21/
(,()/'~. ~
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS -;) 35"1
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
2'!INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
DATE TIME
((-,'5/1
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
,
I1k f Q
I Jf) '\1 "
close 1 V -J / l('
hRK SATISFACTORY, PROCEED
/CORRE noN AND PROCEED
o COR CT W K, CALL FOR REINSPECTION BEFORE COVERING
Owner/Coni/:
7 850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INS<WT'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/
DATe TIME
CITY OF PRIOR LAKE I~
INSPECTION NOTICE SCHEDULED
ADDRESS 3351 ~MAIIJ~
OWNER CONTR.
PHONE NO. PERMIT NO. 4--stl
o FOOTING o PLUMBING RI o EXIGRAD/FILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
o FINAL o PLUMBING FINAL o GAS LINE AIR TST
o SITE INSPECTION o MECH FINAL 0
COMMENTS:
I. M.......I..;.. ~/b-t {/~
:2, Ft.,.,} c't<wk ,'''''<;/# ~. ~I'f.. r;~,f
.-=? SnJ." ~ -rf'lhA '
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" a ~ l..iiAA..! S~tilo\lclq"t IkAd
~ &>""".~ ;",t.~~. t>--A. ~............1- ilAScJ(A.l-I'....
I>Lu!lOY ~',.,,,,
i.:e.....e
(Lx () L
~.l-b'"
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~ORR7l.0RK' CALL FOR REINSPECTION BEFORE COVERING
Inspectc ': Owner/Contr:
CA -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 ---.3JS9 w;~/7' /' (
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~NAL
o SITE INSPECTION
COMMENTS:
GI"rUJf/. - 0 K:-
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
I' ~ tj{)1 - c> K-
DATE nMe
C-IS~
llf Knf I/OMf)
(1')'-1.311
" EXIGRADIFILLING
/[]'COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
No <~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTlON BEFORE COVERING
lnspector:~ _ OWner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
'NSHOn
..
J'bA,"~ ...'U",..,! 'rJ --
Heating Contractor !14,/f ~
Name of Tester ~~ ~
IO-!'S.OI/
;.1
o
/D/
Date
Percent 0
Percent C02
Percent CO
Stack Temp.