HomeMy WebLinkAboutBldg Permit 05-0356
O~ PR/O<l'..
" ~
I- '7
- ~
U I'l
+'II{NESOi.t'-
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
See Main File
(Please tv~e or mint and sien at bottom)
ADDRESS
/'I3~..2
White
Pink
Yellow
File
City
Applicant
I PERMIT NO. OS: 0$,570 I
tJn frr h II
C7 /VIJ
LEGAL DESCRIPTION (office use only)
LOTj.fBLOCK 'I ADDITION tJfNSmq#/V
OWNER
(Name)
(Address)
BUILDER
(Company Name)
(Contact Name) _
yTI..
PID .25-- <Y/I' -09}- 0
(Phone)
Ld I' Nf/~?rjN.N J.J d m 1'1'
r::: G'/"',y .1oANJUV
/r 95' J'h Z-6'- IJr
(Phone) /:'S/- 'Y'M- s/YOtJ
(Phone)_(,I..2- 36f-7"/A..
mN 55/.2:Z-
Date Rec' d
"f. I). O~
ZONING (office use)
I2A-
Fd,,,,N
V
TYPE OF WORK ~w Construction DDeck DPorch DRe.Roofmg ORe-Siding DLower Level Finish D Fireplace
DAddition DAlteration DUtility Connection D Misc.
(Address)
CODE: ~R.C. DI.B.C.
Type of En$truction:
Occupancy qroup: A B
Division:
I
E
PROJECT COST IV ALUE $
(exdudiug land)
!.ilS,otJ()
,
v-tJ
II
F
I
II1IVVA
HIM R
2 3 4 5
B
S U
I hereby certify tl!lat I have nlfnished mformation 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-mentioned; property and that all construction will conform to all existing state and local laws and will proceed in accordance with submitted plans. I am aware that the building
:T""/r;:;.,m>l '7 ;;;,t::m:: l~"'bY 'gm th" th, "ty offici,l OJ;;5' ;' ,m" upon th, pmp',,> tu p"foem n:;;~';p:;-,: () 5
/ (/ Signature Contractor's License No Date
v
Permit Valuation
Permit Fee
Plan Check Fee
State Surcharge
Penalty
Plumbing Permit Fee
Mechanical Permit Fee
Sewer & Wa~er Permit Fee
Gas Fireplace Permit Fee
TOTAL DUE $ In 'lor; ,q j(
/ - /} ('./ . . ~. -, ::?
L,. -to,?>. f..-.<J I Receipt No. L-(151;.L/
.q-~ -"7 By ,,-;?
U
"
~ /3ll'orJt). Ot)
$ /22/. '5;D
$ '?3z, 9 r-
$ 1,9.00
$
$
$
$
$
Park Support Fee
SAC
#
#
-.
WaterMeterUize5/1!)) I";
Pressure Reducer
Sewer/Water Connection Fee
Water Tower Fee
Builder's Deposit
Other
#
#
IDa, t:>O
/00.00
3.;: ~ ()
1../0.00
"$tj) ~
This Application Becomes Your Building Pennit When Approved
~~
Buildlt120tlicial
~;;s
Date
Paid
Date
$
~
$ I~So.oa
$ Z-::;;O, 00
$ .,SCl,oa
$ 1.50t:J,o<:J
$ 1000, tJC
$
$
ThiS is to certify that the request in the above application and accompanying documents is in accordance with the City Zoning Ordinance and may proceed as requested This document
whrn signed by the City Planner constitutes a tempora1)' Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate Df Occupancy must be
"~ ~/.. ~71o~ ~e Main File
Planning Director Date Special Conditions, if any
24 hour notice for all inspections (952) 447.9850. fax (952) 447~4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
/?
./
See Main File
White - Building
~ry - Engineerrna--:,
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1,/,c;NJ/'?,//;V/V /I(i/"/{.~.'
/1 ;r:' rir
I . -~. ..../...-#
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/4/ .;:; Ll ~?~ j i/.",,} /7~). L'L) { I' /!/I / i./
__ -; c..--- ,/" J' :,_'; '-...1 /,~ ,_.,~' !" 1. ~,v.
ACcepted
)(
Acqepted With Corrections
Denied
Reviewed By:
/YffI;
8t.L m6J,'y, F,'/e-
Date:
Lj-Z/-oS-
Comments:
"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."
See Main File
White - Building
~ry . I;naineering
. - Plannlna )
mm..OING PERMIT APPLICATION DI;EARTMENT CHeCKLIST
NAME OF APPLICANT
ApPLICATION RECEIVED
I,' fl.
4
...., . I'
JI'I///l;L/
/:': (: 5'"
J ,---
/fe/'Ie -
T~e Building, Engineering, and Planning Departments have reviewed the building permit
a~plication for construction activity which is proposed at:
/4__+;:?- /;./I/[/,-I//LD
/
/1/ I /'
A<?cepted
,
i .
D$n1ed
R~lViewed By:
C~mments:
",-/
Accepted With Corrections
~~
Date: 1/,;;. 7 ~ $'
~
Se~ Main-FiIc
"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."
See Main File
('White .. BuiidJn]::l
Ciiffiiry - engineering
Pink - Planning
B.UU.DING peRMIT APPLICATION DEfARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
fI/ F; /1/.1/1 /1;1J N /-IrJ/'1G5
4./5. os-
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/43-12- W/f-Ic/{/';:;~ if IVW
/
Accepted
Accepted With Corrections
Denied
Rlilviewed By:
CQmments:
-y{~
~~
Date: ~7~S'
See Main File
"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."
05/09/2005 MON 16:04 FAX 952 767 1900 GENZ-RYAN
Ii!I 005/013
5(Pd?
Date Rec'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
, q'J'ase.!i'P!: or print and siRll II botlom)
ADDRESS e .
ILI3LtJ, LA )/j-JTf,OJ I
i =- ~ II: I!.Nmr NO.A ~ A IICI-
l,Oold AppIicul ~
(' I . I' )
. 7f f\ /;(J
ZONlNG(01lkeus.) I
LEGAL DESCRIPTION (ollice use only)
LOT BLOCK
ADDmON
PID
g;:ef [1 )f}'\C, 1''lI/Ani/! \-tu\liLS
(Address) [)Z'Q5 PIOlZLL Dv. Stc)[()
(Address)
fMon
(Cityi
(phone)
fViN
(601- q[5- '570(1
55/)')
(Zip Code)
~~~ C::lr/ll1- D-i{VI /'1
(AddresS) 1. liJf) V;:.~ss)H1/1.Uf-L3 .
(Contact Person) ~n'l Q~r\v/llu
~UCANTSIGNATURE .J~.jJ1" /~,P//!./.;y.!./;
1 ,-"
(phone) f/fi2 - 7!Jr7- WDO
614 fifI S V /ll{./ MN q:;?;;?n_
(City) .. (Zip Code)
(Phone) tf5a -7(07- / XftJ J
DATE /)jQ/05
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 rvc 0 Cast Iron
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from strUcture.
FEE SCHEDULE
Residentilll sewer and water line connection $35.50 Industrial, Com'l & Multi-family [% of job cost with a $39.50 minimwn
Sewer conrection only $17.50 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
55.5D
3lr~50 PAID WITH
BUILDING PERMIT
(Orne. Use Only)
I ThisApplicationBecomesYourBuildingPermitWhenApproved \'J:n-!I:> " I.~ ~~eiPtNo,
BulldlnlOfficial Da.. :/9atyAY 1 0 2005 I ;'~r
:l4 hour notice tor aU in.peetlon. (95%) 447-9~,S,O, fax (95%) 447~,,= __ "-._1
L-:.L_.. ,. -=..~~.~
05/09/2005 MaN 16:04 FAX 952 767 1900 GENZ-RYAN
Ii!I 007/013
r CO i!2
CITY OF PRIOR LAKE
REA TING/AIR CONDITIul ILl ,GIFIREPLACE PERMIT
Date Rec'd
:~~ ~~ .1 PERMIT NO, AI A.~
J. Yellow ",pJiClllI "".U~
(Pl~ type or print and siKrI at bottoml
I AQDRESS
Ld~LLA U /o:11J;10 j I
/) J "\
(i!;:1- ^JLO
I ZONING (0/&,
...)
LllGAL DESCRIPTION (office use only)
LOT BLOCK
ADDITION
PIP
OWNER \ I i !?ti,(',. ,,\.~ .^
(Name) 1\ JU \')\'\ ,.1 i nl I
\-\()n'l~
(phone) U51- (t00 3701l
(Mdress) I Rq5 PI CrLCL- O,r, Sic XO
I::::/J (A r1J'l [\)\1\ I
.- - ":":.... - ..~
[fit .'))-
, APl'LICANTSIGNATURE ,
APPLICANT r
(N~me) L-lCtrl... r2Jj(Jyl (phone) W>;)..--1(.f7--/000
Mu..JL,;j i'3 BU..Yif)S\!i I k: :[J})'7
(A/dj) '/1. (a,y) '7 . (Zlp fod.)
/-<f 11 VI (j (Phone) lfia-7tJ 7- / AYc /
, /1,(' /1/' DATE :5/C? j{/:-j
APPLIC PLEASE COMPLETE BELOW
~WCONSTRUCTlON D REPLACEMENT DALTERATIONS
FURNACE MAKE AND MODEL Lt~nr)o1. [j(fOUI-! -3/o/-}-7(J . FUEl)"}!}, (ft5
FLUE SIZE RETURN OPENINGS f') INPUT 7/l11) OUTPUT 5idI( j
TYPE OF SYSTEM HEATING OR POWER PLANT
,~arm Air Plants D Steam
DGravity D Hot Water
EcbanicaJ D R.tdiotioll
, . Conditioning 0 Speci&l. Devices
Yent. System D Other Devices _
(Address) .;A;Jw L.U
. } .
(C~tact Person) ~< { t('!
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIRePLACE MAKE AND MODEL
(om<< Use Only)
-FEESCII.EDULE---~--- -
Industrial, Commercial & Multi-Family 1% of job eo,t Residential, Gas Fireplace $39.50
$39.50 minimum
Residential. Heating & Ale (New Construction) $99.50 Residential. Additions & Alterations $39.50
Residenliai. Heatiog Only (New Consll1Jction) $64.50 Residanlial, AC Only $,9.50
/-~.2/Y)-
Estimated Cost $ _/:'):"'1.1 Building PefJI1it # PAID WITH
HEATING PERMIT FEE $ qtJ b~IIILDlNG PERMIT
STATE SURCHARGE $ .50
TOTAL PERMIT FEE S I fj), /..V
. ,. . ",'1
J i~~h i ..., cl: \ \feCeipt No.
I IlfAy 1 0 2005 !', fY
Thi, Application Becomes Your Building Permit When Approved
BuildiRIOM(bll
1
24 hour notice for on inspcetion, (952) 4~:?850, fax (952) 447-4245
O.te
----....------.
...-..... ._.-,,-""'-'
05/09/2005 MON 16:04 FAX 952 767 1900 GENZ-RYAN
~ 006/013
ICO~
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
(please tvoe or orint and rim. at: bottom)
AIJDll.ESS. ' _ Ii II J
/LJ~Lll l)Jafc(ltC , (~u
l ~:;!~ I PERMIT NO~ A~
l.YdlGW AppliCllK ~
rJ(;( )
ZONING (olli"",,)
LEGAL DESCRIPTION (olliee use only)
LOT BLOCK
ADDmON
PID
~~e3~J JUfrSVY\(1 [Wl Hn('vit'S
(Addre$s) \ K'W5 PI C\7.JX Dv-, <;;k ~T)
(phone) {rf')/-CU5<2j7C?t
j-- D {;, ({ VI [vi N ry') i;) ;l
J.
APPLICANT fl_ 1)
(Name} C1e111_- ~&Javl
(Addre$s) 1.1-00 \N. l-h,'\! IA ,,~
i /(Add=) -~ . ' I .
(Contact Person) k 11'1"\ ktr\\/II v/
APPLICANT SIGNATURE ..d{jJi { '--. /~2(}jZ1(l i/
'..:./ : I \..._~.
(Phone) QC;'1:- ,lf1 - 10DO
F)[At2. VI c,v I Iff. MN S53'?;J7
(City) _ (Zip Code)
(phone) ({"?~ -7/;7]-- /'31, /
5:::;- I () /,"P-
DATE _~-,-L'.c'J
APPLICANT PLEASE COMPLETE BELOW
I Quan~ty I Type of Fixture Qnantity I Type of Fixture
I ~ I Bath Tub with or without shower .3 I Rough-ins
I J I Dishwasher I I I Water Heater
I I I Floor Drain I 12/1 I Water Soflner
I .;2 I Lavatory (Bathroom Sink) I J I Stand Pipe (Washing Machine)
I i I Laundry Tray (1 or 2 ccmpartment sink I I Sewage Eiector
I I Shower Stall I ra.. I Backtlow"Assembly
, I I Sinks Backflow Assembly Test
I I Bar Sink I I Lawn Sprinkler
I A. I Water Closet (Toilet) I I Other
FEE SCHEDULE
Industrial, Commercial & Multi-family 1% of job cost with a $39.50 minimum Residential, New One & Two.Family $99.50
Residential, Additions & Alterations $39.50
Estimated Cost.$ &')(1/ ---
PLUMBING PERMIT FEE $
STATE SURCHARGE .$
TOTAL PERMIT FEE $
Building Pennit #
C;q;Sc PAID WITH
tHlJlLDING PERMIT
/ (X) (i~
(ornce Use Only) ~~
"'" Ap""'" -- ,,,' ...,... P... Wh.. Ap",.., Ii" II!', fc: ',:: r"j Ii,~. Receipt No.
BulldlngOffictl1 Oil. I'! \~\ D~y 1 0 2005 I u/:jBY
L.\1._
14 hour notice for all inspections (951) 44'T;O~fl~~~2) ~7-414S =.
lU/~~/U~ w~u !l:~~ r^A Ol"q,~~q~
"_1.11 vr rnlvrt LAt\r.
"",uu
Date bc'c
CITY OF PRIOR LAKE PLUMBING PERMIT
:.~~ ~ I PERMIT NO.).c.. ~/
J, 'fea- A~ J .,;;;)::;) fa
f!'I<:ue_ ~ ~r]ll'in'.ald oi!:D ot_)
ADDRE5SPt3q~ 'N~~\ 6,~~,
ZONING (olb1lllej
,
LEGAL DESCRIPTION <"Ilia.", 1ldIy)
LOT lS~Lo~ It ADD17ION
~= \~ \~'f(\0IJl'\'f\ \4om~' (Phone) GS)-'tD(,,-lf1I()()
(Address) . 12><tS""Pb:zp-.. k. ~\~cQbD ~'I\ ,\M". ~J;Z~
- ,
1:~~ANT'.J~d ~~~ ~ ~~>~C. (Phone) 69-fs:2~/SbS
(Addn=) 17/D ~b.~ \~, ~ Mn. 55/:21.
~ (A~ -- (City) (ZIp Ccdc:J---
(contac:tpe.rrol\> \Ted.. ~~~...- (Phone) t,s1-1S;2-IS-d,S
APPUCANTSIGNATURE ~ DATE ~J1IoS:
~LlCANT PLEASE COMP~TE BELOW-
Type or FixtlIn I Qa>natity
Bath Tub with or without s1Ioww Rougb-ill$
Dishw1lsher I ( WlIlet ~
f'loCII'~ I I WaterSoiln"'"
I ~(BathroomSmll:) IIi SllllltIPipv(WasbingMaclrinc)
I Lalii'IlIlYTriIy(lor2r.....~r__..ylltsink I I ~E;~_:w.
i Shower S1ilU I I Bacldlow Assembly
I. Sinb I I BaeJdlow A$$embly Test
Bar Slnlt I I Lawn Sprinkler
I WaIeI' Clo,el (rollct) I i Other
Qu>lDtiiJ!
I
)
;
R
I
t
I
r--
I
~
PID
Type ofFDtliril
FEE S<..l:It-uULE
IndU>tri.1. Commercial a: Mulri-tomily 1% o(job oa:lt with. SJ9.50 minimum Ilosidenlial. New One & Two-Fomil,> S99.50
Residential. Addilions & Alrenllions S39.50
(1 ;)Jl^)
STA1ESURCHARGE s .!G~ (YJv
TOTAL PEltm'l' FEE $ '-( .
(om.. Ille Only) \:./
!iC~"\' .' -!l~ ,xlla~.~ji~~~~~~t~~,. :~. "~~; --,.j)I;:~~.s.~;:,~.:_~' "';i!f'o~-'~i~a$Jit4i~;i~:-il~; i'
~;..".~;~",.~.,~~nl';. ,.:.. "'.~f:~:t1;:,,~:'f:;~~~ o;~~~i~:~.:;}.hr,o~ ,l:;;t.i'~ (;~ J-;;"~~:r~;~'':.'::,,- '.:.; """". ..1~",-. ~.:-t:. '-r'.""~,~.",,,...;.... .~.:~,:.,~..;-
.",;"".'J."-;."". - ,., ""'.':';."',. >' -~, ."'~ .~.._.;-;,,,, ~''''';' ~..- W3@("''''''-;;''', l~""""'"'':''''''' '''''''~'':'';;;-'''::'';';;' "
~'<->"'...';"'.~- .:~,..,.-, -==-'"' -'''''t:"'~_\J.,_.~_".._".~,-,,'t'.. .. ~I""" .- -,",:"-.. 'J.,,;-' "~'1~'.:~~l:,"".:':"'''':''<::,.~";''! ''\...~~>,.~.....:,;:\..''".';'
.;.-,-.,.".,..,-,--,~.tt;;in'~~..^'O,p~~.'lfl'''''''''.-''''~.' ~ .- . D!ttt'~" .......'j~... .'........~..-,. ". .... "...'...... "....'......'~.'....-.
~.;:::.;'\~:~-~~!.7.~';,_.,';..,'-"~,j;~{ii,-,-';:;..:..'" . ..::'.--, ..._~';:'''!-'~':. ',;:'. .~,..-"" ". ,- "..... ',' -
..' G 'd-WLES0098\70((ij3 IS. LS 8 SO .67 (BSro-'L9tO~-rsrlj9 DN:lviE ~ DNI8j~[l1d:3iN3.~"');b~~'
Estimated Cost S
Building Permit jj
PLUMBING PERMIT FEE S
----/
,
~r.JC-1lt.l
n.l....l...DV . APr\JICAKT
l;(X.D. OT..,
-'.'
CITY OF PRIOR LAKE
SEI.tER AND WATER ?;::~IT
NO. 05".035&
HOTE::
Sewe~ and Wa~er
contractors lIIUS~
be registered
with the City.
s:':~r~.':'!:?:: :
PHON'E ,t!SH:S:H s:65
&J1JO~
APPLICANT:
AOOR:::SS:
DATE::
':):---
..._:"'I~.
?:::?':-!:::T ;
f:::LL IN THE
BL'u'lKS
30
f2'!:!!:t-.
1-
2.
=:stirtated length
of 'YIater se~vice
size of water se~ice
/
inc:. (es). (I <\1
from st~4cture~~
PVC K c"st Iron
fe~t.
3.
Locatio~ of "ny couplings
Type of sewe~ pipe. ABS
4.
3.
~s~i~ted leng~h
of sewe~ line 2SCJ
6.
Clean out (if
st:.~...:.c~u=e .
required), loca~2a
fa2~~J1IL
at ~feet
from
====-------~-=================~:==----====~=----====~=------=~~=
Th~s "?plicaticn becomes ~o~r pe~~t when approved.
BY DATE:
;====~~=============~=========~=======-----=======================
F=:=:S:
s
s
s
35.00
.50
35.50
Se~er and W2~~~ line connection pe~it.
Surcha~g"
TOTAL
* Fes fc= e~th~~ se~e~ C~ wate~ i~cividu2~ly is 520.00 plus
S .50 su~char~e. --
~ Sa~e~ end wate~ pe~its issued =0= nev cons~rJc~ion m~s~ b~
:=e:co:-:::.ec. on the bu.ilc.in;- pe=m.i '= ce.::-~ a to tt}2_:-~5t .Q.f .; c:c:" ~:;C2
~:J i:\st.1.:=-e t~2.t. no cu?licat~ ser..ie=- ar-.d. i(Hart,.:er_ p~~:::,i:.s a.::-a
iss':.1eo:::.
:,-,!,' .',
MID WrTl'I
BUll nlNG PERMIT
'.1' 0+" ,. ';;ed,~,:~J~11~~fJ~~~~~,!,,?~~t~~
.'
so .67 ilVSI
~~Ou~'!'
?~!D
AUf; 2 4 200~
D~.::::: ?)..::>
______~ .:l
~J~.:..'_.:. ~:":. :"
R:::C'D E'! I
:,~~.~~.,
;~.. .,.:
~:t~:~~~~;~::;<:~.: .
. .. ~ . ,.
d GOLES0098~ON/~S:8 lS/9S8
L9EO-tS~~ 1 S9 9Nlmn 9N] 8WD1d 13ZN3AIYWH.:I
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 1!fJ!/.z AJA.rmt.~, e~U.T )J.W.
NATURE OF WORK ---1JJrW ~~rrltM.cH'~
USE OF BUILDING - L! ~.,:; .A , L.
PERMIT NO. - ,:)~ DATE ISSUED tI/& "/(J~
CONTRACTOR W ~ PHONE&'l.~". 1(,/2.
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
See .Main .File
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOqTING
, FoulNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I' SEWER I WATER I SEPTIC
I FRAMING
I INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
~
iY /7 -€ ~ y ,r; ,
f/l/Y /
'fJ/J.-s"-Of
fJp
..s- ~;>s....
r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
,u.n1r / HIJI/r~ /4JJf'AP I I
. FINALS P~J-~I~J
{IlL;
~
/ I
~/zd.CJ,,(
GRAIPING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT
/l;;
~/c~~
10- J--S- os-
lO l:~MI eh
BEEN I SI(~NED
vvV
fit?
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.
FOR ALL INSPECTIONS (952) 447-9850
-
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
III -><-tl
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
'\il FINAL
./CJSITE INSPECTION
COMMENTS:
CAE
SCHEDULED Il)~, ~
IAldYl~ c..+
TillE
CONTR.
PERMIT NO.
'3 - 'J5"( ~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
S- ~LUMBING FINAL
~ECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
I, L,o...cL-~ \11\" ~' ~U(>
'2. (\~_ Lt .... S"CI]An- L,n"b,~ wdb
I" ~ i . ~ 'f. 'l"^ ~Ic ("'~ "
~,~L:>r.J,...w.J t;~ j
Ll, 9.~;,c. ~"'lM- '-.v-~~ r6 r.1c~.
iM...x. ~" -b~ ~ lM.cv<:S~ 1\ hrt\-.............."f
~ ,~.C"I_.._
o WORK SATISFACTORY. PROCEED
o CORRECT ACTION AND PROCEED
~CORRECT PfK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: OWner/Contr:
CALL 447. 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYI
""""T1
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
/0-),5;'-0'
ADDRESS
/ LI J42
I-!-).o Ptt If /1--
OWNER
CONTR.
PHONE NO.
PERMIT NO.
,('> 3S(..
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
..,IlI"I>LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
~. h IA/,u ~dl-(
t'/I" i(Jt'rP~;? ~
; ~
/
~~ATlSFACTORY, PROCEED
~RRECT ACTION AND PROCEED
o CORRECT WORK, CALL F EINSPECTION BEFORE COVERING
Inspector:
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE~
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
""'"'''