HomeMy WebLinkAboutBuilding 02-1280
QLtrtifirat! of (lDrmpaury
CITY OF PRIOR LAKE
J}epartmtnt of Jjuilbing 3Jngptction
o Final Permitted 0 Conditional C. O. Expires
This Cerrificate issued pursuant to the requirements of Section 307 of the Uniform Building Code
cerrifying that at the time of issuance this structure was in compliance with the various ordinances. of the
City of Prior LaJce regulating building construction or use. For the following:
Use Classification
SINGLE FAMILY
Bldg. Permit No. O? 1? RO
Occupancy Type
R3
Type Construction
VN
Fire Zone
N/A
Zoning District
R2
L 46, B1, MEADOW VIEW
Legal Description
Owner of Building
. 2340 STONECREST PATH
Site Address
Contractor's Narnc&:AddrcssCENTEX, 12400 WHITEWATER DR.. SUITE 120. MTNNF.TONKA '1'1343
ROBERT D. HUTCHINS r - J1-.;;;P1anncr DON RYE
BuIlding OffiCIal 3~ City I
Date: <::A16( 0 _ Dale:
VI POST IN A CONSPICUOUS PLACE
:;- 0 ~1\ 0 000000 'tI 0 ,. -0
lJl 0 ::I: ~ 0 ~~
~ 0 en."z"''''''' 0 0
B 0 !l 0 o 0 i: =izen~OO z m ;:0 mo
> 0 :;a :;a :;a i: ~>C:il:i~ m ;:0 m 0."
~ r- :1 :;a :;a " Z'!;-c- z en ::!'tI
r- m m en m en -I~>~ p en
>:l 0 o )Ii Z 0;:0
t -I -I -I "'ll - -I z-
t!l ~ -I m 0 - zO
10 .... )Ii - o Z 0
I o en en 0;:0
S CD -I ." .. -I Z
ClI :;a - )Ii 0 ::I>
~ UI '?' o 0
0 Z -I Z 0"
." 0 > 0 ,\ mm
~ 0 > Z ~
;:0 I ("
I C .
~ -I ." "'ll "'0
~ ::t 0 :;a :;a C)
m :;a 0 0 000000
Z :;a 0 0
~ m m m m :!l:"'Oen~iI:"'O
>< m m
-I Z c C ml~)liml
0C: -IOC:
i:II:I Z ~ en :z:1: m::til: 0 en
I ~ "'0 "'0
en m .,,~;:o:;a;:o~ m 0 0
~ "'0 :J 0 ZZ:z::Z:-Z ;:0 Z ::I:
::! m C1l -I >C)go C) iI: ~ m
:!.
~ 0 () 0 ,''' 0 :;a =i 0
-I 0 Z -"" - Z c:
0 ?r Zc:c: ~ r-
~ lJl ~"'O"'O P m
Z m 0
~ ."
N 0
...
~ ::t ~
~ 0 0
c: 0 ~ ~~
;:0 < 000000
CIl m
~ Z :;a C)"''''O~
> z >:ii:iiO
Ro c C) f!!mmil:C)
~ ~ _"'O"'O"'O~ '"
~ z ifi>>!;c w
>OO~;;
~ 0 _mm _
!"I :;a.,,:;a I D -i
-1-- C i
enz Z m
~ -I~ C)
5" o~o 000000 "'0 0 > -0
lJ> :I: ~ C z_
-0 o 0 :E cn"'z"''''"TI 0 0 ~~
C1l z
2 0 n- 000 -=lZ(J)~OO Z m ;:0 mo
> ~ :;0 :;0 :;0 m)>c: c:o m ;:0 m O"TI
t:::l 1 :;0 :;0 ::'\ _,>3:Z-I z en :::!"'O
t'>1 r m m (J) Z zCz 9 en
>:l t o 0 )Ii ~ :::!G)~G) 0;:0
-I -I -I z-
~ m 0 - zO
~ ";'l :!: )Ii - o Z 0
S CD o 0 (J) -I Z ~ 0:;0
00 ;:0 :::! );! 5 :::!>
i:II:I (71 .::'\ 0 0
~ 0 - Z-I Z W 0::,\
"TI o )> 0 mm
0 )> Z ;:0 ~
:;0 F 0 ;<
~ -I , "TI "'ll "'0 C)
~ :I: 0 :;0 ;:0
>:l m ;:0 0 0 ~O 0 0 0
t'>1 Z ;:0 0 0
~ m !!! m m 3:"'ll(J):E3:"'ll
>< m m m1m)>mr
-I Z 0 0 OC~-IOC
~ Z 0 (J) :t3: m:t3:
~ C5 "'ll "'0 0 (fl
(J) ~ m "TI~;:O;:O;:o!!! m 0 0
~ "'ll :J 0 ZZ:I::I:-Z ;:0 Z :t
::l ~ m ~ -l >G)OO G) 3: -I m
~ 0 0 5 I"TIOO ;:0 =t ;0 0
-I 0 Z -::'\::'\ - Z C
0 q zc:c 1
1;; III ~"'ll"'ll 9 m
z m 0
C ."
~ N 0
...
:t ;:0
m
~ 0 0 l\)
C
;:0 0
~ < 000000 "-
(J) m ,
~ Z ;:0 C)"TI"TIom '" 0
z )>
> )>;ij;ijo~ ~ -l
R0- C) ~mm3:C) (\.) m
~ 0 _"'O"'O"'O~ ~ "
<
)> ~>>>o ~
~ Z >ooz:;; \.)
""! 0 _mm-l_
:::: !"I :;O"TI:;O 1 -i
-1-_ 1 i
(flz Z m
-I~ G)
~.
'"
OJ N 0 o~ 0 0 0 0 "'0 0 )> -(")
lJ> :I: ~ 0 .Z _
"0 ~ (J)"TIz"TI"TI"TI 0 0 ~~
(l) =iZ(J)~oo z z ::u
(') (") 0 0 m mo
0 )> ~ ;:0 ~)>C:3:~~ m ;:0 m (")"TI
t:::l 1 :;0 :;0 ::'\ z'~zCz Z (J) ::! '''0
t'>1 m m (J)
1 0 0 (J) ~ :::!C)~C) P 0;:0
~ t -I -I > z-
~ ~ )> -I m 0 - ~ zO
~ ";'l Ui (") z 0
S CD 0 0 "TI -I z 0;:0
OC> ;:0 -I > 5 W ::!>
i:II:I en ::'\ 5 (")
~ 0 - Z -I Z 0::,\
"TI (") > 0 G mm
~ 0 > z ;:0
;:0 . 0 ;<
1
~ -I "'ll "'0
:I: "TI
~ 0 ;:0 :;0
~ m ;:0 0 0 ~OOOOO
~ z :;0 (") (") 3:"'ll(J):E3:"tl
m m m
.." x m m m
Z m1m)>m'
0 -I 0 0 OC~-iOC
~ 0 (J) :I:3: m:I:3: "'ll (") (fl
':< z -0
!:< C5 (J) :l: m "TI!!!:;O:;O:;o!!! m 0 (")
'" ~ "'ll :J 0 zZ:t:I:-Z ::u z :I:
::! m ~ -i >(;)00 G) 3: -I m
~ 0 0 5 ."TIOO ;:0 =i ~ 0
-I 0 Z -::'\::'\ - C
0 ?r zcc Z 1
lJl ~"'ll"'ll 9 m
z m 0
0 N "TI
~ ... 0
:t ;:0
m
~ 0 (")
C 0 ,
~ :;0 < 000000 c--
(fl m
~ Z ~ C)"TI"TI(")m ~ to
)> Z )>~~o~ ~ ~
R0- C C) ~mm3:C) ~
~ < \ _"'ll"'ll"tl~
~ )> ~~~~o
z )>o(")z:;;
""'l 0 _mm-l_
!"I ;:O"TI:;O 1 -i
::s -1__ 1 i:
(J)z Z m
-I~ C)
..
" ,
~
~
~
f"l
<:;)
t:::l
t'>1
~
t!l
~
S
i:II:I
~
~
~
~
~
t!l
~
C5
~
~
<:;)
~
~
~
~
Roo
~
~
"'"l
~
o
>
r-
r
t
....
~
co
(71
o
"TI
o
;:0
-I
:I:
m
z
m
><
-I
Z
CIl
"'0
m
o
-I
o
Z
N
...
:I:
o
C
:;0
(J)
Z
>
o
<
>
z
o
m
:J
lJ>
-0
Cl)
n-
o
o
~
:J
C1l
<=>
o
~
~ ~)f
000
;:0 :u ;:0
:;0 :;0 ::'\
m m (J)
00....
-I -I :::j
:E ~ Cii
~ ::! );!
l' ~ ~
o > 0
~ z ~
r C -
"TI "'ll "'0
o :;0 :;0
;:0 0 0
;:0 0 0
!!! Hl Hl
Z 0 C
(J)
"'ll
m
o
-I
o
Z
lJl
m
"TI
o
:;0
m
o
o
<
m
;:0
z
C)
o
o
3:
3:
m
z
-I
en
o~oooo
(J)b;-"TI"TI"TI
--z~oo
-IZCIl c:O
m>c
_rr3:Z-l
z >ZOZ
!3 ::!Gl~C)
m 0 -
o Z 0
-I Z
o
Z
000000
3:"'ll(J):E3:"'ll
mrm>mr
OCS-IOC
:t3:iTlm:I:S::
"TI!!!;:O;:O;:o!!!
ZZ:t:t-Z
>C)OO C)
r:!l~~ Cl
zcc
~"'ll"'O
"'ll
:t
o
z
m
z
p
"'0
m
;:0
3:
=l
Z
9
\\
I\l
~
N~
''I--.
~
~~
"\
~
o
:E
Z
m
::0
>
o
o
;:0
m
(J)
CIl
o
o
Z
-I
?J
00000
G)"TI"TIO
>--0
en~~3:
c"'O"'O"'O
~>>>o
>ooz
_mm-l
~:!!C! r-
(J)z Z
-I~ C)
'"^'
t-.
~'
'^
?'"
~
(\
(\
""
~
'+-,
-0
z_
!3:;!
mo
O"TI
-I
-"'0
0:;0
z-
zO
0;:0
::!>
0::,\
mm
en
o
:I:
m
o
C
r-
m
o
~
! 0
~ ~
d
u
-i
i:
m
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
'- White File
2 Pink City
3. Yellow Applicant
.s;;J?~c,~5T
LEGAL DESCRIPTION (office use only)
LOT
ADDITION
~f-tJ/i aJ
OWNER
(Name)
(Phone) 9501-c7 33 -c;l S~3
(Address)
BUILDER
(Name)
(Contact Name)
(Address)
va m fJ
/:3///
~/1J ~
s?/;5JOd
',/
(Phone)
(Phone)
_~h/~
95:) c:955 -O;>S~3
TYPE OF WORK
New Construction
ODeck
OPorch
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtiIity Connection
o Mise,
PROJECT COST IV ALUE (excluding land) $
I hereby certifY that I have furnished information 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 official can revoke this permit for just cause, Furthermore, I hereby agree that the city official or a designee may
enter upon op,(:rty to perform n ed inspe tions,
r
-71 c?l:XJ 7 t/7 57
Contractor's License No,
07)~~
x
Permit Valuation
Permit Fee $
Plan Check Fee $
State Surcharge $
Penalty $
Plumbing Permit Fee $ 00-00
Mechanical Permit Fee $ 100. cJo
Sewer & Water Permit Fee $ ]~,S-O
Gas Fireplace Permit Fee $ Lt 0,00
Park Support Fee
$
$
$
$
$
$
$
$
16.;0ro7.-- $ I; 7 ...3
'~,;~r ~ ~~eiEt No 11- [If)()
#
00
SAC
#
Water Meter
Siz 5/ '; I";
#
'2Si ,(/0
4r-.oo
/).00,00
00. ()O
I roo. 0 0
Pressure Reducer
City SAC and WAC
Water Tower Fee
#
Builder's Deposit
Other
TOTAL DUE
This Application Becomes Your Building Permit When Approved
~~
Building Official
~; 6;; .......
,
I Paid
Date
Date
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
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
~~~
Planning Director
/tJ/2.-j6 'Z.- 2l{ I MAY. 'Du \)'~~ lI-J lD1'it- ~
. Date Special eonct Ions, If any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
~
.
.Permltlll
~. -.-- ",,-- - -- - - -" - -....-.- --- -- - _. - -
..
ks4t) 5k~~I;;r
.tieatfi~i:-H~ & ~~ TWO
.Testersl nature a
"
~"'"
Date Ii!!!!
.JoblAddl_
.Gas Um.'
PressuriZfJd
Inspected
.pt':cent (1'1
.Percent ~2
F inallnspe;.:tion
j
,~,
~",L__
....
PERFORMANCE TEST
I ()7 Z
rU 'Y fl-n
.Percent CO
.Stack Temll,
Date
,... I~ :'\
~:.., -
'111
~..,...~'"
Pounds
~
~'
0]10
n.ip ,
11..(1 ./
"""..
,~.
"
-X....~~
-..": ,:...:.,..CITY.OF~ORLAKE
HEATING/~ CONDITI9N;INGIFIREPLACE PERMIT
Date Re~'d
I. PInk
::. 0.-
3. 1.110,,"
~i~, I PERMIT NO. I-/~ J
"1ll'1..,anl , I~ _
ZONING (ome.. U4e)
~, ~ '"'
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER.
(Name) Ce /I f--t y
/I 0 ~I? c;"
(Phone)
:' \ ~
(Add.t'ess)
APPLICANT
(Name:) .#~I,').+, ''^- 'j
(Address) I Y' S-S-O
~ ~Ol!) /"""- 9
)
Co"",,., (-'1
(Address)
71/!A=l
Il...&/ 9r
(Phone)
7G 3 ~ 4)..?'- '?b 77
/"'7.tpl;/ ("'" rI:JC~
(City)
S-~-'?I C. 7'
(Zip Code)
(Contact Person)
-
I,!, ~/t''1
(Phone) ~/2- - "3 (. 3 - $"~r:. 7
DATEI::J . ~.. L
APPLICANT PLEASE COMPLETE BELOW
APPLICANT SIGNATURE
.I
gNEW CONSTRUCTION o REPLACEMENT o AL TERA TrONS
FURNACE MAKE AND MODEL ISf""r ell ",+ :3.s-Q "'f 5"0 ?t) FUEL GaS
FLUE SIZE PVC R.E11JRN OPENINGS ~ INPUT II Of ('Jf.?d OUTPu:r 7 '-(, 0($0
TYPE OF SYSTEM HEATING OR POWER :PLANT
(UWarm Air Plants o Steam PLEASE NOTE:
o Gtavity o Hot Water Air Conditioner Units
o Mechanieul . o Radiation Cannot Encroach into
~ir Conditioning o Special Devices Required Side Yard
~ent. System o Other D~vices Setbacks
FIREPLACE MAKE AND MODEL
Industrial. Commercial & Multi-Family
. FEE SCHEDULE
I % of job .:cst Residential, Gas Fireplace
$39.$0 minimum
$99.50
$64.50
S39.S0
Residential. Heating & Ale (New Consuuction)
Rcsidential, Heating Only (New Construction)
Residential. Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
Building Pennie #
REA TINQ PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
S
$
.50
I
'\...:_::".'-:'>i.~ '
'-;?
(om<:<: USI: Only)
This Application Becomes Your Buildlng Permit When Approved
/J'''' ~u'~~,j"j l'
Bulldlnc om.,:I..
I::;
-j
1d W~E0:60 c00c 60 '8dQ
c89E8cvE9L: 'ON X~~
OM1-~NIlOOJ-~NI1~3H: WO~~
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;e:n ~:~y I PERMIT NO. "'L I P l D
3. Yellow Applicant .2i
ZONING (office use)
2340 STONE CREST PATH NW
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CENTEX HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH FAIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Phone) _651-633-2561
55113_
(Zip Code)
(Contact Person)
BRENDA HUSTON
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
12/1/02
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM HEATING OR POWER PLANT
DWarm Air Plants D Steam PLEASE NOTE:
DGravity o Hot Water Air Conditioner Units
o Mechanical o Radiation Cannot Encroach into
DAir Conditioning o Special Devices Required Side Yard
DVent. System D Other Devices Setbacks
FIREPLACE MAKE AND MODEL HEAT N GLO SL-550TR-C
APPLICANT PLEASE COMPLETE BELOW
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 & AlC (New Construction)
Residential. Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office llse Only)
This Application Becomes Your Building Permit When Approved
_~~.u1
Paid
Receipt No.
Buildinl!: Official
Date
002 By
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
-'--".-..,.
/~-:-_~7-IC ~~:>,
J -. \
/-..' ,./. ,-
" ~
,. \~~I "'j
, .~/
'-\ .... "" ,./
~..~.,:~~~~.~
CITY OF PI<10R LAKE PLl~~rBI:\G PER"IIT
D:'H~ R~'..:'d
_I :)~:::~;..,: t..(~ f':- ,:,.r~r~( l..,d a\!..'1 .Le hf)(':t,m I
,\:.:'::' P,2:::,::
I :.)1'le
:, 1-:;llla,
I "~llo'-
;:,;.,
C;iY
'~hl.!:.:In'
PER\UT ~'O, oi'i~iO!
--------.
...?:it! ()
r~l7rl/est
fi.li~ )J tV
:/.):::-::';,":. :,L~~
-..-........-............--.
L 2: (~"\'[J c.~ 2~~ (: F1PTIf:!:>j : ui~C: ~J~',; .~\'Il:""1
I
\_.,----.--~
..! -"-'"--
-, , . '., . ... - J ~
: :.,:~:~I.:.:,~ l<~l!.H 7q.JL..._.._~,
ern
L __'
~-.--'I
I
I
---'-
"~--"'~'.'''''---'''..---''''-",--""
s ~.. ~: ,': :":.
.,~\,::, D fTIt::: >4-
,-? ::t; ~::.!
- , --
i
-------- J
J
: .~. ~..::.,:~:,;:.; ;
--............--..........-----""
I--~
'-'-,.,:-:~E~;~~,:"~:-:X)1. JI/tA~--~ y);jo-....
"""~ -LLJPC / j f"/t, #'
>..:J:~:.c:.;: 8:"60. ' - ,t-f.'" _f1(/~.
(,.l,.J.::l'~~:; )
(?l:Cr.C:i r;5:2.t/~Z-~/ZL
:!i;/IdA-. ,:SJ:.JJ~'" _.
--'.-..
(C(:I\
(Z~p I.:.:~~"
.. -
, ."":::;:~..::~: ;,. ::~'~l..~; I
(~l~~~I{L jyfM<~
\ :::~r.l:)
L?;w / 11' ~ C--~.=J
I . ~';:J/' fL" ",-.t. ':';,- ~,-, TT ':-, ~
:...~.~_~~..::~_ ..J,
DATE
'-(}~i.l~; Typ~- of fixturt!
I~''''' I 8Ll.~h Tub 'Nir), ()r wirlwlIt :lfl\.)w~:-
---,--.,....,.......__.
, ! Disnw.1shl!r
I .....,~-w.-~-i- F 10<)[ Or:2Jn
----.....-"--;--Ll';r.J,tcr; (r:.h~hroom Sin!':)
------...--".. "'.~""d'ry~(TOr:: .;omp~~lni(
i--'- I Shower St:1.ll ~.
I I Sinks
F I Bar Sinl,
. I Wa~r Closer (Todet)
;-\prLlc.~~T PLEASE COMPLETE BELO\V
QU:.ln ri Cj'
I Type "f Fi:ctun::
I Rough-ins
I W:m:r H~::l[er
I \Vacer S\Jfml::r
I Sc~nd. Pil:'~ (\V:lshing :vl;.tc!,ir.t: l
I ~~,.\lJ.gt: Ejector
I Ba.cktlow Assembly
I BllCktlow Assembly Test
I L:lwn Sprinkler
I Other
-~
I
'J
I
I
_-.J
I
i
I
i
~
I
--
F E.b: .sC HED L'L!
IndlJmial, Comme:rc;ial & MLJltj-tb.mil~ 1% of job :;0.. wich a $j9,50 minimum
Rcsidcnti:ll, New One & Two-F:Unily 599..50
Rcsidenci:l.l. AJdicioos &. Alteration:; SJ9,,:O
E;.;;:;rr.:J.t~:1 Ccst :S
(Ofrke l,.'$0: Only)
I ~b;' Applbti.. B'",m" Yo., BUiI"in. '''mi' Wh.. APpm:"
l BuJ/Qjll~ 0ll1ci~1 Dale
PLUMBING PE&\IIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
:s
:5
S
02- -fZ-~ 0
WITH
DING
-~
I
I
I
13uiiJing Pe:-;nle ,;.
P:l.id
Dar~ov 18m
:.i hllur I\1Jth:e Cur:lll inspt!criol1s \9;::) ..wi.9~:Sil, r.n, (9:5:) .i..l,.....:.tS
S0/~0' d
JNIOJ8NI8wnld^3ll~~
S0:80 c00c-Sl-~ON
y10/30/2002 10:25 9524612166
----.::: "VI UJ. L~I'-..1~ I"t\A UJ lo.... , l4.1..l.lJ
DASEN CONTRACTING
l. j 1 I ur rlU UX U\l\t.
PAGE 02
Ii!J U U 1
D3te Rec'd
CITY OF PRIOR LAKE PLUMBING PERMlT
I, lJl", I'll.
1. DDl4 Clly
,. 'l'dlaw _II...'
I PERMIT NO'()d/r;g1)j
I
ZONING (oNl"" Ulc)
! ~~~;."~oo.r,P.s+ fu%
; etiJ .
PlD
l~~~~ ~; ~bone)~~-~=1~
(Ad<l= _ _ - - or _ - ~ J ,)/Ji - /dQ.) jLl' -~~ <0- ~~@
I::~~ ~~AiJ( ~:;}-L/IOJ~fa I
(Ad.c!lCls) ( ity) (Zip Code)
on, eh (phone) q~d ~w/~C)./DO
DATE lD~~D-Q;)
(Contact PCT'Son)
Quantity Type of Yl.Xtun Quantity Type of Fixture
Bath Tub with or without shower Rough.ins
Dishwasher Water Heater
Floor Drain Water Sof'tner
Lavatory (Bathrcom Slnk) Stand Pipe (Washing Machine)
Lauacl.ry Tray (l or 2 compartment sink Sewage Ejector
Shower Stall Bacldlo'\ll Assembly
Sinks Bacldlow Assembly Test
Bar Sink Lawn Sprinkler
Water Closet (Toilet) Other
APPLICANT PLEASE COMPLETE BELOW
FEE SCHEDULE:
Industrial. Commereil1l &. Muh.i.!M\ily 1% of job cost with II S39.~O minimum R.esidential. Naw One &. T..o-f'amily S9'UQ
Residential. A<lditigns 4 AltCl'lltlbns S3';UO
Estimated Cost S
Building Permit #
PLUMBING PERMIT FEE S
STATE SURCHARGE ,$
TOTAL PERMIT FEE $
,50
Dale
(Omce IJse 0.11)')
Thi, A.pplication Becomes Your,Bulldlng Permit Whl;:n Approlled Paid"
BuildinC omtial
:Z' ho~r notice fDI" 1I11In.pe<:r1ons (951) 447.9850. fu. ("1) 447....2'5
l(i2QO Elgie Creek An" 8.&., Prior Lakt, MN 55]71-1714
White - Building
Canary - Engineering
Pink - Planning
Thr ("rnft"r of the I..h ('ounu1'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
aeJ/fd 40'4!~
q--/q-O~
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
d3L/()xtt-~r!A.exf-r Pa:t::l-
Accepted
Accepted With Corrections
;,/
Denied
Reviewed By: ~ ~ Date: f/~(. /d .....,
Comments: ~ n.Jl..R ~ ~ -~
"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."
..,
.."P!lBA eq lOU IIB4s UO!P!pspnf e4llo SeOUBU!pJO
.Je4lo .10 epoo S!4l 10 SUO!s!AOJd e4l leouBo JO elBIO!A Ol AlP04lnB e^!5 Ol 5U!WnS6Jd
Sl!WJ6d "UO!P!pspnf 64llo eOUBU!p.JO .Je4lo AUB lO .10 epoo S!4ll0 SUO!s!Ao.Jd e4l !O AUB
lO UO!lBIO!A AUB 'lO IBAO.JddB UB .10 '.Joll!w.Jed B eq Ol pen.Jlsuoo eq lOU IIB4s SUO!lBlndwoo
pUB SUO!lBOwoeds 'sUBld 10 IBAO.JddB JO l!w.Jed B lO 5UnUB.J6 .10 eOUBnSS! e41...
.~~~ ~ ~
1
-c o;-e;C?! :elBO
~ ~ I f,c? :sluewwoo
~t:. ~~ :A8 peMe!Aetl
..I
pe!ueo
x
SUo!pe.J.Joo 4l!M peldeoov
peldaoov
:lB pesodo.Jd S! 40!4M Al!A!PB uo!pn.Jlsuoo .JO! UO!lBO!lddB
l!w.Jed 6u!PI!nq e4l P8M8!A8.J 8AB4 SlU8Wl-/BdeO 6U!UUBld pUB '6U!.J8eU!6u3 '6u!p/!ns 841.
~.
03AI303tl NOl1.VOllddV
1.NVOllddV ,:jO 3V\1VN
lSI1)1:>3H:> lN3Wll:Hfd3C NOI1":>l1dd" llW~3d DNIC11na
6U!UUBld - >tU!d
6u!JaaUl6u3 - ^Jeue~
6UIPI!"a - al14M
,UlunO,) ""8'1 ,)lft JO J.lIUol.) .un
White - Building
Canary - Engineering
Pink - Planning
Tht Ctnlrr or Ihf r..h ('OURII)'
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
a (! /(/!C:j/ i-(()!41 e ~
9-!q-o~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
d3L/o x.f:1-~VYA-t ;-/zr-4-.
Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
11#/i)
Date:
tD --- /-0 z
.
Comments: ' See Reverse Side for Additionallnformationl
See Attachments: 1) Grading Plan, 2) Ero~jon Gontrol Measures
3) Erosion Control 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."
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ~3lfo ~~
NATURE OF WORK 5:F: D. A/~ ~
USE OF BUILDING s: F-:" .
PERMIT NO. () 2- -/2 go DATE ISSUED
CONTRACTOR I' Jfl0rex- JJd~ES PHONE -.,;) ~-,;).S"f~
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR DATE
! FOOTING )!1;y?' 10/2.1;
FOUNDATION (Prior to Backfill) 10 X I 0 Z--
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING e&
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
GRADING (Prior to Sodding)
BUILDING CJ. ~ \01\,
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I . 'I ,
FINALsf'~ L. <0~ e.C'(lJ3
~_dr:" tJ) -
,)
w
b.
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