HomeMy WebLinkAboutBuilding 02-1555
QIerfifir(tfe af @rrup(tur\t
CITY OF PRIOR LAKE
~epztrtmeut of ~uil~iug Jfuspertlou
'P Final Permitted D Conditional C.O. Expires
This Certificate issued pursuant to the requirements of Section 307 of the Uniform Building Code certifying
that at the time of issuance this structure was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Use Classification
STNGU~ FX"iLY
Bldg. Permit No.
02-:)55
Occupancy Type
R3
Type Construction V'i
Fire Zone
N/A
_ Zoning District
Rl
Legal Description
16, H2. WILDS SOUTH
Owner of Building _
Site Address
15'180 \f()()') n:!Cf: Tkll T:,
Contractor's Name & Address CU')T) (~AN CUSTO; ,;:,r.R:,., "213"1 LOGAN AVE., LAKE\TLLr~ SS04Li
FOBERT !). PllTCH;~:S
/ : ~uilding ()ffici.al
.! ". i ".I.~
\.1/' (I.(
\ ( . v
City Planner
"m R.YF
Date: _
I ?
.t I
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS I 5:2 e a
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
DATE TIME
SCHEDULED
7-'"2c.(.o~
W~~,Q 'I:::Jo~ h
CONTR.
PERMIT NO.
~ 2. - hc;.~-~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMM~NTS: _
1. 01J VU .c- 1.~!J
441 - 9'~~(")
11.
,
L., /. ,0
/V'V"""""
G~ " VLs..~ci(~~
- \
---
,.J..- - \ j) 0.0 ~
~
():...
V J -
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CORREuRK' CALL FOR REINSPECTION BEFORE COVERING
Inspector: n./"l Owner/Contr:
CAL~ 4.J7-~OR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
~.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
INSNOTJ
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED "3 - 2f..,-t)7 ?:4::;
~ OUC'c
ADDRESS J.saAO ~~ -r\-AA.~,
OWNER
CONTR.
PHONE NO.
PERMIT NO.
O:l. - l SSS-
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
)!(.FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
D..,SeWER HOOKUP
A::f PLUMBING FINAL
~ECH FINAL
o EX/GRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
r? ·
4~
5.
(~ .
7.
/ '~
.. . /' ~ ,- ,
p_(J,~ ~rlQ~~ ~b-cA. (Of.- 1'4" J..j. fo3
ph'}\J~~ \,pw.Ap 9-.~lI\ d---o.W""O ~ ()IL (11(/ ~27-<:J}
F"i~J Q,~o ., 'I>>..~~~t'HV1 ~ ~ ---
~~ ~O~~ &M~lll.~c...... / ~C{. oJ-- ~ 'DI-ot~\~\..U
o · - -..J "-
So.:Q ~ ~J2U> ~~~ ,f)\.. .
. . I ,
~A""""~""A . 0.... Vlc..,,~. e.c..."~.o~ ~ c:fL, rfl}-.,~
- - (;) .
r..,r. )o<'~.Co. "J::lr~r \-..cc.
<I' V
COMMENTS:
'/./.
-i ~ .
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~go E WORK, CALL FOR REINSPECTION BEFORE COVERING
Ins ctor: 1 Owner/Contr:
119850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
----'
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lNSNOTl
V~4~V{~i~. L~ ~M~\
. ,',., v
(-/ \.(.; Ql)( -/..,u) ~~e~ j
- - - v- .
.~\ '-~{) ~ ~ ~ llL C 19_c;...c:~ ~
^ ,
VLt Jv~/~ I/pp\/t- ('pP-tI\,
~ - - It'
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
'1~'Lf:C
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
cOMMEt-!TS: f\
I ~ b\.~<L\L
L
~
'~ J
H,
v
OA TE TIME
SCHEDULED ~ 1 LtflJe'2,
{JEt?\ \.[\c~k
CONTR.
PERMIT NO.
'2,.,/ r~
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
;! PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
, 0 GA;)L1NE AIR TSH
A y. ~/\I\~~Aei-/"
(' ~~ i,~ hvVtO ~~~du9-Y\')
,
o WORK SATISFACTORY, PROCEED
o YORRECT ACTION AND PROCEED
V CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector:
.~~
~/
Owner/Contr:
.cALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
lNSNOTl
ADDRESS
Oo\TE TIME
SCHEDULED 111- \ . D)
tS2-8c) G. YJ'f\ux Y\-raL
CITY OF PRIOR LAKE
INSPECTION NOTICE
OWNER
CONTR.
PHONE NO.
PERMIT NO.
()'Z_," ;565
o EXI~ILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
o FOOTING
o FOUNDA nON
o FRAMING
o INSULATION
,!<!INAL
L 0 SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
c_u,/J....6 '5'ToP-O~
G:>f2.A.O;r.00~ {)I./-"
/
~
I~ /"\V
\. I \ .r
I'I! U
\~
1"Rt(S l'UO Sof\
'"'"W W^RK "'AT''''FAf''TnRv DRnf"'r::En
~ v ~ 1..oJ "'" I "'. " I I ___ -
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: It :-/,.{(Yofl.L Owner/Contr:
~ALL 447 -S~50' FOR kH~ NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH .{ SAFETY!
IIYSNOTl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
I. White File
2 Pink City
J. Ye\low Applicant
.~
I J-~-tJ~
l PERMIT NO-oz!:'is.55
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
IS2r-O
LJ D (] J iJ ,,~k ',re.., /
1<1
I
LEGAL DESCRIPTION (office use only)
LOT b BLOCK 2 ADDITION W~ IJ j SD\~ +i"
PID d~/ 3.J~ -Ol.{9-()
OWNER
(N ame)
(Phone)
(Address)
~~~~~RCuJJ,~ C;\~M B~"I~,rJ
(Contact Name) 1) I;' \,. f~ ~J ! ~ ~
(Address) 22" :>]'. L
) o~ ~Y\
Ave
L.1 \t.{ ud kt !VI,,_
(Phone) qr 2-461 -16/1
(Phone)~ -d '/2-]2.S--4~2k
))CW'-/
TYPE OF WORK
0t1 New Construction
DLower Level Finish
ODeck
OPorch
ORe-Roofing
ORe-Siding
o Fireplace
o Addition
DAlteration
o Utility Connection
o Misc.
PROJECTCOST/VALUE (excluding land) $ 31 s: 000
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 thaI: the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter~e property to perf~rrrfed inspections.
X I ~ 11-.// Isb 1 1I-14~bL
_ t-Sigrlature Contractor's License No. Date
I Permit Valuation f{,315J 000.00 Park Support Fee # $ <i?.s- a, 8 0
I Permit Fee $ L}'t 7. 7~' SAC # $ lZi!Jo,OC)
I Plan Check Fee $ / '-IZ2.~Ij.1 I Water Meter Size 5/8'~n~ $ 3&1. eo
I State Surcharge $ /57. '50 '"I I Pres'sure Reducer $ 70,00
I Penalty $ - 1 I Sewer/Water Connection Fee # $ !'t-60~.ot)
I Plumbing Permit Fee $ ItJ/),tJo 1 I Water Tower Fee # $ 7tJOr 0 0
I Mechanical Permit Fee $ IDO.oo 1 I Builder's Deposit $ ISaOt 00
I Sewer & Water Permit Fee $ 3:5- 5"0 I I Other $
I Gas Fireplace Permit Fee $ '1(h () () 1 I TOTAL DUE tA1AEO ~2 '5wD2 $ CJ. 67'1. 29
. .-'
) , /
This Application Becomes Your Building Permit When Approved Paid r: 171. z.-.e:s Va. n~
~ 1~J~ /e:J/ L/ ~ z-- Date I~ --6 ,~r::-
Building Official 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 comtitutes a tcmporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
~ 1~p 12/5~Z- _~ &J~
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
Tht' Ct'nff>r of the l..ke Countr)
White - Building
Canary - Engineering
Pink - Planning
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
'l
(j~cd .4C>t!< )L," ~tu--~/ /,+7J L*,7?1....",~ /
f
// ,/. ./)")
- /e; -u !/
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
1.5 L+8 L> - /{ l7td /JC/.,{:(C c9,/L/
....
Accepted
Accepted With Corrections
/'
Denied
Reviewed BV: ~
, ,
Comments: ~~
1~~ Date: Mldz-
,
ILlI ~~~~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."
White - Building
Canary - Engineering
Pink - Planning
Thr Cfntfr of the L.kf Countr,..
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
,- -."./
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~
::(~p
3~ I (2, 0 'W .A-li- U-u.L
f! !),J(I~ I C +12.01\/' dq.
Date: 1215;0 z.,
,
Comments: ~~
l~~~
J
)J I Tf{
~ ~ftjJt;'''''L
fo S'~{!u1e8
fJd-s,
"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
Canary - Engineering
Pink - Planning
Th~ ("tnlu of Ihlt' tikI' ('ounlf)1
NAME OF APPLICANT
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
~ ~ i
. ..' / (-', 1
.... . -Itvv ~kL/lffYPL--Ihn~
/./ ) 0 -. .
.- Ie; - C/
APPLICATION RECEIVED.
The Building., Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
/5 CJ-8 () - I A):JO::.! /J tiC (C t:9-,/'l-/
.....
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/YIIB
Date:
I~-d-OL
Comroents: See Reverse Side for Additionallnformatinnl
[)rtvt'V'I'illl tvIVS{- h~y~ [0/1(. t9fJrOfi~
, '
":'t
See Attachments: I) Grading 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
ordina,ocesof the jurisdiction shall not be valid."
011/:)1/02 FRl l~:OI FAX lIUUH2U
CITY OF PRIOR LAKE
,.'1'
Data Ree'6
CITY O}' PRIOR LAKE
SEWER AND WATER PERMIT
elk.. M!- or lIIiat... .....)
ADDUSS WnOA
JS~J'O VrCl
DLt d<.' --r;c{ / (
, LEGAL OESOu uON (0'" Q anly)
I LOT BLOCK ADDITION
,
~ ~.. ~ I PERMIT NO. '1_ I z:: S' /"('"
, QoU ......- I~ 1...../ -../l
ZONflllG ~ ../
pm
OWNEll~' /". - J....... /J I L
eName)' ' l-<t..slD"Ytl /~c 1 L-o~
(A~CI') Je'}. \ ~ i6<<;"4.IV\ Ptv< L~ uc' If c
(...~) (ClcY)
APPLIC~ -L-. -
CN.mP'),~<:,d.G.er Ey ~Q () ('~
- .
(AcWrcsI) R 3l S" lJJ7 o'H, .s Tr ~
(AIIdivI) .
cO::lr1ra.er Penon, S Q ~ S I. I",",~
APPLICANT SIGNA-Tee.-A c-cL., ~~.:!'
- r
(Phone) ~tfs~ - 'ikJ- I~(j
:;; -S C) '{ (/
(ZiIIl CudI)
(Phone) So -7 - 7Y'Y - '-)~jr-
L r/nSdo..l, .!'s.??_Y~
(CUl) (Zip C,*)
(pho"t) 60 -, - 7 $1"'1'- "'>~o.$-
DATB .:::,-L~_-~ - 0 ~
APPLICANT PLEASE COMPLETE BELOW
S~ of watM' sot'Vice ~ indaes.
Lacalton c:tf aDy eoupHngs ft'oD'lllNCturc - feet.
Type of sewer pipe. 0 ABC ~VC 0 Cut Iron
Estimated leDith of .ewer line.s7) &Ct.
Clean out (if requiRd) loc;ar.d at feet from. structure.
BE SCHEDULE
Rcllidcnda.ls,_. and wa1<<llJ\. OOMClDtion $3~..50 Indllltrill, Coat" at. M~lti.fBmi)y 1% of job colt with. S)!J.'O miniJJlu.m
S.ww ccmnoction Dftly S 17 .SO WUtr <:oanllCtiorl OI\ly S 17. '0
Eltimated COSt S
BuJldiq Permit N. - ,_.. .
SBWBa AND WATER PERMIT FE!
st A TB StJRCHARGE
TOTAL PERMIT RI
s
s
s
J.Q
(Ol'll.li.~ 0111,)
Tllla Appll~tioll .00_" Yftr .....Id.... P.....lt Wh... Approw. Pafell
D.rPfC I I 4U?
luiffi.. 0lIl4W
.,...
J' "olr ""''',, Illln...liClu (HZ) 4.'.1150, till (.Z) "'~
to 39\;:id
:5X3 ;J390\;:iS
>
i Receipt No.
I
j 1t1'..:t ~'
IfC
g999j;>j;>LL09
9E:60 6006/60/6t
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~;e:n ~:~y I PERMIT NO. ^ 7 _I r.:;~.L~
3 Yellow Applicant U'- -./J '-"
(Please type or print and sign at bottom)
ADDRESS
ZONING (office use)
15280 WOODDUCK TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
CUDDIGAN CUSTOM HOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE CORNER
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
1/22/03
APPLICANT PLEASE COMPLETE BELOW
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
DGravity
o Mechanical
DAir Conditioning
DVent. System
o Steam
o Hot Water
o Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
Industrial. Commercial & Mul1ti-Family
FEE SCHEDULE
1 % of job cost Residential. Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Estimated Cost $
HEA TING PERMIT FEE
STATE SURCHARGE
TOT AL PERMIT FEE
I/~J j)~/
(}~
.~ ~~~ 0 ~ ~-r Receipt Nj-
_ ~ Date I By ,/
IaN '). 4 7Cil'~, /" "
l r)
24 hour notice for all inspections (952) 447 .9850, fax (952) 447-4245\,,-
~L::-:-------
Residential. Additions & Alterations
Residential, AC Only
Building Permit #J)1, ' J r;-t;S
$
$
$
$39.50
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
.50
(Office lIse Only)
This Application Becomes Your Building Permit When Approved
Building Official
Date
01/28/2003 11 :~3 ._ .9524401740
Ol/Z9/0Z TOE 11:18 FAX G12~474245
AL T A CLEARVJA TER
CITY OF PRIOR LAlU:: '
PAG~ . .0)
~;~,:''''
Cl1Y OF PRIOR LAKE
BEATlNGI AIR CONDIIIONINGIFIREPLACE PpMtr
Dm ia'd
~::.. f\I6 l-~ ~o. .~. '. tS ,5/ 1
~ .. .., . ~
,,_ v_ 1lfIfI'-' j
~~at~lID4lipal'... ....,
\ ATJ/~A)
~7'lL/" I ~I)~ D ().. /,,./L- L--V ~L
ZONlNG (Dl!IO! ne)
....,
~ _..
LEGAL JJESCRu uON (oIice 1IR amy)
LOT BLOCK
ADJ.JJ.J.J.ON
Pro
OWNER '. . .'
.=~~~i{;; ~~~~~'-,~Jt4q-ILoH
=~L--~+JJ::rf"- --Pili"" _ (l'boD<) _ Lf4b~/~>;'<' ',1
(AM=>lBZ!oD rn..r(~tt;K~ &J '?.--l~ _~'~~-"):l-
~ (CitY) . (Zip Code)
co-<pmoa) ~~ ,:/, (PIIone) 4-40- ~/:H
AI'PUCAl'TSlGNATUIlIl..A4~.d!f~ m:r\! 1~'f-D3.--'
/ '~ ... ,..~" - " ...,---_-....~--
APPLICANT PLEASE COMrLETE BELOW
~ w CONS' u.uCTION P-j,EpLACEMENT. 0 AL 1EJlAnONS .
FURNACEMAKEANDkuurJ. ~~ G-a~ ~~ . FtiEL ~ ~
FLUE SIZE ~/ _ 1<E1URN QPEN\NGS "t INPUT /00,,000 0UTI'IlT 9 3..0 Clco..
TlPB OF S\ 0) I. J:W:I( HEATING Olll,V' ...a:a... I'J.ANt
.~~ B~-
. t:al 8 bdill60n
. ~~ ,I. b Specie! Dmc8&
""'... v7 _.. ()Cbcr Devi~
r lIu:.l"1.ACE MA.KE AND MvvO&.
--.
PLEAst NO a~~
Air~Un~
Cmmot BDtrOGcll intO
~SickYard
S.':' .,..:1...
-
Ind'dtrial. Commerci&1 &. Multi-Family
~dt;ntW. Helling &. Ale (N"' C... ,.. . tU(lI\)
Re!ldential. HCllling On\y (New Cot\l1lUction)
FEE SCHEDULE
1 % of job ~ Re9identiw, GBIl Firc;llecc
$39.50 mllrimU1!1 ... --..,..,
199.50 lWldentiaJ, Acld~tiorJ' & Almwtlons
$64.SO Raidtntlal. ^f. Only
$39.~O
S39.S0
$3950
EstimldCd Cost $
. Bullding Permit #_
s
s .SO
............... " . s (),J-:'~' .
ntaAppUClltiGRJIeC01III5YO\lrBuiN'Ag~rmltWllenA~ ~ ",.1 J \ hi!i.\I\~~tNO' .
_"""'" _ _ _ I~ /([V 8y~
Z4 lIour "Mke f,or 3111 ~ t c.:. J CJ52) 447-91SO. t.1I (951) 447~:lA! 0
HEATING PERMIT FEE
STA1E SURCHAllGE
TOTAL t..lOlIT .LII.
81/28/2803 11:43
9524481740
AL T A CLEAR~0A TER
l; III VI" nU UK L.AA.e
PAGE m
01/29/0' TUB 11:19 FAX 61Z4474l4~
Date R~~d
'-.;1.1 i OF l'RlOR LAD YLUMBlNG rLllMlT
~~:. 1n;aMlT~.~-)05'1
~tJ.e~1Iriat.a. .,.....
AJJuaBSS
/5~~ Wand CueA'-- -c~L,
\ ZONING (aCIke we) .
L "
-
LEGAL o'!SC1lu .I.,-!...,I~~ (o1llm1UlCdl11)
PJb
LOT B~_ ADDU.lvN
. .
:.:::r~~ ~. ..+.L.. ...::"- ~_L/w'9~/~11
(M4Ica) 1.). D. t?;O)t:.. I c;l!/ L-o-v-~ d ~ '-n bL./---L::;
I =~~ 0..0 .....{.J~ (l'hDlIe) ~- ~ 0
~:.._.) !9AW? m IA~ /l~ f::l.-io--L-.,;u t...,":-,~--7?--
" ~) (City) (ZiPC,ode)
(OlIID'%p,,"...). ~~ ~ . (J'baae) I..ft.l-7-81.;t)
~SlGNJ\.Tl<1lE AIf~ ~ ~ .DJ\.11! _ /-,;.t.-o1-
APPLICANT PLEASE COMPLI\.I& ~w
QDJl~ . __ 1:... ,of~ Qa...dcitJ \ "l'J1R of l'idlD'e
. BIUI ''iibW1ih or whbaGt shQWef' ~ I ~.
Di9Jrwnber I W"'lUMI'
floor DtUl Wet SI1ftDel'
c; - "'tiV.ugr (BatJIlVom. Sink) . I' S1lmd Pipe (WdliDs MaChiDe)-
; _ ==(l<<~=--- ii5~
, _ TaW . AW'!'ftb l'e9l
. I BM'SiDk - x.m SpriDk-
$ . -W-- CloI8t (Toi"~) .-o.Mr
~,L.L'I. SQtu.JJUlZ.
Ind1Ismll. Commuctal II: MIlIti.fannly, 1% ofjDb cmt -wItb a S39,SO mlnbnmn Rd~)ICIW ODe .. T9to--P.mly S99.SO
~ Mdllioll5 .. AJmaboM 139-'0
E.uinurtBd Cost $
BuQdinl P......it ,I,
...... C)ftI6IlI
s .
~.~
1-P11~ . ~Na.
~ L~ ~C;S;;~ . ByCV
/ U
24 tI01lr ItOIiee ,. .n .... .ddt (9Sl) oW'70915O. fa" ~l 44""145
PLUMBING PERMlTFEE
STATE SURCHARGE.
TOTAL ~ LLOUrllT FIE'
lOfIu u. 0.")
'nit AppUeadOIl Beeo-- Veer...... :r_it. 'Wla App. ..,.
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WOOD DUCK TRAil NW
CERTIFICATE \ OF SUR\1~Y
For: CUDDIGAN CUSTOM HOMES
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S80000'40"E &HYD.
53.49
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APPROVED
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L.V I __I LOT 6 \ ':.t")
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X 979.2 \
\ <.0 0
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<.0 CP ~ G~AGE
"" \ c-4:./ 981.
\ ~ \ \( ~NCH MARK
~ \
BENCH MARK TOP OF SPIKE
ElEV=981.32
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Scale: 1"=30'
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James R. Hill, Inc.
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PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS /f);t1!J ~ lJqcJ!- Ie...
NATURE OF WORK lV~w C.()IJf"'r~~/iJ~
USE OF BUILDING 3,F; 0 , _
PERMIT NO. ()?-I.~5S DATE ISSUED I,)./tl/I~l-
CONTRACTOR t!uIJO/(fJ,AIfI ~1Ir7lJ1Il EH/tJf; PHONE~ ...I("..I'-U
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
..., -
I FOOTING I tf?;7 ~ /2 L /' /'
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST f!j./cJ !;;' /:lJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
lS17lcco/ tAT#E / t'Lt LlZII2&1J 57ZJ,JF I tf-/e!f ?-<;/G I
I I
FINALS
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1
/l5
GRADING (Prior to Sodding)
BUILDING (r<~(' U.,ti l C6-(-o::>
ELECTRICAL :1
PLUMBING ~ eK".' ~\~ /"\
HEATING , (/#3
DO NOr 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.
)C::G', J7
BEEN SIGNED
'-
FOR ALL INSPECTIONS (952) 447-9850