HomeMy WebLinkAboutBuilding Permit 03-0066
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
ADDRESS
50/(0
FONOJl3lJ66 vJ
OWNER
CONTR.
PHONE NO.
PERMIT NO.
OS-()00fo
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
o PLUMBING FINAL
o MECH FINAL
SOD/~ CD
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
~ '-.
il~ ..-. "
1--,.' 4 )
/ I '- I
\ /
~ ~
~ORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
.lJNJ 7 ~V'1J't..
Inspector: f V { . 0./ Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
~
ADDRESS 6DtCo f~nS 6:()6& (,J...')
OWNER
CONTR.
PHONE NO.
PERMIT NO.
03>" tJO~Cu
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~ FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXI~ILLlNG
o COMlsl:AiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
-;1'<i ~~ e>~~ ~~~v... ~ O~\J~ti) ~y
A(>-()~ (.) P\0f..L. .
G~L - 17 v...
- LuA..:& 1b () l\. - ov...
"
o WORK SATISFACTORY, PROCEED
X CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: d~J h.A I Owner/Contr:
CALL 447-9A;o-F~EXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
INSNOTl
DATE TIME
CITY OF PRIOR LAKE C - t7"Cf3
INSPECTION NOTICE SCHEDULED
ADDRESS s-a (. (/aillJ> ec!o, t;-
OWNER CONTR.
PHONE NO. PERMIT NO. .(- G~
o FOOTING o PLUMBING RI o EXIGRADIFILLING
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
P FINAL o PLUMBING FINAL o GASLlNE AIR TST
o SITE INSPECTION .J11r MECH FINAL 0
COMMENTS:
(!) h"W. ( ~,,-oJ. ~.-(J"Qj 1L-__ QJ
_ -l- (T__ '< 0.1 _/ / /7 -J--
- '/~ l.' j 1 -l_ c~{~r/f{r~'1
~) f"'/vh<~'~+ o:I/'~ '-'-I
1-<- /.+1 f? t/ "1 I- I "J
R-- I-en
OrX1,.f ~tu~
o WORK SATISFACTORY, PROCEED
a--CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: ~ W7 -(}? Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
DATE TillE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
(:J.. ~
ADDRESS
50lt foJv-i<;~r11/1-'
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'5-(;e,
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
;PLUMBING FINAL
o MECH FINAL
o EXIGRAD/FILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
r e f/Vl U"I.H
ytJ1) r: t/.d:>:
o WORK SATISFACTORY, PROCEED
p--cORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: Y1~ ~~ 2- q -0') Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH &: SAFETY!
IN$N()Tl
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
(Please type or print and sign at bottom)
ADDRESS
y. XXf)(VQW~ Lr-w
50llo
1. White File
2. Pink City
3. Y cllow Applicant
Date Rec' d
r2.-5-o2-
PERMIT NO. 03 . C{)fo (p
fln..k~~
LEGAL DESCRIPTION (offi~ use only)
LOT?1 BLOCK :J_, ADDITION [Ppxf; flU ~
OWNER
(Name)
(Address)
BUILDER ~\ nIL I "\"'.
(Name) .lJ. K. rf\)v'UY\ ~(.
(Contact Name) .~ v-e- [y: ~vn
(Address) 2D6<OO'~;~tJ\~cl. ~lt>()
Lb...RoA/1 \\k' ,Mf\ lfh()4-4
TYPE OF WORK
;gfNew Construction
o Misc.
o Lower Level Finish
(Phone)
ZONING (office use)
pm 2S: 39'9, 0 J4. 0
(Phone) Q/Q"2-q9G-1l3t28
(Phone) .9~~1...-LL:>-- l~~4
oDeck
oPorch
ORe-Roofing
ORe-Siding
o Fireplace OAddition DAlteration DUtility Connection
PROJECTCOST/VALUE (excluding land) $ 'e I; L/~q
I hereby certify that I have fumished 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 awar tha e building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
enter po the operty to pe 0 inspections.
~
x
I
( J
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
.p'1 AL. 000, Ot)
$
$
$
$
$
$
$
$
/457- . '1S: .
944. 4-'l...
'f, ,00.
100,00
, 00,00
35.50
tft), 00
This Application Becomes Your Building Permit When Approved
~
i~p
Building Official
/;;... k I It, z-
Date
olD 00 6hS7
Contractor's License No.
I Park Support Fee
I SAC _
I WaterMeter Siz(5/lf11";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
>f- ,e)f>~3 . D 1
. I-/~-. ??
.
I Paid
I Date -
/..z/!!/ I 0 J-
, Date
#
#
#
#
$
$
$
$
$
$
$
$
650,00
tZ1500
z. SQ, 00
LIS ,00
two,{)O
700, DO
tesoo,oo
I
$ 8,583. e7J
ReceiPt No. li~'73~~ I
By (jf:. ./ I
j-
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 Plarmer constitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy. a Certificate of Occupancy must be
~P11~~ /~P/~~,:-- "s..J - o{!.~
24 hour notice for all inspections (952) 447-9850, tax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
-.(
.
APPLIANCE
PERFORMANCE TEST
Attach to gas line adjacent to regulator
Heating Contractor
Name of Tester
Date
Job Address
Heating Contractor
Name of Tester
Date
Percent 02
Percent CO
Percent C02
Stack Temp
/llh~ ~
~
rJANJ
, .
~ 1't:JH/.s bid
,
~~;r NE~
A-;f)~
J,-/oJ,,/t)
, q,' G ~
;f~~
{ (j r r~
9J~
Combustion air is adequately supplied per
UMC Sec. 606 Y~5
/'lJrhnv
input
,
\
-"
,-
White - Building
Canary - Engineering
Pink - Planning
Tht Crnl.. ollht I..kt ('ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
C./ if. I .r,/, /
/. .. /' . .--....._.cr..- C '"-""
i-rC/I. L,..j
/;;.2 _c .:5... '-<:::/ _.l
The Building, Engineering, and Planning Departments have reviewed the building permit ,
application for constr~ction a9tivity Which is proposed at: ,/~!!/ 17.L .3.,["" ~./ .~.'-6"'..,
LO J I i//. / ,/. c: L .....,.;- ;" / r ,'.-
..::; IfP ,P" (f<J--p (/c/-(? c~~_/L/ <?c pL- oz__
f !
Accepted
X'
Accepted With Corrections
Denied
Reviewed By:
IJ~B
Date: 1- q-o.l-
Comments: See Reverse Side for Additional Information!
,See Attachments: 1) 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
ordinances of the jurisdiction shall not be valid."
ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS
.
Surface storm water drai.Ii;ge flowing to the perimeter of this lot to and from
adjoining properties must be conveyed to the roadway and/or to the rear of the lot
in drainage swales within the drainage easements.
.
All bare soil;areas must be protected from eroding into neighboring properties
through the property installed-and maintained silt"fendn>r bales.. .....
. The silt fence required by the erosion control plan. must be installed pripr to any
earthwork being started.
. The builder i.s respqnsible for maintaining the erosion control measures until the
turf is established. .. .
. The rock construction entrance must be installed at the time ofback,filiing of the
foundation. :
~ ; .
'{"
Thf' Cf'nlf'r or Ihr L.kr Countf)'
6(ihite - Buildinv
Canary - Engmeering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT.
APPLICATION RECEIVED.
D Ie f/ort:o;J
/~-.5;-cJ ~
The Building, Engineering, and Planning Departments have reviewed the building permit ~
app'5~~ '; coniJ:;Zrrz: ?~OSed at: L'j{ ~/)Qe-J;Ae/J 0 ~
, - - I
Accepted
Accepted With Corrections
/'
Denied
Reviewed By:
~
~J
:j~ Date: /~P/~-c..-
a.U ~.~,,1l ~. .f--~
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."
'-.,;Ii
White - Building
Canary - Enqineering
c..t'lnk : Planninp
The (",nler of the tlke Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
',-,/
//
IJi
r"
/
_.../
.......j
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at: .
501(,
, ," ,~...
,/
'-..
Accepted
/
Accepted With Corrections
Denied
Reviewed By:
~ if~~
?LI'
CJI"C 7 )1/l AK ,
Date: /.) ~I /c;'1---
1J~tJ.q /.).J;t ~ r;;J,
.-/
Comments:
(t 0, tJJ .
TtJ ~~~.
"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."
J ~~ ~OO~
,an,~~. ~ ,)
~~
..:>" +/.. '1:1-
'. :'N'I\SO
1 2 : 1 3 PM
GENZ RVAN PLUMBING AND HEATING
No.0986
P, 1 2 21
Date Rec'd
CITY OF PRIOR LAKE PLtJlVIBING PERl11IT
1 Blu. File PER1~'UT NO 1
.. G<,Jd r.:lw .1Y -o.\? - O. Of 1_
1 Yollo... "!'Pliant U \c tv
(l'lcast: t'(De OT pnnt and sh?:n at bottom)
ADDRESS 50;.&;
ZONING (office uoSe)
LEGAL DESCRIPTION (office use only) T'\ /)
lOT~ -)BLOCK b? ADDmON ~er-r5 e ! d
PID
OWNER
~~e) DR Horton Custom Homes
APPLICANT
(N' ame).G.eJ:o" - tl:~..p k~1:--i .... g !. U..e.a.t.." ~.~
(Address) ~4745 So Robert Trail
(Address)
(phone)
9'72 - q ~,~ -7BDD
2-O'Stv D KeV15~.l D~. CO" S''S, / DO
UlY....LVf lie. bVl N Ea)l..-! LJ
(phon!!::) h'" -.6. ?'L 11.6.["
Rosemount
MN
55068
(Zip Code)
~Address) (City)
- / IJ~ . Ittfii (Phone).
. . ~
APPLlCANTSIGNATURE ,01tml)J1.1)2 IJA..J:;; DATE
(Contact Person.)
Quantity
~
/
-/
'Ll-
t '
. I
, I
.-
\ "'
651-423-1]44
!--er-2?- -r!.3
- ....-
APPLICANT PLEASE COlVIPLETE BELOW
I Type of Fixture
Bath Tub ~ith or without shower
Dishwasher
Floor Drain
1 Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
Bar Sink
Water Closet (Toilet)
Quantity
~.
j.
Rl~r
-, ---.
I
I Type of Fixture
Rough-ins
Water Heater
I Water SoftrJer
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
I Backilow Assembly Test
I Lawn Sprinkler
I Other .
FEE SCHEDULE
Industrlal, CommercIal & Multt-famlly 1% of,job cost Wlth a $39 50 minimum Residential, New One & Two-Family $99 50
Re~jdentiaJ, Additions & Alterations $3950
EstImated Cost $
BUlJdmg Permit #-
Building Official
RcA1U W I l'H;~
BUiLDING
~\!~ tfDi~' ' . (;j
~ ..
-< Date . By-
AN ?, 4 7003 l~ I
'24 hour notic.e for all inspections (95~) 44 \-9850, fs.x (952) 447~__,..
By_ ;:: .... _-...1
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT .l'.EE
$
$
$
(Office Use Only)
I This Applieation Becomes Your Building Permit \\-"hen Approved
~'.'~
'. \
I
nab!:
Jan,22, 2003 12: 1 3PM
GENZ RVAN PLUMBING AND HEATING
No,0986 P, 1321
Dat~ R.ec'd
~ .!::.(2.0..' ~~
(6~ ) m
.:.- .;.
.;';Nl're50~'"
CITY OF PRIOR LA.KJL
SE'\VER AND WATER PERMIT
1 liNen file PERMIT NO
2. V,ll",", citY-. '6? ,.()- 0 / /-
3, Gold ~pllu~( ;;> {o W
LEGAL DESCRIP110N (office use only)
LO~ BLOCK 2 ADDITION
(Please tYPe or!)l1l1t and sienAt botl:Om)
ADDRESS A. 1_ t/2 / .
-.J()/ (tJ f(/ndYedCl-p U/) S~
V
D-ecA;u d ffl
ZONING (offic= IIS=)
PID
OWNER
(Address)
20&00 Kevl~~\t;L-e C:r S~.J M
(A<1dre~s) -
(Phone) _
La~\J \ I.l~
(City)
0/-=>2 - q 8'5- 18 (lr)
.t:)6~U
(Zip Cod=)
(:N'ame) r!'. y,:,!~,,:,~. r:1.'~"rt--. u..,~'.'"'~
APPLICANT
(JN~~ Genz-Ryan Plumbing & Heating
(phone)
651-423-1144
(Address) 14745 So Robert Trail
(Addres~)
(Contact Person) _ ~ a.YY7jJ~
(n -.-
'!'~JCANT SIGNA TURE ( /.{ j/Ylf) a
Rosemount. I1N
( Cir:y)
55068
(Zip Code)
n~ (Phone) 651-423-1144
r UJ c: DATE I -b-d. '05
APPLICANT PLEASE COl\1J?LETE BELOW
Size of water service inches.
Location of any couplings from structure feet.
Type of sewer pipe. 0 ABC 0 pve 0 Cast IroD.
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
Residential sewer and water line: connection
Sewer connection only
FEE SCHEDULE
$35.50 Industrial, Com'l & Multi.family 1% of job cost with a $39.50 DllDlDlum
$1750 Water connection only $17.50
Estimated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERlmT FEE
$
$.
$
,50
24 hour notice for alllnspec.tlons (.952) 441-98: :0, fax (952) 447-1245
By
l'AlU WIl'H
G
}
I'
-
G
'.
(OfficI: Use Only)
This Application Becomes Your Building Permit Wben Approved
Building Ofiicis.\
Date
,
r mi~ ~ lr U I
ITJe JAN 2 4 Luu3
CITY OF PRIOR LAKE Date Rec'd
HEA TING/AIRCONDITIONtNG/lfJ.I<EPLACE PERMll
. /7l&.l'c;~
I. Pink FiI. PERMIT NO j u h
2. Green City . ... t.'.. ~....
3. Y.llo.... Applicant .
(Please tvDe or orint lIlid sign at bottom)
ADDRESS /'~
.. 0/c, hA~eJqe
./
/~. ~S--~
ZONING (office use)
LEGAL DESCRIPTION (office use only)
LOT? BLOC~ ADDITION
PID
OWNER ~ 'i) ,L...
(Name) 1..>"- 1'\oY'+-On (Phone)
(Address) 1..D8LDO ~br\d~e...,~ L..A.ktV\ He.. Ml-J55b41../
~;;~~ANT ~\\\o..n1- MtehMl.CoJ (Ph()ne)~ILJ.52... 2..1-,.5
(Address) 3lD'5c Kw ne..~~S) l::>r Sw-le I .. ~~~ity).NJJ 5S17z~code)
(Contact Person) .1e.+.f-- LliYuneYt'V\A.Y\... (Phdne)ffi l~Z - 2.1,'5
APPLI<:ANT SIGNATURE ~ .nATE
, ...I:PLrc~TPtEA~E~Q~l.JEtE]J:Et()}V
~NEW CONSTRUCTION ......... ... [J,REPLACEMENT ..ii [] AL1:EJ{ATIONS ..... .. . ............ .... ... .
FURNAtEMAKEANDMODEL.~..... qz"l.. . .i,FOEL~"~"" ,
FLUE SIZE --1..'I'l.. -p",e.....RETURNOPENINGS INPUT 1lJ(J:1JDDiOUTPUT ..... ..... . .,t/:)~
TYPE OF SYSTEM HEATING O:R.POWERPLANr
DWantl Air Plants
o Gravity
8 Mechanical .
RAir Conditioning
IZVent. System
o .Steam
o Hot Water
.0 Radiation
o Special Devices. ...
o Other Devices
PLEASE Nof:E:
Air CondltlorieTUl1its
Carinot Eric1'oachinto
Required SideYatd..
. Setbacks
FIREPLACE MAKE AND MODEL
Industrial, CommerCial & Multi-Family
FEES\;.tJ.EDtJLE
1% of job cost ..... ReSideritlal,<OIlSFil'eplate
$39;50 minimi.lIll
$99.50
$64:50
$39;50
ResidentilH,Heatihg& A1C (NewConsti'Ucti6ri)
Residential, HeatingOrily (New Construction)
... Residei1tial, ArlditiOns &Alterlitions
Residential,ACOnly.
.$39.50
$39,50
Estimated C:osdJ 00 0 .OQ...:BuiIdifig PeIiIlit #
,LSO
CI'1
(Office USe Only) 7"
Th;., Appl;cation Beeom.. Y onr Bundlng Permti When Appro1 ~ [~ (ljP1f U 'w' li: - I
l- J Da~
Building Official Date - _ FeB _ 4 l003 -'
24 hour notice for all illspectilil1s (9~ 2) 44.'..9850ffa:f(9S2) 44'7.4215
By ... -J
HEATING J>ERMfT FEE
.StATESURGl!AR.GE
TOTAL P:ERMtt FEE
""'....'....
r".'
t.... ..fb~
Bl.. IF':,j. 0,- ,
d!i.. "Dr.'.
.. A.. ~M!lt!JJ. ' _ 1.~ . ". ,;ltft' L
~~- -.- LJJt~- !~;j~~'-'
, ',' - - - -,---- --~~""'~:.t.:~,;'.",,,
$
$
$
Receipt No.
By
cr
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
1. Pink File PERMIT 0 -:::? / / I
i ~~~"W ;~~icant N . ~ -l9 <p
(Please tv1Je or 1lrint and silt11 at bottom)
ADDRESS
5016 PONDSEDGE LANE S,E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
D,R. HORTON
(Phone)
(Address)
APPLICANT
(N ame) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
ZONING (office use)
PID
55113
(Zip Code)
3/12/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
o Gravity
o Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
o Hot Water
o Radiation
o Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO SL-750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ Building Permit #
REA TING PERMIT FEE $
STATE SURCHARGE . ~ _ ,50
TOTAL PERMIT FEE r ~) ~ @ Iff B WJ j
(Office Use Only) f '.J, ~ fnI
This Application Becomes Your Building Permit When Approvel [I ~ARd 1 3 2003 I ~ II
l Date L./I
Buildinl! Official Date B~ .
24 hour notice for all inspections (952) ~:7-9850. f~~~47-42J
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
8U~ PAID WITH
lDlNG PERMrr
Receipt No.
By ~
tJ
PRIOR LAKE
INSPECTION RECORD
e.~
ItT' k
USE OF BUILDING S.t:: I> . 3 L
PERMIT NO. 03 - OOG (p DATE ISSUED J.IJJ' "L
CONTRACTOR 1).&. ~~ IN(,. PHONE · · C(
NOTE: THIS IS NOT A PERMIT FO~ ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
SITE ADDRESS .sO, t..
NATURE OF WORK N
DEPARTMENT OF
BUILDING AND INSPECTION
INSPECTOR
DATE
I FOOTING tllIf" I 1-2 5(-""-03
r
I FOUNDATION (Prior to Backfill) I \J\/C\(( v1IY \-- rq.()} I v1,.{J v'i-cfL}
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC
FRAMING S~(~~ all l( (}-\if> vvf >-10
INSULATION
ELECTRICAL
PLUMBING vVf V.6-. -~r to - ~
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST VVlcuYl / ff.J
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
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FINALS
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GRADING (Prior to Sodding)
BUILDING 1h~ VV\n I g/l47
ELECTRICAL
PLUMBING
HEATING
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.
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FOR ALL INSPECTIONS (952) 447-9850