HomeMy WebLinkAboutBuilding Permit 03-0166
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CITY OF PRIOR LAKE
~tparfmtuf nf ~uil~iug Jluspttfinu
~Final Permitted D Conditional e.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:
Occupancy Type R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-0166
R1
Use Classification
SINGLE FAMILY
Legal Description L 7, B3, JEFFERS SOUTH
Owner of Building Site Address 15132 JEFFERS PAS S N. W.
7920 LAKEVILLE BLVD., LAKEVILLE 55044
Contractor's Name & Address COLLEGE CITXi!.lOMES,
ROBERT D. HUTCHINS (/
I'
\ : /
\/
City Planner
DON RYE
Date:
~ '.-:'
,--~~~
Building Official
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS /5 I 3a
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o I~ULA TION
)l"FINAL
o SITE INSPECTION
COMMENTS:
DATE TIME
SCHEDULED 7- ~a~
/
~\t~
CONTR.
PERMIT NO.
? -/~(,
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
t?i<
,
-ks c. Lo~
~''-~
~~~+ ~
,
X WORK SATISFACTORY, PROCEED
o COR~~ACTION AND PROCEED
o CORr?u', K. CALL FOR REINSPECTION BEFORE COVERING
Inspectl r: I l Owner/Contr:
CALll ~-9 50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE..
" v /
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
CITY OF PRIOR LAKE
INSPECTION NOTICE
~ 'W\~~
162. 'Z.J'o~~<O(O
SCHEDULED
ADDRESS JS (SZ- :::jf'<<~1<-. S r ~~S
OWNER CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
-E/NSULA TION
~FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
(;~~-o~
,
CnA ~ ~-X ... (7v..."
DATE
IJlJo~
TIME
05- Q(o(o
o EXI~ LING
OCO~
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~ WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT W LL FOR REINSPECTION BEFORE COVERING
Owner/Contr:
E NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOTI
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYl
CITY OF PRIOR LAKE
INSPECTION NOTICE
DATE TIME
SCHEDULED
G.~ -a}.
ADDRESS ~. ~"t,~
OWNER CONTR.
PHONE NO.
PERMIT NO.
01-01c,Ct,
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
JJt FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
~MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
~G~
COMMENTS:
,.Ot:JJ !;,C"fAA9..- (8~ ;v..~}-M ~.
'2_ ~ ~ ~na.S' ~ t;J\o-.
~ .\AQ\.. C'~fUA
?~ POo~ \l~~
(
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
)< CORRruwor:yALL FOR REINSPECTION BEFORE COVERING
Inspecto : \ /, Owner/Contr:
CAL b "FOR THE NEXT INSPECnON 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED (p ~
ADDRESS _lS'\~~ ...l^m_~ <:65
OWNER CONTR.
PHONE NO.
PERMIT NO.
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
b( PLUMBING FINAL
tJ MECH FINAL
COMMENTS:
. I. I",.;{e..U..
~-l~
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
~VL
lLA...b~ ~..
~p~'~
o ~ SATISFACTORY. PROCEED
/CORRECT ACTION AND PROCEED
o CORREl1K' CALL FOR REINSPECTION BEFORE COVERING
Inspector: -j Owner/Contr:
CALt\ 9~0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE ~4uIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTl
/-/10-0
PERMIT NO. 03'" O/l)(p
ZONING (office use)
R/
/
PIDZ5-395- 059-0
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
I. White File
2. Pink City
3, Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS
\l5 \ 3 2- ~ t;; f f-F r'" S V.a. ~:-::"- )-J. vJ
LEGAL DESCRIPTION (office use only)
LOT -::f-BLOCK 3 ADDITION
J E.ff~ <:., SOlL\l-\
OWNER
(Name)
(Phone)
(Address)
BUILDER/\ C . \ \
(Name)~ ~O\\~.e - ...-'\~ -c1Dffi<:'S
(Contact Name) ~d d \.~ ~\-\\ W\ trr a-- (Phone)
(Address) "ftiW La~'Ll..E:: 1bLVD.I ~1Let5l 'LLE:
(Phone) q52 .lJ-tRtl. & qOO
lol~' I/)?F;. 3~oq
M Y\ 66lJlJ tJ
TYPE OF WORK
j..New Construction
OLower Level Finish
ODeck
o Porch
ORe-Roofing
ORe-Siding
o Fireplace OAddition OAlteration OUtility Connection
PROJECTCOST/VALUE (exdudingland) $ :l &~ _ 400. -
-, -
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 PI~S' I aware t the building official can revoke this permit for just cause., FUrthermore., I hereby agree that the city official or a designee may
~ter(,.L~ i{ or needed ins;:, ('2f)C1 IllS /63
-- SigJaturu Contractor's License No, , Date I
.:t;.;l" 7.00(),oa I
$ /q~ P, 9-:;; I
$ /2SS,Fzl
$ 1'5'3.50
$
$
$
$
$
$ Pl. 5&1. ??
, -
Receipt No, q~ f:5'
By 1f ',./
o Misc.
I Permit Valuation
I Permit Fee
I Plan Check Fee
I State Surcharge
I Penalty
I Plumbing Permit Fee
Mechanical Permit Fee
Park Support Fee
#
SAC
#
I WaterMeter{Sizes~";
Pressure Reducer
#
This Application Becomes Your Building Permit When Approved
City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other _
I TOTAL DUE 1'JA1L.A t/lo-o]
. Paid ~ <$S-;t?/ ~ IJ7
Date' C)-) ~ -...'3
Sewer & Water Permit Fee
!t>O.t:JiJ
(OC). 0 d
.35.5d
~(), 00
#
I Gas Fireplace Permit Fee
~~
//3/A3
,
Building Official
Date
$
$
$
$
$
$
$
$
/27'5.00
2.-'S'" CJ. E) 0
QS.oo
.t 2...cl::J. Q 0
7QO, Dc)
lr:::;oo, 0 0
~.
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
iss~ .'~ =kJL)
Planning Director
,6J a1.I ~ hi'-;- ~
/ ' Date SpeCial COnditi s, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
/h/~3
The Center of the Like Count,.,.
White - Building
Canary - Engineering
(fink - Plannln~:i)
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:
,
"
,
\.J, \'.
Accepted
Accepted With Corrections ~
Denied
Reviewed By:
6~ =I",~
/(~ ~~~
Date:
flYI /o~
Comments:
"The issuance or granting of a permit or approval of plans, specifications and
computations shall not be construed to. b~ 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."
Tht ("tnttr of Iht Lakt ('ounlry
~hite - BuildinQ--':::>
anary - Engineering
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT COL-L8Brb c"rRf f-IoH 65
APPLICATION RECEIVED l - {u - 03
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
Accepted
Accepted With Corrections
1\1. W.
/
j5132.. OEFF51<S PASS
Denied
Reviewed By:
~
~~
.:;: . i2 f!.., Date: 1,1,51 /os
a..U alA6-d 4~ ~ - aw:%
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. -
..
~" ''W'''''''IIlI.' ~'~
;'f'If".,.....'...~
.:!"i'I -
..
03 - CJ I ~b
White - Building
Canary - Engineering
Pink - Planning
The Center of the L.ke Counlry
BUII..DING PERMIT APPLICATION DEPARTMeNT CHECKLIST
NAME OF APPLICANT ( i I I f:: jl'=" \! I T\/ 1- / ( lit:: '
APPLICATION RECEIVED I - t II (
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
J i~' I :::7 Z. -F-'- ~ -: 1') ......
_.J _/.- ,J -, 1- - t:-. f'..............
i\l t.\/'.
f"'j'. . -". -'-
'\'~ .....-,
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
/J?1-b
Date:
:2 -L/-{:? 3
Comments: . See Reverse Side for Additional Information!
Drivewav Must Have A Concrete Aooroach
~~~ Att~c.hm~nt~: 1) Grarlln~ Pl~n: 2) Rro~lon 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."
'3: 56Ar'1
GErlZ p'{Arl 6513226147
r'10.571
P.3./S
Date Rec'd
CITY OF PRlOR LAKE PLUMBING PERiVuT
i ~~~~ ~~ PERL"rrT NO.-:-?_ Il~ Co
l '(0110,. .\fll'Ji<>IIC
(Please ~~ or 'Print and~im at bottom)
ADDRESS ZONING (alli~ \.I.,c)
IS 1 ~ '2 ,} .e)"t--!(J~ ~ ~ S S, !\J L0
LEG..A..L DESCRIPTION (office use only)
LOT I BLOCK ~ ADDITION ~e~--0L~ ~u-.,-r+ PID
OWNER ~ I-
(Name) ( { '! \~(.,:? \ _ J N ~ V ,11111 IJ " (phone) C,S z... - 4 (0 g , [.;q D a
(Address) I Q, 7...n LaJu.. \J i I \ e... '"?'l\ \ t n ( ,r, flu v,' I ( '" . ~i5f')-1 L/
.A..PPUCANT
(Name) (-;f 1/1 ~ -
(Address) J.U '14- S;
Yl. -11 in
~ {/..D loUa
(Address)
'GO, kif "
(phone) ~?.::;r - u "'Z... ~ - I ! 1.../ Ll'
(Wse.t.1/'L'7JYi.r ~){I'ly
(City) (Zip Code)
(Contact Person)
\^-^o....v '-f () I ~....., p.....,)
(phone)
Quantity
I
t
/
.:-,
I
I
\
I L\~l!\ \Ly DATE
APPU PLEASE COMPLETE BELOW
Type of Fixture QU:lutity
Bath Tub with or without shower
Dishwasher
I Floor Drain
I Lavatory (Bathroom Sink)
I Laundry Tray (lor 2 compartment sink
I Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
I}z.qb~
APPLICANT SIGNATURE
Type of Fixture
12... r ,
(
Rough-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
Backflow Assembly
Backflow Assembly Test
I Lawn Sprinkler
I Other
1......
FEE SCJ:1.J!;DULE
Industri:1I, Commercial &: Multi-family 1% of job cost with a $39.50 minimum Residential, Ne'oIf One &: Two-F:lIIlily $99.50
Residential, Additions & Alt=tions $39.50
Estimated Cost S
Building Permit #
'i "
J
Buildinl: Ol1icilll
'---
21/.10fD'-"""""''''-
1.1tr\\/i/C \l.(,lr~--=-----
(1,'/1-, r,.,.", ,"":0/11",.1'71
, J.T1.'I~,~, ," ~-, ~ Ij - 'j
b"-.....~"_. '
,~:1) ($ ~______ -~T
~.1Paia -:.. ~ ~' ~~I /~ ,r:VReceiPt No.
l "-. -, I,
Jl D:lte.,~ ;,1 - I ;/ By ~' ,
'"' , {' '1,1 " ,,/' ~'
ih I ' / ','--
:...Jy i_,,.
24 hour notice far all inspections (952) .i4"1:!.i~5~T;:f3:x-(~:z) H.7-~245 -
PLIDvrBING PERLvlIT FEE
STATE SURCHARGE
TOTAL PER.~T FEE
$
$
.50
(Office U3e Only)
1_ Tbi.~ Application Becomes Your Building Permit When Approved
..' ......
Dnte
JAr!. 2'3.200.3
t? ?RI0~
t~~
\:;i!eB~
GEriZ R'iArl 6513226147
CITY OF PRIOR LAKE
J:1~ATING/AlR CONDl'l'lONING/J:f1..KEPLACE PER.MIT
9: 56Ar'1
r10.571
P.2/5
Date Rec' d
~:~:" ~i~. I. PERJ."\1IT NO. ':~ -I &> b
J. VeUow AaphcOl1' "
!Please me or urine and ~i~ at bOClDlU)
ADDRESS
\~}~7_ Jefblj..~
ZONING (ot!ic~u:e)
Po C:Ci ^' ItA )
LEGAL DESCRIPTION (office use ODly)
LOT 1 BLOCK 3 ADDmON
OWNER
(Name)
r N'iff-(? ~
1120
:Je-!ll #- S . lcrunf
t; '(I-( 1-k"Y1t1, p\
-
w/u.v,'t fe- r-1vn
PID
(Address)
/ 1'1 ~ / v,' i (e.,
. (phone) Q~ 1 .. L/Ir., q - i,d1 0 D
I.) SO l/ L./
APPLICANT
(Name)~17 '? .
(Address) /W'1u r::;
tliJ.AfI A/\
(J
(phone)
/ ():)j -1../ 7'2., - 1/ W U
<;-,
J-
~J)t.t L::I
(Address)
-r IZ .1/ L-
..
11f1'1~ Vl/r"rl.VV1T"
(City)
'7:::1...Yo'K'
(Zip Code)
(Contact Per.;an) I Utt. V --I n fc:.r: ~ (phone)
, APPLICA.."'IT SIGN~TURE /1- ~ 1'1 ~ JI 9"" DATE __ / / Zq /IJ~
APPL~T PLEASE COLVIPLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE M~ AND MODEL Ul/Uf'tl"\'t... r~?_tot<) w Ir:;. I?c' FUEL J\.j:)..T. (Sa So.
FLUE SIZE RET1JRN OPENINGS I ? INPUT ~ OUTPUT if ID r 0Jl()
TYPE OF SYSTEM HEATING OR PO"WER PLANT
gj.Warm Air Plants
o Gravity
o Mechanical
~Air Conditioning
OVcot. System
o Ste:lm
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
Industrial, Commercial &. Multi-Family
FEE Sl..l1.J:,DULE
1 % of job cost R:sidential, Gas Fireplace
$39.50 minimum
$99.50 Residc:nti:ll, Additions & Alter:lcions
S64.50 Residential, AC Only
$39.50
R::sidential, Heating & NC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
E~timated Cost $
Building Permit #-
HEATING PEfuYfIT FEE
STATE SURCHARGE
TOTAL PERl\-nT FEE
$
S
$
.50
(()ffice V!C On ly)
.Iis Application Becomes Your Building Permit When Approved
Buildjn~ Official
DlIce
P' d)~~~, -,":J,-:::--,, ,,", [I Receipt ::--J,O.
II~W ,L.S I C:i /.::: n nr ,~
(if Date -, -, '.'..: 0~ l n 'II By './:-.
1;1 ',::.-,.... ! '/'r I
~ -- ' .' ... ,-.- !! ,~ ..
1.4 hour notice for all in3pections (952) ~~7-9850, fax (~52) 447--4245' I.!
t-;,':
02/17/2003 10:03 5077445555
lJ.) ~. \,!~ C^~ ~~.u~ r^~ bJ'~~'~~~~
BADGER E><C
~111 ur r~lu~ L~~~
PAGE m
~ UUI
Dan Ree'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(1}c&.R CVDe or OMt IDd '.iIP If t . ... ...)
ADDRESS
~ ~=. ~\~ I PERMIT NO. J./ 1/ /
J. 0014 4........ '- ? l.Pu:;
. zONn..ioc;-tftl:or....)
\ 'S'{ '3 ;l
~ ~~, NLAJ___
I LEGAL DESCJUP110N (011\" UJe or1ly)
l LOT 1 BLOCK 3 ADDITION ~ ~ S c5\.J:A_J
V
I O~ER r_J' ,. -..k \L _ .
,('Name) '-....^T~d ~ ~/}
(Addzess) ---;x;.;1-u ~ .LI/vd
(Ad~,,)
I APPLICANT --r::< I ~
i (Namr.) (~.sv.f ~}<(a()~
I TJ ---V1,'
! (Adws) 'i?"37 s:- t<.J I ()l" - \ I m-
(AddNl1)' -
(Conta.et Peuon> S ~~ S, (' ~
I MPLICANTSIONATt:RE~4-lv ~
PID
'f j .l-"4cr~ SbC'
"1 -) - ~b..J
~~O<f<(
~l.is? Coda)
<""'....:.~ -:>
(PhontJ_ - /
LA~
1C1ttl
(phol\e). 'SOl-"/<( {(- S-S-t... S-
~~ 0'::lOYr.,
lei!)') (ZIp Co&)
(phone) 30'- /0/~ s ~~ S-
I>A TP. 2~_ (/-0 :3
APPLICANT PLEASE COMPLETE BELOW
Size of WlLtr SOl'Viu L- i.nchc!i.
Location of any couplings from structure: - feet.
Type of sewer pi~. 0 ABC ~VC D CU11ron
Estimatod length of sewer line G'"O feet.
Clean out (iCrequir~d) located I\-:::", _ feet from structUre,
Rc~identlaJ wNlr and wiler lina cOMection
Stwer tonJ\~tion only
FEE SCHEDULE
S3~.SO lndustrill. Com'l &. Multi.family 1% of job tost with I $39.50 minimum
S 17.50 Water connection only S 17.jO
Estimated COBt S Jd.Q(l
-
SEWER AND WATER PERMIT PEE
51 A TB SURCHARGE
TOTAL PIRMl'f nt
'Omer t:,p O,\ly)
,
ThlJ Application Bec:orue. Your Bulldlnl Permit When Approved
8ulldl.. om4ll.1
Dalt
%4 hour notlc:. for .IlIMp~tion' (95%) .. 'i1J50. fill (~:l) .""'l~
Bulldina Permit No ..-"
$
S
$
:50
~~!D .
").',\1 WII! l
'Got:::r
~~ ~ ~ 2~03~1~;~N.rr'~~
~V
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
(Please tyue or llrint and silUl at bottom)
ADDRESS
~. :':r:~n ~:~y I PERMIT NO. 3-/(p / I
3, Yellow Applicant ~
15132 JEFFERS PASS
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name)
COLLEGE CITYHOMES
(Phone)
(Address)
APPLICANT
(Name) ALLIEr> 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)
3/29/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
INPUT
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TRI
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 & NC (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEArING PERMIT FEE
SI A IE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
]~a~~Om~~
_ _ A~~ 0 2 2003 ~
This Application Becomes Your Building Permit When Approved
Building Official
Date
24 hour notice for all inspections (952) 4 e;9850. fax (952) 447-4245
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
PAID WITH
BUILDING PERMIT
Receipt No.
By
0'
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS I S 13 ~ J eo f'1' e-,s PASS
NATURE OF WORK V~
USE OF BUILDING SF D ,
PERMIT NO. - 0 ~& ATE SUED ~
CONTRACTOR ...tHON"/~.~~~
NOTE: THIS IS NOT A PE MIT FOR It. Y OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
DEPARTMENT OF
BUILDING AND INSPECTION
.
I ~SPECTOR
((/5
FOUNDATION (Prior to Backfill) I ~ I J -(? -d ~
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
SEWER I WATER I SEPTIC . V/~ . S'r(, -t7)
FRAMING I II?/~ q-./ ~
INSULATION ,~ g ~ /A
ELECTRICAL
PLUMBING I ~ q _1/ I
HEATING (if required) 11 I!.~ /0-71 I -tb
FIREPLACE f~ _ ~ I
GAS LINE AIR TEST V'l'tN# ~ ~v if P (p - ( c:r - OJ
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
~/l'htrDl81SllMf P/j S--~ I
, ;---- FINALS
GRADING (Prior to Sodding) >>e Jb 7. l f) f
BUILDING ~4 ~ '8 - \ - <:'1 IT [)
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
I FOOTING
DATE
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UNTIL ABOVE HAS
NOTICE
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BEEN SIGNED
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