HomeMy WebLinkAboutBuilding Permit 03-0109
iii.. \....~
<1lrrfifitafr of Ol}tmpanq!
CITY OF PRIOR LAKE
~rparfmruf of 1JlI.uilMug Jlusprdiou
pi;I 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 strncture was in compliance with the various ordinances of the City of Prior
Lake regulating building construction or use. For the following:
Use Classification SINGLE FAMIU
Occupancy Type R3 Type Construction VN
Legal Description _ L6. Bl. DEERHELD 8TH
Bldg. Permit No.
03-0109
Fire Zone
N/A
Zoning District
Rl
Owner of Building
Contractor's Name & Address D. R.
Site Address
5085 PONDSEDGE LANE
ROBERT D. HUTC~INS
r.- Building Official
X r /1'0,
HORTON, 2,)860
JlJ;{/
KENBRIDGE CT., SUITE 100. LAKEVILLE
DON RYE
City Planner
Date:
Date:
~,
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~s f>oJ>JffifflGG. l~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~INAL
~SrrE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENTS:
ik
T11IE
fl"-,,- 109,
o ~DIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
-- CuP-I::. S1 Df' Gf.:rl\{u(&\ (,1-\0\ ~ -M:X
.. G~~-O~
l ')()-fRft::<" ~.Sor\
o WORK SATISFACTORY, PROCEED
~CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: jI~ _ J!L \. Owner/Contr:
CALL <<8.98;0 Fck THE NEXT INSPECTION 24 HOURS IN ADVANCE..
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH cl SAFETY/
uaNOn
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
C.-(7
ADDRESS
J()'?f~ rlCMds(dVv
OWNER
CONTR.
PHONE NO.
PERMIT NO.
< - (01
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
,"PLUMBING FINAL
o MECH FINAL
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COMMENTS:
/"'"
~) (-tWl(}1...(.
r~t:4fJ 5
o WORK SATISFACTORY, PROCEED
)!l""CORRECT ACTION AND PROCEED
o CORRECT.~O:~ALL FOR REINSPECTION BEFORE COVERING
Inspector: 'V Y I / Co~ (}D '} Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
"""""
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
~~S' f)"'4.k,,,..I,.. L-v..
OWNER
CONTR.
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
Mi"'!'INAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
,RrMECH FINAL
COMMENTS:
J!J FiI'llA ( "vo.L
...f- n-v~ '<;
ap..-oVfJ (
DATE nilE
7~'i"-cJ;
:s- /oq
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
~ (AJ
.-/ ~/ v>'1.ril (?-f~
,
oY-c'l. 1- /\'U-<vL.J.
o WORK SATISFACTORY, PROCEED
""CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector. ~ 7-1(/0"5 Owner/Contr.
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
INSNOn
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
ADDRESS
, [J)r;; s-
P!j)1d~<~ ~
CONTR.
OWNER
PHONE NO.
PERMIT NO.
o FOOTING
o FOUNOA TlON
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
..5JJ /r r"t"-r:S
COMMENTS:
DATE TIME
Y-I()q
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
~
~I
( /' / IV..........
L..-A- V'-' -
\-.
C;/~
/
------
o..-w'ORK SATISFACTORY, PROCEED
o CORRECT ACTION ANO PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: yl{'7 ~- ((,...rf? Owner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
'''''<<In
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY/
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/ -/3--03
I PERMIT NO'03,'%q I
1, White File
2 Pink City
J, Yellow Applicant
(?lease ~e or print and sign at bottom)
I ADDRESS
6OJ5" VC)(td<:(' ('~J.~-hR_
, U
LEGAL DESCRIPTION (office use only)
LOT & BLOCK I ADDITION ~-h eQd., ~'
OWNER
(Name)
(Address)
BUILDER"" R ,I L
(Namp\ I). .\tr) -r t7l{\ .1 c
.c::........ C: ,'..1/,
(ConlactName) ,lIP,/O. 6~o,1
(Address) 2DI1<Oc)!K.e.~\.br/q-l-e.",Q;t}'!k I DO
LlfLM I I If) () (...!h~ If-h
TYPE OF WORK
~New Construction
ODeck
ZONING (office use)
eJ
PID.;z, s< i 99- M~-J
(Phone)
(Phone) '1F2.,.qQ6- 7~i
(Phone) 962:: 22C.- r!PJ!
DPorch
ORe. Roofing
o Misc.
DLower Level Finish
o Fireplace DAddition DAlteration
PROJECT COST IV ALUE (excluding land) $ lOt I . UU 3
ORe.Siding
DUtility Connection
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~at th g offiCIal can revoke thiS permIt for Just cause Furthermore, I hereby agree that the Clty offiCial or a deSIgnee may
entertJtthe property to pe m d pectlOns
X /),/)(.U.... .mk.<.. !;(oa)6(..~57 IMlI-:2...
/ SIgnatur~ "' Contractor's License No I Date
II
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
$
$
$
$
$
$
$
$
/q I, Coo. eX> I
1,50],351
q77,/~
QLSO
100,00 I
I 00 .00 I
JS'SO I
40.00 I
ThA APPiatJo~B;foL Yow Building Penmt When Approved
-1.ftvt..... ~ I~Lr-OJ
BUlldmg fficlal Date
xroaJ I
0_ 75".00 1
'2S0 .dO I
4S".00 I
I MtJ ,()() 1
700.00 I
I S-OO, ()() I
1
$ 8 101/.5,1'1
,1 '. /
I ReceiplNo. ""'39'7
~,
U
Park Support Pee
#
$
$
$
$
$
$
$
$
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
~hen sig d b he CI2~r constirutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
Issued.
J ~ {-hY'O'3 eCI4J al( I+Mclt1tJ+ 1\
P"lanning 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
SAC
#
-
Water Meter Siz~; I";
I Pressure Reducer
I City SAC and WAC
\ Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE V
#
#
I Paid
I Date
^ / {, ? /. 5 ..F
/- :3 /-fl?
CITY OF pRlOR LAKE
HEA TING/AlRCONJ)l'1'IONl::NGIFI:REPLACE PERMIT
Date Rec'd
~990
:~~~ ~::, .1 PERMIT NO. ::;. -(09 I
,. Yellow APpllcant -...), ..
(Please.!VD~ or print andsim. at bottorii)
ADDRESS
,0J::~ ~~c./S'e"o/q./
/~
ZONING (oO;ce",,)
'<6
~
LEGAL DESCRIPTION (olliee use only)
LOT ~ BLOCK / ADDITION
PID
OWNER ~ .\_
(Name) 1::>~ 1\Or+on
m~O ~br\d~tJe..:t
APPLICANT /\\\' .~^n ^ L.. '
(Name\ . f-\ \ o.n-I- I'\t.V IM.l ~oJ
(Address)3~D K.enne..becJ:>r Sw-fe.I'
(Address)
(Contact Person) Je.U Ll M.m.eY'rv\A.Y\-
(phone)
(Address)
.
\.J).J(Llll tie.
J\UJ .' ..55()4L./
..A1>!iLICANtPLEA$EqQMP.I;ET)J:){ELQW........
~NEW CONSTRUCTION. ... D.REPLACEMENT..Qt\Lr-eRt'.TIQNS.. ...... .... . ....
FURNACE MAKE AND MODEL ..~ ..... . qzj. . .' '.. . '.' ....FoELJJa:l-.~~S'
FLUE SIZE -1,.'I'l. "Pv' e,., RE'ItJR:NOPENlNGS lNPUT:.l/X1:tJOOOUTPUT .... :ti::JD
TYPE OF SyStEM HEATING ORPOWBRPLAtIT
(Phone) J.o5J.Ll.62.~ 2..11.5'
e:1l8~CitY) '.MN 5S'7~cOde)
. (PhOne) ffiJ .a4?2~ 2.1"15
DATIl
APPLICANT SIGNATURE
OWarrtl Air Plants
OGravitY
8 Mechanic.1
jg'Air Colldltioning
~ent. System
O$team
o Hot Water
. .:ORadiation
o Special Devices'
o OOer DeVioes ..~
PLEASE NOtE:
Air conditioner Units
CMnot Ericroachinto
Required Sid.,.Vard
. Setbacks..
FIREPLACE MAkE AND MODEL. ....
Industrial,C6tTtmetcill! & Multi'FiIit1l1y
.FEEscali:btitE
1% tii'jobcos! ..Residetilial;dasPirepllice
J;j9;50 minimum .
.. $99.M 'Residentialij{dditions&;A1!erations.
;$64:50 '.ReSidential,AC .Only
.,....:~...,"',;'.,':;,.-
Residentilll,Helllii\g& AlC(NeWConsfr1lcli6n) .
Residenti~l; ite.tingOrily (New ConstruC(ion)
$39.50
. $39.50
$39.50
. .
EstilfiI1IM611st$i3bb 0 .DCL iiltiildiiig Pirtllifll
f
.' ;-. .
JmA'tJ:#G PERMIT F'IlE
..stAfB.sURGHARGE
. 'rofWP:E1tMITFEE".
'$
.$
$
Bliilding O~Ci81
Dilte
.'. Vl"s.... O. "...........
1:',., ....
i ~ 80 2~o~r;q;o
-!85~: (952) 447"'245 ! 1/
=::~j
(Orne. Us.Oidy)
this Application .Becomes YotidJilnamg.Permlt\Vheil ApprllVed
24 hOur nOtiee for lIlIirispetlioris (952)
F8hi7 200J il43AM
.~~~
5L~~
.. .~/""'N'ESO't"
GENZ RVAN PLUMBING AND HEATING
No.J670
P I I i I
Dl(te Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
1 RIlle pile I PEn~'fiT NO I
'''''Id c.. ~.. ......, - /'0 9
J, Yellow 4ppliQllt c..;;X
rPle.1Se ll:Pe orUflJlt and S\S01 i[bottom)
ADDRESS . ZONmG (effi,eu:e)
150013 ~~eJ~ 1Y1. ~f.
LEGAL DESCRll'TION (offi", use oJJly)
~-ft d. J-x i0-
PlD
LOT ~ BLOCr< I ADDITION
OWNER
(Name) DR Horton Custom Homes
(AddIess)
. (phone)
Q""2 - q Qc; - '79DC
2.oSl.oo )Lq,V']P,~1 DGe.. C. Sre. I DO
L~I ~_Lvd k'J 1M ,>J 66bl-J Li
APPLlCANT
(Name) r..a.nz-p;~"'",,:,. '0::.....1....:-3 r. u-::.~~.;....-2
(AddIess) 14745 So Robert Trail
(.-\ddIess)
(Contact Person)
0t~~~
(phone) ~'" -~ 1'_" ~~
Rosemoun t MIl 55068
(City) (Zip Code)
(Phone) 65J.-423-1144
._ DATE :;(-!4/0Q,.__.__
APPLICANT SIGNATURE
Quantity
,.;2
i
I
4-
I
!2
{
'2
APPLICAJ'IT PLEASE C01VIPLETE BELOW
Type of Fixture Quantity I Type of Fixture
Bath Tub with or without shower ~ Rough-ins
Dishwasher I . Water Heater
Floor Drain /2..-::t:. Water Softner
Lavatory (Bathroom Sink) I Stand Pipe (Waqhing Machine)
Laundry Tray (1 or 2 compartment sink I Sewage Ejector .
Shower Stall I Backflow Assembly
Sinks I Backflow Assembly Test
Bar Sink I Lawn Sprinkler
Water Closet (Toilet) Other
FEE SCHEDULE
indu.tn.l, COlllmercl;l1 & Multl-famtly 1% of Job co,t wlth a $3950 minimum RCSJdenual, New One &:. Two-F'lTlIly $99 SO
ReSldentioJ, Additions &:. Alteration, $39 50
Estnnated Cost $
BUlldmg Perm.t #
$
$ SO, '""
$ 13~J' """
--.. '-"t ':'H/G
{Offie~ u~ Only) ,
This Application Becomes Your Building Permit When Approved ~ lii.@ U; ~"\ II Receipt No
,,,.., ..,.,,, :,::..__ -L: ,:~.:::~ :'1 " 1J
PLUMBING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
:Building Official
Febi7 200J il48AM
GENZ RVAN PLUMBING AND HEATING
No.J670 p. 10 I I
Date Rec'd
~.>.~oz" p~o+-;
,.. ,I, ~
- I \ "..
<) ~"'
::<Nl't'ESO"l:l-
CITY,OF PRIOR LAKE
SEWER AND WATER PERMIT
i ~w ~;~ I PERMIT NO-3 - J't) q
], (;.)I~ AppJlcwc ,
<Pluse tYPe or "riDe and sig;nat botto:m)
I ADDRESS
51)~ Thhise~ IJ1 Qt.
LEGAL DESCRll'TION (ollie,""" only)
LOT ~ BLOCK I ADDITION ~Jielj 6--M
I ZONlliGC,ffi""""" I
PID
OWNER.
(Name) -Ill)
(Address)
2ouoO ~I1BK\~ C!s",.~)f\r'
(Ad,"",,,)
(Phone) _
LaVLIJ ,11(0
(City)
qs2-Q85-i8N\
u.........+-............ ,..1""~"m 1i9m-:--:,
"5~U
a,P Code)
APPLICANT
(Name' Genz-Ryan P1umbinp; & Heating
(phone) 651-423-1144
(Address) 14745 $0 Robert Trail
1dr..,)
Rosemount. MN 55068
(City) (Zip Code)
--.,-.,. . -
T.ICANT SIGNATURE
O--C2U\)J ~
(phone)
651-423-1144
(ConraCI Person) _
DATE
,;2. -I!:f:.r] 3
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
LocatiolJ of aJJY couplings from structure
Type of sewer pipe. 0 ABC 0 PVC
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
ResidenIJal sewer and water line connection
Sewer connection only
FEE SCHEDULE
$35.50 Indu<niaJ, Com'] & Multi-famHy 1% of job cost With a $39.50 mmimum
$17.50 Waterqonnection only $17.50
Estirn ated Cost $
Building Permit #
SEWER AND WATER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
, A
&U!~/O Wr:-.'
~~. 1NG Pt::r'
_i~
i
10ffite Use Only) II~[E @ ~ 0 \TI ~ ~1
I This Application Becomes Your Building Permit When Approve. \ I Paid 1\
rll !t~fl 1 ~ ?n~1,
j' I Date ~
Receipt No.
~,
By
It"'
VU
Buildiag Official
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~,;;;~" ~::, I PERMIT NO.,-=:::< _ 10 CI
J. Yellow Applicant ) I
(Please me or urint and siJtD at bottom)
ADDRESS
ZONING (office use)
5085 PONDSEDGE LANE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AT.T .TED FTRESTDE ORA FTRRSYDF HEARTH &. HOME
(Phone)
/\51-/\33-25/\ 1
(Contact Person)
BRENDA HUSTON
ROSEVILLE
(City)
(Phone) _651-633-2561
55113
(Zip Code)
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
3/29/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
o Warm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
o Steam
o Hot Water
D Radiation
o Special Devices
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
TYPE OF SYSTEM
, FIREPLACE MAKE AND MODEL
HEAT N GLO SL 750TR-C
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1 % of job cost Residential, Gas Fireplace
$39.50 minimum
$99,50
$64,50
$39,50
Residential, Heating & Aie (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential. AC Only
$39.50
$39,50
(Office Use Only)
Building Permit #
$
$ .50
$ . PAID WITH
'1iI~ f" r-ffi-~ING PERUIT'
This Application Becomes Your Building Permit When Approved ~~ lIlai!tJ .c: LI ~ ll: I ~ II Receipt No.
m JMlR 03 2003 I~) I By /1
Ii /
V
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
BuiIdin2 Official
Date
24 hour notice for all iospections (952) 4. ef850, fax (952) 447-4245
~",-:~ '~""<
, ,~,>~,,,,,,,, ,,_~ l!~,,"' ,-.,-, ,; .ii,,:t': -. - ~ ,1' -_~ ~~'
D-3-0/6f
~~
White - Building
Canary - Engineering
Pink . Planning
Tht'('t'nlt'fnrlht'l..bCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
1J 0'
/-/3-
,0~& 2-/~
~-)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is)\roposed !jot: "
, ~)Uf~ PU7la4Jd~
><
Accepted
Accepted With Corrections
Denied
Reviewed By:
JYfI./S
Date:
/-;(/--os
Comments: ~"'''' Rp.vp.r!';F! Side for Additional Information!
WO-lRfLS C"", Sof)
~~~ Att:l~hm~nt". 1) Graninp' Plan 2) Rro,,,ion r.ontro! M~"""rp"
. -
"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."
~~
~hite - BUil~
i:lllcUY . !ny mg
Pink - Planning
Th~ (rnln of thr L.kr <.'ounlry
8UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
LJR~
/ ~ /3- 3
APPLICATION RECEIVFn
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construe:; ~t;~hiC;?J;;;2~d~
~
Accepted
Accepted With Corrections
Denied
lki~
f."'(..t J Q ( I
Date:
I~cl t)() k
(~Llf"- () J
Reviewed By:
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,"
~~
White - Building
~l)' - lEnaineering
ink - Planri1riv
Tht' (",nln of lhf I..kf <.'ounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
J
/
. /
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
---.
Accepted
Accepted With Corrections
~
Denied
,tUA,~
e.~&tJ. If/I J.l-au1r!/JcJf '"
Date:
, -2~-o:J
Reviewed By:
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."
..
. Job Address ass- LI~~
Heating Contractor ,~~~ .
Name of Tester .4~g
Date ~/
Percent 0, 8. ;:>2:.
Percent co ~~~
Percent CO2 ~.~~
Stack Temp 7.&'}I=
Combustion air is adequately supplied per
UMC See, 606 /1('.5
,
input /'W- I' AI'V
'"
PRIOR LAKE
INSPECTION RECORD
~edJe, LJv
DEPARTMENT OF
BUILDING AND INSPECTION
SITE ADDRESS
NATURE OF WORK
USE OF BUILDING
PERMIT NO. 0 ~ . DATE ISSUED .
CONTRACTOR - A.J PHot-#...s..;a-G\~''''J3' y
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
INSPECTOR
DATE
I FOOTING
VW'"
1..-(,~ Cf1J
.
SEWER I WATER I SEPTIC
FRAMING
INSULATION ~'t tUr"tL
ELECTRICAL
PLUMBING VW1 / f/I/P t-( -1-CJ1J /4-11 :I)
HEATING (if required) 1/1/ft'_ t../-tS'-06
FIREPLACE 1M t.-(- ('Y"-(j'~
GAS LINE AIR TEST rw' t-{ -/i{-1!7
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
.i!/6
7--- HJ. rf7
1.-/_1 f?-cD
GRADING (Prior to Sodding)
BUILDING If\.l '10(.1\<, \}.'In\ <,I-d'
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUPY UNTIL ABOVE HAS BEEN
NOTICE
~
G-/~
7-~-()3
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