HomeMy WebLinkAboutBuilding Permit 03-0317
<ITtrfifirzdt of <IDrt'Upanr1!
CITY OF PRIOR LAKE
~tpnrfmtnf (If ~uil!ling ~nsptdi(ln
M"inal Permitted D Conditional e.O. Expires
This Certificate issued pursuant to the requirements of Section 307 afthe 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
N/A
Zoning District
03-0317
Rl
Use Classification
SINGLE FAMILY
Bldg. Permit No
Legal Description
L2, B4, REGAL CREST
Contractor's Name & Address
COLc.EGE
CIyY")HQMES, 7920 LAKEVlLLE
/ iii
V(j/
S;teAdd,es< 3854 MAJESTIC LANE
BLVD,. LAKEVlLLE 55044
Owner of Buildin~
ROBERT D, HUTCHINS
.(" __j ~ B~ing Official
(1 L I' r) I
/'
City Planner
DON RYE
Date:
Date:
~....e...L.....__-,------L..:..._~
.-'~._..----'- ~ ...__""'_.~.":~:...k~~,:".~__:~
..--""-'.i>.,","~_,,,,,~~",-,,,,,,:,_,,:-,~._..~_
SCHEDULED p;.:2'l-o ') ~
,
&;J ..Q<:;l. \-t- C _ LV\..,
CONTR.
PERMIT NO. s- 311
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ;19,,5 tt
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
DJNSULATION
::s:: FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
)!C..PLUMBING FINAL
o MECH FINAL
C9MMENTS:
bJ\\.a.
~I, {Z,.-qo..... ~ ......,);:.,..,. ~c::
Z, 0..1".. M.. .... ,.r -"6 ..... J--
t '. ,.,\-' () i4=>L)..Q.at
DATE TIME
o EXlGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
{G~~IR T1~
~ -1. 7 -0'<\
()
11h............ A
v/ ---- "'
o WORK SATISFACTORY, PROCEED
~ORRECT ACTION AND PROCEED
o CDRRECl: K, LL FOR REINSPECTIDN BEFORE COVERING
Inspector:
Owner/Contr:
OR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
k. .' - L L 1
/.-,-H y 10' ~
'''''"'''
COD Ql!: REMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
I
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
DATE TIllE
'l/;flo,
---.
ADDRESS 3~5" f .tJ1.,j/c, i'c LYJ.
OWNER CONTR, L/')//tH- L/~Y
PHONE NO, PERMIT NO, I'J <r- J IJ
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
~nt"l
o SITE INSPECTION
~Ex..c.""'oW.\.-JLUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASUNE AIR TST
o
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
COMMENJS:
("TtI ~(- (() 1[.
. LIII~
13/91f ~ ~ /') 1/
S t1J 0 1"
'K WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspedor#~_ . Owner/Contr:
CALL "7.9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
...,.,.,
Date Rec' d
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT ;;2- ! 3 -03
See Main File
I. White
2. Pink
3. Yellow
File
City
Applicant
I PERMITNO'03_03/7j
(Please type or print and sign at bottom)
I ADDRESS
3<354- M~6<:;,'n c..- LanG
LEGAL DESCRIPTION (office use only)
LOT Q.BLOCK 4- ADDITION 12.~oL-- C\2.ES~
OWNER
(Name)
(Address)
(Phone)
BUILDER C /\ \ \
(Name' -d\&1~l _iN -HDm~C:;
(Contact Name) ~.LV:::\ I E- <S:h \ l'"YIot ~
(Address) ''1-C1?J") L-a.\L.E..U, \ \.L.- B\vc\
TYPE OF WORK
~ New Construction
DLower Level Finish
o Fireplace
PROJECTCOST/VALUE (exc1udingland) $
DAlteration DUtility Connection
10PJ. OZJO. --
i
DDeck
o Misc.
This Application Becomes Your Building Permit When Approved
~ .:f~
ol/OLY,.4.!
Building Official
Date
ZONING (office use)
PID
(Phone) Cl62- W,.,Cl ' l!'Ul O(j
(Phone) lo\1...-' loes, -:32.CCl
J l. __::?v-I'SVIII ~ -
. $
$
$
$
$
$
$
$
CtlU6D 3-2,0 --07 II $ h, 292.3/
. I
/. ? 9';:. s I I Receipt 0_ 4'? 9 " J
7.l//'G! 7 IBv ~
1
DPorch
ORe-Roofing
ORe-Siding
,
#
#
IZ 7S".o 0
AS-a, 00
'-I'f>. 0 0
12.00.0 {)
7()CJ. 0 t1
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 e 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 a M'are that uilding official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
~ter n the prope perfo d inspections. 1'20C1 ,;) / /3 / ~
\. Signature C-r Contractor's License No. . Date ',-
'-- -
I PermitvaIUation q-/?r: 000,00
I Permit Fee $ /45?(~. 55
I Plan Check Fee $ -'1(pIM,OU~1
I State Surcharge $ qq. {)O j
I Penalty $ I
I Plumbing Permit Fee $ / (:) O. Dol
I Mechanical Permir Fee $ 100, 0 D I
I Sewer & Water Permit Fee $ 3:5, 5'"0 I
I Gas Fireplace Permit Fee $ 0/0, () 0 I
DAddition
Park Support Fee
SAC
Water Meterr Si{e 5/~1";
I Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
Paid
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
~~ '14-# ~yA3 ~ -:.J~_
P1ann;ng m,ecto, Date JYf Spec;al Cond;t;ons. ifany
24 hour notice for all inspections (952) 447.9850, fax (952) 447.4245
16200 Eagle Creek Avenue Prior Lake. MN 55372
~1
.
White - Building
( C"":ary - englneenng )
'Pmk - t'lanmng
ThI!'C""nltl'r...flhr 1..lr.rCounlry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT {1, (; L l S<::1 e- t Il-l/
, ,
APPLICATION RECEIVED Z. -1]- 0.3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
'-:;>-". c4- .,. . (T fl I" . ,---
_.J'C :J... /"Jr\J b .:; i I \...--' /....-'rq-J t:...
Accepted
Denied
Reviewed By: 1rl9-13 Date:
Comments: See Reverse Side for Additional Information!
x:
Accepted With Corrections
3-/7-03
nrivewav Must Have A Concrete Approach
See A ttacnment!'l' I) Grading Plan, 2) Ernsio\! rontrol 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."
~1
See Main File
~ite - BuildTiio,
Canary - Engineering
Pink - Planning
Thl' ("fnln of lhl' 1..111' l'ounln
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT e....() Ll-E:9 6 6/ ~
APPLICATION RECEIVED Z- - 13 - 0.3
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.S'B54- Mf\U'bSTl ~ L...-AN6
Accepted
Accepted With Corrections /
Denied
-
Reviewed By: ~ '::ii!.- flp
Date: ~:;z. ~a.?
Comments:
See Main File
"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."
&~~
See Main File
Th~ Crnlrr of thr L.kr ("ountry
White - Building
Canary - 'i,naineering
!'1'Ink - Planning,)
j3UILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVFn
, I L ( t-(' E r' I '> ;'
i . " "' v' I\,
. - ""I
') .:> /"?
l- - f..-' -- Li--,
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
.. 4-
r:r;, c- " ,-- 1"'1
,j (; j i'" ' r\ TC ...:lI L/ LJ\ \,J E:
Accepted
Accepted With Corrections /
.
"
Denied
Reviewed By: '";<,..
.
~<.P f-
Date:
..2/~<l1o ~
Comments:
See Nlain File
.
"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."
Mar.21. 2003 543P~1
GEN2 RVAN PLUMBING AND HEATING
No.7057 p. 12 15
e CITY OF PRIOR LAKE
HEATING/AIR CONDITIO:NING/FIREPLACE .PERMIT
Date Rec'd
',l'i"k
2.Gn:en
J. r.,Jln\W
~~~.. I PERMIT NO. Q ~3 In j
Allllll/:'llt ~ .. '::J (
q'lea.c:e'!ype OJ print and sistrJ at bottom)
ADDREEZ'64
ZONJNG (om:, we)
Mtyekh () l)f).
IOJga.c CI2i<.t
~~:;R CoI \-{qt rl-tM !'hyV'VLQ;S I he. (Phone)
707,0 LrJ kt If/. II~ E;l vot.. UUL(, LI] II~, VV1 V\
~:~~ANT (2.,-€,VR;- t>JIU1 (Phone) J J0/-1-/;t3- ( LYY
(Address) \l!14tJ \~, ~n'heIC2A- -[It/. , ~O Umf5);1JJ;J- . FYi Y1W&?R
f ill f.U1((~dre") fa<< <;' (Phone) (City) &cJ 1- L!P3 ~1/l/~
()/U~. ~ P L--:::, DATE ~ / d ~I 0")
LEGAl, DESCRIPTION (officc "''' only)
w; A BLOCK ~ ADDITION
PID
(Address)
C)'5lJt.J4
(Contact Person)
APPLICANT SIGNATURE
APPLICANT PLEASE COM:PLETE BELOW
~EW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL -.Lull Vl 0 Y h LVtlL7 S FUEL N I4T b M
FLUE SIZE RETURN ~-~ iNPUT J:S 000 OUTPUT (oct... Oc::D
TYPE OF SYSTEM HEATING OR POWER PLANT
~varm Air Plants 0 Steam
OGnv;ty 0 Hot Water
Q Mechamcal 0 Radiation
&:ir Conditioning 0 Special DeVIce::;
OVeot. System 0 Other DevICes
PLEASE NOTE:
Air Conditioner Un)!>
Cannot Encroach UHO
Required Side Yard
Setbacks
\
FIREPLACE MAKE AND MODEL
IndustrIal. Commcr",.1 & Multi-FamIly
FEE SCHEPULE
1% (Jfjob cost ResidentIal, Ga... Firep.l<:1ce
$3950 mmimum
$99 50 ResIdentIal. Addition' & Allenllons
$64.50 Residential, AC Only
$39 50
Residential, Heatmg & Ale (New ConStnlctlOn)
Residential, Heating Only (New Consrruction)
. $39 50
$3950
Esl1mated Cost $
Buildmg Peumt #
HEA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERJ.\-nT FEE
$
$
$
.50
PAID WI7i
BUILDING H
PERMIT
~ecelPt No. -"-l
jY . Or--- I
V
,nlfiee U,e Only)
Jis Application Becomes Your Building Permit When Approved
Building Offtcltll
Date
24 hour notice for all implfcti()ns (952) 4:7-9~9", fax (952) 447-424.5
GEN2 RVAN PLUMBING AND HEATING
k7057 P i3. i5
Mar~i. ~003 543PM
f.Plas~ o/t?C nr 1}1JlJ,[ and 5lgD. at bottom)
ADDRESS, r
~<f;'S<..J McCj e6 -n c. LVI
~ oJ...- CiUS+
~
. ~~e~R r.o 11eq& CLf7/) nDYVtfi ',Me
CAddIess) 1Ww La JLe V! tle B I v,Jt I tl k'fJ/I1/t
AJ'PLICANT (' PI/\.-? V1 UO./I'I
(Name) (-1 (/V It: K.. Y I
(Address) \~1 ytJ S. Rj)k;.e~t TyQJ
(AddIess)
(Contact Person) 0 Altw 1.(11, 101/\
APPLICANT SrGN~TU~ __C~
Date Rec'd
CITY OF PRIOR LAKE PLUl'vlBING PERMIT
; ;~~; ~!~ I I'ERlVlIT 1'10,0 _,~ In I
J ytil"", ^"pli~"M ) -....J . I
I ZONiNG (otfi" "'<0) .
LEGAL DESCRIPTION (office usc only)
LOT .7-aLOCKY ADDITXON
Quantity
I
t
I
1
i
'L
PXD
(phone)
557J-14
IIJIl Yl
(phone)., {fl01 - Lf 23-1 } '-/'--1
P.-D ~/11l;m{;n t YJrl V\ ~t~
(City) (Zip Code).
(J:'hon~) I orfl- l..i2~ II L/(j
DATE cJ 2-1 } 0 ~
~,
APPLICANT PLEASE COl'vIPLETE BELOW
I Type of Fixtu.e I Quantity
I ~ath Tub ,,:~th or without shower
DIshwasher I
I Floor Drain '{J - ;t:
Lavatory (Bathroom Sink) I
I Laundry Tray (J or 2 compartment sink
Shower Stall
Sinks
Bar Sink
I Water Closet (Toilet)
Type of Fixture
ROllgh-ins
Water Heater
Water Softner
Stand Pipe (Washing Machine)
Sewage Ejector
BackfJow Assembly
BackfJow Assembly Test
Lawn Sprinkler
I Other
FEE SCBEDULE
IndustrIal, Commercial & !'-,IultI-farrllly 1 ~'O of Job COSt wnh a $39 50 minimum RcsJ.den.t1al, New One & Two.Family $99 50
Resldential. Addilions & Alterations $39.50
Estlma!ed CDS! $
.
BuJldmg Peml)! II .
PLill<1BlNG PERMIT FEE
STATE SURCHARGE
TOTAL PERl\IllT FEE
$
Buildl~ Official
Dare
131.J/~:'4ID ~
1J\tf" 'I'r1t
"'/:)~
~~4l @ ~ U ill ~ 11ceiPtNO I"'l
I Rife MAR 2 5 2003 I, /J(' I
/
$
50
$
IOlfie. U,. Only)
This Appiication Becomes Your Building Permit When Approved
24 hour notie. for .)lln'peclIon, (952) H7-98 gy'x (952) 4474245
83/18/2883 11:11
5877445555
BAD6ER EXC
PA6E 81
Date Rtt'd
CITY OF PRIOR LAKE
SEWER AND WATER PERMIT
(1tc'U<< C'o'f! or Qnf\t ~ JI.l1l t.tboatJat.)
I ADDRESS .
I 3O>~( VYI<<,!t's-h.<- L~
I LEGAL DI!SCRlP110N (o~." oaIy)
I LOT \ BLOCK Lf AJJDITlON
I OWNER
,(Name) ~&l;
U
I (Addl.,,) 7q:~
I
~ Ja..Q. C ("-I: a-={
~,~
~~ glue)
(Addtt""
I APPLlCAl'!I.
j (N.me' ~\~6rl'if''- CK rG. v ~
IlAd<lres.) 8".'2,7<;::: UJ 70-ff-o.. ...s'1'(-e~
(Addr...)
(Contact Penon) SC.rNiu .s-,. iY"'CJY'--.
APPLlCANTSIONATURE ~h ".L./Y)')""-"'__
- 1
: ~:. ~~ I PERMIT NO. "'J., -?-Ir 7
). Oail' .."c\ull ,-) ,-...;
I ZON1JolG '0",;;:;;)1
PID
(Phone) 9"5'). -y b '(. <0 yOC)
/ J~ $:SC:JS<;,E
tCirv\ (lm Cod.)
(Phon.) :;0 7- -;7yY - '3'Sc;. \........
~C/Y"\...Sja..4 ss-u~
(Clry) (Zip Code)
(phono) Eo ;- 7'-("V
DATE 2,-\ (--0:2,
APPLICANT PLEASE COMPLETE BELOW
SIze of wattr service .::t.-. inches.
Location of any couplings from Strllct\lre 5~ feel.
Type ohewer pipe. 0 ABC ElJl'VC 0 Cut Iron
Estimated 1eoith of sewer line -:SZ2 fcet.
Clellll out (ifrequlredllocated at -=== fcet from structure.
rEESCHEDtJLE
Residential SlWet and wiler hn. COM,ollon SJ!.50 Indu.triol, Com'\ & Mult,.ronl<Jy 1% of job colli with. S39.~O minimum
Sower eonnettion only S 17.50 W'lerconntctlen only $\7.50
Estimated Cost S
Bulldia, Permit N ....
SEWER AND WATER PERMIT PEE
STATB SURCHARGE
TOTAL PERMJT FEI
! OMtt L'1t 0111)')
"
I Thll Application Bocom.. Vuur Bulldl... P,rmll Who. ApprOHG 'I Paid
8I1ildi'lom.1I
t).~
%4 hor.ar notlc, fDr IUlnS'pKIIOnJ ('5%.) ,...' I
l
s
S
$
:SQ P-4
fllJII.D/? W,.,.,., .
Iv'Gp~
<:~A",.,.
I .jtecelpl No.
o. rn (~J) ..,..l.s
MAR 2 5 2003
By
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
~. ~,~" ~:~ I PERMIT NO, 3 -::; rl
3_ Yellow Applicant
(Please type or print and siJtll at bottom)
ADDRESS
ZONING (office use)
3854 MAJESTIC LANE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) COLLEGE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name) ATJ.JRD FTRRsmR DRA FTRRsmR HRARTH & HOMR
(Phone)
65] ,633,256]
(Address)
?700 NORTH F AIRVIEW AVENUE
(Address)
'l.OSEVILLE
(C;ty)
"5113_
(Z;p Code)
(Contact Person)
BRENDA HUSTON
(Phone) _651,633,2561
APPLICANT SIGNATURE
BRFNDA HUSTON
DATE
5/9/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
OWarm Air Plants
OGravity
o Mechanical
DAir Conditioning
OVent. 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 6000TR,OAK
Industrial, Commercial & Multi-Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50
$64.50
$39.50
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Residential, Additions & Alterations
Residential, AC Only
$39.50
$39.50
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
PAID WITH
BUILDING PERMIT
(Office Use Only)
Buildin!! Official
I~dc --::-r---::--' Receipt NO.r;,
l.~Ic,{~l.;,jil
J n, ~~te / II By (
Date 'iU MAY 1" ^ II.
U LUUj
U .."'".~ ,. ." ;...,."' "'" i!t~.:,,:,,","u ~
This Application Becomes Your Building Permit When Approved
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ;;;,:" ~::, I PERMIT NO, 3 -"3 / '1 I
J. Yellow Applicant
(Please type or 'Print and sip at bottom)
ADDRESS
ZONING (office use)
3854 MAJESTIC LANE
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name) COLLEGE CITY HOMES
(Phone)
(Address)
APPLICANT
(Name) AT.TJFD FIRESIDE DRA F'TRRSTnF HRARTH &. HOME
(Phone)
1151,1133,2511 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
5/9/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION D REPLACEMENT D ALTERATIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENlNGS lNPUT OUTPUT
TYPE OF SYSTEM
HEATING OR POWER PLANT
DWarm Air Plants
OGravity
D Mechanical
DAir Conditioning
OVent. System
o Steam
o Hot Wate,
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/SL 750TRN~
Industrial, Commercial & Multi-Family
FEE SCHEDULE
I % 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
Estimated Cost $ Building Permit #
HEA TlNG PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
I(OffiCe Use Only) Jr~
This Application Becomes Your Building Permit Wheu Approved V fJh :.; u lV U! fiJ/
. Buildin.Offidal Date I 11\f)\\(l1 3 2003 ~1
24 hour notice for all inspections (952~!~~24_5.1
PAID WITH
BUILDING PERMIT
. Receipt No.
By (Jh
1/
PRIOR LAKE DEPARTMENT OF See Main File
BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS .ass" MAT~sTi(:. ~
NATURE OF WORK I\IE 'W---~auc.r{6~
USE OF BUILDING S.~ ...
PERMIT NO, 03 - 03/7 DATE ISSUED ~.,
CONTRACTOR ~,n tio.m&SPHONE~U,
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
I
I FOUNDATION (Prior to Backfill) I I
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
I
k>v I
I
I
I
I
I
I
I FOOTING
SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING I) X',,;cJO! t?.l> ~c
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
INSPECTOR
DATE
i
j
(j(~
rPl>
(", -/7
~.2~
JW'
tJ
,) - ;J J C/)
!, -J 7
..J.r
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
I
I r.~
I y~
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,
GRADING (Prior to Sodding)
BUILDING
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
~~
t ,<2, 1
f, -~l
~
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850