HomeMy WebLinkAboutBuilding Permit 03-0363
@rrfifitatr lIf <IDttUpant1!
CITY OF PRIOR LAKE
~rparfmrnf of ~uilMng Jlnsprdion
0'Final Permitted I] 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/allowing:
Occupancy Type
R3
Type Construction
VN
Fire Zone
Bldg. Permit No.
N/A
Zoning District
03-0363
Rl
Use Classification
SINGLE Ffu'lILY
Legal DescriptioI' 1.9, B 1, DEERFIE~,D 8TH
Owner of Building SiteAddress5109 PONDSEDGE LANE S.E.
Date:
ROBERT D. HUTCHTNS
~~iJding Official
/0, S 0'1.
D.R. HORTON, iNC., 20860 KENBRTDGE
1/7. //
// 1/1-" City Planner.
CT., SUITE 100,
4
Contractor's Name & Address _
DON RYE
Date:
~~-_.~,_:.....~...:......-,--.."'-~
~.......'.....~_....:.
~..~
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS
S-IOq
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
o FINAL
o SITE INSPECTION
COMMENTS:
SCHEDULED
p()J1d.secfc.. ...
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH Rl
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~cJ / T.rcn
DATE TIME
ID...(I()~
LVi
s - 3C?
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
{ ()~
~
.f 7 "\
r ('-e )
./
---
~ SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
~
/ ,/
( (...
~
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
;1/
Inspector:
OWnerlConlr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSI<On
DATE TIllE
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
9/7/0
ADDRESS b"/ r.., ~ Pods ~LI'1'
OWNER CONTR. D RJleJ'.JO./l
PHONE NO, PERMIT NO, ()3 - 3~3
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION
.......,r,;;AL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~ILLlNG
o COMPLAiNT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
;;rli'~ - 6) t:.-
(vito f3tI1L- fl ( ~
)(WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
InSpector~~ __ Uwner/Contr:
CALL ..C7-9850 FOR THE NEXT INSPECTION 2<1 HOURS IN ADVANCE,
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETYt
""'""'
_._._..~~--------""-
. - --.-...---.-..-...---""" - ---.--..-.....-.-..'.-....- ". -
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
R,)P
ADDRESS
Sl ()1 t?d>'tdSc.d,,~
OWNER
CONTR.
PHONE NO.
PERMIT NO.
'7 -'S~ ""I
o FOOTING
o FOUNOATION
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 EXtGRADIFILUNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GAS LINE AIR TST
o
COMMENTS:
rr~~
rrnk-CI/t? 5"
o WORK SATISFACTORY, PROCEED
~ CORRECT ACTION ANO PROCEED
o CORRECT ~~K;ry-L FOR REINSPECTION BEFORE COVERING
Inspector: t y I 0/ ~... J1J "'d"tner/Contr:
CALL 447-9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENT8 ARE FOR YOUR PERSONAL HEALTH & SAFETY!
",sNtm
Date Rec'd
CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
3- Jd--(3
I PERMIT NO. () J -0 JbJ
I. White
2_ Pink
J. Yellow
File
City
Applicant
(Please npe or print and si~ at bottom)
ADDRESS \
I:J I f)~c J.J~ U---.v SF"
LEGAL DESCRIPTION (office use only)
LOTC) BLOCK I ADDITION bexkl eM ~
ZONING (office use)
PI
PID <QS' 399-0CY-?-'j
OWNER
(Name)
(Phone)
(Address)
BUILDER'\', () \ \ A ~
(Name) <-V. K . \"tIW~'Y\ -hAc
(Contact Name) ~r V.e.. &,t..k.Sfl^
(Address) -z.s8c, 0 k~kY.J~e. cl.~. \ 00
U 14...... II... J/Y'IYl l?'ill'N
. f
(Phone) .051--tj_',(S-1~
(Phone) QS'2, 7.-7.1n' ,?;~
'1l N ew Construction
DLower Level Finish
ORe-Siding
DPorch
ORe-Roofing
DDeck
TYPE OF WORK
~ Fireplace DAddition DAlteration DUtility Connection
PROJECTCOST/VALUE (excluding land) $ ~ tbt /6'7')
DMisc.
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
submi d plans. I am aware at the building official can revoke this permit for just cause. Furthermore, I hereby agree that the city official or a designee may
ente po property 0 per eded ~nspections.
-4~1/{)~
Date
~()I'){) t:iI~
Contractor's License No.
x
v
Permit Valuation
Permit Fee
Plan Check Fee
g-so,OO I
/).7t",oO I
AS"OOO I
4'{,00 I
(J-CX) .00 I
700 ,00 I
I )"O() .00 I
I
I
J-O~I DfJU.O~
$ I "rlO ..m
$ I /())..O, ~ I
$ / ()f 15'0 I
$ I
$ /DO ,00 I
$ i f')() ,00 I
$ 1 j.5V I
$ 40,00 I
$
$
$
$
$
$
$
$
Park Support Fee
SAC
#
#
Water Meter Size 5/8"; 1";
1 Pressure Reducer
I City SAC and WAC
I Water Tower Fee
I Builder's Deposit
I Other
I TOTAL DUE
/1. /1,(4-'/
4" -' 7' fit'
State Surcharge
I Penalty
I Plumbing Permit Fee
I Mechanical Permit Fee
I Sewer & Water Permit Fee
I Gas Fireplace Permit Fee
#
#
$ 8. 1fH3. 4-/
/1
I '!:;'l.or~/
es Your Building Permit When Approved
Paid
Date
J -J- 7-0'3
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
:-vhen signed by e ClrzlY.~onstitutes a temporary Certificate of Zoning compliance and allows construction to commence. Before occupancy, a Certificate of Occupancy must be
lSSUed. . . .
. _ ]-}..7-0'] Q~ 01/ nt')-I-r~ .,j. !-/avt,.Jd,d'~
Pllnning 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
"
,.
",
Job Address ~//)~ A.,A ~,
Heating Contractor ~ ,/,&7#
Name of Tester 'Y1
Date B '/9//3 -
/().5~ -
~
>.iZ
/tftJ 'Y
Percent 02
Percent CO
Percent C02
Stack Temp
t
Combustion air is adequately supplied per
UMC Sec. 606 #/..>
input / iu QII) jf?V
\
~~
..white - BUil~;~
'i,:"~_, J --E-.:,. ....ring
Pink - Planning
Tht' ("tnltr or lht' I..kf Counlry
IiUILDING PERMIT APPLICATION DEPARTMENT CHECKLI~T
NAME OF APPLICANT
APPLICATION RECEIVED
D R )/0 y-fo;J
G.. (J--0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
<~/09 ,P674~~ V.L/JU.-
. U
Accepted
Accepted With Corrections
L-----
Denied
IM~
rfZc u d r1rJ ./..., , <; ~
Date: 7.r-27-0~
/---fcw, c1 01 J 1- <;
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
Canary .. Fnaineer~g
(Pink - Planning /
Tht('tnll'rof lhl' I.lh('ounlry
1'\1 III I"lING P~RMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
...'/
APPLICATION RECEIVFn
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
./ I J
. ~/J L.
~ -<-
Accepted
Accepted With Corrections
L--
Denied
Reviewed By:
1/11 f2L
f-r:u J t !1rJf( '<;
Date:
cJ /-fCW'C1(7r.J1- '5
:1-27-03
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
Canary - Engineering
Pink - Planning
Th~ ("..nl.., of Ih..l..... COlIlUry
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
i ~. '.
L..._'
,)'-,/ I.) /> ?L~(:!7,,-__j
.,",3.r <~"). --,- ~)
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
~~ /() ~;;;ic!.f~ i~U'" ~:L/)C~-
j
Accepted
x
Accepted With Corrections
Denied
Reviewed By:
~
Date:
3-/~-(9.. ~
Comments: See Reverse Side for Additionallnform::ltinnl
See Att::l~hment~. 1) (','l"::lliine Pl::ln, 7.) F.ro~i(\Tl r"ntrol Me::l~lIrp.~
"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."
CITY OF PRIORLAK:E
HEATING/AIR CONI>lTIONtNGIFlREPLACE PERMIT
Date Rec'd
#-7V9'O
..i~~~ ~:~.. ..[ PERMITNO'?-'-'?-..b..~ I
3. YellOW Appllcanl ,-.J .' - (./ " ' ,~,
(Please tvDe ot 'DriIit ilhd sirm. at bottom)
ADDRESS ~
.et:7/ {/9' /C:>/Z o/s er/q/
</ -.
ZONING (office use)
~~ "' <:i/~
LEGAL DESCRlPTION (office use only)
LOT 1 BLOCK / ADDITION
PID
OWNER '"t-.. -.J I L..
(Name) L>"- 1\ DY'+-on
(Address) 1.b81110 ~br\d~~u.
~;;~~ANTt\\\\o..n-t VV\u.hM.ICoJ (PitoneyJ.p5JLl62.-i.116 '
(Address)3~D Kwne.bec...J:>r-Su..i-le1 ~111Aa..n.tv-.N 5'512.:2..
(Address) u:J (City) (Zip Code)
(Contact Person) Je..+.f.- LlMm.eY"~ (Phclne)l1f5I.':-lJsZ....2.J'15
APPLIC;ANf SIGNATURE ~...~."7 ~..bATE
, uv cr .
,APP,LICAN'tPLEA8EGQi\fi>t.EI}t;]jftLQW).
!&lNEW CQNS1RUCTiON .... . .. [JREPLACEMENT.. ..).G1 AL!FR.i\II0NS .... . ..... ..... .
FURNA(;EMAKEANDMoDEL""Br~J qz:j.. ... ..FvEL.:tJa;b~~S
FLUE SIZE -4.'12... "PVe....RETtJRNOPENINGS I1'U'UT dC4fJDt:J ..... OUTPUT ..... ;t-rJ(")
TYPE OF SYST'EM HEATINO ok POWEk PLANt
OWanri Air Plants O.Steam
OGravity D Hot Wate,
23 Mechanical .0 Radiation
~Air Conditioning 0 ~pe~ialDe"iCes
I:&\"Vent. System .... 0 Othel Devices
(Phone)
LA.ktV\ lie.
MKl
55.~44
PLEASE NOTE:
Air Conditioner UnitS
. Cannot Ericroachirit6
Required Sideyaid .
Setb~cks
FIREPLACEMA.t<EAND MOPEL .. ...
','"
" ",";:,',,,.",i ,',;'~',,'_- ;: '""---',':'.,.'.,"',<<-.:_',.,,,::,-.; ,'. ._,...
"'i""
Industrial,CommerCiaJ & Mt11tl*art'1i1y
.FEESCHtbtltE .... .. ... ...
1 % ot'jnbcost. ... Resideriiial; d..sFirejilace
$39;50 minimom
MJo
$64:50
; Resideriti.li Additions 1Ir. Alterations
Residertiial,AC Only
$39.50
$39.50
$39.50
Residenti~I.Heiiling&A/C (NewCtJtlstiticiiorl) .
Residential; He"iingOnly (New Consti1Jcticin)
. Estimatedddsl$J ()() 0 .Cn
BuMing Penhit #
fIEA't'iNo PERMIT FEE . $
.STAmSUkGH.AR.GE .'$ ~.50
....<'tOTAliPERMITFEE..$ [~.
(OfficHI" Only) '"~ ..C...-' -" ~ - .u
Th"A,,';~'''''''..Y'''''''''.''..mit.W... '''A';-~J~t1t...afu....'.~.',. ': 'G01).I[ ::ceiPtN~. o. .;
Building Offici.1 . " Da" : '\U.,.. .... ....
24 hour nolitefor iill irlspeetlcin, (952). 8'yB50'fllx_(!!5 .
PAID WfTH
BUllOING PERMIT
A r r .28. 2003
~"RIO~
~~~
., ,
10: 0 I A.M
GEN2 RVAN PLUMBING AND HEATING
No 113 9
P 5 6
Date Rec'd
CITY OF PRIOR LAKE PLUMBING PERMIT
L !lluc Pile:
.1. Geld City
] Yelkr.., AppJi~t
$.
rPER1\UTNO. :3 ':'~3 I
1Pka..,e t"\:ee alP,nnt llDd silUI atbollOm)
ADDRE~ - ,/)
6 J tJq I:j-~\'r>d():j(
u
/ fL SE
ZONlNG (cilk=w,,)
. LEGAL DESCRIPTION (ollie:""e amy) 'A ~
LOT CJBLOO< I ADDITION .~rf)e/d () / ~
PID
OWNER
(Name) DR Horton Custom Homes (phone)
(Address)
9S2-C!'2fi -iBM
203too
)(en E'>~ l t>G.G
./.
L.T
Sre. IDO
udu_vdle.. j,IAN
5E:.6L.f t.J
. APPLICANT
(Name)...G"'.....,-~~..~,_'h-:......~ -~ T-l'A",ri""'3
(Address) 14745 So RobHt Trail Rosemount
(Address) (City)
(ConcacIPerson) j din/A 0 '" (Phone) 651-423-1144
APPLICANT SIGNAT~...22f.id..../nilCJ~. DATE
Quantity
;;;
I
/
..#)'
I
I
I
:.{
(phone) ~S:;:l_I,,)'J._l1A/~
!ill
55068
(Zip Code)
Lfl~r/(J-?_
APPLICANT PLEASE COlVIl'LETE BELOW
I Type of Fixture
Bath Tub with or without shower
I Dishwasher
Floor Drain
I Lavatory (Bathroom Sink)
Laundry Tray (lor 2 compartment sink
Shower Stall
Sinks
Bar Sink
I Warer Closet (Toilet)
Quantity
0:)
I
R/;;::
'/
Type of Fixture
Rough- ins
Water Heater
Wate, Softner
Stand Pipe (Washing Machine)
Sewage Ejector
BackfJow Assembly
I Backilow Assembly Test
I Lawn Sprinkler
Other
FEE SCREPULE
Industrial, CommercIal & Multl.famlly J% afJab cast WIth. $3950 minimum Residennal, New One & Two-f'Jmly $99.50
ReSIdential, Additions & Alterations $39 50
(Offitt Use Only)
I Thi. Application Becomes Y Qur Buildiog Permit When Approved
,..';:')
EslJ.mated Cost $
BuIldmg Permit #
PLUMBING PERMIT FEE $
STATE SURCHARGE $
TOTAL PERMIT FEE $
.50
c9. A I
'(q~ ':II/() ;
~G ""'~
..oS"~
Receipt No """I)- I
~~
BlIildiog Official
D...
,iJ',id
i ' Irs 0'" r? 0
atl (!J) IJ;
'" APR? j ?/l/i'l'
. ,fax (95Zf 4:{7.!ll!'451
:
t
24 hour notice for all in.otpec1ions (952) 447. '
AP r .28 2003 i 0 : 0 i AM
GENZ RVAN PLUMBING AND HEATING
No, i 139 p, 6 6
Date Rec'd
;...~~
u~~
,';,'. ,~"";4'N''E~O'\''
,
CITy.oF PRIOR LAKE
SEWER AND WATER PERMIT
1 "'0;' fi. I p]rRMIT NO
1. Y'Il.IJow <::iV-'.;..I . ,-, __ -::t f ....3
3 Gold AppliQJ\t n -JLV
(Ple.\.SC! type or n.rjnt and Slp;c.at boOPm)
ADDRESS '
57 () q Und \,' r=a(}),- LIL cC;L'
'--/
ZONlNG (oflk,u.,,)
LEGAJ_ DESCRIPTION (ollie: "'. only) ~
LOT Cj BLOCK / AJJDITION..J)~v-fje/ d
'n-R
PID
OWNER
~wme) np ~~y~n~ C~~t~m R~.~~
(phone) _ qs2 -q 85- -, g ('/"
(Address)
2o&c.o N:.v1Bi<...\b6e... C'::r St-P)(',f".
(Addx",,)
La~\Jdle....
(CllY)
"Sr-:'-f;Lj U
(Zio Code) ,
APPLICANT
(Name) Genz-Ryan Plumbing & Heating
,(phone) 651-423-1144
(Addr~) 14745 So Robert Trail
(Addree$)
Rosemount:. ~1}' 55068
(CIlY) (Zip Code)
(ConracrPerson). / amOf/ZL- . _ ,rjPhone) 651-423-1144
".!CANT SIGNATURE ~ u2l221Y t2 mt:l/J7~lt2/--./dm War/aL.
APPLICANT PLEASE COMPLETE BELOW
Size of water service inches.
Location of any couplings from structure
Type of sewer pipe. 0 ABC 0 EVC
Estimated length of sewer line feet.
Clean out (if required) located at _ feet from structure.
feet.
o Cast Iron
Re"idennal sewer and water line cOlmecrion
Sewer connemon only
FEE SCHEDULE
$35.50 Industrial, Com'J & Multi-falnJJy J % of job cost With a $39 50 roJnlmUlll
$J7..50 Water connection only $17.50
EstJrnated Cost $
Building P~rmit #
SE'\VER AND W AIER PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
$
$
$
.50
(Office u.. Only)
This AppliC2tion Becomes Your Building Permit \Vben Approved
Paid
~~~ I
~~~~
I Receipt No. ~ ;()~'.y .
I :" t& '%",
Building Offici:al
Date
D ~tTt IE 0 ~l
Z4 hour notice for all inspections (95~) 4
By_
-
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date Rec'd
; ;;;,:.. ~:~ I PERMIT NO.<,_ :3 b 31
3_ Yellow Applicant _ "'
(Please type or print and sip. at bottom)
I ADDRESS
5109 PONDSEDBE LANE S.E.
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
OWNER
(Name) DR HORTON
(Phone)
(Address)
APPLICANT
(Name) AT.T .TED FTRFSTDR DRA FTRESTDE HEARTH & HOME
ZONING (office use)
PID
(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
55113
(Zip Code)
5/16/03
APPLICANT PLEASE COMPLETE BELOW
xO NEW CONSTRUCTION 0 REPLACEMENT 0 ALTERATIONS
FURNACE MAKE AND MODEL FUEL
PAID IAI
alllLDIN FriTH
._.r (;~ G PERMr,.
24 hour notice for all inspections (952) 447-985 fax (952) 447 f/
FLUE SIZE
RETURN OPENINGS
TYPE OF SYSTEM
INPUT
HEATING OR POWER PLANT
D Steam
o Hot Water
o Radiation
D Special Devices
o Other Devices
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
OVen!. System
FIREPLACE MAKE AND MODEL
HEATN GLO SL750TR
Industrial, Commercial & Multi~Family
FEE SCHEDULE
1% of job cost Residential, Gas Fireplace
$39.50 minimum
$99.50 Residential, Additions & Alterations
$64.50 Residential, AC Only
Residential, Heating & Ale (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $
HEATING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildine Official
Date
,......" - -
OUTPUT
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
$39.50
$39.50
$39.50
~3/23/9! _MON 09,:27_ FAX 6124474245
CITY OF PRIOR LAKE
~002
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submiued witb Building Permit Applicalion)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 P...."....~.
Property Address
SI09 ?t1JJOS"E-I')tf L'A-N'-
Lot AIea "22, TJ'5" Sq. Feet x 30% = .............. b.S 32
..........*.*......**..........*..........................***...........
LENGTH
WIDTH
SQ. FEET
ATTACHED GARAGE
x
x
x
-
HOUSE
=
'"
TOTAL PRINCIPLE STRUCTURE---.-
2,'-\1~
....
DETACHED BWOS
(OomgelShod)
x
x
TOTAL DETACHED BUILDINGS-.
o
-
lOr
16,>
ORIVEW A YIPA VED AREAS
(Dri_y-paved or not)
(S1dewaIk/Puking Areas)
DW1'
S"\If
x
x
X
-
'"
TOTAL PAVED AREAB--....------..-- g72..
PATIOSIPORCHES/DECKS
(O.....lltcks '10" min. apeninl--
booIds....1Ib .. potviaus .- below.
arc na& c:alllicle'rK to b. im...., ',...)
x.
X
-
=
x
'"
TOTAL DECKS.._.__
.. --..
o
"
\.J 1 nc!\.
x
X
so
-
-0.....''', ". ,..l. "~ '; "'.'<
. ,,,_...,-
,
TOTAL . .11IL.....---..
'~"""'.":\<_:~~.._..."..,... iIt"o~"..,,:..,.,,~...,.... .".,.;,.".>'<..,........-;,......" .:..;;,."'"'~.<.,.~.-:..;..,' ,'" "".,-,
TOTAL IMPERVIOUS SURFACE _~c; ......-
_."~ -, e', ", '~'__._' ,." _"'''',.,-. -..........._'.., ',"'''--
.~OVER .....__.,. ." ,~,' "JII:f;l.ff,;,ttO"tiik. 3.5'42" I_;~
preparedB~ ~ _ u~ Date 26 I=f.B cOlJ"? .,,-"",,~,
Company~t2.J4-NDT b'NfJJiBJ2\NrJ S"IJIlVlfrIN?'Phone #9-~2 43) J 966
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r PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS ----.S1IJ 4 g.,,~s
NATURE OF WORK ~ iii .. _ ,.""
USE OF BUILDING ~ F. D.
PERMIT NO. .I (J5~ DATE ISSUED -' -.& "7- 0") .
CONTRACTOR -.D.Jl. tt.l"'t1W\ PHONE~.1. .~.,..,
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
/&1;/
11~--(0
I
I FOUNDATION (Prior to Backfill) I ~ I 1..-/,12') tcr.3
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
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SEWER I WATER I SEPTIC
FRAMING
INSULATION
ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST
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COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I j
FINALS
GRADING (Prior to Sodding) IV g 9-4.0
BUILDING (k..a tf' ~ "114 .,
ELECTRICAL
PLUMBING I vly::' 'if- J.-tI "')
HEATING I tIVP Cf'. (-cJ3
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.
FOR ALL INSPECTIONS (952) 447-9850