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,40 - CITY OF PRIOR LAKE ` '„
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prparfmruf of l'Auiittin 4` `rx�iJf
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1 F inal • Perm ❑ Conditional C.O. Expires
r; ' , This Certificate issued pursuant to the requirements of Section 110 of the ❑ Residential / ❑ International ��;°
M.
..rkt_=
� = 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:
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1 � , S /4 tt - F/) / //L y / OZ 77 ___
�` : Use Classification Bldg. Permit No.
''=- = -_ Occupancy Type . Type Construction Z oning District
4:4:: - - Li Z Z. /✓6 L 1C / ,- // - -3
Le gal Description / � G — � -
ft : I Owner of Building Site Address /76 (G / ,.'7; �'ti EL ? /_///,t_ �1 �C-,
Contractor's Name & Address .—„
,rte , �
f,, IL L /% f -7L- / /(l i / - 6 / //v o/'/ City Planner
��' Building Official v / =%i"
ludf ac Date: - Date: 4 ",>)�aj
POST IN CONSPICUOUS
PLACE
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DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED 03/0
ADDRESS 11 D CO
OWNER CONTR.
PHONE NO. PERMIT NO. i0 " p;
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
if - FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
)WORK SATISFACTORY, PROCEED
❑ CORRE• ON AND PROCEED
❑ CORR: • ' K, CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE _
INSPECTION NOTICE SCHEDULED VOA 3: 3 ";
ADDRESS f ?(° LC J S'7z it- / (' Ci r �1
OWNER CONTR. /`/Iti
PHONE NO. PERMIT NO. ._ t1 7 j
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION ❑ SEWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL ❑ PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS: r�
F et) ( ; r CIG 4 �
X WORK SATISFACTORY, PROCEED
❑ CORRECT ACTION AND PROCEED
❑ CORRECT WORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: — Owner /Contr:
CALL 447 -9850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE SCHEDULED /( f CO
ADDRESS t 1- 10 ( C y_SAC i cam'
OWNER CONTR.
PHONE NO. PERMIT NO. ( - 17 7
❑ FOOTING ❑ PLUMBING RI ❑ EX/GRAD /FILLING
❑ FOUNDATION ❑ MECH RI ❑ COMPLAINT
❑ FRAMING ❑ WATER HOOKUP ❑ FIREPLACE RI
❑ INSULATION 0 5 EWER HOOKUP ❑ FIREPLACE FINAL
❑ FINAL PLUMBING FINAL ❑ GASLINE AIR TST
❑ SITE INSPECTION ❑ MECH FINAL ❑
COMMENTS:
1 G( vlo
Z, i ! M A
r
❑ WORK SATISFACTORY, PROCEED
CORRECT ACTION AND PROCEED
COR CT u• - K, CALL FOR REINSPECTION BEFORE COVERING
lnspe or: G/ . Owner /Contr:
• • LL • • s • 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
o � P R I CITY OF PRIOR LAKE BUILDING PERMIT, Date Rec'd
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE 7. tO
... m AND UTILITY CONNECTION PERMIT
M /A' NESO P , c I. White File
2. Pink City PERMIT NO. i O 0 2 7
3 Yellow Applicant I y
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
1 ] 0 i0 ( C l q V i a r C a t Y d e ) 5 t om ' , ?FUS
LEGAL DESCRIPTION (office use only) 1 / � LOT Y ) BLOCK ADDITION k c x , l ! P 1 1 ) 2 - 5 4 4 , 9 5 Oka .O
OWNER l_b_v" /� /� _
(Name) l� � (Phone) '" 'I — Cam"t 6
(Address) n / Ailli i' 11 IAA %I , _ 1 t (V J -� 3�f
;
BUILDER J J . _ ,.Q i 0
(Company Name) y (LP/►'�,C ( Phone ) ` f � • ID
(Contact Name) 1� � f (Phone) 1 � • n t- .J .4•
(Address) t. (/-C�/ �D( �' � j : / 1„�,� / i / i' 4' 3 �-I �
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TYPE OF WORK ❑ New Construction ['Deck ['Porch ❑Re- Roofing ❑Re- Siding ['Lower Level Finish ❑ Fireplace
DAddition ❑Alteration ['Utility Connection
CODE:,.R.C. ❑I.B.C. ❑ Misc.
Type of Construction: II III IV V AB PROJECT COST /VALUE $ °Z- °� O
Occupancy Group: A B E F H I M 0 S U
Division: 1 2 3 4 5 (excluding land)
I hereby certify that 1 have furnished information on this application which is to the best of my knowledge tnie and correct. I also certify that 1 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 that the building
official can •ke his per . for just use Furthermore, I hereby agree that the city official or a designee may / ent upon the property to perform needed inspections. pr���
ignatur: Contractor's License No. Date
Permit Valuation 2-- k- o two ! , Park Support Fee # $
Permit Fee $ SAC # $
$ 1611. 5b Z1
Plan Check Fee $ 1090. 3 Water Meter Size 5/8 "; 1 "; $ 415,
State Surcharge $ t p2 - Pressure Reducer $ 25 ,-
Penalty $ Sewer /Water Connection Fee # $
Plumbing Permit Fee $ •• V.0 Water Tower Fee # $ ( �,
Mechanical Permit Fee $ 4 ►? . " � Builder's Deposit $
Sewer & Water Permit Fee $ '...67o" Other $ ISO 0 v o ) •
Gas Fireplace Permit Fee 1 $ �0, , � TOTAL DUE • ifs 4— • zz /0 ' - r _ v
This ipplicati t Be., e Your Btilding Permit en pproved Paid (iivek, Receipt No. b
f I Date Dom( -2J -(d By (
A �� J ( :■ Li ( O
Building U • •ial Date
This is to ,® tify t at h reque• I the above application and accompanying documents i in accordance with the City Zoning Ordinance and may proceed as requested. This document
when sig.(¢ by t re 1 it i Plan , constitutes a temporary Certificate of Zoning complian an allows construction to commence. Before occupancy, a Certificate of Occupancy must be
issued
' AU I i 4. z 1 10
• an ing 4 or Date Special Conditions, if any
_4 Irtru notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street Prior Lake, MN 55372
Residential Building Permit Checklist
New Construction for Single or Two - family Dwellings in R -1 or R -2 Districts
Reviewed by: (?r' Date: 4/21 (
Building Permit # PID: Zoning:
Address: c pus
Legal: L , B Subdivision:
Existing Structure? YES / Existing Nonconforming Structure? YES / NO
CONFORMS TO ZONING &EjI NO
ORDINANCE
Yard Setbacks: NA / FAILS/ COII.IES Standard Proposed
• Front Yard (can be 20' if avg. w /in 150') 25' 2 S
• Side Yards 10'/
25' if abutting a street 7• S
7 •�
• Sidewall exceeding 60' requires additional side 2" 10' setback +
setback for every 1' over 60' in length. Not required 2 " /1' over 60'
if building wall is 10' -0" or greater of being parallel to go
a side lot line. ''
• Rear Yard 25' 3 • 4
• Patio Door: provide for minimum 10' deck or sign 10' side/
statement indicating no deck will be built in the future 25' rear
• From 100 year flood elevation of wetland /NURP 30'
pond.
• Refer in- ground pools to the Planning Department
• From OHW (Prior or Spring Lake) 75' or setback average of
adjacent structures, but no
less than 50'
19 351 1 a5-
I Floor Area Ratio: NA / FAILS / COM/9ES .30 Maximum 1 P,..) 3 0 , Z'7
Yard Encroachments: NA / FAILS /COPLIES Standard Proposed
Eaves and Gutters no more than 2 feet in width and no :3 c L]: uei a d arm %ffiC.
closer than 5 feet to a lot line (Easements). Jpit,s_Carri o$ E well into Req 'e '
A/C and other equipment cannot encroach on interior
side yards.
Tree Preservation: (' 1 FAILS / COMPLIES Standard Proposed
• Total caliper inches
• Permit 35% Removal
• Caliper Inches Removed
• Caliper Inches Preserved
• Replacement 1 A:1
L:\TEMPLATETLDGLIST.DOC
Driveway: NA / FAILS / CO P IES Standard Proposed
• Maximum width at prop y line 24' 7-Al
• Required setback 5' from side lot line or
30' from r -o -w on corner lots 7 S
• Maximum slope 10% 1. 1 `,,
• All parking areas to be paved including R -V or
spaces adjacent to the garage
• Location to match subdivision grading plan r.-; co
I Building Height: NA I FAILS I CO LIES 1 35' Maximum I 2 ` I
Shoreland District: NA / FAILS I C • :IES Standard Proposed
Minimum lot area (square feet) 7,500 Rip, 7,999 Non -rip
Minimum lot width 50' Rip, 57.3' Non -rip
Shoreland alterations
Impervious surface 30% Maximum Pc> P -> 5D 3'. I
2-tv gS /, oS�
Bluff in Shoreland:(PI FAILS / COMPLIES Standard Proposed
• Setback from top of bluff By planning dept.
• Bluff impact zone 20' From Top of Bluff
• Engineering certification submitted /approved By City Engineer
• Grading in bluff or bluff impact zone No importing /exporting
Floodplain• / F AILS / COMPLIES Standard Proposed
• 100 ye flood elevation 908.9' Prior Lake
914.4' Spring Lake
• Lowest floor elevation 909.9' Prior Lake /
915.4' Spring Lake
• Proposed lowest floor elevation Must be 1' above flood
elevation for new and existing
structures. If existing
structure was constructed
9/19/90- 11/22/97 then
additional foot is not required.
• Elevations 15 feet from structure Must be flood elevation or
higher
• Road access must be no more than 2 feet below 907.9' for Prior Lake
Regulatory Flood Protection Elevation 913.4' for Spring Lake
I Accessory Structure: / FAILS / COMPLIES Standard Proposed
• Size 1000 sq.ft. or 30% rear yard
• Not located in front yard (Materials)
• Side yard and rear yard setbacks 10'
• Maximum height 15'
• Materials compatible with principle structure
L:\TEMPLATEBLDGLIST.DOC
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ti PI ' T
White - Building
,„ Canary - Engineering
..„..,...,
LANES° P Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT (q LA D FIGNIE P- ,
APPLICATION RECEIVED 7 f ( 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
( j (, I - , t i( .L 1 -( A .--___ C I tf .
Accepted k Accepted With Corrections
Denied
Reviewed By: JA C Date: /Z afro
Comments: See Attachments:. 1) Grading Plan, 2) Erosion Control pleasures
See Reverse Side for Additional Information!
"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 drainage 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 easement.
• All bare soil areas must be protected from eroding into neighboring
properties through the properly installed and maintained silt fence or
bales.
• The silt fence required by the erosion control plan must be installed
prior to any earthwork being started.
• The builder is responsible for maintaining the erosion control measures
until the turf is established.
• The rock construction entrance must be installed at the time of footing
inspection.
G: \Admin \dept info \ADDITIONAL COMMENTS FOR BUILDING PERMIT APPLICATIONS.doc
O� PRIp�
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White - Building
y �P Canary - Engineering
NNESO Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT l (AND H
APPLICATION RECEIVED + 7 I ( 0
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is proposed at:
(7 0(oI STD N E 3Czc
Accepted Accepted With Corrections
Denied / pi"
Reviewed By: Date: 7 4
c- - r� -oz.. &t-es
Comments: le") s �-e..� 7yo- �.�-• ��^�
' Az 4c.A.- /•n ES.
"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."
C Z PRIp.
'
hi White - Building
Canary - Engineering
Neso Pink - Planning
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
a
;7
Reviewed By: Date: /�
Comments:
ra- Condition tci drab
its Cannot ^ croach into quire
,
"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."
OCT -16 -2810 14:43 FROM: STAR PLUMBING 4ND EX 19528847466 TO: 9524474245 P.1
4 VR10 Date Rec'd
(g CITY OF PRIOR LAKE
S EWER AND WATER PERMIT
NvivESO "c*
1 2 Vdlo. o""' w FCi"° ly PERMIT N0.
•
3. Gold Applicant
Meson type or print and sign at bottom)
ADDRESS . ZONING ((zee use)
/7106/ LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER
0 11° 0
(Name) i . , . _ .2a. ! (Phone)
(Address)
(Address) (City) (Zip Code)
APPLICANT i . ! • f / - i G] 89 E
(Name) o 4.1
-. _ ! u _ . . . (Phone �L
0 ' / /.L 211141.4.4, j J`' (Address} I � }.y� `" .i, ft's" r . 6
(Address) / (City) 1 (Zip ado
(Contact Person) - r ! a I __ (Phone) b --42 ! � U� .
APPLICANT SIGNA • - a • �� DATE _ / — /‘. — i d
APPLICANT PLEASE COMPLETE BELOW
Size of water service / " inches.
Location of any couplings from structure feet.
Type of sewer pipe. ❑ ABC D PVC ❑ Cast Iron
Estimated length of sewer line 6Z feet.
Clean out (if required) located at feet from structure.
FEE SCHEDULE
Residential sewer and water line connection $51.50 Industrial, Com'l & Multi - family 1 ofjab cost with a. $5 minimum
Sewer connection only $25.50 Water connection only $25.50
Estimated Cost $ Building Permit #
SEWER AND WATER PERMIT FEE $ PAID WITH in
STATE SURCHARGE $
TOTAL PERMIT FEE $ BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Bonding Permit When Approved Paid Receipt No.
Date By
Bulkline Official Date
24 hour notice for all inspections (952) 447 - 9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
e RIp CITY OF O Date Rec'd
4: Vte HEATING /AIR CONDIT /FIREPLACE PRIR LAKE PERMIT
v _ M
�'iNNEs I. Pink File P ERMIT NO. /�
2. Green Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
- 1 olo I S - ne±or 10X CAXC k--/
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
OWNER �,�nt,
(Name) � ;� mA, Vtl `6 (Phone) C 1 \g' ) (DODO
(Address) 15 I o" (3 / r der\ PaurH f V 4 -I
APPLICANT a r . ��
(Name) (Phone) 9 -1 (il . 1 OD 6
(Address) c)Q V �j� U I-- 1 L U
•) I y(i1 Ut VLL, M k) - 5'I . 5 -- )
(Address) (City) (Zip Code)
(Contact Person) 1 1 a k 4c1 (Phone) Ct SCE 1 0 ' i b ' v
APPLICANT SIGNATU' IdilMak 1 .. _ lA 4 DATE OA I ( 0
APPL CANT PLEASE COMPLETE BELOW
EW CO TRUCTION El REPLACEMENT L i` I] ALTERATIONS I�
FURNACE MAKE A D MODEL A _1 � I Lo FUEL 7"� �1 ��
FLUE SIZE RETURN OPENINGS INPUT U OUTPUT i �l.' o
TYPE OF SYSTEM HEATING OR POWER PLANT
PLEASE NOTE: Air Conditioner
❑Warm Air Plants ❑ Steam Units and Fireplaces Cannot Encroach
❑Gravity ❑ Hot Water
Mechanical into Required Side Yard Setbacks.
❑ R adiation Fireplaces with Box Additions or
Air Conditioning ❑ Special Devices
❑Vent. System ❑Other Devices Cantilevers to the Outside of Buildings
Require a Building Permit.
FIREPLACE MAKE AND MODEL
FEE SCHEDULE
Industrial, Commercial & Multi- Family 1% of job cost Residential, Gas Fireplace $49.50
$49.50 minimum
Residential, Heating & A/C (New Construction) $149.50 Residential, Additions & Alterations $49.50
Residential, Heating Only (New Construction) $64.50 Residential, AC Only $49.50
Estimated Cost $ 5k1•163 . Building Permit #
HEATI
SU P ERM I T F EE $ I4 ,J "
— PAID WIN
STATE R $ 5, (N —.3T --
TOTAL PERMIT FEE $ 1 , . BUILDING PERMIT
(Office Use Only)
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
I Date Rec'd
, 1-
A w s � � CITY OF PRIOR LAKE PLUMBING PERMIT
°,
� �
4t'VNESD8P
I. Blue City PERMIT NO .
2. Ye App z„---7 3. Yellow Applicant
(Please type or print and sign at bottom)
ADDRESS ZONING (office use)
1 IOU SA"re,bc tar afc Ie,,
LEGAL DESCRIPTION (office use only)
LOT BLOCK ADDITION PID
((Name) - w \kQJ (Phone) — l ? ) 'ILO
(Address) _15C1c1 1 1 j l V\ O 1 _11-4'N_ Pais t ) A. ,P: -F '1 c'1 ( -4
APPLICANT
n
(Name) ( ,r(L Q (Phone)
(Address) 22? 14 V �/' ( '3 W (1(J Wt S \AAA0 , ►1 n `1, ) 3
(Andress) (City) (Zip Code)
(Contact Person) Ke. e--Re ( nkk.)0. fl( A (Phone) 1 S a (+0 -'
. .
APPLICANT SIGNAT 4 - ` , 1 L (DM .. _ �1 DATE 1 1 C±
APPLICANT PLEASE COMPLETE BELOW
Quantity Type of Fixture Quantity Type of Fixture
Q Bath Tub with or without shower Rough -ins
Dishwasher i Water Heater
1 Floor Drain Water Softener
3 Lavatory (Bathroom Sink) Stand Pipe (Washing Machine)
Laundry Tray (1 or 2 compartment sink Sewage Ejector
Shower Stall Backflow Assembly
Sinks Backflow Assembly Test
Bar Sink Lawn Sprinkler
n Water Closet (Toilet) Other
FEE SCHEDULE
Industrial, Commercial & Multi- family 1% of job cost with a $49.50 minimum Residential, New One & Two- Family $149.50
Q� Residential, Additions & Alterations $49.50
Estimated Cost $ Oa- , -- Building Permit #
PLUMBING PERMIT FEE $ , PAID WI
STATE SURCHARGE $ t ILDIN I' ERMIT
TOTAL PERMIT FEE $ (_ H.
(Office Use Only)
1
This Application Becomes Your Building Permit When Approved Paid Receipt No.
Date By
Buildine Official Date
24 hour notice for all inspections (952) 447 -9850, fax (952) 447 -4245
4646 Dakota Street S.E., Prior Lake, Minnesota 55372
CITY OF PRIOR LAKE
Impervious Surface Calculations
(To be Submitted with Building Permit Application)
For All Properties Located in the Shoreland District (SD).
The Maximum Impervious Surface Coverage Permitted in 30 Percent.
Property Address 17 06/ oleir,�i a r �/•
P Y ,g Lot Area y yy yy O y 5 y s0
y y S yy F: ..yy ' y .y yy , yy yy y ,yy .yy .yy yy yy yy yy 30%
y. .yy yy yy .1. .yy yy y y yy yy /5 y
LENGTH WIDTH SQ.FEET
HOUSE x =
x =
ATTACHED GARAGE x =
TOTAL PRINCIPLE STRUCTURE / g5* S F
DETACHED BLDGS x
(Garage /Shed)
TOTAL DETACHED BUILDINGS
DRIVEWAY/PAVED AREAS x =
(Driveway -paved or not) x S d t �[ 4 = e / 03 5'.f •
4
(Sidewalk/Parking Areas) x ®sitlB .�
TOTAL PAVED AREAS 76-3 SQL'•
PATIOS/PORCHES/DECKS x =
(Open Decks 1/4" min. opening between X _
boards, with a pervious surface below,
are not considered to be impervious)
X
TOTAL DECKS tOvte g? Se.
OTHER x =
X =
TOTAL OTHER
TOTAL IMPERVIOUS SURFACE 2, 666 i•(.
UNDER OVER / 1 . 4. see "a®•
Prepared By row � ' 4,(4.4,„ Date 4/2 he
Company ',wee o4erti�,�
P.4- Phone # (0)
PRIOR LAKE BUILDING AND INSPECTION
INSPECTION RECORD
SITE ADDRESS ( Q [ . T0 , --)15 , -Biz-
NATURE
OF WORK - c l' ".4.,� � � ���4 ��,,� No �, P te F�,.I . Lr L
USE OF BUILDING
PERMIT NO. I O O Z- V DATE ISSUED 4 A (
Rc
CONTRACTOR c-w
- ( PHONE `tsZ- Zz' _Goo
NOTE: THIS IS NOT A PERMIT FOR ANY OF THE INSPECTIONS BELOW
THE PERMIT IS BY SEPARATE DOCUMENT
(N51 e%Zos t l�a,rTRoc. > MA-("I 4 [w Cc,c INSPECTOR C T rL-sGr 3 DATE
DATE
I FOOTING 1 ; .
1 FOUNDATION (Prior to Backfill) 1 /),/ `i4 /
PLACE NO CONCRET B
F - U UNTIL ABOVE HAS EEN SIG ED
�A•�o� Sy sn , C1t ROUGH - INS
SEWER /WATER / SEPTIC /J y /a3/0
FRAMING /./91 -0
INSULATION 86 '441,/,
ELECTRICAL
PLUMBING to. -s-A0 T7(5 , J T f a
HEATING (if required) M Vicilc
FIREPLACE iapg1
GAS LINE AIR TEST "
p_Avd^' p I, la s r \
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
1 tao,>s, .A,p LATE e ,44,
FINALS
GRADING (Prior to Sodding) I/ /i2 1/4 v JC'
BUILDING g , 1
ELECTRICAL
PLUMBING F
HEATING /1.1x4bn
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