HomeMy WebLinkAboutBuilding Permit 03-0040
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<tltrfifieaft uf Ql}trupaneu
CITY OF PRIOR LAKE
~tpatfmtnf of ~uil~ing JI nspttfion
o Final Permitted )lJ Conditional C.O. Expires .A vc,\ .J \, Zoo'3
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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
N/A
Zoning District
03-0040
Rl
Use Classification
SINGLE FAt.1ILY
Bldg. Permit No.
Legal Description _ L39, B3, THE WILDS SOUTH
Site Address
3127 BOBCAT TRAIL
ROBERT
Tu~
D. HUTCHINS
BUildirg Official
,Ql .200-1,
BUTLER HOy.s,ING
/ )L_;
V};
CORP., P.O. BOX 24597, APPLE VALLEY
55124
Owner of Building
Contractor's Name & Address
City Planner
DON RYE
Date:
Date:
CITY OF PRIOR LAKE
INSPECTION NOTICE
ADDRESS ~/~~
OWNER
PHONE NO.
o FOOTING
o FOUNDATION
o FRAMING
o JJlSULATI~ ~
~FINAL ? J..- \
. 0 SITE INSPECTION
COMMENTS:
SCHEDULED
~
CONTR.
PERMIT NO.
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
OA TE TIME
II ..
'< - 0.10
o EXIGRADIFILLING
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
I, ~~ ~ ;~t> ~
--.- wJ> ~
,
/'
~RK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORR~. , CALL FOR REINSPECTION BEFORE COVERING
Inspecto Owner/Contr:
CAL 0 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
r
/NSNOTI
I
~. __' ...~._~___ ....._...................._....."._....,,___. ,,,._'"_"m."_...L.____,,.~_____
DATE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED
)/-/3-03
ADDRESS 3/:J 7 &.b r (., I- ];GJ-/
OWNER CONTR. bui Ifv' f/e;u~/It S
PHONE NO. PERMIT NO. 0 3 - t90 '-10
o FOOTING
o FOUNDATION
o FRAMING
o INSULATION -
cJil' FINAL
o SITE INSPECTION
o PLUMBING RI
o MECH RI
o WATER HOOKUP
o SEWER HOOKUP
o PLUMBING FINAL
o MECH FINAL
~F=~LLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLINE AIR TST
o
COMMENTS:
G1"a /Jf \ t?e-
r I/Ih &-1- (F9/Z.
X WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
o CORRECT WORK, 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!
_OTl
.- --.- -----.-.----.-.---- --.-.--
DATE TIME
CITY OF PRIOR LAKE Gn~~~ $~a
INSPECTION NOTICE SCHEDULED
ADDRESS 3}~1 ~bl.
OWNER CONTR.
PHONE NO. PERMIT NO. ~? - .oifo
o FOOTING o PLUMBING RI o EXIGRADIFILLlNG
o FOUNDATION o MECH RI o COMPLAINT
o FRAMING o WATER HOOKUP o FIREPLACE RI
o INSULATION o SEWER HOOKUP o FIREPLACE FINAL
~ FINAL o PLUMBING FINAL o GASLINE AIR TST
o SITE INSPECTION ')( MECH FINAL 0
COMMENTS:
\. ~~~~ \o...~m- ~
'2. ~c4L ~~~ ~~ ~
"-. p.(f",^~~. A~
.g. Gill ~r'MTn '(4?-'18cr~
?J. ~~~_ ~"k c:l.W ,....cor- can)...C.J
~
T~
c1 of~ 0
--
"/0
8"'/-0$
o WORK SATISFACTORY, PROCEED
o CORRECT ACTION AND PROCEED
X CORRa!'tj 'ORK, CALL FOR REINSPECTION BEFORE COVERING
Inspector: . J f') Owner/Contr:
CAL~J(.;850 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
/NSNOTl
I
0" rE TIME
CITY OF PRIOR LAKE
INSPECTION NOTICE
SCHEDULED ~-).DD "3 ;l ~ 50
ADDRESS 7:J \2J ~
~
OWNER CONTR.
PHONE NO.
PERMIT NO.
3- 0<10
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
~LUMBING FINAL
o MECH FINAL
o EXIGRADIFILLlNG
o COMPLAINT
o FIREPLACE RI
o FIREPLACE FINAL
o GASLlNE AIR TST
o
COIVIMENTS:
l.t~v~~~~
o WORK SATISFACTORY. PROCEED
~RRECT ACTION AND PROCEED
o CORRECt:. ,~. CALL FOR REINSPECTION BEFORE COVERING
Inspector: \/ ) Owner/Contr:
CALL ~50 FOR THE NEXT INSPECTION 24 HOURS IN ADVANCE.
CODE REQUIREMENTS ARE FOR YOUR PERSONAL HEALTH & SAFETY!
INSNOTI
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CITY OF PRIOR LAKE BUILDING PERMIT,
TEMPORARY CERTIFICATE OF ZONING COMPLIANCE
AND UTILITY CONNECTION PERMIT
Date Rec' d
/~- 13 -O?l
1. White File
2. Pink City
J. Yellnw Applicant
PERMIT NO. Os -0 04-0
(Please type or print and sign at bottom)
ADDRE:3 /;;2../ bbc~~
ZONING (office use)
IC(
LEGAL DESCRIPTION (office use only) /"f"I'I
LOT~qBLOCK.3 ADDITION VJ ItL WcLJ~
I
l3ut1er~~ (Thon( ~2.) 32-8,218'8
~t).tw:Zcj5'17/ ~ V'dt'3' #I~ 5.s/~i-
,
~~;~~R ~ ~~~ (PhOne)~1.Y 3~-2/~
(ContactNam~) 0'-nnfA ~ki!- (Phone)(~/2J 5.?%- Zln
(Address) PO, ;gt/X PJ5cJ7. ~futJ~_h /II#! 6-51.)-cr
, ~fr-- r-r-
TYPE OF WORK )(New Construction DDeck OPor;;--h
fhtA
PID JS"::? R d- (993-()
OWNER
(Name)
(Address)
ORe-Roofing
ORe-Siding
OLower Level Finish
o Fireplace
OAddition
OAlteration
OUtility Connection
o Misc.
PROJECT COST IV ALUE (excluding land) $
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
,,"'mitt,d pl=, I ~ ,w= ""t",,-",,' di""~ =0'" "'it p=it "" i"" ,=, Fmdi=o,,_ 1 it~<by ''''' "'" "', ci", offici" m, ""i"", m,y
en r on the property to perfoJ;l'l1"IleeJl6 ~. . -IF /7/ S / ~2-/~2-
C /\j L./ "" . Contt,ctm', Li=" No, . Din
I Permit Valuation )f' /?? () Ot), () CJ Park Support Fee # $ Irs 0,00
I PermitFee $ /410'. 75 . SAC # $ /8075'.00
I Plan Check Fee I $ . 95-:>. s4 Water Meter Size 5/8"V $ ~O 0.0 a
I State Surcharge I $ 9 iA I 50 Pressure Reducer $ 7 (), tJ 0
I Penalty I $ City SAC and WAC # $ 120 (). 0 0
I Plumbing Permit Fee 1$ /OO,OfJ Water Tower Fee # $ ?OtJ,OO
I Mechanical Permit Fee I $ I O(). DO Builder's Deposit $ 15"00, {) 0
I Sewer & Water Permit Fee I $ :SS-.50 Other $
I Gas Fireplace Permit Fee I $ ~().a~ TOTALDUE ~ 1"'0.,o~ $ e. ~f!;8.o9
I Paid 0; (piJ'_ 0'1 'ReceiptJiSd. 4JKi
I Date 1- r '..0 By ........c:..
(}
This Application Becomes Your Building Permit When Approved
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Building Official
/d/~~ c--
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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
~M~
Planning Director
/~b/~z.., ~ aLl ~
, 'Date : Special1:onditions, if any
24 hour notice for all inspections (952) 447-9850, fax (952) 447-4245
16200 Eagle Creek Avenue Prior Lake, MN 55372
1 r
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-,
White - Building
CanarY - e:naineering
(fink - Plannirtg.:>
-~
r
-'
Tht" Cf'nlf'r or .he tailt ('ounlry
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:
/'
Accepted
v
Accepted With Corrections
Denied
Reviewed By:
~:/~
Date: /d-/~/ ~ -z....-
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."
The Cenler of Ihe L.k~ COunlf')'
<!lhite - Bui~
Canary - Engmeeflng
Pink - Planning
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
B~ lI~qy
u
/~ - 15--0 ~
The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which iSl1ro~osed at: (
o /a-r; Bifftu;C~~U-t
/'
Accepted
Accepted With Corrections
Denied
Reviewed By:
~~ /eJ2r Date: J';;414~
f
/(~ ~ a::Ct~~,
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."
I I
I
White - Building
Canary - Engineering
Pink - Planning
Thr C"rnl., of Ih~ I.akr Country
BUILDING PERMIT APPLICATION DEPARTMENT CHECKLIST
NAME OF APPLICANT
APPLICATION RECEIVED
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; I .-rLit". i ...
, _. J /t. _ ",..___.
........~ 0- -:..rV -t..
r _
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The Building, Engineering, and Planning Departments have reviewed the building permit
application for construction activity which is woposed at:
"j i ,/~7
"'\, I
""-,_I ;"-
./)zr;)/'
.~~ ,--,-"1
lJ '. j /'> /)
- "_..1./ ,./..
Accepted
,
X'
"
Accepted With Corrections
Denied
Reviewed By:
11415
Date:
1?-Z7-o2-
Comments:' See Reverse Side for Additionallnformationl
See Attachmp.tlt~. 1) Gr~c11ne Pl~n, 2) Erosion (;ontrol MeaSUTp.s
'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
I
CITY OF PRIOR LAKE
HEATING/AIR CONDITIONING/FIREPLACE PERMIT
Date R
1. Pink File PERMIT N
2. Green City O. '""J _/ / /\
3. Yellow Applicant ...:::::> '-1" V
(Please tvlJe or print and si~ at bottom)
ADDRESS
ZONING (office use)
3127 BOBCAT TRAIL
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
BUTLER HOUSING CO.
(Phone)
(Address)
APPLICANT
(Name) ALLIED FIRESIDE DBA FIRESIDE HEARTH & HOME
(Phone)
651-633-2561
(Address)
2700 NORTH F AIRVIEW AVENUE
(Address)
ROSEVILLE
(City)
55113
(Zip Code)
(Contact Person)
BRENDA HUSTON
(Phone)
651-633-2561
APPLICANT SIGNATURE
BRENDA HUSTON
DATE
5/6/03
APPLICANT PLEASE COMPLETE BELOW
xD NEW CONSTRUCTION 0 REPLACEMENT 0 AL TERA TIONS
FURNACE MAKE AND MODEL FUEL
FLUE SIZE RETURN OPENINGS INPUT OUTPUT
TYPE OF SYSTEM
DWarm Air Plants
DGravity
D Mechanical
DAir Conditioning
DVent. System
HEATING OR POWER PLANT
D Steam
D Hot Water
D Radiation
D Special Devices
D Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
FIREPLACE MAKE AND MODEL
HEAT N GLO 6000TR-OAK
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
$39.50
Residential, Heating & AlC (New Construction)
Residential, Heating Only (New Construction)
$39.50
$39.50
Estimated Cost $
REA TING PERMIT FEE
STATE SURCHARGE
TOTAL PERMIT FEE
Building Permit #
$
$
$ .~
~" ". PAID ~
11 ) ~ lQ; ~ fJ \Jl rt .~ IlOING PERMrF
r tai~ '" , Rect!tpt No. If F
ll~Y - 8 Z003'IBY ~
I (j
.50
(Office Use Only)
This Application Becomes Your Building Permit When Approved
Buildin!!: Official
Date
l:.y
24 hour notice for all inspections (952) 447-9M~U, tax (9~.lJ 4lr/-ln~J
.
FROt1 : ALL! ED E><CAl)AT H1G FAX ~~O. : 9528959394
U4ile,.02 TliE 1)\l:O~ fAX l'12U742H tIl'Y OF PRIOR LAKE
Feb. 19 2003 09:17AM P1
~OOl
Dete Rec' cl
CITY OF PRIOR LAKE
SEWER AND WATER I'LKMrr
~~typlo,~u.... aU. ,....)
i ADDRESS
1 31al [?)D\OCA:\A-', V~'~ \
:: ~ ~ I PERMlTNO. 3 -L/D I
ZOSING (olBonw, I
UOAL DESC~ON (o~ uae QItly) .
LOT DLOCK
AOI>mON
PID
OWNER ( ) . \ ~ \ \ ..
(Nam~j \')1) r \r-e/V "OJ',) '\ f\..CJ...
'-'
(,Phone)
(Addrest) _
(AAIdlaI'
(~)
alP CfdI)
~;;~~Am ~ \ \ 'l e..c\ ~l< ~ vet i Y\.-q . (Photte) q S a. {2f14 -PJ D C/O
(Addms) ILia} w \ ~\D~ S\-vU-t ~~e. "(Y\V\j i3~.~8
~~~~) . ~ ~~
(Conta~Penon) ()~ /\ . ..(.P~) ~A A
APPLICANT SlGNA ~ ~TE _ C)-jC]-o:'S.
APPLICANT PLEASE COMPLETE BELOW
Size of water serviu I inches. ~
Locatioa ot uy couplings from sttuc f~et.
Type of JeWell',:,.... 0 ABG.. PVC 0 Cast Iron
Estimated lenath of sewer line 4_0.. ~
Clean out (if required) located ~ feet from stnIdlUe.
~_ J::r
J'EE SCHEDULE
Resldt~t1al SeWfr and waw line I:Onnlcuon 535.50 111du.trial. Com 'l.i Ml1Jti-tamDy 1 % ofjQb QOS[ wlI:h a ,,9.'(f mioiDMll
5Ifwft<;onnoe(iOll ODJy $17.50 WaltrcolUledion oaly '17.'0
EsUJMted Colt $
Buildina Permit fI.,. -.-...
SiWEk AND W A'mR PEltMJT FEE
STATE StmCRARGE
TOTALPlRMIT FEE
$
S
S
a
PA'''''' \,. - -
,'omect"01l11J .'- ~ . SUJLO'N~'"
ThlsAPPUcaIIoIlBuo..YOlU'Blli.Will.p~iCWben4pFroYc~ ~~ U \!J ~ ( ')1 . MttIp~l\O, t:..'..1i
111 n.~
BaIlIS'" OIllDLI Dale,d ~ ~Elr2 4 2ilil3.JJll- er ~ t4 r-
)4 H,,, or. If' IIlI.JJ'd1oel <':1-9150. In ~) 44"~ - . Ij
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CITY OF PRIOR LAKE .
HEATING/AIR CONDITIONING/FlREPLACE PERMIT
Date Rec'd
(Please type or orint and sign at bottom)
ADDRESS /)
j 1:1 ] 0 ;)/JA/~/J
I. Pink File PERMIT NO 3
2. Green City .' - L/o
3 . Yellow Applicant
,-j;{;1 /~(
ZONIN G (office use)
LEGAL DESCRIPTION (office use only)
LOT
BLOCK
ADDITION
PID
OWNER
(Name)
f(;HL4(l ~ Je;,
r. o. I )l>-J... ~4S (l7
(Phone)
JJ/JJ~ (L l-f1~. ~ (}.t-j
U
9SJ- 'Ill-LilJA
(Address)
APPLICANT
(Name)
RAY N. WELl ~ HEATING co.
~( limeago Ave. So.
::::)personl ;r:;;w:J: 7ra / / (Phone)(d~)t/W ,-L'i1")
APPLICANT SIGNATURE ~ ~/ DATE JI3/1~
:~PLICANT-PL~~OMPLETE BELOW
DNEW CONST~CTIOf'l 0 REPLACEMENT 0 AL TERA TION~ J _ J "
FURNACE MAKE AND MODEL -r~ il,Jt!;. FUEL _/J.jfFl{;/:Jj
FLUE SIZE 3/1 f V L RErURN OPENINGS 7 INPUT R tJ. /7ZJZ) OUTPUT '2:l,tJZ7U
HEATING OR POWER PLANT
(Phone) J;9 - f),S--b'(fs:,-'l
lJPE OF SYSTEM
, . OWarm Air Plants
09fayity
0'~echanical
g'Air Conditioning
OVent. System
o Steam
o Hot Water
o I\adiation ~ - a..
~pecial Devices /h'W fL.
o Other Devices
PLEASE NOTE:
Air Conditioner Units
Cannot Encroach into
Required Side Yard
Setbacks
e III J:.>
FIREPLACE MAKE AND MODEL
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
$39.50
$39.50
$39.50
Residential, Heating & A/C (New Construction)
Residential, Heating Only (New Construction)
Estimated Cost $ Building Permit #
8(JJ~,ff/D 'IV/1H
1NG P~RMrr
HEATING PERMIT FEE $
STATE SURCHARGE $ .50
TOTAL PERMIT FEE $
(Office Use Only) __
This Application Be<omes Y onr Bnilding Permit When Apprnv 1) ~M~:~ ~o~~ 11
Building Official Date J J -.J .
24 hour notice for all inspections (9:-~147-9850, fax (952) 447~24~
~",."",,,_,,,,,,.~,,,,""''''L''
Receipt No.
By 111\
VI
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FRor1 tdEL TER & BLAYLOCK
PHOt~E tn
~o~. PRio~>"
i (.4~ '
(~~)~
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612 8828573
Ma,r. 10 2003 04: 47pr'1 P2
CITY OF PRIOR LAKE ~::~,~, ~~;;,.
PLUMBING PERMIT PPNo 3-c/D
APPlicantMP,/...J..e r ~ J3~/() e.k Phone: ~-:;- :?S,-~..::.~ b 1\ I
Address: /SoLE".-1:!-c..u y / 5t3 url15 v//I-e...I!11{ .!/-S3"3 '7
Signature: L);o 1....:"" ., <;. F~ " _U_"
Legal Description: Lot _S <1 ./ Block...~_......,.._. Sub W,' (&s ~6 ....-1. ~
Site Address:.3j...< 7 .i3P h('.~+ Ica / I
Building Permit # 03- Q 0 i/o PIO #.;2S 31: ~ D'I3-0
NOTE: This permit will not be processed without complete information.
FIXTURE UNITS
- $.;:"'....__...:_~~-
'i J ! II:' :.:'-...._--
a~ ~~~j~i~~OJ~
"", !""'" ",,,,,!OJ "1'''' ,', "'"'' '''',,',,',,'' "" '"'~
..'"nlnk'lill'. ~h;dl comr1y in i111 rr.:~pcct, with Ihe ordinances /)
"I' Ilw ~I"I( I'It"lll'll'!i (""de and the am~lIdIl\CI\l~ lhereof. !/r
'" RJ~.("EIPT NO, __...,"_'__ J)AT.~ "/
" .....-.-.--...----. .... ^ 1TEST a'.'t. ~O" "A~ ~-T
( all f,.,1' ;dl II"p~'di(lll~ 24 hour, III ,.dvance. V'I IIV\:I"i:,'''''
S L. Prior L~\\';c, MN S).~72 / Ph (612) 447,9kSO / FAX (61 :~) 44'7 4;~Afrr
'\;1 [.'111:11 Or""rlllIllty Cmploj(r
lfM (f'n'fr 6' the' r.kf ('oun.n
Quantity Type of Fixture
c;( Bath Tub with or without shower
I Dishwasher
0< Floor Drain ( I ~ ~~)
.s Lavatory (bathroom sink)
/ Laundry Tray (1 or 2 compartment sink)
/ Shower Stall
/ Sinks
Bar Sink
3 Water Closet (toilet)
FEE SCHEDULE
Industrial, Commercial & Multl.Family
(1% of job cost, $39.50 minimum)
Residential, ~Jew One & Two Family
Residential, Additions & Alterations
State Surcharge
16200 E;ifk Cn:d /\\
I
QuantIty
Type or F'ixture
'I
I
Rough-ins
Water Heater
Water Softner
Stand Pipe (washing machine)
Sewage Ejector
Backflow Assembly (RPZ, Double Check, PVB)
Backflow Assembly Test
Lawn Sprinkler
I
0(
Other ~ b-'j-Vt. v--6~~-c)
$99.50
$3950
$
$
$
GRAND TOT Al.
I
PRIOR LAKE
INSPECTION RECORD
SITE ADDRESS 3lz:J~"" flAtL.
NATURE OF WORK NEW ~t.tcrfOfJ
USE OF BUILDING S. t:. 0, -
PERMIT NO. (E-064-0 - DATE ISSUED alllfot. Ii.
CONTRACTOR ~\A~~ftP. PHONE..GJ1- 3~bg
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
~'
1I"'v
fP
(r.-;r
SEWER I WATER I SEPTIC
FRAMING
.rINSULATION
,.-/" I ELECTRICAL
PLUMBING
HEATING (if required)
FIREPLACE
GAS LINE AIR TEST ~ iJ-c
COVER NO WORK UNTIL ABOVE HAS BEEN SIGNED
I I
FINALS
ffAt5
. Yf>
)
&iJS
r~.1 _
~ FOUNDATION (Prior to Backfill) I /11) I 2- -j 9'
PLACE NO CONCRETE UNTIL ABOVE HAS BEEN SIGNED
ROUGH - INS
l/1.;I./
\) C. (ItJ _
w
I 2- L/_~
I FOOTING
~J.-I
c;/ --/~
q-/7
~~ J>-28
/i!f~ .
,.r=>~ ~~
~/~i'J -
r
GRADING (Prior to Sodding)
BUILDING ~~
ELECTRICAL
PLUMBING
HEATING
DO NOT OCCUpy
JI- 13-3
,j-~~<3
{fj i~
UNTIL ABO~E H~S
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.
II....},
BEEN SIGNED
FOR ALL INSPECTIONS (952) 447-9850
" .,
.